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HomeMy WebLinkAboutSUE TAWN ESTATE #2 BLK 4 LT 4Suetawn Estates #2 Block 4 Lot 4 #051-511-37 Municipality of Anchorage ' Development Services Department Building Safety Division s •.. On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.ci.anchorage.ak.us (907)343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSP111196 PID Number: 051.511.37 Name:ert & Sandra Gold Wastewater System: ❑ New ❑ Upgrade Atldreas: 415 Sue Tawn Drive ABSORPTION FIELD Phone: Number of Bedrooms: ® Deep Trench ❑ Shallow Trench O Bed 0 Mound n Other: LEGAL DESCRIPTION Soil Rating: 0.8 GPD/F? Total Depth from original grade: 10 Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grace: Gravel depth beneath pipe: 4 4 Sue Tawn Estate #2 3 Ft. 7 FL Township: Range: Section: Fill added above original grade. Gravel Length: .5 Ft. 54 Ft. Well: ❑ New ❑ Upgrade Gravel width: Number oflines: Distance between lines: 3.0 Fr. 1 Ft. Classification (Private, A. B, C): Total Depth: Cased to: Total absorption area: Pipe Material: FAsting Private Ft. Ft. 756 Ft' 3034 PVC Driller: Date Drilled Static Water Level: Installer: Date Installed: Ft. Flintstone Enterprises 8/25/2011 Yield;Pump Set at: I Casing Height Above Ground: TANK GPM Ft. FL SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ® Other: ToSeptic Absorption Lift Holding ublidPrivate Manufacturer: Capacity: From Tank Field Station Tank Sewer Line Anchorage Tank 1500 Gal. wall 158.4 102.4 25+ Material: Steel Number of Compartments: 2 Swfacewater 100+ 100+ LIFT STATION Lot Line 32.0 10.0 S¢e: 250 an acturer. Orenco cal. Foundation 14.1 1 O.0 "Pump on' Ieval at: "Pump off level at: High water alarm at: 40 in. 36 in 23 in. Curtain Drain N/A Pump Make & Model Electrical Inspections performed by: P2005.1 J Electrical LLC Remarks: --Q,,,,, BENCH MARK Location and Description: Garage FF Assumed Elevation: 100.0 Ft. Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1e` 8/2212011 �hff rid 2 8/2512011 ..•`O`F C . . \� ff . Development Services Department Approval . S �p............�� : �•''♦♦ is 49TH ♦♦ Conditional Approval Date: ; O ♦Steven ••R• Pannone:.TO ♦I� s s, No. CE 8149 Reviewed and approved by: �� B � Date: I - l ♦1 f l b,,.• PF>�i ffi�� CO A B FC 19.8 4.5 T1 21.3 17.2 T2 25.0 25.4 LS 26.0 27.5 M1 41.0 35.5 M2 85.5 86.9 E1 47.3 52.0 E2 67.7 74.7 M3 10.0 26.9 M4 31.9 45.4 NOTES: PLAN WELL (E) —W— WATER LINE/ WELL RADIUS SS NEW SEPTIC W o� ` Wa EXISTING 12508 SEPTIC TANK a z , ABANDONED PER CODE 0 NEW 1500g S.T.E.P. TANK INSTALLED DOUBLE VALVE INSIDE LIFT STATION CONNECTED TO BOTH FIELDS EXPANDED EXISTING FIELD 20LF x 3'W x 7'ED x 1 O'TD (280SF) (SEE NOTES 1 & 2, THIS PAGE) 0 _= TT/H—S2 5�s-1 DRAIN FIELD (E) EXPANDED FOR A 4BR SYSTEM �-y INSERTED 1Y4" 0 DRAIN PIPE W/Ye° HOLES Qo 24° O.C. INTO EXISTING 4° PERF PIPE CONNECTED TO CENTER OF FIELD AND REUSED WITH EXPANSION JJI ` I AS A 4BR RESERVE \ Z7 1 PANNONE ENG SVC, LLC :";�'OF A P.O. BOX 100217 ANCHORAGE, AK 99510 ,4�Ap�' " ' PHONE (907) 272-8218 FAX (907) 272-8211 iaj.•e j *: 49 TH E ........ SUE TAWN ESTATE #2, BLOCK 4, LOT 4 ROBERT & SANDRA GOLD €'teven • CE 81 P.O. BOX 671402 f� 6�OCL1 CHUGIAK, AK 99567 'h, — q `ll 1/9/12 Scole r'=50' 7 . 9 P.I.D. NO .... � nnorae / 051-511-1-37 PERMIT NO. OSP111196 �t;�•r Sheet �' 2OF3 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 WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALLED NEW 1500g S.T.E.P. TANK AND SOIL ABSORPTION SYSTEM. 4. NO GROUNDWATER WAS OBSERVED AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15.0 FEET BELOW EXISTING GRADE. 985 NEW1250g SEPTIC TANK PROFILE DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. PERC RATE = 1-5 MPI SOIL RATING: 1.2 GPD/SF AREA RQD: 5DO SF SYS. TYPE (E): WIDE TRENCH 3.5' E.D. RF: 0.54 LENGTH: 47 LF EXPANDED SYS. TYPE (P): DEEP TRENCH 7.0' ED EXPANSION MIN LENGTH: 4.6LF USE: REUSE EXISTING 47 LF X 5' WIDE, 3.5' E.D., 10.0' TO (435.2 SF) ADD 20 LF X 3' WIDE, 7' ED., 10.0' TO (280 SF) TOTAL AREA: 715.2 SF 104.4 101.4 71- 100.9 TH S1 0 & S2 OF FC 7�yLL Rm0 � DW ~ F> F 0 > O WQ W 22 22 t oz nw Z H ¢ W -SIO DV DIVERTER VALVE OLLV w 2 f6 fQ U ASO r1YP 0 DRAIN PIPE W09' HOLES@ 24"O.C. 985 NEW1250g SEPTIC TANK PROFILE DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. PERC RATE = 1-5 MPI SOIL RATING: 1.2 GPD/SF AREA RQD: 5DO SF SYS. TYPE (E): WIDE TRENCH 3.5' E.D. RF: 0.54 LENGTH: 47 LF EXPANDED SYS. TYPE (P): DEEP TRENCH 7.0' ED EXPANSION MIN LENGTH: 4.6LF USE: REUSE EXISTING 47 LF X 5' WIDE, 3.5' E.D., 10.0' TO (435.2 SF) ADD 20 LF X 3' WIDE, 7' ED., 10.0' TO (280 SF) TOTAL AREA: 715.2 SF 104.4 101.4 71- 100.9 TH S1 0.STOPSOIL&VEGETATE & S2 104.4 FC FOUNDATION CLEAN OUT 103.9 TANK CLEAN OUT NO. C# 3.0 0.5 M# GP/ t100.9- FILTER FABRIC RIGID INSULATION SP 7.0 1WO DRAIN PIPE Wl Y" HOLES 024"O.C. DV DIVERTER VALVE DRAIN ROCK FLOW SPLITTER SAS 93.9-I -I 3.0 F 6.0 No groundwater monitored SECTION -16.0 7,9 87.g_ DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. PERC RATE = 1-5 Vol SOIL RATING: 0.8 GPD/SF AREA RQD: 750 SF SYS. TYPE: DEEP TRENCH 7' E.D MIN LENGTH: 53.6 LF USE: 54 LF X 3' WIDE, 7' E.D. 10.0' TO TOTAL AREA: 756 SF NOTES: PMNONE ENG SVC, U.0 ,ORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SUE TAWN ESTATE #2, BLOCK 4, LOT ROBERT & SANDRA GOLD P.O. BOX 671402 DETAILS CHUGIAK, AK 99567 ABBREVIATIONS CU '{� 9 �4►. 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 SAS SOIL ABSORPTION SYSTEM 1/9/12 NTS -,0 051-511-37 Be� PERMIT N0. OSP111196 Sheet 3 OF OCT -13-2011 13:40 FROM:SR'S SEPTIC PUMPING 9073449821 TO:2728211 P.1/1 J ELECTRIC L.LC 6732 E 99T" AVE ANCHORAGE, AK. 99507 9/10/11 JR,S Septic Pumping RE: Robert Gold 18415 Sue Tawn Drive Chugialc, AK. This letter is to certify that J Electric LLC wired Septic lift station and also high level alarm at the above location in accordance with the NEC and Moa codes. A " A:fvr---� Jane Saggs J Electric LLC Contractors Lic # 34469 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: OSP111196 Tax Code Number: 05151137000 Work Type: Septic Upgrade Permit Effective Dates: August 23, 2011 to August 22, 2012 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SUE TAWN ESTATE #2 Site Legal Address: SUE TAWN ESTATE #2 BLK 4 LT 4 G:1060 Owner/Address: GOLD ROBERT P & SANDRA S PO BOX 671402 CHUGIAK AK 995671402 9li//i /pol Site Mailing Address: 18415 SUE TAWN DR, Chugiak Lot Size in Sq Ft: 60885 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received E Issued By: ClItl COQ Chan Jo e Fro_ fo 7 e F�, W� STC fa,, k. MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fa*L--9G7-a43-70097-- On-Site Water & Wastewater Program Mayor ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel 1. D. 05"1- 5-11 3 i Property owner(s) a8,= T 4Ap 3g.1v(?_/i &0Q9 Day phone Mailing address Po, B&x �7l �,lt� Z. , � a� AY/\ 42567 Site address 6o T JN D� Legal description (Sub'd., Block & Lot) S,)t= Te4w,N Legal description (Township, Range & Section) Lot Size ( S_$5 Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (N all that apply) Absorption Field K Initial ❑ 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 Familyipwelling and is in accordance with applicable Municipal Codes. (Sig of property owner or authorized agent) '11 Perm' Rush Fees: Date of Payment: i Receipt Number: Permit No. " � f" I `1 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GABuilding\On Site\Forms\Client Forms\Permit App_01 041 1.doc (Rev. 1/11) Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com August 2, 2011 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Sue Tawn Estates #2, Block 4, Lot 4 Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed systems will serve an existing four-bedroom house. The existing system was designed for a three- bedroom house and the house has been upgraded to four bedrooms, and the system is in falure. This upgrade is for a four-bedroom house. The existing drain field will be re -used as a four-bedroom reserve with the addition of 324 SF making it adequate for four bedrooms. Currently the lot is developed. The lot is served by a private water supply. The existing septic system is in failure. A new drain field will be installed. The surrounding developed lots are served by private water systems. The private wells are located over 100 feet from the proposed soil absorption system. 1. Soils. A single test hole was excavated by Eagle River Engineering Services in June of 1988. The soils log is on file. Ground water was monitored for seven days. Ground water was not observed at a depth of 15 feet below ground level after the 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; an application rate of 0.8 gallons/day/square feet should be used, using a 1250 gallon septic tank that will discharge into a wide trench. If a second test hole is necessary it will be performed at the time of installation. 2. Soil Absorption System Design. See Design Drawings sheet 2 of 2 for design calculations. 3. Reserve Field: The original drain field is 47LF x 5'W x 3.5'ED x 10'TD for a total of 435SF. The drain field will be expanded by 3 5L x 5'W x 3.5'ED x 10'TD by adding a second 351,17 trench with a flow splitter which will add 324SF of absorption area. The newly expanded reserve drain field will have a total of 759SF which will be adequate for a four-bedroom house. 4. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water MaHi.ng: P,O. Box 1,00217, Andiorage., AK 99511.0-021-11 iy', f:; 615 East .gf"Ave, %...t: Q. e i"`r i"i2a..L%bj N(995,ki„ 3 Teic,,'t ��o ne: 190 7) 272-821.8 AX: 907) 272-8211 Page 2 of 2 and drainage ditches. 5. Topography: The average topography in the area of the proposed septic system is approximately flat with a general slope to the southwest in the surrounding area based on the survey information. The proposed installation will be greater than 50 feet from the shoulder of the steep slopes. 6. 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 TH Tye ••� ......... .. . ... .. .......9... i •••• Steven R. Pannone�� [�/! � ���jj•,,,:,,•��4 X222222"''''/ Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: P,O, Bcx 100217, :w, AK 99510-02'. 7 Pl"' Y"ta? , 6 f? a 9w 82"'1 "'1 Ave, C uiie B6, Arichorage, AK 99503 Te!epho�ie. ( 07) 272-821FAQ. 07) 272.82.1. . 4\1 W WATER LINE/ �'��F q�\N �. '�� ""' qS l) yk;'49 m *��/ • • / • • • / • Steven .'Pannone k � ���F� . CE 8149 j '11 �(OQ�� . 'i D8/31/11 WELL RADIUS Scale 1"=50' SS NEW SEPTIC SUE TAWN ESTATE #2, BLOCK 4, LOT 4 ROBERT & SANDRA GOLD P.O. BOX 671402 CHUGIAK, AK 99567 V), O CJ W F PERMIT N0. OSP111196 O W Z J (n . Sh1 eOF 4 � > 0 LJ W Q W � (n Z J � W w 1500g S.T.E.P. TANK (P) —'/Q INSTALL DOUBLE VALVE 4BR INSIDE LIFT STATION OUSE o CONNECT TO BOTH FIELDS EXPAND EXISTING FIELD (P) 201-F x 3'W x 7'ED x 1O'TD (280SF) (SEE NOTES 1 & 2, THIS PAGE) �k0 10.0 TH 19 —1 DRAIN FIELD (E) I` TO BE EXPANDED FOR A 48R SYSTEM INSERT 1Y4" 0 DRAIN PIPE W/ Ya" HOLES @ 24" O.C. INTO EXISTING 4" PERF PIPE CONNECT TO CENTER OF FIELD AND REUSED WITH EXPANSION AS A 4BR RESERVE 102 8 , 1 WELL (E)_ � N � II Z w w 4 f/1 V PAMONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 �'��F q�\N �. '�� ""' qS l) yk;'49 m *��/ • • / • • • / • Steven .'Pannone k � ���F� . CE 8149 j '11 �(OQ�� . 'i D8/31/11 FOR CONSTRUCTION Scale 1"=50' SUE TAWN ESTATE #2, BLOCK 4, LOT 4 ROBERT & SANDRA GOLD P.O. BOX 671402 CHUGIAK, AK 99567 P.I.D. NO 051-511-37 PERMIT N0. OSP111196 PLAN Sh1 eOF 4 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 1500g S.T.E.P. TANK AND SOIL ABSORPTION SYSTEM. 4. NO GROUNDWATER WAS OBSERVED AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. �o J 7V = 0? m C, m 0 H H QO O QW ZQ � 0V 0O W w Q U. y ZZ Q QU LLU JzO 1Y4" 0 DRAINPIPE W/Y" HOLES @ 24" O.C. 5.0 1250g SEPTIC TANK (P) PROFILE DEEP TRENCH SEE DESIGN 0.5 TOPSOIL & VEGETATE TH S1 &S2 O✓t • y 3.0 J- c� P�P � �,�,,, � 0.5 GP/z" y FILTER FABRIC SP 7.0 - 1Y4" 0 DRAIN PIPE W/ y" HOLES @ 24" O.C. DESIGN PARAMETERS DRAIN ROCK RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) 3.0 TANK SIZE: 1500g S.T.E.P. 6.0No PERC RATE = 1-5 MPI groundwater g SECTION SOIL RATING: 1.2 GPD/SF -16.0 monitored AREA RQD: 500 SF SYS. TYPE (E): WIDE TRENCH 3.5' E.D. DESIGN PARAMETERS RF: 0.54 PRIMARY SEPTIC SYSTEM ABBREVIATIONS LENGTH: 47 LF NO. BEDROOM: 4 (600 gpd) CU COPPER EXPANDED SYS. TYPE (P): TANK SIZE: 1500g S.T.E.P. DIP DUCTILE IRON PIPE DEEP TRENCH 7.0' ED PERC RATE = 1-5 MPI TH TEST HOLE EXPANSION MIN LENGTH: 4.6LF SOIL RATING: 0.8 GPD/SF FC FOUNDATION CLEAN OUT USE: AREA RQD: 750 SF T# TANK CLEAN OUT NO. REUSE EXISTING SYS. TYPE: DEEP TRENCH 7' E.D. C# CLEAN OUT NO. 47 LF X 5' WIDE, 3.5' E.D., MIN LENGTH: 53.6 LF M# MONITOR TUBE NO. 10.0' TD (435.2 SF) USE: R.I. RIGID INSULATION ADD 54 LF X 3' WIDE, 7' E.D., DCO DOUBLE CLEAN OUT 20 LF X 3' WIDE, 7' ED., 10.0' TD DV DIVERTER VALVE 10.0' TD (280 SF) TOTAL AREA: 756 SF FS FLOW SPLITTER TOTAL AREA: 715.2 SF SAS SOIL ABSORPTION SYSTEM NOTES: PANNONEo�ANCHORAGE, 99 , UC '��OFA`kk' D8/31/11 ate CHANGE ORDER PHONE (907) 272-8218 FAX (907) 272-8211 G, y �. �� Scale 49 TH ' *�� NTS .... P.I.D. NO SUE TAWN ESTATE #2, BLOCK 4, LOT 4 / 051-511-37 •Steven "."Pannone• / ROBERT & SANDRA GOLD / / PERMIT NO. P.O. BOX 671402 ���' j , CE 814 c�j OSP111196 It sTF IloR�?� ',� DETAILS CHUGIAK, AK 99567 l�lFOPRpFEsSioNP Sheet 2 OF 4 10 11 12 13 14 15 16 BOH 17 18 DATE PERFORMED: 8/22/11 SOILS LOG - PERCOLATION TEST SLOPE X TH TEST HOLE S1 4BR OR ORGANICS 1 (E) TH—S1 2 O� 3 L 4 5 6 7 8 GP/ POORLY GRADED 9 SP SANDS AND GRAVELS 10 11 12 13 14 15 16 BOH 17 18 DATE PERFORMED: 8/22/11 SOILS LOG - PERCOLATION TEST SLOPE X TH WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0--' DEPTH TO WATER AFTER MONITORING? -DRY- DATE: 8/30/11 0 -tel SLOPE TH X READING DATE CLOCK WATERTIME NET TIME LEVEL NET DROP READING 1 NO PERC 2 3 4 5 6 COMMENTS: Test hole excavated by A+ HOME SERVICES. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST NOTES: PAMONE ENG SVC, LLC�`_OF A���\1 Date CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 ,.'�"��'gc4l8/31/11 � PHONE (907) 272-8218 FAX (907) 272-8211 /eco �y�+ scale •••• "••• P.I.D. NO SUE TAWN ESTATE #2, BLOCK 4, LOT 4 ... .... ... ......1 / 051-511-37 ROBERT & SANDRA GOLD r Steven Pannone 0' PERMIT NO. P.O. BOX 671402 r� �F�; . CJE 8149 j OSP111196 SOILS LOG CHUGIAK, AK 99567 �� �T -• �•" r Sheet ilk�PROFESSIONP ,� �� 3 OF 4 ■ ' 4BR HOUSE (E) TH—S1 O� SHED L WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0--' DEPTH TO WATER AFTER MONITORING? -DRY- DATE: 8/30/11 0 -tel SLOPE TH X READING DATE CLOCK WATERTIME NET TIME LEVEL NET DROP READING 1 NO PERC 2 3 4 5 6 COMMENTS: Test hole excavated by A+ HOME SERVICES. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST NOTES: PAMONE ENG SVC, LLC�`_OF A���\1 Date CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 ,.'�"��'gc4l8/31/11 � PHONE (907) 272-8218 FAX (907) 272-8211 /eco �y�+ scale •••• "••• P.I.D. NO SUE TAWN ESTATE #2, BLOCK 4, LOT 4 ... .... ... ......1 / 051-511-37 ROBERT & SANDRA GOLD r Steven Pannone 0' PERMIT NO. P.O. BOX 671402 r� �F�; . CJE 8149 j OSP111196 SOILS LOG CHUGIAK, AK 99567 �� �T -• �•" r Sheet ilk�PROFESSIONP ,� �� 3 OF 4 10 11 12 13 14 15 16 BOH 17 18 DATE PERFORMED: 8/22/11 SOILS LOG - PERCOLATION TEST SLOPE X TH WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0--' DEPTH TO WATER AFTER MONITORING? -DRY- DATE: 8/30/11 4BR HOUSE (E) J 77 O SLOPE TH X READING DATE TEST HOLE S2 NET TIME WATER LEVEL READING OR ORGANICS 1 -- 5.17 --- 2 3:25 10 MIN 8.67 3.50 3 3:25 --- 5.17 --- 4 3:35 10 MIN 8.65 3.48 5 3:35 --- 5.17 --- 6 3:45 10 MIN 8.63 3.46 7 8 GP/ POORLY GRADED 9 SP SANDS AND GRAVELS 10 11 12 13 14 15 16 BOH 17 18 DATE PERFORMED: 8/22/11 SOILS LOG - PERCOLATION TEST SLOPE X TH WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? -0--' DEPTH TO WATER AFTER MONITORING? -DRY- DATE: 8/30/11 4BR HOUSE (E) J 77 O SLOPE TH X READING DATE CLOCK TIME NET TIME WATER LEVEL READING NET DROP 1 8/22/11 3:15 -- 5.17 --- 2 3:25 10 MIN 8.67 3.50 3 3:25 --- 5.17 --- 4 3:35 10 MIN 8.65 3.48 5 3:35 --- 5.17 --- 6 3:45 10 MIN 8.63 3.46 PEROLATION RATE 2.9 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by A+ HOME SERVICES. Prec hole was presoaked Test run for one hour. Last 3 readings reported PERFORMED BY: Steven R. Pannone P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST NOTES: PAMONE ENG SVC, LLC �``OF A X'k' Date CHANGE ORDER P.O. BOX 100217 ANCHORAGE, AK 99510 ..�"� ""' 'qs 8/31/11 PHONE (907) 272-8218 FAX (907) 272-8211 /'�aj�Q �y�+ Scale j*:49TH 1'=50' � • • .... P.I.D. NO SUE TAWN ESTATE #2, BLOCK 4, LOT 4 051-511-37 Steven R. annone- ROBERT & SANDRA GOLD l/ PERMIT NO. (© OSP111196 P.O. BOX 671402 SOILS LOG CHUGIAK, AK 99567tl `FD F� Sheet ll�\ OFE$```�+ 4 OF 4 Certif feb orfflinq 3.og by DOC CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 -TELEPHONE 688-2759 OWNER OF LAND: _ n &Zoc % 4� 474,4 Cc ADDRESS: LEGAL DESCRIPTION: � L I T;4"J S / L C 4a DATE: �t z o M PERMIT NUMBER:Ia%9Q.�t_?Date oflssue � TAX IDENTIFICATION NUMBER: D<! _ / _ Is well located at approved permit location? 44' ss ONO Method of Drilling: 60WTStary U cable tool Depth of well: "� O O Casing Type S7'F Wall Thickness • -2 So inch Diameter 6 / inches, depth fe Liner Type: ,J Ot14 JE Casing Stickup Above Ground: a- fe Static Water Level: /90 fe Recover Rate: _Q gpm Method of Testing: A•/ t2 Well Intake Opening Type: O open end 1}n hole O Screened; Startfeet Stopped fe O Perforations StartfeeSto/pped fey Grout Type: A� Volume Depth: fromy feet, to a C l— fei well Disinfected Upon Completion? LSI Veg- O No Method of Disinfection: CqL 4,K., -v L_ () Comments: as .n _C14i0NG :'ijC_AC j0 JI_ <ajK, 4,= Aj z9C4oR4c.,i` 6o<.fy '(Fjo,''I C.���/i0'-j n,< 74 13Eo.4 1," Coe, e Ao4 Driller's Name - 43tt ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. <3,W ogooal,&� P(D-p51-511-31 b 4tL b� 04. - 5- 1 -o�7 Legal Description:Sue Tawn Est #2 Property Owner Name &Address: LotA Bob Gold BlockA PO BX 671402 rh„oialr AV oW7 Pump Installation Date: 8/22/2007 Pump Intake Depth Below Top of Well Casing:142 Feet Pump Manufacturer's Name: Dempster Pump Mode1:M-75 Pump Size3/4: hp Pitless Adapter Burial Depth:1l feet Pitless Adapter Manufacturer's Name: Martinson Pitless Adapter Installer: Arctic Pump & Well, Inc. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump & Well, Inc. No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.484 / Virus Database: 269.12.1/965 - Release Date: 8/21/2007 4:02 PM 8/23/2007 Page 2 of 2 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 WATER SUPPLY PERMIT Initial Permit Number: SW070048 Legal Description: SUETAWN ESTATE #2 BLK 4 LT 4 Date Issued: May 01, 2007 Expiration Date: Apr 30, 2008 Parcel ID: 051-511-37 Design Engineer: 0000 ZZ - NONE NEEDED Site Address: Owner Name: ROBERT P & SANDRA S. GOLD Lot Size: 60885 SQ. FT. Owner Address: PO BOX 671402 Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK . AK 99567 - This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: a � "-"ec k' QA j Date: s a Issued By: AI WO -r". Date: / Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6850 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-511-37-000 Property owners) Robert P. and Sandra S. Gold Day phone 688-4545 1 1.2 3e -y3Vr (G Mailing address Box 671402 Chugiak, AK Zip Code 99567 Site address 18415 Sue Tawn Dr. Chugiak, AK Zip Code 99567 Legal description (Sub'd., Block & Lot) Sue Tawn Estates #2, Block 4, Lot 4 Legal description (Township, Range & Section) Sq. Ft. Lot Size 608851- Number of Bedrooms 3 - � w�l� 7� �✓!ny W1t/�9f1STlNf wLRL /N a�4'�1'77on/�f� 0/4��. THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field ❑ Initial IN 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. (Signature of PermiL'Rush Fees: 1115" Date of Payment: Receipt Number. (Rev. 11105) agent) Waiver Fees: Date of Payment: Receipt Number: n \ LOT 3 N 89'59'27" W 230.74' � O 0 \ \ SLOPE EASEMENT N 25� . NG O D oe \ 00 O� CD 0 LOT 10 is — PROPOSED WELL LOT 4 100' OFFSET FROM LOT 10 VENTS CONCRETE BLOCK DAYLIGHT BASEMENT AND 2 STORY LOG HOUSE POR( 17.7' O 25 50 75 100\ 0 M166 .:: 0 9� s _\ R \ SCALE 50' TEMP. TURNAROUND klo' TO BE VACATED UPON F EXTENSION OF SUE TAWN DRIVE. LOT 11 \ McaN r= LAND ASSOCIATE$ NC- 11940 NG11940 13USNESS BLVD. SLATE 205 EAGLE RIVER. ALASKA 99577 (907) 694-4499 No bt carnans ho" bon o". The paprly dinonwono eNn we tram IN "mrd pat and we not nsoossly a of may how "Oe'sd IN knpro e"nl b"llam we opp".iW, and have been dolsini Od only to ow extent Pok anwMes w to delormin N ewe o" ay ,,MdvMnts onto Or on of the IOL Droning and "WOdctcn My pod" vaphio MWIlAtnci5 owelo, ocal" NOdd not be otleMled to dolsmin M-Ohwn ain.mina Ibis Oroenl he not II to for ndtiand anel"clion s Av dolsnnnng the excel bcotce Of property TrrA Ody Omanents tam the rocordod Wd.ein pot noted ob vis Or, of* hansom end a 6 In, nponWLly WIN ons to dotsmin Y My OIW OOoernnt% Oo"nt% om mlriclians "OL ® LEGEND FOUND 2*ALUMINL CAP MONUMENT A FOUND 5/8' REBA ■ FOUND PLASTIC Cl ON REBAR -¢ J e � SEPTIC VENT O 25 50 75 100\ 0 M166 .:: 0 9� s _\ R \ SCALE 50' TEMP. TURNAROUND klo' TO BE VACATED UPON F EXTENSION OF SUE TAWN DRIVE. LOT 11 \ McaN r= LAND ASSOCIATE$ NC- 11940 NG11940 13USNESS BLVD. SLATE 205 EAGLE RIVER. ALASKA 99577 (907) 694-4499 No bt carnans ho" bon o". The paprly dinonwono eNn we tram IN "mrd pat and we not nsoossly a of may how "Oe'sd IN knpro e"nl b"llam we opp".iW, and have been dolsini Od only to ow extent Pok anwMes w to delormin N ewe o" ay ,,MdvMnts onto Or on of the IOL Droning and "WOdctcn My pod" vaphio MWIlAtnci5 owelo, ocal" NOdd not be otleMled to dolsmin M-Ohwn ain.mina Ibis Oroenl he not II to for ndtiand anel"clion s Av dolsnnnng the excel bcotce Of property TrrA Ody Omanents tam the rocordod Wd.ein pot noted ob vis Or, of* hansom end a 6 In, nponWLly WIN ons to dotsmin Y My OIW OOoernnt% Oo"nt% om mlriclians "OL ® LEGEND FOUND 2*ALUMINL CAP MONUMENT A FOUND 5/8' REBA ■ FOUND PLASTIC Cl ON REBAR -¢ WELL 0 SEPTIC VENT Qac UTILITY POLE e GUY ANCHOR XX XX XX RECORD DATA OBLOCK NUMBER —E— OVERHEAD ELECTRI LINE LOT 17 / N / O i Z W M M O O L O LOT 18 6 m V) 0 J O a w w J N WELL COINCIDENT WITH PROPERTY LINE \ ✓ Lr' a UNSUBDMDED AS -BUILT I hereby certify that I hove, or someone under my supervision hos, inspected the properly described os LOT 4, BLOCK 4 SUE TAWN ESTATES ADDITION 2 PLAT 76-268 Anchorage Recording District The improvements situated thereon ore Within the properly lines and do not encroach or overlap onto odjocenl propertiim nor do any improvements from odjocml properties encroach or overtop onto this properly, except as indicated hereon. O Mcantoa Lone Atsoclutq Inc (MLA) 2007 This dawnanl is wprigl'tod IMI w "'thanwWieed to be ed Oft "d pprt ay bnom saction dr projKI Only , Any copy I. to be nsidwed oamthorired scow 0 boos n or9001 Wrw1"e 09"twe (ooW7 in blue Ink) W a $tang M"en9 ruadwO off" dols Copr*t restrictions (NI not rs-use restrictions) we soiwd M Iha docwnnt ban been officially retarded Londng hotitutionO may deo mak• oddtnd copies der one, on wwdi Liabilly to MLA is limited to lees rscei.b for this project. FIELD WORK DATE: 5-00-07 PARTY CHIEF: MO FIELD 8000: 267 PLOT SCALE: 1'w5p' DRAMN DATE: 5-09-07 DRAWN BY: MG CRID: NW1060 M NAME: AB07-163 JOB NO: 07-163 N 89'59'27" W \ 230.74' \ O \ SLOPE EASEMENT 100 FAV6 to 25�i / F,:e.» wrct- v' cp LOT 4 0 o, \ m 1 �3p• y SPP*E,��c��W 1\. 1.1P . �1 ij CONCRETE BLOCK,DAYUGHT BASEMENT/AND 2 STORY LOG HOUSE rM 17.7' � o 51.0• n 22.6 o ,ra SHED O ^ Prx.e.;...'�` CC a a S RXS COs AS. 50' TEMP. TURNAROUND J/ TO BE VACATED UPON AS—BUILT EXTENSIOND OAF SUE TAWN \ 1 HEREBY CERTIFY THAT LOT 4 BLOCK 4, SUE TAWN ESTATES ADDITION NO. 2 ANCHORAGE RECORDING DISTRICT, ALASKA, HAS BEEN SURVEYED BY ME AND THAT NO ENCROACHMENTS MOST EXCEPT AS SHOWN HERE IT IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EOSWCaE- OF ANY , COVENANTS, OR RESTWHICH DO N07 APPEAR ON THE RECORDEpEASEMENTSSUBDIVISION PLAT LISTEDRICTIONS DISTANCES PREVAIL AND SCALING SHOULD NOT BE ATTEMPTED TO DETERMINE UNSHOWN DIMENSIONS. THIS SURVEY IS NOT ADEQUATE FOR, NOR SHOULD IT BE USED FOR ESTABLISHING BOUNDARY OR FENCE LINES. RECERT. OF AS—BUILT 5-6-94 JOB NO. 94-124 r. •ii' N N W M M O 0 0 0 PWA C] GO LX/SriN� WELL V I VS 'us BED IVIV LV V " McCLINTOCK LAND ASSOCIATES 11940 Business Blvd. #205 Eagle River, Alaska 99577 Phone: (907) 694-4499 DATE: 9-26-89 DRAWN BY: JG JOB NO.: 87-122 GRID: NW 1060 FIELD BOOK: 87E-18 SCALE. 1'=50' Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program3.° � T ° 4700 South Bragaw St, P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Robert Gold Legal description: Sue Tawn Estates #2. BlockyAot 4 The attached paperwork has been reviewed and is being returned for the following reasons: The survey shows the existing well within 100' of the septic system, which is a violation of the wastewater code. Per our phone conversation, the surveyor needs to be contacted to see if the current survey has the septic location in the wrong area. Name of reviewer: Deb Wockenfuss Date: 4/27/2007 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK OF ANCHORAGE OS/ — 3/;7 DEPARTMENT OIF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT "an" DISTANCES r S'/1e4 re V` Tp FROM SEPTIC TANK ABSORPTION FIELD WELL DD "'°" Poa 6 7 P 7S-4:1 pfRane(s) Permit No. No. ofBeorooms WELL X60` /o8 171Dlg17 1 3 LOT LINE gor = 14" LEGAL DEaCRiPTIOM Lot y Block y s"7.on SI,e 7`4a...v r FOUNDATION /y / 30' / TOwnNap. Range. Section AS -BUILT DIAGRAM (Show location of wwL septic system, properly uses. fouhoaoon, TyS.V R w SG /.J- e , enveway, water twaes. me I vss . TANKS 6' SEPTIC ❑ HOLDING Manufacturers Capacity in gallons '+A,(A. I /.'A S-0 Material W. of compartments, Cl ZL /a TYPE OF SYSTEM ❑ TRENCH ❑ BED 19 W. DRAIN ❑ OTHER Depth to pipe baton, from TOW Depth from origmN praise a,g,nw grecs 4. 017 8-/0 FT y ( t Fill aooeo above orpinae grace G," oepth oeneant pipe f r FT 7. r FT Gravel langur Gavel wmtn e 7 FT SFT 4 TOW sosaption area Palance between Mies i SO FT N/A FT Number of liners SalHang Pipe mater"I I l 8 SOFT .4 y-. ?o?N /=9 I t 13 Installer Date Installecl 7//.r - i/16/BS Darlver WELLS K� PRIVATE ❑ OTHER (Identilv) Ciassincabon (AB.C) Total Depth Gseo toIL Fi FT ` Insllllm Date installed. Q REMARKS: w(ira t "o; .. '/5'T Tri. .A. InspRfr4�rl�Services f,�NGINBEIIyi SAL 1`o' P _ n on, 773994 . 0. •a;�ia��i �a! Date Eaple River AK 99577 0 �� , n '•a r a� 894 5195). eA'i� 'e •a�.•.e•a u•e•••e.•e v.e • ' 'A%� I— een)ly that this Inspection was perlermed st ardinp b sit ••• •• .......... •• • / Sule N this 6 aAv+t� Louis A. Buiera / Municipal vid guidelines Idled on .a : CE -6716 ,• ?� T �•pROFE5510�A4+�+ Health Department Approval:Dafe. 72-019 (3/85) 08-01-2000 08:23AM FROM E.R. Engineering Svcs. TO ON SITE P.01 Ul r.- lffirh ijrilttnl by SULLIVAN 00C Co, rba WATCit WELLS P.O, 90X070272, CHUGIAK, ALASKA 99567 • TELEPHONE95a•2759 OWNER OF LAND lJolcy DEPTH O ; OF WELL ADDRESS5 a. F.o�; .q T�' ST.111C LL\ll.OF S A� WATER FT. LLGAL DESCRIPTION :;i �, :� 1 , i qn, 7DRA1• _ U0ti•'N FT. i DATE - Started r'S Ended —G /rrr7 GALS. PER 40i / r { r lr HR PERMIT NUMBER FromlLJ Ft. to i!:'r / FDS /! 'Jll7Q ' _. KIND OF CASINO C�, Ts O G` 1 ^•t KIND OF FORMATION: ' i i Frum-4.L— Ff. foZJ FI. e'Nt,n)s S_1S.�LL� From ? 1.L.2_FL Io.�FL—pr-r)� /iO Gk' /./.•Ce[, From ' Fl.torr` FI. �N••r�f �l.{..r'. • C<�fY From Ft, to Ft.f�Rer / Ft I —vice LC,; From FI. to Ft. e'1 t 1! From FI. to Fi._C/i,1jil f From/ to c? �- /�! t 7 " v fL_ r C•s E'.}�QL 1 Fmm : •('b Ft.lo .Ft_ lir�.��••ns i /_ From_f " - Ft. to<"7_Fl. 4iy%aAf,J From _LZ Ft. to -6,L Ft. _J:tVMrd From.—Ft. Ft. to Ft. _ a4 ` '_'/ 7' C- From 42Ft. to -77 -, From � Ft.lo��Ft• T S �"�'7 s• 6 e't4vc�G From :5�Fl.loeLZ Ft. r-! ItY From, r Ft. lo' 'ti• Ft.=✓r7•C(7 t+il.'tlrl C' i•fY From Ft. to Ft. / r { r lr from I-5 Ft.to/��S—Ft. r C'�t7✓ F (:r,'.1tJa`r FromlLJ Ft. to i!:'r / FDS /! 'Jll7Q ' From FL Io Ft. '�•, t � Ftum�j_Ft. to ► ') J FL _1 :'i7.f :k. <. 7./ �•'=r%J Frnm FI. to Ft. MISCL. INFORMATION: From From Fl.ln Ft.Aryifd From_3:L_i Fl.tn,'lr•h Fr.- 3e, 1 Fenn Ft. io Fl. From Fl. to \ Fr. i 'From FL to Fl. I From Ft. to Ft, / From T_ Ft. to Fl. From FI. tb Fl._ AUG 2Y� b. • ' From Fl. tom 0licl6alIty of Anchoragq From F6 to Fl. T- From Fl, to Ft I LZ From Ft. to Ft. Posl-k• Fax Note 7671 Oat@ - moo► To rrom 1 iLe Co. L IZ i r vrane r � —rJ' q� aar Pa'r - a9 DRILLERS NAME r.l ^1 `^ r...• - I TOTAL P.01 • der �a�aeo,,, ey M U N I C I P A L I T Y O F A N C H O R A G E �•.� Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-fi r++- O N- S I T E S E W E R P E R M I T/ \ Permit Number: 890189 Su.-199b19� WVI11J Date Issued: 08/30/89 Engineer Designed Owner Name: BRUCE SHEARER Day Phone: Owner Address: FO BOX 672-50 688-1600 CHUGIAK, AK 99567 Parcel Id: 051-511-37 Lot Legal: Subdivision: SUE TAWN EST. 3)2 Lot: 4 Block: 4; Section: 15 Township: 15N Range: 1W Lot Size 48500 (sq.ft. or acres) Max Dedrooms: This; Permit: 3 Total Capacity: 3 SEPTIC TANK- Minimum total septic tank capacity: 1,000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). INSTALL PER PERMIT 31880095. THIS PERMIT EXPIRES 12/31/89. I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the c aci y of the total system is 3 bedrooms and any enlargement i requi c a n ti.onal permit. Signed: - DATE: (Owner) 'RU .E SF EAR R,/ Issued By:--- f-/S�/%- /j�2�---------- DATE: Municipality of Anchorage Department of Health and Human Services. Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 9, 1989 Bruce Shearer 5612 East 40th Avenue #103 Anchorage, Alaska 99504 Subject: Lot 4 BLock 4 Suetawn Estate Subdivision #2 Permit #880093, PID #051-511-37 A permit issued by this Department for an individual well and/o'r on-site sewer system has expired as of December 31, 1988., Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected.the installation of the - on-site sewer system, the original as -built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. When applying for a new permit, the fees are: $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. Sincerely, Daniel J. Roth Acting Program Manager On-site Services Section DJR/ljw enc: Copy of Permit M U N I C I P A L I T Y O F A N C H O R A G E Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 ON-SITE SEWER & SEPTIC TANK & WELL PERMIT Permit Number: 880093 Date Issued: 06/22/88 Owner Name: BRUCE SHEARER Owner Address: 5612 E. 40 AVE., 11103 ANCHORAGE, AK 99504 Day Phone: 338-4082 Parcel Id: 051-511-37 Lot Legal: Subdivisioni',SUE TAWN EST: R2 - Lot: 4 'Block: 4+ Section: 15 Township: 15N Range: 1W Lot Size 48500 (sq.ft. or acres) Max Bedrooms; This Permit: 3 Total Capacity: 3 SEWER SYSTEMS: Listed below are the options available to you,' s,wer—zyriem.—Ghoose-the--op td or -t h ect-hes t -f -i t s -your -site.. W. D R A I N Depth to Pipe Bottom (ft): 6.5 Gravel Depth (ft): 3.5 Total Depth (ft): 10.0 Gravel Width (ft): 5.0 Gravel Length (ft): 45.0 Gravel Volume (cubic yds): 33.4 Soil Rating Used (sq ft/brm): 138 LIFT STATION: If a lift station is installed, a high water alarm must be connected to the residence. SEPTIC TANK: Minimum total septic tank tank: must have at least 2 compartments. feet requires insulation over tank(s). capacity: 1,000 gallons. Each septic Depth to top of septic tank(s) < 4.0 WELL: Log must be submitted to Municipality of Anchorage Department of Health and Human Services within 30 days of well completion. INSTALL PER ENGINEERS DESIGN: WIDE TRENCH; 5' X 451, 3.5' GRAVEL DEPYH. TOTAL DEPTH NOT TO EXCEED 10'. NOTIFY DHHS PRIOR TO IST & 2ND INSPECTIONS. THIS PERMIT EXPIRES 12/31/88. M U H I C I P A L.I T Y O F A N C H O R A G E Department of Health & Human Services 025 L Street, Anchorage, Alaska 99501 343-4720 ON-SITE SEWER & SEPTIC TANI" & WELL PERMIT Permit Number: ea0093 Page 2 I CERTIFY THAT: I. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal svatem or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also undFrstand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit. Signed: ri....... DATE: _����L._-- (Owner) BRUCE SHEARER SHEARER Issued By: -- 0ze_ 'C %�� DATE:-- SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 4 , BLOCK 4, SUE TAWN EST. 92 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State. Department Of Environmental Conservation require. ments. 4. All soil tests are advisory to the design and are to be verified of modified in -the field by the engineer. 5. All excavations and depths are advisory and are to be verified of modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permit: or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot lin( position and the location of any easements. B. DRAINFIELD 1. The drainfield is to follow the natural land contour to maintair uniform total depth of the trench bottom. The bottom of the drainfield shall be level, plus or minus 1.5". 3. The total depth of the drainfield excavation is not to exceed 11' at any point. 4. The sewer line is to be run at a minimum slope to allow shallowest depth of drainfield. 5.• The drainfield gravel is to be covered with typar or fabric material. 6. Soil or combination of soil and extruded board insulation to a dept} of 4' or equivalent is to be placed over the drainfield. 7. The area over the drainfield is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to nns existing private well, 150' to any Class "C" well; or 200 feet to ani community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 10' GRAVEL DEPTH = 3.5'f DRAINFIELD LENGTH = 45' DRAINFIELD WIDTH = 5 Soil Rating = 138 Bedroom Capacity = 3 Septic Tani: Size = 1000 gal minimum 230.74' \ — — \ \ \ Q\WELL iu \ SITE v \ APPROX. \ HSE NG F y \ N tL \ F WELL AND SEPTIC SITE PLA LEGAL, LOT 4, BLOCK 4, SUE TAWN EST. # EAGLE RIVER ENGINEERING SERVICES P❑ BX 773294 EAGLE RIVER, AK. 99577 694-5195 100' T.H. 5'WIDE DRAINFIELD 10' TOTAL DEPTH 3.5 GRAVEL 45 LONG 0 0 V1 J J w 3 C3 z EASEMENT — — EXISTING LEACH FIELD •»•� NEW LEACH FIELD — CLEANOUT -- SCALEo 11 = 60' A ••..•JJJ../•.•l ti .N.••� Lou!. A. Butora CE -6736 ?� s� •.. • rte.. ¢BC p�pROFESSIONP�+ l�it/sY f8 SOILS LOG MUNICIPALITY OF ANCHORAGE b'`•��' y;\� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 11''\ 925 L Street, Anchorage, Alaska 99501 264.4720 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: 6:4,ey STONE DATE PERFORMED:_ LEGAL DESCRIPTION: L • -ef S/iE TAt✓N 6S7- �d 2 7 -IS' /V le /w/ SEl /5- 9EPTK- I A SLOPE SITE PLAN n,.Tf. 19 � : � Louis A. Buteris ��C d, , Cr-4736•.'•�� 20 �A 6n �ap.....eee�•, Fr�� WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Time 2- Depth to Water Net Drop SCA A- e /S-Iei 3- 3D C, a s (GM) 5 54 :rte C-' t t/ e l S,/r 6 7- 9- s10O 10- 0 11 p. 12- 2 13 13 14 •rte /N/I •./� ..,'C tJ r/..y•s .....s 15 C o 16 �� �` i, (•t �� 17 P TH f}}•y "J 's' 18 rp' ,...I:.-•� 19 � : � Louis A. Buteris ��C d, , Cr-4736•.'•�� 20 �A 6n �ap.....eee�•, Fr�� WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop SCA A- e /S-Iei s "IUFESSlu"'rte PERCOLATION RATE (minutes/inch) '�aaao ,/ TEST RUN BETWEEN 4' FT AND 7 FT COMMENTS Y,s "' G'�� 7_' / = S PERFORMED BY: Eagle River Engineering Services CERTIFIED BY: L DATE: 6 /F FS• Eagle River, AK 99577 72009 (6/79) 691.5195 N N v* HSE T.H. _' 5' tWIDE DRAINFIELD To 10' TOTAL DEPTH 3.5 GRAVEL i; I G 0 0 t N J J Li 3 0 z I \\ I WELL — — SITE EASEMENT EXISTING LEACH FIELD ••+- \ NEW LEACH FIELD •••+- CLEANDUT -- SCALEr 11 as 60' 1���o�q ELL AND SEPTIC SITE PLAN ^ oF,Ak4%11 EGALt LOT 4, BLOCK 4, SUE TAWN EST. #2 .w4,11d. ''•..q to WNERt MR. BRUCE SHEARER v *� 49tH i••••••• �•0 i ❑NTRACT❑Rt GARY STONE i 9+" lours A. Cutera ""utero 'eo � AGLE RIVER ENGINEERING SERVICES �j��mf.•• CE -6736 1❑ BX 773294 t�4F�pROFESS\ONp�+� AGLE RIVER, AK, 99577 ��X"��a��� 94-5195 REVISED 6/24/88 Municipality of Anchorabe Department of Health and Human Services Division of Environmental Services •� On -Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343.4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING Parcel I.D. —.5-11 -.? 7 HAAT; Expiration Date: 1. GENERAL INFORMATION Complete legal description Za t -, e Tu ✓ F; r fr, Location (site address or directions) Current Property owner(s) SL r4 - Day phone <<•� Mailing address /'� /3 6 7,;� ?fes e, -X<«•,,,,- e -- Lending agency Mailing address Day phone Real Estate Agent --s .,, i,.. .� . , _ ._ ...i u� = Day phone Mailing Address Unless otherwise requested. HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 0 Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or 6 wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72 _5 Rei 01 0 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval application show that the on-site water supply and /or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Eagle River Engineering Servioeg Name of Firm P.O. Boz ??3_2. FR1.�57M,194 Phone Address Engineer's Printed NameDate 6. DHHS SIGNATURE Approved for bedrooms.�Rai� Disapproved. Conditional approval for o+z� • e^`� �`� ��1 aJ v>� tp Louis A. S&M CE�7� f bedrooms, with the following stipulations. Additional Comments Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: /)_ ee&I ..�" W. Original Certificate Date: Expiration Date:^.= 72 0251Rev 01 0V Reissue Date: i<KEIVEU Municipality of Anchorage JUL 27 2000 DEPARTMENT OF HEALTH & HUMAN SERVICES McIPAUTY OF AN,_mu Environmental Services Division "'rNTAL SERVICF� 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 t y Health Authority Approval Checklist Legal Description: *J .!.(.f.f,,,,, 10 Z Parcel l.D.:. osf-S'/i- 77 A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number /" 1A Log present (YM) % Date completed 6/f d' Total depth LfDO / Cased to X2 Z1 / Casing height (above ground) /8 Sanitary seal (YIN) Date of test Static water level FROM WELL LOG 61ks /S3 Well production /10 Wires properly Pfd (YM) AT INSPECTION 7-.Ar-oa 9-P.M. it 0'.26 A✓c Air r ra 4 e.., Of g.p.m. >t/ /. r , . Ye/t WATER SAMPLE RESULTS: S4 y�/ .r, r / J`er' yw//.. fA.. . r4. ,ir S �rhr •. ,( r+[rtr Mon 2e�„��r... r... f,J /S. Sf 070 C Coliform F' Nitrate • Sg Other bacteria -Wif Date of sample: 7-.26 —0 V Collected by: e-y,_,r e B. SEPTICIHOLDING TANK DATA Date installed 5& 9 Tank size 1-2 J'✓ Number of Compartments _— Cleanouts (YIN) ," Foundation cleanout (YM) Y Depression (YM) A,' High water alarm (/N) ^//"1 Date of Pumping 71LOl'o Pumper C. ABSORPTION FIELD DATA TR'( Date installed %�sY /?b fs w.rt SoU rating (g.pdJft' or R=/bdrm) /� System type 7,,-64 Length X17 / Width, S / Gravel thickness below pipe 3e r Total depth P-/� / Effective absorption area y3 t 0 Monitm ft Tube present (YM) Y DepmWon over field (YM) Date of adequacy test ;71211,P Results (Pass/Faiq 0!215-f For 3 bedrooms Fluid depth in absorption field before test on.); O immediately after //6o gal, water added On.): Aa �N ~ Fluid depth •1t (ins) Minutes later. Y/ Absorption rate : '`Hs'o e,p.d. Percodtle treatment (past 12 months) (YM) 72-026 (Rev. 3196)• N/4 It yes, give date D. LIFT STATION /„!/� Date installed Menho (YM)_ High ter alarm level aY _ Cycles tested E. SEPARATION DISTANCES Size in gallons `Pump on" level at' *Datum `Pump off' level at' SEPARATION DISTANCES FROM WELL ON LOT TO: Septic1holding tank on lot f-160 ' On adjacent lots Absorption field on lot / 0,Y r On adjacent lots 'flee " Public sewer main N,w a Public sewer manhola/cleanout ^',A�e Sewer /septic service line /O 8 Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation /'/ Property line �' Absorption field /o' Water main/service line Tio' Surface water/drainage f/r' ' Welts on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line /6' /OJ' Building foundation -341 Water mainlservice line ~/ ° / Surface water t/De ' Driveway, parking/vehide storage area r/o' Curtain drain Al I.+ Wells on adjacent lois F. ENGINEER'S CERTIFICATION tloo' I certify fiat I have determined thro field inspections and review of MunAdpapaf records m conformance with MOA HAA guidelines in affect on fids date. 'k - Signature t^' Englneees Name —loN4 Bti -tea - Date 7116/0 a HAA Fee $ 3 f'y ' xv Date of Payment 7 /0-71APt cr d Receipt Number b/Z� (..0/0� 72-M (Rev. 3/96)• Waiver Fee $ Date of Payment Receipt Number are r MUNICIPALITY OF ANCHORAGE M E M O R A N D U M WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO. D O o 3,3 V During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot *_ Block of SVG %w, .25ubdivicion, the well's productivity was determined to be 0.2 (, gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 bedroom residence is 0,31 gallons ec-f _Ked; I+tee� per minute. Although the subject well currently Ail rte- ^� minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of ncr.-crit`-cal water uses such as washing cars and watering lawns and gardens may be required. This a�;isory must be attached to all copies cf the subject Health z.uthority Approval. 07-31-00 00:15 FROM -CTE OVIRONMTAL 5615301 T -UT P.01/02 F -T20 CT&E Environmental Services Inc. Laboratory Division 200 W. Polar Dave AndwraWt, A1C 80518 Tot (907) 5&2-2343 Fax: (907) 581.5301 CT &E fW. C 1004095001 Clem POP Na CtwM Name: Eagle, RwW Engineenn9 Suvic" Prirnea DarelTOW 07MM 0915 Prgect Name. SW Town L4 B4 Cowed Dao raw: 072CO00 16:46 Giem SwrPP 10- T15N RM Sec15 Reoweea Daaerrnie: 0727.00 0005 Matnx Dr"UM VVawf Tedtn" Dwwtor. Swprw Ede PWSiD nra Released By- AOo sere Prep Anis Panne Rosutts POL arms Mettiod Linin Date Dare 161 Total Cd Oorm (MF) 0 wut00 at SM92226 0727100 KAP Nitrate 0.58 0.5 nVL EPA 300 10.0 0727x00 SCL MUNICIPALITY OF ANCHORAGE 7. DEPARTMENT OF HEALTH 11 HUMAN SERVICES Division of Environmental Services " On -Site Services Section P.O. Box 196650 :Anchorage, Alaska 89519-6650 _ :.: ;.,. -,.. ... a . _ T.,�, �; 343-4744 ,,Lrs-•. . _... CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.B-�S�'Sk�«37 HAAN 1. GENERAL INFORMATION Complete legal description Sue Tawn Estates Lot 4, Block 4 Location (site address or directions) NHN Sus Tawn Drive Property owner Bruce Shearer Day phone 696-9600 Mailing address P-a—RnX 67"1;n. r"r,,,q;Ak Ax 99567 Lending agencyp4aA�pan Pr etas Day phone Z76 6300 Mailing addressP.O. Box 100720, Anchorage, AK 99510-0720 Agent u/A Day phone ;1 Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well X j i Community well Public water 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 X Individual on-site _. Holding tank _ �< 1'.4, � Community on-site Public sewe_r e W ^ =NOTE: =` If community wastewater system, provide written confirmation from Statet' D C .' attesting to the legality and us statof system . W) Front MOA F21 '- - ' ! Y,•.. e .'1 F 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. If urther verify that based on the information obtained from ; the Municipality of Anchorage files and from my invest!9ation 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 Eagle River, Engineering Services ^phone ` 694-5195 Address P.O. Box 773294, EAgle Rvier, AK 99577 " 7 Engineer's signature Date '1 -JE -L1 ,OF•,A4. CE -6726 6. DHHS SIGNATURE Approved for -- -:Disapproved wi -- - Conditional approval for ' ' bedrooms, `with the following stipulations. Additional Comments �`' EE ' /4'fT-r -L ht -EQ WA -1 -E -K-2- U% LU- By- Date. Z g 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 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 ins — pections,or analyze data before a certificate is Issued. The Municipality "' of Anchorage is not responsible for errors or omissions in the professional engineers work , lL rl4z MW. 1m) 13 1 MOA r11'� �.•.. Municipality of Anchorage AUL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: SOE Ti4WN, /,o -r I/ nLe4 Parcel I.D. A. Well Data Well type Rellly7F If A, B. or C, attach ADEC letter. ADEC water system number N//i Log present (Y/N) yE5 Date completed z1gy Driller CULL / v.9N Total depth 9 i00 Cased to / 2 '/ r Casing height /err Sanitary seal (Y/N) YE5 Wires properly protected (Y/N) `/6 S FROM WELL LOG AT INSPECTION Date of test/J9102�9q Static water level /moi 3 , �S� / n v g Well flow /-0 g.p.m. 0, 3 ^g.p.m. rn O Pumpleveit UNL.NDIJN m SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /!00 ; On adjacent lots t/00 " Absorption field on lot /O 8 / ; On adjacent lots 4_/00 Public sewer main /y//l Public sewer manhole/cleanout /J/A Sewer service line * as r Petroleum tank NONE dh0, 9f,,V7- WATER SAMPLE RESULTS: Coliform _6�)— Nitrate0. / t" 9 //— Other bacteria Date of sample: Oz 09J9gi Collected by: ENViNEEP_ B. SEPTICtNOL#fMlG TANK DATA Date Installed�Z89 Tank size 17,50 Compartments Z Cleanouts (Y/N) M5 Foundation cleanout (Y/N) YE S Depression (YM) A/o High water alarm (Y/N) N%t? Alarm tested (Y/N) A11,4 Date of pumping _ D�//L�9�f Pumper -TR �S SEPARATION DISTANCES FROM SEPTICAi0L1XNG TANK TO: Weil(s) on lot /&0 On adjacent lots `f /00 Foundation /L � r To property line 30 Absorption field f /0 WatersnaWservice line "/,o Surface water/drainage f /DO 72-026 (3M3)• From - CONTINUED ON BACK PAGE C. LIFT STATION AJ1.4 Date installed `= Manufacturer Size In gallons Vent(Y/N) High water alarm level "Pump on* level at Meets MOA electrical codes (Y SEPARATION DI$T CE FROM LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA (YIN) 'Pump off" Level at tested Surface water Date Installed X 9/89 Soil rating (GPD/Ft2) 13.9 'Pe/8 R_ System type tJ* D/2%1/NF/EG1) / 1 Length ' ' Ii I/ Width S / C� Gravel thickness 3 • Total depth Total absorption area y 3 5 ` Cleanout present (YIN)ye 5 Depression over field (Y/N) 11n Date of adequacy test L Results (pass/fail) PASS for VY(L C4 -Bedrooms Water level In absorption field before test d i� After test 0 ` Peroxide treatment (past 12 months) (YM) /`d% If yes, give date N/A SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot IM On adjacent lots f /OD Property line To building foundation -301 Di To existing or abandoned system on lot / On adjacent lots Cutbank N/A Water rsaielservice line r'/o' Surface water /'DD Driveway, parking/vehicle storage area t/o E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on thg date o/ this inspection. R�:49TH t. -A Signature v • •••^• •• • ; Engineer's Name LOU/S CjUTL1I� r �E. "'•• - �+ Q` •C Lou'; i.. eu•srn •"h Date=I/9N tds� ee_cr.•e HAA Fee$ t�a�`ck9 Date of Payment ?—/Z/— Receipt Number xy (��•2�.� 72-026 tysal• Back Waiver Fee $ Date of Payment Receipt Number -4 f 0 �p k \ a m d N h r Z mz 0m < o rno A w yN= {~p 4D Z C \A ~ Or L v 1CA to N m �r 9D fn r rn z Zoo o rn N ox 00 Nnrn N p � If MUNICIPALITY OF ANCHORAGE M E M O R A N D U M WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO. RA 910 `} 3 During a recent Health Authority approval en -site inspection and test of the potable water supply well on Lot Block --f— of SLIE -rAWN ESiA7-6S Subdivision, the well's productivity was determined to be"Is per minute. The minimum well productivity required by this Department (AMC 15.55) for a -5 bedroom residence is 0,31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. L1E 12:06 GIBE ENUIRON E]NTR- LAB SERVICES » 907 644 = N0.025 W2 ConvTwrcW Tesdnq & Engaleering Co. Ent/ironmemal LabwftfY Salvices LABORATORY ANALYSIS REPORT MERd# 94AM-1 Clicas"Wlem SUE TAWNWDL4B4 matft WATPA LtiegNwe EAGLE RIV1:R PNCBNPERRIO WORK 10 dar 81233 thdemdlly LAURA Pri"Dote 08712/94 @10:32 btn. Pto}ectNae Cou«tedDKe 08N9/94 020:05 km Pmfec0 Received Dente 01!10144 ®11:00 hm PWSTD UA T=huiwlDlrector STEPFIENC.EDE ReleuadBv�A �ii-ra'�ti. S®plcRanutc R(ITIINESAWLECOLLF.CIPDHY:MIN. Qc AlwwjAd EXL Anal Parameter Ranl4 Qual Umtb Method Limib Date Date !nit Mtrato-N 0.10 U mg/L EPA333.9AW.0 10 Mom CMR • SmSpaciallnatrtawtlonaAbove --- UA-thuvailnblc •• 8m8amPleRmadpAbeve NA=NotAnalyYed U-tkdetated PApottedvala is thepnwtltal gaanti6aMioa.Iitnit. LT=Tssa Than D-SaeeedcydLdWIL (ir=Oeatamid K 6633 B Street Anchoteoe, AK 99618.1600 —Tel: 1901) 562.2343 Fax: (907) 681-6301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA. ILLINOIS, NIARYtAND, NEW JERSEY, ONIO, UTAH, NEST VIRGINIA 05-09-1994 04:53Pri FROM STATEWIDE ELF67 W.; TO 6313297 P.01 4 ' J STATEWIDE BLASTING AND PERFORATING SERVICE P. O. BOX 710032 EAGLE RIVER. ALASKA "S7740032 PHONE NUMBER (907) 68&2478 FAX NTMBER (907 689-2478 TO: FAX #: FROM: L,4mr,4 McLeod 6g1?- 342 9 ? DATE: 8/1. 9 j9y TIME: j; it• Aa M. Number of pages to Include cover letter. PLEASE CAU LOPERATOR IF YOU DO NOT RECEIVE ALL FAXED PAGES!! TOTAL P.01