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TALUS WEST #1 BLK 5 LT 16
Talus West #1 Block 5 Lot 16 #015-202-36 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181253 PID Number: 015-202-36 Dwelling: Al Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name Phillip Schubauer & Marie Lowe ABSORPTION FIELD ❑ Deep Trench X Wide Trench ❑ Bed ❑ Mound Site Address 4340 Sunstone Cir. Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 301-5135 1 3 0.45 GPD/SF 7.0/6.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.0/2.8 Ft. Gravel depth beneath pipe 4.0 Ft. Subdivision Block Lot Talus West #1 5 16 Fill added above original grade 0.4/1.5 Ft. Gravel length 2 @ 50 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1,000 Ft2 2 >8 Ft. Well >1 QQ' > 00' N/A N/A >25' TANK ❑ Septic X S.T.E.P. [I Holding ❑ Other Manufacturer Capacity Anchorage Tank 1,250 Gal. Surface Water >100' > 100' N/A N/A Material Number of compartments Lot Line >5' >10' N/A N/A NA Steel 2 Foundation >1 0' >1 0' N/A N/A LIFT STATION Manufacturer Capacity Remarks Anchorage Tank 250 Gal. Alarm location Inside garage Electrical installed by Power Lighting & Control LLC PIPE MATERIAL House to tank D3034 Tank to drainfield D1785 Installer Denali Excavating Drainfield D1785 CO/MTD3034 Inspector J. Mlllette BENCH MARK (Assumed elevation) 100 ft Inspection1s, 8/27/18 ed 8/28/18 dates:Z Location and description 3rd 8/29/18 4`h Bottom of siding @ point B. ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ®5r ��OF 14 Conditional Approval: Date ���P,.""'""°"''••,.� ®m AW �z °: 49 t ..auqr.,v ......... ..........f�+l.... ........� �............. I.............................n� MICHAEL E. ANDERSON � 0 } ten' NO. CE -4381 ����FpF., Septic System o ^ ' Q n ` Approved SCA T Date 141�00 10/30/19,.• <�r4,� ��®�Fg�� Note: this approval does not include well permit requirements. tNev uo/uu-iu/ TALUS WEST #1, BLOCK 5, LOT 16 PERMIT # OSP181125 ADJACENT LOT WELL LOT 17' 100' WELL RADIUS GE aHGiN[aaiHG LOT 16 LOT 10' U. GOWER AND _ TELE. EASWENT / MT MT ELECTRICAL INSP. TUBES / LOT 5 PLAN AS -BUILT 0 50 100 FEET 111=50' P I D # 015-202-36 LOT 22 / LOT 2 -- 2-50' LONG x 5' WIDE LOT 3 x 4' EFF. DEPTH ABS. TRENCHES. NEW 1,250 -GAL S.T.E.P. TANK EXISTING TANK DECOMMISSIONED IN PLACE PER �OA CODE. EXISTING I.D.S.F. ABSORPTION BED LOT 4 ABANDONED IN PLACE INTACT FOR POSSIBLE FUTURE USE. A B FCO 38.4 3.5 SV1 50.6 17.2 SV2 55.8 23.2 MH 57.1 24.9 MT1 67.7 49.9 MT2 77.4 47.4 MT3 107.4 76.7 MT4 117.8 82.5 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE TALUS WEST #1 B5 L16 PERMIT # OSP181253 97.4 — TH#1 TH#1 PID # 015-202-36 TRENCH #1 EAST W 87.4 NO GROUNDWATER 8/1/18 TRENCH #2 WEST 87.2 NO GROUNDWATER 8/1/18 411 *,t. PROFILE AS -BUILT (NO SCALE) m 97.4 �a w c9th MICHAEL E. ANDERSON',"�� No. CE -?387 ���T!`,p °°•,,,10/30/19 s.•°°"",��� ramsmss 10' UTILITY EASEMENT5' UTILITY EASEMENT LOT 16 LOT 17 LOT 22 LOT 2 LOT 3 LOT 4 LOT 5 LOT 15SUNST O NE CIRCLE6 CO 4 CO 3CO 4 CO LIFT STATION 3 6 . 6 '41.7'38.8 ' R=50.00' L=56.56' N73° 2 8 ' 2 3 " W 1 2 1 . 6 2 'S21° 56' 44"W 232.24'N41° 42' 34"E 214.00'S68 ° 0 3 ' 4 6 " E 8 1 . 5 8 '62.3'62.3'24.2' 24.2' 10' U T I L I T Y EAS E M E N T 74.7'57.0'47.4'75.2'EXISTING HOUSETALU S W E S T SUB DI VI SI O N, ADDI TI O N N O. 2 TALU S W E S T SUB DI VI SI O N, ADDI TI O N N O. 1 LOT 16, BLOCK 5, TALUS WEST SUBDIVISION, ADDITION NO. 1 AS-BUILT CLEAN OUT WATER WELL FENCE Asphalt Concrete Overhang Wood Deck LEGEND: NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. DRAWN DATE: DRAWN BY: SCALE: CHECKED BY: 12/19/2019 SC AP 1" = 40' PLAT: WORK ORDER:19109 18-40 FB/PG: 816/44 GRID:SW2736 REF: 95L710A LEGAL DESCRIPTION: ORDERED BY:MARIE LOWE SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED. EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES, OR FOR PLOT-PLAN PURPOSES. 250 H Street Anchorage, Alaska 99501 Survey Department Phone 562-5291 Mainline Phone 243-8985 AECC 668 PARCEL #: 015-202-36-000 #CO ADDRESS: 4340 SUNSTONE CIR. 72,`/// T ""'y MUNICIPALITY OF ANCHORAGE 9/2-- I(g l�bl'� oent On-Site Water&Wastewater Program \oSPr elzq/i Ss •. PO Box 196650 4700 Elmore Road c ,. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 r, So/14 http://www.muni.orglonsite r, a • .• -, N. _ I)cl,artim•ni 4;;c;,;;;:4;;c;,;;;:-0.CRPGE On-Site Wastewater Disposal System Permit Permit Number: OSP181253 Effective Date: 8/21/2018 Work Type: Septic Upgrade Expiration Date: 8/21/2019 Tax Code Number: 01520236000 Site Legal Address: TALUS WEST#1 BLK 5 LT 16 G:2736 Site Mailing Address: 4340 SUNSTONE CIR, Anchorage Owner: SCHUBAUER PHILLIP G & Lot Size in Sq Ft: 28559 Design Engineer: FORGE ENGINEERING Total Bedrooms: 3 This permit is for the construction of: 0 Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: vial i Issued By: kttetjtk V61(.. (,fle) ir Date: a i 1 g MUNICIPALITY OF A • Z4* GE Community Development Department AUG 08 P, 6. e: 907-343-7904 Development Services Division ti .x: 907-343-7997 On-Site Water & Wastewater Program .> hco IL01 ra ! ° � ON-SITE SEWER/WELL PERMIT AP' -ICA' ON Parcel I.D. 015-202-36 Property owner(s) Phillip Schubauer & Marie Lowe Day phone 30 1- 51 35 Mailing address 4340 Sunstone Circle Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Talus West #1, Block 5, Lot 16 Legal description (Township, Range & Section) Lot Size 28,559 Sq. Ft. Number of Bedrooms Three (3) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field X Initial Single Family (SF) (?� (w/wo ADU) Septic Tank (X] Upgrade n Duplex (D) Holding Tank U Renewal Multiple Dwellings Privy FJ (SF and/or D) Private Well (1 Water Storage n THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. 4--d el C4-4- (Signature of property owner or authorized agent) Permit/Rush Fees: litS1,9 . w Waiver Fees: Date of Payment: Sicl tg Date of Payment: Receipt Number: Receipt Number: Permit No. ocp 1 1253 Waiver No. Permit App_ -:• :: ..c a ' GE tENGINEERING PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) August 8, 2018 Municipality of Anchorage Development Services Dept- On-Site Water& Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Talus West#l, Block 5,Lot 16—4340 Sunstone Circle Septic System Design and Permit Application Dear On-Site Services Engineer: The septic system on the subject lot has failed and must be replaced. The attached site plan identifies the location of the home and the proposed and existing well and septic location. No conflicts exist between this proposed system and any other well or septic system whether on this or adjacent lots. The ground surface on the lot slopes toward the northwest at a grade approximating 5%. There are no slopes greater than 25% within 50 feet downslope of the proposed site. Drainage arrows are shown on the site plan showing the grade and direction of flow. Storm water drainage will not impact this septic system. The new absorption bed will be constructed parallel to the slope as much as possible. The new system will be a minimum of 100' from private wells and surface water and more than 5' away from the septic tank and 10' from lot lines. The existing absorption area will be reconnected for future use. Please refer to the attached test hole log and plan and profile sheets for the septic design. If this design is followed,there will be no adverse impacts to adjacent properties. Sincerely, OF q Wig.,_Lai a-IL-1 Michael E. Anderson, PE j V Rik: 49lj TH •,* r ��• Michael 3E.81Anderson• i .�� c�Jr' .8./81.18 '�C�,r TALUS WEST #1 B5 L16 2_ \ // 10'U.GOWER AND _ _ LOT 22 / TELE.EASTENT / / / \ 4 / / / \ / / // / ADJACENT LOT WELL / I Si / ' LOT 2 / ----\- Lorne / MT / I V/ / \ ..flami• MT I / // \_\ // WELL RADIUS 2150'LOAG x 5'WIDE \ / �� 4'EFF. gEPTH ABS. / i \ MT / TRENCHE _ \ / SV SV �. / Fcd, .0 /�` LOT 3 Mr „c \ i LOT 16 W1 ?;" 1,250-GAL I / \ \\ PJ / I , , ,` S.T.E.P.TANIkk \ \ \ ® 11, Q°' DECOMMISSION N i / o � (7 - EX�$TIIJG TANK - - - , m i J PyR MO>a CODE. >� 11111111/ III / / / ABAND EXISTING / LD.S.F.A ORPTION N / / LOT 4I BED IN PLA E FOR ��/ / I POSSIBLE FUTURE USE. N � CO \ V \ _ .toff � .- \ LOT 5 \ \ 11110ii.GE \ NOTE: � .-% .•NN\ NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE LEGEND gtAL.q� PROPOSED SEPTIC SYSTEM CO CLEANOUT A*49 TM ) ,A . ..*9 ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2CO-DOUBLE CLEANOUT PROPERTY ARE SHOWN.NO CONFLICTS WITH WELLS OR SEPTIC FCO-FOUNDATION CLEANOUT ,t4, 0• --�0 MH-MANHOLE �/ '. Michael E.Anderson : SYSTEMS. MT-MONITORING TUBE P- 0 �<0••.. 4831-E •��,e 0 50 100 SV-SEPTIC VENT 0,<0 m m = FEET TH-TEST HOLE l FDPROFESS0 .4. 1"=50' TALUS WEST #1 , BLOCK 5, LOT 16 DESIGN FACTORS: SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW 5' WIDE DEEP TRENCH SYSTEM PERK RATE: 53.3 MIN/IN 1,250-GAL S.T.E.P. TANK APPLICATION RATE: .45 GPD/SF PRESSURE DISTRIBUTION 450 GPD / .45 GPD/SF / 5' WIDE '.7 RED. FACTOR = 100 LF TRENCH REQUIRED (100 LF SPECIFIED) BOTTOM OF TRENCH: 7' BELOW GRADE FLOW LINE ELEVATION: 3' BELOW GRADE TOP OF TRENCH: .5' ABOVE GRADE 6" — —III=III=III=III=III= — 1I-1 1-I I la I I-1 I I-III-III-I III—III—III—i I I—III-1 I I 1=1 1=1 1=1 I I-III-III-I 2'-6" III—I I 1—III—III—III—I I I I—I 11=1 11=1 I I—III—III—I III-111-III-III-III-I I I 1=1 11=1 11=1 I I—III-1 I -1 III=111=1 I 1=-111L1 =1 - I I=I I=I 6" : : : ::;�;�: ; 1" PERFORATED PVC (HOLES DOWN) ..:.:.: 15-1" DIA. HOLES PER LATERAL @ 3.7' O.C. :.:.:::::.:is::is•.:::::::::::. 4' DRAINFIELD ROCK 5' 116fil'GE TYPICAL WIDE TRENCH SECTION ovF```��l (NO SCALE) /��Q ' • 9• + /*:49 i! 1' •*�4 NOTES: �... .. .. ..:. . .. 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' •. Michael E.Anderson : •WITH 2" OF INSULATION ,, �•• 4831-E ,• `� � / 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER lll`F o • cs THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY MUNICIPALITY OF ANCHORAGE ,��GOF4p11 DEVELOPMENT SERVICES DEPARTMENT Alrk:.••••. �1# 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 *•••49TTH i' *,/� .. .. ..........710.. . SOILS LOG AND PERCOLATION TEST // •. Michael E.Anderson FA •• 4831-E \�(Z-r LEGAL DESCRIPTION: TALUS WEST #1 B5 L 16 it epPROFESS40NP"� PERFORMED FOR: MARIE LOWE `��������~ DATE: 7/11/18 PROJECT No.. Professional Engineers Stamp: PARCEL ID#: 015-202-36 TECHNICIAN: J. MILLETTE DEPTH TEST HOLE l (feet) 1 1' OB SLOPE SITE PLAN 2 3 . 4 ::h.. :. 5 '..• 7% SEE SITE PLAN 6 . :`• 3 7 ' :':^ SILTY SAND (SM) 1 0 .,,-4:.:.:::*;:. • •'�• WAS GROUND WATER ENCOUNTERED? NO '•-" '•` ; IFYES@WHATDEPTH? - 1 Ii:IDEPTH OF WATER AFTER MONITORING: NONE : • DATE OF MONITORING: 8/1/18 12 :1 ;-:;: GROSS TIME NET TIME DEPTH TO NET DROP 13 DATE READING (MINUTES) (MINUTES) WATER (INCHES) (INCHES) 14 7/12 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 1 4:28 416 16 2 4:58 30 516 16 3 4:59 416 17 4 5:29 30 516 16 18 5 5:30 416 19 6 6:00 30 51616 20 PERCOLATION RATE:53.3 (MIN/INCH) PERC.HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 3 FT. and 4 FT. COMMENTS: �N'"°""'Y� Municipality of Anchorage menr On-Site Water and Wastewater Program_____________ P.O. Box 196550 4700 Elmore Road ; Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax: (907)343-7997 j http://www.muni.org/onsite 4"c-4-0''POt epartment Review Comments Engineer: FORGE ENGINEERING 8/13/2018 Legal Description: TALUS WEST#1 BLK 5 LT 16 Parcel ID: 01520236000 Permit: OSP181253 Septic Report Type: On-Site Review Completed By: D.Wockenfuss The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: 'Site Plan: Address the wells on neighboring lots to the east and Lot 22 to the north. 4• The existing septic system is an IDSF. Please explain how it will be connected. 3 Show the deck. a. How will the tank be decommission and the new installed? b. Do all the standpipes have access? c. How is the deck supported? Are there supports over the IDSF? 4. Provide owners phone number. 301-5135 1. Soils log: Gross time is incorrect. • Neighboring wells are shown on the Site Plan. None conflict with the new septic system. 63 The existing I.D.S.F. Bed will be abandoned in place for possible future reuse with a Category III system. The deck has been removed and will not be replaced. IThe owner's phone number is 301-5135. The gross time on the soils log is now correct. Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~J°l~o~H'~ PID Number: ¢~-'Z,=Z. - Name: l~.o~ ~,r-z,~.e~,4 Wastewater System: D New ~ Upgrade Address: ~ ~o~ ~c~ ~.,~ s~s~ ABSORPTION FIELD Phone: ~ ~ NO. of Bedrooms: ~O~l~ G~J~ ~ D Deep Trench D Shallow Trench ~Bed DMound ~Othe~ LEGAL DESCRIPTION so, Rating: ~¢r~(~." ~ Total Depth from original grade: Lot: Block: Subdiv~ion: Depth to pipe bo~om from original ~de: Gravel depth beneath pipe Township: ~,~ Range: ~=~ Section: ~ Fill added Olab°ve-°riginal~.~lgrade: Ft. Gravel length: ~ Ft. Numbe~f lines: WELL: ~1~/~ New ~ Upgrade Gravel width: I 0 I Ft. 2.0 Ft. Driller: ~ ~Dril~ed: Static Water Level:Ft. Installer:~o0~ ~07 ~. Date~/~ ~installed: Yield~Pump Set at: Ft. I Casing Height Above Grou;~: TANK SEPARATION DISTANCES ~ Septic ~ Holding Fro~ Tank Fie~d Station Tank Sewer Lin~ ~ ~ ~ Number of Compa~ments: Water }Oot+ /~/~ Ioo~+ -- -- LIFT STATION Lot Size in gallons: ~ Manufacturer: Cu~ain Pump Make & Model J Electrical Inspections pedormed by: Remarks: ~ ~R~ J5 ~ J.No~A~iVE BENCH MARK Lo~tion and Description: ENGIH~'[ SEAL l/ Inspections performed by: BA~A~ G~r~% l~Dates: 1st ~ -' .......... Depa~ment of Health and Human Se~ices approval :./f ~-7~ ...~ Reviewed and approved by: ~ Date: ~8 .E..,~ Nu,,~E.: AS BUILT DRAWING SW98034B - PARCEL ID NUMBER: 015-202-36 · lA/ ~ //2 w~,, ~ ~ /// I /.~/~ ~' ',~ ~.~ A~S~ WA't'~K A~ WAS~WA~ CONS~TA~S, ~C. TALUS WEST SUBDIVISION, LOT 16, BLOCK 5 AS-BUILT OF SEPTIC SYSTEM UPGRADg ROB CARL~SON 240-0134/563-2415 Pa*sing bv V~%ight # 16 No. 20 //30 No. -- #$0 No. 60 # 80 No,lO0 No,200 COMM'~N'I~: [] C.,ov~'dO~ ~;se~dal aa oxphined below. ir~ect if box ~J [] C,O. app~0¥ed~ [] C.C.O. epp. rowd (comments below,,). CORRECTIONS ~ MAD/, PLF_..~P~ C4LI. FOR DO NOTREMOv~ ~ NOTICe, , MUNICIPALITY OF ANCHORA~E ~' _"~0 ' ~ ~ Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 PO. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON.SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade to ·-7 Date Issued: Sep 11, 1998 Expiration Date: Sep 11, 1999 Permit Number: SW980348 Legal Description: TALUS WEST#1 BLK 5 LT 16 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Rob Carleson Owner Address: 4340 Sunstone Cimle Anchorage, AK 99516-2221 Parcel ID: 015-202-36 Site Address: 004340 SUNSTONE ClR Lot Size: 28559 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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 ( 18AACS0 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special provisions. A 1500 gallon STEP tank shall be installed instead of a 1250 gallon tank to accomodate 4 bedrooms. This permit is for a bottomless intermittant dosing sand filter system. Received By:.M- ~ X~'~' Dale; Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504 (907) 337-6179 - Fax (907) 338-3246 August 25, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Sewer Upgrade for Talus West Subdivision, Lot 16, Block 5, To whom it may concern: The existing 3 bedroom house located on this property is served by an undocumented onsite septic system, and a private well. There is a existing septic system was partially documented, so the exact dimensions of the drainfield is unknown. There is an undocumented lift station. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: There are a number of site restrictions which limit the available spots to put the new drainfield. These restrictions are summarized as follows: · The location of the existing undocumented septic system (exact location is unknown). · The location of the well serving this property. · The presence of impermeable soils at 13 feet. · The location of house. The wide variation of soil porosity throughout the test hole depth. Given these restrictions, there is limited space on the lot to put the new drainfield; therefore, we are proposing to install a bottomless, Intermittent Sand Filter (ISF). 2. SOILS: On August 13, 1998, one test hole was excavated and a percolation test was performed at the area of the proposed septic upgrade. As can be seen from the attached soil log, the soil below the organics is a primarily silt to a depth of 2.25 feet. Below the ML (primarily silt), the soil is a mix of silt, sand, and silty sand with some pockets of gravel to a depth of 13 feet. At 13 feet, the soils transition to a ML material, which appears to be impermeable, to a depth of 16 feet (bottom of test hole). No ground water was encountered at the time of excavation. A percolation test was performed between the depth of 5.0 feet & 5.5 feet, which perked at rate of 3.33 minutes/inch. The soils throughout the test hole depth appears to be highly variable in porosity, probably ranging from less than 1 minute/inch, to impermeable. The soil appears much tighter than the perk test indicated. The utilization of a bottomless ISF with a al~sorption area of 360 fi2 will allow for flows of up to 720 gallons/day in 60 minutesfineh soils. This will provide a factor of safety to the design. 3. TRENCH DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rates: 3.33 minutes/inch b. Allowable Application Rate for ISF: 2 gallons/day/fi2 c. Number of Bedrooms; 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 225 ft2 f. Effective Depth below pressure pipes: 3+ inches g. Width: 10 feet h. Length: 36 feet. i. Effective absorption area = 360 ft2 (225 fi2 OK) j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: %Vasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: Central Paving Products "Winter Road Sand" m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a depth of to 6 feet (maximum), place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. The system will have a total effective absorption area of 360 fr2 which corresponds to a application rate of 1.25 gallons/day/R2. 4. SURFACE WATERS: There are no surface waters within I00 feet of the septic system. 5. TOPOGRAPltY: The lot is generally flat. In short, there are no slope concerns 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (5th floor, 9th & L St.). 7. CLOSING: Given the site restriction, I think the ISF is the most viable option for this lot. I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic syst~(m. If you have any questions, please contact us at 337-6179. Thank you for your assistance, f ~ ~~es&.Sin y, LOT & BI K 4 t LOT 21 BLK5 ' ' PROPOSEO SEPTIC UPG~OE ~ ~ ~ .... ~ -~ ,,/,;-~. C ././ X ~ ~-~u---- ~ / / ~; U'/.TALUS wire s/o .......... ' X ~ TALUS WE~ s/o ,~~~ .......... ~ x ', '. x,',. ~~ ~ ",,7',, 5 .---~?~.. / / ////~-~_-~- XTALUS WEST S/D ~.~ / / / LOT 28, ~.K TALUS WEST SUBDIVISION, LOT 1,, BLOCK 5, 240-0134/563-2415 J,L.M, 1 = 100' 1 OF 3 ,~%~ TO BE COMPLUELY ABANDONE6. ~X~ / ~ #/ '} .~ / / / ..--- ....... --. ,q/,' /,,' ~.~ / / ./ ~ ~ , u~fD ~ ..~ i j z ~LLDW ~aTER T~ C~LLECT, ALL '~ / / ,/ -WFII ~/ / ~0~ ~ {MT~ / /~ ./ CDNNEBTIDNg SHALL ~E STAINLESS , k ~ / ; / / / 3 INCHES OF P~ GRAVEL ABOVE AND / ~ k~ / ~ / / / BELO,V THE DIS1RIB~ION PIPE. k / / / / ~ . / ~ ', ~ LINSULATE~ A~ LINE I . lO0 WELL. RADIUS / ~ ~ / ' /(gEE NDTE) ~ .... ~ I / / ~ ~HALL HAVE THE EAST PRDPERTY LINE, AND WELLe~~F,,_ / / . ~ THE '~-~p~ ~ / / // ~ REGISTERED PRDFES~IDNAL LAND ~URVEYDR, ~S~ WA~R A~ WAS~WA~ CONS~TA~S, ~C.' D~SIGN OF SEPTIC SYSTEM UPGRADE ROB CARLESON 240-01~4/56~-2415 J.LM. 1 = 40' 2 OF · / ,,W~...,,p.,..,,,,~, .,..,..~. ......... HOL~5. 5~I~LPS, ANP FbUS~l~ / NO L. IN~R ON POffOM, r-i- ............. ~--~ PLAM VIEW MT ! J_ ALAS~ WA~R & WAS~WA~R ~ c ~ ~, .~?..-... .... .....'~ LEDAL DESCRIPTION: TALUS WEST SUBDIVISION, LOT 16, BLOCK 5, ~YPE OF WORK: BOTTOMLESS SAND FILTER (ISF) DETAIL PREPARED FOR: PHONE NUMBER: ROB CARLESON 338-7233 DATE:8/25/98 JD~WR B',': JSCALE: ' PADE: J.LM. N.T.S. 3 OF ..'3 NUMBER: 7320 E. CHE:aie-N HTS. CIRCLE * ANCHORAGE. AK. 99504- ~:~ PHONE (.07> ~7-~. * ~ (.0~> ~.-~ ~,' .~ '~ DATE PERFORMED: 8/13/98 ~ ,~T~j.~ Oornes~.. ..... ~ ~/-..~ CEi-7953 .-' (feeD I;;:':;:[ ......... [iLo/ mULL ~/I qh'e ......... 2MI liebig II HL SOIL C~SSIF~NS I ~POSE, SE~IO UPe~BE~ ~ ~ ~,,, ~' ~m~ J ~--~ ( E DESIGN PAGE 2 OF sc / lLbt~fd IIIWlTH SOME 6~VEL ,U~UU*~UWA/:h :..-~ ~~,I/i' II I I1}1111SOILS LOOKED POOR D~ 8/1~/g8 ' '~~~V/' I CLOCK NET TINE WATER LEVEL NET DROP 11~H2:!:/~ I Il DATE READ NG, TIME IkJ:l ~LJ LII (HINUTES) READING (INCHES) 16~ B.O.H. - ........ .... 20m ~er TEST RUN BETWEEN 5.0 ~. ~D ~5/ C O'"ENTS. ,0,~ VISUALLY LOOKED TI¢HTER ~AN "ER~ ~N ~ ~EN ZD. A HIGHER SOILS ~NG WILL BE USED FOR THE DESIGN OF THE UPG~DE. / 1'1 / /// THIS WAS PERFO~M~ I~CCORBANCE WITH ALL STATE ~-~ ~N~IPA~BELINES IN EFFECT ON THIS DAT . DAT : //-- DEPTH TO GROUNDWATE~ DATE DRY 8/13/98 DRY 8/14/98 DRY 8/25/98 PROPERTY OWNER AGREEMENT FOR TWE MAINTENANCE OF AN ~ ON~ITE W~WA~ DISPO/~ SY~M This agreemem is made for the purpoze of m.!~t~/ng an on-alto wastewa~er distmsa/ system on t~e subject prope~. The property ownem agr~ to th, e £ol/owiug: Submit to t~e M.n~cip~ty of Anchorage, on an oxmual ba~Ls, a~/nspection and operation statement from a registered professional engineer. T~s inspection and . operation statement she//verify that the cng/acer has impected all effluent and air pumps, timers, and a/arms, ~md that any deficienci~ h~ve been repaired and flint sys~m is fimefio~/a~ ~ desi~. ($i~ature) (Signature) (Printed Name) (Prklted N~me) ................................ ~ot:ari~.e X/ere .................................... persoually appear~ befO~ who is personally kno~ ~o me ~hos~ i~en~i~y ~ p~ov~d on ~he ba~h/affi~a~io~ o~ ' , a credible witness to:.ba the si~uer Off ~he aboy~, documents and he/she acknowI~dged ghat he/she signed it. My co~ts ~lo GREATER ANCHORAGE AREA BORudGH v C r - ti7 �� Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME l C (� fC-14E MAILING ADDRESS C i Y Sia S29- PHONE n / � LOCATION LEGAL DESCRIPTION O T ,r21/C S 5 US iMr fI0 SEPTIC TANK: / DISTANCE NUMBER OF FROM WELL MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE OF LINES NUMBER OF LINES ABSORPTION AREA DISTANCE BETWEEN LINES � TRENCH WIDTH_ IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE WELL: TYPE _ SQ. FT. LENGTH OF EACH LINK_ DEPTH OF FILTER MATERIAL BENEATH TILE CONSTRUCTION BUILDING NEAREST NEAREST SePL FOUNDATION_, LOT LINE , SEWER LINE , TANK CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL:_l::iZ. LOT SLOPE: REMARKS Form EQ -032 IN. ABOVE TILE IN. H DISTANCE FROM: SEEPAGE SYSTEM DIAGRAM OF SYSTEM SFpT� T�n� �n57�/ ev s L � spa /�/�soQpT.on /��f�9 wc,2 A�I/tic Do/EaT/ra1� o� PeT..r„T r Nui64TZ4 r,T //ocucVri2 ?Vwr'o� to fxcNc��iNL- ccNv( c,7eo fN J G.A.A.B. IJ , cR ANCHORAGE AREA BOF ,UGH e• MITNO � DEPARTMENT OF ENVIRONMENTAL QUALITY ;,'1 ' L �1�, / PER u7 `�� C f (// 3320 ••C" STREET ANCHORAGE, ALASKA 99303 �,fk ...,K • �C.: J TELEPHONE 274-4361 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICAN A��`= —•'4 MAILING AODRE'v�/� ♦bNE , INSTALLATION SEEPAGE PIT DRAIN FIELD ALSO CONSIDER ARG1 V 5% /LEGAL DESCRIPTION ■■■■ INSTALLATION OF: SEPTIC TANK �"`�� SEVAGE DRAIN FIELq/ I OTHER TYPE AND SIZE OF FACILIT I TO BE SERVED No FINANCED THROUGH TO BE INSTALLED BY ItSL {` SOIL TEST RESULTS NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE MINIMUM DISTANCES. REQUIREMENTS / FOUNDATION TO SEPTIC TANK 5 - FOUNDATION FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL DRAIN FIELD r SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. / WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER ARG1 V WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT DRAIN FI LD TO RIVER, LAKE, STREAM. On / CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSIN-4k Q'AAIEF EXCAVATION S FEET INTO UNDISTURBED SOIL. Iv/IV \ 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH NO INSTALLATION. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER / RD ID DATC RIB' S—YST�1^A�� AANTSA SIGNADTURE —CLQ ORM NO. EO -Ola SIZE L'�p1AGRAM OF AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE N I A 1 O P 1 ' ■■■■ u■■■ I ■ No ■■ ■h■■ ■■� ■ ■■��■■■ ■ONE ■■ SONMEN 0 4n AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE N I GREA, Z. ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS ,(~/'~,'~ '~ /¢-O.'~ /-¢'~';'~9~' k] PHONE ~/'/ -~//~ Y LEGAL DESCRIPTION_ ~"'7 /¥ /~/-)'.. J2; ~>~,L,g._ ~' '... ~,~ ~/ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH · COMPARTMENTS / INSIDE WIDTH "-- LIQUID DEPTH -~ IIQUID CAPACITY /0OO . GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL CRIB SIZE: DIAMETER ~' DEPTH ~ [ , DISTANCE FROM: WELL ~ TOTAL EFFECTIVE NEAREST LOT LINE ~'~) ABSORPTION AREA (WALL AREA) BUILDING FOUNDATION ~J ADDITIONAL ABSORPTION SQ. FT. WELL: TYPE ;]~)V/}]~ BUILDING FOUNDATION CESSPOOL /V ~ /~'c¥ APPROVED CONSTRUCTION DEPTH DISTANCE FROM: NEAREST ., (~ NEAREST ( LOt LINE /(~ SEPTIC . / SEWER LINE /~)69 /L.?. SEEPAGE TANK SYSTEM OTHER SOURCES DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM PIPE MATERIAL: (?JL.J't ' ~6)~ ~I~'i ~LU ,:/ .-' ,//q/ } , -- · DATE /,/.~Q{ '7 '~- APPROVED ~EP( ~k.,J~t- (-'. ¢]~.(:k.) h~t~-; (~REATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION · PHONE INSTALLATION OF: SEPTIC TANK . OTHER. NOTE= THIS PERMIT IS NOT VALID WITHOUT BOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION· MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK SEPTIC TANK TO SEEPage PIt Wall TO NEAREST LOT LINE. DRAIN FIELD _ /~(2 DRAIN FIELD · ALSO CONSIDER AREA WELLS· SEEPAGE Pit . /~? /' TO RIVER· LAKE, STREAM. CAST iRON INTO AND OUT Of SEPTIC TANK AND INTO CRiB CROSSING GAP OF EXCAVATION 5 FEET iNTO UNDISTURBED SOil· 4 INCH DIAMETER CAST IRON SIPHON PIPEB ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION, OR I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS Of GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-G8 AND THAT THE ABOVE DESCRibED SYSTEM IS IN ACCORDANCE WITH SAID CODE· DAT. A FL,CA.T.BS,S.^..REA__,.L h'' '/ r )plus west - s 74 off/ S i7 --. ------------ --/2.0—--- 279-2581 4040 "B" Street Anchorage, Alaska 99503 Mr. Richard Wright Star Route A - Box 1582-E Anchorage, Alaska 99507 October 28, 1974 W.O. ~17112 SUBJECT: Seepage Pit Analysis LOCATION: Lot 16, Block $, Talus West Subdivision Dear Mr. Wright: On October 21, 1974, Ozias Hatch, geologist, of our staff, logged the existing seepage pit excavation. The soil types were visually classif- ied in the field in accordance to criteria established on Sheets 1 through 3 following the text. The test hole was logged as follows: Test Hole 1 Depth in Feet From To 0.0' 0.S' 0.S' 2.0' 2.0' 6.0' 6.0' 7.S' Soil Description Brown, peat, damp, soft, PT F-4, brown, sandy silt., damp, stiff, NP, ML F-4, brown, gravelly, san_~_ silt with few cobb]es, damp, stiff-hard, N-~, r~nded and sub-rounded particles, 6"-, NFS/F-2, brown, .gravelly sand layered with brown, siltZ ~ravelly sand, few cobbieS, poorly graded, damp, medium- high'density, rounded to sub-angular particles, 6"- SP/SM , 7.5' 9.0' 9.0' 12.0' F-4, brown, ~ravelly ~andy silt, damp, hard, NP, rounded and sub-rounded particles, 3"-, SM-ML F-2, brown, silty sand., damp, medium deq~ity' SM ---eon t i n u e d--~ ,. MEMBER ,Mr'. Richard l~right Page 2 October 28, 1974 Test Hole 1 [continued) Depth in Feet From To 12.,0' 14..0' Bottom of Test Hole: Frost Line: Free Water Level: W.O. #17112 Soil Description F-4, b~own, gravelly sandy silt, damp, hard, NP, rounded and sub-rounded particles, 3"-, ML - 14.0' None Observed None Observed Remarks:: 1. Test hole located in existing seepage pit excavation 2. Elevation: Existing Ground 3. Date of Exploration: October 21, 1974 The seepage area required per bedroom by soil type (per the Greater Anchorage Area Borough) is as follows: ' ~oil Type Unified Classification Seepage Area Reauired ML 275 ft.2/bedroom SM 2S0 ft.2/bedroom SP 150 ft.2/bedroom SW 12S ft.2/bedroom GM 22S ft.2/bedroom GW 85 ft.2/bedroom Soils ~equiring greater than 250 ft.2/bedroom are not allowed in seepage pit area calculations [per the Greater Anchorage Area Borough). Becel/se the soils were visually classified, boarderline classifications COuld not be made in the field~ The symbol S~-~{L indicates the field geo- logist estimates in excess of 40% finer than the number 200 screen, but ~ cannot determine visually whether as much or more than S0% passes the #200 screen which would then meet the ML classification. This determination can be made with a mechanical analysis of the questionable soil, if desired. '}.~. ~ichard lVright Page $ October 28, 1974 The seepage area required at depth can be expressed as follows: Unified Soils Seepage Area Depth Classification Required 0.0'-O.S' PT Not Allowable 0.S'-2.O' ~IL 27S 2.o,-6.o, s, 2so 6.O'-7.5' ~ SP/SM 200 7'.S'-9.O' SM~-ML 2S0-27S 9'0'-12-Ot SM 2S0 t2.0'-14.O' ML 27S Enclosed are some excerpts from State and Borough ordinances which may be of value to you. For further restrictions, particularly with reference to location of the seepage pit, we call your attention to the Greater Anchoragd Area Borough Ordinance 28-68. Please call if we can be of further service. Very truly yours, ALASKA TESTLAB John M. gambe J~{L/vms Enclosures On-Site Sewer Study by- Robert P. Neale ~/20/74 Owner: Dick Wright Legal description- lot 16 blk 5 Talus West Soil sample- the original sample came in at 250-275 Conditions 10' .................... ll' .................. 13' .................... l'to 2'organic ~-, lq.' .................... 12' , ~/d.--~ ~ t 5' ..................... r'-v~:---r . ~ A~ --, ................. very The original soil sample for this lot was taken from a area soils test. We requested another test be taken and in came back as just barely useable soil- 250 and slightly over, I also took 3 samples to have the Borough soils lab run an analysis. OUr results agreed with the soils test run by Alaska Test Lab, We then redesigned the system by adding a 14' trench to add more useable wall area, Then perforated pipe was taken from the cesspool(seepage pit) rings and extended to the end of the pit and then into the additional 14' of trench, We feel this will allow full use of the seepage area and extend the life of the pit. 2' to 7'poorly graded gravel & silt 7~to 12~ silty gravels to 16' 275sq. ft. poor perc area Septic Tank 1000 gal. concrete rings used in the seepage pit. Municipality of Anchorage Development Services Department Building Safety Division Onsite 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. er /SS- 20 Z - 3x� COSA # Expiration Date: 0 7 1. GENERAL INFORMATION Complete legal description 1•ef•16, 0tcr-I: S; Ta/ur /.river/ S/6 19/ Location (site address) _ _ H3 y0 C rr e to Current Property owner(s) ks � F Sfvf/+nn Sin u.n Day phone 2S -7 -z./ / 2 Mailing address Lending agency . Mailing address Real Estate Agent Mailing Address YSYo Suns%nt Crrr/ezo ,, Ott 99S/6-ZZZ/ Day phone Dan iv -IF- Dayphone &6s-6r/o lot W. terve o {il �� tts�3� 6nchO A -k 99.-03 —Urdessofherw/serequested,COSA will behold byDSD for pickup.—Plc ea/!—Dein [up/f oFhce(f "- 2. NUMBER OF BEDROOMS: 3 8�'6S/o wtien ��A ray ��!' K• i 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of 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 _ Fterbl&p Ttchni ar ( S'!r'di< elPhone T VS_- 0ss Address _l yS'3o Eche Cann R-o..A"CACW-erK?'k 95's-/6 Engineer's Printed Name 77hFnc?6�Y F: P-roord Date FF'/2o / 200 7 5. DSD SIGNATURE Approved for 3— bedrooms. Disapproved. THEODORE F. MORE CE -358V f� Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: / All Z?,L Original Certificate Date: (Rev. 71)05( Municipality of Anchorage e • Development Services Department Building Safety Division On -Site Water & 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: l.o I- /6, 6 /oc k S. I «Iw Wert -S lh -0/ Parcel ID: 20 2 - 36 A. WELL DATA Well type _fv t If A. B, or C provide PWSID # PJ -'P' ie Date completed _L/ i9 /-�f Sanitary seal (Y/N) Y Total depth / 3 6 ft. Cased to Yo ft. FROM WELL LOG Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/100 mL Nitrate 2.73 mg/L Arsenic: S_4�7 ppb date of sample: -!±-/-2-/07 B. SEPTIC/HOLDING TANK DATA Tank Type/Material ST E P Shp / Tank size I2s0 gal. Number of Compartments 2 Well Log (Y/N) N Wires properly protected (Y/N) Y, Casing height (above ground) 2Y in. AT INSPECTION Y/ ra / 07 32 ft. 7. 2 ri g. p.m. Other bacteria © colonies/100 mL Collected by: F'Laf�+i "Teri+ Svc Date installed 140/19 /98 Cleanouts (Y/N) Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping N / la / 417 Pumper N or lir) /crn d C. ABSORPTION FIELD DATA Date installed /vl ,9 / 9S Soil rating (g.p.d./ft2 or ft2/bdrm) 2.0 System type SS F Length 36 ft. Width IG ft. Gravel below pipe 47 z- ft. t Total depth ft. Eff. absorption area&oD_ft2 Monitoring tube Y_ Depression over field N Date of adequacy test H //o / 07 o Results (Pass/Fail) P_ ril 3`� n F) For 3 bedrooms o Fluid depth in absorption field before test H in. vy Water added& 2 gal. New depth H in. 0 Elapsed Time:,5j_ min. Final fluid depth 2 in. Absorption rate >= HSG g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NoAe I.enoc M If yes, give dale t. +. D. LIFT STATION Date installed 10 /19 /96 -rr.+er• "Pump on' level at n in. 2,5» ,1MPr Size in gallons S'nl•e�r» f T.rn te- "Pump off" Ievel at _ A in. Manhole/Access (Y/N) Y High water alarm level at Ys" in. Datum OyNa— of M44' Cycles tested 6 Meets alarm & circuit requirements? Y_ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 140S Absorption field on lot 108' Public sewer main N. A Sewer /septic service line > E,S' Animal containment areas 1J. A. Q.g r" lyi On adjacent lots > Z10 r On adjacent lots > 100 ' Public sewer manhole/cleanout N. A - Holding tank V. 4. Manure/animal excrete storage areas N. h SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation -7 Property line'moo' Absorption field :;t 15" Water main EA Water service line > to r Surface water > 100 Wells on adjacent lots > 100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 11' Building foundation fit Water main N• .4. Water Service line > t0' Surfacewater > 100' Driveway, parking/vehicle storage Curtain drain Nvoa Sewn Wells on adjacent lots > 100' 37SP lnwrn Jvw an re Ser.r r ce done 9 ! r9 /06, j>j4r1,nr Oe Y/10 /07 F. COMMENTS adBp uaCy t ww* "e f/urd /e -e( In it �Pr'b'1'rrn ry darn low- #"oAt1w- #�QO cfoterr Yo !Ra l S/a><rbn �f S1�fYorr /tl•SL' wfY 2y" ,Ff �9un+/ Gy d� bu/� �/YI�t� 'fd [fAi ry xr.n a/•,t ly Z'r wffA/n -C Ntri`Aer'MOnr r be I F6wAf4 eAVIof YAe G. ENGINEER'S CERTIFICATION RQwf 64del-,op/ Me Xrir 6lSJnrFc4n `=C'�tCh 0^ send rwJG1C01 - At Zd O: C I certify that I have determined through field inspections and.{:•• review of Municipal records that the above systems are in N Gbh .' r+ '• �!•r," P conformance with MOA COSA guidelines in effect on this date. N .., a .,t`+�� • * tf Engineer's Printed Name -rAcr ,a0b,-e 1C. /-too ?r fi .•..••••�•..N.•u•. t{ s Date Ap l Z�/ 200 7 : ';-7iirCDCRE F. WCO.E• -, COSA Fee $ Zh9 Dale of Payment 4/2 > T Receipt Number 073-72? (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number Z�� TRACT 8 C, Iekwallfs9 _0T 2 AS -BUILT NOTE: THS DRAWING IS NOT TO BE MODIFIED FOR USE AS A PLOT PLAN. ..va Description: Ordwed Dr.Dan Wolf, of Keller W011oms Realty Lot 16, Block 5, Legend: Talus West Subdivision septic standpipe® r77Z;777 :.,•raner.0 r:: Water ww O .. o.ernanv Addition No. 1 F.na—X—x— sravEr propMy CCRTna how conducted o Phy tmy of the as o. ehowon his drawingand caNot he thereon o. within the Property In" and no awoochmmts exist ANN other ttw mritecil twt.0. EXCLUSIONARY NOTE: It to N. arn.ry responsibility to determine the LANO dt CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS e.4t.na or any .oe.rn.nt., co,,.nont., ro.tActiene or right—or—ray 440 West Benson Boulevard. Suite 200 Phone: 562-5291 no circ `nota' do not appear on the erson b wsedflor ome unser no eYo which doe Mould any data hereon D. used for c Fiat. Under ctlom Anchorage. Alaska 99503 Fax: 561-6626 rw utoall.h" Property ones, or for Woe—pan purpo.e.. Piet 80-40 IGO& 2736 Dot.: April 26. 2007 lDrown By. NRB work Ordr. 2007—L-51 Fb/P9: Ref:951.710 Seder 1--40' 1Choo*d Bp APH · (~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 015-202-36 1. GENERAL INFORMATION Complete legal description Lot 16; Block 5; Talus West Subdivision #1 Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address Agent Address Rob Carleson P,O, Box 230334 4340 Sunstone.- Anchoraqe, AK Anchoraqe, Circle Day phone AK 99523 Day phone .Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: 3 Individual well xx Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~25 (Rev. 1/91) Front MOA~21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, i further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Alaska Wa~e~ & Wastewa~e~ Name of Firm Consultants, Inc. Phone Address 7.39,8 '¢,,~f: ¢,,h~mter ~f,S. Circle Engineer's signature Ancho~'age, AJasks 99504 Date ALASKA WATER & WASTEWATER CONSULTANTS¢ IS TO BE PAID $2366.25 AT CLOSING FOR ENGINEERING SERVICES PERFORMED. DHHS SIGNATURE Approved for -~ Disapproved. Conditional approval for bedrooms. INC bedrooms, with the following stipulations: Additional Comments 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 DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage D ~ r ~1~ DEPARTMENT OF HEALTH & HUMAN SERVlGES~. ~' i V [ D Environmental Se~ices Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (9~4~¢~ Health Authority Approval Check, Healt~ & Human 8CrUces' Legal Description: /--o-r IG~ ~,~=,c~: ~ ~'~-~.~s u.J~:'r .-~'/~ I Parcel I.D.: A. WELL DATA Well type ~P, r/¢,"r~ Log present (Y/~) Total depth 6). ~. Sanitary seal ((~J~q', If A, B, or C, attach ADEC letter. ADEC water system number t"~ Date completed L). Cased to z./.o I-h Casing height (above ground) Wires properly protected Date of test Static water level Well production FROM WELL LOG AT INSPECTION g.p.m. ~. 6+ g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: B, SEPTIC/HOLDING TANK DATA Date installed Io/,~/~ ~, Tank size Foundation cleanout~N) Date of Pumping Nitrate ! ¢_,~o Number of Compartments -2_ _ Cleanouts ¢~'N). ~-~ Depression (Y/~J)_ tJ~ High water alarm ¢~N) *CE,_( Pumper C. ABSORPTION FIELD DATA Date installed lC'/1 ~/~ Lengt~ _~(¢ ~ Width Effective absorption area -~¢oO Date of adequacy test ~'~ Soil rating o~r¢6- Z. O System type Gravel thickness below pipe (~). 'Z~ Total depth Monitoring Tube present ~N) V~ Depression over field Results (Pass/Fail) For ~-~ bedrooms Fluid depth in absorption field before test (in.); Fluid depth (ins) Minutes later: Immediately after ~ gal. water added (in.): Absorption rate = ' _g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed_ Io Manhole/Access (~N) High water alarm level at* Cycles tested t~ ~ b.5 E. SEPARATION DISTANCES Size in gallons "Pump on" level at* 41 u "Pump off" level at* *Datum ~-r-ro,~ oF Absorption field on lot Public sewer main Sewer/septic service line SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/t".,~C~tank on lot IO~ / ~ ~ On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/I-.I~ TANK ON LOT TO: Foundation '-/~ ~ Property line ~,P ~+--' Absorption field Water main/service line )olt Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD .ON LOTTO: Property fine I~ ~Jz Building foundation I~' Wells on adjacent lots ioo~+ Water main/service line Io ~ff' Surface water Io¢I+ Driveway, parking/vehicle storage area Curtain drain_ t..I o,4E I~o oJ~ Wells on adjacent lots fo ENGINEER'S CERTIFICATION F. , ce.fly that, hav~ete~ne~f~ld inspections and review of Municipal in conformancZwit~ M~Z .~uidaline. in effect on this date. Signature k ~,%1v%~ , HAA Fee $ Dateof Payme.t Race pt Number. Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* SKETCH AREA/TABLE ADDENDA File No. 98-1045 Properly Address 4340 Sunstone Circle ~ity Anchorage County MOA State AK Zip Code 99516 Borrower Robert & Cora Carlson Lender/C(ieni:lst Na~ionai Bank of Anchorage Address 101 E 36th Avenue, Suite 216 Appraiser WAYNE HENDERSON Address 440 WEST BENSON BLVD. Comments: Wi/CI Master Bedroom 15.5 BASEMENT O lhI Kitchen Dining _c-TI I-'-1 Area Living Room 40.5 '.,' Bedroom ~"1 40,~ v Family Room O MAIN LEVEL 18.0 ConcreteWalk 22.0 AREA CALCULATIONS SUMMARY Area Name of Area Size Totals GLA1 First Floor 1403.5 BSMT Basement 972.0 P/P Covered Entry 42.0 Deck 280.7 ~ Garage 528.0 eTS Storage 96,0 1403.5 972.0 322.? 528.0 96.0 TOTAL LIVABLE (rounded) 1404 RANDALL, HAYES & HENDERSOh~ APEX SOF~NARE 210~99~o66 Scale: 1 = 12 LIVING AREA:BREAKDOWN · BreakdoWn i Subtotals First Floor 33.0 x 40.5 1336.5 2.0 x 15.5 31.0 2,0 x 18.0 36.0 ,,~,3 Areas Total (rounded) 1404 1 ~<, 1 of 1 Apx8100-w Apexll MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) z~:~'c> .5,.~,,~ ~--~-~.,~_ ~,~..~ Property owner ~-~-~. ~.~,~o~-~ Day phone .. Mailing address ~,~ ~~Lub,~o~ /~, ~c~, A [ Lending agency Day phone Mailing address Agent Day phone Address '~ Unless otherwise requested, HAA will be held for pickup. 2. --~ NUMBER-OF BEDROOMS: ~ 3. ~'. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ,,' ,~,;: ,, ..... , :Id~ - , :,%.' , ..~ ' ,, ~, TYPE OF WASTEWATER DISPOSAL: Individual on-site i~ ~ ', -~, Community on-site ,,. ',,, -, ~,, .~,, .... ', ~.:~, Public sewer . . ) / ~.??\,,,,,, If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 79-025 (Rev. 1/91) Front MOA #21 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 structu re 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 co~jes, ordinances, and regulations in effect on the date of this inspection. Name of Firm '::::~:~,.u.,~o,,~,~ z~ Address ~c2..~._ /4,~o~.~-- EngineeFs signature ~ DHHS SIGNATURE :? roved for bedrooms. -'~" '" · Disapproved. Conditional approval for bedrooms, with the followin~sbpu atlons' Additional Comments i;' ; , he Munlclpahty of An.chqrage Department of Health and Human Services (DHHS) msues Health Authority Approval Ce/{~fmates. based only upon the representabons g~ven m paragraph 5 above by an ~ndependen professional eng,,neet:registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes an'd th~ii:i(~dding in§'titu'tions in order to satisfy certain federal and state requirements. Employees of DHHS donor cond~t Inspect (;ns or analyze data before a certificate is issued. The Municipality of Anchorage is n.o:t responsible for errors or omissions in the professional engineer's work. 72-O25(Rev. 1/91) Bsck MOAtY21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES E.viro.me.ta. Se .iues Oivisiu. R E c F I V F D 825"L" 8treet, Room 602 · Anohorage, Alaska ~950~ (~07) 34~g74~ NOV Health Authority Approval Checklist OepL ~;~t~'~;'~'~;~e Legal Description: &~/~(¢¢14 ~ ~¢t0~ ~ Parcel LD.: ~ - ~o~ A. WELL DATA Well type Lo8 present (Y/N)'. Total depth ~e.) ~-¢~¢~.,~,..., Sanitary seal (Y/N) If A, B. or C, attach ADEC letter. ADEC water system Date coutpleted ~ ~O~ Cased to ~ ~ P~O~ W~D ~0~ Casing height (above ground) Nitrate Tm~k size Wires properly protected (Y/N) AT INSPECTION cl -Il~ 95- 2 -:/%_ g.p.m. ~, '~' g.p.m. /, ~/(z, Other bacteria Collected by: <~, ~__ ~p.,.o,~c, ev' ~ Number of Compartments '-g- Cleanouts (Y/N)_ "f Depression (Y/N) High water alarm (Y/N) Pumper ,k~, e,~ZTt~ L &~OI2~ Soil rating (g.p.d./fl2 0~ ~ ~ o__ Gravel thickness below pipe System b~pe Total depth Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform -- Date of sample: / o B. SEPTIC/HOLDING TANK DATA Date installed Foundation cleanout (Y/N) '"4 Date of Punrpiug C. ABSORPTION FIELD DATA Date iustalled Length ~ c?'~ Width Effective absorption area r¢~_~3 Monitoring Tube present(Y/N) NS' Depression over field (Y/N) /'% Date of adequacy test ~11 - c/,,&- Results (Pass/Fail) qD&,5,5 For .~ // bedrooms Fluid depth iu absorptiou field before test (in.); '~ 3 t/~Immediately ,'fftenS'm~ gal. water added (in.): q'{," Fluid depth ?-~ t/2 (ins.) Minutes later: /~/qc> Absorption rote - .~-e,~, -/:' g.p.d Peroxide treatmeut (past 12 ~nonths) (Y/N) I".4 C> If yes, give date D. LIFT STATION Date installed ¢~,.. '~ ,..c- Maohole/Access (Y/N) Size in gallons ~OC> "Pnlnp on" level at* -- a~ ~ "Pump ofF' level at* -/O ,3 High water alarm level at* Cycles tested ! ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tnnk on lot Absorption field oo lot Pnblic sewer nlaiu : On adjacent lots Oo adjacent lots Public scxver manhole/cleaooat Sewer/septic service linc Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building fouodation ,o~'t Property lioe '~ ,,~ '~ Absorption field Water mai~qservice liue ~.~-'~ Surface water/drainage _ t'a>,~'r Wells oo adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building fonndation Sur£ace water Cnrtain drain Water mare/service line ~-3''-''+ Drivexvay, parkiog/vehicle storage area Wells oa adjacent lots F. ENGINEER'S CERTIFICATION Property linc certify that I have determined thru field inspections aad review of 3dunicipal re in coq/brmance with ^40,4 HAA guidelines in q[fect on Ibis date. Sigoatur& ~ Engineer's Name ~ · ~:b/X. rOcOo~'~t~ Date l I-- "~ -- q~¢' Ck~S1 ~ HAA Fee $ Date of Payment Receipt Number Waiver Fcc $ Date of Payment Receipt Nnmber Rev. 8/95 eSS: haa.wk.doc DATE RECEIVED ~ INSPECTION APPOINTMENTS ~_ TIME TIME ; Tll~l E I INSPECTOR MUNICIPALITY OF ANCHORAGE ENVIRONMEN1AL DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ~ 825 L Street-Anchorage, Alaska 90501 [~AY 1 5 1980 ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, I PHONE 1. PROPERTY OWNER MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE PHONE 2. BUYER MAI LING A DDR ESS 3. LENDING INSTITUTION / I PHONE I MAILING ADDRESS MAI LING ADD~ ESS 5. LEGAL DESCRIPTION STREET LOCATION 6, TYPE OF RESIDENCE [] Other NUMBER OF~BEDROO S SINGLE FAMILY ~ Two ' ~ Five MULTIPLE FAMILY ~ Three ~ Six 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ~' INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~ SINGLE FAMILY BI ONE [] THREE [] FIVE E~ OTNER [] MULTIPLE[ FAMILY [] TWO [] FOUR [] SiX 2, WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER I~INDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified INSTALLER Size: [ (~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 5. COMMENTS FOR "~ BEDROOMS [~'"~APPROV ED [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) R~'2 REID ENVIRONMENTAL ENGINEERING SRA BOX 1584R ANCHORAGE, ALASKA 99507 (907) 344-1205 ~.Y6'"' .L B6 ~ MUNICI?ALITY OF ANCHORAGE DEPT. OF i i":LT[t & APR ~ 8 DSO RECEIVED 25 1980 H.I.~,E. ~ , .:..~. SRA ,~. 0,< .[,. 8o" AN, I J~.AE-h Ak' 99507 SEI...L.E R ,SAME · c.';U E: D Z V]]S Z 0 N..- T A L U!i~ NESTDLOCK-D LOT.-16 THE TYF:'E OF AE:SORPT]:ON SYSTEH ]:~ A TRENCH HI:TH AN LINKNONN AREA~ 'I'FiE QLIAN'I':[TY OF NATER ABSC)RE:ED DURZNG THE TEST NAS 6~;0 GAL. LONS, BASED UPON THE TEST DATA THE SYSTEM ZS ACCEF'TAE~LE FOR A z~ DEE)ROOM HOME, THE SEI::'TZC TANK NAS PUHPED C)N HAY 20 :L979 ~ ~]~x~-a:'---:~ r'"-' .... .-:.:x'~EAB(~ ,TORY TEST WORF. oH--t ...~]..:.... . /~"1-,.;? ~i ~E~,~'~:~ ~ '.~ ~F'-' ." ~7~ ~: .... Proieet Name ~,~ 7]. ' Lob No, ' ......, ~-~ Co~ A~~" ~,~ t L~ j SI~E ' DRY V~ZIG~ % R~. % PASS SPEC. _ Dry Fine Agg. ~ ~' hb, Total Wr. Dry ~ . Lb .... -' ~ ..... ~,_..:h, ~ .-~ -.. ¢- - _ - .-~¢ ~, mo ~ nov e'¢1¢ T m,,ARg= AGGREGA]~ LBS. ~v ;~i¢~ ~ F NE AGGR~A~ :~a~RY WBGH- ~:'2~ ......... - gi~V~ -'R=f Ret -- ~ss"- -No. GrA ' ': '--J Ret -~et -~- ~4:B . Grad. A+8 ,o. ,_ .... - 'm ':'- ' :- ] ~ ~,~ ~,~. ~/,~- ~/ .... . · 80__ . ' ~2, . .~2mm].~ SPECIFIC GRAVIT~ AND'ABSORPTION ATTERBERG LIM TS .- .... :.'::- .oo~T ' ! 'T~5 ' .' -- ' ..... - COARSE AGGR'GATE ~N~ AGGR~ATE~ ' . ' =-- - -' WeJgbf SobJroted ' ~]'sh NO. '- Weiohi in Air. Dry B!o,~s Wt Flask ~,a ,.r~ WI ' - Gain in 24 Hours Temp,T in K Waiqhi in V/~er ~ We~qhf Cdn+Dw Soil Wt, Flask Water Soil,W2 ' ; Weight H~O Displaced t Welq? of W~er Wt. of Dry SoiJ.Ws ·" -'$p.G~'(' - .)',.: - ~ We~cnf Specific '., :, DELETERIOUS MATERIAL -' - '- [.~ ABRASION Webhf of Sh~te ~ference LIQUID LIM~ ~ ,.ms ~s 90 . PLASTIC LIMIT" (PL) , ' Soft * ¢ ~ -- ~' - Ro~s . S,,~,s ~ PLASTIC INDEX (PI } - ~' Cogl 8, Limnlle DEGRADATION C~assif~lion -- - '-- AASHO Unified ..... b,e ~;nenes] Modulus .. : °/o Sa~d' ' -z. "'-:,: ":L Moisture % Silt % Cia REMARKS: _. - - .._ ~ :' - .. .... ~ -.- ~-~'~: I CLAS~'z'~ ' ' ':Ty~ of. Moferiol .: ;' --%-'[' - ; ~ . '-.¢ Dote ........ ~ , ~ , . Dry Co~rse Agg. ' ~ ~ ;- L~ Si~E DRY V~IG~ % RE~ :. · .°/o PASS SPEC ]oral Wt Dry /~.~_." Eh. .3 : _ . FR4CTUR:D PARTICLES ¢, -- - - To~! ~'vJghf ..... I~ __ . 'DRY WEiG. HT , IN._ ,~,~,,~ "DRY WEIGHT COARSE AGGREGATE LBS : - -.Eh .... ¥o ¥0 : X ¥o -._~_ :.Lbs. -,,/o .... lo - , ,-X.~o . OTAL- . . .... --.- j .... : S~E-*:h'Ref. -:-':. Rel'~**. ~ss-'-:'--No.4:A ~:';;:, -Ret -:':Ret'-U~~dd. A~B ~:' ...... t ' ' ':' NO. ~ ..... :' -' -%":"- - - '- :-' ¢-:':-,- . ' ' : '- ' :' .-'-"- ..:., v :-: o~/~q ~:~Z,/:* · g ,.~ ..... .-~- ::. .,=::.---.:.-. - .. : - ~ .... '_:?":m '~' - . . 4._. _ ','_.' . - ,. :.,.J z~ ,~:.~ ~i - --. - .0£mm ~ ~.005 mm ! Weight of Flask .':<. Wf.~ask W¢.,er~Wl?:f-- ~ ~--i --'- Temp~T in F. -2 ;,:':. -. :"-' .' ~_ .. -Wt. Hask Water Soil,Wa ---h-'.:-: ......... ' I -- "SPECIFIC GRAVITY' AND ABsoRPTION ._ T 84 ': <_ :::. T85 FINEAGGREGATE_' COARSE AGGREGATE .: Weigh? SQfuro!red.g.~-~ _ G~in in 24Hours ' - Absoroflo~ . ~ Wei~hf ~n+W~ .: Weiqht-in Water..-~-- - J Weight Can+D~ Soil - ATTERBERG LIMITS '- ..... '. '-:--.~ '' .J LI?4IT. Dish No. - '~ --~ : Cen No. , - yJ,.of Dry Sml,~,',.s . -=~ - _ Wek~hf H~O Displec~ j V~,~hfof ~.~,er ..%ec!flc'gravi~ of Soli~.~= --Sp. Gr.,( ::_ ~_...-- '~ Roi ~FglnHR M&TFPlAP ...... ' Scff ~flcals ' '. '- ', Sfi¢48Ro~ J ~t · ' ' ~mos [ J _ [ .... . - " C{assifi~fion ' r abe · . -- ~ -- uO , - "-- ' . ---~ .... '% Ebc%~tfon F////~///%////~ -- J - - ' ' % + I0 ' · ~J .- ~t_ ~,~oi~t.~ - : :- ' -':-'- % SCM=' ~ ~ · ~/ '-].- ' : - ' ~_~ .. .... .=, ..... ' FSg'--" .... Tofo! WL Bry ~.~ 7 ..Lb. FR~¢¢TU,~D PARTICLES ~o~~ We-hi ... Fractured WL fiX, ATTERBERG LIMITS PLASTIC ~--' ' ' &Ri(S:- SPECIFIC GRAVITY AND ABSORPTION ~ fs~ ~"~ ' ' - 'lL~ __ J. COARSE AGGR~_GATE...-, ,-.- .,.~T : ~ ! D~sh No. J V~hf in ~F. Dry Weiahf of W~er ',,ye ~, Con+Dry Soil Weiaht of Can Moisb~,% · C!assif~fion % G, of.VTa!er at T - · S~ , ....... j Wai~.hi ~n Wa,er WaLqht Cdn+DW Soil So~oifio Grdvify of Sod ~ '_'~' ~'~-L_ ' - - - ;%t%/~%P~i°Ac~l ISR~IA TotalWe;o~ . ~ ~ ~cnff~ J . t J i DEGRADATION - ~. ~ J I GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "c" Street, Anchorage, Alaska 99503 274-4561 4. 5. 6. Approval requested by: Mailing Address: Property Owner: Mailing Address: Legal Description: Location: Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Type of facility to be inspected ,~.~:~ :(~...:~.,:~./. No. of bedroom; Well Data: ~ /, A. TyPe C. Construction Sewage Disposal System: A. Installed / <~!i/~ B. Depth D. Bacterial Analysis m~-/~ C. Septic Tank: 1. Size 1~o6 :Mt~ 2. Manufacturer D. Seepage Pit: 1. Absorption Area ~ ~09- E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line , Absorption area Other contamination Sewer Lines B. Foundation to septic tank I0 ' , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages P~e 2 of two pages - Req! ~ Approval of Individual S~ later Facilities Legal description ~g- J6 ~z/c .~ ~o.~L~.~ U.]~ Comments Approved /~o~L ~-/~t~J~isapproved Date //5//~~'' Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE Akin,', BOROUGH Department of Envi ronlll~2hta 1 Qua i i ty 3330 "C" St., Anchorage, Alaska 99503 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA _.. FHA CONV ,~' d · 3. Name of Buyer: S~_ . Hailing Address: ~~ D~Z Phone 5. Name of Realtor or Agent: _~_~ Mailing Address: Phone 7, Type of Facility to be inspected: 8. Water Supply Type of Supply: Public Utility If individual, number of dwellings If individual, depth of well Sewage Disposal-System Type oF System: Public Utility If Individual, date of installation ~~z~.~ NO. Individual presently Bdrms. .~ served individual (on-si~e) ~ {. ,/artment of Environmental Qualit~-~ '"Water and Sewer Questionnaire Subdivision Owner's Name: Mailing Address: Questions: 1. How many bedrooms are now in your house? ~ 2. How many bedrooms were in the house at the time of purchase? 3. Were the basement bedroom walls "roughed in" at the time of purchase? 4. Was the basement bathroom plumbing "roughed in" at the time of 5. Did the realtor or builder inform you that you would have to enlarge the existing sewer system if you finished the basement bedroom (s)? 6. If on a public water supply, do you always have an adequate supply of water? /~/~ 7. Is the pressure always adequate? 9. Who was the home purchased from? OTHER COMMENTS: