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Home My WebLink AboutASPEN HIGHLANDS #3 BLK 3 LT 12Aspen Highlands #3 Block 3 Lot 12 #017-013-74 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water & Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 • http:11www.muni.org/onsite a (907)343-7904 ORI-SITE WASTEWATER iNSPECTION REPORT Permit Number: OSP121026 PID Number. 017-013-74 ❑ New ®Upgrade Nome: DOUG MUTTER ABSORPTION FIELD. Address: D Deep Trench D Shallow Trench IR Bed D Mound 7621 UPPER DEARMOUN RD *ANCH., AK 99516 E3 Other. Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 440-2082 4 3 .o GPD/Sq- Ft. *0.63 FL LEGAL ®ESCPJPTION Depth to pipe Invert from orlginal grade: Grovel depth beneath pipe: 6" 0.22 t. 0.5 Fl. Subdivision: Block: Let: Fill added above original grade: Gravel length: ASPEN HIGHLANDS #3 3 12 SEE DWG. F. 40 Ft. Township: — Range: — Section: _ Growl width: Beds Number of lutes Diolance betwaen fines ap�p� �+�pp®�/+ 20 Ft. 4 5 Ft. SEPARATION DISTANCES P�1 CES Total absarptlon Oreo: Number of tranches: DILL between lrenchex To Septic Absorption Lift Holding ublic/Private — — From Tank Field Station Tank Sower Lines X00 sa- Ft. Ft Well 100'+ 100'+ 100'+ — 25'+ TANK D Septic ®S.T.E.P. OHoldin ❑Other ' Manufacturer: Capacity. Surface Water 100'+ 100'+ 100'+ — GREER 1500 GaL Material: Number of compartments: Lot Line 5'+ **5' 5'+ — N/A STEEL 2 Foundation 5'+ 10'+ 5'+ — LIFT STATION Curtain Drain Manufacturer: Capacity. NONE KNOWN GREER/QUANICS 1500 cal. OLD TANK WAS DECOMMISSIONED PER UPC. pomp o" level at: Pump air level at: rh water alarm at: Remarks: TIMER TIMER 46" THIS IS A QUANICS AEROCELL SYSTEM. Pump Make & Model: Electrical Inspections perfarmed by. "ORIGINAL GRADE WHEN SYSTEM WAS ORIGINALLY INSTALLED, P—SE-41T MOA PIPE MATERIAL 5e, ** ct�iairi, � � UNDER FILL/SYSTEM SOIL COVER. WAIVER GRANTED P Tank to House to tan drainfield SCH 40 Installer Drainfield PVC.3034 CO/MT PVC 3034 REEKS EXCAVATING Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 Ff. Inspection Location and Description: Dates: 1st 3/22/12 2nd 3/22/12 3rd 3/23/12 4th 3/23/12 BOTTOM OF TRIM SW CORNER OF HOUSE. ENGUYEER•S e Community Development Department Approval �4 Conditional approval: Date: p�,`P:• '-�-� e r A�Go ess,=•..� CE-79 qj Approved: Date: pG` rofesSjor1aa 4400 o Co h V 2.(S i a V) -�rb rn 0, CA T M —4-o o. /QAT 3( L�-r'ln i C S SoS4em o ooI vved 7/.31/_J�-qP7 — -PdA,",,, GARNESS ENGINEERING GROUP, Ltd AC ell' _.� - ENGINEERING, SALES, CONSULTING-„ •-«�-- .,_ _ Alaska Aathorize¢iDealer June 30, 2020 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650 Anchorage, AK 99519-6650 (907) 343-7904 Ref: Aspen Highlands SID #3; Block 3, Lot 12 (7621 Upper Dearmoun Rd., Anchorage, AK) Memo concerning converting CAT III AWWTS to CAT 11 AWWTS septic system To whom it may concern: The permitted septic system was installed on the referenced property on 3/22-23/2012 and started up shortly after the installation. ARM Septic Services, LLC has recently checked the monitoring tubes in the drainfield and found them to be dry. In order to simplify the operation and maintenance of the system, we are proposing that this unit be permanently configured as a CAT 11 system. Our justifications are as follows: According to Leroy Reid, P.E.'s 1982 soil log, the receiving soil has a percolation rate of 10 minutes per inch. Given this percolation rate, a 3.0 gpd/sq.ft. application rate is required for a Cat 11 system. The home has 4 bedrooms, so 200 sq./ft. of absorption area is required for a CAT If effluent (600 gpd 13.0). The existing 2012 drainfield has 800 sq./ft of absorption area. We would also like to note that there is 1 foot of MOA filter sand below the drainrock. The approved On-site Wastewater Inspection Report stamped and signed on 9/9/2009 shows the soil rating to be 6.0 gpd/sq.ft. We request the Inspection Report be amended to show a 3.0 gpd/sq.ft. application rate. At this time, we request that your department approve a CAT 11 configuration to be used at the referenced property. Upon your concurrence, we will have ARM Septic Service, LLC., go to the property remove the actuator from the ball valve or leave the valve in the open position, and have them dace a CAT 11 sticker on the control panel. M.S. Press el�e 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineedng.com Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP121026 01701374000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 995'19-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: March 15, 2012 to March 15, 2013 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: ASPEN HIGHLANDS #3 Site Legal Address: ASPEN HIGHLANDS #3 BLK 3 LT 12 G:2840 Owner/Address: MUTTER DOUGLAS L & CAROL SUE 7621 UPPER DEARMOUN ROAD ANCHORAGE AK 995163804 Site Mailing Address: 7621 UPPER DE ARMOUN RD, Anchorage Lot Size in Sq Ft: 25274 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 pdor 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. Special Previsions: 1. Construction equipment is prohibited from being on the bottom of the bed to ensure that the native soils will not be compromised. Special Provisions: 2. During construction, the elevation of the native organic layer must be verified to ensure that the required separation to groundwater is met. Municipality of Anchorage P.O. Box 196650 · 4700 Elmore Road Anchorage, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 http:llwww, muni,or,qlOnsite Development Services Division On-Site Water and Wastewater Prooram **** VARIANCE/WAIVER REVIEW **** WaiverS: OSP12t027 COSA#: Permit: PID~: 017-013-74 Legal Description: Aspen Hiphlands #3 Block 3 Lot 12 Engineer: Garness En.clineerina Grou[~ OSPt2'1026 Applicant: Douo and Carol Mutter Your request for a waiver of the required 10 feet horizontal separation fi.om the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the proposed absorption field only..Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another appro-~al fi.om this department. [] The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. [] Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. [] Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: ...... ~..q...~.. ............ ..... .......... .......~.~.m:. o.?.?.~t~.~..,.,,,, .......... Recf~: 00537G Amount: $200.00 Date Paid: 3/6/12 **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Development Services On-Site Water & Wastewater Program Phone:907-343-7904 Fax: 907-343-7997 Mayor Dan Sullivan On-Site Sewer/VVell Permit Application For A Single Family Dwelling Parcel I.D. 017-015-74- Property owner(s) DOUG & CAROL MUTTER Day phone 44-0-2082 Mailing address 7621 UPPER BEARMOUN ROAD *ANCHORAGE, AK 99516 Site address 7621 UPPER DEARMOUN ROAD *ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot ) ASPEN HIGHLANDS #5; BLOCK 5, LOT 12 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 4- THIS APPLICATION IS FOR: ( [] all that apply) Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: PROPOSED DRAINFIELD TO WEST LOT LINE. 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of properly owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: Permit NO. Osp Waiver Fees: Date of Payment: Receipt Number: Waiver No. OS (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS March 2, 2012 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Aspen Highlands #3; Block 3, Lot 12 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to rebuild the existing (undersized) drainfield and install a new 1500 gallon S.T.E.P. tank with Qum~ics controls/floats, and install a 650 Aerocell trickling filter. The proposed re-built bed will be 20 feet in width rather than the 15 foot max stated in code. The additional 5 feet in width will not compromise the longevity of the re-built bed due to the incorporation of a CAT III nitrogen removal systean. Also, during construction the contractor will be prohibited from walking equipment on the bottom of the bed to ensure that the native soils will not be compromised (Please state as provision on permit). The Quanics product may be switched out with the Orenco Advantex treatment system if the home owner chooses to do so. GEG discussed the option of digging additional testholes with the homeowner to see if it would be possible to install a conventional septic system and they opted not to pursue this choice. 1. SOILS: See the 1982 Leroy Reid, P.E. soil log (attached) which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There is a road ditch to the south of the property which runs along Upper DeArmoun Road and is filled with bone rock. There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the topography around the drainfield is relatively flat. In short, there are no slope concerns. 5. LOT LINE WAIVER REQUEST: We are requesting a 5 foot lot line from the proposed drainfleld to the west lot line. There is no concern of separation distances from the proposed drainfield to either the well, house, or septic system located on Aspen Highlands #3: Block 3, Lot 11 (property to the west). The elevation of final grades for the proposed bed will either be at 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com grade or worst case scenario 1 foot above final grade. In short, there should be no conflict with 3:1 slopes encroaching onto the neighboring lot. During construction, the elevation of the native organic layer (if it exists) will be verified next to the bed. Ground water monitoring (G.W.M.) fzom 1981 was at 6 feet below grade. The new top of sand elevation will be at 1 foot below the native organic layer or higher. In short the 5 foot separation requirement to GW will be met. (Please state this as a provision on penni0. We are unaware of any adverse impacts this installation and granting of the waiver request would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179· Thank you for your assistance. NOTE: Attached is a site plan drawing, a design drawing, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7page construction specification letter·) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. gamessengineering.¢om r .... _~ ..... I--~_~ ........ ~___~ KIMBERLY ~ / / / I MANOR; ~ / / I N 100' WELL I BLOCK 1, ~ ~ / 1Jo0' WELL J RADIUS LOT 13 ~ ~ / ~DiUS I J MANoR;KIMBERLY ~ MANoR;KIMBERLY ~ ~ ~ > KI M B E~ L~ KIMBERLY BLOCK 1. ~ BLOCK 1, M~; MANOR; I GARN:ESS ENGINEERING GROUP, Ltd ~'" DOUG A CAROL MUTTER 440-2082 J 1 OF ~ ASPEN HIGHLANDS ~3; BLOCK 3, LOT 12 PNB ~PE OF WORK: DATE: SITE PLAN 3/2/12 (Rev. 01/05) DESIGN CRITERIA: NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPO): 600 PERCOLATION RATE/S: *,3.55 PROPOSED APPLICATION RATE: **6 MINIMUM DRAINFIELD SQ.FT.: *PER PREVIOUS DESIGN AND INSTALL **ADVANCED TREATMENT DRAINFIELD DESIGN: MAXIMUM DEPTH: REMOVE ALL CONTAMINATED MATERlt WIDTH: 20 FEET LENGTH: 40 FEET M.O.A. APPROVED SAND FILTER: SEE NOTE EFFECTIVE: 0.5 FEET REDUCTION FACTOR: N/A ACTUAL SQ.FT.: BO0 GLO, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEO. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. NOTE: THE CONTRACTOR SHALL HAVE THE WEST LOT LINE AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. ASPEN HIGHLANDS BLOCK 3, LOT 11 100' WELL RADIUS I / / / HOMEOWNER MAY SUBSTITUE THE QUANICS TREATMENT SYSTEM FOR A LIKE PRODUCT SUCH AS THE ORENCO ABVANTEX TREATMENT SYSTEM. / / / / / / EXISTING SEPTIC TANK TO BE -"DECOMMISSIONED" PER UPC. , EXISTING 4 BEDROOM HOUSE 1500 GALLON W/ QUANIBS 30NTROLS. TN#l * NOTE f~l: 18' x 38' EXISTING DRAINFIELO~- PROPOSED TO BE RE-BUILT AT 20' X 40'. '~' REMOVE ALL CONTAMINATED MATERIAL AND IMPORT MOA APPROVED SAND. REBUILO SAND ELEVATION TO BE EQUAL TO OR HIGHER THAN THE ELEVATION OF' THE EXISTING BED BOTTOM. / / / \ \ \ UPPER DEARMOUN ROAD \ ASPEN HIGHLANDS #3; BLOCK 3, LOT 12 ~00' WELL RADIUS SCALE: 1" = 40' GARNESS ENGINEERING GROUP, Ltd. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DOUG & CAROL MUTTER 440-2082 2 OF .3 LEGAL DESCRIPTION: DRAWN BY: ASPEN HIGHLANDS #3; BLOCK $, LOT 12 PNB TYPE OF WORK: DATE:/3 SEPTIC DESIGN UPGRADE 2/'12 (Rev. 01105) SHELL ' ~2 ~ ~IGH WATER ~M JANDY VALVE ~OAT 27" /'650 TR~TMENT UNIT /w~ / / =." c~.o~= / / 24" INSULTED LID~ 4" BY 4' WIDE RIGID / UL LISTED SPLICE BOX / UR~HANE WITH TOPCOAT~ .vc co. u,, 2" TO 4" OF INSU~TION OVER TAN K.~ - II ............... ~ I~TIMER OVERRIDE FLOAT ~ 1500 GALLON S.T.E.P. TANK SUPPLIED BY GREER TANK AROUND ENTIRE PERIM~ER~ ~ ~P-SE-41T EFFLUENT PUMP "RGH WATER ALARM 34 6") 3VERR,DE FLOAT 32"(44") JANDY VALVE FLOAT 27" 39"( ~ ON/OFF FLOAT 15"(27') (Rev. 01/05) ~ CONSULTANTS & GE~-4ERAL OONTFL~CTOR$ S01L LOG - PERCOLATION~ LEGAL DESCRIPTION: ASPEN .IGH~NDS PERFORMED FO*' DOUg & CAROL MUTER DATE.~12 DEPTH ~ (feet) ' FILL/ORGANICS TEST HOLE SOIL C~SSIFICATIONS OM CL GC OL ~ SP CH SM OH SEE ATTACHED SiTE PLAN SC DEPTH TO GROUNDWATER DATE ~L DRY 2/21/12 ~/28/12 SCALE: 10 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (~NCHES) i 2 2/21/12 1 2:~6 - 8.00,, - 2 3:13 50 5-12/16" 4/16" 13 3 3:13 - 6.00" - 4 3:43 30 1 ~ 5 3:43 6.00" - 6 4:13 30 5-12/16" 4/16" 16 PERK AT DEPTH OF 6 FEET INDICATES ~ IMPERMEABLE SOILS. 18 19 PERCOLATION RATE 120 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.5 FT. AN~ 3.5 FT. 20 A FOUR HOUR P~ESOAK WAS PERFORHED: ~ YES ~ NO SOILS LOSGED BY: ROB CAMPBELL PERCOLATION TEST PERFO~HED BY: ROB CAMPBELL COHHENTS: PERFORMED BY GEG, Ltd. I, JEFFR~ A, GARNESS, CERTI~ THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO GROUNDWATER DATE DRY 2/21/12 2/28/12 (907) 243-2282 KEN JOHNSON KEN'S COMPANY WATER WELL DRILLING PUMP SALES & SERVICE 30 YEARS ALASKA DRILLING 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99502 AUGUST 26, 1983 TON GORE 600 Wo 45th # 6 Anchorage, Alaska 99503 ( Wk. 266-3716 Hm. 561-8570 ) RE; Lot 12 Blk. 3 Aspen Highland Sub° WATER WELL LOG 0 ft to 2 ft 2 ft to 17 ft 17 ft to 29 ft 29 ft to 35 ft 35 ft to 42 ft 42 ft ~ 49 ft 49 ft ~ 55 ft 55 ft to 57 ft 57 ft to 70 ft 70 ft to 77 ft 77 ft to 87 ft 87 ft to 102 ft 102 ft to104 ft 104 ft to 115 ft 115 ft to 120 ft 120 ft to 125 ft 125 ft to 127 ft 127 ft to 128 ft 128 ft to 138 ft 138 ft to 141 ft 141 ft ~ 149 ft 149 ft to 155 ft 155 ft to 161 ft 161 ft to175 ft 175 ft to 182 ft 182 ft to 189 ft 189 ft to 191 ft 191 ft to197 ft 197 ft to 200 ft Brown silt & organics Light brn silt & med. grav. Water bearing sand ( seepage ) Lt brn silt and medo gray. Course gravel and gray silt Ned. gray & gray silt Course grav& gray silt Tight formation Ned. gray & gray slt. Course grav& gray silt Light brn silt ( clay texture ) Some fine gravo Same with small ~2o seams..½ Gpm.. Boulders ( rotate casing 180 degrees ) Course gray & it brn silt Ned. grav& lto brn silt Same but weeps H2o Same but dry Weeps .. 20 ft. head bails dry poor ~ecover~y. Course gray & it brn silt dry.. Weep in 30 ft. bail dry poor recovery Lt brn silt & med. grav . dry .. Course grav ~and gray sil Noulders.. Ned° gray & It brn silt Clean Wate~-bearing Sand and gray I 1/2 Gpm 40 fto overnight static head Course grav& brn silt dr~ Ned sand &grav. H20 I 1/2 GPM 35 ft head° Course grav. and brn silt ..dry.. Clean med gravel and sand ,Water bearing Three GPM 6!0 ft Head Perforated casing at 175 ft to182 ft and 187 ft to 191 ft with Star perforator. Surged and bailed Test bailed well 2 hours at 6 GPN Static 140 ft ( 60 ft head ) Drawdown to 180 ft ( 40 ft. ) at 6 GPM Bottom stable MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DATE PERFORMED: '~- ~"7" ~'~"'' SITE PLAN WAS GROUND WATER S ENCOUNTERED? L O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop · / PERCOLATION RATE ("r~i,m,tte~j nc h ) TEST RUN BETWEEN ~ p' 1~Tr.~ll~l!~ ~ .FT,,.~ ~'/~ ~ 9~/, ~':~"~' ....'"'~' 72-008 (6/79) .... ' ~ ..... Test Hole ~12A-3 Lot 12, Block 3 TABLE A W.O. ~A19800 Date: 5/27/81 Logged by: OMH Depth in Feet From To 0.0 1.0 1.0 6.0 6.0 8.0 8.0 10.0 Soil Description Brown Peat, (Pt), moist, soft F-2/F-3, brown Silty Gravelly Sand, (SM), moist, med dense, poorly graded~ 3".+ F-4, brown Gravelly Sand~/ Silt, (ML), moist, stiff, N.P. F-l, brown Silty Sandy Gravel, (GM), saturated, medium dense, poorly graded, 3"+ Sot 3/4" perforated PVC pipe to monitor water table elevations, Bottom of Test Hole: Frost Line: Free Water Level: 10.0 Feet None observed 8.0 Feet 5/28/81 7.5 Feet 6/8/8'1 6.0 Feet Sa. No. Depthm I 5' 2 10~ Type of Dry Blows/6" M__~ Sample Strength GrouE)' V SM V GM Temp. Unified °F Remarks: 1. Type of Sample, G=Grab, SPT = Standard Penetration, U = Undisturbed. 2. Dry Strength, N=None, L=Low, M=Medium, H=High. 3. Group refers to similar material, this study only. 4. General information, see Sheet 1. 5. Frost and Textural Classification, see Sheet 2. 6. Unified Classification, see Sheet 3. 2X - 2 - MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Applicati6n Date 11-78-84 (a) Legal Description (include lot, block, subdivision, section, township, range) Lot.12. Block 2. As~en Highland Subdivision Location (address or directions) 7621 DeArmoun Rd. (b) Applicants Name Tom Gore Telephone - Home 345-~7~siness Applicants Address 7621 DeArmoun Rd. (c) Applicant is (check one) Lending Institution ~--~ ; Owner/butlder~ ; Buyer ; 0ther --U (explain); (d) Lending Institution Alaska State Bank Telephone 265-2257 Address 310 E. Northern Lights Blvd. (e) Real Estate Co. & Agen~ (f) Heritage Homes Address 207 E. Northern Lights Blvd. Telephone 276-1333 Mail the HAA to the following address: Will pickup Ken Meckaen -- ~ ~-'~ ~ t L5 1515 2. ~ype of Residence Single-Family~ Number of Bedrooms 3. Water Supply Individual Well~ Multi-Family,~-~. 4 Other (describe) Community Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal,. Onsite ~ Public ~-~ Community ~, Holding Tank ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. En$ineerin$ Firm Providin~ Inspections~ Tests, File Search~ Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm Arctic Engineers, Inc. Address 1506 West 36th Ave., Ste. 201 Anchorage, AK 99503 (ENGINEER SEAL) Date 11-28-84 DHEP Approval Approved for Approved~__ bedrooms Disapproved __ Conditional Terms of Conditional Approval Telephone 561-%345 CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS- AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP 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. (DHEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7-19-84 ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (BAA) CHECKLIST - FEBRUARY 1984 LEGAL: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION~ NOV 1ga'-',. RECEIVED Lot 12, Blk 2, Aspen Highlands Subd. Well Classification Individual Well Log P~esent (Y/N) Y Total Depth 200' Cased to Static Water Level 140' Casing HeightAbove Ground 12"+ Electrical Wiring in Conduit (Y/N) Separation Distances frcm Well: To Septic/HoldingTank on Lot Date Campleted 191' (perf.) If A, B, c~ C, D.E.C. App~oved(~/N) __ 8-26-83 Yield..6 gPm .... Depth of Grouting unknown Pump Set At unknown Sanitary Seal on Casing (Y/N)y Y Dep~essionA~oundWellhead (Y/N)N 100' + ; On Adjoining Lots.~ !00'+ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line N/A ... To Nearest Public Sewer Cleanout/Manhole N/A TO Nearest Sewer Service Line on LOt Water Sample Collected By Duane Maney ; Date 11-27-84 Water Sample Test Results Satisfactory for Total Coliform ComTents 100' + ; On Adjoining Lots 100' + B. SEPTIC/HOLDING TANK DATA Date Installed August 1983 Size 1250 No. of Compartments 2 Standpipes (Y/N.) Y ....... Air-tiGht Caps (Y/N). Y.. Foundation Cleanout (Y/N) Y Depression over Tank .(Y/N) N Date Last Pumped installed in Aug. 1983 ' PumpinG/Maintenance Contract on File (Y/N) N ; fo~ .... Holding Tank High-Water Alanm (y/N) .N Temporary Holding Tank Permit !..Y/N.) N . Separation Distances f~cm Septic/Holding Tank: To Water-Supply Well To PFope~ty Line 5' + To Water Main/Service Line Course None Noted 100' ~ , N/A TO Building Foundation. .5' + To Disposal Field .... 5' + To Stream, Pond, Lake, c~ Major D~ainage Ccm~rents Septic tank installed in August 1983. [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Stzata Date I~stalled August 1983 Width of Field 18' Square Feet of Absorption A~ea Depression ove~ Field !,,Y/N) Results of Last Adequacy Test 165 Type of System Design ~,Drainfie,l,d, , Length of Field 36' Depth of Field 1.75 '. (a~p~ox.), Gravel Bed Thickness 2.5" (approx.) 648 Standpipes P~esent (Y/N) Y N Date of Last Adequacy Test installed in 8/83 installed in 8/83 Separation Distance f~cm Absorption Field: To Water-Supply Well 100' + To Building Foundation Lot None TO Wate~ Main/Service Line 18' To P~operty Line 10' + To Existing or Abandoned System cn ; On Adjoining Lots $0' + 4,,, N/A, TO Cutbank(if present) To Stream/Pond/Lake/or Majo~ D~ainage Course None Noted TO D~iveway, Pa~king Area, or Vehicle Storage A~ea 10' + Co~-~nts Absorption field installed in August 1983. None D. LIFT STATION N/A Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested fo~ E le ct~ i cal Code s (Y/N) Ccm~ents Dimensions Manhole/access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~ing Adequacy Test. M~ets MOA ** Check Permitted Bedroom Rating A~airk~t HAA Request I certify that I have checked, verified, o~ confc~med to all MOA HAA Guidelines in effect on the date of this inspection. Signed Date C~anyArctic Engineers, Inc. MOA No. KB1/d5/s [Page 2 of 2] ST 84-001 Sheet WATERWELL - TEST PUMP REPORT Conducted by .t~_~.,4-)' ~ ~('~,~,,~.,,t.~,~. _.~,/4' ,.~,'~/_~',_;~" ~/~~~ Owner ~ ~ ~yZ-~.~ Address Well Information: Ttl. Depth ~Depth of Casin~Screen From Casing Size ~~reen Diam ~ Screen Slot Pump Information: Intake Depth/~ P~mp ~e- -~ ~ /~ ~ ~, Static Water Level /~ . Ay. Discharge ~ ~ GPM, Max. Drawdown Pump On: Time /. ~ -Da~e/~~ Pump Off: - .Time - / /- - WATER PIEZO- FLOW REMARKS REMARKS TIME LEVEL TUBE GPM I~O / ~0 ~, ~ ~ ~