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Home My WebLink AboutLOMA ESTATES BLK 3 LT 6ALoma Estates Block 3 Lot 6A #020 - 094-02 Municipality of Anchorage Development Services Department ~ [3 ---'&"= Building Safety Division ':'=-= ~- -~ -~ On-Site Water & Wastewater Program, 4700 South Bragaw St. ~:~ ~ P.O. Box 196650 Anchorage, AK 99519-6650 ~ ~ www,ci.anchorage.ak.us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW040476 PIE Number: 020--094--02 Name: ROY HUHNDORF' Wastewater System: [] New · Upgrade Address: 5137 DAVIS DRIVE * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 348-6186 4 [] Deep Trench · Shallow*Trench [] Bed [3Mound []Other LEGAL DESCRIPTION so,, Rating: 1.2 GPD/S,. Fl. Total Depth from odgindSEEgrade:DWG. Ft Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 5 6A LOMA SEE DWG. Pt. 0.5+ [ownshlp: Range: Section: Fill added above odgtnal grade: gravel length: SEE DWG. pt, 59 Ft. Grovel width: Number of lines: IDistance between lines: WELL: [] New [] Upgrade 5 Ft. 1I - rt. ~ rt. 295+ SD. Ft. D 3034/ F-810 Driller: lied Static Water Level: Installer: Dote installed: Ft. BRIAN HARTEN 8/29-51/2005 Yield:C*eld: ~1 Pump Set At: loosing Height Above Ground: SEPARATION DISTANCES [3s.ptio [3 Boldlng~[3 S.T.E.P. Tank Field Station Tank Sewer Lines Well - 100'+ - - 25'+ '~ Number of comportments: Su ooe Water - 00'+ - - - LIFT STATION CurLain Drain NONE KNOWN Pump Ma~ical Inspections per~armed by: Remarks: BENCH MARK TOP OF' WINDOW SILL @ CARPORT BOTH TANKS WERE VERIFIED TO BE OF GOOD INTEGRITY ON 8/29/2005. 100.00 Ft. Inspections performed by: GEG, Ltd. Dates: 1st 8/29/2005 2nd 8/30/2005 ¢;~v- O~ Development Services Department Approval ~ :.) I [~.~.,."..,..: ....~ PE.~,T NU~.E.: AS BUILT DRAWING PAR°EL I. SW040476 - 020-094-02 GALLON SEPTIC TANK WAS VERIFIED TO BE OF GOOD INTEGRI. J J MT1 190.2 171.6 J I J ~J ~ MT2 177.8 135.3 I / ~ / L ,. I I ISTING WATE , d,'f ey Go ness CHARLENE HUHNDORF I (907) 548-6186 I 2 OF 5 ~2'"' ~(I~ G~ ..-~) LOMA ESTATES SUBBIVISION; LOT 6A, BLOCK 5, C.J.G, :~Z~;F~¢ FOR SEPTIC SYSTEM UPGRADE DA;/2/2007 A B C01 192.8 174.6 MT1 190.2 171.6 C02 175.3 155.3 MT2 177,8 135,3 (Rev. 01/05) PER~. NU~DER: AS BUILT DRAWING PARCEL ,D SW040476 - 020-094-02 f---INSULATION ~'"'~'-<./-~ / I I / :'4 ;.:,:.~ .' SAND FOR '5:~ >5 ~ NVERT OF PP[ GAYNESS ENGINEERING GROUP, Ltd CHARLENE HUHNDORF (907) 348-6186 3 OF 3 l" I}' (Rev, 01/05) 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 WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Nov 15, 2004 Expiration Date: Nov 15, 2005 Permit Number: SW040476 Legal Description: LOMA ESTATES BLK 3 LT 6A Design Engineer: 0855 Garness Engineering Group, LTD Owner Name: CHARLENE HUHNDORF Owner Address: 5137 DAVIS DRIVE ANCHORAGE, AK 99516- Parcel ID: 020-094-02 Site Address: Lot Size: 130223 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 ( 18AAC80 ). 3. The engineer must notify DaD 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. 5. The following special provisions. BOTH THE 500 GALLON AND THE 1250 GALLON TANK NEED TO BE EXPOSED AND VERIFIED OF THEIR INTEGRITY. IF ANY OF THE TANKS ARE FOUND TO BE IN FAILURE, THE TANKS AND CONFIGURATION OF TANKS NEED TO BE INSTALLED ACCORDING TO TODAYS CODE. Received By: ,~ ..... ~-¢: .... ¢ Date: Issued By:~ Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P,O~ Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number ~J,~J O ~Ozf' ~'~, Property owner(s) Mailing address (1) Mailing address (2) ROY AND CHARLENE HUHNDORF PO BOX 111109 ANCHORAGE, AK. Day phone 348-6186 Zip Code 99516 Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) LOT 6A. BLOCK 5: LOMA ESTATES S/D, N/A Lot Size I ')'o/,~Z. y Acres/Sq. Ft. THIS APPLICATION IS FOR: Sewer Only · Sewer and Well [] Sewer Upgrade [] THIS PROPERTY CONTAINS: Hot Tub [] Swimming Pool [] Therapy Pool [] Number of Bedrooms Well Only [] Water Storage [] Jacuzzi [] Water Softening Unit [] 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. Permit Fees: ~ (?~ "~ ~'~ Date of Payment: Receipt Number: Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS November 8, 2004 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Septic Design for Loam Estates S/D; Lot 6A, Block 3, To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The north and south trenches where tested by G.E.G. on 10/13/04. The south trench absorbed 425 gallons during test and the north trench was found to be completely surcharged. Per the owners request, we are proposing to rebuild the existing north trench. A test hole was performed by S&S engineering on 9/1/1996. We are proposing to excavate and remove all contaminated material from the existing · north trench and rebuild it to the existing or higher elevation. We are also proposing to expose both the existing 500 gallon and 1250 gallon septic tanks to verify their integrity. If the tanks are found to be structurally unsound, we will install a new 1500 gallon tank. Comments regarding the design are summarized as follows: 1. SOILS: Attached is a log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. TRENCH DESIGN: a. Pemolation Rate: 2 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/ft2 c. Design Flow: 600 gallons per day d. Minimum Absorption Area: 262.5 fi2 e. Total Depth: Removal of all contaminated material and then rebuild to existing trench elevation or higher. f. M.O.A. Approved Sand Filter: 1 '+ g. Effective Depth: 0.5 feet h. Width: 5 feet i. Minimum Length: 52.5 feet long 2 j. Effective absorption area = 262.5 ft 3. SURFACE WATERS: There is no surface water within 100 feet of the proposed septic system upgrade. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you h~tve any questions, please contact us at 337-6179. Thank you for your assistance. // NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a soil log, and a 7page construction specification letter which are allpart of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com / ~7' / : ~r( ~ ~ CoMA LOMA S/D : ~ X¢ xx 1 SEPTIC SYSTEM) /~~// (VACANT) I ~ t ~ ~X,~T lNG I I I ~ J 4 BEDRO0~ I I I ~ ~ ~'~ J ~ i J ~ ~ LOMA S/D /~'~ / ~ ~ ~ 6~ ~ / / ~ ~. ~, / / LOT 5, BLOCK 3; J ~ (~.~x.'.~.,',~,'~ ? j / / (VAC,~) / ~~eXlS'flNg SE~'C ~ 'j / LOT 8, BLOCK 3; //~%/ ~ _s~, ~ -- , , - '~~ ~ / LO~A S/b ~ x~ ,~ WELL ~D SEPTIC SY~EM ~~/ /..... ~¢ --._ _... ,~ 11/8/2004 ~- ~b R.A.L. ~" ~ ~ '~ GARNESS ENGINEERING GROUP, Ltd. SCALE: ~ ",~ ROY AND CHARLENE HOHHDORV 348-6186 1 OF 2 ~ ~ -~effffe~]A.~es~.. LEGAL DESCRIPTION: i0~% J/C~-Y953 ... LO~A [SLATES S/D; kOl 6A, BLOCK 5, ~**e ~ f, L.I~.. SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE ~,~ ........ I / NOTE: IF THE INTEGRI~( IS FOUND' TO BE GOOD, THE TANK WILL i I REMAIN IN USE IF THE INTEGRITY S FOUND TO BE POOR, THE TANK EXISTING 500 GALLON I I WILL BE REPLACED. SEPTIC TANK IS TO BE VERIFIED.(SEE NOTE)7 j i /~/~ ¢ ~ ~/ REBUILT. ALL CON+A~;NrCED / ~ ~~: ~/ AN~%~I~ I~E;~i2TROE~NG ~T /~ ' '~ 4 , 4 .... OR HIGHER EL~ATIONS WITH /j ~ - / FLOW SPLTER~% j ,/ ~ ~'; ~ CL~OUTS / C J j /,.. 7/ /~- ' ~ SEPTIC TANK IS TO BE II ~ ~ ~ ~ J /~. u ; ~ EXPOSED AND INTEGRI~ // ~ ~_~ ~~.__ TO RE~AIN IN USE NOTE: TH~ ~,ATER SERVICE ~ [~ LINE NEEDS TO BE PROFESSIONALLY LOCATED PRIOR TO C~NSTRUCTION. ROY AND CHARLENE HUNDORF (907) 348-6186 2 OF 2 LOMA ESTATES S/D; LOT 6A, BLOCK 5, DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE PERFORMED FOR: 2 3, 4 Township, Range, Section: SLOPE WASGROUNDWATER ENCOUNTERED? 6 7. 8 9. 12 20- COMMENTS- Reading Date Gro~ SITEPLAN Net Depth to Net~' PERCOLATION RATE _~, ' {minutes/inch) PERC HOLE DIAMETER ~ ~-~--' ' TEST RUN BETWEEN -- ~ --FTAND~ FT Mar. 8. 2006 2:26PM Garness Enaineerina Group, Ltd. No.2278 P. I ID~$TING 125O was v[mr~c, TO ~[ I ...' $';; , ...;. · ' , /', ~ .... '"""'~:;'.~ ," .... I .';;:_¢4i;::~ ~u~ ~ uN[ UNO[. ~Y W~ I //,'-- '"~'~v "-~ '; ...... ; ,1~2..~k. '/' ~?..~...*;f.;:... ' '-' S N NEER cio .o..~ .[.~[~ I (~o7) 7~-~ I LOMA ESTATES SUBDIVISION, LOT 6A, BLOCK ,, DRAWING FOR REROUTING SEWER LINE 1/25~2006 Municipality of Anchorage Page 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 Name: ~ ~~ ~F Wastewater System: ~New D Upgrade Address: ~,~ //qj ~ -- ABSORPTIONFIELD Phone: ,~-~ l"°'°'8~,°°ms: ~.eepTrench ~,hallowTrench ~Bed ~Mound ~Other LEGAL DESCRIPTION sog....~~ ITotalDeplhfromoriginalgrade: Subdiv~ion: Dep~ to pipe botlom from original grade: Gravel depth beneath pipe I J Fill added above original grade:~ Grave~ length'. Township: Range:I Sectlo~ , ~ r . ~ WELL: ~ New ~ Upgrade Gravelwidlh: ~t Numberofllnes: JDista Ft, Classification ~Private, A,B,C): Total Depth: Cased TO: ~olal absorption area: Pi e mate~i I: Driller: Date DrilJed: 8tetic Waler Level: Inslager: Date inslalled:. Yield: Pump Set at: Casing Height Above Ground: SEPARATION DISTANCES USeptic D Holding U S.T.E.P. To Septic Absorption Lilt Holding ~ublic~dvale Manufacturer: Capacity in gallons: From Tank Field Station Tank SewerLlne, ~C~0~4(~ ~ 500 ~ Material: Number of Compadments: Lot /~~ Size In gallons: [Manufacturer: Cu~ainDrain ~ ~0~ ~ ~ ~ ~odel~ ~ Electrical Inspections pedo~ed by: Remarks: BENCH MARK Department of Health.and Human Se~ices approvm '~, "~ ~'- ..... .' ," Reviewed and approved by: ~~ Date: 72.013 (Rev. 9/91) MOA 25 ?ER~? NO SW960314 PAG~ 2 OF ~ DEPARTMENT OF HEA~_TH AND HUNTAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O, Box 196650 mAnchor~§e, A[~sk~ 99519-6650eTe[e~hone~ 343-4744 ON-SiTE W~STEW~TER DISPOSal_ SYSTEM ~ND/OR WELL NSPECTION REPORT LEGAL LOT 6A, BLOCK 5, LOblA ESTATES P.Z.U. ~o. 020-092-36 NEW $00 GAL, TANK A ~ 1250 GAL. SEPTIC TANK OBL2 (FLOW SPLITTER) SITE CONCRETE RETAINING WALL LOT 6A TH#2 · PERC. TH#2 · GWMT >1 C04 TH#3 ~T4 W TRENCHES ROBERT C, COWAN CE.8801 PERMI? NO 5W960314 PAO~ 3 or 3 Municip. alit oF Anchoraoe DEPARTNENT OF HEA~_TH AND Hur~AN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O, Box 196650 ®Anchorage, Al~sk~ 99519-6650 e Telephone, 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 6, BLOCK 5, LOMA ESTATES P.I.D. NO. 020-092-56 $i~/91.3.9~2 I I/FINAL GRADE 8 500 GAL , ST3 ST4 6 1250 GAL IFCO ST1 ST2 ST$ DEL1I DEL2 COl I MT1I co2I MT2 I co5{ MT5/ C04 MT4 A 8 C 14.0' 12.0' - 8.0' 50.0' - 11.0' 55.0' - - 57.0' 169.0' - 65.0' 176.0' - 67.0' 177.5' - 68.0' 178.5' - 169.0' 180o0' - 172.5' 182.5' - 171.0' 180.5' - 182.0' 169.5' - 180.0' 168.0' - 189.0' 172.0' - 189.0' 172,0' - 172.0' 158.0' - 174.0' 140.0' CO1 = 75 6' ,,:--CO3 = 69 5' FINAL GRADE~, C02 = 69.9'7 \C04 = 67.4' CO1 = 66,1' C03 = 64.5 J C02 = 66.2'~/ / C04 = 64'51 /' / MT1 = 65 §'J MT:] = 63.7''~ MT2 = 65.5' MT4 = 63.9' WATER FOUND WATER FOUND 57.5' B.O.H. ;,,~,'~,7' B.O.H. F~om : ALPINE DRILL 907 345 8282 0ct. 24.1996 11:88 PM P01 LOCATION OF WELL [OCAIION/S ~EIC~r DEPTHS MEASURED FROM:~;~l~asif~g tOp.round ~urfao~ BOREHOLE DATA: Depth Material Type and Color From To STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD WELL OWNER; WELL/DEPTH: ~' DATE OF COMPLETION Depth of hole:~ft DEPTH TO STATIC WATER LEVEL: It below [] top of casing r"lgraund Sudace METHOD OF DRILLING: ~sir ro[ary [~ oabla tool other USE OF WELL: ~l"domestiC [] irrigation [] monitor [] public supply [] other CASING ft. Diem: in. Casing type WELL INTAKE OPENING TYPE: E] open end ~] screened [] perforated ~ open t~ale Depths of openings: .... to ft SCREEN TYPE: Slot/Mesh Size:, GRAVEL PACK TYPE: Volume used: GROUT Deptll: from ~ DEVELOPMENT METHOD: Duration: PUMPING LEVEL AND YIELD; -- ft after Diem: in, Length ft Depth to top: ft to fl PUMP INTAKE DEPTH; ft Horsepower; WELL DISINFECTED UPON COMPLETION? [~ YES ~ NO CONTRACTOR INFORMATION: . REM~,R KS: ~5~gnetur~ of AUttlorizecl flesprep~fi~aativ~-~ Date~' ~"~' DNR/DIVISION OF MINING & WATER MGMT 3601 C St, Suite SO0 ANCHORAGE AK 99503-5935 Phone (907)269-9639, Fax (907)B62-1394, Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 December 1, 1996 Dave Harper Alpine Drilling 11741 Wagner Street Anchorage, Alaska 99516 Re: Well Depth Waiver, Lot 6 Block 3 Loma Estates, P.I.N 020-092-36 Dear Mr. Harper: Your request for waiver of the required 40 feet minimum well depth has been approved. The minimum allowable depth at which the perforations may begin is 30 feet from the original natural ground elevation. Justification for this waiver is granted in part by the well logs supplied by you and the property owner. It appears that the only appreciable water to supply the water wells in the immediate area is at a lessor depth than the required minimum well depth. This waiver of the required minimum well depth applies to this well only. Any future upgrade to this well or construction of another well on the property will require the minimum allowable depth of 40 feet or another waiver from this office. Sincerely, Daniel J. Roth Civil Engineer On-Site/Water Quality Program cc: Roy Huhndorf 16604 16601 166 41 r 16704 16744 16800 16701 2 1674 I 5 524i · 17020 1700O / 17101 . ~..//17040/ 6.4 ,,,~¢ ./17100 A./ ~ 17140 5241 i 520'1 168 / 5200 ~to ~'o' / / DR. 53OO / [ 4 3 ? 1(2 47 ," 17000 i6 I 16801 168,51 2// / 1690~ E. 172 A Roy Htthndo~f Fax 9(17-346-3536 Re: Lot 6 and 10, Lorea Estates Aflicr having drilled the well located on lot 6 m a depth of 206 feet and knowing lhc well deplhs of thc wells located on lite adjacenl lois, we felt thc likely proslx~ of finding more water than was already present at thai depth lo be ldghly mdikely.. The well inunediately to the North FAIsl is drilled to a deplh OfT{RI feet plus wi. th a very low yield. Thc lei Ioealed to Ibc Soolh Wesl has Ihr~c. wells with del~h~ boillg appmximalely 550, 450 and 330 Ii:cl. 'I'h¢ 331.1 fool well is Ihe only one in usc, and il has u very low flow rate. lTae olbur lwo could hc utilized il' needed but with exlremely low flows. The well located on fl~e 1o~ to the E~.st is approximately 50 fe~t deep with a relatively high flow rotc. Wilh lhe above inl:0rnlilliou and wh81 i,,'e lolov,, from dffiling to 206 feet on your Int, il appears Ihal thc 3 to 4 GPM rate Ihat wc shew at 28 to 32 fecal on your well lo~ is likely to Oc thc same aquifer Ihal is used oa il~ lei to lhtz West. Duc In the low prodoctiviB' oftbu bedrock in thc immcdiale area it is unlikely thai a highc'~ flow rule el even a somewhal lower flow talc might hc foattd. We would mggesl pursuing a waiver applicatiou with Ibc MOA lleallh Department wilh thc well Icing purfomted at 30 to 33 feel bbs, A~q shown on Ihc well log, the malcdal rmm l0 feet to 28 feet is somowha~ impermeable as i~ reflected by. lira test holes for Ibc K:plic system ^[5o thc new well is grouted wiih bentonile as il was Icing drilled. 'll~e well is located a gre~at distauee front any ~own sources of contamination, nor is it likely ~o beoome conlaminat~cl in thc future. If there is a case to be made for a waiver from the 40 foot minimum depth rextuiremenl, Ibis situation should mc~l the requircmenls n~.~ss~, in my opimou. If you need funbur in.fOmmlion el help please let mc know. Davi~l L. Harper Alpine Drilling & MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PAGE 1 OF 1 PERMIT NUMBER:SW960314 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MCCANN JOHN E OWNER ADDRESS:5137 DAVIS DR ANCHORAGE, AK 99516 DATE ISSUED: 9/25/96 EXPIRATION DATE: 9/25/97 PARCEL ID:02009236 LEGAL DESCRIPTION: LOMA ESTATES BLK 3 LT 6 LOT SIZE: 89137 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 (iSAACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~~A~_ ISSUED BY: DATE: DATE: September 10, 1996 ROBERT C. COWAN, RE. ROBERT A, SHAFER, RE. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SEWER &WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL iNSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSJTE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 6, Block 3, Loma Estates Request you issue a permit to install a septic system to serve the proposed four bedroom house on the referenced property. Test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. At the time of excavation, water was encountered at 7 feet, in test hole %1, at 4.5 feet in test hole ~2, and at 8 feet in test hole ~3. After seven day ground water monitoring, the monitoring tubes in all the test holes had remained at their same water level. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 1 2 8- 9 10 11 12 13 14 15 16 17 18 19 20- DATE PERFORME :__ ~'~,~, " ~ ~ Township, ~anoo, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEFT.? Depth to Waler Ailer SLOPE SITE PLAN Il, 'Ti ~ l Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ TEST RUN BETWEEN __ (minutes/inch) PERC HOLE DIAMETER FTAND q FT COMMENTS 17034 Eagle River Loop Rea~ No. 204 -' ~ - - '~ ' ' ACCORDANCE W~j~7~[~arV~AL GUIDELINES IN EFFECT ON THiS DATE. 72-008 (Rev. 4/85) CERTIFY THAT TH~S TEST WAS PERFORMED IN '~ I,~/~¢ DATE: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ·-~,.'~ ROBERT C. COWAN I.~ Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19- 20- SLOPE ~L WAS GROUND WATER ENCOUNTERED? YL-~ DEPTH? pO E De,thioWater Aller ~//3 ~ ~/.~/~, Mooiteriltg? nale: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop c~ :,~J I ,,~ ~ ,~ '-I ~r//~'' ~/~" ~ ;~ ~ ~ ~1~" ~{,~ ,, ~ ;~ ~ ~//~" 0 :~ ~ ~ ;~ ~ ~ ~1,~" PERCOLATtON RATE ) ' ~ (minutes/Lnch) PERC HOLE DIAMETER ~ ~/ TEST RUN BETWEEN__~ _ FT AND J'/ FT I ' ~ CERTIFY ~HAT THIS TEST WAS PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: t 3- 4- 5 6 7 8 9 10 11 12 13 14 15- 16- 17- 18- 19- 20- ~L.o c~: 3 DEPTH (PEET) Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Del)Ih te Water After Q ' RIonitoring? ~ Date: Reading Date Gross Net Depth to Net Time Time Water Drop to ' ]/ I ~ %" PERCOLATION RATE o~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~'~ FT AND ~ FT COMMENTS 17034 Eagle River Loop Road No. 204 72-008 IRev. 4185) Municipality of Anchorage Development Services Department /"-I 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 SYSTEHS APPROVAL FOR A SINGLE FAMILY DWELLING RELEASE OF CONDITIONAL COSA # 040605 Parcel i.D. 020-094-02 1. GENERAL INFORMATION COSA# O /7/` O i~ ~:),,~ Expiration Date: ~ '-' / d) - O "7 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency LOMA ESTATES SUBDIVISION; LOT 6A~ BLOCK 3~ 5137 DAVIS DRIVE * ANCHORAGE, AK. 99516 BROWN J V Ill &: TONI Day phone PO BOX 111109 * ANCHORAGE, AK. 99516 Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBEROF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTI°N 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of th¢ test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluato¢' of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG; LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right wh¢tacever. 5. DSD SIGNATURE ~ Approved for L-~ bedrooms. Disapproved. Conditional ~pproval for "' ON-SITE. '" ,- : WATERAND : m= .~ ', WASTE. WATER . ~ .~', PROGRAM .: bedrooms, with the fllowing stipulations: ~.~.,'~> '... . ..° 6,- Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11105) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other ~'~"'E~"~'~ Original Certificate Date: Municipality of Anchorage 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 SYSTEHS APPROVAL CHECKLIST Legal Descriptiom LOMA ESTATES S/D; LOT 6A, BLOCK 5, Parcel ID: 020-094-02 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 10/25/1996 Sanitary seal (Y/N) YES Total depth 206 ft. Cased to 80.6 ff. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) YES YES 22" in. FROM WELL LOG AT INSPECTION Date of test 10/25/1996 10/13/2004 Static water level UNK ft. 24- ft. Well production 3-4 g.p.m. 2,86 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/lO0 mi. Nitrate 4-.2 mg./L. Other bacteria 1.0 colonies/lO0 mL Arsenic: N/A rog.IL. Date of sample:lO/15/2004 Collected by: GEG, LtD. B. SEPTIC/HOLDING TANK DATA *EXCAVATED UPPER TANK AND VERIFIED TANK IT IS 1250 GALLONS. Tank Type/Material '1250 Tank size. 1250 gal. STEEL - TWO TANKS Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 10/1.3/2004 Pumper Date installed 9/29/1996 Cleanouts (Y/N) YES High water alarm (Y/N) N/A NORTHLAND PUMPING C. ABSORPTION FIELD DATA pBELOW FINAL GRADEJ 9/29/1998 Date installed 8/29-31/2007 Soil rating ~or ft2/bdrm) 1.2/1.2 52,5 Length 59 ft. Width 5/5 ft. '4.5-10.5 263 Total depth *4.84 ft. Eft. absorption area 295 ft2 Monitoring tube YES Date of adequacy test *'10/1.3/2004 Results (Pass/Fail) PASS Fluid depth in absorption field before test 4.75 in. Water added 5,38 gal. Elapsed Time: .309 min. Final fluid depth 6.0 in. (NORTH/SOUTH) System type TRENCH Gravel below pipe 0,5/0.5 ft. Depression over field NO For 4 bedrooms New depth**8.5in. Absorption rate >= ***425+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes. give date - **FILLED 2" IN THE CO ***TESTED SOUTH TRENCH ONLY, NORTH TRENCH REBUILT, SEWER PERMIT APPLIED FOR WITH CONDITIONAL HAA REQUEST. D. LIFT STATION Date installed. Size in gallons ~ ~ "Pump on" level at ~ High water alarm level at in. Da..._~_~g_tu~ ~ ------'-- Cycles tested Meets alarm & circuit requirements~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50% 100'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100% SEPARATION DISTANCES FROM SEPTIC/HOLDiNG TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line '6' Wells on adjacent lots 100'+ Absorption field Surface water. 5'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation_ 10'+ Water service line * 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots. 100'+ Water main N/A Driveway, parking/vehicle storage 5'+ F. COMMENTS *Art ,~O~NT~ WITHIN 1C~' ARF IN ~A~FI3 WITH (2, C, NC;,RFTF' WATER LINE WAS LOCATED BY CHUGACH SEWER AND DRAIN G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number /NB~BSVq .,L±I]IIFI ,OL ,00'0~ L A~ ,,t~0,~'0.00 S o % N 00'02'45" W 404.65' ~ ~0' lO' UTILITY EASEMENT :: 9*~'L %. Municipality of Anchorage ~2i~. ,~?!~% Development Services Department ..... ~ Building Safety Division ~ On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci,anchorage.ak.us ~ (907) 343-7904 ~ ~ .,4~.. ~ ~ ~ ,;,~:. ~CERTIFICATE OF HEALTH AUTHORITY APPROVAL ~ FOR A SINGLE FAHILY DWELLING INFORMATION Expiration Date: 1. GENE~L Complete legal description LOMA ESTATES S/D; LOT 6A, BLOCK Location (site address or directions) 5137 DAVIS DRIVE * ANCHORAGE, AK.99516 Current Property owner(s) Mailing address ROY AND CHARLENE HUHNDORF Day phone 348-6186 PO BOX 111109 * ANCHORGEf AK. 99516 Lending agency Mailing address Real Estate Agent Mailing address Day phone TINA COLE w/ PRUDENTIAL JACK WHITE Day phone 3,801 CENTERPOINT DRIVE * ANCHORAGE, AK. 99503 727-4488 UnNsso~erwise reques~ HAA willbehe~byDSD ~rpi~. 2. NUMBER OFBEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 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) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the prefessional 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 Health Authodty Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate forthe number of bedrooms and type of structure indicated herein. I further verifythat 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 GARNESS ENGINEERING GROUP, Ltd. Address ,3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone 337-6179 Date Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the perfon'nance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condilion, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this repot1 by any other person or party is not authorized, nor will it confer any legal dght whatsoever: 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: contractors shall be put in escrow to construct a new wostewoter disposal system pursuant to permit number 5W040476 attached. N~oncy in escrow shall not be released until this office has given final approval. Construction shall be completed no later than ,Tune 15, 2005. Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: Municipality of Anchorage Development Se ices Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cL anchorage.ak.us (907) 343-7904 Legal Description: A, WELL DATA Co HEALTH AUTHORITY APPROVAL CHECKLIST LOMA ESTATES S/D; LOT 6Ap BLOCK 3~ Parcel ID: 020-094.-02 Well type PRNATE If A, B, or C provide PWSID# N/A Date completed 10/25/1996 Sanitary seal (Y/N) YES Total depth 206 ff. Cased to 80.6 ft. Date of test Static water level Welt production WATER SAMPLE RESULTS: Coliform 0 colonies/lO0 mi. Arsenic: N/A mg./L. SEPTIC/HOLDING TANK DATA Tank Type/Material FROM WELL LOG 10/25/1996 UNK ft. 3-4 .g.p.m. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 10/13/2004. 24 fl. 2.86 g.p.m. YES YES 18+ .in. Nitrate 4..2 mg./L. Other bacteria 1.0 colonies/100 mi. Date of sample:10/13/2004. Collected by: GEG, LtD. *NORTHLAND PUMPING RECEIPT INDICATES 1ST SEPTIC TANK IS 1000+ GALLONS. STEEL Date installed 9/29/1998 Tank size*_,,fii~/J2,5.0gal. Number of Compartments 1/2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 10/13/2004. Pumper NORTHLAND PUMPING ABSORPTION FIELD DATA BELOW EXISTING GRAD Date installed 9//29/1998 Soil rating Or ft~/bdrm) 1.2 System type TRENCH Length 2 $ 52.5 ff. Width 5 .ff. Gravel below pipe 0.5 ft. *~-.5-10.5 Total depth ,3.7-5.1 ft. Eft. absorption area 525 ft= Monitoring tube YES Depression over field NO Date of adequacy test 10/1,3/2004. Results(Pass/Fail) **FNL For 4- bedrooms Fluid depth in absorption field before test 4-.75 in. Water added ,338 gal. New depth 8.5 in. Elapsed Time: 309 min. Final fluid depth 6.0 in. Absorption rate >= 4-25 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - **TESTED SOUTH TRENCH ONLY, NORTH TRENCH COMPLETELY SURCHARGED. SEWER PERMIT APPLIED FOR WITH CONDITIONAL HAA REQUEST. D. LIFT STATION . Date installed Size in gallons ~ - "Pump in. gh water alarm level at ' Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N./A N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Water main N/A ~Veils on adjacent lots 100'+ Property line 5'+ Absorption field Water service line *UNKNOWN Surface water 5'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line *UNKNOWN Curtain drain NONE KNOWN Building foundation. 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Water main N/A Driveway, parking/vehicle storage 5'+ F. COMMENTS ~/ATER SERVICE UNE WILL BE LOCATED DURING SEPTIC UPGRADE. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Prin~ed Name Date , ,/It~/o~ JEFFREY A. GARNESS HAA Fee $ Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number LO T N 89'5a'56" W CARPORT LOT 6A SEPTIC CO'S GARNESS ENGINEERING GROUE Ltd. CONSULTANTS & GENERAL CONTRACTORS:~ ~ ?:~'~ ~.~.:;:.:~:~ October 18, 2004 Roy&CharleneHundorf P.O. Box llll09 Anchorage, AK99516 REFERENCE: Loma Estates Subdivision; Lot 6A Block 3; 5137 Davis Drive: Well and Septic System Evaluation. Mr. & Mrs. Hundorf.' Per the request of your agent, we inspected the well and septic system, which serve your property for the purpose of obtain/rig an MOA Health Authority Approval (HAA). A site visit was performed on 10/13/2004. Our findings are smmnarized as follows: WELL: Prior to the start of the flow test the static water level was 24 feet below the top of the well casing (BTC). The well is approximately 206 feet deep per the MOA records. Water was metered fi:om a hose bib at a rate of 2.86 gallons per minute (547.5 gallons) for 191 minutes, during which time the water level in the casing dropped to 33 feet BTC. Based upon this data, it was determ/ned that the production rate of the well is approxi~nately 2.86+ gpm, which exceeds the MOA requirements for a four (4)-bedroom house, which is 0.416.gpm. WATER QUALITY: Water quality samples were taken for nitrates and bacteria and sent to a state certified laboratory to be analyzed. We will forward the results to you once we have received them. SEPTIC SYSTEM: The septic system consists of two septic tanks and two drainfields that were installed in 1998. Upon inspection it was determined that the lower drainfield was completely submerged urlder water and deemed to be failed. The upper drainfield has 4.75 inches of standing liquid in it (79% full). Over a period of 191 minutes, 338 gallons of water was added to the drainfield which caused the liquid level to rise 4" inches (84.5 gallons per inch). Fifteen & one half (15.5) hours later the level had dropped 3.25 inches, which corresponds to an absorption rate of 425 gallons per day, which does not meet the MOA absorption requirement ofa~r gallons per day. Although the system may be functional, it is by MOA definition technically failed. Per our discussions, the most economically viable options are to eitherL~c~/hemicallY rejuvenate the existing' dralnfield or re-build it. 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamesseng/neering.com The following is a summary of the engineering costs associated with upgrading the septic system (should you choose that option): Services to date for the well flow test, water quality samples, septic evaluation, septic tank pumping and preparation of this report: $990.00 M.O.A. sewer upgrade permit: $460.00* Payable to the M.O.A. Preparation of the design package: $600.00. Engineering services to inspect the installation of the septic system and prepare as-built drawings~ Assuming a conventional gravity flow septic system with a single trench/bed and no sand tilter: $700.00. Upon request, we can provide you with our standard rate sheet, which lists the inspection costs for other types or configurations of septic systems. This information is also available on our website at gamessengineeting.com. Upon completion of the installation we will need to prepare the MOA health certiticate paperwork and deliver it to the MOA (GEG preparation/delivery fee of $150.00). The MOA will charge $430.00 to process the HAA. If you have any questions, please contact us at 337-6179. For more extensive information on septic system testing and design, see our website at gamessengineering.com. We look forward to assisting you with your engineering needs, and will do our best to provide a cost e/lfective solution. Sincerely, Yl Pre~e~ ~ 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineer/ng.com MUNICIPA~.ITy OF ANCHORAGE ~ DEPARTMENT OF HEALTH & HUMAN SERWcEs Division of Environmental Services On-Site Services Section P.O. Rox 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITy APPROVAL FOR A SINGLE FAMILY DWELLING HAA # ~ ;~1 ~.L~b 1. GENERAL iNFORMATION ' ---------- Complete legal description ~/~, ~ Rs~-~. Location (site address or directions) NHN Davis Drive Property Owner Roy Buhndorf MaiJJng address ____PO Box ll-IlOq,A__nchoraqe, AK 99511 Day phone 348-6186 Agent __ Address - Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLy: Individual well Community well Public Water NOTE: XXX f COmmunity well system, provide written Confirmation from State ADEC attest- mg to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: XXX If Community wastewater system, provide written confirmation from attesting to the legality and status of system. Individual on-site Holding tank Community on-site Public sewer 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature S & S ENGINEERING 17054 E~9~ R;v.f Lo~p ~.v.~ Eagle River, Alaska 99577 Phone Date DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulatk ..... 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 DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Em ployees 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 enginee¢s work. Municipality of Anchorage )C~ i) ;]~,~ DEPARTMENT OF HEALTH & HUMAN SERVICES . _,NICIPALI[¥ OF A~,,. Environmental Services Division ~,~¥~ENTALSERVi~i 825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907) 343-4744 Health Authority Approval Checklist LegalDescription: 2.-~7- /a',~ ~.~ ~ za,w~ ,F--~r47~'~ PamelI.D.: 0:~O -°~/~- - 3/0 A. WELL DATA Well type, Log present Total depth Sanita~' seal~/N) Date completed Cased to ~ ~, ~ If A, B, or C, attach ADEC letter. ADEC water system number Casing height (above ground) Wires propedy protected ~/N) Date of test Static water level Well production FROM WELL LOG 3 g.p.m. AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate Date of sample: ~ 0 / $ / c~ ~ B. SEPTIC/HOLDING TANK DATA 6~0 0 Date installed c~/~.~/fl (~ Tanksizel~ Foundation cleanout (~/N) ¥ ~ ~ Depression (Y~I) Date of Pumping ,'~[~t -~,~ Pumper Collected by: Other bacteda O S & S ENGINEERING ~.,"C,~ ~,~y;= ~Iver Loop Koad NO. 204 Eagle River, Alaska 99577 Number of Compartments/~4~z. Cleanouts (~/'N). ¥~-J- High water alarm (Y/~ ," ¢~ C. ABSORPTION FIELD DATA Date installed ci[ ~°1 / ~ L- Length g-~- ~ J'0 ' .Width Soilrating ~(g.p.d.~orff~/bdrm) /. ~-- Systemtype ~'~'~-~'~ , Gravel thickness below pipe O, -~- Total depth Effective absorption area g- ~' y- ~:r 'L Monitoring Tube present (~'/N)¥ (:- .{ 'Date of adequacy test ~ [ 4 - ~" ~ '~ Results (Pass/Fail) For ,,.~'~- .... Fluid depth in absorption field before test (in.~ater added (in.): Fluid depth ~~ Absorption rata = q.p.d. Peroxide treatn'~3t-(pa~ 12 months) (Y/N) If yes, give date Depression over field (Y~) ~" o bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles~ Size in gallons ~ "Pump on" level at* ~el at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ) O 0 '~ Property line ~- o ~ Absorption field. ~'- Water main/service line ) o -~ .Surface water/drainage / ~ ~ Wells on adjacent lots SEPARATION DIsTANcE FROM ABSORPTION FIELD ON LOT TO: Property line ~ 0 ~'+- Building foundation / 00 f-/- Water main/service line Surface water / o o -t-- Ddveway, parkin~vehicle ~tomge arma Curtain drain /,v o ,v £ ~c ~o,-' ~ Wells on adjacent lots )~ F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspection., in c°nf°rman~_..~w~7~/A~ g~.,lines in efiect °n this date' Signature ~ /",~(,,~/ '-~ ~ Engineer's Name J/~ ~ ~,~-,~ 7- ~-. ~"0 ~' # ~' Date /0 /~'~ {~ ~' are HAA Fee $ Date of Payment R.ce,pt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)*