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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 2 LT 6Mountain Park Estates Block 2 Lot 6 #017-061-06 Development Services Department Building Safety Division ® On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www.muni.ora/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW_ Parcel Identification Number: -ELI' M/ -C(. Legal Description I ygvw c p, �b4 Fit L Leo Pump Installation Date: 4-302—//& Pump Intah'e Depth Below Top of Well Casing:?-5 feet Pump,Manufacturer's Name: %ZL Li 7ae_� J Pump Model:Sj Pump Size3A hp Pitless Adapter Burial Depth: / 1) feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes ❑ No Method of Disinfectsp,� Comments: Date of Issue: & Address: 5/% ✓ • ANCHORAGE WELL & PUMP SERV. Pump Installer Name: A=e PW 330 EAST 76M AVENUE ANCHORAGE, AK 99518 AWPS.COM PHONE: 907-243-0740 ZD Attention: The pump installer shall pyo pump installation log to the DSD within 30 days of pump installation. IN ANCHORAGE WELL & PUMP SERV. Pump Installer Name: A=e PW 330 EAST 76M AVENUE ANCHORAGE, AK 99518 AWPS.COM PHONE: 907-243-0740 ZD Attention: The pump installer shall pyo pump installation log to the DSD within 30 days of pump installation. IN P) _3'1 Municipality of Anchorage Page of 3 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: 'SW c1Z0?2q-1 PID Number: ©I l01 D Name: p GA-►�tP� t� C,t.,, Wastewater System: 1 New ,Upgrade Address."LLQ p��� 0(615,1`6 � l ABSORPTION FIELD Phone: 3�Fs-tR b� of Bedrooms No. : ' of Deep Trench ❑ Shallow Trench ❑ Bed ElMound FJ Other LEGAL DESCRIPTION Soil Rating t 'Z- Total Depth from original grade 1 C) or GPD/5 . Ft. Loc. r Block: Subdivision: Depth to pipe bottom from original grade. Gravel depth beneath pipe `O y, v1nAMfi�ti �,k tors 3 Ft. Ft. Township: Range. Section: Fill added above original grade: Gravel length. 40 Ft. Zts-''i' Ft. Gravel width: Number of lines: Distance between lines WELL: ❑ New ❑ Upgrade 3 Ft. I --- Ft. Classification (Private, A,B, C): Total Depth. Cased To. Total absorption area. _ Pipe materialt�K: 2 C vG.lt A71"%A 303 t AI FL Ft, 760 SQ. Ft, Driller: Date Drilled: Static Water Level: Installer r,,, �� nA� fZf� Date installe 1 Ft. �lJ�4J^—r' r /^l Yield: Pump Set at: Casing t Above Ground: TANK GPM Ft. Ft. d LIVIIiii SEPARATION DISTANCES Septic Hol frig ❑ S.T.E.P. To Septra Absorption Lill Holding Public/Private Manuf/acttuureerr'' � kN(A Capacity in gallons: 0 From Tank Field Station Tank Sewer Lines �1•r�� Material: Number of Compartments. Well Surface LIFT STATION Water Norte I Size in gallons: Manufacturer: Linne ass (� Ili,f)Y`(,. N "Pump on" level at: ump off' level at: High water alarm at: Foundation Lc7� Curtain Pump Make & Model Electrical Inspec erformed by'. 1�lore Drain BENCH MARK Remarks: Location and Descriptionilifte 0-F �Pi Hoy-fn�dlr�� wt.0 Assumed Elevation: l Dei Ff ENGINEER'S SEAL 16Wlvwtt�-M Y` � Dates:1st st 5 i'Lq3 Inspections performed by: _-�---,�-- 2nd—'51 nd P11131 �33 �F 7 Department of Health and Hu Services approv I � � Date: 'Z Reviewed and approved by: 72-013 (Rev. 9/91) MOA 25 Permit No. 5wl2.0354-1 Page 2 of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report mowrj..'Pa.k Estes Lb10Z Legal Description: PID No.: v '� NnOW�tl�a)a) 0 0 0000�'� Ov/Ob s�a�aNn: �� y m ' iao~iMp�vyN � 3. 9 g� si r- e'er ot0000 f!1 2 m r- 3 ' wr \ ,n $ S D q Z n <4 : o m \ o M 01 \ N 8 SSi 20mtoc Orz 0 i s /off \ / ox z V T N- \ n m r 4r- EIWNDI!R ffiAL Am RESERVE AREA 1 C) _ _ o.sar.f MARK W. PEARSON 8� `s CE - 7760r 72-013 A (Rev. 9/91( MOA 25 Permit No. SW 9U3�?-J Page 3 of 3 Municipality of Anchorage 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 Legal Description: 6low,fz, Pz plc 6gt6tiS , tvt- (6.119 tockZ PID No.: O 1 �3-b6l o o 0 72-013 A (1/93)' TH 1 co s -;0 ;c MARK W. PEARSON P ^ CE - 7760 n HOUSE ST 1 CO 2 ST 2 CO � N On 9 m m........................... �Nm cos 2 • MT 1 3 TH 1 co s -;0 ;c MARK W. PEARSON P ^ CE - 7760 n PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE II;C�U DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 %i'lu 1 l2 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT NUMBER:SW920371 DESIGN ENGINEER:MOUNTAIN ENGINEERING OWNER NAME:CAMPBELL EDWARD A & MARLENNY M OWNER ADDRESS:5940 DEARMOUN RD ANCHORAGE, AK 99516 PARCEL ID:01706106 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES BLK 2 LT 6 LOT SIZE: 40150 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: (UPGRADE) PERMIT X2`5 '> /3,0 /"� DATE ISSUED:10/27/92 EXPIRATION DATE:10/27/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIO RECEIVED BY: ISSUED BY: DATE: DATE: /'D 7� MOUNTAIN ENGINEERING 3868 Shannon Circle Anchorage, Alaska 99508 (907) 562-1500 October 10, 1992 Municipality of Anchorage On -Site Services P.O. Box 19-16506 Anchorage, AK 99519 Dear Sirs: Re: Mountain Park Estates, Lot 6, Block 2 PP The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the septic system on the above referenced lot. Attached for your reference are the soils log, percolation test results, a site plan, and design drawings. The existing drainfield on the lot has failed, and overflows periodically. We have performed soils logs and percolation testing at the locations indicated on the design drawing. The resultant percolation rate was 3.5 min/inch. Groundwater was not encountered, and the monitoring tubes were dry at the conclusion of the monitoring period. Due to the lack of groundwater and the slope in the vicinity, a deep -trench type drainfield has been selected. The application rate was 1.2 GPD/SF. Although the original permit was for 3 bedrooms, the owner would like to upgrade the stem to handle 4 bedrooms. The required absorption area is 4 X 150 / 1.2 = 500 SF. We have elected to use a trench length of 40 FT, and a gravel depth of 7 FT. Total system depth is not to exceed 10 FT. The topography of the lot in the vicinity of the proposed drainfield slopes towards the south at 25% to 45%. The location of the replacement drainfield and reserve area will take advantage of a slight bench in the slope, and the potential for leachate to surface on the downhill grade is minimal. The house is on a private well, indicated on the site plan, and there are no other wells within 200 FT of the proposed system. Please contact me at 562-1500 if you will need any additional information. Sincerely, MOUNTAIN ENGINEERING ark ear son, P.E. -17 h m �dp� % o w , % z "gym m °u Iv O b r z m ° m {, x U) >0 zD �O O� G7 ZM (DF g> CD , z r 0 C7� X000y m r O Dm U7A D>2 Cl) 'n`TJ mfr m \ D D < �NU)� r m z m y=U. \ [ n Nv I Zr��c�{ CD x < s_ o O O _ z :TJ � D D p �l Dp N_.{Z F11 m D U D ?S x Oma DD -0 C:) O m Z " Z a K D 77 O > U) z O Q G�ApJ 7J D m C -a c mzc'o pxcn_ < m c o C ate. p > V7 > m f� 0 C D D Dz ° i � x Z r- ti O K rn �' o Z Cl) z D r r o ✓ c m 0 i O � lu fTl --i ��Z 66 Z m --A �a— a m TM+ -I x- ' 7J CJ > O m 7J O Fq D% z O D p Z X. 10 m C -q p x m N C) m Q. O Z m p Y f O < -{ '*1 r r = 7 D D m 00 _u Z r r m m mm D O e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION:Ify 1UUV\i 73 6'toRCSal 2 •� 3 4 5 �4/ 6 7 /' SI SG^ 8- / 9 10- 11 12 13- 14-/ 3 14 / 15- 16- X 17 TD=I�7-7 18 19 W l.. ' '^ '�6YJGINEER'Fa'1EAIJ •`°,,.: / P� ��ap MARK W. Pr -ARSON r CE - 7760 -dam DATE PERFORMED:J�j'q Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SLOPE �b S L O P E Depth to Water A�fte(��� n'- QZ Monitoring7 Date: Al�l._t__ SITE PLAN 20 �II PERCOLATION RATE 3 �� (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS RetC f- PY 1ST09.00-, 2- 6r?P,(5 PERFORMED BY: 'v `f)�^'IGv� _�-� IV \ Cw'I� 1 eL�✓S�'v CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. �QI -12— 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES MARK W. PEAR..ON •tC P, 825 "L" Street, Anchorage, Alaska 99502-0650 PA �, CE _ 7/60 p ° : i SOILS LOG - PERCOLATION TEST G `� PERFORMED FOR:_ -kit/ CpwVI P9lE�- LC DATE PERFORMED: 01 LEGAL DESCRIPTION: VV10VY1'ra'ln ��'�- G[ c) cAC- 2 2 4 5 7 8 12 �• 13- 14 15 16 17 18 we Township, Range, Section: SLOPE WAS GROUND WATER y� j ENCOUNTERED? S IF YES, AT WHAT L DEPTH? O P E Depth to Water Alter Monitoring? Nora Date: %� Z SITE PLAN IN .t PERCOLATION RATE` (minutes/inch) PERC HOLE DIAMETER ( TEST RUN BETWEEN "' FT AND FT PERFORMED BY:I °Wr�M2F�PlU+moi yv �G�✓�� �{�Q ljt9t/\ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:T� L 72-008 (Rev. 4/85) GREI.. ER ANCHORAGE AREA BOK ,UGH Ii�, Department of Environmental Quality-�-( 3330 C Street Anchorage, Alaska 99503 INS ECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 4 MAILING ADDRESS Ae49 &_6tX_ " ✓ PHONE LOCATION LEGAL DESCRIPTION 040776 �/ � SEPTIC TANK:: ,11) DISTANCE NUMBER OF FROM WEL MANUFACTURER ,MATERIAL LU —COMPARTMENTS INSIDE LENGTH INSIDE WIDTH____.__ LIQUID DEPTH LIQUID CAPACITY/M2GALLONS. TILE DRAIN FIELD: '' ��//VV TOTAL LENGTH DISTANCE FROM WELL FOUNDATION%rr__NEAREST LOT LINE -OF LINES 116 NUMBER OF LINES �DISTANCE BETWEEN LINES &A TRENCH WIDTH�N. TOTAL EFFECTIVE �j ABSORPTION AREA L s/Iv SQ. FT. LENGTH OF EACH LINE I DEPTH OF FILTER �i/ DEPTH: TOP OF TILE TO FINISH GRADE q MATERIAL BENEATH TILEfa. ABOVE TILE _ IN. WELL: &7' fly TYPE ----------CONSTRUCTION _ DISTANCE FROM: BUILDING NEAREST NEAREST FOUNDATION__, LOT LINE SEWER LINE CESSPOOL APPROVED DISTANCES: _. OTHER SOURCES DISAPPROVED C INSTALLED BY: - t SEWER LINE DEPTH: s� PIPE MATERIAL: - LOT SLOPE: _ REMARKS: REMARKS SEPTIC TANK - SEEPAGE SYSTEM_ DIAGRA%9F SYSTEM 2 G.A.A. B. THE REQUIRED SIZF CF THE 4Hi HBSORPTION SYSTElj [S 400471" VIA= -1-�2 ��two ������ U 02Z 0 A Up v? in" AV !i C:. � !F�!:������ THE LENGTH DIMENSI0N IS THE LENGTH ON FEET) OF THE TMNCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTpod CE RETWEEN THE SURFHCE 0F THE GROUND HND THE 9OTTOM DF THE EXCHVHTION (lN FEET) THERE IS 1, I0 FET WIDTH FICO TRENCHES THE GRHVEL DEPTH TS THE MINIMUM I)EPTH 0F GRHVB- HETWEEN THE Ali TFjLL P]PE HND THE BI TOM 01:* THE EXCHVHT[1 1N rIN FEET) NIP�R .1 *1 MEMO �447 01:� -1-:1 1 - too who W �51 A 407 To - I-TP�� ��� ��I.::. - 1P.::., !!:: ., o 11 d � )i it, 7��I:�::�,::,: 11F�:. U �::: it. �D. it . o �.11 11:r,:, o .::�: 11 � " ��� BHCKFIL| ING OF HNY SYSTEM WITHOUT FTNHL IKSPECTIAPA HN|) 11PPR0VHi 1:0 THI� DEP�RTMEmT 1.01 .11- SE SURJECT TD PROSFCUTIO1'.1 MINIMUM DISTHNCE PUT! 5EFN H WEiL HND PITY 0N~SITE SEWHGE DlSPI SHL SYSTEM IS 100 FEET F0P H P�IVATF WEL|. �R 200 FEET FOR H PU�LIC WBL WELL LOGS HRF REQ|1IRED AND HUST BE RETURNED T0 THE OEPHRTIWNT WlTHIF! 70 |)HYS OF THF WBJCOMPLETION 0THFR REQUIREwENTS M:�LY SPECIFICHTIGNS HND CONSTRUCTIO1 DIHGRHMS HRE HY�TLHLE TO TNPS URE PNil PFR lNOnTALLAT70N �11 .. N y: 1 - F70"FAn I FS79v ��17 17" k Wil Q I E Fm 74 � P'� 1��y, comitotuetion gest -faL7 "Ona test is worth a thousand opinions" 2204 Cleveland Anchorage, Alaska 99503 Performed For W. Kay Johnson Date Performed 6/21/77 Lenal Descrintion: Lot 6 Block 2 Subdivision Mt. Park Estates This Form Renorts Soils Loq yes Percolation Test_ Denth Feet Soil Characteristics 61, Pea - F 611 7,-ddishSilt 2 — 4- 6— Brown Slightly Silty Sand 8 — ISP -SM] 10- 12- 14- 16- 18- 20— Bottom 0- 12- 14- 16- 18- 20— Bottom of Test Hole Was Ground Water Encountered? No If Yes, At what Denth? No Bedrock Encountered Reading I Date I Gross Time B f' Net Time I Depth to H2O I Net Dron Percolation Rate Minute Proposed Installation: Seenaae Pit Drain Field _ Depth of Inlet Denth To Bottom Of Pit Or Trench CnMt"ENTS: 150 Sq Ft drainage area required per bedroom from -2 to 16 feet, Test Performed By _ Data Certified By:CONSTRUCTION TEST LA David Paul Date: 6/21/77 MUNICIPALITY OF ANCHORAGE M�1 • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel 1. D. # (L` - (- �L 1 - C-)1 o HAA # 6�1( L)LV LI II 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Cz Location (address or, directions) (b) Property owner zrkrf C� Telephone : (home) 3 ��96 Business Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the following address: (or check here J9, if hold for pick up.) List contact person and day phone number below: -� s _T' G a 5 57S -r-3 2. TYPE OF RESIDENCE 3 Single-Family>4 Number of bedrooms 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7188) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, 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 ��cS —� Telephone 0_»^ s—=_? 9 AddressD �� aY0 �6i �0 91 oz Date,! ��ya OF At r *90 sit Or ; •-�' C •.•••JIOV C. RE{U, JR. / /j ng lQ@ems faa;•n�� 6. DHHS APPROVAL Approved for 'bedrooms by "� Date �' 3 9 Approved X Disapproved Conditional Terms of Conditional Approval QF4L- 14 t� T�L_1� CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct 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. 72-025 (Rev. 7/88) Back Page 2 of 2 ��o�P�\S�o� & Va: cps MUNICIPALITY OF ANCHORAGE (MOA) ���y 5��� • Health Authority Approval (HAA) aJ00 `��P��O�pJ CHECKLIS343F4 44UARY 1984 Legal Description: s; Qa, M� l�v� 4A -As A. WELL DATA �/ /� Well Classification A, ✓a is If A, B, C, D.E.C. Approved (Y/N) e/l Well Log Present (Y6) Date Completed 72 Yield S_9 1_.V /WX)' A=/h%" Total Depth_? -?Cased to ?ZZy Depth of Grouting Static Water Level Z Z/ Pump Set At Casing Height Above Ground Electrical Wiring in Conduit 0N) i Sanitary Seal on Casing h_kl) Depression Around Wellhead (y6) - SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot /a % ; On Adjoining Lots �l�o To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots >/OD To Nearest Public Sewer Line W -A To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot > 25`1 Water Sample Collected by /' /�Ield • Date ��'��� `� /o/gZrb Water Sample Test Results 6/0, /V, O.J-y Comments 1/XI» pe -7 : IV, f+ra>er : 0 • ip 3 B. SEPTIC/HOLDING TANK DATA Date Installed 6 Size —/a O No. of Compartments Z Standpipes/N) Air -tight Caps&19N) Foundation Cleanout (� Depression over Tank (YI Y Date Last Pumped ZZ/3__949 Pumping/Maintenance Contact on File (Y/N) for Holding Tank High -Water Alarm (Y111 Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES'•FRCM�SEPTIC/HOLDING TANK: To Water -Supply Well /oZ % To Building Foundation �S To Property Line To Disposal Field To Water Main/Service Line:>ZS To Stream, Pond, Lake or Major Drainage Course % /0o Comments 72-026 (Fev. 7/88) From Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 457� Type of System Design 171'c-1 Date Installed 7 Length of Field Width of Field / Square Feet of Absortion Area Depression over Field (Y& Results of Last Adequacy Test %6o 7* Depth of Field Gravel Bed Thickness s SEPARATION DISTANCE FROM ABSORPTION FIELD _ Statndpipes Presentfi?N) Date of Last Adequacy Test To Water -Supply Well To Property Line ;;� /D To Building Foundation �' To Existing or Abandoned System on Lot a/A ; On Adjoining Lots j a i To Water Main/Service Line >Z -1 To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course > /0o / To Driveway, Parking Area, or Vehicle /Storage Area 2-J_ / _ / �p Comments .4-" 025SPd 47v -I /tidq� rj;?& 11a ONhef C -Iletin hi7'�1 �fOe�U7nu�e • %/eh� lirti in 90 Pse <1 -2 5� rc� io'o-f depd¢r 4a. 7�6 70o7�lS. D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N Comments Dimensions Manhole/ "Check Permitted Bedroom Rating Against HAA Request" I certify that I have inspection. Signed — Company Date /U /i-0719-0 MOA NSF o - 0/Z cccce�s /N) Off' Level at Vent(Y/N) verified, or conformed to all MOA and Receipt No. oqc_�C;4 -b` 3� Date of Payment Amount: $ I Pumping Cycles during Adequacy Test. on the date of this i �^-••- - v • r® ' 00 j ••••• s Seal • •••••!01160 a6s�' ngineer ## � 4fR0 C. REID, JR. �° g a••. -2251 F� 9 esskxeel ., Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Om r tweona.oeas CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET • ANCHORAGE, ALASKA 99518 • TELEPHONE (907) 562-2343 FEDERAL TAX 1. D. #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 29163 Date Report Printed: OCT 13 90 @ 13:15 Client Sample ID:L6 B2 MT PARK ESTATES #1 TAP WATER Client Name A E C S PWSID :UA Client Acct AKECSRP Collected OCT 9 90 @ 14:00 hrs. P.0.# NONE RECEIVED Received OCT 9 90 @ 14:30 hrs. Req # Preserved with :AS REQUIRED Ordered By : L. REID Analysis Completed :OCT 10 90 Send Reports to: Laboratory Supe visor STEPHEN C. EDE 1)A E C S Released By �` moi, _ 2) Special Instruct: Chemlab Ref #: 904154 Lab Smpl ID: 1 Matrix: WATER Allowable Parameter Tested Result Units Method Limits - - - - ---------- --- -- -' - - NITRATE -N 0.63 mg/1 EPA 353.2 10 i Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED BY L. REID. 1 Tests Performed See Special Instructions Above UA=Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT -Greater Than O�.tNDtVFpDFry �V ~� D dJ �d 5A G A ° E °ALASKA �n imnmenTAL COUROL SHUNS, IN. kg o Engineerinq & Enuironmental Studies 00075 6/6/90 MR LESTER ROSENKRANCE SELLER - 5940 DE ARMOUN ROAD ANCHORAGE AK 99516 LEGAL:LOT 6 BLOCK 2 MT PARK ESTATES *1 FLOW TEST ON WELL WELL FLOW DATE -8/6/90 A FLOW TEST WAS PERFORMED ON THE WELL. 1340.GALLONS OF WATER WAS PUMPED AT A RATE OF 5.6 GPM OVER A DURATION OF 4 HOURS. THE DRAWDOWN WAS 2 ' WITH A RECOVERY TIME OF 10 MINUTES AND THE STATIC WATER LEVEL WAS 221 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. A E of E °4o- • "tees" i y: TN •:'j� ti Ar ?w Y C. RM, JR. 0 .• CE -2251 �R ;t`12ss�1 �o�¢ar (907) 279-5553 `i�q/87 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES ` 1 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, townshiphge) Lin; -i- i X1/.0 �,,.�.l�,�'+a,G ScL_4e 5.e_c2(, )P -N Location (address or directions) 54 `� O ,Mov H (b) Property Owner Telephone: Home Business Mailing Address 0 Ltg'V R, Y-cLc -eL CLQ ! k, (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent �o �S <^� e— W • uu `� C �1 Address Telephone 3%,— (e) Mail the HAA to the following address: or: Check here if hold for pick up. List contact person and day phone number below. „n n Azq =a91, 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms 3 3. WATER SUPPLY Individual Wel/K 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 OnsitXe 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. Pagel of 2 72-0251Rev 8/86) Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, 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 FirmTelephone Address 40 3 V,1 / S� Date b.l i _I Y 14 t % 6. DHHS APPROVAL ��'� - Engineer's Seal t... ..... .. . 0 I � Y 0 22?_5-E ��•� JUNE 2'. 197E m Approved for Z&a bedrooms by � Approved 4k Disapproved Conditional _ Date 40. 1'Z,6 ,e&2 Terms of Conditional Approval /W 7?' Tl z ad��r�n Tva4 J yS r1�+ GDv7laiS P;nr 4ew%y jWA?y .� flu r>Qa�- •�ufu.�. qr rl,� �:a,e. ;� r�..9au/�/ a/`op��., rl�r: r-�.Ia6.ra,�Tiohell CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (Rev aias) Back GrO`t'P'S UNICIPALITY OF ANCHORAGE (MOA) P� GFS HEALTH AUTHORITY APPROVAL (HAA) 0 \�OS�QJx CHECKLIST - FEBRUARY 1984 \GHQ 1 0, 264-4720 W �N, (D Cr� Legal Description: PQ y MOO NrA(H 1EARk Ii STATf� SE C- A. WELL DATA Well Classification If A, B, C, D.E.C. Approved (Y/N) t4/'A Well Log Present (Y/N) W— Date Completed 1 47"7 Yield 9�= Total Depth Haag Cased to %=9 Depth of Grouting Noll e Static Water Level 4:5 Pump Set At 02.29 Casing Height Above Ground Sanitary Seal on Casing (Y/N) / Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) t4 Separation Distances from Well: To Septic/Holding Tank on Lot ,a /.2.rs' ; On Adjoining Lots ! ' 1170 To Nearest Edge of Absorption Field on Lot Q ; On Adjoining Lots 7 /0 O To Nearest Public Sewer Line _ NONe To Nearest Public Sewer Cleanout/Manhole NO NE To Nearest Sewer Service Line on Lot a to Water Sample Collected by S. ; Date N/tyia7 L - Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 19 Size 1 004) No. of Compartments 1 Vl/D Standpipes (Y/N) t7 N %F Air -tight Caps (Y/N) Foundation Cleanout (Y/N) N Depression over Tank (Y/N) N1 Date Last Pumped q rs 1S 7 L Pumping/Maintenance Contract on File (Y/N) Nl^ ; for "/A Holding Tank High -Water Alarm (Y/N) N1.Q Temporary Holding Tank Permit (Y/N)' * A Separation Distances from Septic/Holding Tank To Water -Supply Well ? 1 AS To Building Foundation /__9 To Property Line To Disposal Field to To Water Main/Service Line — i o To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 79_09ai 11 /A&) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata j Z Type of System Design T Ra N C 14 Date Installed aV NE I T77 Length of Field Nbl � Width of Field 3b U Depth of Field Q f Gravel Bed Thickness 5 t Lf Square Feet of Absorption Area Standpipes Present (Y/N) "T'VV O Depression over Field (Y/N) Date of Last Adequacy Test qli41 $7 Results of Last Adequacy Test 1�4�s rosy 1 lnr s t.. `19 e'apy-ftoW Separation Distance from Absorption Field: To Water -Supply Well >1 e5 To Property Line > 3 a To Building Foundation To Existing or Abandoned System on Lot fq ©tV On Adjoining Lots i 5 6 To Water Main/Service Line 7 ! © To Cutbank (if present) N 0 N L" To Stream/Pond/Lake/or Major Drainage Course > Icrt:7 To Driveway, Parking Area, or Vehicle StorageArea �? y�Z©� Comments 4&f a tl��'ar7 r- X jy it//A4� — z"&re4 4zEu D. LIFT STATION N © N Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, ci onformed to[aalll O and HAA guidelines in effect on the date of this inspection. Signed Date` Company MOA No. Receipt No. l 0 0/ o U 22 -- Date of Payment Amount: $= Page 2 of 2 72-026 (11/84) A. C)F A/ Engineer's Seal . t 222 44 )UiVE 25, IJ 4`. �yL - 03 W I 5th AVE "C" SUITE 203 VOA INV W iU�]'l LAM)v PDXA 2 ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 S E P T I C S Y S T E M A D E Q U A C Y T E S T LEGAL: LOT 6, BLOCK 21 MOUNTAIN PARK ES,$A', ,L+','''`"' .... P `' A�, M, LOCATION: 5940 DEARMOUN `� �• � �dy Cy � • .'q,`' -k .. , "yip �IS OWNER:%; 4r W. KAY JOHNSON � WELL: PRIVATE, ON SITE " Tdo. 222 E o. ""15- ,., � -�� SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: SINGLE FAMILY, THREE BEDROOMS TANK: ESPINOZA CONCRETE, TWO COLI? e=,1.©;0'0 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 460 SQ. FT. SOIL RATING: 150 INSTALLATION DATE: JUNE 1977 DATE OF PUMPING: APRIL 16, 1987. ISAACS PUMPING SERVICE i- DATE OF TEST: APRIL 14 & 15, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 3.75 FEET OF COVER AND 44 INCHES OF LIQUID. SUMP TO TRENCH WAS 4.5 FEET DEEP AND DRY. _k_LNCH--TRENCH- SUMP __WAS TEN,_FEET. DEEP AND_ ,WITH 3 FEET OF _WATER. v f1 !`.. ESID.ENCE H S BEEN VACANT FOR THREE WEEKS. ON APRIL 141 500 GALLONS OF CLEAN WATER WAS ADDED TO THE TRENCH. WATER LEVEL IN THE TRENCH ROSE 11 INCHES. ON APRIL 15 THE LEVEL HAD DROPPED TW INCHES..- AN ADDITI9NAL. 800 GALLONS W - P ,_ __,..ARE__ THIS_ CAUSED THE WATER LEVEL AIN THE SUMP TO RISE 22 INCHES. NO WATER ENTERED THE TANK. AFTRR- 15 HOU$$_ THE WATER _SUMP_ IIAD__DROPPED 1.2 INCHES_, IND.ICATIh1G = _AN—_.IN-F-S-LTRATION_ RATE OF 436 GALLONS IN 15 HOURS. -.. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. /j /'e6 '-'. �'�fl.�� .-�Al2l.�t--�i `r rz. .r �-'_ -s� %.`✓LI�//r, �fE1�tfi.1. �?,,r,-:9/t?�e�$�r�t��sf_. ri.: i 7(0 G�- n WG �G3G3LMI)q pvAv 2 A CHORAGEEALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 LEGAL: LOCATION: OWNER: R E S I D E N T I A L W E L L I N S P E C T I O N LOT 6, BLOCK 2, MOUNTAIN PARK ESTATE TYPE OF WELL: WELL LOG AVAILABLE: 5940 DEARMOUN W. KAY JOHNSON SINGLE FAMILY NO INSTALLATION REQUIREMENTS MET: YES PUMP YIELD: 5 GALLONS PER MINUTE DATE OF INSPECTION: APRIL 14, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. STATIC WATER LEVEL WAS FOUND AT 225 FEET BELOW TOP OF CASING. AFTER TEN MINUTES OF PUMPING WATER LEVEL WAS AT 229 FEET. THE WELL WAS PUMPED FOR AN ADDITIONAL HOUR WITHOUT ANY FURTHER DROP IN WATER LEVEL. WELL RECOVERED TO 226 FEET WITHIN 10 MINUTES AFTER PUMP STOPPED. ON APRIL 15, THE WELL WAS PUMPED CONTINUOUSLY FOR TWO HOURS. A TOTAL OF 800 GALLONS WERE DRAWN. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON r APRIL 14, 1987. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THIS WELL CAN DELIVER MORE THAN 800 GALLONS IN TWO HOURS The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well.