HomeMy WebLinkAboutSILVER CREST BLK 2 LT 14Tom Fink,
Mayor
Municipality Anchorage
Department o! Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
January 8, 1990
Glen Hansen
1750 Candance Circle
Anchorage, Alaska 99516
Subject: Lot 14 Block 2 Silver Crest S/D
Permit #890182, PID #015-062-45
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1989.
Permits are issued on a calendar year basis by authority of the
Municipal Code of Regulations. A new permit must be obtained
from this office for an well and/or on-site wastewater system
Dot installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as-built inspection report
(three-part form) must be sent to this office for review,
approval and documentation.
When applying for a new permit, the fees are: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
John Smith, P.E.
Program Manager
On-site Services
JW/ljm:200
enc:
Copy of Permit
"Kids Are Our Future"
C,P~F:IE MUST '.EdL 'i'(:'d<EN TO I N~3UF,'.Iii: 1:: :i: F:M ~31iii::[)),) :1: NG JIF:' 'TI..Hi!;: (4:0)] I 'i ]: C)NAL.
SI~i:F:"TIC: 'I'(.~NI.(. II. IE L!I:'[]F~'.ADEi: SY!iHt:!:M MLH:i:i'I" Df:i!: IN~!!YI'(~,L.I...I~i:D IN
~,:..! :[ 'TI.I TI..ltii: (:'d-:'F:'F~CF. diii:D EI',I() :I: I'qf~:fii:i:~ ' ~i!~, [~IL::S ]: I:)N ,, DI.II l~i!~ i'~l!l~i~"t ~.',li!:: N/:_'IT .1: I::' :i: E.!.:, 1.:'1:~ I OR
] (.) (.'fl I... ]: I'q~3F:'I:Z~: I I ON~!i) ,, H.-1:1: S I..IF:'i.H t'.i:'iDE I:::'li]:~:H :1:1 1 ~3 F !:.)F~ A 4
~:i~ I: i".II:~I_E I:::'{.~H 11.V I::,.'.!:Nii~ :1: ):)t:i!]',.!l::liiil i3NI .~',' ~, AND Iii!: ×I:::' i1: I?I!!:S l:!hl 1 ;2./:5:1./~7 ,,
J'c)J"It.l'i t::)y 'L!"~(~:, Mi.u'"~:Lc::i.l:::,a:l.:i.'Ly (::)f'
;.::'. :[ w:i.:l. 1:i. ii~'~x~:l.:l. .i:.h~::.) ~y~;~'!:,(:-')n/ :i.i'~ ,::':tc:c:C:)l'~CJ~.'.'~r"~c:c.) w:i.'l:.h a].l I"IC)(,~ c:oe:l~.:)~:~ au'~d r'~;..:.)(.:.:H..~t.:'~'cL:i.(::)r"d~iz,
,'::,.r'icl :J.l~ c:c:)d~j::) ] :i~:d"r(:::~x) w:i. Lh
::~;,, 1t~ w:i 1:1. a(::llu'.?r'~..~ '1:..o ail t'fl!JA L~r'id
cl ~. ~B IL .::~,. i"l (= (.Z.) ~B ~ [' C3~It arty
.'q, :17 i...u'lc:l¢.~.H"~i:~'i'.~i,.lic:l '~:.h~t'!L '['..hi~i~
,~.~]~i~H::~ L~lldc.:.:,r"~ild.'..~:~l'~c:l 'l:hat'L 'Lht.:.) c:apac::i.'Ly o'~ t..he.~ t.o't.al ~i~iy~s'~..c-Hr~ :i.~!~ 4 I::x'.:.~,::lr"cx::mu~ and
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
PERFORMED FOR: "' -'-¢"'
DATE PERFORMED:
LEGAL DESCRIPTION:
1
2--
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
COMMENTS
SLOPE
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
L/ ', ' :' 7"
PERCOLATION RATE /~ (minutes/inch)
TEST RUN BETWEEN ~ FT AND ~ FT
PERFORMED BY:
72-008 (6/79)
Eagle River Engineering Services
P, O, Box 773294
Eagle River, AK 99577
6S4~51¢t~
/
~ - TEST HOLE
NO KNOWN CURTAIN DRAINS · - MONITOR TUBE
o - S~ER CL~NOUT
NO SURFACE WATER WITHIN 1~0' ~ WELL
~SEMENT
SEPTIC SITE PLAN
LEGAL: LOT 14 BLOCK 2 SILVER CREST
OWNER: GLEN HANSEN ,.,
EAGLE R/VER, AK. 99577 ~'<,h.,
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
LEGALs: ;'::i!VERC;RE[~F!' SUB., LOF 1/i~ 8LOCK 2
GENERAL
]. the wel'l and sep't:ic plan are -for" a ,.:atingle 'farn'ilV r'esXdence only.
2. qlne drawing and or site p'lan shalq be a part of th4s specif~c, ation.
3. All rnateria'ls and ~orkmanship shall meet the Anchorage Department
Hea'lth and 5tare Departmen~ O'~ Envi ronmentaq Conser'vat i on
4. Alq so4t tests are advXsory to the design and are ~o be yeti'lied
modified in t:he 'fifie]d by the engineer.
B. A'/'I excavations and depths ape edvisor'v and are to be verit:ied or'
Anchopage, Depar'trnent o¢ EnviPonment:a] Conservation
6. It Js the r'esponsfibfilfity of the ownep to obtain a]q necessary per'milts
of easements and '~o locate any adjacent rnultfi,-'farn-Jly
7. The excavat'ion is to be exactly in the aPea sho~n on the s'ite plan.
any dev'ia~fion pequfir'es engineeP apppova] .
8. It ~s always recommended llhat a sur'veyoP IocaEe t:he nearest lot line
position and 'the '~eoaE'fon o{ any easel'nents.
TRENCB
/. l'he trench ~s to t;o'llow the natur'a] 'land contoun 'co rnafintair~ (lnq'fonm
~ota'l dept;h o¢ t:he trench bot~orn.
2. The bottoN o'1: the El'elqCh i:;ha~t'l be ]eve], plus on minus 1.5".
3. The '(:otla'l depth o'~ t:he tr, enc]'~ excavation is net to exoeed 10~ at any
point .
,1. The seweP ~ine -is to be connected in'to the exist'ing ]each 'line to
a] Iow e~f'iuent: oven¢"low to the upgraded ]eac:h'fie]d.
5. The t'rench gnave] is Ec} be covened with typan 'l:abr'ic ma~ePia].
6. Soil on combination el; so1'l and extruded board insulation Eo a dep%l:
o'¢ ~' or equivalent is ~e be p]aced over' the ieacl~l:1eld.
?. The area over, the 'trench is to be finish graded to pr, event pending
of sup'face water runof'f.
8. The septfic tanR and ]eachEfie]d must not be closen than 100' to any
exfsting pr, fivate we'll, 150' to an~ C'lass. "C" well, of 200 feet to
any corr~munfit¥ wel I.
RECOHMENDED LEACHF'iELD DIMENSIONS
TOTAL DEPTH = 10' GRAVEl_ DIEPTH = 6' TRENCH LENGTH = 25' TIZENCN WIDTH = 3'
Soil Ra't:ing = I66
Bedroom Capacity =-' ! ADDITIONAL (4 TOTAL)
Septic '1'ank Size .... 500 ADDiTONAL 'fO EXISTING 1000 GAl...
~NOTE:
~>XNOTE:
ADDITIONAL TREIqCIt LENGTI'I BASED ON REMOVING 10' OF EXISTING TRENCH
FOR Ni,"_'l/g 'I'ANK.
EXISTING 'FANK OUTLET ELEVATION ~UST 8E 2" ABOVE EXIS'IiNG LEACI'I LiNE
ELEVATION llq ORDER TO ADD 500 GAL, LON TANK. IF NOT, THEN 1000 GALLON
TANK 'FO SE REPLACED b~I'f'l,I 1250 GALLON TANK. ADDiTiONAL LEACIIF]ELD
MAY TNEN BE I.~EDUCED TO 15' LENGTH.
EAGLE '-
RIVER ENGINEERING $I'.RVICES
Leu Ilutera, P.E.
P.O. Box 771294
Eagle River, Alaska 09577
Telephone (907) 694-5195
August 24, 1989
Mr. Robbie Robinson
M.0.A./D.H.H.S.
825 L Street
Anchorage, AK 99501
Re: Silver Crest Sub., Lot 14, Block 2
MUNICIPALITY O/: ANCHORA~,-,~
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
RECEIVED
Dear Mr. Robinson,
We have performed an adequacy test on the septic system
serving the above referenced lot. The test was performed on August
14, 1989 with satisfactory absorption rate (+450 GPD) for the
existing trench system. Complete recovery of the liquid level in
the monitor tube was recorded after 18 hours time period.
If there are any questions regarding this matter, please
contact me at 694-5195.
Sincerely,
Louis A. Bute~a, P.E.
NAME1
MUNICIPALITY OF ANCHORAGE
DI"PARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
828 L Street- Anchorage, Alaska 99801 Telephone 284-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
~.~ ~ P H 0 ~-~
LEGAL DESCRIPTION
L~ z- ~ ~ ~ ~/~-~.&r~.~ z~ ~7-b'
.OCA~.O~ 'U~ ~ ~ ~ ~
- I DIsTANcE TO: Well//~ / Absob~area
~ "'~'~¢'°n'I .~HOMEMADE: ,asidelength
~=~ I ~SZA~C~O, I~e' ~" "~
Materj~&.~
Width
NO, OF B_~ROOMS
No. of coT~tments
Liquid depth
PERMIT NO.
Material Liquid capacity in gallons
DISTANCE TO: Foundatiof~,& / Nearest lot lina ~ /'/~_
No. of lines~
Top of tile to finish grade
IWe,I i i,.~L l
Length of each li,~,¢
Material beneath tile
Depth
Length
Trer~ ~ldth
~__.J (d,~ inches
/
laches
~idth
PE,MIT NO. 7 ?~'¢,_O_ __
Distance batwean lines
_~,/z~.'.
Total ef~ectL~ abso~tion area
/~..~d
PERMIT NO,
Class
Type of crib Crib diameter Crib depth Total effective absorptioa area
Well Building foundation Nearest lot line
DISTANCE TO:
Depth Driller Distance to lot line
DISTANCE TO:
Buildiag foundation Sewer line Septic tank
pIERMIT NO.
Absorpt oa area(s)
OTHER
PI PE ~7~ATERIA LS
SOIL TEST RATING
INSTALLER
APPRO/{/E[~
DATE
72-~3 (Rev. 3~78)
LEGAL
1 !.1t:: t .['i:N(:i"f'l I I):1: I"!F!i:I'.,IS :i: OF.! :!: '.ii; '1"1..111:: I .l:::'l'-,![:iiTI I ,( ]: t'.,! I::'!!i:[;::'i' ::, (:ti:::' TI..II( 't'R!iNC:t I O1;i: i::,!:;;I!:::! :i: i'.,ll:.' T l!!:l. [:,.
t"l-II::i: I')l:i:l:::"lH OF:' I::l 'i"l;;:li(l'.,l(::l.I ()1.?. F:'):T ;i:'.:i; TI.fl::: I):i:::;['t::!f.,IC:l!::i ii!II:E'i'!,.Iii!:I:~:i'.,I Till.: :i:i;I..ll;i:l:::'!'.:lC:li! O1::
(~it:;:Ol,ll'.,!l) 1::tt'.,1t)'l"lrttlii: I~:(Y'I''I"()H C~I:' Till!: [i:::'::(::l::l","l::t'l" :[ (]l",! ':: '!:!"'! t:::'I~:[ET)
t'I"II"i:Fi:I:!: :I:!i; i'"10 !ii;ET !'.I:I:!)T!'I I::'(:q;?.
l'!'ff': (:i l:;i: l:::l "," l i: !. .. I)I:!!T:'TI'i :i: :!:i; '!'llli: I"l :!: i"1 :i: l'!1..1t"i i'::'[ii:l::''[ I'1 (')I::' I:ii!:;~:l:::l","[i:L. [ii:[i'2t'l.'.ll!:li;':l"4 'l'!'t[:i:
I:;:ll'"!l) Tlr"II:!: !:i!:(:)T'['Cff'/ O!:':' TI''II: t:!:::'::(::I:::I'"''I::IT :1: Of'J' ( :!: f'"t I:::'[ii:l:~:T ::'.
:ii C:I!:iI:;i:"I' ii: I:::'"r' 't~l'll:::t !'
:i.: iii I:::I1'"t !:::'F:IFI:ilI...iIiI:::II:;i: I'.!i~'!'t'1 TI'l!': l:;i:l:!!:(i:!l. J ili!;i:[!::l¥11Cl",t'l"!:i; I:'0t:?. (illq"'::!;i!:TFil ::i!;l!!:!'lti!iF?,lil; I:'llqD !'.ti:i:1 I ii::; I:::11:i:; fi;Ii:liT
I:':'CII;?.TH [:il'./ "l'llti:: I"il. Jl",l:(l:i;;]:l::'l:::tt..]i'!"~'* I;')l;::
;::!!: ii] I'.I :ili ,!. :ii tq'i!!;Tl';:ll.t. "l't"!lii: :!?¥':!;'I'[::H i1: Iq I'::t('::C:()l;i'.!)l:::lt",!(i:;l:: !.'! .[ TI'I 'Il'ifil
:i!:: i!: Ul",!!)t!i::l:;i:S'tl:::lN!i) 'I'HI:::IT 'Fl"lf: O!",f'":!;ti'l"l:i:i ::!;EI'.II:I:;?. fi;"r':ii;T!!!:l"'i 1'11:':I"? I:d:!i(i:!l..I]:l:tl:!i Ii::I",!I.,I::i!;;i(!iEHI::!ii",!T ]:I::' Till!:(
f';i:l:!::!i; :1: t:::,l!i:N(::lii; :r::;~;i'.tlii:l"'i(':ll:)f:i::! .1:!'t') -! ~:1 't I",!(::L 1.1[)!!? I"t[:d,?.t:' '!!-!I:::ltq 2:
,.//
,, .,,,
.ONSTRUCTION TEST LAB
"One Test is worth a Thousand Opinions"
2204 Cleveland Anchorage, Alaska 99503 277-0231
erformed for Western Enterprises
egal Description: Lot 14 -'Block
his Fomn r~ports: SOILS TEST yes
Date Performed 5/14/79
Subdivision Silvercrest Sub.
PERCOLATION TEST yes
Depth
Feet
Soil Characteristics
6" Peat and 6" Reddish Silt
-7'
Drown Silty Sand Gravel with
occasional Bolder
Perc
Zone
16'
Bottom of Test Hole
~s Ground Water Encountered no
f YES, What depth?
~ading Date Gross TUne Net TLme Depth to H20 Net Drainage
5/14/79 24 Hours 3"
5/15/79 No Water
5/15/79 0 4"
5/15/79 3.0~ Hours
t 5/15/79 3.5 Hours 9" 5"
5/15/79 4.0 Hours 9 3/4" 3/4"
ercolation Rate 1"/40 Minute
Proposed Installation: SEEPAGE PIT D~AIN FIELD
Depth of Inlet Depth to Bottom of Pit or Trench
~4ENTS: - -. ~80 Square Feet drainage area required per bedroom.
~st Performed by ~p~
Data Certified By: Construction Test Lab
Date : ' 5/16/79
C~ ': ~
•
• PT°E e`
• �-� Municipality of Anchorage °z
On-Site Water and Wastewater Program I
(907) 343-7904 SA F ETY
Certificate of On-Site Systems Approval
Parcel I.D. 015-062-45
Expiration Date: 1 �
1. GENERAL INFORMATION:
Complete legal description SILVER CREST; BLOCK 2, LOT 14
Location (site address) 7150 Candice Circle *Anchorage,AK 99507
Current Property owner(s) Joe Dunn Day phone 229-4353
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: ,1/`
Date:
COSA to be rele•..ed to the ,'ne- .nless otherwise requested by the engineer.
COSA Fee $ 59.0 Waiver Fee $
Date of Payment g 3 Date of Payment
Receipt Number M ,S 1�61 ? Receipt Number
COSA# i�3GYl 4/o0 Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the 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 (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: 81 1<U°
00000�O
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system oe 4 4N
in accordance with the guidelines and regulations established by the Municipality of Anchorage and • / 41 c�
industry practices. The reported results describe the condition of the system/s on the date/s of the p O `'.. —
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or O�Q• '..'� •-_ 00
encroachments may exist that were not identified during the evaluation. The operational life of all wells Q* 4-'i Ti' , ' �O
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, * 0
groundwater levels (that may fluctuate during the year), quality of construction (materials and Q
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and / O
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the / • '7y A. .rness.• 4
system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of Qp 0 C 79. ,` 0
the well or septic system. GEG makes no representation whether an alternative well or septic system VQ 9 / . •• •`ce4'
can be installed on the property in the event either of the current systems fail to perform adequately in f f ..S �c,
the future. The content of this report is for the sole benefit of the person/party that retained GEG to ��% p o
perform the evaluation. Reliance upon the information provided in this report by any other person or � .%00ss+:".
party (includingsubsequent property �OOOo
Q P P Y purchasers) is not authorized, nor will it confer any legal right
whatsoever. �-1 I Y'
,,4\-- Or...
A 49884
6. DSD SIGNATUREON
;-
�:zy oN,SiT
System #1 Approved for 3 bedrooms ATE'A
BAST ND ri:
System #2 Approved for bedrooms '? p EWATE-
Ro R ��
Disapproved 7� GRAM
Conditional approval for bedrooms, with the following stipulation`"'' - '
I:G L10( ►S Z 9 lif 6e0( , A vet -e _06p oi a
_C4-ek serf, rL c i24-t/ rc did
By: � . _ (�
t....—t....--__ � -��
Original Certificate Date: 2--;,7 --1
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist >C Nitrate Advisory
Septic System Advisory Arsenic Adviso
Well Flow Advisory Other S (c --i-o
COSA blue sheet 10-10-12.doc
I.
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: SILVER CREST; BLOCK 2, LOT 14 Parcel ID: 015-062-45
A. WELL DATA *TO BEDROCK
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES
Date completed 6/26179 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 310 ft. Cased to *174 ft. Casing height(above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 6/26/79 7/26/18
Static water level 93 ft. 121.3 ft.
Well production 2 g.p.m. 5.5+ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd.
Arsenic: ND ug./L. Date of sample: 7/26/18
B. SEPTIC/HOLDING TANK DATA 39 YEAR OLD STEEL SEPTIC TANK IS APPROACHING
THE END OF IT'S USEFUL LIFE.51"OF LIQUID ON 7/26/18
Tank Type/Material SEPTIC/STEEL Date installed 7/16/79
Tank size 1000 gal. Number of Compartments 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 8/1/18 Pumper ISAAC'S PUMPING
C. ABSORPTION FIELD DATA I'BELOW EXISTING GRADE AT SUMP
(g.p.d./ft2o installed 7/16/79 Soil rating ft2/bdr 280 System type DEEP TRENCH
Length 65 ft. Width 3 ft. Gravel below pipe 8 ft.
Total depth *8+ ft. Eff. absorption area 1040 ft2 Monitoring tube**YES Depression over field NO
Date of adequacy test 7/26/18 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 4 in. Water added 959 gal. New depth **`30 in.
Elapsed Time: 1350 min. Final fluid depth 4 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) NO If yes, give date -
**SUMP ONLY EXTENDS ABOUT 54"BELOW THE INVERT
***APPROXIMATELY 24 INCHES BELOW INVERT
a
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level at .• wa er alarm level at in.
Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots `100' (WITH CAVEAT)
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 75'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
`CLOSEST SEPTIC PIPE FOR DRAINFIELD ON SILVER CREST: B2. L15 NOT PRESENT-APPROXIMATLEY 100'
(SEE MOA RECORDS FOR LOT 15) .
looms'ii t IN
G. ENGINEER'S CERTIFICATION P�•.••• SF ' /♦1..
I certify that I have determined through field inspections and • *=• 49 r ••• ��•
review of Municipal records that the above systems are in • •••
•
conformance with MOA COSA guidelines in effect on this ••• •
date. •�;Nt: .f. IA. .. i- - ;'
•
Engineer's Printed Name JEFFREY A. GARNESS t�'5� E-17953 ••�:�
I •
Date 6/5/16 �.�, PROFESS
LICENSE �%II%"`i�"'
#AECC884
(Rev. 10/12/12)
MUNICIPALITY OF ANCHORAGE
(----.--------,
DEVELOPMENT SERVICES DEPARTMENT •' 907-343-7904
` `�
�, i Fax: 343-7997
On-Site Water and Wastewater Section _-___,,Y
www.muni.org/onsite www.muni.org/onsite
Septic Tank Advisory
Certificate of On-Site Systems Approval # 0SC181430
Subdivision: Silver Crest Block:2, Lot: 14
The septic tank for this property is 39 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $6,000 to $9,000.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
Ss' i YAC li 4J'' .N.4C
it .. -
.. .ia• x,Y i•N' I'` -yam T C: a�
. ' •4
,, _1 r•_- s I„• ,.,
,„,.,...,: ,...., ,,
,..,..„...., , .
. . . . .., _
,,,,. ..„:.,-.. ....,<„ -,, .
- _
5.. '>4+ .. .,te a t .`
C• :'4 da y 4,41Z7*,,, 4c
\ ,:.,,,t T.' ,,,,,r4... .-.17,5, .F `., :. A ........ -4---,..i.-
... ,-1 wY x 4. 4 -,,yet '.
k„...,,
Y3 .,� �I,.� ��� 1�.. ti, �,�. �+' � X11.
- •
, -.- ..:,,,,,-, .- ,,,, - . -,
,.,..-„..„.•,,,-,_,..
w y 1., ,(*... t a;T 1, e '..1 „ .,
T
"ma ✓ -c,. s5'
`NF .tom 1, • �9s ' - �,
Y .„.„..,.2 ..4018?--,(1 i :'. -
. ,,,,,,-.<..,-,:.
.
`` - .. '
Mailing Address: P.0. Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description
Lot 14;
Block 2; Silver Crest Subdivision
Location (site address or directions) 7150 Candace Circler Anchoraqe, Alaska
Property owner
Mailing address
Gleh-and Louise Hanson Day phone 346-1841
7150 Candace Circle, Anchorage, Alaska ~/4(¢_~f-/5~-
Lending agency
Mailing address
Camellia BUschman/FORTUNE PROPERTIES
Agent
Address 3000 A Street, Anchorage, Alaska 99503
Day phone.
562-7653
Day phone
Unless otherwise requested, HAA will be held for p~Ckup.
NUMBER OF BEDROOMS: 3 %
TYPE OF WATER SUPPLY:
NOTE:
Individual well
Community well ".
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev, 1/91) Front MOA
-Z E-Z e ea
s:l. ueLu.moo leUOR.!ppv
:suol].elnd!:l.S 8UIMOlIOJ eq~. q.~iM 'SLUOOJpeq
'suJooJpeq
- Z.-- e~.eQ
JOj leAoJdde leUO!~.ipuoo
'peAoJddes!O
· ~"' ~OJ peAoJddv ~
;]~IniYNglS SHHO
eJ n,".eu Bis s,Jeeu!6u3
"9
euoqd
J,O;~ 'oN peoa doo-] .m^,8 el~=3 t~£OZL
sse.~pp¥
LU.q_-I ,to eweN
· uo!:l, oedsu! siq~. jo m..ep eq~. uo ~.oej. je u! suo!:l.eln6eJ pue 'seoueu!pJo
'sepoo m,m,S pue led!o!unR lie q~.!M eoue!ldLUoO u! s! Lue~.sXS lesOds!p ..e:l.e,v,m. SeM Jo/puc Xlddns
Je:l. eM e:l.!S-UO eq~, 'uo!~.oedsu! pue uog. eS!),se^u! XLU LUOJJ pue sel!J eSe.,~oqouv J.o X~-!led!o!unlhl
uJoJj p@u!e),qo uol~.euJJoj, u! eq~. uo peseq ~.eq~. Xjpe^ Jeq:lJnJ. I 'u!eJeq pe),eo!pu! e.m].onJ~.s jo edX~, pue
suJooJpeq ~.o Jeqwnu eq~..~oj e:l. enbepe pue leuop.,ou nj 'ejes s! uJe].sXs lesods!p .~e,~.eMm, SeM .Jo/pue
Xlddns Je~,eM e)js-uo eq~. :l. eq~, SMOqS uop, eo!ldde le^oJddv X~.poq~.nv qUeeH s!q~. jo uo!,!e6!l, se^u!
,~uJ :l. eql. XJ. pe^ I 'Moleq uMoqs e~,ep uop, ep!le^ eq~, jo se pue o~.eJeq pexlj. Je lees XLU Xq pe!J!:peo sV
bF:I=INI~gN:::I All NOI.LO::IdSNI =lO iN:II,:liVeS 'S
WATER WELL ADVISORY
HEALTH AUTHORITY APPROVAL NO. /7/~ ? o434
During a recent Health Authority Approval on-site inspection and
test of the potable water supply well on Lot /4 Block 2
of ff~ U~ ¢F~$~ ff~' Subdivision, the well's productivity
was determined to be ,~_ gallons per minute. The minimum well
productivity required by this department (AMC 15.55) for
a ~ bedroom residence is .~/ .. gallons per minute.
Although the subject well currently exceeds this minimum
requirement, all parties concerned are advised that the
production capacity of the well may fluctuate. Restriction of
noncritical water uses such as washing cars and watering lawns
and gardens may be required.
This advisory must be attached to all copies of the subject
Health Authority Approval.
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: //._O7' Iff,, /~/(,~.! ,,%t&P¢¢- C~.c=s'r '~D Parcel I.D.
A. WELL DATA
Well type
Log present ~N)
Total depth
Sanitary seat f~N)
tf A, B, or C, attach ADEC letter.
ADEC water system number /~)//~'
Date completed (~-,~'(~-';~ Driller_ ?%Y~/'"J I~/~0 ~
Cased to ~O ~¢' ~ Casing height ,¢~"/'
(2cuE.~ Wires properly protected ((C/N) ~:-~'
Date of test
Static water level
Well flow
Pump level
FROM WELL LOG AT INSPECTION
~ g.p.m. ~::::~"~ ~ g.p.m.
SEPARATION DISTANCES FROM WELL TO:
Septic/h,~ tank on lot
Absorption field on lot
Public sewer main
Sewer service line
; On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
/00 '~
WATER SAMPLE RESULTS:
Coliform ~ Nitrate
Date of sample: '~--
~,,~OcJE. ~)~TEC~TaD Other bacteria
Collected by:
S. SEPTIC/~ TANK DATA
Date installed
Cleanouts (~N)
High water alarm (Y/I~I~
Date of pumping
Tank size /000 ~-&L Compartments
Foundation cleanout ((~N) ~g Depression (Y/~
f'd/A Alarm tested (Y/I'(~)
SEPARATION DISTANCES FROM SEPTIC/F~ TANK TO:
Well(s) on lot {00 ~f- On adjacent lots [00
To property line '~O
Surface water/drainage
Absorption field
/00 ',b
Foundation_
Water main/service line
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION /~/
~q')///3r Manufacturer
Size in gallons "'~-._ . Manhole/Access (Y/N)
Vent (Y/N) --~at "Pump off" level at
High water alarm level -"'--~~ Cycles tested ....
Meets MOA electrical codes (Y/N) . ~
SwEe~Ao~iO._~_N DIST~ANCE__FROM LIF~nS~lc~t ~0: -lots Su~
D. ABSORPTION FIELD DATA ~
Soil rating oO',~O ~:J~r/~f~' System type
Gravel thickness (~ ~ Total depth
Cleanouts present (~N)
Date of adequacy test
for
f~O'T I~-'¢'J0~~'' If yes, give date /'~/~:P
Date installed
Length ~ ~' Width ,~,~ /'
Total absorption area
Depression over field (Y/~_.~ /XSO
Results (pass/fail) ?P4~
Peroxide treatment (past 12 months) (Y/(~)
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature
Engineer's Name
Date
$ & S ENGINEERING
17034 EaClJe. River Loon. I~nnd ...... kin '~0~.
Eagle River, AJasEa 99577
HAA Fee $ L 7
Date of Payment ~TK/~//¢/¢'"~
Receipt Number ~-4~,~,_~-_/¢~
72-026 (Rev. 3/91) Back MOA 21
Waiver Fee: $
Date of Payment
Receipt Number
17034 Eagle River Loop Road ROBERT A. SHAFE_~R.
LOCATIONOFWELL(LegaIDescriptlon}: ~-3T Iq/~ ~,-.gZ ~ ~UV~ ~'~ '~ ~
WELL DEPTH: ~[O' FT, CASING:. ~O'~ FT. SCREEN:, ~
DA}E DRILLING COMPLEIED: ~-2 g'~Z DRILLER; ~Y~ ~O 'S
STATIC WA~ER LEVEl (Top of Casing): [~{ ' .FI, DATE: ~-?'~
CLOCK ELAPSED TIME SINCE DEPTH TO DRAWDOWN/ PUMPING
PUMPING STARTED/ _ _~ -WATER, FT. RECOVERY RATE, OPM REMARKS
TIME STOPPED, MIN.
'~ 5 I1~
;~' ~o
20
35
55
60 (1 hour)
90
120 (2 hours~
,~.[O~ ~ lq~ I~'
RECOVERY
t 0 0 ~-- .....
5
15
2.0 ,, .
' 25 ,,, --~
' 30 ,.
35
.......
PI~N is not G[
Comments: ~[J~7.... ~<.~3D~C~-% Ih3 ~XcE~ ~ubsequentVafiatJon~
OF ~0 ~cc~ ~ ~ Can Occur.
"~M~'NICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
1, GENERAL INFORMATION
Application Date ,.)~). ~ ,~ ~'~/ ,c?t'/~
(a)
Legal Description (include lot, block, subdivision, section, township, range)
L H- %/+_
Location (address or directions)
(b) Applicant Name ~__~_ ~/'~ /L,.)~. r~ s o ~-~
Applicant Address
'Telephone: Home 13"~'O I,,%'~(-I_ Business
(c) Applicant is (check one): Lending Institution []; Owner/builder~; Buyer []; Other [] (explain);
(d)
(e)
Address /_~
~RealEstateCompanyandAgentA~s __ ~~:~- -.---/L_.
Telephon'~e3
(f) Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family ~ Multi-Family []
Number of Bedrooms _ ,'~
Other
WATER SUPPLY
Individual Well~ Community[] Public[]
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legalily and status.
SEWAGE DISPOSAL
Onsite~] Public [] Community [] Holding Tank []
Note: If commun y well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 (1J/84)
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 amd/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, a~ reguIm[o~s in effect o~
the date of this inspection.
NameofFirm ~,~)~'},,~¢~,d~ ~ Telephone ~+~ ~/I
Address ?/~ (~.~' .~V ~ ~-/~
WATER WELL NOTE: This tlealth Authority Approval inspection merely
certifies that the subject water well produced 150 gallons per
bedroom per day and that certified laboratory tests showed no
presence of coliform bacteria in a sample of that water. No warantee
or certification is expressed or implied concerning the long term
adequacy or safety of the water supply.
ON-SITE SEWAGE DISPOSAL SYSTEM NOTE: This Health Authority Approval
inspection merely certifies that the subject on-site sewage disposal
system accepted at least 150 gallons of water per bedroom per day
as determined by methods approved by the Municipality of Anchorage
Department of Health and Human Services, No warantee or
certification is expressed or implied concerning the long term
adequacy of the on-site sewage disposal system. Construction data
reported on buried system components is from HOA files and was
not verified during this inspection.
DHEP APPROVAL
Approved for ~ ~,~.?//bedrooms by
Approved ~"~ Disapproved Conditional
Terms of Conditional Approval
CAUTION
'['he Muncipality of Anchorage Department of Hearth and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations 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 requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of AnchoraQ~ isU'not responsible for errors or omissions in the
professional engineer's wor~.
Page 2 of 2
WELL DATA
MUNICIPALITY OF ANCHORAGE (MO~,I
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
Legal ?.escription:
!
Total Depth
Static Water Level ~'~
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
Well Log Present (Y/N) ~/(¢.:-~ Date Completed ~'c~3_~' ?~ Yield ~#'
Cased to ~ ~ ~
Depth of Grouting
Pump Set At
~ ' Sanitary Seal on Casing (Y/N)
~ Depression Around Wellhead (Y/N)
././Zt
To Nearest Edge of Absorption Field on Lot ..//Z ·
To Nearest Public Sewer Line _
Cleanout/Manhole
Water Samp,e Co,ected by
Water Sample Test Results
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed 7'/~ '2¢
Standpipes (Y/N) '/'~'--~_--
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well
To Property Line .3
To Water Main/Service Line
~','¢'"- No. of Compartments
Size /~)~:~ ,,
Air-tight Caps (Y/N) )'/~.-~ Foundation Cleanout (Y/N) ~"~..~,
Date Last Pumped ~:~ '/'/g
; for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field ~
Course
Comments
To Stream, Pond, Lake, or Major Drainage
Page 1 of 2
72-026(ll/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata ~ Type of System Design
Date Installed ,~-~.~/-.~;~; Length of Field ~'.~'
Width of Field ,,~¢ ,v Depth of Field /~ *
Gravel Bed Thickness ~:~ ·
Square Feet of Absorption Area /~'~'~2;~ ~ h ~,-~, )~ Stand pipes Present (Y/N)
Depression over Reid (Y/N) Date of Last Adequacy Test
Results of Last Adequacy Test ~_~_/_./.,'~.~. -- _'? ~,'.~y'~ ~
Separation Distance from Absorption Field:
To Water-Supply Well //~. ·
To Building Foundation
Lot ,,¢~',~¢,/~
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway. Parking Area, or Vehicle Storage Area
To Property Line
To Existing or Abandoned System on
; On Adjoining Lots ,~-'~ / ¢'
To Cutbank (if present) ,,~/,'4¢
x//,¢ "
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify thaLt~,Cc~e~eCv~conformed to/all MOA and HAA guidelines in effect on
the date of this inspection.
Signed--'//* /' / / ~/7----..~,?£z.~// ~.,~,~'//'C¢~ Date ~ /~ ~
/~-- ~ ~, -.~
Company ~+~r~e ~MOANo. ~ O~ ~
Receipt No. ¢~
Date of Payment
Amount: $ ~ ~' CbC
Page 2 of 2
72-026 (11/84)
· iNSPECTiON APPOINTMENTS (~' bA:r E//~,,~C E' V E~3'
~'IME TIME TIME
MUNICIPALITY OF
MUNICIPALITY OF ANCHORAGE DEPT. OF I~:;ALTI-I &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~NMENI'AL F;~OTECT[O~
825 L Street - Anchorage, Alaska 99501
ENVIRONMENTAL SANITATION DIVISION JAN z. 1980.
Telephone 264-4720__ REEE! EB
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES'
DIRECTIONS: Complete all parts on page 1. In0emplete requests will not be processed. Please allow ten (10) days for processing.
~. PROPERTY OWNER I PHONE
MAILING ADDRESS
~ROPERTY RESIDENT {If different from above) PHONE
MAILING ADDRESS
MAILI~DD~ESS
~ REALTOR/AGENT I PHONE
I
MAILING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATION
6. 'I'YPE OF RESIDENCE .~' ~ -/NUMBER OF~BEDROOMS
[] One [] Four
¢4~'~NG LE FAMILY [] Two [] Five
[] MULTIPLE FAMILY [] Three [] Six
[] Other
7. WATER SUPPLY
[~-""~D I VI D U A L*
[] COMMUNITY
[] PUBLIC uTILITY
* ATTACH WELL LOG. A well log is required for ail wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8, SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED,
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1, TYPE OF RESIDENCE NUMBER OF BEDROOMS ,.
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY ..~(~ O\C.~..r~
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIyE...D,~.
3. SEWAGE DISPOSAL SYSTEM PERMtT NUMBER
[] IN DIVI DUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY
Connection Verified INSTALLER
[]Septic Tank or []HoldingTank
Size: ~ ~)~) If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER /~ .
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line
WELL TO: ~,~ ~_ \ \ -~._
Absorption Area to nearest Lot Line
5, COMMENTS
PROVED FOR BEDROOMS
[] CONDITIONAL APPROVAL (letter must accompany certificate}
[] DISAPPROVED
DATE BY
72-010 (Rev. 6/79)