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HomeMy WebLinkAboutT12N R3W SEC 25 S2NW4SE4NW4NW4T12N R3W Sec. 25 52 NW4 SE4 NW4 NW4 #017-421-21 mspecnun rcepwi r-o-i<.uoc Municipality of Anchorage Community Development Department Page ( of 3 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www. muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: 05M21143 PID Number: OR- LIZI- ZI ❑ New C9 Upgrade Name: MAR MOREADLISe ABSORPTION FIELD I ❑ Deep Trench g Shallow Trench ❑ Bed ❑ Mound Address 1269( RIA (Cp. ANGFIoRAfsE,Ak ❑Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0-9 GPD/SF 2-3 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade I Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot sz Nw 4 sE y NM NW Fill added above original gradeGravel 2-.3 Ft. length Z X (01 Ft. Township Range I a N Section 3W 25 Gravel width S Ft. Beds: Number of Lines — Distance between lines 10 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field . Tank Line (P 10 Fe 'L 10 Ft. Well 1 f� l oo t F loo I ' la! MA. 'r � TANK ❑ Septic S.T.E.P. [:]Holding ❑ Other Manufacturer Capacity AmaoRAGE TANK 1250 Gal. Surface Waterl�t} (co�, IW Material sTECL Number of compartments 2' l Lot Line5`+ lot 5f NA Foundation 5t f 'Ot4 5r+ LIFT STATION Manufacturer ANCNDRA(,E TANK Capacity 12-5() Gal. Curtain Drain 50'- 50'+ 5tt Remarkss E STING Sc-p-ru,�r${'eth Xi Pump on level at 25 in. Pump off level at L{ in. High water alarm at tq 22 /2 tn. Amnon PER MOA REu Q1tZEMEAITS Pump make and model OaNCO Electrical Inspections performed by /vbA Installer T PIPE MATERIAL House to tank �4 drai nnfield �h 40 kl /� 01-AN Drainfield Sc� y O CO/MT F 810 Inspector LASS SP14WLAND IBENCH MARK (Assumed elevation) ft 10p Inspection ,e t 26 /Z Location and description 6 26 dates: 2nd /Z 3- m 27 (Z 4" fe 2`f 2 _ COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL gpeX Conditional Approval: Date `y S .;49T LARS' PURK ND; Approved Date? .2'/2— mspecnun rcepwi r-o-i<.uoc ( � SLOE - lox ® £ tx ,x SUPE - loz _ INSTALLED 3 -BEDROOM SEPTIC SYSM 1250 GAL STEP TANK TRENCH LENGNT 2 X 61 FEET W/DIN 5 FEET MAXIMUM EXCAV77ON DEPTH 3 FEET COARSE FILTER SAND I FOOT SEWER ROCK 0.5 FEET 2 INCH INSULATION COVER 2 FEET MINIMUM rd 15 I s 1 � \ / SUPE - In NOTE., SLOPES EXCEEDING 25X WERE NOT OBSEIPY£D WITHIN 50 FEET DOWN -GRADIENT OF TH£ P SED ABSORPTION FIELD LOCATION. 1 NOTETHIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WAST£ WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXILIAIF. 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT. -(� Well 203Zot'W 15 H. tENUE nv T12N R3W SEC 25 SURSEMUNP SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE ANCH. AKK, 99501 MARTI MOREHOUSE DATE. JUNE 28, 2012 (907) 279-3976 12641 RYA RD., ANCHORAGE AK 99516 SHEET. 213 GRID. 2840 PERMIT #17SPI21143 PID # 017-421-21 T12NR3VS25S2NV4SE4NV4NV4SC50,,DWG q � 4 SWING TIES A B S.L. C.O. C 43' 69' SL C.O. D 99' 107.5' ST. C.O. E 10&5' 113' a I Sa,.E I z DF. MT. F 102.5' 103.5' DF. MT. G 154' 162' DF. Mi. H 125.5' 122' _ I DF. MT. 1 171' 175' ( � SLOE - lox ® £ tx ,x SUPE - loz _ INSTALLED 3 -BEDROOM SEPTIC SYSM 1250 GAL STEP TANK TRENCH LENGNT 2 X 61 FEET W/DIN 5 FEET MAXIMUM EXCAV77ON DEPTH 3 FEET COARSE FILTER SAND I FOOT SEWER ROCK 0.5 FEET 2 INCH INSULATION COVER 2 FEET MINIMUM rd 15 I s 1 � \ / SUPE - In NOTE., SLOPES EXCEEDING 25X WERE NOT OBSEIPY£D WITHIN 50 FEET DOWN -GRADIENT OF TH£ P SED ABSORPTION FIELD LOCATION. 1 NOTETHIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WAST£ WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXILIAIF. 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT. -(� Well 203Zot'W 15 H. tENUE nv T12N R3W SEC 25 SURSEMUNP SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE ANCH. AKK, 99501 MARTI MOREHOUSE DATE. JUNE 28, 2012 (907) 279-3976 12641 RYA RD., ANCHORAGE AK 99516 SHEET. 213 GRID. 2840 PERMIT #17SPI21143 PID # 017-421-21 T12NR3VS25S2NV4SE4NV4NV4SC50,,DWG Distribution Line (1yp.) 3/16' Hole 36' on Center £LEY. 88.5 - INV. ELEV. 86.0' 0.5' GV ELEV.85.5' 1.0' SAND ELEV. 84.5' Installed 1250 gal. STEP Tank j/ Shallow Trench (lyp). 5' Kde �0 61' Long 2' Max. Depth 1' Coarse Sand 0.5' Sewer Rock 1 In. Insula8on 140, X05 £LEV 86-88.5' ELEV. 90.5' 0.5 GVL rNV. EL£V. 87.7 EL£Y. 87.2' 1250 CAL STEP 1.0 SAND SEPTIC TANK W. 86.2' EIEV. 71' REV. 90.5' arUKKLHrvL LNUINLLKINU T12NR3iI SEC 25 S2Nf'4SE4NiY4NW4 SEPTIC SYSTEM ASBUILT 203 W15th Ave Anchorage Ak 99501 MART/ MOREHAUSE I I DATE, I I JUNE 28, 2012 279-3916 12641 RYA RD., ANCHORAGE, AK 99516 SHEET, 313 GRID, 2840 PERMIT # OSP121143 PARCEL 1D # 017-421-21 T12NR3VS25S3NV4SE4NV4NV4.OV6 g RYA STREET — D m m —�— — ---CE — MoIwo 30' Road Easement (Book25, Page 169) o o N000061040E 164.99 Z *io xMo � 0 oxo M Ur 1 3 CD 0) I I w t7 I C l 8 w m CzC I I q i, z w o C M Rte •';' �=9��I o rn v I I .� mm 1 i n: co F ,j m m Q Zt cw rf 50 ri 00 00 OD co 1 • 'd'�'•� n cmi G'rEF 0'ih3� a qr m o $ a $ w c a 'om' �•= z 0.2 28.8 1. -0 Z o v Story Frame MM as ro Porch o� A m mmo 3� moomA �3. Z m24. 40.0 O a m 91311 _�g 1TA o� Nva; g N00010'42"E 164.84 LOT 1 �0�m�� LOT 2 co a� MORINO SUBD. G en On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121143 Tax Code Number: 01742121000 Work Type: Septic Upgrade Permit Effective Dates: June 25, 2012 to June 25, 2013 Design Engineer: SPURKLAND ENGINEERING Subdivision: T1 2N R3W SEC 25 Site Legal Address: T12N R3W SEC 25 S2NW4SE4NW4NW4 G:2840 6-26- 12— r° /6 , 3 a 61 -z 6 -lL /( o a Owner/Address: MCVEY SCOTT A & MOREHOUSE MARTHA R 12641 RYA ROAD ANCHORAGE AK 995163388 Site Mailing Address: 12641 RYA ST, Anchorage Lot Size in Sq Ft: 54450 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Bv: // 1,4 2-Vr MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Of] - 471- 21 Propertyowner(s)_ MARZT MbgENAU 1= Dayphone SZI-1105 Mailing address _11(o 4l KYA RD 1 AfJtNOiZAC.F AIc 9151(6 Site address — SAME— Legal description (Sub'd, Block & Lot) Legal description (Township, Range & Section) TI2N R3W SOUS SRNW jSEy NW4NWf Lot Size Sq. Ft. Number of Bedrooms 3_ THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (0 all that apply) Absorption Field Initial ❑ Septic Tank 0 Upgrade 9 . Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made fop Single Family Dwelling and is in accordance with applicable Municipal Codes. Property owner or Permit/Rush Fees:— *936, Waiver Fees: Date of Payment: _ (olj�`l� Date of Payment: Receipt Number: Q/ a[ 09 G Receipt Number: Permit No. Waiver No. GABOlding\On SiteTorms\Client FormsTermit App 01041 Moe (Rev. 1111) SPLITMand En onsenong Environmental Consulting and Design SEPTIC SYSTEM DESIGN T12n Raw See 25 S2NW4SE4NW4NW4 Municipality of Anchorage June 15, 2012 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 12641 Rya Road, Anchorage, AK 995416 Ladies and Gentlemen: I am writing to request a septic system upgrade permit for the above referenced property. The existing septic system is no longer functioning adequately. The proposed system will serve a 3 - bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Cates: No ground water observed to a depth of 16 feet. (6/8/2012). Soil Raring. From Testhole 6/1/12 12 min/in = 0.8 gal per sq.ft/day No. of Bedrooms 3 Required Area per Bedroom: 150/ 0.8=187.5 ft Total area required: 187.5 x 3 = 562.5 6 Shallow Trench with 0.5 feet effective depth Trench Length: 562.562 /5'=112.5' System: A 1250 gallon STEP tank and a pressurized shallow trench absorption field consisting of 2 trenches 5 feet wide 60 feet long with 1 foot coarse sand and 0.5 feet of sewer rock. Soils: Two test holes were excavated on June 1St, 2012. Seethe attached soil logs. Ground water was not observed during the excavation or after the 7 day ground water monitoring period. Ground water monitoring will continue through the construction of the system. A percolation test was conducted at a depth of 3 feet in the vicinity of test hole #1. A percolation rate of 12 min/in was observed. The existing absorption fields have been in use since 1976 (trench 9 feet of gravel) & 1962 (crib, unknown effect depth) that the indicating that the soils to a depth of 9 are not impermeable. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gei.net And& SPLIT and FIMU'Uma ghmg Environmental Consulting and Design Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. Topography: The ground level slopes down towards the south west at approximately 5%-10% grade. There are no slopes or ditches walls greater than 25% within 50 feet of the proposed absorption field. Waivers: None. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, ^� �.— LS "V �' Larskland, P. . Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net II F I � LUT 2A l / NOTE: THIS IS NOT A SURVEYED PLAT. WELL d SEPW LOCATIONS TAKEN FROM ON -SNE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE, 1' = 100 FT. SPURKLAND ENGINEERING /ISN Mff STC Z5 SZNlY4S'E`4NW4NIY4 SEPTIC SYSTEM DESIGN 203 W TH. AVENUE ANCH. AK.X99501 MARTI MOREHOUSE DA TE.- JUNE 11, 2012 (907) 279-3916 11 11641 RYA RD., ANCHORAGE, AK 99516 SHEET.- 1/3 GRID. 1840 PERMIT #OSPIIIOXX PID # 017-421-21 T12NR3WS25S2NW4SE4NW4NW4.SC1011.DWG LOT 2 r� I Well Well 4 LOT 2 Well 1 \ I � 1 \ / NOTE: THIS IS NOT A SURVEYED PLAT. WELL d SEPW LOCATIONS TAKEN FROM ON -SNE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE, 1' = 100 FT. SPURKLAND ENGINEERING /ISN Mff STC Z5 SZNlY4S'E`4NW4NIY4 SEPTIC SYSTEM DESIGN 203 W TH. AVENUE ANCH. AK.X99501 MARTI MOREHOUSE DA TE.- JUNE 11, 2012 (907) 279-3916 11 11641 RYA RD., ANCHORAGE, AK 99516 SHEET.- 1/3 GRID. 1840 PERMIT #OSPIIIOXX PID # 017-421-21 T12NR3WS25S2NW4SE4NW4NW4.SC1011.DWG / ( SLOPE - IRY® SLOPE 'OXI rNDON EXISTING SEPTIC / \ TEM PER UPC REQUIREMENTS 0WE'L WELL RADW WITHIN 20 �[ PROPOSED ABSORPTION FIELD m 1 1 �d4 r nay -IV \ NOM SLOPES EXCEEDING 25X WERE NDT 00 \ \ WITHIN 50 FEET DOWN GRAOlENT OF 7Hf "SED _ ABSORPTION FIELD LOCAMN. Well 1 NOTE. THIS 15 NOT A SURVEYED PLAT. WELL ? SEPTIC LOCATIONS TAKEN FROM ON—SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTAWN, ALL LWATKRIS SHOWN ARE APPROXIMATE: 25 D 25 50 75 100 125 150 SCALE.- 1' = 50 FT. MAXENUE tnwNcclanv 203 W T12N R3#'SEC 25 SURSEURNW4 SEPTIC SYSTEM DESIGN 203 W 11. ANCH. AK. 99501 MARTI MOREHOUSE DATE. JUNE 14, 2012 (987) 278-3916 11 12641 RYA RD., ANCHORAGE AK 99516 SHEET. 213 GRID. 2840 PERMIT #OSP121OXX PID # 017-421-21 T12NR3WS25S2NW4SE4NW4NV4SC50,DWG 1 0 Install 1250 got, STEP Tank � NO SCALE Trench Elevation (typd j'lvonlTor / Slit Barrier — 2 in, Insulation 2' Cover 203 W15th Ave Anchorage Ak 99501 :0.5 ft oP Septic Rock_ 1.0 Pt Coarse Filter Sand Shallow Trench (typ), 5' Wide 60' Long 2' Max, Depth 1' Coorse Sand 0.5' Sewer Rock 2 In. Insulation 2' Cover Distribution Line (typ,) 3/16' Hole 36' on Center T12N R3W SEC 25 SURSEMRNW4 MARTI MOREHAUSE Q c 0 -N a 3 SEPTIC SYSTEM SCHEMATIC DATE: JUNE 15, 1012 PERMIT j OSPI21OXX PARCEL ID / 017-421-21 T12NR3WS25S3NW4SE4NW4NW4.DWG) Municipality of Anchorage Development Services Department Building Safety Division yar On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraae. ak. us (907) 343-7904 Soils Log - Percolation Test Performed For: Marti Morehouse & Scott McVey Date Legal Description: T12N R3W S25 S2NW4SE4NW4NW4 Township, Range, Section: (k 7— Depth 10- 1 1 1 1 1 1 some (xrudt`� Qnt�. WAS GROUND WATER ENCOUNTERED? NO S IF VES, AT WHAT DEPTH? - L Depth to Water After o -+ Monitoring? pV E Date: i Z PRE-SOAKED Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop 6/1/12 12:53 PM 0 MIN 13.25" 13.8125" 6/1/12 1:13 PM 20 MIN 13.8125" .0625" 13.8125" 6/1/12 1:43 PM 30 MIN 13.8125" 0" 13.8125' 6/1/12 2:13 PM 30 MIN 13.8125" 0" PERCOLATION RATE12�U tminutesftch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 4 FT AND 6 Fr PERFORMED By: ANSON MOXNESS I IJ)A9�VVJ PAF -�CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIP L GOIDONES IN EFFECT ON THIS DATE. DATE: 6/1/12 Municipality of Anchorage �Q.. Development Services Department s Building Safety Division C2 ,t On -Site Water and Wastewater Program •i 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 ' www.ci.anchoraae.ak.0 U*j (907) 343-7904 /t �3;.•- Soils Log - Percolation Test Performed For: Marti Morehouse & Scott McVey Date Performed: June 1, Legal Description: TI 2N R3W S25 S2NW4SE4NW4NW4 Township, Range, Section 41 Depth 1- 2- SAL 45eme 60.vj1"5 WAS GROUNDWATER NO ENCOUNTERED? 5 C%)L) IF YES, AT WHAT DEPTH? - L Depth to Water After o Monitoring? Ry E Data: 6/0/1Z COMMENTS PRE-SOAKED E. Reading Date Gross Time Net Time Depth to Water Net Drop 6/1/12 12:50 PM 0 MIN 11.3125" 9.25" 6/1/12 1:10 PM 20 MIN 11.0625" 2.0625" 8.5" 6/1/12 1:40 PM 30 MIN 11.5625" 2.5625" 9.125" 6/1112 2:10 PM 30 MIN 11.5625' 2.4375" 9.0625' 6/1/12 2:40 PM 30 MIN 2.5' PERCOLATION RATE 12 (mmutesfinch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 3 FT AND 4 Fr PERFORMED BY: ANSON MOXNESS I I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUI ELINES IN EFFECT ON THIS DATE. DATE: 6/1/12 344-7714 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 230 Feet DRILLED AT THE RATE OF $19'00 PER FOOT. PROPERTY OWNER ft' PauL Umia4 344-8356 LOCATION OF WELL SITE Lt. B.0 . Sub. DRILLER Be7M,e CAa" of- Pcm'p'aAt Jftob ixuy 1904k4 7---1611 R Aed imonta,& c4 Re �mck 161 1641 A gwjuLl= natal 3/4 n4 a g 2)nn pon mdnlp,to 164_-2231 SedlmentaaA hock 223--226' A Potouo tijae. )Lack 4homuiq mote 4IgnA 04 ulatea, hno4nrlJ(n ane GPR1 226--2301 Sed-ung9gA, hack To�q tion o4 L1eU, mawteach TG70 gPRt and th u ae d �hoarn nom i� at .Lea4t 1 1/2 gPRI wZ& a 4-tand of- 150 Aet o�,; ma -tet on 4LLL tecovee44. Puma 4houtd be t"tatt 15 .deet ag battou. Ca4-t X02 150 Peet o.,f bAU L r4 on4. $19.00 pelt . oot. $2850.00 Ro 4et Up. Cook. COST INCLUDES ALL -LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF $2850.00 THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART D LING WORKS DATE [Aa tch 4th, 1979 SERVICE CHARGE OF I1/a% PER MONTH WILL BE ASSESSED ON PAST DUE ACCO S. NAME GRER ANCHORAGE AREA BOAGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 IAICDCPTIP►A1 DCDADT A41 UTC crus A^c mirnA&AA nv M SEPTIC TANK: ^- DISTANCE FROM WELL INSIDE. LENGTH MAILING ADDRESS SQIA d'K 3$'S^ L, PHONE 344_�98S'46 �/ �"""'� LEGAL DESCRIPTION 572'/Z v n./2-S/%LYL PAOU lai nWly 4c a , MIN iz?w NUMBER OF MANUFACTURER MATERIAL - COMPARTMENTS- - INSIDE OMPARTMENTS—INSIDE WIDTH LIQUID -DEPTH LIQUID CAPACITY GALLONS. SEEPAGE PIT: - NUMBER OF PITS DIAMETER —OR WIDTH_, LENGTH—,DEPTH LINING MATERIAL CRIB SIZE: _ DIAMETER—DEPTH— DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE . - ABSORPTION AREA (WALL AREA) - SQ. FT. ADDITIONAL • ABSORPTION - - - WELL: TYPE CONSTRUCTION - DEPTH DISTANCE FROM: BUILDING _ NEAREST NEAREST SEPTIC . SEEPAGE FOUNDATION LOT LINE—,SEWER LINE TANK - , .SYSTEM , CESSPOOL BOTHER SOURCES - - APPROVED - DISAPPROVED _. REMARKS - - DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE:�� l tit 1� REMARKS: CO 1 DATE DIAGRAM OF SYSTEM &W "' 0- WM7'i G:A:A.B: NAME OF APPLICANT GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 1a -lEo It6c j n p� `I -TL [_LLmI &ERM IT NO. AGE DISPOSAL SYSTEM — APPLICATION AND PERMIT INSTALLATION LOCATION l/� LEGAL DESCRIPTION SYL WV) R`/ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED 3� ,ag1I h MAILING ADDRESS S ^ A P cjx 3P -S" -r- PHONE JS_� SEEPAGE PIT TO BE INSTALLED BY DRAIN FIELD CIO OTHER- , NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE F520 '�' 9 TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL e�..cc SEPTIC TANK , SEEPAGE MW CL1 , DRAIN FIELD TO NEAREST LOT LINE. - WELL TO SEPTIC TANK DRAIN FIELD SEEPAGE AREA I SEEPAGE I& Od ALSO CONSIDER AREA WELLS. WATER. MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS G RDING INSTALLATION. I, OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. + 1 I1L\' DATE • APPLICANT'S SIGNATURE L� v •titi� FORM NO. EQ -016 * ATER ANCHORAGE AREA BOROL40 DEPARTMENT OF ENVIRONMENTAL QUALITY CASE # 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For Po.',t umn aus' Legal Description: het — B This Form Renorts Soils Log Oenth Feet Date Performed 816,-7/-7b S ivisasp5y1W'hN/iS'/�EYaf�W4NW`& Percolation Test_ Y, _ SeL TSS.7 k7-0) K_S racteristics — O_I.S' ML- j.5- L1.5- I1' GM j 11— M_ G N\) w/ hokld eAC5 j')-- 19 G M ,Ivey k0vpW'n Was Ground Water Encountered?_� If Yes, At what Depth? Reading Date Gross Time Net Time I Depth to H2O Net Drop!. W.) 2 p 2 I-`3 $ 3 o 30 /O 5 (0 3 S 1 2$. 3 _ (0 O 2 0 f b g I 10 2$'/4 2 Percolation Rate ./Sova HinuteC Proposed Installa ion: SeeDage Pit Drain Field Depth of Inlet Denth To Bottom Of Pit Or Trenc CnMMENTS: hale �ljjni�d q-ro knA 4 -If !^7[ -./ G° -I i,4 -01.4. .,...,a Test Performed o Data Certified Byl Date: MUNICIPALITY OF AN : El:41* E • in 4 ; 4)1- Development Services Department r a ANR 03 2019 .; one: 907-343-7904 On-Site Water & Wastewater Section `- ti Fax: 907-343-7997 Cu Certificate of On-Site Systems , 9 r40.61 L 9 c) Parcel I.D. 017-421-21 Expiration Date: 7 1. GENERAL INFORMATION Complete legal description T12N R3W Sec 25 S2 NW4 SE4 NW4 NW4 Location (site address) 12641 Rya, Anchorage, AK 99516 Current property owner(s) Freya Sakkinen Day phone Mailing address 12641 Rya Road, Anchorage, AK 99516 Real estate agent Jesse Campbell Day phone 907-885-9057 2. TYPE OF DWELLING: 0 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: Private Well 0 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 650 Waiver Fee $ Date of Payment tilt-/1/9 Date of Payment Receipt Number acon5D Receipt Number COSA# Oe igiOgc/ 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. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 4/2/2019 ea sfik air 4 Y ° *•�O 6. DSD SIGNATURE Sr.. System #1 Approved for bedrooms lid,:MICHAEL E. ANDERSON rJ w SIC-s,to No. CE-4361 {i System #2 Approved for bedrooms �i♦�e ,^, Disapproved �w hi; � �............... :••4• Conditional approval for bedrooms, with the following stipulations: ON-SITE WATER AND o WASTEWATER 3 PROGRAM Original Certificate Date: `i-q-i ' 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: T12N R3W Sec 25 S2 NW4 SE4 NW4 NW4 Parcel ID: 017421-21 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Well production at time of test 2 gpm Date drilled *3/4/79 Water storage tank volume NA gallons Total depth 230 ft Well disinfected for coliform test? ❑ Yes 0 No Cased to 230 ft ❑■ Coliform bacteria is Negative [' Sanitary seal is functioning correctly Nitrate 2.67 mg/L ❑ Nitrate less than MRL (ND) 0 Wires are properly protected Arsenic ug/L 0 Arsenic less than MRL (ND) Casing height (above ground) >18 in. Collected by Forge Engineering Date of flow test for COSA 3/30/19 Date of Sample 3/25/19 Static water level at beginning of test 49 ft. Comments * Well deepend at this date. Original drilling date: 1962 B. TANK DATA C. LIFT STATION Age of tank(s) 7 years 0 Required maintenance completed Tank type/material S.T.E.P/Steel Age of lift station 7 years Measured operating fluid level in septic tank 47.5 Lift station material Steel 0 Standpipes/foundation cleanout per record drawing Comments: Completed 4/1/19 Date of pumping 4/1/19 D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 2012 Adequacy test date 3/30/19 ❑■ ALL standpipes present per record drawing Results Pass For 3 bedrooms Total measured depth from grade 4' ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 2.33 ft(min) Water added 550 gal ❑ N/A— pressurized field New depth 1 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective 0Code-required soil cover over field Final fluid depth 0 in Absorption rate 450+ gpd ❑ System presoaked (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) None date of test) NA If yes, enter date Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet • E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100' ❑✓ Yes if No ft M Yes if No ft Neighboring Tank > 100' ✓0 Yes if No ft Private Sewer/Septic Line > 25' E Yes if No ft Absorption Field on Lot > 100' 0✓ Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ✓0 Yes if No ft ✓E Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0✓ Yes if No ft Surface Water> 100' E✓ Yes if No ft Property Line > 5' v0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0✓ Yes if No ft Private Wells > 100' E✓ Yes if No ft Water Main > 10' ✓0 Yes if No ft Community Wells > 200' ✓0 Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ✓0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' Ei Yes if No ft Water Service Line > 10' ✓0 Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS ...*%S taliiiii• G. ENGINEER'S CERTIFICATION ���•P� -�•O�•••�<�S•.1 ya I certify that l have determined through field inspections and review :.••• `1 •.•.• r.. of Municipal records that the above systems are in conformance with = ;• 49th 1� ••• 0 MOA COSA guidelines in effect on this date. �.. ..i. ,... _ .� r C r • 1 MICHAEL E. ANDERSON W r • (a III *4'J,••. N o. CE—4381 .•• Z a' • <`�••. 4/9/2019 •••<t 1 COSA Checklist yellow sheetvFQ••••••••••......••.•Q\. ," ' /,4I 1�\\S\tet to PC:-) MUNICIPALITY OF ANCHORAGE ``�_ "• Phone: 907-343 7904f Development Services Department ��,:. J Fax:907 .3,k:', X997 On-Site Water&Wastewater Section Q,\\ie r^ Lift Station/Pump Vault fir' g�y.o1o`.) Maintenance Log owner_ �]P-_ '- Street Address } • Phone_— -- Legal Desc__ P1D – agi Tank: leted 1.4 -Sludge level Oincties -Pumping: required yes�no) -Pumping comp 4 1-I Lift ttan: -Pump basket cleaned -Effluent filter cleanedyasj nQ -t;ontrol floats cleaned -Proper float settings confirmed�jt _DQ -Operation satisfactory rtQ 1a w+system: -Dedicated electrical alarm circuit 09 -Audible and visual alarm inside dwelling e.S1G. ,__ -Alarm system operation i5fa C not s o JVlanhaleBiser •Ground water intrusion at user to tank connectionhole functional yF,c nn -Ground water intrusion around pipe penetrations yes_ -Weep Insulated y2S�i io Properly Secured t,� -Manhole lid: Functional 1 -All manufacturer required inspections and maintenance completed y'_es nc C erzne& : Lc '— t 5 Date of maintenance±J flc /7 Technician - Company QI 7 k i?.).., 400)4; SA'' �f Signature G Date L �1__I 1 Mailin5}Address:P.O.Box 496650`Anchorage,Alaska 99519-6650'www.muni.org 111 Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-421-21 1. GENERAL INFORMATION Expiration Date Complete legal description T12N, R3W, SEC 25, S2, NW4 SE4 NW4, NW4 Location (site address) 12641 RYA STREET *ANCHORAGE, AK Current Property owner(s) SCOTT DAHL Day phone 317-3310 Mailing address Real Estate Agent 12641 RYA STREET *ANCHORAGE. AK 2. TYPE OF DWELLING: E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Day phone TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by }` r Date:`2/ /'5 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee Date of Payment Receipt Number — // COSA# osrIV61r. Waiver Fee $ Date of Payment Receipt Number 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. 1 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 (I izf //2 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 o6�0 t DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation o ! r , •(� p� 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. QCT 4 T 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 Q - A there are no hidden defects or encroachments. GEG, LTD. can therefore not provide111{I any warranty or future estimate of how long the system will continue to meet the J f�PEry Gar ess.r i operational requirements of the ADEC or MOA DSD. The content of this report is for A the sole benefit of the owner listed above. Any reliance upon or use of this report by any VOP "� GF— c°O� other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE y System#1 Approved for 3 bedrooms. \���\(`l ()FANC System #2 Approved for bedrooms. Disapproved. �� WATERAN4 z� sWAgTEWA1ER 0; Conditional approval for bedrooms, with the fallowing stip n PR0GR{�NS � n ; J, On T SERA 4` Original Certificate Date: The Municipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other raev 11M 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: T1 2N, R3W, SEC 25, S2, NW4, SE4, NW4, NW4 ParcelID: 017-421-21 A. WELL DATA *FOR DEEPENING IN MARCH 1979. **SEE ATTACHED DOCUMENTATION FROM SULLIVAN 11/2013. Well type PRIVATE If A, B. or C provide PWSID# N/A Well Log (Y/N) *YES Date completed 1960'S Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 230 ft. Cased to **52 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 3/4/79 *11/20/13 Static water level 80 ft. 57 Well production 2 g.p.m. 1.4 g.p.m. WATER SAMPLE RESULTS: *PERFORMED BY SULLIVAN WATER WELLS Coliform 0 colonies/100 ml. Nitrate 6.97 mg./L.' Collected by: GEG. Ltd, Arsenic: ND ug./L. Date of sample: 11/18/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL Date installed 6/26/12 Tank size 1250 gal. Number of Compartments E Cleanouts (YIN) Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/ • Date of pumping 9/4/13 Pumper A+ HOME SERVICES /^ C. ABSORPTION FIELD DATA ITELOW EXISTING GRAo Date installed 6/26/12 Soil rating (g.p.d./ftor /bdrm 0.8 System type SHALLOW TRENCH Length 2 0 61 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth *3.5 ft. Eff. absorption area 610 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 450+ g. p. d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access (YM "Pump on" level at in. "Pump ofr level High water 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'+ Absorption field on lot 100'+ Public sewer main Sewer /septic service line 25'+ On adjacent On adjacent lots Public sewer manhole/cleanout INZ/Y0 100'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingIvehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 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. Engineers Printed Name JEFFREY A. GARNESS Date Ii 121h (Rev. 11105) Municipality of Anchorage p:: f Community Development Department 5A FDevelopment Services Division s', On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # OSC131616 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on T12N R3 W Sec25 S2 NW4 SE4 NW4 NW4. This inspection revealed a nitrate concentration of 6.97 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. BILL & COLE OC CO dba �ULLIVANWATER WELLS P.O. Box 670269, gI907- 688-2759 TO: Garness Engineering for Scott Dahl TERMS: PHONE DATE OF ORDER ORDER TAKEN BY CUSTOMER ORDER NO. ❑ DAY WORK ❑ CONTRACT ❑ EXTRA JOB NAME/NUMBER JOB LOCATION 12641 RYA ROAD ANCHORAGE AK 99516 JOB PHONE STARTING DATE 11-15-13 QTY. I DESCRIPTION OF WORK PRICE AMOUNT Mr, Garness, To help eliminate high nitrate levels in this well, we performed the Lined well with 4" pvc casing to 52' Installed two shale packers at bottom of 4" liner First packer contained dry grout during installation Second packer was grouted via tremmie from the bottom up Tremmie was rotated around casing to ensure positive seal Once grouting was completed, great care was taken to avoid movement and a 72 hour hold on pump operation was observed. Once pumping began it is noted that the resting static water level changed�� from 20' to 57' Samples were then taken by Garness Engineering. Results to be disclosed by Garness Engineeering. Thank You, Cole Sullivan DATE COMPLETED: WORK ORDERED BY: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program v�b 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 017-421-21 1. GENERAL INFORMATION r J, COSA# 05 1'a 1351 Expiration Date: /0 ".3-' /_�,_ Complete legal description T12N R3W SEC 25 S2 NW4 SE4 NW 4 NW4 Location (site address) 12641 RYA RD. ANCHORAGE, AK 99516 Current Property owner(s) MARTI MOREHOUSE Mailing address SAME Lending agency Mailing address Real Estate Agent Day phone 529-7105 Day phone Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site FV] 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 sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Spurkland Enginneering Address 203 W. 15th Ave., Ste 202, Anchorage, Aft 99501 Phone 279-3916 Engineer's Printed Name Lars Spurkland Date JUNE 28, 2012 5. DSD SIGNATURE V� Approved for :3 bedrooms. Disapproved. 3sPURKLAN115 0 D; Conditional approval for bedrooms, with the following stipulations: M Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other (Rev. 11105) Municipality of Anchorage • '� Development Services Department Building Safety Division A Onsite Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: QAi RN SEC 25 5Z /VW4 564 NW NW4 Parcel ID: 0IT-4ZI- ZI A. WELL DATA Well type PRUT. If A, B, or C provide PWSID #= Well Log (Y/N) 4" Date completed t9b05 Sanitary seal (YM)� Total depth 23D' ft. Cased to Seo V -4t. FROM WELL LOG Date of test s/4%79 Static water level ft. Well production 2 9 - p.m -WATER SAMPLE RESULTS: Coliform NEU, colonie000 mL Nitrate 0.272 mg/L Arsenic: _(VD ug/L date of sample: 6 t i2 B. SEPTICIHOLDING TANK DATA Wires properly protected (YM) Y Casing height (above ground) +IZ in. AT INSPECTION 5'2q/ 1Z 19,5 ft, 35 g.p.m. Collected by: Anon /40xnc65 Tank Type/Material (-1NUtORAfk TAU K S TCP STEEL Date installed Tank size I150 gal Number of Compartments 2 Cleanouts (YM) Foundation deanout (Y/N) __�L_ Depression over tank (Y/N) N High water alarm (YIN) Y Date of pumping A/EuJ Pumper C. ABSORPTION FIELD DATA Date installed 6 2& t2. Soil rating (.p.d./fl orfe/bdrm) O.g System type SRAuo W TR6Nl.H Length 2xbl ft. Width 5 ft. Gravel below pipe 0,5 ft. Total depth 35 ft. Eff. absorption area �� ft2 Monitoring tube y Depression over field 1✓ Date of adequacy test /VEW Results (Pass/Fail) Fluid depth in absorption field before test= in. Water added= gal. Elapsed Time: = min. Final fluid depth = in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Absorption rate >= For = bedrooms New depth.= in. NER1111111117-Mil If yes, give date = D. LIFT STATION Date installed (012(j4L Size in gallons 1250 ManholetAccess (Y/N) Y °Pump on" level at 25 in. "Pump off° level at r1 �1 in. High water alarm level at -22'/z in. Datum "TAnK Kinn Cycles tested NEW Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankgift station on lot IDDr+ On adjacent lots l0ort Absorption field on lot ICO`t On adjacent lots too `r Public sewer main /VA Public sewer manhole/cleanout /V'A Sewer /septic service line .Jef + 25 + Lis , Holding tank /VA Animal containment areas 50 Manurelanimal excrete storage areas SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation Brfi Property line S Absorption field 5 + Water main NA Water service fine 10+ Surface water 100 (N.D) Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line tot Building foundation 1o!+ Water main »IDI (AIA - Water Service line l0 + Surfacewater 1064 (N-0 Driveway, parkingivehide storage 101+ ' Curtain drain So + (Al, 03 _ Wells on adjacent lots t Od + F. COMMENTS G. ENGINEER'S CERTIFICATION 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 LAQS SF�47WA^0 Date t'2J l z OF A,Lq COSA Fee $ + 150 ��iob.� Waiver Fee $ Date of Payment -:� I all In Receipt Number G 7 b92 C (Rev. 4110) Date of Payment Receipt Number I MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 0 t 7 - �/ Z I - 2/ � HAA # _ "'Q5 E\ L) 1. GENERAL INFORMATION Complete legal description S '/z N w '/' n! w'w �ec{ton 2S 7) ?-- "--I{ 3w S,M Location (site address or directions) _- 12- 6 y! P V u Root( Property owner fie flr»uI'll E GrSela PGrf Day phone 3Y5 yZyZ Mailing address _-I26Y1 Ryu� i3 off%�c� Abc 9,9s- Lending 9sLending agency Res eta tiu I ;d-/br Day phone Mailing address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 ti 3. TYPE OF WATER SUPPLY: Individual well v Community well Public water NOTrz: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 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. 1191) Front MOA N21 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 forthe 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 F/uffv.e TecA,1i6tc( Sew c -j Phone 3 YS" " '3s5— Address l�lS"3U Ec/ia Sf. Ate, f1� 99S/6 Engineer's signature ^ � Date TNn e iB X25) �eraeeaeea )DOBE F SrOR,�R° '3 rw CE -3589 e Hee•«•� ,e 6. DHHS SIGNATURE ___X_ Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments M_ Date 7 -2 -LE? 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. 72-M (Rev. 1M) Back MOA a21 RECEIVEV Municipality of Anchorage JUN 18 1999 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division tpMUNI IPALITYOFANCHURAG 825 L Street, Room 502 a Anchorage, Alaska 99501 - (90R7 4744c�s olvls Health Authority Approval Checklist Legal Description: S ;, Alw "'y SE %a N Lu %y N lti '�y 9 P � Parcell.D.: at 7 - YZ/ - 2/ Scc. 2s T i2N� R�3u, S. ro. A. WELL DATA Well type Pr4�a Ee Log present (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Orgy -'Ac t962 AePene"P 3/9,/79 Total depth 2 30Cased to 13,fdrric k Casing height (above ground) J Z" Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y FROM WELL LOG AT INSPECTION Date of test 3/Y /79 6/l.y /99 Static water level 8e; Well production WATER SAMPLE RESULTS: g.p.m. 1.35 g.p.m. Coliform O ce 1 /1'00 n .Q Nitrate /.9 7 r4 /..t Other bacteria N� e moor Dateofsample: 619199 10 6/16/99 Collected by: real-Ao Sr Cr B. SEPTIC/HOLDING TANK DATA Date installed -- t 9 6 2 Tank size 1000+ Number of Compartments / Cleanouts (Y/N) 7' 0 Foundation cleanout (YM) N Depression (Y/N) N High water alarm (YM) 1q. .4. Date of Pumping 6 / lg / 99 Pumper Ss«a e r C. ABSORPTION FIELD DATA (r) 8/ ('5-1 7"e , "rv'encA (7-) Date installed (P) � 1962 !30 Soil rating (g.p.d./ft� or ft2/bdrrrt) +3d•,,, System type 5e, ( P) Cr) ?6' 60 9' (20'13' mets- 6/99 Length . CP) Un 4r Width U n k Gravel thickness below pipe ) un k Total depth CP) & ` in oeu 6/99 60 EH9 a, Effective absorption area (P) Un k Monitoring Tube present (Y/N) Y Depression over field (Y/N) A G—) �r"'/ Date ofadequacytest6//H'IS/99 Results(Pass/Fail)iP) part For 3 bedrooms (T) K9S U &? 7 (T) 61/.9 Fluid depth in absorption field before test (in.); &) 6? Immediately after 298 gal. water added (in.): P) 75.3 " CT 52.7 (:"0 2Y7 [7") 230 Fluid depth P) 68.7 (ins) Minutes later._LP) 9 7 Absorption rate = (P) > ItS6 g.p.d. Peroxide treatment (past 12 months) (YM) Na+e tcAowQ If yes, give date 72-026 (Rev. 3196)' D. LIFT STATION N.A. Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* "Pump off' level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES. - leJ a! @ tiros of rns{all of n SEPARATION DISTANCES FROM WELL ON LOT TO: j` pos t'cz° of trench /�rohubl% Septic/holding tank on lot 57' 40 C•o �A On adjacent lots > 100' 1 0 H' -b treY-A M -f. So Absorption field on lot 60' ,k 4,1- c.0. A On adjacent lots > 10401 Public sewer main N. A. Public sewer manhole/cleanout N • A. Sewer /septic service line > IS" Lift station N • A. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation = (2' Property line -;�r 35' Absorption field Water main/service line > (0' Surface water/drainage > 100 ' Wells on adjacent lots > /00' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '> 1.,j' Building foundation x 66' Water main/service line > 10 Surface water > 100 ' Driveway, parking/vehicle storage area S ` Curtain drain None Se fn Wells on adjacent lots > 100 ' F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal recotems are in conformance with MOA NAA guidelines in effect on this date. .• •• • •• •., s Signature �� � O�^� 4� Engineer's Name Theo ao ey F Mo a d P OR �. Date J,-cne 18 1999 V CE -16 3589 HAA Fee $ 3 00 Date of Payment /Y- Receipt Number �ruc;q 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 June 18, 1999 Dan Roth M.O.A. DHHS P.O. Box 196650 Anchorage, AK 99519 Dear Mr. Roth: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 As we verbally discussed on June 16, I am providing a copy of my field data (along with these explanatory notes) and requesting your determination whether the existing wastewater disposal system . serving the residence at 12641 Rya Road is functioning adequately for issuance of a HAA certificate. The original wastewater disposal system was installed around the time the house was built in 1962. It begins with a concrete septic tank with a probable capacity of 750 gallons. The 1976 upgrade permit states that the capacity is 1000 gallons: we are in the process of having the pumper verify the actual capacity. Effluent from the septic tank then flows into a seepage pit of unknown dimensions, which was also installed around 1962. In 1976 the system was upgraded by the installation of a soil absorption trench downstream of the seepage pit. The Municipal inspector's report is not fully filled out, however the trench is probably 36 feet long with an effective gravel depth of 9 feet. Since I was unable to locate either the cleanout or the sump for this trench we arranged for A+ to dig down to find the trench and install a perforated monitor tube. They reported that the fluid level was approximately 3 feet below the level of the perforated distribution pipe. To test the adequacy of the system on June 14 —15, 1999 I added measured quantities of water into it through different standpipes while monitoring the fluid levels in the septic tank, seepage pit and trench before, during and after the flow of water was stopped. The initial fluid depths were 45 inches in the septic tank, 62 inches in the seepage pit, and 49.5 inches in the new monitor tube in the trench. The addition of 298 gallons of water into the septic tank caused the fluid level in the seepage pit to rise a maximum of 17.5 inches with no measurable effect on the fluid level in the absorption trench. Once the flow of water was stopped, I measured a reabsorption rate in the seepage pit of approximately 1 gpm when the fluid level was 2 feet below ground surface. Based on this absorption rate the system appears to be functioning adequately for a 3 -bedroom residence. Since water does not readily flow through from the seepage pit to the trench, I then added water directly into the newly installed trench monitor tube. Due to a relatively low well yield (1.35 gpm) it took me portions of two days to run another 837 gallons of water into the trench, which brought the fluid level up 35 inches to approximately the level of the perforated distribution pipe reported by A+, Once this was done I measured a reabsorption rate over a 4 -hour period corresponding to 233 gallons per day. This rate is only half that required for approval of a 3 -bedroom residence. According to the owners the system has functioned adequately for them for many years and I could see no sign that effluent has ever surfaced in the vicinity of the seepage pit. In fact, the absorption rate of the seepage pit appears to be adequate in and of itself, even though the upgrade trench (which is constructed at a much greater depth) has a quite slow absorption rate. Based on this test data, I feel the system could be approved as is, with the buyer being informed of the test findings and made aware that the future longevity of the system is unknown. If so, there is then a question whether or not a waiver is required because portions of the upgrade trench are probably less than 100 feet from the well. I have prepared the enclosed site plan to help you visualize the layout. While both the existing septic tank and seepage pit are significantly closer to the well than the trench, they were installed at a time when the required separation distance was only 50 -feet, so they should be "grandfathered" in. Please give me a call if you have any questions on this report. Sincerely, nc J --a Ted Moore, P.E. Cc: Hellmuth and Gisela Port I i I LOT 2A ZERKEL SID 1976 1962 TRENCH SEEPAGE 1962 o UPGRADE— PIT SEPTIC p (36' LONG TANK W.9'GVL.) ---- --- - R ---- 1�0 uj U GRAVEL DRIVE; m p = i Rga LOT 2 MERIN 0 1962 WELL SID �(DEEPENED 1979) Fe -------------- --------"S1/2, NW1/4, SE1/4, NW114, NW114, S1/2, SEC. 25, T12N, R3W WELL AND SEPTIC SITE PLAN FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JUNE, 1999 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. ( Rye Roca! Tf� 3 S &-dr_h avcs✓ !n I� 7e 4 • Municipality of Anchorage Department of Health and Human Services i Rick Mystrom. 825 'U Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 http:!/www.d.anchcrage.ak.us July 27, 1999 Ted Moore, PE Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for T12N R3W Section 25 S2 NW4 SE4 NW4 NW4 Waiver Request #WR990042 Parcel ID #017-421-21 HA990288 Dear Mr. Moore: Your request for a waiver of the required 100 feet horizontal separation from the absorption field to private well has been approved. The approved separation distance is 8 5. 0 feet. This waiver approval applies to the existing absorption field to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On -Site Water Quality Program J MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# , L4 PID# 017-421-21 HA# HA990288 Permit # Date Received: July 9, 1999 Legal Description: T12N R3W Section 25 52 NWk SEk NW',, NWk Engineer: Ted Moore, PE, Flattop Technical Services 14530 Echo Street, Anchorage, Alaska, Alaska 99516 Applicant:' Helmuth & Gisela Port Waiver Requested: Private well to absorption field to 85 feet Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: __ Waiver is NOT Granted: List Conditions or Reasons for above: AFF ATfarLlFti Date: 7-27—Y1 By: joxy Name of Reviewer Rec #: 04978/6497 Amount: $ 920.00 Date Paid: July 9, 1999 4 , , WI+IVER REQUEST FOR T/2N ITSW WX}IvER REgwg$r NUMBER WRI1,4042 • WAIVER REQUEST FOR LvBLL TO Aj$'XPTIav f/ELO of 8S FEE% SEPTIC A97-04- 5FprIC (a+vSlSrf OF .9 r4M/� fl 5T fPJ?OM wELc 6RA0vDF.4r.L/EJPEOj www X Cleto 6T FEEr Fffla� THE WELL AAvp TKE NE[•F_ IP xxx Unwin 'noo TI257NCM 8S FEF7 FROM 7 -ME I✓EL, IPE 4vv)P/v6 N wp/✓F_R,. 77N6 A Aric �N aaa I$ LOC*7-150 Dok-M 6)e*VMvT FRPM rleF_ tvELL is QuEfrov D/v �7 SLOPr_° N N N NNN of tS"IO. T -YE WASTELvATE,Q S-jrtM C'9/8 T/9AIi'l ffo?VE BEEN IN PLIylE WOIfK SINGE 7ME E%3/QL.Y (OJ ANO THE L..FLL *LSO I•I►J IN A)OCE WIrA/ ,va AIEL INP&CT ro THE WELL .4ccOR0/4,6 1'0 P#ST 1 ,fEcENT Lvj7r-,f 7'EsrR[-SL 0 L PAM - Tka wELLf /N >K/s AREA ARF OEPROCk YELLS, %�!E/PE 9R6 AM WELL LobS To I%F_rERILLINE fo/L�Bc�OROU( i/6/?/70Nf. THE fTNT/c 6..i97E/e _iG-✓EL_f IQ'RE WELL BEcow THI: OC61NNINb of 9EPRock /41D1cgr/N0 rjolA ME FIRST FRACTURES SkPftrING lv*TC2 ro TME WF_Lt /*RE DEEP I>v7v 71-6E BSOI?Oc< 9N0 /1I0 Lv►jTEg /S ENTEI?/Nb r/,f6 L-F_LL FRo* Tl[E C�4S/Nl./0601eoCIr 4NTE1?FACE Ar gpjORDxlM4rs'L; 2s� ET• 1v,4Wa /w01csf-7-E TN&r No coL-IFORti q.RF PRC s Fwr #Ae)2 /. C? NI rl? If r5 S Ex I s 0 %J S, of P. A E, C. S: p W. 6. fat PCI • Wq7-" TA6CE G y' sw( - l3 �fysrcK »EirN s`6 , 4:r W W W O/L 50R97I0N _W W_ _W "" "000 R53uNE Bfl'%Rock 9T Z�' " 2,0 'a GM /SILT TU BE17�QvCl1 3..5 a'a r r ri nnn P� sQ PERM��4Ba,ry z z WA'rF,R TAlgtF_ 6t.40IFNE SR Ul'E OF 8EOQ0lk 4.5- t- 5' ,StS RIZONrAL SEPAKRTION l0 Y:- .4f 2 COlv<Lk f ioN G 12 /4rvT c,.1 -'Il yr--� 0 o/ T'OTFY L l% S %� CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 July 9, 1999 M.O.A. DHHS — Attn: Dan Roth P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Roth: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 XKEIVEb JUL 0 9 1999 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION By means of this letter I am requesting issuance of a waiver allowing portions of an existing soil absorption trench to remain 85 feet from the well on the same lot, instead of the normally required 100 feet. The legal description of the property is the S '/2, NW '/4, SE 114, NW '/4, NW '/4, Section 25, T 12N, R3 W, S.M., and the 3 -bedroom residence on it is located at 12641 Rya Road. This waiver request will supplement the HAA application submitted June 18, 1999. A site plan, water sample test results, well logs, pumping receipt, sketches, and copies of other relevant information from your files are enclosed to assist you in your review and evaluation. As we have previously discussed, and as described in my earlier letter to you dated June 18, 1999, other components of the wastewater disposal system are closer to the well. However, these other components have "grandfather rights" allowing them to remain as close as 50' from the well because they were installed in the early 1960's. Please refer to my June 18 letter for a detailed description of the septic system components and my adequacy testing procedure. As shown on the enclosed pumping receipt, Isaac's Pumping Service reported the capacity of the septic tank to be 1200 gallons when they pumped it on June 18, 1999. At my request, the property owners dug a hole by hand down to expose the concrete cover of the seepage pit. This allowed me to verify that imported sewer rock extends over the top of the seepage pit to a depth of 2 feet below ground level. Thus, the seepage pit would not be operating in a surcharged condition until the fluid level is less than 2 feet below ground surface. A sketch of the soil configuration over the pit, which was drawn by the owner, is enclosed. As we agreed in our telephone conversations on June 29, the adequacy of the wastewater disposal system is demonstrated by the measured absorption rate within the 1962 concrete ring seepage pit only. Because of the seepage pit's age no waiver is necessary to allow its continued operation. You informed me that because the soil absorption trench was installed after the required separation distance increased from 50' to 100' it had to either be formally abandoned and disconnected from the rest of the system or a separation distance waiver obtained. In order to maximize the potential for future longevity of the system, the property owners elected to repair the connection between the seepage pit and the trench and to apply for this waiver allowing the trenches future use. To accomplish this, on July 8, 1999 A+ Home Services installed anew 4" diameter D-3034 pipe connection between the two components. An insulated overflow was installed at 2' below ground level in the seepage pit standpipe, and that was connected into the horizontal distribution pipe in the trench in the location shown on the site plan. Although no driller's log is extant for the original drilling of the well, a copy of the log for the 1979 deepening of the well is enclosed. The deepening from 78' to 230' was all in bedrock. According to this log the yield at that time was 1 1/2+ gpm and the static water level was at 80 feet. During my adequacy test on June 14, 1999 I measured the static water level to be at 69 feet and the yield to be 1.35 gpm. Two other well logs in the immediate area (enclosed) indicate that bedrock depth is in the vicinity of 16' — 24' below ground surface. The following is a breakdown of how waiver analysis points could be assigned using D.E.C.'s 1985 "Separation Distance Waiver Guidelines for SCRO" Category Points Distance to water table (69' — 13' = 56') 5.35 Soil Sorption (based on GM reported in soil log) 2.5 Permeability (based on GM reported in soil log) 2 Water table gradient (assume +5% parallel to ground surface) 4.5 Horizontal separation (85') 2.4 Total 16.75 Based on this point assignment it appears that the waiver can be safely granted without concern as to contamination of the well due to the proximity of the trench. The fact that no coliform or other bacteria were encountered in the water sample after 35+ years of system operation indicates that the contamination potential is low. The fact that the trench is located further from the well than other "grandfathered in" wastewater disposal system components also supports granting of the waiver. Any efforts you can make to expedite the completion of this waiver process and issuance of the previously submitted HAA certificate will be most appreciated. Please feel free to give me a call if you have any questions on this submittal. Thank you for your assistance. Sincerely, ,� Ted Moore, P.E. I I I I I LOT 2A ZERKEL S/D NO WELL WITHIN 100' OF SEPTIC SYSTEM 1976 CONCRETE RING TRENCH SEEPAGE PIT UPGRADE INSTALLED IN 1962 (36' LONG W. 9' GVL.) — - --- Roo ----- w — —___—_ GRAVEL DRIVE p j m—-— -—�— --- O 1962 WELL ',(DEEPENED 1979) c ®� �e0000000••as.o p 'o TMODOR£ F. mOORE y+° CE — 3589 s i+L � �p0 SEPTIC SYSTEM IN THIS AREA �� WELL 1000+ GAL. CONCRETE SEPTIC TANK INSTALLED IN 1962 LOT 2 MORINO S/D SEPTIC SYSTEM >100' FROM WELL r rr Ai 1 r ` rG MUMv j Sgptember jSven. C _ :=C'IGN r i';vlf v'Yt ...: r. fflbG `,iVi!c' ON FOR AP. ROVtki rJ iidD[ rrf r q! ._,. �.. l� a r__� AND I D. t - CTIGW , .. o.,s all P.. r r. Irermp c e reGup�¢ t ! net I;e orors it. r_. .. aJ "n 'J')) :;.V> °RUNE Paul M and Sandra Y Umlauf Home 344-8356 WO 272-_2461 lus SRA Boa 2385 C, Anchorage, Alaska 99507 NHN Rya Road --- ---- - ---------------------- ,:.aJT (If ! f, :. r•c _._—___7_ __._—_—____. Refinancing th-i-s._prqperty_.SAME___ La Vt . 114;=J L; ;. c„ 14P,!�.I P13 AiIDFE-S, S 1/2 of NW1/4 of S& 1/4 of NW 1/4 NW 1/4 S25, T12N R3W, SM ----- ---------------------------------------- STP:EEi LGc ;Tio"a---------- NIN Rya Road SINCLF FARMLY _J Mi;L-fIPLE FAh.4!I_Y ,. J'dA.T F;i SLS FLl' MM hIl D!VIOUAJ Cob'MU.", TY '05i.Mi c! ITY MSeCJA'. c. 0;57U AL SYS, Frl 74%I{ IUC:IVIDU- C__I PU F; 1_ I C,; l i L. f 7Y 1-3 on(! [.J Four ❑ Other $S T.vo a Five O Tr,r�e 0 six sinceJure 1975. For . ieilsdrubj filler to i! tdatcc:vivrclf ^ih (attach Icg if availab!e.] �- I�!Grl Vld 3IIpt1 31Tc �:IrSrci. i,i OI) liate _ .f Wst�!!' is over t ,o (2) by this peparmrn't. NOT!': TRL !14SPEcT1r N FILE PMUST ACCO '1PANY LACH i-EOUEST HHFCP C P:,Gr"F.":S T, C,:�:J >ti INI-CIA. l -'—v' i201 L)W)/ } la 1� { p t c,) li I L4 1 `i