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Home My WebLink AboutTALUS WEST #1 BLK 5 LT 10 ,~ MUNICIPALITY OF ANCHORAGE " DEPARTMENT OF HEALTH AND HUMAN SERVICES · Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Na,~e DISTANCES JACOB g/.LMARAS 1172~ WILbE~NES5 BR. ANC~ ~ SEPTIC ABSORPTION Addr~ TANK FIELD WELL Phone(s) Permi[ No. NO. o~oo~ WELL q00153~ 27~-172~ L~AL OESCRiPT,ON LOT LINE J O I TownshiP,sEcRange,~2 iSecti°n ~J2 ~, R~ driveway, water bodies, picAS'BUILT DIAGRAM (Sho~a~ocaron of septic system, property lines, Ioundalion, / "' N TANKS , >.. ~ 8EPTIO ~ HOL~IN8 / . Manulacturer Capacity in gallons ~/ ANC~ORA6E TA~K lO00 ~ / Total absorption area&80 SOFT )istance between ,ines~ F~ / ~ ~! Number of lines Soil rating Pipe material ~. ~/0 , ~ ~ ~ / / ~ PRIVATE ~ OTHER {Identifv) / REMARKS: 9Y5TE~ INST~LLED PER ~ gFPRovE~ DE ~I6~ , No G~OuNb~TE~ ~ ~ ENCouNTERE~ DURinG CoNsTR~cTIO~, Inspection~ , ~~ ¢ '/'~ cedily that this ,nspe.i0n was ped0rmed according HeaLth Depadment Approvnlj/ Date' ~, 72-013 (3/85) :[ C:!iiI::U[ 1: F: Y 'i'H(~'I ~ J,, :!: ?::~m {~;un:i.].:i.~:'.u" ~?~J.'~..fq 't'.hE;' r'(:~!CItAJ. PE!f]iE!I'I'[:.!]~ [(:ii" (::)r~'-E~¢.'~'.¢':) E;('~)B*],~i'E~ ~E~f'/(::! ~(.{):[].~i a~fi!; :3:, :1: ~J].]. a(::l!"~ce?(,,~ i'.(::) a.:l.] Iq[]:l~ ar'i(:} EH..a'kE~ (::if' F>~:f.;:~t::a PeqL.t~.t,(emE)r~'k~ f',::)P '[..h~.;~ !sca~:. THEODORE F. MOORE, P.E. PH: (907) 345-1355 CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS .June 1, 1990 14530 ECHO ST. ANCHORAGE, ALASKA 99516 Susan Oswalt or "J'o~,,~ 5',4f/~ M.O.A. Dep't. of Health and Human Services P.O. Box 1%6650 Anchorage, AK 99519 Dear Ms. 0swalt: Per your stipulations we have completed a thorough groundwater monitoring program in coniunction with the septic upgrade permit which we requested last December for Lot 10, Block 5, Talus West S/D # 1. The following data refers to the depth below ground level to groundwater in both the original T.H. # 1 monitor tube installed in November '89, and a second monitor tube installed on 4/24/90 located approximately 10 feet east of the original tube. Date: Test hole # 1 4/24/90 Monitor Tube 3/26/90 Dry 14'- 10"+ 4/6/90 Dry 14'-10"+ 4/11/90 Dry 14'-10"+ 4/19/90 12'-2" 4/24/90 IY-9" 4/26/90 14'-2' 5/1/90 14'-7" 5/10/90 14'-8" 5/29/90 Dry 14'-10"+ 11'-8' 13'-0" 15'-1" 15'-Y' It is my opinion that this data demonstrates that the sand stratum proposed for utilization in the design submitted last December is not subject to seasonal saturation by groundwater as you had been concerned. I believe that the few observations, over a timespan of approximately one week's duration, where water was encountered shallower than 14 feet can be attributed to localized overloading of the monitor tube due to snowmelt concentrated by the depression created at the time the test holes were dug. As a further factor of safety, we are prepared to increase the amount of sand fill in the excavation to bring the bottom of the gravel up to 9' below orig. ground. If you concur with this analysis, we would appreciate your prompt issuance of the requested permit, with a notation regarding the revised depth to top of the sand, Sincerely, Ted Moore, P,E, cc: Carol Douthit - ReMax Properties THEODORE F. MOORE, P.E. PH: (907) 345-1355 Susan Oswalt M.O.A. DHHS P.O. Box 196630 Anchorage, AK 99319 · SERy $!i CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS February 8, 1990 14530 ECHO s~r. ANCHORAGE, ALASKA 99516 Dear Ms. Oswalt: The following responses correspond to the items discussed in your 2/6/90 memo to me regarding the requested upgrade permit for Lot 10, Block 5, Talus west S/D. 1. As noted on the soil log for T.H. #3, no groundwater monitor tube was installed at the time the test hole was excavated because the purpose of the test hole was only to confirm the lateral extent of the proposed absorption stratum of SP material. This test hole was not as deep as T.H. # 1, so I did not feel that monitoring would be particularly meaningful, and the proposed soil absorption bed lies entirely within a 30 foot radius of T.H. #1. 2. As we discussed, the SM layer noted on the log for T.H. #1 would have a very slow percolation rate, and is not proposed for use as an absorption stratum in this design, so there should be no reason to conduct a percolation test of this stratum. 3. As you have pointed out, the wastewater disposal ordinance specifies that a subsurface disposal field should be located 2X the gravel depth from another subsurface disposal Held. Based on the gravel depth in the original trench, this criteria would require a 24' separation, if blindly applied to this situation, and would virtually eliminate the remaining useable area on the lot. However, my test hole data indicates that the surficial soils down to approximately 11 feet have little or no percolation capability, which means that the effective gravel depth in the original trench is much less than 12 feet. Presumably, the separation distance refered to in the ordinance is intended to cover the situation of parallel trenches of equal depth, allowing for a zone of contamination spreading outwards from each at a 45 degree slope downwards. In this situation the' effective gravel depth in the proposed soil absorption bed is only 0.5 feet, leading me to conclude that the 5 or six foot separation proposed in my original design would be adequate to ensure clean absorption soils. Certainly, I observed no evidence of contamination in the soil excavated from T.H. # 1, located approximately 8-l 0 feet from the original trench. I interpreted the dry nature of the sand encountered in the bottom of each of the test holes as evidence that the original trench failed not because of a high water table, but rather because the amount of effective absorption area penetrating into the deep sand stratum was grossly undersized. Based on the above rationale, coupled with my interpretation of your wishes, I have adjusted the design configuration to a 17' x 40' shape which allows an equivalent area with a 9 foot separation distance between the two systems at their closest point. These changes are noted at the relevant places in the design documents, 4. As discussed above, groundwater monitoring of T.H. #3 is not feasible. We have already agreed to provide groundwater monitoring of T.H. # 1 thru breakup prior to construction, In light of the fact that you have stipulated as a condition on the HAA certificate that the upgrade must be completed by June 15, I do not feel that groundwater monitoring thru May 30 will allow sufficient time to mobilize an excavator and complete the construction by June 15, so I am requesting that the groundwater monitoring period terminate on May 15. ~ If these responses to the items cited in your memo meet with your approval, I would appreciate your issuance of either an upgrade permit with appropriate stipulations, or a letter stating that the design is approved for issuance of a permit pending satisfactory results from the additional groundwater monitoring. Either of these will allow us to request bids for the work from contractors with some certainty of the design configuration. Please give me a call if you wish to discuss this further. cc: Jacob Almaras Sincerely, Ted Moore, P.E. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PRO'iTECTION RECEIVED koT ~$ _~ t~PT / ¢ 1-07' I0 LoT~ ,F/attop Techn~eaI Sezv 14530 Echo .Street , ~c. horc~ge, Alaskc~ goT' ~o,. BI.,oc~ K ~i- A L C~ 5 1.v' ~ 5 7' .5 / D _¢C,41.-E: I" ~--qOf l~oT~', TtHS tS 1~o7 let ~c~Rf/~ yE~I> h I.L LOCATION-,,c ~4I'?Raa PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 .... L Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATI~pN=:T~ST -C~7' Ho~ '~fl ~acob LEGAL DESCRIPTION: L, lO) ~jj ~"a(u.~ ~./~-~t -~/.D Township, Range, Section:S~c /~/~ £,/'7 Hi- _ Y ~c~,~? .Cdt 1 2 3 4- 5- 6 7 8 -- 9 10- 11-- 12 13 14 15, 17- 18- 19 2O WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? DeoIh to Water Afler Monibring? Reading Date Time 1:17 It'll 1t¥7 Time Depth to Water Net PERCOLATION RATE ~ ~'0 (minutes/inchj PERC HOLE DIAMETER TEST RUN BETWEEN ~ ~ FT AND ~ "?'.-~" FT COMMENTS ~o~l~r ~ ~ /~ ~ b~ ~o1~ ~ ct~f~ ~ not~. P~R~OR~O ~: ~l~fMp ~,~ ~ee~er ~ ~ ~ C~RT~ mAT TH~S ACCORDANCE WITH ALL STAT~ AND MUNICIPAL GUIDELINES ~N E~FECT ON THIS DAT~. DATE: _~ 72-008 (Rev. 4/~) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATIOJ~ST ~' "· -% r v LEGAL DESCRIPTION:, L IO~ 0-'~ "f'~:~(~z,t' ~---/E~'~ -~/~) Township, Range, Section;, 3" ~ -s",/~7 ~]* SLOPE )lSITE ,, 1 t~l. $,r+ Ioa.~ / ,/ ~ ~ '~_ /.. 2 . / 4 / ~ ' ~ I 10 - WAS GROUND WATER ENCOUNTERED? 11 12 DEPTH? 13 14, SP l:)~y 15 G. ti 16- 17 18 19 20 Dep[h lo Water After Moniloring? Date: Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE __ TEST RUN BETWEEN -- (minutes/inch) PERC HOLE DIAMETER FT AND , FT /e~ ~oo~' '/~,~ '~ 72. t/. ~ / ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, 72-008 (Rev. 4/8,5) CERTIFY THAT THIS TEST wAS PERFORMED IN . DATE: It /~ t/~ PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATI~i~rEST 'F~=~T' Ho~~ LEGAL OE$CRIPT(ON;, ~.~ I0~1 ~ "~C~.(C~' ~/~,J'~ ~/~ Township, Range, Section:~c SLOPE iI~l SITE PL ~ 1 2~ 6- ~at~,~y x~lh 7- 10 11¸ S t'lcaked ~2- s,l~y WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH;) Oeplh Io Water Aller MenitorinD? Dale: Reading Date Gross Time 17 18 20- P E Net Depth to Time Water Net Drop PERCOLATION RATE TEST RUN BETWEEN _. (minutes/inch) PERC HOLE DJAMETER -- -. FT AND ET PEflFORMEDSY: ~[~e ~C~.,¢~ freeD,fei ' ~~ CERTIFYTHATTHISTESTWASPERFORUEDiN . ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: II / 72-008 (Rev. 4/~) -" P L A ^1 FIE ~ "A -A" _Flattop Technical Servic~ 14530 Echo Street -~nchorage, Alaska 995~. $OII- ?I..A N ~r $c.~t.,~.' I"--,,~'-.On', DAV~': iZ/IJE~? D~'N, ~.' TPt"f Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Lot 10, Block 5, Talus West S/D 11725 Wilderness Drive Septic System Upgrade Design Notes & Specifications 1. All construction materials and practices shall be/n accordance with Municipal regulations. 2. The septic system upgrade, consisting of a new 1000 gallon septic tank and new soil absorption bed shall be configured as shown on the site plan and design drawings, except that minor modifications may be allowed or required by the engineer conducting the inspections. 3. The soil absorption bed size is based on a visual soil rating of 150 square feet per bedroom for the deep sand stratum. For a 4 bedroom residence a total absorption area of 3 x 150 x 1.5 = 675 square feet is req'd. This is accomplished by a bed having dimensions of ~ tv, ~ ~' ,t. The bed shall be prepared by excavating the overlying silt strata down to the top of the clean sand stratum located approximately 11-12 feet below ground surface. Imported medium sand shall then be placed on top of the undisturbed native sand to bring it up to a level surface at an elevation of 10 feet below the original ground level in the vicinity of test hole #1. 5. A total of 12" of approved sewer gravel shall be placed on top of the prepared sand surface. Non-perforated manifolds and perforated distribution pipes, configured as shown on the design drawings, shall be laid level (within 0.1') with the bottom of the pipes at least 6" above the bottom of the seWer gravel. 6. Monitor tubes and cleanouts shall be installed as shown, and the entire top of the sewer gravel covered with approved filter fabric prior to backfill. The silty material excavated from over the sand stratum may be used as backfill material, and the final surface shall be at least one foot higher than that of the surrounding terrain and graded to promote ready surface drainage around and away from the soil absorption bed. The contractor shall provide neatly graded final surfaces, but any topsoil or seeding shall be the responsibility of the new owner. 7. The new septic tank shall be installed on undisturbed earth adjacent to the location of the existing tank which shall be crushed and .Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 backfilled. The standpipes for the existing soil absorption trench shall be removed. 8. Five inspections will be required during construction: (1 } Initial stakeout, (2) after the bed site is excavated, but before placement of sand, (3) after placement of sand, (4) after the gravel is placed, the pipes are installed and connected up to the new septic tank, but before placement of the filter fabric and final backfill, and (5) after final backfill is completed. 9. The contractor shall be responsible for arranging for the necessary utility locates and for working around any utility lines encountered. ANCHORAGE AREA BOR .JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTI.,ON LOCATION ~ I~'~/"/~" REPORT ON-SITE SEWAGE DISPOSAL SYSTEM __ MAILING ADDRESS ~/"~ g'~'~--i~X"2'~"~'g"'~'~-"~ PHONE SEPTIC TANK: DISTANCE / FROM WELL INSIDE LENGTH MANUFACTURER __ COMPARTMENTS INSIDE WIDTH_ LIQUID DEPTH LIQUID CAPACITY/'~ALLONS, TILE DRAIN FIELD: /) / TOTAL LENGT~.~ / DISTANCE FROM WELL /~ ~'FOUNDATION. NEAREST LOT LINE O'~ OF LINES / NUMBER OF LINES / DISTANCE BETWEE~ GINES~ TRENCM WIDTH ~ IN. TOTAL EFFECTIVE ABSORPTION AREA ~7' SQ. FT LEN&H OF EACgLNE DEPTH: TOP OF TILE TO FINISH GRADE 3'- / DEPTH OF FILTER MATERIAL BENEATH TILE / ' IN. ABOVE TILE IN. WELL: TYPE_ ~ 21 CONSTRUCTION. BUILDING NEAREST FOUNDATION__ LOT LINE CESSPOOL _ OTHER SOURCES APPROVED-- DISAPPROVED NEAREST SEPTIC SEWER LINE TANK__ REMARKS DEPTH DISTANCE FROM: ~ SEEPAGE ~ ~)~, SYSTEM /O'¢2 ~/-- DISTANCES: INSTALLED BY:~'~ SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM Form £~-032 F'ERMI T NO. RPPL l C:F:IN T L. OCRT I ON LEGRL DICK HRIGHT ]'~L U S B,R. I VE L±E~ B5 TRLIJS WEST ERR BOX ±585-fl RNCHORRGE 244-42:1.4 LO]" SIZE ±76~:4 SQURRE FEET 'T'¢PE OF SOIL RBSORB]'ION SYSTEM IS: TRENCH MRXIMUM NUME:ER OF BEDROOMS = 4 SOIL RRTING (SE! FT,,'BR)= 25C~ -['HE REQUIRED SIZE OF THE SOIL RBSORF'TION SYSTEM IS: THE LENGTH DIMENSION IS ]'HE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEi_[:,. THE DEPTH OF R TRENE:H OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND FIN[) THE E:OT]'OM OF TME ENCRVRTION (IN FEET). THEF,'E IS NO SET HIDTH FOR TRENCHES. TIdE GRFIVEL DEPTH IS THE MINIMUM DERTH OF GRR',,,'EL BETWEEN ]'HE OUTFRLL F'IPE RNB, THE BOTTOM OF THE E:qCR',,,'RTION (IN FEE:T). EITHER R C:LRSS I OR II NSF RPPROVED F'LRNT MR'¢ BE INSTRLLED. R CONTINUOIJS MRINTENRNCE FIGREEMENT IS REQUIRED. IF R HRINTENRNCE FtGREEMENT IS NOT I<EPT CLIRRENT "r'OU MR"r' BE REg!UIRED TO ENLRRGE THE SOIL RBSOR. PTION S'¢STEM RN[:',."OR 'T'OU MRY BE SUBJECT TO PROSECUTION. I_.LH-,_, IF FI -' ':': I S'¢STEM IS USE:E:, THE LENGTH tSfl-~ IF FI ..:I..FISS II SYSTEM IS USED THE L. ENGTH'~-"- -'" --~S 3.8. Cl ......... FEE~___ E',RCKFILLING OF laNk' S~'STEP1 NITHOUT FINIAL INSPECTION Fff,Ib RPPROVRL Btr' THIS DEF'RRTMENT WILL BE SUBJECT TO PROSECUTION. i'dlNIMUM DISTRNCE BETWEEN R NELL FIN[) RN'¢ ON-SITE SENRGE DISPOSRL S'¢S'T'EM IS ~.E~EI FEET FOR Ft PRI',/PtTE WELL OR 2~1¢._J FEET FOR fl PUBLIC bIELL. HELL t_OGS FIRE RE(.]UIRED FIND MUST E,'E RETURNED TO THE DEPRR. TP1ENT HITHIN ]:EI OF THE b. IELI_ COMPLETION. SPEE:IFIC:RTIONS RN[:, F:nN':;TRI ..... CTIL]N DIRGRRMS ARE FI',,~'C~ILRBLE TO 'IN:.,~RE"'II, F'ROPER ' I NSTRLLRTI ON. " F"EE F-:.'[-.1 :[ ]"" "..."RI_ ][ [:, FE, R ,.]~1'-,~ E "~"EF-IIF-: t:-~;::[-)F~ ][ I CERTIFY THRT 1: I RM FflMILIRR WITH THE REg!UIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH B"r' '['HE MLINIC!PRLI'P'r' OF RNCHORRGE. 2: t WILL INSTRLL. THE S'T'STEI'4 IN flCCORE:'RNCE WITH THE CODES. 2:: I L.INDERSTRND THRT TIdE ON-SITE SEHER. S"r'STEM MR"r' REC..!UIRE ENLRRGEMENT IF THE RES I [:'ENC:E I S~"IO[:'ELE[:' HF [-L I _.;qN F [,. i,_ Well Owner DRILLING, INC. DRILLING LOG Use of We]] Location (address of: Township, Range, Section, if known; or distance main road Size of easing_ r ~ ' Depth of Hole Static water level" ft. (abOve) Screen ( ); Perforated ( -' · feet Cased to ' ' feet (below) land surface. Finish of well (check one) ). Describe screen or perforation Well pumping test at gallons per of drawdown from static level. Date of completion '~ ~""/'A'; open end ( (minute) for hours with :L · WELL LOG Depth in feet from ground surface Give details of formations penetrate& size of material, color and hardness ft'~.: · TO TO ' TO. TO_ TO_ TO TO. .TO_ TO_ TO_ TO. TO- TO. 'TO. TO_ Certificate No's. 814 & 973 2 ~ STATE 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 RECEIVED APR 15 ~ i~gNJL. JrALI'I¥ OF ANCHORAGE , ~[~JVIlJONmcm ~ ^~ ~:~VICE$ DIVISION CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# 1. GENERAL INFORMATION Complete legal description HAA # ~,~'~ O~ Location (site address or directions) Property owner Mailing address Lending agency Mailing a~ddress Agent Address Day phone ,.~/,~:-//~ Day phone J4/~¢¢_S ~u/~--Ol~T~'fvF~ /~,Z-o,~t~¢~' Dayphone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ v TYPE OF WATER SUPPLY: ndividual well Community well Public water NOTE: 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-O25(Rev, 1/91) Front MOA#21 "~. ~',.~ ~TATEMENT :i OF INSPECTION BY ENGINEER As cedified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of struetuCe 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 Alaska Water~ Waste~w~ 7320 E~C~er~s. ~r~le Phone Address Engineer's signature (~~ Q~ Date DHHS SIGNATURE ? Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date The Municipality of An~:~orage Department of Health and Human Services (DHHS) issues Health Authority Approval Cedificates 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 ecu rtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Emptoyees of DHHS do not conduct i~spections 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. RECEIVED Municipality of Anchorage DEPARTMENT OP HEALTH & HUMAN SERVICES Environmental Services Division · _ MUNICIpALIT~ 825 L Street, Room 502 · Anchorage, Alaska. gg501 (90E~~SERVICE$ DiVISiON Health Authority Approval Checklist Legal Description: "~I--CLS ~/,!~q~'T ,~ /.Z~71O~ J~/~'~ Parcel I.D.: A. WELL DATer Well type Log present ~4) Total depth Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~ ¢ Casing height (above ground) )~ t~L Wires properly protected .~/N) Date of test Static water level Well production FROM WELL LOG g.p.m. AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform /~ Date of sample: Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed Foundation cleanout (~N) Date of Pumping Tanksize /Cd (.CRC Number of Compartments (~ Cleanouts4~N) .Y~' Depression (Y/~) /~Jo High water alarm (Y/¢ Pumper ABSORPTION FIELD DATA Date installed /o/~/¢~ Soil rating (g.p.d./fF or~ /~(~ System type Length L/0' Width / ,~ i Gravel thickness below pipe Total depth Effect ve absorption area ¢~O-q~ Monitoring Tube present ~N) ¢~- Depression over field (Y/~_~_ Date of adeouacv test ~ - ~-?~ Results (Pass/Fail) ~ For J~ bedrooms Fired depth !n absgrgtlon field before test On.); % J Immediately a~er__ gal. water added (in.): W~T l Fluid depth ~" J~" Ons) Minutes later. ~ ~/~. Absorpbon rate = ~ ~ g.p.d. Peroxide treatment (past12 months) (Y¢ ¢¢ ~¢E~ Ifyes, givedate Manhole/Access (Y/N) High water alarm level at* Size in gallons ~ __ '"'~Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main /~J/~ Sewer/septic service line On adjacent lots /IlO ~/ on adjacent lots /¢~ '~ Public sewer manhole/cleanout ~/~//~ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~qL Property line /6 "/- Absorption field Water main/service line J 0 ~-f ' Surface water/drainage ./(]0 4' Wells on adjacent lots SEPARAT ON D STANCE FROM ABSORPTION FJELD ON LOTTO: Property line /0 ~kfZc,"E¢/ Budding foundation /0 ,eL Water main/service line Surface water /00 "~ Driveway. parking/vehicle storage area Curtain drain //~o~,,~ ~,r~q~,o. Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that It~ave determi~d thru field inspections and review of Municipal in conforma/~ with MOA~AA/g~¢~el/n~s.,'n effect on this date. Engineer'~/ame ,,..~ ~¢¢ G,~ ~ HAA Fee $ ,~. ('?("~,~'O Waiver Fee $ Date of Payment ~ \~..c~% Receipt Number Date of Payment Receipt Number 72-026 (Rev. 3/96)* Alaska Water & Wastewater 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers April 15, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: HAA for Private Well & Septic System. Lot 10, Bk 5, Talus West S/D. To whom it may concern: The subject lot has a 3 bedroom house on it which is served by a private well and septic system. The results of the field investigation and adequacy tests are summarized as follows: A. WELL: On April 7, 1998 the static water level (SWL) was measured at 28 ft. below top of casing (BTC). A flow meter was connected to the water system and the flow turned on full. After pumping for four hours and 17 minutes a total volume of 1218 gallons was pumped from the well and the SWL had dropped to 55 ft. BTC. Based upon our test results, it was determined that the well produces approximately 4.7 gallons per minute, which exceeds the Municipal requirements for a three bedroom dwelling (0.31 gallons per minute). This flow rate cannot be guaranteed, subsequent variations can occur. B. SEPTIC SYSTEM ADEQUACY TEST: The leaehfield is a 17 foot wide bed, which is 40 feet long, and has an effective depth of 6 inches (per the 1990 inspection report). Prior to adding water to the leachfield, the system levels were measured and recorded. Both monitor tubes were found to have 5 inches of standing liquid. However, it should be noted that the owner had the tank pumped five days prior to our inspection. Consequently, it is possible that the leachfield might of been over 90% full had the septic tank not been pumped prior to testing. A total of 458 gallons of water was added to the leachfield causing the liquid levels to rise to a depth of 8 inches in both monitor tubes. All the water introduced to the leaehfield was added through the monitor tubes. The liquid levels within the leachfield were measured through the monitor tubes before, during and after the introduction of the water. (see adequacy test data). Approximately 24 hours after adding the water to the drainfield, a liquid level of 4 inches was measured in both monitor tubes (1 inch lower than the pretest liquid level of 5 inches). This lower liquid level could be an indication that the perforations in the monitor tubes may have been slightly plugged prior to testing and then became unplugged as a result of adding water through the monitor tubes. 'Based upon this data, it was determined that the absorption rate of the leachfield meets the absorption requirements for a three bedroom system (450 gallons per day). NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seisu~ic activi(y and deteriorate with age), ~ype of substances deposited in septic aystem (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected No warrantee is made regarding the future performance of this well or septic system If you have any questions, please contact me at 337-6179. Williams, P.E. Civil Engineer 12.'61 ~ql5 +/cz -- '-/Se LI~ L_UL$ .t / / / / I / I f / I ,/ / / / / // /; s BL~I¥11YGIII& G£R?IFIClAI'IOll 0 10T GORNIIN$ ---------', ~OUNOATtON ~ DRAINAGE AAROWD NG?EBI l. IT I#Akl. IlK ?#It RIIIJONIIIILITY OP THI ll4JJl, llll Ol OJldlil Tt IUiLIINI F,-OIATION IHOWN IIIITI Aid. lUlIO*VI#IOII ICIVIIIANTM QHIm4NOlI, l, IT II TNI RIIPORIIIILITy OP THI IqILIIH TO ¥IHIPY ALL ¢~IYATIONI WITH IIiIPlGT TO ALL i?lLITlllI I g~NAN, p#ioll TOM APTI# THI PIGINi OP T#1 IIOIIIID PLAT ARE #CBT IHOWM Cs# THli PLAT, , A, TXi INPONNAttON ON THll PLAT II fl# Till Iii OF LINIII#I MITITUTtONI ILATTEO LOT ~#11 O# I&IIMINTI .Tltl PLAT ti NOT 'l'O ,"',D~'N 1~I~ I, , , O#l(. By, BESSIE.EPP$ & POTTS 2220 Lr, 88'th. AVE. ANCHORAGE~ ALAS~ ~,~507 ! ,:,'i ,..,, '..'',. ., '. DEPARTMENT OF HE~LTH&HUMA~ISERVICES .'i · ' "~ ' ' Division'of En~ir~onmental Se~ices - ~ On-Site Se~ices Section .... P.O. Box 196650 ~Anchorage,;Alaska -9951~650 .... . . CERT F CATE OFH~LTHAUTHORI~ APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. ~ 015-202-30 . ~.. ..~, H~ 1. GENERAL INFORMATION ..... ~ ...... ---. ..... '-Complete legal description ": ~ ........ ' ' - - - Tal~ West ~1 - ~t 10, Block 5 L<3catic~n_____.__ (site adi:lress or directions).' ~: ' ' -~ ??..~....~._ 11725 Wilderness Drive . -,i/D,AA~'~' n~n~$ Peter & ~1' ~en~l . Day phone 345-0611 Mailing address 11725 Wilde~ess ~ive, - ~chora~e, ~ 99516 ~,.-~75~'~L_.~:Address 607 W. B~y Su~te.205~.Fa~etd~ _.? NUMBER OF BEDROOMS.. "~.~;~J_2},~..NOTE:.'. If communi~.Well'SyStem, provide'¢~i~en confirmation from State ADEC a~est- ' - ~ ~~,. tng to the legali~ and status of system...'-.,. .'-.,. -C: ,~ ??.-- "~';~:; ')/ ~. - ':' ,_~ ~ .~ ~.} ~3.::~ . · ,;:-, x · ~, ~ ~,) ~, -.Z) . Hodngtank- .~ % ' ~.Publicsewer ~ .... ... -~'~:.~ NOTE: If communi~ wastewater s~,~om, provtde wrt~en confirmatton from Stafo ADEC a~esting to the legaH~ ~d ~tat~S of sySmm~ · ~, : ~' .... ' · 5. '~ STATEMENT:OF INSPECTION~.ENGINEER.:, ' · :~.:..~ ' As Certified by my seal affixed hereto a~dr~S ~f th~ valida~i~n'~ie shown 6~low. I veri~ that my investigation of ~his Health Auth6riW Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and WPe of structure indicated herein. I fu~her veri~that based on the information obtained from the Municipali~ of Anchorage files and from my inves~ation and inspection, the on-site water supply and/or wastewater disposal system is in compliance:with all Municipal and State codes, ordinances, and r~uiations in eff~t on the date of this inspection. Name'6f Firrn-Eagle-River ·En~ineerinq Services Address P.O. Box 773294. Eagle Engineer's signature - 99577 Date ; l:. ti5 The MOni r~a tv 0~,~chorage OePadment of Health and Human So.ices (DHHS) issues Health Author~W,, [ ~pproval Co~ifica~ ~ased only upon the representations glvon re,paragraph 5,above by an mdopondent ~ 'prbfessona ~n~:~[`~gist~r~inth~tat~fA~aska~TheDHHSd~sthm~ac?u~syt~purchasem~fh~m~s :' a~'t~efl~ ending)ns{~tut~ons m order to ~tm~ co,mn f~eral and state r~u~rements, Employes of DHHS do not co~'dUct'.', nsp68t ons o(~ahalY,e data.before a cen~ficate..i~.~ued, The Mqn~ip,a~ 9f Anchorage is not reSpon~ibi~ fo~ errom 0~ 0m!~idns in the Professional e~gin~¢~?ork: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4744 Health Authority Approval Checklist Legal Description: 7~d-/~J ~t-/~<~/- d~/ ~7/-/g9 Parcel I.D.: /~-/~ ~ A. WELL DATA Well type /9/gd//fff-~ If A, 13, or C, attach ADEC letter. ADEC water system number Log present (Y/N) ~/~ Date completed Total depth /{,)0; Cased to ~)c~ / Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC~ TANK DATA Date iustalled Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION ox'//5/95 ~ g.p.m, o~, ~D g.p.m. Nitrate O, ~'~/"46/g-- Other bacteria Collected by: ~/~5 fi(a/9 tY Tmtk size Foundation cleanout (Y/N) )/ff-~ Depression (YfN) fido High water alarm (Y/N) Date of Pumping t~//~/~)¢ Pumper C. ABSORPTION FIELD DATA Date installed t~/~/~ Length Zt~D ~ Width Number of Compartments ~" Cleanouts (Y/N) Y~ Soil rating (g.p.d./ft2 or fi2Podrm) //5 L3 System type / ~ ' Gravel thickness below pipe Total depth Effective absorption area {'fl ~ ~g~ Monitoring Tube present(Y/ho )/~_ Depression over field (Y/N) Date ofadequacy test t")~//~/'~ Results(Pass/Fail) ,Jg/]~oc For ,.~ bedrooms Fluid depth in absorption field before test (in.); 3. ~' Immediately after q't6 gal. water added (in.): q, o -r Fluid depth go Minutes later: g .,F (in.) Absorption rate = ~_c-o g.p.d. Peroxide treatment (past 12 months) (Y/N) fi,//J~ If yes, give date Date installed Size iu gallons Mauhole/Access (Y/N) "Pump on~ve~ High water alarm level at* *~Datt~n Cycles teste~ SEPARATION DISTANCES "Pump off' level at'~-'l~ oo m~ ~ C SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holditrg tank on lot Absorptioo field on lot Public sewer ~nain Sewer/septic service line : On adjacent lots 7-/00 ' : On adjacent lots Public sewer mar, hole/cleanout Lift station /4/~ SEPARATION DISTANCES FROM SEPTICPrlOL:tSI~G TANK ON LOT TO: Foundation '/~ / 0 / Property line :~/(~ ~ Absorptiou field 7~/O Water (0aU~tservice line 'P / ~ ~ Surface water/drainage ?-/~{.) Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Bnilding fouudation Surface water /-/ Water male/service line Driveway, parking/vehicle storage area Wells on adjaceut lots F. ENGINEER'S CERTIFICATION ] certify that 1 hrwe determined thrufield inspectionx and review o in conformance with MOA HA4 guidelines in effect on this date. Siglmture ~~ Engineer's Name {~9UI5 ~)/~./~/ ~ Date ~ ~ / ~- ~ Louis A. ~u/era t CE-6736 HAA Fee $ Date of Payment Receipt Nmnber Waiver Fee $ Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc 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. # C) ~. ~.- ~b~ - ~ HAA# GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone Day phone Day phone 2, NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Commbnity well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site ,X Holding tank Community on-site Public sewer 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 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspeotion. NameofFirm t d~/'2~l,1, r'~.0--~(~ Phone ~--~/~ Address p~--O.~ ~/' / Engineer's signature '~-~ ~,~O~ Date DHHS SIGNATURE '~, Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: 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, 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type ~- Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. Y ADEC water system number Date completed lo, ~.-'7 ~, Driller Cased to cie[ Casing height Wi~es properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow -5' ,. Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot [o_'~ Absorption field on lot I Public sewer main Sewer service line AT INSPECTION 50. o(- ¢~ g.p.m, dc, g.p.m. ; On adjacent lots ;> t c-c> ; On adjacent lots "~ ~ Public sewer manhole/cleanout ~/'~ Petroleum tank h"//~ WATER SAMPLE RESULTS: Coliform '~ Date of sample: i '/,~ l ¢/'z_. Nitrate O. ¢7 ~ Other bacteria Collected by: ~ '~ B. SEPTIC/HOLDING TANK DATA Date installed G/P-~'//~t ° Cleanouts (Y/N) Y High water alarm (Y/N) Tan k size l ~ Compartments Foundation cleanout (Y/N) 7' Depression (Y/N) N//A Alarm tested (Y/N) I J.~o J~t ~- Pumper Avt¢.~ Date of pumping SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /0~ On adjacent lots ~ lOC) Foundation ~'~) To property line > IO Absorption field Surface water/drainage 72-026 (Rev. 7/91) Front CON'rI~IUED ON BACK PAGE C. LIFT STATION ~/^ Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT' STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed Length L~O Width_ I Total absorption area Depression over field (Y/N) Results (pass/fail) ~'~ Peroxide treatment (past 12 months) (Y/N) Surface water Soil rating System type 1~' ~ Gravel thickness O,,'~ Total depth Cleanouts present (Y/N) Date of adequacy test for If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I ~---~ To building foundation On adjacent lots ..~ Surface water 1'~,./.,~ Curtain drain r'Cf, On adjacent lots ~> ! ~ Property line L~ ~L To existing or abandoned system on lot Cutbank 1"4 J,4, Water main/service line Driveway, parking/vehicle storage area 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, Engineer's Na f~ ~ ~¢ l'~ ~-~ HAA Fee $ /7¢ Date of Payment ¢¢..~ 7"~'2--- Receipt Number ~. ~/_.eL ~/__) 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number ~NCHD~GE~ ~L~$K~ 99502-~904 (907) 279-~9~6 SEPTIC SYSTEM ADEQUACY TEST LEGAL: L.et 10~ Block 5 Talus West LOCAT I ON: 11725 Wilderness Drive OWNER: F'ete Odenthal RESIDENCE: Single Family, 3 Bedr eoms WELL: F'rivate~ On Site SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 3 Bedroom System TANK: Anchorage Tank !000 Gal. Two Comparts. ABSORPTION SYSTEM: Bed ABSORPTION AREA: 680 Sq. Ft. SOIL_ RATING: 150 INSTALL.AT ION DATE: 6/25/90 DATE OF LAST PUMPING: Anch. []ess-; F:'eol ,]an. 30~ 1992 DATE OF TEST: ,January 30~ 1992 TEST PROCEDURE: System was inspected and measured. Tank was · Foued with 6 feet of cover and with a liquid level of 48 inches. Bed cleae outs were 9 4:eet deep and dry. Bed monitor!?~ were dry. 400 gallens of clean water was added to the bed while the water levels in the tank aed the moniter tubes were monitored. The water level in ttle tack did eot change, and ne water shewed up in the monitors. TEST RESULT: This system meets the c:ede r'eguirements o~ the Health and Social Services Department o'~ the Mueicip¢:~lity o'~: Aecherage. NOTE ]"he operational life o¥ all septic systems depends on the local sell c:ondi'~ior~s~ greundwater levels that may fluctuate during the year'~ arid the water usage o.F the family being served by the system. ]'hese cortditions are outside the centrol o¢ the evaluator o¢ this septic system. We can ther'eCer'e eot give any eetimate e~: how long this system will function satisfactory for current or ~uture eccupants. 203 ~EST 15TH, AVE~IUE SUITE 20& ANCHORAGE, ALASKA 9%0Z-390'i, (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: TYPE OF WELL: L.ot :l. Ou Block 5 Talus West 11725 Wilderness Dr'ive Pete Odenthal Private~ Single Family WELL LOG AVAILABLE: INSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOG: PUMP YIELD FROM TEST: DATE OF INSPECTION: TEST PROCEDURE: Well 5 Gallons per' hlinute 4.5 Gallons per' Minute January 30~ :1.992 was pumped at a constant rate wh :i. 1 e the drawdewn was monitored ~i t I"~ an acoustic probe. At. the beginning o~ the t. est water' lew~l was ~ound at 25 ~eet belo~ top o~ cas:~ng,, At a p~mping rate o~: 4.5 gallons per minute the water level dropped to 46 ~eet a-Fter 13 minutes o~ pumping and remained at this level ~:or the duration e~ the test~ an additional 90 minutes. A total o.F 4(¥ c)allens were pumped. TEST FOR E.COLI AND TOTAL NITROGEN: Water' was tested ~or E.Coli and tetal nitrogen on January 31u 1992 E.Coli 0. To~al Nitrogen 0.75 mg/1. Max. allowable Tetal Nitrogen 10 rog/1. TEST RESULTS: This well meets the requ:~rements o~ the Municipality o~ Anchorage. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR ~ORE ~HAN FOUR ~OURS The Municipal requirement ~or well ~low is 150 gallons o~ water per bedroom per day~ This well exceed this requirement~ The assess'nent of t:he condition ~)~ t. he w~].l applies only to the conditions as o~ the day 'Eested. The ~low rate may change due to ~ubsur~ace conditions that may not be b.~erved ~r'om the sur~ace~ and changes in the land use and other ~actor"s that may impact the aquifer ~eeding the well. MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Location (address or directions) (b) Property owner Mailing Address (c) Lending Institution ~z~(/m~¢~ Telephone: (home) /~o¢~ ~ ~¢ Telephone Mailing Address ~ O, ~ ox / 0 7 0 Z~., ~ C ~o~ (d) Real Estate Company and Agent ~ ~c~ - ~{ Address ~O ~ ~o ¢~ %~, ~DC~ ~ ¢ ¢ ~ Telephone ~ ~ - ~ 7~{ ie) Mail the HAA to the following address: (or check here [], if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family ~] Number of bedrooms 3. WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status· 4. SEWAGE DISPOSAL On-site ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm F(~/'Ji~j~ ~'-~c/~.4'/¢c~[ _~'~."~¢.~'~: Telephone ~- /~ Address /V~¢ ~c~¢ ~, ~ c ~ ¢~, ~ ?¢~[~ Date ~/Y% ~ /~ ~ Date 6. DHHS APPROVAL / -. Approved for, / bedrooms by ( c,' - Approved ~'~-Disa p p rov~ Conditional Terms of Conditional Approval ,/x.~'A)~-~- The Mu nicipality of Anchorage Department of Health and Human Services (DH HS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev 7/88) Bsck Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) ~ Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: / JCl, /~ T,~; o'~< If A, B, C. D.E.C. Approved(Y/N) Date Completed I0/2/74' Yield ~'5~o9 Gp~4 Depth of Grouting N, Pump Set At UN/<. Sanitary Seal on Casing (Y/N) Well Classification Well Log Present (Y/N) Total Depth IOO Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot Io.5' ' To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line N ,~ To Nearest Sewer Service Line on Lot Water Sample Collected by F'L f~TTOP Depression Around Wellhead (Y/N) NO ; On Adjoining Lots '7/O0 127' ; On Adjoining Lots '71°0 To Nearest Public Sewer Cleanout/Manhole TE'C, fl. ~'C v'~ ;Date 612~ f c/O WaterSampleTestResults 5A'flSF/:ICTOEY: o Co/.iFoel%/Ioo ~, ~ I.O ,4~/l SEPTIO/HOLDIN6 TANK DATA Datelnstalled ~/2~/~o Size ]0OO G Ne. of Compartments 2 Standpipes (Y/N) ~E5 Air-tight Caps (Y/N) ~E~ Foundation Cleanout (Y/N) ~E¢ Depression over Tank (Y/N) HO Date Last Pumped N~M Pumping/Maintenance Contact on File (Y/N) N-A. ; for N .~. Holding Tank High-Water Alarm (Y/N) N. A, Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well I O~' To Property Line lC)' To Water Main/Service Line ~ ~00 To Stream, Pond, Lake or Major Drainage Course To Building Foundation To Disposal Field t > Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed (~/%/o Width of Field iT' Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test J,~'O ~//~'D~N1 Type of System Design Length of Field /¢O ¢ Depth of Field c~ ~ Gravel Bed Thickness I ~ ~o ~0 Statndpipes Present (Y/N) NO Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well 1 2.'/ To Building Foundation TO Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments YE~ To Property Line J 2, To Existing or Abandoned System on ; On Adjoining Lots ~ ~O ~ To Cutback (if present) N.A, '7 /o~ D. LIFT STATION [~ONE Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA gui(J. CSjfz~.~,r~,effect on the date of th s inspection. Company re ~ % .................... ¢ Engineer s Seal MOA No. Receipt No Date of Payment ~ ~ q ~ Waiver Fee: $ Amount: $ . ~,~ Date of Payment 72-026 (Rev 7/88) Back Page 2 of 2 MUNICIPALITY'OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Location (address or directions) I! 7 (b) Mailing Address (c) Lending Institution Property owner ~-~CoG I°t-(l,n ~r~' Mailing Address Telephone: (home) 5- ~- ~-~50~ Business (d) Real Estate Company and Agent Address '~ O'~O O ~' ~f'c,'¢~ -~"~. Telephone ,.Cd' g. - ~r~/ Telephone ?_ 7o'- (e) Mail the HAA to the following address: (or check here [~, if hold for pick up.) List contact person and day phone number below: -T-ed t oo 3 5'- TYPE OF RESIDENCE Single-Family ~ Number of bedrooms WATER SUPPLY individual Well ~] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL On-site [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-020(Rev. 7/88) Page 1 of 2 'HJo/~ s,Jaeu!Sue leUO!SSajoJd eq~ u! sue!ss!mo Jo sJoJJe Joj e[q!suodseJ ~ou s! eDeJoqau¥ J.o/O,!led!a!unL~ aql 'panss! s! e~.eo!~4].lao e aJoJaq elep azXleue Jo suoBoadsu! lanpuoo leu ap SHHQ jo see~oldmq 'slueLue~!nbeJ ale,s pue leJepej u!epao,~sp, es o~ ~ap~o u! suo!~mRsu! 8u!puel deq~ pue sacuoq jo s~eseqaJnd ol ,~salJnoo e se s!q] seep SHHQ eql 'e~SelV jo aielS aq~ u! pe~a~s!6eJ Jeeu!Sue leUO!SSajoJd luepuedapu! ue,~q a^oqe ~ qde~BeJed u! ua^!5 suoReluasa]da~ aq~ uodn glue paseq paiee!Jpaa le^mdd¥,~poq~n¥ qHeeH sanss! (SH HQ) seo!^]aS uemnH pue q~leeH jo luauJiJedad abeJoqouv jo X]!led!o!un~ eq.L leas s,aeeu!Sua aleC] ~:--~/~ leAOJddv leuoB!puoO jo sm JcL leUOp,!puoo pe^oJddes!a pe^oJddv / scuoo~pa~]oI pa^o]ddv '.M,,LI. ~tI~IiSALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) GHECKLIST - FEBRUARY 1984 '~ 343-4744 ~?~ ~ Legal Description: A. WELL DATA Well Classification Well Log Present (Y/N) Total Depth Static Water Level ~ 5'-' Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Y SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line _ h,I,A To Nearest Sewer Service Line on Lot Water Sample Collected by -F'(~'/' Water Sample Test Results .~..~'.~zc/-~,"~ Comments ~ ~- ~";~.~ c~(! Y' Date Completed 10/ ~/ 'rd" Cased to 9¢ Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) If A, B, C, D.E.C. Approved (Y/N) hi,/']-, Yield ~ ; On Adjoining Lots ~, ¢,c,, ; On Adjoining Lots Al To Nearest Public Sewer Cleanout/Manhole. ; Date Il / 17 / ~2' Datelnstalled 'o{85'/''0/Size I~C~¢~/ . No: of Compartments ~ C T~nCC, Standpipes (Y/N) ~' Air tight Caps (Y/N) ~'c~ Foundation Cleanout (Y/N) Depression over Tank (Y/N) N Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well_ I1~' ~ r~,r~; To Building Foundation To Property Line _ To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Date Last Pumped ~/[d/g~ N,A, ; for N,/~. Temporary Holding Tank Permit (Y/N) To Disposal Field Comments 72-o26(Rev. 7/88) Front Page 1 of 2 ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field .~" Square Feet of Absortion Area Depression over Field (Y/N) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Type of System Design Length of Field Depth of Field Gravel Bed Thickness / Statndpipes Present (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test P,~gr SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well_ / 2~' ~ ~,~ To Building Foundation 3 7 ' Lot To Water Main/Service Line _ ~ ~' To Stream, Pond, Lake, or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area ~ Comments P~/,~ ~,/ ~. To Property Line ~o' To Existing or Abandoned System on ; On Adjoining Lots ~ .70' To Cutback (if present) Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) · "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA c inspection. Company Date / '~// / MOA No. Receipt No. Date of Payment Amount: $ 72-026 (Rev 7188) Back Receipt No.. Waiver Fee: $ Date of Payment Page 2 of 2 in effect on the date of this Engineer's Seal ALASKA (907) eI1UIROIlmelqTAL COI]TROL SeRUICE!S, IRC. ~n~lin~¢finq 5 ~nuironmenlol Sludies P. O. Box 240668 Anchorage, AK 99524-0668 279-5553 *** FAX (907) 276-8706 Department of Health and Human Municipality of Anchorage 825 L Street, Fifth Floor Anchorage, AK 99501 ATTN: John Smith RE: Lot 10, Block 5, Talus December Services West Subdivision i1 , 1989 MUNICIPALITY OF ANCMOP4~O~ DEPT. OF HEALTH & ~NVI2ONMENTAL PROTECTION RECEIVED Dear John: At the request subject lot, I Usually, soils. anomaly. of Mr. hayed that part of However, Jacob Allmaras, Esq., the owner of the reviewed Ted Moore's data on soils. Talus West has very tight surface the finding of sands by Ted Moore is not an On Lot 17, the soils were rated as GM from 0-11 feet and from 11-20 feet the soils were sandy gravels. No water / noted on May 11. On February 5, 1981, we drilled to t8 feet on Lot 18 and there was no water. When the system was installed on July 31, 1981, we found silt from 3-6.5 feet and sand from 6.5-11 feet. There was no water at 18 feet below ground level. On Lot 20, Ted Moore found silt from 1.5-8 feet, silty sand from 8-11, and sand from 11-15.75 feet. The date was 1412 West 33~) ~VeDU~ · ~ncho~G6, &l~sk~ 99503 · (907) 279-5553 December 1979. No water was detected. The system on Lot 13, Block 5, Talus West Subd., lies between A1]maras' lot and the other two lots with sand. There is no log for this lot. The system was installed on August 20, 1975. It is still working after 14 years. Apparently, there has not been an upgrade of the system. is a deep trench. There are no standpipes to check the water level. It In my opinion, this sand stratum covers more than just this lot (Lot 10). Since this sand area has been opened at varied times of the year without water being noted, it would appear that water does not exist in it. Since the sand on Lot 18 is very near the surface, water would be expected to run into the formation. After this very wet year, water would have been found if indeed this sand seam was subject to flooding. Moore's report does not show water, I questioned Ted if he saw any mottling of the soils and he replied negatively. I think the evidence indicates that this sand seam is not subject to flooding. As I understand, money will be escrowed for the construction of the system next spring. Usually, this is sufficient to ensure the system's installation. Also, the normal inspection procedure mould catch any anomalies. Ted feels confident that the system can be installed without any violation of MOA or ADEC codes. I don't believe there is the issuance of a permit lot. evidence which justifies delaying to construct a sewer system on this If you have LCR/sr any questions, please call me. Sincerely yours, PhD, PE, DEE President cc: Jacob Allmaras, Esq. DEPARTMENi .iF HEALTH AND ENVIRONMENT, /,PROTECTION 825 '~ Street, Anchorage, Alas~a -99501 279-2511, ext. 224 or 225 Date Received: April 19, 1977 #1: Time 2:30 p.m. #2: Time #3: Time Date 4-20-77 Wed. Date Date Insp RCPratt Insp Insp e Mailing Address: Property Owner: Mailing Address: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Beth will handcarry Lending Institution Request: United Bank Alaska % Mary Foster 645 G Street 99501 Phone: 278-9526 Dick Wright Phone: 344-4214 % Beth Francisz Leonard Rea%~y Legal Description: Lot 10 Block 5 Talus West Subdivision Single Family Residence: ~z) Number of Bedrooms: 4 Multiple Family Residence: ) Number of Bedrooms: Well System: Permit # Construction Public/Community System: ( ) Individual Well: (x) Depth of Well Approx 100' Well Log on File Bacterial Analysis ( ) Sewage Permit # Septic Tank Size Absorption Area Disposal System: On-site System (x) Public Utility Installed 1976 Installer Manufacturer Soils Rate Materiai ( ) DJ. stances: Well to to Sewer Line to Nearest Lot Line Septic Tank Nearest Lot line to Absorption Area Absorption Area Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 10 Block 5 Talus West Subdivision Comments: Affadavit At~ached:~) Disapproved: Letter Attached: Date: ~~~ Date: ~epartment Worksheet: