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Home My WebLink AboutT15N R1W SEC 18 LT 106ATI N RIW e ction 18 Lot 106A 051 - 172 -52 MUNICIPALI~'Y oF ANcHoRA GE Deve/oprnent $~. ~ces Department On-Site Water & Wastewater Program 4700 Soutt~ Bragaw S~'eet P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jun 04, 2002 Expiration Date: Jun 04. 2003 Permit Number: SW020143 Legal Description: T15N R1W SEC 18 LT 106A Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: Dave Furry Owner Address: PO BOX 671493 Total Bedrooms: 3 CHUGIAK, AK 99567-1493 Parcel ID: 051-172-52 Site Address: 019238 ADRIAN AVE Lot Size: 44014 SQ. FT. Permit Bedrooms: 3 This permit is for the construction of: i-~ Disposal Field i'~ Septic Tank [] Holding Tank [~] Privy [] Private Well Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 )and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Municipality of Anchorage Development Services Department Building Safety Division On-Site Watei' & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-172-52 Permit Number Property owner(s) DAVE FURRY Mailing address(1) P.O. BOX 671493 * Mailing address (2) Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size ~4~t q THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Acres/Sq. Ft. CHUGIAK, AK Day phone §88-6568 Zip Code 99577 LOT 106A: SECTION 18. T15N. RIW. Number of Bedrooms J--J Well Only F"J r'-J Water Storage J--J [~] Jacuzzi D [-'] Water Softening Unit r-'] i certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Permit Fees: Date of Payment: Receipt Number: Waiver Fees; Date of Payment: Receipt Number: ALASI WATER WASTEWATER May28,2002 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 South Bragaw Street ' P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Reft Septic System Upgrade for Lot 106A, T15N, R1W, Section 18. To whom it may concern: The existing house is served by a private well and septic system. A test hole was excavated on the property in the area of the proposed septic system. The septic system will be designed around the 30 foot radii of this test hole. We are proposing that a 1000 gallon septic tank and a bed type drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: Attached is a log which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an ~pplication rate of 0.5 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 10 & <1 minutes/inch b. Allowable Application Rate: 0.5 gallons/day/ft2 c. NumberofBedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 900 ft2 f. Total Depth: 5 feet (max.) then place 2' of M.O.A. approved sand g. Effective Depth: 0.5 feet h. Width: 15 feet i. Reduction Factor: N/A j. Minimum Length: 60 feet long k. Effective absorption area = 900 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The average topography in the area of the drainfield upgrade is a 1%-5% slope running approximately east to west. In short, there are no slope concerns. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. NOTE: Attached is a site plan drawing, a design draw#tg, a topography site plan, ~ soils logs, and a 4 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com / \ / I \ ! \ ! C'~'SEFrnC \ ! AR...~ \\ / ~I~NO '~.. ADRIAN AVENU[/ ' 1~ ~ ',~/~ ~I~NO I ~0~ ~ / ~ HOUSE ~.,_ I ~ I , I PROPOS~ S~C UPG~E t~ ~ ' ~ / .----[n,--- ' ./ FZZ!iZ:] ' I ~ t / ~K~ S/D; I ~. I / LOT 1. I z , I / ~ / T15N, R1W, SE~ON 18, LOT 106B. % I / I I %I / I % , / I I T15N, RIW, SE~ON 18, LOT 106B, ~SI~ ~TER & W~TEWATER ~ ' rBl~ · ........ CONSULTANTS, INC.~ .... + : . ............. T15N, R1W, SECTION 18, LOT 106A, u'-* ' ~,,~, ~ , ...-'_~? ~E OF WORK: SITE P~N FOR PROPOSED SEPTIC SYSTEM UPGRADE ~..---- ~ -- ------ -~ ~ ADRIAN AVENUE ,~, / / % / / Das'n.c SE~C S~ TO .~ % / ' ..~: ~.:'2:' ::,~,.::' / ;" '¥'%':'~':-"'~'~ ? f ~ :'?~'. ...... .,~... ~. NOTE: PLUMBING IN C~WmPACE WILL ~ ~ I BE TO SE RE-PLUMBED TO ACCOMMOD~~~ J ~' ' PROPOSED SE~C ~M UPG~DE~~ ~;~ I ':~ ~ B~R~M m~l~ ruum~Hum D~NR~ ~VA~ A B~ ~T IS 5 ~ ~DE r~l ~D ~ 0.5 ~ OF C~, W~HED S~ D~NROCK, (S~ D~L NOTE: THE CO~CTOR SHALL ~VE THE D~NG, PAGE 3 OF SOUTH LOT UNE SUR~ED BY A REGI~RED C,J.G, ~S~ ~TER & WASTEWATER ~ , .... : .... ,.. = 6q01 DEBARR ROAD. SUITE 2B ' ANCHORAGE, AK qqSOA ~ PHONE (q07)537~lTq ' F~ (Q07)338-3ZA6 DAVE FURRY 688-6568 2 or ~ D~CRI~ON: . T15N, RlW, SECTION 18, LOT 106A, ~[-. "'"k.[ ....... "~ DESIGN DRAWING OF PROPOSED SEPTIC SYSTEM UPGRADE FROM SEFTIC TANK- T:co[o o o o~ B I I 5.0' CO_ 0 0 2.5' ' L. , I I = CO FEE' LONG ' I - 27.5' · · 27.5' 2.5~.=.. -- .._ 2.5~..- -- _~_ INSULA'nON-~ P[~wooD-~ co ~ \ \ / 2' covE. ~ co / .. '. ' ..... ., :-.... ::~,:.,;....~ ::-.':.-., ::3.:(.~; ..,. ;-,;. ;.{.:. '~ ; ;. ..;,'... ~-:x ;. ;:., '..,.,': -..',-.....~.,.~-..,:'...,.': !.:-.:'-.. }...4::.;.'.., i:..~.,'.?...-..}...i~,- AI~&$I(A WATER & WASTEWATER c.~.o. ... ="'"'=" CONSULTANTS, INC.> ................. S~ ," = ~o' ~..'-..'.i ..... ~..~ ........ ~....~ ~.,~c,,~o,= ~?~'.. l CF-r,o~ ....... .....~;.~ T15N, R1W, SECTION 18, LOT 106A, ~hz-~,~."-.[.[~. ~ -, - ~'~ DETAIL DRAWING OF PROPOSED BED ~PE DRAINFIELD ALASKA WATER & WASTEWATER ISOIL LOG - PERCOLATION TESTI ._. LEGAL DESCRIPTION: T15N, RIW, SECTION 18, LOT 106A, PERFORMED FOR: DAVE FURRY DATE: 5/14/2002 f~Df'2_Akll(~ ~ ' .......... ITEST HOLE #il GM/S SW/SP w/ SOUE SILT LENSES THROUGHOUT SOILS LOGGED BY: SOIL CLASSIFICATIONS, GW ~ ORG GP P1L GM CL GC OL SW MH SP CH SH OH SC DEPTH TO DATE GROUNDWATER , 10' .~ Co 5/14/2002 r~~.e 5/15/2002 ~-1.u 5/22/2002 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 5///15///2002 1 3;15 - 6" - 2 3:45 30 3" 3" 3 3:45 - 6" - 4 4:15 30 3" 3" 5 4:15 - 6- _ 6 4:45 30 3" 3" PERCOLATION RATE 10 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 3.0 FT. AND 3.5 FT. A FOUR HOUR PRESOAK WAS PERFORHED: [] YES [] NO JODY MAUS PERCOLATION TEST PERFORHED BY: CALEB GALL COMHENTS: PERFORMED BY AKWWCo INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WJ~S i~ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: .~/~/./'OZ/ -""'='~ CONSULTANTS. IN?,.' AK;HORACE, AK, 9~ · ~N~ (~07~7-8179 F~ ISOIL LOG - PERCO~IION TESTI T15N, RIW. SECTION 18. LOT 106A. DA~ ~R~ DA~: 5/14/2002 ..... CONSULTANTS, INC. ------------ 6901 DF..I~ARR ROAD, SUI~ 2B · ANCHORAGE, Al(, 99504." PHONr' (907),~7-6179 · F~ (907~-32~ ~ ~ o~com LEG~ DESCRIP~ON: PERFORMED FOR: ITEST HOLE SOILS LOGGED BY: SOIL CLASSIFICATIONS GW ~ ORG GP ML GM CL GC OL SW HH SP CH SM OH SC ADRIAN AVENUE,, \ \ / ! \ ! / · ,' / 1'= oo' I DEPTH TO DATE GROUNDWATER DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 5/15/2002 I - _ 6" - 2 - 2 O" 6" 3 - _ 6,, _ 4 - 2 O" 6" 5 - _ 6- - 6 - 2 0" 6" PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: [] YES · NO JODY MAUS PERCOLATION TEST PERFORHED BY: CALEB GALL COMMENTS:. PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS/PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Type of crib Welt Absorption area Inside length Dwell [] UPGRADE EDROOMS PERMIT NO, No. of compartments Liquid depth Dwelling PERMIT NO, Liquid capacity in gallons Material No, of Iines~ Length of each line I ~-~/ ~"~, ~/ ~'~, , inches Top of tile to finish Material beneath tile O~) inches Length Width Depth Crib diameter ~/s Crib depth Building foundation PERMIT NO. PERMIT NO, f Total effective absorption area DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Absorption area(s) Nearest lot line Septic tank OTHER PiPE MATERIALS SOl L TEST RATING INSTALLER REMARKS 72-013~ev. 3/78) DATE LEGAL PERMIT NO. DEF.'laRTP1EN]" OF HElaLTH FIN[) ENYIRONMENTRL. PROTECTION 825 "1..." STREET, RNC:HORFIGIE, AFL :~)95EI;~. 264-4728 ( 788678 ) RPF'L. I CF.INT LOCF.IT I ON L.EGRL. CRLKINS EN'rERPI,~'. I SES, RDR IlaN LN BOX 68]: EFIEiLE I,;i:IVI:ER N:1..,..'2 L:1.86 "F:'LSN i.;..'lH S:t.8 SM L.crf' SIZE 56000 SQUF:!RF~ I.::EE! TYPE OF: S8IL laDSORBTION SYSTEM IS: TRENC:H MRXIMUM NLIMBER OF' BEDR08I'IS = 4 SOIl.. RRTIIqG (SQ I::']',-."E,'R):: 85 THE REQUIRE[:' SIZE OF "I"HE SOIL RBSC~RPTI-ON !SYSTEM IS: THE LENGTH DIMENSION IS THE LENG'rH (IN FEET) OF: THE TRENCH OR DRRINFIE!.[',. THE DEPTH OF Fl TRENCH OR PIT IS THE DISTlaNCI,E 8ETHEEN TF.IE; E;Ui:;~:FI.rtCfi:: OF THE GROOND RND THE 80TT8M OF.' THE EXCF.I',/F:ITION (IN FEET). THERE IS NO SET WI[:,TH F'Si.~: TRENCHES. THE GRI,:IYEL DEPTH IS THE MINIMt..IM DEPTH OF.' GRRVEL. E:ETPlEI,EN THE Ot..rf'i,:'Rt.l_ PIPE!] laN[) THE BOTTOM 8F THE EXCF:IMlaTION (IN FEET). PERMI"f' laPF'LICRNT i..IF:lS THE RESPONSIBILITY T8 INFORM 'T'HIS DEF:'FIRTMENT E)SR!NG THE INSTlaLL. RTION INSPEC:TISNS 8F FINY HEL.L.::!; FID,IRCENT T'O THIS F.'ROPERTY laF,~D THIE NUME:EI.:;: OF RESIDENCES THRT THE I,4ELL HILL SERYE. I,3RCKI,::'IL. LING 8F F:INY SYSTEM .WLi:TH80T FINR!... INET:'ECTI8N RND laPPROVlaL BY THIS: DEPRRTI,'IENT 1.4II..L BE SUBJECT TO PROSECI...ITION. MINIMUM DISTANCE BE'FHEEN F.I HELL. AND F:INY 8N-SITE SEI4laGE [:,ISF'OSF:IL. S'.¢S;"rEId IS ~..80 FEET FOR la PRIYFFI,'E ,t,.IEL.i...~ OR ::L58 ]"0 288 FEET FROM Ft PUBLIC. HELl_. DEPENI')INC'i UI,:'ON THE "tYPE OF F.'UBLIC HIEL[ HEL. L.. L..8[~iS ARE REf.::!LIIRED FIND MUS.;T BE RETURNED TO THE DEI,:'I,::tF').TI,IENT HtTHII",I OF:' THE WELl. COMI'Z'LETION. 8THER RE[.:!U I REI,4ENTS i'tFIY APPLY. SPEC I F I CF.IT I ONE--`-; laND C8NS:;TRUC: F I ON [:, I laGRf.IM:ii; laF?.E: RVlaILI,:IBLE TO INSURE PROPER INS"I"I,:ILLR'rION. I CER'I."IFY THlaT :].: I lam i,.'.f.IMIL. IlaR HITI,..I 'T'HE F?.EQLIIREMENTS EOR ON-SITE SEHEI,;;:S FIND I, li,:~I..LS las FSRTH BY 'THE: MUNIC::[I,:'i.RI...ITY OF: 2: I HILL INSTF-IL.L. THiS SYSTEI,'I IN RCCORDRi'.,ICE I,.IiTH THE C()DES. ]~:: I UNDERS'T'RND THFIT Ti,4i,E ON-SITE SEHER SYSTEM MI,;IY RE(.:!UIRE ENLFli,;:SEMEhFT' t:l':' RESIDENCE IE; REMC~r;,ELED TO INC:t..UDE i-,~Oi,;:E THFIN 4 ,- .:. = "-, .... ':~ .x, I I. f,li'...E- . ,.., 1F F L I C;~th!~ L. AL.I'-.. I i',l.., E.['~ FE.F~.F f4. i ..,E ..... ]..::,z,t..ti,:.[ E¢¢ : .................... I}F:l'l"i'i~ ....... [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Aleska 99502 276-222~ SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10- 11 13- 14 15 16 17 18 19 20- I_or' I0~; ~'--~, I~ 7~, 15'H. 1~. ~ W ~]~I SLOPE SITE PLAN WAS GROUND WATER IF YES, AT WHAT DEPTH? I .~ FT~, Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) FT DATE: 72-008 (7/76) SULLIVAN WATER WELLS · , P.O. BOX6?0272, CHUGIAK, ALASKA99567 · TELEPHONE688.2759 ADDRESS LEGAL DESCRIPTION ~ IO&~ DATE-Started PERMIT NUMBER Ended Joo DEPTH OF WELL STATIC LEVELOF WATER Fr. o,9~ DRAW DOWN 'FT. GALS, PER HR KIND OF CASING KIND OF FORMATION: From (? Ft. to C~- Ft. From ,.~. Ft. to ~. Ft. From ~'~ Ft. to 7 Ft. O From '7 Ft. to /Oc'; Ft. From /~ Ft. to ~/ Ft. From From From . . From From Ft. to Froml/3'~ Ft. to [&~ From-L~--~Ft. to ]J O From_/_~,_Ft. to ~J ~ MISCL. INFORMATION: From /q-~'.Ft. to ,goo Ft. From __ Ft. to Fl. From Ft. to Ft. From Ft. to Ft. From Ft. lo Ft From FI. to Ft. From Ft. to ,, Ft. From__FI. to , , Ft.. Frmn ..... Ft. to Fl. From__Ft. to Ft. ' ~'rnFrom__ Ft. to~Ft From Ft. to Ft._ From Ft. to_ Ft. From Ft. to Ft, From Fi. to_ Ft. From ,Ft. to ,Ft.. ~rrom~' Ft. to Ft )):~'~! E! ] !ili!i~HJ/.7!lE;l I~ il:~I ,'"i.'?/',:::I~:i SCALE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION ' Completelegaldescription Lot 1O6A, S6c. 18, T15~/, RIW, S.M. Location (site address or directions) Property owner Mailing address Lending agency Mailing address 19238 Adrian Lan~, Chugiak, A~. ~,,~,r ..........~-L ~'~ ~¢k \ ~:~¢--.-. DACy phone 263-6282 HC 78 Box 2379D ¢hu¢iak~ Alaska 99567 Day phone. Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: XX Individual 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. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XX 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 ~21 Address Engineer's signature STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm $ ~ ~, ~NuiNc~iNG Phone 17034 Eagle River Loop Road N~ Eagle River, Alaska THE CONDITIONS OF THE HEALTH AUTHORITY APPROVAL ISSUED 10-18-91 HAVE BEEN MET. DHHS SIGNATURE ~ Approved for ~--~"Z-(?~edrooms' Disapproved. -- Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from. the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Phone ~~ ~- z~'¢~' 1 ;7034 Eagle Ri,vet Loop Eoa~J NO. ~0~ Name of Firm Address Eagle River, Alaska 99577 Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms, Disapproved, . Conditional approval for 'L'O'*'~ bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certifioate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~)25 (Rev. 1/91) Back MOA #21 ( Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: [,<~-~O~'~'-. /-~-~, I~.,~ ~r~-J, ~1~) Parcel I.D. ~ ~' Well type .'~.~--~J .~ If A, B, or C, attach ADEC letter. ADEC water system number Logpresent~N) 7 Date completed ~'~"'~"~ Driller ~-'~'*~LA~!v/JX"I-j Total depth ~ Cased to ~' Casing height t~ I/~ Sanitary seal (~kl) y Wires properly protected FROM W/ELL LOG Date of test I Static water level Well flow Pump level L)~ Absorption field on lot Public sewer main Sewer service line SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot g.p.m. Public sewer manhole/cleanout AT INSP~CTION,~.,7I~:~ [~ { ~~ ~'d N~,~:J:II~. O F ANCHORAGE ~ ~ONM~NTAL SERVICES DIVISION OCT 1 0 i991 ; On adjacent lots ~1 ~ ~ P ; On adjacent lots ~ ~'~ WATER SAMPLE RESUL/TS: Coliform (~ ,//~1:p .'''''~ Nitrate Date of sample: ~- J 7~ ~ ~ Other bacteria Collected by: F~ B. SEPTIC/HOLDING TANK DATA Date installed '~;;;~'¢/~- 7~' Cleanouts~N) High water alarm (Y/N) Date of pumping Tank size [ ~'~-~) Compartments 'Z.- /~/~dation cleanout I~N) y Depres;o/~ (Y~:) Alarm tested (Y/N) ~ ) J~ ~ Pumper ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 10~' TO property line [ ~ Surface water/drainage On adjacent lots Absorption field / ~/'~ Foundation ~ ~/ ,(~ ~' Water main/service line l 0 J"Jr 72-026 (Rev, 7/91) Front CONTINUED 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_ Z~i~/r Width Total absorption area Depression over field (Y~ Result~ail) 41o # Soil rating Surface water Gravel thickness ~_ I Total depth Cleanouts present~N) \/ Date of adequacy test. for bedrooms Peroxide treatment (past 12 months)(y~ /N/D~//~' /lC~(,~/ If yes, give date '-"- SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I /~ O~ On adjacentlots ~/~C~D I-~- Propertyline To building foundation /~ ~,~isting or abandoned system on lot On adjacent lots ,~, t ,~ Cutbank. [/~ Water main/service line Surface water / ~ ! ?L- Driveway, parking/vehicle storage area Curtain drain /~O. JV~, E. ENGINEER'S CERTIFICATION Signature Engineer's Name Date I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. $ & S ENGINEERING Eugle Eiver, Alaska 99577 -- .... HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Bacg MOA Waiver Fee: $ Date of Payment _ Receipt Number OCT 0~ ~91 09:36AM AWWU ~IRDWOOD P.2/2 Tuesday 08 October, 1991 whom it may conceit: I am the buyer of the house at 19238 Adrian in Chugiak, Alaska (Lot 106.4; Section 18; TISN. R1W. S.M.). I have been made fully aware of the adequacy test data collected and analyzed by Roger Shafer, P.E. of S&S Engineering and presented in a letter to Ralph Nobrega of Vista Real Estate dated 07 October, 1991. I am also aware of the results of the report presented by Flattop Technical Services on 25 September, 1991. I hereby release Mr, Roger Shafer, P.E,, S&S Engineering, and the Murdcipality of Anchorage and its agents of all liability associated with the future adequacy of the septic system serving this property. David I"'urry, P.E. / S & S ENGINEERING 17034 Eagle River Loop Road NO~, Eagle River, Alaska 9957Z O~t. ob~ 7~ 1991 ROBERTSHAFER, P.E. ROGERSHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Mr. Ralph Nobr¢ga VISTA REAL ESTATE 3000 C Str~.t #101 Anchorage, Alasha 99503 REFERENCE: Lot I06A~ S~c. 18, TISN, R/W, S.M. D~ar Mr. Nobr~ga, W~ hav~ p~rform~d an adequacy t~st on th~ s~ptic syst&m s~rving th~ rcf&r~nc~d property b~w~¢n th~ dates of 0~ob~r 4, 1991 through 0~to§&r 6, 1991. Th~ t~st was ~s~ntially as follows (SEE DATA SHEETS ATTACHED): Th~ s~ptic tank was p~mp~d at th~ direction of th~ owner at approximately 9:30 p.m. Octob~ 3, 1991. On 0ctob~r 4, 1991 th~ s~p~c l~achfi~Id was completely saturated to th~ point of wat&r backing into the septic tank with th~ addition of 1132 gallons of fr~h water. Approximately 24 hours later th~ £~achfi~ld w~s again charged with 638 gallons of fr&sh wat&r witho~ backing into th~ s~pt~Lc tank. (This wo~d indicat~ th~ l~achfi~Id had absorbed in ~xc~ss of 638 gallons in 24 hours). On 0~tob~r 6, 1991 wat~ l~v~ m~6~rem~nts w~r~ taken from th~ l~achfi~Id which indicated th~ system had absorbed another 518 gallons in 21 hours. I ~m ~r~ of Flattop T~¢h~i~al S&rvic~s' report dated Scpt~mb&r 25, 1991 in w~ they found l~chfi~d ~q~d l~v~ to b~ in a surcharged s~t~ and hav~ con~ud~d th~ syst~ to b~ in a s~ of f~ur~. Given my r~p~ for Fl~op T~ch~c~ S~vic~s' ad~q~c~ t~ng ab~ ~ i~ ~ffi~ for m~ ~ co~a~ ~r con~io~, however, w~h th~ ~ I ~v~ co~d d~n~ my own ad~q~cy t~t, I ~v~ con~d~ th~ s~p~c ~ySt~ s~vin~ th~ r~f~nc~d prop~ty is ~rr~y fun~o~ng ad~q~t~y for a 4 b~oom hou~. I ~n o~y as~ th~ surc~rg~d con~o~ ~nco~d b~ Fl~op T~ch~ S~vic~ w~ ~d b~ a r~c~ ~xc~iv~ ~ou~ of wat~ u~d by th~ ~ng oc~pa~ just prior to th~ t~t. It shoed b~ r~z~d that ad~q~c~ t~n~ of a s~p~c syst~ ~ not an ~xa~ ~nc~. Th~ r~ of m~ t~t ~ho~d not b~ vi~d ~ a g~ra~ of th~ counted p~rfo~anc~ or ~f~ of th~ s~p~c sy~t~. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Pag~ Two Lot I06A; S~. 18, T15N, RIW, S.M. October 7, 1991 If you request u~ to obtain a H~h C~rtificat~ for th~ property I will r~q~r~ yo~ to hav~ thc property b~y~r sign a s~t~ a~ng to ~ ~n~ of my ad~qu~ t~st d~, t~ l~r, and Fl~op T~h~ S~vi~' r~p~ ~t~ S~pt~b~ 25, 1991. Th~ b~y~ w~ ~ n~d to r~ my~f, S ~ S ENGINEERING, and th~ Mu~p~y of Anch~rag~ ~f ~ ~ab~y a~s~d with th~ f~ adequacy of th~ s~p~c s~st~ s~ving t~s property. If you hav~ any q~tion~, or if w~ may b~ of further s~rvi¢~, pleas~ contact Sincerely, RJS/gm '7', o's HI" $ & S ENGINEERING 17034 Eagle Ri,v~' Loop Ro~d Eagle River, Alaska 99577 vii, i ENVIRONMENTAL EN(~iNI"I,'RINt; Dear M, ~ ,,~ M s. Szafrani~: . Per yom-toqUe}t, as relayed b.y Ra!ph Nobrega at Vista Real Estate, on September 17 we c,mdtu:tcd a..aequacy ,,.~s ?t the water supply ~a wastewater disposal systems ~e~ing your residence on t ¢,, :~ ,,A, ~etmn ~ I I'~N. R1W, S.M., located at 19238 Adrian ~t. in Chug~, Cop es of relevant bm'k . Acc.r, q,!, ~o the da'iller's log, the well was completeA on 3/25/88 and has a tut'al depth of 21tl~ yield el ..:p,,~ 'l'he well has a 4.Y' PVC liner installed between 80' a,ld 200'. At the start of ~,,, c~ the .qtafic ~a~:~,.: h.,.,q ~tood at 27' below th, top of the ua;lng, gtead, y pumping of 34S gallons of ,*,,, the well ;il thc maximum pump output of 5.6 gpm caused the water to be drawn to the level of Ih,. inr, xke ;, ,~iq,,,,ximately 145' below tile top of the casing. We then measured the ge. lions of ,^,a1¢~ by thc x~,.) ,,vc, several recovery and drawdown cycles, until we had pump~ a teal of 730 gaih,.~ water h,, fl~c ~cll withill a pe~od of 3.~ hoars, Based on ~is test we detert~ned that the total the well ,, 25 gpm. ~ai~ [iel~ is adequate for Municipal approval of the well, and when combia,~ with · e watc~ Iron really stored m the casing is also able to meet the FHA criteria of being able to supply 720 g~lons ,,~' ~,';,cr within a 4 hour period. The water samples which we colleetea are s~ll at the lat~ test~ t',, t ,~lH'onl~ bacteria and m~ate~. Pie{se note that before the well coul~ be approved, addi:~., will h;m. ~, }~. 'mmnded ~ound file well casing lo protect the presently exposed w~ll wires. Acci,~tluq,. i;~ the Murllc,pal inspection report, the wastewater disposal system was installed of 197a; ~., ~ ouststs cfa 1250 gallon fi~rglass sepu¢ tank followed by al feet of soil absorpt,,, containi,,~: q ~c,~l of sewer gravel. A second monitor tube was has~lled in the trench by S & S Engincc~ ~, ,~ I,~Z~, at which time they conducted an ~tequacy test ~d reported ~at the systc,, adequalc I..~ ;, +}~'droom residence. On the date of our te~t tile septic tank had a heavy scum bu,kuq,. the tluid d,l,h ~as 79", indicating that the taI~ was surcharged above it's normal working love; fluid dcp;[, m ~, ,th monitor tubes in the 8off absmpfion trent 1 were a so a'eater than the r~¢or system ,';,~ ,,,t quality fora Hea~ Authority Approval certificate, as Municipal guidelines a~le t, ;,, ,. 'c~ 1'511 ga}lOllS of water per daywith fl~c fluid below the level of thc horizontal didri p~pc. In gca rat, sc'ptic systems fall e~ther because they are inundated with groundwater or becel s; acceptin~' ,,,,l i~ too imp. emaeable to accept effluent at the requb-ed rate. The soils log moared J ; t 1978, prio~ to c,nst,'ucuag the ~.ystem, l.ndiqates the native material to be a clean sand~gr'avel will, ,~,b{e at I; foci. Since the re.qu.n'ed vertical separatlon between the. bottom of the trench and the mgn wau,r tablt- IS 4 feet, ann tiao trench contains 5 feet of gravel, ~t seecs unlikely that the entke ucm.h is presen.tly im,'~dated with groundwater. A new soils test c&dueted nearby could k, efif the rose groun.clwa:cr. Il' the native sell was clean sandy grave as reposed, that would fit wi~the sP, Jstem ~n.,;sine a~s} in 1988, but it is difficult to u.aderstand what could have caused it to have failed so tota'lly .,,i~;t:t,' lac net v v ,,t.,m bmlflup observed la the tank was greater than would normally accrue in a 3.~ ye;, howeve,, ,,!,.'~ re!id,,_' braid up ~,a ce~a,n point t!~ey c~n ]pass on rotc the ~nfleld caus ng pmmatu,'r ,~,m,'~. ~'ten, a rapm scu~ buildup ~s at~bumb]~ to ~xc~sslv~ ~ase or food ~_~sh~,,m, ~h" ugh' .~ou ~s9 m~guoned that yg~ ~ad be~n having problems with excessive mc wc u ~ ~,.~. aa? ~ mstane~ a m? system uUhzmg a flocculant ~d daily backflus ~ing int. S~SLeltl. I~v',~()~ll(ll~V~c~tls~aar~la~iv~lyl~rg~motl~l of~ tto~fts~edintothesepticsv.~,, w]0~ a h,i ,~ ,.~ u ;i svater, and this cottld ~ pal~ of the pmhlem, Ax ~ ;.:d ...IR's Pumping (who pumped th~ system shortly uttgr ct r t~st) moorted, h~ cu.. ~pr~xl.l,,,,l~ I%O0 gallons fi'om ~1~ rank eleanora, includ ~g so ~ backflo~ fr~m th~ ~ thc. u ,cd h, )ump fired fi'om o~ch of ~le ~ollJtor ttbes in th~ trench, but was unable to get another, ~,ul)lc of I und~d ~allons combined, He also ~ied to hat.ash th~ syst.m t~ou~h thc · e hori,,,~,.tal ,lixtnb~o~ p~pe 18 coll~t~ into ~e monitor tube at fl~e end of the ~ench ~ut was [~?_h.i.. ,,.sc n) ve~ hr,~e~ha¢~ ~use of tl?,configura[~on of the sant~ tee. If the monitm naa ~, I,r. peny s~o~oeO Wltll S~WOr gravel m 8 trench ¢Oll~O]'~ ~ this one was should .ha, e hqCn able to pu~p over 1500 gallo~s from the ~ench~one, This In.cares th[t eitht~ ~ncn ~ ~, ~,~ d ~camly undors~z~, or ~om~ing as prevent ng fluid fro n circuladn~ fl'~lv thro,- ~ fo As v, t...I.sc'usscd, it is my opinion that a new soil .u. bsorption system will be needed in order l,, r a th,,dm ,.\ulhority Approval. ceitificate. I~ i$ poss?e ~hat the existing ~ench could ~ rejucx cmitcd by ?atin~ ?, ,vidl hvd[ogen peroxide, however th~ cure is by no means gu~anteed m~d it wou d r c,', ,,s to' a ~ mqmh ,, ~,, a~ ~,r me ~eatment before a ~test m order to obtain a HAA ce~ficate. E [1 )t,,~ it, tdt I. proceed wJ~ u~gmdmg the system, I have retered you to Lou Butera at Ea ~1~- ~,:,,,., ngmee, ,, :~: ,, d. me n,eess~ sods ~eSts qnd des gn work as the logstlcs of working n Chu, , combined , ,h mv time COBS~alntg ~e it impossible ilar mc to take this Ple:~,.,. *c,.I line to give me a call if you have further questions on the work we have done, Sincerely, Ted Moore. Rail: '~,,h~cglt, Vista Real Estate l.cc ",x ,Ii,.. Ct ldwell Banker I.,~!, ' gle Ri E g MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date F~bruar~ 23, 1988 GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot I06A; S~ctlon 18~ TI5N~ RIW~ SM Location (address or directions) Birchwood Loop- Adrian Lan~ (b) Property Owner Szafranic~ Telephone: Home Mailing Address Business (c) Lending Institution Fr~ddi~ Mac Mailing Address Telephone (d) RealEstate Company and Agent Jack Whit6 Co.- Lynda Bann6r Address 10928 Eagl6 River Rd. Eaql~ River, Alaska 99577 Telephone 694-5500 (e) Mail the HAA to the followina address: or: Check here,~;~, if hold for pick up List contact person and day phone number below. 1/'034 Eagle Rid'er Leep Road No. 20~ Eagle River, Alaska 99577.. TYPE OF RESIDENCE Single-Family I'~ Number of Bedrooms 4 WATER SUPPLY Individual Well,~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite,~ Public [] Community [] Holding Tank [] Note: If corn munity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. Page 1 of 2 72~025 fRev 8/861 Fronl 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 nvestigation of this Health' Authority Approval shows that the on-site water supply and/or ~astewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & 2 -".%~[.~.~E~-~!N~ Telephone ~ ~;;' ~'~'~--'~:;~ 2 ¢ Address 17034 Eagle Rlve~' Loop Read No, 204 DHHS APPROVAL Approved for ¢ ,bedrooms by Approved ~'~. Disapproved Terms of Conditional Approval Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (Rev 8/86) Back WELL DATA ,I~,~I~IC¢~LITY OF ANCHORAGE (MOA) [ TY A S~E~ ~HOR PPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 Legal Description: Well Classification ~ ~ ~:)\ ~/I L~O,/~'~L-' If A, B, C, D.E.C. Approved (Y/N) Well Log Present ~N) 7 Date Comj ~leted ___'~ ~.'~c:~ .- ~(~ yield Total Depth "~E:)[;:? Cased to ~ ~ Depth of Grouting f~/'~ Static Water Level '~ r Pump Set At (. ~--' Casing Height Above Ground "2~z::> Sanitary Seal on Casing (:~N) Electrical Wiring in Conduit(l~/N) '~/ Depression Around Wellhead Separation Distances from Well: To Septic/'N~!'~!ng Tank on Lot \ d::)~:,:~ ; On Adjoining Lots Field on Lot \ ~ ~ To Nearest Edge of Absorption ; On Adjoining Lots To Nearest Public Sewer Line r~- (,~.~ To Nearest Public Sewer Cleanout/Manhole ~//~' To Nearest Sewer Service Line on Lot Water Sample Collected by ~'/'~( ~ '~'~~I~'~ ;Date Water Sample Test Results ~,'~"~-~-~'~].~ ~ '~, Comments ~"'""~¢~" ~''-t~'~:::~ '¢~':/-'~:~"['"11-'-3~-~ ~ ~ B. SEPTIC/H(~'~G TANK DATA Date Installed ~ -"¢2¢-'~ Size Standpipes (~N) 7 Air-tight Caps~N) Depression over Tank (Y/~[~'" Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from SepticfHei~ Tank: To Water-Supply Well ~ C5)~:~ / TO Property Line \ ~ 1.,.~ To Water Main/Service une Course \ ~ No. of Compartments y Foundation Cleanout (Y/~ . Date Last Pumped ~ ~ 1~/~' ;for -- Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72 026 fRev 8/8~1 Fron't C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field ~ ¢/'~¢~rb'~ Type of System Design, Length of Field Depth of Field ~ I _1 Gravel Bed Thickness ~:~ Z~f-\ O '~ Standpipes Present::~N) _ ~ Date of Last Adequacy Test Separation Distance from Absorption Field: Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test To Water-Supply Well To Building Foundation Lot r'"~/,~'' TO Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line ; On Adjoining Lots To Cutbankl(if present) To Existin~ or Abandoned System on D. LIFTSTATION ~//~' "Pump On" Level at ~ Dimensions Manhole/Access (Y/N) High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments "Pump Off" Level at Vent (Y/N) ng Adequacy Test. Meets MOA ** Check Per,mitred Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signeds & $EN~'INEERING Date Com,,a~,034 Eagle Ri~er I~oop Road No. 204 "E~gle River, Aia,,~,"' ;~$77 MOA No. Receipt No. Date of Payment Amount: $ Page 2 of 2 72 026 trey 8/861 Back - ,' ~ r _ ' '- ' DATE RECEIVED ' -'- : INSPECTION APPOINTMENTS '- DAT~' -' / ~ATE DATE ' I I INSPECTOR_ , - ? I NBPECTOR INSPECTOR. ~ S N~L~AM~LY ~ ON~ ~ THREE ~ FiVS ~ OTH~ ~ ~ULT~PLEFA~LY ~ TWO ' ~ POUR ~'S~X ' ~ INDIVIDUAL -DEPTH OF WELL . ~ COMMUNITY ~ATE DRILLED ~ PUBLIc UTI LITY .Connection Verified _ LOGRBOEIVED . L~ ,. rPERM T NUMBERI ' 3. SEWAGE DISPOSAL ~INDIVIDUAL/ON -SITE DATE INSTALgED ~ ~' ' ' ' ~PUBL C UT UTY ~ ~h ~ ~onnection Verified ., ~STALLERr I I ~S~pti~anE or ~ Holding Tank S[z~~ If Tank is homamade soiLs RATING ' ~ ~ ~ ' ' :'Y~E ,)F TANK M~UFA :TU:ER ' TOTALABSORPTION AREA ' - MA ~R L ~ ' ne '" ' Near st Lot Lne 4 D ~TANCES -; Septic/Hold ng~nk Absorpt onArea -Sewer L e . . :".__ : WELLTO: - .~ Abaorptlon Area to nearest Lot Line ~. ~OMM~NTS . -' ' ~PPROVED FOR BEDROOMS ~ CONDIT ONAE APPROVAL etter m~st accompany certificate) ~ D SAPPROVED LEGAE 'DESCRIPTION ' / -