HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 13 LT 2Mountain Park Estates Block 13 Lot 2 #017-391-50 \ Municipality of Anchorage • -- Development Services Department • 0, __ Building Safety Division — �= On -Site Water 8 Wastewater Program, 4700 South Bragaw St. ' ' • • P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW050286 PID Number. 017-391-50 Name: GARY k TAMMY CROWLEY Wastewater System: ❑ New ■ Upgrade Address: 12915 ALPINE DRIVE a ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 345-8332 4 ■ Deep Trench O Shallow Trench O Bed 0Mound aethera LEGAL DESCRIPTION Se •.Dep a5 Total Depth sem WVkw* troch cPD/aa. rt 11 MAX n. Block: . LDC Subdivision: 13 2 MOUNTAIN PARK EST. Depth to yips bettem sem ergs,ol rade: SEE DWG. or" depth sewoth pips 6 R in, Township: — Range: — Sectlon: n doses a0oe enti n Veda: cn vw wnpin; — SEE DWG. n. 113 rL WELL: ❑New ❑Upgrade ue « . O h 2.5 •arra a rua 1 ole Dred. set... r� — n Ft.Cbwiriaalian PrNate, A&C : Total Ceeed Ta�q Total ebomptim area Pipe "Wt~. R I n 1356 so. re D 3034/ F-810 a=- Dae orwm stand wow twat sumer. A+ HOME SERVICES Dae hwtokd: 1 9/2/2005 FL vela ►wap $et At ow'" "9" Above aauta r� n R TANK SEPARATION DISTANCES ■Septic 0Holding 13S.T.E.P. 13 Other* w0iM1t0Ct'^" Ceoordb le gene a To Septic Absorption Uft Holding Pubtk/Prhab Fm ro Tank Field Station Tank Saar lJrw Notriok NumMr mimwda sr sanp Well a 70' 100'+ — — 25'+ Surface water 100'+ 100'+ — — — LIFT STATION Lot Une 5'+ 10'+ — — — sr. In °p1o" Me.hddasaar: Foundation 5'+ 10'+ — — W level at OW at "gk aaer dw.m a: Curtain Drain NONE KNOW Pw°p Yoe' a"nioot Nopcti'w W. er: Remarks: 'WAIVER j 050063 BENCH MARK Looetwn anal Dwe nplwn: EXISTING SEPTIC TANK VERIFIED TO BE OF GOOD TOP OF GARAGE SLAB AT SOUTH END. INTEGRITY. I x • ( A 100.00 n ENGINEE" SEAL ObpO� OD vo �.• .F.....-9s4p0 Inspections performed by: GEG. Ltd.Dates: 1st 8/31/2005 p.......................:.°.D 0 *C')4 � 2nd 9/1/2005 3rd 9/2/2005 D� QO t, f r y A amess- E-7953 Development Services Department Approval `e �p Reviewed ��oo and approved by: Date: (d«, tx/01) p°o Prof O 0� eeeloo� 4440 PERMIT NUMBER: AS -BUILT DRAG PARCEL017NUMBER: SW050286 017-33 91-50 STI ST2 DBLI \ I osu \ I FCO \ FS COI I\ MTl I CO2 36.36 13.85 32.02 6.73 36.87 37.89 38.04 16.76 75.04 94.27 - 94.35 - 43.23 1 - 7% M I — I 9t=_ 1, I \ NEW DRAINFIELD SINGLE iAMILY �� q'•�\'� �1 I FRAME HOUSE , .�,�;�' •': FS 1 DBLI C ;.\! OB it li A OEGK'� HI 1�i� jl I 1 �'..i•. `�•" colIWTI WR� [SEPTIC ARE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS ]AI C now foq fort 101 • Mfiof.CG A< fbef . Mf.� Tfenill-e1R1 • M Lfe,llo.a.f • . ' PREPARED FOR: IPHONE NUMBER: PACE NUMBER: GARY do TAMMY CROWLEY 1 345-8332 2 OF 3 LECAL DESCRIPnON: DRAWN BY: MOUNTAIN PARK EST.; LOT 2, BLOCK 13, B.F.M. TYPE OF WORK: DATE: AS—BUILT FOR SEPTIC SYSTEM UPGRADE 10/13/4 .. ... ....... A. ness. I I � - 8 Iz \ I •I \ \ r I< \ \ I\ 1 1 ` I I I 9t=_ 1, I \ NEW DRAINFIELD SINGLE iAMILY �� q'•�\'� �1 I FRAME HOUSE , .�,�;�' •': FS 1 DBLI C ;.\! OB it li A OEGK'� HI 1�i� jl I 1 �'..i•. `�•" colIWTI WR� [SEPTIC ARE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS ]AI C now foq fort 101 • Mfiof.CG A< fbef . Mf.� Tfenill-e1R1 • M Lfe,llo.a.f • . ' PREPARED FOR: IPHONE NUMBER: PACE NUMBER: GARY do TAMMY CROWLEY 1 345-8332 2 OF 3 LECAL DESCRIPnON: DRAWN BY: MOUNTAIN PARK EST.; LOT 2, BLOCK 13, B.F.M. TYPE OF WORK: DATE: AS—BUILT FOR SEPTIC SYSTEM UPGRADE 10/13/4 .. ... ....... A. ness. PERMIT NUMB' AS—BUILT DRAWING PARCEL ID NUMBER: - SW050286 017-391-50 RELATIVE ELEVATION OF BOTTOM OF TEST HOLE - 62.74 (TEST HOLE DRY) BRIO GARNESS ENGINEERING GROUP, Ltd. 4 CONSULTANTS d GENERAL CONTRACTORS 100011 RWA 11R 101• •••••••••• •• •• •••••••••• =I L YbOMC[ MI MO) • I.,fl,[ (M/}t,Tfy111 • IK (•0'1}W�1QN � �Ofti waMrO'^—Mr+ O PREPARED FOR: IPHONE NUMBER: PAGE NUMBER: •• ••• .. ...... .......... GARY & TAMMY CROWLEY 907-345-8332 3 OF 3 Q p r Y mess.-. LEGAL DESCRIPTION: DRAWN 8Y: Qa i E-79 3 .`A MOUNTAIN PARK EST.; LOT 2. BLOCK 13, B.F.M. V� sus •{I'3• p*4ov �Rr TYPE OF WORK: DATE: 004pOp'sQ o e, PROFILE AS—BUILT OF SEPTIC SYSTEM UPGRADE 10/14/2005 Permit Number: SWO50286 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 15, 2005 Expiration Date: Aug 15, 2006 Parcel ID: 017-391-50 Legal Description: MOUNTAIN PARK ESTATES BLK 13 LT 2 Design Engineer: 0855 Garness Engineering Group, LTD Site Address: 012915 ALPINE DR Owner Name: GARY & TAMY CROWLEY Lot Size: 22532 SO. FT. Owner Address: 12915 ALPINE DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99516-3126 This permit Is for the construction of: ❑✓ Disposal Field ❑✓ 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. Received By: Date: F/5 -0S` Issued By:Date: S t T o Municipality of Anchorage .r Development Services Department ,' `Crt�a.•; Building Safety Division On -She Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.cl.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D._ 017-391-50 Permit Number *roperly owner(s) GARY AND TAMMY QRMI EY — Day phone 240-843n — Mailing address (2) ..: Legal description (Lot, Block & Sub'd.) LOT 2 Al OCK 13• MOUNTAIN PARK ESTAT S St BDM1^BION Legal description (Section, Township & Range) N/A Lot Size A2 Acre q.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above Information is correct. I further certify that this application is being made fora Single Family Dwelling and is In accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. Permit Fees: _ Date of Payment: I J15 -os' Receipt Number. o-7 ��) Waiver Fees: y'ZO Date of Payment: �f7- /0S— Receipt oS— Receipt Number o l Z -4 O,-( ,( y DARN ESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS July 21, 2005 Municipality of Anchorage Development Service Department On -Site Water R Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic System Upgrade for Mountain Park Estates Subdivision; Lot 2, Block 13, To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The drainfield is currently in the state of failure and needs to be upgraded. We are proposing that a new deep trench type drainfield be installed. Three test holes were excavated by Bruce Corwin in 1989, and one confirmation test hole was excavated by G.E.G. on 6/23/2005. The drainfield will be designed around the 30 foot radii of these test holes. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography in the area of the proposed drainfield is relatively flat. In short there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have aW questions, please contact us at 337-6179. Thank you for your assistance. M.S. NOTE: Attached it a site plan drawing, a design drawing, a detail drawing, and three soil logs, which are all part of the design package for this septic system. (Contact G. E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: garnessengineering.com GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS July 18, 2005 Municipality of Anchorage On -Site Services Dept. of Dev. Services 4700 S. Bragaw St. Anchorage, Alaska 99507 Attn: Dan Roth Subject: Mountain Park Estates, Bik 13, Lot 2 Mr. Roth, During our preparation for the upgrade to the subject property, it came to our attention that the well on Lot 3A (to the south) is only 76 feet from the subject septic tank. When this "new" tank was installed in 1991, the engineer on the project requested and obtained a waiver (#910005) for "70 feet from the well to private septic tank...." The waiver further approves a distance of 88 feet between the subject well and the system to the north on Lot 1. At the time all of these systems were originally installed, a distance of 50 feet (well to septic tank) was adequate. Since the new tank was installed in the same location as the original, perhaps the assumption was made that a waiver to the south wasn't necessary, for whatever reason it appears that the issue was not addressed accurately. We are planning to allow the continued use of the 1991 septic tank provided upon inspection it is still watertight/ undamaged. The well on Lot 3A occupies relatively the same position on the hill as the subject well. Therefore we are requesting that you amend the 1991 waiver to encompass the additional well - tank distance of 76 feet. Should we find the tank damaged, a new 1250 septic tank will be placed outside of the setback to both wells and beyond the edge of the existing driveway. If you have anAuestions, please contact me at 337-6179 P. E., M. S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: garnessengineering.com MOUNTAIN PARK ESTATES S/D I \ \ I (NO CONCERN)LOT 4. BLOCK I I ROBIN HILL S/DI21 \ \ (NO CONCERN) \ \ LOT 9, BLOCK 12 \ MOUNTAIN PARK ESTATES S/D LOT 12, BLOCK 9 \ 1 (NO CONCERN) I I MOUNTAIN S/ NO CONCERN I 1 -f-- --- LOT MOUNTAIN PL. -� --- MOUNTAIN ISAW ESTATES I MOUNTAIN SCK BLOCK 9 If 13 \ ESTATE$ I I i J \ :.••+�:�•:, SITING IX LOT 1. BLOCK 3 • ROSIN HILL WELL EAST HOUSE.o FIELD VERIFY WELL SHEDCORWN TH/3 LOCATION PRIORTO J JO 11 PROPOSED CONSTRUCTION��—.—` LL I \ SE PnC SYSTEM A I / .•,•` : a:Ti r:i � 1 I RYAN THI1 I 0 1 I tsEpnlnc EXISTTIIINNSGfEy� I \ 1 /LOT 10. BLOCK 6 I \ 1 \ �` ILS I 1 �TER� TEMOUNTAIN PARK ESGTES S/D\ V \i / J n I N TH/2WELLI 100, >mI •"'IK OT 3A, BLOCK 13 11 I I APPROXIMATE NTAIN PARK ESTATES LorwTKx+.U,1 ro i — — r--------------- I I I I LOT 2, BLOCK ROBIN HILL S/I I (VACANT) I I I I I I ARNESS ENGINEERING GROUP, L �otd. p �: �....:. . + c noa Taw SW • wcicroc we wear . nac �rn • a+ w . �onp ... UMa PREPARED FOR: PHONE NUMBER: PACE NBER: GARY AND TAMMY CROWLEY (907)-261-9724 1 OF 3 LEGAL DESCRIPTION: DRAWN BY: VO°o• MOUNTAIN PARK ESTATES S/D; BLOCK 13, LOT 2, R.A.L. Or+ OF WORK: E PLAN FOR PROPOSED SEPTIC SYSTEM 7/21 LOT U. BLOCK 13 LOT 11. BLOCK 6 MOUNTAIN PARK ESTATES S/0 1 MOUNTAIN PARK ESTATES S/D (NO CONCERN) (NO CONCERN) Lii Z 1 Q I LOT 3. BLOCK 13 I MOUNTAIN PARK ESTATES S/D LOT 12. BLOCK 6 (NO CONCERN) MOUNTAIN PARK ESTATE$ S/D 1 (NO CONCERN) I r--------------- I I I I LOT 2, BLOCK ROBIN HILL S/I I (VACANT) I I I I I I ARNESS ENGINEERING GROUP, L �otd. p �: �....:. . + c noa Taw SW • wcicroc we wear . nac �rn • a+ w . �onp ... UMa PREPARED FOR: PHONE NUMBER: PACE NBER: GARY AND TAMMY CROWLEY (907)-261-9724 1 OF 3 LEGAL DESCRIPTION: DRAWN BY: VO°o• MOUNTAIN PARK ESTATES S/D; BLOCK 13, LOT 2, R.A.L. Or+ OF WORK: E PLAN FOR PROPOSED SEPTIC SYSTEM 7/21 NUMBER OF BEDROOMS.- 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 60 MIN./INCH PROPOSED APPLICATION RATE: 0.45 MINIMUM DRVNFIELD SO.FT.: 1333 DEPTH:if FEET APPROVED SAND FILTER: N/A IVE:6 FEET LION FAC10R: N/A . SO.FT.: 1344 �- *IF GRAVITY FLOW CANNOT BE / ACHIEVED FROM THE PROPOSED / SEPTIC TANK TO THE PROPOSED / DRAINFIELD, A 1500 GALLON S.T.E.P. TANK WILL NEED TO BE INSTALLED. I LOT 1, BLOCK 13 MOUNTAIN PARK ESTATES S/D I d ; � ' •lam TO OBTAIN A COPY DF THE LETTER CONTACT CEC. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND : •.' PROPERTY OWNER AGREE THAT THEY , HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPF THE TERMS AND DUSTING 1250 SEI TANK VERIFIED TO y OF GOOD 6ftECRR1 7 7/21/2005.- �� b �� Y` NOTE: THE CONTRACTOR SHALL HAVE TF SOUTH, AND EAST LOT LINES, AND At RADII SHOWN FLAGGED BY A REGISTER A N 1�I CORWIN TH{3 1 PROPOSED \\ ORAINFIELD1\ EXILING DRAINFIELD \ TO BE ABANDONED DXISRING 4 BEDROOM HOUSE \ �� .L . J WELL LAND SHED f ` C.E.C. THf1+ I eru l n I I TTH122"II "INSTALL+ II DOUBLE CLEANOUT GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS i GENERAL CONTRACTORS L TNNI AID. TUR Wl . NooWL M x•.01 . N.11[ pw�w.•IT . RY (.0))A ". w 1 � PREPARED FOR: PHONE NUMBER I PAGE NUMBER: GARY AND TAMMY CROWLEY 1 (907)-261-9724 2 OF 3 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES TYPE OF WORK: DESIGN FOR PROPOSED S BLOCK 13, LOT SYSTEM UPGRADE177 R.A.L. SITE WILL REWIRE THE USE OF A M.O.A. APPROVED RECIRCULATING 7UNG FILTER (SRED FOR 4 BEDROOMS) ..` 4 .. ......::y . ••••• OFR633,' •• a�G CE -795 �. I I el /I SITE WILL REWIRE THE USE OF A M.O.A. APPROVED RECIRCULATING 7UNG FILTER (SRED FOR 4 BEDROOMS) ..` 4 .. ......::y . ••••• OFR633,' •• a�G CE -795 �. I 78' OUT ----- -----J1 INSTALL I FLOW SPUTER 34' IN FROM TANK I° L 0� GRADE GARNESS ENGINEERING GROUP, Ltd. per, CONSULTANTS 6 GENERAL CONTRACTORS 1101 L TDM FAAM � 101 • MaO01GL M( MOOT AOL (Wr}W jft • W (aW)]M.CMI • ► wa ,tel PREPARED FOR PHONE NUMBER: PAGE NUMBER: 0 GARY AND TAMMY CROWLEY (907)-261-9724 3 OF 3 p J LEGAL DESCRIPTION: DRAWN BY: 004°0 .I MOUNTAIN PARK ESTATES S/D; BLOCK 13, LOT 2, R.A.L. TYPE OF WORK: DATE: 04 DETAIL FOR PROPOSED DRAINFILED UPGRADE 7/21/2005 A. Camess:' GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES S/D: LOT 2. BLOCK PERFORMED FOR: GARY AND TAMMY CROWLEY DEPTH EST HOLE4 DEPTH TO DATE GROUNDWATER DRY 6/23/2005 DRY 6/30/2005 DATE READING CLOCK TIME NET TIME (MINUTES) $� II1111111 6/27/20051 1 111111 %//% 6' /.% NHH • d�4± Illllllli 1/2' 3 4:32 — Mill! 4'.6.0, • 5:02 30 1 DEPTH TO DATE GROUNDWATER DRY 6/23/2005 DRY 6/30/2005 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6/27/20051 1 4:02 — 6' 2 4:32 30 5 1/2- 1/2' 3 4:32 — 6' 4 5:02 30 1 5 1/2" 1/2. 5 5:02 — 1 6' — 6 5:32 30 1 5 1/2' 1/2' PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: JOE MARCHETTIE COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: -719105 y� bhuiicipality of Anchorage 1'.(). M% ItXXN1 - Anchorage, Alaska 9!1.519fiGiO - Telephone (!M)7) 343-KU)1 - PLL[ (!N)7) 343-tOx) 47110 Iim),mw Sl reel - Anchorage, Alaslar 9!M907 aim muni a g Mayor Mark 13cgich Building Safcl3• DiA islon August 15, 2005 Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Waivcr Request for Mountain Park Estates Block 13 Lot 3 Waiver Request WR#: 050063 Parcel ID # 017-391-58 PERMIT #: SW050286 Dear Jeffrey Garness, P.E.: Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is a 76 foot horizontal separation from well on Lot 3 to septic tank on Lot 2. This waiver approval applies to the existing septic tank 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 343-7904. Sincerely, roodall Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Strcct P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: 050063 PID#: 017-391-58 HA/Permit# PERMIT #: SW050286 Date Received: August 15, 2005 Legal Description: Mountain Park Estates Block 13 Lot 3 Engineer: Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Applicant: Gary and Tammy Crowley Waiver Requested: 76 foot horizontal separation from well on Lot 3 to septic tank on Lot 2. Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Points: 7.27 3.25 2.21 2.90 2.04 Total:. ___ 17.6761 .......................................................................... Waiver is Granted: X Waiver is not Granted: List Conditions or Reasons for above: Date: 8115105 By: Joe Goodall Name of Reviewer .......................................................................... Rec#: 72404 Amount: $M Date Paid: 811512005 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS August 2, 2005 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver Request for Mountain Park Estates Subdivision; Lot 2, Block 13, The existing 4 bedroom house is served by a private well and septic system. We request you grant a 76 feet separation distance waiver from the well on Lot 3, Block 13, Mountain Park S/D, to the septic tank on the referenced property. The following items are justification for the waivers: • The lots is sloping from the septic tank to the road. There is a slight mound and heavy vegetation between the well on the subject property and the neighboring septic system. If the septic system was to overflow, it appears that the effluent would not travel toward the well head. • The location of the septic system is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. • The integrity of the existing septic tank was verified on 7/21/2005 and appears to be of good integrity with no leaks. The other path of contamination is subsurface migration wastewater should the tank begin to leak. As can be seen on the attached well logs, the aquifer is relatively deep, with approximately 149-305 feet of silt, sand, and clay soils that have served to inhibit the migration of untreated wastewater into the aquifer. Recent water sample results from Lot 3, Block 13, indicated nitrate levels to be 1.17 mg/L and coliform bacteria results to be 0. Based upon the aforementioned facts, it appears that there is minimal risk associated with the 76 feet separation distance waiver. estions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 -Ph: (907) 337-6179 • Fax: (907) 338-3246' website: gamessengincering.com MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 0/7— /7_ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ON-SITE Name _ IZALt�K QRZ DISTANCES TO FROM SEPTIC TANK ABSORPTION FIELD WELL A0°fBSS h D. 3 o O 22 L WELL -70 q D r Pnone(s) A-)7 a -3K3 Permit No. 9"C) 6� No. of Bedrooms �3 LOT LINE IeGAL DESCRIPTION Lot Block t3 Subdivision ("toll &' CSI" FOUNDATION Township, Range, Section t t a C_b AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, tlrive-way. water bodies, etc.) TANKS e SEPTIC ❑ HOLDING Q C e! Manufacturer AcNIC-14A-N IL Capacity in gallons I :L.. D % 2.. Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade FT Total depth from original grade FT f7 R D I N 1 \ \ \tJ Fnl added above original grade FT Gravel depth beneath pipe FT Gravel length FT Gravel width FT Total absorption area SO FT Distance between lines FT Number of Imes sou rating SOFT Pipe material Installer Date Installed WELLS ❑ PRIVATE ❑ OTHER (Identifv) Classification IA,B.CI Total Depen FT Cased to FT Lil ,D b Installer Date installed: REMARKS: L SW�AW I P Municipal and Stale guidelines In effect on We date:: Health Department Approval: .on ,G2:n:t 72-013 (3/85) I 1-1 ♦Sciale': •ENGINE[R'S 6EAL Inspections Performed by: - ,3 " Ur All. ,: r Date: I `c•s .: '' .;_ v� V: ,-,1 • (J.•a� :••,»cs..'a^noon. • 1 cerfily that this Inspection was performed aceording N all L pROFESs1�„�:� Date: M U N I C 1 P A L l I Y U t' ANCHUNAUL Department of Health & Human 'cervices 8'-'b L Street, Anchorage, Hlask:a 99b01 a4:_�-4720 O N- S I T E S E W E R F E R M I T Permit Number: 900085 Upgrade D,:(te Iasur!d: 04/30/90 Engineer Designed L� Uf vnL Owner Name: RALPH OR 1 Y` ERTZ Day Phone: Owner Address: P.O. BOX 230224 277-3003 ANCHORAGE. AK 99 23 Parcel Id: 017-391-50 Lot L_F�gal: Subdivision: MT.PARIk:: ESTATES Lot: 2 Block:: 13 Section- 26 Township: 12N Range: 3W Lot Size '2225-52 (sq. (t. or acreo) Max Bedrooms: 'This Permit: 4 Total Capacity: 4 SEPTIC TANI::: Minimum total septic tank: capacity: 1,250 gallon_. Each septic t<-anl:: must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). INFORM D.H.H.S. PRIOR TO INSPECTIONS BY ENGINEER, OF AFTER OFFICE HOURS, CALL 34.3-4681 AND LEAVE A MESSAGE. THIS PERMIT EXPIRES 12/31/90 AND VALID FOR A SINGLE FAMILY HOME"-'. CONSTRUCT PER ENGINEERS ATTACHED DESIGN. ABANDON CRIB PROPERLY AND NOTE ON AS -BUILT FORM AS A CONDITION TO CLOSE OUT PERMIT. I CERTIFY THAT: 1. 1 am familiar with the requirements for on-site sewers and wells as; ret Forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. 1 will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. 1 will adhere to all MOA and State of Alaska requirements for the set back: distances from any e;cisting well, wastewater disposal system or public sFaw0rage system on t.h .s or any adjacent. or nearby lot.. Z. I Undorstarc that this pk�rmit is valid for a maximum of 4 bedrooms. 1 al. so under s: and that capacity of the total system is 4 bedrooms and any canl�-r. y r. -nt. wi rF luire an additional permit. ':3i.gned: DATE: �� �Q .___.._______,____.--.----_____ _—_/-;�._.--- (Owner) f of 'H 07 L 3VONNE ERTZ l:ssucad EJy:----- DATE: qO • } ['� Municipality of Anchorage i f DEPARTMENT OF HEALTH & HUMAN SERV 825 "L" Street, Anchorage, Alaska 99502-065 0 SOILS LOG — PERCOLATION TES . I PERFORMED FOR: / ,C-2RL.4sL 77-a4C r ��(t LEGAL DESCRIPTION: Z47-.9. BGC, /3�JJwpTownship. Range, Sect DEPTH 1 2 3 CA/v! 4 6 7- 8- 9 8 9 SLOPE 10 WAS GROUND WATER ENCOUNTERED? A/O 11 S IF YES, AT WHAT L 12 DEPTH? `— P 2 Depth to WateO /OZ F - mQ 13-AMonitoring? Date:f E 14- 15 16- 17- 18- 20 6171820 COMMENTS PERFORMED BY. ACCORDANCE WITH ALL STATE AND MUNICIPAL 72.008 (Rev. 4/85) (ENQINEER'S SEAL) /L 3W SITE PLA 26t PERCOLATION RATE 55.54D(minutes/inch) PERC HOLE DIAMETER 6 '/ TEST RUN BETWEEN FT AND 5 FT 3 2 3 SA, Ae .,/6 �i1iaovH— r .tom �► ��'L I CERTIFY THAT THIS TEST)VASE PERFORMED IN !UIOELINE EFFECT O THIS GATE. DATE: 01 LZJp —{ .".' Municipality of Anchoral DEPARTMENT OF HEALTH & HUM. 825 "L" Street. Anchorage. Alaska SOILS LOG -- PE/RCOLATI PERFORMED FOR:`%J/�_ LEGAL DESCRIPTION: LO 7< 26 /&. /.3 Township. Range. Section: T/?N 2 3d✓, SFI � 6 S.�?. v DEPTH lb� TH m J A- Zp4,1, # SLOPE SITE PLAN 1 2 3 4 5 6 s 9 10 11 12 13 14 15 16 17 16 1f 2C 5114 C WAS GROUND WATER No ENCOUNTERED? ' S IF YES. AT WHAT L O DEPTH? P E cepm to W=f Ater %frl 1 r rr/CGi COMMENTS d yr r 7 rn 7/ 710 4 PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL 72.008 (Rev. 4851 PERCOLATION RATE 'j 5!0 (minuteVii+ ; PERC HOLE DIAMETER TEST RUN BETWEEN 3 FT AND 4— FT A 2 3 S cr. </. . 1 V RTIFY THAT THIS /7rp��- wA5 PERFORMED IN EFFECT THIS DATE. DATE: /Tr tl��L.7t7d�' � ai COMMENTS d yr r 7 rn 7/ 710 4 PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL 72.008 (Rev. 4851 PERCOLATION RATE 'j 5!0 (minuteVii+ ; PERC HOLE DIAMETER TEST RUN BETWEEN 3 FT AND 4— FT A 2 3 S cr. </. . 1 V RTIFY THAT THIS /7rp��- wA5 PERFORMED IN EFFECT THIS DATE. DATE: /Tr • cwo {r+w, vw) D Ne�•1�+n4 .r Pe�cd3 C.o. • TN'''/ � 0 _ pnve i� • i'<ct'Y8 Proposed' vGWUr F pC'Oband" is k Rav a • sclff efo J. �/ 30' �/o�Bec�OPJ'igrJ 2'•/n SY /rt /.n, ( ' �' ' /n ie - 47 IJe40 S,T• E. P Ta, e, � � �' - 30 �An<G�myP'lanlr a►"��ud/� %'1` Zc C.C. 26/o A Bed Svc{it�� e� g C o ia�nf<f /oum/o W-4' '7'- 7/0 ¢'r NOTE: r —� All Dimension/And Locations Must Be Field Verified Prior To Construction SYSTEM -LOCATION PLAN LOT BLOCK PR /C.• SUBDIVISION Or \ /Yn/ p SECTIO eC�C 2lO P/R%— -,OU /� 3W SM. AIl uz4� rr;� At; w„L•jY a SCALE' / NOTE. 5i• R •r Zir ,• •• rMu /QQ The Accuracy Location Of snAnd °e, rw� Y Proposed Pco{aererty Cotners, Wells. and Septle ( DRAWN B70 Systems Indicated Is Not Exact. Oimcnsions x ; • •+�-=• NORTH 16.1C.Indicated Have Open Determined O use OC Cloth • �• y •.� � _ Tape •,d/oc Municipal Records, And Net By Sur oyLn9 Techniques i• ..w•,.t. «•re,. .m� �yy r j PREPARED FOR- . V by w. ar. '' •i �y �d DSa �Q/ / °-ryF;�T,(r•\A�•:wr SU t(r Tt1e CS: SNEET OF ! Municipality of Anchorage Department of Health and Human Services ! Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 31, 1991 Tobben Spurkland, P.E. - - 6751 West Dimond Boulevard Anchorage, Alaska 99502 Subject: Waiver Request for Lot 2 Block 13 Mountain.Park Estates Waiver Request #WR910005, Pib #017-391-50, f#A910023 Dear Mr. Spurkland Your request for waiver of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance is 70 feet from the well to private septic tank and 88 feet from private well to leachfield. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sin�ely, pConur:Robert W. Robinson on S, P.E. Civil Engineer VPrograMAa4nager On-site Services Ong -site Services ljm:#6 CAA9-HO•I •. GRATER ANCHORAGE AREA BOROL' 'i OkrARTMENT OF ENVIRONMENTAL QUALII. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM 'j� �ywC MAILING �l�%{ / 1 y 71"_�/'%liJ� NAME ZT h>7 ' ADDRESS PHONE NUMBER OF DISTANCE FROM WELL �liMATERIAI 7-P •I -COMPARTMENTS - LIQUID t �%%fit' 7 Z LIQUID LIQUID CAPACITY 2�c GALLONS. INSIDE LE GTH I�SIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH 2 % LENGTH 3 3 DEPTH h LINING MATERIAL ��17 5 DISTANCE FROM WELL iL11fPC , BUILDING FOUNDATION , NEAREST LOT LINE �Q TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 7 -ZO SO. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE F LINES , LlU►n R OF LINES DISTANCE LINES T �IDTH IN. TOTAL EFFE I ABSORPTION AREA SO. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: ✓' �"�//rl Yf DISTANCE FROM WATER TYPE DEPTH —.BUILDING FOUNDATION_ _SAMPLE NEAREST NEAREST SEPTI SEEPAGE/ /1� OTHER LOT LINE SEWER LINE ,TANK 214� << , SYST a`7_SPOOL , SOURCES_ .5 DIAGRAM OF SYSTEM DISTANCES: �z I ., . , ... ! / ✓ LTi \ , w `, ` _.._ :. �. elloi tk ]4 tom;, l 1 y , <1 i% ... I % ... DATE APPROVED G.A.A.B. i Grm4TER ANCHORAGE AREA BORO''M HEALTH DEPARTMENT 899 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM / MAILING �h: NAME t O 1 Y1 i C7 G� 1/ %% ADDRESS s f G'�C 7S� 1 �1 PHONE LOCATION �t . � Ae � ML^,'"id recV Allff'ck LEGAL DESCRIPTION/ Z Bll�i3 gnu»/gi11 ir�l: ES%ifes SEPTIC TANK: DISTANCE FROM WE ►"C?ti�T^F MATERIAL S'L Pl LIQUID CAPACITY -Z2 5-0 GALLONS. INSIDE LENGTH_ SEEPAGE SYSTEM: SEEPAGE PIT: 2 CR J/ P/ le�7Z LIQUID _INSIDE WIDTH DEPTH 1&tV/�✓XZ7XIZS NUMBER OF PITS / I OUTSIDE DIAMETER g OR WIDTH , LENGTH , DEPTH LINING MATERIAL DISTANCE FROM WEL ���/�P BUIL !N OUND/A�10 g' S 3 ��IcZlz S/icr��) NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM-WETFOU AJION NEAREST LOT LINE OF LINES_ NUMBER OF LINES DISTANCE BETWEEN LIN AREA SQ. FT. LENGTH OF EACH LINE TRENCH WIDTH IN. TOTAL DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: LOT LINE DISTANCES A=very �c= �za Dcz 35, A c = 9' TYPE//4 T d DEPTH EAREST S SEWER LINE-. T DISTANCE FROM WATER BUILDING_ FOUNDATION. �SAMPLE, NEAREST EEPAGE �OTHER /,T��r✓SEOOL OURCES_ DIAGRAM OF SYSTEM DATE F` 'zit q -7;7-,� a�PPRoueo`d HEATH AUTHORITY yj GREA , ER ANCHORAGE AREA BOR�IUGH (� / DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3500 TUDOR ROAD POUCH 6.650 1 �� ♦' r �ANCHORAGE, ALASKA 99502 7/ �� r, / v��7 6 Y TELEPHONE 279.8685 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT "�f MAILING ADDRESS �nn �+ PHONE INSTALLATION LOCATION / LEGAL DESCRIPTION r Y-� ,�/ INSTALLATION OF! SEPTIC TANK ' V SEEPAGE PIT L' DRAIN FIELD—. OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS r�"- NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION+ 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE 10,_ TYPE SEEPAGE AREA SIZES or'TYPE MINIMUM DISTANCES, REQUIREMENT DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT �n /. / DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL J SEPTIC TANK S SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /C/ .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 REGARDING INSTALLATION. IIEALiH THORITY OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHO ifzAGE AREA BOROUGH ORDIUANGE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE /4 �j/�j APPLICANT'S SIGNATURE GRhhER ANCHORAGE AREA BOROUGHr,y DEPAR..IENT OF ENVIRONMENTAL QUAL, CASE # 3500 TUDOR -ROAD i ANCHORAGE; ALASKA 99502 Performed ForMr, Lr u Date Performed IeD-14-71 Legal Description: Lot z Block 13 Subd vision [ic,pk:- li1R1C iGs This Form Reports SoilsTg >c Percolation Test Depth Feet Soil Characteristics 1 T�P�o�l Ijt•tvr��y St� v'� 2 ` 3'. 5' 8414 S;Vy 9 10 11 Was Ground Water Encountered? /Vo If Yes, At What Depth? -------, >> mmmm � �mm == Reading Date Gross Time I Net Time Depth to H2O 1.Net Drop! erco at on Rate Mi nute 1 1 V'/V a GV • 114 U I I a %. 1 V11 • JCr_Fava f 1 b V1 a 111 f I C 1 Y Depth Of Inlet Dept To -Bottom o Bottom Of Pit Or Trench COMMENTS: 9 13 - C-""}1/ �,P, , "- lest Performed By- _ f►f Data Certified BY: Date: 3 fr Parcel I.D. 017-991-50 N Municipality of Anchora; On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems 1. GENERAL INFORMATION Expiration Date: 1J- I - Complete legal description MOUNTAIN PARK ESTATES; BLOCK 13, LOT 2 Location (site address) 12915 ALPINE DRIVE ANCHORAGE, AK Current Property owner(s) JENNIFER KELLY Mailing address Day phone 312-3436 Real Estate Agent NATE BAER Day phone 350-7984 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request for: N/A TYPE OF WASTEWATER DISPOSAL: Individual Q Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: 7/2 Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number COSA# ©5? /4P133 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. 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 Gayness Engineering Group, Ltd. (GEG) Phone (907) 337-6179 Address 3701 E. Tudor Road, Suite 101, Anchorage AK 99507-1259 Engineer's Printed Name Jeffrey A. Garness Date At In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not Identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefd of the person/party who retained GEG. Reliance upon the information provided in this report by any other person orparty, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms OFq�CyO bedrooms, with the following stipulns: ON-SITE WATER AND ATER a PROGRAM ��- Original Certificate Date: �� 1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist M Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSH blue sheet_9.1-12.doc If more than 7 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: MOUNTIAN PARK ESTATES; BLOCK 13, LOT 2 Parcel ID: 017-391-50 A. WELL DATA *PER GEG INSPECTION **ASSUMED BASED UPON NEIGHBORING WELL LOGS Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 1975(?) Sanitary seal (Y/N) YES Total depth *217* ft. Cased to *"40+ ft. FROM WELL LOG Date of test G Static water level N Well production g.p.m. WATER SAMPLE RESULTS: Well Log (YIN) NO Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 7/22/16 211.6 ft, 6.3+ — 9 -p.m - Coliform 0 colonies/100 ml. Nitrate 326 mg./L. Collected by: GEG, Ltd. Arsenic_: ND ug./L. Date of sample: 7121/16 26 YEAR OLD STEEL SEPTIC TANK IS *FCO IS JUST BEFORE B. SEPTIC/HOLDING TANK DATA I APPROACHING THE END OF ITS USEFUL LIFE SEPTIC TANK Tank Type/Material SEPTIC/STEEL Date installed 1990 Tank size 1250 gal. Number.of Compartments 2 Cleanouts (Y/N). YES Foundation cleanout (Y/N) 'YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping a- l Pumper �'4u'flG tc o c IC C. ABSORPTION FIELD DATA BELOW E��XI��STING GRADE Date installed 9!2/2005 Soil ratingor(t7t>Lffn11' 0.45 System type DEEP TRENCH Length `'t'13 ft. Width 2.5 ft. Gravel below pipe 6 ft. r e3SL. Total depth *10+ ft. Eff, absorption area fIMonitoring tube*"'YES Depression over field NO Date of adegdacy test 7/22/16 Results (Pass/Fall) PASS For 4 bedrooms Fluid deplfl in absorption field before test 52 in. Water added 772 gal..,,. _ New depth -**Y64 in. Elapsed Time: 120 min. Final fluid depth 61 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - **MT ONLY EXTENDS ABOUT 68" BELOW INVERT `APPROXIMATELY 41NCHES BELOW THE INVERT D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in. "Pump of level at in. Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot Absorption field on lot 100'+ Public sewer main On adjacent lots 100'+ On adjacent lots Public sewer manhole/cleanout 100'+ Sewer /septic service line 254 Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 1004 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation "" Properly line 5'+ Absorption field 51+ Water main 101+ Water service line 1a+ Surface water 100'+ Wells on adjacent lots «78.+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10' Building foundation 101+ Water main 101+ Water service line 1(Y+ Surface water 100'+ Driveway, parking/vehicle storage 104 Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS "BOTH WAIVERS GRANTED UNDER #WR910005 ""#WR050063 —6.6 FEET FROM CLOSEST EDGE OF SEPTIC PIPE TO FOUNDATION. SMALL CORNER OF TANK MAY ENCROACH UPON FOUNDATION. G. ENGINEER'S CERTIFICATION -W l certify that I have determined through field Inspections and *' review of Municipal records that the above systems are in .....1.. conformance with MOA COSH guidelines in effect on this 0 .•• date. I F ♦ C) Engineer's Printed! Name JEFFREY A. GARNESS +j��` I Date LICENSE #AECC884 (Rev. 102112) E2 Ari A«aDOS ------------------------------------- 3AI o §;| §} Q ■ k BO 00 j)2§ g9§� k //t;� � a§|■ § § - r§:■ pro � )\ \ �§k§ §;;( §;| )!§■ £/ §(N( `§§ �l;, |§_ oz, z �§/\\ ;!!`z§N} |§|((!!§ §t;;§|7| ! ; )Nr\§)@ | (l�2�• » . n § X222■ o (§§| §} Q ■ k BO 00 j)2§ g9§� k //t;� � a§|■ § § - r§:■ pro � )\ \ �§k§ §;;( §;| )!§■ £/ §(N( `§§ �l;, |§_ oz, z §HH/\ ;!!`z§N} |§|((!!§ §t;;§|7| o §} Q |!l Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street) P.O. Box 196650 � Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING r F_ le 5L/ Parcel I.D. b / 7 — 3 I - 50 COSH# O So G 1. GENERAL INFORMATION Expiration Date: %Z O —0 & Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MOUNTAIN PARK EST.: LOT 2 BLOCK13 12915 ALPINE DRNE ' ANCHORAGE AK 99516 GARY & TAMMY CROWLEY Day phone 345-8332 12915 ALPINE DRNE • ANCHORAGE AK 99516 Unless otherwise requested, COSA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site N Individual Holding tank ❑ Community On-site ❑ 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 samples. (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 riles 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 16 06 Engineer's Comments: In conducting this evaluation, GEG, Lt D. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results doscrtbed the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readilyldontifiable features. The operational fife of all wells and septic systems depend on the local soils condition, groundwater to vets that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the soie benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will It confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 4 bedrooms. Disapproved. Conditional approval for bedrooms, with the illowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory L/ Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other ON-SITE •:�G�s WATER AND fn= WASTEWATER PROGRAM By: &I Original Certificate Date: it OG Municipality of Anchorage ' Development Services Department Building Safety Division On -She Water 6 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995196850 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MOUNTAIN PARK EST: LAT 2. BLOCK 13, Parcel ID: 017-391-50 A. WELL DATA 'PER 1991 HAA Well typeRP NAE If A. B. or C provide PWSID# N/A Data completed $1975 Sanitary seal (YIN) YES Total depth '246 ft. Cased to 40+ ft. FROM WELL LOG Date of test Static water level ft. Web productIon g.p.m. WATER SAMPLE RESULTS: Well Log (Y/N) NO Wires property protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 6/14/2005 212 ft. 77 — 9 -p.m - Coliform _Q_ colonies/100 ml. Nitrate 1.39_mgJL. Other bacteria Q_colonies/100 ml. Arsenic: ACL- ugA. Date of sample: 6/5/2006 Collected by: GEG. LtD. B. SEPTIC(HOLDING TANK DATA Tank Type/Materlal SEPTIC/STEEL Date installed 5/29/1991 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YM) YES Foundation deanout (YIN) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping 9/2/2005 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA Date installed 9/2/2005 Soil rating jk.p.d ft%bdrn) 0.45 System type DEEP TRENCH Length 113 ft. Width 2.5 ft. Gravel below pipe 6 ft. Total depth '10.75-1 !ft. Eff. absorption area 1344 ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fall) PASS For 4 bedrooms Fluid depth In absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NEW If yes, give date D. UFT STATION Date installed Size in gallons Manhole/ ,ess{Wtd� "Pump on" level at _in. "Pump High water alarm level at Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAtft station on lot `70On adjacent lots "76' Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manholeldeanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manureianimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTICIHOLDING 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: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingIvehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS ' BOTH WAIVERS GRANTED WAIVER # 050063 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in cordbfmance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A GARNESS Date ala 6 COSA Fee Data of Payment Receipt Number (n«. 11/05) Waiver Fee $ Date of Payment Receipt Number 01 _ ? to U,m� _ a • ' A = D ••y %G� JO tz m Io N I0 0 0 El --------------V 3NId-Ib' --- N 0000'571W 1 15.00 — S O°00'33"W 1 15.00 FA m m N 0 0 m ID N 6 0 �� MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services w DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # CA -1 - elq (- SO HAA # WZ9 \ ()a \\ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2; Block 13; Mountain Park Estates Subdivision Location (address or directions) 12915 Alpine.Drive, Anchorage, Alaska (b) Property owner Mailing Address HUD #111-031611-703 (c) Lending Institution Mailing Address Telephone: (home) Business Telephone (d) Real Estate Company and Agent ASSOCIATED BROKERS/ATTENTION: Sandy Address 640 West 36th Avenue, Anchorage, Alaska 99503 Telephone 563-3333 (e) Mail the HAA to the following address: (or check here 6, if hold for pick up.) List contact person and day phone number below: S & S ENGINEERING/694-2979 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single -Family Cf Number of bedrooms 3. WATER SUPPLY Individual Well:? Community ❑ Public D 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-siteX3 Public ❑ Community ❑ Holding Tank 0 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. pass (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. Name of Firm Telephone 4 J �• 17C34 Emla River Loop Road No. 204 Addressitiy 'rt��ieersk � Alaa 99577 Date 6. DHHS APPROVAL Approved for :&*' )edrooms by �`�`'`� Date Approved Y, Disapproved Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev, 7/88) Back Page 2 of 2 Municipality of Anchorage ARL Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: kot2,Lln_K?,•MtParcelI.D. 0171 391-5-0 A. WELL DATA Well type ,',1hxiFA If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) N Date completed q �{'� Driller 0 K, Total depth a! �J Cased to Z �{ Casing height / Z Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION o Date of test .' \ E -Y -29_ 9 N Static water level QF3 i LLJ Well flow tj g.p.m. Z. g.p.mg_ a W 2 Pump level a W 0 0 13 Z SEPARATION DISTANCES FROM WELL TO: �C,�p�"�q 1 �1 I V ' Septic/holding tank on lot �n �' ; On adjacent lots off' rf Absorption field on lot — I C) ; On adjacent lots Public sewer main /J /A Public sewer manhole/cleanout C,�1A Public sewer service line N Petroleum tank _ n)0NE / tJoto/J WATER SAMPLE RESULTS: \ Coliform g''Aor(I Nitrate r r�.�11t Other bacteria' 1 / '-"> e'- Ua Date of sample: Collected by: d- S L5/VG r/Jcert0a B. SEPTIC/HOLDING TANK AT P -9r Date installed /—v Tank size > S 0 4tA Compartments z Cleanouts (Y/N) Foundation cleanout (Y/N) �J Depression (Y/N) ti High water alarm (Y/N) Alarm tested (Y/N) /J I I A Date of pumping�— SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Wells) on lot 0 On adjacent lots 00 t Foundation `f Topropertyline l O f Absorption field 2,1Water main/service line l D Surface water/drainage J(M rt I 72-M(Rev.3re1)Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level — Meets MOA electrical codes (Y/N) on" level at SEPARATION DISTANCE FROM LII Well on lot Manufacturer Manhole/Access (Y/N) "Pump off" level at ATION TO: lots On as _ Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed (a — z Soil rating System type <'_,P 01 Length 3 Width Gravel thickness (2—Total depth 9 Total absorption area Cleanouts present (Y/N) Depression over field (Y/N) A) Date of adequacy test 2 4 C1 Results (pass/fail)n a 'S—for bedrooms Peroxide treatment (past 12 months) (Y/N) f (A If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: , Well on lot (too rf On adjacent lots nn Propertyline To building foundation Z� �= To existing or abandoned system on tot On adjacent lots 30 r f Cutbank Watermain/service line / n i Surface water =0 O Driveway, parking/vehicle storage area >Drtveta o0ci/ CRI Curtain drain FJ �5��/tn'�/ FOf fi0 ��S�iNc, E. ENGINEER'S CERTIFICATION .�Gft ELD o^/Ly LL,� �J F7G2 I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in eftect.e4�9w4ate, of this inspection. s & S ENGINEERING n CJ ' ::: ?" •ti9 b� Signature },xrY:'� ^(v- L000 Road NQ 704 s A t" r ... ...........«,•.«.• Eagle River, Alaska 99577 � ".r;- ' � Engineer's Name ••• obart Date r(o. 1457-E HAA Fee $ I—) Waiver Fee: $ Date of Payment t a -s'� i Date of Payment Receipt Number a1 �� �F �tP1 Receipt Number 72-026 (Rev. 3/91) Back MOA 21 MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # 7— 3 q d ) HAA # /4-0— % y c �•3 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range Location (address or directions) 12q is Ar L_ K.e D'. v -e— (b) Property owner �R[i C r� Telephone : (home) Business Mailing Address 'FO- Tom* 0-322,2L1 �. Ami &CL q`14+ Z3 (c) Lending Institution N t3 v A Telephone Mailing Address (d) Real Estate Company and Agent Ni D N 1:—:, Address Telephone (e) 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. 724it (Re .7/88) Page 1 of 2 S. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm 10616e!" �� rlclwKc� {7 E Telephone AL/A — S� n'? Address /A 7Y) Le--. b wr OOVLX Date 6. DHHS APPROVAL Approved forte? .bedrooms \! X .,r ��7f,�.\'ate...: sic.•. �.�:.. is ••1 Engineer's Seal by J-�v+.� . c •1- r. Lt Date Approved Disapproved Conditional �erms�f-Go "•' ' " �)_�•�,-�.•�-(-r.�� ,�.c`-��� ��-C �c.i.�Gl. I���.. .ct- a,+,�-cam i The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) • Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 ,9 343-4744 Legal Description: Loi A,91< 11 A. WELL DAT Sc� .Z.(o'� Z'�2Ni1'31t/J Well Classification If A. B. C, D.E.C. Approved (Y/N)_ Well Log Present (Y/N)_ Date Completed Yield ►� Total DepthCased to gfPIL Depth of Grouting rgyo 'e_ Static Water,Level Pump Set At 3b Casing Height Above Ground la- Sanitary Seal on Casing (Y/N) � O $ - Electrical Wiring in Conduit (Y/N) 1 Nr; ed Depression Around Wellhead (Y/N) � SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot -70 On Adjoining Lots fOo To Nearest Edge of Absorption Field on Lot IW X+ ;;On Adjoining Lots gg To Nearest Public Sewer Line kZA To Nearest Public Sewer Cleanout/Manhole N�rO To Nearest Sewer Service Line on Lot i 3 Water Sample Collected by TS ; Date o 'Jo`(//`t Water Sample Test Results Comments N ���e (o c(i�r,��o0 71 SYs1-c-..... c.n. Loi IF lR&s- No uVaL. v,4- ' B. SEPTIC/HOLDING TANK DATA / S+ Z3 X91 Date Installed fI qqO ( Size Ia D No. of Compartments 7 -Le, J Standpipes (Y/N) Ott Air -tight Caps (Y/N) Foundation Cleanout (Y/N) >—/ Depression over Tank (Y/N) r Date Last Pumped N -A Pumping/Maintenance Contact on File (Y/N) ��� ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) NSA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well To Building Foundation > To Property Line > 10 To Disposal Field To Water Main/Service Line > 10 To Stream, Pond, Lake or Major Drainage Course Comments 72-028 (Rev. 7/88) Front Page ,1 of 2, ,r C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata -233 Type of System Design t m.e, 66L Date Installed i Q -7 Z Length of Field .3 3 Width of Field al Depth of Field c? Gravel Bed Thickness Square Feet of Absortion Area 7 Z a Statndpipes Present (Y/N) Depression over Field (Y/N) N Date of Last Adequacy Test 117 – t& 1 49 I Results of Last Adequacy Test ." t'o V v� 'I'Se(i roo W a J •yL SEPARATION DISTANCE FROM ABSORPTION FIELD:�,Pis–`� To Water -Supply Well 120 To Property Line O To Building Foundation 40 To Existing or Abandoned System on Lot No 4e - : On Adjoining Lots To Water Main/Service Line > 3 Q To Cutback (if present) N/A To Stream, Pond, Lake, or Major Drainage Course _ Nei_ To Driveway, Parking Area, or Vehicle Storage Area I D. LIFT STATION Date Installed Dimensions Size in Gallons "Pump On" Level at High Water Alarm Level at — Tested for Meets MOA Electrical Codes (Y/N) Comments — Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) "Check Permitted Bedroom Rating Against HAA Request" Pumping Cycles during Adequacy Test. 1 certify that I have checked, verified, or conformed to all MOA and HAA.guid-e(inbs.in effect on the date of this inspection. –�::. •;s..j'u, �C``�T:'' Signed f Company �mbb�., �O�r�CIDI� /i '- ie�"t; ;➢, r ': �; � l4`i l a Engineers Seal Date r�,c•�'' MOA No. r d�, 0.. .t � • LI >22i5 �•..! •. r �3� C"/ dU Receipt No. oZ o Receipt Date of Payment –r�_c:;L Waiver Fee: $ Amount: $ % 20_ Date of Payment 72-028 (Rev. 7/88) Back Page 2 of 2 Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 31, 1991 Tobben Spurkland, P.E. 6751 West Dimond Boulevard Anchorage, Alaska 99502 Subject: Waiver Request for Lot.2 Block 13 Mountain Waiver Request #WR910005, PID #017-391-50, Dear Mr. Spurkland. Park Estates HA910023 Your request for waiver of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance is 70 feet from the well to private septic tank and 88 feet from private well to leachfield. This waiver approval applies to .the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincely, pConur:Robert W. Robinson , P.ECivil Engineer Manager On-site Services Ong -site Services ljm:#6 f� i III �I Ze77-,�, �•� �.3�1�!/�1T_ /�/ / Z/� 57" C' I �a Loo 4/ 2��0 / i 1� Lo7 -1_74,2 4-7 ' S 2 nAJ 0/JS q�i I/G/ - /73 Cly -� ���1�y �I _ ;G%-11) tel: iJ I �G� n^. L E i 9-q— G a c&l_r—� /ul _! 161. - ---'� 1� i/�,�-moo a�>�� �►��-r� i l70 r—or i � r -moo _ g 1 a - $O ` � ---��" moo, —_—.— 7st= �dOf j --- ------------ .s II dO�n Poin!J T _ E;F---> UF"7Zl <LLAN0 E_' .. C 6751 M. DIHOND BLVD. 'r ANCHORAGE, ALASKA 99502-3904 sem;. (901) 248-5095 96 M i_ipa of Anchorage I, � s 3- Environmental Health De �� _nt of Health and Social Services 8 1 Street An hcrage, Alaska 99501 Subject: REQUEST FOR PRIVATE WELL PRIVATE WELL LOT 2, BLOCK Gentlemen; January 28, 1991 WAIVER OF SEPARATION DISTANCES FOR TO SEPTIC TANK TO DRAINFIELD 13$ MOUNTAIN PARK ESTATE We are submitting a request for waivers from the separation distances stated in Title 189 Alaska Administrative Code, Chapter 80.020. During an Health Authority Inspection for this property it was discovered that an HAA had been issued in 1986 where the separa- tion between the well on subject property and the drainfield on Lot 1 was reported to be 88 feet. No waiver was applied for at that time, but the HAA was granted. To correct this oversight, a waiver is applied for at this time. In addition the original septic tank, which was located 70 feet away from the well, was replaced in 1990. The required separation distance between well and tank. was 50 feet in 1972 when the septic system was in- stalled, but according to Municipal Guidelines, any upgrade or repair must comply with the code at the time of replacement, which in this case would require a 100 foot separation between the well and the septic tank. Installing the tank 1O0 feet from the well would place the tank in the middle of the parking area for the residence and in front of the garage doors. It is also possible that the tank would be encroaching on the absorption area. The measured distance between the tank and the standpipe for the absorption pit is 42 feet. Mitigating circumstances includes the fact that the well casing is located on a side hill. The elevation difference between the well and the leachfield is 8 feet. The tank location is 2 feet lower than the well. In addition, the residence is located between the well and the septic system on Lot 2. It is impossible for overflowing waste water from either septic system to reach the well casing No well log exist for this well, therefore I have used well logs from surrounding properties to evaluate the contamination poten- tial. The well logs used are for Lot 4A, Bi-, 13 MPE, Lot 79 Bk.. 13 MPE, Lot 4, Bk. 5, Robin Hill, and Lot 19 81:. 5 Robin Hill. The WAIVER REQUEST LOT 2, BY,. 13 MOUNTAIN PARI: ESTATE pg. 2 Jan. 28, 1991 location of these lots are shown on one of the attachments. Note that the sketch is not to scale, nor is the exact well locations shown. The information from the well logs is summarized in the following table. By going through the DEC's procedure of analyzing the potential for contamination I arrive at the following points: Ground 'Water Soil Sorbtion Permeability Gradient Separation Total (at 100 ft.+ ) 7.0 ( Silt,Sand, Clay) 5.0 ( Silt ) 3.0 Away from well 4.0 ( 88 ) 2.0 21.0 Cori cIusion: Almost sure to be free from any form of contamina- tion. As an added safe guard. Tank is a steel tank. Cast Iron pipe was used as well as water tight couplings. Please issue an waiver for this well. Yours T� Tobben Spur.land P.E. ,.I.� '♦CO'I Y.i1. 11111•` �1 i, C'a.�• ...l��e . 1a. to :a • 1 1.1.. ►,�. ............ • ✓. • T?.. :: "C:,L CACI 6� �C�,':' �• 0.22'15 .' �'�� L.Ci4.11� Iry t w. 1•tii . .. LOT 21 LOT 4A, LOT 7 LOT 41 LOT 11 WELL DEPTH 246 170 167 280 265 STATIC 204 147 150 219 225 DRAWDOWN 3 2 SOILTYPE SILT CLAY CLAY CLAY By going through the DEC's procedure of analyzing the potential for contamination I arrive at the following points: Ground 'Water Soil Sorbtion Permeability Gradient Separation Total (at 100 ft.+ ) 7.0 ( Silt,Sand, Clay) 5.0 ( Silt ) 3.0 Away from well 4.0 ( 88 ) 2.0 21.0 Cori cIusion: Almost sure to be free from any form of contamina- tion. As an added safe guard. Tank is a steel tank. Cast Iron pipe was used as well as water tight couplings. Please issue an waiver for this well. Yours T� Tobben Spur.land P.E. ,.I.� '♦CO'I Y.i1. 11111•` �1 i, C'a.�• ...l��e . 1a. to :a • 1 1.1.. ►,�. ............ • ✓. • T?.. :: "C:,L CACI 6� �C�,':' �• 0.22'15 .' �'�� L.Ci4.11� Iry t w. 1•tii . .. it I /i m�_7lrfb�or i • ALASKA ENVIRONMENTAL CONTROL SERVIC'• INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907)561.8040 DRiUEwAy 1 4oe- L.2.9.� MTN. PK- ESZA i fHEETNO or CAICVLAffD s• o TK DATE CHECKED •r DATE SCALE —1 v 30 +oGBfS��Pe ' 9.2 NE16 H6OC; _... _ / F)Eta (L1) , LQtil +!L3' L House Apr 1 ; i .971 i Location (address or directions) _ A114 (b) Applicani Name I RRLP%f _6 9 T9 Telephone: Home 7-3 Business Applicant Address. 12 (c) Applicant is (check one): Lending Institution El Owner/builderlQ*; Buyer 0 Other 0 (explain); (d) Lending Institution Telephone A//A Address IV (e) Real Estate Company and Agent Address Telephone NIA (f) Mail the HAA to the following address: WIA 2. TYPE OF RESIDENCE .,+ .;N 4- Single. _Fam,ilyp Multi -Family 11 Other Number of Bedrooms 31' WATER SUPPLY Individual WellX Community 13 Public 13, Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public [3 * Community 13 Holding Tank 13 Note: If community well system, must have written confirmation from the State Department of. Environmental Conservation attesting to the legality and status. 72-025(11/84) Pagel of2 e �MUNICIPALITY OF. ANCHORAGEr'!"-- DEPARTMENT OF, HEALTH AND ENVIRONMENTAL: PROTECTI0 W:, DIVISION OF. ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 'Application Date 31A kI PI/I 1. GENERAL INFORMATION ,(a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) _ A114 (b) Applicani Name I RRLP%f _6 9 T9 Telephone: Home 7-3 Business Applicant Address. 12 (c) Applicant is (check one): Lending Institution El Owner/builderlQ*; Buyer 0 Other 0 (explain); (d) Lending Institution Telephone A//A Address IV (e) Real Estate Company and Agent Address Telephone NIA (f) Mail the HAA to the following address: WIA 2. TYPE OF RESIDENCE .,+ .;N 4- Single. _Fam,ilyp Multi -Family 11 Other Number of Bedrooms 31' WATER SUPPLY Individual WellX Community 13 Public 13, Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public [3 * Community 13 Holding Tank 13 Note: If community well system, must have written confirmation from the State Department of. Environmental Conservation attesting to the legality and status. 72-025(11/84) Pagel of2 13 13 L Z N1 %', AW, K Wil, 5. ENGINEERING FIRM PROVIDII .INSPECTIONS, TESTS, FILE SEARCH, D. 4 AND INFORMATION t 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 watersupplyand/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. n Name of Firm r! E--S, G l Telephone / S/1 Address /Z0n 0) �`�� � � AMC11, AKp , 7 9503 Da 'te .4 Ju�.y 1 1981fl - OF AL grs deal / ♦ � 0600..0 0 0 60000 ..• .� LE C. ItEID, JL p II rA �6 CE - 2251 I 6. DHEP APPROVAL { Approved for �uK bedrooms by Approved x Disapproved Conditional Terms of Conditional Approval . M� �- eg' I CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an Independent professional englneer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued: The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work: Page 2 of 2 72.025 (11/84) Mond OF A"040KAW /� OW. OF HEALTH & I [IVINOMAENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOry HEALTH AUTHORITY APPROVAL (HAA) J U L O 7 061 CHECKLIST - FEBRUARY 1884 (� 264-472° Legal Description: M �,C 1 V j+ T L r tV 3W Z6 SEG, A. WELL DATA Well Classification I fQ) U1DUAL- If A, B. C, D.E.C. Approved (Y/N) ! //4 Well Log Present (YO Date Completed 1126: Yield Total Beth i Cased to 2Y6 , Depth of Grouting AIA Static Water Level 2 10,S Pump Set At i Casing Height Above Ground Sanitary Seal on Casing aN) Electrical Wiring in Conduit (ON) Depression Around Wellhead (Y)© Separation Distances from Well: To Septic/Holding Tank on Lot 7ol On Adjoining Lots To Nearest Edge of Absorption Field on Lot too /t ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole I To Nearest Sewer Service Line o Lot Water Sample Collected by �� K� Tl.LK ; Date Water Sample Test Results -3&rl S FAC7-oR Comments-SES)7-6 L2_ 4- T N RrpoRz: 4508 Lor 1 (D fcg Ftay TAT 6/ZZ/86 SEE WOO MUMS R6#wr B. SEPTIC/HOLDING TANK DATA Date Installed o 2 Size JZs_ 0 No. of Compartments Standpipes @N) Air -tight Caps ©N) Foundation Cleanout Y*J, Depression over Tank (Y> IQ Date Last Pumped _ql6 Pumping/Maintenance Contract on File (Y/N) t A ;for lei Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N)� Separation Distances from Septic/Holding Tank: r q To Water -Supply Well 7p To Building Foundation To Property Line � © To Disposal Field 2 9 To Water Main/Service Line n(fA' To Stream, Pond, Lake, or Major Drainage Course -100 Comments L Page 1 of 2 72-026(11/84) ar3 z MTV, PAle. �T�s C. ABSORPTION FIELD DATA Soils Rating in Absorption Striata 2 Type of System Design CRI15 Date Installed 6 7K Z Length of Field Width of Field 27 Depth of Field >< A Square Feet of Absorption Area Depression over Field (Y© _ Results of Last Adequacy Test Gravel lied Thickness a Standpipes Present 69N) Date of Last Adequacy Test 6 ,5A Trs Fdc r�& FOK f5pws, Separation Distance from Absorption Field: To Water -Supply Well too 114— To Property Line y0 / i To Building Foundation 20 '� To Existing or Abandoned System on Lot A ; On Adjoining Lots Sa i4 - To Water Main/Service Line N To Cutbank (if present To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Aree�-D Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments . Dimensions E le/AcceF(Y/N) mp O " Ven Check Permitted Bedroom Rating Against HAA Request •• Pumping Cycles during Adequacy Test. Meets MOA I certify that I havJt k d v rifled or conformed to all MO and HAA guidelines in effect on the date of this inspection. Signed Date �f Company - G• MOA No. �✓ 0Z 1 Receipt No. �� QF Al. 1% Ak Date of Payment J �.•' '•.;r�r ` Amount: $ r 4j� 4 Se al% �` RTVAOWNT 0/ DkUrc -& Rehr �.*:... .. 0 2 Wt"MR S#M&F C. RECD, X•• t Page 2 of 2'•�• CE - 2231AV 4#3 517(,a ,PtAA' 72-026(1ve4) , rNsPECrroN REi0vRrFW w a 13 L) Mrly. PK. EsPIMS M -W DRILLING INC. P.O. BOX 110378 ANCHORAGE. ALASKA 99511 )TY PHONE 349-8535 NAME 2 ADDRESS C LEGAL DESCRIPTION LEGAL OWNERS BANK OR LENDING INSTITUTIONS CURRENTLY HOLDING DEED OF TRUST HOMEPHONE WORKPHONE 3 SYS - //j?3 n INVOICE No 3431 / DATE_ 7—a _e6 UNIT MATERIALS PRICE AMOUNT Alf charges shall be paid in lull within ten ORKMAN c DATE %—a a IN c% Cd OUT 3;406oln TOTAL MATERIALS HOURS RATE WELLNUMBER i Ark DIAMETER 6411 DEPTH R q6 STATIC LEVEL A09,f GPM DRAWDOWN PUMPMAKE HP SETTING VOLTS PHASE AMPRATE SERIALNUMBER MODEL SCREENLENGTH SLOT SIZE LINER/SCREEN DESCRIPTION OF WORK DATESvj"jW 7-a- F `w�eP .� a'r6 ` .� 1 le- �•�z� �.� �1 a -L . a -Aoo MQ-ccl— Alf charges shall be paid in lull within ten ORKMAN c DATE %—a a IN c% Cd OUT 3;406oln LABOR HOURS RATE OO MATERIALS IFROM ABOVEI CRJ days unless other arrangements are made prior to drilling. The customer Shall pay in- terest at the rate o/ 1!12 % per month on any amount not paid within ten days. Failure to 1� 12S OTHER CHARGES pay may result in a lien against the property. CUS MER SIGNATURE /p -i ,., n PAY THIS AMOUNT �► I 11 l /t rl�.jl f n� v i ALASKA ENVIRONMENTAL JOB L2 913- M rN. PK. Es rAr6S CONTROL SERVIC"', INC. (O� SHEET NO. OF 1200 West 33rd Avenue, Suite 8 ANCHORAGE, ALASKA 99503 CALCULATED BY �� DATE 1 121 (907) 561.5040 CHECKED BY DATE MUNICIPALITY OF ANCHORAGE ell Ito: 461 __ UMBE F BEDROOMS ENVIRONMENTAL ENGINEERING DIVISION ❑ One lb Four ❑ Other MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ay _ 825 L Street . Anchorage. Alaska 99501 UMBE F BEDROOMS ENVIRONMENTAL ENGINEERING DIVISION ❑ One lb Four ❑ Other Telephone 2644720 ❑ Two ❑ Five REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES ❑ Three ❑ Six DIRECTIONS: Complete all parts on paps 1. Incomplete squab will not be processed. Please allow tan (101 days for processing. 1. PROPERTY OWNER I PHONE ❑ COMMUNITY Aa It d' rz Igo/400-9kyo& depth (attach log if available.) h iyrl INDIVIDUAL/ON-SITE" MAILING -ADDRESS a&* 481&!� pip mr4o ❑ PUBLIC UTILITY PROPERTY RESIDENT Of different from above) PHONE 2. BUYER PHONE e MAILING ADDRESS & LENDING INSTIjkgION T PHONE ..7' MAILING ADDRESS 4. REALTOR/AGENTONE r� MAILING ADDRESS B. LE AL DESCRIPTION STREET OCA ION , Zoo 6. TYPE OF RESIDENCE UMBE F BEDROOMS ❑ One lb Four ❑ Other 0 SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY TI INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM iyrl INDIVIDUAL/ON-SITE" '*If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATEDL --� THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter mu ccompany certificate) fCYDISAPPROVED . I& :1A -M # /0�_� DATE am/ BY (Titl 1 -010 (Rev. 3178) r' 'L7 'THREE r-NVE 4' VAPOT L ❑ SINGLE FAMILY ❑ ONE ❑ ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX sT 2. WATER SUPPLY PERMIT NUMBER ••. K I ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY DATE DRILLED t ❑ PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER -" ❑INDIVIDUAL/ON -SITE DATE INSTALLED ❑PUBLIC UTILITY - �Z Connection Verified INSTALLER ❑Septic Tank or ❑ Holding Tank Size: I aWO If Tank is hgnemade jtljLSFATING , Z . give dimensions: ' i► 3'3 TYPE OF TANK MANUFACTURER STF—c\ TOTAL ABSORPTION AREA MATERIAL , 4. DISTANCES Septic/Holding Tank Absorpt n Area Sewer Line Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS 't" e- A ^ _ A ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter mu ccompany certificate) fCYDISAPPROVED . I& :1A -M # /0�_� DATE am/ BY (Titl 1 -010 (Rev. 3178) � F- �� Oe L' GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-456111 Date Received b — 3 — -I Time of Inspection `7% \ S Date of Inspection -)-7--79' V REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Addratc- 3. Legal Descr 4. Location: `1 GV � _ Phon'�: a-1I-'A.S'X!5 Phone: 5. Type of facility to be inspected \ U No. of bedrooms 6. Well Data: A. Type C. Construction 7. Sewage Disposal System: B. Depth D. Bacterial Analysis A. Installed 1%1 1'1. B. Installer C. Septic Tank: 1. Size IZkS0 2. Manufacturer D. Seepage Pit: 1. .Absorption Area :2j -.o_ 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , .Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest ,lot line EQ -034 (1/74) Page 1 of two pages . ... .. Y. v .... ..........r....i..�..a.n.ww'�....w.—nw�a�n...ur.n...�.�.... .. ..�... .... .... ......r •....� ....� I... n. r ..r. n.a.. rarYr n1.1.'w r...w+.r m.�...��a '.1 . x Page 2 of two pages -'Re'" )t for Approval of Individual F �r & Water Facilities Comments Approved Disapproved Date Approval;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality W Jk DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74)