HomeMy WebLinkAboutKNIK HEIGHTS BLK C LT 15Knik Height
Block ¢
Lot :[5
#017-034-33
~ MUNICIPALITY OF ANCHORAGE ~
DEPARTMENT OF HEALTH & ENVIRONMENTAl- PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
925 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NG ADDRESS
~L D ESCRIP~TION
LOCATION
DISTANCE TO:
~ O IF HOMEMADE:
DISTANCE TO:
NO. OF BEDROOMS
Dwelling
Material No. of con~partments
uid depth
~MIT NO.
Mater~al Liquid capacity in gallons
DISTANCE TO: ~' /00
pe of crib Crib diameter
Wetl
DISTANCE TO:
foundation
DISTANCE TO:
foundation
inches
NO.
ve absorption area
Nearest lot line
lot line
Septic tank
MIT NO.
Absorption area(s)
OTHER
REMARKS
oF/ r~-a
LEGAL
DATE
I'iUN i 13 i pAL I T"r' OF A[.IcHE~RRGE
DEPRRTHEHT ~ HEALTH AND' ENV I RONI'IEHT~L ~"*OTECT I OH
825 ~L STREET, 8HCHOR~GE, BK. 99~31
-,' ' 264-472~
PERHIT NO. ( 830715 )
RPPLICRNT TRLLY HOOH
LOCRTION L:.I. 5 BO I<f.,llK HEIGHTS
LEGRL T'JL2N R31.4 SEC23
TYPE OF SOIL RBSORPTION S',¢STEI"I
I,IRXIMUH HIJHBER OF BEDRO01'IS =
SRR BOX 1569B i2441RTHERTOR R
LOT SIZE
345-5015
43500 SQURRE FEET
TRENCH
SOIL RRTING
' :-ORPTI04 sYSTEH
THE REOLIIRED SIZE OF THE SOIL i'tE:=, /~..~r.'"' ~
DEF. TH= 1[4 LENGTH= 2~,--4 -GRR"''CEE DEPTH= 5. 5
THE LEHGTH DIHEHSION IS THE LEHGTH (IH 'FEET> OF THE TREHCH OR DRRINFIELD.
THE DEPTH OF R TREHCH OR PIT IS THE DISTRHCE BETHEEH THE SURFRCE OF THE
GROUND RND THE BOTTOH OF THE EXCRVRTION (IN FEET>.
THERE iS fig SET HIDTH FOR TREHCHES.
THE GRRVEL DEPTH IS THE HIHIHUit DEPTH OF GRRVEL BETHEEH THE OUTFRLL PIPE
RHD THE BOTTOH OF THE E×CRV~TION (IH FEET>.
REQIJ i F:ED ~EPT I C TR[~i}( 5 i ZE= iS~dg~ GRLLO/~
PERHIT RPPLICRNT HR5 THE RESPOHSIBILITM TO INFORH THIS DEPRRTHEHT DURING THE
iHSTRLLRTIOH INSPECTIONS OF RNY NELLS RDJRCENT TO THIS PROPERTY RND THE
fIUI'IBER OF RESIDEHCES THRT THE HELL HILL SERVE.
T~40 ( 2 ) INsPECT i Ot4~ RRE REG~U I RED
BRCKFiLLING OF RNY sYSTEH WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS
DEPRRTHENT HILL BE SUBJECT TO PROSECUTION.
HIrlIHUM DISTRHCE BETNEEH R HELL RNB RNY ON-SIT~ SEWRGE DISPOSRL SYSTEI'I IS
iE,~ FEET FOR R PRIVRTE HELL ,OR 15¢ ~0 288 FEET FROH R PUBLIC HELL DEPEHDING
UPON THE TYPE OF PUBLIC HELL.
HINIHUH DISTRNCE FROH R PRIVRTE NELL TO R PRIVRTE ~EHER LIllE I5 25 FEET RND
TO R 60HI'IUHITY 5ENER LIHE IS 75 FEET.
OTHER REC~UIREHEHT5 I'IR~ RPPLM. ~PECIFICRTIOHS RND COHSTRUOTION DIRGRRHS RRE
RVRILRBLE TO INSURE pROPER IHSTRLLRTION.
F'ERI'fl I T EXP I F:E5 DECEIfiL:ER ~i-
i CERTIF~¢ THRT '
t: I RH'FC~f'IlLIRR HiTH THE REOUIREHENTS FOR ON-SITE SEHERS RH[> HELLS RS SET
FORTH BY THE HUHICIPRLITY OF RHCHORRGE.
2' I HILL INqTRLL THE 5M~TEH IN RCOORDRHCE NITH THE CODES.
-i - RST~HD THRT THE-OH-SITE SEHER sYSTEM MRV REQUIRE EHLRRGEH~HT IF THE
~' ~.~E .. ~'ODELED TO INCLUDE I'IORE THRN 5 BEDROOHS.~
...........
Rp~ICRNT/ TRLL~ HOOW . - -- ~ ~E~T~
'--'-'"'~'' "~ - - ' ~ SOILS LOG "' .~..
· I-I~ :
MUNICIPALITY OF ANC D~
PERCOLATION
TEST
7
8
9
-10
11
ENCOUNTERED7 (~
P
S
WAS GROUND WATER ..~, _
IF YES, AT WHAT
DEPTH?
14 - [ I~ J Reading
20 pERCO~TtON RATE~
TEST RUNBE~EEN ~ FT AND ~-~ ~ FT
72-008
1
2
"~ soILS LOG -- pERCOLATION TEST
,_ o~ .~"~o"~:~/~ ~/s 3 -.,
PERFORMED FOR:~, I I e.~
Rick l!,fystrorn.
Mayor
Munic paliB' of Anchorage
Department of Health and Human Services
825 'L" Street
p.O. 13ox 196650 Anchorage, Alaska 99519'6650
hit p:l/www.ci.anchorage.ak-us
May 17, 2000
Dee High
DHI Engineering
800 E. Dimond Blvd., Suite 3-545
Anchorage, AK 99515
Subject: Waiver Request for Ymik Heights, Lot 15, Block C
Waiver Request #WR000027
Parcel ID #017-034-33
t-mo00180
Dear Mr. High:
Your request for a waiver of the required 100 feet horizontal separation from the
septic tank to private well has been approved. The approved separation distance is 72.0
feet.
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 343-4744.
Sincerely,
Daniel I. Roth
Civil Engineer
On-Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Hea~th & Human ServiceS
On-Site Services
Waiver RevieW Worksheet
WR#: WR000027 pID4f: 017-034-33 HA#: HA000125
Date Received: _5-12-00
Legal Description: Knlk Helghta~ Lot 15~ Block C.
Permit~: _
Engineer. ~
800 E. O;,,~ond Bivd.r Suite ~-545, Anchorage~ AK 99515
Applicant: ~~. * .........
Waiver Requested: .6~ foot waiver from the tank to to the well
Criteria: 1. Geology
A. Water Table
Points:
B. Soil Sorption
C. Permeability
D. Watar Table Gradient
E. Horizontal Separation
Total:
2. Special Conditions: ~
3. Other,
Waiver is Granted: _ ~ Waiver is not Granted: _
List Conditions or Reasons for above: ~ ~: F/~ t~-/~ ('(! ~-- Y~
Date: 2'--- / 7- 0
Red~: ~$733. Amount: _$625.00.
Name of Reviewer
Date Paid: 5_-12-00_
I
~I/,Fi4vER tqEE~U~$T 1:0t~ tOT I~-
~LL la/ t~ $T/~. T~t~/~ /aJ
ATHERTON ROAD
DtlI CONSULTING' ENGINEERS
FIGURE I
SITE PLAN
Z.OT 25, BT~' C, KI~K ~[EIGHT$
TOTRL. P. 02
-';I;..~.:~:~.v~, :,..:~.:.,, ,~%,t~?,;'E.'.::.: .',",-~' . .." '... · .' 'j '..'. ' . .-:.. -~-.~ ' .' · ·
-i,~.~.~% .' .~.,,; ..;.,.:.~,.'.,~.%, .- " - ..... ~ +~ ¢ollowLn~ described property ..
· .' ~' . .... v~certify that-~D a~cura~e SU~v~z '%'-Y - ' ·
.~ "* ~o~-i~ Block C, ~,k ileilh~s Subdiv~si°n ' · - - ' ....
..i . ines a~d do z~ot o~erlap or encroach on the property lyini adjacent...
~1 : thereto ~hat no imnrovenentS on proper~y ay~n~ =~ · - -' - -- other
..~ :'/. '..'~ premises i~ q~eStlOll aaa :na~ un=~ ~ ..... ,. - - _
'~~i:; easeme,ts on said property excep}.as_indl~;lelt~rl:;'o~ August, 1976.
::~ l~_f,~ ~,:. ,..} .,... ,.. :~,~. Dated at A~chorage, Alaska
Prepared for: T. Moon
DHI CONSULTING
· Civil ° Surveying
ENGINEERS
· Planning
May 11, 2000
W.O.:
Mr. Dan Roth
Department of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
RE: Lot 15, Block C, Knik Heights Subdivision
Well to Tank Waiver
Dear Mr. Roth,
There are two septic tanks on this property which fall with in the 100' protective well
radius.
The first tank is a 1000 gallon tank that was installed in or before 1970. It set
approximately 68 feet from the exterior of the well casing. Since this tank was in place in
1970, it is my understanding that a waiver is not required for this tank.
The second 500 gallon tank was installed in 1983. This tank sets approximately 72 feet
from the well. Though this tank was installed under a Municipal permit, a tank to well
waiver is being required in order to bring this system into conformance with the State's
mandated requirements.
The following covers our evaluation of the criteria for granting a well waiver
1)
2)
The well is to reported to be 90' deep and the existing water table (on 4/15/2000)
was 43 feet below the ground. The house has been continuously occupied since its
construction in 1970. The well water was tested in April and showed no signs of
contamination. Coliform was zero, other bacteria was zero, and nitrates were 2.23
which is well below the drinking water standard of 10 mg/ml.
The distance from the bottom of the system to the bottom of the water table is
estimated at 40 feet. (Point Value = 5.1)
Dimond Center Tower, 5th Floor · 800 E. Diraond Blvd., Suite 3-545 · Anchorage, Alaska 99515
(907) 344-1385 ° Fax 344-1383
3)
In reviewing well logs for adjacent lots (14 & 16), as well as other lot nearby, the
soils range from clays & silts to gravelly silts between the surface and the water
table. {Point Value = 5.0)
4)
The silty/clay soils which are described in the well logs generally have percolation
rates greater than 50 minutes per inch. We expect a majority of the soils between
the bottom of the system and the water table to fall with in this range.
(Point Value -- 3.0)
5)
The water table gradient is from east to west. The water table on the lots to the
west is reported to be about the same depth below ground as on the subject lot. We
have estimated the gradient at 10%. {Point Value = 6)
6)
The horizontal separation between the tank and the well is approximately 72' feet.
(Point Value --2.9)
The total Point Value that we have calculated is 22.0. This value indicates a very Iow risk
of contamination from household sewage. This is supported by the fact that the tank has
been in place and in use for over 17 years with out any contamination problems. We
recommend approval of the requested waiver.
cc: Talley Moon
Very truly yours,
*-ers
?
Parcel I.D. o~7-o~4-~
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description Knik Heights, Block C, Lot ~5
COSA # ~'4~
Expiration Date:
Location (site address) ~-:~4/+zAtherton Road, Anchorage, AK
Tonya & Marl< Caylor Day phone
z24,4,~ Atherton Road, Anchorage, AK 99~z6
Day phone
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
'~ 2. NUMBER OF BEDROOMS:
Marianne Hamilton/Dynamic Properties
gzz~ C Street, Anchorage, AK qqSo3
Unless otherwise requested, COSA will be held by DSD for pickup.
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class
Public Water System
Day phone 3~.7-g7c;6
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site
[] Individual Holding Tank
[] Community On-site
[] Public Sewer F-~
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe. functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, arid regulations in effect at the time of installation.
Name of Firm Pannone Engineering Services, LLC
Address P.O. Box ~o:zq,;4, Anchorage, AK 99,;~.o
Engineer's Printed Name Steven R. Pannone, P.E.
Phone z72-8228
Date
Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions
encountered at the time of the test, and separation distances measured to readily identifiable features.
The operational life of all wells and septic systems depend on the local soil condition, ground water
levels 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 this system. All systems eventually fail and
satisfactory test results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. PES can therefore not provide any warranty for future
performance nor give any estimate of how long the system will continue to meet the operational
requirements of the MOA DSD. The content of this report is for the sole 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
L'~ Approved for ~'~ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
~.~. 0N-SITE : ~
~.. .. ~-~
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ~'
Municipality of Anchorage
Development Services Department
Buiiding Safety Division
On-Site W~ter & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519,6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal: Description:
WELL DATA
Well type _P
Knik Heights, Block C, Lot aS
If A, B, or C provide PWSID #.~
Date completed ~-~Cco- [a["[O Sanitary seal (Y/N)Y
Total depth 90+ ft.
Cased to ~to+ ft.
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform '(~ colonies/100 mL
Arsenic: ~ ug/I
SEPTIC/HOLDING TANK DATA
Tank Type/Material Greet Steel
Tank size aoolsoo gal. Number of Compartments ~ *
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
Date of Pumping ~ ~(, ~..]]0 Pumper Northland Pumpinq
ABSORPTION 'FIELD DATA
Parcel ID: o=.7-o¥,-~]
Date installed 8hnl',n8~
Length n~.nl,. ~l~2
Total depth Z~ ft.
Well Log (Y/N) N
Wires properly protected (Y/N) Y
Casing height (above ground)
AT INSPECTION
in.
812~1~oo9
ff. ~a fl.
g.p.m. 5.0 g.p.m.
Nitrate ~ mg/L Other bacteria -'-'~ colonies/100 mL
uate of sample: &tae/,z,~ Collected by: Laura Pannone
Date installed C~ l~O/
~ . Cleanouts (Y/N) Y~
High water alarm (Y/N) N/A
Soil rating (g,p.d./~ or ft=/bdrm) :l:r=
ft. Width =/
Eft. absorption area a6~;7 ft2
Date of adequacy test 812~;/2ooq Results (Pass/Fail'
Fluid depth in absorption field before test ~olDry in.
Elapsed Time: _o min. Final fluid depth =m/Dry in.
Any rejuvenation treatment (past 12 mo.) (YIN & type) No
System type Deep Trench
Monitoring tube Y
Pass
Gravel below pipe 6.~j
Depression over field N
For S bedrooms
Water added75o gal. New depth~o/Dry in.
Absorption rate >= 7So+ g.p.d.
If yes, give date
LIFT STATION
Date i~stalled
"Pump on" level at~
Datum
in.
E. SEPARATION DISTANCES
Size in {~/ '
\ /
"Pump off'~l at
Cycles7~
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot ';o+172*Waived
Absorption field on lot 1oo+
Public sewer main N/A
Sewer/septic service line ~-2,;+
Animal containment areas ~.eo+
Property line lo+
Water Service line, 25+
Curtain drain None*ObServed
F, COMMENT~
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On, adjacent lots lOO+
, in.
On adjacent lots lOO+
Public sewer manholelcleanout NIA
Holding tank leo+
Menure/enimat excrete storage areas
Absorption field ~+
Surface water ;~oo+
in.
loo+
Waiver Fee $
Date of Payment
Receipt Number
COSA Fee $
Date of Payment
Receipt Number
(Re~;. 11/05)
.....
I ~ that I have d~er~d through field inspections and
review of Muni~pal mco~s that the ~ove systems am in ,... ~.~.~...~
confO~an~ w~h MOA COSA gui~lines in eff~t on this date.
Engineers Pnntad Name ~even R, Pannone~ P,E,
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~;+ Property line lo+
Water main N/A Water service line 20+
Wells on adjacent lots loo+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Build!ng foundation 1o, Water main
Surface water loo+
Wells on adjacent lots lee+
N/A
Driveway, parking/vehicle storage lo+
SGS Ref.# 1103231001
Client Name Pannone Eng. Srv. Printed Date/Time 07/15/2010 9:46
Project Name/# Knik Heights BC, L15 Collected Date/Time 07/02/2010 12:30
Client Sample ID Knik Heights BC, L15 Received Date/Time 07/02/2010 14:30
Matrix Drinking Water Technical Director Stel)hen C. Ede
PWSID 0
Saml~le Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals by ICP/MS '
Arsenic
ND 5.00 ug/L EP200.8 C (<10) 07/06/10 07/08/10 NRB
Waters Department
Total Nitrate/Nitrite-N 2.62 0.100 mg/L SM20 4500NO3-F B (<10) 07/02/10 AYC
Microbiolog%/ Laboratory
E. Coli
Total Coliform
Negative 100mL SM20 9223B A 07/02/10 DLC
Negative 100mL $M20 9223B A 07/02/10 DLC
~ C~lor
111441
APLUS
PAGE 01
OATE
P,O.~
['s"11009" r~te i~crease began Aug. 1009
sche~l~led increase Au~ it, 101,0
612-Sg26 i ,2 hoses ' betwees tanks
100 allo~s, 2 st~a~!,pes ~ _. ~-,~e ~ ~ble de~t ,, ' [
0?/09 ~ ioc~eo ~ ~
(.~rc ,~ ~ ' ~-~. CALL ~O. ~O.E ~.~OR~O"
BLEM ~ Floater o~ top
~ Hotding Tank ~ pRO AR IN 6 MONTHS
G~tlons ~ NEEDSTO BE ooNE AGAIN
Septic ~ s~ndpipes ~ Good Shape ~ Sludge buildup on bosom Septi~fine
~m~ ~ jim cap raising or ~ Cut standpipe to 1' above ground ~ Needs
needs replecing
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.munl.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEHS ,5,PFROVAL
FOR A SINGLE FAHILY DWELLING
Parcel I.D.
1. GENERAL INFORMATION
COSA#
Expiration Date:
Complete legal description
Location (site address)
Current Properly owner(s)
Mailing address
Lending agency
--- Mailing address
Real Estate Agent
Mailing address
KNIK HEIGHTS, LOT 15, BLOCK C
12441 ATHERTON ROAD * ANCHORAGE, AK 99516
JENNIFER THILIdANNY Day phone
12441 ATHERTON ROAD * ANCHOR~CE~ AK 99516
Day phone
868-2889
PETE JOHNSON w/ REM,AX Dayphone 257-0188
110 W.' 38th SUITE 100 * ANCHORA(;E~ AK 9950,3
Unless otherwise requested. COSA will be held by DSD for pickup.
2. NUMBEROF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ~E]
Individual Holding tank
Community On-site E~
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 pdvate 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 v~lidation date ~hown below, I vedfy that my
investigation, based on procedures outlined in the Ce~'ficate 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 heroin. I further vedfy 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.
NameofFirm GARNESS ENGINEERING GI~0UP. Ltd. Phone 357-6179
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Date
Engineer's Co~nments:
In conducting this evaluation, GEG, LtD. atternpto~ to provide a thorough,
conscientious engineering analysis of the system in ~ccordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the b'me of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate dudng tho year, and the water usage of the family being served by the system.
These conditions are outside the control of the eva/uator of the system. Satisfacto/y test
results do not guarantee future performance of the syst6m, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of bow long the system will continue to meet the
operational requiramonts of tho ADEC or MOA DSD. The content of this report is for
the sole 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.
DSD SIGNATURE
. ~ Approved for .-~ bedrooms.
Disapproved.
Conditional approval for __
~- WATER AND . .
bedr~ms, with the'~l~wing stipulations~
Attachments:
COSA Checklist
Septic System Advis(~ry
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Aeort
Other
Original Certificate Date: ,.~-"' ~ ~'"'- 0 7
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & W~ew~er ProGram
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 995196650
www.muni.o~/onslte
(S0~) 34~7~O4
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: KNIK HEIGHTS SUBDNISION, LOT 15, BLCOK C Parcel
A. WELL DATA * PER 1976 COSA ** BASEO UPON SURROUNDING WELL LOGS
Well type PRNA1[
Data completed 1970 ?
Total depth *90 ft.
Data of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform ~ colonies/100 mi.
Arsenic:/~_ ug.lL.
B. SEPTIC/HOLDING TANK 0ATA
If A, B, or C provide PWSID~ N/A
Sanitary seal (Y/N) YES
Cased to ..40+ fl.
FROM WELL LOG
N/^
N/A
N/A g.p.m.
Nltrato.?~ ~._~ mg./g
Date of sample: 5/4./2007
Tank Type/~_ate.fiai SEPTIC/STEEL
500/
Tank$~e 1000 gal. Number ofCompartmente 1/~
Foundation deano~(Y/N) YE~. Depresaionovertenk(Y/N) NO
Well Log (Y/N)
Wires properly protected (Y/N).
Casing height (above ground)
AT INSPECTION
5/4/2007
43 fl.
5,3 ,g.p.m.
NO
YES
12+ in.
Other bacteria ?..~_._colonies/100 mi.
Collected by: GEG Ltd.
Data installed
Cleanouts (Y/N)
High water alarm (Y/N)
9/25/1983
1970
YES
N/A
Data of pumping 9/22/2006 Pumper NORTHLAND PUMPING. SERVICES
ABSORPTION FIELD DATA pMONITORING TUBES ONLY ES(TEND 2.~8' INTO ROCK] ~
Data installed 8/25/1963 . Soil rating (g.p.d./ft=oK~t"~ 265 System type TRENCH
Length 53.5+42+32 = 127.5ft. Width 3 ft. Gravel below pipe 6.5
Total depth *_~ff. Eft. absorption area !657 fi= Monitoring tuba--YES,
Date of adequacy test 5/4/2007 ...271~esults (Pass/Fall) PASS
Fluid depth in absorption field before test DRY ,In~1.5/ Water added**77Ogai.
140
Elapsed Time: /q min. Final fluid depth DI~.. in. Absorption rate >=
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - *,,SWITCHED WATER TO NORTH TRENCH FOR THE LAST 400 GALLONS AND REMAINED DRY.
Depression over field NO .
For 5 bedrooms
52
New depth D2R~,in.
750+ 9.p.d.
D. LIFT STATION
Data installed Size in gallons M~) ~
"Pump on" level at in. *Pump off' leve ' . High water alarm level at in.
Cycles tasted Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 50'+/.72'
Absorption field on lot 100'+
Public sewer main
Sewer/septic service line 25'+
Animal containment areas 50'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
On adjacent lots 100'+
On adjacent lots 100%
Public sewer manholelcteenout
Holding tank N/A
N/A
Manure/animal excrete storage areas .. 100'+
Building foundation 5'+ Property line. 5'+
Water main N/A Water service line 10'+
Wells on adjacent lots 100'+
Absorption fie d. 5'+
Surface water 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
COMMENTS
*WR000027
Water main
N/A
Driveway, perking/vehicle storage _. 10'+
G, ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections end
review of Municipal records that the above systems are in
conformance with MOA C0~4 guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date
Waiver Fee $
Date of Payment.
Receipt Number
SGS Ref.#
Client Name
I'ro]ect Name/#
Client Sample ID
Matrix
1071921001
Garncss Enginccring Group, Ltd.
Knlk Ilclghts Lotl5 BIk C
Knik I Icights, Lot 15 Blk C
Drinking Water
All Dates/Tlme~ are Alaska Standard Time
Printed Date/Time 05/'22/2007 13:31
Collected DateYl'ime 05/04/2007 13:40
Received Dar e/Time 05/04/2007 15:15
Technical Director Stephen C. Ede
PWSID 0
Sample Rcm~ks:
AIIo~ble Prep Analysis
parameter ResulLs PQL Units Method Container ID Limits Date Date Init
Metals b~, ICP/MS
Arsenic ND 5.00 ug/L EP200.8 C (<10) 05/16/07 05118/07 TK
Wate=s De,ar tment
ToUl Nitratc/Nitrlte-N
3.58 0.100 mg/L SM20 4500NO3-F B (<10) 05/05/07 JDS
Mic:-obiology Labo:ta toz'y
Total Coliform 0 col/100mL SM20 9222B A (<1) 05/04/07 DLC
. qq-13 sg'
Municipality of Anchorage o
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P,O. Box 196650 Anchorage, AK 99519-6650
www. ci.anchorage.ak, us
(907) 343-79O4
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 01 7-034-33
1. ~.ENERAL INFORMATION
Complete legal description
Lot 15, Block c,
Location (site address or directions) 1 24 41
Expiration Date: ~:~ - ~/-/Z ,- O z7~
Kntk H~lohts
Athernton Rd. Anchorage,
AK 99516
Current Propertyowner(s) ?alley Moon
Mailing address 12441 Al'h~rnl'nn
Lending agency
Day phone
Day phone
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 5'
Dynamic Properties Dayph0ne 240-0385
Susan Bickman 261-7570 Off.
3111 'C' Street Anchorager AK 99503
3. TYPE OF WATER SUPPLY: ·
Individual Well []
Individual Water Storage []
Community Class Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates cf Health Authority Approval are required for the b'~nsfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to' homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation,
based on procedures outlined in the Health Authority 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 fype 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 installaffon.
NameofFirm PHI Consulting Engineers Phone, 344-1385
Address R~n ~_ n~mnnc~ ~lvH_: -q,~e ~-~4~ An~.hnrage, AK 99515
Engineers PHnted Name Dee ~i9h. P.E. Date 1/20/04
5. DSD SIGNATURE
Approved for
Disapproved.
x Conditional approval for
5 bedrooms, with the following stipulations:
foundation cleanout. Work to ~e completed by 7-[5-04.
Additional Comments
Attachments:
HAA Checklist
Septic System Adviso~
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Odginal Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastawatar Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HF_.ALTH AUTHORITY APPROVAL CHECKLIST
LegalDescription: Lot 15, Block C, Knik Heiqhts
Parcel ID: Ol 7-034-3'~
A. WELL DATA
Well type ~.~.~e
Date completed ~ 9?6
Total depth 90 ft.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi.
Arsenic: mg./I.
IfA, B, or C provide PWSID #
Sanitary seal (Y/N) ¥
Cased to 9 0 ft.
FROM WELL LOG
NA
NA ft.
NA g.p.m.
Nitrate Q. 96 mg./L
Date of sample:5 ! 3 ! 04
Well Log (Y/N) N
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
2-25-04
45.4 ft.
4 g.p.m.
in.
Other bacteria 0 colonies/100 mi.
Collected by: DR,.~__~J~ g r s
B. SEPTIC/HOLDING TANK DATA
TankType/Material Steel(Both Tanks) Date installed 9-25-83
Tank size 5. 0___0 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) N Depression over tank (Y/N) N* High water alarm (Y/N) ~a
Date of pumping 10-23-03 Pumper Northland Pumping Service~
C. ABSORPTION FIELD DATA
Date installed 8- ~ 5- ~ ;~ ( 1 ~oil rating (g.p.d./ftt or ff2/bdrm) 9 R '~ System type D,~,p q'r~,nt-h { I )
Length 127.5(1 )ft. ' Width ~ (1) ft. Gravel below pipe 78"(1 ) ft.
Total depth ~.~)~' ~t3'.) Eft. absorption are~ 1 (~ 57,t~:1 ) Monitoring tubeY ( ;~ ) Depression over field ~*
Date of adequacy test 2-25-04 Results (Pass/Fail) PASS For 5 bedrooms
Fluid depth in absorption field before test 0 in.
Elapsed Time: 260 min. Final fluid depth 0
Any rejuvenation treatment (past 12 mo.) (YIN & type)
(1) NOA-1983 Records
(2) On-site inspection by DH'r
Water added 760gal, Newdepth 0 , in.
in. Absorption rate >= -'/~;n_ g.p.d.
NO If yes, give date.
* Site covered with 3' of snow at time of inspection.
D. LIFT STATION
Date installed
"PumPDatum on" level.~'~
E. SEPARATION DISTANCES
Size in gallons
'Pump off" level at /in.
Cycles tested./
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 66.8 t
Absorption field on lot 101 e
Public sewer main N/A
Sewer/septic service line 64 ~
Manhole/Access~
High water al~ level at
/
Meets ala. j;~ & circuit requirements?
in.
On adjacent lots 120 t +
On adjacent lots 120 ' +
Public sewer manhole/cleanout
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation I 1.3 ' Property line 5g ~
Water main N/A Water service line 61 '
Wells on adjacent lots 1 1 0 ' +/-
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Absorption field 3 3 ~
Surface water I 1 0 ' +
Property line 31 ' Building foundation 5 5 ' Water main N/A
Water Service line 9 8 e Surface water 1 0 0 ~ + Driveway, parkingNehicle storage
Curtain drain NO Weils on adjacent lots 1 1 0 ' +
COMMENTS
G. ENGINEER'S CERTIFICATION
review of Municipal records that the .~ve s.tems are in
_ ,
~ngineersPrintedName DEB ~ZGH ~,.
_
Date of Pa~ent ~[7.Ol 0 q
(Rev. 12/01)
Date of Payment
.,ceipt Number
FND. 5/8' REBAR-~
LOT 16 BLK. C
(N 00'02'00" W
~- 39.76' --~ ~-'
/
I/
- FENC
LOT 2 BLK. C
145.0') [144,90]
45.32' -'"' 10' UTILITY ESMT.
I 2-STORY
O.H. HOUSE
~/ELL
U.G. SEPTIC ~'~_
TANKS--
\
i..WOOD p, ORCH
4 X26.3
~ LOT 15 BLK. C
I~c.o.(4')..
LEACN __.----..
FIELD ~
r~c.o.(4-)
r~c.o.(4")
NOT FND.
/
LOT 14 BLK; C
FND. 5/8"
NOT
145.0' N 00'02'00"
[144.90]
ATHERTON ROAD
NOTES ·
1. BOUNDARY & EASEMENIS SHOWN PER SUBDIVISION PLAI
NO, P-452A, DATED 11-4-1958
2. COMPUTED DISTANCE OF PROPERTY LINE DETERMINE DY
B-B INTERSECT HOLDING RECORD BEARINGS FROM FOUND
MONUMENTS AT N.E, & S,W, CORNER OF PROPERTY,
3. LOST CORNER MONUMENT NOT SET THIS SURVEY,
4, LOT COVERED WITH 3'+ DEEP SNOW AT 11ME OF SURVEY,
ALL IMPROVEMENTS VISIBLE AT TIME OF SURVEY ARE
SHOWN.
SURVEYOR'S CERTIFICATE
HEREBY C£RIlFY 1HAT I AM PROPERLY RE.GI$1ERED AND LICENSED
TO PRAC11CE LAND SURVEYING IN THE STALE OF ALASKA, THAT THIS
AS-BUILT REPRESENTS A SURVEY MADE BY ME OR UNDER MY DIRECT
SUPERVISION; THAT THE IMPROVEMENT SHOWN HEREON ACTU,~LLY EXIST
AS DESCRIBED; AND THAT ALL DIMENSIONS AND OTHER DETAILS ARE
CORRECT. IT IS THE RESPONStBILITY OF THE OWNER TO VERIFY THE
EXISTENCE OF ANY EASEMENTS, RESTRIC'RONS, OR COVENANTS NOT
SHOWN ON THE SUBDIVISION PLAT, THIS AS-BUILT IS NOT TO BE
USED TO ESTABLISH FENCE OR PROPERTY LINES.
()
[]
P.P?
LS-9i
LEGEND
GRAVEL PAD
ADJACENT PROPERTY LINE
PROPERTY LINE
FUND 5/8" REBAR
CLEAN OUT
PLAT P-452A
COMPUTED
OVERHANGS
POWER POLE
DHI CONSULTING ENGINEERS
CIVIL · SURVEYING · PLANNIX(I
w.o. 04628 F,~ 6285~1F 2-10-04
LOT 15 BLOCK C
KNIK HEIGHTS SUBDIVISION
AS-BUILT
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 T,~ 1~ R]k r' /~'nt~' ~l'~,tght-r= .q~ha4v4.'lnn
on~'lslt~';address or rlir,,~.tinn~l 12441 ~ Atherton Road
LOC
;. Property owner ....
~;-Marling a~dress
-Eending agency
'x. '/,:,: '.
M~il~ng address
Agent
Day phone 3~E 50!5
Day phone 9~v-35~6
Day phone.
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 5
TYPE OF WATER SUPPLY:
X
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:
X
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
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 ~he number of bedrooms
and type of structure indicated herein. I further verify that based on the iniormation obtained from
the Municipality of Anchorage files and from my inves.ti, gation 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.
Nameof Firm DHI~'rtsulting Engineers
Engineer's signature '~'/
Approved for ~
Disapproved.
Conditional approval for
bedrooms.
DHHS SIGNATURE
7,.
Phone 344-1385
Anchorage~ AK 99515
Date =.$_~d
.~.. ., .
b~rooms, with the ~[ng stipulations:
Additional Comments
The Municipality of Anchorage Department of Health and Human Services (DHH~) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5' ~bove 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:Emp'l~yees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Munici,pa,lity of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
.i
Legal DescrJptinn:
Municipality of Anchorage IiAY 0 5
DEPARTMENT OF HEALTH & HUMAN S~9..~J c~ ~',~:~J~c~':
EnvlmnmenteJ Services Division ..... ~V~*L S~.VrC~ ......
825 L ~tre~t, Room S0~ · Anchorage, Alask~ 99501 · (~07) :t43-4744
Health Authority Appro ! Ch,¢kll
Lot 15 Blkc Kntk Hetqhts SubdRamelI.D.:
A. WELL DATA
Log present (Y/N)
Totat depl~ -' ~'9~G,~' '.
Statlo ~.~er level .' Unknown
If A, B, or C, attach ADEC letter. ADEC water system nun~er
Date completed
g.p.m.
Cased to 90 '
Yes .
FROM WELL LOG
1976
Casing height (at33ve ground) I '
Wires property prot~oted (Y/N) Yes
AT INSPECTION
4-1 5-00 r
>
5.5
Weiproduotbn;'. Unknown
WATER SAMPLE RESULTS:
Coliform 0
Date of sample: 4-18-00
Nitrate 2.2 3 Other bacteria 0
Co~eotedby: DHI Consulting Engineers
B. SEPTIC/HOLDING ~'ANK DATA
Date installed 9- 25283 Tank size ._~.~Number of Compmlmentq 2 Cleanouts (Y/N) .
Founclatlencleallol.'t(:'~'/N)"": N~o" % Depmssinn(Y/N) No Hlghwatera~arm(Y/N)
- 4"
C. ABSORPTION FIELD DATA .
Date Instatle~ ' 8 · · ~ rating (g.p.dJftt or fff/tx:lrm) 263
Effecthm abso~aon ama 1 6 5 7
Date of adequacy test 4-15-00
Fluid depth in abso ,[~tioFt~ld before test (in.): _4"
Fluid deptl~ :t=~-% M nUtes leter; "~
Systemtype Deep Trench
Gmv~l I~k:~ness below I~pe 78 '~ Total deptl~ 92"~
Monitoring Tube present (Y/N) y Depression over field (Y/N) ~],
Results (Pass/Fall) Pass For 5 bedrooms
Immediately alter11 88gal. water added (in.): 8"
/~-,~'"Absorptlon rate = > 11 00 a.p.d.
Peroxide treatment t~ast !2 mom~) (Y/N)
72-028 (Rev. 3/96)* 1 MOA Records
yes, give date
D. UFT STATION ./~
Date installed ~ <Z~lO ~ '* /; Size in gallons
/
Manhole/Access (Y/N) /Pump on' level at'
/
High water alarm level at' .//' *Datum
Cycles tested ·
E, SEPARATION DISTANCES
'Pump off' ioveJ at'
SEPARATION DISTANCES FROM WELL ON ~ ~r~,:
Sel:)tlc/holdlnotankoniot ~MmenFt/-C,8' -~Z'~*/(.~C~acentiots 120' +
Absorptlonfleldoniot 102'+/- ' On adjacent icts 120'+
Public sewer main None
Sewer/septic service line 4.
Pu~c sewer manhole/cJeanout
Lilt station ~/A
None
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation /~- Property line //'5/ At:~orptlon field.
Water main/servioe line
Surlace water/dminege/oo' ~/
Wells on acljacem lots,/./4 '~-
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line ~.~ Building ioundation C, ~' Water malr~ewice line /c~, ' f/~
Smtace water /oo/-+ Driveway, parldng/vehicle storage area
Curtaindraln ~o Cc~rA~ O.~,~,~,? Welisonadjacenticts //o'.~-
F. E,G,.£ER'S cEm ,,CATIo,
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $ ~) c~.~",
Date of Payment .~'-'/,_e~ ': 4 0
1, Type of Inspection:
2, Properly Owner:
Mailing Address:
3. Name of Buyer:
Mailing Address:
4, Name of Lending Institution:
Mailing Address:
5. Name of Bealtor or Agent:
Mailing Address:
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF ENVIRONMENTAL QUALI
3330 'C' Street. Anchorage, Alaska 99503 -
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
CMRO VA. FHA CONV ~
W11~t¢ % Mnn~
s'mA mo~ l~6q]~ Day Phone ~9-3626
Day Phone
27q-066~
~.0. ~n~ ~200 /meh. A~. 99~lOPhone
Phone
6. Legal Description:
Location:
7. Type'of Facility to be inspected:
8. Water Supply
Type of Supply:
S~g[e F-~ l.T
Public Utility
If Individual, number of dwellings presently sewed
If Individual, depth of well
Sewage Disposal System
Type of System:
If Individual, date of installation
90'
Public Utility
97o (?)
No. Bdrms. ~
Individual X
1
Individual (on-site) X
EQ-037 {1/74)
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received _AUgUst ~,
Time of Inspection _ ~.\~(~)
Date of Inspection ~O-/Q'9/~.
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv. ,.
1 Approval 'requested by: Coast Mortgage Company
· Phone: 279a0665
Mailing Address: post office Box
Phone: 349-3626
2. Property Owner: _willi(5 T. Noon
Mailing Address: star Route A Box 1569B
3. Legal Description: Lot 15 Block C Knik t{eights subdivision
4. Location:
5. Type of facility to be inspected ~ingle F~ily
6. Well Data: individual
A. Type _
C. Construction _
7. Sewage Disposal System:
A. Installed _ 1970
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Absorption'Area_
No. of bedrooms 5
B. Depth_ go/feet
D. Bacterial Analysis_ ..-
On-site system
B. Installer _ "
2. Manufacturer
2. Material _
E. Disposal Field: Total length of lines
Distances:
A. Well to: Septic tank _ , Absorption area
Nearest lot line _ ., Other contamination _
B. Foundation? septic tank _ _, Absorption area _
C. Absorption area to nearest lot line__
., Sewer Lines _
Page 1 of two pages
EQ-034 (1/74)
. Page 2 of two pages - Re¢'~)t for Approval of Individual ?"~.r & Water Facilities
· Laga'~ ~escrtption Lot 15 Block C Knik HeiGhts Subdivision
Co~ents
Approved
Approval \Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAt4 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
Da te
EQ-034 (1/74)
August 25, 1976
R & M NO. 653125
Mr. Talley Moon
Star F~ute A
Box 1569 B
Anchorage, Alaska
99507
Percolation Test on Existing Disposal System; Lot 15, Block C, Knik
Heights subdivision
Dear Mr. Moon.'
On August 24, 1976, at yourrequest, our office conducted a percolation
test on the above described lot.
The following table represents the level of the liquid in the tank. The
depth of the tank was 8.2 feet below the vent level. The depth of
liquid in the tank was initially 3.1 feet above the bottom and 5.1 feet
below the top of the stand pipe. The tank had not been pumped prior to
the test and was, therefore, assumed to be at the outlet level. For the
test, the liquid level was measured from the top of the stand pipe.
SU~.~RY OF MEASUREMENTS
Level of Liquid Meter Reading
Time In Septic Tank In Gallons Remarks
0,,00 5.12'
0:19 5.10'
2...32 5.10'
3..00 5.10'
00.0 (initial) Fill Storage
100.0 Start Test
522.0 422 gal/
133 min. =
3.17 gpm, End Test
522.0 (final) Check Liquid Level
The meter used during the test was a Neptune 5/8" standard water meter
which was borrowed from the Anchorage Water Utility. The meter had
previously been calibrated and approved for installation by the utility
company.
Mr. Talley ~!oon
August 25, 1976
- Page 2 -
Since the house on the lot concerned was occupied, it can be assumed
that the leach field in question was at its normal degree of saturation.
To further insure normal saturation and to fill any possible storage in
the system, 100 gallons of water were added to the tank before beginning
the percolation test.
If it is assumed that the existing three bedroom residence will house
five people, the average daily load on the disposal system can be expected
to be 375 gallons per day. The maximum hourly load on the system would
be about 0.8 gallons per minute (gpm).
Since the existing disposal system accepted 422 gallons in 2.2 hours or
3.2 gpm without a level rise, I would conclude that the leach field is
presently performing in a satisfactory manner for a private residence.
If you have any questions concerning this test or this letter, please do
not hesitate to call.
Very truly.yours,
R & M CONSULTANTS~ INC.
Edward Yarmak, Jr.
Junior Engineer
EY/sc
