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HomeMy WebLinkAboutTALUS WEST #1 BLK 5 LT 1Talus West #1 Block 5 Lot 1 #015-202-21 Municipality of Anchorage ; ' °"•, (- Development Services Department Building Safety Division On-Site Water and Waslewater Program, 4700 Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 Page of www d anchorage ak us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW070173 PID Number: 015-202-21 Noma Matt &Alice McArdle Wastewater System: ❑New ©Upgrade Mlik`„ 11601 Firnline Drive, Anchorage, AK 99516 ABSORPTION FIELD Peon. 1,M,IW al9edorn. ,3 0 D..P Tr.ncn O SMbr TrrFl, O e.0 f] Mound t] Oew LEGAL DESCRIPTION 2 0 b� West 2.0• / East=2.0* cPaF F, &� 5 LP 1 ` Talus West #1 t29 / Wes0.East=O 5 West 1.71 / East--1.5 F,. FI T.ergs SKLon Fi.00ii,J ..rw7W Ona/LM19M West=3.2' / East=3.9- Ft. 2 @ 20 Ft. New ❑ Upgrade Well: El New otIItz.5.0 aM.F 10 Ft 2 @ 5.0 Ft. @ 2Yma Ft cuurrapon /POM.. k CI TOW otIm ca..o tO lolr.Mixgx nru P,p. MatrW private Fi. I Ft 262 F2 1.25" PVC/HDPE pnMr Daw DN suuc w„M LMI mWMr b„e InW..e n A+ Home Services 8/15/07 Yea Pump Srr c"”" negro AOPN('i1rlr,P TANK DPM Ft. Ft SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other To Septic Absorption LIII Holding lublictPimite M"". ty From Tank Field Station Tank Sewer Lim Anchorage Tank & Welding 1500 Dr M.IrW NumPar q GanprbnwM. w+ 110 114 122 90 STEEL, 10 GA. epoxy coated 2 SwMo. war too•+ too'+ too'+ _ LIFT STATION w +a✓a, 1"""° 14 15 12 _ 100 GM Anchorage Tank & Welding 'Purrq an'MM„ 'P PwwMv Hqe rrr rrmr FP n txx% 8 11 1.21 _ 32 22 .136 „ C~DrrnI I I I V r•""e Ma.a 6 MaeM L-� EMWiFr „.pK * pMorm.P by - - - - 2- MOA RpeYEOi` d septic tank and lift station were abandoned in place, BENCH MARK LPC.4on MW M.ag1m per code. Old drainfield was retained for future use. Back door threshold. A..wrw0 Mrawn 'Depths based upon base of original organics, due to fill. Shed threshold = 100.00 105.09 Ft Total depth 2 ft below base of organics. Engi Inspections performed by: CINDY W. ELLIS, P.E. Dates: 1" 8/13/07 " 2nd 8/15/07 s,P 9� Development Services Department Approval 49-' '°9 *: Conditional Approval Date: Cl dy W. Ellis CE. tos77 Reviewed and approved by: Date: l $'' roe, MIwt I •. ��-G \ cri 2 SHED / MT1 MTZ 0 WiiIi» / MT3 PUMP of \ ST1 .00• VAULT MAN- HOLE O� 40, � r Deck WELL ,, iA 3 BEDROOM HOUSE C BM CQCO2 \\ Deck AdvanTex 1500 gal tank w/ AX -20 filter pod Talus West #1 Blk 5 Lot 1 Septic Upgrade Record Drawing Matt & Alice McArdle Parcel ID:015-202-21 Permit No. SW070173 Cindy W. Ellis, P.E. March 8, 2008 Scale 1 Inch - 30 ft \ n' AS — BUILT Note: Based upon a survey by Shane Holt, LS -6914, Date: 820/07 Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax (907) 349-1934 ,:. �f 49 THW. W ELLIS 70577 A B C DC01 5.7 25.3 - DCO2 7.0 26.6 - ST1 12.0 28.1 MH 17.4 30.0 PV 21.6 31.9 - MT1 43.7 28.3 MT2 - 35.6 15.7 MT3 44.9 36.6 - Talus West #1 Blk 5 Lot 1 Septic Upgrade Record Drawing Matt & Alice McArdle Parcel ID:015-202-21 Permit No. SW070173 Cindy W. Ellis, P.E. March 8, 2008 Scale 1 Inch - 30 ft \ n' AS — BUILT Note: Based upon a survey by Shane Holt, LS -6914, Date: 820/07 Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax (907) 349-1934 ,:. �f 49 THW. W ELLIS 70577 DCO Final Grade ST1 = 103.00 ADVANTEX I I MAN - AX -20 POD HOLE _L� VI PUMP T 1500 GALLON VAULT 98,71 10 GA. STEEL TANK 1 To existing Bed (1986) Final Grade = 100.2 - 100.8 MT1 Top of Pipe = 97.18 NOTE: Base of original organics = 97.08 - 97.32 1.25"0 PIPE Invert of Pipe 95.32 ` Sewer Rock =� 95.32 West Trench Note: Test Hole Relative Depth: 89.32 Water @ 89.32 (8 ft below base of original organics) Final Grade = 101.3 -102.9 MTz Top of Pipe = 98.13 NOTE: Base of original organics = 97.86 - 98.48 1.25"0 PIPE Invert of Pipe " 96.48 Sewer Rock = 97.98 96.48 East Trench Note: Test Hole Relative Depth: 90.48 Water @ 90.48 (8 ft below the base of the original organics) AS -BUILT SEPTIC SECTION N.T.S. Talus West #1 Blk 5 Lot 1 OF Septic Upgrade Record Drawing :' ��c.•• q Matt & Alice McArdle Watkins Engineering, Inc �P•. sem' Parcel ID:015-202-21 C' 49 TFi Permit No. SW070173 (i11Y�6, NiGam'' ' ••, CIN w..ifus ' C - 10577 Cindy W. Ellis, RE P.O. Box 110443 May 19, 2008 Anchorage, Alaska 99511-0443 Scale: N.T.S. Phone: (907) 349-1851, Fax (907) 349-1934 9 11 2 O N From APP11edM1crosystems Wed 1s Aug 2_007 0_5:26:4_8 AM AKDT Page 1 of MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION & HELP: 343-7902 INSPECTION: VOICE 343-8300 INSPECTION: FAX (907)249-7771 www.muni.orgBSD/Inspections.cfm NAME: NONE PERMIT#: 07-8818 COMPANY: EDS ELECTRIC INSPECT DATE: 8/1512007 PHONE #: 272-4591 PHONE #: PHONE #: ADDRESS: 11601 FIRNLINE DR LOT 1 BLOCK 5 SUBDIVISION: TALUS WEST#1 GRID #: SW2736 COMMENTS oDIRE IONS rSEPTIC LIFT STATION. CALLTO MEET TYPE OF INSPECTION: Final Electrical COMMENT/S: (FOR INSPECTOR USE ONLY) PRINTED NAME C/ ` DATE- �,R Y� f:ti✓1� w6ituU \ RL w ni 0 N o MUNICIPALITY OF ANCHORAGE Development Services Department n, On -Site Water 8 Wastewater Program \ CV 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 I (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 24, 2007 Expiration Date: Jul 23, 2008 Permit Number: SW070173 Parcel ID: 015-202-21 Legal Description: TALUS WEST #1 BLK 5 LT 1 Design Engineer: 0844 WATKINS ENGINEERING Site Address: 011601 FIRNLINE DR Owner Name: MATT & ALICE MCARDLE Lot Size: 20226 SO. FT. Owner Address: 11601 FIRNLINE DRIVE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-2228 This permit is for the construction of: ❑✓ Disposal Field Q 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. r Received By: Date: 7/Z)5 -/Q'3 Issued By: & Date: 7 Z'{ v't Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-202-21 Property owner(s) Matt & Alice McArdle Day phone Mailing address 11601 Fimline Dr., Anchorage Zip Code 99516 Site address same Zip Code Legal description (Sub'd., Block & Lot) Talus W #1 Blk 5 Lot 1 Legal description (Township, Range & Section) Lot Size 20.226 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR (® all that apply): Absorption Field (i] Septic Tank Q Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial ❑ Upgrade 0 Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property ovVner or authorized agent) Pennit/Rush Fees: 0 Waiver Fees: Date of Payment: _ ' /1t0Date of Payment: Receipt Number. �4iC� Receipt Number. (Rev. 11/05) Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net July 18, 2007 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Talus West #1 Block 5 Lot 1 Proposed Septic System Upgrade To Whom It May Concern: Attached please find the application and supporting documentation to upgrade the septic system for the referenced 3 bedroom house. The current septic system was installed in 1986, and the drainfield is now surcharged. It will be retained as a reserve site. An AdvanTex AX -20 is proposed, due to the limited space and tight soils. The existing septic tank and lift station will be abandoned in place. The proposed design is based upon a test hole dug on July 11, 2007. The hole was dug to 11 ft with a water seep at the bottom. After a 7 day monitoring period, no water was detected. The proposed drainfield will be installed in a silt layer between 3.5 ft and 5 ft. A percolation test between 3.5 ft and 4 ft resulted in a rate of 48 minutes per inch. An application rate of 2.0 gpd/ft' is used in the design. The soil log is attached. Proposed Soil Absorption System: 3 Bedrooms x 150 GPD/BR = 450 GPD System Type: Shallow trench Application rate: 2.0 gpd/ ft= 600 GPD / 1.0 gpd/ft� = 225 ft required Maximum Depth: 5.0 ft Effective Depth: 1.5 ft Reduction Factor: 0.78 Proposed Length: 2 at 20 ft Absorption Area: 256 ft Sewer Upgrade Permit Application Talus W V Blk 5 Lot 1 Watkins Engineering, Inc.; July 18, 2007; page 2 There are no surface waters or private wells within 100 ft of the proposed septic system. There are no slope concerns. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Sincerely, Cindy W. ,is, P.E. President 9 ---------------- ,d --------------O? BLOCK 4 ,\0 I I � \WEL/ I I n, 22 Q I A Septic Area BLOCK 5 a6 WELL Nroposed Pes 7\ Septic System Existing Septic System i ----------------i j BLOCK 4 J � WELL Existing 3 q Appx. Hobse / ELL Location LocationLopx. 5 / / / --- / / m2 17 \WELL��,� / /3 1 Po ���i� aP BLOCK 5 ELL / /4 0 / / CY 2 / / yo 16 14X/: Talus West #1 Bik 5 Lot 1 Site Plan for Septic Upgrade Matt & Alice McArdle Parcel ID: 015-202-21 Cindy W. Ellis, RE July 18, 2007 Scale:10 -100' r 7 /27 I Septic Area 19 BLOCK 3 WELL ` �SnOwc 26 Watkins Engineering, Inc. P.O. Box 110443 Anchorage, AK 99511-0443 Phone: (907) 349-1851 Fax (907) 349-1934 25 Septic Area rDz 49TH ,0577 24 DESIGN DETAILS 3 BR, 450 GPD 2.0 gpd/ft2 Requires 225 ft2 5 -wide Trenches 1.5 It effective 2x20 ft long Max 5 It deep Proposed 5 -wide trenches, 1.5 It eff., 20 ft long, 5 ft max depth. 1.25" PVC w/ 3/16" holes, 18" OC F/RN4'i (Z OP / Lift Station / (1986) to be/ abandoned axEo in place Vp / 2 / to be Proposed �- AdvanTex AX -20 w/ 1500 gal steel tank Driveway IProposed J Pump Vault DCO \ Test Hole #1 Proposed 7/11/2007 Trenches Fill & Organics 3.0 ML Water seep @ 11.0 ft 11.0 BOH 1.25" PVC 3.5 pipe w/ 3/16" holes, 18" OC 1.5 ft sewer rock 5.0 O� g�C pp �G �O \ \ \ Existing 1000 gal \\ concrete tank (1976) to be abandoned ° in place. WELL 3 BR House/ V i v N Well, R=100' ice\ Talus West #1 Blk 5 Lott i i i i I Talus West #1 Blk 5 Lot 1 Proposed Septic Upgrade Matt & Alice McArdle Parcel ID: 015-202-21 Cindy W. Ellis, P.E. July 18, 2007 Scale 1 Inch - 30 ft Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax (907) 349-1934 49 It+ .V.......:...., W. EWS -107 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196850 Anchorage, AK 99519-8650 www.cl anchoraae.sk.us (907) 343-7904 Soils Log - Percolation Test Performed For. Matt & Alice McArdle fdy W. Ellis CE -lose ., Date Performed: 7/11/07 Legal Description: Talus W #1 Elk 5 Lot 1 Township, Range, Section: Depth ML BOH 13- Fill & Organics perc 5% WAS GROUND WATER Date ENCOUNTERED? seep IF YES, AT WHAT DEPTH? 11.0 Depth to Water After 7/12/07 Monhorina? dry Daft: 7/18/07 5% Reading Date Gross Time Net Time Depth to Water Net Drop 1 7/12/07 3:26 0 6 — 2 3:56 30 5.375 0.625 3 3:59 0 6 — 4 4:29 30 5.375 0.625 5 4:31 0 6 6 5:01 30 5.375 0.625 PERCOLATION RATE 48 (mwrwKn) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 3.5 FT AND 4.0 FT COMMENTS 4 hr presoak prior to test. PERFORMED BY: Cindy W. Ellis / Rocky Trainor 1 LL (/ vj CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELIUES IN EFFECT ON THIS DATE. DATE: -7—W-0-7 rvIVI-11VlrALl 1 I Ur AIVVI•IU"Ur DE4a..tYMENT OF HEALTH AND HUMAN SERV6._1$ Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ��p/Nnl DISTANCES TO SEPTIC ABSORPTION TANKS SEPTIC O HOLDING EII I GOeoly w genmle FROM WELL T ❑ TRENCH BED ❑ W. DRAIN O OTHER LOT LINE 7 Total depth ROM onguw grade FOUNDATION AS•dUILT DIAGRAM dmrevwv. welm node ISrww ele 1 TANKS SEPTIC O HOLDING EII I GOeoly w genmle I REMARKS: I I Municipal and State Idellrles In dlect on this OIL- Health ICHealth Department Approval: 72-013 (3/95) 0 IOCabOn Ot WELL WID q3 noes. rwnpale 15,81e• - eh• NG`wEY FtS,SFAL Inspection+ PerCformod by ,`,•r- C� r /{I • i ....• inspectto u perlormed Iwordinp N all•s �is •�, 1 iI, 25.1971 v.'� 4c, TYPE OF SYSTEM ❑ TRENCH BED ❑ W. DRAIN O OTHER Doplh to pope Wool Irom Total depth ROM onguw grade p�gmal great O FT Fel awed above wlgmal pude Gravel 0 I bane to p� FT Gavel length Gavel lh FT Teel obwrplwn mea Dubnce between Imes (7 SOFT 14. W rof btea eeg Spl (7;5 Hpoa malmal v SOFT IneUaer Dab InvaMd S qi WELLS PRIVATE O OTHER fidentilvt t.ww.cdlH (Pd. ) Taal Uepin Cased to FT I REMARKS: I I Municipal and State Idellrles In dlect on this OIL- Health ICHealth Department Approval: 72-013 (3/95) 0 IOCabOn Ot WELL WID q3 noes. rwnpale 15,81e• - eh• NG`wEY FtS,SFAL Inspection+ PerCformod by ,`,•r- C� r /{I • i ....• inspectto u perlormed Iwordinp N all•s �is •�, 1 iI, 25.1971 v.'� 4c, . .. ... t v . . v. .a t Y LJ r- #-19 Y tom. r -•f r r< f-1 L7 [�_ DEPARTMENT 6) -'HEALTH AND ENVIRONMENTAL "TECT I ON 825 L STREET, ANCHORAGE, AK 99501 • 264-4720 C1 P4—:.s X -I-F=-C-3EWER F� ERr+F T T 'ERMI'f NO: 060320 ENGINEERED DESIGNIIVJfJre7?hAt . DATE ISSUED: 09/02/06 1PPLICANT: FINKEN / SPURKLAND 1DDRESS: 203 W. 15TH AVE. ANCHORAGE, AK 99501 :ONTACT. PHONE: 279-3916 _EGAL DESCRIP: SUBDIVISION: TALUS WEST LOT: 1 BLOCK: 5 SECTION: 22 TOWNSHIP-': 12N RANGE: 3W .UT SIZE: 20`00Ae0 (SO.FT. OR ACRES) ,� ptGr%DD/f� I certify that: 1. 1 am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the desiign criteria of this permit. 3. I will adhere± to all MOA and State of Alaska requirements for the set back disctanr_es from any existing wall, wasteawater disposal system of, public seweragw, systfam on this or any adjacent or -nearby lot. Y A LIFT STATION IS INSTALLED IN AN AREA COVERED BV MOA BUILDING COI)ES, 'HEN (1) AN ELECTRICAL PERMIT" AND'INSPECTION MUST HE OBTAINED; (2) AR-jJL_ i )ILL NOT lad APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE .'LECTRICAL WORT: MUST DE DONE iIGNt_llDATE: ---- �jrl Q lJ iPPLICANT: SSUED LAY DATE: () /erw its isles -tel ,Ar �'LJJ(I/n¢ Di'Ti/a4uili�K y�%�.. pis ne �G� .Z.7rXvc% "/ /Hij�v 2% A� "I K!aVrs- alar An ro.- 14 x7a-i/Dk 726 Go<rs�oeri �DwsB. MUNICIPALITY OF ANCHORAGE • �. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 825 L. Street, Anchorage, Alaska 98501 2644720 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR:��/� DATE PERFORMED: LEGAL DESCRIPTION:_ 5Z R6 /<J/ys k1rs-Y DEPTH (FEET) tUN1L.,JS/iJfp r'JLV 1 r: 2 {r. i- Ogc9NJc- Pit- 3- vtv o ° ISIUY 6fwy<[ - Gly /65 GJZi UAH) WaTR 4ST► �F `a .... .... 0Oh . !225-E: $5, 197L WAS GROUND WATER \/LS ENCOUNTERED] i/ IF YES, AT WHAT DEPTH] A4-an./.`e ji I Reading Date Gross Time Net Time Depth to Water Net Drop O O 7`' a M 6 M m s 49 V S /i 20 PERCOLATION RATE M (minutes inch) TEST RUN BETWEEN —4—FT AND FT COMMENTS f&�AL[_ PERFORMED BY; CERTIFIED CERTIFIED BY: {'• S 72-008 (6/79) GREktO ANCHORAGE AREA 80RoJGH G� Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEMS NAME t!�/97LC41'%D� MAILING ADDRESS P19K ftl;t AtCfi PH'JO�N�E LOCATION LEGAL DESCRIPTION��' set> -i . p6ch-4c,F PrAn r DISTANCE SErd "'46ra/Y C NUMBER M \� FROM WELL MANUFACTURER MATERIAL ONCRf%SC COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY GALLONS. NUMBER OF PITS . DIAMETER OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH —DISTANCE FROM: WELL TOTAL EFFECTIVE DUILDING FOUNDATION—, NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ADSORPTION fi6FN LN .1LENGTrf 3� %%cd71,!= It /^.P/Vor/ Va677t : C � WELL: /0�TreY TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION . LOT LINE , SEWER LINE . TANK , SYSTEM CESSPOOL . OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PC ��fl PIPE MATERIAL: -C.. �- 14 LOT SLOPE: ttt111 � REMARKS: E-- DK�nvTf�rcif DATE APPROVED G.A.A.B. t-lur-FIC ]C --lL_ I TV OF= DEPARTMENT be/HEALTH F31 -ID ENVIRONMENTAL �-itOTECT'ION LoS�S 1 2510 E. TUDOR RD., ANCHORAGE, AIC. 99507 276-2221 O nt-JI-N ON—'_::; Z TE 3E=t4EF? I� FF?t1 I T PERMIT NO. C 76409 ) APPLICANT GARY CANDEF BOX 8482 ANCHORAGE 276-6360 LOCATION FIRNLINE OR & WILDERNESS DR LEGAL L1 05 TALUS WEST #1 LOT SIZE 20000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS 3 SOIL FtATINO CSO FT/BR)= 250 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: CHEF TH= 1 L1=I�IiGTH� � GF2Fi�'EL C•EF"TH•=+ 1n THE LENGTH DIMENSION IS THE LENGTH ?IN FEET? OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE,DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION ON FEET). THERE I5 NO SET WIDTq FOR TRENCHES.' THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIFI FEET). C--Fl(�_K"C3E FILE//' -IT RECaiJ I FRF=I7 EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. cIF A MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE_ THE SOIL ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION. IF A CLASS I SYSTEM IS USED THE LENGTH IS 23.0 FEET. IF A CLASS II SYSTEM IS USED THE LENGTH "IS 29.0 FEET. J r j ;ACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS 1EPARTMENT WILL BE SUBJECT TO PROSECUTION. IINIMUM DISTANCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS .00 FEET FOR A PRIVATE WELL OR, 200 FEET FOR A PUBLIC WELL. TELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS iF THE WELL COMPLETION. :PECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER NSTALLATION. "OUTP1 I T % RL I E> F OFZ OP4E Y1=t4F? F= F ZCDVl S nT}IJC CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET ORT•H BY THE MUNICIPALITY OF ANCHORAGE. : I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. : I UNDERSTAND THAT THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE ESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. IGNED GARY CANDEE :SUED 45�;VN a-g5v4 T rnOVNJSysT,r�-3.ApfMs /V S/fd So1L nA14) ,AT X 7#.Fr2 1P'��•OF c t'4d¢-�1 h •9 ••• •0.•2225-E••'� UNE 2S, 19J1• Fc7,rel* .`'M �'a, ire AT /2S (</,S) ,asp 7#r�' / �g�;JE- 2�` x� �' �, fir.)=l�'-''�. ��• 54v, 7P �— 3. _�../Gi,V .(JJ /1Si./�,✓�• f f'; �',/</�-/p;•i, 't ,/�r�^:_ ��C���,�:%•/,;,�-, fC �=;i�:/'L: y-�r PSS/fir/1'IP/l rate l•; 1. 1 Pvn Q e v» v E_ 1 Syare.•, C,VP-V r Cl,��cUG9f/lith fRa,,l M�6 put:1 6 AJAIP= 33 cM) 9,39,rr llEgv 2/Z crM 4k .�, l : / ZJIN P..% OF A/.^ l Z C�I1f�' rjA�� • L(�cV. �. 4Frqj)/G `.3/2'7 J/7�, �6�� / Z�3o2 +750 ABPA( rpm Nsw t: tsc WOTH WEUs ilOb� lWfALL Nt' 750 fit fA.V,VA-fO MOUND. 5Ef S145j�rf 2 J coR PWILY5. of 0- j. 5KC ?1 -AN TRAM ?LOT- PLA'1 M-rEV 6/8/76 2, FRoVIVC Nf-W LrrT•5jA'(ION 'As WMA- urAr,TURE�p OY AN HOPA4,% TPOK 4/F,L171 NC. 3, .�5rimikTfj D Qu�H (r(i�s R L /Qs�D MouN�: FI rT>il.P\ 28 Y 6r�4vEL, - 16 cY nv[ {P, - 15" C.Y -rop,5011 - I I G,Y a caves 6gV31, VA J o. 2225-E )UNE 25, 1971 ;arm LrT( 17&bCK 5 IALus WMSSHfrf I a G �� SYsteM ,� Ar AK cO5DI S� 22, Ti2�lj p,3v,( lscq t 1"-30'4" rPLAaMW 4125/86 <— P� I' a' tk�IQTV . C, ti.J Y c CV R61NgTALI, F�NC� Off' 0 M',tEyn �NU'P iuo"bo, . � R AMP POLL- NAAI" We w/ gow, � At le222 UtE 159- 2 1 kAN Id=o" I'2-d 6�-reR Matwigt, mR Ubq 5pz. Sic 22 T12 N R3W scp� 1g / m5rvR��n, Vf� Lcr(I, OL y.x 5/ TLus WsST ;-E1' 2or2lSewgc,* SYSTw LA(-- , Izi :A HOLE i LJ j and r jlNng mechanism NEMA 4X junction box 1' P V C $ail Valve 24' x 4' 6' Culvert Manhole 1' Flexible Pressure Hose /--- 1' P V C Pipe Typ 2' Urethane foam (shop applied) with Tnenec top coat Adjustable Float Switch Assembl Seal with RAM -NEIL or Equal rubber grommet or welded steel 1 1/4' pipe 4'pvc flow inducer 1 3/8' holes 6' IJC 'i 1 1/2' check valve I ice— 1/8' mesh polyethylene screen 15' dia x 39' NO Ii -OO Cf ,420,, ---1/2 hp. well pump Reserve Capacity 1222 f above Alarm GAL f 221 GAL 522 GAL' Reserve Capaaty 311 GAL sseI above Pw an 300 GAL; Capadty Between ' Pump on pump off 113 GAL 131 GAL 94 GAL FI Levet alarm 46' 47 1/2' 42' 43' 44 1/2'139' , -Dat Settmos ion _ 39' Off 4& im � uw uo sao -a � e so b S 71 gs a 44 so a u LIFT STATION DATA Gallons per minute TYPICAL PUMP PERFORMANCE CURVE SIZE SHELL A C 1250 12 GAUGE: 121 L2' 81' 1 40 1/2' C3 BEDROOM) 150D 12 GAUGE 145 1/2';97' '48 1/2' (4 SEDRODM) f 2000 10 GAUGEi 194' 129 3/8': 64 5/8'! (5 L 6 BEDROOM) SIZE CHART NOTE. — LIFT STATION TANKS MUST BE 250 GALLONS LARCEER THAN STANDARD TANKS FOR SAME APPLICATION -DTE— . Srr ATTACHED SPECIFICATIONS FIM EQUIPMENT SHOWN HERE / � � �/ � j j / / / / / ( |`� } ) / tn / � � �/ � j j / / / / / ( |`� ( / / ) ) � � / � � �/ � j j / / / / / 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 12-0 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 system/s 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 upon 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 system/s; 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 to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. ��.�-�� 00 ...... \ ... ' J f. lvA. S.• CE-7913 YYE-79 3 J Q4,fl � •, •• .\c0 4p e�ea •� j � 4 f'�ofessio� o ���00000�a 6. DSD SIGNATURE(0Ff System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for #AECC884 bedrooms I-�. �r� SITE WATER AND R' WASTEV; 4TER Z = bedrooms, withth flow uolvp s ✓JfU��. .���`g1 Original Certificate Date 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doe Legal Description: TALUS WEST #1; BLOCK 5, LOT 1 If more than 1 septic system on lot: COSA Checklist # 1 of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 7/30/76 Total depth 121 ft l Cased to 121 ft I� ❑ Sanitary seal is functioning correctly t� ❑ Wires are properly protected � Casing height (above ground) 12+ in. Date of flow test for COSA 9/30/19 Q Static water level at beginning of test 55.6 ft 7 Comments B. TANK DATA Age of tank(s) 12 years Tank type/material STEEL Measured operating fluid level in septic tank 50 -(STI) .;:._❑ Standpipes/foundation cleanout per record drawing o Date of pumping AS P/eaD 6�5 Z7 s'r�.n Pz,> D. ABSORPTION FIELD DATA TESTED EAST 2007 TRENCH ONLY Parcel ID: Structure served by this system 015-202-21 Well production at time of test 6.1+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ®.'Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 9/30/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station 12 years Lift station material STEEOPVC Comments: N/A Which system tested (date installed) 8f13 -75f07 Adequacy test date 9/30/19 ❑ ALL standpipes present per record drawing Results F,—/]Pass For 3 bedrooms Total measured depth from grade 3.9+ ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade ft (min) Water added 1024 gal ❑ N/A — pressurized field 2 � ❑ Monitor tubes go to bottom of effective. If not, state New depth in 950 Ldepth into effective Elapsed time min p Code -required soil cover ❑ q over field Final fluid depth 0 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N/A date of test) Gallons introduced 1000 gallons If yes, enter date N/A Comments/Deficien Cies. WEST 2007 TRENCH REMAINED DRY THROUGHOUT TEST- EVALUATION OF 1986 RESERVE BED WAS NOT DONE BECAUSE MONITORING TUBE WAS NOT LOCATED COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100'Community ** ❑✓ Yes if No 50 + Sewer Manhole/Cleanout > 100' ❑ Yes if No ft M Yes if No Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' ❑✓ Yes if No Absorption Field on Lot > 100' 0 Yes if No 50'+ ft Holding Tank > 100'✓❑ Yes if No Neighboring Absorption Fields > 100' 1000 GALLON PRE-SOAK AND TEST DONE ON SAME DAY *** Animal Containment > 50' 0 Yes if No 0 Yes if No ft Manure/Animal Excreta Storage > 100' —❑✓ Community Sewer Main > 75' ❑✓ Yes if No ft Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *51+ ft Surface Water > 100' Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: ** Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' ft ft ft ft ft E Yes if No ft ❑ Yes if No 50'+ ft Water Main > 10' ✓❑ Yes if No ft Community Wells > 200' ✓❑ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ** ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ** ❑✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' ❑ Yes if No 50'+ ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100'✓❑ Yes if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL **ASSUMED. 1000 GALLON PRE-SOAK AND TEST DONE ON SAME DAY USING ONLY 50% OF THE 2007 DRAINFIELD CAPACITY. HOUSE WAS VACANT OF 8/29/19. ***WITH CAVEAT - NO SEPTICS FOUND ON TALUS WEST #1; BLOCK 4, LOT 6/7 G. ENGINEER'S CERTIFICATION o OF Ad 1 certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. /. .............. U:­ -.7i f. . �O •13 •.Jef y . Carnes COSA Checklist yellow sheet �4ea pr 0 f e s soon°oma #AECC884 01/27/2020 11:12 8686770 ,0111312020 13:45 AntNMO WX APLUS PAGE 01 (W07 277 3x15 P.0011001 385 239 0 4 11 ®o®1/®ses I so 1 1®RI■® ■®® ago some MEMOIR I I Bonn Field Maintenance Report AnchorageTank Unscheduled 907-272-3543 PmpeAy o*merMMkiV i Mice Wysocki 31a A4em:.r. 11601 Fimline Drive, Anchorage AK 99516 nX 8ko Ina --- Ca myID it ' ----- 113700 SW070173 Dlspatcher CornmentS Date: Time: 01/13/2020 12:00 . AM _ Please conduct the C09A Inspection Notification of oite. condition I Made by varicomm° Monitoring systom L! Made by Homec"or 011ier ,�n . 1 Site oondt#lon at time of call Alarm Tank Overflow [- Otlor i I Sewage Backup Lj Other.___ ---=--- — Field_Sampl i ngf0bsarvratlons FJI Ng"'mry RNot neeesswy NTU {15 r. NTUs► DH (6-9) DO 12.8) Odor of Sample. TYploal Non.typical Conditions at site Alarm On iJMustyI_ IEarihy ❑MJ10Y Sulfide Cabbage I J 00=Y 1-3 ye: 'No (if yes, darn -- Tank Liquid LovolNormal Fl High Pump Operationed?,54 yes F1 No 17 Low ) circuit Breakers Recirr........ D Tripped W On _ off Diechargo..... ❑ Tripped Q On n Off C4ntrola.....• Tripped 10 On ❑ Off VCOM- AIRTU mrd: (d appllC-*le) Dooumontthe panGl status by ahading the MPITpriate inputs seed outputs as indiatted by tiro yeilow and red I.M. Inputs 1 0 (3) r@ C 06 0 n outputs~ 0 Ca?. O 14) power (Gr= LED) L on ::] Olt R Fla3hing Mike Blakeslee PadN PTU •!'J�d 210519 RTU112499 (907) 555-6555 petsa tas+tnxaotlon 06108/2012 Gause at Malfunction: ❑ Mcahsnical `Arocese Re6rted � - . M � � I _� � Ams �•---- - Services Ftondered: Farts Usad: W Warranly, B = Billable (✓ appropriate selection) W B Item Number ! Description i NotesMrial Reccrnmandations: r Systr. m pelfomUng; no further action needed �AdAltlonal service mW(,d Final/Safety InSpectiOM Lid,, bolted on? jW Yes 0 No Qi dornagr_d, rommMtt __�-------...---- ---• •------ •---' Cartrol Panel r4activated? Yes Gimuit 8raakerw. _ Rcoitc: ,On 1-] Ori Discharge; Kon EI Off Contra(-: i On (_ I Off Time tet Site Travel Time Total Timc slannture RiQtP�w�V•.lil�.�_-I••�`i----._TiMO •---.—_--- . __---. - Fox completed form to 1.866-384-7404 Ej, L C 1 A .�i LINK i I 0 1 1 it, 1. i"Y",- ".4 F VL 1T: % EN, T I1 I rolk ' % I I t 1 1-1 XKE_10 1% 1. hCrr I I jtnc .!r$':- 1 7. AMU 15:65 165, In rum -.-Art A 1, m Iw ._M4 10TIN 4NOwba. &a Lba, tj a -permt lbl!�L6 1E� n .0kow to Iftil-I& Ankioricralc 111 i.A AV :L MIX., Ir k" I '.-L Ir'.! _-i-, T,_lL "ai=f LITHJjj 40!` 4t;WFgUka trzat—, izV 1 f.l it t 6-_ W M t e, g m i i i f I: f v p c rAl. I. I v: 'Mr ?I;JIWOFIY IiAl II- i'rt jL ffW l3mIt1AtnIgrk-X =.a lilt; .:.1 I ern'the 1%I, L: w", !V .Tr O.M. rm.=- ftwzg" k rg"U"taiw-C t op -i A _-0,L . p. p.111 -9 higul 1111'�N E Deaf: S -TATE ki I -n EIRD AIDO, IM, DISTRIA, by rC M= 'Nil N e(- I I I I Im Hit l Lit MUNICIPALITY OF ANCHORAGE • -• DEPARTMENT OF HEALTH d HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D.k cit{'`�7'�\ HAAtt 41Qo1J-tD20 1. GENERAL INFORMATION Complete legal description -J or I B1 K 5 T Atl/S W Esr \ Location (site address or directions) I160 1 FE RNLINE DQ ARCNORACE Ilk Propertyowner DOW) {. LORI RVRLINLAME Day phone 3y5 -38l8 Mailing address Lending agency "• kl?""'^ Day phone Mailing address Agent SHARI 901D. Co"wEtL BANKER Dayphone ,S6Y'2YQB Address Hlos Tudor e0enj= Or., AncAen er Ak 99So8 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: 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. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: if community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 22-026tgvv.1MI) Front MOAN 21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system Is safe, functional and adequate for the numberof bedrooms and type of structure Indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my invest!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. Name of Firm FIATTOP TECH SVC S . Phone 3 y5- 1355 - Address 14530 ECHO ST ANCN. A gg5/ro Engineer's signature — YZ / T ft& 4 - Date lu 1v ZS 19 9 y 6. DHHS SIGNATURE Approved for Disapproved. 0 Conditional approval for Additional Comments 49TH' •' MORE F. 110ORF CE•35e9 ; !•....• ..' cd oa bedrooms. bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given In paragraph 5 above by an Independent professional engineer registered In the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending Institutions in 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. 12025(Frv.wit Bw. MOA/71 ® Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT 1. BLK Sy 'TALUS WEST Parcel I.D. A. Well Data Well type P R) ✓ATE If A, B, or C. attach ADEC letter. ADEC water system number Log present (YIN) Date completed 713o%76 Driller RvMRuRG < o. IV /-,f Otherbacteria_Q c011100 m-e Date of sample: 612474 Total depth 121 Cased to 121 .1 Casing height Svcs Sanitary seal (YIN) y Wires properly protected (YIN) y FROM WELL LOG AT INSPECTION m T� Date of test -7130171. to J2119`I '° z Static water level 60 4 3 rn P"7 C ro v Well flow to g.p.m. q. S I"t'1 9.p -m. C Pump levelt > q9 M SEPARATION DISTANCES FROM WELL TO: 0 m Septic/holding tank on lot 112 ' ; On adjacent lots > /do' z Absorption field on lot 112 ; On adjacent lots 'i loo Public sewer main > too I Public sewer manhole/cleanout > ioo' Sewer service line > So Petroleumtank No NE o 6sF. RVEb WATER SAMPLE RESULTS: Coliform O col //00rhZo Nitrate < o. IV /-,f Otherbacteria_Q c011100 m-e Date of sample: 612474 T11'Y /9y Collectedby: F1ATToP TEC 1) Svcs B. SEPTIC/HOLDING TANK DATA Date Installed 7/76 Tank size l000 Compartments 3 Cleanouts (Y/N) y Foundation cleanout (Y/N) Y Depression (YIN) N High water alarm (Y/N) N.A. Alarm tested (Y/N) N.A. Date of pumping 9x(1419 6/30 /9y Pumper OLD McDot4ALbS Rol* 1?0.kr' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Weil(s) on lot _ 112' On adjacent lots > lou' Foundation A r FRO" C.o. To property line 4--30' Absorption field 5 Water main/service line x So Surface water/drainage >, 100 72-025 r=)* F=1 CONTINUED ON BACK PAGE C. LIFT STATION Date installed `11121186 Manufacturer ANC110RAGE 711t-Ik Size In gallons 500 Manhole/Access (YiN) Y Vent (Y/N) Y ' 'Pump on" levet at 'f9 4 r`l ut p "Pump oft" Level at Hto F[ u i D High water alarm level SIH Cycles tested > 2 0 Meets MOA electrical codes (YIN) No VioLATioNS OSSCRVEO SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot I 1 S F On adjacent lots > loo' Surface water -.,to()' D. ABSORPTION FIELD DATA i6s. FE'/SoRn Date Installed 9112 Soil rating (GPD/Ft!) 0.9 System type FED Length 25 f t Width 80t Gravel thickness r + IsAmto Total depth 4 ,o enTror. $i N6 $iN D Total absorption area 750 Ftz Cleanout present (Y/N) Y Depression over field (Y/N) N Date of adequacy test 6I21I9y Results(pass/fail) PAss for 3 Bedrooms Water level In absorption lield before test 4 a Aftertest 5~ Peroxide treatment (past 12 months) (Y/N) NONE k N0614 if yes, give date WA SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1 12 ' On adjacent lots 7 /001 Property line 1'7 t To building foundation 13 r To existing or abandoned system on lot uNKNowrt On adjacent lots _ > 30 t Cutbank N. A . Water main/service line > 50 Surface water > /00 Driveway, parkingArehicle storage area 20 r Curtaindrain NONE oestRyeb E. ENGINEER'S CERTIFICATION I certiy that 1 have checked, verified, or confirmed to all MOA and HAA guidelines in effect onJ date of this Inspection. OF J• t✓ I}JTN� it+4 Signature Ira PP.Z.,},aaa Pr ca•L;+.Pati::,.. �� Engineer's Name ThtooPorti r—. /"tuor� '�:'...a. . P ll.. .....•., i rHLODORk F. t,AWR9 °'. Date -Tu IV 2S /99 y o, H :CE • 3500 HAA Fee $ "YGO Date of Payment 7--'z9-2,42 Recelpt Number ✓� C 5 %8?1% Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date q/�• 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) 1�7 1 I BIC JC; -rALuG 100%aTy Ss qS7j ZZO,—RW Location (address or directions) 111001 (b) D2_tJC^ (b) Applicant Name Telephone: Home ��S�S y q� Business Applicant Address (c) Applicant is (check one); Lending Institution O ; OwnerAmW& ICK; Buyer O ;Other 0 (explain); (d) Lending Institution Address (e) Real Estat Address Telephon Telephone (1) Mail the HAA to the following address: 14 0 L.. I> 2. TYPE OF RESIDENCE Single -Family Multi-Family[3 Other Number of Bedrooms 3 3. WATER SUPPLY Individual Wel( Community O ' Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. I . I I 4. SEWAGE DISPOSAL - . ! (,, I) Onsito/1yt�/ Public ❑ Community ❑ Holding TankCI I I Note: 11 community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. nsnve+l Pago 1 of 2 `' 5. ENGINEERING FIRM PROVIDILeWSPECTIONS, TESTS, FILE SEARCH, Dk-rl AND INFORMATION r` 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 wastowator disp osal system is safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. l 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 wijt} all Municipal and State codes, ordinances, and regulations In effect on the date of this inspQgtion._ r Telephone 27 9- 3 9/ 16 z • ingineefs Seal N 2225-E �. J K 25. 1971 6. DHEP APPRO_V�. �(A Q Approved for Srx�d d.t bedrooms by Datc Approvedy Disapproved Conditio Terms of Conditional Appioval `•ate,:}, k\ yCAUTION 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 engineer registered in the State of Alaska. The DHEP dbt)s this as a courtesy to purchasers of homes and their lending Institutions in order to satisfy certain federal and state requliaments. 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 engineers work. Page 2 of 2 r 72-025Uveal MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1964 264-4720 Legal Description: F_; - ° - Aws WKS' A. WELL DATA Well Classification E�S If A, B, C. PEC. Approved (YIN) Well Log Present (Y/N) __ Date Completed 3Q�7t� Total Depth_ Cased to 12Depth of Grouting Static Water Level Pump Set At %cD7"TOH 7� Casing Height Above Ground �b Sanitary Seal on Casing (Y/N) w Electrical Wiring in Conduit (YIN) Depression Around Wellhead (Y/N) r �` Separation Distances from Well To Septic/Holding Tank on Lot %%;z ; On Adjoining Lots > /&<> To Nearest Edge of Absorption Field on Lot /M ; On Adjoining Lots A_C> To Nearest Public Sewer Line NOM To Nearest Public Sewer CloanouVManhole IUD N IZTo Nearest Sower Service Linne/9n Lot Water Sample Collected by rs �_ ; Date 9 A1kZ Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA 7 /� Date Installed _Y2_ Size No. of+Compartments Standpipes (Y/N) Air -tight Caps (Y/N) Foundation Cleanout (Y/y) Depression over Tank (Y/N) + 7 Date Last Pumped 4?AQ 'R Z' Pumping/Maintenance Contract on File (Y/N) f � ; for�Q ,� Holding Tank High -Waller rer Alarm (Y/N) (16 Temporary Holding Tank Permit (Y/N) 1b, /� Separation Distances from Septic/Holding Tank: To Water -Supply Well ill To Building Foundation too To Property Line 3D To Disposal Field _G To Water Main/Service Line W EI To Stream, Pond, LOW, or Major Drainage Course NO - Comments Page 1 of 2 72 026(11/84) C. ABSORPTION FIELD DATA Soils Rating In Absorption SS rate /A 5 Typo of System Design Date Installed ! /71_2 4 Length of Field Width of Field ?a7% Depth of Field y� Gravel Bed Thickness Square Feet of Absorption Area ���� Standpipes Present (Y/N) Depression over Field (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test�� Separation Distance from Absorption Field: To Water -Supply Well To Property Line 17 To Building Foundation To Existing or Abandoned System on Lot ; On Adjoining Lots > / Oc=;,A// To Water Main/Service Line , To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /�fA To Driveway, Parking Area, or Vehicle Storage Area .>-�E d Comments D. LIFT STATION r Date Installed 9 Dimensions 00-ej '4114 t/7 �GC Size In Gallons •5Manhole/Access (Y/N) "Pump On" Level at / "Pump Off" Level at �� /� High Water Alarm Level at 3C Vent (Y/N) r Tested for Electrical Codes (Y/N) Comments •• Check Permitted Bedroom Rating Against HAA Request •• Pumping Cycles during Adequacy Test. Meets MOA Icertify (hat Ihave chocked, verifie rconformedtoallMO and eHAA guidelines ineffect onthedata ofthis Inspection. Signed Date 9ii�'�o C�^� Company MOA No. Receipt No. 0,06) Date of Payment �� M Amount; $ Af V —4-.5-' d-76 Pago 2 of 2 72.029 n )/BI) a At�:•'� r ){ `✓ y �f . y (. •, r Engineer's Seal r•• �., •. .r •rel ra•2225,-Ii ••., JU14E 2S, 194 '.r •TLGT •SZ 3Nf11 • 0r+�, 9 -BLL[ VN M/ A6Y:• � •TTaM aqq buFp003 aa;Tnbg eq; ;o suoF�FP�i}�Z�edwF deal req; 0204oe; aag30 pug asn pu9T uT e05ueg3 Pug 'aoe;ans aq4 w0a; Panaosgo eq ;ou dew qeq; suOF4Tpu00 eoe3ansgns o; anp a&ueg0 dew TTaM aqa ;o a7ea MoT; aql •;IvP 8W4 90 se suOF;Tpuoo aql 01 ATuO saTTdde TTaM vTgl ;o uOT4TPuOo eq; ao ivawssassta ag5 •7uaw02Fnb9a ST44 sassedans TTaM sFgy•san0q VZ Jed wooapoq sad aO;eM ;0 suOTTeb OST sF MOT; TTaM ao; 4uawDxTnbaa TedF'0tunW aqy 039V8011ONV 30' bII7VdIOINnW gill d0 SINSWSHM03H 3115 SL33W 773M SIHM =170SEH ISM •3AILVJ3N SVM 1S31 0996T It b7nr NO VIU310VU W2103I70O Hod 031531 SVM HEIVM =SW2103I70J 2103 LS31 '3SnNIW H3d SNO77VO ST -C d0 3LV21 3921VH au V JNIMOHS 'aoivaa SI111 DNI21n0 1333 TZ 03213AOM 773M •S31nNIw OT Hod 032101INOW SVM aoHVH03H 'DNISVO M0738 5333 COT 01 1333 OS NMOO SVM 73A37 H2lVM gill S3lnNIW 09 Hod Wd0 L SV ONIdWnd 213L3V 'JNISVJ 30 dol M0738 1533 £S IV 0NnOd SVM 73A37 HHLVM OILVIS '03ZI7IQVlS NMOOMVXO Sill 'I 03dWnd SVM 773M 31L '3808d OILS110OV NV HIM 03NOLINOW SVM NM00MV210 3111 37IFIb1 31nNIW Had SN077V9 L d0 alva 1NVISNOJ V 'LV 03dwnd SVM 773M :Hsn03O02id ISBl 9861 '£ b7nr 2NOI102JSNI 30 3.LV0 •wag L =073Ib dwnd 'Wd0 01 :D07 773M Nova C73IA 773M' Sib :13W SIN3W3u =321 NOIIV77VXSNI Sib =378V7IVAV 107 773M b7IWV3 370NIS =773M 30 3dn' N3NNI3 Nb73A3 =213NMO 3AI210 3NI UTj 109TI :NOIIV007 ISM Sn7VL IS X0078 IT 107 :7V037 Nois��asNi Zz�m z�isN�ais�a '•6LZ 1[061 •3NOHd3l3i ' U3333N1'JN3 DNinnSN00 6d71SdVt10H3NV oe"Jo 311 d daan�b vU�� ���©� r •... 11S..0..3AV..3AV4t9l'Mf0 v I a a s 440 W. Benson Blvd. Suite 806 July 18, 1986 PEN INSULA ENGINEERING National Bank of Alaska 646 W. 4th Avenue Anchorage, Alaska Attn: Lucille Steetz RE: Alene Palmer Residence Lot 21 Block 5 Talus West M2 Health Authority Approval Dear Ms. Steetz: Anchorage, Alaska 99509 (907)561.6107 This letter is written at the request of the property owner, Alene Palmer, to explain the current situation of the well and septic system on the above referenced property. The septic system absorption field was tested on February 28, 1986 and was found to be functioning with'no apparent health problems to the site and surrounding area, but was not functioning adequately to meet the current Municipality of Anchorage standards. we have subsequently designed an upgraded extension of the system to bring it up to Municipal -Standards. The system as -is may continue to function as it is and provide the limited service without creating a health hazard for the next few years with occasional lumping if the owner discovers any backup problems. The system should definitely be upgraded when the property changes ownership. If I can be of further assistance please call. I have enclosed a copy of our fees for the services provided on this project per Alene's request so that dispersements can be made. sincerely, Wayne Henderson, P.E. L/ ' VMUNIOPALITY OF ANCHO GE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH d ENVIRONMENTAL PROTECTION DEPT. • ENVIRONMENIALFX`['cCTION 825 L Street -Anchorage, Alaska 99001 MAR 18 1980 J ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-0720 RECEIVER SINGLE FAMILY ❑ One ❑ Four ❑ Other REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) d3vs For processing. 1. PROPERTYOWNER 7.GAay 0 Three ❑ Six PHONE 'Y%9'z 6 / MAILING ADDRESS -=5-.6V agoe /S8 7 G ;ySb z W 076 //,$ / E f' 7 770 PROPERTY RESIDENT (if different from above) ❑ COMMUNITY PHONE 2. SUYEH .a?En � Euc/y t/ '0iur d depth (attach log if available.) PHONE 7zss5 MAILING ADDRESS , z 11""Cr Individual/on-site, give Installation date 3. LENDING INSTITUTION ! eo .7,x -7- 4?r7X1-UGbfj- If system Is over two (2) years old an adequacy test Is required PHONE MAII,��JG ADDRESS /n/� /J r• 0. /Z eQ Hi fli� NOTE: THE INSPECTION FEE MUST CCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 4. R TOR/AGENT �oi/.9�,� HON x77/6 v� MAILING ADDRESS � /f ,,7 S LAGd'E� 6. LE/GA�L DESCRIPTION Go7- STREE LOCATI N .3 t ✓c Q % /�w/�.t/6 '� LviL. U./E2 (/�S ff �7711cfJE S. TYPE OF RESIDENCE NU SER F BEDR OMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY 0 Three ❑ Six 7. WATER SUPPLY 0' 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 X97 i 0 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 CCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) VAd THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY MUMMA.. o� ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO Cl FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY. Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED vn 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED ' NS ALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimenslons: SOILS HATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION ARCA MATERIAL 4. DISTANCES WELLTO: Septic Holding Tenk Absorption Araa Sewer ine Nearest t Lino Absorption Aron to nenrest Lot Line 5. COMMENTS 4;1-- APPROVED FOR :— BEDROOMS ❑ CONDITIONAL APPROVAL (letter must acsMpany certificate) 72010 (Rov. I� GREATER ANCHORAGE AREA BOROUGH {� Department of Environmental Quality 330 "C" Street, Anchorage, Alaska 99503 274-4561 (4.a Date Received September 22, 1976 Time of Inspection C)�gr) Afyj Date of Inspection 9 7-7 Z91x— REQUEST FOR APPROVAL OF IL'iA I . INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Alaska National Bank of the North Mailing Address: 3901 Seward Highway Phone: 2. Property Owner: Candee Construction Phone: 274-4505 Mailing Address: % Real Estate Corner,, Mark Korting 3. Legal Description: Lot 1 Block 5 Talus west Subdivision 4. Location: wilderness Drive 5. Type of facility to be inspected 6. Well Data:. Individual Single Family A. Type C. Construction 7. Sewage Disposal Sys em: On-site system No. of bedrooms 3 B. Depth 121' D. Bacterial Analysis A. Installed 1976 B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 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