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HomeMy WebLinkAboutHAMANN LT 21 MunicipaLity of A'nchorage Page · DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-.4744 · On-Site Wastewater Disposal System! and/or Well Inspection Report Permit Numbe~' .~'q'4 c~ OOC¢¢ i PID Number: O~-- ~ Name: ~U~ ~ %~ ~ wastewater System: U New ~ Upgrade, Address: ~C ~5 ~ 6~X '[~ ~ ~. ABSORPTION FIELD Phone: ~f14--4~Z~ No. of~drooms: ~OeepTrench U Shallow Trench OBed OMound OOther Total Depth Jr. om original grade: LEGAL DESCRIPTION SoilRating: ' 8 GPD/Sq. Ft. ~'~' ' Block: / Subdivision: Depth to pipe~ottom ~rom ordinal grade: Gravel depth beneath pipe Lot: ~l ~/~ ~MAN¢ J*l~L J,'¢~ ' Ft. ~, Z~ Ft. Township: ~1~ Range: ~/, Seclio,~/A Fill added above originalgrade:l. I~ + Ft. Gravellength:7 Gravel width: Number of lines: Distance belween lines: ~ B New ~ Upgrade~ , Z/ + Ft. [ NJA Ft. Classification (~.C):~ Total~Depth:/Ft. ~sed To: Ft. Total absorption, ~ ~area: SQ. Ft. Pipe~o~material: Driller: ~ Date Drilled: StalicWaler Level: Installer: Date installed:/ / %· Ft. . Yield: ~PM IPump Set at: ~g ~ightAbove Ground:Ft. I ~ Ft. TANK SEPARATION D STANCE TO Septic Absorplion ' Lill- Holding 3ublic/Private I Manufacturer: ~ Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ ~ - ~ ~ Number of Compartments: we, ~O~~ ~05¢ ~JA ~ ~:~ ~ 2. Water ~/A ~/~ ~/~ LIFT STATION Line ¢ Curtain~~¢i~l~l~p~ Drain ~t~ ~/~ i ~/~ ti°ns Pe~fgrmed bY: 'BENCH MARK Remarks: ~¢~& ~GI[~ ' Location and Description:  Assumed Elevation: Inspections performed by: ~ ~~ ~atos:2~~: Department of .ealtx and Human ServiCe ,',;~:,Z~'_'.: Reviewed and approved by' ~-¢-/~/~ Date' 7-/' ¢¢ "t~%~¢~[[~ 3 72-013 (Rev. 9/9t) MOA 25 7_/ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940004 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES OWNER NAME:LOWE WILLIAM D & OWNER ADDRESS:HC 83, BOX 1625 EAGLE RIVER, ALASKA 99577 PARCEL ID:05062108 LEGAL DESCRIPTION: HAMANN LT 21 PAGE 1 OF \C3' DATE ISSUED: 1/10/94 EXPIRATION DATE: 1/10/95 LOT SIZE: 82764 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: / ISSUED By: ~~ '~' : Alaska Water 8c Wastewater Services "Preserving the :Last Frontier" January 4, 1994 Municipality of Anchorage Oepartment cT Health and Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 ~ttn: Dan Reth Ref: Septic System Upgrade for Lot 21, Hamann S/D, NE 1/4, Sec 22, T14N, R.IW, Dear'Dan: As discussed in our telephone conversation, on 1/4/94, it appears that tho homeowners are proposing to install the ~ septic system this winter, rat;her than wait until next spring. I have modified the previously submitted cover letter and percolation test to remove any statements which imply that the installation will occur taext spring. If you have any question, please call me a 52;7-6179~ Si ns%~elY ,, /) Jef/;rrz~, ,.. Garness,~ E. 0~e¢/6 sultant JAG/jag lowe5.WPS Telephone - Fax 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska 99504 Alaska Water & Wastewater Services "Preserving the Last Frontier" January 4, 199~ Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lob 21, Hamann S/D, NE 1/4, Sec 22, T14N, RIN, To whom it may cencern.- Attached is the application, site plan, and design drawings for tile subject septic system replacement. Comments regarding the proposed system are as follows: TRENCH DESIGN: As can be seen from reviewing the attached percolation test rest]its, the soi~ "perked" al; 7.2 minutes/inch at the location proposed for the system. For a trench system, ~his corresponds ~o an application rate gpd/f~2. S~nce the ex~sting heme has four bedrooms, ~he total design flow is 600 gpd. Based upon this, the minimum amount of absorption area is 750 ft2. l'he proposed trench is 5 feet deep and 75 feet long. 2. SURFACF WATER: Since the site visits to date have been performed duping the winter it is not possible to verify whether there are any surface waters within 100 feet of the proposed systems. Based upon the location of nearby septic systems, and knowledge of the homeowner, surface waters do not appear to be a concern. J. TOPOGRAPHY: The lot is relatively flat in the area for the proposed trench, consequently, the grades were not "shot". There are no slopes greater than 25~ within 50 foot downgradient of the new trench. 4. UTILIZATION OF EXISTING TRENCH AS SI'ANDBY SYSTEM: Please note that the existing trench is going to remain in place fer future use. An alternator valve will be insba!led so that the hemeowner can switch back and forth between the new and existing systems. The existing 'trench is located approximately 35 feet upslope 'from the proposed trench, on a slope of approximately 50~. There was no wastewater Telephone - Fax 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska 99504 observed daylighting from the existing trench, The new trench is located on fiat ~round, at bhe tee of the 50A slope. There are no slope concerns associated with the new trench. 5. LOCATION OF NELL AND SEPTIC SYSTEM ON LOT 16: Due to the presence of snow on the ground I was I~Ot able to verify the location of the well and septic system on tot 16. 14o~ever, I have researched the records on this property And found that, it has a private ue!l and septic system. The separat:.~on d~stal]ce 'from the new trench to this lot is greater than 100 ¢eet, conse(~uentty, it is cleaP that thet'e are no separation distance concerns. I ar, unaware of any negative impacts that this installa'bion ~ould impose on adjacent wells, or septic systems. If you have any question, please call me a 557-6179. Sincerely, 5AG/jag 1owe2. yA, PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" S[reet, Anchorage, Alaska 99502-0650 ,, SOILS LOG -- PERCOLATION TEST LEGAL DESCRIP~'ION: 1 2 3 ~ 4 5 6 7 8 g 10 11 13 14 15- 16- 17 18 19 20- ~oT 7_ I ) l-La...M~n.1%/J) Township, Range, Section: f, Jt-'_ Y.4. ~.~.F_ ZZ~ 'TI~rNI) t~.IVJj ~.N SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? Reeding Date Time Time Water Drop i 4'4, PERCOLATION RATE '-7. ~ TEST RUN BETWEEN ,~ __ (minutes/inch) PERC HOLE DIAMETER __ _ FT AND ."~° ~' FT '~OMMENTS I ,. ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TILII8 DATE. DATE: /'~-.-///~//?~_~ 72-008 (Rev. 4/85] ~kGREAiER ANCHORAGE AREA BOR(JUGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: r)ISTANCE FROM WELL INSIDE LENGTH_ SEEPAGE I~I~T-~ MAN U FAC-FU R E R / INSIDE WIDTH .-'~ .-~e..-'t ~ MATERIAl LIQUID DEPTH NUMBER OF COMPARTMENTS .LIQUID CAPACITY / '~---:-(~"~'F~ GALLONS. ? / NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION _ CRIB SIZE: DIAMETER __ - TH____'DISTANCE FROM: WELL / ,,2_- ,'~ /~""""""~-~ ! TOTAL EFFECTIVE ~ ___, NEAREST LO-r LINE c:'z'~ ABSORPTION AREA (WALL AREA) -~/"~'~"~,' . Q. FT. ADDITIONAL ABSORPTION TYPE BUILDING FOUNDATION __ CESSPOOL APPROVED __CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK ._ SYSTEM OTHER SOURCES DISAPPROVED REMARKS DISTANCES: INSTAL. LED BY: _. PIPE LOT SLOPE: i,:: i..i E:~: h: J .JCI H i'..I 3:,i3 N .::,. ,::.r:: I I"IE L.. F~B:E;(]RF"T t f hi ........ i bile L.[r;i"4di't H L'." ~ t'"lk!;N'_':; ! I:jii'-,t ;1: :!:, THE !..Ei"413TH ( :[ 1"4 F'IEE'T ::, i:)f; 'i'H~:. t'P::I:::i",IE:H i.:)l~:'. Ii::,t;i:1::1 :[ 1"4F: Li: [-!:!..[::'. I I"IE. DE.F'I H iLtt:;' ~l 'I'[~:EF'4E:H CII:,]: F:']:'t 31:5 ~ttq[::: [::, ;1' :~:;1 l:~hlC:[~; E:E'THE:EN ~lr'H[:~: :~,I..i[(:F;I::II];:[:}; O[;: I'H~7; I]i~:ULINK:, FIt",It::, THE: E;t3"I"f'OM CH:: 'tHE E~]::-:'iCf:tVf;~tIEiI'4 ( 'i H[~. [.~h~:lZl'v'E.I... I;.:,k~l:"l H ]: ~; 'f I'"IE r"i:[ N :[ r,'tLIl',l i:::,EP'I'H ElF' I.:ll'.,ID I Hk;: biCi"I'T(;II',t CtF '1 I..![S [:~:;:-::l:.::f:l',,,'[:l t ]. EIN ( Z N I.:'EE:T ;ti C;h(t,(I 1 i:'"r' I .'L: i J-.tr,i I-:: I~:H','t ;t; L ]: F-'IF:: H ;[ TH 'l HE i';' i.:i~,il I H E',h" 'it-h?.: ML.tI'.~ ~ E: ]: PFiL. i Th" A: :[ I.,.t]iL.L );Nb;'iI::II...L. 'IHE '..'~;'-r':i:;'lEi:f,'l ]i1'.4 F;IE:E:EiF.:[)RI'.,Ii3E 1.4];'tH i'HE CODE:ii;. .:i:: i UN[)I:~JJ;,:.'S:;TI:'iI'.,IP 'l'lql-tT THE J,::i:~¢II;,IENC:E ;i;:~; f;i;I:iI"tL)I.)t:(LE;[)TI3 Performed Lenal This Deoth Feet "One t~ t~ worth a thousand opinions" 2204 Cleveland Anchorage, Alaska 99503 ! / QescriDtion: Lot .7)~l Block~Su6d{;ision_.~O/~r~q,L-'~]-'t,~ro'Sr°M9 form Re.orts Soils [oq ~ Percolation Test Soil Characteristics 6 8 10 12 14 16-- 18-- 20-- Was Ground Water Encountered? It Yes, At what Depth? Readinq Date Gross Time Net Time Depth to H20 Net Dror~ Percolation Rate rlinute Proposed Installation: SeepaQe Pit Drain Field Deoth of Inlet Der)th To Bottom Of Pi txOr Trench Data Certified BY: ~T~~ ,~':il 0 [','[ ............. FT. ',." 0 ................ .~"I~ .................. ::'~IOM ....................... FTo TO ..................... FT .......................... /-'BOM ....................... FT. TO .......................F'I: .............................. [Ti. OM .....................FT, TO ...................... FT .............................. ,. RifLiNG COMPANY FI.I O r,'~ .............. F 110 lx4 ..................... FT, FI'tOM ....................... FT, FItO IM[ ...................... TO ........................ ][;~ ......................... TO ........................ FT ......................... TO ...................... i.FT ......................... TO ........................ FT .......................... TO ........................ ~ I .......................... TO ........................ FT ......................... TO ........................ FT .......................... 14ISCL. INI:'OII MATIOI:h ~"'~,~"J~') O-~qo~cO 6,.r T,.~'r'' D t~ALLE lt'S NA~IE ........ '~ ................................................... Parcel I.D. # 1o MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES. Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~ ~- / -- O8 HAA # _/~ ~,~c~ L~ (~ \'-~ ~,~ GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address_ Agent Address Day phone ~)~4-- W~'-~ Day phone ' /J~:~ Day phone J Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ' ~ MUNICIPAU'Pf OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION' RECEIVED NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. ~' ~ 72-025 (Rev. 1/91) Front MOACY21 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 ~hat the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance .with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ,^,~l*a~,k~a2~e-r.~.~ / Phone Address ~h.,~¢~9950~, ~' ~ Engineers signature ~____~. ~,v~/¢~~-'- -- Date Approved for '¢¢// Disapproved. Conditional approval for DHHS SIGNATURE bedrooms. bedrooms, with the following stipulations: Additional Comments By:' ~~ --' ~-v~/' i,,¢ ' . Date -- The Municipality of A~chorage 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 courtesyto purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) BaCk .MOA Legal Description: Municipality of Anchorage ~ DEPARTMENT OF HEALTH & HUMAN SERVICE~x E C', ElY E D Environments I Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4~¢i~¥ q 6 1996 Municipality et Anchorage Health Authority Approval Checklist oept. Health & Human Services A. WELL DATA Well type LOg present (Y/N) Total depth '~1 Sanitary seal (Y/N) IfA, B, or C, attach ADEC letter ADEC xvater system ntllnber xY~=-S . Date completed (o/2(o /'7~ f Cased to >' 40 Casing height (above ground) x,/~r~:~ Wires i)roperly protected fY/N) Date of test Static water level FROM WELL LOG AT INSPECTION t -g~'~i.t. '~' ~ g.p.lll. Well production 42X) WATER SAMPLE RESULTS: Coliform Date of sumple: __ Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~/~4-- Tank size Foundation clcanout (Y/N) Date of Pumping - ~--//oK"/q'~ Pulnper __ /2 .~ Number of Compamnents '"7_. Cleanouts (Y/N) Depression (Y/N) i'4 High water alarm (Y/N) _ NS//& --/ C. ABSORPTION FIELD DATA Date installed Length -'7 ~ Width Soil rating (g.p.d./fl2 or fl2/bdrm) . 0 . System type "~ 2 la"" Gravel thickness below pipe ~'. 'Z~ Total depth_ 7.'7~/+ Effective absorption area ~ ~,-;~ Monitoring Tabe present(Y/N) k,f Depression over field (Y/N) ¢00 Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (iii.); Fhfid depth .(ins.) Mimttes later: Peroxide treaUnent (past t2 months) (Y/N) hmnediately after gal. water added (iii.): Absorption rate = g.p.d. If yes, give date Do Date installed ~ Manhole/Access (Y/N) High water alarm level at* Size in gallons "Ptnnr~-on"level at*~- - - *Datum "Pump ofT' level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot I C) Z ; On adjacent lots Absorption field on lot I ~ ~ ~ On adjacent lots Public sewer main ~ ]~ Public sewer inanhole/cleanout Sewer/septic se~ice line ~ M ~ o ~ M L~ station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation al'" ~ [ Property line ~"O/--.~ Absorption field Water main/service line '> ~ O / Surface water/drainage t,.) )t4 Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: / Building foundation ~O / .-b Water main/service line '> I 0 Surhce water b,3 [p~- Driveway, parking/vehicle storage area Curtain drain , Wells on adjacent lots ~> I O_.__~O Property line F. ENG~EER Shav~ntige~thff~eldCERTIFICATIOy~ in confo,'manc~lCA//~de~ines in effect on this date. ........................................................................................................ HAA Fee $ ~ ~- 0 ~ Waiwr Fe~ $ Date of Payment ~L~L~ ~ 1~ Date of Payment Receipt Number ~ - ~'~-~b Receipt Number Rev. 8/95 OSS: haa.wk.doc Municipality of Anchorage Department of Health and Human Services Rick Mystrom, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 May 22, 1996 Jeff Garness, P.E. Alaska Water and Wastewater Services 8471 Brookridge Drive Anchorage, Alaska 99504 Subject: Waiver Request for Lot 21 Hamann Subdivision Waiver Request #WR960017, PID #050-621-08, HA# HA960173 Dear Mr. Garness: Your request for a waiver of the required 10 foot separation between a on-site wastewater disposal system (drai~elds) and a property line has been approved. The waived distance is 2 feet from the draintields to the northwest property line. The approval applies to the existing septic system property line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this office. If there are any questions or concerns, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-site Services DIR/ljm:Lowe MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~~2~- PID~ 050-621-08 Date Received: May 13~ 1996 Legal Description: Lot 21Hamann Engineer: HA# HA960173 Permit Jeff Garness, P.E., Alaska Water & Wastewater Services 8471Brookridge Drive, Anchorage, Alaska 99504 Applicant: William Lowe Waiver Requested: Lot line wazver(s) of 2 feet from drainfields to property line Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: X Waiver is NOT Granted: List Conditions or Reasons for above: Date: ~-- ~ 2-~ By: Name of Reviewer Rec #: ~\~L[[ I q3~ Amount: $ 115.00 Date Paid: May 13, 1996 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers May 12, 1996 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref.' Health Authority Approval for Lot 21, Hamann S/D. To whom it may concern: GENERAL: The subject lot is served by a private well and septic system (upgraded 6/94). A Health Authority Approval was issued for it on 7/1/94, consequently, it is less than 2 years old. We are requesting the issuance of a current HAA. Attached is current water sample results, and the $300.00 processing fee. LOT LINE WAIVER: In addition to the HAA, we are requesting a waiver of the separation distance from the septic systems (new and old) to the property line. The property lines were not surveyed when the septic system was upgraded in 1994, but, according to the homeowner, we were at least 10 feet away from it. When the lot survey was recertified on 3/14/96 it was determined that the new and old septic systems are only several feet from the property line. The property line borders a road and it is at least 80 feet fi'om either of the septic systems, to the nearest neighboring lot. In short, there are no encroachment concerns. I am unware of any adverse impacts that this waiver would have on adjacent wells or septic systems. It is my recommendation that the separation distance from the drainfields on this lot, to the property line, be waived to 2 feet. WELL WAS RETESTED: The financial institution required that a more current well test be performed. A copy of the report is attached. The well capacity far exceeds the requirements for a 4 bedroom house. SEPTIC SYSTEMS: The old trench has been inactive since 6/94. The newer trench has an effective depth of 64 inches. On 3/10/96 there was 20 inches of water in it. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you. Sincerely, Garness, P.E., M.S. Owner/Consultant Lowel.wps ,HgY-02-9$ THU 08:31 AH 3rd Supply SQ F~X NO, 907 552 2788 P, 02 ASBUILT-NO CORNERS SET THIS DATE, I HEREBY CERTIFY ,THAT I HAVE SURVEYED THE FOLLOWIN~ DESCRIBED PROPERTY~ AND THAT NO ENORCAOHMENT8 EXIST EXCEPT AS INDICATED. IT 18 THE RESPONSIBILITY OF THE OWNE~ TO DETERMINE THE EXISTENCE OF ANY BA$EMENTS, COVENANTS, OR RESTR]O?'IONS WHICH DO NOT APPEAR ON THE RECORDED 8¢JBDI- VISION PLAT. UNDIF~ NO CIRCUMSTANCES SHOULD ANY DATA HIB~EON BE; USED FOF{ CONSTRUCTION OF FENCE LINESt OR F~R ESTABLISHIN6 AR¥ LINES, M(~Y-02-96 THU 06:~1 ~M 3rd Supply SQ FAX NO, 907 552 2786 P, 02 ASBUILT-NO CORNERS SET THIS DATE. I HEREBY CERTIFY .THAT 1 HAVE SURVEYED THE FOLI-OWIN8 D~SORIBED PROPERTY: AND ~AT NO EN~OAOHMENT8 EXIST ~CE~ INDIGA~D, IT 18 THE RES~NSIBILI~ OF THE OWNF~ ~ D~ERMINB THE EXISTENOB OF ANY E~ENT$~ OOVENANTS~ O~ RESTRICTIONS WHtOH DO NOT ~PEAR ~ THE RE~D~ VJ$10N P~T, UND~ NO 61RCUMSTANOES S~ ~Y DATA H~EON ~ USED FOE ~ FENCE LINE8~ OR ~R EST~LISHIN6 ARY LINES, March 11, 1996 Bill & Shirley Lowe HC 85, Box 1625 Eagle River, Alaska 99577 Ref: Well Adequacy Test 8471 Brookridge Drive ~ Anchorage ~ Alaska Phone (907) 33%6179 ~ Fax (907) 338-3246 Consulting Engineers Dear Bill & Shirley: Per your request I performed an adequacy test on your well on 3/10/96. The results are summarized as follows: The static level in the well was 56.5 feet below the top of the casing, Water was pumped at a rate of 5.56 gpm, for a total of' 108 minutes (60 l gallons). During the first 30 minutes the water level dropped 8.5 feet, and remained unchanged throughout the rest of the test, indicating that it was recovering as fast as the water was being pumped out. After pumping was stopped, the well recovered completely in less than 30 minutes. Based upon this data it is clear that the well is capable of producing greater than 600 gatlo,s per day, as requit:ed tbr a 4 bedromn house. If you have any questions, please contact me at 33%6179, or on my digital pager at 1-800-481~1162. Thank you. Sincerely, (~ Owner/Consultant Lowel.wps CT&E Environmental Services Inc. Laboratory Division ~,~'~'~l~'~-~c~y~e~-~J~,~J~e~r~e'~~~~ Laboratory Analysis Report CT&E Ref.# Client Sample ID Matrix PWS~ 0 961562.961562001 LOT 21 HAMANN S/D NITRATE Drinking Water Collected Date 05/02/96 Technical Director: Stephen C. Ede Released By ~--~/~ Sample Remarks: Nitrate-N Nitrite-N Results QC Qua[ PQL Units Method 4.92 0.500 mg/t. EPA 353.2 0.100 U 0.I00 mg/t. EPA 353.2 Allowable Prep Analysis Init Limits Date Date 05/03/96 EMB 05/03/96 EMB U - Undetected LT - Less then GT - Greater than D - Secondary Dilution J - Below the calibration range 200 W. Potter Drive, Anchorage, AK 99518-1 605 -- Tel: (907) 562-2343 Fax: (907) 561-5301 3180 Peger Road, Fairbanks, AK 99709-5471 -- Tel: (907) 474-8656 Fax: (907) 474-9685 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYUAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 050-62]_-08 HAA # 1. GENERAL INFORMATION Complete legal description Lot 21 Hamann HA940132 Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Bill/Shirley Lowe Dayphone552-5598 HC 83 Box 1625 Eagle River, Alaska 99577 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: Four (4) TYPE OF WATER SUPPLY: Individual well xxxxxx 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: XXXXXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA ~f21 5.- STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, lfurtherverifythatbasedontheinformationobtainedfrom the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system' is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Alaska Water & Wastewater Services Phone 337-6179 Address 8471 Brookridqe Drive, Anchoraqe, Alaska 99504 Engineer's signature Date DHHS SIGNATURE xxxx Approved for four (4) Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: AdditionalComments Th4~ dCpar~m~n~ ha~ rR¢~v~d written conf~rmation from the engineer regarding the Conditional Approval of March 17, 1994. ~hc corrccticns kavc bccn accemp!ished and an i4qspection has been completed by the engineer. The subject property meets with The MunicipaLity of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~25 (Rev. 1/91) Back MOA ~i21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O¢o,-~ZI 1. GENERAL INFORMATION :Complete legal description t..o Location (site address or directions) ........ ; Lending agenqy ~., 'M~iling addfbs~ ~: ~'~'e h't ~/~ Address Unless othe~ise requested, HAA will be held for pickup. 2, NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Day phone Day phone Day phone 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: If community Wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and asof the validation date shown below, I verity that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verifythat based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is'in compliance with all Municipal and State codes, Address Engineer's signature ordinances, and regulations in effect on the date of this inspection. Name of Firm AL~.~, 0¢,,~ ~'t-cc, s~'cc--~d,~'''~ CVCr;. DHHS sIGNATURE __. Approved' for Phone. Dato ....... bedrOoms. Disapproved.· · '~ C.~.)nditional approval for ~ bedrooms, with the following stipulations: / / Additional Comments By: The Municipality of Anchorage Department of Health and-Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent. professional engineer registered n the State of Alaska The DHHS does this as a courtesy to pumhasers of homes .. and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not .' conduct inspections or analyze.data beforea certificate:is issued. The Municipality of Anchorage is not responsible for errors or omissions in the p?ofessional engineer's work. 72-025 (Rev. 1/91) Back MOA ~21 Legal Description: A. Well Data Well type I~ 12-1V~,"t'-~ Log present (Y/N) Total depth Sanitary seal (Y/N) Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~/26/''?.,C' Driller Cased to >'40 / Casing height FROM WELL LOG Date of test (o /,.2,,~,/75" Static water level Well flow Pump level1~ [ Absorption field on lot ~ ~;~.~ Public sewer main ~.~ Sewer service line SEPARATION DISTANCES FROMy~/~ELL TO: ,.:_...., Septic/holding tank on Icl JO~ c~c] _~ ~ Z~'t Wires properly protected (Y/N) AT INSPECTION _ ;On adjacent lots ; On adiacent lots ~'/Co Public sewer manhole/cleanout Petroleum tank ~'~.- "~ I WATER SAMPLE RESULTS: Coliform ¢ Nitrate ~ ,/ Date of sample: ~~. B. SEPTIC/HOLDING TANK DATA i-~ Date installed -7/'Z~/7 ~ Tank size ~; High water alarm (Y/N). ~ '~ Date of pumping '~ / .2-7 / ~ Other bacteria Collected by: 1 2---~O Compartments Foundation cleanout (Y/N) _ ~O Depression Alarm tested (Y/N) Pumper G SEPARATION DISTANCF.__~t (-~FROM, ,,&~'~TEPTIC/HOLDING TANK TO: Well(s) on lot [0'53 Clq-~ On adjacent lots ~ To property line ,::~.O¢ ~ Absorption field /0/ ('~ ,,.Sudace water/drainage /k//~- P'r"gz" t..~,~c:.~,,,.,,E.,'~, · %~ow 0,4 Foundation '~,/ (7 Water main/service line 72-026 (3/93)' Front CONTINUED ON BACK PAGE / C. LIFT STATION Date ~ Size in gallons Vent (Y/N). High water alarm level Meets MOA electrical codes (Y/N) on" level at Manufacturer Manhole/Access (Y/N) ) off" Level at SEPARATION DiSTANC LiFT STATION TO: Well On adjacent lots D. ABSORPTION FIELD DATA Date installed 7L2~/~ Soilrating(G'PD/-E~)_ /~~ystemtype ~~__.~ Length ,5"/'(~) Z'3 Width ~' (~ Gravelthickness ,~('~ Total depth _ /7. _ __ Total absorption area (~'~ (o ® Cleanout present (Y/N) ",/~--~ Depression over field (Y/N) . Date of adequacy test I~/~/¢l'3 Results(pass/tail) ~z::A I L'~[~ for ~ Bedrooms Water level in absorption field before test ~-~,~// After test -/I' %,Peroxide treatment (past 12 months) (Y/N) /V ,~ If yes, g,..ive date WeIISEPARATION DISTANCE FROM ABSORPTION FIELD TO:on lot I[ c~ / ! e(/ On adjacent lots ~> Ioo Properly lin I To building foundation ~'On adjacent lots Surface water hi Curtain drain E. ENGINEER'S CERTIFICATION To existing or abandoned system on lot Cutbank c~rr~,,~ Water main/service line Driveway. parkinCvehicle storage area I certify that I have checked, verified, or c~n/orm4 Signature Engineer's Na Date HAA Fee $ ~OO, Date of Payment . o ,pt Number ;d to afl MOA and HAA guidelines in effecJ on ,~¢~Ela!e of this inspection. ~,~ ~, ~.- /~,/'~,~, Waiver Fee $ Date of Payment Receipt Number CT&E Reft# Client Sample ID Matrix ClientName Ordered By PrEiect Name Project# PWSID Commercial Testing & Engineering Co, Environmental Laboratory Services rT~_-~/-~Tf>~t~7~/~..~/~;~/~.~-~7~~/~ LABORATORY ANALYSIS REPORT 94.0966-1 L21 HAMANN S/D HOSEBIBB WATER AK WA'I~R & WASTEWATER SERVICES JEFF GARNESS UA WORK Order 76367 Printed Date 03/11/94 ~08:39 hrs. CollectedDifle 03/06/94 ~ 19:15 lu's. Received Date 03/07/94 ~ 16:30 hrs. Technical Director STEPItEN C. EDE Released By: ~'J~' ~, /._~_e~,_~ Sample Remarks: ROIJTINE SAMPI,E COLLECTED BY: GARNESS. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date hilt Nitrate-N 3.62 mg/L EPA 353.2/300.0 10 03/09/94 LLtI * See Speci al h~stmctions Above IJA = Unavailable ** See Sample Re]nm'ks Above NA = Not Analyzed U = Undetected, Reported value is the practical qmntification limit. LT= Less Than D = Secondary dilution. Gl'= Greater'lhan 5633 B Street, Anchorage, AK 99518-1600 --Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA Alaska Water & Wastewater Services "Preserving The Last Frontier" MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION March 1.4, 1994 liAR 1 5 1994 RECEIVED Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section P.0. Box 196650 Anchorage, Ala:~ka 99519-6650 Ref: Conditional Health Authority Approval T'or Lot 21, Hamann S/D,, NE; 1/4, Sec 22, T14N, R1W, S.M.. To whom it may concern: Comments regarding the subject HAA are as follows: 1~ Well Tests The well was tes't.~,d for adequacy by pumping water from ii; at; a rate of 5.i5 gpm for a total of 157 minutes (495 gallons). The static water level was 52 feet at the beginning of the test, and dropped te 57.5 feet 11 minutes altec the test ~as begun~ The water level pemained between 57 and 57.5 feet throughout the rest of the test, indicating that the well was recharging as fast as water was being pumped (3.15 gpm). The recovery of the well was monitored 1:or ~0 minutes, during which time the water level rose to the initial static condition of 52 feeE. Based upon this information, it is clear that the well is capable of producing grea~er than 600 gpd, as required for a 4 bedroom 2. Depth of Well Casing: The depth of the ~ell casing was not. seated on the well log. During my site visit I did not hear any water trickling into the well under static conditions~ This observation will typically detect any water migpating through perforated casing above the static water level, assuming water is present~ In addition, during the adeguacy test, I shined a light down th~ well to visually observe the casing add ~as able to see casing as far as the light would travel. Based upon this limited information, it appears that the well is cased to at least 40 feet; however, placing a camera down the well wou).d be the only way to provide positive verification. 3. Septic Sysbem: The existing septic system was tested on 12/5/93 and found to be inadequate (~00 gpd) 'For a 4 bedroom hotlse~ The design package for a new septic system wa.s Telephone: (907) 337~6179 · Fax: (907) 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska 99504 sbmitted te DHHS, and a permit issued on 01/25/94. 'The data on the HAA paperwork is for the oxisting tank and trench. The existing trench will remain in place, but a new tank will be installed (>!00 from well). The homeowners will escrow -funds for the upgrades. 4. Presence of Surface Waters: Since the site visits to date have been performed during the winter it is not possible to verify whether 'there are any surface ~a~ers withln 100 feet of the proposed systems. Based upon the loo~t~on of nearby septic syste~Bs, and knowleclge of the homeowner, surface waters do not appear to be a coflcern. Regardless, the site should be visually inspected prior to installatien of the new septic system. 5. Separation Distances to Adjacent Nel!s and Septic Systems: Because of the large lot sizes,, I only verified the separation distances to be greater 't. han 100 feet;. If you have any question, please ca]l me a ~7--6179~ ~su 1 tan t JAG/ia! Lowe4. wps DATE RECEIVED INSPECTION APPOINTMENTS 'rIME TIME TIME DATE DATE DATE I NSP ECTO R INSPECTOR 1NSPECTOR MUNICIPALI'ry OF ANCFIORAGE MUNICIPALITY OF ANCHORAGE DEPf. OF ]~t~AL'I;I &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~viRONMEN[AL PkOFECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Jill. 7 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWE~ ~A~E'~~ DIRECTIONS: Complete all parts oa page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, P~ERTYOWNER ] PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PRONE 2. ~UYER PHONE MAILING ADDRESS 3, LENDING INSTITUTION PRONE MAILIN~ 4, .EAgO./AG~NT [ PHONE MAIklNG ADDRESS 5, LEGAL DESCRIPTION 6. 'rYPE OF RESIDENCE NUMBER OF~BEDROOMS ~ SINGLE FAMILY C~] One [~ Four [~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* COMMUNITY [] PUBLIC UTI.LITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give wel depth (attach log if available,) 8, SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE~* [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [~] SINGLE FAMILY' [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX ~ERMtT NUMBER 2. WATER SUPPLY [~/~INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~DIVIDUAL/ON -SITE DATE INSTALLED ¢ []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [~] Holding Tank /,-,: Size: ! '~L,~' ~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area tSewer Line I Nearest Lot Line I I WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS [~'/APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~ J~]?' .lO, .198i % l}av.id C'. SLa: ltouhe i02, O'ayhawk Orive C]'Ul]q i ak ~ Alaska 99507 Subdivision Approva] for Lhe JrldJvi.dLta.~. sewer cannot, r)(. qranN~d until 'rtZ() ~fO]lOWJlFig Jr:ems haw} been (:Olll") '[ ':" ' ~., water analyszs rc:pou? needs to be submitted Lo t:h'i.s o~f:ice :[rom Lhe Chem Lab, 5633 B St]:e. eh, ~(')l/ 013 ~ ?Z'e\l~ 0'~\~. (3) 'Th.e ~o1.!, casJlng exLendlled twe]_ve(12) inche':; above ~) J(c~) 'Phc st:andpipes to Lhe OR"':;J.{:~~. sewer_' sys/em r~e-ed to b,,e. raised a.bc)xze ground ].eve.[. septic Lan}.', pumped wi. Lb a :eceipt submitLed t:o ol:fice. An adequa(;y hesh needs L© be [.)erf,'):med on tNe exist !each:lng area. ql'h:i.s best wfil], deher, lmine jf hhe system is adequate accordkng to Nal:li_Onal Shandards. A /isLing of privahe ffi:ms performing the /est is enclosed. This y~:po]:'h needs ho be submiLhed ho LhJ_s offfi, ce ii'or our rtl:vi 17oi:od ble,sc:(,pancJes have t. tl.-;n) -~(~ co]:reclhed. If l:.he:e aze any l;urth('u: quesh.ions, pi_ease cai1 th~_s o:~:[ce s_'h 264.~-4720, S 'J hC.' e Y e [. V t DAVID A. SLENKAMP RO6ERTA, SHAFER MECHANICAL ENGINEER 694-9055 July 3.2, 1981 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAl_ PN.DTECTION Century 21, Metropolitan T~ENFION: Dave Dunkle P.O. Box 677 .Eagle River, Alaska 99577 Dear Mr. Dunkle, JUL i 3 198'1 Rt CEIVFD Reference: Lot 21; [-Iamman Subdivision; Robert Johnson Property A sewage system adequacy test was performed on the system located on the referenced nroDerty as you requested. The septic tank was pumDed and verified 'to have a capacity of 1250 gallons. The absorption 'trench was tested bv a continuous flow of 642 gallons over a period of 24. hours without any rise in the water level j.~ the sump at the end of the trench. It can be concluded from this test that both the septic tank and the absorption trench are currently functioninq adequately for the four bedroom residence located on 'this property. However, the system cannot be guaranteed against subsequent failures. If we may be of further assistance, please do not hesitate to call. Sincerely, ~~~A-~ S A~ER, CC: Alaska U.S.A. Federal Credit Union Municipality of Anchorage Department of Nealth and Environmental Protection SRB 196X EAGLE RIVER, ALASKA