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HomeMy WebLinkAboutHAMPTON HILLS #1 BLK 2 LT 8 Municipality ct Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES FNVlRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 348-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~'¢A/ ¢~/__.,)/:~-¢ PID Number: ~//,,~- ~ Name]T/~..~(.,?~. ~'. E~./,~.. ~/'O ld WastewaterSystem: E]New .J~Upgrade -- Addres~¢~) ,~¢C0/3(///(~) ~ ~~ ~ ABSORPTION FIELD Phone; No.~f Bedrooms~/ ~Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other grade: Total Depth from origina~ LEGAL DESCFIIPTION S°ilRatin9: /, ~ GPP/Sq. Ft. -- Lot: ~ BIock:~. //~2~// Su~divAi~/~///~// ~/ Depth to pipe bottom ~,fr°m~°riginal~/grade:Ft. Gravel depth beneath P~ ~ Ft~ Township: Range: / ~ Section: Fill/~added above~ original~, 7~grade: Ft. Gravel length: ~ Ft~ Number of lines: 0istance belween lines: WELL: ~ New ~ Upgrade// Gravel width: ~ '~ Ft. / I ~ Ft Classification (~iv~te, A,B,C): Total D~ Cased To: Total absorption ares: Pipe material: Driller: ~ Date Drilled: Static Water Level: Installer:- Yield./ I P.mp set at: Casing Height Above Ground: TANK .~ 6PMI Ft. Ft. __ SEPARATION DISTANCES ~Septic u Holding ¢,~ S.T.E.P. From Tank Field Slation Tank Sewer Lines ~{~1[~ k{~¢~ / I M~ter[sl: / ~ / NumberNof Compa~ments: We,- IDD-I- IO~ + ...... ~/ ~. Sudace / W~ter /¢¢¢ /¢D~/ ..... LIFT STATION Lot I / Size in gallons: Manufacturer: Foundation 5~ ~. -- -- ---- "Pump on" level ,,~~,evel at: Nigh water alarm at: CudainDrain ¢~- /~ ~ .~ ~ __ .- Pu~~ Electrical Inspections pedormed by: Remarks:% ~¢,/~* ~/~' ~¢;N5 BENCH MARK _ ~ Assumed Elevation: /~ ENGINEER'S SEAL Inspections performed by: ///~/2~/~/~'/-~ Dates: 1st ¢-~-~ ~. Department of Health and Human Sewices approval ~J~P'.~Zz/~9 .~ Reviewed and approved by: ~~/~, ~ Date: ~A/- ~ 72-013 (Rev 9/91) MOA 25 AS-BUILT SYSTEM DETAILS/SITE PLAN Per'mit S~/980159 HAMPTON HILLS S/D, UNIT ~l, LBT 8, BLOCK S PID~O15-134-56 j x t ~.>. ',&',, ,,'\ ~ X LOT 8 ~ ~ _]_ ........................... ~ ~ ...... ~/ ~ 7o ....... ~Q~ ~ SCALE: 1' = 50 A-C=6.8' A- E = 4 6. O' ~ / ~ PREPAREn ~ * 49'0! ~ * a ~,o. sox ANCHORAGE, AK 99511 FIELD BOOKS co}~pu TED: ~ · ;~ .~ ~ , ENGINEERING , ~ / CE-711 nOUNDAUY:S, holt ASBUI[]: S. holt OAtE: 7/)/9a EAGI,E RIVE[(, AK 99577-8736 ACADrItl 98063.DWG uOr, No: 98063 I(90'/}696-6111fI'AX (90'/}696-8111 AS-SUILT SYSTEM D£TAILS/SITB PKAN Per~i~ swsso~ss HAMPTON HILLS S/S, UNIT ~L LBT 8, BLBCK a A-C:6,8' = ~ FINAL 6RAOE S-S=a6,6' m 3 ~1~50 GALl B_F=Si,l~ > ~ ~AN~ SEWER RBCK AA4 ~ PREPARE~ FSR, SCAUD NTS FIELD BOOKS COMPUTED: .~ s. holt 7/1/~g_ EAGLE RIVER, AK STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES ~ "- ~. ~. D VISION' OF ~]~liNG & WATER MGMT .:. ~ ;-.~. . ~ ~_, ~.~,.. ..... ~,~,,,~, ~,.. -.;,,~'~' ' ' '~:~" -e-,, .~.:',;~ '*' '':''~ ';" ~WATER WELL RECORD · ~ .... , .... ~ ,, .~. ~ ~"". ., :.~ ~. {1. :-~v_'[~,: , ' · LOCATION OF WELL BOROUOH ~ SUBDIVISION LOT BLocK eEC~IOI~ QTRS ~EC~'iON TOWNSHIP RANGE MERIDIAN ,joo · DEPTHS MEASURED FROM:incasing top I~ground surface WELL DEPTH: " ~..~-- '~ DATE OF~::~OMPL~L~.~ION -- : Depth of-hole;'--~-,),-~-' ,'"','*'ft .OREHO E DATA: Depth Depth of casi.g: ft __Z_/,?'/ Materia! Type and Color Prom 1'o / DEPTH TO STATIC WATER LEVEL: / M~HOD OF DRILLING: ~air rotaw D cable t~01 : ' "~:"~: USE OF WELL:~ domestic ' '~"' ~ [~ Ird0ation ~m0nltor :';~.~: Casino type: ~ ~ In; to~t WELL I~TAKE OPENING TYPE: ~ open end ~ soreen'ed ~ pedorated open hole Depths of openings: ~o ft SCREEN TYPE: Diam: in. , · ~ ,~ Slot/Mesh Size: Length: ft G~VEL PACK TYPE: Volume used: Depth to top: JUL ~ ~ [~ GROUT TYPE: ~olume: M[mNfin~di~.y 3f Ancholaqe Depth: from ft to ~ ft Dept. Health & .uman S~ rvlces D~ELOPMENT M~HOD: ~, -- Duration: ~, ~ ._ PUMPIN~EL AND YIELD: .... ~ ~ ft after. ~ hrs pumping /~ ~ gpm PUMP INTAKE DEPTH: ft HorsepoWer: WELL DISINFECTED UPON COMPL~ION~YES ~ NO CONTRACTO. ' REMARKS= Regi~te~¢rd Business Name ~(~nature of AuthOrized Respre%~htative Date PLEASE MAIL WHITE COPY OF LOG TO: DNR/D~ISION OF MINING & WATER MGMT 3601 C St, Suite 800 Anchorage, Ak 99503-5935 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ~ SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 3~NCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PEP. MIT PERMIT NUMBER:SW980159 DESIGN ENGINEER:Ki~D ENGINEERING OWNER NAME:AUGDAHL JEROME W & JOAN-NM OWNER ADDRESS:7640 MCLURE CIR ANCHORAGE AK 99516 ]?AGD 1 OF i DATE ISSUED: 6/08/98 EXPIRATION DATE: 6/08/99 PARCEL ID:01513456 LEGAL DESCRIPTION: }{AMPTON HILLS ~1 BLK 2 LT 8 LOT SIZE: 51381 (SQ. FT.) NLrMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPRO~ZD DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF AI~SK~ WASTEWATER DISPOSAL REGULATIONS (18AAC72) ~ DRINKING WATER REGULATIONS (18AAC80). THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED ]5_ND CLOSED ON THE S3~E DAY B. COVERED, SEALED .AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: KND 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 R [ C E IV E D JUN 5 1998 Municipality of Anchorage Oept. Health & Human Services May 19, 1998 Municipality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Hampton Hills Subdivision #1, Lot 8, Block 2 - Septic Upgrade Permit Gentlemen: Following a request from the owner, an investigation of the existing septic system for the subject property was conducted. The observations in the monitoring tube showed the effluent above the lateral and in failure. The owner requested we proceed with a four bedroom upgrade of the septic system. On May 7, 1998 one testhole for the proposed upgrade was dug. The results of this test are attached. Although the percolation test was greater than I min./inch there was sufficient sand to support the treatment of the effluent. In addition the bottom of the testhole had tighter material that was not tested. The lot is served by individual well which was tested in July 1997, and met minimum municipal reqnirements. The proposed upgrade system will be placed approximately 10' west of the existing system. As indicated on the site plan the system can be served by gravity. A new tank will be installed and the existing tank, which is located in approximately the same location as the proposed tank, will be removed, a diverter will also be installed to the existing field for future use. Additional fill will be placed over the system to provide a minimum of 3' of cover when complete if required. As indicated by the site plan drainage arrows, natural drainage is away from this site and will be maintained after construction. There is no surface water within 100' of the proposed installation. There are no known curtain drains within 50' of the proposed installation. No public or private wells exist within 200' of the proposed installation excepted as noted on the drawing. This upgrade should have no adverse effect on development of adjacent lots. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, I~N~ Engineering On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test LL -/ WASTEWATER DISPfqSAL HAHPIBN HILLS S/D, UNIT ~1, LBT 8, BLBCK SYSTEM DETAiLS/SiTE PLA / LOT 10 K D SEPTIC SEPTIC SEPTIC ~¢ELL$ LOT 8 LnT 9 · WELL LOT 7 FIEbO BOOKS BOUNO,\RY: S. HOLT STAKING: S. HOLT ASBUILh S. HOLT DWG FILE: ACAD iILE: 98065.DWS Sccde: 1"= 100' PAGE 1 OF ~ SR^V.N: KMD CHECKED: NMB 20441 PTARMIGAN BLVD. OATE: revS/SI/98 EAGLE RIVER, AK 99577-8736 uoa,o: 98063 (907)696-6111/~AX (00'7)696-8111 °REPARED FOR: JOANNE EVAVDLD P,H, BOX 111645 ANCHBRAGE, AK 99511 DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 60Q GPD/L2 GPD PER SQ, FT, (! MIN/IN.)= 500 SQ, FT <500/5'(W)) X 0,5'(RF) (4,0' GRAVEL) = 50,0 FT. TRENCH USE 1 TRENCH - 50 (L) X 5' Tot, o( depth oF syst;em is 7,5' er'om ori9inc( 9r'cde, Tot:cd, deptsh oF 9r'cve( Ioetow distr'ibu~cion pipe is 4.0' , NBTES', t, USE ].850 GALLON SEPTI'C TANK, ~NSULATE TANK ~F <4' COVER, ~, TNSULATE TRENCHES W~TH 8' HD BUR~AL FBAN. 3. CE]NTRACTBR \./ZLL ENSURE HAX~NUN aY. SLOPE [NTB SEPTTC TANK, 4, ADD~T~BNAL FILL WZLL SE ADDED OVER SYSTEN TB ACHIEVE N]N. 3' CE]VER ~F REQUIRED, 5, ABANDON EX]ST~NG TANK IN PLACE OR REN[3VE. K D WASTEWATER HAHPT[IN HILLS S/D, UNIT ~1, LBT ,,,,, \ ........... FCB SFD DISPOSAL SYSTFH DETAILS 8, BLBCK 8 ~1~50 K T EXISTING > PREPARED FBR: JBANNE EVAVBLD P.B, BBX 111645 ANCHE]RAGE, AK 99511 FIELD BOOKS COMPUTED: SOUN0^RY: S. I IOLT DRAY,N: KMD st^x,Mc: S. HOLT cHEcK£D: KkID ,,sou~e~: S. HOLT DAte: rev5/51/98 CriD: 2540 Scc~e: 1'= ~0' PAGE 8 OF ~ %N~ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 995??-8736 ,\CAD FIL£: 98063.DWG JOB No.: 98063 016 No, 20 #30 No. 40 No. 60 # a0 No,100 0.0lmm 1/,5./ trill [i IATrr~ JTTT~! ~[ gJ ~ ~,,¢T ~T ~ qTI/~Ti' H I I [ I I IIIIIIH[IIIIIIIIIIII[IIIII IIIIIIIIIIIII I IIIIIIllll il II II II IIII IIIIIIIIIIIII LV~ Iq,lq']~l',lT I IWlh.q H'T1~'~ l I I ~1/11 ~' f~ ;1~111 I~IFI+RIINqlIII II I I I Ill IIIII WELL WASTEWATER DISPOSAL SYSTEM HAHPTBN HILLS S/D, UNiT 151, LET ,/ DETAJLS/STTE PLAN 8, BLOCK 2 SEPTIC / / / //' ~'~LDT t, SEPTIC LBT 10 ~ D SEPTIC LOT 7 LOT 8 SFD LOT 9 PRIMARY SYSTEM · WELL DESIGN DETAILS 4 DDRM X 150 GPO - 600 GPO GO0 GPO/l,8 GPO PER SQ. FI, (1 MIN/IN,)= 500 SQ, FT (500/5'(W)) X O,5'(RF) (4.0' GRAVEL) = 50,0 FT. TRENCH USE 1 TRENCH - 50 (L) X 5' (W) X 4'(D) Total depth oF system is 7,5' From originot 9Pade, Toro[ depth DP 9ravel below distribution pipe is 4,0' , NOTES: i, USE 1250 GALLON SEPTIC TANK, INSULATE TANK IF <4' COVER, 2, INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MAXIMUM 2X SLOPE INTO SEPTIC TANK, 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN, 3' COVER IF REQUIRED, 5, ABANDON EXISTING TANK IN PLACE, PREPARED FOR: JOANNE EVAVBLD P,B, BOX I11645 ANCHORAGE, AK 995H F~ELD BOOKS HOUNBARY: S. HOLT S~Aa~C: S. HOLT /,%£~U,L r S. IICLT ,,,c,,,¢ r: 98065.DWG ScaLe: 1"= :tOO' PAGE 1 DF 2 DRAWN: KMD CHECKED; KMD ~0/1-'t1 PTARMIGAN BLVD. ~: 5/i9/98 EAGLI< RI~ER,. . Ai< 995?7-8736 GRID: 2840 ,o~ .... 98065 ~ (90?)696 6tlI/iDAX (907)696-8111 D WASTEWATER HAMPTBN HILLS SF]3 DISPBSAL SYSTEM UNIT 81, LOT 8, DBTAILS 8LBCK 2_ EXISTING T TH 898-1 .... PREPARED FOR', JDANNE EVAVOLD P,O, BOX 111645 ANCHORAGE, AK 99511 FIELD BOOKS CO!.!PUT£D: sou;,,o,',~¥: %. IiOLl sr~^,,,,r,~: Kb'O ASFn¢: T: S IlO[.l DATE: 5//9/98 n~E: CRe 2540 ¢,C/e hLa 98065.DWG uo~ ~.: 98065 ScaLe: 1'= 20' PAGE 2 OF 2 .~.6{: IM ~..~. ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577 8736 (90?)696 6111/FAX (90'7)696-8111 SOILS LOG -- PERCOLATION TEST MICRAEL N ANDERSON ¢ V'~'~ ~/~'/~.Z~ DATE PER FORME~ ff4~) ~L~ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S 11 IF YES, AT WHAT l~,. ~ ! DEPTH? P 12 E Depth to Waler Alter.q../ 1 3 Monitoring? '/¢' z Dale: Gross Net Depth to Net Reading Date Time Time Water Drop I 5- 7-?~ /I.'Zo ~ ~" ~ ~ //.'~: ~,b~,, ¢ I1.'~% ~ ~,~ ~/~ ~" ~I '//''~ / ~ ~'~ ¢~:/Y ~" 14 16 17 18 19 PERCOLATION RATE ,/ immures/tach) PERC HOLE DIAMETER __ TEST RUN BETWEEN '-~ FT AND ~ __FT COMMENTS / · d PERFORMED BY: ,~" ~'D ,.'DELI '~ I ~/'(~//J ~/~'.'~¢///'~/'/~Gr~/ CERTIFY THAT TH'S TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON 'rHIS DATE. DATE: 72-008 (Rev. 4/85) ENVIRONMENTAL ENGINEERING DIVISION  825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~AI U NG ADb~ESS -- - ~EGAL DESCRIPTION L~CATION NO. OF BEDR~HS ~ Well DISTANCE TO: { ~0 ' Absorptionarea.~ / Dwelling ~ ~ Liq. capacit~ in qallons ~ Inside length Width Liquid depth Well Dwellin9 PERMIT NO. ~ ~ DISTANCE TO: --~' Well ': Foundation - ~, Nearest lot line PERMIT NO, :~ ~ ~ NO. of lines~l~ Lengt,~ o, eaeh :~ol~ne Total length of lineS_~c) Trench width~ Zinct, es,. Distance.--~et/v~nes ' ~. Top of tHe to finish grade ~ Ma,erialbeneath tile W ~:- - Total effec.voa~rl~o3area Length Width Dopth ~ ~ Type of crib// ameter ~ive ~ ~T '~~' B~ilding fou~dbt~on Nearest lot line ~~,~,ANCETO: Cl~ ~'[ ~ ~epth Driller Distance to lotline PERMIT NO,~ ~ ~.~ ~ Building foun~atio~ Sewer line Septic tank Absorption area(~ ~ DISTANCE TO: ~- ~.~ T~ ~- OTHER PiPE MATERIALS SOIL TEST RATING i 0 D - 3o INSTALLER ~REMARKS [ -~' '~PPROVED (~ DATE LEGAL FEI.MIT NO. ,:' ~ · -/.? · 8B0± ..... ) RPF'L I CRNT ROGER RIJGr.)RHL LObRTItJN flE. LL F..E CIRCLE [_E ~FIL LSBLK: 2 LL T~'F'E ElF SOIL FIBSOF.'.F'TION S~¢S;'I'Ef'I :[S: TRENCH .... ' :. rR F'O B,..,. iO?¢Lt_,.c' ~- · LOT SIZE MR::<IblUM NLME. ER OF BEC, RCIL~M_ = 4 :FOIL RATING ,,'Sg. FT?BR)= _ ' ~'m, ,' THE F.'E'-}_IRE[:, ¢<IZE OF THE SOIL RB~t. RFFI_N SYSTEM [:~ E P'I- H := -.:IL.=.';" L_ EI%i C~i TH== 2'-:~ 6 R R',/EL DIEP TH== ~ THE LENGTH DIMEN~.:;,ION IS THE LENGTH (IN FEET) OF THE 'fRENCH OR DRRIf, FtELD. ' r. THE DEPTH OF FI TF..EN_.H OR F'IT THE DISTANCE BETWEEN THE SIJRFIqCE OF THE E.,~CRVRTIUN <IN FEET). GROLND RNE:, THE: BOTTOM OF THE ...... THERE IS NO _,E.T NIDTH FOR TRENCHES. THE GRFIVEL E:,EPTH IS THE MINIMUf"I DEPTH OF GRFtVEL BETNEEN THE OUTFRLL PIPE RND THE BOTTOr,1 OF THE E::.~CR',,,'RTION ,'IN FEET::,· ;,IL. ~ -...." }~'~..E .l],!l_I I I~."EB SEE"]' I f3 'TRII'-.IP:: ~' I :...~ZI-:= ~ --, ~=- '~1 PERMIT FIPPLICRNT HFIS THE F..E_,FON..,IBILI F'T' 'FO 'INFORM THIS DEPFIRTMENT DIIRING THE ]:NSTRLLRTION ]:N:,PE...] TON:, OF AN'T' NEL. LS RDJFICENT TI:) THIS F'ROF'ERT'¢ FIND THE Nt.I'IBER OF RESIDENCES THFtT THE WELL NILL T[...IF_) .:: L~-:: }, I i"-.IE-:;F'EN;T I Cnf-~S RR'.E REtlilJ I F:Er) BRC. F..FILLINL~ OF RN'¢ ::.r_TEM WITHOUT FINRL INSPECTION FIND RF'PROVRL B'¢ THIS [.~EF'RRTI"IENT NILL L,E SUBJECT TO PROSEC:IJTION. MINIMLIM DISTFff4CE BETI.4EEN R WEI-L RND RNY ON-SITE SENFtGE DISPOSRL SYSTEM :t00 FEET FOR Ft FF. IVRTE NELL OR :L,.O TO 280 FEE']" FROM R PUBLIC: 14ELL DEPENDING UPON THE TYPE OF FUE, LIC NELL. MINIMLIM DISTRNCE FROM FI F'RIVRTE NELL TO Ft F'RIVRTE SENER LINE IS 25 FEET RND -' I " '-- > _ ~',. FEET. ]"0 FI L. OMMLNI[~ ~I:NER LINE I'~ ,c' " I :' ")"" ''=' NELL LOG_, FtF:'.E EEQJIRED RNE:, MUST 'BE RETLIRNEE:, TO ]"HE E:,EF'I~RTMENT NITHIN _::0 OF THE WELL COMPI_ET!ON. C .-, :~FEC. IFIuHTION~ FINE:, C_N~'fRU_.TIUN DIRGRRMS RRE ITHER REt]U I REMENTS f'lR~' RPPI..'¢. '- ~ ..... '- ' '- P ' R'v'RILRBLE TEl INSIJRE PROPER INSTFtLLRT ION. · . ;' .~-':. F" ES _ ::1.... F E~ ..!~4 I T E I R C,E~C:Ei"-IBEER I _.ERTIF¢ THRT H=, SET i: I RM FFtMILIRR NITH THE REQUIREMENTS FOR ON-z. IfE SENERS RND NELLS ~"~ FORTH E,b THE MUNICIPRL~T'¢ OF RNCHORRGE. 2: ~ WILL INSTRLL THE SYSTEM IN BCCORDRNCE WITH THE CODES. 2: I UNDERSTRND THRT THE ON-SITE SEI4ER Sb'STEM MRb' REQLZRE ENLRRGEMENT ~F THE RESIDENCE IS RE~DEL. ED ~0 INCLIJDE MORE THRN 4 BEDROOMS. 4040 "B" STREET ~{~ ANCHORAGE, ALASKA 99503 ~"._~ May 9, 1980 Roger Augdahl P.O. Box 10711 Anchorage, Alaska 99511 Subject: Percolation Test, Lot 8, Block 2, Hampton Hills Subdivision Dear Mr. Augdahl: According to our files, Alaska Testlab conducted a percolation test in the spring of 1975 on the above referenced lot. Attached is a sketch showing the location of the test hole (Boring 10A). Soils encountered were as follows: 0' to 3' Silty Gravelly Sand, 10% to 20% silt (SP/SM) 3' to 5' G~avelly Silty S-~, 20% to 25% silt (SM) 5' to 16' S-~-~ Gr'a~eli~ ~and', 10% silt increasing to 15% silt by 16" depth (SP/SM) No ground water was observed, as~t/hr · measured percolation rate ee minutes per inch. ~e ~ ~m~able zone was from ~ven to 14 feet. ~se~ o] ~he~ ...... ~ .... ' ....... al of~e~ ~n~ pr_acr~lXlaL~-u~ ' curves mn tne m~nu ~ ~ ' design ' Public Health Service, the soils encountered and the percolation test, we recommend that t~~m-~e designed to provide an absorption area of at~%~re feet per bedroom. / Sincerely yours, ALASKA TESTLAB James Ro Finley, Jr., P.E. Geotechnical Engineer JRF/mg Attachment Well Log D~te completed, -o ~ ~ ~ .............. ~o~m o~ ~ol~ ...... [../ ................................................................... Size of easing. ~ d Distance ~o ~er ............. ~? ............................................................................. Dist~ee to ~ater ~hfle pumping . ............................ ~ ....................... at of ................ ~.:. .... ~ ................... gallons per hour. _ .... ~rmation ~rom to © Driller DELTA DRILLING COMPANY 5RA BOX 394 B ANCHORAGE. ALASKA 99507 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. # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address _ uay phone Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~-J TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water 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. 1t91} Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Engineer's signature-~*'--~/z~,,/4Z:~ ~ .~- Date.?--/0¢¢ ~' DHHS SIGNATURE Approved for Disapproved, Conditional approval for bedrooms, bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a 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 ~K21 LIFT STATION ; =:: "' ' ~' ' Date installed .~'"'"~ Size in gallons Manhole/Access (Y/N) ..~J "Pump on" level at* ump off" level at* Hig~at* _ ~..~.~D~ 6~/cles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT 'FO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots / ¢O r-y- On adjacent lots / Public sewer manhole/cleanout Lift station 4/4 SEPARATION DISTANCES FROM SEPTIC,/HOLD NG TANK ON LOT TO: Foundation .-~- / 'j Property line / ~/¢' Absorption field Water main/service lille ____Surface water/drainage / 0-8/¥ Wells on adjacent lots F, SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Building foundation / O/'¢ Water main/service line Surface water Driveway, parking/vehicle storage area Curtain drain -- A/O /~/wto~ki_Wells on adjacent lots /~.~ /4. ENGINEER'S CERTIFICATION HAA Fee $ Receipt Number I certify that I have determined thru field inspections and review of Municipal ~bbOrds in conformance with MOA HAA guidelines in effect on this date. Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev, 3/96)* RECEIVED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICESJUL 1 0 1998 Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (90¢~1~-~'~ Health Authority Approval Checklist Legal Description: /-~'7~ FY Z'~Z, cd_~A. 2-~ ,~'~'~.~/.-~,/~./Z~,,3 ' Parcel I.D.: /,¢;/f~ _~ / A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level ! / Well production /, ,5- WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed /¢--~" Foundation cleanout (Y/N) Date of Pumping C, ABSORPTION FIELD DATA Date installed '~' Length ~ ~ f Width Effective absorption area Date of adequacy test If A, B, or C, attach ADEC letter. ADEC water system number Date completed '7'-- ~¢'7 ;~c-[~e/. Cased to / 2~ / Casing height (above ground) ,~/ Wires properly protected (Y/N) ~./ FROM WELL LOG AT INSPECTION g.p.m. ~_~ g.p.m. Nitrate /t'/~ Other bacteria Collected by: ,_~, ~'!¢t. c2A/.-g_ Tank size /:z.~-¢ Number of Compartments 2~- Cleanouts (Y/N) y y Depression (Y/N) High water alarm (Y/N) Pumper ~ Soil rating (g.p.d./fF or f¢/bdrm) Gravel thickness below pipe Monitoring Tube present (Y/N) y Results (Pass/Fail) /- ~- System type -,~J~,[[¢'~ &/'-./,¢ / . Total depth Depression over field (Y/N) A."/ · For bedrooms Fluid depth in absorption fie~;t-b'~efore test (in.); Immediat~ et~r_ gal. water added (in.): Fluid depth /'"'~(ins) Min utes later: /'"~Absorption rate = _~ Pero~ent (past 12 months) (Y/N/ If yes, give dat~'/'~ 72-026 (Rev. 3/96)* CT&E Environmental Services Inc, Laboratory Division ,~., '.,,,., -, , ,.- .......................... , ......... I~'-,~r-,~ ~,,~w,~ ~ - ~' ',~g ~7~,.,~ rx.i.~2 ~/d~.,~?~r - a, "~5~',~ '~r.r.r.r.r.r.r.r.r.~2~,~ ~, ~ ~ ~ ;,~-;~-~,t~c:~ .4, zz ~'.:, !.. ...... '.. _ mklng W tcr A alysis Report Tots] Co]J m ~,4D IN.~ TRUCTION~' ON ~VE'~¢E SIDE BEFO~ COLLECTING S~4IPLE ..... MUST BE COMPLB~ BY WATER S~ELIER -- - PUBLIC WATER 8YST.BM I,D. ~ [.'_L_I I 171 PRIVATR WATRR 8YSTE~ Send Resul~ ~ Send ln~olce Send Result~ g Send lnvolc¢ Month Day Year SAMPLE TYPE: -"l~ Routine ~ Treated Water O Repeat Sample (for routine stllllple ~ Untreated Wat~ with lab ref. no. ) ~ Special Purpose ~a 0/~{ ~ Time Collected P_00 W Potter Delve Anche[age, AK 99B18-1606 Tel: (907l 562-2343 Fax: (907) B61-5301 TO BF.. COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satishciory Unsausfactory Sample over 30 hours old, results may be unreliable o Sample too long in transn; sample should uo~ be over 48 hours oki at examina~on to indicate reliable results,. Please send new sample via special ~elivery mail, Date Received T-~ [~ ^.a,..,.,,,a. _ Method: ~ Membrane Filter Analytical D M.M©-MUG Number ofcolonies/100 mi. Lab Rcf, No, Result* Analyst ~.nch Fbk~ Jun Date: Time' Client notified of unsatisfactory results: BACTERIOLOGICAL WATER ANALYSIS RECORD Phoned Spoke with Date: Time Foxed Faxe0 Commeuts; MMO-~ UG Result: Total Coliform ,.M~mhrane Filter: Direct Count E. Coli ~ Colonies/100 mi Verification: LTB BGB COLIFIRM Fecal Coliform Confirmation Final MembraneFl ter Results Reported B) Coliform/1 O0 mi Time ~. hfs -"-'L-~r,"-~L_W_~'d 1'?:21 CTS~E ESI ~4NCHOR,qGE T&E Ref.# lient Name rojeet Name/# lient Smnple ID latrlx ,rdered By WSID ample Re-m~'ks: 9828970O1 Susan Oswalt & Associates 7640 McLure Circle Lt 8 Bk 2 McLure Cir. Drinking Water Client PO// Printed Date/Time 07/07/98 16:40 Collected Date/T/me 07/01/98 17:04 ReceivedDate/Tlme 07/02/98 09:10 Technical Director: Stephen C. Ede gtat Coliform itr~ta-N Results 0 0.100 U eoi/100m[ 0,100 mo/L AlLowabLe Prep Ana[yMs Method Limits Date Date Init SMl8 9222B 07/02/98 TMW EPA ~00,0 10 max 0?/02/98 07/02/98 ~MV TIME TIME ~ATE DATE DATE TNSPECTOR INSPECTOR INSPECTO~ MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHO~AG~  DEPARTMENT OF HEALTH 825 L Street - Anchorage, Alaska 99501 ENVIRONMfiNTAL F', t-f~C'rlON ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 DIRECTION~: Complete all partso page 1,1ncomplete requests will not be processed, Please all°w ten (10) days for processing, 1, PR~ERTY O~NER PHONE MA~LING ADDRESS ~ROPERTY RESIDENT (If different from above) ' PHONE . . · PHONE MAI LING ADDRESS ~ I PHONE 4. REALTOR/AGENT MAILING ADDRESS -STREET LOCATION 6, TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY LEGAL DESCRIPTION NUMBER OF~BEDROOMS [] One ~ Four [] Two [] Five [] Three [] Six [] Other 7, WATER SUPPLY INDIVIDUAL' [] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM .~ I NDIVIDUAL/ON..SI~ E** [] 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 [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTI LITY Connection Verified []Septic Tank or [~1 Holding Tank Size /,~1~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER ~ MATERIAL Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line 5. COMMENTS DATE [~'/~APPROV ED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must acc~_~ny certificate) E~] DISAPPROVED // 72-010 (Rev, 6/79)