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HomeMy WebLinkAboutHART LT 93AAug 23 22 11:36p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services Department. Phone: 907-343-7904 On -Site Water & Wastewater Section -� Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Parcel Identification Number. 018 261 122 Legal Description I Block I Lot HART I I 93A Pump Installation Date: os _ 19 _ 2022 Pump Intake Depth Below Top of Well Casing: 148 Pump Manufacturer's Name: BERKELEY Pump Model: L7P4CMGS-05 Pump Size: •50 hp Pitless Adapter Burial Depth: 13 feet Date of Issue: - Property Owner Name & Address: WRIGHT, KELLY J 14501 LOC LOMAN LANE ANCHORAGE, AK 995:16 feet 2k,,�5clw Cxk, Pitless Adapter Manufacturer's Name: MARTINSEN Pitless Adapter Installer: Well Disinfected Upon Completion?Yes 11No Method of Disinfection: PELLETS Comments: Pump Installer Name: ANCHORAGE WELL &PUMP SERVICE Company: 7640 KING STREET ANCHORAGE, AK 99518 Mailing Address: 907-243-0740 State: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Parcel I.D. 018-261-22 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Complete legal description HART; LOT 93A J\ -- ------- - ------ - t� V �E B` S A E T Y Expiration Date: - Z Z Location (site address) 14501 Loc Loman Lane *Anchorage 99516 Current Property owner(s) Kelly Wright Day phone 980-6648 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for. Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ J50-1-�� Waiver Fee $ Date of Payment '7 I2 7 /02 0 02 4 �' � ZOZZ Date of Payment Receipt Number 0 3 5 S Z C -a 0 6 (?1 f G Receipt Number COSA# O SCaD, 138 3 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gamess Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrev A. Garness Date: Z Z -Z 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 datels 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, an are outside the control of GEG. Satisfactory test results do not guarantee future performance of lh� system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance o 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. 6. !7GNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for -�' AQ T 1.7. ........ .l. Garness #AECC884 bedrooms bedrooms `���`� 01 bedrooms, with the followf�ttlpul�ti�� PN tPjER _0 J-� - _ Original Certificate Dater U 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 Legal Description: Hart; Lot 93A If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled ""(?) Total depth *78-0+ ft Cased to UNKNOWN ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 7/5/22 Static water level at beginning of test 53.6 ft Comments *PER GEG WELL FLOW TEST B. TANK DATA Age of tank(s) 16 years Tank type/material S.T.E.P./STEEL Measured operating fluid level in septic tank 50° ❑ Standpipes/foundation cleanout per record drawing Date of pumping 7/15/22 Parcel ID: 018-261-22 Structure served by this system Well production at time of test 2.6+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes No ❑ Coliform bacteria is Negative Nitrate mg/L On Nitrate less than MRL (ND) Arsenic ug/L N Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 7/1/22 C. LIFT STATION ` ® Required maintenance completed Age of lift station 16 years Lift station material steel Comments: }t'S� Sly ►�wt-0,:)lt QunR� '°Ont "T'tr+��• D. ABSORPTION FIELD DATA IDSF Which system tested (date installed) 5/30/06 Adequacy test date 7/5/22 IN ALL standpipes present per record drawing Results F_11Pass For 4 bedrooms Total measured depth from grade 3.2 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade ft (min) Water added 662 gal ❑ N/A —pressurized field ❑ Monitor tubes go to bottom of effective. If not, state New depth 0 in depth into effective Elapsed d time 0 min Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced N/A gallons If yes, enter date N/A Comments/Deficiencies: •Mr1 EXTENDS 26• BELOW MTVREADING BASED UPON MT1, WHICH IS ASSUMED TO EXTEND WELL BEYOND DRAINROCK INTO THE SAND! COSA Checklist yellow sheet w 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' 0 Yes if No Community Sewer Manhole/Cleanout > 100' My Yes if No ft I] Yes if No ft Neighboring Tank > 100' [j Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' Q Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' Yes if No ft [D Yes if No ft ft If septic tank is under driveway Community Sewer Main > 75' (] Yes if No ft Manure/Animal Excreta Storage > 100' 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water> 100' Q Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Q Yes Absorption Field > 5' R Yes if No ft Private Wells > 100' [✓ Yes if No ft Water Main > 10' M Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' My 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' Q 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' Q Yes if No ft Private Wells >' 100 _ ❑Yes if No ft Water Service Line > 10' Q Yes if No ft Community Wells > 200' S Yes if No ft Surface Water > 100'✓0 Yes if No ft F. ENGINEER'S COMMENTS -See homeowner questionnaire regarding sewer service line. *Septic reserve area on 2006 records drawing is in well radius for well on Lot 92C. G. ENGINEER'S CERTIFICATION l certify that l 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. J f � A. Gorr ss,' Q C oA4� Pre fit COSA Checklist yellow sheet o\ o roFes sio� o #AECC884 4�OD�OCC' Lot 93B MORTGAGE SURVEY X SCALE 1" = 50' GRID SW 3035 Project No 22-450/R1 ��}} Associates, 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A S S o C l a t e S inc. (907) 522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors ken0longsurvey.com O F A jonothan0longsurvey.com�6, Q�4 I hereby certify that I have surveyed the following described property: LOT 93A. HART SUBDIVISION (Plat No. 75-76) Q� 49i 9 d� Anchorage Recording District, Alaska, and that thls Mortgage Location Survey is a""""" "' """"""� representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and is subject to any Inaccuracies �i"� • • • • • • •. • • • • •� KENNETH LANG j that a subsequent boundary survey may discios®. Th® Information contained hereon steal! � � i� not be used to establish any fence, structure, or other improvements. ¢(��" "1 �'►� `'i -'I i� �.S-5208.•' �J©O Doted this the Day of J��� 1.�:-L I of Anchorage, Alaska pi4RaraNA4 �4a It is the responsibility of the owner to determine the existence of any easements, �40pIONAL covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 r ( f f Lot 68 I Lot 67 — l — S-•6?; 40 33"E 304.24 f f \ — — — — — 6.3' x 12.3'SHED \ 10' UTILITY" pp EASEMENT I • . f. .SEPTIC PIPES 1.0' x 10.0' CANT N \ �---- - : 11.4' X 12.2' BALCONY I Z . \ O ' • • • PORCH N 26.2 ss.t' iD O I ) SEFiC WHOLE .. •�itS..i`. N G.O. P.0O O � 2 STORY� N cRnvr?.. : N RESIDENCE I ..• a. 8.21 1rF f 52.3 86.1 Q ��a' Lot 93A GARAGE 6r. 50,126 s.f. \ 42,3. (' I to / 3' PATENT RESEFV(E FOR R.O.W. 010 z \ � ryy..�� 1'1 N I N 89'40'39"W 303.14' Lot 94 Lot 93B MORTGAGE SURVEY X SCALE 1" = 50' GRID SW 3035 Project No 22-450/R1 ��}} Associates, 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A S S o C l a t e S inc. (907) 522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors ken0longsurvey.com O F A jonothan0longsurvey.com�6, Q�4 I hereby certify that I have surveyed the following described property: LOT 93A. HART SUBDIVISION (Plat No. 75-76) Q� 49i 9 d� Anchorage Recording District, Alaska, and that thls Mortgage Location Survey is a""""" "' """"""� representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and is subject to any Inaccuracies �i"� • • • • • • •. • • • • •� KENNETH LANG j that a subsequent boundary survey may discios®. Th® Information contained hereon steal! � � i� not be used to establish any fence, structure, or other improvements. ¢(��" "1 �'►� `'i -'I i� �.S-5208.•' �J©O Doted this the Day of J��� 1.�:-L I of Anchorage, Alaska pi4RaraNA4 �4a It is the responsibility of the owner to determine the existence of any easements, �40pIONAL covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALM' OF ANCHORAGE ^ Community Development Department • On -Site Water & Wastewater Program P: 907-343-7904 • F: 907-343-7997 < P.O. Box 196650 Anchorage, AK 99519-6650 a http:/h;luw.mllni.org/building Intermittent Dosing Sand Filter Maintenance Log Owner KELLEY WRIGHT Street Address 14501 LOC LOMAN Phone Legal Desc. PID Septt--c Tank: .Sludge leve! inches -Pumping: required no -Pumping completed es no Absorption Field: Liquid level dry inches -Flushing valves per approved design no -All flushing valves opened, distribution lines flushed, and flushing valves closed Lift station. no -Pump basket cleaned 0 no •Biotube effluent filter cleaned no -Timer float setting 74 inches -High level float setting 62 inches -Reference point top of riser -Pump on unknown seconds -pump off 34 minutes -Cumulative lifetime cycles 21428 •Cumulative run time 13280 -Operation satisfactory no hours Air Svstem: -Air pump filter cleaned 0 no -Air pressure 3 psi -Date of latest install or rebuild 02/2022 <Air operation system o y P soi1factory not satisfactory Alarm System: -Dedicated electrical circuit -.;& no -Audible and visual alarm inside dwelling no -Float setting 59 inches -Alarm system operation satidactory not satisfactory Comments: Septic tank see pumped 7/15/22 .. .. .......................... ............................................................. Not able to liftstatiopu n mp on setting through digital timeimer. ..................................................................I. .....................................I.......I.................... .................................................................... ..................................................................... ................ I . , ......... .......................................... .................................. Maintenance Provider: Technician SEAN DOLAN Date of maintenance 7/28/22 Company SANITARY PUMPERS Signature-----�. Date 2-� Vt, IDSF Maintenance Log_040313.doc MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR. AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of ajt-'A of 20 22, , by and between L-4 F-k herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Omer to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) 14501 Loc. L�aJ LN) --A�-Xfr&Ae c, AV- 2. Maintenance Repairs and Alterations. (Owner is required to read, understand and initial each section) t�-L-_ Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. L It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). �- Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. C Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. 4 Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Omer agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of OWNER: By: !— �r (signature) Date: `I ) 2 j , Z Z e& -t C (—, --\ (print name) STATE OF ALASKA j ss. THIRD JUDICIAL DISTRICT j The foregoing instrument was acknowledged before me this day ofc� 201a2,by E aic- it 1 N Y UBLIC FOR ALASKA STATE OF ALASKA p My Commission expires: �c� � „cc; --cmm� MUNICIPALITY: By (signature) (print name) Date: -� — / — 2; Title: (rev. 05/18/2018) Page 3 of 3 (~ , MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELl_ INSPECTION REPORT NAME [PHONE _~ [~] NEW LEGAL DESCRIPTION ~ ~ Manufacturer/" compartments ~ ~ Liq, capaciw in galJons I ~depth_ . [0 Ob IF HOMEMADE: ~t~ ~~. ~'~ M~~DISTANCETO: ~Well , ~ ~ ~/ ,TNO, -I %apacity in gallons ~2~ Z~ Ne. or linest~ %~¢ .... bOt0bd ~e between lines effective a~sorp~on area ~ Top of tile to fin,s. ~rade ~ ' Length Width ~ ~ amete ~ DIST~E TO: Well ~ ~,ou ~ '~~I~ ~ :~ ~ Depth Driller Distance to lot line PERMITter ~ DISTANCE TO: Building foundation Sewer line Septic tank / ~ () , Absorption a~a~) OTHER PIPE MATERIALS , SOIL TEST RATING REMAR'KS ~. , / < C~P-,~--S -Ir TF PERMIT NO. ,' 8F~041]~ ) l'-lUlt'-~ T C::. 'ir F'RL I T%.' C,F Rf-,IE:HCmF:R,3E DEPRRTMENT L'"'%HERLTH RN[:, ENVIROI'.,IMENTRL '~YTEf':TION :-::-'.=,, "L _,TF..EET., RNCHORRGE., Rk:. RPF'L I CRNT CRF.:OL LO','E LOf-:RTION LriC LOMRN LN. LEGRL LT. La]:-R HRRT '--,,..D LOT _,I~E 4-2:568 =,I.:..UHRE FEET TYPE OF SFiIL RBSOF.:PTION SY'-';TEM IS . MRXIMLIM I',II~ti'IBEF.. OF EE[,ROOMS = _-..':. -.,uIL RRTING ,.':':;L3. FT,-."BR::,= '150 THE REQUIRE[:, '- '"" OF '-' --,I,.E THE=,UIL RE:SORPTION S'-,.'STEr,'I I=,.'-' [:, E F"'IF H--- -1 L E[-~,3-r H= L:¢;3 ,3 F-." F~ '..-' E L [:,E F" T~-t = 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNC:E BETHEEN THE :~LIRERCE OF THE GROUND RND THE E, OTT?~P..M'"" ,DF T~E-'E:.:.:.,"E!~i,/RTiC, N ,.':'rN" F'E~T~. .......... ....% THE GRRVEL DEPTH IS THE MI~.~!cMEIf~-,~[~E~B~bL]]E GRR'v'EL BETHEEN THE OUTFFILL.P-I~'E RND THE BOTTOM OF THE EXCRVRTION (IN FEET). PERMIT RPPLICRNT FIRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION iNSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE HELL WILL SERVE. '" C r.. -. B~ FFILLINb OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL E:~' THIS DEPRRTMENT HILL BEc_,.iBJEL. T-. TO FR.z, EL, LITION.' 'mi'- -' MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS t00 FEET FOR R PRIVRTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIFY THRT t: I RM FRMIL!RR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2:: I WILL INSTRLL THE SYSTEM IN RCCOR[:,RNCE WITH THE CODES. 2: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MR'¢ REQUIRE ENLRRGEMENT IF THE SII3NEDRESIDENCE~_~~_~_~IS P~MOE:,ELED T.O INCLUDE MORE THRN ': E:EDROOMS.~/~,~ 7'.' ~.~/~,. "./('-)~ ?~'5~ ~'~ RPPLIC:RNT CRROL LC6/E [ 5SUE[:, ~, r k~=_z_~ ...... ~---- · ..... M~/b_~:~. ' ' '¢4. 0 ~ MUNICIPALITY OF ANCHORAGE DEPT. OF H?.;",L'I'it ,~., ENVIRONMENTAL F;~_U ,'-CTION A 1 g DSO SEPTIC TANK/SAS DESIGN LOT 93A, HART SUBDIVISION 14 August 1980.. 1 of 3 CONSTRUCTION REQUIREMENTS .R£CFIV[D 1. System installation shall conform to the following standards and specifications in the order of preference listed. A. Municipality of Anchorage B. Alaska Department of Environmental Conservation C. USPHS Septic Tank ~.[anual 2. Any in-place organics and organic silts shall be excavated and removed from the trench before placement of backfill. 3. The bottom of all trenches ~haJ~l_be_~_a.t_~ttze_~am~_el~ation. 4. No driveways or heavy traffic areas shall be placed over the soil absorption system. 5. Septic tank shall have a 2" layer of waterproof extruded board placed over it. 6. Seperation of distances Septic tank/house, 10' Septic'tank/private well, 100' Sewer lines'/ water lines, 10' Sewage system/property line, 10' 7. Drainage from garage floors or other sources of Oily waste shall be excluded from the septic tank. 8. Roof drains, foundation drains and drainage from other sources, producing large intermittent or constant volumes of clear water, shall not be piped into the septic tank or absorption area. 9. Abandoned septic tanks, leaching pits, and cesspools should be filled with earth or rock. 10. Septic tank should be inspected at least once a year and cleaned when sludge and scum is equal to one third or more of the septic tank liquid volume. SOILS LOG t~,.s t p:_t I I ' I Organics and organic silt, brown, roots, some gravel, F-4 (PT-OL) ~-sitt, brown to gray with small amount of gravel firm, moist. F- 4 (ML- SM) Gravelly-sand to sandy- gravel, gray, contains some fines, well-graded, medium dense, dry to wet with depth. Ground water at 8 feet. F-1 (SW-GW) OOOOO 10 WAS GROUND WATER S L 11 ENCOUNTERED7 __ ye~s_ O 12 iFYES, ATWHAT ~8 ~i~t ~ DEPTH? f ,- 13 '~ '-~rosf Net Depth to Net Reading Date Time Time Water Drop 14 15 16- 17 18 19 20 PERCOLATION RATE (minutes/inch} ~ TEST RUN BETWEEN resence of some fines, remnmm,nd-~'~ .~"B'-'-'_~..,~ of COMME~S g P P c : / PERFORM · ' ' " MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION [] PERCOLATION ~ TEST ' / ! Pouch 6-650, Anchorage, Alaska 99502 276-222~ " iii!~'0lLS LOG -- PERCOLATION TEST Caro% LOv& DATE PERFORMED: 7-7-80 PERFORMED FOR: LEGAL DESCRIPTION; Lot 93A. Har~ Snbd~v~ ~ nn Loc Loman Lane SLOPE SITE PLAN H°us e~~ Well · --- Septic~ -- \ / · ' ~ ~' 100' Minim~ ~ Well/SAS S?peration 'Well Well Nor th SITE PLAN SEPTIC TAiCK/SAS DESIGN LOT 93A, HART SUBDIVISION 14 August 1980 1" = 50' 2 Of 3 r~ 0 q-.I ~ r.~ o ~0 :J 0 o'3 0 0 0 ' ~' MUNICIPALITY OF ANCHORAGE ~~OF ANCHORAGE/~ ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PRQ.T-ECTION DEPT. or:  825 L Street - Anchorage, Alaska 99501 EN¥i2ONMENTAL i ;.. i ] ECTIOi~' ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWL~F~I~m~IVI~E~ I DI RECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PHONE 1. PROPERTY OWNER _Abr~ H. & C~ol A~ Lo~ 243-3140 MAI LING ADDRESS P. O. BOX 10-563, Anchorage, ~la,~ka 99511 PROPERTY RESIDENT (If different from above) PHONE 344-8392 Wil!~am H. & ~S~na J. Moses PHONE 2, BUYER William H. & Redi~ J. Moses 344-8392 MAILING ADDRESS SPA 4RR-R. Anchorage. Alaska 99507 3. LENDING INSTITUTION I PHONE ~ ~.~-: ,Mm~ nnm] ~n~ ~f Anchorage - Southcenter Branch ~Jo_v}I 265'3817 MAILING ADDRESS 201 W. 36th Ave., Anchoraqe, Alaska 99503 PHONE 4. REALTOR/AGENT Transa]~.~ka Realty, Inc., Mary. Power 276-4501 MAILING ADDRESS 1577 "C" Street, Suite 103, Anchorage, Alaska 99501 5. LEGAL DESCRIPTION Lot 93A, Hart Subdivision ;TR EET LOCATI ON NHN L~Lo~ Lane, Anchoraqe, ~l a-~ka 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other~ 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) **If individual/on-site, give installation date 8/21/80 If system is over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS; 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE BATE INSTALLED E~ PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or E]HoldingTank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: 1 Absorption Area to nearest Lot Line I 5. COMMENTS ~'~'~,PP R O V E D FOR ~/-~- BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72o010 (Rev, 3/78)