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Home My WebLink AboutMOUNTAIN AIR ESTATES BLK 1 LT 2 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191240 PID Number: 017-211-24 Dwelling: ❑k Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New W Upgrade Name: John and Carol Gaskins ABSORPTION FIELD ❑ Deep Trench ❑Q Shallow Trench E] Bed E] Mound Address 6900 Fernwood Avenue Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 317-8125 4 1.2 GPD/SF 2.0 / 2.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.5 / 1.5 Ft. Gravel depth beneath pipe 0.5 / 0.5 Ft. Subdivision Block Lot Mountain Air Estates 1 2 Fill added above original grade 1.4 / 1.0 Ft. Gravel length 2 @ 50 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 500 Ft2 2 >6 Ft. Well >100' >1 00' >100' N/A >25' TANK ❑ Septic s❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1500 Gal. Surface Water >100' >100' >100' N/A Material Number of compartments Lot Line >5' >10' >5' N/A Steel 2 NA Foundation >10' >10' >10' N/A LIFT STATION Manufacturer Anchorage Tank Capacity 250 Gal. Curtain Drain None Noted Remarks Tank &trenches are insulated. Pump on level at7n2 13 off level at in. High water alarm at 11 in. Pump make and model PF2005 Electrical Inspections performed by MOA Tank to PIPE MATERIAL House to tank D3034 drainfield D 1785 Installer A+ Home Services Drainfield D1785 CO/MT Inspector J. Mlllette / J. Williams BENCH MARK (Assumed elevation) 100 ft Inspeection 15` 7/1 1 /19 7/15/19 Location and description 2nd 3`d 4th Bottom of lower level back door. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineers Stamp Ne®® Conditional Approval: Date +®�p��'OF ..<. .•• •. 49th +•• 0 ........ ........ ..i.....0 ®............... I............................ 0 MICHAEL E. ANDERSON $0, '•� No CE-4381 •' s ®��t�,p'••. �� t✓ % Z 7/25/19 .•` Fp''•••.........••••° Approv d Date inspection Kepon: y- i- i z.aoc MOUNTAIN AIR ESTATES B1 L2 i1) IN SM616"i• z,1 P I D # 017-211-24 NORTH WEST TRENCH 103.3 FINISH GRADE 101.9 ORIGINAL GRADE '100.4 DRAINFIELD ROCK. 99.9 99.9 I® 50' GROUNDWATER @ 95.4 5/28/16 92.5 H SOUTH EAST TRENCH 105.9 FINISH GRADE 104.9 ORIGINAL GRADE 103.4 DRAINFIELD ROCK 102.9 102.9 I-® 50' GROUNDWATER @ 98.4 5/28/16 95.4 [NGINEl RING PROFILE AS -BUILT (NO SCALE) WE 2" INSULATION 100.4 2" INSULATION I 103.4 MOUNTAIN AIR ESTATES, BLOCK 1 LOT 2 PERMIT # OSP 191240 'NWVtN 100'WELL RADIUS FER OOD AUE P I D # 017-211-24 A B C D FCO 22.5 6.3 MH1 32.0 16.3 MI -12 36.9 24.2 CO 41.6 29.8 MT1 —52\0 57.4 MT2 --29.1 18.5 MT3 46.4 37 6 1 MT4 65.8 --- 6791 Lu 3 4-t3UHM HOME 2 - 5 0' L(t)p X"5' WIDE X.5' V EFFECE DEPTH TION TRENCHES, ORF� 1,500 GALLON,S.B. T.E.P.V2 FCO TANK w/20 Z /OTH2 MH1 MT1 MH2 co DIVERTER i NITI/ INSTALLED IN MH2FOR MT4 FUTURE USE -,-LOT 2 < OF EXISTING TRENCHES. Lij 10' EASEMENT PROHIBITING VEHICULAR ACCESS ' SEE NOTE 2 (PLAT NO 70-376) OT CNGINEE RING PLAN AS -BUILT 0 50 100 �?m Em FEET I r-rlc:Kln CO -CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPUTTER VALVE MH -MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE „L,„ MUNICIPALITY OF ANCHORAGE 0 c n t On-Site Water&Wastewater Program ` i' ` PO Box 196650 4700 Elmore Road . Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 C n _'M1 http:Uwww.muni.org/onsite w ' 3t / Department 4H CHONAc'E On-Site Wastewater Disposal System Permit Permit Number: OSP191240 Effective Date: 6/25/2019 Work Type: Septic Upgrade Expiration Date: 6/24/2020 Tax Code Number: 01721124000 Site Legal Address: MOUNTAIN AIR ESTATES BLK 1 LT 2 G:3139 Site Mailing Address: 6900 FERNWOOD AVE, Anchorage Owner: GASKINS JOHN WILLIAM & CAROL I Lot Size in Sq Ft: 64717 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: IZI Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 Water Storage All construction shall 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 wastewater code requires inspections during the installation.The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Prior to Inspection Report approval, protection for the well casing in the driveway is to be provided. • Received By: _i4 ML ii.L, /[) Date: (11/9 131/q Issued By: /16TJ>', Date: 6/Z.�/1” PO BOX 240773 J. ANCHORAGE,AK 44524 alow 522-7773 7 GE 677-7766 (FAX) ENGINEERING FORGECIVIL.COM June 25, 2019 MOA Development Services Department On-Site Water& Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Mountain Air Estates, Block 1, Lot 2 —6900 Fernwood Septic System Design Dear On-Site Services Engineer: The existing septic system on the subject lot has failed and a new system must be placed to serve the four-bedroom home. The existing septic tank will be decommissioned in accordance with Municipal Code. We are submitting this permit application to construct the new septic system. The attached site plan identifies the location of the home and the existing well and septic system along with the proposed septic location. No conflicts exist between this proposed system and any other well or septic system on this lot or adjacent lots. The ground surface on the lot in the area of the proposed absorption system slopes to the northwest at 15%. There are no slopes greater than 25%within 50 feet downslope of the primary site. Topographic contours are shown on the site plan indicating the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trenches will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100' from all wells and surface water, and more than 5' away from the septic tank. Please refer to the attached test hole log, and plan and profile sheets for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. ••,7__ • OF ` Sincerely, c,).,• • -ftvL2L-1 LOAA-j-% �•• 49th 1\ ‘11 Michael E. Anderson, P.E. , =•••••CH I • 73 MICHAEL E. ANDERSON f Vf. 1VA • No. CE-4381 �Z_• t* OFESsS �• E PIAWS MUNICIPALITY OF ANCHORAGE • Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-211-24 Property owner(s) John and Carol Gaskins Day phone 37 -gig-Tj Mailing address 6900 Fernwood Avenue Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Mountain Air Estates, Block 1, Lot 2 Legal description (Township, Range & Section) Lot Size 64,717 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade 0 Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. it/L.-St-S. atA—K9-----1 (Signature of property owner or authorized agent) Permit/Rush Fees: 5q6' Waiver Fees: Date of Payment: 4049 Date of Payment: Receipt Number: 0/ Receipt Number: Permit No. 40,5Plglag0 Waiver No. Permit App__-:• : ...c MOUNTAIN AIR ESTATES, BLOCK 1 LOT 2 777 77v sr < \ / 7 / — A \ — \—, — \1 / / FERIIWOOD AVENUE / \ \ /-- \ I 10' UTILITIY'E-ASE ENT \ l / / \ 1 EXISTING WELL. PRO IDE BLLARDS 1 ( / / OR OTHER BARRICAD S TO PREY—'ENT ) I / /r TRAFFIC FROM IMPAC ING WELL. ) I I / 1 / - I 1 / / ,\ \ / DS / I \\f ,/ _ _ / I/ 1\1 f 1 / � � r / / 1 � I.,_ / 4-BORN 1 — \ 2-50'L NG`x 5'WIDE x.5' HOME 1 \ ❑ �/ EFFECIV�JDEPTH / LL l_ ABSRj TION TRENCHES/ DECO MMf$SION 4— f i EXISTING�S IC TANK V I� / ( !/ PE Cnn�, / MT ,� J 1 1,500 GALLS1N S.T.E.�. WTH2 \ / `� TANISw12.0"MANW/�"P. I / /> I AL 011111111 /�� i. �' MT 1 II (v> ,,,•:/ .• ' / / / MN w MT / \ W I w \ /I WI /co / L / 2T Q II V < w J � �° I � � b r#' I I w l l I // I10'EASEMENT PROHIBITING I/ I ( I I VEHICULAR ACCESS / L I EXTSWfJQ'ABSRPTION SEE NOTE 2(PVC!'NO 70-376) / SYSTEM. AB NDON IN / / / / PLACE FOR FUT RE USE. r J r �m / SLOT 1 ` L\ // 1` > kQ // 1 / illeGE LN61N[l RING NOTE: I . \ V /\\ / •.•�E q�� PROPOSED SEPTIC SYSTEM NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE LEGEND 4rAP."'".......�.' . S CO-CLEANOUT 4 F i\ •:*•t ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2CO-DOUBLE CLEANOUT 8 49th FCO-FOUNDATION CLEANOUT iZ ...0 PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC • -w..•••••..••.•-••••....r� ••: SYSTEMS. FS FLOW SPLITTER VALVE ▪ MICHAEL E. ANDERSON 4 a MH-MANHOLE i•s°•., N O. CE-4381 j'X41 0 50 100 tv�iF,p,•.., 6125119 " •••(§'•• I♦ FEET MT-MONITORING TUBE FQ •••••........•• ''�, .4. SV-SEPTIC VENT �.-,,;„5;;�. 1”=50' TH-TEST HOLE MOUNTAIN AIR ESTATES, BLOCK 1 , LOT 2 DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW 5' WIDE ABSORPTION TRENCH SYSTEM PERK RATE: 1-5 MIN/IN 1,500—GALLON S.T.E.P. TANK APPLICATION RATE: 1.2 GPD/SF 600 GPD/ 1.2 GPD/SF /5' WIDE *1.0 RED. FACTOR = 100 LF TRENCH REQUIRED (100 LF SPECIFIED) BOTTOM OF TRENCH: 1.5' BELOW GRADE FLOW LINE ELEVATION:1' BELOW GRADE TOP OF TRENCH: 2.5' ABOVE GRADE 4"TOPSOIL & REVEGATATE MOUND AREA _ i II II Hi—. 3 1 26 II 7,1111.-- / Tirr GEOTEXTILE FABRIC 6„ OG = II -II II -1I II lI OG 6" .....:::::.:::::::::::.:::::::::::::._._.:.. 1" PERFORATED PVC. 15-3/16" HOLES PER LATERAL @ 2.9' SPACING DRAINFIELD ROCK 5' { I` vs)�" GE GINEERING TYPICAL TRENCH SECTIONt-tr•��••„� .4 ,44.. (NO SCALE) NOTES: m'�'• 49th %\ '';*0, 1. GRADE AREA OVER TRENCH TO DRAIN AWAY i7�4 t-az : 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' t•glT.,MICHAEL E. ANDERSON,; WITH 2” OF INSULATION ti�'• No. CE-4381 ''Z: 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER �Q�F�°•x•.,.6-25"9 4. •• THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY �•h,, „S,;_:•••• MuiliutxdRy of Ar1�Fxraye On-site Water and Wastewater ORloistatru o• . • • ANCE A. 091240, • • 4 . ,06/25': � ' SOILS LOG AND PERCOLATION TEST 1;Lliv1 .*�` ••••• ••0 .. ENGINEERING 1:173n t MICHAEL E. ANDERSON f,: ••-;:p . No. CE-4381 j'._�= LEGAL DESCRIPTION: MOUNTAIN AIR ESTATES BI L2 • s. c(e"o,,ry�..6n5n9 Morfe�+ PERFORMED FOR: J 0 H N G A S K I_N_S �4111 `5,0;:•'r DATE: 5/2 9/19 PROJECT No.: PARCEL ID#: 017-2 I-2 L. TECHNICIAN: J. M I I-l-E T T E Professional Engineers Stamp: DEPTH TEST HOLE 1 (feet) 1 1.5' OB SLOPE SITE PLAN 2 . ,:iI ,..a� ' 3 4 4 '.I '. : -. ,' SANDY SILTY GRAVEL G_ 5 ;i.. ;:. GM S E S TE PLAN 6 ';: ' r V 8 •'t's.; ti 10 BOH WAS GROUND WATER ENCOUNTERED? Y E S IF YES WHAT DEPTH? 7 S DEPTH OF WATER AFTER MONITORING: 6.5' 11 DATE OF MONITORING: 6/5/:9 E 12 GROSS TIME NET TIME DEPTH TO NET DROP 13 DATE READING (MINUTES) (MINUTES) WATER (INCHES) (INCHES) 14 5/29 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 1 4:04 /4:14 10 138 - 14116 316 16 2 4:16 /4:26 10 138 - 14016 2 s 3 4:28 /4:38 10 138 - 141 3 17 4 4:40 /4:50 10 138 - 140 s 2 4 18 5 4:51 /5:01 10 138 - 141 3 19 6 5:03 /5:13 10 138 - 140 ,6 2 E 20 PERCOLATION RATE: 3.4 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 5 FT. and 6 FT. COMMENTS: tvlunicipalilyof Arwtexage On-site Water and Wastewater -s••111•r% RgC(1j(OFt;��ID�ONPLIANCE GE SOILS LOG AND PERCOLATION TEST 11ii° •124Q ;.-.71,0,a.4, 0625'' + �`•�� 49th •''. •• fNGINf[RING 1 ` III VII,MICHAEL E. ANDERSON 2 s #0 ♦G-,5,;.... ., i' r•sr No. CE-4381 F LEGAL DESCRIPTION: MOUNTAIN AIR ESTATES B I L2 ••F3 N. 6!25f19 0"'P PERFORMED FOR: JOHN G A S K I N S ••4. F,S;; :**. DATE: 5/29/19 PROJECT No.: PARCEL ID#: 0 17-21 I-2 L. TECHNICIAN: J. M I L L E T T E Professional Engineers Stamp: DEPTH TEST HOLE 2 (feet) 1 1' OB SLOPE SITE PLAN ;. •. 2 ! '! j ;t, 4 ` :: ;`-. SANDY SILTY GRAVEL 5 • +M %:' ., GM SEE SITE PLAN 1 7 8 . r. 9 BOH i0 WAS GROUND WATER ENCOUNTERED? YES IF YES gWHAT DEPTH? 8 1 1 DEPTH OF WATER AFTER MONITORING: 7 0 DATE OF MONITORING: 6/5/i 9 p E 12 GROSS TIME NET TIME DEPTH TO (INCHES) NET DROP 13 DATE READING (MINUTES) (MINUTES) WATER (INCHES) 14 5/29 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 1 4:09 /4:19 10 112 - 11716 516 16 2 4:21 /4:31 10 112 - 11716 516 17 3 4:32 /4:42 10 112 - 117 ,4 516 4 4:44 /4:54 10 112 - 117 16 514 18 5 4:56 /5:06 10 112 - 11616 416 19 6 5:07 /5:17 10 112 - 11616 416 20 PERCOLATION RATE: 2 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 5 FT. and 6 FT. COMMENTS: FERNWOOD AVENUE N 89 59'40"W 322.22 _4_ _-----~~ -._ - 1 O II i t I r Ar / a Q Q • aos QQ +.4.o `\• ` Il IP. . 1 , D . ___ „,._ .. . ,., ,,.: :. CS: CP zea S O p • r'V ZN • • r��J •• • V • • • M� NJ ti_____`1___4 AS BUILT SURVEY 1" =30' ii v NO CORNERS SET THIS DATE 7855'30"W 246.77 o�a��Opp I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY o .. 4N OF THE FOLLOWING DESCRIBED PROPERTY w� • 0(i O:0 Q A'; 4�H M� 00o THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY -- - ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN V CADRAWING\sig2.brnp D NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. G EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS to,s\ HEREON ( UNLESS INDICATED) EXIST OTHER THAN NOTED. SHANE A. F-t•�u,��pO NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE - �"� PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. DATED AT ANCHORAGE,ALASKA THIS DAY OF 01A'•- LS-691.4 O ' o d ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. _ , 2019 QOD�� 0 9309OLANDER VDEIIN QppOO:op HOLT LAND SURVEYING - VE ANCHORAGE,AK 99507 14230, FB 196-45 34S-5513 June 25, 2019 MOA Development Services Department On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Mountain Air Estates, Block 1, Lot 2 – 6900 Fernwood Septic System Design Dear On-Site Services Engineer: The existing septic system on the subject lot has failed and a new system must be placed to serve the four-bedroom home. The existing septic tank will be decommissioned in accordance with Municipal Code. We are submitting this permit application to construct the new septic system. The attached site plan identifies the location of the home and the existing well and septic system along with the proposed septic location. No conflicts exist between this proposed system and any other well or septic system on this lot or adjacent lots. The ground surface on the lot in the area of the proposed absorption system slopes to the northwest at 15%. There are no slopes greater than 25% within 50 feet downslope of the primary site. Topographic contours are shown on the site plan indicating the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trenches will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached test hole log, and plan and profile sheets for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, P.E. 6-25-19 // // // // // // // // // // // // // // // // // 920 925 930 100500 FEET 1"=50' 2-50' LONG x 5' WIDE x .5' EFFECTIVE DEPTH ABSORPTION TRENCHES 4-BDRM NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND TH1 MOUNTAIN AIR ESTATES, BLOCK 1 LOT 2 FERNWOOD AVENUE 6/25/19SIERRA WAYSHEDS RABBIT CREEK ROADHOME 10' UTILITY EASEMENT 10' UTILITY EASEMENT10' EASEMENT PROHIBITING VEHICULAR ACCESS SEE NOTE 2 (PLAT NO 70-376) TH2 MT MT MT MT DECOMMISSION EXISTING SEPTIC TANK PER MOA CODE.1,500 GALLON S.T.E.P. TANK w/20" MANWAY. EXISTING ABSORPTION SYSTEM. ABANDON IN PLACE FOR FUTURE USE. EXISTING WELL. PROVIDE BOLLARDS OR OTHER BARRICADES TO PREVENT TRAFFIC FROM IMPACTING WELL. MOUNTAIN AIR ESTATES, BLOCK 1, LOT 2 DESIGN FACTORS:SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 1-5 MIN/IN APPLICATION RATE: 1.2 GPD/SF 5' WIDE ABSORPTION TRENCH SYSTEM 1,500-GALLON S.T.E.P. TANK TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1.GRADE AREA OVER TRENCH TO DRAIN AWAY 2.PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3.CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY BOTTOM OF TRENCH: 1.5' BELOW GRADE FLOW LINE ELEVATION:1' BELOW GRADE TOP OF TRENCH: 2.5' ABOVE GRADE 600 GPD / 1.2 GPD/SF /5' WIDE *1.0 RED. FACTOR = 100 LF TRENCH REQUIRED (100 LF SPECIFIED) 6/25/19 1" PERFORATED PVC. 15-3/16" HOLES PER LATERAL @ 2.9' SPACING DRAINFIELD ROCK 5' 6" GEOTEXTILE FABRIC 6" 2'6" 3 1 4" TOPSOIL & REVEGATATE MOUND AREA OGOG 6" LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 1 SLOPE SLOPE SITE PLAN See Site Plan DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) MOUNTAIN AIR ESTATES B1 L2 5/29/19 J. Millette DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH OF WATER AFTER MONITORING: IF YES @ WHAT DEPTH? YES 7' 6.5' 3.4 6 5 6 017-211-24 JOHN GASKINS 5/29 1 2 3 4 5 6 10 138 - 140 15 16 2 15 164:16 / 4:26 1.5' OB SANDY SILTY GRAVEL 6/5/19 Professional Engineers Stamp: 6/25/19 10 138 - 141 1 16 3 1 164:04 / 4:14 10 138 - 141 34:28 / 4:38 10 138 - 140 14 16 2 14 164:40 / 4:50 10 138 - 141 34:51 / 5:01 10 138 - 140 15 16 2 15 165:03 / 5:13 BOH GM Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191240, Deb Wockenfuss, 06/25/19 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST TECHNICIAN: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DEPTH (feet) PROJECT No.: TEST HOLE 2 SLOPE SLOPE SITE PLAN See Site Plan DATE READING GROSS TIME (minutes) NET TIME (minutes) DEPTH to WATER NET DROP TEST HOLE PRESOAKED PRIOR TO TESTING: PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH) TEST RUN BETWEEN: FT. and FT. COMMENTS: (inches)(inches) MOUNTAIN AIR ESTATES B1 L2 5/29/19 J. Millette DATE OF MONITORING: WAS GROUND WATER ENCOUNTERED? DEPTH OF WATER AFTER MONITORING: IF YES @ WHAT DEPTH? YES 8' 7' 2 6 5 6 017-211-24 JOHN GASKINS 5/29 1 2 3 4 5 6 10 112 - 117 2 16 5 2 164:21 / 4:31 1' OB SANDY SILTY GRAVEL 6/5/19 Professional Engineers Stamp: 6/25/19 10 112 - 117 3 16 5 3 164:09 / 4:19 10 112 - 117 1 16 5 1 164:32 / 4:42 10 112 - 117 1 16 5 1 164:44 / 4:54 10 112 - 116 15 16 4 15 164:56 / 5:06 10 5:07 / 5:17 BOH 112 - 116 15 16 4 15 16 GM Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191240, Deb Wockenfuss, 06/25/19 I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS ________ DAY OF ______________, 2019 AS-BUILT SURVEY 1" = 30' NO CORNERS SET THIS DATE rs e r e d Profes io FEO LA na l L a n d S uLS-6914AgReSHANE A. HOLTST49TH i st TAvKeyorS ASH THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 345-5513 DECK SHEDSHEDSHEDLEAN-TOFENCEFENCE FENCE SINGLE FAMILY FRAMEHOUSEDECKCONCRETE WALKWAYWELL GRAVEL PARKING AREAFENCE FENCEFENCE RABBITTCREEKROADFERNWOOD AVENUE SIERRA WAYDECK10' UTILITYEASEMENT10' UTILITY EASEMENT 10' EASEMENT PROHIBITING VEHICULARACCESSSEE NOTE 2 ( PLAT NO. 70-376)28.1 68.724.1 24.54.0 44.319.4 20.58.0 12.08.1 12.08.1 12.07.0 12.040.9 43.5ASPHALTDRIVEWAYLOT 2, BLOCK 1, MOUNTAIN AIR ESTATES 14TH MAY 14230, FB 196-45 N 78 55' 3 0 " W 246.17N 00 04' W200.00N 89 59' 40" W 322.22 N 16 13' 40" E 139.01L = 121.22 Municipality of Anchorage Page / of 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 Number: ~w~l~Or''/-~' PID Number: ~/72 Name:Wastewater System: [] New [] Upgrade Address: ABSORPTION FIELD Phone: No of ~edrooms: ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~Other LEGAL DESCRIPTION ~oi, Rating: Total Depth from original grad~ ~, ~ GPD/Sq. Ft, Lot Block: Subdivision: Depth to pipe bottom from odgina~ grade: Gravel depth beneath pipe Township: Range: Section: Fdl added above original grade: Gravel ~ength: WELL: Q New ~ Upgrade G~w~ width: ~ Ft. Number~of lines: Distance/between2 t lines:Ft. Classification (Private, A,B.C): Total Depth: Cased To: Total absorption area: Pipe material: ~IV~ Ft Et ~2~ SQ. Ft. ~ ~-~/O Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. ~ ~V~/~ /~ -~ Yield: GPM Pump Set at: Ft Casing Height Above Ground:Ft TAN K SEPARATION DISTANCES ~Septic [.~ ~ Holding ~ S.T.E.P. To Septic Absorption LiH Holding ~ublic/Pbvate Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~O~ ~ T~ Material Number of Compartments: Surface ', '¢ ~ LIFT STATION Water /CO /00 ~ ~ Lot ¢ i Size in gallons: Manu~ Line ~ 22 ,~ -- ~ Foundation /~ ~ 2 ~ ~ ~ ~ ~ "Pump on" level at: "Pump off" level__water alarm Curtain Drain Remarks: BENCH MARK Location and Description: Assumed Elevation: ENGINEER'S SEAL 17034 Eagle River Lo~ Road, No. 204 ~ Inspections performed by'. Eagle River, Alaska 99577 Dates: 1st/2 -/-¢~ ¢.,,,. =,.: .... .... , Department of Heal~and Human S~rvices approval ~eviewed anO aOproveO by: ~ate: / - ~ - ~ 72-013 (Rev. 9/91) MOA 25 Permit No. sw930455 Page 2 of 2 Municipality of Anchorage 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 MOUNTAIN AIR ESTATES, BLOCK , LOT 2 PIDNo.: 0172 124 Legal Description: CO1 C02 CO4 coe c~? 97.5' NEW 1250 GAL 93.2 93,2' 93:.2 4 BDRM HOUSE A NEW 12b0 SEPTIC TANK OF DECK A B C:: D E FCO 22.0 6.5 CO1 24.0 14.5 co~ 29.0 22.5 CO3 26.0 20.0 --- C04 i 40.5 50,5 C05 44,5 34,0 -- co6 8o'.'~'76:o ......... c07 75.0 75.0 -- co8 38.5 35.0 -- MT1 69.5 69.5 -- MT2 70,0 65.5 -- MT3 34,5 47.5 DSL CC co~ C04 C06 TRENCHES SCA~E N l" = 40' Et ,EAL 72-013 A (1/93) * PAGE 1 OF 1 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:SW930435 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:HERTLE DAVID ALAN & OWNER ADDRESS:P.O. BOX 190092 ANCHORAGE, AK 99519-0092 DATE ISSUED:10/14/93 EXPIRATION DATE:10/14/94 PARCEL ID:01721124 LEGAL DESCRIPTION: MOUNTAIN AIR ESTATES BLK T 2 1 L LOT SIZE: 64717 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. October 11, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99519-6650 REFERENCE: Mountain Air Estates, Block 1, Lot 2 MUNICIPALii y OF AN(.H( )~'*,~b ENVIRONMENTAL SERVICES DIVISION OCT 1 ] 199~ RECEIVED We request you issue a permit to upgrade the septic system serving the four bedroom house on the referenced property. An adequacy test performed on the existing system for Health Authority Approval purposes found the absorption capacity of the existing system to be inadequate. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. At the time of excavation water was encountered at 10 feet and after seven day water monitoring water was found at 9 feet. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. S/LSl/,iiiNORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 I = 40' UPGRADE SCALE m ~0 z~ ~ ~ 0 ~<--~ ~g o.~T/~ ~ o O~S Z~ I Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE LEGAL DESCRIPTION:~!'~); ~/~JT/~) ~ ~$7~"?l~T°wnship' Range, Section: SLOPE 1 2 3 4 5 6 7 8 9 10 11 12 13 14- 15 16 17 18 19 2O C0~l F¢,~'z, WAS GROUND WATER ENCOUNTERED? J L IF YES, AT WHAT /(~ O DEPTH? *~ P E SITE PLAN Depth Io Water Alter ~ ' /,~/./~ ~ Monitoring? / Date: ~ ? /°1 Gross Net Depth to Net Reading Date Time Time Water Drop : co~ /0 ~ 5 V~" l sis" PERCOLATION RATE TEST RUN BETWEEN -.,~FT AND 4-/ ' FT $ & $ EI',IGINEERING 17034 Eagle River Loop Road Ne. 2~ ,~ ~ CERT FY ~HA~ TH,S TEST WAS PERFORMED~01e ACCORDANCE~iT~;~k:~NiCiPALGUIDELI~ ~ECTONTHtSDATE. DATE: 72-008 (Rev. 4/85) /~/, ';~I ~-~ 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 LOCATIq~~ ..~ ~~ N~). OF BEDROOM~ / Well ~ Absorption area Dwelling PERMIT NO. DISTANCE TO: v I- 2 Manufacturer Material No. of compartments Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 6 ~ DISTANCE TO: Well Dwelling PERMIT NO. O z ,~ Manufacturer ~ -- I- Material Liquid capacity in gallons 12 Well ~',,~ Foundation Nearest lot ling PERMIT NO. ~, DISTANCE TO: ~--~L~ iI~ ~ -- No. of,ines! Length ° hlina I Trench ,ines Total I~..~ widt~ -- _ .... t~.~ ~-~ rich es I- ~ ~ Top of tile to finish grade ,~---~ Material beneath tile Total effective absorption area Length Width Depth PERMIT NO. LU '~ I-- Type of crib Crib diameter Crib depth ~-- Total effective absorption area bu Well Building foundation Nearest lot line u) DISTANCE TO: .~ Class Depth Driller Distance to Jot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic ta~nk Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER / A PP R'6~ I ~GAL F'ERF~I T NO. FIP F"'L. I C~NT LOCRTION LEGRL W ILL I FIM HFIRSH FERNO0[:, FIND SIERRFI L 2. E: i MT. ~:[F.: EST. X.]'. 14. CO. Z20± C. ?r. L. OT SIZE 'r'¢PE (IF SOIL RE:SORPTION S'¢STEM IS: TRENCH MFINIMUM NLIMBER OF' BEDROOMS = ,4 25000 Sg!UFIRE FEE7' SOIL RSTING ,::SQ FT,.."E;R)= t60 ~/~_ ]"HE REQLIIRE[:, SIZE OF.' ]'FLEE SOIL RBSORF'TION S"r'STEM IS: [:" E] F" T'~-I ..... :i:JL L E-': I"..-! C:J 'T ~--.~ == ;:_-: ]--'" Ci~ F.-:." ~--:-t %-" [-Z b. [-', E..-Z F' 'T ~-~ == e£ 'THE LENGTH DIMENSION IS TFIE LENGTH ,::IN FEET::, OF 'THE TRENCN OR DRFIINFIELD. THE [:,EPTH OF R TRENCH OR PIT It'; THE [:,ISTRNCE BETWEEN '['HE SURFFICE OF." ]"HE GROUN[:, FINE:, 'THE BOTTOM OF "rFIE E',>:',CR',,,'RTION ,:: IN FEET). THERE." IS NO SE]'' 14I[:,TN FOR TRENCHES. THE GRR',,,'EL DEP]'H IS THE MINIMUM DEPTH OF GRFI',,,'EL BETI.,.IEEN THE OUTFRLL. PIPE FIND THE E:OTTOM OF THE ENCR'v'RTION (IN FEE].'). F'ERMI].' RPPLICRNT I-.IF.~S THE RESPOI",ISIBILIT"r' T0 INFORM THIS [:,EF'F:IF.'.TMEI'.~T [:'URING ].'HE INSTRL. LRTION INSPECTIONS OF FIN"r' WELLS RD.:rRCEI'.,IT TO THIS F'ROPERT'¢ Rt'.,ID THE NUHBE:R OF' RESI[:,ENCES THFtT ']"HE WELL HILL '..':";EF.:',,,'E. E:FICKFILL. ING OF' FIN'Y S"r'STEM WITHOUT FINFIL INSPECTION RN[:' FIPPROVRL B'¢ THIS DEF'RRTHENT NILL BE SUE:JEC:T TO F'ROSECUTION MINIMLIM DIS'FFINCE BETWEEN R WELL FIN[) RN'f ON-SITE SEHRGE [:,ISF'OSRL SYSTEM IS ::L00 [:FEE].' [.:OR R PRIVFII"E WFLL OR :.1.~";O TO 200 FEET F'ROH FI PUBL. IC: HELL. DE:PEI'.~[:,INt]:i UF'ON 'THE TYPE OF' F'UBLIE: I,IELL. MINIMUH DISTRNCE FROM FI PR I ',,,'RTE HELL TO FI PRIVFITE SEI.,.IER LINE IS 25 FEET FIND TO FI COMMUNIT'¢ SEWER LINE IS 75 FEET. OTHER REQUIREMENTS r,lR'v' RPPL"r'. SPECIFICRTIONS FINE:, CONSTRUC]'IOI'.~ [.',IRGRRMS FIRE FI',,,'FIIL. FIBLE TO INSURE PROPER IN'.:-;TFIL. LRTION. I CERTIF'v' 'T'HFIT :I.: I FIM FFIMILIFIR I.,.IITH THE REQUIREMENTS FOR ON-SITE SEI.,.IERS FIND WELI...S RS SE:T F'OF.:TH B'¢ TFIE l"llJN I C I PFIL I ]""r' OF RNC'HORRGE. ;2: I 14ILL INSTRL..L. THE ':];'¢STEM IN RCCORDFINCE HITH THE CODE2:';. ii:: I UNDERSTFtND TH[IT ].'HE 0N-SITE SEWER S'¢STEM MFIY REQUIRE ENLFIRGEMEI"4T IF' THE RE.SIDENCE IS REMODELED TO INCLUDE HORE THFIN 4 E:E[:'ROOMS. ..,,, . ~ ,_/-] ISSUE[:, E ........................... [.RTE ..... _ .sz-,_ ................ 'v'4. 0 GRE,..i~R ANCHORAGE AREA BOR,.JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska gg§03 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE /~, INSIDE LENGTH _ MAN U FACTU R E R ~'~¢~,, INSIDE WIDTH MATERiAL~'~ LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY~,~'~,~.~ GALLONS. TILE DRAIN FIELD: ~ !e, '~ /~' '~oFTOTALL,NEsLENGTH G~ ' DISTANCE FROM WELL//~)~ FOUNDATION ._NEAREST LOT LINE NUMBER OP L,NES / °,STANCE BETWEEN ,'"~ ~/~ ~,~, W,~,~. EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE I DEPTH OF FILTER I , WELL: TYPE ~)~ BUILDING FOUNDATION .... CONSTRUCTION . _~.~~~,,z i~. DEPTH NEAREST NEAREST SEPTIC SEEPAGE LOT LINE__ SEWER LINE__ TANK-- SYSTEM DISTANCE FROM: CESSPOOL __ OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY:~ SEWER LINE DEPTH: ~ I PIPE MATERIAL' ~'~'' LOT SLOPE: REMARKS: G.A.A.B. ANCHORAGE AReA BOF Jgh Grel :r DEPARTMENT OF ENVIRONMENTAL QUALITY ~'~/-- -7~___.~ 3330 "C" STREET ANCHORAGE, ALASKA TELEPHONE 2~4-4S61 /~f ~ / · SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME oP AP.L'CANt 7~O'~ INSTALLATION LOCATION LEGAL DESOR,PT,ON Z V-- /3t INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH I G o ~T/,4t/e-r7 SOil TEST RESULTS COMPLETION DATE ANTICIPATED SEEPAGE Pit K DRAIN FIELD OTHER TO SE INSTALLED BY ~-"/-- // / ROTE, THIS PERMIT IS NOT VALID WITHOUT SOiL TES? FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE / ~ ~ ?~ TYPE SEEPAGE AREA SIZE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT ~ / , DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALL SEPTIC TANK ~/ , SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD //{~) (O/ ~)/ , DRAIN FIELD /0~ / SEEPAGE PIT ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPT]C TANK DRAIN FIELD SEPTIC TANK, /~ /, SEEPAGE Pit TO RIVER, LAKE, STREAM. SEEPAGE PIT //~ / DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST iron SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. £ TYPE DIAGRAM OF SYSTEM ;ERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE TE d~/~'/7~''- APPLICANT'S SIGNATUR ........ (;REATER ANCtI::k/\(;L Al<i A UORF lJepartmen[ of invirr)nn~{;r~ta] Quali[y 3330 "C" Street Anchorage, Aldska 99bUS S()II,S L()(; - I'I':I~()I,ATION Performed for ~ T~AO~P ,)ate Perfor Lega I Desc ri p-L'ibhT -- ~]$] -~'~ ..... ]~-~' ~ZE~ ........... This forln reports:-"~il'k-]o}j ....... ~--~ ........ F69E~I'~i$'}T'~6~F 5 6 7 \ 12 Del) th Feet 2- 4- 13- CA.~/ -- /v/z" ]4- Was 9round water encountered? 7_ ..... ,7-'[ If yes, at wi~at depth? Reading Date Gross Time Net Time I DepLh to Water Net Ur09 Porcolation rate minute. -Proposed iris tal l a-t-i~h-i' -'g~b-~a~te Pi t Drain Fi old Del)th of Inlet Dept]]-~"lJbYtb}n-l~fr-l'j)it or trench ..................... t.lLIrq ~. C: .'[ PRE. :l: L":,EF'RRTNENT OF HERL'T'H RNE:, ENV[RONF1ENTRL PRO'I"ECT[ON PERFI~ T NO. ,:: '76t~E~2 ) THUF1H,r:, THROOF' _,R.F~ LOCRTION bOR. FERNNO01::, ,~. :,IE. RE.N NRY LEGAL L2 Bi f~T AZR'. LOT .x,.[ ~E 6W73:~3 S~F'T .... ~ ~TE.~I "'"" ].~, :1.13(3 F:"I" R PR[',,~R'I"EI.,JE'.LL. AND ....... g~u F'T FLI, R FdE, L[C NEEL. NELL LOGS t.ILIS"r' BE RET..RNED TO THE DEPRRTr,IENT N~]"H~N 3:E~ DRYS OF THE NELL. :::Ot,IF'LE T '[ ON. '~,PEu' ~ F ][ CAT ]: ONS ANE:, '3"~ NS'I"E'I.ICT [ ON [) [ ~ff ..... ~R' 'Hrlz,'" ' '-' AR'.E AVA [ LABLE TO [ NS JE'E PROPER I C:ERT:[F'Y THAT ]: At.1 FAt,IILIAI~: NITH THE R~'L.'.!.IRENENTS FOR _IN-~.II E $ENERS RND NELLS R~; SET'F':')RTH BY THE hlUNICIF'RL]:TY OF- RNCHORRGE RND NILL INSTRLL. IN R];C~/RDRNCE I..~ I TH "F'HE C~)I~,E. ~ .................. f S:� MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-211-24 1. GENERAL INFORMATION Expiration Date: _ 2 Complete legal description Mountain Air Estates, Block 1, Lot 2 Location (site address) 6900 Fernwood Ave, Anchorage, AK Current property owner(s) John & Carol Gaskins Day phone 317-8125 Mailing address 6900 Fernwood Ave, Anchorage, AK 99516 Real estate agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ ;U(o Date of Payment -:07'W !g Receipt Number r) 1_3'9*_�p COSA# 0 18133'9 Waiver Fee $ Date of Payment Receipt Number 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 7/25/19 6. DSD SIGNATURE System #1 Approved for 4 System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms 7/25/19 ••'� pROFES5��N�e�4 bedrooms, with the following stipulations: AFLITYrr7 1A, �('�� R�41 � Original Certificate Date: 2_ -) q 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Mountain Air Estates Block 1 Lot 2 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 8/76* Total depth 146 ft Cased to 146 ft ON Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 5/3/19 Static water level at beginning of test 70 ft. Comments *Per MOA Files B. TANK DATA Age of tank(s) New years Tank type/material STEP/Steel Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping New Construction D. ABSORPTION FIELD DATA 5' Wide Trench Parcel ID: 017-211-24 Structure served by this system Well production at time of test 1.75 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by FORGE ENGINEERING Date of Sample 7/15/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station New years Lift station material Steel Comments: New Construction Which system tested (date installed) 7/11/19 Adequacy test date New Construction ❑ ALL standpipes present per record drawing Results EJ Pass For bedrooms Total measured depth from grade 3.4/3.o ft (max) Fluid depth prior to test in Measured depth to pipe invert from grade ft (min) Water added gal Al N/A — pressurized field New depth in ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) _ date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' F✓ Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft Q Yes if No ft Neighboring Tank > 100' 7 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' M Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10'✓Q Animal Containment > 50' Yes if No ft 0 Yes if No ft Yes if No ft Water Service Line > 10' 0✓ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' ❑✓ Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F✓ Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5'✓71 Yes Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q✓ Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10'✓Q ft Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' 0✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ✓] Yes if No ft If absorption field is under driveway comment below Property Line > 10' ✓0 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' Yes if No ft Community Wells > 200' Q Yes if No ft Surface Water > 100' ✓® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 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. COSA Checklist yellow sheet n OFAV ,• 49th_ MICHAEL E. ANDERSOP No. CE -4381 7/26(19 �.0"* t TJ ��A 04- c �..q��;pG 49 TH v s SHANE A. HOLT .' a ,p 01 LS -6914... paa o °fessiona%" N FERN WOOD A VENUE /V 7855 03 w THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. O O O O c Fi / VO % / / / / i v 4 / / / / i / / / AS -BUILT SURVEY 1"i= 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS zr,4 DAY OF 2019 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 14230, F8 196-45,198-31 345-5513 i OQ/ /V 7855 03 w THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. O O O O c Fi / VO % / / / / i v 4 / / / / i / / / AS -BUILT SURVEY 1"i= 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS zr,4 DAY OF 2019 HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 14230, F8 196-45,198-31 345-5513 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. # (-~ I"~ ~,-~, \ \- ~,~ NAA# GENERAL INFORMATION Complete legal description Lot 2: Block 1: Mountain Air Estates Location (site address ordirections) 6900 Fernwood Anchorage, Alaska Property owner Mailing address Lending agency Mailing address Agent Address David Hertle Day phone 345-5799 P.O. Box 190092 Anchorage, Alaska 99519 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 'v TYPE OF WATER SUPPLY: Individual well Community well Public water xx NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. . .~ xx 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 WA[FER W-ELL ADVISORY HEALTH AUTHORITY APPROVAL NO. //~ During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot ~ Block . / of ~T~I~ ~/~ ~Z~£~ Subdivision, the well's productivity was determined to be .~2 gallons per minute. The minimum well produgtivity required by this department (AMC 15.55) for a ~ bedroom residence is .4~ gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of noncritical water uses such as washing ca~s and water.ing lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type~ Log present~N) Total depth Sanitary seal,N) Cased to If A, B, or C, attach ADEC letter. ADEC water system number x..~,,/~ , Date completed ~/~--~' Driller ~'/D,,--/~'?/ .~L~- /,~- Date of test Static water level Well flow ~' Pump level1 ~/~ SEPARATION DISTANCES FROM WELL TO: FROM WELL LOG /~ ~ '~ ~ Casing height Wires properly protecte~/N) AT INSPECTION g.p.m. '~ ~'. ~/~. ; On adjacent lots JL~z / ; On adjacent lots /~ '-/~ /,,//o ~/~-'~ Public sewer manhole/cleanout /',Jo ,,J ~ /'v'/~ . ,~ /-/~ Petroleum tank Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: B. SEPTIC/HOLDING TANK DATA Date installe_~ Cleanout~/N) water alarm (Y~ High Date of pumping C~, //C~ ///~'./r//~ Other bacteria Collected//by: ~,~ Tank size /'2~5~ ~'~L.- Compartments Foundation cleanoL~/N)/ Depression (Y~ . '~ /'--)/,~ Alarm tested (y~7 /,_j/,~ , ^///>. Pumper · SEPARATION DISTANCES FROM SEPTIC/I=I~I~ TANK TO: Well(s) on lot / ~ / On adjacent lots /,D~ '"-]- Foundation //~-' To property line ~/~:~ / Absorption field ~J / Water main/service line Surface water/drainage //__J~ ~ 72-026 (3/93)* Front CONTINUED ON BACK PAGE ROBERT SHAFER, P,E. ROGER SHAFER, P.E. WEI,L FLOW TEST DATA CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION LN~N[.ERING STUDIES AND REPORTS ~% ELL }NSPECTION & FLOW TEST ~TE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL iNSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN LOCATI~ OP ~LL (Legal Description): ~_~ DATE DRILLING COMPLETED: __~/ ~ DRILLER: TEST DATA CLOCK TIME DEPTH TO WATER t0~o Pftob~ DRAWDOWN PU~PING RATE (GPM) MISC. DATA, CASIN~ HEIGHT, / ~ SANITARY SEAL?, WIRES IN CONDUIT? ~ ~3 GRADIN(~ O.K. ? ~ FLOW RATE NOT G~UARANTEED--SUBSEQUENT VARIATIONS CAN OCCUR! 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 NT: HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUOIES ANO REPORTS WELL INSPECTION & FLOW TEST ROAD DESIGN SO~L TEST PERCOLATION *TEST STRUOTURAL & MECHAN~?,AL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM' ROBERT SHAFER, P.E ROGER SHAFER. P.E _' RECOVERY TEST DATA ClVIL~,ENGINEERS (9071694.2979 FAX 694.1211 WELL LOCATION.(legal): 'LoT TEST DATE, WELL DEPTH: CASING DEPTH: 4o'~ TEST PROCEDURES 1) Draw water down to pump. TESTED BY, --~ WELL DRILLER: 2) Shut pump off 15-60 min. -record time -record meter reading 3} Turn pump on. Drawdown. 4) Shut pump off. -record time -record meter reading 5) Calculate gal./min, recovery. TEaT DATA, START TIME: ~/,'/0/'~ DATE DRILLED: MISC. DATA, Casing Height, / Sanitary Seal? Wires in Conduit?t_~j__ Grading O.K.?~ Pump Depth~ samples Taken? Date, ~//3'/~ STATIC WATER LEVEL:----~A,) / ''~e'T'o~J'-r~-c~' ~EBULTB, WELL CURRENTLY PRODUOEB, ~I d/O/'/:[" I~IUNIClPALITY OF ANCHORAGE /'/''~(~' - // '~ ~' DEPARTMENT OI= HEALTH AND ENVIRONMENTAL PROTECTION '\ DIVISION OF ENVIRONMENTAL HEALTH .~ -~ CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~-~ OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION Ca) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Cb) Applicant Name ~e~O~b~ Telephone: Home Business Applicant Address Cc) Applicant is (check one): Lending Institution []; Owner/builder 1-'1; Buyer []; Other [] (explain); (d) Lending Institution _ Address (e) Real Estate Company and Agent . Address Telephone (f) Mail the HAA to the following address: TYPE OF.ES, OE.CE Single-Family[] M ulti-F,~-~i'"~ Number of Bedrooms i,~l"¢~.~) -- Other WATER SUPPLY Individual Well~ · Community [] Public Note: If community well system, must have written Confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL I Onsite"~ Public [] Community [] Holding Tank [] f Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (~1/84) ENGINEERING FIRM PROVID~,.~ INSPECTIONS, TESTS, FILE SEARCH, D,~ FA AND INFORMATION AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or 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 ins~o..~, j~,~f~ Name of Firm Telephone ~"7¢" .,~ ~ Address J ~...O~' ~ /~"~-~ Engineer's Seal Approved for _.,~/_~.,~'._bedroomsby~'¢~'¢¢-'¢~--~ ~Date Approved ./-~" D sapprove~,/ Conditional Terms of Conditional Approval CAUTI ON The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given Cn paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does thisi ~as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72~025 (11/84) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) OCT 1 3'1~~ CHECKLIST - FEBRUARY 1964 264-4720 RECEIVED Legal Description: ~,~. ~ ,~L~, / ,/~//~///1/7'~/~1/ ,~l/,~ WELL DATA Well Classification /~ If A, B, C, D.E.C. Approved (Y/N) Y,eld Well Log Present (Y/N) F Date Completed ...... .' Total Depth /~_~ . Cased to '~O'~ Depth of Grouting Static Water Level ~',/~.~'~'//,~'~,'2 !_b/~ _~.)" Pump Set At ' / / u Sanitary Seal on Casing (Y/N) Casing Height Above Ground .~.~ Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead Separation Distances from Well: / To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ; On Adjoining Lots /0,'"~/~, ; On Adjoining Lots TO Nearest Public Sewer To Nearest Sewer Service Line o~ SEPTIC/HOLDING TANK DATA Date installed--~'~//~ Size ,/~<'J'O ~.~,. '- NO. of Compartments Standpipes (Y/N~ 'Y (~) Air-tight Caps {Y/N) y Foundation Cleanout (Y/N) Depression over Tank (Y/N) ~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) . .. ; for Holding Tank High-Water Alarm (Y/N) .~/./_.~ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Hzolding Tank: To Water-Supply Well /(~1~-- To Building Foundation ~ {'7/'7z To Disposal Field To Property Line / To Water Main/Service Line ~_ I_/~ Course To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOT 2, BLOCK 1, MOUNTAIN AIR LOCATION: 6900 FIRNWOOD OWNER: NOVOTNEY WELL: SEPTIC SYSTEM: ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 1068 SQ.FT. SOIL RATING: 160 INSTALLATION DATE: AUGUST '76, MAY '81 DATE OF PUMPING: OCTOBER 13, 1986. ANCHORAGE CESSPOOL DATE OF TEST: OCTOBER 2, 6, AND 9 1986. TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH TWO FEET OF COVER AND 49 INCHES OF LIQUID. TWO SUMPS WERE FOUND FOR THE TRENCH. ONE SUMP WAS 9 FEET DEEP AND DRY, THE OTHER WAS 11.5 FEET DEEP AND WITH 12 INCHES OF LIQUID. ON OCTOBER 2, 460 GALLONS WAS ADDED TO THE TRENCH. THE WATER LEVELS ROSE TO 16 AND 42 INCHES.AFTER SIX HOURS THE LEVELS HAD DROPPED TO 14 AND 41. ON OCTOBER 6 900 GALLONS WERE ADDED. THE LEVELS ROSE TO 46 AND 67. AFTER SIX HOURS THE LEVELS WERE 35 AND 57 AFTER 21 HOURS THEY WERE 29 AND 51. ' ON OCTOBER 9, 1500 GALLONS WERE ADDED. THE WATER LEVEL IN THE SHALLOW SUMP ROSE TO 62 INCHES. THE LEVEL IN THE TANK REMAINED AT 48.5 INCHES. AFTER SIX HOURS THE LEVEL IN THE SUMP WAS 49 INCHES. AFTER 21 HOURS THE LEVEL WAS 43. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THE RESIDENCE HAS BEEN VACANT FOR SEVERAL MONTHS. THE TRENCH IS LEACHING VERY SLOWLY BELOW THE 40 INCH WATER LEVEL. ABOVE THE 40 INCH WATER LEVEL THE TRENCH LEACHES SUFFICIENTLY FOR A 4 BEDROOM HOUSE. RISING THE WATER LEVEL TO 62 INCHES RESULTED IN AN INFILTRATION RATE IN EXCESS OF 900 GALLONS PER DAY. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. 203W. 15th AVE "C" SUITE 203 ANCHQRAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 2, BLOCK 1, MOUNTAIN AIRE LOCATION: 6900 FI RNWOOD OWNER: NOVOTNEY TYPE OF WELL: WELL LOG AVAILABLE: INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: WELL YIELD FROM TEST: PUMP YIELD: 10 GPM ,~ .8 GPM 5 GPM SINGLE FAMILY YES ~" "' ' '.? ~r~ DATE OF INSPECTION: OCTOBER 2, 1986 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED DRY. 150 GALLONS OF WATER WAS OBTAINED IN A PERIOD OF 27 MINUTES.THE STATIC WATER LEVEL WAS FOUND AT 64 FEET BELOW TOP OF CASING. TOTAL DEPTH OF WELL WAS 150 FEET. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON OCTOBER 3, 1986. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. DATE RECEIVED " ~ INSPECTION APPOINTMENTS TIME TIME, INSPECTOR CT INSPECT~ MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street -Anchorage, Alaska 99501 ~RONMENTAL P~OTECTION ENVIRONMENTAL SANITATION DIVISION MAR ~ 8 1981 Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1, PROPERTY OWNER I PHONE MAILING ADDRESS S~ "~" - I PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE I MAILING ADDRESS 4. REALTOR/AGENT PHONE ,...ri. LING {~ ,. 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER 0 F ~B E DR 0.0 k{,~,,. ,.~ ~ On~ ~ '~o~r ~ Two ~ Five ~ Three ~ Six 7. WATER SUPPLY ~ INDIVIDUAL' [] COMMUNITY [] 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.) 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. Tobl en Spurkland P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 MUNICIPALITY OF ANCHORAGE DEPT, OF HEALTH & ENVIRONMENTAL P~ OTECTION APR 2 8 1981 RECEIVED Larry Cl~'k Jack White Co. 3201C Street Anchorage, alaska 99503 S E W E R A D E ~ U ~ C Y T E S T April 25, 1981 Legal Location Lot 2, Block 1, Mountain Air Estate Corner of Firnwood and Sierra Way Owner Residence Wat e r Harsh 2 Storey, 4 bedrooms, finished On Site Well Sewer Date of Test Test Procedure From Municipal Records: 1250 gal tank., two compartments Greer Steel Absorption System Absorption Area Soil Rating ~ Installation Date April 21 and 22 1981 Trench, 62 feet long 744 sq. ft. 160 Aug. 1976 six feet of gravel System was inspected and pumped on April 20, 1981 Prior to pumping there was approximately four inches of liquid in the cleanout between the tank and the trench. The liquid depth in the four inch s~mp at the end of the trench was 52 inches. After pumping the cleanout was dry, the depth in the sunup was unchanged at 52. On April 21 370 gal was discharged into the sump over the course of the day. Water was from the ~11. The following measurements were taken. Time (min.) ~ow (gal/min) Volume (gal) Liquid depth 0 5 0 48 10 5 50 49~ 20 5 100 51 26 5 130 52 Well went dry, waited two hours Tobben Spurkland P,E, Time Flow Volume Depth 0 5 13o 52 10 5 180 54 2o 5 23o 557~ Waited two hours o 2.85 23o 55 ~ 2.85 3oI 57 50 2.85 372 57 At this time water was heard flowing into the tank , the filling was therefore terminated. Time was 4pm. The filling started at 8 Water level in the sump was checked on April 22 at 8:30 am. Liquid lev depth was 51~ inches. Test Result. This system absorbed 240 gal in a 16 hour period. T~is is equivalent to 360 gal per 24 hours. The municipal Code requires an absorption rate ~ 150 gal per bedroom. For a four bedroom house that is 600 gal. Clearly this system doe~ not meet this requirement. Tobben Spurklanci P.f_. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 Larry Clark Jack White Co. 3201C Street Anchorage, ~daska 99503 April 25, 1981 SEWER ADE~UAC Y TES T Legal Locat ion Owner Rosidence Wat er f~ewor Date of Test Test Procedure Lot 2, Block 1, Mountain Air Estate Corner of Firnwood and Sierra Way Harsh 2 Storey, 4 bedrooms, finished On Site Well From iiunicipal Records: 1250 gal tank, two compartments Greer Steel Absorpt ion System £~bsorpt ion Area Soil Rating - Inst allat ion Dar e April 21 and 22 1981 Trench, 62 feet long 744 sq. ft. 160 ~ug. 1976 six feet of gravel System was inspected and pumped on April 20, 1981 ~rior to pumping there was approx~nately four inches of liquid in the cleanout between the tank and the trench. The liquid depth in the four inch s~p at the end o£ the trench was 52 inches. After pumping ~he cleanout ~ss dry, the depth in the sump was unchanged at 52. On ~pril 21 370 gal was discharged into the sump over the course of the day. Water was from the w~ll. The l~oilowing measurements were taken. Time (min.) ~ow (gal/rain) Volume (gal) Liquid depth o 5 o 48 10 5 50 49~ 2O 5 100 5t 26 5 13o 52 Well went dry, waited two hours Tobben,.Spurk~nd P,E. Time Flow Volume Depth 0 5 13O 52 10 5 180 54 2O 5 23O 55~ Waited two hours ~. o 5 230 55 ~ 2.85 3O 1 57 50 2.85 372 57 At this time water was heard flowing into the tank , the filling was therefore terminated. Time was 4p~. The .filling started at 8 am. Water level in the sump was checked on April 22 at ~:30 am. Liquid lev depth was 51~ inches. Test Result. This system absorbed 240 gal in a 16 hour period. T~is is equivalent to 360 gal per 24 hours. The municipal Code requires an absorption rate 150 gal per bedroom. For a four bedroom house that is 600 gal. Clearly this system does not meet this requirement. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 11, 1977 Time of Inspection 2:30 p.m. Date of Inspection 1-11-77 REQUEST FOR APPROVAL OF Buchholz INDIVIDUAL SEWER & WATER FACILITIES FOR e 4. 5. 6. Approval requested by: Mailing Address: Property Owner: Mailing Address: Legal Description: Location: Alaska Mutual Savings Bank Post Office Box 1120 Thomas Throop Star Route A Box 459T 99507 Phone: 274-3561 Phone~ Lot 2 Block~ Mountain Air Estates Corner of Fernwood and Sierra Way Type of facility to be inspected Single Family Well Data: A. Type Individual No. of bedrooms 4 B. Depth 146' C. Construction {]~~~), D. Bacterial Analysis 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line ~On-site sys B. Installer 1. Size 2. Manufacturer l. Absorption Area 2. Material Total length of lines , Absorption area , Other contamination B. Foundation to septic tank C. Absorption area to nearest lot line , Sewer Lines , , Absorption area EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re :st for Approval of Individual er & Water Facilities Legal Description Lot 2 Block T Mountain Air Estates Comments Approved __Disapproved Date~ ,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 7~wcM RO V,A FHA - Day Phone: CONV 3. Name of Buyer: Mailing Address: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Mailing Address: 6. Legal Description: Location: Day Phone: Phone: Phone: Type of Facility to be Inspected:v"~ ' /. -f~'~/(...~rrv~//z..,,./ Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well. Sewage Disposal System Type of System: If Individual, date of installation No. Bdrms. Individual / Public Utility Individual (on-site) 72-003(3176) C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) _ ~ SEPARATION DISTANCE~ LIFT STATION TO: Well on.~~ On adjacent lots D. ABSORPTION FIELD DATA Date installed Length /-~"~' ~ Width Total absorption area Date of adequacy test /_2//~. Water level in absorption field before test Peroxide treatment (past 12 months) (Y/)~ Manufacturer / Manhole/Access (Y//~/~- ,,/~"Pump off" Level at ,/~Cycles tested Surface water Soil rating (GPD/FF) ~:?. g2 Gravel thickness /' ~ Cleanout present~J~)/ Results (pass/fail) ]t/~.~J ..~'~/S'7z~,~for System type Total depth Depression over field (Y~) ~'-~/' After test SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ,/~ '~ / To building foundation ~ / On adjacent lots ..~ ~ Surface water /,~ L/ Curtain drain ~--/~ ' If yes, give date On adjacent lots /Z~:~-/~ /-/-- Property line To existing or abandoned system on lot Cutbank ~../z) ,,_/~: Water main/service line Driveway, parking/vehicle storage area Bedrooms E. ENGINEER'S CERTIFICATION Icertifythatlhavechecked, ve~Tedt°allMOAandHAAguidelinesineffect°nthedate°fthisinspecti°n' Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number '/~'c~'//'/(7-(~' C7~/-7':2 ~(Z~-~ ~:_/~ sluewwoo I~UOp,!PPV :suo.lelndl~,s §U!MOIIO,~ eq~, ql!M 'SLUOOJpeq 'SLUOOJpeq Joj leAoJdd8 leUOp,!puoo 'peAoJddes!a Jo, p~Ao, dd¥ ~ ~IldnIYN~DIS SHHO '9 ABSORPTION FIELD DATA /T /~,.~-/ Soils Rating in Absorption Strata /~ /, ype of System Design ._ · ~/'7 ,/..c~;.¢14~N~_..0 .~'/.¢~/~ · Length of Field / Datelnstailed ~ }-),. - -/~ Depth of Field a/ Width of Field /O6~4¢' Gravel Bed Thickness ~ ,~ Standpipes Present (Y/N) y [~) ~ Date of Last Adequacy Test /~ Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: TO Water-Supply Well TO Building Foundation /.,~' To Water Main/Service Line / To Property Line / To Existing or Abandoned System on ; On Adjoining Lots / To Cutbank (if present) /~/~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verifie~l, or conformed to all M/?OA and HAA guidelineS in effect on the date of this inspection. Signed ~ Date Company MOA No. Receipt No. '~OOJ ~')("~ / ~ Date of Payment ~ t/*O "-' /'~- Amount: $ ~ -~ D ¢ Page 2 of 2 72-026 (11/84) Engineer's Seal THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Corlnection Verified LOG RECEIVED ~( 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~-~ Connection Verified INSTALLER []Septic Tank or E~] Holding Tank Size: 1.3_~-~ If Tank is homemade SOILS RATING give dimensions: ~.~.~ TYPE OF TANK MANUFACTURER ~ ~¢__.~ TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS ~ ~ -- ~L.~JJ~3.,~',.,-~ ~3,,.-0._~ " I [~]~PPROV ED FOR ~ BEDRO,~S [] CONDiTiONAL APPROVAL I etter mf?'acc, o an¥ cert ficatel []~,"'~DISAPPROV ED DATE . 5- h~--~ (' BY ' 72-010 (Rev. 6/79)