HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 2 LT 5Mountain Park Estates Block 2 Lot 5 #017-061-05 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP241263 PID Number: 01706105000 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name John & Annita Magee ABSORPTION FIELD ❑ Deep Trench ElWide Trench ❑ Bed ound Site Address 5920 De Armoun Rd ❑ Other Phone Number of Bedrooms Soil Rating Total depth fr original grade 907-748-7781 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original ^�;%A Gravel depth beneath pipe NN Ft. Subdivision Block Lot Mountain Park Estates Blk 2 Lt 5 Fill added above original gr Ft. JGravel length Ft. Township Range Section T12N R3W Sec 26 Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total a orption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 145' 179' N/A N/A N/A TANK K Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water 1001+ 100'+ N/A N/A Material Number of compartments Lot Line 7.6' 16' N/A N/A NA POIy 2 Foundation 7' 1 0' N/A N/A LIFT STATION Manufacturer Capacity N/A Gal. Alarm location Electrical installed by Remarks Septic tank replacement. Old tank crushed and filled. PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer Guaranteed Services Drainfield CO/MT Inspector R. Colles BENCH MARK (Assumed elevation) 100 ft Inspectio 1s' 8/27/2024 8/28/2024 Location and description 2nd Garage slab 3ro 4'h ON -SITE WATER AND WASTEWATER SECTION APPROVALn�� Conditional Approval: Date%��:`•'� -mowof rAW TM � �6QiLt-�dE Septic System Approved Date l /</Zoz,� Robert Coles, PE �� "'^� No. CE-163739 Note: this does include approval not well permit requirements. (Rev 05/02/18) \ SHED kE :HERIV AY R100' � '` / R100' WELL RADIUS EXISTING SEPTIC TANK CRUSHED AND FILLED / WITH FLOWABLE FILL D \ / NEW GALLON \ POLY TANKNK BY GREER A f 7.0' E C�g0 47.6' F 10.2' B SWING TIES ITEM A B C (MH RISER) 10.0' 21.0' D (DCO) 9.6' 28.9' E (CO) 13.1' 17.9' F (DCO) 16.0' 16.5 JOHN & ANNITA MAGEE MOUNTAIN PARK ESTATES BLOCK 2 LOT 5 5920 DE ARMOUN ROAD ANCHORAGE, AK PROJECT NO: 0052.01 PERMIT NO: OSP241263 PARCEL ID: 01706105000 DATE: 09/30/2024 SHEET TITLE: RECORD DRAWING - PLAN SCALE: 1" = 20' SHEET #: 2 OF 3 3-BEDROOM HOUSE EXISTING SOIL ABSORPTION SYSTEM 780 110 OF A-gskll CONSTRUCTION �+ AK BUILT & DESIGN / *. 49 TH AK BUILT CONSTRUCTION & DESIGN, LLC I �� - rr , ROBERT COLLES, PE.' PO BOX 771203 ���� . No. CE-163739 . �/ EAGLE RIVER, AK 99577 'r%F�-10/�202!f. ��C�� CERTIFICATE OF AUTHORIZATION lilF�PROFESSO --i #204451 \��\\\>> 0 o` iJ a w LL SFs F\ 9� CONNECT TO HOUSE ORIGINAL GRADF ...,.. JOHN & ANNITA MAGEE MOUNTAIN PARK ESTATES BLOCK 2 LOT 5 5920 DE ARMOUN ROAD ANCHORAGE, AK PROJECT NO: 0052.01 PERMIT NO: OSP241263 PARCEL ID: 01706105000 DATE: 09/30/2024 SHEET TITLE: RECORD DRAWING - TANK PROFILE SCALE: 1" = 5' SHEET #: 3 OF 3 AK 13UIL CONSTRUCTION & DESIGN BUILT CONSTRUCTION & DESIGN, PO BOX 771203 EAGLE RIVER, AK 99577 CERTIFICATE OF AUTHORIZATION #204451 CONNECT T EXISTING LINE OF. A�gsll1 o *. 49 p %ROBERT COLLES, PE: / I . No. CE-163739 �% ���, t c�JlF�F0.7 p 2024 ll� PROFESSION,` I11c AK BUILT CONSTRUCTION & DESIGN, LLC GENERAL CONTRACTING - ENGINEERING - PR❑JECT ADMINISTRATI❑N October 13, 2024 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Section PO Box 196650 Anchorage, AK 99519 RE: Mountain Park Estates Block 2 Lot 5 — Septic Tank to Foundation Waiver A waiver is requested to allow a septic tank to be located closer than 10' to a building foundation. The requested separation is 7' between the septic tank and the building foundation. Anchorage Municipal Code (AMC) 15.65.205 B. 1. c. states the following, For a conventional foundation having a strip footing or a shallow foundation consisting of a concrete slab with thickened edge, a septic tank shall not be located within the foundation soil bearing prism established by a forty -five -degree plane extending down and outward from the bottom outside edge of the footing or thickened slab edge, or a minimum of ten feet from these types of foundations. Exception: A septic tank may be located no less than five feet from a foundation supporting a storage -shed, greenhouse, agricultural building, shop, garage, carport, or similar structure having a total gross floor area of 600 square feet or less and having an eave height of ten feet or less. The subject parcel is served by a septic tank located on the west side of the residence. The garage has a small space that juts out from the remainder of the west face of the structure. This jut out is 7' from the septic tank at its closest point. This is less than the 10' required by the above -cited code. When analyzing the foundation soil bearing prism of 45°, the septic tank is still in violation of the required separation distance. The garage is less than 600 square feet, and the eave height is less than 10'. The portion of the garage in question is not transferring structural load from the house's second story above. The jut out portion of the garage is an addition that was added to the original garage space and the original structure was not altered to modify the structural load paths. This waiver request also presents an alternative soil bearing prism to be used to justify the tank location. A zone of influence methodology is applied to determine the acceptability of the tank location. The zone of influence is used in geotechnical engineering to define the extent to which stresses from an applied load penetrate into soil and how the load spreads laterally. The zone of influence is typically assumed to be 30° from the vertical for rectangular footings.' Outside of the zone of influence, applied stresses reduce significantly. This methodology is similar to the 45' soil bearing prism established in AMC 15.65 but utilizes a different influence angle. Soils on the subject parcel, and neighboring parcels, are predominantly silt/silty sand. This fine-grained soil possesses some amount of cohesion and warrants the use of a lower angle of influence. The cohesive ' Michael R. Lindeburg, PE, PE Civil Reference Manual, 16th Edition, 2019 PO BOX 771 2❑3, EAGLE RIVER, AK 99577 -PHONE: (9❑7) 854-91 1 5 PAGE 1 ❑F 2 AK BUILT CONSTRUCTION & DESIGN, LLC GENERAL CONTRACTING - ENGINEERING - PROJECT ADMINISTRATION characteristics of the soil were observed during the tank installation process as evidenced by excavation sidewalls not collapsing in deep cuts. The topography of the lot slopes downhill from north to south. The northern half of the lot has a shallower slope than the southern half of the lot. The southern half of the lot visually appeared to be steeper than a 3H:1V (33%) slope. There is no anticipated negative impact due to the lot topography. The anticipated wastewater flow is from a 3-bedroom residence. There is no anticipated negative impact due to wastewater flows. AK Built Construction & Design, LLC does not have reason to believe there will be probable adverse impacts to adjacent properties by approving this waiver. If you have any questions, please contact me. Sincerely, Robert Colles, PE AK Built Construction & Design, LLC Project Manager/Managing Member 907-854-9115 rlcolles@akbuilt.net Enclosures: Tank Plan & Section Diagram C x C-L�p1+�'IV f 4N r• r • •r.• " Robert Colles, PE � No CE-163739 •"'As {{ J;".*1 0/13/2024„`.i` t c.. W PO BOX 771 203, EAGLE RIVER, AK 99577 - PHONE: (907) 8 54-9 1 1 5 PAGE 2 OF 2 EX SEP 10" THICK CONCRETE 14"W x 6"H CONCRET SOIL BEAR] PLAN VK SECTION N DE ARMOUN ROAD o0 �� Lot 4 VnIF-Pc N 86'16'57" E 110.23' r 00 Shed r iu Shed -/ /1'_' /J " L - Shed. O N M ti 1s.g' 31.1' Ln ry House 24.0' 19.7' hl 46" 14.7• IL(o) 30' Utility Ease N 89'57'54" E 110.00' Lot 6 1 I 0 25 50 US SURVEY FEET OF Ak4l * ,49.TH.. ,�;* �I 0i Jeremy A,Hursf LS_ 96 AdW� l�l p'�OfESSbNAl�a4.� -All dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. P-461. 49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under no circumstances should any data hereon be used for construction or the establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions; no title research performed. AS BUILT SURVEY Lot 5, Block 2, Mountain Park Estates, Anchorage, AK Wll:114N11C OO Well QS Septic Tank Lid ® Septic Vent/Clean Out 49th Star Surveying PO Box 738 Girdwood, AK 99587-0738 (907)891-6111 Jeremy@49thStarSurveying.com W.O. 2459 1 DATE: 9/17/24 SCALE 1"=50' MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241263 Work Type: SepticTank Upgrade Tax Code Number: 01706105000 Site Legal Address: MOUNTAIN PARK ESTATES BLK 2 LT 5 G:2938 Site Mailing Address: 5920 DE ARMOUN RD, Anchorage Owner: MAGEE JOHN K & ANNITA S Design Engineer: COLLES ROBERT This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ell t } At f D(epa r tnIent 8/19/2024 8/19/2025 39050 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 Received By: Date: Issued By: / 5 _S TO F-0 T- C- 0 c L- Date: 3 ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 0 17 - 06, 1 - 05 Property owner(s) J-0 km k- _ M ?ZltQ Day phone Mailing address 2 C.) � ox L ( 0 e-46d Get Site address -592--0 jj-.4YM0LA_VL R-11 9915 1 Legal description (Sub'd., Block & Lot) Wo"v, P'84-k tzt 29 Legal description (Township, Range & Section) Lot Size 0i'9Ae-vQ4, Sq, Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field F1 Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal El Multiple Dwellings El Privy F-1 j L__j (SIC MNSF andflor L.'fj Private Well El Water Storage El THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: & VILCE— Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Sigo$ture of property o4er or authorized agent) Permit/Rush Fees: Z135 Waiver Fees: Date of Payment: ZL6A q Date of Payment: Receipt Number: CEO LI36_D d 36 q5 D Receipt Number: Permit No. Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorms\C lie nt FormsTermit Application.doc Application to MOA to Replace Ageing Septic Tank Applicant: John K. Magee, Owner Date: 8/17/2 " Mailing Address: PO Box 110813, Anchorage AK 99511; Physical Address: 5920 DeArmoun Road, 99516 Telephone: (cell) (907) 748-77811 email: jkmengr4l @gmail.com Engineer of Record: Robert L. Colles PE Alaska CE 163739 email: rlcolles@akbuilt.net Tel: 907-854-9115 Parcel ID# 017-061-05 HAA# HA900464 Property: Lot 5; Block 2; Mountain Park Estates; Description: Single family, residential on -site waste water system. 3 bedrooms. Purpose of Existing Tank Replacement: Tank is 1,000 gallon Steel over 30 years old. Proposed Replacement tank: Polyethylene Septic Tank 1,250 gallon MOA Configuration as Sold by Anchorage Tank (see attached Submittal Data Sheet). Scope of Project Removal of existing steel tank from system and replacement with new 1,250 gallon Polyethylene tank. The existing tank may be abandoned in place after pumping down to remove contents and filling the tank with a flowable aggregate fill such as sand and the existing tank crushed to allow placing 4-inch ABS pipe over the crushed tank to extend the approximately 30-foot long house sewer to the replacement tank. The sewer extension will be bedded and backfilled to protect the pipe and allow backfill placement over the top. A bi-directional cleanout will be installed close to the building foundation and the new sewer service will extend to the replacement tank connection. The bi-directional cleanout will allow the house sewer to be inspected and cleaned from the waste water stack in the house to the new Polyethylene septic tank. The new Polyethylene tank will be installed on the alignment of the existing treated effluent pipe leading to the existing absorption field located immediately south of the house. A bi-directional cleanout will be installed downstream of the tank, within 10- feet of the tank outlet. 2-inches of insulation shall be installed if tank soil cover is less than four feet and greater than two feet. The new Polyethylene tank installation will have no impact on adjacent properties. The new works are over 16 feet above any water table at the installation location (ref soils log dated 9-20-90 by S&S Engineering for subject property). The replacement tank and connecting pipes are more than 100 feet from the potable water wells on both the neighboring Lot 4 and the installation Lot 5. Existing Lot 5 as-builts are being relied on for the tank replacement project as the work will be done in a relatively small area and the visible topography agrees well with the documented topography and plot plan. Inspection and Final Report for Record: Will be by Robert Colles, PE. (Alaska CE-163739) Attachments 1 - Submittal Data Sheet: Polyethylene Septic Tanks, 1,250 Gallon MOA Configuration 2 - Portion of Un-Recorded As -Built Survey showing site details and work location. 3 - Certificate Of Inspection for Health Authority Approval (2 pages); Approved 11/2/90. 4 - On -Site Sewage disposal System Report; Approved 11/2/90. 5 - As -Built Survey dated 10/14/90. 6 — Soils Log by S&S Engineering dated 9/20/90 r 5tj -t� vj . loco, •,. OF ALq *: 49 TH l - .._ __.__ -../. - — _.-.. • • . e e e • . ee a .-Y,� GG ; ROBERT L. COLLES AVr PROFESSIO� -30 W-1.77" //0. 00 ' S L'orve.,y do &d i�i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name It DISTANCES TO SEPTIC ABSORPTION Address �' FROM TANK FIELD WELL IiitELL ' 12 f - s Phone(s) Permit No. . No. of Bedrooms 5 n03�(Q 7 LOT LINE r i� -/ I { U I �- LEGAL DESCRIPTION Lot f� Block Su ivision N FOUNDATION ` ' U - Township, Range, Section - j _ AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, - driveway, water bodies, eta) TANKS WELL E-1SEPTIC ElHOLDING , Manufacturer Capacity In gallons !NC Q ' Material No. of Compartments TYPE OF SYSTEM I�TRENCH ❑ BED ❑ W. DRAIN E)OTHER Depth to pipe bottom from Total depth from original grade original grade r Q `C FT FT Fill added above original gra Gravel depth beneath pipe CJ FT FT Gravel length I Gravel width 3 FT f"f-J ac Total absorption area Distance between lines V (� U SO FTLi FT 7.-1 l tI ••, .. W O 1 1�I Number of lines Soil rating Pipe material I 6 40FT �1n� _�D3 p Q IL Installer�aJL .� Date Installed f WELLS ❑ PRIVATE ❑ OTHER (Identifvl C Al Classification (A,B,C) Total Depth Casetl to FT FT ` ,. 1 Installer Date Installed: REMARKS: MNil Scale: N.TS. ENGI L i NC I" o' Inspectmi2s . rformed by:• ,t r jTT)e 0 D ate LV e�'rA rcf 0jo- .I'veIeL)iA toff = ._ f9 cWc\ enJD ,MT ft3otton\Teva ton = — tb•a1 a' 2. .0 � J p S l (R Ie River Lou Road I certify That This Inspection was peltormed according to all I qver Alaska 94577 C� � Municl5flile �, «olrort a ale gui6elines in effect on this date: J Nr °a 1457 •L A �l t ���,�`�!=i: Health Department Approval: '^i0 Date: 11 0 `, 1.'�t"l,•,�'�-+<"R Dwner Name: JIM HENKELMAN (}wner Address: 5920 DEARMOUN ROHD ANCHORAGE� AK 99503 Day Phone: 561-1633 Parcel Id: 017�061�05 Lot Legal: Subdjvision: MOUNTAIN PARK EST. Lcit. : 5 Block: 2 Secton: 16 1ownshi1::i: 121" 1 Range: 3W Lot Size 39050 (sq"�t. or acres) Max 8edrooms: [h:Ls Permit: 3 Total Capacity: 3 C lANK: Minzmum tota1 septic tank capacity: 1,000 gallons. Eccl septic tan|must have at 1easIt. 2 compartments^ Depth to top to septic tank(s) i�et raquirEno insulaLion over tank(s). �HPENo! I7 EAPIRES 12/31/90 AND VALID FOR A SlMGLMILY HO01E, RUC! PER ENGINEER'S ATTACHED D[SIGN, S. PRIUR lU INSPE[TIONS BY ENG1NEE�, IF AFTER CALL 343-4b81 AND LEAVE A MESSAGE. 3� A HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN October 17, 1990 Munic%patity o4 Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Ataska 99519-6650 REFERENCE: Lot 5; Btock 2; Mountain Pa&k Estates PERMIT REQUEST NARRATIVE ROBERTS HAFER, P.E. ROGERSHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 An adequacy test was perbotmed on ,the septic system serving .the rebenenced property on September 10, 1990. The septic system was adequate got one bedroom. A soits test was pet4o&med behind the home .in an area permitted in 1980 bot a septic system. Better 6oit was eneountetd and .the entire area was not used. Due to the targe tot size and existing wett and septic tocations in the immediate area ob the reberenced property we cannot borsee any "ptobabte" impacts to adjacent propettie6 as a tesutt o6 the instattation o4 proposed septic upgrade. We beet the proposed septic upgrade design is the best 4or this property and Witt impact adjacent ptopetties .the teast because o4 the bottow.ing reasons: 1. Upgrading the teachbietd in the proposed tocation adjacent to the existing teachgietd can be done without abbecting any ob the neighbors reserve areas. 2. The proposed upgrade is toeated bar away Brom the creek that is toeated near the bottom ob the hitt Brom the home, thus atteviating potentiat bot eteek contamination. 3. The proposed trench upgrade witt bottow the contour ob the sP.ight stope which exists. 4. The area drainage witt remain virtuatty unchanged. The weft on this tot and the adjacent tots ane upkitt Brom the septic systems and witt not be a ptobtem. A waive& is required on the separation distance between the teach6ietd and eutbanh. The existing system has been operating at maximum e66eetive depth with no surbaci-ng apparent. The proposed system is very simitat to the existing trench as it also witt have Brom 10' to 15' o6 approximatety 3% stope ptior to a smatt cut bank. The test hate was excavated prior to the tegutations change. We atso woutd Pike to instatt the trench closet than 5' to the test hate to attow bot the most area po6s.ibte between the trench and the cutbank. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 5; Btoch 2; Mountain Path Estates October 17, 1990 Ig we mg4--by- ob sutthet 3etutice, ptease contact us. ERT A. SHAFER, P.E. /gm 4 IW 4ry ray ( pa. kl �3 n a p r4n -LW op fq 4 IW 4ry ray ( pa. kl �3 n a p r4n -LW ` \ ©¥ 3\ >yI Q / G vi ° *. < q \ a 2 a � � . \ ® Qj- , 2t Lu w. 2 — / /Ip . «Em 7 � � ® � 2 g z # 2 � @ 2 - % - ��^ ¥« ,ZZ`„ e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR:_, --) /M N/IMAk; DATE LEGAL DESCRIPTION: Lo l L P'jr,(-k - 7, . Township, Ranqe, Section: (FEET) 1 2 3 4 5 6 / / 7 / 8 V. / 9- 10-/ 11 12 13 / •/ 14- 15- 16- 17 415 16 17 81920 18- 19- 20 COMMENTS s�V\eu�itgiN 'r,.^K Est -o V I— —6v 14 5 SLUPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L DEPTH? 0 P E Depth to Water A�fter, `"�,t Monitoring? — ---- Date: SITE PLAN Reading Date Gross Net Time Time Depth to Water Net Drop t 3 1 I PERCOLATION RATE ^ a �% (minutes/inch) PERC HOLE DIAMETER Irk TEST RUN BETWEEN FT AND _ L FT PERFORMED BY: 17034 Eagle River Loop Road204 ag aver, Alaska 99577 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EF CT ON THIS DATE. DATE: I• /3 /�� 72-008 (Rev. 4/85) , MUNICIPALITY OF ANCHORAGE DIFIPARTIVIFNIT OF HFAI-THR4 F N V I ROKIPIP,IT A! -P HOTF("FlONI FINVIRONAIIENTAL ENIGINIEPRINC Y)WIN101\1 825 1. Street - Anchorage, Alaska 09901 Telephone 264-4720 ON-SITE SEVVACiFDISPOSAL SYSTEM AND/OR WF-.I-I-iNISPECTIONIREPORI- NAME PI ION E --KNEW CI UPGRADE MAILING ADDRESS . 0 — LEGAL DESCRIPTION %s 6 '2 LOCATION A/ NO, OF BEDROOMS U I Well Absorption area DISTANCE TO: L I Is -- Dwelling PERMIT NO. -( ' ' L (3 Oo 2 D o__ I– z U1 F. Manufacturer L-7 Material - — -- No. of compartments Liu. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth Clz x JAZ TO: W, welling PERMIT NO. Oz Manufacturer Material Liquid capacity in gallons 0 -j �, Well - DISTANCE To Foundation Nearest lot Ij /75 PERMIT NO.— W LL ZU Z LU — t lines No. �o. Length of each line, Total length of lines Tiench width Distance between lines C) inches Top of tile to finish grade Material hieireiath ti I e — 0 inches Total effective absorption area e-/ �'e) /.,I UJ Length Width 'Depth PERMIT NO. 0 — < a. Type of crib Crib diameter dej3V­)-- —Crib Total effective absorption area w (n S DISTANCE TO: I— Well 21 Building foundation Nearest lot line Class Depth E — Driller -- Distance to lot line — PERMIT NO. LU 3: DISTANCE TO: I ST To Building foundation Sewer line Septic tank Absorption Absorption area(s) OTHER PIPE MATERIALS P1.2 5' C SOIL TEST RATING INSTALLER — REMARKS ek, r, Ile d L, i i's kd) LUC it �rl A f 0 "14 APPROVED DATE LEGAL 79-012 fRm, /781 DEPARTMENT HEALTH AND ENVIRONMENTAL )TECTION 825 STREET, ANCHORAGE.- AK 95--ol 264-4720 1,.-.IE:L-L- 1=11" -JE -s f3r-4—`1-rE:" *F.F_t-JF=F-_" F::"[=-F--_"r-11-r PERMIT NO. ( 800420 � APPLICANT JIM HENi-**ELMAN 4141 APOLLO DRIVE ANCHORAGE 99 _337-4712 LOCATION 2 1e'2 MILES DEARMOUN 38000 SQUARE FEET LE13AL L- �92� I "T -PAR LOT SIZE TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR )= 220 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: r.s F_- Fz"-r " o= e t -F=r -4#3-r"= -7-4-P of:;_"nVE71 C" E- F=m -r H THE LENGTH DIMENSION 15 THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). F " E- -r F," Er'r-J #: " L4 I CA _F " I 1 15. C ---e 0 IZI F= E—= F-- -r THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FR r_- Q U I F;:? F= En. "=- F= F::,, -v I sz- -r n N K :F. 10 r=- = 10 0 0 ID n L_ L_ IZI " OE" PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. _r 1A.1 I) < I N!F. F- IF IZ -r 101'•.1 :F- n F6. F= FREE CA U I F:;;? E: t> BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE I -JELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=" E"FR rl I -r F= X 1=:"l F, CN EF 0 a t"-10 a F:.I.o 2� J : j *=A 0-. NZ -1 I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET' FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM 114 ACCORDANCE WITH THE CODES. 2"o I UNDERSTAND THAT THE 04—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE 1-!i. REMDEk.EU Tfj ppki-lME MbPE THAN 3 BEDROOMS. S I r iNED IcAt-IT, i ISSUED 1.3T ------ r. v -r-4c. �l 17 V4. 0 ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 1 825 L. Street, Anchorage, Alaska 99501 264.4720 TEST SOILS LOG — PERCOLATION TEST PERFORMED FOR: ;; 114W ('74 1, tJ166L fm E-A) DATE PERFORMED: 04J r �4 171za'0 LEGAL DESCRIPTION: G 5- AI 7— 1;71e— 6-5 / DEPTH /gyp 1 SLOPE --SITE - �i�iv U{Li (FEET) 0.-/ 4•/\� /��C��'.� 1 2 Date 3 Net Time 4- Net Drop 6- 7 8 Z 9 10 11 12 L o 13 14- 415 15- LQ 16 16 17 y 18- 19 S"r Lv 20 - e'/ear ram v'e 8S� ¢ - 117 S 4 ��v7 Y�G7 S�f1L' %_160 '/Z✓)sL Silt . OF At I �•w►�r+rrry ar,�, NO. 1732•E June 22, 1968 NOON NOON EENN 01101 IN 494,160 NUNN EENE NEON NONE WEEN WAS GROUND WATER S ENCOUNTERED? L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop Z L o LQ Z �fyz0o"'! ivy S"r Lv 65� S(417 PERCOLATION RATE (minutes/inch) V TEST RUN BETWEEN_ FT AND FT COMMENTS Z- r`41Y //7L%.- Z ,ZQ ROZ, �'� PERFORMED BYf enj �G sit G. CERTIFIED B 72-008 (6/79) DATE: P. `oto o U SOILS LOC, MUNICIPALITY OF ANCHORAGE hr +� �•+1`I DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION x PERCOLATION Pouch 6.650, Anchorage, Alaska 99502 276.2221 TEST SOILS LOG — PERCOLATION TEST PERFORMED FOR: _—Jain ,j?�� 'I ��} DATE PERFORMED: ) Depth to Water r LEGAL DESCRIP"TION:.. !_K ��v 1 L} .�C�j-�`i `. r - �D� 411 l —L ��q��. / DFP 1'11 treEr) �) � j"�� � f C�Ct SLOPE SITE PLAN r I tl7c:f)f'/Y1GKiH.IG 1 15 i 16--- 3 P/ M I i 3 , 1 5 y 7 8 3 9 r ;'• 10 Not Time Depth to Water r 13 / 14 {� M 15 16--- 20 O. T+all+ot 4069•a COMMENTS WAS GROUND WATER S ENCOUNTERED?_ LO ML P IF YES, AT WHAT E r�- Reading Date Gross Time Not Time Depth to Water Net Drop PERCOLATION RATE _Z12-0,_____Iminutes/inch) TEST RUN BETWEEN FT AND _--Z L FT PERFORMED BY: _L�•—` CERTIFIED BY. 72 008 (7/7a) k / &JZk i- DATE:,/'�j P ro v v I wr-li r -1i ro 5z: J: Ca .rl!Cd W:: Wi h0 U)!U) 44 h0 ro roEr+��s; U) U! LO 0[. U) U�)r; FF FF �FrfiFr. HH HH HH FF GH. 0c)! \Oi CO: N! Ni Ni O O O O O O O O O O O O H [Hr FH [H. [H� [F4 [H� [H� [H� H HH H O O O O O O O O O O O O P6 H d } w �4 N 4N I; v W! G W: ni O !+' y!+� a v P� 1 U) rii W r -i :ri (Ui, U) ir-I Ri,ri roi r1 & vi La Rt i r-1: r -i S, ! r -I --1 U); S:; i ri v F1 r! ••� j •rl ai ; •r� :ri v; Cd; •ri ;,4 Q S -i O; vert O; U: (n! to rn : u) ;rn f: m(n W ! !tp4pur � P. of ,! �1: i C\! ,ji i WSJ '; O� N COUv; O i cU ()C)! Q\: ()r\i O O O O O O O O O O O O H H H H EH H NH H H H HFF FH i Chi ' : (X) : 01�N: coi M i n CO : 01 v ): rl'! rn; 0000000000000 w x x x x a x x x r4 x x w w w w w w w w w w w w O r -i r -i v v +� v 0 4-I G O 0 4� 4- O o +� 0 4� 0 U ,00 C +' v 4-t } 4-i 0 4-t 4-, +-� O i � 4 V 'U + U) v Ul aA r - (D •ri U P4 1-1 o •a ,C: •H U) O Pi :Y O ai +-) n A O V) r-, r-+ G3 { r'� y v 0 1 Oi v! 'o 4� -P ! i +'! -P ! ;5 h0! O ! (O! 1 '0 i •ri; v r; ~; v; ;1 v; Ot CO i O; cU 41! O; v! Oi -Pi Cli 41 4y! O fi i .-i CO:: O: H: \ K^ o! W o r,; W � � W q [a7 N N A A C) U A G. w0 vHi A C7 6C ro v v I wr-li r -1i ro 5z: J: Ca .rl!Cd W:: Wi h0 U)!U) 44 h0 ro roEr+��s; U) U! LO 0[. U) U�)r; FF FF �FrfiFr. HH HH HH FF GH. 0c)! \Oi CO: N! Ni Ni O O O O O O O O O O O O H [Hr FH [H. [H� [F4 [H� [H� [H� H HH H O O O O O O O O O O O O P6 H d } w �4 N 4N I; v W! G W: ni O !+' y!+� a v P� 1 U) rii W r -i :ri (Ui, U) ir-I Ri,ri roi r1 & vi La Rt i r-1: r -i S, ! r -I --1 U); S:; i ri v F1 r! ••� j •rl ai ; •r� :ri v; Cd; •ri ;,4 Q S -i O; vert O; U: (n! to rn : u) ;rn f: m(n W ! !tp4pur � P. of ,! �1: i C\! ,ji i WSJ '; O� N COUv; O i cU ()C)! Q\: ()r\i O O O O O O O O O O O O H H H H EH H NH H H H HFF FH i Chi ' : (X) : 01�N: coi M i n CO : 01 v ): rl'! rn; 0000000000000 w x x x x a x x x r4 x x w w w w w w w w w w w w O r -i r -i v v +� v 0 4-I G O 0 4� 4- O o +� 0 4� 0 U ,00 C +' v 4-t } 4-i 0 4-t 4-, +-� O i � 4 V 'U + U) v Ul aA r - (D •ri U P4 1-1 o •a ,C: •H U) O Pi :Y O ai +-) n A O V) V] i { 1 i +'! r1i (O! ;1 v; Ot CO i O; cU uj Oi coCrN Cli K^ o! W o r,; W � � W q [a7 O A A ro v v I wr-li r -1i ro 5z: J: Ca .rl!Cd W:: Wi h0 U)!U) 44 h0 ro roEr+��s; U) U! LO 0[. U) U�)r; FF FF �FrfiFr. HH HH HH FF GH. 0c)! \Oi CO: N! Ni Ni O O O O O O O O O O O O H [Hr FH [H. [H� [F4 [H� [H� [H� H HH H O O O O O O O O O O O O P6 H d } w �4 N 4N I; v W! G W: ni O !+' y!+� a v P� 1 U) rii W r -i :ri (Ui, U) ir-I Ri,ri roi r1 & vi La Rt i r-1: r -i S, ! r -I --1 U); S:; i ri v F1 r! ••� j •rl ai ; •r� :ri v; Cd; •ri ;,4 Q S -i O; vert O; U: (n! to rn : u) ;rn f: m(n W ! !tp4pur � P. of ,! �1: i C\! ,ji i WSJ '; O� N COUv; O i cU ()C)! Q\: ()r\i O O O O O O O O O O O O H H H H EH H NH H H H HFF FH i Chi ' : (X) : 01�N: coi M i n CO : 01 v ): rl'! rn; 0000000000000 w x x x x a x x x r4 x x w w w w w w w w w w w w O r -i r -i v v +� v 0 4-I G O 0 4� 4- O o +� 0 4� 0 U ,00 C +' v 4-t } 4-i 0 4-t 4-, +-� O i � 4 V 'U + U) v Ul aA r - (D •ri U P4 1-1 o •a ,C: •H U) O Pi :Y O ai +-) n A O V) MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 On -Site Water & W6___astewater SectionFax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I . D. 017-061-05-000 Expiration Date: 9/6/2025 Legal description MOUNTAIN PARK ESTATES BLK 2 LT 5 Site address 5920 DE ARMOUN RD Anchorage AK 99516 Current property owner(s) MAGEE JOHN K & ANNITA S X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for Comments or advisories: a bedrooms, with the following stipulations: Original Certificate Date: 11/8/2024 his Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approvdjune 2022 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 Application 1. GENERAL INFORMATION Parcel I.D. 01706105000 Complete legal description Mountain Park Estates Block 2 Lot 5 Location (site address) 5920 DeArmoun Rd Current property owner(s) John & Annita Magee 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 907-748-7781 3. TYPE OF WATER SUPPLY: ❑N Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL:❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel Plastic ❑ Concrete ❑ Fiberglass Age 0 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: N/A Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment A Z o y Date of Payment COSA # �'S Z- `/ / y Waiver # COSA Applicalionjune 2022 Mountain Park Estates Block 2 Lot 5 01706105000 1 7 9/23/1980 276 N/A 276 3.66 21 9/11/2024 Anchorage Well & Pump Service 241 9/6/2024 58" N/A New tank. Not an AWWTS. 10/26/1990 9.73 2.88 0.5' No N/A N/A 9/11/2024 51 450 81 900 51 450 90 51 39 Field repairs have modified field COs & MTs. There is a MT mid-field that extends to the bottom of sewer rock. The MT located at the end of the field only extends 0.5' into the sewer rock. N _� 00 C O Lot 6 9��9�itlii\ US SURVEY FEET AdW ...meq ll . / .. . . . . . .,. . rr Jeremy A,H t • 1 96 • ll� Amw �FESSIONAI.���� -All dimensions shown are grid bearings and ground distances, record boundaries are per Plat No. P-461. -49th Star has conducted a physical survey of the property and all details shown on this Asbuilt Survey are correct. Under no circumstances should any data hereon be used for construction or the establishment of property lines. -It is the owners responsibility to determine the existence of any easements, covenants, or restrictions; no title research performed. AS BUILT SURVEY Lot S, Block 2, Mountain Park Estates, Anchorage, AK T.FGFN17 OW well QS Septic Tank Lid ® Septic Vent/Clean Out 49th Star Surveying PO Box 738 Girdwood, AK 99587-0738 (907)891-6111 Jeremy@49thStarSurveying.com W.O. 2459 1 DATE: 9/17/24 SCALE: 1"-50' MUNICIPALITY OF ANCHORAGE } • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES •' 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ��� 1 1 �r'� - HAA # v>At���i( �d L.�� -J 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 5; Btock 2• Mountain Pakk Estates Location (address or directions) 5920 DeAnmoun Road (b) Property owner Jim HenU,&an Telephone : (home) 561-1633 Business Mailing Address 5920 DeAnmoun Road Anchonage- AZaAa 99503 (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the following address: (or check here)U, if hold for pick up.) List contact person and day phone number below: s & 5 ENGINEERING 17034 E i River L®ep gto-tr i+ -el +;� - Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single -Family NX Number of bedrooms 3 3. WATER SUPPLY Individual Welles Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site 2X Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 KBl/d5/s NEIL HnW7iiOF FL-''• 4 tJ � a� ,�° CE - 4369 • ; ^�y�� (Page 2 of 21 2-15-'84 ill l uuCJ, ura(nances, and regulations in effect on the date of this inspection Lournpiiance with all Municipal and Name of Firm S & S ENGINEER, U Telephone Address 17034 Engle River Loop Road igo. L,A4 Date 6. DHHS APPROVAL NX4 ,3 taw', rte. 7Ma. 1 Approved for bedrooms by �ktj-1`d ! s,fn ( 7—(4 Date a cp(I Approved Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 Of 2 MUNICIPALITY OF ANCHORAGE (MOA) P ���y o`�Q� •, ; • Health Authority Approval (HAA) ���QP �p�' CHECKLIST - FEBRUARY 1984 ���' 343-4744 /_ Legal Description: _�t�; �C K, > A. WELL DATA Well Classification S N a le- L(4 m, t 1u If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) �J Date Completed ,!T — 2 3 — £3c Yield Total Depth 2 71 Cased to o f Depth of Grouting Static Water Level S 2 Pump Set At LC Casing Height Above Ground 12- f Sanitary Seal on Casing (Y/N)— Electrical Wiring in Conduit (Y/N) u Depression Around Wellhead (Y/N) A) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot (c7C� ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot (D f ; On Adjoining Lots ( coo To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole _ /A i To Nearest Sewer Service Line on Lot 2 S -4 S 5 EiJ N �eJrN_p ; Date / (� - 3 - 0 Water Sample Collected by � 4J 7 .L Water Sample Test Results-+eU=L� cif w' -C Comments B. SEPTIC/HOLDING TANK DATA Date Installed / 0004A No. of Compartments Standpipes (Y/N) �—Air-tight Caps (Y/N) 4 Foundation Cleanout (Y/N) (q Depression over Tank (Y/N) 4( Date Last Pumped — 9 � — cl O Pumping/Maintenance Contact on File (Y/N) A216 ; for A Holding Tank High -Water Alarm (Y/N) �)/_ Temporary Holding Tank Permit (Y/N) A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well To Building Foundation To Property Line / To Disposal Field To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments 72-026 (Rev. 7/88) Font Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata z? 42 & B �' Type of System Design / Q C_- w L Date Installed /o'Z S O 9 -"2 4, 60 Length of Field 3 !� 71 fo t 4 l Width of Field (9 Depth of Field 9` to Grav I Be Thickness �/ 7. Square Feet of Absortion Area - �{ D 10 -to S70 2atndpipes Present (Y/N) Ll Depression over Field (Y/N) N Date of Last Adequacy Test - /u ' q o Results of Last Adequacy Test `�-)A rr 5 ] W c7 -a r!I f R P rly'a0ti ((2qt iAdi ci o r 2 SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well / �' / + To Property Line (r� To Building Foundation To Existing or Abandoned System on Lot O ; On Adjoining Lots c� To Water Main/Service Line � m / f To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area i o 7 f Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed a �idirtirE�rttt�r Company 4 Engle River Loop Road No. 204 Eagle River, Alas a Date � MOA No. CF- Receipt No. 3 6r G7 Date of Payment 1D- . `?d^ cC 6 Amount: $ 6 c-) Receipt No. _ Waiver Fee: $ Date of Payment 72-026 (Rev, 7/88) Back Page 2 of 2 1� e r5, .b i t, _R x G'' ALA.DRRATORIES CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET • ANCHORAGE, ALASKA 99518 • TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 29433 Date Report Printed: OCT 22 90 @ 12:01 Client Sample ID:LS B2 MT PARK ESTATES PWSID :UA Collected OCT 17 90 @ 17:10 hrs. Received OCT 18 90 @ 14:45 hrs. Preserved with :AS REQUIRED Client Name S & S ENGINEERING Client Acct SNSENGP P.O.# NONE RECEIVED Req # Ordered By : R. SHAFER Analysis Completed :OCT 19 90 Send Reports to: Laboratory Supe vfsox STEPHEN C. EDE 1)S & S ENGINEERING Released By � � �— 2) Special Instruct: Chemlab Ref #: 904364 Lab Smpl ID: 1 Parameter Tested ------------------------------------------- NITRATE-N Sample ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED BY RDJ. Matrix: WATER Allowable Result Units Method Limits ---------------------------------------------------------------- 0.50 mg/l EPA 353.2 10 1 Tests Performed See Special Instructions Above UA=Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Less Than, GT -Greater Than A h�\ 17034 Eagle River Loop Road Eagle River, Alaska 99577 ROBERTA.SHAFER CIVIL ENGINEER 694.2979 PROJECT:I Y_ I � !z-) M / N 1 �e' M A A) DATE OF TEST: LOCATION OF WELL (Legal Description): Lo blocXR—)/Ul WELL DEPTH: 2 7 L FT. CASING: 40 + FT. SCREEN: p _ DATE DRILLING COMPLETED: ` Z 3 — 8o DRILLER: —SV eiJ gdro S STATIC WATER LEVEL (Top of Casing): 2 Z FT. DATE: — ( D — ! D CTIME LOCK ELAPSED TIME I P ING S OP ED, MRNEOE I WADEPTH TER, FT. I DRAWDOWN/RECOVERY I RA EPUMPG M I REMARKS Oq 0 S 2 (SWI) 0 0 Start — I o 5.� `TION 1 A 44 hoov' O 5 i to 10 15 D 20 5' 25 30 30 35 ' p 40 45 2 —p 50 6.1 55 a 60 (1 hour) 90 120 (2 hours) 150 1BO(3 hours) fq o 210 O 240 (4 hours) 04 ^. RECOVERY t 0 0 Rd 5 20 25 ; 30 35 Comments: w��� Is not Guaranteed Flaw Subsequent Variations Can Occur. P�od��eS (A Ai►JtMUM o 5.� `TION oUe�r A 44 hoov' ,ped'IoJ. k MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE. 1. General Information (a) Legal Description (include L S )s -:). r.1.. Location (address or directions) A)i>>„&I .-' r )- Application Date 4 /:z / ✓fie( block, subdivision, section, township, range) f s f,, to (b) Applicants Name s_Li K P Pe �,C- �� Tblephone 34. r) - Applicants Applicants Address (c) Applicant is (check one) Lending InstitutionOwner builder_ Buyer ; Other (::I(explain); (d) Landing Institution _Telephone Address (e) Real Estate Co. & Agent Address Telephone 2. Type of Residence - Single -Family v Number of Bedrooms 3. Water Supply Individual Well r" --I Multi -Family Other (describe Community l- j Public Note: If C0ffwnity well system, must have written corfirmatior from the State Department of Environmental Conservation attesting to the legality and status. Is the well adequate for the number of bedroans specified in this HAA (Y/N) 4. Sewacl_, e Disposal Onsite [:-= Public Ccmemunity F—:j Holding Tank �_ Is the wastewater disposal system adequate for the number of bedroans (Y/N) (Page 1 of 2] 2-15-84 5. Engineering Firm Providing Inspections, 'lbsts, Data and Information I certify that I have checked, verified, effect on the date of this inspection. I c i�11L i� or rcc1, Signed .'1':,_ or conformed to all MA HAA Guidelires in e'ri, -JcN -(1.I..•i, f-h"I „f .,J„at`o Date A-) -t��- Name of Firm /11i`%,k,'7 j,.•Yne >,c F" Telephone 3,.f z/-) ! Address 7 i .2 - Signed Signed bytThnY..�te Date (ENGINEER SEAL) 6.DHEP Approval Approved for __3 bedrooms Approved Disapproved Terms of Conditional Approval p(T^_esFACL 7G ey All .. . 'e . � °•°Jed °;; �} ®. . NEIL . cr 0 1V x /1 Date Conditional The Municipality of Anchorage Department of Health and EnvirorMe nt:a.l Protection does not guarantee the continued satisfactory performance of the water supply and/or the wastewater disposal system. This approval indicates that., as of the validation date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and Func- tional for the number of bedrocins and type of structure indicated. (DHEP SEAL) 7. Mail the HAA to the following address: KB2/d5/s [Page 2 of 21 :'-15-Hn 0 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 A. WELL DATA '/f}/ I,IeNK('e-rrAA.) PA8-Z. e1V1.JAJ7'1Jt0" 711 re S �'* l Well Classification _'0"OPl URTe If A, B, or Cr D.E.C. Approved(Y/N) 14141A Well Log Present (YM) —Date Completed �;2.3 1/$t7 Yield Total Depth ,27&' Cased to UAHINou/nl Depth of Grouting "ffA1 ,yJA - Static Water Love 02,3 a / Pump Set At .1 --k Casing Height Above Ground i1 Sanitary Seal on Casing (Y )`/e Electrical Wiring in Conduit (Y/N) yCS Depression Around TAbllhead (Y ) Llr Separation Distances from Well: To Septic/Holding Tank on Lot1Do '4- On Adjoining Lots 1D0� � To Nearest Edge of Absorption Field on Lot /OD' ; On Adjoining Lots AW,, `- To Nearest Public Sewer Line _�4/�/� To Nearest Public SewSr f OU Cleancut/Manhole_/V,/Q_ To Nearest Sewer Foonn Iot ICO Water Sample Collected �—By—j``/MUN-i�r Iq �`toT[Ctt01� Date_ fT Water Sample Test Results S --- _ . , n 094 B. SEPTIC/HOLDING TANK DATA Date Installed q -ab `8l) Size /Pjp !q,44. No. of Compartments Z. Standpipes (YIN) M Air -tight Caps (Y/N) YeS Foundation Cleanout Depression over Tank (Y/N)1Jp Date Last Pumped Pumping/Maintenance Contract on File (Y/N) for Holding Tank High -Water Alarm (Y ) Temporary Holding Tank Permit Separation Distances from Septic/Holding Tank: To Water -Supply X11 /p/>�+� _ To Building Foundation ,$ To Property Line /S To Disposal Field 6-e+ To Water Mai Service Line n/ /,5 t- To Stream, Pond, Lake, or Major Drainage Course Comments (Page l of 21 2-15-84 NHAWTHORNE-ENGINEERING Jll�A 11�i✓te s Nen ke- 1 mAn s 73;z /4 t P k E -s ,t -fes # t 4401—*FtSTIC BOULEVARD Amcm'RAui-AT.ASKA 99503 907-291F 909 CL _. F.e IoQ wet a s YNoved-'re/., "E<sT �v /toU_rea_. New �e 5' Aogv, rerc sNIJI k[.e, fi/r/I���c+/'✓H e �S"f'[P'C'Ist/)x � ' C0 5', e, ;n3 vr, roe rc tes t P71�uJee/1 iq,xki -A, ( id. �iler/Jhar ) ✓Isvally e la 551' rc� b, IP.s:reci,av, lcej v+- *IndP,�afes -Pie- 1.1 /n5 in//e� ivin UU i0" C,I ((ff d P ] /I (/ 1'O J n d ct f P�gIU h ' Col ./ G { Cil n �/ &,4, /ver tic T 7' o ✓ N a , .. I yle i C/� -e 5t u, PL/ m f eot Ino to lioi,s }rvw+ we �l PL wVv- � 4 0 1 f_ M o n s ('ro ,,, Well :z /5, F', l?M - 3 ti r 5, c' ACJ © v. l r e) /e I e c t e E r u w, ui m. act c/ I t///1s t C( C 1 6, -t f-0.C�lN?O, �7,j�2C"� �3ee /\ e C o ,yo nN e n �( e o/ ��/ ]. �1 re 1 V✓ 1 vl 0.� l 0 ✓1 a C' GJ YI o f 6)v rt'Y%S ,- ✓e,ca IvK so rre`il lvt�e jn "C�%e 3 yea r5, ri/l el ZF bl4N6 4',C-�D e-10y1ell 5:30 Ar7OUMr PtlMPen 6ePTJC, = /e)oO jF44s 11-T dI�Mt4IT' Sysr�IV t//,f reucA eo woq reAL 44.6et7 ry e5Yj>rerl y,44.s a5`/6, el y f%r sc� *, " ,A-leo aPgRA41rV /9A/L9 IN7Z) y acs. .►' �"T�r/c .Oe+°iN /�V s9dsaf'FTi a�U /"le o o%oly TOTN� RIS G A'Xon :Tr?r c.• .4rreR .5e/.Pg-rn,q SYST�i*7 /, a5 ri/l el ZF bl4N6 4',C-�D o, o o 5:30 AAS.5vsre-7 Ar Lra r?G,7•! E `t r N) p -moo 10 R