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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES #2 BLK 7 LT 4Mountain Park Estates #2 Block 7 Lot 4 #017-432-12 Municipality of Anchorage Development Services Department Building Safety Division c On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW030179 PID Number: 017-432-12 Name: DEBRA KNOWLEN Wastewater System: ■ New ❑ Upgrade Y Address: 12700 FOSTER ROAD* ANCHORAGE, AK, 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 336-2301 3 ■ Deep Trench D Shallow Trench D Bed D Mound D Other LEGAL DESCRIPTION Soil Rating: 0.6 Total Depth from original grade: 6.0 MAX GPD/Sq. Ft. Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 7 4 MOUNTAIN PARK ESTATES SUBDIVISION #2 2.98 MAX Ft. 3.02 Ft. Township: Range: Section: — — — Fill added above original grade: SEE DWG Gravel length: 1060 1030 (90' TOTAL) It Ft WELL: ❑ New ❑ Upgrade" Gravel wilt: 5 Number of lines. 2 Distance between fines: 15 Ft. Ft. Clossifleation (Private. A&C):Total Cased To: Total absorption area: 776 Pipe material: D 3034/ F-810 Driller.�X\S"�\\`\G Date Drilled: Ft. SD. Ft. Static water twvel: Installer. Date installs: A+ HOME SERVICES 6/12-13/2003 Yield:Pump Set At: Casing Height Ab*" Ground: TAN K GPM FL Ft SEPARATION DISTANCES ■Septi° 13 Holding ❑S.T.E.P. 13 Other TO Septic Absorption Lift Holding Pubrie/Prtvate Manufacturer. ANCHORAGE TANK Capacity in gallons: 1000 From Tank Field station Tank sewer unes Well 100'+ 100'+ — — 25'+ Material: STEEL Number of compartments: 2 Surface Water 100'+ 100'+ — — — LiFT STATION Lot Line 5'+ 10'+ — — — Sim in gallons: Manufacturer. ?ump on' level at Pump o ah High water alarm at: Foundation 5'+ 10'+ — — — Pump Mab del: Electrical Inspections performed by: Curtain Drain NONE KNOWN Remarks: THE OLD SEPTIC TANK WAS BENCH MARK Location and Description: COMPLETELY ABANDONED TOP OF SAUNA TUBE AT NORTHWEST END OF DECK Assumed Elevation: 100.00 Ft. ENGINEER'S SEAL p�sd� o"'� Inspections performed by: AKWWC, INC. Dates: 1st 6/12/2003 2nd 12/2003 3rd 6/13/2003 .. f ey A. G n s.- Development S a ices Department Approval , 00�s0'. —7953 G Reviewed and approved by: Date: izroi) 04oe4 �'rofessio��oo 4p000d`�c' (R«. PERMITNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SWO SW030179 017-432-12 A B C ` 100' W J ELL R401US LOT 3, BLOCK 7; MOUNTAIN PARK EST. #2 / 1 / / NEW DRAINFIELDS X EXISTING / \ WELL ST1 24,4 — 38.4 ST2 30.8 — 41.3 DBL1 33.2 — 43.0 DBL2 34.2 — 43.5 FD 35.1 — 44.2 FS 61.2 — 74.9 C01 71.7 — 76.8 MT1 73.5 — 50.5 CO2 1 61.7 — 50.5 MT2 64.6 — 52.3 CO3 — 57.3 46.9 MT3 — 59.7 49.4 C04 — 72.2 63.9 MT4 — 73.0 65.1 MT4f- f M 1 s' I CO3 rus i I I - ...,. d. '—+'•. d•= EXISTING lCO2 ADMWT ;.!. ._a. Wy 6/30/2003 i1 BE DROOM HOUSE . ALASKA WATER & WASTEWATER DS 13 Q s j" 40. C61-1 * ..... .. ..............�0 3701 E. TUDOR ROAD, SUITE 101 " ANCHORAGE, AK 99507 . PHONE (907)337-6179 • FAX (907)338-3246 •pY.: PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 2 OF 3 C, BL, DESCRIPTION: MOUNTAIN PARK ESTATES #2; LOT 4, BLOCK 7 jELRADIUS C-' -1 4f o AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE INSTALLED SUMP 0 c1!iIt Ld INSTALLED ZABEL \ NEW 100 TGAL ON 1/3-2/3 FLOW SPUTTER I LOT 5, BLOCK 7; I1 / MOUNTAIN PARK EST. #2 I/ \ 100, W RADlIle I �. b 6/30/2003 DRAWN BY: ALASKA WATER & WASTEWATER A.J.G. Q s j" 40. ,. . CONSULTANTS, INC. * ..... .. ..............�0 3701 E. TUDOR ROAD, SUITE 101 " ANCHORAGE, AK 99507 . PHONE (907)337-6179 • FAX (907)338-3246 — PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DEBRA KNOWLEN (907) 336-2301 2 OF 3 QQ ', f r A. am ss,," �4yr� •. —79 DESCRIPTION: MOUNTAIN PARK ESTATES #2; LOT 4, BLOCK 7 `cOOQ 04 re ��Aoo 0 Arofesslo k �Oppp000© TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PERMrrNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SWO SW030179 017-, ORIGINAL GRADE - 93.78 AT HIGHEST POINT ST1 IFINAL GRADE = 97.36-93.7 ST2 TOP OF TANK AT INLET =94.: TOP OF TANK OUTLET = 94.24 INVERT OF BUNGI I NEW 1000 GALLON I I INVERT OF BUNG AT INLET = 93.72 I SEPTIC TANK AT OUTLET = 93.56 WEST TRENCH OQ FlIW. E GRRAD k� AL GRADE FABRIC - MY.C/ Al HIGHEST POINT EAST TRENCH 14 ik T FINAL GRADE 84.6RADE � � •�'w�:; r rii err.: rriu,rri. •. :gig. 'ii�i�iiiiii is 1�. �}�,Y�1�M•M. '#•f�#�}�1� Y!' SII i�r ri T,ff'ff f�}�f�� rr x. � .•i.'• •�f�l .r��,I�•r` rriii'i.+rrr �. f#f•i}if f•.r.. •�}�f�•�}Y}1f�1 ff!•f• �flf}fff•'ffff ff}'i•,Y�l�i�lMl�f�f�1l�l�f�� • Yom• �•.Yf••ii!•f#f•�ffff••« f.f�l� !':�.�;.}ff�flf�f!•�i�lfiY• i;l�f� •�.�l�l�•ai�f�f�ffY}•' 90.80(AVG) ifif! .liff•fiYflf•'i'f'Y'#� Y!Y!0!�ff•Y'f'•f!'�•�f� Y�f�!': fii•fj'•Y•fi#lflfflf!••ifli •�itY�•�•yf�i�i�•AY�. #f� IffflA Yffi'lifli•}fYff!!�. i'�'ff,�fifY•ifflif!'iiY'i! Y•iY•. i'f•!•��.•Mif!•�•if�•i'�•Ylif,INVERT '1f!!fryilff!'iflY�l1lffY, OF PIPE •�l�if;. Y�l�•�!M!y!•}Y�i�ffl� Y�l�1r� •�f�i�ftf�f�llrf�f`fyi. BOTTOM OF BOTTOM - TRENCH - , •f r • l . 1 CONSULTANTS,TRENCH l� 3701 E. TUDOR ROAD, SUITE� 101 - ANCHORArE. AK 99507 - PHONE (907)337-6179 - FAX (907)356-3246 PREPARED FOR: PHONE NUMBER: KNOWLEN (907) 336-2301 •• 'LEGAL DEWRIPTI W MOUNTAINRA PARK ESTATES SUDBIVISION• • �t�'• _� PROFILE AS -BUILT OF SYSTEM UPGRADE MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade `', k 1 u i�v vvk_� 1 �"iC V v (-) U VL_ Date Issued: Jun 10, 2003 Expiration Date: Jun 09, 2004 Permit Number: SW030179 Parcel ID: 017-432-12 Legal Description PPil k ESTATES #2 BLK 7 LT'' 4 Design Engineer: 0041 AK Water & Wastewater Consultan* Site Address: 012700 FOSTER RD Owner Name: Laurie Heck Lot Size: 19032 SQ. FT. Owner Address: 12700 FOSTER RD Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE, AK 99516-3229 This permit is for the construction of: []✓ Disposal Field Z Septic Tank Holding Tank Privy Private Well Water Storage 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 6 - (/• D's Date: 6,11,103 Municipality of Anchorage �E • "'` Development Services Department L. Building Safety Division SAEiY On -Site Water & Wastewater Program 4700 South Bragaw St. RUSH P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-432-12 Permit Number 57W0301717 Property owner(s) LAURIE HECK Day phone 345-9971 Mailing address (1) 12700 FOSTER ROAD * ANCHORAGE. AK Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd.) LOT 4. BLOCK 7: MOUNTAIN PARK ESTATES SUBDIVISION J2 Legal description (Section, Township & Range) Lot Size iaT i3z- Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. kq Permit Fees: $100 4.150 " 550' co Date of Payment: 611!0103 Receipt Number: 3(09 A Waiver Fees: Date of Payment: Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. May 2, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic Upgrade for Lot 4, Block 7; Mountain Park Estates Subdivision #2 To whom it may concern: The existing 3 bedroom house is served by a private water system and a septic system. The existing septic system consists of a 1000 gallon septic tank and a 5 -wide type drainfield. A test hole was excavated north of the existing drainfield and found that the percolation rate ranged from 2.4 to 17.1 minutes per inch between the depths of 2.0-2.5 and 7.0-7.5. The drainfield will be designed around the 30 foot radius of this test hole. We are proposing to install a new 1000 gallon septic tank and dual 5 -wide type drainfields. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 0.6 gallons/day/ftz should be used. 2. TRENCH DESIGN: a. Percolation Rate: 2.4 & 17.1 minutes/inch b. Proposed Application Rate: 0.6 gallons/day/ftZ c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 750 ft2 f. Total Depth: 6 feet deep max. (8 feet deep max. if gravity flow cannot be achieved) g. Effective Depth: 3 h. Width: 5 feet i. Reduction Factor: 0.58 j. Minimum Length: 2 @ 45 feet long each (90 feet total length) k Effective absorption area = 776 ftz 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The area around the proposed drainfield is a 3 to 5 percent slope running approximately east to west. In short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. M.S. NOTE: A site plan drawing, a design drawing, a soil log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com NORTHPARK DRIVE — — — I 1 I LOT 10, BLOCK 7; 1 I I I 1 LOT 1, BLOCK 7; MOUNTAIN PARK EST. #2 1 I I I 1 MOUNTAIN PARK EST. #2 1 I I I I LOT 9, BLOCK 7; I Mdt WklIN PARK EST. #2 1 I I I I LOT 2, BLOCK 7;- - - - 1 MOUNTAIN PARK EST. #2 + LOT 9 BLOCK 8; MOUNTAIN PARK EST. #2 1 100 wELI RADIUS 11 i I i -�- `-SEPTIC IU LOT 8, BLOCK 7; I I ARE --„MOUNTAIN PARK EST. #2 I I LOT 3, BLOCK 7; 1 \ MOUNTAIN PARK EST. #2 SEPTICI \� ��_,.� 1 PROPOSED SEPTIC SYSTEM OF I (SEE DESIGN PAGE 2 2) I 1 0' _ ---��C-- i 100 W LOT 7, BLOCK 7; I I MOUNTAIN PARK EST. #2 \ siir S RaD I I \\ 1 I I \ _ i WE RAO US I I EXISTING SEPTIC 1 I / SYSTEM LOT 6, BLOCK 7; ---MOUNTAIN PARK EST. #2 I 1 LOT 5, BLOCK 7; i SEPTIC I MOUNTAIN PARK EST. #2 f `-SEPTIC I i------- - ----T - + - SOUTH PARK DRIVE t I LOT 24, BLOCK 4; j LOT 1, BLOCK 4;-- MOUNTAIN PARK EST. #2 I I MOUNTAIN PARK EST. #2 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 901 DFRARR ROAD. SI IITF 9R • ANCHORArP AK 9950L + PHnNF (OVM7.A170 • FAX i007MA_49I,A PARED FOR PHONE NUMBE LAURIE HECK 345-9971 4L DESCRIPTION: MOUNTAIN PARK ESTATES SUBDIVISION #2; OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE I I I I I LOT 10, BLOCK 8; I MOUNTAIN PARK EST. #2 I I I I I I I 1 I I I ' I I + LOT 9 BLOCK 8; MOUNTAIN PARK EST. #2 1 1 \ I 1 \ II 1 I I �I i IkLOT 8, BLOCK 8; +� i MOUNTAIN PARK EST. QI\\\II #2 / QI /-'A`REEAC A I I ♦ i ALij FI in (1 LOT 7, BLOCK 8; I I I �I MOUNTAIN PARK EST. #2 I I I 1 I / i EXISTING 3 BEDROOM HOUSE \ + -_ -. \ LOT 6, BLOCK 8: I I \ MOUNTAIN PARK EST. #2 I I \ 1 1 SEPTIC I 1 wEL�I� I I J---- I I LOT 24, BLOCK 3; j MOUNTAIN PARK EST. #2 I I I I DATE: Z.T.G 1 ” = 100, 9 l ....... I... 1 OF 2 :.1E LOT 4, BLOCK 7 NOTE, THE CONTRACTOR SHALL HAVE THE NORTH AND WEST LOT LINE FLAGGED BY A REGISTERED LAND SURVEYOR 100' WELLPF I �RADUSLOT 3, BLOCK 7; MOUNTAIN PARK EST. #2, I —PROPOSED DRAINFIELD. EXCVATE TWO TRENCHES THAT ARE S FEET DEEP MAXIMUM BY 5 FEET WIDE BY 45 FEET LONG (90 FEET TOTAL). ADD 3 FEET OF CLEAN, WASHED SEWER DRAINROCK. INSTALL FIELD SPUTTER INSTALL FLOW DIVER \ R r EXISTING ZZ 3 BEDROOM HOUSE INSTALL FOUNDATION CLEANOUT PROPOSED 1000 GALLON SEPTIC TANK \ INSTALL DOUBLE CLEANOUTS `—EXISTING SEPTIC TANK TO BE COMPLETLY ABANDONED PER UPC DOSTING DRAINFIELD TO BE USED ASA RESERVE SITE LOT 5, BLOCK 7; / / MOUNTAIN PARK EST. #2 / /I I 1 100 WELL Ren,,._ 4/30/2003 DRAWN BY: ALASKA WATER & WASTEWATER Z.T.G. CONSULTANTS, INC.=SCALE: " — 6901 DEBARR ROAD, SUITE 26 'ANCHORAGE. AK 99504 "PHONE (907)337-6179 "FAX (907)338-3246 1 40' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: LAURIE HECK 345-9971 2 OF 2 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES SUBDIVISION #2; LOT 4, BLOCK 7 TYPE OF WORK: PROPOSED SEPTIC SYSTEM UPGRADE ...... FTIt' y` .1........ fess. Er795-3 0, P �tdDG I \ EXISTING ZZ 3 BEDROOM HOUSE INSTALL FOUNDATION CLEANOUT PROPOSED 1000 GALLON SEPTIC TANK \ INSTALL DOUBLE CLEANOUTS `—EXISTING SEPTIC TANK TO BE COMPLETLY ABANDONED PER UPC DOSTING DRAINFIELD TO BE USED ASA RESERVE SITE LOT 5, BLOCK 7; / / MOUNTAIN PARK EST. #2 / /I I 1 100 WELL Ren,,._ 4/30/2003 DRAWN BY: ALASKA WATER & WASTEWATER Z.T.G. CONSULTANTS, INC.=SCALE: " — 6901 DEBARR ROAD, SUITE 26 'ANCHORAGE. AK 99504 "PHONE (907)337-6179 "FAX (907)338-3246 1 40' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: LAURIE HECK 345-9971 2 OF 2 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES SUBDIVISION #2; LOT 4, BLOCK 7 TYPE OF WORK: PROPOSED SEPTIC SYSTEM UPGRADE ...... FTIt' y` .1........ fess. Er795-3 0, P �tdDG - OF ALASKA WATER & WASTEWATER CONSULTANTS, INC. ... . .. . . .. ......... .. 8801 DEBARR RoAD, sUDNC E 2B ANCHORAGE, AK 88604 • PHONEt 90 7-8178 "FAX: 376-3218 "YIEBSRF- akw .nm SOIL LOG --PERCOLATION TEST ... .............. MOUNTAIN PARK E, J ff G mess., STATES SUBDIVISION #2• LOT 4BLOCK 7 Q LEGAL DESCRIPTION: �Q m _ 3 ..• �oQ°0 PERFORMED FOR: LAURIE HECK DATE: 4/25/2003 DEPTH (feet) D�ofessioo v ORGANICS TEST HOLE 1 1 PAGE 1 OF 2 2 Ii j SOIL CLASSIFICATIONS I r I I Soo' wEt�RAS--- II.,�ICSEPTIc I � pF a ,3. GW I ORG I I AREnD 1 i� Q 3 �E GMMOH CLQ i i MOUNTAIN PARK EST. #2 GP-GM/ML TO aD , , �:• SP-SM/ML GCOL 4 a EXISTING i ; ( �Q�WE� � °o 0 00 SWMH SYSTEM-- 5 SEPTIC 1 YSTEM TH#1 I W �'� • �� , SPCH I r Y— '�� 5 SM ; 1 1 Oi 6 1 SC Cam DEPTH TO 7 DATE GROUNDWATER 3 LOT 5, BLOCK 7; 8 DRY 4/25/2003 / ' MOUNTAIN PARK EST. #2 i �.� �• DRY 5/2/2003 �� ` ' �AR� I/ l . •�.�. I I 9CL MIXED ------__-4 --------- SITE PLAN , w/ GM/SM 10 �/� �� SOME SP POCKETS THROUGHOUT CLOCK NET TI 11 = 12 }g 13—'.00 i � ..�. . 14 B.O.H. 15 7 3:50 — 6" — 16 17 18 PERCOLATION RATE 2.42 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES F-1NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: MATT FISHER COMMENTS: RECOMMEND USING A 0.6 APPLICATION RATE DUE TO THE VISUAL APPEARANCE OF THE SOILS. PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Z 03 DATE READING TIME ME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/28/2003 1 3:20 — 6" — 2 3:30 10 1 3/8" 4 5/8" UPPER 3 3:30 — 6" — BENCH 4 3:40 10 1 7/8" 4 1/8" 5 3:40 — 6" — 6 3:50 10 1 7/8" 4 1/8" 8 4:00 10 1 7/B" 4 1 9 4:00 — 6" — 10 4:10 10 1 7/8" 4 1 /8" 11 6" — 12 4:20 10 1 7/8" 4 1 8" ALASKA WATER & WASTEWATER CONSULTANTS, INC. f. y* ....... .... 8901 DEBARR ROAD, SURE 26 + ANCFpRAGE, AK. 99604 ' PFPHONE90 7-8179 +FAX: (9-01)338-32" + Y/EBSRE: okwMc.wm WATER LEVEL READING SOIL LOG - PERCOLATION TEST .•. . 1 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES SUBDIVISION #2; LOT 4, BLOCK 7 6" Y • ar ss.- CE 795 PERFORMED FOR: LAURIE HECK DATE: 4/25/2003 • ' .`�o`G (feet] TEST HOLE 1 �d0kll gs�oo� 00000 0 1 PAGE 2 OF 2 6" ML 7 z o 9 Un z 10— < 0 Q _U 12— V) 2 V) 13 Un 14 I U 15 _1 0 16 (n 17 Ld W 18 Un DEPTH TO DATE GROUNDWATER OF 2 SSE PPO 1 SEE SITE PLAN ON PAGE 1 OF 2 DATE READING CLOCK TIME SOIL CLASSIFICATIONS WATER LEVEL READING NET DROP (INCHES) 4/28/2003 1 3:19 - 6" - 7.5 FT. 2 • ' •' 3 3/4" 2 1/4 -- /4"LOWER LOWER 3 3:49 " 6" ML BENCH 4 4:19 30 ilall 1 3/4- WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT 4:19 - 6" - 6 4:49 30 4 1/4- 1 3/4- GC I •CLMH" CH • SC 7 z o 9 Un z 10— < 0 Q _U 12— V) 2 V) 13 Un 14 I U 15 _1 0 16 (n 17 Ld W 18 Un DEPTH TO DATE GROUNDWATER OF 2 SSE PPO 1 SEE SITE PLAN ON PAGE 1 OF 2 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/28/2003 1 3:19 - 6" - 7.5 FT. 2 3:49 30 3 3/4" 2 1/4 -- /4"LOWER LOWER 3 3:49 - 6" - BENCH 4 4:19 30 4 1/4" 1 3/4- WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT 5 4:19 - 6" - 6 4:49 30 4 1/4- 1 3/4- 19 PERCOLATION RATE 17.14 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 7.0 FT. AND 7.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: MATT FISHER COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASi P FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 3 MUNICIPALITY OF ANCHORAGE MEMORANDUM To:Whom It May Concern From: D. Roth, Civil Engineer Re: Waiver Requirement Date Oct 26 19 88 Lot 4 Block 7 Mountain Park Estates S/D #2 must have a waiver prior or during the course of a Health Authority Approval. Do not process any Health Authority unless the system has been upgraded and meets all required distance (horizontal) separation distances or; has the required waiver request and approval from this department. 91-015 (Rev, 1/81) ., Date Oct 26 19 88 Lot 4 Block 7 Mountain Park Estates S/D #2 must have a waiver prior or during the course of a Health Authority Approval. Do not process any Health Authority unless the system has been upgraded and meets all required distance (horizontal) separation distances or; has the required waiver request and approval from this department. 91-015 (Rev, 1/81) i 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW ❑ UPGRADE ,. MAI LING ADDRESS p®. '2'z4 LEGAL DESCRIPTION J -,/ LOCATION NO. OF BEDROOMS Losteg 3 Absorption area Dwelli PERMIT NO. v DISTANCE T .1Wel 'JC�oi c2 Y iZa Manufacturer MGa,aterial No. of comparrttments wF (n Liq. capacity in gallons Inside length Width Liquid depth IF HOMEMADE: Well Dwelling PERMIT NO. O Z DISTANCE TO: O z Liquid in F Manufacturer Material capacity gallons fl Lu DISTANCE TO: Wep f' FouAdation j2 0 Nearest lot line PERMIT NO. Lu w No. of lines Length of each line Total length of lines Trench width Distance between lines H G% a2V 02 (e ` (Q CJ inches Top finish Material beneath tile Total effective absorption area ¢ of tile to grade rs '�(pCj p -S inches Length Width Depth PERMIT NO. Lu a F- Type of crib Crib diameter Crib depth Total effective absorption area Lu °L W Well Building foundation Nearest lot line DISTANCE TO: Cl ss Depth Driller Distance to lot line PERMIT NO. J W Z: Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS D3 03 4- - 0AS+_reoAJN SOIL TEST RATING INSTALLER bF'A-RM0tkj -6t` REMARKS C i — ca/1 ACAs .Ic s' P uic� f~ ii 1. L aL ri D S ( ITY OF NC OR E neTy ` MUNICI a PH.Fj1TH EN AL PROTECTION rc ENVIR ki 2L L2 - ., GJff� tai I APPROVEDIV DATE RRE I ` e P f_ + 4 Blcck, q Mt Ae KE Viz_ 72-013 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE Department" Health and Environmenta'—)rotection 825 y Street, Anchorage, AK. 1)501 264-4720 # # # Permit # q k0 n _1 R HANDWRITTEN PERMIT � LL AND/OR ON-SITE SEWER PERMIT t, Applicant: /�( J1ge> Mailing Address: PoLo., Location: Legal Description: V p/ tt Type of Soil Absorption System Is: Trench: - Drairifield: _ Maximum Number of Bedrooms: Le Phone Number: Z Y( Size: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) Q� The Required Size of the Soil Absorption System Is:' DEPTH ___Q___ LENGTH L6.8_, GRAVEL DEPTH WIDTH The length dimension is 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). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). # # REQUIRED SEPT IC4un1_DI_NG TANK SIZE _ 0 GALLONS # # 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. # # # TWO(Z) INSPECTIONS ARE REQUIRED # # 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 this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. # # # PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that edrooms. Signed: Issued by: (�� Applicant Date. l J SWP/024(1/81) x` ent ofalth. �hd Envl ri 8d re -fat, AnoWrage, _ 0i l 264-4720 � � R siRITTEN PERMIT LL NW/ -SITE SEWER PETIT litmailing Address �i , I,& : of soil Absorption system 1'. 4Tch. drainfield. i Rumber of Dedro = seepage Holding Tank . _ soil tangf.ftf} The mired Size of the Soil Absorption Systef TH LEJq6TH GRAVEL DEPTH WIDTH -_— jenqth diNjen5jon Is the le thin feet) oft� �c���f� �� d��i��ielclA T i it 030 6�1 a trench or pit as the distance between the aurfaee of the ground and :.bottom of the ex04vatiOn (in feet) _ ere is set Width for trennhes It gravel depth is the Min� iauM depth of gravel tween the ou tfail j! bcrttm of the excavation (in feet) . REQUIRED SEPT IC4ND, D , -4ANK SIZE 6ALLONS fit<applic-crit has the responsibility to Iiform this department during the 3►:dation inspections of any wells adja nt to this property a the number t5id c: -e6 that the well will serve. 7WOM INSPECTIONS ARE REQUIRED rijIl #ng of a.ny system without final inspection and approval by this depaYtxW t suiaet to prteca tl. tt MR --distance between a well cak:j any ate Se ge da6POVAJ fiysteM is 100. it: privaterei1 or 15iato B� felt fr a g1ac well depending upon the type italic well. Hixalln-M distance from a private well to a private swer.1,ane is feet aril to a community sewer bine is 75 feet. Itell logs are requixed inti be returned to this department within 30 days of the well COMPletion }._red�airzits may apply. �lf3-catis and nstr Dusan diagrams mx ;:stole to insure proper installation. PERMIT EXPIREES DECEMBER a� i-extily that. 3 1 ,-j I an fan-Ular with the requiremeDtB for € n -site segs and wells as ret for" by the 1Kun cipality of Anchoragew :2} I will 11Istall the system in aOcO.rdancs with codes. 4�3)I r -site se=er system may require enlargement i f t e eeled to include more that res• - qIa Issued by: �q --. Date a 1`024 (1/81) 3 l 3 s 7125 OLD SEWARD HWY. & ENGINEERS, INC. ANCHORAGE, ALASKA 99503 $ 349: 6561 PERCOLATION FEST SOILS LOG PERCOLATION TEST PERFORMED FOR J�,11 I `f _-� +• __.—__ _./__..--___--__—_ DA 11, PI. I I FO R M E D: LEGAL DESCRIPTION :_A_.5 -1,k,_ 7 —167v -ll�q—..---- SLOPE SITE PLAN DEPTH , ! IFCETI 2 - !tel } 1 I 3 a 6 /. t) 7 f' 10 a ,� WAS GROUND WATER S 11 fi ENCOUNTEREDt L 12 _ "•- E IF YES, AT WHAT 13 ems- j DEPTH? 14 OF Ae Gross Time ��] Net Time Depth to Water Net Drop 17 -6mirt 18 �� o• JOHN E. SWANSOi 1834E •- Reading Dale Gross Time ��] Net Time Depth to Water Net Drop 17 -6mirt r 3''1 7 la '/ 6/ter ll 1,2 tt it of Al ZO v� a l PERCOLATION RATE 7 Enl J / (minutes/inch) TEST RUN BETWEEN FT AND 06 FT COMMENTS PERFORMED BY: 72008 (6/791 CERTIFIED BY DATE: Box 1369, STAR RoL'TE A ANCHORAGEv AY.AsHA 99502 344m7714 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 785 Teat. DRILLED AT THE RATE OF "?_3.00 PER FOOT. PROPERTY OWNER M. Pba, 7ei•e4 345-3829 LOCATION OF WELL SITE "t• `n`�`• St:.':. m-7 Po9le-/e DRILLER Bet✓t.ie C)mij of :`oel4. WELL LOG: 0--0-23' SV,!, : �7"wct. 4 0'S uteri. hdn d e . 23---44' A ceftentM ovwc t. 30;; cLc;:. 44--985' 2caltoek. ^ .3er'laeritNu -tach. Po '.7etet r%eld 4tnuirL7 (n.;W- 765 acct. C.n,L,. abau} otic C. r'. The to tat dertL or t9.c vc-tt ;-4 185 .; e:. Z 968. -a 777 ;fee' .Oho it a. R..Ood tzro aat•ta" paA CLnutc hJtodUcUcn. 7otat mZetal ar 780 c.) Lvnz Re` kouA uLth. 750I"_eet at uatet .atandutn. -& cco•ins. 7.6 suw,G1orL4 p.e2 1°06.t. 3/4 r!o t4e Sulja"6Vvl e Puny 4R.ou td be In -d t ttcd 70 .to 75 .,Peet o•,°r trotton. Ca4t a;r 0&tt .in.n: "23.00 r.e t A Y. 785 feet: 542$5.0? 1 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPANT-i�RILLING WORKS FOR THE SUM OF c425..00 THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART D TEEING WORKS DATE' r:aui 92•th, 7983 , y {� ��• � SERVICE CHARGE OF 1Y.% PER MONTH WILL BE ASSESSED PAST DUE ACCOUNTS. Parcel I.D. 017-432-12 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Expiration Date: JUN 2 6 2015 %0 _2- 1. GENERAL INFORMATION Complete legal description MOUNTAIN PARK ESTATES #2; BLOCK 7, LOT 4 Location (site address) 12700 FOSTER ROAD *ANCHORAGE, AK 99516 Current Property owner(s) MACK AND DEBRA NOWLIN Day phone 632-4814 Mailing address 12700 FOSTER ROAD "ANCHORAGE, AK 99516 Real Estate Agent NICHOLE PERRY W/KELLER W. Day phone 865-6557 2: TYPE OF DWELLING: - - ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual 10 Individual Water Storage ❑ Holding Tank ❑ Community Class _ Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNarianoe request for: N/A - Distance:= Received by:, Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5.tAD Date of Payment t0 2gj/5 Receipt Number OW56 COSA # Q591573 19 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, Okn procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, at the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate eumber of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Garness Engineering Group, Ltd. Phone (907) 337-6179 Address 3701 E. Tudor Rd., Suite 101 Anchoraae AK 99507-3246 Engineer's Printed Name Jeffrey A. Garness Date /s - fn conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic System in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/pany who paid for this report 6. DSD SIGNATURE 1/ System #1 Approved for 9 bedrooms System #2 Approved for Disapproved Conditional approval for M bedrooms bedrooms, with the following lit(i( OFA ON-SjTE VgTER MAD WASTEWA ER FROGRP,M Original Certificate Date: / 'r 15 The Mlmrdpati*S19(n ge 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 if Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheet 8-1-12.doc If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: MOUNTAIN PARK ESTATES #2; BLOCK 7, LOT 4 Parcel ID: 017-432-12 A. WELL DATA PER STEVE PANNONE, P.E. 3 STORAGE TANKS TOTALING 246 GALLONS IN CRAWL SPACE. SEE ATTACHED LETTER Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 5/12/1983 Sanitary seal (Y/N) YES Total depth 185 ft. Date of test Static water level Cased to 185 ft. FROM WELL LOG 5/12/1983 Well Log (Y/N) YES Wires -properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 4/23/2015 56.5 ft. Well production 2 g.p.m. 1.1+ g,p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: 9.08 ug./L. Date of sample: 4/23/2015 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 6/12-13/2003 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (Y/N) NL Date of pumping 4/21/2015 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA[*BELOW EXISTING GRADE - INSULATED PER 2003 RECORD DRAWINGS 4/11/83 8 Date installed 6/12-13/2003 Soil rating (g.p.d./ft& ft/bdrm) 0-6/0. System type SHALLOW TRENCH 26 5 4 Length. 60%0 ft. Width 5/5 ft. Gravel below pipe 3.02/3.02 ft. 7.33 260 Total depth 6.33/6.12 ft. Eff. absorption area 776 fe Monitoring tube YES Depression over fieldNQ Date of adequacy test 4/23/2015 Results (Pass/Fail) "PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 540 gal. New depth E in. Elapsed Time: 1163 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date - "TESTED 2003 60' TRENCH ONLY; 1983 TRENCH AND 30' 2003 TRENCH DRY DURING INSPECTION D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons Manhole/Access "Pump 0 le _atm—in--- High water alarm level at _ in. Cycles tested Meats alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots *95' Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main NL— Water service line 10'+ Sl4faCe water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WR#030029 G. ENGINEER'S CERTIFICATION I codify that I have determined through freld inspections and review ofMunicipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date Klghr (Rev. 11/05) /& §c\e = yy \\ » a o e"m 104. e to 3 §/ .. .... . . /& §c\e = yy \\ » a o e"m 104. e -- 3G)S7 R &2&32£ ....�.. .. .... . . -- 3G)S7 R &2&32£ 03/2511906 11:35 907-553--3909 1�R=25-98't7ED 10 01 Afl AHFC 4_.,STRUCTiON DEPT jieyt R Pannone, P -E. 6o�n8�W+mr lAawh 25, 1948 NbS Darns Orr 7sck Whits Realty 3Cstre�, 49 434 XnC �M RR. 12700 Foster Road L,ot 4, BI.. k 7 M1111 stain Perk utas #2 PREMIER CLOSING FAX NO. $07338 PAGE 02 P.fl. Bou 142035 and�atc AIC 99SIt 33ssr Ms, thr- a health AuttwtitY At the regsleat afilte owasr of the referencedUpew property, °tY wcD and systen. We watt oo to invdate the edegvacy of the .-propI tY ret>uestmd to tact dx wen to pH k standards. the wdi produced 2-1 goo,, per minute Wm)- RU mqu� the woU 10 D,a.* the test, sever a four hwr period. or a minimum of � gallons in a four hour product a ttsnuttum of 3 gpza ons during a fauna, g+e ;- petivci, the well iervlag this tot is able to produce Sd4 S aa� with the ffm Thwatore, stcmr of 21 S gslloas was rtaquirod to br'� tills t iMn tompli tequtta . The ow1w, mr. Um wca"«, contracted with � ted piut nB contractor to msm tbsea 82 gallon -300"64 vessels fur a toW storage CIP"y o ons s exceeds the required starW-` ets tM insert PrOd"c"n rsgrura mmts Aa ofthe insiaRatloa oftfre stora%e mss, this �tan me�� AM queatians- for the FHA- Please Calttect rm at 227-3522 ifyot2 Sincerely even R ~mass. P -F - Civil F,nocer ZW at44f m Municipality of Anchorage >r Development Services Department n�°�� a°. Building Safety Division / On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-432-12 HAA# P Ia O 3 O 1 ..S 1. GENERAL INFORMATION Expiration Date: 72.4/03 Complete legal description MOUNTAIN PARK ESTATES SUBDIVISION #2: LOT 4. BLOCK 7 ® Individual On-site Location (site address or directions) 12700 FOSTER ROAD * ANCHORAGE. AK. 99516 Current Property owner(s) LAURIE HECK Day phone 345-9971 Mailing address Lending agency Mailing address 12700 FOSTER ROAD * ANCHORAGE. AK. 99516 Day phone Real Estate Agent BETH SIMPSON w/ DYNAMIC PROP. Day phone Mailing address 3111 "C" STREET * ANCHORAGE, AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 261-7600 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid S at, orprior to closing for the engineering services provided. 4. 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 Health Authority 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 riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTENIATER CONSULTANTS, INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date r v Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE XApproved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist X Manitenance Agreements Septic System Advisory �_ Supplemental Engineer's Reort Well Flow Advisory Other By: Original Certificate Date: 2¢ O3 (Rev. 12!01) Municipality of Anchorage Development Services Department r s, Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Septic Svstem Advisory Health Authority Approval # 030156 During a recent adequacy test on the septic system for Block 7, Lot 4 of Mountain Park Estates #2 subdivision, 44 inches of standing water was observed in the absorption field. This indicates that approximately 92% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Health Authority Approval. Municipality of Anchorage Development Services Department u °, Building Safety Division ' ; A s l y On-site Water & Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 995196650 www.d.anchorage ak us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: MOUNTAIN PARK ESTATES S/D #2; LOT 4, BLOCK 7 Parcel ID: 017-432-12 A. WELL DATA Well typeaP NATE if A. $, or C provide PWSID# N/A Well Log (Y/N) YES Date completed /12/1983 Sanitary seal (YIN) YES Wires property protected (Y/N) YES Total depth : 1.,.85 it. Cased to 185 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 5/12/1983 4/14/2003 Static water level UNKNOWN R. 58 ft. Wellproduction 2.0 g.p.m. 1.4 g.p.m. WATER SAMPLE RESULTS: 0 Coliform 0 colonies/100 ml. Nitrate 1.0 mgJL. Other bacteria 1 colonies/100 mi. Arsenic: N/A mgJL. Date of sample: 3/31/2003 Collected by: AKWWC, INC. B. SEPTICIHOLDING TANK DATA Tank Type/Material GREEK/STEEL Data installed 4/18/1983 Tank size1. 0,0..0 gal. Number of Compartments 0 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (YM) N/A Date of pumping 3/31/2003, Pumper CHUGACH PUMPING C. ABSORPTION FIELD DATABpi o cw Date installed . 4/18/1983 Soil rating (g.p.dAtio9bd 85 System type TRENCH Length 6 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth '7 8 _ _ft. Elf. absorption area 260 ft' Monitoring tube YES Depression over field NO Date of adequacy test 3/31/2003 Results (Pass/Fall)Q_ ASS For 3 bedrooms Fluid depth in absorption field before test 44 in. Water added 500 gal. Nene depth **52.5 in. Elapsed Time: 1155 min. Final fluid depth 44 in. Absorption rate >= 450+ 9.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date N/A **LIQUID LEVEL WAS AT THE TOP OF THE DISTRIBUTION UNE D. LIFT STATION Date installed Size in gallons Manhole/A LDatua mp on" level at in. "Pump off" High water alarm level at in. Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots '95' Public sewer manhole/cleanout Nf_ A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 59+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1009+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 'SEE ATTACHED WAIVER REQUEST PACKAGE G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in """' .. . "" ""''""' conformance with MOA HAA guidelines in effect on this date. of A. Go ness Engineer Prin d Name JEFFREY A. GARNESS Date Q e�P •.......•���o HAA Fee $ X15 Date of Payment -1- 110 - V c Receipt Number (Rev. 14/01) i Waiver Fee $ 1000.- Date 000"Date of Payment] Receipt Number 33a �1 W APR -08-2003 TUE 02:53 PM DYNAMIC PROPERTIES I nn o= sworwe N•ro wcTt N O I20 rR_oyRc • .. av0w1S ax�2> >t c wnoti �000w 5 )c ♦yyO4 O paf�° :xa0� N, =as ri.>>bN =0„a as NPs€ > = 0 o � r p u� p,=., S all g' A. } x y Z ~ S N m FAX NO. 1 907 261 7670 so n o3t45"r- 104.00' 1N�r17 �v71 wu�LL11 A 1 N - N O"O3'45"W 104.0 all A. - N O"O3'45"W 104.0 Municipality of Anchorage Development Services Department • +..r Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR030029 PID#:017-432-12 HAM HA030156 Date Received: 4/16/03 Legal Description: [Mountain Park Estates #2 Block 7 Lot 4 Engineer: Jeffrey A. Garness. PE Alaska Water & Wastewater Consultants. Inc. Applicant: Laurie Heck Waiver Requested: 95 feet from well to drainfield Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Permit#: Points: Waiver is Granted: _ Waiver is not Granted, List Conditions or Reasons for above: s F iE 192729 4CH549 Date: / *LO 3 By: 29AI Name of Reviewer Rec#: 2R_9Z Amount: $1.000.00 Date Paid: 4/16/03 George P. 1l irerch. Mayor 4/24/2003 Anchorage Mtinicipa)W of Anchorage All -America City Builcluig Safety Division r 2002 Jeffrey A. Gamess, PE Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B Anchorage, Alaska 99504 Subject: Waiver Request for Mountain Park Estates #2 Block 7 Lot 4 Waiver Request #WR030029 Parcel ID 4017-432-12 Health Authority Approval Certificate Number HA030156 Dear Mr. Gamess: Your request for a waiver of the required 100 feet horizontal separation from the absorption field to private well has been approved. The approved separation distance is .,9:0"feet. The absorption field is located on Mountain Park Estates 42 Block 8 Lot 7. Amen" -o Q0 1. See Garners rcf crest (2021 i'v1 61 k G- L 7 �— i1 e-. X'/Wu 11161V This waiver approval applies to the existing absorption field to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Daniel J. Roth Civil Engineer On -Site Water& Wastewater Program P.O. Box 19G650 • rinclioragc, .tUaska 99519-6650 • Telepllonc: (907) 343-8301 • Fax: (907) 343-8200 4700 South Bragtiw Strict • Anchorage, Alaska 99507 11 ttp://n-%%-n-.ci. nncl l orlgc. nlc.us WR►VER REQut:s r., IW#,vER REQuESr A1mR#FK WRo3Do29 or WA1vER REQUEST xlQR OA/ -L vT w E I L To ABSOIPPr1oA! pi&0 ACc/totJ S >'RFI- T of 175 -Pt ET. SEpT/c of 7.4 - TNS SDI THE SUOXECT rl?EVCN If cv&rrRucTSp /4- P,4,#Pcc�41 Ai Jo M/AY 1A DESC'I�t/BEO R A G N N YI / cH s �A�,�« Y mwp)-, s/L r. TI -tis So O O O hor 7-Yv0i( LL.Y T►?F/ TS SART/[ TANK fm-urpr vFsar Smcpv7- P's TgwCE (X2 ��. Tl{� ABsvRpT/o�v F/ELO /�. @4Esr��a /s NNN �� nnN e ACCROSJ FvSTF_R JPPCIVF FRvAt *r"F_ WELL IN Q t4ESrioiv. 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' Aby M13\ 131014 ^ AY �k10 Li 1011 fm if `IO 13131M a M13120 13301- 4"13100 M 13100 13120 13170 131311 u101� Public Works • Technical Service; Division y the offrci.l represeMelion of any of the 4700 South BfagaW Street 3,,,11313(1 P.O. Boz 196650 /13140 .13Ny fI3fJ4O 13Nl 13145 13100 13311 Dmr�- ._r. DE ARMOUNbF"ARMOUNN���p] (j net be liable for losses rising from errors, inaccuracies or omissions in the map —_� Existing Road N A Anchorage Area Atlas reference number. 333 Municipality of Anchorage This map is derived from Geographic Information Systems dais developed and maintained by the Office of Planning, Development, and Municipality of AnchoragelMOA). This map is not Public Works • Technical Service; Division y the offrci.l represeMelion of any of the 4700 South BfagaW Street information included and is made available to P.O. Boz 196650 the public solely for informational purposes. Anchorage. Alaska 99519-6650 This map may be outdated, inaccurate and may 1 omit important information. Do not rely on this March 10, 2003 information. The Municipality of Anchorage will net be liable for losses rising from errors, inaccuracies or omissions in the map _m *_- ALASKA. WATER & WASTEWATER CONSULTANTS, INC. April 15, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver Request and Health Authority Approval for Mountain Park Estates Subdivision #2; Lot 4, Block 7. The existing 3 bedroom house is served by a private well and septic system. We request you grant a 95 feet separation distance waiver from the well on the referenced property to the drainfield on Lot 7, Block 8; Mountain Park Estates Subdivision #2. The following items are justification for the waivers: • The lots are sloping in the area. There are roadside ditches alongside Foster Road between the well on the subject property and the neighboring septic system. If the septic system was to overflow, the effluent would not travel toward the well head. • The location of the septic system is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. The other path of contamination is subsurface migration wastewater should the tank begin to leak. As can be seen on the attached well logs, the aquifer ranges from 20 feet to 60 feet, with clay, sand, and hardpan soils that have served to inhibit the migration of untreated wastewater into the aquifer. Recent water sample results indicated nitrate levels and coliform bacteria results to be satisfactory. Based upon the aforementioned facts, it appears that there is minimal risk associated with the 95 feet separation distance waiver. The well that serves the subject property was drilled on May 12, 1983, and the septic system that serves Lot 7, Block 8, Mountain Park Estates Subdivision 42 was installed on 6/29/1978. We also request thaj your department issue a Health Authority Approval If you have +*gu4tions, please contact us at 337-6179. Thank you for your assistance. P.t., M.S. 6901 Debarr Road, Suite 2B' Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwc.com I 1 1 I 1 NORTHPARK DRIVE I LOT 10, BLOCK 7; 1 MOUNTAIN PARK EST. 12 1 I I 1 LOT 1, BLOCK 7. 1 MOUNTAIN PARK EST. 12 I 1 I I LOT 9, BLOCK 7; 1 MO17NTeIN PARK EST. 12 I I I I LOT 2, BLOCK 7 - - - ( MOUNTAIN PARK EST. 12 1 \\\ I I � I LOT 10, BLOCK 8; 1 I WELL RAOIUS II I I / I 100' LOT B. BLOCK 7; 1 1(:FEP 1 ---MOUNTAIN PARK EST. 12 1 1 AR ( i� % �AE 3 BLOCK 7; aC I I MOUNTAIN PARK EST. 12 E)UsnNG SEPTIC _�- SYSTEM I LOT BLOCK 7; 1 I ► -S"T ..Xh MOUNTAIN PARS EST. 12 I \\ ';3., lM;•• \ ARS I I \\ \ � 1 I I /---- LOT 6, BLOCK 7; 1 ---MOUNTAIN PARK EST. 12 1 LOT 5, BLOCK 7; 1 MOUNTAIN PARK EST. 12 j 1 �sEPnC AR� I / 1 ARS / f I I 1 1 i / wj,i 'Oi 1 LOT 7, BLOCK 8; I I I MOUNTAIN PARK EST. 12 LL.1 \ 1 \ LOT 6, \\ MOUNTAIN 1 —100 HOCK 8; I I 4RK EST. 12 1 1 T -SEPTIC I I jS I �E�D I I SOUTH PARK DRIVE LOT 24, BLOCK 4; I I LOT 1, BLOCK 4; I LOT 24, BLOCK 3; I I MOUNTAIN PARK EST. 12 I I MOUNTAIN PARK EST. 12 I MOUNTAIN PARK EST. 12 I I 1 .,;•� 4/8/2003gst't _ _....._- ..----- - - DRAWN BY: ALASKA NATER & WASTE WATERJ.L.M CONSULTANTS, INC. Ste`" * - .. . .. ............ 6901 DEBARR ROOD. SUITE 28 • ANCHORAGE. AK 99501. • PHONE (907)337.6179 • FAX (907)338-3246 1 = 1009 .. �j REPARED FOR PHONE NUMBER: PAGE NUMBER:• LAURIE HECK 345-9971 1 OF 1 ,�. =, e r Gar SS, :CAI. DESCRIPTION: 641 �� '•, -79 0�'. LOT 4, BLOCK 7; MOUNTAIN PARK ESTATES SUBDIVISION #2 4;, rPE OF WORK: %a"\0rofeasl°�o\ SITE PLAN FOR WAIVER AMENDMENT REQUEST y�Zzz "�-��•�:�' LOT 10, BLOCK 8; 1 1 MOUNTAIN PARK EST. 12 I I I I 1 I 1 1 I 1 ' I I LOT 9, BLOCK 8: MOUNTAIN PARK EST. 12 I I \ 1 \ % LOT 8, BLOCK 8; * 1 CFMOUNTAIN PARK EST. 12 E"C / ID./ \♦ \ .Q. .A \ wj,i 'Oi 1 LOT 7, BLOCK 8; I I I MOUNTAIN PARK EST. 12 LL.1 \ 1 \ LOT 6, \\ MOUNTAIN 1 —100 HOCK 8; I I 4RK EST. 12 1 1 T -SEPTIC I I jS I �E�D I I SOUTH PARK DRIVE LOT 24, BLOCK 4; I I LOT 1, BLOCK 4; I LOT 24, BLOCK 3; I I MOUNTAIN PARK EST. 12 I I MOUNTAIN PARK EST. 12 I MOUNTAIN PARK EST. 12 I I 1 .,;•� 4/8/2003gst't _ _....._- ..----- - - DRAWN BY: ALASKA NATER & WASTE WATERJ.L.M CONSULTANTS, INC. Ste`" * - .. . .. ............ 6901 DEBARR ROOD. SUITE 28 • ANCHORAGE. AK 99501. • PHONE (907)337.6179 • FAX (907)338-3246 1 = 1009 .. �j REPARED FOR PHONE NUMBER: PAGE NUMBER:• LAURIE HECK 345-9971 1 OF 1 ,�. =, e r Gar SS, :CAI. DESCRIPTION: 641 �� '•, -79 0�'. LOT 4, BLOCK 7; MOUNTAIN PARK ESTATES SUBDIVISION #2 4;, rPE OF WORK: %a"\0rofeasl°�o\ SITE PLAN FOR WAIVER AMENDMENT REQUEST y�Zzz "�-��•�:�' 1 I R4DAUS I I � I / LOT 8, BLOCK I / j� 8; MbbOUNTAIN PARK EST. 12 LOT 3, I LOCK 7; ` MOUNTAIN PARK EST. 12 /C A I EA V V / EXISTING SEPTIC \ SYSTEM 1 � I • I WRIER REOUE� mr I 3 EXIS77NC ' i •' ' y, .. , ` — BEDROOM ,•'� ;+: �- / x Gf I �x ;• MOUSE ...; .•'4..: �:' ... I I m �d SEPTIC SYSTEM ++r LOT • 6, BLOCK 8; MOUNTAIN PARK EST. /2 pl MouN�raN' BLOCKARK EST. t2 "� Ld F—I 1 100' I1 I WELL RIDIUS 0LL_ DATE: 4/8/2003 o��q �0n04 DRAWN BY: C.J.G. p !7 ALASKA NVATKR & NVASTK�VATKR Q ay DO CONSULTANTS, INC. 6901 DEBARK ROAD, SUITE 28 •ANCHORAGE, AK 9950E •PHONE (907)337.6179 • FAX (9071538-3246 ScnLE � " — 1 40' Q .......... ................� D PREPARED FOR: PHONE NUMBER: PAGE NUMBER:Q LAURIE HECK 345-9971 2 OF 2 Q e e Gar ss: Q �A LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES SUBDIVISION #2; LOT 4, BLOCK 7, '• C -% •• o11 �0'�f ' • ��p Dov°resst°� TYPE OF WORK: SITE PLAN FOR WELL WAIVER qQ D�O�D�Oo MU\i W-VAL11-fY OF -ANCl-lOMGj-.' • DEPT. OF Vir-Autj tt is'vt 4? A 1 AA1. J C F V it) M -W DRILLING, Inc.' P. O. Box 4-1224 1310C International Airport Road (907) 274-4611 - ANCHORAGE, ALASKA 99509 DRILLING LOG Ni ell Owner Use of Well Location (address'of: Township, Range, Section, if Idiown; or distance main road .Size of casingDepth of Hole feet Cased to feet Static water level ft. CdboVd) �(below) land surface. Finish of well (check one) open end ..Screen Perforated escribe screen or pdrfor" We pumping test at galldns�,per :(Hdu'i)'� (minute) for _____1•_h6urS with of drawdown from static leVel.;," Date'of completion WELL LOG Depth in feet from ground surface Give.defta'd's'6f, formations penetrated, size of material, color and hardnes's ...... TO TO 'IT 4 ...T1 1^1 A I 4 NWWAt Ceitifted Contractor 4Gertifitate—N"14 t 973 MunuApality of Anchorage f it Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 December 14, 1988 Ms. Jeanette Griggs ERA Realty Center 8400 Hartzell Rd. Anchorage, AK. -,9507 Subjec : Lot 7 B1k.8, Mo ntain Park Est. #2 Dear Ms. Grp, On August 15, 1988, this office granted approval of the well and septic system on the su t. At that time various separation waivers wer rante from the well to a neighboring septic system and from the-We-ptic system to neighboringwells Since that time, however, other adjacent properties have s own elevated nitrate levels close to the EPA maximum. These same wells have also tested positive for bacteria. As such we must request that new water samples be obtained from the subject lot prior to habitation. Through discussions with you and Mr. Ted Moore, P.E., Flattop Technical, it has been learned that the buyers plan to move in about a month from now. Since the house will have to be dewinterized prior to their moving in, it would be permissible to allow the sampling to take place at that time. This is provided the test results are made available to this office prior to the buyers moving in. It must be stressed that the current test results from neighboring wells indicate possible contamination from septic sources. As such if further water samples are not obtained and results delivered to this office, we will have no option but to rescind our previous approval. Please contact this office as soon as possible. You may call our office at 343-4744 or come by 825 L St. Room 502. We look forward to a timely solution to this problem. Sincerely, / Daniel N. Bolles On-site Services db/35 ... __. �........... �............—......v..•a-rrn..aa•!r.:m.raery.. u:.. ... ._.. V�-/ Xy CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 1111: 007) 345-1355 July 28, 1988 M.O.A. Dep't. of Health and Human Services P.O. Box 19-6650 Anchorage, AK 99519 RE: Lot 7, Block 8, Mountain Park Estates #2 - Waivers Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 MUNICIPALITY Of ANCHORAGE ENVIRONMENTAL SERVICES DIVISION AUG 11988 RECEIVED By means of this letter I am requesting waivers of the required 100 foot separation distance down to 88 feet between the well on the subject lot and the septic tank on Lot 8, and down to 95 feet between the end of the absorption trench on the subject lot and the well on Lot 6. - The well on Lot 4, Block 7, across Foster Road, is also approximately 95 feet from the closest portion of the absorption trench, however since it was drilled subsequent to the installation of the trench, the responsibility for obtaining a waiver should fall on the owner of that lot. To assist you in your review of this request, I have prepared the enclosed site plan and am submitting copies of pertinent backup documents. According to the driller's log, the well on the subject lot was drilled in 1978 and has a total depth of 215 feet. The log reports a stratum of clay and sand between 1 and 10 feet, and a stratum of gray clay and gravel between 25 and 41 feet. Bedrock was encountered at 41 feet, and the well yield estimated by the driller to be 4 gpm. On July12 the static water level stood at 39 feet below the top of the casing. To determine the well yield, I caused the pump to run until the water level was drawn down to the pump intake at 150 feet, and measured the recovery rate. Based on two such cycles, I determined the well yield to be 2.5 gpm. Water samples taken from the well on July 8 showed 0 coliform bacteria per 100 ml, and 6.2 mg/l nitrate -N. While less than the maximum allowable level of 10 mg/l, the nitrate level is sufficiently high to be of some concern. To assess whether the relatively high nitrate level is an areawide phenomenon, I took comparison samples on July 22 from two nearby wells. The sample from the well on Lot 8 (located 100 feet north of the subject well, and at approximately the same elevation) showed less than 0.1 mg/l nitrate - N, which is surprising until one examines the log for that well. Bedrock was encountered at a depth of 44 feet, but no significant amount of water. The casing was driven an additional 9 feet into the bedrock, apparently sealing off any source of infiltration. The well was then drilled on down through another aquifer at 364 feet, which provides the production of this well. Apparently, this deeper aquifer is free of any measurable nitrate level. I could not obtain a sample from the well on Lot 6, due to the fact that the house is vacant and the utilities are shut off, but I did obtain a sample from the well serving the residence on Lot 5 (located 250 feet to the southeast of the subject well and at a 10 foot higher elevation). This sample showed an identical nitrate -N level of 6.2 mg/I as had been measured in the subject well. Unfortunately there is no driller's log for this well, however the septic system as -built reports a total depth of 150 feet. Thus, it obviously does not draw from the same aquifer as the aforementioned well on Lot 8, and probably gets it's production from water at the bedrock interface, as is apparently the case with the subject well. Based on this comparison sample, it is my opinion that the observed high nitrate levels are an areawide phenomenon, and not related to a single local source of contamination. The standpipe of the septic tank on Lot 8 is 91 feet away from the well on Lot 7. Allowing for underground projection of the tank, the requested waiver distance is 88 feet. The ground surface in the vicinity of the tank is approximately 5 feet lower than at the subject well, and slopes down to the west. Thus, there is no potential of surface effluent from the tank reaching the well in the event of tank failure. The soil rating of 150 square feet per bedroom should effectively prevent subsurface tank effluent from reaching the well before it is thoroughly treated. There is no shallow groundwater table reported in the area. It is my opinion that this waiver can be safely granted without concern of adverse public health effects. Since the only possible impact of the waiver is on the subject lot, there is no need to obtain concurrence from the owner of Lot 8. The wastewater disposal system serving Lot 7 consists of a 1250 gallon, two compartment septic tank, followed by 86 feet of soil absorption trench containing 7 feet of sewer rock. To test it's adequacy. I metered 630 gallons of water into the trench through the cleanout at it's south end, while monitoring the fluid level both at the north end and in the septic tank. Based on resulting measurements I concluded that the trench continues to accept effluent at a rate of over 600 gallons per day. The well on Lot 6 is located 104.5 feet from the standpipe near the south end of the soil absorption trench on the subject lot. However, the septic system as - built drawing indicates an additional portion of the trench of unspecified length extending further south from the standpipe. The as -built indicates a total trench length of 86 feet, whereas I measured a distance of 79 feet between the standpipes. Thus, I concluded that the trench must extend an additional 7 feet to the south, bringing it within 100 feet of the well. The requested waiver distance of 95 feet will encompass this underground extension. The topography in the vicinity of the trench slopes down to the west at 5%, which means that any surfacing effluent would tend to flow in a direction perpindicular to the direction of the well, and thus should not pose a threat. The soil rating upon which the trench was sized is 300 square feet per bedroom, which implies it Is rather tight, and should provide good subsurface treatment. No groundwater is reported in any of the soil logs in the vicinity. The log for the well on Lot 6 indicates that it was drilled in 1976, has a total depth of 273 feet, with the casing driven 4 feet into bedrock at a total depth of 44 feet. The water production is reported as occuring in small fractures throughout the bedrock, rather than at the bedrock -soil interface. In a December 1984 Health Authority Approval report, the static water level stood at 30 feet below the top of the casing, the yield was 6.5 gpm, and a water sample was satisfactory. As mentioned above, due to the fact that the house is presently unoccupied, and the utilities disconnected, it was not possible to obtain a new water sample from the well, or to request the owner's concurrence in this waiver. Based on the other information presented, however, it is my opinion that this small waiver can be safely granted without concern of contamination reaching the well from the subject soil absorption trench. A similar rationale could be applied to the waiver between the trench and the well serving Lot 4, Block 7; however, since the well is newer than the trench, the responsibility for a waiver lies with the owner of the well. That well is located directly downhill from the trench, but roadside ditches alongside Foster Road should divert any possible surfacing effluent away from the well. Please give me a call if you have any questions on these waiver requests. qa OF A,( 04 *C-7: 49LH THEODORE F. MOORE ; O CE - 3589 Sincerely, Ted Moore, P.E. 0/ 7 4?2 Iz L'wy A w1WVCR /2700 fol TER RD. , �,�cx• �k 9��'�G �zz9 r we' C Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99515 vAc,4Nr i-0 ,S•ro7o\ ,•' R` /00' b,1kl�f I AOUS6 SNARES CivurC Q1,Is^ COMMUK{rY U/ELL w. wet I• BPR S7-78 11 NSE It - 0 4• u �Lo ZOE W 0. ac. z g { I .. y,,,,,.,.,,.,.,...•...... 1 ' S--/07• y1"d%�.. Imo• i t { 1 L•oI •�• , 1 .76 i i • 1---� R too, . 017 412 20 Ou7H PARK pRIVC— _ W)lY?p 44 Iv K. 720/ So UTK MAN pR. FFANCK Ax g9sl(o ' o�� OF A(°tio+ THEODORE F. MOORE +,••.• CE-- 3589 �,`c o elk k ik", .:.�ra����r � z — 17` SCALE! 1"r60r PArc—: 7/e >/S;6 pwN ar: rrry NOT:= ; THIS IS NO. /4 SuRL'EYED PI -A7 Aft• I-OCArID/VS Ar, APPROXIMATe MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. #1�\� -11I-Q- 1 a HAA # 1. GENERAL INFORMATION Complete legal description LCI -7- e1� W(oc)nr�AwPA2K �sz 'Z Location (site address or directions) 12 -?-00 'LOSE -8n- 11 Property owner (hR G Q 2R (0 41AVLIY� Day phone 3u S ' 65E 18 Mailing address 4z� Lending agency Day phone Mailing address Agent Day phone 513 Sgt ) Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 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 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm�d��vruo Phone ! PY Address - C � d x / Engineer's si Date 2/ /V Q Additional Comments Date 3•(0 / g The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in 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-M(Rev.1/91) Back MOA#21 4% Y PJ -f ,M Paiind-ne 4 6. DHHS SIGNATURE CE-.8149 �zlZ„,"' A � pproved for FREE ��A� bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 3•(0 / g The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in 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-M(Rev.1/91) Back MOA#21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907 -2*V9' j `. k' Health Authority Approval Checklist P\ r� i_ : I V F [ J Legal Description:L�l� 7� mew -y4 repkay. a;% --r 42- Parcel I.D.: A. WELL DATA Well type V-PkVA-T-0- If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed 51 iZI 0 2 Total depth 11�;e Cased to Sanitary seal (Y/N) Date of test Static water level Well production FROM WELL LOG S11zla3 �Sb_v- WATER SAMPLE RESULTS: N Casing height (above ground) 13 Wires properly protected (Y/N) AT INSPECTION Zl2►l1?g 4l� g.p.m. 2. 9 - p.m - Coliform -1--0-`- Nitrate 0. f C" `) Other bacteria ® 0 Date of sample: ,2LL7-2-1 (Ff5 Collected by: --z te B. SEPTIC/HOLDING TANK DATA Date installed 44 I I g 183 Tank size j( MTT Number of Compartments �_ Cleanouts (Y/N) Pr Foundation cleanout (Y/N) Depression (Y/N) vk--1 High water alarm (Y/N) Date of Pumping Z1t8l'7 8 Pumper N -t C. ABSORPTION FIELD DATA Date installed 41(0/53 Soil rating (g.p.d./ft2 or ft2/bdrm) a%S System type to %D a Length 12 � Width S o Gravel thickness below pipe 14, Total depth �� Effective absorption area 1I2-60 Monitoring Tube present (Y/N) 't Depression over field (Y/N) �✓ Date of adequacy test 2G2t� `� Results (Pass/Fail�Nss For 3 bedrooms Fluid depth in absorption field before test (in.); 3-9- F Immediately after4iSDgal. water added (in.): 43 Fluid depth 3-9Ir (ins) Minutes later: /'�l 40 Absorption rate = Ute® g.p.d. Peroxide treatment (past 12 months) (Y/N) iU If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level E. SEPARATION DISTANCES m Size in gall I at* "Pump off" level at" SEPARATION DISTANCES FROM WELL ON LOT TO: 5 era AT-rAtk0 -f- Septic/holding Septic/holding tank on lot ins _bDkw,.JLS- On adjacent lots < co Absorption field on lot On adjacent lots /v I' Public sewer main 'y A�, Public sewer manhole/cleanout Sewer /septic service line TO t Lift station < O° � SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation `zZ1 Property line l b Absorption fief /fiat Water main/service line a?n Surface water/drainage l bow Wells on adjacent lots !ate SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /per Building foundation So ` Water main/service line Surface water Curtain drain F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots G[9c7T l certify that 1 have determined thru field inspections and review of Municipal in conformance with MOA HAA guidelines in effect on this date. Signature Engineer's Name S�rNe-,/J �QdJtiNdnl�, }C�L�, Date -2 l 2 I G 4p� HAA Fee $ Date of Payment G1 R Receipt Number n\C\ 72.026 (Rev. 3/96)` Waiver Fee $ Date of Payment Receipt Number i IM..IM.re�� 11< f6A0Y.fliM �`� Steven P. Pannone 4t E - 8149 r ;' .............. .a✓'. ........................................... C,0.i A ,.B Ti. ..... 244:30., .5.i.: i AS -BUILT WASTEWATER ABS❑RPTI❑N SYSTEM LOT 4, BLOCK 7 MOUNTAIN PARK EST. rvror i nnn .. r r •. V, 49TM Vff7!7l "I I Drawing C\Work\4-7MTPK,DWG �• ••' PREPARED FOR WtSteven R. Pannone;w Mr, Larry Weaver AN E 149 , -9 12700 Foster Rd, i1 '`7,��Q�*-* p�s� Anchorage, AK 99516 ,�h.S1Q`ti"ss� (907) 345-6558 Pannone Eng, Svc. P. ❑, BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, PHONE & FAX ATE, 2-21-98 AS -BUILT Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska 99514 (907) 272-8218 SEPTIC SYSTEM ADEQUACY TEST Legal: Lot 4 Block 7 Mountain Park Est. #2 Owner: Mr. Larry Weaver Residence: 12700 Foster Road Anchorage, AK 99516 Septic System: Tank Size: 1,000 gallons. Absorption System Type: 5 -Wide Trench (from Municipal records) Absorption System Size: 26x5x4 Absorption Area: 260 s.f. Installation Date: 4-18-83 Soil Rating: 85 gpd/sf Date of Pumping: 2/18/98 By: A+ Home Services Date of Test: 2/21/98 Test Procedure: System was inspected and measure. Tank was found with 4 Feet of cover. Liquid depth was measured to be 18 Inches. The drain field was found to have 3 Feet of cover and a total depth of seven feet. There was 35 Inches of liquid measured in the field's monitor tube. Water was added to the system at a constant rate of 2.1 G.P.M. The water levels in the tank and drain -field monitor tube were monitored. A total of 450 Gallons of water was added. During the test the level rose eight (8) Inches in the field. No rise was noted in the tank. The infiltration rate was monitored for 1440 Minutes. During this period, a total of 450 Gallons were absorbed. By extending the observed infiltration rate, a total absorption rate 450 Gallons per day was arrived at. TESTS RESULTS: This system meets the code requirements of the Municipality of Anchorage. The operational life of all septic systems depend on the local soil condition, ground water 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 system. We can therefore not give any estimate of how long the system will continue to meet the operational requirements of the Municipality and State. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date a �� 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal �D�escriPti n (iAclocle lot, L7block�bdi io ,sec n, ow hip, range); Location (address or directions)_ 12.E �CIa6 (b) Property owner'06 z ' Telep - e: Home '��7�7'�n�'�7 Business C% %J �004U�` Mailing Address Q� (c) Lending InstitutionTee one/, Mailing Address v T v-3 (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: or: Check her if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single -Family lXl Number of Bedrooms _ 3. WATER SUPPLY Individual Well Community ElPublic El Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite 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. Page 1 of 2 72-025 (Rev 8/86) Front I JJV9 (988 A08) 9L0 -6L Z to Z abed '>laonn S,aaau!bua leuo!ssaload aql u! suo!ss!wo Ao saoaaa Aol alq!suodsai lou sl abeaogouV 10 (1!Ied!o!unW a141 -panssi si aleo!lpliao e aaolaq elep az/leue ao suo!loodsui lonpuoo lou op SHH(] to saaAoldwd sluawaainbaa alels pue leJapal u!elJao Als!leS 01 Japao uj suo!lnl!lsui bu!pual a!agl pue sawog to saase14oand of AsolAnoo e se s!ql saop SHH(] agl e> selV 10 01e1S aql ui paa01s!59a aaau!bua leuoissaloid luopuadapu! ue Aq anoge 9 gde,ibeied ut uanib suo!leluasaadaa aql uodn Aluo paseq saleoippao lenoaddV {\l!aogl"V glleaH sanssi (SHH(l) sao!naaS uewnH pue 41120H to luawlaeda(] abeaogouV to Allled!oiunW aql NOI1f1Vo lenoaddV leuo!1!puo0 10 sw)al leuoil!puo0 panoaddes!(] panoaddV alepAq-swooapaq`T)77 - aol panoaddy / Fy lVAOaddV SHHO '9 14 O���UOISSB)Old Io •. d1 A 00.9010*010 too. 00 00 Ia�Ig1�E,zoa - o d �• •�})• •OYYVVovi •• Y••••• * Y • to s� �. •• t cYyy��9•y�yy"" f AV ale(] ssaappV (21���._. 0�14d&lal — r wa1 to aweN -Uo!lo Sul S!gl to alep aql uo loolla ui suoilelnbai pue'seoueu!pao'sopoo alelS pue led!o!unNl Ile gl!M ooue!ldwoo ui si walsAs lesods!p Aelernalsean ao/pue Alddns Aalvm alis-uo aq1 'uoiloadsui pue uo!1eb11sanu! Aw woal pue sal!} abeaogouV to Al!led!o!unw oql woal pau!elgo uo!lewaolu! agl uo paseq legl (1!aan aaglanl I 'u!a.iaq paleoipu! aanlonils 10 adJQ pue swooapaq to aagwnu aql aol alenbape pue leuo!lounl'ales s! wags (s lesods!p jalumalsem jo/pue Alddns aalem al!s-uo aql legl SMOLIS lenoadd V AliAoglnV glleaH Slgl10 u011ebllsanu! !w 1e141 Al!aan I 'rnolaq unnogs alep u0!1ep!len 04110 se pue olaaaq poxille leas (w /`q pa!1!liao sV NOI1VVYUOdNl ONV V1V4 `HDHV3S Slid `SiS31 `SNOliO3dSNl JNIQIAOHd Wdl3 ONId33NIJN3 'S uN\G\QP\i PGF P� �EOD\�GS DN gER EN23 Rp c A. WELL DAT MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: Z o Well Classification - _Ilelowbe If A, B, C, D.E.C. Approved (Y/N) �1 Well Log Present ./N) Date Completed /�%.4�� /'/> lf�-3 Yield t Total Depth l�S` Cased to y/ ";&0p�"kDeptfi of Grouting Static Water Level ,"C) -/- I Pump Set At Casing Height Above Ground Sanitary Seal on Casing (97N) Electrical Wiring in Conduit &N) Depression Around Wellhead (Y& Separation Distances from Well: To Septic/Holding Tank on Lot .40 ; On Adjoining Lots Z i To Nearest Edge of Absorption Field on Lot 1,5 ; On Adjoining Lots To Nearest Public Sewer Line 1'� IIS To Nearest Public Sewer Cleanout/Manhole �/ 4 To Nearest Sewer Service Line on Lot Water Sample Collected by '4 � / ; Date -) Water Sample Test Results • 11 I��.���r%fny�%:� B. SEPTIC/HOLDING TANK DATA Date Installed � !8 8 — Size ' ' e'. -P No. of Compartments Standpipes (Y�/N) Air -tight Caps Foundation Cleanout ('N) Depression over Tank(Y/ 1) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) / ; for Holding Tank High -Water Alarm (Y/N) —1 Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well //-� ? -F To Building Foundation To Property Line I W -' To Water Main/Service Line Course K'onu Comments Page 1 of 2 72-026(11/84) To Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 0 Type of System Design, �r--yu ' Lv Date Installed L/��g Length of Field 6t Width of Field �'� r� Depth of Field �� J Ye Gravel Bed Thickness 11 Square Feet of Absorption Area Standpipes Present((Y/N) _ Depression over Field (Y)p Date of Last Adequacy Test Y//,7Lei Results of Last Adequacy Test s iLrrS i Separation Distance from Absorption Field: To Water -Supply Well / f) To Property Line /y To Building Foundation _ To Existing or Abandoned System on Lot f` ZA_ ; On Adjoining Lots > -)o To Water Main/Service Line"S To Cutbank (if present) __/L; 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) Comments ** Check Permitted Bedroom Dimensions Manhole/ ng Against HAA Request'* 5pulss (Y/N) Off' Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checke,!verified, or conformed to all A a d HAA guidelines in effect on the date of this inspection. Signed Date Company „_ter ���- MOA No. Receipt No.AV /���'�� �•�•.°�®® Date of Payment 4 � 2- -3 � �: 4 T "" Amount: $ TUU 0 ng ne Seal e•••••• o11•••® Y C. REID, R. ` �s CE Ar 1. Page 2 of 2 72-026(11/84) APPLI(­ NT -FILLS OUT UPPER FIA' ' ONLY Property Owner 1-21.2,,-1-21.2,,-- „�f:77 2nC_ Phone Mailing Address/ - Zip Code -295�/ Buyer Date Address Zip Code Lending Institution % �.)J-�G�G�� - Phone / Address //-;o<D 6%.� �i,"So�'� �j7/!/a' _ Zip Code Realty Co. & Agent iJ_ � �JtL ej (� Phone �j iJ� // � `7 � �) �!� SeG✓ � Address /1� p Zip Code 7 /cam �p� .. ��-t/ Legal Description RECEIVED Street Location Pte' 'CONDITIONS OF APPROVAL Type of Residence ( ) DISAPPROVED _i;�`Single Family ❑ Multiple Family No. of Bedrooms ( ) CONDITIONAL APPROVAL` ❑ Other Water Supply C— P Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility �,ff Iv! y 3 Sewer Disposal 5i Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. L�fA- f.1 1 r rein o S� n,( �-, --raP. Time Time Time Time �^ Date Date Date Date Inspector Inspector Inspector Inspector of 94 CHORAGE Field Notes: Q(I �Qq�j ✓ DEPT. OF HEALTH Y• ENVIRONMENTAL PROTECTION. JUIL25-1983 RECEIVED (.3) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL` DATE '� 7 "- �3 BY: �'�� �S"\ C— P Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received - Septic Tank Size 1 �U Iv! y 3 Well to Tank 72023 (3132) July 27, 1963 Alnlolid , Inc . P. o. Eos 11--7-2 7 Anchorage, AK 99511 Subject: Lot 4, Block 7, :Mountain ?ark Estates #2 Approval for the individual setter and ,pater facilities cannot be granted until. the follocsa.ng i.te s have beea corupletud: r. ;fell log submitted to this office for our fileanu \ Pr' creview. Cl Bailouts to septic tank have been Cama, ed and need replacing. V i T31eaaF notify t'eis l e,par.tment for a reinanection �:iien the noted discrepancies have been corrected. If there ars any further questions, please call_ this office at 264-4720. Sincerely, r.obert C. Pratt Associate Environriental Specialist RP25/ej/ 2