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Home My WebLink AboutNORTH WOODS BLK 1 LT 18 "PI%r MUNICIPALITY OF ANCHORAGE On-Site Water & Wastewater Program Nom, S;� • , PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax: (907)343-7997 �/ http:Jlwww.muni.orglonsite l (Tartntttt 4tcHOM1pV� On-Site Wastewater Disposal System Permit Permit Number: OSP171084 Effective Date: 5/18/2017 Work Type: Septic Upgrade Expiration Date: 5/18/2018 Tax Code Number: 05173163000 Site Legal Address: NORTH WOODS BLK 1 LT 18 G:1459 Site Mailing Address: 22828 NORTHWOODS DR, Chugiak Owner: GALLAGHER KATHLEEN S Lot Size in Sq Ft: 26529 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3 This permit is for the construction of: El Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: 76(---4--- -C [it✓ it— Date: 5 2147 Issued By: claikx;, Date: 511 f I 4y hl ,I MAY 1 1 2017 t1 MUNICIPALITY OF ANCHORAGE\ At • • . / - Community Development Department � •-__ % Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On-Site Water & Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. (55 1 r].31-t0 Property owner(s) KATHLEEN GALLAGHER Day phone 830-9222 Mailing address P.O. BOX 670412, CHUGIAK,AK 99567 Site address 22828 NORTHWOODS DRIVE, CHUGIAK,AK 99567 Legal description (Sub'd, Block& Lot ) NORTHkOODS; BLOCK 1, LOT 18 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (Nall that apply) Initial ❑ Single Family (SF) Absorption Field ® (w/wo ADU) Upgrade Septic Tank ® Duplex (D) ❑ Renewal n Holding Tank n Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage L THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: N/A _ Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP,Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: ?((31 — Waiver Fees: Date of Payment: ( (t 1 11 Date of Payment: Receipt Number: 0059'1 Receipt Number: Permit No. oe2 e 11 \o' 1 Waiver No. (Rev.01/11) Quanics GARNESS ENGINEERING GROUPLtd Ad-x[C7''"trntv�l V'�LYT7 Cc.TIiY. CIVIL&ENVIRONMENTAL ENGINEERS Dealer May 8, 2017 Municipality of Anchorage Development Service Department On-Site Water&Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic Upgrade for Northwoods SID; Block 1, Lot 18 To whom it may concern: The existing 3 bedroom house is served by a public water and a private septic system. The existing septic consists of a 1000 gallon septic tank, followed by a 500 gallon lift station which pumps up to a 24 feet wide by 47 foot long bed type drainfield than has a 2 foot sand filter_ The existing drainfield is in a state of failure and need to be upgraded. We are proposing that the existing tanks be decommissioned and that new 1250 STEP tank be installed in their place. We are also proposing that the existing bed type drainfield be rebuilt in the same place. We are proposing that all contaminated material be excavated out and that new MOA approved sand filter and clean, washed drainrock be installed as needed with all new piping. We anticipate that 6" of the perimeter of the bed will need to be excavated to remove the contaminated material which will increase the drainfield size to 25 feet wide by 48 feet long. We are also proposing to re-build the drainfield to an elevation 0.1 feet or higher than the old drainfield. Comments regarding the design are as follows: 1. SOILS: See the attached 1991 soil logs performed by Roger J. Shafer, P.E., which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns within 100 feet of the proposed septic upgrades 4. TOPOGRAPHY: The general topography is generally flat around the drainfield. There are no cutbanks or steep slopes greater than 25% within 50 feet of the drainfield. Since we are rebuilding the bed, we have not provided topography information on the design. We are unaware •f any adverse impacts this installation would have on adjacent wells or septic systems. If you h. e any questions, please contact us at 337-6179. Thank you for your assistance. incer, ly, Jeffre • . '.E., M.S. Presi'el 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.gamessengineering.com N. N. NOTE: ALL SURROUNDING / i / // / �N / 1 PROPERTIES SERVED BY PUBLIC �� !/ // !C / t�OR� `�`� /!/ /// WATER AND PRIVATE SEWER. `�` %%// ,/ // !rte`. °T8 00 N.N. / �� `. / / i/ // // 5' ��5 / ``N. y/ i // �`y' / / ,i�'�OR / / /1 \N` // `', EXISTING / / ' / °T rh `5 / // N. / �� 3 BEDROOM • / / / / reek�Os �`` / // ` / y„ N. HOUSE / // � °C,rrs, - r /' / !// / //,``� �( `� ,'// ' / _ EXISTING SEPTIC TANK 7`� / �/ / `�\ 3` / �/ `•L1is..f / AND LIFT STATION TO / / ` / / . ''t BE DECOMMISIIONED / // • / `' /' / / �' / // / . %• //��/ / %/ / / 4. mi . , i? °CIO . / // � N. / N < N. • N.zo / ° . / / / /,/ PROPOSED / // QQ-- / °�'t 4b /1 �/O`/ / /' `rS.T.E.GP .TANK ' / EXISTING DDRAINFIELD 6. ``r / • // / ``r SHAPER,P.E. / / � TO BE REBUILT ` /// i/ / ` TEST HOLE / /4% (PAGE 2 OF 3) ``N\ / // ./ //// cN. (O r'.4•w, \`.` // // /// • / / . 'ek /, / / /' / % / ;% N. /'` / / / C / / %/ . / / 'VN.410 N. / // % N it( 1 / >/ /• / / s, <o�os �. / %% /I// ' // / `N. r, /' �y /7 SCALE: /�\ / / / / /! N. ! / . / \ ✓ / // •/ N. N. i/ may/ %/• \\ /// \\\ / N. f • / '�� <ooRr �.\ / L/ /% \\ // `\ / !/ �\ lr3h�, N� / A %%• \ // \♦ / / e�ot`�4s `. •/ \ `C \ �I • ` fiN. r .• �'. / 7' \ • / . % \\ \\ ♦♦ `.N. // / / \\ \\ \\ N. N. N. N. // „oililiS li II 44, GARNESS ENGINEERING GROUP, Ltd ( 14 . '� •'* CIVIL& ENVIRONMENTAL ENGINEERS 0 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE.AK 99507'PHONE(907)3376179'FAX(907)33&3246'WEBSITE www.gam essengmeenng.mm •••,**I PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 r1 r0, A. Gam: s i 1.. KATHLEEN GALLAGHER 830-9222 1 OF 3 # -a,% E- • - • '�...... ff PROJECT/LEGAL DESCRIPTION: DRAWN BY: iff *I . ' '•, • NORTHWOODS S/D; BLOCK 1, LOT 18 J.L.M. .1 Jp'�•.,�_/S° ,i1443••• TYPE OF WORK: DATE: •4f 4' `RJF ESS\��4. SITE PLAN FOR PROPOSED SEPTIC UPGRADE 5/8/2017 MAEcNCae, ��•�� } c / / ' /` / ,/ NOTE:THE EXISTING SEPTIC TANK AND DESIGN CRITERIA: / / LIFT STATION ARE TO BE PERMANENTLY BE DECOMMISSIONED PER UPC.THE NUMBER OF BEDROOMS: 3 --\41EXISTING TANK UNDER THE DECK SHALL GALLONS PER DAY(GPD): 450 / A� BE FILLED WITH A CONCRETE SLURRY. PERCOLATION RATE/S: 20 MINUTES/INCH / Q PROPOSED APP.RATE: 0.4 GPD/SQ.FT. NOTE:THE CONTRACTOR SHALL CONFIRM THE MINIMUM DRAINFIELD SO.FT.: 1125 / Q� /� LOCATION OF THE WATER SERVICE LINE PRIOR TO / .10:1 O /; RE-ROUTING THE SEWER SERVICE TO CONFIRM 10+ DRAINFIELD DESIGN: FEET SEPARATION DISTANCE CAN BE ACHIEVED. MAXIMUM DEPTH: LIMITED TO THE REMOVAL / %' OF CONTAMINATED MATERIAL 1 �� WIDTH: 25 FEET(OLD WAS 24 FEET) , ; LENGTH: 48 FEET(OLD 47 FEET) O �. ' M.O.A.APPROVED SAND FILTER:AS REQUIRED EFFECTIVE: 0.5 FEET . `j:f ,..--: ACTUAL SQ.FT.: 1200 / EXISTING SEPTIC TANK '• 40 •�J ` X / AND LIFT STATION TO 4iver / / KEY BOX ~ ''' BE DECO MSSIONED NOTE) �� ti 4410°V '' III ') -_ S �) I�I II S E: I 1"=30' '/' III.II c,• �'r 4. ASSUMED WATER 111111 Ij �' OP :. I o 0 LINE LOCATION III / '1 I (SEE NOTE) X11 ic° III REROUTE PLUMBING IN CRAWLSPAC` // + AND EXIT HOUSE IN THIS AREA ; / INSTALL NEW FOUNDATION CLEANOUT. 110 SEPARATIONCONTRACTOR TO CONFIRM + ° ° ,gi c�•� , TO WATER SERVICE LINE • / • PROPOSED 1250 GALLON ROGER J. / S.T.E.P.TANK SHAFER,P.E. ; TEST HOLE / INSTALL FLOW SPLITTER , / ' GEG,Ltd.HAS A 8 PAGE SPECIFICATION / LETTER THAT PERTAINS TO THIS DESIGN.TO • OBTAIN A COPY OF THE LETTER CONTACT EXISTING 24 FEET BY 47 LONG / I. GEG.BY PROCEEDING FORWARD WITH THIS DRAINFIELD.TO BE REBUILT.ALL / I. INSTALLATION,THE ENGINEER,WELL DRILLER, CONTAMINATED DRAINROCK AND / h� CONTRACTOR AND PROPERTY OWNER AGREE SAND FILTER TO BE REMOVED AND . J THAT THEY HAVE READ THESE THE OUTER 6'OF THE PERIMETER / SPECIFICATIONS AND AGREE TO ACCEPT THE OF THE BED.NEW SAND FILTER AND ti^ TERMS AND CONDITIONS OUTLINED. DRAINROCK TO BE INSTALLED WITH ' THE NEW SAND FILTER ELEVATION • TO BE 0.1 FEET HIGHER THAN THE N. EXISTING BED BOTTOM.(SEE DETAIL DRAWING,PAGE 3 OF 3 / • t., .....i....4 0:14". GARNESS ENGINEERING GROUP, Ltd CIVIL&ENVIRONMENTAL ENGINEERS • i 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337-6179•FAX(907)338-3246•WEBSITE.www.pameseenpineerkg.oam PREPARED FOR PHONE NUMBER: PAGE NUMBER: .rin 1. J I -, ' G•e' -ss ! 4/. KATHLEEN GALLAGHER 830-9222 2 OF 3 0��,%..,, E779 PROJECT/LEGAL DESCRIPTION: DRAWN BY: I.(�`. 'f 10)3, „•`c.'� NORTHWOODS SID; BLOCKI, LOT 18 J.L.M. ♦ ♦ P/�r� ( � • TYPE OF WORK: DATE: ,+/ �„ESV-700.4411" ,,- '�•• DESIGN OF PROPOSED DRAINFIELD UPGRADE 5/8/2017 #AECCS&s �� 48 FEET(NEW BED WITH) 1 47 FEET(OLD BED WIDTH) si i 43 FEET LONG LATERALS rr k -1 •-•-4"MONITORING TUBE —4.-I 3' Fes- 4'MONITORING TUBE• I 3 25' f \-4'CLEANOUT44"CLEANOUT"PERF PIPE) - 4"SOLID PIPE I tt , 4'CLEANOUT 4"CLEANOUT 25 FEET (NEW WIDTH) 4"PERF.PIPE 4"SOLID PIPE 6' 24 FEET efr-4'CLEANOUT I 4'CLEANOUT—NN I (OLD BED I WIDTH) 4"PERF.PIPE 4'PERF.PIPE 4'SOLID PIPE 6 �4"CLEANOUT 4"CLEANOUT 1 1 li M-4'MONITORING TUBE 4'MONITORING TUBE-4.-44 3.25 LL _-0-4'SOLID PIPE J I PRESSURIZED FLOW SPLITTER TRANSITIONS FROM 55 URIZED TO GRAVITY'FLOW I 4 JDESIGN CRITERIA: LFROMSTEPTANK DRAINFIELD DESIGN: NUMBER OF BEDROOMS: 3 MAXIMUM DEPTH: LIMITED TO THE REMOVAL '— GALLONS PER DAY(GPD): 450 OF CONTAMINATED MATERIAL PERCOLATION RATE/S: 20 MINUTES/INCH WIDTH: 25 FEET(OLD WAS 24 FEET) PROPOSED APP.RATE: 0.4 GPDISO.FT. NOTE:THE ENTIRE MOUND IS REQUIRED LENGTH: 48 FEET(OLD 47 FEET) MINIMUM DRAINFIELD SO.FT.: 1125 TO HAVE 6"OF TOPSOIL PLACED OVER M.O.A.APPROVED SAND FILTER:AS REQUIRED MOUND AND TO BE VEGETATED. EFFECTIVE: 0.5 FEET ACTUAL SQ.FT.: 1200 4"MONITORING TUBE INSTALL FLOW SPLITTER 4"CLEANOUT 4'CLEANOUT 4'CLEANOUT 4'CLEANOUT TRANSITIONS FROM4'MONITORING TUBE PRESSURIZED TO GRAVITY FLOW 2'OF INSULATION FILTER FABRIC OPCS��NOgE I 3 TO 7 S`OpFS 3101 , Fir - ! - SF��TF 4"INSULATION -5 •+''; *' `,!'"`'-.�` -i7 O..gyp. °;-,..4.:..,;;;,•;,... ' 7.- ;y„:' 4,' 74-- 4” TOP OF NEW SAND FILTER u'•-r`'....i' - ? �'t c�-� ELEVATION TO BE 0.1+FEET AROUND TRANSITIONS �:i• "•r:r ^.-:?-.. . -:-. .. :,:�•�'. .p:. .} .'die sL:�.'�..n'-. _ :'-,t,:-...til �.- .Y= J'N•- HIGHER THAN OLD BED TOP f OF SAND ELEVATION sagto==1"11� F _ 24 FEET(OLD BED WIDTH) OLD BED TOP OF 1.25"SCH.40 PVC I SAND ELEVATION PRESSURIZED PIPE. 25 FEET WIDE(NEW BED WIDTH) SLOPE TO DRAIN BACK TO STEP TANK '(\4Gv%%%%I A,, �`/ 1'\P-,.• '�'" ••. '• ,f+, GARNESS ENGINEERING GROUP, Ltd , .•. • CIVIL&ENVIRONMENTAL ENGINEERS • 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99607'PHONE(907)337-6179'FAX(907)338-3246'WEBSITE:w,w.gamessengneen g oom Q •• •• ; PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 % y � Ga -ss ; .. KATHLEEN GALLAGHER 830-9727 3 OF 3 0�6! C7-7913 ••fits' •' PROJECT/LEGAL DESCRIPTION. DRAWN BY: V1 4�..••.• 5ioI� + NORTHWOODS SID; BLOCK1, LOT 18 J.L.M. 1. p i.L.•,J•,F_..... " A\, •4 TYPE OF WORK: DATE: illLICENSE'II L,7J • DESIGN OF PROPOSED DRAINFIELD UPGRADE 5/8/2017 LICENSE %%Alms J • MUNICIPALITY OF ANCHORAGE WATER CONNECTION — Location RecordACCT. No. S/ 7 i'/- (�5'o D z' NAME- ADDRESS a s a I Nor redo ds LOT I BLOCK ADDITION IUQfcoeds 6 {1 D SIZE CONN. DATE MADE NEW CONN. REPLACEMENT CONN. LOCATION: ALLEY ❑ STREET ❑ TYPE OF MAIN ( ) SHOW SKETCH ON REVERSE SIDE CORP STOP THAW PLATE PERMIT NO. CURB STOP C TO C KEARNY WIRE CONNECTOR W. CURB STOP C TO I OTHER: CONN. - M , CORP CONNECTOR INSP. COUPLING C TO I PERMIT X BRASS BUSHING TOTAL X GALVANIZED BUSHING COMMENTS: BROKEN MAIN, EXT. CONNECTION, EXTRA PIPE 2 PART UNION CASING, DELAYS, ETC. FT. @) 3 PART UNION PI LA SERVICE CLAMP X El PAID PREV. COPPER PIPE El W.M. # 1 1/4" KEY BOX El PAID CASH 2" KEY BOX ❑ SUB AGREEMENT THAW WIRE DISCONNECTS ALT. # LOCATION afW EXCAVATOR ❑ IMP. DIST. APPOINTMENT TIME: # TIME READY: CI EXT. AGREEMENT CONNECTION MADE BY INSPECTED BY # 7, 1100 ,1'1,77, KEY BOX AND SERVICE LINE LOCATION BY SKETCH _ INDICATE NORTH STREET ALLEY Ks 0 L oT I S 31-058 (12/77) Municipality of Anchorage Page ~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519~6650 · Telephone: 343~4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~'-~ 1(~'~;"~' PID Number: 4~)'~1 '~' ,~1 Name~~ ~Jl~ ~~ ~ WastewaterSystem: D New ~Upgrade Address: G~ G, ~, ~~ ~ ABSORPTION FIELD Phone: ~ ~[~ No. of B~o~ms: D Deep Trench ~ Shallow Trench ~ed ~Mound DOther LEGAL DESCRIPTION SoilRating: ~'~GPD/Sq. Ft. Total Depth from original gra~e:l Lot: ~ Block: ~ ~O~~ Depth to pipe bo~om from original g[ade:~ '/~Ft. Gravel depth beneath pipe ~-~Ft. Fill added above original grade: Township:~[~ Range:.~[~ ISecti°n: '~ ~' Ft, Gravel length: ~ Ft. Number of lines: Distance ~twee~ lines: WELL: D New ~ Upgrade Gravel ~1-~[~ ~ Ft. ~ I ~P/ Ft Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: P~pe~a~eri?:'~}~'~ _ Yie~~'~ [Driller: .~ Date Drilled: Static Water Level:Ft. Installer:j~~ ~ Date installed:~ Pump Set at: Casing Height Above Ground: ~.M ~,. ~t.· ~_,~~ TANK SEPARATION DISTANCES ~Septic ~ Holding ~ S.T.E.P. TO Septic Absorption Lift Holding =ublic/Private Ma~~ Capacity in g~ From Tank Field Station Tank Sewer Lines · , Well '~ '~'~ ~'~ __ ~'~ Materia[~ Number ofCompadments: SurfaCewater J~ I~ t~- -- -- LIFT STATION Lot Line ~ ~.~ 5~~ ~ __. Si~ns: Manufacturer: ~ ~t~ ~ Foundation ~{/ ~/ ~' / -- "Pump °n" level ~( I "Pump °ff" level ~ High water alarm~// Cu~ai,Drain ~ ~O~,~ ~~ Pump Make & Model Electricallnspectionspedormedby: Remarks: ~~1~ ~~ BENCH MARK ~~~. I--~ Location andDescription~ O~ ~ Assumed Elevation: Inspections performed by: ~ I~ tee ~:~~~:~ Department of Health ~d H~an Servic~pproval ~.~... , v,ewed ndap, oved ,: /g 72-013 (1/91) MOA25 'Permit No. ,,~l~U~ lO~ ~2 Page ~ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LegalDescription: J, JO'~J,¥b,.~OO~ '~:~L,~--' '~ ~ %~:) PIDNo.: 72-013 A (2/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910222 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:ALASKA HOUSING FINANCE CORP OWNER ADDRESS:520 E. 34TH ANCHORAGE, AK 99563 DATE ISSUED: 8/01/91 EXPIRATION DATE: 8/01/92 PARCEL ID:05173163 LEGAL DESCRIPTION: NORTH WOODS BLK 1 LT 18 LOT SIZE: 26529 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: / DATE: J~y 29, 1991 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL iNSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 18; Block I; North Woods Subdivision Request you issue a p~rmit to upgrade the septic system located on the referenced property. In June of this year we visited the property for purposes of updating the Health Authority Approval (HAA). We found the liquid level within the leachfield monitoring tube atapproximately 5 fe~t below the ground surface. This was not expe~ed because the house has been vacant since our previous adequacy test in February, 1989. The leachfield was dry in February 1989. Therefore, we have concluded the existing septic system is periodically within the fluctuating groundwater for which the North Wood~ Subdivision is infamous. A t~st hole was excavated and a p~rcolation tut performed July 8, 1991. The proposed leachfield bed is to be at ground elevation on top of a 2 foot sand fd~ter to maintain a 4 foot separation to the seasonally high groundwater level. If you have any questions or require additional information for your review, please contact us. Sincerely, RJS/ss 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 SCALE Municipality of Anchorage ~-~.~ 825 "L" Street, Anchorage, Alaska 99502-0650 ~~~ ~"'~:~. - ~ ~ SOILS LOG -- PERCOLATION TEST '0,~".~,~,~ ' . ' DATE PERFORMEI ~'~c:~_~l.~--~ Township, Range, Section: '"T-t~x~ I::~ ~ SLOPE SITE PLaN WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ~__~:~ OL DEPTH? p E Depth to Water Alle~ I MonitorinD? ~, ~ Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERFORMED FOR: LEGAL DESCRIPTION: [.~\~--.~ ~'~[ 2 3 4 7 8 10 12 14 ~§- 17- 18- 20- PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER I TEST RUiN BETWEEN "~ FT AND ~'~ FT PERFORMED BY: ~'&"t=~ia~;~lyer/oo RoadN. I ~ ~ -/' ~%~RTIFY THAT THIS TEST WAS PERFORMED I, 17034E g ' p ~ ~ ~ ~ ~ ~, ACCORDANCE WI~~A~~L GUIDELINES IN EFFECT ON THIS DATE. DATE: [, ~ ~t 72-008 (Rev. 4/85) K. ~. 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/~L INSPECTION REPORT NAME MAILING ADDRESS LEGAL DESCRIPTION PHONE ~NEW ,~/~,3~/~/.~'~ [] UPGRADE ~Well DISTANCE TO: j(.~)~.4,~¢,~,~.~L,' ~,.~:~ I Abs°rpti°n area ~7 ,/~ I Dwe'"n~ · Material ~ 7~' Z~ Width NO. OF BEDROOMS PERM,T No. Io ,,0 ! No of compartments Liq. c :ity in gallons Inside length Liquid depth IF HOMEMADE: '~ Iiai .~iquid capacity in gallons Nearest lot J.i~e lines Distance between lines I Tr~ench width ~' Well DISTANCE TO: No. of lines ~,~ th of Top of tile to finish grade Length ISTANCE TO: Class DISTANCE TO: Crib diameter Well Depth Building foundation b Total effectiy~ ~b~rption area Material 6~ inches Crib depth ~ Total effective absorption ar~ Building fou~on Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorption area(si OTHER PIPE MATERIALS SOl L TEST RATING REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) RPF'L I C RNT L 00 Fi T I 0 N LEGF~L F F::RNK E:ETHFIR[:, PETERS CREEK L '18 E: i NDF.'TH I,JF,3[:,c; L-q,-"D DEPRRTMENT E....HERLTH FiND EN',/IRONMENTRL 1. <OTECTION 8;25 '"L'" STREET., RNCHORRGE., RK. 995C~i 264-4728 STR BOX !698K 995Ci7 LOT SIZE 3:45-i6i._, L--:.',~'~Z~E~ SQLIRF.:E FEET · FE OF SOIL HE.=,_E,F I I.N SYSTEM : TRENCH MRXZMUM NUME:ER 0F E:EDROOMS = 2: ':;OIL RRTING' (SQ FT,..-'E:F:)= 265 'THE. rqEQLIIRE[:, '=_,I~..E.-"* OF THE SOIl_ RE:SOF.:PTION S'¢STEM IS: [:,EF'TI-]==--.-'=' [_[~.f..,]C~TH== '-'- iF. Iq-. EL_ [.-E:F Tn ! .... 'THE LENGTH DIMENSION IS THE LENGTH <IN FEET:) OF THE TRENCH OR DRRINFIELD. THE DEF'TH OF FI TRENCH OR PIT IS THE DiSTRNCE BETWEEN 'THE SURFRC:E OF THE GROUND RND TPIE BOTTOM OF THE EXCRVRTION ,.':IN FEET:). THEF:E tS NO SET kIIDTH FOR TRENCHES. ]'HE GRF¢,,,'EL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE E',:<CFI'v'~TION (IN FEET;'. 'F: , - , "' i ..... 5." l THE F_~.M!T HFf-I_I_.HN] HRS THE RESF'GNSIBILIT'¢ TO INFORM T'HIS [:,EPRRTMENT [._ ~. [.,113 INSTRLLFITtON IN=,FE_.II~f~ .... IDF FIN'.? WELLS Ft[',.TFIRENT TO THIS FF....FEF..T, F'tN[:, THE NLIMBER OF RESIDENCES THFIT THE WELL WILL SER',/E. E:RCKFILLING OF FIN"r' :,~:,]EM WITHF{IIT FINFIL INSF'EOTION RND HFFR. HI- ]"HIS :,UE,..TE_.] TO PROSEOUTtON. [:,EPRRTMENT WILL E:E '- ' ~ .... MINIMUM DISTRNCE BETWEEN R WELL RND RN'¢ CN-'SITE SEWRGE DISF'OSlaL :,~:,TEft IS 280 FEET FOR R PRI',,,'F1TE WELL OR J. ECi TO 2E1E~ FEET FROM R F _BLIC WELL DEF'ENDING UF'ON THE T'¢F'E OF PLIBLIC NELL MZN~MUM DISTRNCE FROM R F'R. IVRTE WELL TO R PRI'¢RTE SEWER LINE I': '-'~ _, ~o FEET RND TO R ::OMMJNIT~" SEWER LINE IS 75 FEET. 3THEE' REQ_IIREMENTS MRS' RPPL'¢. SF'ECIFICRTIONS RNF, L. UN:,TRU_., IqN DIRGRFIMS RRE RVRILHE, L: TO IFISURE PROF'ER INSTRL.LRTION. F"EF:~'I I -C E.:-:,F- I: F-_E .... [:,EL--:..EEf-IE:EF-: Z=:±., I CERTIF'¢ THRT ±: I BM FRMIL!RR 14ITH THE REQUIREMENTS FGR ON-SITE SEWERS RN[:, WELLS RS '.SET FORTH B'¢ THE MUNICIF'RLIT'¢ OF BNC:HORRGE. 2: ! !4ILl_ INSTRL. L ]'HE SYSTEM IN RCCORDRNCE WITH THE CODES. :-':: I UN[.',ERSTFIND THRT THE ON-SITE SEWER S'.¢STEM MFf¢ REQUIRE ENLRRGEMENT IF THE RESIDENCE IS RFMO[:,ELED TO INCLUDE MORE THRN ]: BEDROOMS. : I bNE[ .................................................... FIF'F'L I OFiNT FRRNK E ETHRRD Applicant: Location: [ 'JNICIPALITY OF ANCHORAGE . Department 04 Health and Environmental~yrotecti°n 825 L Street, Anchorage, AK. 99501 264-4720 * *'* HANDWRITTEN PERMIT * * * WELL AND/OR ON-SITE SEWER PERMIT Type of Soil Absorption System Is: Trench: · [/_ Drainfield: Maximum Number of Bedrooms: ~ Phone Number: ~ ~- /~z[5~-~ Lot si .e: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) ~" The Required size of the Soil Absorption System Is: DEPTH ~( LENGTH ~;;~(~ ' 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 0utfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~O~9~ GALLONS * * Permi~ 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(2) 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 8 1 * * * 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 they, d to include more t~at ~bedro°ms. Signe~: A~a Issued nt ~ "/,//~/ Date: SWP/024 (1/81) %,UNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENV{RONMENTAL PROTECTION Pouch 6-S50. Anchorage, Alaska gg502 SOILS LOG -- PERCOLATION TEST PERCOLATION TEST PERFORMED FOR.* LEGAL DESCRIPTION: 1 ~2 3 DATEPERFORMEO: ' ~-/G-8/ .. SLOPE SITE PLAN 10 11 '13 14 15 16 17 18 ~9- 20' COMMENTS PERFORMED BY: WAS GROUND WATER ENCOUNTERED? DEPTH? I~I Gross Net Depth to Net ReadingDate Time Time Water Drop s '/z %, o o ~ Yz o ~ ~1~ ~ ~ ,/o 4 ~ RUN eETV~/EEN _ 4 . FT DATE:. 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Lot 18; Block I; North Woods Subdivision; Location (site address or directions) Northwoods Drive Rroperty owner Mailing address Lending agency Mailing address Ager~t Lynda Banner AHFC # 34911 520 East 34th Avenue, Anchorace, Day phone Alaska 99503 Day phone RE/MAX OF EAGLE RIVER Day phone 694-4200 Address 16600 Centcrfi~ld Drive #201 Eagle River, Ak. 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 ~ TYPE OF WATER SUPPLY: Individual well Community well X× Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 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 Address Engineer's signature DHHS SIGNATURE _ ~..~Approved for Disapproved. $ & S ENGINEERING 17034 Eagle Ri,vet Loop Eagle River, Alaska 9952~. bedrooms. Conditional approval for Phone bedrooms, with the following stipulations: Additional Comments By: ~/~//~ ~/~//~/~/ Date ~/~',~,~// 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 DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineegs work. 72q)25 (Rev. 1/91) 8ac~( MOA Municipality of Anchorage ,~ Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~O'L:21~I/-1("2~JT"~ bl~2-~ I::~ 1 Parcel I.D. A. WELL DATA Well type A Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system numbe~ Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line g.p.m. ~'¢,U,"~ICIPALI"W OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION S ~pJn.6 1993 RECEIVED ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~ ~ I ,~.~-'~J Tank size I ~'"'~O) Cleanout~/N) ~ Fou ndation clea n out~t~t~N) y High water alarm (Y/N) L)/~ Alarm tested (Y/N) Compartments ~ ~Depression (Y/L~ ik.J Date of pumping '~- "Z!r - ~:~ Pumper ,-~'~'~ .~--_~,~'~00 L- -b'P¢o~-~/ ,q',~C~.vr ~-~t~ ~:%:~wt-~, ¢~ . SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~,} JJ~ To property line z~L.O ~. On adjacent lots Absorption field '"~,,,-.O0c J'~ Foundation II I J ~2 / Water main/service line ~c~ I +- Surface water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(~N) "Pump on" level at High water alarm level :~ ~,.~ Meets MOA electrical code~'N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Manufacturer .¢~ ~E'~- t-~"~ '~, - Manhole/Access~N) ~f "Pump off" level at Cycles tested ~[~ ~ · ~..~_.)~)' -F Surface water D. ABSORPTION FIELD DATA Date installed q Lengtk Z~-'~(i Width Total absorption area Depression over field (Y/(~ Results (PaSs/fail) Gravel thickness ~ -~-'~ ~ Total depth Cleanouts presentON) Date of adequacy test M-~/ ~_~ .? ,~"~. t~ for Soil rating ~) ,4~-~ J~F~.~4System type ~--~)U I~-~ ~--LD ";~___~ 4-' bedrooms Peroxide treatment (past 12 months) (Y~) ~'.-/ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~-~ 0 ~ To building foundation ~ ( To existing or abandoned system on lot On adjacent lots Surface water Curtain drain ~-,-~0~,-.~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect, Signature Engineer's Name Date S &S ENGINEERING 17034 Ea~lle RiYer Loop Road Eagle River, Alaska 99577 this inspection. HAA Fee $ (' 7 Date of Payment Receipt Number 72-026 (Rev. 3/91} Back MOA Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 August 27, 1991 WALTER J. HICKEL, GOVERNOR 563-6775 FOR: S & S Engineering PWSID 2130O1 My review of the records on file in this office reveals that the Northwood Subdivision Class A Public Water System, is in compliance with the provisions of 18 AAC 80.200 State of Alaska Drinking Water Regulations. Sincerely, ~,/ ./ / Keven K. Kleweno Lead Engineer ~.~ printed on ~ec¥'cle:J p;q~e~ b y MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 051-731-63 HAA# HA890043 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lot 18 Block 1 Northwoods Subdivision Location (address or directions) Northwoods Drive (b) (Wililam J. Odom) Property owner A.H.F.C. ~34911 Telephone: (home) Mailing Address 520 East 34th Avenue, Anchroaqe, Alaska Business 99503 (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Lynda Banner % Jack White Company Address 10928 Eaqle River Road, Eaqle River, Alaska 99577 Telephone 694-4200 ~ (e) Mail the HAA to the following address: (or check here I-I, if hold for pick uP.) List contact person and day phone number below: S & S Enqineerinq 17034 Eaqle River'Loop Raod, ~204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-Family:iD( Number of bedrooms three (3) 3. WATER SUPPLY Individual Well [] Community ~:k Public [] Note: f community well system must have written confirmation from the State Department of Environmental · C6hse~vati6~ attestin'g to th'regalitY ~nd'Sta{Us. ' ' ' ..... 4. SEWAGE DISPOSAL On-site~Ek .Public[] Community[] ~ Holding Tank[] Note: If community well system, must have written confirmatio? from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed he'retoand as of the validation date shown below, Iverifythat my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm S & S Engineering Telephone 694-2979 Address 17034 Eagle River Loop Road #204, Eagle River 99577 Date February 6, 1989 Engineer's Seal 6. DHHS APPROVAL Three (3)edroomsb Approved for by Approved r~-~_ Disapproved Terms of Conditional Approval Conditional Date February 7, 1989 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 order to satisfy certain federal and state requirements. Employees of DHHSdonotconductinspections or analyze data before a certificate is issued. TheMunicipalityofAnchorageisnot responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88)Back Page 2 of 2 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. # ~['~-~\ ~\-l(~, ~ 1. GENERAL INFORMATION (Must be comple~d prior / (a) Legal Description (include 10t, block,~bbdivision, / Lot 18, Block I, North ?ods Location (address or directions) Northwoods Dr. (b) Property owner A.H.F.¢. #34( Tele ibmittal) township, range) one: (home) Business Mailing Address (c) Lending InstitutiOn Mailing Address 520 E. 34th (d) Real Estate Company and Agent Address I092~ Telephone (e) Mail the HAA to the followin List contact person and day S& S ENGINEERING 17034 Eagle Ri~er Loop Eagle River, A~,ka 99577 2. TYPE OF RESIDENCE Single-FamilyX~ 3. WATER SUPPLY Individual Well [] (or ch, lumber bel Number o~bed rooms Community [] PL~'b'tic Note: If community well system, must have:writte Conservation attesting to th legality and status. Telephone hold for pick Up.) P.W.S. ID.# 213001 confirmation from the State Department of .Environmental 4. SEWAGE DISPOSAL :. On-site E~ 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 sta{us. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone r~'~/~//~/'f~ ~:::~ A' . /---~--~-...5 & $ ENGINEERING aar(~ss ~'~'~n'~,~ ~=nnle River Loop R~qd No. 2~ ~ ~ Eag~er, Alaska 995~ 6. DHHS APPROVAL Approved for ~~ ~ Conditional ~, Terms of 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 order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELL DATA Well Classification Well Log Present (Y/N) Total Depth. Cased to Static Water. Level Casing Height Above Ground ~ MUNICIPALITY OF ANCHORAGE (MOA) v',ui,~icIP/-',tl i', ~,,!.,~,¥,A(~: Health Authority Approval (HAA) , -,"NI/f ~,~,,~l,'/I,,[oN CHECKLIST - FEBRUARY 1984 ~i,,~, h~:~1',,,,: "' '~" 343-4744 Legal Description: Date Completed Depth of Grouting Electrical Wiring in Conduit (Y/N) r ~ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results If A, B. C, D.E.C. Approved~) _~___ Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ;'On Adjoining Lots ~ 14-- ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING TANK DATA Date Installed "'~--'1~-'~1 Size ~ ~6;)c~ No. of Compartments Standpipesd~N) '-/ Air-tight Caps ¢i~N) '-/ Foundation Cleanout (Y/4~;~ Depression over Tank (Y~ICj) r~ ?**ate Last Pumped Pumping/Maintenance Contact on File (Y/N)t.~, , 1~/-~ ; for Holding Tank High-Water Alarm (Y/N) //~ Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well '~ I.~F- To Building Foundation To Property Line ~o -~ To Disposal Field I To Water Main/Service Line "7~--~ To Stream, Pond, Lake or Major Drainage Course \ ~ ~ Comments ~z~ ~-,¢::~:~t---~ 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed '~ ~ 1"5- Width of Field ~-"~ Square Feet of Absortion Area Depression over Field (Y~)) Results of Last Adequacy Test Type of System Design Length of Field 6~;~C;~/ '~' I Depth of Field Gravel Bed Thickness (.~ ~:~ (~' (::~'¢'/'/ Statndpipes Present ~N) ~ Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ToLot Building Foundation To Property Line To Existing or Abandoned System on ; On Adjoining Lots / To Cutback (if present) To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION alled allons "Pump O n ' ' L-'"'~"~e ~_____ High Water Alarm Level at"'~ Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on inspection. Signed Company Date MOA No. 5 & 5 EN(~iNEEi~ING 170~4 Ea~jle River Loop Road No. 204 Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7~88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 t~ date of this DEPT. OF ~NVIRONM~L CONSeRVaTiON ANCHORAGE/WESTERN DISTRICT OFFICE / 3601 C STREET, SUITE 316 / ANCHORAGE, ALASKA 99503 563-6775 DATE: Januarv 26,, 1989 PWSID: 213001 To Whom It May Concern: A~cordihg to the records on file ~TILITIES/NORTHWOODS Water System is in State of Alaska Drinking Water Regulations. .[ in this office, the CH~GIAK compliance with 1y Sincere_ VERA E. CRAIG ~/~.. Environmental Field Officer Drinking Water Progr~m..'i[": MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) L fSI Ot F/-/tO D.5 5/D (b) Location (address or directions) Applicant Name __~//L(..- 0 Applicant Address ,-~ ~ 3 I¢E Telephone: Home (c) Applicant is (check one): Lending Institution []; Owner/builder ~; Buyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family I~ Multi-Family [] Number of Bedrooms --~ Other WATER SUPPLY Individual Well [] Community[~ Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite I~ 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 {11,84} ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is ip compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address ./20(..) /.,~/ Telephone ,~//-,~-0 4?¢t~ F¢ ti-Nc/-~. ,. ,41.F APPROV~AJ'~'f~k~. ~ ..~.~ ..,? . ,/) DHEP Approved Disapproved Conditional · o, Co.di.o.a. CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 k.~.,¢ MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 AJ3~ 2 5 'JgSJ~ 264-4720 Legal Description: WELL DATA Well Classification COIV).IV)dA~i '1"~ If A, B, C, D.E.C. Approved ~)/N) Well Log Present (Y/N) /~///~ Date Completed /~///~ Yield Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot Depth of Grouting Pump Set At Sanitary Seal on Casing (~/N~ Depressi~W~lhead (Y/N) .¢,~¢4¢On Adjoining Lots /~'; On Adjoining Lots .,,"~To Nearest Public Sewer To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Comments To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Size /OE0t~ No. of Compartments Foundation Cleanout (Y/~ Date Last Pumped ;,or Temporary Holding Tank Permit (Y/N) Date Installed Standpipes (~N). Air-tight Caps CN) Depression over Tank (~N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) N/I~ Separation Distances from Septic/Holding Tank: TO Water-Supply Well To Property Line To Water Main/Service Line Course / ~Otg / To Building Foundation J 0 To Disposal Field '~ To Stream, Pond, Lake, or Major Drainage Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field ;~ Square Feet of Absorption Area Depression over Field (Y,~ Results of Last Adequacy Test Separation Distance from Absorption Field: 2. (~,~' Type of System Design Length of Field (~2LO / ('//N/~'/~(''(//A// "~¢' Depth of Field Gravel Bed Thickness ~'~'0 "' Standpipes Present (~N) Date of Last Adequacy Test __ 2 O0 '+ To Property Line ~ .-~ To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parldng Area, or Vehicle Storage Area Comments , To Existing or Abandoned System on ; On Adjoining Lots } ~ /~ To Cutbank (if present) /V//~ / O0/~h D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions ~..~_~ .............~ump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I hav.e,ch, qcked, vej'ified,,,or conformed to all MOA and H,AA guidelines in effect on the date of this inspection, Signed ~ ,,~//(.¢~.¢~f,¢.~,.~ Date ¢/~. ¢/~1~ Company J' ~ ~---~ /~/~' C ¢ MOA No, ~¢~)~.~'- - O 2~' 4//' ;' Receipt No. ,.~' Date of Payment Amount: $~;~__.__~ Page 2 of 2 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 09501 BILL SHEFFIELD, GOVERNOR Telephone: Address: 274-2533 DATE: To Whom it May Concern: According to records on file in this office the Water Regulations Sincerely, ALASKA ENVIROIV"",NTAL CONTROL SERVIC~--.~~, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO. OF CHECXED BY DATE- SCALE I //~ 2~/ · ..... ; ~} :-~ ~;~ ,. : ...... i ~ i ~ :, ............ ........ i :', ....... i ': :: ~Q i ~, i ', i '~ :, ~: : i i ::.-;~S- ,i ,; ii ~i !: i i ! ~! ~; :; i :: !: ,: ..... ...... ......... ....... ........ ............ ........... ALASKA HUII OFImffITAL COF1TI OL Se l JlCeS, IFIC. ~nqineerincI $ ~nuironmental $ludics WILL ODOM SR3 BOX 7535 CHUGIAK ALASKA 99567 SELLER-WILLODOM WILL ODOVI SR3 BOX 7535 OtUGIAKAI.A. SKA 99567 0g/25186 60153 LEGAL:Ig:]~S #1 BLOCK i LOT 18 ADEQU3L'Y TEST FOR SEWER SYSTISM ADECJdACY TEST DATE-q/15/86 THE TYPE OF ABSORPTION SYSTF. M IS A TRENCtt WITH AN AREA OF 960 SQFT. THE SYSTEM IS CAPABLE OF AGCEPTING #50 C~LONS OF WATER PER DAY, THE SURC.~ CAPACITY OF THE SYSTFJM I S 900 GALLONS, BASED UPON THE TEST DATA THE SYSTEM I S 3EF__EPTABLE FUR A 3 BEDRCC2M FEIVE. SEPTIC TA[~K ADEQJACY THE EXISTING SEPTIC TANK XI:X.I_I~OF 1000 IS ADEQ3ATE FCR THIS 3 BED~B:XIVlI--EtJSE. THE SEPTIC TA~K/P~ PLANT HAS NOT BEEN PUMa~WITHIN THE PAST YEAR. THIS REPORT DOES NOr VERIFY THE INTECRITYOF THE PIPING F(I~THEWATER SUPPLY CRWASTEWATER SYSTEM. 1200 [Uesl 33rd Auenue, $uile ~,Anchoroqe, Alaska 99503,(907) 561-5040 Time ,, Time · ._~ ,~e Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating ~ Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~-l~}~c~ CO~tS~C~O~ ~ ~C. Phone SRA ~o~ 1698-Ii~ Anchorage, AK 99507 345-1615 Mailing Address Buyer ~'~ill aD_(~ ~wen t~d~orn 134~ Pear Pa~.z Lane, Anc]~orage, AK 99507 Address Lending Institution ~'~OpJ.~ ' S ~J~ll~ al-lc! "l'b~'s~-g At't~ ~ '~)e~J.~d Phone 8th arid G st. ~ Auchorag'e, AK 276-8080 Address ReaityCo. &Agent J::,~,/~,A . Properties, Inc. At, tn: WllJ Eason Phone 2702 OambelI S%., suite 101, Anchorage, A}f 99503 27~-2'761 Address Legal Description Lot 18, ~].oCk 1, ~qort.h Ig'oods Street Location ~]~-[~} Nor%t~oods Drive Type~f Residence ~ Single Family 3 Q Multiple Family No. of Bedrooms D Other Water Supply ~ Individual A~ACH WELL LOG, A well log is required for all wells drilled since June Community 1975. For wells drilled prior to that date, give well depth (attach log if Q Public Utilit~ available,) Sewage Disposal ~ Individual Year Individual Installed: 198 1 ~ Public Utility When Connected to Public Utility:__ D Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ALASKA I FIUIROnmeFITAL COFITROL S I:tUIC{!S, IF1C. ~nqineefinq 6 I~nuironmental Studies January 28,1982 Mr. Les Buchholz Dept of Health and Environmental Protection Pouch 6-650 Anchorage Ak 99502 Dear Les: On January 27,1982 I inspected the on-site sewer system for the house located on lot 18, block 1, Northwoods Subdivision. Ail caps were on the standpipes and the final grading has been completed. I checked the sump at the end of the trench and found it to be dry. I recommend that the loan approval be issued for this lot. Sincerely, Leroy C. Reid, Jr. ?resident 1220 ~est 25lh ~ucnue · ~ncho~'acle, ~laska 99503 · {907) 276-1361