HomeMy WebLinkAboutNORTH WOODS PHASE 2 BLK 4 LT 3North Woods #2 Block 4 Lot 3 #051- 741- 34 Municipality of Anchorage a` Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSP111074 PID Number: 051.741.34 Name: y & Lori Robinson Wastewater System: ❑ New ® Upgrade Atltlress: 2 woods Drive ABSORPTION FIELD Phone: Number of Bedrooms: O Deep Trench O Shallow Tnewh ® Bed ® Mound D Other. LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: O.8 GPD/Ft' 1 Ft. Block Lot: Subdivision: Depth 0 pipe bottom from original grade: Gravel depth beneath pipe: 4 3 Northwoods Phase 2 0.5 Ft. 0.5 Ft. Township: Range: section: Fill aided above original grade: Gravel Length: 2.5 Ft. 50 Ft. Well: New El Upgrade Gravel width: Number of linea: Distance between lines: 15 Ft. 3 5 Ft. Classitoaton (Private, A, B, C): Total Depth Cased to: Total absorption area: Pipe Material: AWWU F,. I FL 750 W 3034 PVC Driller: Date Dnlletl: Static Water Level: Installer: Date Installed: Ft. Flintstone Enterprises 1 7/20/2011 Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Absorption Lift Holding lublictPrivate Manufacturer: Capacity: From Tank Field Station Tank Sewer Line Anchorage Tank 1500 Gal. Well 200+ 200+ 25+ Material: Steel Number of Compartments: 1 2 Surface Water 100+ 100+ LIFT STATION Lot Line 31.2 13.3 ae: 250 cal. Orencoanuleoun`lAnchorage Tank Foundation 11.8 69.1 "Pump on' level at: +40 "Pump ofP level at: +36 High water alarm at: In. ;n. +45 ;n. Curtain Drain WA N/A Pump Make & Motlel Electrical Inspectors pedormetl by: Remarks: BENCH MARK Location and Description: Door Threshold @ Deck Assumed Elevation: 100.0 Ft. Engineer's Engineer's Stamp Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1st 7/19/2011 p 11 �•-•.�4• 2nd 7/20/2011 Development Services Department Approval: .••. P . �,......♦♦ • �•.•' ••• ♦♦ •••, x} 1� Conditional Approval Date: i TH 49 �.....a ......a.....0 . ................. . �. Steven R. Ponnone" -♦��'s,• No. CE 8149 AV Reviewed and approved by: Date:♦j♦.•1..�"'E.` (Ra.. 04/06) 111,1 T�,�•• it, Oak lit DESIGN PARAMETERS) LEGEND PRIMARY SEPTIC SYSTEM _ _ W WATER LINE/ ABBREVIATIONS NO. BEDROOM: 4 (600 gpd) WELL RADIUS TH TEST HOLE TANK SIZE: 1500g S.T.E.P. — FC FOUNDATION CLEAN OUT - PERC RATE = 1-5 MPI SS NEW SEPTIC T# TANK CLEAN OUT NO. SOIL RATING: 0.8 GPD/SF C# CLEAN OUT NO. AREA RQD: 750 SF SYS. TYPE: BED 15'WxO.5' E.D. M# MONITOR TUBE N0. MIN LENGTH: 50 LF R.I. RIGID INSULATION USED: DCO DOUBLE CLEAN OUT 50 LF X 15' WIDE, 0.5' E.D., DV DIVERTER VALVE 2' TO FS FLOW SPLITTER TOTAL AREA: 750 SF DESIGN PARAMETERS RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g PERC RATE = 16-30 MPI SOIL RATING: 3.0 GPD/SF AREA RQD: 200 SF SYS. TYPE: BED 10'WxO.5' E.D. MIN LENGTH: 20 LF *WEST LOT LINE, ELECTRICAL EASEMENT, AND WELL RADII WERE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION T1 25.3 10' T&E EASEMENT 4BR /HOUSE (E) RESERVE DRAIN FIELD (P)114 LS 20LFxO.5'EDx 1 O'W BASED ON CAT III 2 �� .3 6� it Ss __ THJ_ LIMIT OF FILL L. EXISTING SEPTIC AREA IRECORD DRAWING I PLAN NEW 1500g S.T.E.P. TANK / DECOMMISSIONED EXISTING 1000g SEPTIC TANK AND BED PER CODE .W w / 1 1 / _ 2 �� / 5.0 \-NEW DRAIN FIELD 50LFxO.5'EDxl5'W, 27D G' A�l �v41 _� FC Cl T1 O 0 PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 NORTHWOODS #2, BLOCK 4, LOT 3 RICKEY & LORI ROBINSON 23056 NORTHWOODS DRIVE CHUGIAK, AK 99567 A B 15.3 8.9 28.0 21.0 T2 1 49.3 DC 52.7 32.6 34.6 M1 66.7 45.4 C2 97.3 73.4 M2 96.8 T72.9 9/15/11 " P.DNO -741-:51 11 CE 8149 "!" l PERMIT N0. ESl•OR OSP111074 ..� Sheet �OFSO \\���� 2 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALLED NEW 1500 GALLON S.T.E.P. TANK AND NEW SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS OBSERVED AT A DEPTH OF 5.17 FEET AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 5.17 FEET BELOW EXISTING GRADE. PROPOSED DRAINFIELDS ARE PRESSURIZED, DIULL (1-4) 'I/4• HOLES (SPACED EVENLY) PER LATERAL THIRTY .SEWER LINE C. STEP TANK (50) HOLES TOTAL _1.25 MCH PVC. MT 1M 9 I 1 1 1 -I I 1 I 1E 1MT Mr)I L--- ---T 3 LATERAL LINES 45' LONG MH BM=DOOR THRESHOLD AT DECK j ORIGINAL GRADE -7H 2 ORIGINAL GRADE z TESTHOLE- 95.7 3 -ORIGINAL GRADE g oNo 0 95.9 (HIGH) 95.6 (Low) o z 99.17 z 98 3 zz o o �. � w 4.0' ,, �' - 2" R.I. ---- -- - SLGb o� + � � 95.3 (INV) L95.01 94.75 2' 1 8 5 LEVELING p' 500 S.T.E.P. TANK ITOP OF SAND FILTER= 95AG 93.8 93.8 GROUNDWATER a90.590N 5/11/11. 4.21 ' OF SEPERATION TOPSOILh& REV€GETATE%JAOUND NOTES )RD DRAWING. PAMONE ENG SVC, LLT. pF A��1 P.O. BOX 100217 ANCHORAGE, AK 99510 �QcF PHONE (907) 272-8218 FAX (907) 272-8211 /tp•' j rt: 49 R NORTHWOODS #2, BLOCK 4, LOT 3 RICKEY & LORI ROBINSON'te'ven'R.'Par DESIGN DETAILS 230GIAK,HA009 50DRIVE CHU�I� ic,1��aIa `l 9/15/11 Scale NTS 5 iome 51-741-34 j PERMIT NO. A�/DSPI11074 UAW Sheet 01 3 OF On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111074 Tax Code Number: 05174134000 Work Type: Septic Upgrade Permit Effective Dates: May 27, 2011 to May 26, 2012 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: NORTH WOODS PHASE 2 Site Legal Address: NORTH WOODS PHASE 2 BLK 4 LT 3 G:1559 Owner/Address: ROBISON LORI R & RICKEY D 23056 NORTHWOODS DRIVE CHUGIAK AK 995675462 Site Mailing Address: 23056 NORTHWOODS DR, Chugiak Lot Size in Sq Ft: Total Bedrooms: This permit is for the construction of: 67649 4 Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: Date.cez l / Date: MUNICIPALITY OF Community Development Department Development Services On -Site Water & Wastewater Program ANCHORAGE Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I. D. Q'5 9 )' _ _. :a� Property owner(s) RICK ROBISON Phone: 907-343-7904 Fax: 907- 343-7997 Day phone 240-2819 Mailing address 23056 NORTHWOODS DRIVE *CHUGIAK, AK Site address 23056 NORTHWOODS DRIVE *CHUGIAK, AK Legal description (Sub'd, Block & Lot) NORTHWOODS #2; BLOCK 4, LOT 3 Legal description (Township, Section & Range) Lot Size 6 7, 6 `i � Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) PerrmWRush Fees Date of Payment: Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No (Rev. 01/11) GARGARNESS ENGINEERING ROUP, Lid.. CONSULTANTS & GENERAL CONTRACTORS May 17, 2011 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Northwoods 92; Block 4, Lot 3 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The homeowner notified us that their septic system is in a state of failure and needs to be upgraded. We are proposing to install a new 1500 gallon S.T.E.P. tank and a bed type drainfield. Two test holes were excavated on the property. The drainfeld will be designed around the 30 foot radius of test hole Q. Comments regarding the design are summarized as follows: L SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfeld specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the topography around the drainfeld is relatively flat. 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. pin'�cer ly, ' I! I � i Jeffrey �G ' ess, P.E., M.S. President 'a 'J NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E. G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineerinc,.com NOTE: ALL PROPERTIES SHOWN ARE SERVED BY PUBLIC WATER AND PRIVATE SEPTIC SYSTEMS. / / / / NORTHWOODS PHASE 2 BLOCK 2, LOT 2 J NORTHWOODS PHASE 2 BLOCK 2, w ' LOT 1 / NORTHWOODS I ta- e / I / / NORTHWOODS ORTHWOODS PHASE 2 I I / / PHASE 2 PHASE 2 BLOCK 1, I 1 / / BLOCK 2, BLOCK 1, LOT 5 I I i / / LOT 13 A ---------�-----f------ ---—- — - — - -- /' NORTHWOODS DRIVE r-�- --L-------- NORTHWOODS NORTHWOODS / PHASE 2 EXISTING / / e/ / PHASE 2 / din BLOCK 4, HOUSE / e/ BLOCK 4, LOT 2 / / // / LOT 4 a NORTHWOODS / PHASE 2vT` / BLOCK 4, -; ::, • . u LOT 1 PROPOSED/ / SEPTIC /SYSTEt /e /e NORTHWOODS PHASE BLOCK 4, LOT 3 GLENN VIEW ESTATES NORTH TRACT D 41 N SCALE. / e / 11" = 100, 0 o GAR.N-ESS ENGINEERING GROUP, ,o Ltd - CONSULTANTS & GENERAL CC}NTRACTORS ....... ,, +T ° .... • • • • • • • • •D 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX 907)338-3246 • WEBSITE: www.gameasen nom neen .c PREPARED FOR: PHONE NUMBER: PAGE NUMBER. a RICK ROBISON 240-2819 1 OF 3 �o J�ffre A. Garness.- LEGAL DESCRIPTION: DRAWN BY: O 9 7E—f953" 0° NORTHWOODS PHASE 2; BLOCK 4, LOT 3 PNB o TYPE OF WORK: DATE: 4�Q�profesSlo� a SITE PLAN 5/4/11 �oO000�� nzo„ nuns NU'ABER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 4 PROPOSED APPLICATION RATE: 0.8 MINIMUM DRAINFIELD SQ.FT.: 750 MAXIMUM DEPTH: 2' WIDTH: 15' LENGTH: 50' M.O.A. APPROVED SAND FILTER: 1-1.5' EFFECTIVE: 0.5' LEVELING SAND REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 750 LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND NOTE: THE CONTRACTOR SHALL HAVE THE WEST LOT LINE, ELECTRICAL EASEMENT AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. r- K.- y 13.° x - Ell jry�G/ I— I 1500 STEP \ RESERVE SITE WILL REQUIRE ADVANCED TREATMENT—, \ NORTHWOODS PHASE 2 BLOCK 4, LOT 2 KLJLKVL UL5)IUN UKI I LKIA: / NUMBER OF BEDROOMS: 4 ,Wy GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 26.67 PROPOSED APPLICATION RATE: 3.0 MINIMUM DRAINFIELD SQ.FT.: 200 RESERVE DRAINFIELD DESIGN: MAXIMUM DEPTH: 2' WIDTH: 10' LENGTH: 20' M.O.A. APPROVED SAND FILTER: 1-1.5' EFFECTIVE: 0.5' REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 200 I TI LJ PROPOSED DRAINFIELDS ARE PRESSURIZED. DRILL (10) 1/4" HOLES (SPACED EVENLY) PER LATERAL. THIRTY (30) HOLES TOTAL. NORTHWOODS DRIVE 15'TELE. & ELEC. / ESMT� — EXISTING 4 BEDROOM HOUSE PROPOSED ADDITION EXISTINX SEPTIC TANK & DRAANFIELD TO BE DEOCQMMISSIONED PER I / I �P� P I 1� L / XPROPOSED DRAINFIELD Ln 4- / N 0 SCALE: 1„ = D. �( N GARNESS ENGINEERING GROUP, Ltd CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SUfTE 101 - ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSITE: www.gc—wnginmring.cm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RICK ROBISON 240-2819 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: NORTHWOODS #2; BLOCK 4, LOT 3 PNB TYPE OF WORK: DATE: SEPTIC DESIGN UPGRADE 5/17/11 (Kev. U1/U5) OF.) 4 ..zU°�4� _ A. Garnss: CE-79� �; L 'i p'ofessi0 PROPOSED DRAINFIELDS ARE PRESSURIZED. DRILL (10) 1/4" HOLES (SPACED EVENLY) PER LATERAL. THIRTY (30) HOLES TOTAL. SEWER LINE FROM STEP TANK 1.25 INCH PVC. lo----------------- 1 MT p9 MT I I I I f I I � I I � I I I MT MT O Io 2i5 L ---------------------------------------------J 50' 3 LATERAL LINES 46' LONG EACH TBM= BOTTOM OF TRIM ® SOUTHWEST CORNER OF HOUSE = 100.00 2' 94.60 TOPSOIL & REVEGETATE MOUND ORIGINAL GRADE= TH#2 ORIGINAL GRADE n TESTHOLE= 96.46 ORIGINAL GRADE= 96.60 (HIGH) I I /- 96.30 (LOW) -1.5" LEVELINGIN;�'�2' TOP OF SAND FILTER= 95.80 GROUNDWATER ® 91.29 ON 5/11/11 4.51' OF SEPERATION GARN]ESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E TUDOR ROAD, SURE 101 • ANCHORAGE. AK 99507 a PHONE (907)337-6179 • FAX .(907)338-3246 • WEBSRE: www.game nginxring.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RICK ROBISON 240-2819 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: NORTHWOODS #2; BLOCK4, LOT 3 PNB TYPE OF WORK: DATE: PROFILE DRAWING 5/18/11 (Rev. 01/05) 49' H �* I .Joffrey'G'amess. Q E—f795�3 �G pr o f e s si0noo G ARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK. 99507 • PHONE: (907)337-6179 • FAX: (907)338-3246 • WEBSITE: gomessengineerii SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: NORTHWOODS #2; BLOCK 4, LOT 3 PERFORMED FOR: RICK ROBISON DATE: 5/9/11 DEPTH —��� ORGANICS (feet) ==�_ TEST HOLE #1 1 LOAM (SM) WITH ROOTS am= 9 DATE GM TO SM 10 10.08 111111111 111111111 11 1121191 2 12 30 4.875" EIl1lltl! 13 1:14 — 6.00" 14-1 4 1:44 15- 516171819 1.125" 5 16- — 6.00" — 17- 2:14 30 4.875" 18- 19— DEPTH TO GROUNDWATER DATE WEEPS BETWEEN 9'-10' • • 10.08 111111111 111111111 10.58 1121191 2 illllllll 30 4.875" EIl1lltl! �i�.� 1:14 — 6.00" DEPTH TO GROUNDWATER DATE WEEPS BETWEEN 9'-10' 5/9/11 10.08 5/11/11 10.58 5/17/11 2 1:14 4A N SEE ATTACHED SITE PLAN SCALE: 1" = 100' DATE READING CLOCK TIME NET TIME WATER LEVEL (MINUTES) READING NET DROP (INCHES) 5/9/11 1 12:44 — 6.00" — 2 1:14 30 4.875" 1.125" 3 1:14 — 6.00" — 4 1:44 30 4.875" 1.125" 5 1:44 — 6.00" — 6 2:14 30 4.875" 1.125" PERCOLATION RATE 26.7 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6 FT. AND 7 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ®YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PF FO ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: rJ �' it 0600 � AI 49 H I ;' GARNESS ENGINEERING GROUP, Ltd.oo�'`e y p 3701 E. TUDOR ROAD, SUDS• 101 • ANCHORAGE. AK. 99507 • PHONE: (907 337-6179 FAX: (907)338-3246 • WEBm SRE: ameseen eerin .comb CONSULTANTS & GENERAL CONTRACTORS ,..... Q SOIL LOG PERCOLATION TEST ' LEGAL DESCRIPTION: NORTHWOODS #2; BLOCK 4, LOT 3 e e A 6'arness: 9;E 795 \ce�0 PERFORMED FOR: RICK ROBISON DATE: 5/9/11 04 fP °•• -7 �P.°�cA� DEPTH —��� ORGANICS aproifl ess.%Of"\ (feet) =" TEST HOLE #2 040000 1 LOAM (SM) WITH ROOTS SOIL CLASSIFICATIONS Ism ML 3GP-GMGP'}GM CLGC 0L4 SW MH sP cHSEE ATTACHED 5 OH SITE PLAN 6 SC 7 DEPTH TO DATE 8 GM TO SM g SCALE: 1 " = 100' 10 DATE READING CLOCK NET TIME WATER LEVEL_ NET DROP 11 12 B.O.H. 13 14 5 1:40 — 6.00" — 15 7 1:50 — 6.00" — 16 17 18 12 PERCOLATION RATE 4 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 3.5 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: GROUNDWATER WEEPS BETWEEN 5'-6' 5/9/11 6.75' 5/11/11 TIME (MINUTES) READING 7.91' 5/17/11 1:20 — TIME (MINUTES) READING (INCHES) 5/9/11 1 1:20 — 6.00" — 2 1:30 10 3.50" 2.50" 3 1:30 — 6.00" — 4 1:40 10 3.50" 2.50" 6 1:50 10 3.50" 2.50" 8 2:00 10 3.50°' 2.50" 9 2:00 — 6.00" — 10 2:10 10 3.50" 2.50" 1 1 2:10 — 6.00" — 2:20 10 3.50" 2.50" 2011-06-16 14:14 ASD VEHICLE MAINT 9073457015 >> 907 343 7997 6116111 This letter is to notify you of my intent to install my septic system upgrade. I plan to have Tony Moore an equipment operator with the Anchorage School District and friend. Tony has operated excavating equipment :for over 26 years and has installed septic systems and wells with Dan Beak a licensed installer. I will also have my father Robbie Robison assisting us. My father worked with the AWWU for 24 years and California Water Utility for 5 '/a years. Both will be donating their time for no compensation. I will be present and involved throughout the installation. We will be renting the excavator from Dakota Diggers and the sand, rock and fill will be purchased thru Quality Sand & Gravel. I will be purchasing a 1500 gallon lift tank :from Anchorage Tank. We will abandon the old system as per code and install a new foundation pipe with cleanout from house to tank. The system will be installed as per the engineering design and Municipal permit #OSP 111074. If you have any questions please call 688-4174 hm 240-2819 cell ick Robison 23056 Northwoods dr. Chugiak, Ak 99567 Northwoods Phase 2 Block 4 Lot 3 6:1559 P 2/3 7211M (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 AME JPHCNE EW V 449 ^�� ❑ UPGRADE MAILINGRESS L LEGA SCRIPTION 7- e LOCATI N - NO. OF BE,OOMS QI VY DISTANCE TO: we ®�%'V Absorption �rea odr'' Dwelling /� PER 0. _ wzQ I– Manufacturer /^^t� � � J Mater��� / C No. of ggmpartments oi— y Liq.c p cjt�in gallons IF HOMEMADE: Inside length Width Liquid depth ' � Z DISTANCE TO: Well Dwelling PERMIT NO. 02 Manufacturer Material Liquid capacity in gallons D Well Foundation Nearest lot line PERMIT NO. w= DISTANCE TO: J LL z No. of lines Length of each line Total length of lines Trench width Distance between lines Z w inches HTop of tile to finish grade Material beneath tile Total effective absorption area p inches w Length If WidthA5( Depth (p -'i, w Typ f Crib diameter GFib depth Total effective abso'q LISL LU y � DISTANCE TO: Well - Building f u afion Nearest lot line /h Li J I Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPFF MATERIAL T 534 1 SOI L T � NG �,RA�TI p r INST-A LER / � � 14, REMARKS �1 r zm. 4 ,. PPROV DATE LEGAL 7211M (Rev. 3/78) _� tl U r-4 10 1 Fz� I -F- V C, F= n 1"-4 0 H C, F;? 1-=1 0 E-7 DEPARTMENT OF'ALTH AND ENVIRONMENTAL Pf ECTION 825 `L` STREET, ANCHORAGE, AK 9950:L 264-4720 PERMIT NO. 8_30036 ) APPLICANT STEVEN L. SKAGGS P.O. BOX D :HUG IAK 688-2831 LOCATION LEGAL LOT? BLK 4 NORTH WOOD SUB LOT SIZE 2.3-0000 SQUARE FEET JJ TYPE OF SOIL ABSORPTION SYSTEM IS: f*Pm-+NF+Ei=(', MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 130 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: `dp we �� C -a F= FD" -F IL EF " Ci -IF -Ac4VO.- i -3i F:'.' Fri 0-ol E: I C -a F= F:" -r !fo 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' c�i� F " FE -F 1:;" F= t-4 f_-=" W I E> -F " I _-- - 01"_ THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FR.'FE Q U I F? FE C-- F= F=" -F I C,� -F i=i r-4 K t -a la 121 la t=i I I P r4 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. C-1 < I " c--- Fz` EE IZ- -F I Cl "!F- F:l F! F= F=QU I F- BACKFILLING OF ANY SYSTEM 141THOIJT 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. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. :--f- I CERTIFY THAT 1: 1 AN FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THEAqUNICIPALITY OF ANCHORAGE. 2: 1 WILL IrsrALL THE SYSTEr'JIN ACCORDANCE WITH THE CODES. Z: I UNDER , -"- - ,ITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE THAT T 0 RESIDENAICES' REMIDDELE 0 UDEMORE THAN 3 BEDROOMS. - ------------- SIGNED: /APPLICANT STEVEN L. /7,AGGS ISSUED _ _�zz�� _DHTE_����,��1 __- V4. 0 oz, .ty ,A nchorag POUT, i 6-650 ANCHORAGF, Ai.AV1K/\ 99502-0650 (907)264-41'11 TONY KNOAI FS. MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECI ON cPermit #: 821074 January 31, 1983 TO: Permit Applicant Subject: Lot 3 Block 4 North Woods Subdivision #2 A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely �Q Lzd'�- Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 I I:: -- DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK 99501 264-4720 U-1 r-4 — =ft-. I TE 0H.F=t4EEF2 F="E-7F;:?rl I -F PERMIT NO. 821074 APPLICANT BALTIC BUILDERS INC PO BOX 4-2412 99509 337-1574 LOCATION LEGAL L3B4 NORTHWOODS #2 LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DFfrH4F+E+!i) MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SO FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: 6 E-- F= F=' -r 1 E"VJ C3 -r :2x.- C-1 13 F7,1 1=4 %-8 F= I C -a F= F='Ir 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). -r " FE -r Imo' Er r-4 f,- " tAJ I C -a T" I _#F. =� I - 0-4 C-1 ID F= F= FE -T- THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F;! E: C-9 11 1 FR F= Ls _"E. EF_ F=* -F I f--- -r " r-4 K = I � F= -1 C-7110 9-21 13F=11. I NZ -1 r_j 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. -Ir L --I < r2 > I r-JS3F=�E4-C,`r 31 f_-lVJ!F. fqF.!-'F= Al -I F.- 4 L FZF=C 11 io E= Ls 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. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED:___ ------------------- APPLICANT BALTIC BUILDERS INC ISSUED BY--l:�- D A T E - Z�IV4. 0 O & E ENGAERING & DEVELOF RENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performedfor: Name: �� -�d %�`��a';�a— Tel. No. 4'ef3� Mailing Address: Z'� Legal Description: fir''` l {�a �� vc�Y F� > l s :> �— 77— Depth (feet) Soil Characteristics 0 1 411_ 2 { , 5 6 Z 7 8 N !91 .�-'r-�� 9 10 11 12 13 14 15 16 PLOT PLAN PERC.TEST GDS A����� Kn. yaR�Li�W iR tl.%9 iRi�RW�'W�� p Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit Drain Field �lC` aaec send , Performed by: C -is c.t 6> c��J�, rl! Date: 14 r , 8- 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. # 0S21— 75/1-3 g HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) �n �,rn�n C7 ivy �fr�rrri� (b) Property owner e A/ Ara- Telephone: (home) Business .54 1-0 ff Mailing Address2� G C7�'1rr��o��aK 19503 (c) Lending Institution -�� Telephone R.18: Mailing .18 - Mailing Address (d) Real Estate Company and Agent Address Telephone 01 / (e) Mail the HAA to the following address: (or check here*if hold for pick up:) List contact person and day phone number below: 22-13) 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3 3. WATER SUPPLY Individual Well ❑ Communityk Public ❑ Note: if community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72.025 (Rev. 7/88) Page 1 of 2 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 ���a� 7 y �/ SSC(^ • Telephone Address ��CC Fl 21Clll!) 7� nc�c-4 f� Cc>Sl/S� Date% ,4s t el- j49A ft -f 4 A 8 90100 Ci�ti^^ 1 f- +e rM JJs�� L,"cJi 4-ivm�k I ha Ve 6 er„ (i✓ Gc I V'C f met, gineer's Seal 6. DHHS APPROVAL Approved for bedrooms by Date ApprovedDisapprovedConditional Terms of Conditional Approval zunr The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible forerrors 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 1. D. # C)0 —_�LI \ -?-)t'i HAA# 0 P, �-i L CLQ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lyr 3 KK 4- Moert4 Ds -"z- Location (address or directions) N e -,-H t Acy,l c l_riy.— �c1��"�,�;�',J �Zi�.t.+.iY�.:� �nli��ai=�G-.r_�•r_ 1`J �'.�.::.0-;."_: (b) Property owner Ak Telephone: (home) Business S6l'�y'1 Mailing Address 3Zo f C S"T2 G finc,�41 K (c) Lending Institution ��� Telephone L Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here l� if hold for pick up.) List contact person and day phone number below: 57�-izil 2. TYPE OF RESIDENCE Single-Familel Number of bedrooms 7 3. WATER SUPPLY Individual Well ❑ Community. Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. viae) 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 verifythat 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 e a��/ Telephone 6,2Z — Address 41,7 Ine- Date 3 / 00 L'•Y I. .� bCO �p00000e YY Zr®pMl771 �• Engineer's Seal 6, DHHS APPROVAL Approved for -3bedrooms by � � S✓ Date e %rdez ��r -- Disaeved Conditional �� 170 ie'i9 Y e c �f r clG i ` Tevl%; i r•,Yt +ei Terms of Conditional Approval // % Yy U fJ 7 i Jl /t % GZvi e- Jic ��! G"O�?!zL'L 7 Ora 5 . G�GIy'i fy LL r z,i:�isvzGC:� 474 I'll4- e, i )I �jD, �� �'.� iS?'� Oe7G✓ 7 �'� � �1 � f t 12 T�� OrJiG�G' fii'131iJ dt'- -1, 0� , > r/ /�!�• /CJ ., :vi /cT / ei— 7 u�i{ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. viae) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) • Health Authority Approval (HAA) TY OF ANC4MMKLIST - FEBRUARY 1984 ENVIR NTAL SERVICES DIVISION 343-4744 MAR 22 1989 Legal Description: Lrr -,2� ij7 K 4- N,-]),F- - NC]),F- TI -1 &L/ O 0 n S ' a Z A. WELL DATA RECEIVED Well Classification ( C1YnYh(JAJr f./ IfA B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot Depression Around Wellhead (Y/N) _ On Adjoining Lots To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by ; Date Water Sample Test Results Comments t/17Mmurvr f . 4/r- / I - C.,4yglci f£ f b lr lies - ANE,—_ J4>aos� r✓� r� B. SEPTIC/HOLDING TANK qpT Date Installed z%�� ddS Size /00U No./of Compartments Standpipes (Y/N) T Air -tight Caps (Y/N) %/ Foundation Cleanout (Y/N) Depression over Tank (Y/N) 1IDate Last Pumped -3; dee (_ . e. 4.1 )` Pumping/Maintenance Contact on File (Y/N) IJ4 ;for N r Holding Tank High -Water Alarm (Y/N) I Temporary Holding Tank Permit (Y/N) 1A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well >2200' To Building Foundation i To Property Line 30' To Disposal Field 12 , To Water Main/Service Line 30 To Stream, Pond, Lake or Major Drainage Course > /00 ` / Comments g'f�frC /7t, 1 4o7e G % /fiKe 0� zv Uvc✓ %�S/% aloaal due -jic> Aeulie b /;i 0/-)J SS fa dlAms hr bf ri C)Wrt T K' uJd/ 4eg,A -& V /1,1r 4 rA &Ale r /"l k/�GLJ j 0fi rK Ae lie i ge'A re4oe*t e . Ve &1v4/PSf COnC,II �Ycz-rr( i7/f 72-026 (Rev. 7/88) Front Page 1 of. 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strataj��5O syll flgde-Type of System Design &:F_ b Date Installed 2—Z�3 s Length of Field Z-0 ` d%z,�lfl� Width of Field 7� ' Depth of Field 4 Gravel Bed Thickness Square Feet of Absortion Area Zd2 sx Statndpipes Present (Y/N) X Depression over Field (Y/N) �J _ Date of Last Adequacy Test 3LZ11d7 Results of Last Adequacy Test SAZ/s Ztt< 7-0 e.1 SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well To Property Line /O / To Building Foundation Z s' To Existing or Abandoned System on Lot —&1/4 ;On Adjoining Lots 7 S�C' / To Water Main/Service Line 4S' To Cutback (if present) /A To Stream, Pond, Lake, or Major Drainage Coursed -�' To Driveway, Parking Area, or Vehicle Storage Area 5-4' -F Comments D. LIFT STATION Date Installed �l Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "'Check Permyftod Bedroo fn Rating Against HAA Request" I certify tha I chec inspection. �, Signed Company Date MOA No. "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. or conformed to all MOA and HAA guidelines in effect on the date of this I Receipt No. 03-r,21031 73-3 Date of Payment 3 —2 Z�� 9 Amount: $ 1799 Gb IN *' Engineer's Seal r J. cor,rn` v. , Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 .corwhi & associates,inc. Consulting Engineers 10.00 E. Dimond Blvd. s Suite 205 • Anchorage, Alaska 99515 • (907) 522-1311 May 12, 1989 Mr. Dan Bowles Department of Health & Human Services Municipality of Anchorage 925 L Street Anchorage, Alaska 99501 SUBJECT: Lot 3 Blk 4 NORTHWOODS Subdivision #2 Dear Mr. Bowles: On March 23, 1989 you approved a conditional waiver on the above referenced project. The terms of the waiver stated that the septic tank be exposed and verified for structural integrity, water tight couplings on the inlet and outlet pipes, and that a minimum of 2' of soil exists over the tank. We excavated the septic tank on May 11, 1989. The tank was found to meet all of the above specifications. Although there was 3.5' of cover over the tank, we insulated it with 2" of high density Insulfoam II. We now request that the conditional Health Authority Approval be changed to a full Health Authority Approval. If you have any questions, please feel free to contact us at 522-1311. truly yours, &. SSO IATES, INC. 2UC J CORWIN MUNICIPALITY Of ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAY 12 1989 RECEIVED STEVE COWPER, GOVERNOR 0 0 v o a DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 563-6775 3601 C STREET, SUITE 316 ANCHORAGE, ALASKA 99503 DATE: March 6, 1989 PWSID: 213001 To Whom It May Concern: According to the records on file in this office, the CHUGIAK UTILITIES/NORTHWOODS S/D is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, VERA E. CRAIG Environmental Fiel Officer 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 u` 7, 13A- 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) �.A^ . � / '� ?�I _ L .%/ za%_C ! G '••y!.-i7'—CL-moi �� 2'__ I Location (address or directions) / I .CL Z�f..f� M`:!_ -E. �4s�x¢.�^ Gr7� `�l e?I✓�•�I� Ll �e'S�.CL.� iC7Le''�, v � I (b) Applicant Name Telephone: Home Business Applicant Address �r` (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other (explain); 6, l (d) Lending Institution Telephone Address �d�c.�T (e) Real Estate Company and Agent VA &,C tv Address Teleohone to the following address: 0� ° i 2. TYPE OF RESIDENCE Single -Family pd Multi -Family ❑ Other { Number of Bedrooms--� — 3. WATER SUPPLY I 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 OnsiteX Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservat(pn1 attesting to the legality and status. i Page 1 of 2 72-025 (11/e4) i 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 adequ'2te 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 �93li��EffiE�t Telephone Address t 1VFIR AB,AwK� 110571 9� WV Date P O lL °yew 60 t' •U e0�p O p Q o ysn A. o5WOF 6. DHEP APPRO �L\ Approved for A0 bedrooms by f'@ —` ' Dbate . o �.. Approved Disapp ove`d--�Conditi nal pP �(` Terms of Conditional Approval r Aep 11'111 F CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority` Yfa" 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 r 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 b i 72-025 (11/84) +.�� A. MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION S E P 0 51985 Le . gal Des ription: "41 ED ,. ,► _ is __ ..���.� WELL DATA B. SEPTIC/Hel:BINE TANK DATA Date Installed -"Z'�� ~ Size 1 Q� No. of Compartments Standpipes (&/N) Air-tightCaps40N) Foundation Cleanout (,Y//40 Depression over Tank (Y&q Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ; for r-5 Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) � A Separation Distances from Septic/u_..�+�iag_Tank: To Water -Supply Well 7"'C' ^k To Building Foundation i 1 To Property Line I A ( 4- To Disposal Field -2� 1 To Water Main/ServicLint,,__ �`© k To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11/84) Well Classification A If A, B, C, D.E.C. Approved49N) Well Log Present (Y/N) Date Completed Yield — Total Depth Cased to ep�l7ypf Grouting Static Water Level ����11 Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) — Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot �fl r`� ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot 2-t0"E' ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot — Water Sample Collected by ; Date Water Sample T st Results oarnNs,,Sc�-.lam �Jb�- ✓1b. Comments -���7�k"� B. SEPTIC/Hel:BINE TANK DATA Date Installed -"Z'�� ~ Size 1 Q� No. of Compartments Standpipes (&/N) Air-tightCaps40N) Foundation Cleanout (,Y//40 Depression over Tank (Y&q Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ; for r-5 Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) � A Separation Distances from Septic/u_..�+�iag_Tank: To Water -Supply Well 7"'C' ^k To Building Foundation i 1 To Property Line I A ( 4- To Disposal Field -2� 1 To Water Main/ServicLint,,__ �`© k To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA 5- 33ID To Driveway; Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed kannhole/Access sions Size in Gallons (Y/N) "Pump On" Level at Off' Level at High Water Alarm Level at Vent (Y/N) Tested for Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all M A a d HAA guidelines in effect on the date of this inspection. Signed z Date 8� Compan�,.. 8RBPIP OA No. RS -00 9 Receipt No. tri Date of Payment Y Amount: $ 51, drd- Page 2 of 2 72-026 (11/84) Soils Rating in Absorption Strata Type of System Desipgn�� Date Installed Length of Field 28 Width of Field i Depth of Field N Gravel Bed Thickness Square Feet of Absorption Area Standpipes PresentON) Depression over Field (Y/JP Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well 71opa 4 To Property Line 1� I + To Building Foundation Z-31 To Existing or Abandoned System on J I)a -;� ik Lot ; On Adjoining Lots To Water Main/Service Line o �� To Cut(if present) To Stream/Pond/Lake/or Major Drainage Course '*5 N A To Driveway; Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed kannhole/Access sions Size in Gallons (Y/N) "Pump On" Level at Off' Level at High Water Alarm Level at Vent (Y/N) Tested for Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all M A a d HAA guidelines in effect on the date of this inspection. Signed z Date 8� Compan�,.. 8RBPIP OA No. RS -00 9 Receipt No. tri Date of Payment Y Amount: $ 51, drd- Page 2 of 2 72-026 (11/84) I � I e d I BILL SHEFFIELD, GOVERNO$ DEPT. OF ENVIRONMENTAL CONSERVATI®N Telephone: (907) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE: q, -0q -05 ---- PWS ,- —05 ----PWS I.O.# u�>00 To Whom it May Concern: According to records on file in this office the b(ja SJ2 Water System is in compliance with the State Drinking Water Regulations Sincerely, Time - APPLIC""AT FILLS OUT UPPER HAIL 7 NLY Time Property,Owper - %,? r� ! f Jl..�, � _ Phone Mailing Address ��, 7 !;? -� Zip Code err { Buyer .;,.. MUNICIPAL ^�— '' ^""GE Field Note ppPT C i ENVIR,)iA. noN Address n € Zip Code ( APPAOVED BEDROOMS - 'CONDITIONS OFF APPROVAL , ( ) DISAPPROVED�` �4�- '" '�l�v�"�vV ( CONDITIONAL APPROVAL' -/%O � DATE �l�l%%��,,., Phone Lending Institution Date Sewer Installed Well To Absorption Area CA� Well Log Received N Address Q—� Zip Code Well to Tank Septic Tank Size Phone Realty Co. & Agent Addressg4310(:X - Zip Code - Legal Description �r`JT 3 - t(:. Street Location L { T pe of Residence Single Family ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply Individual � ATTACH WELL LOG. A well log is required for all wells drilled log since June 1975. if available). + .V Community " v - For wells drilled prior 90 that date, give well depth (attach ❑ Public Utility Sewer Disposal D<Individual t Year Individual Installed: rm 7 ?- `, S k �° i`_0rIS�-, - -LJ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time - Time Time Time Date _ Date Date Date ` z , Inspector Inspector Inspector Inspector A W L MUNICIPAL ^�— '' ^""GE Field Note ppPT C i ENVIR,)iA. noN n € RECEIVED ( APPAOVED BEDROOMS - 'CONDITIONS OFF APPROVAL , ( ) DISAPPROVED�` �4�- '" '�l�v�"�vV ( CONDITIONAL APPROVAL' -/%O � DATE �l�l%%��,,., Soils Rating Date Sewer Installed Well To Absorption Area CA� Well Log Received N v Q—� — 3 Well to Tank Septic Tank Size