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HomeMy WebLinkAboutDRAKE BLK 2 LT 2ADrake Lot 2A Block 2 #017-461-28 Municipality of Anchorage Page J of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: .~ta/ ~j:a~?~t.9 PIDNumber: Oil-t-] 6i -~ Name: I~0 ~C~ ~ ~o~ Wastewater System: ~ New ~ Upgrade Address: ~o ~~ ~d ABSORPTION FIELD Phone: ~ ~' Z ~ ~--~ ~No.o~edrooms: ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION so, Rating: Total Depth from original grade: ~, ~ G,D/Sq. Ft. -- ~, O [~'~ Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township:j~I~ Range: ~I~ Section:z ~ Fill added above~i~original grade: Ft. Gravel length:~ ~ Ft. WELL: I~/~ D New Q Upgrade Graveldepth: Number of lines: Distance between lines: I, 0 Ft. ~ 6 Ft. Classification (Private, A,B,C): Total Depth:' Cased To: Total absorption area: Pipe material: '/~'~ Driller: Date Drilled: Static Water Level: Installer: Date installed: Yield: GPM I Pump Set at: Ft. I Casing Height Above Ground:Ft. ~ - TANK I I SEPARATION DISTANCES a Septic ~ Holding ~ S.T.E.P. To Septic Absorption Lift Holding Pubfic/Private Manufacturer: Capacity in.aliens: From Tank Field Station Tank SewerLines ~h~¢~ ~-~ k I Z ~O :5 Material: ~ Number of Compartments: Surface Water tod ~ t.¢ ~ iov ~ ~/~ I~o ~ LIFT STATION Lot ~ Size in gallons: J Manufacturer: ~ ~ "Pump on" level at: "Pump~ff" level at: High water alarm at: Foundation ~0' I~ ~i ~/A~ 2' ~t.m 8~ ~1' F~-~ ~. Z,5' Curtain~/~ ~ Pump~)Make~q~. N l Model Electrical Inspections performed by: Drain i O~ ~ I~Q ~ lU Q~ Remarks: ~,f+ S~,'*~ ~k~llg ~ BENCH MA~K Location and Description: I Assumed Elevation: 0 ENGINEER'S SEAL Inspections performed by' e v,'~ C~¢opp Dates' 1st ,o ~-p ~,,: Department of Hea~and Human Se~ices approval '~ ,e:x¢~.,_' ~[-~ Reviewed and approved by: Date:/0~/~- ~2 72-013 (1/91) MOA 25 Permit No. Page I of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone:545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description LOT 2A BLOCK 2 DRAKE SUBDIVISION PID No: HUFFMAN ROAD SOUTH OF BM A 181 WELL BM C: CORNER OF LO SEPTIC TANK 500 GAL ACREAGE TANK LIFT STATION HOUSE 2B 8C 7A 7B Exist:lng Fields -- WELL HOUSE I SCALE: 1" = 100' SEE SHEET 5 OF 5 FOR TABLE OF POINT - FEATURE DISTANCES. Permit No. Page 2. of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone:545-47Zl-4 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description DRAKE SUBDIVISION, LOT 2A BLOCK 2 PID No: DISTRIBUTION LATE:RN~ I 1/4" ~ PERFORATED PIPE 6' INSPECTION PVC I~lpE ~//END CAp 4" e SOLID TUBES IYP, 3:1 3' MONITORING TUB£~______~ 3:1 ~0. 3' ABSORPTION BED PLAN VIEW NOT TO SC, ALI[ TO LIFT STATION SECTION A-A NOT TO SCALE NOTES: 1. CONTRACTOR TO VERIFY MIN, SQ. FOOTAGE PRIOR TO PLACING TOPSOIL. 2. ELECTRICAL CONTRACTOR TO SUPPLY NECESSARY ELECTRICAL PERMIT. 5. CAUTION SHALL BE TAKEN TO MINIMtZI[ REMOVAL OF EXISTING VEGETATION OUTSIDE OF SEPTIC AREAS, 4. AREA SHALL BE SEEDED TO PREVENT EROSION, ,5. EXCAVATED MATERIAL SHALL BE USED AS BACKFILL OVER SEPTIC ROOK. ~T BE 2 ~5'~ EXiSTINo UNIJUND LIMITS OF //.[~//X C AVAT I 0 N Permit No. Poge ~ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone:545-474-4 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description DRAKE SUBDIVISION, LOT 2A BLOCK 2 PID No: W LL 0 n-' POINT - FEATURE DISTANCES BM A BM B BM C TANK ACCES TUBE 25.5 58.5 - TANK ACCES TUBE 51.7 31.3 - LIFT STATION HATCH 43.0 21,5 - MONITORING TUBE - 63.5 101.0 MONITORING TUBE - 87,0 69.0 MONITORING WELL BOTTOM IS AT A DEPTH OF 12' BELOW GRADE; HIGHEST WATER READ AT -7,5 FT ~ POST CONSPICUOUS PLACE " ' 24 HOUR NOTICE lS REQUIRED FO~ INSPE~N SERVICE ELECT'R~CAL MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: SW q~O~ Permit Type: Date Issued: ~- ~o-9 z-~ Expiration Dat~: Design Engineer. ~ /~z,~ )~~~ Owner Name: ~-~~ ~~.~ ~-~ Day Phone:~_~9~3 Owner Address: ~/o~ /~~ /~ Parcel ID: O(7~ ~/~ Lot Legal: Subdivision: ~~ Lot: 2~Block: Section: Township: Range: Lot Size: (sq.ft. or acres) Max Bedrooms: This Permit: ~ Total Capacity: SEPTIC TANK: Minimum septic tank capacity: /0-~-~ gallons. Each septic tank must have at least 2 compartments, insulation is required if depth to top of septic tank(s) is less than 4.0'. Lift stations require an appropriate electrical inspection. WELL LOG: A copy of the well log must be sent to DHHS within 30 days of the well's completion. I CERTIFY THAT on-s w y accordance with all codes and regulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system, or surface water on this or any adjacent or nearby lot. 3. I understand that this permit is valid for a single family dwelling with a maximum of ~ bedrooms. I also understand that any enlargement will require an additional permit. 4. I understand this permit is issued for 365 days and expires one year from the date of issue. 5. I will notify DHH$ prior to all inspections by the engineer or well driller. ~ /~ ~_~= (owner/designee ISSUED BY: .~u,~_ ~ DATE: DATE: db/ll5 Permit No. 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 Legal Description ~)r"r..l ~,~ I~I oc.k 7_. ~_,~ i- Z.~ PID No: HUFFMAN ROAD DRAKR 1 EXISI'I~ IOO0 I:'RCX:'O~ 500 ( 44, 2B i 8C 7A 7B WELL SCALE= 1' "100' WGLL Permit No. Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone:543-4744 On-Site Wastewoter Disposal System and/or Well Inspection Report Legal Description ~ ~, LOT~.O~ 2 PID No: AREA OF SEPTIC MiN. OF 750 $.F. MONITORING TUBE~ 3:1 DISTRIBUTION LATERALS I 1/4" ~ PERFORATED PIPE 5' 5' ,.sPECT,O. ~vc ~'tPE '~/END 5' 4', SOLID ~v~s ~ I I 3:1 3' ABSORPTION BED PLAN VIEW NOT TO SCALE 10 LIFT STATION ~MONITORIN( TUBE MONITORING CLEANOUT (TYPICAL) lJl' ..,a-----SLOPE TO DRAIN '-----a-.- TOTAL DEPTH OF FIELD 2.0' 12" SOIL 1 $/4#¢ PERFORATED PIPE 5.5' LIMITS OF ~XCAVATION WATER TABLE SECTION A-A NOT TO SCALE NOTES: 1, CONTRACTOR TO VERIFY MIN. SQ. FOOTAGE PRIOR TO PLACING TOPSOIL. 2. ELECTRICAL CONTRACTOR TO SUPPLY NECESSARY ELECTRICAL PERMIT. .3. CAUTION SHALL BE TAKEN TO MINIMIZE REMOVAL OF EXISTING VEGETATION OUTSIDE OF SEPTIC AREAS. 4. AREA SHALL BE SEEDED TO PREVENT EROSION. 5. EXCAVATED MATERIAL SHALL BE USED AS BACKFILL OVER SEPTIC ROCK. System calculations for Drake Subdivision Lot 2A Block 2 ASCG Calculations 11 -Aug-92 Page 2 of 2 Flow Calculations Use 1.25 inch perforated pipe with 0.25 inch holes at 4.0' on center. Flow per 0.25 inch hole at a system head of 1.7 ft = 0.96 gpm 0.96 gpm/hole * 4 per lateral * 6 laterals = 23.05 gpm Pump Head Loss Calculations Pressure Head in Field 1.7 ft Elevation Gain (Lift Station to Field) 12 ft Head Loss in Transmission Pipe 12.33 ft Minor Losses (30% of Field Head) 0.51 ft Required Head Addition by Lift Station 26.54 ft Pump Sizing The lift station must pump 23.05 gpm against 26.54 ft of head. Pump Curve for ABS SEVH-4 Pure At a flow of 23.05 GPM the ABS SEVH-4 pump adds 2~ The pump head is within 25% of the desired head System Calculations for Drake Subdivision Lot 2A Block 2 ASCG 11 -Au g -92 Page 1 of 2 Tank Size 3 Bedrooms +500 gal (Lift Station) = 1500 Gallons Absorption Field Sizing Using an acceptance rate of 0.8 gal/ft ^ 2/day and a daily load for 3 bedrooms of 450 gal/day. Req'd Absorption Area = 450 gpd / 0.8 gpd per SF = 563 SF System Dimensions 36.0' X 18.0' = 576.0 SF The laterals are to be spaced 5.0' apart and 3.0' from edge of the bed. ENGINEERS · ARCHITECTS · SCIENTISTS · SURVEYORS July 29,1992 Mr. Dan Roth Municipality of Anchorage Dept. of Health and Human Services 825 L Street Anchorage, Alaska 99501 Re: Septic System Approval Lot 2A, Block 2, Drake Subdv. Dear Mr. Roth: Attach is the permit application for upgrading a septic system on the above referenced lot. Below is a narrative of probable impacts to adjacent properties. Adjacent Wells - There are no existing wells within 100 feet of the proposed new septic system. All adjacent wells have sanitary seals in place and have positive drainage away from the well head. Adjacent Wastewater System - The proposed bed absorption system will replace the existing trench system. Testing of the existing system indicated it no longer accepted the amount of the water it was designed to. The tank that is existing is adequate for the three bedrooms at the residence but will need a additional liftstation added. Reserved Space - Little space will remain on the lot to install a future system. A posible future site is between the existing and the proposed fields. Drainage - The lot is flat (3-6%). Positive drainage away for the field will be maintained. No concentrated surface water will be directed toward the field and no existing streams are within 100 feet of the proposed field. The installation of this on-site system will have no probable impacts to adjacent well or septic systems. The proposed system's separation distance radius will include parts of adjacent lots, but will not interfere with the on-site systems on these lots. Veery truly yours, Me r' 301 ARCTIC SLOPE AVENUE, SUITE 200 · ANCHORAGE, ALASKA 99518 3035 (907) 349-5148 , FAX (907) 349-4213 Permit No. Page of P.O. On-Site Legal Description DRAK Munic:ipc~lity of Ancinorage DEPARTMENT OF HEALTH AND HUMAN :,ERVICE::, ENVIRONMENTAL .>ERVlCEc, DIVI.:,ION 196650 Anchorclge, Ala,skc~ 99519-6650 Teleph-~ne:343-4744 stewclter Disposal '-' '.>.y..~ten~ and/or Well Irl'.~;pectiorl Report ~ (~L SEFTK~ T~K C~AL LIC:TDTATiON 8C ExMi~ Septic Fields 7A SCALE, 1'" 100' Perrnit No. Poge of P.O. ox On-Sit Legal Descri MONITORINO TUBE 3:1 Mur'/icipalit¥ of Anchorage DEPARTMENT OF HEALTH ANE) HUMAN ('-.,ERVt(,E..~' ;' ? ENVIRONMENTAL c, , -, ~-, ,-;-) ._,ERVICE.::, DIVI.: I(. N 196650 Anchorage, Alaska 99519-6650 Telef)hor~e:.7~&5-4744 Wastewater Dis->o,:;al .W.~;T. ~an '~ '~e d/or Well In~pe~-tion Report ,-f ..... rn AREA OF SEPTIC MiN. OF 750 S.F. t ~: 1 A 3' ABSORPTION BED PLAN VIEW TO LIF'I STATION --MONITORING TIJBE TOTAL OF FIEL[ MONITORING CLEANOUT (TYPICAL) ~--- SLOPE 'fO SOIL BACKFILL -/ / :!;ECTION A-A NOT TO SCALE NOTES: 1, CONTRACTOR TO VERIFY MIN. SQ, FOOTAGE PRIOR TO PLACING TOP'tiOIL 2. ELECTRICAL CDNTRACTOR TO SI.IF'PLY NECESSARY ELECTRICAL PERMIT. 3. CAUTION SHALL BE TAKEN TO MINIMIZE REMOVAL OF EXISTING VEGETATION OI.I]'}IDE OF ';;EPTIC AR~S, 4. AREA SHALL BE SEEDED TO PREVENT EROSION. 5. EXCAVATED MATERIAL SHALL BE USED AS BACKFILL OVER SEPTIC ROCK LIMITI:~ OF :XCAVATION DATE: PREPARED BY: SUBJECT: ARCTIC SLOPE CONSULTING GROUP, INC, Engineers * Architects * Scientists · Surveyors 501 Arctic *' - :): 1~}',-7;() PHONE (907) 34t:-514~}; ~qot.)e Avenue Anchorc~qe, Al< cc~ '51~ (907) 549-4215 A subsidiory c,f An'fir 'C, lope Recionol Corporo~ion D^T~: "/l~,d {~ z_ PREPA'RED BY: SUBJECT.' SHT.: I OF / ARCTIC SLOPE CONSULTING GROUP, INC. Engineers · Architects · Scientists · Surveyors PROJECT: _ '~, ~ · L · ~___~,, \ ~. ~ ..~ . ~e ~ .~ ~.: .>.~. .... - .-,~;.~.=V;~ · .' · ',~ ."',,*,"*<.' ~'~"~,,- '..' ~ .¢'. · 301 Danner Avenue * Anchorage, AK 99518-3035 * PHONE (907) ) 349~213 A subsidiary o fA rctic Slope Regional Corporati~ ~ DATE: 7/Z//qZ SHT.: / Of__ PREPARED BY: ARCTIC SLOPE CONSULTING GROUP, INC. Engineers · Architects · Scientists · Surveyors 72.,0 = I,~' : 104 301 Danner Avenue · Anchorage, AK 99518-3035 · PHONE (907) 349-5148 · A subs/diary o fA rctic Slope Regional Corporation 1907) 349-4213 ARCTIC SLOPE CONSULTING GROUP, INC. Engineers · Architects · Scientists · Su~eyors 341 Oane~ ~ Jb~h~ ,Ido~t,~ 9gSt~-3034 T~e: (g~) 348-5148 F~x: (gO7) J4g-4213 SOILS LOG - PERCOLATION TEST sl~ z, . Town,by, Rsn~e, See,ion: T' I ~.,9 /~ 3 uJ ~ u.; ~/,~ ,S 2. ~ DEFTH SLOPE SITE PLAN 10,- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUND WATF..K ENCOUNTERED? 1~ YES, AT WHAT DEFFH? Depth to %Vat~r After Morfiwring? Da~ Gross Net Depth to Net Reading Date Time Time Water Drop I l'//11'7.- z~.o% - ,..i II/,'~ ...-- c, .... g.: s o 7 2. ~,4/,-...,S % PERCOLATION RATE }. ~'7 (minutes/inch) PERC HOLE DIAMETER TF..%'F RUN BETWE£N ,~. FT AND q ~/Z Fl' PERFORMED BY: ~tC ~O~t I ~'~'~ ~'e1 ~ CERTIFY THAT/TH~S TEST WAS PERI:OI~.{ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 712 .~.ARCT[C SLOPE C, ONSULTING !ROUP. INC. PERFORMED FOR: Te*'~' L('I~. '~",~.... LEGAL DF..~CRIYI'ION: D/~Le., 1- .~L ~,/~ SOILS LOG - PERCOLATION TEST 2- 3- 4- 6- 7- 8- 9- 19- 20- SLOPE Srl~ PLAN WAS GROUND WATER ENCOU~? I~ YE,~, AT WHAT DEPTH? Depth to Water After S el.0 * 0 p. D.~ ?lei-. (]mss Net Deplh ~o Net Reading Da~ Time Time Wa~er Drop ~ , , ~:,~ - 7,~/ _ ~ ' " z,~ - ~ ~/~ - q ' " z;S/ - ~ V,~ ~ ,,,, PERCOLATION RATE 1,0.~. , . (minutes/inch) PERC HOLE DIAMETER ACCORDANCE WITH ALL STAT//AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: £ngineers - Architects · Scientists · Surveyors 30! Ikmnc.~ Tde~i~ne: (gO?) Fox: (fO7) 34g--421~ LEGAL DESCR/FrION: SOILS LOG - PERCOLATION TEST DATE ro~,.,h¥, Rs.~., Ssctio.: 'F~Zy RaW [ o 2- 3 4- 5- 6- 7- S- 9- 10- 11- 12- 13- 14- I$- 16- 17- 18- 19- 20- COMMENTS DEFTH SLOPE S1TE PLAN t N WAS GROUND WATF. R ENCOU~? I~ YF.~, AT WHAT DEPTH? Depth to Wa~r After Monitoti.g? ~.& * S 9,O' o P Dau: ~ E Gmu Net Depth to Net Read|ng Da',' Time Time Water Dwp PERCOLATION RATE ! ~ ? (minums/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~, G ' FI' AND ~, O FT PERFORMED BY: ~[~l~, ~,0~,O4~p , I eAA~¥ ~l~ll~, _ CERTIFY THAT THIS TEST WAS P~OP~tED IN .~CCOP, DANC£ wrrH ALL STATS AND MUNICIPAL GUIDELINES IN EFF£Cr ON THIS DATE. DAT£: . 7/l~/9 Z. 3NICIPALITY OF ANCHORAGE Heal and Environmental Protect Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION LEGAL_ DESCRIPTION SEPTIC TANK: DISTANCE I OD } .~ NUMBER OF ~ FROM WELL ~__ MAI'4UFACTURER_ ~¢>¢~o2¢. MATERIAL ~~ COMPARTMENTS INSIDE LENGTH INSIDE WlD1-H ~ LIQUID DEPTH LIQUID CAPACITY. OO GALLONS. TIt_E DRAIN FIELD':~~u'~ I DISTANCE FROM WELL _L(~:~__~]~- FOUNDATION %(~.. ~ of Lines ___J.____DISTANCE BETWEEN UNES ~_~ TRENCH WIDTH~~ ABSORPTION AREA ~ ~ ~ ~ SQ. FT. LENGTH OF EACH LINE ~ DEPTH OF FILTER DEPTti: TOP OF TILE TO FINIS~t GRADE ~,~ _MATERIAL BENEATH TILE ~ ~ IN. ABOVE TILE J TOTAL LENGTH ,NEAREST LOT LINE.__._~_.__~_.~____OF LINE IN. TOTAL EFFECTIVE IN. SEEPAGE PIT: DI.-%METER OR WIDTH LENGTH .... DEPTH Log Crib Rings Crib Size: DIAMETER___DEP'I'H__DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION__, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) FT. Class :'~ Depth: Well Distance To: Lot Line~l~ Bldg: ~% Sewer Line Pipe M~ls: ~ of Bedrooms: Installer- APPROVED F'ERMIT NO. 8F'PLICRNT LOCRTION LEGBL t-ILI~-~ I C: I F'RL I [:,EF'ARTMENT 0F HERLTH RND ENVIRONMENTRL FF-JTE_.TION 825 "'L ;TREET., RNCHORRGE., 8K. 995 279-25il RND ON--~ L~ELL. ,. ,. ~.j~ ROBERT WRLKER HuFF'MR~.4 E:K. '-~ ' / S/D c ~ '~'~.~ '>¢1 SQURRE FEET LT.~':' '"' ~ DRRKE LOT _.I~E or ~.: TYPE OF~O'=-IL RBSORBTION c~Y~TEM~ IS' TRENCH MRXIMUM NUMBER OF BEDROOMS SOIL RRTING (SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL RBSORPTION. SYSTEM IS' [)EPTH= :..1_2 LEr~GTH= GRR%-'EL DEF'TH= - THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). il:Em..~.mJ I RE[) SEPT I /000 F'RE:KCRGE F"LRF4T OPT 3[ cmr-.I R PRCKRGE PLRNT MR~ BE ZNSTRLLED RT THE PER~ZTTEE~S OPTZON SUBJECT TO THE FOLLOW Z NG COND Z T ~ 1. EITHER R CLRSS I OR II NSF RPPROVED PLRNT MRY BE I NSTRLLE[). 2. 8 CONTINUOUS MRINTENBNCE 8GREEMENT IS REQUIRE[). IF ~MBINTENRNCE, 8GREEMENT IS NOT KEPT CURRENT YOU MBY BE REQUIRED TO~NLBRGE THE SOIL 8BSORPTION SYSTEM 8ND/OR YOU MBY BE SUBJECT TO PROSECUTION. T~O (: 2 ) I f-~SPEC:T I CmF~S R~:E ~:Em~l_l I ~:ED BBCKFILLING OF 8NY SYSTEM WITHOUT FINRL INSPECTION 8ND 8PPROVBL BY THIS DEPBRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR 200 FEET FOR R PUBLIC WELL. WELL LOGS RRE REQUIRE[) RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~:0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F"ERr'I I T E>(P I il:ES DEC:EMBER I CERTIFY THRT i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH 8Y THE MUNICIPBLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDBNCE WITH THE CODES. 3:: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THBN ~ BEDROOMS. NT RABERT I.,.IRLt<ER V2:. 0 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907-279-2581 August 3, 1977 W.O. #A18145 B&B Construction 4641 East Tudor Road Anchorage~ AK 99503 Subject: Subsurface Investigation for Suitability of On-Site Sewer, Lot 2, Block 2, Drake Subdivision Gentlemen:: Transmitted herein in accordance with your instructions are the results of the above referenced investigation as performed by us on July 26, and 27, 1977. The scope of this .project is investigation for suitability of an on-site sewerage system. Included in this transmittal.are: Test Hole Location Sketch Test Hole Logs Explanatory Information Figure 1 Table A Sheets 1-3 The exploration was conducted using a continuous flight. solid stem auger. The rig is owned and operated by Denali Drilling, Inc. Drilling was supervised, the test holes logged and percolation test performed by Mr. James D. Mack, Alaska Testlab supervisor. The logs of the test holes are included as Table A of this report. In interpreting the logs it would be helpful to utilize the explanatory information contained in Sheets 1 to 3 of this report. When drilling was completed a 3/4" slotted PVC pipe was inserted in the hole to aid in determining the free water level. For the percolation test, the test hole was filled with water and left overnight to saturate. On returning the next day, the hole was refilled with water and the drop in the water level carefully monitored over the next 60 minutes. This procedure is not a standardized percolation test, however, we understand that the Municipality of Anchorage, Department of Public Health and Environmental Protection prefers tests performed in this manner to evaluate a site for a proposed on-site sewerage system. D&B Construction August 3, 1977 Page 2 Using the above test, the observed minimum percolation rates were as follows: Test Hole~ 91 - 23.0 minutes/inch Test Hole 92 - 2.7. m~nutes/inch The absorptive capacity of sandy soils such as the layer at the 7.0'-10.0' level in test hole 92 sometimes tends to decrease with use, therefore, we recommend a percolation rate of 5.0 minutes/inch be used for design purposes. No water table was observed during drilling. It should be noted though, that the free water level normally fluctuates seasonally and with precipitation. We hope this report meets your present needs. If we can be of further service, please feel free to contact us. Sincerely, ALASKA TESTLAB R. Mark Hansen RMH: rb Enclosures Test Hole #1 (Front of Lot) Depth in Feet From To Table A' WO #A18145 Date: 7-26-77 Logged By: J.D. Mack Soil Description F-4, brown Topsoil. F-4, brown Silt, ML, gravelly below 5~0'. Bottom of Test Hole: Frost Line: Free Water Level: 15.0' None Observed None Observed Sample Depth 1 5.0' 2 10.0' 3 15.0' Blows/6" M% Type of Sample G G G Dry Strength Group Unified Remarks: 1. ® 3. 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, M=Medium, H=High. Group refers to similar material, this study only. General Information, see Sheet 1. Frost and Textural Classification, see Sheet 2. Unified Classification, see Sheet 3. Test Hole #2 (Rear of Lot) Table A WO #A18145 Date: 7-26-77 Logged By: J.D. Mack Depth in Feet From To 0.0' - 2.0' 2.0' - 5.0' 5.0' - 7.0' 7.0' - 10.0' 10.0' - 16.0' Soil Description F-4, brown Topsoil. F-4, tan Silt, ML. F-4, Sandy Silt, ML, with trace gravel. F-2, Silty Sand, SP-SM. F-4, brown Silt, ML. Bottom of Test Hole: Frost Line: Free Water Level: Sample Dept~ 1 10.0' 16.0' None Observed None Observed Type of Dry Blows/6" M% Sgmp~e Strength Group G Unified SP-SM Remarks: 1. 0 3. 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, M=Medium, H=High. Group refers to similar material, this study only. General Information, see Sheet~ 1. Frost and Textural Classification, see Sheet 2. Unified Classification, see Sheet 3. Test Hole Lo~! - Description Guide The soil des~riptioqs shown on the [ngs are the best estimate of the soil's characteristics at the time of field examination and as such do not achieve the precision of a laboratory testing procedure. If the log includes soils samples, those samples receive an independent textural classification in the laboratory to verify the field examination. The logs often include the following items: .Depth Interval - usually shown to 0.1 foot, within that zone no significant change in soil type was observed through drill action, direct observation or sampling. Frost Classification - NFS, Fi, F2, F3, F4, see "Soil Classification Chart" Texture of Soil - An engineering classification of the soils by particle size and proportion, see "Soil Classification Chart", note the proportions ;ire approximate and modifications to the soil group due to stratification, inclusions and changes in properties are included. Moisture C6ntent - this is a qualitative measure: dry, no or little apparent surface moisture, damp, moisture forms portion of color, less than plastic lin{it, wet, no free water, often soft, if cohesive soil, saturated, free water may be squeezed out, ifa free draining soil; ~t at natural moisture content, if a non-plastic silt or fine sand. (The moisture content is further definedby reference to PI, LW, NP, M%or dilatency.) Density - refers to more.or.less non-cohesive soils, such as sand gravel mixtures with or without a fine fraction, derived from drilling action and/or sample data; usually described as: very loose, loose, medium dense, very dense. General intent is to portray earthwork characteristics. Stiffness - refers to more-or-less cohesive soils and fine grained silts of ~silt groups. L~erived from drill action and/or sample data. Very soft, soft, stiff, very stiff and hard are commonly used terms. Particle size - The largest particle recovered by the split spoon is 1-318", Shelby tube Y', auger flights (minute-man) 2", Auger flights (B-50 hollow stem) 6"-8". Larger particles are described indisectly by action of the drilling and are referred to as cobbles, 3" to 8", or boulders 8"+. Therefore when reviewing the gradation sheets, if any, the description on the hole log must be cbnsidered for an indication of larger particles. Unified Soil Classification -- This is a two letter code. See Unified C-~sificati0n sheet"fo'r 'further definirion. In some cases AASHO and/or FAA soil classifications may be shown as well as the unified. Atterberg Limits .-- useful for fine grained and other plastic softs. PI; natural moisture content believed to be less than plastic limit PI+; natural n'~oisture content believed to be between plastic and liquid 'iT'mit s L...._~; natural moisture content believed to be greater than liquid limit N...~P; non-plastic, useful as a modifying description of some silty materials. Dilatency - is the ability of water to migrate to the surface of a saturated or nearly saturated soil sample when vibrated or jolted - used as an aid to determine if a fine grained soil is a slightly or non-plastic silt or a volcanic ash. Rock flour - finely ground soil that is not plastic but otherwise appears ~ clayey silt. Organic Content - usually described as Peat, PT, sometimes includes iti'screte particles such as wood, coal, etc. as a modifier to an inorganic soil. Quantity described as; trace, or an estimate of volume, or, in case of all organic, - as Peat. This may include tundra, muskeg and bog material. Muck - a modifier used to describe very soft, semi-organic deposits us-~-~iqy occuring below a peat deposit. Amorphus peat - organic particles nearly or fully disintegrated. Fibrous Peat - organic particles more-or-less intact. Bottom of Testhole -- includes last sam pie interval, Frost Line - seasonal frost depth as described by drilling action and/or samp'T~es at the time of drilling. Frozen Ground - other than frost line, described by samples, usually includes description of ice content, often will include modified Unified Classification for frozen soils - this is a special case related to permafrost studies. Free Water Level - The free water level noted during drilling. This is not necessarily the static water table at the time of drilling or at other seasons. Static water table determination in other than very permeable soils requires observation wells or piezometer installations, used only in special cases. ..Blow/6" - The number of blows of a 140 weight free falling 30" to advance a 2" split spoon 6"; the number of blows for a 12" advance is, by definition, the standard penetration. natural moisture content of the soil sample, usually trot p-~'rformed on clean sands or gravels below the water table. S__P, refers to 2" split spoon driven into the soil by 140 pound weight, a disturbed sample, ..$., thin wall tube, "Shelby" used to obtain undisturbed samples of fine graini:d soil, .Cd., "grab" disturbed sample from auger flights or wall of trench, g, cut sample, undisturbed sample from wall of trench. Dry Strength -- a useful indicator of a soil's clayey fraction, N=None, L=Low, M=Medium, Il=High - The samples are placed into apparently similar groups based or and texture and are arbitrarily assigned a group letter. Further disturbed tests including Atterberg Limits, grain size, moisture-density relationship, etc. may be performed on the group and are assumed to reflect the general distrubed characteristics of the soils assigned to the group. This is an important phase of the soil analysis and is used to standardize the various qualitative determinations and to reduce tire number of quantitative tests necessary to describe the soil mass. SOIL CLASSIFICATION CHART 30% GRAVEL CLAY CLAYEY CLAYEY CLAYEY CLAYEY \ OR SILTY SILTY OR SILTY SILTY SAND GRAVEL  GRAVELLY SAND SANDY GRAVEL SAND GRAVELLY SAND SANDY GRAVEL GRAVEL \ \ \ \ x 0 10 20 30 40 50 60 70 80 90 100 GRAVEL (+#4 SCREEN) % BY WEIGHT NONFROST SUSCEPTIBLE SOILS ARE INORGANIC SOILS CONTAINING LESS THAN 3% FINER THAN 0.02 mm, GROUPS OF FROST-SUSCEPTIBLE SOILS: F1 GRAVELLY SOILS CONTAINING BETWEEN 3 AND 20% FINER THAN 0.02 mm. F2 SANDY SOILS CONTAINING BETWEEN 3 AND 15% FINER THAN 0.02 mm. F3 a. GRAVELLY SOILS CONTAINING MORE THAN 20% FINER THAN 0.02 mm. AND SANDY SOILS (EXCEPT FINE SILTY, SANDS) CONTAINING MORE THAN 15% FINER THAN 0.02 mm. b. CLAYS WITH PLASTICITY INDEXES OF MORE THAN 12. EXCEPT VARVED CLAYS. F4 a. ALL SILTS INCLUDING SANDY SILTS. b. FINE SILTY SANDS CONTAINING MORE THAN 15% FINER THAN 0.02 mm. c. LEAN CLAYS WITH PLASTICITY INDEXES OF LESS THAN ]2. d. VARVED CLAYS. Sihs and clays Stirs and clays ~ liquid limit liquid limit ~' (For visual clafncaHom,, the 5 m. si ...... y be used as 50 ~ Sands with Gravcla with {appreciable{little or no {appreciable{little g fincsl fines) o ~ ~ ~ ~ ~ ~ ~ Mo/et~n 12% GM,GC,SM, SC Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Sita Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 017-461-28 GENERAL INFORMATION Complete legal description DRAKE SUBDIVISION: LoT 2A. BLOCK 2 Location (site address or directions) 3100 HUFFMAN RD. ANCHORAGE AK. 99516 Property owner Mailing address Lending agency Mailing address ROBERT FERGUSON Day phone 5100 HUFFMAN RD. ANCHORAGE AK, 99516 Day phone. (907) 345-2953 Agent BOB BAER Day phone (907) 272-o571 Address TOTEM REALTY. 724 E. 15th AVE. ANCHORAGE AK. 99501 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding Tank Community on-site Public sewer NOTE: xxx If community wastewater system, provide written confirmation from State ADEC lng to the legafity and status of system. 72-025 (Rev. 1/91 ) Front MOA #21 Computer Vemion Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $500.00 at, or prior to, closing for the engineering services provided. 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. ~ further verity 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 an~lState codes, ordinances, and regulations in effect on the date of this inspection./~ Name of Firm ALASKA WATER~& W! '~TEVV'/~R'CONSULTANTS, INC. Phone (907) 337-6179 Address 6901 DEBARR ROAD, SUITE 2B'A~CHO:RAGE, ALASKA 99504 / ! Engineer's Signature ~--~/~__..,.'..~.~ ! ,~/'"~ Date ¢/'~/oo ' .,' ! p~v~d~ta I. . In conducting this evaluation, AWWC, Inc/att~m, ,d to thorough, consc,ontious englneenng analys,s of tho system in accordance with ADEC and MOA UHH', Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system, These conditions are outside the controlof ~?:=~. 0~- .~.,~ ,heevaluatorofthesystem. Satisfactorytestresultsdonotguaranteefutureperformance of the system, nor do they guarantee that there are no hidden defects or encroachments. . V¢o~ '~.. /~E-7955 ." qK~*. '{J ,"" ',-.~,¢~ AWWC, Inc. can therefore not prot4de any warranO/ for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or pady is not authorized, nor will it confer any legal right whatsoever. 6. DHHS SIGNATURE L,/ Approved for ~ bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: Additional Comments By: ,/),~//~,--~ .--~ /.-'0/. ~~r<::~°~'~ 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 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. 1/91) Back MOA #21 Computer Version Legal Description: A. WELL DATA Well Type PRIVATE Log present (Y/N) Total depth *65' Sanitary seal (Y/NI Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 %" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 Health Authority Approval Checklist DRAKE SUBDIVISION; LOT 2A, BLOCK 2 Parcel I.D.: * PER MOA HAA 11/29/78 IfA, B, or C, attach ADEC letter. ADEC water system number NO Date completed Cased to 40'+ YES FROM WELL LOG ~ g.p.m. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 Date of sample: 3/15/2000 B. SEPTIC/HOLDING TANK DATA Date installed 9/11/92 Tank size Foundation cleanout (Y/N). Date of Pumping 5/1/2000 C. ABSORPTION FIELD DATA Date installed- 9/11/92 Length 36' Width Nitrate 017-461-28 N/A 1977 (ASSUMED) Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION .7,/10/2000 52' 5.07 1 6~ YES 3.08 mg/L Other bacteria 0 Collected by: A.W.W.C., INC. 1250 Number of Compartments 2 Cleanouts (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) YES Pumper A+ HOME SERVICES Soil rating (g.p.d./ft2 or ft2./bdrm) 0.8 18' Gravel thickness below pipe Effective absorption area 646 SQ. FT. Monitoring Tube present (Y/N) YES Depression overfield (Y/N) Date of adequacy test 5/1 ,/2000 Results (Pass/Fail) PASS For 3 Fluid depth in absorption field before test (in.); 0.25" immediately after 491 Fluid depth 3.75" (ins) Minutes later: 175 Absorption rate = Peroxide treatment (past 12 months) (y/N) YES If yes, give date 72-026 (Rev. 3/96)* Computer Version g.p.m. YES System type BED 0.5' Total depth 2' NO Bedrooms gal. water added (in.): 4.25" **450+ 5/29/2000 SEE A'Fi'ACHED LET]'ER D. LIFT STATION Date installed 9/11/92 Manhole/Access (Y/N) YES High water alarm level at* 53.5" Cycles tested 3 Size in gallons "Pump on" level at* 2zF' *Datum BOSOM OF TANK 500 "Pump off" level at* 14.5" E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main 100'+ 100'+ N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Seweflseptic service line 25'+ Lift station 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5' + Property line 5' + Water main/service line 10'+ Surface water/drainage 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Absorption field. 5% Wells on adjacent lots 100% PRIVATE 200'+ PUBLIC Property line 10'+ Building foundation 10'+ Water main/service line 10% Surface water Curtain drain F. ENGINEER'S CERTIFI, I certify that I h~el of Municipal rftcord~ t/~ with MOA HA~A gul~e~ Signature ',-- ~.--,'~/, Engineer's Name Date 100'+ Driveway, parking/vehMe storage area 10% NONE KNOWN ~TfiDl~ JEFFREY A. OARNESS [eld inspections and review systems are in conformance m this date. Wells on adjacent IotslOO'+ PRIVATE 200'+ PUBLIC F HAA Fee $ Date of Payment Receipt Number. 72-026 (Rev. 3/96)* Computer Version Waiver Fee $ Date of Payment Receipt Number ALASKA WATER & WASTEWATER May5,2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Retest at Drake S/D, Lot 2A, Bk 2. Chemically Treated Drainfield. A HAA was applied for on 3/21/00, however, it was denied based upon your departments evaluation of the adequacy test data. The system was chemically treated (Old McDonald's Pumping) and retested 30+ days latter on 5/1/00. It is our understanding that the house has been occupied during the entire 30 day period. Prior to the start of the test there was approximately 0.25 inches of liquid in one of the MTs. Over a period of 90 minutes, 491 gallons was introduced into the bed, causing the 1/quid level to rise a total of 4 inches (122 gallorrs per inch). The recovery was monitored 175 minutes later and the level had dropped 0.5 inches, indicating that approximately 61 gallons had been absorbed. This corresponds to an absorption rate of approximately 0.35 gallons per minute, or 502 gallons per day. Based upon this data it was determined that the absorption rate of the drainfield (when filled at least to the 4 inch level) is greater than 450 gallons per day. Attached is a revised HAA check sheet with the current septic test data. If you have any questions, please call me a 337-6179. 6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com MUNICIPALITY' OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Sits Services Section P.O. Box 196650 Anchorage, AJaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D. # 017-461-28 GENERAL INFORMATION Completelegaldescdption DRAKE SUBDIVISION: LOT 2A. BLOCK 2 Location (site address or directions) 3100 HUFFMAN RD. ANCHORAGE AK. 99516 Property owner ROBERT FERGUSON Dayphone" : . - Mailing address 31oo HUFFMAN RD. ANCHORAGE AK. 99516 Lending agency Day phone Mailing address Agent BOB BAER Day phone (~)07) 272-0571 Address TOTEM REALTY. 724 E, 15th AVE. ANCHORAGE AK. 99B01 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide wfilfen confirmation from State ADEC attest- ing to the legality and status of system. 4, TYPE OF WASTIEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 11911 Front MOA fFZl Computer Version 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verity that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastawater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further vedty that based on the information obtained from the Municipality of Anchorage files and from my investigation and insp,~ction, the on-site water supply and/or wastewater disposal system is in compliance with ail Municipa,I)'{Ind State codes, ordinances, and regulations in effect on the date el this inspecti.on. . Name of Firm ALASKA WA'T~ & ~A~S3~,~TI~R/t CONSULTANTs, INC. Phone (907) 337-6179 Address 6901 DEBARR R/OAD/~I~E~2~/ANC~ORAGE, ALASKA 09504 Engineer's Signature (,--~/~ Y/"~~ Date' 3/Z~/Oo 1. in co~]ducffn§ this evalua#en, AWWC, Inc~at~ ~t~to pro,de a ~rough, conscientious englnendng analysis of the system in accordance wi~h ADEO and MOA DHH$ Guidelines & Regulations. The relx~tod resuiis described the performance of the system under the condi~ens encountered at the Eme of the the test, and eslx~rotion distances measured to resdi~/ iden~fiable features. The operatienal lEe of all wells and septic systems depend en the Iocal so/Is condlEen, ground waler levels E3at may flucluais dudng E3e .Fear, end the wator uesge of the fami~ being esrv6d by the system. Thees condiffens are ou~side the (~n~ol of the evaluator of the system. All systems eventoel~v fall and estisfacto/y test resu~ do not guarantee future pe~o/manes of the system, nor do they guarantee that there are no hidden defects or encreschmente. AVW/C, Inc. can therefore not provide any warren~ [or future pefforrnance nor give any estimate of how leng the system will continue to meet the operetienal requitemente of the ADEC or MOA DHH$. The content of this ropo~t is for the so~e benefif of the owner listed above, Any reliance upon or use of this rep(vf by any other pe~en or par~y ls not auth~zed, nor will It confer any legal right whatsoever. 2. Alaska Water and Wastewater Consultant, mc, shall be paid $1100.00 at, or prior to, dosing for engineering esMess pro~ded. 6. DHHS SIGNATURE Approved for / Disapproved Conditional approval for bedrooms bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Sen/ices (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer ragisterad in the State of Alaska. The DHHS does this as a courtesy to pumhasers of homes and their lending institutions in order to satiety certain federal and state raquiramants. 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 ~)rofessional engineer's work. 72-025 (Rev. 1191) Back MOA #21 Computer Version Legal Description: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERWC- L (- E! VED Environmental Services Division 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343~jli~4~p 7 Health Authority Approval Checklist DRAKE SUBDIVISION; LOT 2A, BLOCK 2 Parcel I.D.: 017-461-28 * PER MOA HAA 11/29/78 If A, B, or C, attach ADEC letter. ADEC water system number N/A NO Date completed 1977: (ASSUMED) Cased to **UNKNOWN Casing height (above ground) 16" YES YES A. WELL DATA Well Type PRIVATE Log present (Y/N) Total depth *65' Sanitary seal (Y/N) FROM WELL LOG ~ g.p.m. Wires properly protected (Y/N) AT INSPECTION ,3/lO/2OOO Collected by: 5.07 Other bacteria A.W.W.C., INC. Nitrate g.p.m. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform '~-' Date of sample: ,3/15/2000 B. SEPTIC/HOLDING TANK DATA Date installed 9/11/92 Tank size YES 1250 Number of Compartments 2 Cleanouts (Y/N) Depression (Y/N) NO High water alarm (Y/N) YES 2~ Foundation cleanout (Y/N) YES Pumper A+ HOME SERVICES Date of Pumping 3/10/2000 C. ABSORPTION FIELD DATA Date installed 9/11/92 Length 36' · Width Soil rating (g.p.d./fl2 or ft2/bdrm) 0.8 System type 18' Gravel thickness below pipe 0.5' Total depth BED Effective absorption araa 648 SQ. FT. MonitodngTubeprasent(Y/N) YES Depression over field (Y/N) NO Date of adequacy test 3/10/2000 Results (Pass/Fail) PASS For .3 Fluid depth in absorption field before test (in.); 4.875" Immediately after 292.7 gal. water added (in,): Fluid depth 6.25" (ins) Minutes later: 308 Absorption rate = **450+ Peroxide treatment (past 12 months) (Y/N) NONE KNOWN if yes, give date ..... 72-026 (Rev. 3/96)* ComputerVerslon ** SEE A'Fi'ACHED LEI-rER Bedrooms 7.0" D. LIFT STATION Date installed Manhole/Access (Y/N) YES High water alarm level at* Cycles tested 3 9/11/92 53.5" Size in gallons "Pump on" level at* 24" *Datum BO'I-TOM OF TANK 5OO "Pump off' level at* 14.5" E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line 100'+ 100'+ N/A 25'+ On adjacent lots 100% On adjacent lots 100'+ Public sewer manhole/cleanout. N/A Lift station 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5% Water main/service line 10'+ Surface water/drainage. 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain 10'+ Building foundation 100'+ NONE KNOWN Absorption field 5'+ Wells on adjacent 10ts 100'+ PRIVATE 200'+ PUBLIC F. ENGINEER'S C/~IFI~/TIO~ I certify that II, ave of Municipal ~e~ ~.t~e Signature ~ 10% Water main/service line. 10% Driveway, parking/vehicle storage area 10% Wells on adjacent IotslOO'+ PRIVATE, 200'+ PUBLIC eld inspections and review systems are in conformance =n this date. JEFFREY A, GARNESS Waiver Fee $ Date of Payment Receipt Number 03'1T'00 1T:08 FRO~'CTE ENVIRONMENTAL .~T~.. CT&E Envlronment~; S~rvices 5;15301 T-~55 P.0Z/03 F-5~F CT&E Re£# Client Name Project Nameta Client Sample ED Matrix Ordered By PW$1D Sample Remarks: WATERS DEPT 1001068001 AK Wa~er & Wastewa~r Consultants Inc. Drake S/D LoT 2A, BK 2; HB Drake S/D Lat 2A, Bk 2; ~ Drinking Water Client PO# Printed Date/Time 03/17/2000 15:06 Collected DatedTime 03/15/20Q0 9:00 Received DaTe/Time 03/15/2000 10:25 Technical Director Stephen C. £de AtLo~abte Prep AnaLysis Limits Oa[~ DaTe Init 3.0B 0.500 ~9/L EPA 300.0 C~10) 03/15/00 SCL NICRO LaB Torn[ CoLiform 0 cot/100mL $M18 92228 03/15/00 gAP ~:_'~Y,' ...,,,, '9~ ~'...' ,,~.'. ~% He~.~.. :, .t~~ EAS[MENI'S O~ RE~ORI). OTII[R ARE NOT SHO~ tlEREON. ~ BRA~ CA~ MONUM~N'I' ANCHOF, AO~ I~J~CORDINO DISTRICT 0~-~ PREPARED BY: ALASKA WATER & WASTEWATER March 14, 2000 Municipality of Anchorage Department of Health & Htmmn Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: HAA for Private Well & Septic System. Lot 2A, Bk 2, Drake S/D. To whom it may concern: The subject lot has a 3 b~droom house on it which is served by a private well and septic system. The results of the field investigation and adequacy tests are summarized as follows: WELL: The static water level on 3/10/00 was 32 feet below the top of the casing (BTC). Water was pumped from the well at an average rate of 5.07 gpm for a total of 200 minutes (1013 gallons). Water level readings were erratic when the pump was running, indicating a level of 23 feet BTC. Since this is higher than the static level it is reasonable to assume that the readings were being effected by spraying water from a leaking pipe joint, or the pitless adapter. There is no well log on file, however, according to MOA records it is 65 feet deep (See MOA HAA records dated 11/29/78 stating that the well driller left the State and "well log not required"). Wells in this area must be cased throughout the entire depth, consequently, it is reasonable to assume that this well is cased to greater than 40 feet below grade. Please provide direction from your department. Based upon the flow data it was detemfined that the capacity of the well exceeds the Municipal requirements for a 3 bedroom house (.31 gallons per minute). SEPTIC SYSTEM ADEQUACY TEST: The existing mounded bed is 18 feet wide, 36 feet long, and has an effective depth of 6 inches. Prior to starting the adequacy test, the east MT had 4.25 inches of liquid in it and the west MT had 4.875 inches of liquid in it. For this evaluation it was assumed that the west monitoring tube most accurately represents the drainfield liquid level. Consequently, the drainfield was 81% full prior to the start of the test. Over a period of 67 minutes, 293 gallons was introduced into the bed. This raised the liquid level from 4.875 inches to 7 inches (2.125 inch rise), which corresponds to 138 gallons per inch. The 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * awws@alaska.net theoretical drainrock pore space, per inch of liquid in the drainfield, assuming 33% porosity, is 135 gallons. This is very consistent with our field data. The recovery was monitored for 308 minutes during which time the liquid level dropped 0.75 inches, indicating an absorption of 103.5 gallons (134 gallons per minute). This equates to an absorption rate of approximately 490 gallons per day, which exceeds the MOA requirements for a 3 bedroom house (450 gallons per day). It is important to note that the system had to be filled to 100% of its capacity in order to achieve this absorption rate, NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee is made regarding the future performance of this well or septic system CLOSING: If you liave any questions, ~,.Sincerely, ., M.S. Pregid~nt please contact me at 337-6179. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph::.(907) 337-6179 * Fax: (907) 338-3246 * awws@alaska.net ..... '" ' DATA RECEIVED ~' ~' '~ INSPECTION APPOINTMENTS DATE DATE ~ ~ ~ , DAT MUNICIPALITY OF ANCHORAGE M~NlClPALI~ OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~"~ OF HEALTH & ~ ill 826L Str.t- Anehornge, AI.k..~0, ' NVI~;~NT;L pRO~CTION E _ E~VlnO.ME~TAL SAN~TATIO~ DlVlSlO~ REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~ DIRECTIONS: Complete all parts en page 1. Incomplete requ~ will not ~ proc~d. Please allow ten (t0) days for processing. MAI LING A~DRESS "'PROPERTY RESIDENT ( f d fferent from above) ' r - ' ~r[q~ MAIL N~ADDRESS ~, ' ' ' ' 3 LENDING INSTITUTION - ' MAILING ADDRESS I ~ -- ' v 4. REALTOR/AGENT , ~ I PHONE 5. LEGAL DESCRIPTION ' 'STREET LOCATION ' 6. TYPE OF RESIDENCE NUMBER OF~ E CO ~ SINGLE FAMILY r-] One [] Four [] Other ~L i-L Two [] Five [] MULTIPLE FAMILY '~' Three [] 7. WATER SUPPLY f INDIVIDUAL* '[] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY * ATTACH WELL LOG. Awell Icg is required for alt wells drilled since June 1975. For wells drilled prior to that date, give well , depth (attach, . Icg, if.,available.) ~0 / t'~ t~ YEAR ON-SITE SYSTEM WAS INSTALLED. I NOTE: THE INSPECTION FEE MusT ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] TWO NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SiX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVI DUAL/ON ~SITE :~ 71PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size:~ If Tank is homemade give dimensions: TYPE OF TANK PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line Septic/H°lding Tank IAbs°rpti~t;~ Area[ ~,,)~.,~ ISewer Line Nearest Lot Line 5. COMMENTS DATE I~PROVED FOR ~--~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev. 6/79) Anchoral e 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264~4111 GEORGE M. SULLIVAN, MAYOR I)FPAIRTMEN'[ OF HFALTH AND ENVI[:tONMENTAL PROTECTION September 12, 1980 Bob/Christy Walker % Ward Realty Star Route A Box 1411 Anchorage, Alaska 99507 Attention: Patsy or Jim Subject: Lot 2A Block 2 Drake Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. (2) The septic tank pumped with a receipt submitted to this department. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Coast Mortgage % Judy Voss Post Office Box 1200 99510 MUNICIPALITY OF ANCHORAGE DEPT. OF HFA[ 'H &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIF~VIRONMENTAL PF,:~t:TECTION 825 L Street - Anchorage, Alaska 99501 NOV 2, 9 1978 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720R E C E 1 V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page I. Incomplete requests will not be processed. Please allow ten (10) days for processing. ":1. PROPE"TYOWNER ~~ I PHONE MAILING ADDRESS ~ · - - PROPERT'~ t~ESIDENT (If different from above) PHONE "~.' "'~UYE'R PHONE -MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE MAILING ADDRESS - . 4. REALTOR/AGENT I PHONE MAILING ADDRESS ' ' 5. LEGAL DESCRIPTION STREET LOCATION 6, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] ' MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** IZ"J PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME ;TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR INSPECTOR DIRECTIONS: '- - " '."'NUMBER OF'BEDROOMS,' - 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE [~ PUBLIC UTILITY Connection Verified [~]Septic Tank or [] Holding Tank Size: ./~(~)O If Tank is homemade give dimensions: -~ ,' ~:~ ::, TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line [] ONE [] THREE [] FIVE [] OTHER [] TWO [] FOUR [] SlX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLS, INSTALLER SOILS RATING MANUFACTURER MATERIAL ~' Septic/ olding Tank IAbsorption Area I lSewer Line I Nearest Lot Line 5. COMMENTS DATE ~ APPROVED FOR ._~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3178)