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Home My WebLink AboutCINERAMA TERRACE BLK 2 LT 15¢incromo Tcrrec¢ Lot 15 Block 2 #020-115-08 Municipality of Anchorage Page 1 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: SW9701 59 PID Number: 02011 508 Name: Darrell A. Jones Wastewater System: El~ew [] Upgrade Address: 700 West 58th, Unit C ABSORPTION FIELD Anchoraqe, AK 99578 Phone: I No. of Bedrooms: 4 m Deep Trencl~ r-I Shallow Trench ~Bed O Mound r'l Other L E G A L D E S C R I PT I O N Soil Rating: Total Depth from odginal grade: -f GPD/$q. Ft. O ~ // Lot: Block: Subdivision: Oeptl~ to pips bottom from original grads: Gravel depth beneath pipe 15 2 Cinerama Terrace ~ -7 ~ /'7 Ft. ,7'~' Ft. Township: I Range: I Section: FIll added above orlginaJ grade: Gravel length: Number of lines: I Distance t~et~,cen lines: WELL: a;]'~ ew •Upgrade Gravel width: /~' Ft. Driller: Oat. Orill~: Static Water Level: Instaile~/~b~ Oate~stall~: ) . SEPARATION DISTANCES = Septic a Holding ~.E.P. To Septic Absomtlo. LiN ~oldl.g ,,,~"-~flvate Manufacturer: Capaci~ in gallons: Sudace Size in gallons: ~ Manufacturer: Line / "Pump on" level at: I "Pump off" level at: ~ High water alarm at: Cu~ain ~_ Pump Make & Model } Electrical Inspections ~e~or~ed Remarks: Znsul~oam (2") l~es above ~ ~F'> BENCH MA~K Lo~tlon and D~cription: top o~ septic rock on absorption be~s 1 st ~evel concrete slab { A~umed Elevation: Inspections pedormed by:~~ Dates: 1st 7h"~/~/~l ;~ ...... = ......... ~';: :~, Department of Health and Human Seduces approval ll~..' ~'~ ...~Y ~eviewed and approved by: Dee: ~'~ '~ 72-013 (Rev, 91911 MOA 25 Permii No. of ,3 SW9701 59 Page 2 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: LT 1 5, BLK 2, Cinerama Terrace MT2 " TH 2 absorption beds MT'~ TH 3 02011508 PID No.: r---] r---3 res4rv I arl~ea ~ .I I L - - _1 - - 1 , 500 gal. 1 STEP ' ;4 BR Hse/ well radius MICHAEL E. AND.ERd0~,j 4381-E Cl S1 S2 MT1 MT2 MT3 MT4 A B C D 46 0 17416 81 ]0 91.4 26.1 47 2 68 3 64 0 SP1 Septic Pump, compar~men~ 1 ~ S~2 " " " 2 ~ C Clean Out driveway AS -BLT 1" = 30' Permit No. SW970159 Page 3 of 3 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: LT 1 5, BLK 2, Cinerama Terrace PIDNo.: 02011508 ~ -~ .- ......... ~¥ ..... ./~. ........... '~--~o:/ .... Lo~er Bed. (North) \¥..\Q~-_- -. ~ ....... ........ ~: '+, ...... ~'s-+"-~ ~-~-~~ !t =o~ ~ ....... ~' ~' 1 ....... tan~ -R~-"-: ' ~ ......... . . ............ .... ...... __ ~ ~ ..~ · , ~ ~ -. ~ ~ ......... ~ , .-_.~ .............................. ...................................... ................. -- t--~- .... :~y.--.<~ ............................... ' I -. : / aeo~ ~~ h ,,11~ .................. ~6'p'~i-~-~6%-~ -'~"~-~' ..... ':' r ......, ', ........ . -,-.~ ~-- '~, ,," ',, ,--+.-. . _ . ~~~-' { sand filter. ,/~ ~ ,/ ~,' ......... .. ................. : ....... ]~ · ._,_ .~ ......... >,:. - ~- ' 3'16 'Diamet-er--,ol. -~l'~~ '~~ ............ ,,~: ...... ,~- . _~.:,' s~a~:n~ ................ ~][_>~ ............... ~_ .......... ,~ : :~ ........ ~:._. ,., :--,: .:.-: -:--.----.::_:.- :_. , . ........ . :-:-:- ,:: :, ,. :-:~,_, -' ELEVATION AS -BLT 1'" = 10' SP1 Septic Pump, compa,r, tment 1 SP2 " " 2 C Clean Out MT Monitor Tube MAR-12-1998 17:34 CT&E ESI F~CHORAGE 9~7S~15J01 P.02/03 CT&E Environmental Sewice~ Inc. .__~:... I II · _/_ - I I[ CT&E Ref.# 980949001 Client Name Anderson Engineering Project Name/# Client Sample I'D Cineratn;t - Del GaUD l?[atriX Drinking Water Ordered By PWSID Snmpi~ Remarks: Client PO// Printed Date/Time 03/t2/98 16:37 Collected Date/Time 03/03198 14:30 R~:~ived Date/Time 03~03~98 15:00 Tedmical Director'. Stephen C. Ede P~L Uni ta Meth(xt ALLowabLe Prep AnaLysis Umits Oate Date Init ?oral CoLiform Nitrate-N 0 2.08 cot/lOO~L $M18 9222a O.lO0 ma/L EPA 300.0 10 max 03/03/98 0t/03/98 RHV MAR-12-1998 17:34 CT&E ESI AHCHORAGE 9~75615301 P. 03/03 CT&E Environmental Services Inc. Labomto~ Division ~.~r~,.~,~,r~'~,jj, r, rJJ.~.~,j.~'J,.~,.~ Drinking Water Analysis Report for Total Coliform Bacteria :oo w. ,o,,. Anghomg°. AK ~g~18-1 ~ 4D h~R~O.Y~ O:Y ~YK~ ~D~ ~FO~ ~O~Z~¥G ~$1~L~ Tel: (~7~ 542.2~ Fax: f~ 561 PUBLIC WATEt~SYS~[~! IJ3.~ SA,%IPLI[ DATE: SAMPL£ TYPE: Day Ysar ~th la~ ~C nO. ) "" 0 5pKi~l ~mm SA.%IPL£ LOCAT~O~ CMlegtid By TO BE COMPLy. i'~.D BY LABOI~ATOR. Y Analysis shows t~is ',Vat~ SA~IPL~ co be: 0 S~nple ovor jO hours old. ~tu mDy 0 S~plc t~ Ions in transit: ~mplo should not be over 4~ hou~ old ac c~ina[ion m indi~ Kiimble mui~ PI~ s~d Date Recmi~ md .... -- ~me RKeiv~ _' .... Analyfi~l Method: ~b Re~ No. R~ui:* AnaIFs~ 98;949 ] ~ Anent Fbks Jun BACTERIOLOGICAL WATER ,~AI. YSIS P. ECORD ~ ,, Colonies/tOO mi BGB ,, . coLrFtR&! . Client notified or unsatisfmc{0~ resulu: [] Fm.~d TOTAL P.03 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WE/.L RECORD LOCATION OF WELL BOROUGH ,IUBDNIIION LOT ILOCI~ ~CTION QTR$ ' ~CTION ~ r'iN lie LOCATION/SKETCH: W~L OWNER: DEPTHS MEASURED FROM:i'icesing t~p I"lground surface WELt. DEPTH: i/ DATE OF COMPLETI~ BOREHOLE DATA= Depm Depth of casing:,, / ~.~ ft Material Type and Color From To " -- "' ft below ~]~op of casing I-I ground sm'fac /, , , METHOD OF DRILLING: [~'air rotary l~ cable tool c~siNo S~CK~f~ Oiam=, _ .- .4/-~, /~P~ 0 ,,,omt,d 0 o~.n hol, / ./ /-' . .~_~~~~.~ SCREEN TYPE: / Diam: in. GRAVEL PACK TYPE~' " Volume ~ed: / "Dept~ 'tp top: ' GROUT TYPE: ,./ _ volUme: Depth: from ,/ ttto ,'~,,i: tt DEVELOPMENT. MET, HOD, Omation: /'.~'/,.~ . ' PUMPING LEVEL AND YIELD: " ftm .... m~ hfs pumping ~ gp~ ; PUMP INTAKE DEPTH: W~ L DISINFECTED UPON Cn_MPU:-i'iON? COh~Y',ACTOR INFORMATION: REMARKS: · Regi/ste,md/Bu~ness N~a?e .,./' ff .... ./ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970159 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:JONES DARRELL A OWNER ADDRESS:700 W 58YH, UNIT C ANCHORAGE, AK. 99518 DATE ISSUED: 6/27/97 EXPIRATION DATE: 6/27/98 PARCEL ID:02011508 LEGAL DESCRIPTION: CINERA/~ TERRACE BLK 2 LT 15 LOT SIZE: 212078 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AACS0). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE TOP SIX INCHES OF THE MOUND MUST CONSIST OF TOPSOIL AND BE VEGETATED SUFFICIENTLY TO PREVENT EROSION. RECEIVED BY: ISSUED BY: DATE: DATE: June-24, 1997 Municipality. of Anchorage. ...Department .of'Heath &.Human SerVices 825. "L" Street Anchorage, AK · 99502'0650 Subject: Lot .15, Block· 2, .Cinerama Terrace Subdivision Septic System DeSign · Impacts to " Adjacent" Properties RECEIVED, .MunicipalitY of Anchorage, Dept. He~lth i~ Human,$e~V~'lcea~ Dear On Site Services Engineer:. We hereby'apply for-a permit to construct a septic system on LOt t5,r. BIoCk '2, Cinerama Terrace-Subdivision.: The. well is currently in place on the property and much more than 100.' from the. proposed location .of either .the~ primary ~system or ,the alternate.. The attached Site Plan,. shows, the .lOcation -of the-new sYstem along with the alternate. We also shoW the ' location of the testholes _placed during.the design phase of,' the-project. No groundwater was encountered during our field activities. 'A testh01e placed rin 1987 however i:ndicated water" at 4.5' beneath, therrsurface. We . .are therefore des gning the system for the shallow groundwater condition. Other systems in 'the 'area indicate, .groundwater may be a problem dUring '. normal runoff years. We are Currently undergoing a very'dry period' and water' monitoring is inaccurate. Testholes °n the proPerty' reveal.ed silty gravels Which percolated between'. 20 and 25 minutes per inch: The earlier testhole was percolated at 8. minutes per inch, but we were unable to record the faster rates. The system ,is designed for the slower rates. The surface-of the lot slopes from east to the west at varying grades. The slope from the_road is very steep, but levels off to between 2% and'.5% for' much of the lot. At.the west side the lot slopes·sharply toward...the cr'eek on the~'west' boundary: The ground surface at'the .location of the absorption, bed is fairly flat: _ If the system is constructed' as designed .the following, statements·, can be ~ot 15, Block 2, Cinerama Terrace Subdivision June' 24, '1997 Page Tw° made: R'ECEIVED JUN 26 1997 Municipality of AnChOrage Dept, Health & Human Service8 1.' The system, if constructed' as designed, will have no adverse impract on the wells in the area or those to be constructed in' the future.. 2. The system; if constructed-as designed, will have no' adverse'irnpact on. eXisting'septic systems in. the area .or those to be constructed.in the future. 3.: . The system, if constructed as' designed, will have no adrverse impact on reserved Space, either surface' or subsurface, on any. lots' located in the area. The system, if constructed as designed; will have no adverse impact 4. on drainage patterns in the area. :The'current 'drainage Pattern W ifil be maintained. .: Si'ncerely, ' Michael E. Anderson, PiE. Attachments UNDEVELOPED UNF ESMT. T. & E.. ESMT. 15 UNDEVELOPED UNDEVELOPED 16 AREA MAP SCALE 1" = 100' RECEIVED JUN ?- 6 1997 Municipality o! Anchorage Dept. Health & Human Services I0' ALTERNATE SITE 1,500 GALLON STEP TANK #BARTER RECEIVED JUN 2 6 1997 Municipality of Anchorage Dept. Health & Human Services SITE PLAN SCALE 1" = 30' LOT 15, BLOCK 2, ClNERAMA TERRACE SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home Perc. Rate: 20 Min./Inch Application Rate: . 4 GPD/SF Shallow Bed System 2,000 Gallon S.T.E.P. Tank Pressure Distribution System 1' Coarse Sand RECEIVED 4 Bedrooms X 150 GPD = 600 Gallon's Per Day 600 GPD/.4 GPD/SF = 1,500 SF 1,500 SF/ 15 LF (Width of Bed) = 100 LF Total Length of Bed JUN 2 6 1997 Mt J; c,pahty of Anchorage Dept. Health & Human Service Therefore: Construct a Shallow Bed System With 2 Beds Each 15' Wide X 50' Long. Beds Must Be at Least 10' Apart. Distribution Piping to be Placed at Ground Level. m i# /JO"' i z'/~'I 5'I · 5' ,I 'z'/[' I TYPICAL SHALLOW BED SECTION (NO SCALE) ~'_~ OF ~ '.,~,,. Minimum 4' Separation From Ground Water ~~ ~{~ ~;~%~ Grade Area to Drain Away. ~~ PERFORMED FOR: LEGAL DESCRIPTION: 3 4 5 6 7 8 9 10 11 ~2 13 14 15 16 17 18 19 2O COMMENTS Municipality of .Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 'p-t-/ok Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED?' IF YES, AT WHAT DEPTH? RECEIVED JUN 2 6 1997 Municipality of Dept, Health & Human Serv!~-I~COLA?iON RATE TEST RUN BETWEEN SITE PLAN '1 Grins Net Depth to Net Reading . Date Time Time Water Drop ~: ~L~ -- ~ 'N" /" · /: ~0 . . /, y~,, 7/~,,, 7:,.to - '~" "/~" ~'~ (minute~,ncA) PERC HOLE DIAMETER /,5' ~A.D Z,-¢' rr PERFORMED BY: ,/I,f ~ I ~~~J~~IERTIFY THAT THIS~ jTESTj..,WAs PERFORMED IN ACCORDANCE WitH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATF- DATE:' 1Es'/Y 72-008 (Rev. 418,5} PERFORMED FOR: LEGAL DESCRIPTION: Munir. Jpality of .Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, AlaSka 99502-0650 SOILS LOG --- PERCOLATION TEST DATE PERFORMED: Township, Range, Section: 1 2 3 4 $ 6 7 8 9 10 11 12 13 14 '15 16 17 WAS GROUND WATER ENCOUNTERED?' SLOPE SITE PLAN IF YES, AT WHAT DEPTH? 6 1997 Municipality o! Anchora~. , Health & Human Serv Groa~ Net Del~h to Net Reading D~e Time Time Water Dro~ (minmwinr, h) PERC HOLE DIAMETER PERCOLATION RATE TEST RUN BETWEEN ~ Fi' AND ~. FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:' ~/Z~ ~'/~ ? ~ (R~v. 4/es) PERFORMED FOR: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE LEGAL DESCRIPTION: Lo-/" 1 4 5 10 Township, Range, Section: COMMENTS -r-.-~.~. SLOPE SITE PLAN /~ O' RECEIVED WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT ...... O DEPTH? P E Oepm Io Wile, Moniloring? ~OM~ , JUN ~ 6 19~7 Municipality o! Anchor,~ Dept. Health & Human Services z.O PERCOLATION RATE TEST RUN SE~WEE. /' ~' Gro~ Net Depth to Net Reading Date Time Time Water Drop ~ (minutes~mch) PERC HOLE DIAMETER __ FT AND '~ I:1' PERFORMED BY: /~'~ ~"~ I ~ ~~IFY THAT THIS TEST WAS PERFORMED IN ACcoRDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DAT[ DAT~ 72~ (R~. 4/~) Municipolity of Anchorage DEPARTMENT C'F HEALTH & HUMAN sERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 ' SOILS LOG -- PERCOLATION TEST . ,.. ' o^T~ "En.oR','ED:~~'~ff-~ · PERFORMED FOR: LEGAL DEscRI~TION:~ '/"/1~// Township, Rang~, Sectiun: ~ ~ L./,~ P_iM~:E z~mP. T'~.;.,~.,~ SLOPE Ill Iii Fie Itl q SITE PLAN __ WAS GROUND WATER c,c- ct~ ~j,~, E.COU,~ER. Em O~l:th to Water Afler~ ~ 13 ~~ konitpring? 1~ $ L O P E RECEIVE G~oss Net Depth to Net Reading Data Tim~ Tim* ~,nt~ W.~er sA/ . l)rol~ /~,' ~-/~ 7:'n . ,~ ~ */~ _ ~ ~:~q ' ~ ~_ 15- 4- hr=,0 ~a -/E'~-~ 5,~,'::~- .... 17 JUN 26 1997~J ~0 Municipality of Anchorage ~ArL~ ~ tmmute~/,,;cl;] PEnC HOLE DIAMETE,~ )ept, Health & Human Servic'l~--~c°LATION TEST RUN BE3WEFN ~ FT AND FT COMMENTS E~~' ':' ' ' I CEPa IFY ~ HAt THIS 'rEST WAS pEP.FOP.MED IN PEP.::ORM U ~. ' DATE .(o- I ~- ~'~ --. /~C~:ORDANCE WITH ALt )TATE AND MLINICIPAL GUIDELINES IN EFFE~I ON THI~ D~TE, PRESSURE DISTRIBUTION CALCULATION Elevation @ Highest Discharge Point Pressure @ Highest Discharge Point Liquid Level in Tank (Elevation) Diameter of Holes in Distribution Line Diameter of Distribution Line Hole Spacing in Distribution Line Length of Transport Line Diameter of Transport Line I Ii~' '1 +. iC.'l +- :5., &/ RECEIVED JUN 2 G 190,7 Municipality of Ancho~)qe ~ Dept. Health & Human Su: ,, ce,. .'. Z.D OS'l' Exact location of house yet to be determined. may have to be ~edone depending on final location ¢ NOTE. · ~use ' FILTER SAND SPECIFICATION ACCEPTABLE SOURCES: o 1. Road sand from Central Paving Produc~s (Palmer). 2. ASTM D 33 concrete sand from Quality Sand (Wasilla). 3. Pit run sand from Beaver Lake Sand & Gravel (Wasilla). Any sand from a source other than the above must have a sieve analysis performed which indicates that the product is a sand and has less than 4% passing the #100 seive and less than 2% passing the #200 seive. RECEIVED JUN 26 1997 Municipality of Anchorage Dept. Health & Human Services ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS~ (~ ~. iV E~) SUBJECT: LOT 15, BLOCK 2, CINERAMA TERRACE SUB. JUN ?_6 't99'f Municipality ot Anct~ora§e GENERAL: Dept. Health & Human Services 1. The scope of this project includes the construction of new twin 15' X 50' absorption beds at the location shown on the plans. It also includes procuring and placing a new 1,500 gallon S.T.E.P. tank complete with lift station and construction of a pressure distribution system. A 1' lift of coarse sand is required beneath the drainfield rock to provide a minimum 4' separation from groundwater. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. The property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK/LIFT STATION INSTALLATION 1. The septic tank/lift station is to be constructed by a certified tank manufacturer. Construction shall include an 18" manhole for access to the lift station. Lot 15, Block 2, Cinerama Terrace June 24, 1997 Page Two 2. The septic tank/lift RECEIVED JUN 2 6 1997 Municipality of Anchorage Dept. Health & Human Services station shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes shall extend a minimum of 12 inches above final grade. 4. Septic tank/lift stations installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 5. A foundation cleanout shall be installed one to four feet from the building foundation. No cleanouts are required between the lift station and the drainfield in a pressure distribution system. 6. Final grading over the septic tank/lift station shall be such that a positive slope exists away from the septic tank. ABSORPTION BED CONSTRUCTION: 1. The absorption bed shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion in the drainfield rock must be perforated. 5. Direct bury insulation must be placed over the distribution system when less than 3' of backfill depth is available. Lot 15, Block 2, Cinerama Terrace June 24, 1997 Page Three RECEIVED JUN 2 G 1997 Municipality of Anchorage Dept. Health & Human Services Finish grade over the bed must be mounded to prevent settlement or depressions. MATERIAL SPECIFICATIONS: 1. The lift station must be constructed by a Municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF - 5 is recommended. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted watertight couplings (Caulder, Fernco, or equal). with 5. A permeable geotextile fabric (Typar, Mirafi or equal)must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation Lot 15, Block 2, Cinerama Terrace June 24, 1997 Page Four RECEIVED JUN ?- G 19~7 Municipality o! Anchorage Dept. Health & Human Services of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of the second inspection. The contractor is responsible during the layout of the system to assure that all separation distances from adjacent wells in the area are met. MEMORANDUM DATE: -TO: FROM: SUBJECT: June 23, 1.997 Jim Williams, MOA, DHHS Mike Anderson, P.E.. ~ ~k~ Lot 15, Block 2, Cinerama Terrace SePtic System. Construction Permit RECEIVED ,JUN 2 3,1997 D Municipality ot An¢l~Orago ept. Health,& Human Ser~ie~ At the. request of Tim.Anderson I have redesigned. . the absorption bed to be constructed on hislot for a minimum width of 'lT. I have also raised the bedto compensate .for a water table elevation of 4.5'. below .the ground surface. This was the elevation you meaSured ~ · during your visit to' the' site and discussed in your office,last week. The pump calculation is based' on placing the,. house at. the location, shown on .the site plan -completed by' Hank Wilson, P.E, If the-final locatiOn of the hOuse' changes the calculation may have to be redone to verify the number and siZe of the holes inthe distribution piping. The absorption bed:is deSigned based on the percolation test completed by .Tony Barter, P.E. in June of 1987. The bed must therefore be centered around this testhole to. be representative .of the design. No venficatton of Tony Barter testhole hasbeen made. All · of the design data I.have prepared is based on information previously completed by Hank WilSon.and Tony Barter. As a special. Provision to' the Septic system permit I recommend that all soil conditions be verified and documented during construction of the system. Please .let me. knOw if you have any questions. SITE PLJ~N-WATER ARD HASTEWATER/ABSORPTION SYSTEM SITE PLAN DETAILS PROPOSED WATER AIID WASTEWATER A~SORPTIOH SYSTFM LOT 15 BLOCK 2 CINERAMA TERRACE SUBDIVI$IO~I PREPARED FOR: DARRELL A. JONES 9500 JUPITER DR ANCHORAGE, AK, 99507 PH 346-338 SCALE: 1" = 100' O,"IM//I DY CAL CONSTRUCTING ENGINEERS 346-2000 9601 BUDDY WERNER DR 694-9098 A~iCHORAGE, AK, 99516 7-19-92 EX/{IBIT A-1 SITE PLAR-WATE]~. AND WASTF. WAT~.R ABSORPTION SYSTEM RECEIVED dUN l g? I M~J~C,p~lll[y ~t Anchorage Health & Human Services SITE P~H DETAILS PROPOSED WATER AND WASTEWATERA~SORPTION SYSTEM LOT Z5 BLOCK 2 CINERA~ T~RRACE SUBDIVISION PREPARED'FOR: DARRELL A. JONES 9500 JUPITER DR ANCHORAGE, AK, 99507 PH 346-3382 ,~CALE: 1" -' DR~Ili ?Y CAL CONSTRUCTINO ENGINEERS346-2000 9601 BUDDY WERNER DR 694-9098 ANCNORA~E, AK, 99§16 7-19-92 EXHIBIT A-2 SYSTEM PLAN NO SCALE PROPOSED FIVE BEDROOM HOME 2,000 GALLON S.T.E.P. TANK RECEIVED JUN 2~ 1997 Dept. Health & Human Services MONITOR TUBE I 1" PVC DI.STRIBUTION LINE 'ABsoRpTIoN BED TO BE CENTERED ON TESTHOLE NO. 1 TONY BARTER ON JUNE 16, 1987. coMPLETED BY LOT 15, BLOCK 2, ClNERAMA TERRACE SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Five Bedroom Home Perc. Rate: 8 Min./Inch Application Rate: . 5 GPDISF Shallow Bed System 2,000 Gallon S.T.E.P. Tank Pressure Distribution System 1' Coarse Sand 5 Bedrooms X 150 GPD = 750 Gallons Per Day 750 GPDI.5 GPD/SF = 1,500 SF RECEIVED JUN 2 ~ 1997 1,500 SFI 15 LF (Width of Bed) = 100 LF Total Length of Bed Mum¢~pal~ty ~l Anchorage ,Therefore: Construct a Shallow Bed System With 2 Beds EachD~l~t" H~e&~luman Servicee 50' Long. Beds Must Be at Least 10' Apart. Distribution Piping to be Placed at Ground Level. TYPICAL SHALLOW BED SECTION:~ .~_~.~¢~'~}'.~:?~!~.[ -. ~~. DEPARTMENT C'F HEALTH & HUMAN SERVICES Municip,,lity of Anchorage 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~ C~ DATE PERFORMED: PERFORMED FOR:.~~~~j~~"~~~~ LEGAL DESCnI~TION: .~.~'C / ~CI.J '7"/I/t~] SLOPE SITE PLAN ,! Township. Range, Section: 13 11 : .. 12 ' 13 14 - ~oH 15- 17 18 ti I'1 19 ~0 WAS GRO[JND WATER ENCOUNTER. ED? ~.-[a~.~F YES. AT WHA'r :)EPTH? q Dlpt. Heattt~ COMMENTS m/'"/ '/~ / S L O P E "--"-----"----' "--'--"-""- ' G~oss Net Dapth to Net Reading Data Tim,, Tim. /,nt~ Water /M I)rol~ /.,' 7:~ ~ ~ "~t~ '~' - 5 0 ti:Ih to Water Alter PERCOLATION RAI'El ~ im, nutcm,,;Cl,) PERC HOLE DIAMETER D~---~' .?' ' '~.~ CEP,,'TIFY IHAT THIS TEST WAS PERFORMED IN pER~:ORME , I _ · =cctV! Ct.'?HI~DATE. DATE (~- /~CCORDANCE WITH ALI STATE AND MUNICIPAL GUIDELINES IN EFFEC'I ON THI~J ~ ,-. -- ' .... 72-~'~,n {li-v 4. PERFORMED FOR: Municipality c! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST L~G %[- DESCRIPTION: L_t ~' ¢z~ Z. ~'~;,,.-..~.~,,,,= le.,,w.~.~.~.Township, Range, Sectioi~: 11 1;! l'J 1l 17- 1:3 lq 2,.) ECEIVED JUN 1997 nic~pah[y .J~'~,,'~no~ age Health & Human Services SLOPE WAS GROUND. WATER Er,ICOUNTE.q E£'~ SITE PLAN' IF YEG, AT WHAT 0 DEPTH? P f '"-'- E Ul:plh tO Water F. fler M3nitorin9? ~ DMe: Gross Rending Oate Tim.. Time Water ~.r.~ .1~ '-~, " .- -..--~ W-' --'---]--~_ F,r-'° .,..,., .a .... PERCOLA'IION RATE ~ [mmute$,,ncl~) ;.ERC HOLE DIAMETER ACCORO.'~NCE WI TH ALI STATE AND MUNICIPAL GUII';.'~-LINF.~ II,I EFFEC, I ON 'THI~ r,ATr.- ;'?-L'~'" (1.'.¢.'~ 4.~.r,) CER'TIFY THAT THIS TEST WAS FF..RFORME[) ffl '"t- t ?.-.~'~. DATE . .............................. PRESSURE DISTRIBUTION CALCULATION Elevation @ Highest Discharge Point Pressure @ Highest Discharge Point Liquid Level in Tank (Elevation) Diameter of Holes in Distribution Line Diameter of Distribution Line Hole Spacing in Distribution Line Length of Transport Line Diameter of Transport Line I I!~' II I ii JUN 25 1997 .. Mu~uo~pal~tY ol A~o~rage _ Oept, Health & Human '- NOTE: Exact location of house yet to be ~etermine~. Calculation ...... may have to be bedone ~epending on final location of house- · o,J-4#, --~- #~ .,-~-+,-: .... ,+"? .... , -'-~'"t,-t"t'" ! i ~ ~ i ~ ~ ~_~_ _i_ ~..q...i...L. · "TT'.'+"l''j--l'i ! ii :!; Tt-T-i I ii,il l/2H toll/2H ,: ,: ,,, ,,, ~i ii, ~'~H~,~z ..~k~,.. ..... 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Ii ~f~sV' ,,. ~.~ 0.00 5.00 10.00 15.00 20.00 25.00 3 tOO 35.00 40.00 45.00 50 NET DISCHARGE, GPM 100.00 0~0 [(ORENCO SYSTEMS, INC ] ABSORPTION SYSTEM DESIGN DETAILS DESIGN DETAILS PROPOSED WATER AND WASTEWATER ABSORPTION SYSTEM LOT 15 BLOCK 2 CINERAMA TERRACE SUBDIVISION PREPARED FOR: DARRELL A JONES 9500 JUPITER DR ANCHORAGE, AK, 99507 PH 346-338] SCALE: HORZ 1" = 20' VERT 1" = 5' DRA~/N BY CAL CONSTRUCTING ENGINEERS346-2000 9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 7-19-92 EXHIBIT B SITE PL~-WATE]~, AND WAST~'-WATER ABSORPTION SYSTEM PROPOSED SITE PZ~%H DETAILS WATER AND WASTEWATER A~SORPTIOM SYoTEM LOT 15 BLOCK 2 ClNE.RAMA TERRACE SUBDIVISION PREPARED FOR: DARRELL A, JONES PH 346-338.~ 9500 JUPITER DR ANCHORAGE, AK, 99507 ~,CALE: 1" : 40' DR~J, IN I~Y CAL CONSTRUCTINO ENGINEERS 346-2000 9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 7-19-92 EXHIBIT A-2 SITE PI2%N-WATER AND WASTEWATER ABSORPTION SYSTEM / ..~'r.~'.. .,..,,'~,',-,.. ",:'.~ ~ ENGINEER'S SEAL SITE PLAN DETAILS PROPOSED WATER AND WASTEWATER ABSORPTION SYGTFM LOT 15 BLOCK 2 CINER/U4A TERRACE SUBDIVISIOn; PREPARED FOR: DARRELL A. JONES 9500 JUPITER DR ANCHORAGE, AK, 99507 SCALE: 1" = 100' CONSTRUCTING ENGINEERS 346-2000 9601 BUDDY WERNER DR 694-9098 ~ICHORAGE, AK, 99516 PH 346-336 D,~M.~N DY CAL 7-19-92 EX]~IDI T A-1 ,6 ur i¢ip&titYo Ancixor&ge P.O. BOX 196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 ~X~6~MC~X Tom Fink MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 8, 1988 Joe Longley 13208 Elmhurst Anchorage, Alaska 99516 Subject: Lot 15 Block 2 Cinerama Terrace Subdivision Permit #870154, On-site Sewer/Well Permit A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1987. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. Effective January 1, 1988, a new fee schedule is in effect. When re-applying for a new permit, the new fees are; $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. Sincerely, Robert W. Robinson Program Manager On-site Services RWR/ljw enc: Copy of Permit (,.) .;:;;, .: -.,, ',.. / ,: 7.'- / L. 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EK;7'I"I:.? ]; C(.:d .... ]: IxlSI::'E:C'I" ;t; EU',.I RE:PDH:T ii f.:.'d',lD (:5) THE; IEI....Ei3TI::;: ]: C(..II... MDF,:!< t"'!t..IS!' F.',IE i.X:tI',tlE !..::.,'Y (.:'~ 1.... ]: CIEN!31ED ELMEC"H-:~'. ii: t2 :t: B'd'..i ,, 8 ZI; E.'.ii',MI)~~ a ~ ......... ~~ ................................................................................................................................................................................. ¢::'~ I:::' i:::' L. ;t; C {.~ N ',I::~ ~J ..'::. E u t'--t E:.i L. iE "f' . PERFORMED FOR: ~;' LEGAL DESCRIPTION: ...~.~'(- / COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST , / E.~uJ ~ WAS GROUND WATER ~'.'.~C..' Cta.~..~ ~t"a.~e..l.5, ENCOUNTERED? "IF YES, AT WHAT DEPTH? PERFORMED: DATE ~" Township, Range, Section: SLOPE 1 S SITE PLAN L O P E Depth lo Water After,~ Monitoring? /, ~' Date: Reading Date Gross Net Depth to Net Time Time ~,',~¢ Water ~,/,/ Drop '?:" ""'/' / .. ~,::~e I"/ ~ ','8 ;& ", ,'~:~9 ,,~ ¥ Y~ , ~/. ,I/ ~:~l ~ ~ ~ PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERG HOLE DIAMETER PERFORMED BY: .~',-'~~ I~-/-~,~ ~~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN-EFFE~T O~THIS DATE. 'DATE: ~:)- '(~'~ 72-008 (Rev. 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ~ ~-/~ ~ ~e~"7"c--~.~c~T~wnship, Range, Section: COMMENTS '7"J~l ~I~ ~-- SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E SITE PLAN Depth to Water After Mon,ori,o? ?. 0 o,te: 6- Mt - 67 Reading Date Gross Net Depth to Net Time Time Water Drop , ~.-/(- '7:/6 ..5'~ ,~ / PERCOLATION RATE '~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~.- FT AND FT PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GU DEL NES IN EFFEU ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~ ~¢~~~nship, Range, Section: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED? SLOPE SITE PLAN S L IF YES, AT WHAT O DEPTH? p E Depth lo Water After Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN __ (minutes/inch) PERC HOLE DIAMETER COMMENTS "'7~ PERFORMEDBY: ~ /~~~""-- ACCORDANCE WITH ALL STATE AND MUNICIPAL GU DEL NES tN EFFEC"T ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~ -IL- ~? !unicipa! of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-115-08 t.' GENERAL INFORMATION Complete legal description Expiration Date: Lot .t5, Block 2 Cinerama Terrace Location (site address or directions) 16838 Kin~s Way Current Properly owner(s) Norwest Mortgage Co. Day phone Mailing address 1500 W. Benson Bird, Anch, AK 99503 Lending agency Day phone Mailing address Real Estate Agent Beverly Hopkins Day phone 261-7633 Mailing Address 3111 C Street, Suite 100, Anch, AK 99503 Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROO[~IS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Wel! TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] U~] Individual Holding tank [] [] Community On-site [] [] Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Ce~ificates of Health Authority Approval are required for the transfer of title (except between spouses) on prope,,lies served bva single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upcn request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for propedies served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or 8 we!Is or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on- site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Enq. Svc. Address P.O. Box 102954, Anch, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. 8. DHHS SIGNATURE __~ Approved for ~ Disapproved. Conditional approval for bedrooms. Phone 272-8218 Date 10/22/2000 ¢,,.,,& ..................... &,,,,,~ bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advison/ Expiratio,n Date: .... v Ma ntenance Agreements _ _ Supplemental Engineer's Report x Other Original Certificate Date:~J- "'~- ¢ 0 Reisskle Date: MunicipalitY of Anchorage Department of Health and Human Services Division of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O Box 196650 Anchorage, AK 99519-6650 www. ci.anohorage.ak.us (907) 343-4744 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type .PRIVATE Date completed 4/25/1993 Total depth 143 ft Lot15, Block 2 Cinerama Terrace If A, B, or C provide PWSID # __ Sanitary seal Y Cased to 134 ft FROM WELL LOG 4/25/1993 Parcel I.D.: 020-115-08 Date of test Static water level 0 ft Well production 8 g.p.m WATER SAMPLE RESULTS: Coliform '~62~ colonies/100 mi Date of sample: 1012212000 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 8/511997 Tank size 1500 Cleanouts Y Foundation cleanout _Y Well Log Y Wires properly protected Y Casing height (above ground) 36 in. AT INSPECTION 10/2212000 0 ft 6.5+ g.p.m Nitrate [' ~ mg/I Other bacteria "-- O-- colonies/100 mi Collected by: S.R.PANNONE gal Number of Compartments _2 Depression over tank _N High water alarm Date of pumping 10/23/2000 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 81511997 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.4 Length 100 ft Width 15 ft Total depth _5 ft Effective absorption area 1500 fl2 Date of adequacy test 10/22/2000 Results (Pass/Fail) __ Fluid depth in absorption field before test DRY in Water added600 gal. Elapsed Time: 0 rain Final fluid depth DRY in Any rejuvenation treatment (past 12 mo.) (Y/N & type) (Rev. 11/99) System type BED Gravel below pipe 0.75 ft Monitoring tube _Y Depression over field N_._ PASS For _4 bedrooms New depthDRY in. Absorption rate >= 600 gp.d. If yes, give date LIFT STATION Date installed 81511997 Size in gallons "Pump on" level at _6_8 in"Pump off" level at Datum To.of manhole Cycles tested 7_~2 in 11 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanidlift station on lot 165+ Absorption field on lot 165+ Public sewer main N/A Sewer/septic service line 165+ Manhole/Access Y~ High water alarm level at 6~6 in Meots alarm & circuit requirements? Y On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout N/A Holding tank 100+ SEPARATION DISTANCI-:S FROM SEPTIC/HOLDING TANK ON LOT TO: Property line 3._.-6 Water service line 25+ Wells on adjacent lots t00+ Building foundation 13.5 Water main 25+ Drainage 100+ Absorption field 25 Surface water 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 17.5 Water Service line 25+ Curtain drain 100+ COMMENTS Building foundation 17 Surface water 100+ Wells on adjacent lots 100+ G. ENGINEER'S CERTIFICATION I certify that I have determined through fibld inspections and review of Municipal lecords that the above systems are in conformance with MOA HAA guidelines in effect on this date. Water main 100+ Driveway, parking/vehicle storage 5 Engineer's Printed Name Steven R. Pannone, P.E. Date 10-22-00 HAA Fee $ ;~ ¢Jc~2 , ~¢;~Z~ Date of Payment /D ~/;~ Receipt Number (Rev. 11/99) Waiver Fee $ Date of Payment Receipt Number Pannone ~ngineering Services, Consulting Engineer Legal: Owner: Residence: No. of Bedrooms: Septic System: Date of Pumping: Date of Test: P.O. Box 102954 Anchorage, Alaska 99510 (907) 272-8218 SEPTIC SYSTEM ADEQUACY TEST Lot 15, Block 2Cinemma Terrace S/D, Northwest Mortgage Co 16838 Kings Way, Anch. AK 99516 Four (4) Tank Size: 1500 gallons S.T.EP. Tank. Absorption System Type: Two Beds Absorption System Size: 15x50x0.75' Each Absorption Area: 1500 s.f, Installation Date: 8-5-97Soil Rating: 375 sf/br 10-23-00 By: A+ Home Services 10-22-00 Test Procedure: System was inspected visually and measured. The tank xvas found to have 4 feet of cover. Liquid depth was me,asured to be 50 inches. The drain field was found to have 51 inches of cover and a total depth of 60 inches. There was no liquid measured in the field's monitor tube. Water was added from the well at a rate of 6.5 gallons per minute (GPM) into the Lift Station access manhole. Liquid depths were measured in the monitor tubes. The liquid levels did not rise in the monitor tubes with the induction of 600 gallons of water into the drain field. This system is able to absorb 600 gallons per day. The ~vell was tested in conjunction with the septic system. The static water level in the well was measured to be at the top of the casing. The water level in the well was not drawn down while the pump produced 6.5 GPM. It appears that the well is able to produce greater than 6.5 GPM. The water was tested for bacteria and nitrates. The test results were not available at the time of this ~witing, but will be forwarded when received. TEST RESULTS: This system meets the code and operational requirements of Municipality of Anchorage, Department of Health and Social Services for a four (4) bedroom house. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DHHS Guidelines & Regulations. The reported results describe 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 soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any 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 party is not authorized nor will it confer any legal right whatsoever.