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Home My WebLink AboutCLEARVIEW LT 2Onsite File Clearview Lot 2 #015-242-41 (Kev ublo2ntt) f" Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211359 PID Number: 015-24241 Dwelling: M Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Upgrade Name BROSTE ABSORPTION FIELD 9 Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 7900 ALATNA AVE. ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1.2 GPD/SF 10.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4 Ft, Gravel depth beneath pipe 6 Ft. Subdivision Block Lot CLEARVIEW LT 2 Fill added above original grade 0 FL Gravel length 10 FL Township Range Section Gravel width 2.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 120 Ft2 Ft. Well 100'+ 100'+ 50'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity GREER/ANCH TANK. 1500 Gat. Surface Water 100'-1- 100'+ Material Number of compartments Lot Line 10'+ *5'+ NA PLASTIC/DEEP BURIAL 2 Foundationr, 0'+ 10'+ LIFT STATION Manufacturer Capacity Remarks * WAIVER REQUESTED Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 drainfieldTank to 3034 Installer MIKE N ANDERSON PE Drainfield 3034 COIMT3034 inspector MIKE N ANDERSON PE BENCH MARK (Assumed elevation) 101.5 ft 1m 9/19/22 nd 9/20/22 Inspectionda Location and description 2 OF MH LID 3rd 41h ITOP ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date A%,,�'� 49TH f� :'• • MICHAEL N. AND=;ZSCN Septic System Approved Date ��f�,' CE 94/49 •', j `t.., Note: this approval does not include well permit requirements.��-- .(��27 (Kev ublo2ntt) f" Permit No. 0SP211359 Page 2 of 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: CLEARVIEW LT 2 PID No.: 015-242-41 i ® WELL RK A 11 1`i CO 53 8 TC01 11 TCO2 7 15 C01 60 18 CO204 61 20 54 C 84 C05 92 65 8 57 NEW 1500 GALLON PLASTIC TANK C73S&4 \ T \TH#1 C0 SECONDARY FIELD &2\ B H, TOP OF MH SCALE: 1"=N SEPTIC SECTION DRY e JULY 1981 N.T.S. I I I I I I 1 ♦ ` F A �' ':� �♦ 49TH .�•% -\ ;MICHAEL N. ANDERSON: No. CE 9469 j 'oJ1-10-24 ♦♦♦♦♦♦ESS :i�•i 1vasl � �T X cn (D C 0 CD CD L2- < (D uj L>❑ --q 0 0 0 W --q * -0 cT p) cn -n u) --j > --i o cn =7 in CD 11 L :E :3 (D (D x ZY - (D :7 0cry a) 0 (D (D U) CD coffin -CD (D (D 0 0-0 —3 (D a) or 0 (D �O 6 3 m m (D < -0 z a < CD (D (D 0 CD W 6 r- 0 cn 0 0 0 w cn LO � > CD to > z (D 3 CD (D o C) (D 0- u @ * 3 (D 0 -n in (D 0 ifJ > a O 3 cr CD W (D (D M CD a 0 (D 0 (D Q CL S(D (D (D 0- (D a) - U) cn -0 3 0-0 -a cn 6' 0 C/) (D 0 0 -0 - ,CL 0 0 cn M 0 < (D 0 > > C: _0 _0 m (D D@ L 0 (D ID '0 0 z N) Cc 0 CL C)- 0- (D (D X FD* 0 (D ca- :3 Cf) (D 0 > r- 4-1. N) a) a w -0 =7 0 > a (a a (D - -, 0 w 70 m M C� CD m > CD C -TI m (D U (0 0 0 m > 0 (D CD (n > :3 0 0- cn cn :5 —0 0 G) > 7 r— > C) CD a) - c C3-1 (n 71 0 3 cr cn 0 :3 0 Z M M w -0 (D (D 0 (DCO Cc CD m M --q ---i > > < -00 > CD (D 0 > ID F -I M Po < m a CL 7 0 G)> Cf) m :3 0 (D N. 0-0(0 :3 w (a x = 0 n (p cc < - CD (D 0 (D (D m U) C-) Fl (D W 0 13 (D cn cd :3- ol (D CD - (D C) (D (0 cr ❑ 0 CL 73 m m (D -x -4 � cn cn 0 0 70 ::P 0 co In < — 0 c):)cn> a) :3 (D OU N < - GL n > =1 N C) no- :�E CD CL CD 0 :30 (D CO - (D (D CD CD ❑ N. (D :3 < 0 (a <D - > (D m 3 (n (D m v co Q0 (D (CD CD cn cn rQ CD CD U' CD o > 0 o cn 0 z co (00 0 CD cn x CD 0) 0) CD > Cy)C':') CD coffin -CD (D "I =r O -Za U) -n CD (D m 3 (00 0 cn LO � > CD x 0- M 3 G) 3Gt CD 3co o MUMCPALITY OF ANCHORAGE —0 ; - ry. Community Development Department ` Phone: 907-343-7904 s Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-242-41 Property owner(s) Wayne & Margaret Broste Day phone Mailing address Site address 7900 Alatna Ave Anchorage, AK Legal description (Sub'd., Block & Lot) Clearview Lot 2 Legal description (Township, Range & Section) Lot Size 49,950 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field X❑ Initial ❑ Single Family (SF) Q Septic Tank NUpgrade ❑X (w/wo AD U) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: # 5? 5 Waiver Fees: Date of Payment: V? -g A- I Date of Payment: Receipt Number: DSI 1 SCS G Receipt Number: Permit No. 0 5 Pot % 1,35 9 Waiver No. Permit App_-'-:- ._..:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211359, Rebecca Carroll, 09/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211359, Rebecca Carroll, 09/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211359, Rebecca Carroll, 09/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211359, Rebecca Carroll, 09/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211359, Rebecca Carroll, 09/01/21 allOl A7 � g jE7 f , j 4 tt p t2 R R> c f '4 RN 'Np.� t! � }�y� FY$ $9 p3 •`� ` �W ��r` � z,s2Qe�.s� �•�4�� ! .rQV/` p�dy ��i". .9 Oil 79 SS' o• t? m t zq ,v,. 13 g4 v� to a- m` m Al cs � �°�.. � tea, �� . � � C� � �_ °' � � a � � ., � � •� hi �ae,�y, �+� r �/ � ` �� o� ��j,, �i� �k{,�� +L{♦� ..g y� p j p g@, a' °' *y a . 'S � � .�x �J' lei 4°f ' � �;' � -'_"} �� .� � • ,Rl� �3 p ^-'+ 1� t� '.7 Lq+ r s� 7 �2 C �.' Gi "'p ! � t O � `!faY d °>;.fi• ' ,�% :QP '�.'�'"°p8a , '•o a'g�ld� V� f �• r � 9 t,e �'�O '� tom'' `� «T ,� 1 � 89 V r3 p° • U itf R R .a �t a yd sQ�L y3allv �1{,�r f"' (`� Rj� � ` °+� S C s -� K+ �9^ .� � Ct#�U ��.. � oma � �"• Co fq 2 o /~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/~I~ WELL INSPECTION REPORT NAME C UPGRADE LEGAL DESCRIPTION / ~ DISTANCE TO: W~I,~v~ ,~ IAbs°rpti°narea,~ Dwelling/,~, '~ PERMIT NO~/p ~ Z Manufacturer ~~ Material ~~ No. of comoartments L q. capac ty in gallons Inside length Width Liquid depth /~ IF HOMEMADE: ~ ~ DISTANCE TO: ~ Dwelling ~~ PERMIT NO. ~_~O ~ ~ Manu~--~ Material ~ ~quid capacity in gallons ~ DISTANCE TO: We~ Foun~ Nearest lot lin~ PERMIT NO. ~.~ ~o. ofli,es ] ken~thof~,~ Tota'l~o~s Trench~,dth~ ,nChe, Dist,nc. Bet~eenlin,s S[~ Top of tile to finish grade--~ .~E I ~ ' Materi~ berth tile ~ [~ ~ Total effective~/2absorptionr~¢par~ Length Width ~ Depth~' PERMIT NO. ~ ~ Tgpe Crib d[amet Crib depth ~ Total effective absorption ~ ~ell Buildin~ foun~on ~earest lot line ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING ~ / INSTALLER , / DATE LEGAL 72-013 (Rev. 3/78) PERMIT NO. APPLICANT CHUCK HRDDY LOCRTION RLRTNR RVBE LEGRL LOT 2 CLERRVIEW SUB r.lljrd II]: I~;,~-~iLIT'T' iDF F~r~C:H~-'-~RI--IGE I~EF'RRTMENT k HEBLTH RND ENVIRONMENTRL OTECTION 825 'L" STREET, RNCHORRGE, RK. 99501 264-4?20 I.WELL Rr-JD ~]r-J--SITE SELLER ( 8±0750 ) F'O BCIX 10-1314 LOT SIZE TYPE OF c. nIL RBc. ORPTI ]N _ ~_.TEM IS TRENCH r,!R).~Ir, tUM NUMBER OF BEE:,ROOMS = 4 SI_] I L RI=IT I NG (SQ. FT/BR ) = t25 THE REQLIIRED SIZE OF THE SCIIL ABSORPTION SYSTEM IS ' [:,EF'TH= :l. 2 L EI'-.I~] T H = -~--:'2 I] R F! '...' E L [-',EF' TH = 8 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE E~CBVBTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). REI=-!..I_I I I;?E[:. 'r~EPT I r: T~--~NF4.=-~- I ZE= t 25~-3 GALLI2,1'-4S F'ERMIT RPPLICRNT HI=IS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTRLLRTION INSPECTIONS OF ANY WELLS RDJRCENT TO THIc, PRCPEF..T~ RND THE NI_IMBER OF RESIDENCES THAT THE WELL WILL SERVE. T L~l ~_0 ( '--~ ~, Z I 1'-4SPECT I ~]I'-4S I-IRE REC-!LI I RED-, BRCKFILLING OF ANY SYSTEM WITHOUT FINRL INSPECTION RND APPROVAL 8Y THIS DEPRRTMENT WILL 8E SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND ANY ON-SITE SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVRTE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED RND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTBLLRTION PERt-11 T E:=-::F' I I~:ES DECEr'IBER _~-:-1 .. -1 L-~- 8~L I CERTIFY THAT t: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF ANCHORRGE. 2: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. V4. 0 11311 PO ~3'X ~e--~.3t4' LOt '~ 1[ ,:"F. C.,,O IL ~f (f~ (SI3 F f~:> = :t:L:~i [=)EP 1-H ----- 'J-"-~ ! ~ £1'-JL.~ TH = _~.-2 131~,l-':I%-'EL DI~P TH ;= 8 fR_E,~i.I E i;~.ED '_=,EPT ir L---- TI~i~-4K L-.-.; [ 7___E= -J_251,,3 ,~I--~IC-L;)NS! MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION Pouch 6650, Anchorage, Alaska 99602 2762221 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 7 8 9 10 11 12 13 14 15 16 17 18 19 Earl R. Barnard 754-E 20 COMMENTS ~'~" ~::~ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading 3 Date Gross Time Net Time Depth to Water ,,.PO' Net Drop PERCOLATION RATE .~. O (minutes/inch) TEST RUN BETWEEN ~' FT AND ~'~" FT 7 2-OO8 (7/76) .;~.:~:..~x tach WATSR WC,,U. mmJ. X~ ~D c4srm our TO T~ ~H ~ ~ 30O *-~ ~,~,":" .... ~' ' '*'~* :**~ ...... '~* .... ** "*'* ~' :"*: '~ "4~'~,:*. ** ''~ *~-''' '~ · *" · .... * ' ::':" :' *,':' * ........ ..,.-..-:. DRIED AT THE ~TE OF ~7.~ ~R =~-- .... ~<';:'*' ~ ::' * '"' ''~ ....... ~'¥" COb-'T INCL,UDE~ AL.L. i.A, BOR AND MAT~,i:U,AL. FOR COMP~ION ' : ' .,-"'-?:,.....' . . ~ : ..... - .... . FORTH U · "" ..... THANK YOU V MUCH. .-..-.,. ..':~';~ .--.:......~..~:.~...:',:. 'Z":- ::*:":."- -"- :-' ..-~ :- ........ : ,a..... . . -.../':'.:.-'.... . . :: -... · ..i :~.. ~ . :.' ,' =...:Tx: ~. '. :. :,. - ,_--':~';~"=;. ' -~ ' ·.. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC241451 Parcel ID 015 -242-41 Legal description CLEARVIEW LT 2 Site address 7900 ALATNA AVE Expiration Date: Current property owner(s) BROSTE MARGARET ANNETTE & X The On-site system(s) is/are approved for 5 bedrooms By: Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 11/27/2024 z��ertificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional enqineer's work. ATTACHMENTS: COSA Checklist X Absorption Field Advisory Tank Age Advisory Other Well Flow Advisory �X Nitrate Advisory Arsenic Advisory MUNICIPALITY ANCHORAGE ( �1 a Development Services Department \, Phone: 907-3 , 3-7904 On -Site Water & Wastewater SectioFax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-242-41 Complete legal description CLEARVIEW LT 2 Location (site address) 7900 ALATNA AVE Current property owner(s) BROSTE 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ■❑ Plastic ❑ Concrete ❑ Fiberglass Age 2 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑■ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 0X250 // Waiver Fee $ '360 Date of Payment 0Z' I /�-y Date of Payment I_zg�-'g COSA # O'?C 2- 9.1 L4 61 Waiver #. 0_5y z y 106 Q COSA Applicalion_June 2022 COSA Checklist Legal Description: CLEARVIEW LOT 2 ParcellD: 015-242-41 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA H Well log is filed with Onsite (or attached) Date drilled 8/1981 Total depth 300 ft Cased to 300 ft Sanitary seal is functioning correctly Q Wires are properly protected Casing height (above ground) 20 in. Date of flow test for COSA 9/18/24 Static water level at beginning of test 50 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 672' Date of pumping 9/18/24 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) `9/20/22 ❑ ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: * NEW 10' EXTENSION TESTED COSA Checklist June 2022 Well production at time of test 0.6 gpm Water storage tank volume 300 gallons Well disinfected for coliform test? ❑ Yes H No 0 Coliform bacteria is Negative Nitrate mg/L N Nitrate less than MRL (ND) Arsenic Collected by Date 9/18/24 _ ug/L 0 Arsenic less than MRL (ND) MNA C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 9/18/24 Results Q Pass Fluid depth prior to test 2 in Water added S00 gal New fluid depth 2 in Elapsed time 1440 min Final fluid depth 2 in Absorption rate 750+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in Effective depth used 2 in Effective depth remaining 72 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' Fi Yes if No _ ft ❑O Yes if No Neighboring Tank > 100' Q Yes if No _ ft Absorption Field on Lot > 100' ❑� Yes if No ft Neighboring Absorption Fields > 100' Fm Yes if No _ ft Private Sewer/Septic Line > 25' Q Yes if No _ ft Holding Tank > 100' [E Yes if No _ ft Animal Containment > 50' Q Yes if No _ ft Manure/Animal Excreta Storage I�>--1�00' Community Sewer Main > 75' []Yes if No _ ft LEJ Yes if No _ ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No _ ft Surface Water > 100' 0 Yes if No _ ft Tank to Property Line > 5' Q Yes if No _ ft Field to Property Line > 10' ❑ Yes if No *5 ft Water Main > 10' Yes if No _ ft Water Service Line > 10' ❑� Yes if No ft F. ENGINEER'S COMMENTS " WAIVER REQUESTED Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' F' Yes if No ft R Yes if No _ ft If tank or field is under driveway comment below G. CERTIFICATION & 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 Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm M) h CV lex IP/%, Phone 727-8864 Engineer's Printed Name vv, P�, . Date 1/ COSA Checklist—June 2022 M .• e • A11CHAft rt, ARG(•• • CE -9 9 `, yL Municipality ®f Anchorage �uC�,.I I'11T hnT P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV241060 PID#: 015-242-41 COSA#:OSC241451 Permit#:OSP211359 Legal Description: Clearview Lot 2 Engineer: Mike N. Anderson Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Grante . J � Date: l / Approved by;/ Odme ofKeviewer **** VARIAN C EIWAIVE R REVIEW **** Nov. 13, 2024 Municipalities of Anchorage On-Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: Lot line waiver (5’) Legal: Clearview Lot 2 To whom it may concern: This is a request for a lot line waiver on the above referenced location. The new 10’ extension to the exiting leach field was installed parallel to the contours, therefore it encroached into the 10’ set back. The granting of this waiver will not impact any of the surrounding neighbors. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: CLEARVIEW SUBDIVISION LOT 2 PLAT 80-178 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shout( any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DAIE: SCAM E-MAIL MAY 24, 2022 1 "=50' schullerook.net 22-042 DRAMM BY: CHECKED BY GRID NUMBER: BOOK AGE: JLS SW2740 220212 * a FND 5/8" REBAR \I 41114 , 0 -%4 'WW 0 F1N S AS1jRVQ ��jj a 7** O S of �4 49TH ?A X. L'. . / ............... •.J HN L. SCHULLER.• 0;00 , LS -10448 ' •�� / 1831 Talkeetna Street • • •` •' : �' �"� Anchorage, Alaska g 99508 o fe oN �oii� (907) 227-1455 office ',�� ssioq`,�.r (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT � 907-343-7904 On -Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite )�_ Well Water Advisory Certificate of On -Site Systems Approval # OSC241451 Subdivision: Clearview, Block: , Lot: 2 This well's productivity was determined to be .6 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 5 -bedroom residence is .52 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. MUNICIPALITY OF ANCHORAGE .. ~ ' .' DEPARTMENT OF HEALTH & HUMAN. SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 'Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# ('~IZL~- ,.QL~_~-~\ HAA# 1. GENERAL INFORMATION Complete legal description S~J~ . Location (site address or directions) '7c/C,0 AL~TJJA Property owner '"t'o ~ D ~ t.. L otJ Mailing address i'3~'~ I-I, tt..t..c~F--sT Day phone ~.'~ 4-GG 53 /V,)¢~,ro~:~ ~,~- ~ff 5-05 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: '~ ~ TYPE OF WATER SUPPLY: Individual well NOTE: TYPE_OF WASTEWATER DISPOSAL: :, ..... :~ Individual on-site Holding tank Community on-site Public sewer NOTE: Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. If community wastewater system, provide written confirmation from State ADEC'~: ' :-. ::~ attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA#21 STATEMENT OF INSPECTION BY ENGINEER~ ~, ° , As certified by my seal affixed hereto and as of the validatiOn date shown below, I verify that my investigation of this Health AuthoritY Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance With all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm ~1 (::::::C2~L)L.'T'I/~ ~-/~.[~,lr'.3~,-~-~)Phone ~'~' f~ Address '(:>.o. l~,b~(,£., ,A-~- ~ ~1~ i l -13 <t. ~] Engineer's signature Date '~ ·7 DHHS SIGNATURE ~/~ Approved for '~' Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The 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 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L. ~- d-I_~__~_x/I E~ v,J SuI5 Parcel I.D. A. Well Data Well type Log present (Y/N) Total depth Sanitary seal If A, B, orC, attach ADEC letter. ADEC water system number Date completed h,,Jr~. I'=1f51(Z) Driller Cased to Date of test Static water level Well flow Pump level1 FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line 140'4 144'+ 14C)' + (3) '~oO~ ~ Casing height Wires properly protected (Y/N) YF_ AT INSPECTION ,CZ:) 4-7 g.p.m. 0.~ ® ; On adjacent lots 14o' +O ; On adjacent lots I ~ c~' + (~ Public sewer manhole/cleanout ~/~' Petmleumtank WATER SAMPLE RESULTS: Coliform ~- Date of sample: ~_. I -~¢.~ ,~.w,,,c~ ~-c~-~5Other bacteria C>- s~- ~.~--r~ ~.~u~.~ Collected by: ~__-.~,~-u pd3~-~a$ B. SEPTIC/HOLDING TANK DATA Date installed '7 Cleanouts (Y/N) ~E.c~ d~ ~c~£~ High water alarm (Y/N) Date of pumping Tank size 12. Sc::, Foundation cleanout (Y/N) ~,~ (~) Compartments /,.lO ~) Depression (Y/N) Alarm tested (Y/N) '--- Pumper I ~ A~.c.-'~, /'Jo SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot [ 40 ' + (~) On adjacent lots To property line ~C,' ~) Absorption field Surface water/drainage 72-026 (~)* Fret ~ ~ Foundation ~ / d;' Water main/service line ~/~, CONTINUED ON BACK PAGE C. LIFT STATION Date installed. ~_~,~, Manufacturer Size in gallons Manhole/Access (Y/N) Vent(Y/N) .-~ _ _. ".Pu~ HM'~2t:a~eortl~re~ ':cVa:lcodes (y~~~ SEPARATION DIS~: Well on lot / On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed '7-5 '~-- ~ ~ ~ Soil rating (GPD/FF) t. :Z{:~) System type Length .~.t ~ Width u~,-~b,~'J(~) Gravelthickness ~"(:~) Totaldepth Totalabsorptionarea ~l?--F-~~'(~) Cleanoutpresent(Y/N) ¥~%(~o~--- Depression over field (Y/N) Date of adequacy test ~ -[ - °t '~ ® Results (pass/fail) ~'/~,c~c2 for 'dc Water level in absorption field before test ~ ~. d) After test t~ Peroxide treatment (past 12 months) (Y/N) C~wPr~-~-- [,.~(-~'~D t,.~c~ If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot t ~-~ To building foundation On adjacent lots Surtace water Curtain drain Property line To existing or abandoned system on lot Cutbank ~ /~. Water main/service line Driveway, parking/vehicle storage area tO ' E. ENGINEER'S CERTIFICATION I certify ~~e~ecked, verified, or conformed to all MOA and HAA guidel~e of this inspection. Engineer's Name'S-,,_. z'( /C_.~C.~ /-'/'/dx-/L ~ HAA Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number March 4, 1994 W.O. 94112 Municipality of Anchorage Dept. of Health & Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 RE: Lot Flow Test / Lot 2 Clearview Subdivision Gentlemen: On February 1, 1994, DHI Consulting Engineers performed a Well Flow Test on the above mentioned lot. The well can produce 792 gallons per day, slightly more than the required 600 gallons required to meet DHHS standards. It should be noted that we were able to draw the water table below the level of the pump after pumping only 380 gallons. At this time the pump was shut off and the well was allowed to recharge. The well recharged at approximately .55 gallons per minute. (Slightly greater than .416 gallons per minute required for a four bedroom home.) Prior to the test the static water level was measured to be 47.1 feet from the top of the casing. Municipal records show the well to be 300' deep and the pump to be set at approximately 285 feet. The well casing has approximately 350 gallons of storage. The well is sufficient for the four bedroom single family home, although the water production rate is marginal. The water sample results are attached and meet the requirements set forth by the Municipality of Anchorage. All the protective well radius setbacks are also in accordance with the Municipal standards. Very Truly Yours, Dee Hi~h.~P__.E. '//' Principal cc: Gail High, DHI K:\w951 klhiH 12eh3m.wl~5 PO Box 111349 Anchorage, Alaska 99511-1349 · (907) 345-1385/Fax 345-1386 0~/02794 11:~[2 CT&E ENUIRONMENTPL LAB SERUICES ~ 989 345 13D86 N0.849 Q02 Commercial Testing & Engineering Co. Envinmment~d Laboratory Services c'rJu~ Rgi',# 94.0855- Client Sm~ple Matrix WATER LABOP, ATORY ANALYSIS REPORT Cliea-t~lqm~qe D H I CONSULTING Lq~TC'~IN'~I~ WO1LK O~ 76170 ~oj~N~c Col~t~.t~e 02~ (~08:~ h~. ~j~ff ~v~i~e O~g~ ~ 10:37 hrs. PWS~ I IA By: S~uple R~mgks; RO[/TINE SAMI~Ec()I.I-SCTI~ BY: CA RI.. QC Allowable Eat, /ma[ Pan~n~er l~-sul~s qtml Uxfits Method Limits Dale Date Nim~'-~ 0.10 U mgfL EPA 353.2/3[RL0 l0 02/2g/94 hilt LLH * See Spcci~d lnstrt~lioa, Above UA =[~mvmlsble ** ~e ,%mploRematksAbov¢ ~ =~t~t~al D = S~n~ry ~[on. ~= O~er~ 5633 B StreeL A~m, AK 99518-1600 -- Tel: (~7) 562-~43 Fax: (907) ~1.5301 E~IRONMENTAL F~ILmE~ IN A~8KA, COLOR~O. F~IDA, I~O~, MARY~O. N~ JERS~, OHIO, UTAH, WE~ VIRGINIA MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Bo~196650 Anchorage~ Alaska 99519-6650- 343-4744' CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 1. GENERAL INFORMATION Complete legal description HAA # Location (site address or directions) Property oWner Mailing address 'TCtOC: Lending agency 'Day phone I Day phone Mailing address Agent :~/3~ ~ I '7_~_~ W~D ~ Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: Public water If dO'rnr~b~[i~/:well system, provide written confirmation from State ADEC attest- . lng to the 'leg~a'lity and status of system. 4. TYpEOF WASTEW'ATER DISPOSAL: Individual on-site ,- Holding tank Gommunity on, site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 {Rev. 1/91) Front MOA #21 g STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affiXed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or waStewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm ~/-~'c;~ ~z.~.,~ ~m~..~, ~/'~/,~.,---s Phone ;;z7;z-7/~/ Engineer's signature- Disapproved. Conditional approval for 6. DHHS SIGNATURE ' .;>~. ApprOved for bedrooms. Date 4.,,. -4.-~'/ " bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragrapl~ 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 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~)3-' ~ ~-.t--E./~VIE;u~ Su~51::> Parcel I.D. A. WELL DATA Well type INO~V~OUP4,'(-~lf A, B, or C, attach ADEC letter. Log present (Y/N) y, I~ Total depth ~C~l (~ Sanitary seal (Y/N) Y'~---,~ (~ Date completed Casedto .~(~ 1 (~ Casing height FROM WilL LOG Date of test ~-?--~> I , Static water level IO(~~ ~ Well flow ~(;E;x~ ~j~t/~..~ H~ = 2,~_..~ Pump level ~_.~..~ L (,~?=J ADEC water system number J~dJ~t, I~>l(~ Driller~~l~(~ Wires properly protected (Y/N) AT INSPECTION g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot [ Public sewer main [~' Public sewer service line g.p.m. ;On adjacent lots ; On adjacent lots 'Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~A-~ ~ Nitrate Date of sample: Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed '7" ~-~.~ ~.'~'1 Tank size ! ?-,SO 0~.1 ~ Cleanout~ (Y/N) ~5;:~ ~:~;~ 'F°~ndation cleanout (Y/N) ~ ~ High water alarm (Y/N) "'j~''~'.' ' Alarm tested (Y/N) Date of pumping ~--~--'~'~ ; ~ SEPARATION DISTANCES FROM sEPTiC/HOLDING TANK TO: Well(s) on lot t~'~ ~ On adjacent lots {00' 4 ~ Toprope~yline ~ t ~ Absorption field ~ ~ ~ Surface water/drainage M/34. 72-026 (Rev, 3/91) Front MOA 21 Compartments Depression (Y/N) N Foundation i~ ! (~) Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Cycles tested Surface water D. ABSORPTION FIELD DATA Date installed -/,-, 2.,~ - ~:,! Length ~--'(~ WidthL~iC~D,lfd~J(~) Total absorption area Depression over field (Y/N) t,J, (~ Results (pass/fail) ~ (~ Peroxide treatment (past 12 months) (Y/N) ]~C) Soil rating ~w~l~z ./INCa{ (~System type ~ Gravel thickness · Total depth Cleanouts present (Y/N) ~5 ~~ Date of adequacy test ~-~-~ I for ~ '~' bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~C;:) 1 + (~ On adjacent lots I '~C:)' ~r (~) To building foundation ~-,-~ {~-'' ~ On adjacent lots Surface water N/,4. Curtain dra n N/~' Property line To existing or abandoned system on lot Cutbank k[/~a~ Water main/service line E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in Driveway, parking/vehicle storage area lC:) ~ ~ the date of this inspection. Signature Engineer's Name ~ ~',/-~/-- Date /-,,' HAA Fee $ //'~- ~ Date of Payment ~- ~' ?// Receipt Number -'~2 '~ ~- .~' ~ ~ ~ 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment · Receipt Numbbr NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL WAY FAIRBANKS, ALASKA 99701 (907) 456-3116 · FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 · FAX 274-9645 High Phukan Consulting Eng. 2702 Gambell St., Suite #103 Anchorage AK 99503 Attn: Carl Abrams Regort Date: o5/3z/ 1 Date Arrived= 05/24/91 Date Sampled= 05/23/91 Time Sampled= 1600 Collected By= CA Our Lab #= Location/Project= Your Sample ID= Sample Matrix= Comments= Al10665 S.E. Hose Bib L2 Clearview Sub. Water Flag Definitions U = Below Detection Limit DL Stated in Result B = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Method Parameter Units Result Flag Date Analyzed EPA 300.0 EPA 352.1 Nitrate-N Fecal Coliform mg/1 #/100 ml 0.5 U 10 U 05/30/9l 05/24/91 Reported By~ William E. Buchan Anchorage Operations Manager MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (inclu.de lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner Mailing Address (c) Lending Institution Mailing Address (d) ~,~,, 11, /q ~o~ 0/6-02,9% ¢/ .'~~ ~'z~l, ! ~4 Telephone:Home "/,~ ~a A~.. ~--~,,~ Telephone Business ~. 71- ~'O Real Estate Company and Agent Address Telephone ,_~""~ 2" 7~G' ~ (e) Mail the HAA to the followino address: or: Check here/~ if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-FamilyJ~ Number of Bedrooms WATER SUPPLY Individual Well ~i( Community Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~ Public [] Community [] Holding Tank [] Note: If community Well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 IRev 8/861 Front ENGINEERING FIRM .PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this i~n~, . Name of Firm~~ phone Address Date /I.~ ~ j, ~ ~¢1.¢~ DHHS APPROVAL Approved for ~ bedrooms by Approved i?~--- Disapproved Terms of Conditional Approval Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Autho. rity 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. Page 2 of 2 72-0,25 IRev 8/86) Back WELL DATA ..~ Ot ~.4'~C~'SO~UNIClPALITY OF ANCHORAGE (MOA) .~t>'~';~.~.5~ I:IEALTH AUTHORI~ APPROVAL (HAA) x~O~' .~ ~s ~ 264-4744 . Well Classification ' Well L6g P~e'sent (Y/N) Total Depth ~-~ ~, Static Water Level Casing Height Above Ground Electrical Wiring in Coriduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments Legal Description: LoT Cased to ? 7'O /@ If A, B, C, D.E.C. Approved (Y/N) Date Completed ,~ ~ J q ,1~ J Yield Depth of Grouting /%,/O ,~ Pump Set At ' ' ~;anitary Seal on C'~sing (Y/N) Fr C,,/Depression Around Wellhead (Y/N) _'~/~ O · On Adjoining Lots I ~O ~-' i"~ ,1~ ; On Adjoining Lots I ~,~ ~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~> ! ~ · Date ~ SEPTIC/lt~IB~IIII~ TANK DATA I Date Installed".IlU~ ,~/ Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ..%} ~ O TO Property Line ~g) To Water Main/Service Line Course Size ! ~,- ~ No. of Compartments '7' Air-tight Caps (Y/N) f Foundation Cleanout (Y/N) J~ Date Last Pumped /~/~'~ 'for Temporary Holding Tank Permit (Y/N) TO Building Foundation C;~ To Disposal Field ,~' To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026 [Rev 8/86) Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed "1 I) L~_/ ~ Width of Field [~l,,I JP.,,14,, Type of System Design Square Feet of Absorption Area ~ I Depression over Field ~'/N) /~/ Results of Last Adequacy Test Separation Distance from Absorptipn Field: Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Water-Supply'Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, parking Area, or Vehicle Storage Area Comments ; On Adjoinin~ Lots ~' To Cutbank (if present) / To Property Line / ~ To Existing or Abandoned System on D. LIFT STATION r/o/VS- Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cy(~les during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or e~nformed to allMOA.and HAA guidelines in effect on the date of this inspection. Signed ~r~- ~ Date ~'/~/~ ' / Company MOA No. Receipt No. /,t~ ,_'~ O Date of Payment ~-"-"-///~¢~¢''' Amoun,:$ /7 O ~ Page 2 of 2 72-026 fRev 81861 Back Engineer's Seal CONSULTING ENG NEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: SEPTZC SYST .M AD ,OUACY TEST ' ¢oo Thomas Burton t.~]. JU~[ ~S. ~9~ ..'~ Single Family, Four Bedrooms ~4~~~'~ On Site, Single Family FROM MUNICIPAL RECORDS: TANK: Greer Steel, Two Comp. 1250 gal. ABSORPTION SYSTEM: Trench ABSORPTION AREA: 512 sq. ft. SOIL RATING: 125 INSTALLATION DATE: July 1981 DATE OF LAST PUMPING: May 7, 1988. Marx Enterprises DATE OF TEST: May 6, 1988 TEST PROCEDURE: System was inspected and measured.. Tank .was found With '4.5 feet of cover and 47 inches of liquid. Sump to trench was 14.5 feet deep and had a liquid depth of 46 inches. 400 gallons of clean water were added to the sump at a constant rate of 7 gallons per minute. This caused the water level in the sump to ~rise 2 inche_~, indicating that the water was being absorbed by the ground at a fast rate. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage 0£ %he £amily being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate.of how long this system will function satisfactory for current or future occupants. CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: 7900 Alatna OWNER: ThOmas Burton. TYPE OF WELL: Single Family WELL LOG AVAILABLE:' Lot 2, Clearview 'Yes INSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOG: PUMP YIELD FROM TEST: ;%.- 2 gallons per minute 7 gallons per minute DATE OF INSPECTION: May 6, 1988 TEST PROCEDURE: Well was pumped at a constant rate while the drawdown was monitored with an acoustic probe. At the beginning of the test water level was found at 71 feet below top of casing. At a pumping rate of 7 gallons per minute the water level dropped to 282 feet after 55 minutes of pumping. A total of 400 gallons were pumped. The well recovery rate was monitored for 40 minutes. The well recover to 244 feet during this period, a 18% recovery. TEST FOR E.COLI AND TOTAL NITROGEN: and total nitrates on MAy 9, 1988 E.Coli 0. Total Nitrates. None Detectedu~' 'Max. allowable Total Nitrates 10mg/1. TEST RESULTS: _This .well meets the requirements of Municipality of Anchorage. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE .FOR Water was tested for E.Coli the MORE THAN FOUR HOURS The Municipal requirement for well flow is 150 gallons of water per bedroom per' day. This well exceed this requirement. The assessment of the condition of the well applies only to the conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in. the land use and other factors that may impact the aquifer feeding the well.