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CLEARVIEW LT 6
� IA a -its is{reuiun Mepurt_ rr is,voW Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141112 PID Number: 015-242-45 ❑ New ❑✓ Upgrade Name: Dennis & Carol Bingham ABSORPTION FIELD ❑r Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other Address 8140 Alatna Avenue Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.45 GPD/sF 13.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.5 Ft. Gravel depth beneath pipe 10.5Ft. Subdivision Clearview Block Lot 6 Fill added above original grade 1 Ft. Gravel length 64.0 Ft. Township Range Section Gravel width 3Ft. Beds: Number of Lines NIA Distance between lines N/A Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area 1333 Fe Number of trenches 1 Dist. between trenches N/A Ft. Well 170.2 231.0 N/A N/A 146 TANK❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity I 1250Gal. Surface water 100+ 100+ N/A N/A Material Number of compartments Lot Line 46.8 11.3 NIA NIA NA Steel 2 Foundation 22.6 82.8 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A N/A N/A N/A Gal. Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tank to draingeld 3034 A+ Home Services Draingeld 3034 CO/MT 3034 Inspector Steven R. Pannone BENCHMARK (Assumed elevation) 100ft Inspe dates: 15/16/2014 p^a 5/19/2014 3" 5/20/2014 a" 1 Location and description First Floor FF COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date OF } 4 • t' r t'e P,T y f Prmofa Approved Date��2 is{reuiun Mepurt_ rr is,voW WELL 6 SEPTIC AREA mi INSTALLED NEW UPGRADE FIELD 64LF x 3'W x 10.5'ED x 13.0'TD TH- 1 C2 21 .0i DRAIN FIELD (E) IN FAILURE W M2 REUSE AS RESERVE _PTIC AREA DV SEPTIC TANK (E) ABANDONED PER CODE INSTALLED NEW 12508 SEPTIC TANK X DCO T2 B Tl SEPTIC AREA FC m 4 BR MM 41 166.3 A ---HOUSE 11 138.4 (E) o LOT rn 170.2 Z7 WELL (E) • WELL (E) b 10' UTILITY EASEMENT 7 .... . .. .... .. ........ . NOTES: RECORD DRAWING PANNONE ENG SVC, LLC Date P.O. BOX 100217 ANCHORAGE, AK 99510 5/21/2014 PHONE (907) 272-8218 FAX (907) 272-82 SCO14 1"=50' ... ..... ... . .... . P.I.D. NO CLEARVIEW LOT 615-242-45 15-242-45 BINGHAM DENNIS W & CAROL A WR. ..n o' p., e" ERMIT NO. 8140 ALATNA AVE49 OSP1 41112 PLAN ANCHORAGE, AK 99507 ....... Sheet 2 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS AND ATTACHED PES SPECIAL PROVISIONS. 3. SCOPE OF WORK: INSTALLED NEW SOIL ABSORPTION SYSTEM AND SEPTIC TANK. RECORD DRAWING DESIGN DETAILS PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 •Irmyff� CLEARVIEW LOT 6 `StevePn `. BINGHAM DENNIS W & CAROL A �/ R. CE B1 9 ANCHORAGE, AK 99507 e8140 ALANA AVEp' lgi:��N�a 5/21/2014 Scale NTS D.I.D. NO 915-242-45 DERMIT NO. OSP141112 Sheet 3OF3 PROVIDED 3' OF COVER Cc FILTER FABRIC TH-1Qv �7 DRAIN ROCK 6" 93.9 ABOVE PIPE INVERT -0.5 OR 3:1 MAX -1.5 0W 3.5 i TS&V GC SW -3.5 Iso.a 0.5 ? �x 10.5' OSM �79.9 SECTION E 3.0' —I —15.0 6.0 -17.0 ML SM e o� -19.0 :i;.3 ¢0 o S BOH z� RIGID INSULATION OU U o, 2a o FILTER FABRIC rcso o> 0 i 0 pRAIN ROCK 6" ABOVE PIPE INV i 96.5 0 4" 0 DRAIN PIPE 0 o 4.0 93.9 92.9- 92.1 NEW 1250G s1s - - TANK —79.9 PROFILE TRENCH SEE DESIGN ABBREVIATIONS CU COPPER DESIGN PARAMETERS LEGEND DIP DUCTILE IRON PIPE PRIMARY/RESERVE SEPTIC SYSTEM W WATER LINE/ TH TEST HOLE NO. BEDROOM: 4 (600 gpd)FC WELL RADIUS FOUNDATION CLEAN OUT TANK SIZE: 1250 GAL T# TANK CLEAN OUT NO. PERC RATE = 50 MPI C# CLEAN OUT NO. SOIL RATING: 0.45 GPD/SF SS NEW SEPTIC M# MONITOR TUBE N0. AREA ROD: 1333 SF R. 1. RIGID INSULATION SYS. TYPE: DEEP TRENCH 105ED DCO DOUBLE CLEAN OUT MIN LENGTH: 64 LF DV DIVERTER VALVE USED. FS FLOW SPLITTER. 64 LF X 3' WIDE, 10.5' E.D., 13' TO BFG BELOW FINISH GRADE TOTAL AREA: 1333 SF _ OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE RECORD DRAWING DESIGN DETAILS PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 •Irmyff� CLEARVIEW LOT 6 `StevePn `. BINGHAM DENNIS W & CAROL A �/ R. CE B1 9 ANCHORAGE, AK 99507 e8140 ALANA AVEp' lgi:��N�a 5/21/2014 Scale NTS D.I.D. NO 915-242-45 DERMIT NO. OSP141112 Sheet 3OF3 Municipality of Anchorage P.0 Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 (907) 343-7904 Fax (907) 3437997 tl ftwilwww. muni.orolonsite Planning and Development Services Department On -Site Water and Wastewater Program On -Site SewerMell Submittal Comment Sheet Engineer: PANNONE ENGINEERING SERVICE Legal Description: CLEARVIEW LOT 6 Permit: OSP141112 Septic Completed By: Report Type: As Built Review The attached paperwork has been reviewed and is being returned for the following reasons: e n r n r• ' v. apartment 5/29/2014 J. Poet If 93.9 is original grade and system is 13 feet deep from original grade then bottom of trench should be 80.9 instead of 79.9. Also 79.9 would only be 5 feet from bottom of trench to bottom testhole. 131 rs Fi,vts0Lf) c52�ah On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141112 Tax Code Number: 01524245000 Work Type: Septic Upgrade Permit Effective Dates: May 15, 2014 to May 15, 2015 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: CLEARVIEW Site Legal Address: CLEARVIEW LT 6 G:2740 Owner/Address: BINGHAM DENNIS W & CAROL A 8140 ALATNA AVENUE ANCHORAGE AK 995078040 Site Mailing Address: 8140 ALATNA AVE, Anchorage This permit is for the construction of: Y X Disposal Field Y Septic Tank N Holding Tank _- /4-/1?4 �-laol1 y Lot Size in Sq Ft: 54089 Total Bedrooms: 4 N Privy N Private Well N Water Storage 1a:oa 4 "'eo-d All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. C81pe.pigl Proyisioggl PRIOR TO CONSTRUCTION: Any portion of the 10 foot electrical easement located adjacent to the west property line that is within 20 feet of the proposed absorption field shall be flagged by a registered land surveyor. Received By: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-242-45-000 Propertyowner(s) Dennis & Carol Bingham Day phone Mailing address 8140 Alatna Avenue Anchorage, AK 99507 Site address 8140 Alatna Avenue Anchorage, AK 99507 Legal description (Sub'd., Block & Lot) ClearvleW, Lot 6 Legal description (Township, Range & Section) Lot Size 54,089 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) X❑ (w/wo ADU) Septic Tank ❑X Upgrade ❑X Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE ! WAIVER REQUEST FOR: Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. of property owner or authorized Permit/Rush Fees: Date of Payment: Vq/ Receipt Number: U4 2l`c4 / 6 - Permit No. osi> 1(/ l l l a Permit App_: '- L.:c Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve(ooaneneak.com May 14, 2014 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Clearview Lot 6 Septic System Upgrade Permit Ladies and Gentlemen: I am writing to request a permit to install an upgrade septic system be issued for this property. The proposed system will serve an existing four (4) bedroom house. Currently the lot is developed. The existing drain field is in failure. It will be reused as a reserve. The proposed system will utilize a 1250g septic tank with a deep trench type drain field. The surrounding lots are served by private wells. There are no wells on surrounding lots within 100 feet of this system. The lot originally showed a 30' Access Easement in the as built for 1993, but has been vacated by the homeowners since. With this 30' easement gone the location of the drainfield has been moved ten feet off the opposite lot line and outside of the utilities easement, and therefore no longer requires a lot line waiver. 1. Soils. One test hole was performed by Pannone Engineering Services in May of 2014, and groundwater was monitored for seven days. Ground water was not encountered in the test hole after the seven day monitoring period. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 0.45 gallons/day/square feet should be used for a conventional wastewater system. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The existing topography slopes from the south-east to the north-west at approximately 13% in the area of the proposed drain field. There is a steep slope that is greater than 50 feet downhill of the drain field. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 5. Drawing Markings: The Drawings are marked "For MoA Review Only'. When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and 'Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no surrounding wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 1 £>0 5. r SEPTIC AIB F EA j 1040 , 1168 PLAN - W - — OLD TRENCH — —_ SEPTIC AREA --- 40. 17.4 ����__��� / �, —- _ -PROPOCZREPLACEMENTFIELD�"\ 64LF x 3' 10.5'ED x 13.0'TD 1 ` .134. _ ` \ STH -1 DIVERTER VALVE 'N EXISTING 1250 G TANK INTEG TO BE VE E T TIME OF STRU ION 4 DROOM �, ,M M -�M xn. 84' I / L 10" Ok ESMT PANNONE ING SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CLEARVIEW LOT 6 BINGHAM DENNIS W & CAROL A 8140 ALATNA AVE ANCHORAGE, AK 99507 WELL 1 mii -7 �'jj 5/15/2014 Scale TH NO ".IT,P.I'D R. Pannone W CE 8149 ,w 015-242-45 PERMIT N0. OSP141112 �"� Sheet 1 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS AND ATTACHED PES SPECIAL PROVISIONS. 3. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM. EXISTING 1250 G TANK DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1250 GAL PERC RATE = 50 MPI SOIL RATING: 0.45 GPD/SF AREA ROD: 1333 SF SYS. TYPE: DEEP TRENCH 10.5'ED MIN LENGTH: 64 LF USE: 64 LF X 3' WIDE, 10.5' E.D., 13' TD TOTAL AREA: 1333 SF TRENCH SEE DESIGN PROFILE LEGEND W WATER LINE/ WELL RADIUS SS — NEW SEPTIC NOTES: PAMONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CLEARVIEW LOT 6 BINGHAM DENNIS W & CAROL A 8140 ALATNA AVE DESIGN DETAILS ANCHORAGE, AK 99507 ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH PROVIDE 2' OF COVER FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# RIGID INSULATION M# MONITOR TUBE N0, R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT 4" 0 PERF PIPE DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG FILTER FABRIC FG FINISH GRADE TS&V TOPSOIL & VEGETATE 7H_1 DRAIN ROCK 6" ABOVE PIPE INVERT -0.5 OR 3:1 MAX -1.5 GW "" 2.0' TS&V GC T.. -3.5 W 3 0.5' 5M/� 1 SECTION -15.0 6.0' -17.0 ML z-19.0 SM .." 00 5 BOH Jo rc OzQ IJ RIGID INSULATION m �Q otij S o mo FILTER FABRIC z rc i o RAIN ROCK 6' ABOVE PIPE INV [�T'�Le qzq p „ .�. 0 DRAIN PIPE i 2 2 EXISTING 1250 G TANK DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1250 GAL PERC RATE = 50 MPI SOIL RATING: 0.45 GPD/SF AREA ROD: 1333 SF SYS. TYPE: DEEP TRENCH 10.5'ED MIN LENGTH: 64 LF USE: 64 LF X 3' WIDE, 10.5' E.D., 13' TD TOTAL AREA: 1333 SF TRENCH SEE DESIGN PROFILE LEGEND W WATER LINE/ WELL RADIUS SS — NEW SEPTIC NOTES: PAMONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 CLEARVIEW LOT 6 BINGHAM DENNIS W & CAROL A 8140 ALATNA AVE DESIGN DETAILS ANCHORAGE, AK 99507 ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE N0, R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE 4zill 15/15/2014 eIII&I n P nnome 015-242-45 PERMIT N0. CE 8149 Ale OSP141112 970FESSIOt4a�'�" Sheet 1 � 2 OF 3 TEST HOLE 1 SOILS LOG - PERCOLATION TEST OR ORGANICS SLOPE GRAVEL WITH _7 GW — SOME SILT - ----- 2— CLAYEY GC/SW GRAVELAND v SAND 4 5 6 X TH 7 8 . .. ..... GIVV SILTY SAND 9 — SIM AND GRAVEL 12 — V 13 — -X WAS GROUND WATER SLOPE 14 — ENCOUNTERED? N 15 — IFYES. ATWHAT TH 16 — ML SILTWITH DEPTH? X SAND 17 — DEPTH TO WATER AFTER MONITORING? N 18 — sm SAND WITH DATE: 5/612014 SILT 19 — CLOCK WATER BOH READING DATE TIME NET TIME LEVEL NET DROP READING 20 — 1 4/30/14 10:16 --- 1.61 -- 2 10:46 30 MIN 2.28 0.67 DATE PERFORMED: 4/30/2014 3 10:47 -- 1.57 -- 4 11:17 30 MIN 2.16 0.59 6 11:22 — 1.67 -- 6 11:52 1 30 MIN 1 2. PEROLATION RATE 50 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by A+ HOME SERVICES. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMONE ENG SVC, LLC Date - OF Ak kkk D5/15/2014 FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 . - - - - - - .-1,9, �-f Scale TH NTS PHONE (907) 272-8218 FAX (907) 272-8211r�P P.I.D. NO 015-242-45 CLEARVIEW LOT 6 �e �4e PERMIT NO. BINGHAM DENNIS W & CAROL A 8140 ALATNA AVE CE 8149 OSP141112 SOILS LOG ANCHORAGE, AK 99507 " ....... Sheet PRO 3 OF 3 GRANT AND MODIFICATION OF DRIVEWAY riN$EMI:NT WHEREAS, the undersigned arc the legal Owners of tine real property main fully described as: 1,01 Seven (7), CMARVIEW SUBDIVISION, acenarling to the official plat aherenf, riled tinder Pint nn. 90-179, bunks and records of the Anchorage Recording District, "third Judicial District, Stale of Alaska, (hereafter 'Servient Estate"); and WHEREAS, the undersigned has grated an catcmenl for ingress:cod egress along the existing driveway, located on the Serviern Estate, for Use benefit of rad property legally owned by Keith D. Tartan and Georgia i.. Taton, more fully described its: Lat Six (R), CLF.ARVICW SUBDIVISION, according to [lie official phu thereol filed under Pin[ No. 90-179, books and records of the Anchorage Recording District, Third Judicial District, State of Alaska, (hereafter "Dominant En le-); and WHEREAS, said Driveway Easement was recorded June 9. 1993 in Book 9(17 at Page 0231, and the parties wish to reaffirm said grant or casement and modify the comment to specify that the owners Of the Dominant Estate shall be responsible for snow plowing during the winter so that ingress and egress along the easement is not hindered. Iiia burden and benefit of this agreement arc intended to attach to and to run with the land. IN WETNESS WHEREOF, Ilia undersigned has executed this Gro or Easement this 1$a a day or octobcr, 1992. Jimmie G. Lamb "Owners of S ervient '7p—caite" Keith D. Talon "Owners of Dominant Estate" STATE OF ALASKA ) ) ss. Third Judicial District ) JU,CYM. Lamb i Georgia L:`Taton THIS IS I'O CERTIFY that of this= day ofd(, 1992, before me, the undersigned, a Notary Public in and for Alaska, personally appeared Jimmie G. Lamb and Judy M. lamb to me known and known to me to be the individuals named in and who executed the foregoing instrument and they acknowledged to me that they signed the same freely and voluntarily for the uses and purposes thorein stated. WITNESS my hand and official seat the day and year in this certificate first above written. NOTARY PUBLIC'in and fm Alaska My Commission Cxpires: / I / y L STATE OF ALASKA ) ) S.S. Third Judicial District ) THIS IS TO CERTIFY that on this l5th day of October, 1992, before me, the undersigned, a Notary Public in and for Alaska, personally appeared Keith D. Talon and Georgia G Talon to me known and known to me to he the individuals named in and who executed the foregoing instrument and they acknowledged to me that they signed the same freely and voluntarily for the uses and purposes therein stated. WITNESS my hand and official seal the day and year in this certificate first above written. NOTARY -PUBLIC in and for Alaska My Comriiission Expires _ i ' ii 'if I h'!L r �: r..•-;:renti:AN TITLE Gt-1 West Tudn- -: rad .4:': •Ai rind:.. ,,;Iu, Alaska MW 09607: t C AVCHGRAGE REG. NSTRICT REQUESTED BY F.At.T.c.o '32 OCT 16 erg 8 3D ra. '. E"7-- OF�i'�ICyOR�tn- MUNICIPALITY OF ANCHORAGE �wT~� 17` T E TIO�,j Y DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION JgEl VEY` NAME J/ V dL �, v CLC 1� SO �'L PHONE .Z�.Z_ NEW ❑ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION z 6 C.4 z iC LOCATION NO. OF BEDROOMS IV DISTANCE TO: Well Absorption area Dwelling PERMIT Q/ UY Z Manufacturer MVIe No. of compartments LU �' � Liq. capaci n gallons IF HOMEMADE: Inside length Width Liquid depth C Y DISTANCE TO: Well Dwelling PERMIT NO. -Jaz O Z < Manufacturer Material Liquid capacity in gallons DISTANCE TO: Well Foundation Nearest lot line , PERMIT3 w= s J u. Z No. of lines Len th of each line Total length of lines Trench width Distance tween Ines Z w Z S` �` 3�' inches ` H Top of tile to finish grade f Material beneath tile Total effective absorpt" n area inches Length Width Depth PERMIT NO. U1 t7 H Type of crib Crib diameter Crib depth Total effective absorption area CL wa ti DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J LU DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS .2 SOIL TEST RATING © r e az INSTALLER REMARKS' its _ _ O , W f .t P0.�f / eov�✓,nq QS�I 7LAhK / ,B..e// /ku t -14 ' � �C. , K io` 0 3' OIL .* 4f .• 'Q 4 • • 0 CJ • � .MMS {� �� • e e - i X AN HO AGE d . 1916 �•MUNICIPALITY 000 +� DFPT. OF H ALT. i & ENVIRON1,1FNT ♦'r APPROVED DATE LEGAL RECEIVED 72-013 (Rev. 3/78) y i M U M I C� I F=:"d-A L_ I -IFY C:) F= 15 PA C1 FA Q FT 94 C3 En + . DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ' ^ 825 L STREET, ANCHORAGE, AK 99501 264-4720 U P4_�� I -F I=— �S FEE W FEE F;Z. Z-,- W E: L_ L_ F=* F-7 F:;Z M I -IF PERMIT NO: 840686 DATE ISSUED: 08/13/84 APPLICANT: JAMES E. JACKSON ADDRESS: P.O. BOX 110422 ANCHORAGE, AK 99511 CONTACT PHONE: 272-5497 LEGAL DESCRIP: SUBDIVISION: CLEARVIEW LOT: 6 BLOCK: NA - SECTION: 24 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 54089 (SQ.FT. OR ACRES) MAX BEDROOM5: 4 Listed below are the options available to you i d7pigning your s tic' . system. Noose the option that best fits your ______________________ 0-IF:1110I tNJK7 t-1 ' DEPTH TO PIPE BOTTOM (FT.) 11.0 r GRAVEL DEPTH (FT.) 5.0 TOTAL DEPTH (FT.) 16.0 GRAVEL WIDTH (FT.) 2.5 [/ GRAVEL LENGTH (FT.) 60.0 \ / GRAVEL VOLUME (CU.YDS.) 30.5 UU TANK SIZE (GALS) 1,250.0 SOIL RATING (SQ.FT./BR) 150 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - \J � I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing' well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDINGCODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE_OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN EyfCTRICAL INSPECTION REPORT; AND (3) THE ELECTRICALA ELECTRICIAN. SIGNED DATE: Z:.-JATME ��___(��APPLICA ACKE��--~~ ISSUED BY DATE: t��-----�-�-- ~~~- --~~---- -�------------- ' ~~ ' ^ ' ^ M U 1�14 I I F="f4 L_ I 'T*V C:) F_. 14 PA C1 VA C3 FT IN C3 EF_:_ v DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 ' C3 PA_E3 I -T- E= E3 E= 54 EE FT Zo tV-J FEE L_ L_ PERMIT NO: 840813 DATE ISSUED: 09/25/84 APPLICANT: JAMES E. JACKSON ADDRESS: P.O. BOX 110422 . ` ANCHORAGE, AK 99511 CONTACT PHONE: 272-5497 LEGAL DESCRIP: SUBDIVISION: CLEARVIEW LOT: 6 BLOCK: NA SECTION: 24 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 54089 (SQ.FT. OR ACRES) MAX BEDROOMS: 4 Listed below are the options available to you in designing your septic system. Choose the option that best {its your site. � ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ` ` I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2> AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICL ENSED ELECTRICIAN. SIGNED /E: ��8 ^ APPLICANJAM- JACKS ISSUED BY DATE: __________ -F FT Ew PAK1KA DEPTH TO PIPE BOTTOM (FT.) 11.0 GRAVEL DEPTH (FT.) 5.0 TOTAL DEPTH (FT.) 16.0 GRAVEL WIDTH (FT.)' 2.5' GRAVEL LENGTH (FT.) 60.0,^ GRAVEL VOLUME (CU.YDS.) 30.6 ` TANK SIZE (GALS) 1,250.0 ** SOIL RATING (SQ.FT./BR) 150 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ` ` I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2> AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICL ENSED ELECTRICIAN. SIGNED /E: ��8 ^ APPLICANJAM- JACKS ISSUED BY DATE: __________ SOIL LOG gell'SOIL LOG PERCOLATION TEST PERCOLATION TEST BEDROOMS i K JOB NUMBER (,7`�'G. o �f/` PERFORMED FOR c—r-kfoCVC [O� 'fen' DATE PERFORMED: 9/4Q/Q7 LEGAL DESCRIPTION - . �/� G // SLOPE SITE PLAN / _ _ 2 • o' e G /%1 T K •5./�'y 3 4 o� WAS GROUND WATER S G rA.v ENCOUNTERED? — __ - OL 12 • e-- S µ n E G���Q/ IF YES, AT WHAT 4 5 cv `�• " '•'Cd �%� �o �L ray S� 1-� /rQ Q At, 5.1 -AL LtJ/Sd V 6 Oj' G r�tut,� Trac N �a Set�ce doll • � _// ,,y�JI //ii TO ,t Sc! 7 • �otsc e �o 4t r.S�� D Y- s 9. 10— ' 4 o� WAS GROUND WATER S G rA.v ENCOUNTERED? — __ - OL 12 • e-- S µ n E I I DEPTH PERCOLATION R. TEST RUN BETWEEN_ ,_ FT AND �t-/ _ FT G���Q/ IF YES, AT WHAT 13 •/T�,t� DEPTH? 14-1 • /—C K Reading doll • � _// ,,y�JI //ii TO ,t Sc! 15 • �otsc e �o 4t r.S�� D Y- 6 16- 17- 1718 18 ' 19 20 I I DEPTH PERCOLATION R. TEST RUN BETWEEN_ ,_ FT AND �t-/ _ FT W E COMMENTS---- K - DA i E - PERFORMED BY:._IC� � _;-RTIFIED BY ���� 000i doll i i I I i W E COMMENTS---- K - DA i E - PERFORMED BY:._IC� � _;-RTIFIED BY ���� 19/ SOILS LOG ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION ,+ TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 1ALKSokiEVOL LO DATE PERFORMED: ,/Z1 t 1 LEGAL DESCRIPTION:Urr 6 C.L A19W I Big/ S fe C- T I 2 3 vu SLOPE SITE PLAN o�•a�9Nl�s • 1 2 MH 3 S1 Lr 4- 5- 6- 7 567 8 9 10 111 ��� WAS GROUND WATER �' L ENCOUNTERED? ��V O O • P 12 + . , IF YES, AT WHAT E 13- ST) DEPTH? 14 • • • FINE SAND -16 I O 17 18- 19- op 819 • • 20 14 O L ISS COMMENTS Reading Date Gross Time Net Time Depth to Water Net Drop a� V XN-* * . 49TH , .�: o. 225-E PERCOLATION RATE V SK TEST RUN BETWEEN FT AND FT PERFORMED BY: 77 CERTIFIED BY: I• + DATE: Sr 0 72-008 (6/79) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either la, Ib or Ic.) A.D.L. No. lo. Borough Subdivision Lot Block Ib. 1/4 Cit rs. Section No. TownshipN[3Rungs E❑ Meridian —of_of—of-- S❑ W❑ Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: - Address: Street Address and Area of Well Location 2. WELL LOG Feet Below 4. WELL DEPTH: ( final) 5. DATE OF COMPLETION SurTace 1 ;' ft.— Material Type Top Bottom 6, ❑ Cable tool ❑ Rotary ❑ Driven C] Dug ❑ Auger ❑ Jetted ❑ Bored ❑ Other l �' ,' o a• 7. USE: ❑ Domestic ❑ Public Supply [3 industry ❑ Irrigation ❑ Recharge ❑ Commerical r.,-- s ❑ Test Well ❑ Other: :: J: _i t C' o 8. CASING: ❑ Threaded ❑, Welded diom. in. to + ' f Tt. Depth Weight Ibs./ft. diam, in. to ft. Depth Stickup it. F a 9. FINISH OF WELL:'� TyQe: Diameter: ! s % Slot/Mesh Size: Length: Set between ft. and ft. Backfilling Gravel pack diC1 r OT 10. STATIC WATER LEVEL: ft. ' Date 1 ;' MUNt F N X10 T ❑ Above or ❑ Below land surface iRo`� Equipment used f II . PUMPING LEVEL below land surface and YIELD y •- ft. after firs, pumping I ' 9 -P.M. ft. offer hrs. pumping g.p.m. 12.GROUTING Well Grouted: ❑ Yes ❑ No Material: ❑ Neat Cement ❑ Other: 13. PUMP: (if available) HP Length of Drop Pipe ft. capacity g.p•m. ❑ Subm. ❑ Jet ❑ Centrifical ❑ Other 14.REMARKS: 16. WATER WELL CONTRACTORS CERTIFICATION: 15. Wafer Temperature ° ❑ F ❑ C This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief; Registered Business Name Contract License Number 0 Address: r� Date: Signed. t -.- r"' ;"' ...rte ..;_ T Authorized Representative Form 02-WWR (11/81) Copy Distribution: WHITE - State DGGS, PINK - Driller, CANARY- Customer • G By PP • Municipality of Anchorage On-Site Water and Wastewater Program (907) 343-7904 S F E T Y Certificate of On-Site Systems Approval Parcel I.D. 015-242-45 Expiration Date: (2—' t v — F 1. GENERAL INFORMATION: Complete legal description CLEARVIEW; LOT 6 Location (site address) 8140 Alatna Ave. *Anchorage,AK 99507 Current Property owner(s) Steve Magestro Day phone 351-0524 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: gi10l`Qj COSA to be released to the engi less otherwise requested by the engineer. COSA Fee $ 5 Waiver Fee $ Date of Payment Q !15!11 Date of Payment Receipt Number 3 q'O' Receipt Number COSA# O5Ci'I t1(0O Waiver# 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 Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 9 )4/i opO���QO In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o F 4 in accordance with the guidelines and regulations established by the Municipality of Anchorage andd,� ....•...�sp4 industry practices. The reported results describe the condition of the system/s on the date/s of the �'• • O evaluation. Separation distances were measured to readily identifiable features. Hidden defects or � .'•4• T ! O/) encroachments may exist that were not identified during the evaluation. The operational life of all wells * ; and septic systems depend upon a variety of variables, including but not limited to, soil conditions, / Q groundwater levels (that may fluctuate during the year), quality of construction (materials andVA workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and Q. are outside the control of GEG. Satisfactory test results do not guarantee future performance of the •••J: u - A. Go ness. system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of i) l� CE • , Gi the well or septic system. GEG makes no representation whether an alternative well or septic system VQ 9�s .`ceQ can be installed on the property in the event either of the current systems fail to perform adequately in �4tf��, • cAo the future. The content of this report is for the sole benefit of the person/party that retained GEG to v0ea'Orores slo0_13 perform the evaluation. Reliance upon the information provided in this report by any other person or ��0040e�� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved N-S11 - Conditional approval for bedrooms, with the following11 ti, : SA1ER �. 1/ pROG\ • r Original Certificate Date: C[ --1 C_ —1 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. • 7. ATTACHMENTS: (N ". \n COSA Checklist Jam' Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc • If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: CLEARVIEW; LOT 6 Parcel ID: 015-242-45 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 9/12/84 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 107 ft. Cased to 107 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 9/12/84 8/7/18 Static water level 64 ft. 64.6 ft, Well production 12 g.p.m. 4.8+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 5.79 mg./L. Collected by: GEG, Ltd. Arsenic: ND ug./L. Date of sample: 8/7/18 B. SEPTIC/HOLDING TANK DATA 50"OF LIQUID IN TANK ON 8/7/18 Tank Type/Material SEPTIC/STEEL Date installed 5/20/14 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping 8/13/18 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MONITORING TUBE Date installed 5/20/14 Soil rating (g.p.d./ft2o ft2/bdrrt / 0.45 System type DEEP TRENCH Length 64 ft. Width 3 ft. Gravel below pipe 10.5 ft. Total depth *13.2+ ft. Eff. absorption area 1333 ft2 Monitoring tube**YES Depression over field NO Date of adequacy test 8/7/18 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 58 in. Water added 609 gal. New depth 67 in. Elapsed Time: 150 min. Final fluid depth 60 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date - **WEST MONITORING TUBE ONLY EXTENDS 102 INCHES BELOW INVERT **EAST MONITORING TUBE ONLY EXTENDS 105 INCHES BELOW INVERT D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at •• .• wa er alarm level at in. i- - •- Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 5'+ Absorption field 5+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 5'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEERS CERTIFICATION I certify that I have determined through field inspections and am I. ..4: !' % r • eview of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this °O. , • •••■ date. ♦ 't--_,N- - ey A. Garness :�v �v Engineer's Printed Name JEFFREY A. GARNESS •••�'• �E7779 3 �G 0� Date `l14/i 8 .* PROFESS\�P•4 LICENSE 1�\��"Ilik- #AECC884 (Rev. 10/12/12) MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT j• r t'"e 907-343-7904 On-Site Water and Wastewater Section \ j Fax:343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # OSC181460 Subdivision: Clearview, Lot: 6 A water sample revealed a nitrate concentration of 5.79 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O. Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids,and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org I . I . . 20' DRIVEWAY EASEMENT _ i • RECORDED AT BOOK 907, PAGE 231) LA7( A .........................._................. .......ASPH.i.T ........... AVENUE --..L:;::............ / �ti , 39 .2 `\ I 1 � � i k i • 1 t 'l •} kI • I ASP/Ai.- 1 I# I ? 11 • y :TAWII/0 RE i I t'i 4 �'ix LOT 7 I 1 mull " o, 1 , 111 �s j .4, I0 " i i I I �. • I I s.) I (err- . N ( -L or. 1 \\v4 "0 w r'../ r I IV VI • a S%a Ir I C \ 4. XF FJ y CO i ( I Y LA , /// I I /1 i 1 `I ,_ \ �. q• -.' .......... ` 4. 0 I t Z � I I OWELL y � 3 t 1c z ,/, 7 I N 1 7L-nr G ARE.. 1- \ I- ` i ' C) 1 i' \471 O J 1 1! 1. [7 ........-.... .i'—__________, .... .... __ Z 1 ... -- lr-�l0'VTRIiv EAgEIAENT I I ./ 0000�Opp N 89 56' 25" E 277.98 ooPA..�F'A�.qsp0 ooKu' .. 000 49 TH ir�� O 5 .,4, /y4` AS-BUILT SURVEY S" = 30° OOo SHANE A.HOLT .1 BB COI=VET TN!04TE • ODO n • LS-6914 .•'• 40 410 ..... eo HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY 4�Q�OFeasional�oo SURVEY ORDERED BY: OF THE FOLLOWING DESCRIBED PROPERTY �040poo�o VALESA LINNEAN C _DT S. 'a.ZAP."IC':. Su3. KELLER WILLIAMS ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE INFORMATION HEREON IS FOR THE USE of LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ` THE PROPERTY LINES ANO NO VISIBLE ENCROACHMENTS CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS: AND IS EXIST OTHER THAN NOTED. NOT TO BE USED FOP POSITIONING ADDITIONAL STRUCTURES. IMPROVEMENTS. OR FENCELINES. DATED AT ANCHORAGE,ALASKA THIS DAY OF EASEMENTS OF RECORD. OTHER THAN THOSE APPEARING ON THE RECORD PLAT . ARE NOT SHOWN -- - 2018 HEREON ( UNLESS INDICATED) ••• , NOTE FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. I HOLT LAND SURVEYING \\ 9309 GROVER DRIVE ANCHORAGE,A)U 99507 345-5513 va Parcel I.D. 015-242-45 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 A �, Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: R -A 9 - £ " a Complete legal description Clearview, Lot 6 Location (site address) 8140 Alatna Ave. Current Property owner(s) Dennis & Carol Bingham Mailing address 8140 Alatna Ave. Real Estate Agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone Day phone IMAY 2' [014 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual (] Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request Received by: . Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Zc� r�O Date of Payment sl Z'o //q C� Receipt Number ot4w-5 COSA# 05C-/'/ I Zl Waiver Fee $ Date of Payment Receipt Number Waiver # 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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for IL bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 272-8218 Date 5/22/2014 Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: - e The Micil li Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet E ., c If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: ClearvieW, Lot 6 A. WELL DATA Well type Private If A, B, or C provide PWS ID # Date completed 911211984 Sanitary seal (YIN) Y Total depth 107 ft Cased to 107 ft. FROM WELL LOG Date of test 9/12/1984 Static water level 64 Well production 122 ft. Parcel ID: 015-242-45 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 5/19/2014 62 4.6+ WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 4.9 mg/L Arsenic ND ug/L Date of sample: 4/23/2014 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank TypelMaterial Septic/Steel Tank size 1,250 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Date of pumping New ft. g.p.m. Date installed 5/20/2014 Cleanouts (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N Pumper C. ABSORPTION FIELD DATA Date installed 5/20/2014 Soil rating (g.p.d./ft2 or ftZ/bdrm) 0.45 GPD/BR System type Deep Trench Length 64 ft. Width 3 ft. Gravel below pipe 10.5 ft Total depth 14 ft. Eff. absorption area 1,333 fe Monitoring tube Y Depression over field N Date of adequacy test New Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons _ "Pump off" level at Cycles tested _ Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ SEPTIC/HOLDING TANK ON LOT TO Manhole/Access (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date 5/22/2014 COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ 11 ALATNA AVENUE v, CP 3_'Brick n Retaining v ,o Wall (2 TYp•) N W M M N 3.3= 10' Utility Easement Clean Out (Typ. 13) Conc. Walk & Pad Uncle Cantilever, 'b6� 1 0 Found 5/8" Rebar Lee Knrnbeln;koff No. 3143-S `£SSH]NPL oX PS066 57- V2 .7 w LOT 7 SCALE : 1" = 30' 0' 15' 30' 60' LOT 6 IM 10' Utility Easement S89'56'25"W LOT 8 I hereby certify that an accurate survey of the following described property: CLEARVIEW SUBDIVISION (80-178) � LOT 6 *00 was made on May 21, 2014 and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no i improvements on the property lying adjacent thereto encroach on ^, the premises in question and that there are no roadways, e transmission lines or other visible easements on said property except as indicated hereon. Easements other than those shown on the record plat may not appear on this drawing. Anchorage Alaska, this 22nd day of. May 2014. Found 5/8" Reba LOT 9 PREPARED FOR: PANNONE ENGINEERING, LLC AS -BUILT OWN. DATE GRID JSP 5/22/2014 SW 2740 FILE NO. F.B. 2014 JOB NO. 1412 PG. 25 1420 KARABELNIKOFF SURVEYING w7, 337-34&4 MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-474.4 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. # Qty' a1-1Q'Li-20 HAA # VA CASC) 19S -'D 1. GENERAL INFORMATION __►►� � ll Complete legal description (4e�T�� CI -e r✓i -u✓ Location (site address or directions) F8 l y D �v Property ownery--e_z I a, Day phone Mailing address k>1 g O /L1, Lending agency ?0'�' b � Day phone Mailing address�� Agent DO -VA A 6 y111!1 Day phone `'I Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: —- 3. TYPE OF WATER SUPPLY: / Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: / Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA k21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm l o tt, Phone V-71-1111, Address Engineer's signature 9 6. DHHS SIGNATURE X_ Approved for bedrooms. Disapproved. Date q/15 --A3 Conditional approval for 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 1. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 1-07- (� ��-tar✓ Parcel I.D. '!9 / Z — , /Z - � A. WELL DATA Well type 2 If A, B, or C, attach ADEC letter. AD/EC water system number Log present (Y/N) Date completed 4/ Zl 8 t'j Driller I t- eight Total depth j O Cased to f o Casing height— il Sanitary seal (Y/N) Wires properly protected (Y/N) Sanitary FROM WELL�fLOG AT INSPECTION 11 4(12-I9 l 14 ` I $ ICTION ` q c Date of test Z_ . I Static level "1 0 water "t 9. i =O �l� m Well flow °2- g.p.m. . 9•P( r 44� Pump level rV''''"� L m SEPARATION DISTANCES FROM WELL TO: c Septic/holding tank on lot On adjacent lots Absorption field on lot i 9 8 ; On adjacent lots ? O Public sewer main Public sewer manhole/cleanout Sewer service line / 0-y Petroleum tank D WATER SAMPLE RESULTS: l) Coliform Nitrate �-2- Otherbacteria — s Date of sample: % ` 917 3 Collected by: 0 , B. SEPTIC/HOLDING TANK DATA Date installed '0111 t Tank size t 2-50, Compartments Cleanouts (Y/N)—Foundation cleanout (Y/N) Depression (Y/N) Ll High water alarm (Y/N) rq!jlA Alarm tested (Y/N)1A, Date of pumping i 6 o l �l 3 Pumper ►"C aux SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 1701 On adjacent lots Foundation a To property line to '� Absorption field Z Water main/service line &0 — Surface water/drainage 1-4l 0 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION tq A Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water _ )O ) Date installed f ! B Soil rating 5 System type t� Length (a Width 3 Gravel thickness Total depth 1 to Total absorption area (o 0-0 Cleanouts present (Y/N) Depression over field (Y/N) N Date of adequacy test Z G B ` q-2, Results (pass/fail) for tl bedrooms Peroxide treatment (past 12 months) (Y/N) ��J If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 9 On adjacent lots Prpperty line 9' To building foundation L6 To existing or abandoned system on lot On adjacent lots 3 !> — Cutbank 0 Water main/service line ; a Surface water f )n 14Driveway, parking/vehicle storage area 3 Curtain drain l C? E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effecW the date of this inspection. Signature Engineer's Name 0��-A Date' HAA Fee $ ( 70 Waiver Fee: $ Date of Payment x-16 -93 Date of Payment Receipt Number ;2 !X6D3 72-026 (Rev. 3/91) Back MOA 21 Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Chemlab Ref.# :93.1474-1 Client Sample ID :L6 CLEARVIEW Matrix : WATER Client Name :TOBBEN SPURRLAND, P.S. Ordered By :TOBBBN SPURQLAND Project Name Project# PWSID :UA Sample ROUTINE SAMPLE COLLECTED BI: TOBBEN. Remarks: 4C ParameterResults Qual. Units --------------------------- NITRATE -N "� 2.53 /' mg/l REPORT of ANALYSIS Method -------------------- EPA 353.2/300.0 Collected Received WORK Order Report Completed Technical Director Released By : :04/09/93 1 07:30 hrs. :04/09/93 ! 08:00 hrs. :64826 :04/14/93 :STEPHEN C. EDE Allowable Extract Analysis Limits Date Date Init -------------------------------------------- 10 04/09/93 LLH ....................................................................................................................................... See Special Instructions Above UA - Unavailable " See Sample Remarks Above NA - Not Analyzed U - Undetected, Reported value is the practical quantification limit. LT - Less Than D - Secondary dilution.��±GT - Greater Than eNoe)S S Member of the SGS Group (Soci6t6 GdnBrale de Surveillance) 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 It- 7 -2,q'S' bJg7-0gg9 Application Date A Lt(=us 31 _ ) q&7 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) IL,o— (E cLTalzv►s\y S e=c_2 tz, 7-1at.1, L 3 a-1 Location (address or directions) 914112 A 1.*T_PiA (b) Property Owner F- IkITIEYLSTATE Telephone: Home n �# Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone rG Telephone !0 3 -S'C (e) Mail the HAA to the following address: or: Check here% if hold for pick up. List contact person and day phone number below. Or 271 - 3916 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms Business 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: f community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/86) Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone a` `� -3 Address /j o2. CJ 3 t S Date ' I` 1l -7 R ✓) lY �,,,, 5-E Engineer's Seal �a''t f, . 6. DHHS APPROVAL Approved for 4 bedrooms by r Date �� _8 Approved �� Disapproved Conditional Terms of Conditional Approval CAUTION 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. Page 2 of 2 72-025 (Rev 8/86) Back MUNICIPALITY OF ANCHORAGE IPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL SERv10ESEALTH AUTHORITY APPROVAL (HAA) SEP 3 19$� CHECKLIST - FEBRUARY 1984 • 284-4744 Le¢Jgal D�cription: TI � � 3 CLEARti RECEIVED A. WELL DATA Well Classification' ��'g If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) �_ Date Completed a/1? -/Fl Yield 4 D K11 Total Depth l V % Cased to i Depth of Grouting N ONE Static Water Level 0 Pump Set At 8 oTrp Casing Height Above Ground f �- t Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Ni Separation Distances from Well: To Septic/Holding Tank on Lot 1-70 ; On Adjoining Lots > To Nearest Edge of Absorption Field on Lot ® ; On Adjoining Lots > i �7 To Nearest Public Sewer Line N O W L To Nearest Public Sewer Cleanout/Manhole I�4 0 N E To Nearest Sewer Service Line on Lot 5 / D a -7'S aA0-71S 7 Water Sample Collected by , Date // Water Sample Test 07 1 Results (-n /i �/� %PA � .� 9" 4 Comments B. SEPTIC/HOLDING TANK DATA Date Installed / D g Size /;- a D V, No. of Compartments 1 L 4> Standpipes (Y/N) _r 6)e" J Air -tight Caps (Y/N) le Foundation Cleanout (Y/N) j Depression over Tank (Y/N) Date Last Pumped $/a ?Af 7 HA 9 Pumping/Maintenance Contract on File (Y/N) ?Y/A ;for N/A Holding Tank High -Water Alarm (Y/N) IY16-6 Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well 1%0 To Building Foundation AZO To Property Line i /O To Disposal Field AB To Water Main/Service Line % O To Stream, Pond, Lake, or Major Drainage Course N D N E Comments Page 1 of 2 72-026 (Rev 8/86) Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata�5t O Type of System Design -D L = C 1� Tt2E.t�1�-E Date Installed OC.t et 8 T Length of Field Width of Field 3 &N Depth of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Gravel Bed Thickness -r' 6 4>D Standpipes Present (Y/N) T tali O Date of Last Adequacy Test 9Ja7/g7 �ArSS ;:0 2 FOy12 B IE D•i200A4S Separation Distance from Absorption Field: To Water -Supply Well [ 18 To Property Line 1 To Building Foundation M To Existing or Abandoned System on Lot N O N L. ; On Adjoining Lots i S C�) To Water Main/Service Line > 10 To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course N O NICE To Driveway, Parking Area, or Vehicle Storage Area '2. Comments D. LIFT STATION NONE Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date 31, 1U 7 Company Receipt No. / ,�q U Date of Payment IU.0 no Amount: $ Page 2 of 2 72-026 (Rev 8/86) Back MOA No. r OF Ai Engineer's Seal r ff 03 W. 15th AV "C" SUITE 203 In D L l V ��r� 9 �0 p ,. 2 A CHORAGEEALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 S E P T I C S Y S T E M A D E Q U A C Y T E S T - - - - - - - - - - - - - - - - - - - - - - - - LEGAL: LOCATION: OWNER: RESIDENCE: WELL: LOT 6, CLEARVIEW 8140 ALATNA DRIVE FIRST INTERSTATE BANK SINGLE FAMILY, FOUR BEDROOMS PRIVATE, ON SITE SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1250 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 600 SQ. FT. SOIL RATING: 150 INSTALLATION DATE: OCT. 1984 DATE OF PUMPING: AUGUST 29, 1987. MARX ENTERPRISES DATE OF TEST: AUGUST 27, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 7 FEET OF COVER AND 50 INCHES OF LIQUID. CLEAN OUT TO TRENCH WAS 10 FEET DEEP AND DRY. TRENCH SUMP WAS 16 FEET DEEP AND HAD 15 INCHES OF LIQUID. 600 GALLONS OF CLEAN WATER WAS ADDED TO THE TRENCH. THIS CAUSED THE WATER LEVEL TO RISE TO 23 INCHES. AFTER 10 MINUTES THE WATER LEVEL WAS 20 INCHES. NEXT DAY THE LEVEL WAS DOWN TO 15 INCHES, INDICATING THAT ALL OF THE 600 GALLONS HAD BEEN ABSORBED INTO THE GROUND. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. 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 of the family 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 the system will continue to meet the operational requi- rements of the Municipality and State. CONSULTING ENGINEER R E S I D E N T I A L W E L L LEGAL: LOCATION: OWNER: TYPE OF WELL: WELL LOG AVAILABLE: LOT 6, CLEARVIEW 8140 ALATNA FIRST INTERSTATE BANK ^ 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 I N S P E C T I O N SINGLE FAMILY YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 12 GALLONS PER MINUTE PUMP YIELD: DATE OF INSPECTION: 5.5 GALLONS PER MINUTE AUGUST 27, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 5.5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. AT THE BEGINNING OF THE TEST WATER LEVEL WAS FOUND AT 60 FEET BELOW TOP OF CASING. AFTER 100 MINUTES OF PUMPING THE WATER LEVEL WAS 91 FEET BELOW. A TOTAL OF 600 GALLONS WERE REMOVED. WELL RECOVERED 50 % IN 8 MINUTES. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA AND NITRATES ON AUGUST 28, 1987. E.COLI 0, NITRATES 2.2 mg/l TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. .�` n: •