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HomeMy WebLinkAboutALPINE WOODS BLK 1 LT 3Alpine Woods Block 1 Lot 3 #015-234-04 Municipality of Anchorage �. Development Services Department Building Safety Division s On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.enchorage.ok.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030476 PID Number: 015-234-04 Name: Garret Wong Wastewater System: ❑ New Q Upgrade Address: 5901 Downey Finch Drive; Anchorage, AK 99516 ABSORPTION FIELD Phone: Number of Bedrooms: 345-2165 5 [3 Deep Trench O Shallow Trench El Bed Q Mound ❑Other. LEGAL DESCRIPTION Soil Rating: 0.7 Total Depth from original grade: 7.19/7.50 GPD/Fe Ft. Block: Lot Subdivision: 1 3 Alpine Woods Depth to pipe bottom from original grade: Gravel depth beneath pipe: 3.69/4.00 Ft. 3.50/3.50 FL Township: Range: Section: Fill added above original grade: Gravel Length: 1.04-0.78 / 1.41-0.34 Ft. 2 x 58 =116 Ft. We ❑ New ❑ U ra P9 Gravel width: 5 Number of lines: Distance between lines: Ft. 2 10+ Ft. Classification (Private, A Total Depth: Cased to: Total absorption area: Pipe Material: Ft. FL 1074 F12 F810 / ASTM D3034 Driller. Da led: Static Water Level: Installer. Date Installed: FL A+ Home Services 12/11/2003 Yield: Pump Sal at Casing He ve Ground: TANK GPM Ft. SEPARATION DISTANCES p septic [:]Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift Holding I lubliclPirivate Manufacturer Cape From Tank Field station Tank Sewer Line Anchorage Tank 1500 Gal. Well NA NA NA NA NA Material: Steel Number of Compartments: 2 Surface Water 100+ 102 �A NA LIFT STATION Lot Line 55 22 NA NA Size: an acturer. Gal, Foundation 6 � � - 53 NA NA 'Pump on' level at 'Pump offat High water alar at in Curtain Drain NA NA NA NA Pump Make Electrical Inspections performed by. Remarks: BENCH MARK Location and Description: Top of window sill on eastern window - Assumed Elevation: on lower level on the NE side of house. 114.37 FL - Engineer's Stamp 49�H Cindy W. Ellis, P.E. at 12/8/2003: Inspections performed by: Dates: 1 �k:' •,•••:•• .* 2nd 12/9/2003 »-..��f��.�' G,i!�»..»...... Development Services Department Approval »• �, Ci �d Y W. Ellis ��• is Reviewed and approved by: �. Date: 0 ; CE -10577 (Rev. ►2/00)•'• "moi o�ssiot�+-off' Permit No. SW030476 Page 2 of 3 Date: 12/30/03 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: LOT 3, BLOCK 1, ALPINE WOODS SUBDIVISION PID No.: 015-234-04 16.0' OF THIS LEG INSULATEA WITH 2- RIGID INSUL9TIbN o 0' URFACE �C04 $ \ TRENCH 2 / WA R S TBACK / I MT1 j CO5\ FS / \\ TRENCH 1 SEPTIC PIPE UNDER D INSULATED W/ 2" RIGID INS 1,500 GALLON SEPTIC TANK, INSULATED W/ 2" RIGID INSULATION PROPERTY LINE ST2 / A STI FCO BENCHMARK �01_ z DRIVEWAY MARK A B C FCO 22.6 13.8 --- STI 20.9 21.2 --- ST2 21.3 31.2 --- DC01 22.0 32.9 --- DCO2 23.5 34.4 --- DV 24.9 36.3 --- SUMP (OLD FIELD) 57.1 --- 31.4 COI (OLD FIELD) 61.4 35.2 --- 0O2 54.5 --- 58.8 FS 68.0 --- 53.1 MT1 72.0 --- 48.5 CO3 85.5 --- 37.1 C04 78.5 --- 75.8 MT2 88.3 --- 61.4 COS 199.3 1 --- 53.9 CO2 i� 1 ~� -EXISTING SUMP1\ \ OLD DRAIN,FIELD \� RETAINED � \ C \\ sco rPLACE OLD SEABA � ASBUILT SCALE: 1"=30' DOG RUN LINE ;,o#,*.- 49TH •.* /� •�o'•• Ci W. y ��t.•. Ellis •:�•i 10577 •��Ao 1 ���pROFESS10ti.Nw Permit No. SWO30476 Page 3 of 3 Date: 12/22/03 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: LOT 3, BLOCK 1, ALPINE WOODS SUBDIVISION PID No.: 015-234-04 FCO- ST1-\ IIL5t r-ST2 DC01 FS " PVC PIPE 1,500 GALLON STEEL 107.5 ' 107.84' TANK W/ 2" RIGID I�1 1\108.0 ' INSULATION OVER MNMI I SEPTIC SECTION TO OLD DRAINFIELD I N.T.S. r -------------------------------J I FINAL GRADE = 101.82' - 102.25' I CO2 MT1 CO, I I I I FILTER FABRIC NOTE: ORIGINAL GRADE _ 1- 4"4 PIPE 98.13' 100.78' - 101.47' °� ROoK I 94.28' DOCb DO O OHO 00 OHO 00 I I 4 97.78' I 58.0' TRENCH1 N.T.S. FINAL GRADE = 98.77' - 99.90' M T2 gs, ¢-7 r 1-7 W, FILTER FABRIC �- .. � � •�r � • •�r � • •�r �.�a►ter � •���r � r���� � UM. TOTAL DEPTH OF TEST HOLE = 16.0'. WATER ENCOUNTERED AT 13.3'. �J MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW030476 Legal Description: [ALPINE WOODS BLK ;:_1.LT,. 3.:' Design Engineer: 0844 Watkins Engineering, Inc Owner Name: Garret Wong Owner Address: 5901 DOWNEY FINCH DRIVE ANCHORAGE, AK 99516-2460 Date Issued: Nov 13, 2003 Expiration Date: Nov 12, 2004 Parcel ID: 015-234-04 Site Address: 005901 DOWNEY FINCH DR Lot Size: 74536 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of. ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska • Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 1Z/9'0,3 — C 7 >r 11 I'S C 17 -rpl i!!5EP7-1-1 CF 7rff 7AEAC f( '/� 81FEE 7; DrCA✓A-T(ilZ y l 70 SAP. iI ISuR 3=jy5/-k cTION F -C11- %nCNGN 4>E/-17--,4 /3T B FEET S HOuIP O'c O.(C. c,cs To A,Si�.v Received By: Issued By: Date- AZ Z-63 Date: L Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 5 T 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-234-04 Permit Number SWd?0476 Property owner(s) Garret Wong Day phone 345-2165 Mailing address (1) 5901 Downey Finch Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Alpine Woods, Blk 1, Lot 3 Legal description (Section, Township & Range) Lot Size 74,536 AcreSq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 5 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. /Ml� , P-6 (Signature of propwrty owner or authorized agent) Permit Fees: L - Waiver Fees: Date of Payment: Date of Payment: Receipt Number:�_!�,�, Receipt Number: (Rev. 12100) Watkins Engineering, Inc. RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net November 6, 2003 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Alpine Woods S/D, Block 1, Lot 3 Sewer Upgrade Permit Application To Whom It May Concern: Attached please find the application and supporting documentation for upgrading the onsite sewer system at the referenced 5 bedroom house in Anchorage. The existing system consists of a 1500 gallon steel septic tank and a 63 ft x 6.5 ft deep trench installed in 1984. A septic adequacy test showed that the drainfield is technically failed, with only 50 gallons bringing the water level to the lateral. It is proposed to upgrade the system, retaining the existing drainfield as reserve. The existing tank is proposed to be abandoned in place. The proposed design is based upon a test hole dug on October 29, 2003 to a depth of 16 ft. The soils log is attached. Water was encountered at 15 ft while digging the hole, and it rose to a level of 14.5 ft after 7 days of groundwater monitoring. The soils encountered in the test hole were silt and silty sand, with pockets of clean sand. There was a transition between the sand and silt layers, occurring between 6.5 ft and 10 ft., with the density of the silt increasing with depth. Two percolation tests were performed. The upper bench, from 4.5 to 5 ft, had a perc rate of 11 minutes per inch. The lower bench was in the transition zone from 8 to 8.5 ft., and the percolation rate was 37 minutes per inch. It is proposed that a conventional shallow drainfield be installed between 3.0 and 6.5 ft. The application rate was reduced to 0.7 gal/day/ft2 to account for the lower perc rate in the transition zone below the bottom of the trench. Surface water is a concern in this area. There is a small creek on the adjacent lot to the east and along the north property line of the subject lot. The lot to the west also has surface water. The proposed design allows for a 100 ft separation distance from any surface water to the tank and the drainfield. The location of the surface water is depicted on the attached site plan. Sewer Upgrade Permit Application for Alpine Woods, Blk !, Lot 3 Watkins Engineering, Inc.; November 6, 2003; page 2 Proposed Soil Absorption System: 5 Bedrooms x 150 gpd / BR = 750 gpd Application Rate: 0.7 gpd / ft2 Square Feet Required: 750 gpd / 0.7 gpd/ft2 = 1071 ft2 System Type: Shallow trench (5 -wide) Effective Depth: 3.5 ft Maximum Depth 6.5 ft Reduction factor = 0.54 Length Required = 1071 ft2 / 5 ft x 0.54 = 116 ft Proposed Length: 2 x 58 ft = 116 This lot and adjacent lots to the south and east are served by a Class A public water system, PWSID 213598. The location of the water service line to the subject lot is on the south side of the house and has adequate separation distance to the proposed septic system. The Class A well is greater than 200 ft away and any private wells are greater than 100 ft from the subject lot. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851 or 360-3389 (cell). Yours truly, I �, /N,Ci(�. Cindy 4. Ellis, P.E. President DESIGN CRITERIA: MOUND OVER 5 13DRM X 150 = 750 GPD (TH#1) o GRADE APPLICATION RATE: 0.7 GPD/SQ. FT. —0.5 ORG FILTER FABRIC 750/0.7 = 1071 SQ. FT. REQURIED _2.5 sM 4"0 PIPE REDUCTION FACTOR: 0.54 -2.s' 5.0' WIDE TRENCH sM/sw 1071/5 X 0.54 = 116.0' REQUIRED —6.5 —6 0* SEWER ROCK TRENCH: —10.0 5.0' 6.5' DEEP -14.5 3.5' EFFECTIVE ML 5.0' WIDE -16.0 (2) 58' LONG RAVEN WOODS RAVEN WOODS LOT 2 LOT 1 ------ CREEK APPROXIMATE BOG LOCATION --\\b LOT 4 SERVED COMMUNITY WATER i ) O i , TRACT A VACANT � � C, NEW SEPTIC TANK ,1 EXISTING DRAINFI D TO BE RETAINED i DRIVEWAY a o / EXISTING SE C ANK _ TO BE ABANDO D IN PLACE U m LOT 5 LOT 1 LOT 2 NOTE: VACANT SERVED BY EASEMENT SUBJECT PROPERTY IS SERVED BY COMMUNITY WATER SYSTEM, COMMUNITY WATER PWSID 213598. r � T12N, R3W, SECTION 23 ADJACENT E TIC PARCEL 5 - D 0 W N E Y F I N C H D R I V E- / Septic Design Prepared For 4>>� GARRET WONG A� �� --\gslj LOT 3, BLOCK 1 ALPINE WOODS SUBDIVISION j *: 491H ••* �� • •�.'�.'�r.. Prepared By: DATE: 11/5/03 Watkins Engineering, Inc. PID N0. 015-234-04 • . • • • • • /� '�..... W. Ellis Cindy W. Ellis, P.E., M.S. SCALE: 1 "-100' .:�• No. 10577.. P.O. BOX 110443 DRAWN: DJR �� f�,� • . . • A..- PHONEER(907) 349-1851;1FAX44(907) CHECKED: CWE 11l�pROFESS``4� 349-1934 rm n PROPERTY LINE DRIVEWAY r I' URFACE r COE R S TBACK r i I m C05 rr C04\1 tr � 9 r �`.0O3 INSULATE SEPTIC PIPE= DRIVEWAY W/ 2" RIGID INS PROPOSED 1,500 GALLON SEPTIC TANK, INSULATED W/ 2" RIGID INSULATION FCO `I EXISTING SUMP1\� EXISTING DRAINF � —TO BE REVNED �\ SNEp 40,21- OLEXIS ING TO E AE Septic Design Prepared For GARRET WONG LOT 3, BLOCK 1 ALPINE WOODS SUBDIVISION Prepared By: DATE: Watkins Engineering, Inc. PID NO. Cindy W. Ellis, P.E., M.S. SCALE: P.O. BOX 110443 DRAWN: ANCHORAGE, ALASKA 99511-0443 CHECKED: PHONE: (907) 349-1851; FAX: (907) 349-1934 vl�k '/' / 100' SURFACE WATER SETBACK )INZG SUMP2 TANK D IN PLACE / DOG RUN PROPERTY LINE OF / 49TH •.,k 11/5/03 Ah . . 015-234-04'�:•. Cind W. Ellis 1 "=30' �+i sfF�No. 10577 �/ CWE ll\ �PROFESSIO�'�"� Municipality of Anchorage �-2: ( )-..-7- f Development Services Department ,,,,;•�•••.� =.. Building Safety Division On -Site Water and Wastewater Program..... N. 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 r'i y W Ellisu www.muni.org/onsite• CE -10577 (907) 343-7904 '•. Soils Loy - Percolation Test •�OSIO0 Performed For: Garret Wong Date Performed: 10-29-03 Legal Description: Alpine Woods, Bik 1, Lot 3 Township, Range, Section: — Slope Site Plan 13 5 ;14-i e rW; �h WAS GROUND WATER 9- ENCOUNTERED? yes r, 10- 10-C) 0,C) IF YES, AT WHAT DEPTH? 15.0 Depth to Water After 11- h1 IL Monitoring? 13- 14- 15- 16- 17- 18- 19- 20- Date: 3- 14- 15- 16-17-18- 19- 20- COMMENTS Date: S L O P E Ix u "W - N ENNEEMEN Depth Gross Time Net Time (Feet) O1ZZC��NICS 1 10-30-03 5:58 2- Sm G� Ira i re 75l� 3- 2.5 30 -5 m/ black sill -y sand 4- 5- SW PE2C 0 6 snne eo b b les s- t 5 eyyte ae A 7- 1.75 (o "5 t9vwd, 5 PacAu+s . 8_ 6 — 13 5 ;14-i e rW; �h WAS GROUND WATER 9- ENCOUNTERED? yes r, 10- 10-C) 0,C) IF YES, AT WHAT DEPTH? 15.0 Depth to Water After 11- h1 IL Monitoring? 13- 14- 15- 16- 17- 18- 19- 20- Date: 3- 14- 15- 16-17-18- 19- 20- COMMENTS Date: S L O P E Ix u "W - N ENNEEMEN Date Gross Time Net Time MENNEEMEWWE ---■OM■■.© Net Drop 1 10-30-03 5:58 0 6 - 2 Reading Date Gross Time Net Time Depth to Water Net Drop 1 10-30-03 5:58 0 6 - 2 6:28 30 2.75 3.25 3 6:31 0 6 — 4 7:01 30 1.75 4.25 5 7:03 0 6 — 6 7:33 30 3.25 2.75 7 8:06 30 3.1875 1 2.8125 PERCOLATION RATE 11 (minute5rinch) . PERC HOLE DIAMETER a TEST RUN BETWEEN 4.5 FT AND 5.0 FT PERFORMED BY: Watkins Engineering, Inc. I Cindy W. Ellis CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN tFFECTON THIS DATE. DATE: 11-05-03 Municipality of Anchorage �..tENGINEE Development Services Department *= 49TH Building Safety Division On -Site Water and Wastewater Program (� / 4700 S tfl,B St 1- ou ragaw.-....»»»..» P.O. Box 196650 Anchorage, AK 99519-6650 :., C' dy W. Ellis www.muni.org/onsite (907) 343-7904 CE -10577 'i Soils L9 o -Percolation Test 'ORo �:':�:,,:;'c'� Performed For: Garret Wong Date Performed: 10-29-03 Legal Description: Alpine Woods, Blk 1, Lot 3 Township, Range, Section: — Slope Site Plan Depth (Feet 'Ism SM/ 5W 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16-- 17- 18-1 19- 0 - 7- 8- 9- 10- 11- 12-13- 14- 15- 1617- 18- 19- I a Kra — 0.5 ICeaIty, rcdd'rs ►� 2.5 black si l- y saNd . Sam¢. cobbles . Some, c&a.K sa a poc,Ws . W i41" " . Paz C Date WAS GROUND WATER Net Time ENCOUNTERED? yes • S IF YES. AT WHAT DEPTH? 15.0 L Depth to Water After U P Monitoring? j�.5 E Date: 30 Lower bmch of E COMMENTS 4 hr presoak prior to pert test Reading Date Gross Time Net Time Depth to Water Net Drop 1 10-30-03 5:42 0 6 – 2 If 6:12 30 5.1875 0.81 3 to 6:15 0 6 — 4 6:45 30 5.125 0.87 5 6:47 0 6 -- 6 � 7:17 1 30 5.1875 0.81 PERCOLATION RATE 37 (minutesAnch) PERC HOLE DIAMETER e TEST RUN BETWEEN 8 FT AND 8.5 FT PERFORMED BY: Watkins Engineering, Inc. i Cindy W. Ellis/ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 11-05-03 v� r — MUNICIPALITY OF ANCHORAGE !/ a DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE U44EW CA &., le le Cc;,, ❑ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION 16 A / IV P LOCATION£ ,J''t'- 4 NO. OF BEDROOMS / Well Absorption area Dwelling / PERMIT NO, U Y DISTANCE TO: �•,;, /y, yy) ` j �y e) �? }' a Q Manufacturer r C r Material / No. of compartment w� U Lic. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons wWell –'z DISTANCE TO: C`c��y ��_ , Foundation Nearest lot line PERMIT.( r -_ a w No. of lines Length of egh ' e Total lengtf� of, lines Trench width Distance between lines E z – -- –4--`7 C _� inches � E. Top of file to finish grade Material beneath file Total effect re D J'— inches Length Width Depth PERMIT w C7 Q I– Type of crib Crib diameter Crib depth Total effective absorption area as wUj Cn DISTANCE TO: Well Building foundation Nearest lot line a Class Depth Driller Distance to lot line PERMIT NO. _j w DISTANCE TO: — Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS /" SOIL TEST RATING INSTALLER REMARKS �1 I C . APPROVED DATE LEGAL j c� C F 16& �� 5, bl t 3 0 ire t 72-013 (Rev. 3/78) MUNICIPF�ITY OF HNC' - = O �EPHRTMENT OF HEALTH AND ENVIRONMENTAL /�OTECTIN ' ����. 825 L STREET ANCHORAGE, HK 99501 ~�-�w' ' ' � 264-4720 PERMIT NO: ** 840281 DATE ISSUED: 05/0084 APPLICANT: CHHRLENE CARTER ` HDD SR BOX 1738 EAGLE RIVER, HK 99577 CONTACT PHONE: 279-7671 � LEGAL DESCRIP: SUBDIVISION: HLPINEWOODS LOT: ] BLOCK: 1 SECTION: 23 TOWNSHIP: 12N RANGE: ]W LOT SIZE: 1.71H (SQ.FT. OR ACRES) MHX BEDROOMS: 5 LISTED BELOW ' ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSE THE OPTION THAT BEST FITS YOUR SITE. ... ..... ..... �������������������������������� �-�f:-z jr-^9­9 E3 EZ [4 K�'F�-"F:l ][r-4 DEPTH TO PIPE BOTTOM (FT� ) 4.0 4.5 4.0 GRAVEL DEPTH (FT.) 6.0 0.5 3.5 TOTAL DEPTH &T.) 10.0 5.0 7.5 GRAVEL WIDTH (FTA., 2.5 24.0 5.0 GRAVEL LENGTH (FT. ) 64.0 48.0 82.0 ** GRAVEL VOLUME (CU. YDS. ) ]8.5 42_6 60. 7 TANK SIZE (GALS) 1,500'0 ** 1,500.0 ** 1,500.0 ** SOIL RATING (SQ.FT./BR) 152 152 152 GRAVEL LENGTH } 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) �* THNK MUST HAVE AT LEAST TWO COMPARTMENTS ________________________________________ I CERTIFY THAT: 1- T HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOH) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOH CODES AND REGULHTIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. I I WILL ADHERE TO ALL MOH AND STATE OF ALASKA REQUIREMENTS FOR THESET 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 H MAXIMUM OF 5 BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF H LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOH BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED/ (2) HS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT/ AND (]) THE ELECTRICAL WIORK, MUST 1 DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: z�=-���~-~-_-----r- ---------- ---�r-�-------- HPPLICHNT CHAR R ISSUED BY DATE: ���'--- -_------- --�--�----�v- I SOILS LOG %--� MUNICIPALITY OF ANCHORAGE / l DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION i PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: !� 11 I ►C DATE PERFORMED: V u L. 67 l q '�� LEGAL DESCRIPTION: `!L`1'�����` X��1J 1 V! �)� �s a' I\ 11 LZ DEPTH �j SLOPE SITE PLAN (FEET) UVefCUO f Uen 1 fly OL 2 3 4 5 6 7 8 9 -: 10 11 12 13 14 15 16 17 18 19 20 ML GM � j f n ) COMMENTS 1�/ 1 WAS GROUND WATER A I/� S ENCOUNTERED? � y o L O P IF YES, AT WHAT E DEPTH? 11 (0112- I(IM G fe ,- kI-A Q Reading Date Gross Time Net Time Depth to Water Net Drop`" +4Z 0 r ��'fr3 1► ,3Z_ , 75 ZC� , z I► - 5z: 3b f 5� +0 b 11:e 3 � ' �'� z i ;,� + zU lZ,-675•.3b '% Z 1 3 • 01 �5 114zu IZ 2-14 PERCOLATION RATE U 33 (minutes/inch) TEST RUN BETWEEN FT AND'SLS_ FT PERFORMED BY: Dan _Ra�q CERTIFIED BY: M bO T ��3 -02 H 72-008 (6/79) DATE: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Z:__X Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. 015-234-04 COSA# C1 S f a 110 1 1. GENERAL INFORMATION Expiration Date: L/ — / d 3 Complete legal description ALPINE WOODS; BLOCK 1, LOT 3 Location (site address) 5901 DOWNEY FINCH DRIVE *ANCHORAGE, AK Current Properly owner(s) ROBERT MCILVAIN Day phone C/O AGENT Mailing address Lending agency Mailing address Real Estate Agent Mailing address 5901 DOWNEY FINCH DRIVE *ANCHORAGE, AK Day phone CARLA NICE W/ DYNAMIC Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2: NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well Public Water System 5 242-2427 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal andlor water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. TYPE OF WASTEWATER DISPOSAL: ❑ Individual On-site M ❑ Individual Holding tank ❑ E Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal andlor water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Dated t2 Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD, The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Y Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well. Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other N tr Ne.... ' y.. Gcrness...: CE -79$3 m, OF ON-SITE ''•�' WATER AND WASTEWATER PROGRAM By: Original Certificate Date: (Rev. ii S) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Boz 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ALPINE WOODS BLOCK 1 LOT 3 Parcel ID: 015-234-04 A. WELL DATA Well type COMM. "A' Date completed Total depth ft. Date of test Static water level Well production WATER SAMPLE If A, B, or C provide PWSID# 213598 Well Log Sanitary seal (Y/N) Cased to ft. FROM WELL LOG Wires properly protected Casing height Coliform colonies/100 ml. Nitrate mg./L. Collected by: Ic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA in. TankType/Material SEPTIC/STEEL Date installed 12/8-9/03 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (YM) N/A Date of pumping y S Pumper .71S CLCA. C ✓2 QV C. ABSORPTION FIELD DATA BELOW EXISTING GRADEI SOUTH ORTH Date installed 12/8-9/03 Soil rating (g.p.d./feo /bd 0.7 System type SHALLOW TRENCH Length 2 @ 58=116 ft, Width 5 ft. Gravel below pipe 3.50 ft, Total depth *7.3+ ft. Eff. absorption area 1074 ft' Monitoring tube YES Depression over field NO Date of adequacy test **3/23/12 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0/0 in. Water added 1370 gal. Elapsed Time: 120 min. Final fluid depth o in. Absorption rate >= For 5 bedrooms New depth 10/6 in. 750+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date **WATER WAS INTRODUCED INTO FLOW SPLITTER WHICH WAS DISPERSED EVENLY INTO BOTH TRENCHES. D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN "Pump on" level at in. "Pump off' level High water alar level at Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on Public sewer main Sewer /septic service On adjacent On adjacent lots manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main 10'+ Water service line I C 'r" Surface water_ 5'+ *100'+ Wells on adjacent lots 100'+PVT/200'+PUBLIC SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ r Water service line 10 + Surface water *100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+PVT/200'+PUBLIC F. COMMENTS *COULD NOT VERIFY DUE TO SNOW CONDITIONS. 100'+ PER 2004 INSPECTION REPORT. G. ENGINEER'S CERTIFICATION I certify that I 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 JEFFREY A. GARNESS Date COSA Fee $ qq6' 01 Date of Payment `t 16 / I a Receipt Number Ql --TC f (Rev. 11105) Waiver Fee $ Date of Receipt Number TS rIM. II 7 .££'M M.,90.90,0 N b GPf/ N I7 W d a0 ;a a o'e !d8 �S S9 S , .l0'Z4Z 3.90.9( AtoPI�I: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program dC" 4700 South Bragaw St. S e T. P.O. Box 196650' Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-234-04 HAA #_ 0 L7- () 009 Expiration Date: " % — 0 1. GENERAL INFORMATION Complete legal description Alpine Woods, Block 1, Lot3 Location (site address or directions) 5901 Downey Finch Drive; Anchorage, AK 99516 Current Property owner(s) Garret & Barbara Wong Day phone 345-2165 Mailing address 5901 Downey Finch Drive; Anchorage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Mary Tutterow / Dynamic Properties Day phone 261-7600 Mailing Address 3111 C Street, Suite 100; Anchorage, AK 99503 Unless otherwise'requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class A Well Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑✓ Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are _ .._ valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage • ,"° Development Services Department 4 Building Safety Division On -Site Water & Wastewater Program At." 4700 South Bragaw St. . P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ? HEALTHAUTHORITY APPROVAL CHECKLIST Legal Description: Alpine Woods, Block 1, Lot 3 Parcel ID: 015-234-04 A. WELL DATA Well type AI If A, B, or C provide PWSID # 213598 Well Log (YIN) _ Date 160=16ted Sanitary seal (YIN) Wires properly prote (YIN) Total depth ? Cased to ft. ?. Casing hei above ground) in. C f' FR ELL LOG A SPECTION Date of test I. Static water level Well production 9.13. g p WATER SAMPLE RESULTS: ilk Coliform col s/100 ml. Nitrate mg.n. Other bac colonies/100 ml. Arsenic: mg./I. Date of sample: Collected by,' B. SEPTIC/HOLDING TANK DATA Tank Tye/Material Steel Date installed 12/11/2003p Tank size 1500 gal.' Number of Compartments 2 Cleanouts`(Y/N) Yes Foundation cleanout (YIN) Yes Depression over tank(Y/N) No High water�alarm (YIN) No Date of pumping N/A Pumper 1, ? .,. C. ABSORPTION FIELD DATA Date installed 12/11/2003 Soil rating d./ft2 or ftZ bdrm 0.7 S stem type Shallow Trench 9 (9 P ) Y YP Length 2 x 58 = 116. ft. Width 5 ft. Gravel below pipe 3.5/3.5 ft, i Total' depth 7•2/7-5 ft. Eff. absorption area! 1074 ft2' Monitoring tube Yes :: it Depression over field No Date of adequacy test New I Results (Pass/Fail) For 5 bedrooms Fluid depth in absorption field before test in. Water added gal. ''� 'I New depth in. Elapsed Time: min. Final fluid depth in.. Absorption rate >= g.p.d. Any' rejuvenation treatment (past 12 mo.) (Y/N' & type) None If yes, give date j i 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. # 015 " 21>q _n y 1. GENERAL INFORMATION HAA # H A 14-0 5_D I Complete legal description Lo ► 3 13 to c t<. j 4 21NiF_: t&*0 t7S Location (site address or directions) -5 90 1 P© u'/Na-I f= 1 N,C.H qs-�- - 4 Property owner 01 vy"A AC (?D -,r- �-e- Day phone _900-'255 - 19o9 Mailing address Lending agency Day phone Mailing address Agent L&u- Day phone 7G2- - 311 '2, Address Unless otherwise requested, HAA will be held for pickup. 1 til ;, l �/ •. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well TV510 ,2/ 3s'g 8' 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 821 T 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l 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 �'�- �D v y � % ? C Phone AZ 9 AddressoZd 3 l�� '�'�3 -- Engineer's signature 'T " 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. By: Date VJ d 1 !p . t:'arti Conditional approval for bedrooms, with the following stipulations: i Additional Comments UJTIC 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-M (Rev. 1/91) Back MOA 821 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lo� 3 fah t AJ LY,'&& > Parcel I.D. Cq/.} — Ll A. Well Data Well type Z�S_ If A, B, or C, attach ADEC letter. ADEC water system number IJ 21 3J' q 8 Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump levell Date completed Cased to FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: Driller Casing height Wires properly protected (Y/N) AT INSPECTION ; On adjacent lots On adjacent lots Public sewer manhole/cleanout Petroleum tank Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING)TA/NK DATA Date installed t 118 / B `( Tank size I Oo Compartments Cleanouts (Y/N) �/ /Foundation cleanout (Y/N) ` Depression (Y/N) High water alarm (Y/N)nlA Alarm tested (Y/N) Date of pumping I �23 I R `/ Pumper A + SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot l l ig% On adjacent lots 111/14 Foundation To property line > / d —Absorption fieldg% Water main/service line Surface water/drainage 1 Y ©✓l -P— 72-026(3/93)•Front CONTINUED ON BACK PAGE m c IRi r., -•�� m Z 0 g.p""r a � w M r'1't N = 0 Z ; On adjacent lots On adjacent lots Public sewer manhole/cleanout Petroleum tank Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING)TA/NK DATA Date installed t 118 / B `( Tank size I Oo Compartments Cleanouts (Y/N) �/ /Foundation cleanout (Y/N) ` Depression (Y/N) High water alarm (Y/N)nlA Alarm tested (Y/N) Date of pumping I �23 I R `/ Pumper A + SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot l l ig% On adjacent lots 111/14 Foundation To property line > / d —Absorption fieldg% Water main/service line Surface water/drainage 1 Y ©✓l -P— 72-026(3/93)•Front CONTINUED ON BACK PAGE C. LIFT STATION / Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water Date installed I t `� Soil rating (GPD/Ft2) 15,2— System type 1 Ott -t -t 014 Length /0 3 Width 3 Gravel thickness �. Total depth 10 t Total absorption area 8 l a] Cleanout present (Y/N) Depression over field (Y/N)_ Date of adequacy test ql 2 2C g y Results (pass/fail) for _ Bedrooms Water level in absorption .field before test w After test Peroxide treatment (past 12 months) (Y/N) If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: / Well on lot `' On adjacent lots / ` Property line t / 0 To building foundation 3, To existing or abandoned system on lot K�k- On adjacent lots 3 0 Cutbank I x�O 14 -e Water main/service line 7 -5-0 Surface water N I /,--) �j Driveway, parking/vehicle storage area > 15-0 Curtain drain C E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature T_ S� Engineer's `I Name I o��a-e v k,1a VJ Date ?/S& (`q `1 HAA Fee $ (f.Y) Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)' Back 6c, 6)035-) Date of Payment Receipt Number 7_1- i V4r 4- 4 t4- 4-1 441-- ,I�i I Irl Ili! `� � � i � ' `j � • }•1 � �".�- Imo—.,- i — 4' I I I ^�atlP}, r'%is• i• .N•.. •. pfi a'Y •..�, i,rn'�•s'-,I ��F .l�"°"•'C':. :r...,S :.i..P:.9 �s V�.e. _:iir'i 4.tV•' •k� L," ++.'^S�• +��1 r:, �. 1:>^,•: a • . � qi, � �y,r.' �LI�?1 a a,�+�i„ 4+ t• 'r f . ., r � 'i`"•" N ;'ai.-1,hl"t%•+�:Git•.i 9' �„`?�• rf!"^:P'•���i'S'a ;; i" i. 'SSD"i �'�' t..,�1,i'Ld'$, ,9�5 �:u:f::r.: t' y :++...... v�.i + Lam•.:.. •i.+:., ae. r 9 !<i:r Y'•`�,�;:;'.. •�l._`?:, *.,;; ili''i lig._ pis,. :�i'.;{7R ;,t L�ISy,.,.,. �;..:•.. �. 4{�••• -'i: •.•y �. °'` •r� y{tom' '..$. .,Jr• •! ' _,!l'iL•�'.:u.�^�(�•.,�.k1:�.:i.Ci����9da:•,�7.a�ts��;%.'i OCT -12-94 WED 02:15 AM TOBBEN SPURKLAND 2766013 P.03 T.SFURKLAND P.E. 203 WEST 15TJ-L AVENUE SUITE 203 ,ANC1101tA0E, ALASKA 99302-3904 (907)279.3916 F'W (907)-276-6013 SEPTIC SYSTEM ADEQUACY TEST LEGAL s Lot 3 Block 1 Alpin* Woods LOCvATION: 5801 Downey Finch OWNER: Edmund Cartek RESIDENCE; Single gamily, 5 Bedrooms WELL Community water Sy9stelms PNSID 213598 SUPTIC SYSTEM: PROM MUNICIPAL, RECORDS: 5 BCdroom system TANke Greer Steel 1500 Gal. Two Comparts. ABSORPTIO14 SYSTEM: Trench ABSORPTION AREA: 819 Sq. Ft. SOIL RATING: 132 XOSTALLATION DATE: A/8/84 WAIVERS GRANTRDe None Required DATE OF LAST FUMPINGs A+ Home services. 9/23/94 DATE OF TEST: September 29, 1994 TEST FR.00EDUREI System was inspected and measured. Tank was found with 2.75 feet Of cover and with a liquid level of 9 inches. Trench clean out was 3.5 feet deep and dry, Trench monitor tube was to feet deep with 53 inches of very heavy sludge. The sludge was removed from the monitors and 3600 gallons of clean water was added to the trench while the water levels in the tank and the monitor tube were monitored. The water level in the tank did not change, while the level in the monitor rose from no water to 5o inches. During the next hour the water level in the trench dropped 6 inches, indicating that the system was operating satisfactory. TEST RESULT: This system meets the code requirements of the Health and Social services Department of the Municipality of Anchorage. NOTE t The operational life of all septic systems depends on the local soil conditions, groundwater level* 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 this system will function satisfactory for current or future occupants:. All septic systems ultimately fail. Some systems last 15-20 years, others fail after less than 5 years. I MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (addressor directions) QnLQAJ F ILLJA D!t (b) Applicants NameCL/, &C t. NLr "IQTt/? Telephone - Home Business Applicants Address SXA Ann 1'>39 EAGLE (911ye/2 An- `i�S77 (c) Applic)Ant is (check one) Lending Institution ; Owner/builder ; Buyer Other (explain); (d) Lending Institution- Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 1 I- 2. Type of Residence Single -Family � Multi -Family Number of Bedrooms , 3. Water Supply Individual well = Community 54 Other (describe) 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. V4 [Page 1 of 21 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 regula- tions in effect on the date of this inspection. Name of Firm A E CS j tic Telephone Address /2-6c C-cJ � ~ •, /1 A)C NG,,f A 6 Z A t< Q 9S-0 3 Sc.,,' +� Date /C� �� i / 4 °p,(`` @ Co f.0 •q 7 �� (ENGINEER SEAL) M9 H 6. DHEP Approval Approved for bedrooms By Approved Disapproved _ Terms of Conditional Approval ;.PC C. 2251 •E e '14r'r10FESS� Conditional e'®�'°r'' CAUTION - I& THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] M 7-19-84 A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 aYgV 1-11 vlvY Ni, .4. � , , - .J NOV. 1984 RECEIVED Legal Description: 7? 13K Well Classification cam, tjAi;rye If A, B, cr C, D.E.C. AppyOved(�T) �-E'T� fa-rriaciaea Well Log Present (Y/N) AJIK Date Ccapleted t+ Yield A) Total Depth4 j%yl Cased to Depth of Grouting Static Water Level A) / Pump Set At ,� )! A �_ Casing Height Above Ground ti/M. Sanitary Seal on Casing (Y ) Electrical Wiring in Conduit (Y/N) AJJi . Depression Around Wellhead (Y 1 Separation Distances from Well: To Septic/Holding Tank on Lot > Zoo "� ; On Adjoining Lots > -zoo' r� To Nearest Edge of Absorption Field on Lot > Z.W \I'� ; On Adjoining Lots > 2ck�, / To Nearest Public Sewer Line _A.) ./A To Nearest Public Sewer Cleancut/Manhole AJ /& I To Nearest Sewer Service Line on Lot AJ /IS Water Sample Collected By. 1U.4 ; Date Water Sample Test Results B. SEPTIC/HOLDING TANK DATA Date Installeed,�,` t,_ size ,goo No. of Ccmpartments 2. Standpipes (f Air -tight Caps AM) Foundation Cleanout OW Depression over Tank (Y Date Last Pumped 'u /& Pumping/Maintenance Contract on File (Y ) ; for ,iJ114 Holding Tank High -Water Alarm (Y/N) &y+ Temporary Holding.Tank Permit (Y/N) Al Separation Distances from Septic/Holding Tank: To Water -Supply Well > too' _ To Building Foundation 13.5 To Property Line 1.) 4.4. To Disposal Field To Water Main/Service Line �-2p6' ao;.Y To Stream, Pond, Lake, or Major Drainage Course N 1t4 Comments rUFQXA_Ati0.'U AeC 1JSA iL.= 1.) I�E�? 1�E Ln A4&ASyA?e.tiR.yT X0(31/r'q voj� (Page 1 of 21 2-15-84 L3 ,d / 13zv)tic- aUGGL35 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /6'2L7 Type of System Design lofeAjcif Date Installed /�7"7 8� Length of Field 3 Width of Field 3' Depth of Field Gravel Bed Thickness G.s� Square Feet of Absorption Area 48)940/ )9ci Standpipes Present K?yN) Depression over Field (YM Date of Last Adequacy Zest Results of Last Adequacy, Zest Separation Distance from Abscrption Field: To Water -Supply Well 20p ` To Property Line 3e( To Building Foundation 311, To Existing or Abandoned System Cn Lot Adi4 On Adjoining Lots 30 >z To K E Y To Water Main/Service Line 9-1A To Cutbank(ifpresent) To Stream%Pond/Lake/cr Major Drainage Course AJ h4 To Driveway, Parking Area, ar Vehicle Storage Area i.) 120' Comments im co "Ario,u Peg ASgy, elze EA'"' a A4&4 -;d9.9 1AAJr D. LIFT STATION A / V (- Date Installed Dimension Sipe in Gallons Ma �/Access (Y/N) "Pump On" Level at "Pump f" Level at High Water Alarm Level at N, Vent (YM) Tested for Pumping Cycle ding Adequacy Zest. Meets MOA Electrical Code ) Comments ** Check Permitted Bedrocan Rating Against HAA Request ** I certify that I have checked, verified, cr conformed to all MOA HAA 3 roes., in effect on the date of this inspection. Signed Date 3� Compa '_4= G S , ;�, MOA No. 5T'84 -02f- KBl /d5/s (Page 2 of 21 � tis gf d;j 7 a .r- e�._�p. pF e r D , 2-15-84 ['71 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 WE ffiffb� PWS 1.0.# 02i'515qg To Whom it May Concern: BILL SHEMELD, GOVERNOR Y Telephone: (907) Address: 274-2533 According to records on file in this office the Water System is in compliante. with the State Drinking Water Regulations Sincerely, j