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BEACON HILL ESTATES LT 1
Beacon Hill Estates Lot 1 #015-092-47 Municipality of Anchorage Page t. of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW 9400 7-2 PID Number: _6 19— o`77-- 47 Name: 9_41% MCC,A2:ty Wastewatgr System: ❑ New 1 (Upgrade Address: 3 goX 056 D 99645 `ABSORPTION FIELD Phone: a ZZ 31 6Z No. of Bedrooms: 3 Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound O Other LEGAL DESCRIPTION Soil Rating: 94 AdG• Total Depth from inalgrade: IO. Q— — " I 111 I • GPD/S . Ft. . Lot: ! Block -f Subdivision: 1 �E•..4L0^1 b4iLt. C—Si-' Depth to pipe bottom from original grade: �}7 "- 9 2_7 Gravel depth beneath ipe 6 gip+ I� .Z.. Ft. • Ft. Township:Range: N N Section: Fill added above original grade: Gravel length: 3 5 * n! FL Ft. ❑ New ❑ Upgrad Gravel width: y + 2 Number of lines: Distancet eenlines: Ft. /4 Ft. Classification (Priv B,C): To pt h: Cased To: Total absorption area: .42)0 Pipe material: 10 f A3 a3g-- Ft. Ft. SQ. Ft. r.8 Driller:ate Drilled: Static Water Level: Installer: t c��-2 5 F_x c . Date installed: La I L3+ Ft. Yield: Pump Set at: Casing bove Ground: TANK GPM Ft. SEPARATION DISTANCES (Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Litt Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines A -/.t C-0 � Lo 0 z) Well 1 102 t0) �f4 /A ! q-3 ± Material: Number of Compartments: 2 Surface 141,4 N N /A LIFT STATION Water t!A Lot .� / 1 l� 1-7± Size in gallons: Man rer: Line / Foundation / 5� ! � "Pump on" level at: "Pum a: High water alarm at: Curtain I� N'� N J 4 Pu e & Motlel Electrical Inspections performed by: Drain ! 7� Remarks: WEu- Ila-prus plzopa&" BENCH MARK l:tivF� wFF Fw4-Z-ED By L44P REU- Location and Description: StDf_LwAA_k—' e SauT�-1w£-S i SuQVEEjo f_ • Ro-Il OF -IsE-ST WPLP=- COQ-r=D O(-- Vk-VL4S WASE���ro0 -7 a Assumed Elevation: I-R2E.rc�-I• 84.36 C� Lc> t,) 5 + POT . UD -VQFJCA a =moo % ` - .�. �► i. Aw •• 9 0 Inspections performed by: 6,A[Z16_-;-S Dates: 1st )R 4 d ••'• • ••• ofof, 2nd 7 9:00:444. �� 3 ►ZD -7/Z0 94- rey A. Garness a • CE.7953 " Department of He*alta Hu ervices appr va •• 4Fop••••••�,�it*��� �,�'ira►o���i" Reviewed and approved by- Date 72-013 (Rev. 9/91) MOA 25 I Permit No. S\49+00 ZZ Page 2- of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AIVD 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: L-0 7- 1 a 4aaco.J E4tu- .S71 PID No.: DiS- oqZ- 47 f , ..............................$ .... ................ ............................. s Ioo�R w S .............................................................................. .... ... ........................ q........... ............... .. ..... ........... ...... ............................ .. .......................... • 2 , 11 :.w.e..v...,„•..,.. •...:...:..........................................:.........,.. .. t.: 4 ....... .................... ...... ................. ..:.....,..,. :.........:.... n•.... ..:. ..: ....... ... ....... r• :.. ... ........... .. :. do .. .. . New } loos �+ 0-C/0 ICUP ......................... arw (................................. ........... ....... ............. ........ ...................................... .. ....... ... a N'� BE�.1c.44NK�K- IS I.OLA-'i`Ef7 451µ ��IDEWGrI.J< Ac-4v�► ESV '• 1co .00 ... N ' r .9 1 # /I W r ri w ,4 = 22r (c A -F = 8 - w ... .....8'-..:..:..�.4.......... ...... ............ see 4.600 .. Ir r w • �.w� .r -j A G' = � G ”- (0 1� c� f r A. Garnesi a+� CE -7953 •� 00 r �� #OR0FEGSO'k 72.013 A (1193) Permit.No. 5 W 01400 ZZ page of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: �-°T $E��oN 1�tt t� �s� PID No.: C)iS— 092_ -47 72-013 A (1/93)' PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940022 DESIGN ENGINEER:ALASKA WATER & WASTEWATER OWNER NAME:MCCARTY RAY E & NANCY J OWNER ADDRESS:PO BOX 231261 ANCHORAGE AK 99523 PARCEL ID:01509247 LEGAL DESCRIPTION: BEACON HILL ESTATES LT IJOT SIZE: 12200 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 DATE ISSUED: 2/04/94'1 g,� c,A SERVICES EXPIRATION DATE: 2/04/95 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: LOT LINE WAIVER WR930078 SUED TO 1 FT. FROM PROPERTY LINE. SP MATERIAL PERCS A E AN 1 MIN/INCH BUT IS ADEQUATE AS FILTER MATIERIAL. I IN SEPTIC TANK MUST BE ABANDONED. RECEIVED BY: DATE: Z S114- ISSUED BY: JO r DATE; Zj+ hf� Jeffrey A. Garness, P.E., M.S. Owner/Consultant Tcleplione - Fax 338-3246 • 8471 Brookridge Drive • Anchorage, Alaska 99504 Munk..,pality of Atich gage Department of Health and Human Services Cjl"1h5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 34? -4744 February 4, 1994 Jeff Garness, P.E. Alaska Water and Wastewater Services 8471 Brookridge Drive Anchoraa6, Alaska 99504 Subject: Waiver Request for Lot 1 Beacon Hill Estates Subdivision Waiver Request #WR930078, PID #015-092-47, SW940022 Dear Mr. Garness: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 1 foot to the property line parallel Beacon Hill Drive. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sin erelPPE L n Smi P ogram Manager n -site Services JS/ljm MUNICIPALITY OF ANCHORAG_. Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR930078 PID# 015-092-47 HA# Date Received: December 27, 1993 Permit # 56VG/4_C0'ZZ Legal Description: Lot 1 Beacon Hill Estates Subdivision Engineer: Jeff Garness, P.E., Alaska Water & Wastewater Services 8471 Brookridge Drive, Anchorage, Alaska 99504 Applicant: Ray & Nancy Mc Carty Waiver Requested: Lot line waiver of 1 foot to property line parallel Beacon Hill Drive Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: I& AVI�"6 Z:M Date: -2-4/ria- By: ame of Reviewer Rec #: � [ ti �.15"lU Amount: $ 11 > Date Paid: jA-a1-9L $ W5 V t � ' NI. T. 41 0007, � ef 77 III I „'!I � I i ^ f z� I � µ `" :m��{b�' • � Y" At 'I ay III' ISI{��I'; ilNl ly yl I�Ill�l'Iill� i �I �� Id ��I�l ,�,'n1, tiill�ol I f � I��II I Ilil�, til Ih I��,�S u �c Y I "idl � I IIIA I I I Iihl lh� I �1 vl!1a., 'll I� ;II y' N I u IIY I I i I IhI .III Alaska Water 8c Wastewater Services "Preserving the Last Frontier" December 24, 1993 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Municipality of Anchorage 2 l 1993 Department of Health and Human Services Division of Environmental Services RECEIVED On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for -Lot 1, Beacon Hill Estates S/D. To whom it may concern: Attached is the application, site plan, and design drawings for the subject septic system replacement. Comments regarding the proposed system are as follows: 1. TRENCH DESIGN: As can be seen from reviewing the attached percolation test results, the soil "perked" at 11.4 minutes/inch in the 2-6 foot depth and faster than 1 minute/inch in the 6-9.5 foot depth. The soil in the 6-9.5 foot layer is clearly sand. I have submitted a sample of and that a sieve analysis is not necessary. Please let me know if you believe otherwise, and I can arrange for a sieve analysis. It is my intent to use the weighted average of the trench application rates for the soils in the 2-9.0 foot depth (trench depth equals 7 feet). This corresponds to an application rate as follows: ((4.5 feet of SM)*.8 + (2.5 of SP)*1 .2)/7 = .94 GPD/Ft2 Since the existing home has 3 bedrooms, the total design flow is 450 gpd. Based upon this, the minimum amount of absorption area is 479 ft2. The proposed trench is 7 feet deep and 35 feet long and has an absorption area of 490 ft2. 2. SURFACE WATER: Since the site visits to date have been performed during the winter it is not possible to verify whether there are any surface waters within 100 feet of the proposed systems. Based upon the location of nearby septic systems, and knowledge of the homeowner, surface waters do not appear to be a concern. Telephone - Fax 338-3246 0 8471 Brookridge Drive 0 Anchorage, Alaska 99504 3. TOPOGRAPHY: The lot slopes down from Beacon Hill Drive towards Hillside Drive. There is a flat bench (picture enclosed) where I am proposing to install the trench, however, it is only about 15-20 fleet away from a 50% cutbank down to Hillside Drive_ Due to the presence of the SP layer in the bottom portion of the trench and the fact that we are proposing to alternate flow between the old and new trenches, I think the potential for wastewater to daylight will be minimized. Unfortunately, due to the presence of nearby wells, and the limited space available on the property, I can see no other viable spot for the system. The existing trench is closer to the cutbank than the proposed one, and I am unaware of any problems with "daylighting". 4. UTILIZATION OF EXISTING TRENCH AS STANDBY SYSTEM: Once a surveyor verifies that the existing trench is on the property, an alternator valve will be installed so that the homeowner can switch back and forth between the new and existing systems. 5. SEPARATION DISTANCE FROM NEW TO EXISTING TRENCH: The separation distance from the new to existing trench may end up being slightly less than 10 feet. However, due to the lot restrictions, there may be no way to maintain the desired 10 foot separation. 6. LOT LINE WAIVER: Due to the limited space available it will be necessary to crowd the trench against the property line which parallels Beacon Hill Drive. I am requesting a waiver of the separation distance to 1 foot. I am unaware of any adverse impacts associated with this waiver. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any question, pease call me a 337-6179. Sincerely, Jefi'��A/. Garn�as! P.E., M.S. Ow / o sultant JAG/jag McCartyl.WPS i L.oT 3 14t LL -S10 LpT !LC NETTL.ET�I� `SID LoTZ Ior1�BK1. oJ�w 100,R �-rZ� SKI o 11UNE¢ tytov2E SID ? , We1-� Z R Ws�� z (cRt s vi Lor 3 SK 1 'Q '�"� Amt E(L I✓tbp2E 5/D 41NSUBpIv1�E0 yEQMocLE Sly NOT -E-- AL.1.. I.oTS Ar2E I,,3 BEACON 1-111-1. s S -r -r, i C S e U N I I= S S D f T-4ZA w A �- Is SEPTIC uQCzRAD� : LOT L.� BEACON 1 41LL 9-: A. PREPAID FO'R.: RAy � NAN�,�/ 1`��CaQ-r`/ ,•fir• • •.' ..�:.•••. •• Je fr A. Garness PZEPAV-aSr eY = ALASkA WATER— � WASZc--NNAMEPP SEZVIC S e�f JF'� E-7953 •. ����.s pROFESSa" � Z1z7. 93 oeawN GA2JJE55 sCAL=Io0 1ge'as�►a' W Is J J �(c P.LTEfLNa"cn2 APpR-Dx LO rA-Tt o �v cq-- EX�si�Jb SEP 1C uPGeoDe : LO -r- s. $E.ACDN 1-1 LL Esra-r=.s PREPAalFD FOQR : Qay MC Cp.2- / �JGIsT�fl IABD SutLv>✓yo1� l.Oc'= 'E LOT L+r•� s t N V I G(n+ Cr Dv' GXISTNLs PP- 0POSF-D SEPfIG -rre-s ,GAS . ( r- aX.ts-n nl 6r T2E tS 0 P( -Open `-% CoNNECr Ne,.,j S\{ STS A-l-7er2,J.Vt VGLvE , IF Nrfl' oN PPLoP6j2'-7I' P(QLW Dnr4E 1a gpL4c5 . I N ADD rrl S V Q.V E`lo(Z S P4-0- S'lAiLE -OtiT 100` LAJ P"DID /vaw' .. PP.F-PAeaS) ZN : ALASICA WAFER. � WASi—=wAI-ER. SEZVICZs PA -r 12/z7 /9.3 D? -AWN GA2t�ES5 sc..4� = l"= 20� -Ow' - ` "\ ,.� of 4 1 Fef ..�.a ness 43�ROFESSOPo C4- F) F0 LOf1�-norj of=MONITD2itJC�- ~i'V �AG1�FILL. W ITN NbTly� 'SdIL� MouND bACKFILLBD 501L 1094L.AMaJ BOA 4> 'd D se � Q � 4 WALLS MUST 8E RAY -a'> rd'TA L. -n2F�.tcK u� e -T -t = 35 °R' sca21 FI E.P p� o2� TD - .e.8sorze'r1o�1 P2�A .. � P���C�`rr' •oF 'DR�inl Rte. 490 F-rZ Q o �A, Q• / �WSITLi'! � DRA I N ROCK •" ` . SOIL 9o,a a-Qrd h 2'-O " em.10 _jAoTre D2A I N .RDC llhll_:.. �%Z 1 tsC.i-�► -'�"( ... 122/z NC" CN sCREP-NG D RACK -TP—SNC%} S�-M IL : Loi' 2 BEACOnI N ILL ESTA7 E S p2EPA2�D Foil, � • R -4y M � Ga 2-w� P 2Ef�A QED F3\/ : AL sL-,A WP''TEZ �( VASTeXNA1 .SER-VIC" �� *a1 Z / 24/93 DeAWr4 'a C-�nj�.SS sC t.E S NTS 0 44 v �• -- le poo • tett . s �•.• it• t. • •'age too t• tt tt f rey A. Ga ss e . CE -7953 1 �;q®FE gSO" v s Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST a PERFORMED FOR: tl�-�-"�I M C C�Q"T� DATE PER L -o -r 4--)gEAC"^' I.AILL- Township, Range, Section: N LEGAL DESCRIPTION: IQ' �PE SITE PLAN DEPTH (FEET) brLIGs 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 PPS I�! �'n� U �-� ( , T WAS GROUND WATER ENCOUNTERED? SN► BarroM 5� L IF YES, AT WHAT 0 DEPTH? P Depth to Water Alter Monitoring? N Date: z z0 93 ■�.■■■■■'IN. Gross Time Dep th to We er ... "■ I E ■,..■■,■j ■■,►-2�.. UNNNEEMMEN ■■ %R.ME■■■ 0000 90MMEN NEORNMEMEN )'q3 pp� 30 d 0 SLOM5 ILL II.'9- Min/I jr-H &T II PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 4 FT AND 4,5 FT 'OMMENTS p�cv>✓(f-�0 U SIrJCr wCl�t+-►'�1J A\jE PEP`c�ca-'�-'�"� p g�'� uPo� 5 pE PERFORMED BY: �l��f vt SEsS CERTIFY THAT THIS TEST AS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 3 72-008 (Rev. 4/85) Gross Time Dep th to We er ... II.'9- Min/I jr-H &T II PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 4 FT AND 4,5 FT 'OMMENTS p�cv>✓(f-�0 U SIrJCr wCl�t+-►'�1J A\jE PEP`c�ca-'�-'�"� p g�'� uPo� 5 pE PERFORMED BY: �l��f vt SEsS CERTIFY THAT THIS TEST AS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 3 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME le -477 --(OW.. 3 E:1NEW RADE MAILING ADDRESS 4- 3 LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS VY DISTANCE TO: Well Absorption area Dwelling PERMIT NO. a ZQ W Manufacturer `` Material No. of compartments N Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 6 Y Jtz DISTANCE TO: Well Dwelling PERMIT NO. _ = Z F Manufacturer Material Liquid capacity in gallons T = DISTANCE TO: Well 0 Foundation Nearest lot line PERMIT NO. J LL Z Z W No. of lines Length of each line Total length of Ines Trench width G inches Distance between lines Q p Top of tile to finish grade Material beneath tile " (3 f inches Total effective absorption area 7�-- W Length Width Depth PERMIT NO. CL H LU Type of crib Crib diameter Crib depth Total effective absorption area W y DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER R_ REMARKS �C STY 6 1 �f G ' APPROVED DATE LEGAL ,r�5 72-013 (Rev. 3/78) . �� 06.P� ���� �� ���������� �FEE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ' 825 /L' STREET, ANCHORAGE, HK 99501 264-4720 �] 0 C, r-J—��I -r FE F= W FEE F..". U F:�" 17-i F -C P.4 E: E� l=' E: F_ Irl I -T- w� / PERMIT NO. ( 790394 APPLICANT DALE J. LEVEILLE PO BOX 4_1]6] 277 6792 LOCATION BEACON HILL DR LEGAL L1 BEACON HILLS EST. LOT SIZE 13000 SQUARE FEET TYPE OF SOIL HB5ORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 92 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: �F: F- -F "= �� ��" C -i -F "= �� THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFHLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ___ "T L-4 t__1 <;2 > 11 r_4 �F. F="I--- 1:�. -ir' l 1---1 r -4:F. " Fe FEE �����1 F-MEE I.-, BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WEI.L OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ���Ml"T ��l::--F_= MOE-= FR ���f_4 I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE %S REMODELED TO INCLUDE MORE THAN ] BEDROOMS. SIGNED: k:ANT C~�-7'�/ ISSUED By___ 4040 "B" STREET ANCHORAGE, ALASKA 99503 ALASKA TESTM (907) 278-1551 July 17, 1979 W.O. #A18990 Grid: 2440 Dale J. LeVille c/o Williwaw Realty Box 4-QQ Anchorage, Alaska 99509 Subject: Percolation Test, Lot 1 Beacon Hill Estates Cantl.emer_: At your request, we have completed a percolation test on ):got 1, Beacon Hill Estates Subdivision in the hillside area of Anchorage. The boring location is shown on Figure 1. It was drilled using a continuous flight solid stem auger drill rig mounted on a Nodwell. carrier. The rig is owned and is operated by Denali Drilling, Inc. Drilling was supervised by Mr. 0. M. Hatch, Alaska :t'esLl.ab geologist, and percolation test performed by Larry Schmidt, Alaska Testlab technician. The log of the test hole is included as Table A of this report. In interpreting the log, it would be helpful to utilize tine explana- tory information contained on Sheets 5, 6 and 7 of the report. When drilling was completed, a 3/4" slotted PVC pipe was i.n _rtec' in the hole to aid in determining the free water level. F(,�r the percolation test, the test hole was filled with water and left overnight to saturate. On returning the next day, the role was refilled with water and the water level carefully monitored for the nett 60 minutes. This procedure is not a standardized percolation test, however., we understand the Municipality of Anchorage, Department of Health and Envi rorimental Protection, accept:g tests performed in this manner to evaluate -the site for proposed onsite sewerage system. Using the above test, the :)bserved minimum percolation. rate for a ten minute period was 2.5 minutes per inch. We. suggest that the onsite wastewater systet, be designed for a minimum absorption area of 92 : uare .feet. per bedroom. This recommendation is basad on criteria. in the '"Manual of Ieptic Tank Practice" U. S. Departnient of Health Education and Welfa-,.e, Public Health Service. Dale J. LeVille July 17, 1979 Page Two We recommend the absorption trenches be inspected prior to installing the system as the above recommendations are based on the result of one six-inch test hole. The seepage trench will provide a much clearer picture of the subsurface conditions than the test hole. If the soil conditions turn out to be more favorable than predicted, it may be possible to economize the system by reducing the length of the trench. Conversely, if the soil appears less permeable than the test indicates, then it may be necessary to enlarge the system. The chief value of the drill hole is in establishing the feasibility of onsite systems, while examination of the trench will provide site specific information. The following items are attached and complete this report: Location Sketch Figure 1 Test Boring Log Table A Standard Explanatory Information Sheets 5-7 We trust this report meets your present needs. If we can be of further service, please feel free to contact us. Sincerely, ALASKA TESTLAB -M tn'v+ M a Thomas A. Sexton APPROVED: Melvin R. Nichols, PE Laboratory Manager TAS/ms Test Hole #1 Depth in Feet From To 0.0 2.0- 2.0 6.0 6.0 9.0 9.0 13.0 13.0 16.0 Bottom of Test Hole: Frost Line: Free Water Le,rel: Table A WO #A18990 Date: 7/16/79 Logged by: 0. M. Hatch Soil Description F4, brown Sandy Silt (ML), damp, not plastic, soil is of stiff consistency. F2, brown Gravelly Silty Sand (SM), very silty, damp, all sand sizes present, gravel is rounded and to 3 inches in diameter. Soil is of medium density. F2, brown Siler Sand (SP -SM), slightly silty, all sand s zi es present, damp, soil is of medium density. F2, brown Silty Gravelly Sand (SM), all sand sizes present, gravel is subrounded and to 3 inches in diameter, soil is of medium density. F2, brown Gravelly_ Silty Sand (SM), very silty, gravel subrounded and to 3 inches in diameter, soil is of medium density. 16.0 Feet Not Observed Not Observed Sa. Type of Dry No. Depth Blows/6" M% Sample Strength Group Unified 1 5 Grab SM 2 10 Grab SP -SM 3 15 Grab SM Remarks: See attached sheets for explanation of Frost Classification, Textural Classification, and Unified Soils Classification. GAAB-HDD G TER ANCHORAGE AREA BORO 4 DtrARTMENT OF ENVIRONMENTAL O.UALII v 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING 7 / NAME—L��1�1� �—�-� ADDRESS—f'C��L� PHONE -.3'4 LOCATION DESCRIPTION LEGAL DESCRIPTION--��'/� �✓��� ���1� SEPTIC TANK: NUMBER OF DISTANCE FROM WELL Q —MATERIAL S TCS COMPARTMENTS_ LIQUID CAPACITY GALLONS. INSIDE LENGTH c� INSIDE WIDTH le— SEEPAGE SYSTEM: SEEPAGE PIT: LIQUID DEPTH -±__ NUMBER OF PITS /__ OUTSIDE DIAMETER Lam" OR WIDTH / LENGTH, DEPTH— LINING EPTH LINING MATERIAL �� l'� �/� � • DISTANCE FROM WELL llJ / j , BUILDING FOUNDATION_ Lz, NEAREST LOT LINE 'Z , TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL NDATION NEAREST LOT LINE OF LINES NUMBER O>AREA—_ T—DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTIOSQ. FT. LENGTH OF EACH LINE — - DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE W ELL: � -DISTANCE FROM �_ WATER � DEPTH BUILDING FOUNDATION._ SAMPLE NEAREST NEAREST SEPTIC�__ SEEPAGE v--- OTHER LOT LINE SEWER LINE TANK SYSTEM—, CESSPOOL DISTANCES: DIAGRAM OF SYSTEM ✓>'.L-1.. !'A1 DATE APPROVED .A.A.B. GREr,1'ER ANCHORAGE AREA BOkvUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 PERMIT NO. / U3 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT v `��-- ?6 NAME OF APPLICANT e MAILING A�DRESS " © � _ PHONE INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENTAUTHORITY WILL BBE,/AjSUBJECT TO PROSECUTION. SEPTIC TANK SIZE llJ/-0 TYPE 1A �'! aXa"��^•'7}SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS � , FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL jr , 5, ` SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. `.) WELL TO SEPTIC TANK s�a SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT , DRAIN FIELD ' SEPTIC TANK,, SEEPAGE PIT / DRAIN FIELD , TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED. SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM HORAGE A7REA OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE 11 /7 / Q A /7 HEALTH AUTHORITY OR `.) LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OTER DESC BE SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE' APPLICANT'S SIGNATURE DIAGRAM OF SYSTEM HORAGE A7REA OROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE 11 /7 / Q A /7 GRF`4 E -R ANCHURAGE AREA BOROUGF DEPA1 !T n1.. E°itnNEi:' °,L C -„Ai_; CASE # 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For ale J. Le eille _ Date Performed 9/24/71 Legal Description: Lot 1 Block Subdivision Beacon Hills Estates This Form Reports Soils -Tog x _ _ erca anon Test Depth Feet Soil Characteristics L -- Gray and brown silty gravel (GM) 2 -- - 3 —^ 4 t ; Gray sand (SP) with clean sand seam 6 - 7' 6- 7- 8- 10— Was -- 8•-- 10-- Was Ground Water Encountered? no If Yes, At What Depth? Reading Date Gross Time j Net Time ii Depth to H 0 Net Drop' I. 2 ; i i t - --- - ---- --- Reading Date Gross Time j Net Time ii Depth to H 0 Net Drop' I. 2 ; i rCI%.V1a1.IV11 naL,C 191[1ULe Proposed Insta'(iatian Seepage Pit x Drain Field Depth Of Inlet Depth To Bottom Of Pit Or Trenc- — COMMENTS: 178 square feet of drainagg area is required ner bedroom, Test er orme y R. E. Carlisle Data Certi ied--By :National Testing Svs. Date: Inc. MINING INDUSTRIAL R OIL FIELD CORE DRILLING SOLD Dale J. Leveille Lot #1 Beacon Hill Estates TO Anchorage, Alaska • 2402 COMMERCIAL DRIVE ANCHORAGE, ALASKA 99504 279-4831 277-1192 SHIP • TO • SOIL SAMPLING - GROUTING DRILLING SALES - SERVICE Invoice NY 1.035 CUSTOMER ORDER REFERENCE ORDER DATE VIA SHIPPING COLLECT CHARGES 0 PREPAID BACK ORDER NO. SALESMAN INVOICE DATE 8uAN pp��AA B/�C - 2 RDEIi STiIPN ORD.KI MODEL NO. DESCRIPTION PRICE EXTENSION DISC. TOTAL Drill water well 275 ft. adjusted to 240 ft. $13.50 per ft. Casing set at 230 feet. 1 pump( -154 B-5� ) 260 ft. # 12 wire @ 35¢ per ft. 2 BB Vales Q $1.75 ea. 1 2 1" x 3/4 tee 11, x 90 Ell Well seal 211 x 1" nipples Perferating pipe (outside labor) Install pump 228 ft. @ $1.00 per ft. 221 ft. of 111 pipe ® 45¢ per ft. CASH DISCOUNT OF $ IF PAID BY Post Due Account Will Delay Shipments TRANSPORTATION CHARGES [NCL. INS] AMOUNT OF INVOICE S NO RETURNS WITHOUT PRIOR APPROVAL 3240.00 363.00 91.00 3.5o 2.74 .83 12.50 2.00 170.00 228.00 99.45 PRICES AND DISCOUNTS SUBJECT TO CHANGE WITHOUT NOTICE. ALL ORDERS ARE SUBJECT TO PRICES PREVAILING AT TIME OF SHIPMENT. INVOICE .rl mf 11CONTRACTOR •OS S-MARTIN CO. ..i TULSA 1. OKLAHOMA DATE` ---- ..PANY 1 LEASE _ v n• WELL-No RIG NO. DISTRICT COUNTY STATE D. P. STRING NO, SIZE FROM TO FORMATION ROTARY WEIGHT PUMP SPEED ON BIT PRES. NAME HRS, S DM EM ACCIDENT:- SLOPE TEST H (GIVE NAME) FT. H DEG. OFF k` BIT AND COREHEAD RECORD RL 0 RUN No, �_ MUD RECORD TIME RECORD - DRILL STEM RECORD —_ WEIGHT DRILLING SIZE SIZE D. P. VISC. CORING MAKE SIZE COLL. WTR. LOSS•C.C. OTHER SERIAL NO. JTS. D. P. FT. FILTER CAKE REPAIRS DEPTH IN KELLY DOWN FT. PH. TRIP HOURS RUN MTL. ADDED (REMARKS) COLLARS FT, TOTAL FT. REMARKS: - FROM TO FORMATION ROTARY WEIGHT PUMP SPEED ON BIT PRES. r / NAME HRS. EM SLOPE TEST ACCIDENT:- N fGIVE NAME) f r" H ' /4�� FT. � DEG. OFF ` BIT AND COREHEAD RECORD RUN NO. MUD RECORD TIME RECORD DRILL STEM RECORD WEIGHT DRILLING SIZE SIZE D. P. VISC, CORING MAKE SIZE LOLL, WTR. LOSS•C.C. OTHER SERIAL NO. JTS. D. P. FT. FILTER CAKE REPAIRS DEPTH IN KELLY DOWN HOURS RUN PH. TRIP COLLARS FT. MTL. ADDED (REMARKS) FT. TOTAL REMARKS: - r. '� / FT. FROM TO FORMATION ROTARY WEIGHT PUMP SPEED ON BIT PRES. NAME HRS. DM EM SLOPE TEST ACCIDENT:— H (GIVE NAME) H FT. DEG. OFF BIT AND COREHEAD RECORD MUD RECORD TIME RECORD RUN NO. I DRILL STEM RECORD 1 WEIGHT I DRILLING SIZE ��� VISC. CORING SIZE D. P. I MAKE ' SIZE LOLL. WTR. LOSS•C. C. OTHER --- SERIAL NO.— JTS. D. P. FT. FILTER CAKE REPAIRS DEPTH IN PH. KELLY DOWN FT. HOURSRUN TRIP COLLARS MTL. ADDED (REMARKS) FT TOTAL REMARKS: — p FT. PRINTED IN U.S.A. APPROVED TOOL PUSHER DAILY DRILLING REPORT ROBS MARTIN CO. I%fi�ID 43 TULSA 1, OKLAHOMA COTRAG OR J/1 �V FORMATION ROTARY WEIGHT SPEED ON BIT PUMP PRES. DATE NAME HRS. COMPANY LEASE WELL NO. RIG NO. DISTRICT COUNTY STATE D. P. STRING NO. SIZE FROM TO FORMATION ROTARY WEIGHT SPEED ON IT PUMP PRES. NAME HRS. c2-00 U ACCIDENT:— (GIVE NAME) H DM DEG. OFF DRl 4) T i"Yl CC -P EM MUD RECORD TIME RECORD JE_DRILL STEM RECORD RUN NO. WEIGHT DRILLING SIZE D. P. SIZE VISC. H SIZE COLL. MAKE WTR. LOSS-C.C. OTHER SLOPE TEST ACCIDENT:— (GIVE NAME) FILTER CAKE REPAIRS H DEPTH IN PH. v COLLARS FT. @ FT. MTL. ADDED (REMARKS) TOTAL FT. DEG, OFF RL BIT AND COREHEAD RECORD MUD RECORD I TIME RECORD DRILL STEM RECO D RUN NO. WEIGHT DRILLING SIIE D. P. SIZE VISC. CORING SIZE LOLL. MAKE WTR. LOSS-C.C. OTHER JTS. D. P. FT. SERIAL NO. FILTER CAKE REPAIRS KELLY DOWN FT. DEPTH IN PH. TRIP COLLARS FT. HOURS RUN MTL. ADDED _ ( REMARKS) TOTAL n F7. REMARKS: I c .lam / `; f FROM TO FORMATION ROTARY WEIGHT SPEED ON BIT PUMP PRES. NAME HRS. [� / L� L' OM EM H � SLOPE TEST ACCIDENT:— (GIVE NAME) H Q FT.' DEG. OFF DRl 4) T i"Yl CC -P BIT AND COREHEAD RECORD MUD RECORD TIME RECORD JE_DRILL STEM RECORD RUN NO. WEIGHT DRILLING SIZE D. P. SIZE VISC. CORING SIZE COLL. MAKE WTR. LOSS-C.C. OTHER JTS. D. P. FT. SERIAL NO. FILTER CAKE REPAIRS KELLY DOWN FT. DEPTH IN PH. TRIP COLLARS FT. HOURS RUN MTL. ADDED (REMARKS) TOTAL FT. REMARKS: �/ / l .{ij /t p (/L.��I/ A J ) 2 FROM TO FORMATION ROTARY SPEED WEIGHT ON BIT PUMP PRES. NAME HRS. [� / L� L' DIM SLOPE TEST ACCIDENT:— (GIVE NAME) H FT. DEG. OFF DRLA BIT AND COREHEAD RECORD i MUD RECORD TIME RECODRILL STEM RECORD RUN NO, WEIGHT DRILLING SIZE D. P. SIZE VISC. CORING SIZE COLI. MAKE j WTR. LOSS.0 C. OTHER JTS. D. P. FT. SERIAL NO. FILTER CAKE II REPAIRS KELLY DOWN FT. DEPTH IN PH. TRIP COLLARS FT. HOURS RUN MTL. ADDED 1 REMARKS) I TOTAL FT. i PRINTED IN U.S.A. APPROVED TOOL PUSHER -- j �-- M' ICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTI DEPT. OF 14'rALTH & 825 L Street - Anchorage, Alaska 99501VIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION JUL 1 81979 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL (NATER AND SEWAIVEED DIRECT-IONS: Complete all paFts on page l�. Incomplete requests will notibe processed;,Please allow ten (10) dans'for processing, 1. MQPEATY OV%f�IAR PHONE 9o ME MAPOG PROPERTY RESIDENT (If different from above) PHONE 2. B ER PHONE c L MAILING y DDR - S 3. LENDF G JNSTITUT ON P ONE - r MAILING ADDRESS 4, RE LTOR/AGENT P MAILING-ADDRESS k THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDEN E NUMBER OF BEDROOMS ❑ SINGLE FAM®LY ❑ ONE ❑ THREE ❑ FIVfi, ❑ OTHER ❑ MULTIPLE FMILY ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUALI DEPTH OF WELL ❑ COMMUNITY' DATE DRILLED 17-1PUBLICUTILITY Connection Veified g LOG RECEIVED 3. SEWAGE DISPOSA� SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON ITE DATE INSTALLED ❑:PUBLIC UTILITY Connection Verified.INSTALLER M$eptic Tank or ❑ Folding Tank Size: ' If Tgnk is homemade SOILS RATING give dimensions: I TYPE OF TANK C MANUFACTURER, TOTAL ABSORPTION AF EA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line WELL. O: Absorption Area to nearest, Lot Line 5. COMMENTS 9 E§---APP+VED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompa certificate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION i - r 72.01,0 (Rev. 3178) July 12, 1979 Willawaw Realty Post office Box 4-1918 Anchorage, Alaska 99509 Attention; Chuck Nickerson Subject; Lot 1 Beacon Hills Subdivision The sewer system and well on the subject lot are currently in violation of State and local health coded. The following will need to be completed so that: the subject property is in compliance: (1) Obtain a soil test so that a leaching area can be de s icjneei . (2) A sewer permit will need to tae issued by this department. (3) Install. a 790 gallon septic tank: just beyond the existing tank. (4) install the leaching area 100 feet from, any well. The existing seepage pit is only eighty-dne(81) feet from the wall. (5) Raise the well casing to ground level. If there are any further questions, please contact this office at 264--4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/l jw Certificate of On -Site Systems Approval Parcel I.D. 015-092-47 Legal description Beacon Hill Estates lot 1 Site address 7401 Beacon Hill Dr. Anchorage, AK Current property owner(s) Brawner Expiration Date: 2-10-2023 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: ---��� c-. Original Certificate Date: This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory X Tank Age Advisory _ Arsenic Advisory Other COSA Approval_June 2022 M UMUP UTY OF AHC COO R A OC, Development Services Department - Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-092-47 Complete legal description Beacon Hill Estates, Lot 1 Location (site address) 7401 Beacon Hill Dr, Anchorage, AK 99507 Current property owner(s) Nicholas & Robbie Brawner 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 907-349-3926 3. TYPE OF WATER SUPPLY: A Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: A Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ■❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 28 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑■ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑■ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. h COSA Fee $ 6-5b -f 33a Waiver Fee $ Date of Payment II 1 p 6z' (k 01 1 S IJ Date of Payment COSA# �SC27 �`o` `io Waiver# COSA Application—June 2022 Legal Description: Beacon Hill Est, Lot 1 l Parcel ID: 015-092-47 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled 3/30/72 Total depth 275 ft Cased to 230 ft LFJ Sanitary seal is functioning correctly ❑ Coliform bacteria is Negative n Wires are properly protected Nitrate 6.65 mg/L ❑ Nitrate less than MRL (ND) Casing height (above ground) in. Arsenic ug/L ❑ Arsenic less than MRL (ND) Date of flow test for COSA 10/27/22 Collected by Forge Engineering Static water level at beginning of test 166 ft Date 10/26/22 Comments Well is in pit w/ drain pipe in driveway covered with mahole. Drainage path confirmed. Well production at time of test 4.8 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No B. TANK DATA Measured operating fluid level in septic tank 50" Date of pumping 9/23/22 A+ ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/6/1979 ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade 7.6 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective OR Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 2000 gallons 10/27/22 date Any rejuvenation treatment (past 12 months) N/A If yes, enter date C. LIFT STATION L?Re ired maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 10/27/22 Results ❑ Pass Fluid depth prior to test 10 in Water added 2467 gal New fluid depth 24 in Elapsed time 1440 min Final fluid depth 6 in Absorption rate ' 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in Eff t' d th d 6 ec Ive ep use in Effective depth remaining 66 in Comments/Deficiencies: Note: 1994 trench had 82" of liquid and was in failure. Flow diverter valve changed to the 1979 trench. New MT installed in new trench with total depth of 12.3'. Some grade difference from CO COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑® Yes if No ft Q Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' [JE-] Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' ril Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' R Yes if No ft M Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Mm Yes if No ft Q Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑Q Yes if No ft Surface Water > 100' ❑® Yes if No Tank to Property Line > 5' m Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No ft Private Wells > 100' E Yes if No Water Main > 10' R Yes if No ft Community Wells > 200' E Yes if No Water Service Line > 10' M Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Waiver WR930078 ft ft ft 10 G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Forge Engineering Phone (907) 522-7773 Engineer's Printed Name Benjamin Schiller, P. E* Date 11/10/22 :. ® F :. Age 49 TT .. �� :................. i � • �.. Benjarrir Schiller CE 12592 FO PROFESSION COSA Checklist—June 2022 Nitrate Advisory Certificate of On -Site Systems Approval # OSC 221540 Subdivision: Beacon Hill Est. Lot 1 907-343-7904 Fax: 343-7997 A water sample revealed a nitrate concentration of 6.65 milligrams per liter (mg/Q. 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. Ma�lirg Address p O�Box 196650 *Anchorage, Alaska 99519 6650 *www muni org ' Ma. 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 Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 221540 Subdivision: Beacon Hill Estates Lot 1 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this COSA / property is 28 years old. A leaking septic tank may be a source of contamination to the aquifer. Typical replacement costs range from $10,000 to $15,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of a 16 -year-old septic tank in failure and should be replaced. Mailing Address P O Rox 196650 *Anchorage, Alaska 99519 6650 *swww muni org Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 -7 0 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-092-47 HAA# OQ "b?)3 1. GENERAL INFORMATION Expiration Date: / 0 na - 0 �{ Complete legal description BEACON HILL ESTATES SUBDIVISION• LOT 1 Location (site address or directions) 7401 BEACON HILL DRIVE * ANCHORAGE AK * 99507 Current Property owner(s) BRENDA SCHWARTZ Day phone 346-2171 Mailing address Lending agency Day phone Mailing address ------------Real Estate Agent--SALLIE NICKERSON W/PRUDENTIAL. JACK WHITE Day phone -229-1148..__ Mailing address 3201 V STREETE, SUITE 200 * ANCHORGAE, AK'* 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 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 engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this 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. 1 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 'r ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date e Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, the in accordance with ADEC and MOA ooOF v 4 Q conscientious engineering analysis of system the of the 4 S�QO DSD Guidelines & Regulations. The reported results described performance •' Q system under the conditions encountered at the time of the test, and separation features. The operational life of all wells and p/� distances measured to readily identifiable 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• OO • . • • . .,. • • Je A. roes results do not guarantee future performance of the system, nor do they guarantee that r –79 mG there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide QQ any warranty or future estimate of how long the system will continue to meet the for re^ '. ,. • , ..' i,A`o� OQ"dnrof operational requirements of the ADEC or MOA DSD. The content of this report is essv°°°oma...... _ Ippopgo� the sole benefitofthe 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 1� Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: ��—OfTSTT'G— `� • WATER AND "VVIAT ERR PROGRAM J�/ii i •�♦ �•• �C, Attachments: 'moi/DNTSEN `` HAA Checklist // Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: ���6t Original Certificate Date: — ay (Rev. 12101 iv►unicipamyo Development Servi Buildincl Safely )rage E 8 ►a'r#meritT a ,. A .am *f1 N PIT WITH DRAINI '�.Ti°`'x'�r 7 ,r�''.�xiy,.�*c„rug..��*- WellLog .'.(Y/N) n Yrsa'xeslFr 30 1972 Sanitary seal (Y/N) YES " Wires properly prote6fedlY7N) YES _ ft.` Cased to` 230 ftCasing height (above ground) * in 'A MM �•�.,�,ya` ,.�'�°xk � � � �`a'�w �. 30 1972 5/21/2004 eve �• .vg ` V' `����"�'k'�t'�;ww`.��w�s �.�t,C'Y'.:7«�usL,+"a..;�N��s,sa u�i��a°a;+,ru�i,Crus.._' ft 171 ft .:, ..• 3 �..:u �fr''s" �.��ix`��'�u�.�k��°�,�*x'',�',a��e'�tix�eu� '. )ft ,, 9• �.taa"t��. ' 3�� gf p 5 05 � ' 9 P m , w xxd" ,=xa ""' atx�.,,. "ust'7 r*-'"tw'kwa`�-,s •.i�"i*i,,'aa^ xv'`-a'�,.;...'s..:wG«:c . %': r»*Nds Via 4u m f �a +� -"' ✓��,aro# „��-b.�a colornes/100 mIU Ndrate mg /L Other bactena 0 colonies/100 ml mg./L. Date of sample 5 21 2004 Collec�ed by GEG Ltd er°!'K'.i;rine`,'arou*'...vXd"at6?�v'aA':'=Fe'i t';,'`'�'.,"a'Yi*ASk',y.`six3_s e; iat.3.;"t+•?"s". `-uv, %: anIa STEEL Date installed 7/19-20/1994 galNumber of Compartments 2 Cleanouts /N) YES mou ____ Depression over tank'(Y➢N} 0 High water alarm (YIN) N/A 1`8 2003 Pumper ISAAC S PUMPING'SERVtCE'"' 1979 TRENCHI 1994 TRENCH2 BELOW EXiSfING GRADE 9 94 Soil rating :p d./ r /bdrm 92 0 94 System typeTRENC7i/DEEP TRENC1 ft .�.+.sem 35+ ft Gravel below pipe 6/6.85+ �.. P�P it �ii2 rtnz+ 572480 ft Eff absorption area ft2 M: onit�6qring tube YES Depression over field NO �Z PF��i ��kkC�Y~� �}1�.ii"R.bx„c.� 4.J-+r,�i✓ v$ .,y.f!: y est 21 2004 Results (Pass/Fail)'-'PASS . For '3 bedrooms i "�.� .. t a ^ri"` Y.3Ac`�,.2XXd •�e` eie:N^^3'^ .4'J,:M ^-Y'pp°'i„ d 2 ky #� r y, 4..`oR ' lsorp ion ie a ore test � m Water added gal New depth 80 5 in min Final fluid depffi 73 5' in. _ , Absorptwrl rate > 450+ 9P d i rgatmgnt (past 1trio.')' $"ype� NONE KNOWTI" "if vas r,��A r�arp — i O &�S.,.jiex .gat vaaa.uxu" '-i+w nMs oi+ + '_• " r r a.. . gallons Tvlanhole%Ac Y���..p of{ in. High water alarm level at _ n > tested Meets alarm & circuit,requirements? J iurface water 100+ Driveway, par king/vehicle`s"torage 10,+. Malls on adjacentUs 160,4- WOO 00 + that the above systems are in 4 guidelines in effect on this date 'JFFFREY'A.� GARNESS Waiver Fee $ _ Date of Payment Receipt Number �.. oa0'eSQ o OF OQOO AC op e r A Garnessr O E-7953 coop 'Prof esseorloc\ 1 \ ° DECK Y Fri W /a`'%'` O DRIVE -TY / �. . O tj 71 ✓ / T < �� �✓ m ti p :49TH* 90 vol A.. § Opo SHANE A, HOLT m LS -6914 S STRUCTURES OR FENCEtiNES._—, ", vm LAatMtRi> ANU I� NOT TO BE USED FOR POSITIONIMO 0.0017101 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.(UNLESS I NOTE: ANY FENCEUNES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY OR LOCATE STRUCTURES. ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. AS -BUILT SURVEY ( NO CORNERS SET THIS DATE ) I' = 30' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FULLOVING DESCRIBED PROPERTY. LOT 1, DEACON HILL ESTATES SUE, HUKAt L RECORDING DISTRICT, ALASKA AND VISIDLE IMPROVEMENTS SITUATED THERE HIN THE PROPERTY LINES AND NO VISIBLE ROACHMENTS EXIST OTHER THAN NOTED, ED AT ANCHORAGE, ALASKA THIS __16TH__ OF --JUNE ------- EM4. T LAND SURVEYING 9.^x72,__FB113-19 345-5513 UL -09-2004 01:21 AM AAROW PUMP & WEII. SERVICE, LIC PO Box 110496 Anchorage. AK 99517 Office: (9071 346-9355 ° Fax (907) 333-8976 Palmer; (907) 745-9077 ° Eagle River; (907) 622-9336 C: J' TOMER rk. haresz°� i0 — C P. el 1 6 !; rIS $ICE _c3 w j -- J.41 1 J..'✓'l�• (NLORINAiEPPpIIa Vl tit AMOUNT r YI a s, _..f...e ru, ►1Lq�r r + Sc'a _ t$N0 V%�.w,. � r I _ _..id/12t�._..MF_r".. /%� �t A:, lilr`Pa•wl."..., _�.... _(' . LABOI' HOURS TN RATE I AMOUNT TOTAL MATERIAL. -TOTAL — LABOR i)RC1FGu`5F.iV GATE COMP TOTAL LADOR PAY THIS AMOUNT "'Dunk YALr SIGNATURE ll lerplp� A�knpwlangr:+un 6.�ti5f=Ory 00tnplehon of Ih,a Ahnve (T:I]-". VVorl•.} TERMS; ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PORC'HASE. !"FRVICE CHARGE A' RATE OF L5°% PER MONTH WILL BE CHARGED ON r0/01DUE ACCOUNTS.