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HomeMy WebLinkAboutT12N R3W SEC 27 LT 30T12N R3W Sec 27 Lot 30 018-092-15 ---'°°--� MUNICIPALITY OF ANCHORAGE \< DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION \\ 825 L Street - Anchnrage, Alaska 99501 Telephone 264-4720 _ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ...____—. .._____—___._.._...__-_ _.._� PHONE El NEW J���p�ryry AA''AA11 /'1 y F'tr4C_•.i — C-0—NL OLLN 34�'J% z-----XUPGRADE MAILING ADDRESS 17. o.-9oxo oV.of LEGAL DESCRIPTION Lo 13o S Ec 2iI �N 3 �✓ _ LOCATION NO. OF BEDROOMS L 0(,V -\l LAN r a _ Well Absorption area Dwelling �_ PERMIT NO. DISTANCE TO: �S / G .�� �S���Y_— Uy— --. __._._-- F- Q Manufacturer Material _ No. of compartments Liq. ca�acii�rjallons V v`+ IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. O _ Q Manufacturer Material Liquid capacity in gallons wy DISTANCE TO: Well I Fnnnda[Ion Nearest lot line — PERMIT NO. u. Z No. of lines' Length of each line Total length of lines Trench wic th Distance between lines Z w 1�' (� inches Q F- M - Top of rile to finish grade / 62 Material beneath tilen Ll Inch _--_ Total effective absorgpti}on area Length Width Depth PERMIT NO. an Type of crib ---__ __... Crib diameter .. — __ —. Crib depth -- area Total effective absorption area Q H an DISTANCE TO: Well Building foundation Nearest lot line r Class Depth Driller Distance to lot line PERM17' NO. Lu � DISTANCE TO: Building foundation Sewer line __ Septic an _ __ _ Absorption area(s) OTHER o PIPE MATERIA LS C,4S-C' £ ✓C— ----------- SOILTEST RATING —INSTALLER : _ _ L U C, � M 614 REARKSSetL LAA -1.1— L .. I.A no we v' •o••••s••rys • •t7... oilf V _ ._.- —L� O+A�• JUNE 25, 1971•.��,�� MAI APPROVED DATE LEGAL �, 12. 11• �� I�e G 3��Sec.Z % 'T1:2 A), IQ 3 [el 72-013 (Rev. 3/791 TYPE OF SOIL RBSORPTION SYSTEM lS� DRHINFIELD M�XIMUM N�MBFP OF BEDROO�� = 7 SOIL RHTlIf, T�E KEQUI[�E9 �IZE OF THE SD7L �cSORPTION SYSTEM lS ��� li_ ���������� ��� THE LENGTM �IME�SlON lS THE LENGTH (IN FEET) f THE TRENl 'H OR DRHINFIEL1,:, THE DEPTH oF R P1? IS THE DISTRNCE BETHEE� THE SURFRCE OF THE G�[)U@MD TH1 f_:OTTOM DF TNE EXC�Y�TlOM (fH FEET) -��if��� T - E GR8VEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL �ETHEEN THE OUTFHLL PIPE 8ND TH� BOTTOM OF THE EXC�YHT{:N (IN FEET) ���... ..... �� If�� PERMIT HPPLlCHNT HHS THE RESPONSIBILITY TD INFORM T�IS DEPHRTMENT DoRI�G T�E INSTHLL�TIO4 lNSF�CTIONS OF HNY W�LLS H�JHCf. #T TO THIS PROPE�TY HHD T�E NUM�ER OF RE�I�FNcES T��T T}!E HELL uI�L SERVE --- If if������� --- FILLING OF RNY SYSTEM N1THOUT FINHL IN�PECT[ON 9ND RPPROVHL 8Y THI� DEPRRT�E�T WlLL RE FU�JECT TD PROSECUTIO�! ������ ������� 11���1, 1 If� [ CERTIFY THHT FRMILIHR 1lTH THE REQUIRPMENTS FL' R ON-SITE SEWER� HND NELLS �� SET FORTH f'. THE MU�I�IPHLITY OF HNCI RAGE 2� l HILL INSTHLL THE SYSTEM I� RCCORDHN�E HITH THE CO0ES I� I UMDERSTHND THHT THE OH-SlT EWER SYSTEM MHY REQy1RE ENLHRGEME�T IF T�E RESlDEMCE IS REMODELED TO lNC M�RE TH8N ] BEPRDUMS PERFORMED IN SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 11 PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: / f & ` SLOPE DEPTH SFEETI• 2- 3 4 5 • 11 ,, � -.s B . h1 i U U f&-2 7 9-% , 10 DATE PERFORMED: Dec V—V/ 11 WAS GROUND WATER L ENCOUNTERED? O /ry P 12 E IF YES, AT WHAT Y'1 DEPTH? llll.J✓✓J� 13 14 d OF At Aids( 11 15 u't.,; '• •.y ddb * 9TH 17 �� 2225-E 'a:'00 p 1 NE 25, 1971 ee : 19- 20 COMM PERFORMED BY 72-008 (6/79) SI I E FLAN Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN CERTIFIED BY: FT AND FT DATE: 9-74t 1,AAB-I D CR -ITER ANCHORAGE AREA BIJIWL' 4 HEALTIA DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION RE O T ON -SI. SEWAGE DISPOSAL SYSTEM NAME. °? ,X'!pi> nuOC ADDRESS- ©Ff 2 _ -- PHONt3 / 9' - /tl/�✓vim n,ifJ , LOCATION_ _ LEGAL DESCRIPTION-�' SEPTIC TANK: TILE DRAIN FIELD DISTANCE FROM FOUNDAT NEAREST LOT TOTAL LENGTH OF LINES NUMBER OF LINES c> NUMBER OF / DISTANCE_ FROM WELL-__ - MATERIAL ��L ._COMPARTMENTS TO FINISH GRADE ----DEPTH LIQUID CAPACITY �. _._-GALLONS. INSIDE LENGTH--S-INSIDE WIDTH i'` ID _DEEPTH SEEPAGE SYSTEM: SEEPAGE PIT: ^' 1�" "`' DEPTH , BUILDING FOUNDATION. SAMPLE NEAREST NUMBER OF PITS � OUTSIDE DIAMETER____ � OR WIDTH __, LENGTH v ,DEPTH , , SEWER LINE 7 —, TANK_ ) SYSTEM_ CESSPOOL , SOURCES_ LINING MATERIAL_ ��-�'-�l% _ DISTANCE FROM WELL—5! BUILDING FOUNDATION_ %L, Soo NEAREST LOT LINE__L2 _. _. TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)_ SQ. FT. TILE DRAIN FIELD DISTANCE FROM FOUNDAT NEAREST LOT TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES— -TRENCH WIDTH -IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE— DEPTH TOP OF TILE TO FINISH GRADE ----DEPTH OF FILTER MATERIAL BENEATH TILE. IN. ABOVE TILE WELL DISTANCE FROM WATER � � 11Tf)0 6e TYPE ^' 1�" "`' DEPTH , BUILDING FOUNDATION. SAMPLE NEAREST NEAREST SEPTIC SEEPAGE /0 ).J Y OTHER LOT LIN[ , SEWER LINE 7 —, TANK_ ) SYSTEM_ CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM DISTANCES: i DATE GAAB-IID-2 GREATER ANCHORAGE AREA T )ROUGH Case No. l� i1EALTl' DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION A PERMIT NAME OF APPLICANT )162� MAILING ADDRESS ��PjHONE NO. RESIDENCE /� �— RESIDENCE ADDRESS j LOCATION OF INSTALLATION O{ A%,/r (_Z/V/ LEGAL DESCRIPTION 107_ 50 5?, 27 -1271V e3 1�/ 5_1V APPLICATION TO INSTALL: SEPTIC TANK SEEPPA,GE, PIT - IT , DRAIN FIELD , OTHER_ TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH Rt Tr TO BE INSTALLED BY PERCOLATION TEST RESULTS 4ZI ANTICIPATED DATE OF COMPLETION -- 24/r, / BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS _ /`//' ry/ ,� - , PERMIT TO INSTALL A A 7 AS DESCRIBED BELOW, SIZE OF UNIT TO BE SERVED �� SEPTIC TANK SIZE ,��TYPE SEEPAGE AREA 4APiEr DIAGRAM OF SYSTEM DISTANCES: I I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE APPLICANTS SIGNATURE � � � - _t c�t� Municipality of Anchorage • Development Services Department 'b Building Safety Division Onsite Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 016.092-15 1. GENERAL INFORMATION COSA# ()3QI Expiration Date: S ��. ' 0 g Complete legal description T12N R3W SecOon Z7 Lot 30 Location (site address) 13740 Mcdonell Road Anchorage, AK 99516 Current Property owner(s) Oaniel 691man d Anne Leggetl$illman Day phone 644-2000 Mailing address 13740 Mcdonell Road Anchorage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup 2. NUMBER OF BEDROOMS: Three (3) 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 21 Individual On-site❑ 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 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 Onsite Systems 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 COSAs upon request to homeowners. Certificates of Onsite 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 sample results.. _(Certificates may be reissued for a period of up.to.oneyear 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, 1 verify that my investigation, based on procedures outlined in the Certificate.of OnSfte 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Phone 522-7773 Date 5!82009 o�o---•a0 44' OF.AC ��, ��P' • ;rf-t6 �1A S viO so : AUCNAa E ANDUSON 5. DSD SIGNATURE --� +,ja��r , 5,838x.• +cam?,• ��Qfo ••.....• �.« Approved for bedrooms. Disapproved. , 4tix'k Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory .Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: AU • 7Original Certificate Date: .7 ! e3 pe.•. 11osm Municipality of Anchorage . 'O• •". • Development Services Department ! - Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onshe (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: T12N Raw Sactlon z7 Lot 30 Parcel ID: 016-992-15 A. WELL DATA Well type Private If A, B, or C provide PWSID #_. Well Log (Y/N) N i Date completed Unknown Sanitary seal (YM) Y Wires properly protected (YM) Y Total depth 173 ft. Cased to >40 R Casing height (above ground) >16 in. FROM WELL LOG AT INSPECTION Date of test 10/13167 SIM - Static water level 112 Well production 3.3 WATER SAMPLE RESULTS: Coliform —a—colonies/100 mL Arsenic: wD ug/l B. SEPTIC/HOLDING TANK DATA R g.p.m. Nitrate 2.54 mg/L Date of sample: 4/22/06 Tank Type/Material Septiclsteel Tank size 1,000 gal. Number of Compartments One Foundation cleanout (Y/N) Y Depression over tank (Y/N) N 116.6 ft. 4.0 g.p.m. Other bacteria 0 colonies/100 mL Collected by: S. Gilbert Date Installed 7/1169 Cleanouts (YM) Y (One) High water alar (YM) N Date of pumping 5162098 Pumper Denali Sewer and Dram C..ABSORPTION FIELD DATA Date installed 12/11181 Soil rating (g.p.d.M2 or f?/bdr)125 SFIBDRM System type 5• Wide Trench Length 53 ft. Width 5 ft. Gravel below pipe 2 R Total depth 4� R Eff. absorption area 362 p rp 8 Monitoring tube _Y ipepression over field N Date of adequacy test 516108 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 10 in. Water added 1.040 gal. New depth 1s in. Elapsed Time: 1.440 min. __Final fluid depth 4 n..- _ ...Absorption Irate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed Size in gallons 'Pump on' level at_ in. 'Pump off' level at_ in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on tot Absorption field on lot Public sewer main NIA Sewer/septic service line >zs >sa Manhole/Access (YIN) _ High water alarm level at Meets alarm 8 circuit requirements? On adjacent lots On adjacent lots >100• Public sewer manhole/cleanout NIA Holding tank NIA Animal containment areas None Manure/animal excrete storage areas None SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation >S Property line>5' Absorption field >5 Water main NIA Water service line >10 Surface water >100• Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: in. Property line >1d' Building foundation >10' Water main >10' Water Service line >10' Surface water >100' Driveway. parkingrvehide storage >u' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: "See Waiver For 92 Separation From Well to Absorption Field. Existing well on the property was abandoned In accordance with ADEC requirements. G. ENGINEER'S CERTIFICATION t �• 49sH�V *I I certify that I have determined through field inspections and review of Municipal records that the above systems are in s conformance with MOA COSA guidelines in effect on this date."��.• _ _„4. 1ANIMSON Engineer's Printed Name Michael E. Anderson. P.E. '�.fF�:"• a •p �••c>`v� Date srerzooa COSA Fee $ 4 �� I Waiver Fee $ g0 Date of Payment b hclp�� Date of Payment `� � q I/ m Receipt Number Receipt Number I $$D (Rev. 11105) SCS Rcf.N 1081596001 Client Name Anderson Enginccring Project Name/# 13740 Mcdoncll Road Client Sample ID NI, l/2, #3 Bathroom Faucct Afatria Drinking Water PWSID 0 Sample Rt"arks: All Dates/rimes are Alaska Standard Time Printed Date/time 04/302008 17:03 Collected Date/Time 0422/2008 10.32 Received Date/Time 041=008 10:35 Technical Director Stephen C. Ede Paramdv Results Allowable POL Units Mdhod Container ID Limits Prep Analysis Fite Date Inil Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 0424/08 0428/08 NRB Waters Department Total NilmtcJNitrilu-N 2.54 0.100 mg/L SM204500NO3-F B (<10) 0428/08 LCP Microbiolow Laboratory Colony Count 0 col/100m], SM20 9222B A (Q00) 0422/08 DLC Total Coliform 0 coUlOOmL SM20 9222B A (<I) 0422/08 DLC Fccal Coliform 0 col/100mL SM209222B A (<I) 0422/08 DLC 8L-M-".L0T.•-30 '.- LOCATED WITHIN THE SW1/4, SECTION-27;'T72N,-R3W, S.M., ALASKA.,:•::., CONTAINING .2.5. ACRES;: MORE OR . LESS N 89043'51"E '329.731. _ *' ,... �SEPNG SYSTEM . SHED " �SAUNA _...'• �3 SIZED WELL E MING BUILDNG 4CONCROME DRNE GRAVEL URNE • ...._ ..... • . N 89°43'51"E 330.11' ---_B.UILDINO _-.DFTAlL.. SCALE. 1"-20'..0, I .Xj H 5 `i IJ V I L I I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND SURVEYING, SURVEYING, LLC NGDI, ENCROACHMENTS EXIST EXCEPT AS INDICATED. A IT IS THE RESPONSIBILITY OF THE OWNER TO 'i DETERMINE THE EXISTENCE OF ANY EASEMENTS, ANCHORAGE, ALASKA 99507 COVENANTS OR. RESTRICTIONS WHICH DO NOT -- PHONE 248-5454 APPS ON THE'RECORbED SUBDIVISION PLAT. GRAVEL URNE • ...._ ..... • . N 89°43'51"E 330.11' ---_B.UILDINO _-.DFTAlL.. SCALE. 1"-20'..0, I .Xj H 5 `i IJ V I L I I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND SURVEYING, SURVEYING, LLC NGDI, ENCROACHMENTS EXIST EXCEPT AS INDICATED. JEFF A. R.L S. IT IS THE RESPONSIBILITY OF THE OWNER TO 2000 E. DOWLING RD., SURF. B DETERMINE THE EXISTENCE OF ANY EASEMENTS, ANCHORAGE, ALASKA 99507 COVENANTS OR. RESTRICTIONS WHICH DO NOT -- PHONE 248-5454 APPS ON THE'RECORbED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR GRID DATE 2938 4/21/2008 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA'. F.B. 08-02 JOB N0. BLM30 :,,, ,;, , ... NOTE: NO CORNERS'SET THIS DATE' 111=50' Munieipahty Of Anehorage t`Y P.O. Nx 1!IfiGSU •.lnchora}!c, .\hislm • 4iIXl flnmrc Hwd Office: 0M &11.8:N)1 • Parc: (IMM UM- M) hup://u�i�amunLnrg Mayor Mark Begich Development Services Department May 12, 2008 Michael E. Anderson Anderson Engineering P.O. Box 240773 Anchorage, AK 99524 Subject: Waiver Request for T12N R3W Section 27 Lot 30 Waiver Request WR#: 080024 Parcel ID # 018-092-15 ITA080129 Dear Michael E. Anderson: ,Ment 0sEwdr S^. AA's` Department Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the private well has been approved. The approved separation distance is 92.0 feet. This waiver approval applies to the existing absorption field to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, b�(/' Gv- / 'ot.l��/' �� Deb Wockenfuss Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department • Building Safety Division i On -Site Water and Wastewater Program i 4700 Bragaw Strcct P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#:080024 PID#:018-092-15 HA/Permit# IIA080129 Date Received: May 12, 2008 Legal Description: T12N R3W Section 27 Lot 30 Engineer. Michael E. Anderson Anderson Engineering P.O. Box 240773 Anchorage, AIS 99524 Applicant: Daniel Billman and Anne Leggett-Billman Waiver Requested: Septic field to well Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Points: 7.1 3.1 1.8 2.5 2.7 Total: 17.2 ,6666..............................8.806...6660........................... Waiver Is Granted: X Waiver is not Granted., List Conditions or Reasons for above: See attached Date:/ 25 1 108 By. Deb Wockenfuss Name of Reviewer 4..66.66666.............6.6666666.......6..6.66666.66..............66..666 Rec#:01 7880 Amount: $J-15_0 Dale Paid: 5112/2008 T12N R3W Section 27 Lot 30 Parcel ID: 018-092-15 Waiver for 92 feet from field to well Issued May 12, 2008 General 1. From the water sample, total coliform was 0, and total nitrates was 2.54 mg/L. 2. The well head is located upgradient of the septic system. Any overnowing sewage would move away from the well head. 3. The location of the system is in a visible area and any surfacing effluent will be seen and corrected. ADEC Criteria Points Water Table Depth of static water level in well 117 feet Assumed bottom of field 5 feet 112 feet 1'(12/190) + 7 7.1 Soil Sorption Soil descriptions from well log of neighboring property - Laurie Lot 44B Permeability Soil descriptions from well log of neighboring property - Laurie Lot 44B DEC PTS Depth From Depth To Thickness Calc. Pts Silt, Sand and Gravel 2.5 5 7 2 0.04 Silty gravel w/ Cobbles 1 7 21 14 0.13 hardpan and cobbles 3.5 21 30 9 0.28 Sand and gravel 1.5 30 35 5 0.07 hardpan and cobbles 3.5 35 117 82 2.56 0 0.00 112 3.08 3.1 Permeability Soil descriptions from well log of neighboring property - Laurie Lot 44B Water Table Gradien Water table slopes toward the water source 2.5 Assume -3% slope Horizontal Separation 92 feet between septic field and well x=17/25+2.0 Total Points 17.2 2.68 As per ADEC waiver guidelines, with a point value of 17.2, almost sure to be free from any form of contamination from household sewage. DEC PTS Depth From Depth To Thickness Calc. Pts Silt, Sand and Gravel 1.5 5 7 2 0.03 Silty gravel w/ Cobbles 1 7 21 14 0.13 hardpan and cobbles 2 21 30 9 0.16 Sand and gravel 1 30 35 5 0.04 hardpan and cobbles 2 35 117 82 1.46 0 0.00 0 0.00 112 1.82 1.8 Water Table Gradien Water table slopes toward the water source 2.5 Assume -3% slope Horizontal Separation 92 feet between septic field and well x=17/25+2.0 Total Points 17.2 2.68 As per ADEC waiver guidelines, with a point value of 17.2, almost sure to be free from any form of contamination from household sewage. Waiver WR0024 HA 080129 TM Sec � 11 14 Water Table Gradient Calculation T12N R3W Sec 27 Lot 30 018-092-15 500' 5/12/08 Delbert r"2A 0' IN Print Map Page 1 of 1 T 12/J R 3W 5c,, V I-vf- 3o q ' r,.AetArS http://munimaps.muni.org/mox52/advanced.cfm?action=mox52_view—Printablemap 5/12/2008 Sun Java System Communications Express - Please View Frame 1 Pagel of 2 From Stuart Gilbert <stuartg@clearwire.netb Sent Wednesday, May 7, 2008 2:34 pm To 'Mike Anderson' <andengr@gci.neb Subject Well and Septic Test Lot 30 Sec 27, TI 2N, 3W HAA Well and Septic Test #018-092-15 Lot 30, Section 27, T12N, R3W 13740 Mcdonell Rd, Anchorage 3 Bedroom Background The well and septic test was begun on May1, 2008 Water was run into the septic tank from the outside faucet on the east side of the 2 bedroom residence at an unrestricted rate of 3 GPM. Readings were taken at the septic tank cleanout and at the pipe at the end of the trench. No water appeared in the end of trench pipe and water immediately backed up in the tank cleanout. After 120 gallons water level in the tank cleanout was at grade and the test was stopped. Since there was no distribution line cleanout and no monitor tube in the trench it was recommended that some be installed. In addition, since the line from the tank to the trench appeared to be plugged and perhaps the distribution line was plugged it was recommended that the lines be unplugged using a large "jetter". Work to locate the trench and install cleanouts and monitor was completed on Monday, May 5, 08 and a reading taken from the new monitor tube indicated the trench was dry. Denali Pumping arrived the next day at 9AM on May 6, 08 at the residence with a pump truck and "jetter" van pulling a trailer with 350 gallons of water with a high pressure pump. The septic tank was pumped and about 900 gallons was removed. Line cleaning was begun at the same time. About 300 gallons of clear water were applied to the trench distribution line under 4,000 PSI at a flow rate of 18GPM. Line was cleaned from both the two new after tank cleanouts and was cleaned to the end of the trench and to the tank. When the jetter hose was removed the hose was clean indicating that the clogs had been liquefied, diluted and blown from the distribution line into the trench. Readings were taken in the new trench monitor tube after the cleaning and a liquid level of 10" was noted. A reading was taken in the end of trench pipe and a liquid level of 14" was noted. Septic Test A septic test was begun at 11:55 AM immediately after the septic tank pumping and line cleaning. Flow was added from the outside faucet on the west side of the residence at a flow rate of 4GPM to one of the two after tank cleanouts. Liquid levels were monitored from the new monitor tube and from the existing pipe at the end of the trench. A total of 1,040 gallons were added during the 4 hour and 31 minutes of pumping. Level in the new monitor at the beginning of the test was 10". The level rose to 18" after 1 hour and 28 minutes of pumping and after 340 gallons. Level in the end of trench pipe was 14" at the beginning of the test and remained at 14" after 340 gallons were pumped. During the remainder of the test level in the new monitor rose from 18" to 19 %" while the level in the end of trench pipe rose from 14" to 203/4". https://mailstore-1 .gci.nctlfmme.html?&security=false&lang=en&popupLcvel=undefined&... 5/7/2008 Sun Java System Communications Express - Please View Frame 1 Page 2 of 2 Recovery readings were taken after 30 minutes and after 1 hour from the end of the test. Level in the new monitor dropped from 19 %" to 17 after 30 minutes and to 15 %" after 1 hour. Level in the end of trench pipe rose from 20 % " to 21 % " after 30 minutes and remained at 21 '/2" after 1 hour. Additional recovery readings were taken the next day 24 hours after the end of pumping. The new monitor was 4" (10" at beginning of the test) and the end of trench pipe was 4" (14" at the beginning of the test) indicating recovery of 100%+. PASS — 3 BR Well Test Due to the lack of a well log the well information was taken from the 1987 inspection report. Total depth is 173'. Static was 112' and the yield was 3.3 GPM. At time of inspection the static was 116.6 below top of casing and the yield was 4 GPM. During the 4 hour and 31 minute pumping period level dropped from the static of 116.6 to 117.1. Within 5 minutes after pumping stopped the well had recovered 100%+ to 116.3. PASS — 3 BR No virus found in this outgoing message. Checked by AVG. Version: 7.5.524 /Virus Database: 269.23.9/1420 - Release Date: 5/72008 2:12 PM https://mailstore- l .gci.net/frame.html?&security=false&lang=en&popupLevel=undefined&... 5/7/2008 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7765 (FAX) May 7, 2008 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: T1 2N, R3W, Section 27, BLM Lot 30 Separation Distance Waiver Absorption Trench to Well Dear On Site Services Engineer. The septic system absorption trench currently in operation on the subject lot was originally constructed in December of 1981. The existing septic tank was placed in 1969 and originally connected to 2 concrete ring absorption pits. The absorption trench was connected to the tank in 1981 and the rings were abandoned. Evidence recently found on the lot indicates a log crib may have been utilized prior to the placement of the septic tank. The trench placed in 1981 was constructed 5' wide with 2' of effective depth. No cleanouts or monitor tubes were placed in the trench. The inspection report completed at the time states the existing septic tank was located 83' from the well with the absorption trench 100' from the well. Since the tank was constructed in 1969 it was only required to be 50' from the well. A recent adequacy test required the placement of a monitor tube in the absorption trench. Two post tank cleanouts were also placed allow access to the distribution line. Excavation for placement of the tubes indicates the trench was only 92' from the well. A waiver allowing the trench to remain and operate in its current location is therefore required. We hereby request a waiver be issued allowing the trench to be 92' from the well on the property. No information is available relating to the well on the lot. It was probably constructed in the late 1970s to replace another well on the lot. Evidence of the first well is found in the Municipal files, but no documentation exists as to why it was decommissioned and the new well drilled. The new well is 173' deep with 6" casing the entire depth. The static water level was recently found at 116.6' below the surface. Very few records exist for wells on adjacent lots. A well approximately 300' to the northeast was found to have nearly identical characteristics to this well with a similar depth and static level. A well approximately 300' to the southwest is 161' deep with a static water level of 105'. We therefore assume the hydraulic gradient is to the northeast at a slope of approximately 5% which is the same as the ground surface. T1 2N, R3W, Section 27, BLM Lot 30 May 7, 2008 Page Two The well log on the property to the southwest indicates hardpan and cobbles from 35' to 150' below the surface. Hardpan is thought to be nearly impermeable silt in the parlance of a well driller. This soil layer would act to restrict the permeability of any surface water or septic effluent and protect the underlying aquifer. Water samples recently taken from the water system on the subject lot indicate a nitrate content of 2.54 milligrams per liter. The well is obviously not influenced by the absorption trench on the property. We therefore recommend a waiver be issued allowing the absorption trench to remain in its current location at 92' from the well. Sincerely, Michael E. Anderson, P.E. ANDERSON. ENGINEERING P.O. BOX 240773 ANCHORAGE,, AK 99524 522-7773 677-7766 FAX MEMORANDUM DATE: May 8, 2008 TO: Jeff Poet FROM: Mike Anderson, P.E. SUBJECT: T12N, R3W, Section 27, BLM Lot 30 COSA An extensive effort has been made to improve the well and septic system on the subject lot to allow completion of a Certificate of On Site System Approval. This work includes the abandonment and decommissioning of an old well on the property. It also included minor repairs to the existing septic tank and absorption trench to improve their efficiency. Both the well and septic system are now functioning adequately to allow certification as indicated on the attached documentation. An old log crib was found on the property and is located just east of the absorption trench on the property. The top of the crib has been caved in, but a 6' x 6' by nearly 5' deep hole is still in place. The new owner of the property intends to landscape the entire area near the septic system and has requested he be allowed to fill the hole during this process. The hole is lined with logs which appear to be in good condition. There is no evidence of septic effluent or other biological material. The sidewalls are stable and in no danger of sloughing. A small fence has been placed around the perimeter of the hole as a further safety measure. BLM LOT 30 LOCATED WITHIN THE SW1/4, SECTION 27, T12N, R3W, S.M., ALASKA CONTAINING 2.5 ACRES, MORE OR LESS N 89'43'51"E 329.73' I I I I c i T -^h 1 I I I 1 nsHm I sw I I I I aWrlE�iucl� T ft I S d' Maa:va Ab"e H n 2 � I — WW O „y [dm,p M«,» O I I Q9 1�1 I I I I I � I I GAAW. DIUYE I I I I N 89'43'51'E 330.11' I I J O I & I w I I I 0 i SITE PLAN 30 SCALE 1 60' �-2Ud J6Yt U1: VS LOCAT Of WELL soltoual atlaotvlrorf LOCATIONISKETCH: WF St14S3 1-144WAV Alltllet HL1Xj Sfvg�vsotl STATE Of ALASKA DfPARTMrNT Of NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD u ley SLoix eL'cnom °TIN WELL OWNER: eEC110N I Ta"60ON C3E P I RA*W . OWI I . vans MEAsum FROM:Oc&vbv top 06rourw "Mace WFUL DZM: r DATE Of COMPLETION 3 ROREHOLE DATA: Depth Depth'of hde: •?'a. 1t Depth of caslrQlt �z/_,. _z f teh+ld Ty" bled Coor From To DefH STATIC WATER LEVEL' Z , jt Ueluw Mop of casing O grand Kest* Date: : q MEMO OF DRILLING, Cjbir towry 0 cable Soo► 00 USE OF WaL ldomedlC O IMgetion 0 moNtor l S 6 0 pu06c supply ❑ other fo �' CASINO 9TK2U4UP: tG Dlam: —,*—IN to lk Caning WEYL INTAKE OPENING TYPE: iKopen end ❑ swYesaad :o Q perforated O open hole Oepthe of opkwvs: to N a S SMEENTYPE, Olam: in. S%~Site: Length: It GRAVEL PACK TYPE GROUT TYM \ Vohene• Deetfe from ft to ft MAY 2 0 1994 PUMPING LEVEL AND YIELD: it after Ira pumping �gpm Dept. Health & Hu=anSimcesM1MP INTAKE DEPTH: ft Hasepewer. WELL DWM=TED UPON COMPLETION] 0 NO CONTRACTOR Y'FOFAMAyr A / _ REMARK!: J� t t PLEASE MAIL WHITE COPY OF Lbb`?O: -� - 9y DNRIDNISION OF WATER ut rte espr .rxatrve a e PO SOK 772116 EAGLE RfVER AK 90577-2116 MUNICIPALITY OF ANCHORAGE 0 MU DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIO NICI DIVISION OF ENVIRONMENTAL HEALTH ^p��ENT /VCF PycN `Er?Vo- 0.?q CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL-,,.., ;/✓V G OF ON-SITE SEWER AND 0 WATER FACILITY ) 9 Application Date r 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) r,/ til L, C 5..,. t Z -7 TI 7_ N P l e� Location (address or directions) IS 7-40 X4 c_ 7in2�� knc l,<;-.;yz 4K 7 '5/G (b) Applicant Name 1 1e Telephone: Home -345-4-50,0 Business Applicant Address / J / `Fu 'q/ I C L.L� (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder Buyer ❑ ; Other ❑ (explain), (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following ad 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well, Community ❑ Public ❑ Telephone 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 Onsitexl 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. 72-025 (11,64) Page 1 of 2 E. ENGINEERING FIRM PROVIDINU , 4SPECTIONS, TESTS, FILE SEARCH, DA'i". AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm L ly�`�� �`�"'�= `•�" ' Telephone Address /f£%n/ li14, .;tT3,� �INz/ 7q -(e Date 6. DHEP APPROVAL t Approved for !/1Q bedrooms by Date Approved Disapproved Terms of Conditional Approval Conditional Chep CAUTION Engineer's Seal The Municipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations 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 requirements. 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. Page 2 of 2 72-025 (11/84) /C: 6. DHEP APPROVAL t Approved for !/1Q bedrooms by Date Approved Disapproved Terms of Conditional Approval Conditional Chep CAUTION Engineer's Seal The Municipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations 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 requirements. 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. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MON) MUNICIPALITY OF ANNPt' 30 AUTHORITY APPROVAL (HAA) DEPT .) s CHECKLIST -FEBRUARY 1984 ENVIRONMENTnt PR011CTION 264 4720 ELM_ DEC 2 Legal Description: L o'T" 7-I`LN P. +Li) A. WELL DATA R� E C t IV ED [ Well Classification r Y"I✓4`r F' C'- If A, B, C. D.E.C. Approved (Y/N) �) A Well Log Present (Y/N) N Date Completed L tLox 19 Yield 3 Total Depth 1 7 41 Cased to -0 "( Depth of Grouting Static Water Level I j Pump Set At l / Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) _ _ Depression Around Wellhead (Y/N) u Separation Distances from Well: To Septic/Holding Tank on Lot -s 1 - On Adjgi fig Lots I ise iaveyte 9.r To Nearest Edge of Absorption Field on Lot 3 ; On Adjoining Lot's To Nearest Public Sewer Line 7' Zoo, To Nearest Public Sewer I Cleanout/Manhole 7 ZOO To Nearest Sewer Service Line on Lot Water Sample Collected by i= Z"i-t '> / ( Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA A 419 Date Installed � � Size � No. of Compartmepts Standpipes (Y/N) Air -tight Caps (Y/N) _y___ Foundation Cleanout (Y/N) I Depression over Tank (Y/N) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) s[/�- for ) Holding Tank High -Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well To Property Line `"'0 Temporary Holding Tank Permit (Y/N) To Building Foundation 51-11-. To Disposal Field To Water Main/Service Line - /f -X1 To Stream, Pond, Lake, or Major Drainage Course Comments `--.>C� !�/ fN;�r ui ;,( .7,7� -/rl--ic -,'17 /�i'if' v•fr�r�/ s��//i� /�rr�-l�. Page 1 of 2 72-026(11/64) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata I Z r) Type of System Design r-e.ne Date Installed jz//1�1 Length of Field Width of Field (h�%t\ Depth of Field Gravel Bed Thickness Square Feet of Absorption Area I RZ Standpipes Present (Y/N) Depression over Field (Y/N) Results of Last Adequacy Test Date of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well 5 a To Property Line To Building Foundation 5 I `I To Existing or Abandoned System on Lot NZA On Adjoining Lots ;;�r(96 t To Water Main/Service Line a To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments *-PB/ b D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments " Check Pei flitted Bed bl Page 2 of 2 72-026 ( 11/84) To Cutbank (if present) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Rating Against HAA Request ** I certify th he ied erified, or conformed to all OA and HAA guidelines in effect on the date of this inspection. Signed / ` Date CompanyMOA No. Receipt No. Date of Payment Amount: rJ Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Engineer's Seal truce .Corwin ��i CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 5622343 FEDERAL TAX ID # 92.0040440 ANALYSIS REPORT BY SAMPLE Client PO# : VERBAL Req #: Client Smpl ID: LT 30 SECT 27 BIESMEYER 12-29-87 Sample Rec'd DEC 29 87 Ordered By : B & C Send Reports To: CORWIN & ASSOC 1200 INDUSTRY WAY, BLDG B, #I1 ANCHORAGE, AK. 99515 Special HOLD FOR PICK UP Instruct: Chemlab Ref #: 8717 Parameter Tested NITRATE -N Lab Sapl ID: 1 Sample ROUTINE SAMPLE Remarks: ANALYSIS COMPLETED: 12-31-87 LABORATORY SUPERVISOR: STEPHEN C. EDE 1 Tests Performed ND= None Detected NA= Not Analyzed Matrix: Water Result/Units 1.2 mg/I Work Order No, : 4519 Client Account : CORWINP Date Report Printed: DEC 31 87 9 13:16 Released By : 2*ti Reports Address #2 Method See Special Instructions Above See Sample Remarks Above LT=Less Than, GT=Greater Than Allowable Limits 10 Clock Time Cl � lO�_L> Jo:3o ,> ao DATA SHEET E)AVi PROJECT:!-� ?c crir7�,,k, < 2-7 DATE OF TEST: 7o r3 y-7 16 =5U 1 35 5 5' 40 LI_./l i_,-: O sEC,TIGtiI Z"r LOCATION OF WELL (Legal Description): —7— 1,-- zWELL WELLDEPTH: I _�3 FT. CAS INIG: FT SCREEN: DATE ORILWIG COMPLETED: 0 5 DRILLER: STATIC ')ATER LEVEL (Top of Casing) FT Elapsed Time Sincel A'> 90 — Pumping Started/ Depth to Orawdown/ Pumping Remarks Stopped, Min. Water, ft. Recovery Rate, GPM 0 :/<' (sw, 0 D I Start. 1 JI 210 rP 5 I 1I 2TU _ 0 5 20 — c, 16 =5U 1 35 5 5' 40 :00 45 :Us 50 lIZ 0 5 —1h —Ou r - A'> 90 1 Z_ 120 2 hours /7-. d I :/<' 1 0 hours 11 �S 210 S z 2TU 47 hours l _ l Z: RECOVERY n hour 5. LEGA DESCRIPTION Dom. c RECEIVED INSPECTION APPOINTMENTS L . TIME TIME TIME 6, TYPE OF RESIDENCE Cn DATE DATE DATE /-❑ Two EDFive /v2 "d' (�� n � `- rl- Man INSPECTOR INSPECTOR INSPECTO MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH 0 ENVIRONMENTAL PROT ECTI O�NVIRONMENI'AL PROTECTION 025 L Street - Anchorage, Alaska 99501 V NOV 1 8 1981 ENVIRONMENTAL. SANITATION DIVISION Telephone 264-4720 CC vv �y REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWS A' 91,71,114 dJ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten 110) days for processing. 1. PROPERTYOWNER Fl r�i s F 1ff_U:1?y n. PHONE MAILING ADDRESS R o, e o;c I o -'tet to c14, A .sw RROPERTY-FfESIDENT-(lf different from above) PHONE 2. BUYER PI10NE MAILING ADDRESS 3. LENDING INSTITUTION PHONE AL/�lS�i7 /��dUS/ ✓G MAILING ADDRESS 4. REALTOR/AGENT u� PHONE MAILING ADDRESS (- t _ 2221',_'E Y OLD cSC �q2i� / �e f�js • --- 5. LEGA DESCRIPTION �_ 1)\ L . STREET LOCATION ,�7 /L Eli 6, TYPE OF RESIDENCE NUMBER OF,BEDROOMS ED One ❑ Four ❑ Other [y SINGLE FAMILY /-❑ Two EDFive ElMULTIPLE FAMILY FAI Three ❑ Six 7. WATER SUPPLY lk�l­ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) - _ 6. SEWAGE DISPOSAL SYSTEM e -- -- — ©11 INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST 13EFORE PROCESSING CAN BE INITIATED. 720110 (Rev. 6/79) �/ /�_ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY - ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED s INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 6. COMMENTS V-�APPROVED FOR 'P_ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY `^I 72-010 (Rev. 6/79) November 23, 1981 James G./Judy A. Connolly Post Office Box tO-201 Anchorage, Alaska 99511 Subject: 1'12N R3W Section 27 Lot 30 Approval. for the individual sewer and water facilities cannot be granted until. the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. (2) The seal on the well head needs to be tightened so that it is water tight. (3) The septic Lank pumped with a receipt submitted to this office. (4) An adequacy test needs to be perforated on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this office for a reinspection when the noted descrepancy has been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw I 1. Approval requested by: GREATER ANCHORAGE AREA BOROUGH partment of Environmental Quality reet, Anchorage, Alaska 99503 274.4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF IVIDUAL SEWER & WATER FACILITIES FOR 3=010-- 2 j— Mai 1 i ng Address: 3. ��� ,,--,z Phone: 7 4/ — 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: Phone: .'77— 7-1 5. Type of facility to be inspected j'i l No, of bedrooms j 6p Well Data: U A. Type<3Z� 2 B. Depth �C. Construction �%����1{y,,0„,,,( _ D. Bacterial Analysis ') Sewage Disposal System: ('-o-� — V� A. Installed B. Installer C. Septic Tank: 1. Size /,2CD C-3 2. Manufacturer D. Seepage Pit: 1. Absorption Area 30017/ 2. Material E. Disposal Field: Total length of lines B. Distances: A. Well to: Septic tank _ 502 Absorption area /L 5” Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank _ , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Req or Approval of Individual S.. Water Facilities Legal Description Comments Approved Disapproved Date `�- 6-zz-74'ApprQva) Valid for one year from date 6-gned Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ-034 (1%74) Date _t— Noy f1, 1375 Lomas and Hattleton 33CO "C" street Anchorage, SAA 9960.3 SUBJECT? Lent 30, 'lection 27, T12% RX (James Connally property) bear Sir: The well on the subject property oust be upgraded before this department can grant an approval. Thio twoll may be upgraded by extending the well casing above ground level in order to prevent the possiMlity of plater or sewage entering the wall by Overflouiny the casing top. If you have any further questions concerning this matter, Bio not hesitate to cull me. Sincerely, Les'Buchool, R.S. Sanitarian LS/sr cc: James formally GREATER ANCHORAGE ARL;, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 -• 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Type of Inspection: CMRO VA _// FHA 2. Property Owner: pir��a Ca, Cnv�jl/oGL CONV Mailing Address: �%�rilDZp/ fa�Ta Phone '. 3. Name of Buyer: Mailing Address: _ _Day Phone 4. Name of Lending Institution: Z_O1V,7.9s v°/U IIZe—� _ Mailing Address: _e5 2- E' Phone 5. Name of Realtor or Agent: Mailing Address: , _— Phone 6. Legal Description: G.o7 G 0 �u so V.�lZ.r/ Location: i2 aIL4�__-- 7. Type of Facility to be inspected: No. Bdrms . 8. Water Supply Type of Supply: Public Utility Individual 1'� If Individual, number of dwellings presently served / i If Individual, depth of well /5�7 9. Sewage Disposal System Type.of System: Public Utility Iff Ind�i�vidual, date of installation Individual (on-site) b" -.. plt'h MOR C9rGEE Nb.:, - r:: p'iiii a�tr 3 A fi. sit CONDITIONAL 'COMMITMENY FUR MORTGAGE INSURANCE UNDER THE HOUSING ACT 041111411 '1010 ASiUkt k� M#AbA 0031131 COMMITMENT TERMS MAX.MORT Form Apptovad.- '. . r¢�9 �, Elydp6t i" on T ��Fr I i g<t++oliiI iG Abint�lYf for Credit Approval, when a this commitmentis desired.. GENERAL COMMITMENTCONDITIONS 1. MAXIMUM MORTGAGE AMOUNT AND TERMS - 'WOO" mortgogota.must. comply with minimum cash investment requke+; set forth in the heeding are the maximum approved forthis prapetty", .. melte based on total acquisition cost of the Real Property. efTl, A -, f N!� vtfFvey M NTHI sl A o�y (�'It4ep/eae9»s!tCeat6se, Value (Ealy, 4a7 ypafQ •:� Fire Ina .... �' Clealap,C,asle ,,f , Taxes .. $ y�I - Main: P Repair f d -+c JPFp� �� , .. t .:.. ! HA H or..& Ug�litlei ry ¢ CO' - -. 01 I:DIi, fAirthoNxd4A- 10:`0Af/ ` ® I.auvd: t': a: gill` .1944 _ ZEST i ' - - INFORMATION`- - - Tbe estimates of fire insurance, taxes, maintenance/repairs, hoot/uttlitlea and closing costs are furnished for mortgagee's and mortgagOr'a, Information. They may be used to prepare FHA Farm 2900, Application.. for Credit Approval, when a this commitmentis desired.. GENERAL COMMITMENTCONDITIONS 1. MAXIMUM MORTGAGE AMOUNT AND TERMS - (a) OCCUPANT MORTGAGORS: The mortgage amount and -term' mortgogota.must. comply with minimum cash investment requke+; set forth in the heeding are the maximum approved forthis prapetty", .. melte based on total acquisition cost of the Real Property. assuming a satisfactory owner -occupant -mortgagor. The maximum amount and term in the heading may be changed depending upon; 3 COMMrTMBNT`TIiRM: This commitment sN011 expire SIX MONTHS - FHA's rating'of the borrower, his Income and credit, froh, Ilii )psue dale, in the case of an EXISTING HOUSE or ONE ' YEAR fiarn Ito drlte In 'the came of PROPOSED CONSTRUCTION, (b) NONOCCUPANT MORTGAGORS: If the mortgagor does not (F114 -'blasslffe.s all cases as either "EXISTING" or "PRO, - occupy the house, the low limits the maximum mortgage amount to PD,sIEp" for the.fui (lm e, of, deleonining. when a commitment 'ek- not to exceed 85%a of the maximum amount available town eligible mortgagor who will occupy the house (85% of it See. 203(1)- pire.k, (lccdrdMgly a house, even though still under construe- value lion •shayy he clds`stfled as an existing house if it ions not ap= ' or 221). In the case of notioccupent mortgagors, the firm commit-` prove'd PIIA or VA'IuiAr'lo The hegfrnning of cdnstructinn.) rnent when issued will reduce the mortgage amount and terms below ' -u -s4,., ,,I - that stated in the heading. ...- - 4:� CANCELLA'BON:-This commitment may be cancelled after GO: -. (c)'COMMITMENT CHANGES:The Commissioner may, upoli re• ,day¢,.. Qom,. ,the ditto of _. isauanco if construction tine not stattedj.; quest of. the. approved mortgagee, change the. mortgage amount and:. ,pnlerry;the sigrigegee has disbursed loan proceeds. termset forth In the heeding. I, BIRM"COMMITMENT:-A firm commitment to insure a loon will.be: S. F1{OP;IiRTy' STAND 'ARb3:-All construction, repairs, or allpVa. issued upon receipt of an Application for Credit Approval; FHA' ti$t14. pr9Npued,:ln ihe,iliplication or on the drawings mid specid-' Form 2900, executed by an approved mortgagee and a borrower. cations.. rettmrled herewith, shall equal or exceed the FHA Mini-' . antipfactory, to the. Commissioner. If any are included in thrreale, .. mtlt((.PioQarty Standards,- - - - - SPECIFIC COMMITMENT" CONOIITIGNf(ilpplfDahlE Was checked) ,. . 1. �o HEALTH AUTHORITY APPROVAL:-Executlon of Form 2573 by Q PROPERTY INSPECTIONS: -A notice ofcenetructlon status shall: 'SII tbe,.Health Authority indicating approval of the water soPplyadd/ Waiywixtly F9nn,7289X,:-letter ox,telephopo at-the.timo lndicatep •.' or tievvage disposal Installation Is requ r (Approve by lette8 or health Authority from may be used.j al ' - (a) ALL PROPOSED.CONSTRUCTION.CASES: At least tWo. ' 2. TERMITE' CONTROL: -{a) EXISTING USE - 1Furnish ce)tW- d. wont daysbeforo "beginning of construction!': slid (a)(1) or; t(a)(2) wtren tiitecked. .from a licensed, reputable termite control operator that. Ole hqunot infestation in his to free of,. f�-� - •., , > ! ) WLap Ole building is enclosed, sthnctural fronling ;shows no evidence of and opinion termites. (b) PROPOSED CONSTRUCTION -Furnish original and; is tr-,r :completely expoaeA. and roughing -in .of plumbing, two copies of Termite Soil Treatment Guarantee FHA Form 2052.1 meeting and electrical work installed and visible. QIVitgn, cone4ruction completed and property ready'. for occupancy. - 3. SUBDIVISION REQUIREMENTS: -Comply with RcqufromMta� r (�f:-t' 01P"AIRS: - Notify FHA upon completion of requliod ' ..� i '-A,.�' Hrai - . from Report date _ for _, d Sp)`,t,g'vERx'Ilr{GATE OFCOMPLETION: A certificate stat-: -. Subdivision.'. I ny .that the mortgagee hes-exemiped the, proposed or.- ��— so tuiredjoilaim and that they have been satisfactorily',, - 4. EQUIPMENT IN VALUE; -The mortgagors shaltOclutoWledge thbj O oulpinted Will be accepted. 7 -: �'. d following equipment aspadof the mortgaged property, and rally: VIA, it}~TXf)l'18's'-Iryrtlieh a copy of a clear VA final report: - paid for. 8. ASSURtItNCE, OF COMPLETION: -If the required repairs cannot'' O be completed prior to Aubmission of closing papers, a Form 2300: ---- ---- -•---•-rte+- escrow in Ole amount. of $. (or such additionalt -: 5. 13UTLDEROS WARRANT'/: -The builder shall execute FHA Form amount as the lender desires) may be established as the means' ED 2544, Builder's Warranty. - to aaxure completion. CONDITIONS: Convertible .tO Section 235(1). 1. fiery fuel Oil tank below ground surface l:evia1 10 feet away from improvements. 2. Install storm door at rear servioe dboorr* 3_ tL,,r.333t•-fi&:i'-$i)'J-iC`�. G'-� Pl�'�-`av-"C�i4'V{3 Iia TIF be Complete painting started under south calile, 5. Waterproof inud room On south side of di4ollillg� �- JJ ,0��/ter-��;�� /��/�✓`�.�- z J FHA 1012MNO 1800-5 Fl,!,. /65 Improved Floor Aroa.___z_ _€t%!9t. ' DC1'[V`9 V`MVK r VAVCC -Ar IUK•AV rUUKrr.r:U Arrerri nocautbar 30 1963 �9 I Pau ktapalee Local. VApreaentative tt'atemar,r} AclMi nULrration V. 0. 11m 1399 ,AnchoraSo.0 ATeaka 99501 SUIUMS waltar llavty pat►p.�+0:y &tt�.,.9Up 5ou.`L71 12ia}; War Mr. Rapaleas "Jiae aav at, and water ayotem sorvias the subject location W111 be approved pending thu Inatullatiou of a 750 gallon oaaptft t:adt in caoaxjanrst ua vith cm adequato seepage a4ea# Thio aya- t:caa nzcsot bo, in compliance witty the Greater A chiwoa a Areca Borough `)rdi'arais:e Humber 2L48' siuce frost condition prmve nt work at thio tipra the ayacm could not be ivatalled w.til May or June. 19651. vitmAce3 for the delayed iu;atallastion of the aayatom could ba €arrafitead through asoney put In escraw. Sincerely, madicaal Dirc atol: David Harkness Saanitar!lran wal/tv REPORT OF INSPECTION --INDIVIDUAL SEWAGE -DISPOSAL SYSTEM PRIMARY TREATMENT consists of ❑ Septic tank. ❑ Cesspool. Septic Tank: Distance from well,_feet. Material, Number of compartments Total liquid capacity, gallons. Capacity inlet compartment, Inside length, feet. Inside width, _feet. Liquid depth, feet. cos*pooh Distance from: Well, _feet, foundation, feet; nearest lot line at ❑ front, ❑ side, ❑ rear,_ Inside diameter, feet. Depth, feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of ❑ Tile disposal field. [] Seepage pits. Other Tile Disposal Field Distance from: Well, feet; foundation,_ feet; nearest lot line at ❑ front, ❑ side, ❑ rear___ --feet. Total length of tile lines, ----feet. Number of lines,— _. Distance between lines, --feet. Trench width,_ inches. Total effective absorption area in bottom of trenches,_ square feet. Length of each line,___ feet. Depth, top of tile to finish grade,_ _ inches. Type of filter material: ❑ Gravel. ❑ Broken stone. Other - Depth of filter material beneath tile, inches. Depth of filter material over tile, --inches. Seepage Pits: Number of pits . Outside diameter,_ feet. Depth, feet. Lining material— -- Distance from: Well,__. feet; building foundation, feet; nearest lot line at ❑ front, ❑ side, ❑ rear,_ feet. Inspection made by: ❑ State. ❑ County. ❑ Local Health Authority. Inspected by--.--- Date y Date of inspection 19 REPORT OF INSPECTION -INDIVIDUAL WATER -SUPPLY SYSTEM Distance to nearest public water main, —feet. Size of main,_ inches. Individual wells ❑ are ❑ are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water Properties in neighborhood ❑ are [] are not being developed with both individual water -supply and sewage -disposal systems. Lot size: Feet wide, feet deep. Dwelling set back from front property line,_ feet. Individual water supply from: ❑ Drilled well. ❑ Driven well. ❑ Dug well. ❑ Bored well. Distance of well Prom: Building foundation, feet; nearest lot line at ❑ front, ❑ side, ❑ rear, Feet, cast iron sewer,____—feet, tile sewer, _—feet; septic tank, —feet; disposal field,— feet; seepage pit,._. —feet; cesspool,— feet; other sources of possible pollution, feet. Well construction: Diameter,_ inches. Total depth,_ feet Type of casing, Depth of casing, feet. Approximate depth to pumping level of water in well,_. feet. Approximate yield,_ —gallons per minute. Sealed watertight to depth of feet. Exterior space around casing sealed with: ❑ Cement grout. ❑ Puddled clay. ❑ Ordinary backfill. Well cover: ❑ Concrete. ❑ Wood. ❑ Metal. Openings in well cover watertight: ❑ Yes. ❑ No. Pump: ❑ Shallow well. ❑ Deep well. Length of drop pipe, feet. Pump capacity, gallons per minute. Located in: ❑ Basement. ❑ Pumproom off basement. ❑ Pumphouse above ground. ❑ Pump pit. Pumproom properly drained: ❑ Yes. ❑ No. Pump mounting watertight ❑ Yes. ❑ No. Type of storage: ❑ Pressure. ❑ Gravity. Capacity,_ gallons. Has bacteriological examination of water been made? ❑ Yes. ❑ No. If answer is "yes," give date Quality of water ❑ is ❑ is not satisfactory for human consumption. Installation ❑ does ❑ does not comply with approved exhibits, if any. Inspection made by: ❑ State. ❑ County. ❑ Local Health Authority. Inspected by Date of inspection _ , 19 {2 U. s. GOVERNMENT PRINTING OFFICE 1957 0-P-427058 l9 FHA Form 2573 FO1m Approved Rev. July 1958 FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 6]-R]96.8 HEALTHAJHL9yb APPROVAL VDgVIDUAL WATER SUPPLYAND SEWAGE DISPOSALJ gFIVJ � PART I.—TO BE COMPLETED BY FHA INSURING OFFICEp MORTGAGEE SERIAL NO hit{llriyais ;l�, i4 of kqt `%1I"S,) = .1 ♦- l Judy k rnarl ,/y �I' f PROPY.RT` 6DDRSS— M�J a� MIXY�1` SPONSOR fA 11utti iPA.A40. Vt LVV l 4llt i'; i `Aut 11t, k3Li-: 3-1,1, i1C?:i l)1AU' fi5L3t1 SUBDIVISION NAME BLOCK NO. LQT,NO. I TOTAL NUMBER: BASEMENT ❑New IDiSC811aUon Can attic or other area be made Into additional bedrooms? uwvO UNITS BEDROOMS BATHS --- - - 3r t Yes E No (If Yes, how many$) F1Yes11 No WATER SUPPLY BY: SYSTEM DESIGNED FOR of BORMs. GARBAGE DISPOSAL ❑ Public system Community system 0 IndividualNo. SEWAGE DISPOSAL BY: ❑ Public system E]Communitysystem 0 Individual •� Yes No PART II.—TO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the ❑ State County Local Department of Health that this individual water -supply system X❑ is ❑ is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State n County M Local Department of Health that this individual sewage -disposal sys- tem with proper maintenance: Can be expected to function satisfactorily, and ❑ Cannot be expected to function satisfactorily is not likely to create an insanitary condition DATE SIGNATURE TITLE July 1., 1.969 NOTE: The health authority should complete the appropriate opinion statement above and affix date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's sketcL as well us use of the Lock of this form is at the option of the health authority. PART III.—FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent PHA Compliance Inspection Report, and recommend that the Individual water -supply system be considered ❑ Acceptable ❑ Not Acceptable Sewage disposal be considered ❑ Acceptable F-1 Not Acceptable. DATE SIGNATURE ❑ CHIEF ARCHITECT DEPUTY FOR CHIEF ARCHITECT HEALTH AUTHORITY APPROVAL FHA Form 2573 INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM Rev. July 1958 REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES a (Fill out in Triplicate) s Name of person requesting approval `x7yZf�/IJ��C,'.-zl �In (% 2, clams of property owner 3. '_,epal descriptioq �a-�^ c. �, '.P...�. ,�zaze� •G� ��i lU .�%i-•.._. 4, Number.of, bedrooms in house 5. Water, Analysis: a• Bacterial / T b. Detergent__ / 6, Well data: — c3� 0 a. Type b • Depth Casing Size d, Distance from well to closest existing or proposed: 1. Sewer, line 2. Septic tank__/,S o 1 3. Seepage Area 4, Cesspool 3� 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc, 7. Sewape disposal. system. a. Ape of system s �, b. Septic tank capacity in gallons�� C. Name of septic tank manufacturer ' 1. If "home made" show diagram on reverse s de of this form, d; Disposal. field or seepage pit size and type�� L-696- G21 ✓ti 1, Distance to property line_- Lto house foundation N e. Percolation Test results f. Percolation Test performed by -Q-.,Use the reverse.side of this form to show diagram. Diagram should include -,the fol -lowing, information: property lines.well location, house location, a.4ptic tank location, disposal area location, location of percolation test, and direction of ground slope. 9. The inf.oTlaation on this form is true and correct to the best of my knowledge. Signature of Applicant Date Signed TO BE _ PILLED OUT BY HEALTH DFPARVIENT PERSONNEL The above described sanitary facilities are hereby approved, subject to the .- following conditions:�-- Conditions: 5`0 The above described sanitary facilities are disapproved for the following reasons: Approval is valid for one year following the date of approval. CPJ:cw