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Home My WebLink AboutT12N R3W SEC 25 W2NE4NW4NW4NW4Onsite File T12N R3W Section 25 W2NE4 NW4NW4NW4 #017-421-07 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 0 0 o ~ 0 ~3 O o o 0 0 0 ~ 0 L~q r~ H H 0 0 ~ F~ H 13~ 0 H F~. .Eq I I I I I H H H ~X~ o 0 r~ 0 ~ o o · Municipality of Anchorage Page 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 Permit Number: $1/v' ¢5'01-/3 PIDNumber: dllq ~-/07 Name: H A Re/- P Pl L L. Wastewater System: [] New [] Upgrade Address: 7~'oo ~e~ H--~F~ ~, ~9~-,~ ABSORPTION FIELD I NO. o! Bedrooms: Phone: '~"/$*-~'3 / 7 ~/ DS Deep Trench [] Shallow Trench [] Bed [] Mound [] Other Total Depth from original grade: LEGAL DESCRIPTION sog....g: O.~' cPD/Sq. Ft.a.~' , ~./' Lot: Block: Subdiv~ion: 3epth to pipe bottom from original grade: Gravel depth beneath ipe Township;, ~ [Range: [Section: Fill added above original grade: Gravel length: WELL: E~r B New ~ Upgrade Gravelwidth: Numberoflines: lOistancebetweentines: Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: Pipe material: ~ Fb Ft. I ~ I ~ SO.R. ~ -~tO Perf Driller: Date Drilled: Static Water Level: Installer: Date installed: Yield: GPM Pump Set at: Ft. ~ Casing Height Above Ground:Ft. TANK SEPARATION DISTANCES ~ Septic ~ He,ding U S.T.E.P. TO Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~O~ O~ ~ / ~0 Material:V Number of Compartments: Surface ' - '- LIFT STATION Water ~(~' ~ l~~ -- -- Ou~ain Pump Make ~ Model ~ Eleclrioal Inspections perlormed by: I ~, ~0~//~ ~ ~C ~ Location and Description: Corner Inspections performed by: ¢/~h~R ~4 ~ Dates: ls¢/od/2/¢5' ,~ .... ~ ....... , .... , ......... Department of He~ Hu ices approval %'-.,¢:%~ -,,.. Reviewed and approved by: Date: 72-013 (Rev. 9/91) MOA 25 PERMIT NO: SW950173 ~.UPPER HUFFMAN ROAD i ' I ~ PAGE 2 OF 3 46' TRENCH ~ ~ /,'~ M.T. "1" ', ~:~'~:~:~:~:~:~:~:~ SEGMENT /,'~ 56 TRENCH ::~:: ~::~::~::::::::~ ~C.O. '~: ' ================================= , ~ ...... / N ~;~; , ;~? · ~:.~ ~ %.:.¥~. NWl/4, SEC. 25, T12N, R3W, S.M. , .~ ~ ~-- ~ ~ t, ~ ~ SEPTIC SYSTEM UPGRADE ~ ~,~{~_. ~ ,~i~_~L~ AS-BUILT INSPECTION REPORT ~;~¢~ %;. ,;- ;~ ANCHO~GE, ~AS~ 99516 OCTOBER, 1995 PERMIT NO: SW950173 PID NC): 01742107 PAGE 3 OF 3 ~4' OVER TANK, 3' OVER TRENCHES 1250 GALLON ~ BOT. OF FIRST TRENCH t 76.4'",, 76.4'~ SEPTIC TANK ELEV 73.9' = 8.8' B.G.L. ~BOT. OF SECOND TRENCH ELEV. 71.3' = 9.1' B.G.L. NOTE: 6" BUMP IN LINE BETWEEN " FIRST AND SECOND TRENCHES BOT. T.H. #2 M.T. 15.5' B.G.L. (DRY 10/13/95) N1/2, W1/2, El/2; NWl/4, NWl/4, NWl/4, SEC. 25, T12N, R3W, S.M. SEPTIC SYSTEM UPGRADE PROFILE VIEW FLATTOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAGE, ALASKA 99516 NOT TO SCALE DRAWN BY TFM OCTOBER, 1995 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950173 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:DILL HAROLD & MARGARET OWNER ADDRESS:7500 HUFFMAN RD ANCHORAGE, AK 99516 DATE ISSUED: 7/21/95 EXPIRATION DATE: 7/21/96 PARCEL ID:01742107 LEGAL DESCRIPTION: T12N R3W SEC 25 W2NE4NW4NW4NW4 LOT SIZE: 54450 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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 RECEIVED BY: ~t~ DATE: TItEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 July 14, 1995 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on the N1/2, W1/2, El/2, NWl/4, NWl/4, NWl/4, Section 25, T12N, R3W, S.M., located at 7500 Upper Huffman Road. The present soil absorption system is operating in a surcharged condition, and needs to be replaced in order to qualify for a HAA certificate. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 2. As can be seen from the soil log, the native material between 3 feet and 13.5 feet below ground level is a sandy silty gravel with a measured perc rate of 10 minutes per inch. Using a slightly conservative soil application rate of 0.6 gpd/sq, ft. specified in the wastewater ordinance specified for soils with perc rates between 15 and 30 minutes per inch, this 4 bedroom residence requires a total absorption area of (4 x 150)/0.6 = 1000 squm'e feet. The proposed design consisting of two parallel 50 foot long soil absorption trenches with 5 feet of sewer gravel beneath the horizontal distribution pipe has a total absorption area of 1000 square feet. The topography of the lot slopes down towards the west at approximately 15%. As I discussed with Jim Cross on July 13, 1995, the installation of the existing septic tank was permitted in 1985 with specific approval to install in the same area as the original tank which was less than 100 feet from the well serving this lot. Provided an inspection of this tank at the time of construction of the proposed upgrade reveals the tank to still be in good condition, we understand the present tank will be eligible for issuance of a HAA certificate without the need to apply for a new separation distance waiver. The proposed project will have no known impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space- surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. LOT 2 WALLNER S/D iI UPPER HUFFMAN ROAD 10' GASLINE EASEMENT 10' ELECTRICAL EASEMENT CONSTRUCT 2 NEW 50' LONG N. 5.0' SEWER GVL., (~...~T.H. #1 SITE FOR REPLACEMENT SEPTIC TANK EXISTING 1250 GALLON SEPTIC TANK (VERIFY INTEGRITY AND RETAIN, IF OK) , N1/2, W1/2, E1/2, NWl/4, NWl/4, NWl/4, SEC. 25, T12N, R3W, S.M. SEPTIC SYSTEM SITE PLAN FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JULY, 1995 NQTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50' LONG SOIL ABSORPTION TRENCHES WITH BOTS. 9' B.G.L & HORIZ. DIST. PIPE INVS. 4.0' B.G.L 50 ~,,, CLEANOUTS ('rfP.) \~4" DIA ASTM F-810 o] \ ~ / 4" DIA. ASTM D-3034 | NON-PERF. INTERCONNECT CREATE 6" "BUMP" IN LINE/ "A" SCALE: 1" = 10'- 0" 4" ASTM D-3034 PIPE FROM S.T. % TH£ODO~£ i:. ~O02E ~ CE-3589 CLEANOUT -- .ASSlFIED BACKFILL FILTER FABRIC F-810 HORIZ DIST PIPE GRAVEL ~-BOTTOM OF EXCAVATION 4" DIAMETER INTERCONNECT PIPE WITH 6" "BUMP" BETWEEN TRENCHES SECTION "A - A" SCALE: 1" = 5' - 0" N1/2, Wl/2, El/2, NWl/4, NWl/4, NWl/4, SECTION 25, T12N, R3W, S.M. SEPTIC SYST. UPGRADE PLAN & X-SECT. FLATTOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAGE, AK, 99516 SCALE: AS SHOWN DRAWN BY: TFM JULY, 1995 Flattop Techn~cal Serv~es 14530 Echo Street, Anchorage, AK99516 Phone (907) 345-1355 N1/2, Wl/2, El/2, NWl/4, NWl/4, NWl/4, Sec. 25, T12N, R3W, S.M. 7500 Upper Huffman Road Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of construction of 100 feet of 9' deep soil absorption trench containing a total of 5.5 feet of sewer gravel. The top and upper sides of the existing 1250 gallon septic tank is to be exposed for inspection, and if the tank is detmmined by the engineer to not be in satisfacto~T condition, it shall be replaced with a new tank in the approximate location shown. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in confonuance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities.' 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper ch'ainage is achieved after settlement and that there m'e no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 1.6 Prior to start of construction, the contractor shall arrange for a land surveyor to mark the location of the west property line and the southern boundary of the electrical easement in the vicinity of the proposed soil absorption trenches, so as to ensure that the required 10 foot separation distance from property lines is achieved. 2.0 Septic Tank: 2.1 The existing septic tank may be retained in service, only if it's stractaral integrity has been verified by the inspecting engineer, and if it has functional cleanout pipes with airtight caps, allowing pumping access to each compmWnent. Any existing septic tank which is not retained in service must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 If the existing septic tank is found to be no longer in satisfactory condition a new 1250 gallon, 2 compartment septic tank shall be installed. It shall be set level on undisturbed soil. Each compatlment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by creating two parallel 50 foot long trenches, which are excavated to a depth of 9' below the original ground level. Each u'ench shall be aligned to follow the natural contour lines of the original ground. 3.2 The bottom of the excavations shall be level. Any compacted or smeared sm'faces shall be raked to allow proper infiltration. 3.3 A total of 5.5 feet of approved sewer gravel shall be placed in the bottom of each excavation with the perforated distribution pipes'laid level such that the pipe inverts are no less than 5.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. The two trenches shall be interconnected by means of a 4" diameter non-perforated pipe connecting the horizontal distribution pipes near the north end of the trenches. This intemonnect pipe shall be installed so that it contains a 6" high "bump" in the line near the point where it exits the upper trench. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the property owner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid mvegetation of all areas disturbed by the consu-uction. 4.0 Inspections: 4.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the fight elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. A new septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. iTESTHOLE# 2 FLA'I'FOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: N1/2, W1/2, El/2, H~V1/4, NWl/4, i'.~V1/4, SEC. 25, TI2N, R3W, S.M. DATE PERFORMED: .Tune 29, 1995 PERFORMED FOR: Harold Dill DEPTH -- (feet) Pt Peat 1 SM Reddish sandy loam ML Silt GM Sandy silty gravel fairly consistent throughout scattered seams of ML and SP Water seeps GP/GM Sandy gravel w. fi-actured rock B.H. Bedrock SLOPE Depth to Groundwater Date Seeps (~ 13.5' 6/29/95 14.0' 7/6/95 SiTE pLAN ~r~. 52 ..~,~T.H. # 1 STANDPIPE \ O o ~ HOUS~ q Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) 6/29 12" Presoak 4:11 27 1/2 4:16 26 1/4 4:31 24 1/8 Start 4:36:30 23 518 #1 4:46:30 10 22 518 1 Add water 4:46:45 23 5/8 #2 4:56:45 10 22 5/8 1 Add water 4:57 23 5/8 #3 5:07 10 22 5/8 1 PERCOLATION RATE 10 (minutes/inch) PERO HOLE DIAMETER 6 TEST RUN BETWEEN 6.0 FT AND 6.5 FT COMMENTS: The percolation test should be representative of soils between 3' and 13.5' BGL. These soils appear visually to be better for a soil absorption system than the soils found in test hole #1, I'¢/~/~' ~ CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY FLATTOP TECHNICAL SERVICES. ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: TEST HOLE FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: N1/2, W1/2, El/2, NWl/4, NWl/4, W, N1/4, SEC. 25, T12N, R3W, S.M. DATE PERFORMED: June 29, 1995 PERFORMED FOR: Harold Dill DEPTH (feet) 1 2- 3 4- COMMENTS: Pt Peat SM Reddish sandy loam SM/ML Very silty sand SP/SM Somewhat silty sand ML/SM Gray sandy silt hard GP/GM Sandy silty gravel GP Fractured rock B.H. Bedrock SLOPE Depth to Groundwater Date No Groundwater 6/29/95 M.T. Dry 7/6/95 SITE PLAN ~a~ 52 .a~--~T,H. Ii 1 EXISTn G k \ * STANDiIPE ~ Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) 6/29 12" Presoak 3:15 27 1/2 3:22 20 Add water 3:23 27 1/2 Add water 3:30:10 23 1/4 #1 3:32:10 2 22 I 1/4 Add water 3:32:30 23 1/4 #2 3:34:30 2 22 1/16 I 3/16 Add water 3:34:50 23 3/8 #3 3:36:50 2 22 1/8 1 1/4 PERCOLATION RATE 1 (minutes/inch) PERC HOLE DIAMETER 7" TEST RUN BETWEEN 6.0 FTAND 6.5 FT Soil lenses are distinct at east end of test hole; less disifi~ct @ west end. PERFORMED BY FLATTOP TECHNICAL SERVICES. I '~"~..'~/'/O-e..~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7 MUNICIPALITY OF ANCHORAGE Development Services DepartmentYPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 017-421-07 Certificate of On -Site Systems Approval Expiration Date: 30'wo 1. GENERAL INFORMATION Complete legal description T1 2N R3W SEC 25 W2NE4NW4NW4NW4 Location (site address) 7500 Upper Huffman Rd Current property owner(s) C H I LD E RS Mailing address Real estate agent Jackie 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 952-2999 Day phone 952-2999 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. i COSA Fee $ o y a . rJ b Waiver Fee $ Date of Payment L.2 5 .?G� D Date of Payment Receipt Number 014 0 3 T:) Receipt Number COSA# 0 C2_r))2`a2 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water Supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein- I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water Supply andlor wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation- I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm NorthRim Eng.. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 6122/20 OF 0- lot 6. DSD SIGNATURE ,i Steve 0 System -#-71 Approved for bedrooms E CE -62 R4W44 6 _/22/2(T System 442 Approved for bedrooms Disapproved Conditional -approval for bedrooms, with the following StlipUlatiOnS- ON-SITE WALE R A I Nn11 WASTE V,+,`ATER f-MU(jhAM )tSER\J By di�_g Original Certificate Date. 61-qo The NItanicipalitty of AncPomgc- Development Services Division (DSD) issues Certificates of On -Site Systems Approval (GOSH.) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska- The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer`s,,v)rk. 7. ATTACHMENTS: COSA Checklist X Nitrate AdvisoR, Septic System Advisonj Arsenic Advisory Well Flow Advisory Other COSA Check -est blue steei COSA Checklist yellow sheet COSA Checklist Legal Description: Parcel ID: If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test?Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA ______________________ Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: T12N R3W SEC 25 W2NE4NW4NW4NW4 017-421-07 1.1 1971 0 250 bedrock 1.61 12+NRimEng 6/3/20 43 6/8/20 25 septic-steel 49.5 6/9/20 10/14/95 same 6/3/20 4 9 54/6 4 600 58/15 60 55/10 600 no West Trench- Lower Fluid Level ✔ E. SEPARATION DISTANCES From Private We I I on Lot to: (Please enter distances if less than required or if community well) Septir Tank.:L ft Station on Lot > 100' El Yes Community Sevier h,.lanholer'Cleanout > 100' ft ® Yes if No ft ❑4 Yes if No 1 Neighboring Tank =100' ❑i Yes if No ft PrivateSewer.-Septic Line'_ 25`❑ Yes if No 1 Absorption Field on Lot -> 100' 0 Yes if No ft Holding Tank =100' ❑ Yes if No i Neighboring Absorption Fields > 100' Animal Containment > 56' ❑ Yes if No 1 ® Yes if No ft I'danure/Animal Excreta Storage > 106' Community Sewer Main > 75' ❑, Yes if No ft ❑✓ Yes if No 1 From SepticlHolding Tank on Lot to: (.Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No ft Surface Water =100` Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field> 5' ❑ Yes if No ft Pdvate Wells> 100' Water I'vlain - 10' 7 Yes if No ft Community Wells > 206' E Yes if No 1 ❑, Yes if No 1 71 Yes if No i Water Service Line ' '10' ❑, Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation> 10' El Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑, Yes if No ft Pdvate Wells > 100' d Yes if No 1 Water Service Line> 10' ❑ Yes if No ft Community Wells> 200' 21 Yes if No i Surface Water > 100' ❑Q Yes if No ft F. ENGINEER'S COMMENTS 10 AW F i G. ENGINEER'S CERTIFICATION AAV I) I �#� ! certify that I have determined through field inspections and review � � 49 !H� �* of ftIunicipal records that the above systems are in conformance with � ` ` ` .. ` ` ` ` ` ` A40A COSA guidelines in effect on this date- 10 Steve Eng o CE -6256 �2 COSA Checklist yellow sheet MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Septic Tank Advisory Certificate of On‐Site Systems Approval # OSC201282 Legal Description: T12N R3W Section 25 W2NE4NW4NW4NW4 The septic tank for this property is 25 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $7,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On‐Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. ---1--------------------------- UPPER HUFFMAN ROAD ALIQUOT PART S 89'57'38"E 164.74' 8' X 40' co SEPTIC PIPES Z / 8.2' x 14.2' SHED , O CMN-UNK U PENCE ASPHALT O PAVEMENT . 0 N} S o a ,ez 100' PROTECT Lot 2 y qv zz WELL 0 w000w PATO 1 44-5' 3 '� w000w WAIAWAY 5.0' a 5.0' 1 STORY ADU m PIAYHOOSE Wn ....., 3.5 PORCH N 89'54'40"W 164.70' QP JOS �4 P NOTE: BOUNDARY SHOWN IS COMPUTED FROM THE PLAT OF "LOT 1 & LOT 2, ZERKEL SUBDIVISION" PLAT No. 91-04. QP Jp� 'OV PLOT PLAN AS BUILT X SCALE 1" = 40' GRID SW 2840 Project No. 20-297/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 0000Q��04 (907) 522-4625 Fax oQ Professional Land Surveyors kenOlongsurvey.com c OF.q•�9�� jonothanOlongsurvey.com DOP S �0 1 hereby certify that I have surveyed the following described property: TH '•-7 O W 1/2 NE 1/4 NE 1/4 NW 1/4 NW 1/4 SECTION 25, T12N, R3W, SEWARD MERIDIAN, ALASKA G'++ ::•49- 0 ................. . ............. Anchorage Recording District, Alaska, and that the Improvements situated thereon are t7 within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed 0'p'KENFI ••:�-� premises and that there are no roadways, transmission lines or other visible O �,o G easements on sold property except as Indicated hereon. Op' of ((n(%z p� Dated this the(Ca 'Z�2o pQ'Pi'd ''•�5-5202.•' yJ_4� Day of — .1L1 at Anchorage, Alaska 44NQRa�SSIDNAL moo It Is the responsibility of the owner to determine the existence of any easements, 004poo�� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) '75-oo ~z?/¢ er /~,,$~:~,, /4< Property owner Mailing address Lending agency H-,~_r-o[~ D,II Day phone Day phone Mailing address Agent Address Day phone .~e~/ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: I-- If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. · TYPE OF WASTEWATER DISPOSAL: Individual on-Site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe. functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 F/~/-~/,, %~'c~,~i(,~f £~,"~"~¢~u' Phone Address /YS' .~¢' /~c.~c~ _¢/. ,A-,~c/~o~-cz~,~ ,~c Engineer's signature ~~ ~ ~ Date DHHS SIGNATURE Approved for ~,~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfl/certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~725(Rev. 1/91) Back MOA ~1 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4744 Health Authority Approval Checklist Legal Description: I¥ I/~_, /,q '&z tff V~ Atto ~/~ N~uV~/N~ t/q Parcel I.D.: A. ~LL DATA Well type /'Vr'~ahE IfA, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) b/ Date completed Total depth ~,5'0' Cased to ffe~4roc& Sanitary seal (Y/N) F Casing height (above ground) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date oftest Id / t3 /~,3- Static water level qq' Well production g.p.m. O, 7'/ WAq~R SAMPLE RESULTS: Coliform O ¢,,! ~room-( Nitrate O, tq rnT {-~ 0therbactefia Nt,~,e refor ~'cd, Dateofsmnple: I~ / t :7 / ~,f' Collectedby: F/a H~,? 7-,e¢6 B. SEPTIC/HOLDING TANK DATA Date installed lO / t¥/~5' Tmtk size I'EtO~r~I Number of Compartments Foundation cleanout (Y/N) V Depression (Y/N) tV High water alarm (Y/N) N, Date of Pumping N.,4. (~e~.) Pumper N, A. C. ABSORPTION FIELD DATA Date installed 16' / tht [~5- Soil rating (g.p.d./fl2 or fl2/bdnn) ~ System type ?-r¢~ c,~ Length S'6'~'t'¥d'=/o?/Width ~.g' Gravel thickness below pipe q,~.', o':/' Total depth ,~'.~'., 9,/' Effective absorption a~ea 16't,9 O ' Monitoring Tube present(Y/N). Y' Depression over field (Y,q'q) tV Date of adequacy test IV. A. ( n ~ Results (Pass/Fail) ?a,ff For q bedrooms Fluid depth in absorption field before test (in.); O Ium~ediately after - gal. water added (in.): Fluid depth - Minutes later: - (in.) Absorption rate = g.p.d. Peroxide treatment (pas~ 12 months) (Y/N) N If yes, give date N, A. D. LIFF STATION N.A. Date installed Manhole/Access (Y/N) High water alarm level at* *Datuln Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tauk on lot Absorptiou field oil lot Public sewer main Sewer/septic service line Size m gallous . "Pomp oil" level ut* .; On adjacent lots /~/~ ' ; Ou adjaceut lots / oO ' Public sewer tnanhole/cleauout Lift station N, -4. ~'Ptnnp off" level at* SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation '7or ' Property line I ~ ' Absorption field ~- Water main/service line .> too' Surface water/drainage ;> too' Wells on adjaceut lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building fouudatiou 76" '+ Water mai~ffservice line '> too ' Surface water Curtain drain No,~, See,o Wells on adjacent lots >, too F. ENGINEER'SCERTIFICATION ProDer t~), l.,h ~ la' ! certify that I have deternlined thrufield inspections' and review of Munic m conformance with MOA HAA guidelines in effect on this date. Signature °]-.,,,/~4-.e_,Z,,< Engineer's Name -["h eo Date 0c/o ~.~,- I~., 19q3-- HAA Fee $ ~ tYO oo. Date of Payment /~',~ - ~,~'~ Receipt Number '~:7/! -- G ] ~ ] '~, Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Paytnent Receipt Namber % rl][oeonE ~. aoo~ CE - 3589 WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO. ~/~ f~z~d~4 '~-~ During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot --' Block of ~d ~$1,~-~/~'~/ ~ Subdivision, the well's productivity was ~etermined to be ~ gallons per minute. The minimum well productivity required by this department (AMC 15.55) for a ~7L bedroom residence is ~. gallons per mi~u~e. Although the subject well currently exceeds this minimum requirement, all part'ies concerned are advised that the production capacity of [he well may fluctuate. Restriction of noncritical water uses such as washing cars and Wat%ring lawns and gardens may be required. This' advisory must be attached to Health Authority Approval~ ~ all copies of t'he subject CT&E Environmental Sen/ices Inc. Laboratory Divi~ion ~ cT~z ~o~.# ~.4~-~ Laboratory Analysis Report 200 W. Potter Drive, Anchorage, AK 99518-1605 -- TeL (907) .662-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA. CAL/FORNIA, FLORIDA, ILLINOIS, MARYLAND. MICHIGAN. MISSOURI. NEW JERSEY, OHIO, WEST VIRGINIA FLATTOP TECHNICAL SERVICES 14530 Echo St.. Anchorage, AK 99516 Ph. (907) 345-1355 Legal 'Description: Street Address: 7~0~ ~ffef Client Name: ~I~ P~I/ c[~ ADEQUACY TEST DATA Test Date:, Io//3/?~- Initial Conditions: Float #1 in, Float #2 in Float #3 in Float #4 in Water added through: SHEET Tested By: set " b.t.o. " pipe w. " fluid set " b.t.o. " pipe w. " fluid set__" b.t.o.---~" pipe w. ":fluid~ set "b.t.o. "..pip'e,: ,w. " fluid "ACTIO~ TIME H20 METER NET. GAL WE~L FLUID LEVEL TAKEN LEVEL tt :z~ 7~0 tTff t~ IZ: g~ t :oo ~r Z:~ 7g~ o ~7 ~: zz I 9o -,- ~easured 1¢ell Yield =(_~¥e~l,~,5".~t',tFa~./_,~ Adequate for ~ Bd~m~ Unit Absqrption Capacity = [;urge Capacity = Average Absorption Rate Adequate for Bdrms ;' MUNiCiPALiTY OF ANCHORAGE ~1 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMEN'rAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE [] NEW MAILING ADDRESS LOCATION / J NO. OF BEDR~MS IF HOME.DE: Inside length Width Liquid depth , ~ Well Dwelling PERMIT NO. O z ~ Manufacturer Material ,Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMIT NO. ~ Z No, of lines Length of each line Total length of lines Trench wJdth Distance between lines OTHER REMARKS ~ ~l APPROVED ~ATE ~ LEGAL i'"'i~ I,[_ it ii'*,,i! :'ii_' EZ: % IF:::' :¢.:'~ i~... % .... '¢" i[Zll F .¢::z~, !NI C]: II-~ C]~ iF:x;':: ~:¢:z~, CiE; EiE DE]::i'F?;'.TM!EMT OF: I',IET~!_Tll qND EF~VIF:,:OI",I"'IEFNT¢~L .~GR'...,ER ANCHORAGE AREA Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ms.~c~o~ ~o.~ ON-S.~ s~w^o~ ms.os,~, sYsz~ SEPTIC TANK: DISTANCE FROM W E L L/'~X,¢,~'}~/~]J~IA N U F AC T U R E R INSIDE LENGTH INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY GALLONS. FOUNDATION TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN. wE,,: "'¢,.,,,,' BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE SEWER LINE TANK CESSPOOL OTHER SOURCES APPROVED_ DISAPPROVED REMARKS DEPTH SEEPAGE SYSTEM ? DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: Coo~. E~, SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ-032 GR~-,~. ~.R ANCHORAGE AREA BO, Ugh SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERi, iT INSTALLATION LOCATION LEGAL DESCRIP'rlON ~\/"~ I b'Jt/'~J~ iNSTALLATION OF: SEPTIC TANK / TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SO,L TEST "E'"LTS \ SEEPAGE PIT ~'~=~'~'~ Drain fIELD, ., OTHER NOTE* THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL iNSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE pIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PiT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT LINE. .WELLTO SePT[CTANK <~' ~ DRAIN FIELD WATER MAIN TO SEPTIC TANK , DRAIN FIELD ., SEEPAge Pit ~ ALSO CONSIDER AREA WELLS. ., SEEPAGE PiT SEPTIC TANK, -, SEEPAGE PITI II~l~-~ , DRAIN FIELD TO RIVER, LAKE. STREAM. CAST YF~ON 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 W~TH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL DIAGRAM OF SYSTEM IF'- 182 --11 I[ 181 176 ~-- '183 188 DeArmoun Road Area Reference Map-P14 OAAB-HD. I -'~R ANCHORAGE AREA BORC"~-~'~ u~PArlTMENT OF ENVlFIONN1ENTAL 0. UALI,. 3500 TUDOR ROAD ANDHOFIAGE, ALASKA 95507 279-8586 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~'~- LOCATION SEPTIC TANK: MAILING ADDRESS ./~'"~ ' LEGAL DESCRIPTION DISTANCE FROM WELL__ LIQUID CAPACITY. ~0 GALLONS. NUMBER OF MATERIAL_ -5~-'~'~'~'~/---'-' COMPARTMENTS INSIDE LENGTH ~ INSIDE WIDIH ~ DEPTH~ SEEPAGE SYSTEM: NUMBER OF PITS / OUTSIDE DIAMETER ~ OR WIDTH LINING MATERIAL~,~ ~ ~ ~-'~,/~' DISTANCE FROM WELl -'~c~ NEAREST LOT LINE /~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH /~2~ , DEPTH , BUILDING FOUNDATION~'~ SQ. FT. TILE DRAIN FIELD: /'-//'~ DISTANCE FROM WELL TOTAL LENGTH ~ FOUNDATION . NEAREST LOT LINE_ , OF LINES NUMBER OF LINES. DISTA~INES ABSORPTION AREA S~/- Q. FT. LENGTH OF EACH LINE IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE .DEPTH OF FILLER MATERIAL BENEATH TILE IN. ABOVE TILE ,~'.-'~v-'~.~/ ~'~ ~L:3~ ,' DISTANCE FROM WATER WELL: TYPE ~"'-/~",,~2~'~- DEPTH , BUILDING FOUNDATION. ./,~ / SAMPLE~--/~:~, NJ~AREST LOT LINE r/L) /~'~ NEAREST · S~PTIC ~.-~d~" SEEPAGE / OTH R , SEWER LINE~,~ ~--, TANK , SYSTEM ~'~ , CESSPOOl/J'/~/(~'~, SOU DISTANCES: /¥/41 DIAGRAM OF SYSTEM APPROVED - ~ ' ~ _ ---'~ x ~G.A.A.B. GReATgR ANCHOrage AREA Boruugh /~/ SEWAGE DISPOSAL SYSTEM M APPLICATION AND PERMIT ~ ~~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOiL FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. AREA SIZE TYPe . MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ FOUNDATION TO SEePage PIT_ '~ , DRAIN FIELD. SEPTIC TANK tO SEEPAGE PiT WALL SEPTIC TANK~ ~- , SEEPAGE pII~=~.~ 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 O~ 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 BACK~ILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOR H ORDINANCE NO. 28-68 AND THAT THE ABOVE T~ME 2:53 2:54 2:55 2:56 2:57 2:58 2:59 3:00 3:01 3:02 3:03 3:08 3:13 3:18 3:23 3:33 3:43 3:53 ELAPSED TIME 0 1 2 3 4 5 6 7 8 9 10 15 20 25 30 40 50 6O PERCOLATION TEST CLYDE LOWER R & M NO. 656300 INCHES 6.25 6.50 6.75 7.00 7.25 7.50 7.50 7.75 8.0 8.0 8.25 8.75 9.5 9.75 10.25 11.00 11.75 12.50 DROP IN INCHES 0 .25 .25 .25 .25 .25 0 .25 .25 0 .25 .50 .75 .25 .50 .75 .75 .75 6.25 Total Drop 9.6 mln/inch drop September 10, 1976 R & M No. 656300 Clyde Lower 3201 C Street Anchorage, Alaska Test Hole and Soil Log Report for Sanitary System N 1/2, W 1/2, E 1/2, NW 1/4, NW 1/4, NW 1/4, Sec. 25-T12N R3W, Seward Meridian, Anchorage, Alaska Dear ~. Lower: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This ln- vestigation was performed in accordance with your request of August 31, 1976 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Muncipality of Anchorage Department of Environmental Quality. A single test hole was put down within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 16.5 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling. A percolation test was performed from a depth indicated and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, CONSULTANTS, INC. James W. Rooney Vice President JWR/ddp xc: Municipality of Anchorage ~.~,C~!! . i~EPARTMEN' OF HEALTH AND ENV~RONMENI'> 'PROTECTION Date Received: November 16, 1977 ~2: Time #3: Time Da he Date REQUEST FOR APPROVAL OF Lending Institution Request: Jack White Company % Elliot Lawson Mailing Address: 3201 C Street 99503 Phone: 277-1553 i~ff 4: Property Owner: Harry E. White Mailing Address: Star Route A Box 397K 99507 Phone: 344-7064 Legal Description: T12N R3W Section 25 N½ W½ E½ NW¼ NW¼ ~4¼ Single Family Residence: (x) Nunoer of Bedrooms: Four Multiple Family Residence: ( ) Number of Bedrooms: Well System: Individual Well O Community/Public System ( ) Permit Depth of Well We.il Log on Fi].e ( ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site Permit ~ Installed Septic Tank Size Absorption Area -~_~o Soils Rate 7. Distances: Well to ~eptic Tank to Sewer Line Nearest Lot line System (x) Public Installer Manufacturer Material utility ( ) to Absorption Area Aosorpt~o~ Area to Nearest Lot Line MUNICIPALITY OF ANCHORAGE , ,, , DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 !~ '~".'" ..~ ~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: CMRO Harry E. White SRA Box 397K 3. Name of Buyer: 10655 Mailing Address: Bellevue 4. Name of Lending Institution: Mailing Address: VA_ FHA CONY xxxxx Day Phone: 344-7064 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: 4th... Suite 705 98004 Merrill-Lynch Relocation Management Inc. Day Phone: (206) 455-3013 ' Phone: NONE Name of Realtor or Agent: Jack White Company .... Attn: Elliot Lawson Mailing Address: 3201 C Street, Anchorage 99503 Phone: 277-1553 Legal Description: N1/2 of W 1/2~ E 1/2/ NW 1/4/ NW 1/4, NW 1/4, Sec. 25, T12N,R3W, S.M. Location: Go up Upper Huffman from Hillside Dr. ..take first street on right.., home is 1st home on right side of this street. (~ brown hillside ranch style home with attached carport) Home- Single-family No. Bdrms. 4 Public Utility. If Individual, number of dwellings presently served If Individual, depth of well Unknown Sewage Disposal System Type of System: Public Utility If Individual, date of installation Unknown Individual xxxxx well One Individual (on-site) xxxxx 72 003(3/76) ~?a, ge ~wo Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: T12N R3W Section 25 N½ W½ E½ NW~ NW¼ NW¼ Con~nent s: Affadavit At'hached: .~~ Approved: ~_~_ _ Disapproved: Letter Attached: ( Date: Department Worksheet: Department of ~n~,al~Qu~!ity~ 3330 "C" Street, Anchorage,~laska 99503 274-4561 I%[~'~ ~.~,~/Q m97'' REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR ~onv. Date Received August 12, 1976 Time of Inspection~ Date of Inspection l. Approval requested by: Flrst National Bank of Anchorage % Paula Mailing Address: 425 G Street Phone: 279-4481 2. Property Owner: Ron Ramos Phone: Mailing Address: Legal Description: T12N R3W Section 25 N½ W½E½ NW¼ NW¼ 4, Location: 2nd ~driveway on s-side of Uppper Huffman, after leaving H~±ls~e Dr~ve ~n an easterly direction 5. Type of facility to be inspected Single Family No. of bedrooms 4 6. Well Data: Individual ~--. 4 A. Type B. Depth r~''--~-''l~'_~ C. Construction D. Bacterial.A _ Sewage Disposal System: On-site syste _ A. Installed ~~ C. Septic Tank: D. Seepage Pit: I. Absorp~ea_~ ~ 2. Material length of 1 E. Disposal Field: Total in4% Di stances: A. Well to: Septic tank , Absorption area ., Sewer Lines __ Nearest lot line B. Foundation to septic tank , Other contamination , Absorption area C. Absorption area to nearest lot line LQ-034 (1/74) ,, Page 1 of two pages 3330 GREATER ANC?tOR~GE AREA BOROUGH.L~?:':':'~,,i,',:t : Department of Enxironmental Quality "C" St., Anchorage, Alaska 9t9503 - 27;'4+:4561 REQUEST FOR APPROVAL INDIVIDUAL SEWER & WATER 0 F FACILITIES 1. Type of Inspection: CMRO VA FHA CONV x 2. Property Owner: Ron Ramos Mai.ling Address: Day Phone ~ 3. Name of Buyer: White (also ~resent occupant) Mailing Address: Rural Route Day Phone 344=7064 _ 4. Name of Lending Institution: 1st Nat'l ]Bank of Anch, Mai~ing Address: 42~ G St. Anch. Phone279-4481 (Paula) 5. Name of Realtor or.Agent: Clyde Lower or Tom Hadad (Jack White Co.) Mailing Address: 3201C St. Phone 277-1553 Legal Description: N~W~E&~NW&~NW~,NW~, Sec,25,T12N,R3W,S.M. Location: 2nd Driveway on south side of ~pper huffman after leaving hillside drive in an easterly direction. 7. Type of Facility to 8. Water Supply Well Type of Supply: If Individual, If Individual, 9. Sewage Disposal be inspected: 2 story No. Bdrms. 4 Individual Public Utility X number of dwellings presently served .1 depth of well 225 System Individual Type of System: Public Utility If Individual, date of installation (on-site) X EQ-037 (~/74) Ppge. 2'of two pages - Re(/~st for Approval of Individual F~-~a_r & Water Facilities Legal Description ~12N R3W Section 25 N½ W½ E½ NW~ NW~ Comments Approved Disapproved ~~-c Date ~'-7~, Approval Valid for one year from date signL, d~ Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 Date EQ-034 (1/74) GREATER ANCHOPAGS AREA BOROUGH Department of ~nvfronmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Time of Inspection Date of Inspection_ //~J~-- RSQU~ST FOR APPROVAL OF INDIVIDUAL SEWER & WATfR FACILITIES FOR Approval Requested By: ~ ~ Address: Phone: 2. Property Owner: 5. Type of Facility to be Inspected. Number of Bedrooms: 6., Well Data: , / / C. Construction' ~~. Bacterial Analysis 7. Sewage Dfsoosal System: ~ Size/~JX/~'$ 2. Material~f~-vv~ .... Ae C. Septic Tank: 1, D. Seepage Pit: 1. E. Disposal Field: Total Length of Lines Distances: A. Well To: Septic Tank ~r'-f , Absorption Area ~ , Sewer Lines ~z~ /~- ,,., Nearest Lot Line/~ ~ , Other Contamination B, Foundation to Septic Tank ~ / "} AbSorption Area ~ /~ C. Absorption Area to Nearest Lot Line R"equest for Approval of<Ihdiuidual Sewer & Water Facilities Page Two Approved isapproved Date Approval Valid for One Year From Date Signed Greater Anchorage Area :Borough, DeFartment of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for eppreval to be a true and accurate representation of the sub.iect aewer and water facf!itiea located at: Signed Date