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HomeMy WebLinkAboutT12N R3W SEC 33 LT 92CT12N R3W Sec 33 Lot 92C #018-261-19 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221295 Work Type: Septic Upgrade Tax Code Number: 01826119000 Site Legal Address: T12N R3W SEC 33 LT 92C G:3035 Site Mailing Address: 14540 LOC LOMAN LN, Anchorage Owner: WARNER CHRISTOPHER W & DAWN R Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: cnr r Uehartm(2nt 8/11/2022 8/11/2023 22632 Q Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing 59 Special Provisions: • Submit with the IR, confirmation that the berm is in place per the 2007 permit or that the field and tank are a minimum 50' from the surface water. /4JA S_ e�C �`� e���f. %ie-b�I Io 0_X i�-fi%�q b'J, C� I � � / /23 may: T �5 (�t ecQ �O �a rrl es5 �r241 the r„� �, Date: Issued By: Date: �1"141W'\CCIPAU Tr Y OF ANCHORAGE Development Services Department" '� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 018-261-19 Property owner(s) C/O ARM SEPTIC SERVICES Mailing address 14540 LOC LOMAN *ANCHORAGE, AK Site address Day phone 907-317-9433 Legal description (Sub'd., Block & Lot) TI 2N R3W SECTION 33 LOT 92C Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Z Go # Initial ❑ Single Family (SF) x❑ Septic Tank El Upgrade RX (w/wo AD U) Holding Tank El Renewal Renewal ❑ (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ,_� �2 5 Waiver Fees: Date of Payment: 7/,?t,/ Date of Payment: Receipt Number: 6;2 62 7 Receipt Number: Permit No. OSP,2a 1 2 `) 5 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc cm Y _ �T'9 h3 43hczr �',YAUMCIPAU TY OF AmHORAGE s 'gC Development Services Department 4 Phone. 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 018-261-19 Property owner(s) C/O ARM SEPTIC SERVICES Mailing address 14540 LOC LOMAN *ANCHORAGE, AK Site address Day phone 907-317-9433 Legal description (Sub'd., Block & Lot) T1 2N R3W SECTION 33 LOT 92C Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) APPLICATION IS AN: TYPE OF DWELLING: Absorption Field ❑ Initial ❑ Single Family (SF) 0 Septic Tank Upgrade Q (w/wo AD U) Holding Tank ❑ Renewal ElDuplex (D) El ❑ Multiple Dwellings ElPrivy (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. koignaiure or property owner or authorized agent) Permit/Rush Fees: 42 ,� 5 Waiver Fees: Date of Payment: 7126 020,12 Date of Payment: Receipt Number: 6:260 7 6 Receipt Number: Permit No. OSS),"12')_5 Waiver No. GADevelopment ServicesTuilding Safety\On Site Water and WastewaterTorms\Client FormsTermit Application.doc QV GARNESS ENGINEERING GROUP, Ltd ENGINEERING j SALES,, CONSULTING-,—, Cv�l quanics Aeroc H`. Alaska Authorized Dealer January 6, 202 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650 Anchorage, AK 99519-6650 (907) 343-7904 Ref: TI 2N, R3W, Section 33; Lot 92C (14540 Loc Loman Lane, Anchorage, AK) — Change Order— Rebuild Drainfield and operate as a CAT II To whom it may concern: The permitted septic system was installed on the referenced property and started -up in 2007. A septic upgrade permit has been issued for upgrading the septic tank (corroded and taking on groundwater), moving the Aerocell unit to the top of the drainfield, replacing the distribution lines in the drainfield, and eliminating the secondary pump vault (permit # OSP221295). The contractor exposed the drainfield today and it was noted that the drainrock is fouled. We are proposing to rebuild the drainfield to the same elevations and the original design. The approved design will eliminate the 100/80/20 splitter in the existing STEP tank and will require the system be operated as CAT II system. The receiving soil has a percolation rate of 3.8 minutes per inch. Given this percolation rate, a 4.0 gpd/sq.ft. application rate would be required for a Cat II system. The residence on this property has a total of 4 -bedrooms, so 150 sq./ft. of absorption area is required for CAT II effluent (600 gpd / 4.0). The existing 2007 drainfield has 200 sq./ft. of absorption area which meets Cat II sizing requirement. If you have any questions, please contact myself or David Garness, PE. in A. --mess, P.E., M.S. ent 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221295, Deb Wockenfuss, 08/11/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221295, Deb Wockenfuss, 08/11/22 Municipality of Anchorage Building Safety Division Development Services Department t- On-Site Water 8 Wastewater Program, 4700 Bragaw Sl. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW070076 PID Number: 018-261-19 Name:KIM&BRIAN RICHARDSON Wastewater System: ❑ New ■ Upgrade Address: 14540 LOC LOMAN LN. • ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 230-3295 4 O Deep Trench ClShallow Trench ClBed ■Mound Ocher LEGAL DESCRIPTION $ae Raanp: 3.0 GPD/S, n Told Depth from alplaal lode: SEE DWG. TL Block: Lot: Subdivis,on: D-Pth to PTe bottom fern "p Wade: G•wl eepth beneoth Plp: — 92C — SEE DWG. n. 0.52 in, Township: T72N Range: F23Yi1 Section: SEC 33 rr'� a,a,. 014.01 Wadw cro.01 bran. 20 SEE DWG. n T< WELL: ❑ New [Ell Upgrade Gnwe4 awN 10 rt NwMw of brew: 2 o.lOnPe b.l.... 5 n CleWfkc u Prlratw, A.B.C:`A1 CoeM To:tPmsPcq Don ono: Total obooTn le: Pepe molol D 3034/ F-810 200 so. n Yntokv: GEG, Ltd. Dab kwtased: 6/7-11/2007 Dole D1Red: $otic wotr levN: n PIsrW Set At: C." H.Ot AcrW d: bove TANK R n. SEPARATION DISTANCES ■Septic 0Holding 0S.T.E.P. 0Other* TO Septic Absorption Uft Holding brw/PrWe Horwloct . GREER CaPaadr B s01wrr. 1500 From Tank Field Station Tank Sewer u.ew Well too'+ too'+ too'+ — 25'+ Halerl01: STEEL Numb« el eompartmenb: 2 Surface water 100'+ 100'+ 100'+ — — LIFT STATION lot Une 5'+ 10'+ 5'+ — — Sue In ionone 6 1500 264 wMactber: GREER QUANICS P4en ol: ump on b.01 el. Niro ebl« 01arm au Foundation 5'+ 10'+ 5'+ — — TIMER 11" TIMER/1 1 46"/2.5" Drain — •20'+ P-`USCurtain T PL Elea4ka kwP.afkw P«1«m.d br. M.O.A. P—SE-12T Remarks: *CURTAIN DRAIN IS DECOMMISIONED BENCH MARK Localcn and Dewalptbn: BOTTOM OF SIDING ON SOUTHEAST CORNER OF HOUSE Mw,nrd Ebeab«,. 100.00 P. Inspections performed by: GEG, Ltd. Dates: 1st 6/7/2007 ENGINEERS SEAM 000 2nd 6/8/2007 o O.F�- �qs��o 3rd 6/11/2007 ` �: Development Services Department Approval ............. 0 Conditional approval: Date: • •••• .......:"*, OQ 9 '•.J f y . Garness.. O E—/793 •• �:p Qo�'ere '•�/14 b��cAppO 44�Qd, Reviewed and approved by: Dater (R«. 4/0e) roffessioo� 0 0000� PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: - SW070076 018-261-19 i LL1 FCO A 100' WELL RADIUS B •<�.v •rr„*e ..vs+V_:r ri :L .A NEW 1500 CALLO I S.T.E.P. TANK •'r!.: w.r:".• •. •.T I I I I NEW 10' X 20' DRAINFIELD 'r 1.r '' \ co PUCE "" —IXISRNC CULVERT NEW OUANICS ..,,, �HT•`;.�.,•: LOC S ULT AVE. EXISTING OITCHUNE AEROCELL SYSTI ORE CREEK CULVEF EXISTING GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 3 GENERAL CONTRACTORS .••••• • ............••.... sol c nAw �o-o. wrt iov • wl N]Or . FbrR (aor)wr ,” • rut (por,w " - Dome ....�..�.p....sew. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • • • . • • • • • • • ....... • • • • KIM & BRIAN RICHARDSON 907-929-5757 2 OF 3S3 QO o ey 7�Grness; LEGAL DESCRIPTION: DRAWN BY: C —e� T12N R3W SEC 33: LOT 92C J.N.T. 40�'"�e'�119.a� F�o� TYPE OF WORK: DATE: 40Q4po�QssslloO 50 SCALE ASBUILT 7/12/2007 A 1 B 1 WELL I / I Z FCO 32.001 1.92 111.73 / n CO 39.85 128.41 136.98 I µPoe WE STI 40.79 129.72 138.03 too I Q Mill 49.71 40.23 146.27 / MH2 60.25 50.45 153.01 \�pTIC I OJ MTI 45.32 51.74 164.30 AR� MT2 30.34 31.98 145.06 _ �� — _ — 1 — — — — — — O HT1 115.82 101.65 105.95 _ HT2 130.48 101.65 118.59 FCO A 100' WELL RADIUS B •<�.v •rr„*e ..vs+V_:r ri :L .A NEW 1500 CALLO I S.T.E.P. TANK •'r!.: w.r:".• •. •.T I I I I NEW 10' X 20' DRAINFIELD 'r 1.r '' \ co PUCE "" —IXISRNC CULVERT NEW OUANICS ..,,, �HT•`;.�.,•: LOC S ULT AVE. EXISTING OITCHUNE AEROCELL SYSTI ORE CREEK CULVEF EXISTING GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 3 GENERAL CONTRACTORS .••••• • ............••.... sol c nAw �o-o. wrt iov • wl N]Or . FbrR (aor)wr ,” • rut (por,w " - Dome ....�..�.p....sew. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • • • . • • • • • • • ....... • • • • KIM & BRIAN RICHARDSON 907-929-5757 2 OF 3S3 QO o ey 7�Grness; LEGAL DESCRIPTION: DRAWN BY: C —e� T12N R3W SEC 33: LOT 92C J.N.T. 40�'"�e'�119.a� F�o� TYPE OF WORK: DATE: 40Q4po�QssslloO 50 SCALE ASBUILT 7/12/2007 Son l=lectric. Inc. �`"' 1�� yX` 0916 Woodland Drive ,l Eagle River. AIC 99577 (907) 622-6777 J June 30, 2007 Garness Engineering Group 3701 EI Tudor Road, Ste. #101 Anchorage, AK 99507 Re: 14540 Loc Loman Lane - Anchorage, AK - Lot 92C Sub T12N R3W Sec 33 Dearlens: The lift station at the above referenced property has been wired in accordance with NEC and State/Local codes. Thank you. Sincerely, ) Kevin S. 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Orb�V O � "1 pON A m r z A O AZA m a r f'1 rO"AC �l \� 'V II O .x,. ;0 rn z A f`7 1D ,O x O y y -Z-1 O Z M t0 OHO �� a --1 r1Z A V)yA •.1 0 W O.O cr"i I J A n v o r A y z D-1 A O � bl7 V) rC3 O 'U A rri n O y O C C �N f1 Ax ci S z ' x D r1 v, ro =+ v In O n rn I1 z ul 11 N II C 1 00 A N� p 11 � Z A In Z Z y D ,O A I to z yp O r z �O Z N A m A W C) y N O o x n c O O -1 p C < O L1 my O 0 II v In vy W rOri rn O i 0 � r o m v m < y o n c v m it c v _ v c o < ° D C r --I N O 11 0 0-0 2 x rrrr+7 0 m m 1- mD "1-1 p II nA 0040 S m iso 06 OF X04 o� o F,•....• - ., gSllO �s a�. :... ! )ATE: ORAWN BY: Q.•••••.. •• •••• 7/19/2007 J.NT.� .ECAL DESCRIPTION: r �1►' a`y oo p ••,J GO nB54; T12N, R3W, SEC 33. LOT 92CGARI�ESS ENGINEERING GROUP, Ltd. CE -7 jJ `boa` TYPE OF WORK: CQiSULTANT88GENERAL CONTFACTOF3•ems /(� (A PROFILE ASBUILT ,a,. w°.oa s.w a, .co+nc. aa. nn tan n,.n.m. an >. N.. u.m +--•� Q O° T /"rFo PREPARED FOR: PHONE NUMBER: PACE: 0 4P,OOD�O�,06 BRIAN RICHARDSON 230-3295 3 OF 3 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street lJ P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 25, 2007 Expiration Date: May 24, 2008 Permit Number: SWO70076 Parcel ID: 018-261-19 Legal Description: T1 2N R3W SEC 33 LT 92C Design Engineer: 0855 GARNESS ENGINEERING GROW Site Address: 014540 LOC LOMAN LN Owner Name: KIM & BRIAN RICHARDSON Lot Size: 22632 SQ. FT. Owner Address: 14540 LOC LOMAN LN Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516.4016 This permit is for the construction of: E Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: -,2_5—o;7 Date: ,6'— 2— ,6_— d 7 municipality of Anchorage .�/ Development Services Department Building Safety Division / On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Q19- 0-ut-IC? Propertyowner(s) Day phone Mailing address Z�d MG 1GWCL1A Zip Code pS� Site address mac— Zip Code Legal description (Sub'd, Block & Lot) 713 N 6 3 W St -C3 3 l of 907G Legal description (Township, Section & Range) Lot Size 99', Sq. Ft. THIS APPLICATION IS FOR (®all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms / THIS APPLICATION IS AN: Initial ❑ Upgrade V Renewal ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dling and is accordance applicable Municipal Codes. or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: Date of Payment: Receipt Number: 95-65(a Receipt Number: (Rev. 11/05) GARNESS ENGINEERING GROUP, Ltd. c�- I .-^a •-==��'--x CONSULTANTS & GENERAL CONTRACTORS %— , May 14, 2007 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref-. Proposed Septic Upgrade for Lot 92C, T12N, POW, Section 33, To whom it may concern: Several design packages were submitted to your department in the past 18 months. The last design was pink slipped on 5/20/2006 by Joe Goodall. The pink slip stated that a curtain drain needed to be installed to lower the groundwater level prior to the issuance of a septic permit. The owner installed a curtain drain during the summer of 2006 with no engineering inspections. Per our recommendation, the owner excavated a new test hole to verify the thickness of the organic layer. A new test hole was excavated on 10/21/06 by the owner and logged by us on 10/24/2006. This test hole indicated groundwater to be at 48" below the ground surface and also indicated there was only 3 to 6 inches of organics. It is our opinion that the test hole excavated by Cindy Ellis P.E. was excavated on a debris pile and docs not accurately reflect the organics in the proposed drainfield area. Since the highest groundwater elevation, prior to installation of the curtain drain, was at 30 inches below grade (5/16/06) in the drilled monitoring well, there is 2 feet of unsaturated soils for the proposed drainfield and the curtain drain is not required. We have verified the groundwater level on 5/14/2007 and found it to be at 32 inches below grade. We are proposing that the curtain drain and the 48" sump be abandoned in place. We are proposing that a Quanics Aerocell treatment system with a mounded bed system be installed. The previous designs were for a 5 bedroom system; however, the homeowner is now requesting that a 4 bedroom system be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is the new soil log which shows the soil classifications, groundwater monitoring, and the percolation test results. We are proposing to use the 30 foot radius around this new test hole. It is our opinion that due to the overall appearance of the soils, an application rate of 3.0 gallons/day/ft2 should be used with the use of the Quanics Aerocell treatment system. 2. BED DESIGN: (See attached design and detail drawings) a. Percolation Rate: 3.8 minutes/inch b. Proposed Application Rate: 3.0 gallons/day/62 c. Design Flow: 600 gallons per day d. Minimum Absorption Area: 200 62 e. Total Depth: 1.5 feet (limited to the removal of organics). f. M.O.A. Approved Sand Filter: 3.0 feet g. Effective Depth: 0.5 feet h. Width: 10 feet i. Minimum Length: 20 feet long j. Effective absorption area = 200 fl2 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: way.gamcssengineering.com 3. SURFACE WATERS: There is a ditch line along the south property line. This drainage ditch only runs during spring melt off and during heavy rainfall. Per the request of your department, a berm will be installed between the septic system and the ditchline to insure that in the event effluent was to daylight, it would not flow towards the ditchline. 4. TOPOGRAPHY: The lot generally slopes from cast/southeast to west/northwest with a gradual slope that ranges from 1 to 5 percent. The area around the test holes is generally flat. Because the proposed septic system is to be mounded, the bed will be topsoiled and hydroseeded. Also, the bed will be required to be 12 feet from the lot line to insure the side slopes of the bed will remain on property. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questiops, please contact us at 337-6179. Thank you for your assistance. M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: www.gamesscnginccring.com 1p 'o MORE CREEK APPROXIMATE LOCATION) c o� )SED SEPTIC SYSTEM UPGRADE DESIGN DRAWING. PACE 2 OF S) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS t GENERAL CONTRACTORS MI T. n sio.o. WT to. • raae.a... w ? , w NoR1137�17,1 . r.. Nar)SM-TTu . 111 rt ... grn.Ngwwi q a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRIAN RICHARDSON 1 230-3295 1 1 OF 5 LOT 92C. T12N. R3W. SECTION 33 J.L.M. OF WORK: DATE: SITE PLAN FOR SEPTIC SYSTEM UPGRADE I 5/15/2001 IRm.01m) 7p 4 04 LOC NESS/AVE. I / Ld 1 LOT 92A II Z LOT 92 — — q y LOT 93A, MART S/0 log* 2.91 16001 I~ 4 BEDNG ROOM / I Q I\ I MOUSE C—u-� I cx.,r \ Gs LOT 92D \ \ OJ CEG TH/I 1 I / If/ ISTING HOLDING TANKS I I ORAitp MONfORNG TIELL I \ \ I I •�j I r _ � *rmi ' I I \ LOT 938. HART S/D E116 TMII t 1 \ MORE CREEK APPROXIMATE LOCATION) c o� )SED SEPTIC SYSTEM UPGRADE DESIGN DRAWING. PACE 2 OF S) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS t GENERAL CONTRACTORS MI T. n sio.o. WT to. • raae.a... w ? , w NoR1137�17,1 . r.. Nar)SM-TTu . 111 rt ... grn.Ngwwi q a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRIAN RICHARDSON 1 230-3295 1 1 OF 5 LOT 92C. T12N. R3W. SECTION 33 J.L.M. OF WORK: DATE: SITE PLAN FOR SEPTIC SYSTEM UPGRADE I 5/15/2001 IRm.01m) 7p 4 04 NUMBER OF BEDROOMS: GALLONS PER DAY (GPD): 600 PERCOLATION RATES: 3.5 PROPOSED APPLICATION RATE: 3.0 MINIMUM GRAINFIELD SO.FT.: 200 DRAINFIELD DESIGN: MAXIMUM DEPTH: 1.5 FEET (ALL ORGANICS TO BE REMOVED) WIDTH: 10 FEET LENGTH: 20 FEET M.O.A. APPROVED SAND FILTER: 3t FEET EFFECTIVE: 0.5 FEET ACTUAL SO.FT.: 200 LOC Ltd. A SPEeiFICATION I Z LETTER THAT PERTAINS TO THIS DESIGN. NOTE: THE CONTRACTOR SHAII I HAVE ALL WELL RADII SHOWN Q TO OBTAIN A COPY OF THE LETTER AND THE WEST AND SOUTH I LOT LINES FLAGGED BY A TO LAND SURVEYOR / REGISTERED CTI N. O J U CONTACT GEG. BY PROCEEDING FORWARD , .01 WITH THIS INSTALLATION. THE ENGINEER. Lil WELL DRILLER. CONTRACTOR AND / I Z PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND - I y g —EXISTING CULVERT EXISTING CULVI JLT AVE. EXISTING CONDITIONS OUTLINEQ. I Z NOTE: THE CONTRACTOR SHAII I HAVE ALL WELL RADII SHOWN Q \CSEPTIC ARES AND THE WEST AND SOUTH I LOT LINES FLAGGED BY A TO LAND SURVEYOR / REGISTERED CTI N. O J U , .01 PROPOSED IWO GALLON SEPTIC TANK— PROPOSED DRAINFIELD — (SEE DETAIL. PACE ♦ OF 5) CEG. Ltd THJI PROPOSED OUANICs y AEROCELL SYSTEM� (SEE PACE 3 OF 5) DRILLED MONITORING WELL, PROPOSED BERM— CINDY ELLIS P.E. TH/1— CREEK ' \ 48' CATCHBASIN TO I BE ABANDONED IN PIACtl � , ' EXISTING HOLDING \ TANKS TO BE r" ♦TH03 ' URTAIN DRAIN TO BE III ABANDONED IN PLACE • ^..'\ I � Vii'... ..y�;w ���.�1� ,••:Av'�'..�i' �'I •'•. CULVEI EXISTING GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS i GENERAL CONTRACTORS ..... ••• •• .•"•• ......••• ]AI C NOGn lloD ll t 101 • moev E. M M]0> . AU( npt}t1)-�1� • IM tWn3M-]1M RLR: w�q✓.r�rNYw PREPARED FOR: PHONE NUMBER: PACE NUMBER: Q . • • • . • • • • • • ..... ••••••;••• BRIAN RICHARDSON 230-3295 2 OF 5 OQ y ';fie rness: LEGAL DESCRIPTION: DRAWN BY: OO ± -7953 `ra LOT 92C; T12N, R3W. SECTION 33 J.L.M. e�e �Il,%.ly�too TYPE OF WORK: DAIS: REVISED �pO000�bc, DESIGN OF SEPTIC SYSTEM UPGRADE 1 5/15/2007 R". 01m) 16 FEET —MONITORING TUBE 25 INCH SCH 40 PNC DISTRIBUTION UNE WITH 1/4 INCH HOLES SPACED 1 FOOT ON CENTER. 15 HOLES PER LATERAL / 30 HOLES TOTAL FROM AEROCELL UNIT GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS i GENERAL CONTRACTORS JXJ L NOOe LIMO. LII[ 101 • AWHO EI M e T . e (e W7} IN • !M (e037}M-Si4 . eOLR'. ew.,vn„I�yw,�Yyeew PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRIAN RICHARDSON 230-3295 4 OF 5 LEGAL. DESCRIPTION: LOT 92C; T12N, R3W, SECTION 33 TYPE OF WORK: PLAN AND PROFILE OF PROPOSED DRAINFIELD (Rev. 01105) J.L.M. 5/15/200'. MOUND TO BE TOPSOILED AND 25 INCH SCH 40 PVC DISTRIBUTION LINE WITH SEEDED. //4 INCH HOLES SPACED 1 FOOT ON CENTER. 15 HOLES PER LATERAL / 30 HOLES TOTAL INSULA MT FINAL GRADE MT FILTER FABRIC J. / SLOpf O� RIONAL GRADE Ile, I O.S' OF EFFECTIVE 'r WPROVED-SAND a 5 F€ET OF M.O.A. fI/LTtER ��'���••',�.'�e"o'.tie^"�'`-i��'. '.�:v1 :r w..—.�.`":Y. .`_'}� 1.5 FEET EEP MAX. GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS i GENERAL CONTRACTORS JXJ L NOOe LIMO. LII[ 101 • AWHO EI M e T . e (e W7} IN • !M (e037}M-Si4 . eOLR'. ew.,vn„I�yw,�Yyeew PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRIAN RICHARDSON 230-3295 4 OF 5 LEGAL. DESCRIPTION: LOT 92C; T12N, R3W, SECTION 33 TYPE OF WORK: PLAN AND PROFILE OF PROPOSED DRAINFIELD (Rev. 01105) J.L.M. 5/15/200'. GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: T12N, R3W, SECTION 33, LOT 92C, PERFORMED FOR: BRIAN RICHARDSON Dj DEPTH ____ ORGANICS (feet) 1 Jt TEST HOLE #11 1 I T21 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 SOIL SM/LOAM °:>o- CLASSIFICATIONS ORG GW -=-- 048" GP ML C I JU I GM CL GC OL SW MH OL SP CH ,4141t14 SM ,' OH .� Sc DEPTH TO GROUNDWATER DATE •30" 5/16/06 048" 10/21/06 •48" 10/24/06 132" 5/14/07 SEE ATTACHED DESIGN DRAWING DATE IREADINGI CT MEK I (MINUTE) NET TIME I WATER READING LEVELI (INCHES) Q E. 19 PERCOLATION RATE _ (MIN./INCH) PERC. HOLE DIA. — (INCHES) TEST RUN BETWEEN FT. AND FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: — COMMENTS:*BOTH IN TEST HOLE AND ALSO IN MONITORING WELL. MONITORING AFTER CURTAIN DRAIN INSTALLATION. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: � t V r t a £ m 0 m m m 3 � s � w _ m 3 3 RmngmR. _.. lit R a sRs I111W r7 uQ 4 f' 40 0 OATE: 5/14/2007 J.L.MRAWN BY: - Q�A/ .. ........ ....Sy4 OV 0....... . GAL DESCRIPTION:_ r! O.. F ..A •.... ..... Q T12N, R3W, SECTION 33, LOT 92C GARNESS ENGINEERING GROUP Ltd. i TYPE OF WORK: CCNSULNT TAS & GENERAL CONTFACfOF3 QO CE -7953 Sp DESIGN OF AEROCELL SYSTEM PREPARED FOR: m.c.na.w..,n,n.rno.eL,a wmrwm ro>t ana.w ACE ntr BRIAN RICHARDSON PHONE NUMBER: 230-3295 3 OF 5 40poo �— MUNICIPALITY OF ANCHORAGE /® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 LStreet -Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT �� NAME PHONE ❑ NEW / esi 34 S 2oJS,j UPGRADE MAILING ADDRESS P Bo-tNl 21 $ } Anetio e A las Kc 9951 LEGAL DESCRIPTION 13L M L -t I a C 61 x k WA S -e, 33 t f z Nv 23 LJ LOCATION NO. OF BEDROOMS 5 x Lpmov\ Well Absorption area Dwelling PERMIT NO. DISTANCE TO: Uy M2 Manufacturer Material No. of compartments wF N L", capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 4 Z DISTANCE TO: Well ,, 00 Dwelling I0O PERMIT N0. 6 S") 1`15 D Z Q 2 1– Manufacturer ��eer Material }Cel Liquid capacity in gallons 1000 -r 20 UO (L t�Ks Well Foundation Nearest lot line PERMIT NO. w z DISTANCE TO: u Z No. of lines Length of each line Total length of lines Trench width Distance between lines Z W �—m I Inches Top of tile to finish grade — — Material beneath file Total effective absorption area ah p inches Length Width Depth PERMIT NO. ui Q h TYPe of crib Crib diameter Crib depth Total effective absorption area Litto Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. W � Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS — G 1 t PlusIL 30 1 SOIL TEST RATING IN Wel INSTALLER ATC CL gy- 061 -- - REMARKS Tl e(� des hoA i1t� eX s 6s S W SFfn -r" G -r tiv_ I"1ouSQ• I t J ) r O U 20 G nl Crlh> S lot Pe.—, —0 Z SEE UL APPROVED DATE LEGAL lQ-� 5/ay/ES 8LM Int 92C '131nck NA �ec,33 'T 12-IVK3 �2 72-013 (Rev. 3/78) '.' Itl:i.l DO; 11, II'i I'„ •. L,I �;t,'.:::' �,' .-. FV "� I tflP.! ,IJt.,,..1.. v I t t, I .. ,, �. i;:; ^ I'.I: L... i... "I`.J I I �.. , I i ..:i'vl I, l 1 -I�l I I •��.pl i I i I I_(. ' i+l... :I: ' 'I :C;�!-I I!,i �I..'r f ' i '�'. ` I :.... ' [:: l�l'- .I �lal �I I lil. �!+I I)l ;I 'I IIY I I ,.'�. S: IJ`' i:!'..I I [ II:i L� I11�.••'. . .. ... _ .. .... .._ ..................... _......_ . . IJ CIL +'� � r�l•,1;-L '.��U.bC#--��Z��A�� AV 4L 14) (��- C)If- (6L- ALASKA 01 OROWnTAL COWROL SRUS, IN. Cnglneerinq & e uironmenlal Studies May 14, 1985 Susan Oswalt Department of health and Environmental Protection 825 L Street Anchorage, Alaska 99503 Dear Susan: This is in regards to BLM Lot 92 C, Section 33, T12N R3W; the owner wishes to expand, so that it will be a 4 -bedroom house. In October 1984, I performed 7 soils tests on the lot. The soil everywhere we tested was the same --- peat underlain by blue clay, and occasionally blue/tan mottled silt. Percolation tests in all strata failed. I am enclosing a map showing the test hole locations, and the test holes. As you can see, this lot is a sad case. The owner would like to install a holding tank, which should be at least 2000 gallons in size. Presently, they have an unknown mystery septic system, but I can tell you what soil it is probably built in. A holding tank looks to me like the only solution at the moment. Sincerely, Darcy 4evens Engineering Geologist Approved By: 1200 Wes] 33rd Auenue. guile B • Anchorage. Alaske 99503 • (907 561-5040 ,g + MUt�ICIPALITY�IF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, At" a '.19501 2&4A120 SOILS LOG — PERCOLATION TEST PERCOLATION TEST 'f2 5 r C DATE PERFORMED: --§�CO ltFD FOR � 1,8eA1, DESCRIPTION: i3L-lu1 Lot 2 pt pe< t 2 3 4 5 6 7 8 9 10 11 - 12 13 14 15- 16- 17 18 19 20 COMME M t Y„ot{-led s/tA bt e rA o� rPr.lc-s IP�s 5e,f5 'q fat S WAS GROUND WATER iiiij � O ENCOUNTERED? in IF YES, AT WHAT DEPTH? 11 �2 LDrop G �` tl i a • e1� �'t° Net Depth to Gross WaterTimeb10 , 62-5 I _ - .1 ��6 n IA. Qrc cle .� 4-''S tt l-4 _—__— 6 — `f (minutes/inch) PERCOLATION RATE a �2 ' PT FT AND TEST RUN BETWEEN _—L— DATE: : ADW y CERTIFIED BY:� PERFORMED By l Mcs, LDC ) Test Holes performed by AECS, Inc. on September .25 & October 24, 19£34 P. Sf9UL 7A vE. _ t I I SYMBOLS I DRAINAGE SURVEY o ELEVATION AH Drawn irG,.d ® AS-OUILT — NO CORNERS SET SURVEY-YOPOGRAPHY WOoD FENCE CNAIN LINK FENCE .LAi✓T. I � 1, I I C1 i rI y..a{..- NOTE: Fences are shown fSRE Pt.oGE /O, UTS L.r T t' I ® LDT SURVEY CRN ERS SET f/ £ASE ME NT 1 ❑ RECERTIFICATION AS -BUILT - NO b hub bort-found OO set set 41 WEST 4 /Y9 r iron pipe -found ® Set 8 z construction, to verity P ty 'oro ata to determine to finished grade and utility Corn' is «restrictions easements cwawn I t brass COP -found -found DIUm. t'AP _ - Set --�—"' V- tp; 0jNI 41 DECK \ Etc..- . 3o Novsr WOOD t O SPC P6G K M J 1 N " To F YI FAME NOUS F I r' SEPTIG ?. I 'fes y£NTS - I 1 O ' le Q 3' RESER✓A%SON SN PATENT 1 POR ROADWAI' ANP Y/TI d%TY 1 Q — — --- —------- '/?. 80 Mcs, LDC ) Test Holes performed by AECS, Inc. on September .25 & October 24, 19£34 P. Sf9UL 7A vE. _ t I I SYMBOLS I DRAINAGE SURVEY o ELEVATION AH Drawn irG,.d ® AS-OUILT — NO CORNERS SET SURVEY-YOPOGRAPHY WOoD FENCE CNAIN LINK FENCE o ® PLOT PLAN - AS -BUILT - IAT y..a{..- NOTE: Fences are shown in their approximate ® LDT SURVEY CRN ERS SET locations only. ❑ RECERTIFICATION AS -BUILT - NO b hub bort-found OO set set • Prior to LEGEND It is the respons; b;hty Of the builder or amer,ra e relative ro sed building 4 r iron pipe -found ® Set 8 z construction, to verity P ty 'oro ata to determine to finished grade and utility Corn' is «restrictions easements cwawn I t brass COP -found -found DIUm. t'AP _ Q Set --�—"' O the existence of �Y on tho recorded subdivision 1`0 chich do nom— ? ° o I hereby cerhfy that 1 have - surveyed the Droperty shown and descrW hereon, and the irnprovements situated thereon within the prOperly Gnas and do not oae W or enuoacn on odjocerd nts only rind that not OWr Do od�ocetd Dr'aDe Y ices in encr000h On the prt#n que scion and' holt eore no roodwnYs,atilrtytines or ocher yjylble IS on sod prnDerty a:rept I✓ �� V , p, :.,:: car;��,,• �i 0.ItAlo ' rr lb.6T81+6 r 4. l 14�EsstoNnV 0 i 5gols' J oe pdte Surveyed+� �.c Dote Drown Legal Description' BLN LOT 92-C , SEC pd by �/��INC AH Drawn irG,.d o 33, T12N, R314, Std- .�O SOILS LOG ` MUNICIPALITY OF ANCHORAGE DEPARTMENTOF HEALTH AND ENVIRONMENTAL PROTECTION W PERCOLATION / TEST 828 L. Street, Anchorage, Alaska 99601 264.4720 SOILS LOG - PERCOLATION TEST pERfORMED FOR: �ohn _ Maew-5 -DATE PERFORMED: �1'lqr LEGAL DESCRIPTION: 13 I._ M 33 7-12 N XBvJ 'T N _�•- SLOPE SITE PLAN 1- 2. 3- 4- 5 , -6, 6- 7 8• 9� 10• 11 12 13 14 16 16 17 18 19 20 COMMS p.1- Feai- M L� '�" % t I- eA V_ bi tf_ CA&I 1- rzLlc'"�' Tes M a WAS GROUND WATER See S ENCOUNTERED? Q IF YES, AT WHAT 'p' DEPTH? 1� .I I ...1 P in 5 41"i' Reeding Date Groes Time Net Time Depth to Water Net Drop I I t� 6 5 - 0o 6' d <w arc 6nle N_ as 25g g o$ _ - S L45 Ltd D o a gob PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN ems- FT AND FT t.�i+{ kNQ -A, Ori C4 -e �__ L+'lic zuG*C" PERFORMED BY: m0pr m �""'�02� CERTIFIED f✓� 7a.no" ,F DA 7 - MUNICIPALITY -MUNICIPALITY OF ANCHORAGE ufl 7 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 826 L. Street, Anchorage, Alaska 90601 264-0720 SOILS LOG — PERCOLATION TEST --/ORMED FOR: `1'�a-t1l�g.wS DATE PERFORMED: 'e— � I01 Pei, TIZN{�-3� 'TIf3 LEGAL DESCRIPTION: SLOPE SITE PLAN 1 2 3 4 5 6 7 8 �c 1' V 1 1 b1� A �I S I-& NAS GROUND WATER S 'Q v L ENCOUNTERED? O P r: IF YES, AT WHAT DEPTH? 1 1 .et Depth to Water Netime Drop- .S'YJ ovd S�` Sa . o� rmn PERCOLATION RATE 7 (minutes/inch) 2 "1 TEST RUN BETWEEN L 2 (FST AN1�D.—� — FST rJ PERFORMED BY: %�a�:q In L) ft S, -En CERTIFI ED BY: SOILS LOG MUNICIPALITY OF ANCHORAGE ❑ PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL_ PROTECTION resr .';e. 825 L. Street, Anchorage, Alaska 99501 264-0720 {F SOILS LOG — PERCOLATION TEST LA [�� �b�h I \a•l1 hpW.S DATE PERFORMED: QC+ 2 f r ( jeFFORMED FOR: oT a C '33 TIZN(L3w Slv\ rN LEGAL DESCRIPTION: gL'M L�i _ -- SLOPE SITE PLAN 1A 2 3 4 5 61 8- 9- 10- 11 - 12 13 14 15 16 17 18 19 20 COMMENT£ E, U T "c,A co��le3 5 �. WAS GROUND WATER c.tLS ENCOUNTERED? IF YES, AT WHAT DEPTH? ' Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN PERFORMED BY: cv� O�(?� 0 2O 2 CERTIFIED BY: (minutes/inch) FT AND — FT DAT2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ;11�9 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 825 L. Street, Anchorage, Alaska 99501 264-0720 TEST '''yT' 1 SOILS LOG - PERCOLATION TEST �Dr's,1 MA-t\-kClwS DATE PERFORMED:_ 0=t- 2 2.0 33 TIaNRaw Std rH,5 SLOPE SITE PLAN -- 2+- ve'r tHC (lac da. \ WAS GROUND WATER Int ENCOUNTERED? '105 IF YES, AT WHAT DEPTH? In 5 Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN PERFORMED BY: V� C -f MOA S`l �02_j CERTIFIEDBY: 72-008 (6/79) ----(minutes/inch) FT AND FT DATEI: +. "--7'- I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION TEST N 4825 L Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ..,]6 kA W\"_-k,'L ,JS DATE PERFORMED: Oct Z`' n1ED FOR: yy�� 1 ' + L 111 I.:._'_;..r? ., ,. DESCRIPTION: 8 LM LGt �l ZC sac_ J 'J T I�. hl 1c W S P'1 T1 _ L,,,�i SLOPE SITE PLAN 7 B 9 10 WAS GROUND WATER 11 ENCOUNTERED?- �tS 12 13 14 15 16 17 18 19 20 COMMENTS IF YES, AT WHAT 4` DEPTH? J Reading Data Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN PERFORMED BY:`r�) KY M4 lk ST 8`(O?!� CERTIFIED BY: FT AND FT DAT SOILS LOG e A MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 825 L. Street,. Anchorage, Alaska 99501 264-4720 TEST — SOILS LOG — PERCOLATION TEST PERFORMED FOR:, VO�h I",0. t rVLCWs DATE PERFORMED: LEGAL DESCRIPTION: RLM L,t 1-1-C Fec., 33 T I Z N SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS F+ pe4 M L 6 t,,c J"j PERCOLATION RITE TEST RUN BETWEEN FT AND PERFORMED BY: LJP'� "Oh ST Tj LZ- CERTIFIED BY: WA 90 WAS GROUND WATIR S 4,f el ,n ENCOUNTERED? L y `� P , g IFYES,ATWHAT -E " DEPTH? - ;-V7 Reading Date Gross Net Depth to 15 7 Time Time Water i PERCOLATION RITE TEST RUN BETWEEN FT AND PERFORMED BY: LJP'� "Oh ST Tj LZ- CERTIFIED BY: WA 90 Al MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930025 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:LOFLAND DAVID W & MELANIE E OWNER ADDRESS:14540 LOC LOMAN LN ANCHORAGE, AK 99516 PARCEL ID:01826119 LEGAL DESCRIPTION: T12N R3W SEC 33 LT 92C LOT SIZE: 22632 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 3/04/93 EXPIRATION DATE: 3/04/94 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 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: OLD WELL TO BE ABANDONED PER AMC 15.55.050.K.2 RECEIVED BY: ISSUED BY: DATE: . DATE :'zez � 3/Vd7 %Vb'G✓U7 �-o7-- e\ 00 •/s/ /10„o0, /' 000 /v os ------- ----------- --I- LSJ----- ti J WW mea 6� I \ 6� DY i i w v �W r we 'Lk,� ae i m o oc J WW mea 6� I \ 6� DY r Parcel I.D. 018-261-19 Municipality of Anc On -Site Water and Wastewater (907)343-7904 Certificate of On -Site Systems 1. GENERAL INFORMATION Complete legal description T12N R3W SEC33 LOT 92C t=om JUL 2 2 2015 Jt Expiration Date: `C ' G ` / _- Location (site address) 14540 LOC LOMAN *ANCHORAGE Current Property owner(s) BRIAN RICHARDSON Day phone 230-3295 Mailing address Real Estate Agent 14540 LOC LOMAN *ANCHORAGE N/A 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well IR Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request Received by: 4 COSA to. be released to COSA Fee $ 6)Xo Date of Payment Receipt Number COSA # D541f-✓ 1 �J'1 Day phone TYPE OF WASTEWATER DISPOSAL: Individual 51 Holding Tank ❑ Community ❑ Public Sewer ❑ Date: by the engineer. Waiver Fee $ _ Date of Payment Receipt Number Waiver # 5. STATEMEf b*', I 44FTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Garness Engineering Group, Ltd. Phone (907) 337-6179 Address 3701 E. Tudor Rd Suite 101 Anchorage AK 99507-3246 Engineer's Printed Name Jeffrey A. Garness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit ofthe person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report 6. DSD SIGNATURE System #1 Approved for �Ibedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the following (ttklfit OFAn ON-SITE WATER AND WASTEWATER PROGRAM upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAbluesheM 9-1-12.Ooc - If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system_ Certificate of On -Site Systems Approval Checklist Legal Description: T12N, R3W, SEC 33; LOT 92C ParcellD: 018-261-19 A. WELL DATA *PER Se•WELL LOGIE M. I 1,1111y"Tift 4V Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES 4,Date completed 3/10/1993 Sanitary seal 'Y/N' YES Notal depth' 160 ft. ased to 16010 -ft. FROM WELL LOG Date of test 3/10/1993 Static water level 40 ft. Well production 8+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. /�� Arsenic: + _'--ug./L Nitrate J*JQmg./L. Date of sample: 7/1 /2015 Wires properly protected (YIN) YES Casing height (above ground) 18+ in. AT INSPECTION 7/1/2015 ft. 5.6 — 9 -p.m - Collected by: GEG. Ltd. B. SEPTIC/HOLDING TANK DATA *INSIDE GARAGE (PHYSICALLY CONFIRMED ON 7/6/15) Tank Type/Material STEP/STEEL Date installed 6/7-11/2007 Tank size 1500 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) *YES Depression over tank (YIN) NO High water alarm (Y/N) YES Date of pumping AS REQUIRED Pumper AROUND THE CLOCK QUANICS C. ABSORPTION FIELD DATA VkSELOW EXISTING GRAD THIS IS AN AEROCELE SYSTEM Date installed 6/7-10/2007. Soil -rating giiirftlbdrm) 3 System type MOUNDED BED Length 20 ft. Width _ 10 Gravel below pipe 0.52 ft, Total depth *3.6+ ft. Eff. absorption area 200 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 7/1/2015 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test E in. Water added =gal. New depth 4 in. Elapsed Time: 155 min. Final fluid depth o in. Absorption rate >= 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date – *INSPECTED BY AROUND—THE—CLOCK PUMPING **PER JUNE 2007 EERIER D. LIFT STATION BY RISING SON ELECTRIC Data installed 6/7-11/20 7 Size in gallons 1500/264 Manhole/Access (Y/N) YES "Pump on" level at 11 In. "Pump oir level at11 in. High water alar level at 25 Datum BOTTOM Cycles tested * Meets alar $ circuit requirements? **YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllilt station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areae 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, paridng/vehiole storage 10'+ Curtain drain F. COMMENTS Wells on adjacent lots 100'+ INTEGRITY OF SENSAPHONE MONITORING SYSTEM COULD NOT BE CHECKED BECAUSE OWNER DOES NOT HAVE A LAND LINE. **APPROXIMATLEY 50' TO INACTIVE DRAIN. (NO PUMP PER OWNER ON 7/6/15—LID LOCKED.) ALL ROAD DITCHES WERE DRY ON 7/6/2015. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review ofMuninipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's PrintedName JEFFREY A. GARNESS Date 7 / 2;2., 11r (Rev.11/05) LOT 92 A a J �y 22.6' LOT 92 D ? `— LOT 92 B N 90°00'00" E 149.88' 10' UTILITY EASEMENT M EXISTING "' HOUSE N 8.3' M � N m pl] LOT 92 O a) m ® p © H4 Above Ground SepUe field Q , a ......., ys � 49 TH p*I s y SEAN M. DOLE:NDER.- n LS -12800 a°u N WIDOW" W 149.88' 3' RESERVATION IN PAT EhT FOR ROADWAY AND UTILITY PURPC'IKF 4 CO J LOC SAULT AVE. The location of the structm,,(S)aD shown on this recon} Ltra4l €g (as- oink es fi EI r1, AMC. By. NOTE: 1) :THIS DRAWING SHALL NOT DE MODIFIED FOR AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LC•,3 LANTECH. LOT 92 A L. LOT 92 8 CA 0 e 49 TH m '•, SEAN M. BGLENDER. �ar LS -12800 3u' T r— O b— �z z I p 01 �u rn i 90 T RESERVATION IN PATENT FOR ROADWAY AND UTILITY PURPOSES w 0 rho €oodon G1 the stfuul'=sta(�)as 5sor�s � �.0 �-S,vlt�uat+Nli �, N 90000'00" E 149.88' - - N 10' UTILITY EASEMENT — 32.5' 81.9 m o EXISTING HOUSE LOT 92 C 6.3' i coo ::.::........ :: 4 z ............. 0 7.g:... �:;: :;:DRIVE;`:isi:`,`:{�i;:'�;i%;;•.�:•:+.•�r�: C5 22.5' 2?� 5.0' LOT 92 D CD 0 9ald l Abow Ground Sapllcml •.,.••.. a ki °00'iJ0" W 149 88' CA 0 e 49 TH m '•, SEAN M. BGLENDER. �ar LS -12800 3u' T r— O b— �z z I p 01 �u rn i 90 T RESERVATION IN PATENT FOR ROADWAY AND UTILITY PURPOSES w 0 rho €oodon G1 the stfuul'=sta(�)as 5sor�s � �.0 �-S,vlt�uat+Nli �, ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Ry THIS MAINTENANCE AND REPAIR AGREEMENT made and enteredintointo as of this l(I Day of of 20 .1r -by and between &ts-t�WLW herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description). T12 NR03 W S33 Lot 92C a/k/a 14540 Loc Loman Lane Anchorage AK 99516 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the tern of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either parry at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such parry thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: . t a. Owner: w a.. , b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) name) Date: ne this 1i day of S>q 10 qq U A Md�Qh2e �2p�e MUNICIPALITY: By: (signature) Date: name) Title: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-261-19 HAA (D-2 1. GENERAL INFORMATION Expiration Date: Complete legal description T12N. R3W. SECTION 33: LOT 92C Individual On-site Location (site address or directions) 't14540 LOC LOMAN LANE * ANCHORAGE AK * 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DAVID LOFLAND Day phone 345-4441 14540 LOC LOMAN LANE * ANCHORAGE AK * 99516 Day phone PAM SZENDER W/ DYNAMIC PROPERTIES Day phone 261-7657 3111 C STREET, SUITE 200 * ANCHORAGE, AK * 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: i a':''• Individual Well❑ 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 Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, inc. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSO Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKW WC, inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will It confer any legal tight whatsoever. 5. DSD SIGNATURE Phone Date 337-6179 t/ Approved for L4' bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other >P�.•••• ••:uyo ON-SITE LATERANn : m • WASTEWATER o' i jOj • IVT S5���``� By: Original Certificate Date: (Rev. 11101) Municipality of Anchorage � aoa e4 Development Services Department^ es: 'cd•ie a i' Building Safety Division On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: T12N, R3W, SECTION 33• LOT 92C Parcel ID: 018-261-19 A. WELL DATA Well type MATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 3/10/1993 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 160 ft. Cased to 160 ft, Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 3/10/1993 8/20/2003 Static water level 40 ft. 43 ft Well production 8+ g•p,m. 6.2 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 0 mg./L. Other bacteria 0 colonies/100 ml. Arsenic:' N A mg./L. Date of sample: 8/20/2003 p _ Collected by: _ AKWWC, INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Material HOLDING TANK Date Installed — 5/24/1985 2000+1000 Tank size gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) YES Date of pumping 8/15/2003 PumperISAAC'S PUMPING C. ABSORPTION FIELD DATA HOLDING TAN K Date installed Soil rating (g.p.d./ft'or f0bdrm)_ System type Length ft. Width ft. Gravel below i ft. Total depth ft. Eff. absorption area ft' Monitoring tube I Depression over field Date of adequacy test Results ail) For bedrooms Fluid depth in absorption field before _ in. Water added _gal. New depth _in. Elapsed Time: Final fluid depth _ in. Absorption' rate >= g.p.d. luvenation treatment (past 12 mo.) (YIN 8 type) !If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Ac "Pump on" level at in. "Pump off" m. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: j Septic tank/lift station on lot �� rJ�4- On adjacent lots 100'+ Absorption field on lot N/A On adjacent tots 100'+ Public sewer main N/A Public sewer manholelcleanout N/A Sewer /septic service line 25'+ Holding tank 75'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field N/A Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: HOLDING TAN K Property line Building foundation Water main Water service line Surface water ay, parking/vehicle storage Wells on adjacent lots F. COMMENTS _a o G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and G9. T �* review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. .. VQ4'• IC 79 JREnginA.GARNESS `4�1O` Date 11 3 O� 1V,4f�otesswll" 6%,QZZ� HAA Fee $ Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number Rub 19 03 03:12p David Lafland LD 4 _+q kT�: is 11Y.7i 1•:p{IIL!�HI'1 1-1t:JC' 'I' 1 (907) 345-4450 h{7.6V•!89 11I3d. Jitn W11L w iae:n �' ..• •,:. Com. r''�.1\ . _ .. I Tlf MOCIa•gll lra•ow y a0/ 1{R 6Kt tr l}Ip1b ty171y °,'t • '�•,t! , rDM t►lO/IGIIYtrWaatANYOaaf�7pi lllMtllpwfyp • . [9[6;7111[1 NO Klvrto7w•�bw Itma{g1�y p � t�f: •,�i:�;•,::>.� �` ', ... .. ''ate: _.i:n:7?.. i t1%4+i •C l� Z*r': • .. ' 1411• +:'• "'• �:i.�•. .. L.� 7 •1 •�/Its ': �:... n li at Z. at rya'. M1' j�.\,Il' 1/)� •{. �'-, V •..,•' .. •I l�i', vSY;,t `d"." t.r.�.,;:a'j. .t 1Al r� ;;'i., .:. ;i��. l.�•. .. j., ,�t �.1•Wll 'S,'r. ',i1+`'1{ tN1f :.a ;''1 i1. I'''i J,'�' .t. {). l,' i••j !�i l al. : ti' ,. • a '"147th: ,y .. t . \ •�' •.t �• a `.y .^t-;;� ,:,.7. /VIJ♦ /Y/.1w,./ '..+�..... I r� ' . ' J'a • r •�,.'.' ••'.'! ii�'n.. . r..' , Vii<. •' .,t.-.��JI•c1:.t1 Lac Soo/t .imams Sade 1 1' p jot ' AS • SVIL7 ( 110 COIWCR/ sir 21131 LAii 1 ('d :���11p .r: y acct y tut have peroes a Norcgigeera *g'� ''t.,�f1 •' to:lretioe Of the follovint daeerlked property ,•, 4 * � �1 'rJ r, A�if4sia•JJI Td h•,r71V/J.M• Maharaja leeaadini Precinct, Alaska and chat the Lrplry a,%6ftca 1Ltvated thiraon era within that property •110e6.4n Pd OewA.N:k�% do Wt overldp Or anaroaoh On the Property lying adJaaaa I �►. WNfa thersta, that rte Lspreouente On propdrty lying adlaoaot / cit that•[• enaroeah on the presto:: thiquearton cad that ,ka1M� there are Ila roadvays, Iran/rleaian•linas 'or other vi1L- Me 10904040[• on Wd property uaapt,u ledicated here_ ICIMS 01110010, CMM1 SRAM 7/OIC Ont Dated at Anchorage, A1uk4 =•j ,.;: •: I{M 01 1719 LtCORHO PLl1e A11 NOY.J 47M 111gox [hie , .T�- qday of /7� Wit L ' NOLS i AItOCtA111 Wf .'JURYC70ti -`I ia..r FPAS� MUNICIPALITY OF ANCHORAGE I�� O Department of Health &Human Services y DIVISION OF ENVIRONMENTAL SERVICES M� 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # (-)\,A - o� HAA # __ tA&S\ C) al)—) 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) 92 C: Section 33; T12N; R3W Location (address or directions) 111-511-0 —k LocUoman Lane Anchorage,!�/,/Ay-a6ka (b) Property owner7� &R_ �Lnrtn� J �';Z�n Telephone : (home) Business Mailing Address (c) I -ending Institution Mailing Address Telephone (d) Real Estate Company and Agent JACK UFUTE COMPANY/George McCou Address 3201 C Street Suite 100 nchokage AYahha 99503 Telephone (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: S 9 S ENGINEERING1694-2979 17034 EaqZe Riyea Loop Road Su.i to 204 2. TYPE OF RESIDENCE Single -Family KX 3. WATER SUPPLY Number of bedrooms Individual Well X Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public 111 Community C] Holding Tank I� 1 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (R.,,. vee) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation dates hewn 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 5 g c ENGINEERING Telephone 17034 Eagle River Loop Road No. 204 Urrir Date 6. DHHS APPROVAL Approved for �� �� edrooms by Approved '\ Disapproved Terms of Conditional Approval Conditional ±CAUTION ;i • ••,Pe.•,a• ,•u` -%V IAbT •�•... wnwr` �V��ic U, �PROiESS��a r Date ,r/:0 Y The Municipalityof Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 ordertosatisfy certain federal and state requirements. Employees of DHHS do notconduct inspections oranalyze data before a certificate is issued. The Municipality of Anchorage is not responsible forerrors oromissions in the professional engineer's work. 72-025(Re% 7/88) Back Page 2 of 2 PGS Oa MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 v �4\T0\�e �L3� 343-4744 L 92 C', Ste' Legal Description: �✓ %12/U A. WELL DATA Well Classification �`` �JG� _ If A, B. C, D.E.C. Approved (Y/N) Well Log Present fY/N) L___ Date Completed ,'Z� _ Yield / ��ZJ� Total Depth -x7 Cased to _ & Depth of Grouting A11A i Static Water Level — J,5 Pump Set At N Casing Height Above Ground_` �Cf Sanitary Seal on Casin(Y'N) Electrical Wiring in Condui(Y N) _ Depression Around Wellhead (Y NN SEPARATION DISTANCES FROM WELL: To 3m>atit/Holding Tank on Lot On Adjoining Lots _7 To Nearest Edge of Absorption Field on Lot _ y� �E ; On Adjoining Lots �6 To Nearest Public Sewer Line _4044—To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot c Water Sample Collected by S' s G`GZ ��������/ Date Water Sample Test Results Comments B-SVMW40r"/H0LDIN�K DA A > 7 ` Date Installed? L �-S_Size >�uy No, `of Compartments Standpipe (Y1N) _, Air -tight Cap((Y�/N) Foundation Cleanout Y% ) Depression over Tank (/Nj l��lliiiii Date Last Pumped Pumping/Maintenance Contact on Fil (YN) ; for —` Holding Tank High -Water Alarm (Y/ ) Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM llj�/HOLDING TANK: To Water -Supply Well /'�ULr) ` To Building Foundation l To Property Line To Disposal Field � To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course A) kIr_ _ Comments _ mil 6� ✓J _ df � ��iir�^ �Gr'�j�= woes (Rev 7/88) From Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed, Width of Field Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTI To Water -Supply Well To Building Foundation Lot To Water Main/Service Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndp/ip�s resent (Y/N) Date,A5 Last Adequacy Test To Property Line To Existing or Abandoned System on On Adjoining Lots --� To Cutback (if To Stream, Pond, L k-6' or Major Drainage Course _ To Driveway, :Wing Area, or Vehicle Storage Area D. LIFT Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Coc Comments AF.77 Dimensions p Off' Level at Vent(Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.S �NGINEER)IVG River Loop Road No. 204 4 Signed 17034 Eagle Riv o e'• ,,,uo„� 7 s e, Eagle River, a p -w„U',�•aL� Company al Date /� Z c� o •• . .•w MOA No. s,% ""oma �• ,•••j, m bu f A. riha4cr, iP o Nu. 16Cr7-It � � s^` Receipt No. 0707 s l / `� �� Receipt No. Date of Payment —�—�� Waiver Fee: $ Amount: $� r Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRO'i cCTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date -- 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ----- (b) Applicant Nanie.%�%�� Telephone: Home �� �/r �— Business Applic@nt Address �(r — X=/% L/5 % --- %.✓�/%ii%?lam /}k. 5'9 i// (c) Applicant is.(check one): Lending Institution L- Owner/builder; Buyer (: ; Other ❑ (explain); (d) Lending Institution --------------,--Telephone ___-.� r —.— Address -- (e) Real Estate Company and Agent Address ._-----------__--- Telephone— (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-FamiI X Multi -Family ❑ Other Number of Bedroom 3. WATER SUPPLY Individual Well Community CI Public 17 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ❑ Public El 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 (11,84) Page 1 of 2 47- 5, L'NGINEERING FIRM PROVIDING IN. PECTIONS, TESTS, FILE SEARCH, DATA. .D INFORMATION 6. 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 s;ipply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. / Name of Firm -Telephone Address - T�/o GtJ _tea —�-- ---- — /1 ' --- Date .—--1-�� ---- - -—- DHCP APPROVAL Approved for C4)_ bedrooms by 1_^ Date -- ' Azt _4 d Conditional L'� ----- VPK u Disay ove __--..------ — '—_ Terms of Conditional Approval _ f"'r" L mom'"f �'(' �"v�'`" 1 Pvbv, e�i-2.� , Ou'cLa'�� �rJm ID 0. f ' %k,, eLi9®wc i- be- �n.�t.�L,.A2GG �9b•str tlx: CAUTION 7u z� <E;)-7,06 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 ?2 W5 (11 8-1) DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (Moa) HEALTH AUTHORITY APPROVAL (HAA) JAN 0 B 1986 CHECKLIST - FEBRUARY 1984 264-4720 �i E C E I v E D Legal Description: .34H ���) Le— 'TiXAI 'e_� of sic -13 i':Mrr 4I11111AP71r1_1 Well Classification �)� If A, 6,,C, D.E.C.�,A/p rd Well L� Log Present ( /N Date Completed �AJAP) ;b r Total Depth Cased to Depth of Grouting Static Water Level Pump Pump Set At . n / Casing Height Above Ground Electrical Wiring in Conduit (Y ) Separation Distances from Well: i To Septic/Holdin Tan on Lot 10-0 ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots ' t To Nearest Public Sewer Line �/� To Nearest Public Sewer Cleanout/Manhole ��" -- To Nearest Sewer Service Line on Lot Water Sample Collected by���/�t��s ; Date x,Z_�5 Yield ow Sanitary Seal on CasingU)N) Depression Around Wellhead (YR Water Samf Comments B. SEPTIC/HOLDING TANK DATA ./ Date Installed � 7 Size / 6`) //" 4wX No. of Compartments 76779t - Standpipes (Y/ ) Air -tight Cap (Y ) Foundation Cleanou (Y N) Depression over Tank ( /N) _ Pumping/Maintenance Contract on File (Y ) Holding Tank High -Water Alar (Y N) Separation Distances from Septic/Holding Tank: To Water -Supply Well To Property Line To Water Main/Service Line Course _ Comments Page 1 of 2 72-026(11/94) Date Last Pumped 12- a s for 14-5 .c /t Ela Temporary Holding Tank Permi16N) To Building Foundation ' To Disposal Field To Stream, Pond, Lake, or Major Drainage I C. ABSORPTION FIELD DATA Soils Date I in Absorption Strata„//A Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well _ To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION DI`nstallpd-�-�N �'f Size in Gallons "Pump On" Level at High Water Alarm Level at _ Tested for Electrical Codes (Y/N) Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness — Standpipes Present(Y/N) Date of Last Adequacy Test Line To Existing or Abandoned System on On Adjoining Lots To Cutbank (if Dimensions Manhnla/Arr.asc !Y/N1 "Pump Off” Level at Vent(Y/N) ing Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** Icertify that lh he ed,ve Pied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed �` Date _� Company A MOA No. � Receipt No. LQ Q () a©F �' Date of Payment j ' `l ll �P f ��K�."6*94..0•� 8 Amount: $ inc?bi] ""�.�°n nre.r� Pp�r's Seal Page 2 of 2 72-026 (11/84) lvlufmcipafity ov Anchorage January 15, 1986 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH 6 HUMAN SERVICES Leroy C. Reid, P.E. Alaska Environmental Control Services 1200.West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: T12N R3W Section 33 Lot 92C Dear Dr. Reid: This letter is in regard to your request for a waiver of the separation distance required between the well on Lot 92C and the septic tank on the on the adjoining Lot 92B. A waiver of the present 100 foot separation requirement to 84 feet was requested. The Municipality's records indicate that it is likely that the aforementioned well and septic tank were installed prior to October 1973, at a time in which the required separation was 50 feet. For this reason a waiver is not required. lie have written a conditional Health Authority Approval for the subject property. The Health Authority Approval was granted with the stipulation that the concrete ring placed around the well casing be either removed or a drain installed to remove any water that may accumulate inside the ring. Sincerely, ,©..Y, a Stephen S. Morris Civil Engineer On-site Services SSM/ljw ALASKA CnUIRMOTAL COUROL SCRUIUS, IN. engineerinq & enuironmental Studies January 2, 1986 Department of Health & Human Service 825 L. Street Anchorage, Alaska 99500 Re: T12N R3W Section 33, Lot 92C The above referenced lot consists of a 4 bedroom single family residence with a private well and holding tank. The holding tank was installed on May 24, 1985. There is no well log available. The well was drilled pre f' 1975. On 12/20/85, we performed a well flow test and Health Authority inspection. Well flow data is attached. From the HAA inspection, we find that the well casing is in a 3 foot \!' diameter, 3.7 feet deep concrete ring. This concrete ring is set on the ground surface and comes up th {ough a wood structure front porch. A "\f' wood frame and cover are over the exposed ring above the porch floor. The well casing itself is 1.9 feet above the ground surface. A sanitaryilJ;t seal is on the casing and all wires are enclosed in conduit. We have vi r recommended that a pipe be installed through the concrete ring at groundl surface to drain any water accumulation inside the ring. Also from the HAA inspection, we find the separation distance from the subject well to the neighbors septic tank is 84 feet. The neighbors legal is T12N, R3W, SEC 33 BLM Lot 92B. The house on this lot was built prior to 1968, but the installation date of the sewer system is unknown. Due to a lack of recorded information, it is uncertain as to whether the subject well was installed before or after the neighbors sewer system. However, prior to October 1973, the required separation distance from a private well to a septic tank was only 50 feet. We therefore request that you grant a waiver to reduce the current required separation distance from well. to septic tank to 84 feet. We also request you grant a waiver to allow the current well casing setup to remain as is. Apparently, the concrete ring was installed to reduce surface runoff from pooling up around the casing. If you should require the concrete ring be removed, we request you grant a conditional waiver for it to be done in the spring. If you have any questions concerning this, please feel free to contact this office at 561-5040. Sincerely, MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION !� !081986 Leroy Reid PhD, PE (� Preside L' RECEIVED 1200 Wes] 33rd Ruenue, Suite Be Anchorage, Nosh 99503 • (907) 561-5090 50830 ALASKA CnUIROWnTAL COnTROL SCR US, InC. Engineerinq & l3nuironmenkd Studies JOHN HENSLEY SELLER—GARY BEST P.O. BOX 11-2157 ANCHORAGE ALASKA 99511 LEGAL:TI2N R3W SECTION 33 LOT 92C FLOW TEST ON WELL WELL FLOW DATE -20 DEC 1985 JOHN HENSLEY P.O. BOX 11-2157 ANCHORAGE ALASKA 99511 A FLOW TEST WAS PERFORMED ON THE WELL. 784 GALLONS OF WATER WAS PUMPED AT A RATE OF 7.1 GPM OVER A DURATION OF 2.8 HOURS. THE DRAWDOWN WAS 20.6 ' WITH A RECOVERY TIME OF 120 MINUTES AND THE STATIC WATER LEVEL. WAS 55.2 FEET. THE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. ov C. Rold, No. 2251.11 23 DEC 1985 MUNICIPALITY OF ANCHORAGE ENViDEPT, F HEALTH & ERONMN PROTECTION RECEIVED 1200 West 33rd Auenue, Suite B o Anchorage. Alaska 99503 o (907) 561-5040 ALASKA ENVIRON►"'NTAL CONTROL SERVICL , INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 SHEET NO - CALCULATED BY CHECKED BY --- SCALE OF --- 57 MUNICIPALITY F— s NR nl heli. -s 1, ..um Nae ow MUNICIPALITY OF ANCHORAG2 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION "1 0 8 1986 RECEIVED