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HomeMy WebLinkAboutT12N R3W SEC 21 LT 32Da) ,�,� a �° 7 (L)° M M ♦♦♦ CL D m 3 c c q q 4♦ ��•�� �� rn ❑ ❑ m `°mi a a> CD o o a F x °.-' ? r•� a AV P V' E AVcu 3 O O N O 9 L7 ;m A1Vv V ❑ ❑ O L a� aj O ❑ - Qz a� 7. ._ M m f` W rn CL > > a) U caO C I Z t AV I1J `+�� U N C •D U` U` J o L v o O U 7 Z U tL M q W • •���s ��l�C AV LL O N O a� � 2 Y c c o ` AP a) w M 7+ J ❑ m � ca -i N �--, F- O (U E �+ 4r Ch N _L W O N o . rn m Z � � m 1, _ ,,, Ll.. m O Z V1 LL _ � LL ❑ ,�,y p C ❑ v C Q O o N Z N � N m N .� a Z a Y o b Q- F- -0� 0c W to o `� w a o .o p U w E O �- N a o m t 6- ❑ a� ,� Q 8 o F- � 04 p � a 4-4 a3� o a r o LL c� _,m Q a m 0 o a� L y �, w F" mc + Q 0- J N tn Z W Q W ❑ O o q� cn f6(❑ami m oN JM o w N rn :oro u H Q o U) co 0 Q E O W c o LU Z et m ❑ N N N F- c o o r ce m c U) p Z 1:1 v 0'3 a o O �p LL VW M o° V N p O W a0 O O + + 4 O IL O O V N N uj F- C" CL a F - (n V L V Z� O '- co ui Q. 6 4-1 ` � E 0 c �+ CCL F- z Q O (n �, -Q z � = �, d W O a — f0 C O C u D 0 .N O- F-� a U O .J co N U (O O U O C\ j� O Q O Ql C /< U1 .O C r1 N J 7 to ca U Uhl (% Q. ❑ Z ~ in L a w J 'z U) O w N O CO LL w (n [1 c C C C U) Q �i U Cc AS -BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP241046 T12N R3W SEC 21 LOT 32D PID# 015-273-33 --- \ DRrVf 6'4 FCO C F T ;24- O #24-1 I EXISTING TANX NE}T►ER \ B r� z n s SCALES 1' = 30' A—C=85.5' W W B—C=68.0' A—D=112,9' o B—D=101.3' s1.98 A -E=114.9 s0'82 B—E=103,6 g1,9g FINAL GRADE g0 g1 797 A—F=145.5 B—F=145.1' A-6=146.3 FIL B—G=145.7 74.1 74.21 T It OF m �ol*49TH *� d O m En KENNUM M. DUFFUS n CE -7116 �� . rvE •;�f SEWER ROCK III 67,99 JI 60,72 �w 46' I mr VU/M SCALE, NTS PREPARED FOR: MICHAEL VECHTER RACHEL GREGORY 11000 ELM❑RE RD ANCHORAGE, AK & FIELD BOOKS COMPUTED: BOUNDARY: N A DRAWN: KS❑ STAIDNG: N A CHEcxm: KM❑ As"T: H OLT DATE 4/i 2, DWG. FILE cMD: SW2635 ACRD "LF- " No' 24113 RCIER y � v �m V a � o z v, � x z � n� h 0"8 � , Fit "8LlTING 6L £R AK. 99577 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241046 Work Type: Septic Upgrade Tax Code Number: 01527333000 Site Legal Address: T12N R3W SEC 21 LT 32D G:2635 Site Mailing Address: 11000 ELMORE RD, Anchorage Owner: GREGORY RACHEL E 50% & Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: cnr 0 U( pai-tnient 4/8/2024 4/8/2025 47953 Q Disposal Field ❑ 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 03 #' Z �m 0 v%D I+ � i 1 / 2-0 -Z- y Received By: S S � /��-(_. / - Z (ZA Date: i Issued By: Date: Z_ 4 MUNICIPALITY CFI icy _r t�! Development Services Department r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-273-33 Property owner(s) Michael Vechter & Rachel Gregory Day phone Mailing address 11000 Elmore RD. Anchorage, AK Site address 11000 Elmore RD. Anchorage, AK Legal description (Sub'd., Block & Lot) Lot 32D Legal description (Township, Range & Section) T12N R3W Sec 21 Lot Size 47,953 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field RI Initial ❑ Single Family (SF) KI Septic Tank ElUpgrade (w/wo ADU) Holding Tank El Renewal ❑ (D) ElRenewal 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. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: 9 S Z Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. 05 e Z ' 1 1011 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241046, Curtis Townsend, 04/08/24 CO g j- WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN T12N R3W SEC 21 LOT 32D PID# 015-273-33 DRI1 �e�AY co MT \ \ ekIST \ R=30' NpUSE G FCO Pµc euR� I 46' TH#24-1 I EXISTING TAN\ / _ \ \ D RTERMT CID 2' _4' M N / \ \ \ I HT #1• I R=30 ` TRENCH EXI ING r I Scale' 1'- 30' FLAG PROPERTY LINES DESIGN DETAILS WELL RADII & EASEMENTS 4 BDRM X 150 GPD = 600 GPD o PRI❑R TO C❑NSTRUCTI❑N 600 GPD/1.2 GPD PER SQ. FT.= 500 SQ. FT (500 / 2)/(6' ED) = 41.6 FT. TRENCH USE 1 TRENCH: 46' (L) X 2' (W) X 6' (D) o Total depth of system is 12' Max from original grade. Total depth of gravel below distribution pipe is 6' n o NO PUBLIC WELLS WITHIN 200' [IF N ❑TES I NODPRIVATE POSED YWELLS WITHIN 100' OF 1. )KS❑ILS TO BE VERIFIED PRI❑R TO INSTALLATI❑N. T PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF 2. INSULATE TRENCH WITH 2' HD BURIAL FOAM IF < 3' OF FILL, O u PROPOSED WELL EXCEPT AS NOTED. MIN, 2' FILL WITH INSULATI❑N, >3' COVER NO INSUL REQ, 3, INSTALL DIVERTER C❑NNECTING THE OLD FIELD TO NEW FIELD. 1 4. CONTRACTOR WILL ENSURE ALL SEPARATI❑NS TO ADJACENT 2 WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC.,, i OF Al AO *:49TH *� IKENNETH M. FFUS •' / p CE-7 6 \ P�F'ESSIOt1A � PREPARED FOR: MICHAEL VECHTER RACHEL GREG❑RY 11000 ELM❑RE RD ANCHORAGE, AK & FIELD BOOKS COMPUTED: BOUNDARY: N A DRAWN: KSD STAKING: N/A CHECKED: KMD ASBUILT: — DATE: 4 11 DWG. FILE: GRID: SW26. ACAD FILE: FILE JOB No' 24113 PAGE 1 OF 1 o �FtCTERRq m AizcTr, ZIZA CONSULTING, INC b Q 20441 Ptarmigan, Eagle River,AK 99577 %co ko�� 0 Office (907) 696-6111, Fax (907) 868-3793 �e fie• q pEa SULTING •�3g AK9 17 SOILS PERCOLATION TEST Aw l KENN> TH Dl. D� IJ S / 1 ��d r R FESSID�l' Performed for: Rachel Gregory & Michael Vechter Date Performed: 4/10/24 Project: T12N R3W Sec 21 Lot 32D TEST HOLE # TH 24-1 Depth (Feet) SEE ATTACHED SITE PLAN 1 ORG 0'-2' FOR HOLE LOCATION SM 2'-3' - Perc Bench #1 @ SW 3'-19' B.O.H. 19' C rd e I Was Ground water encountered? No What depth? Depth to water after monitoring? NA Date (Depth below grade) Reading Date Gross Time Net Time Depth to Water Net Drop 1 4/11 /24 1:40 6" 2 1:50 10 9 5/16" 3 5/16" 3 1:50 6" 4 2:00 10 9 5/16" 3 5/16" 5 2:00 6" 6 2:10 10 9 5/16" 3 5/16" 7 2:10 6" 8 2:20 10 9 5/16" 3 5/16" 9 x 2:20 63) 10 2:30 10 9 5/16" 3 5/16" 11 2:30 6" 12 2:40 10 9 5/16" 3 5/16" * Water Added Percolation Rate 3 (min/in) Pere Hole Diameter 6 „ Test Run Between 4' feet and 5' feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. N 01 kz ti 3 m m m z —5— OF.A CO 49 LH `9 f'Ae�— o s SHANE A. HOLT �� G LS -6914 ,\,°fessiona� VQo N 89 52' E 290.55 SEE NOTESATELLITE — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — SHED DISH /ELL V O -H- DECK ji `P � xl nl a Z Ln ti u` m I • , ze, i DECK ON GRADE 41.7 N 89 55' E 290.56 NOTE : A 10' ELECTRIC EASEMENT APPEARS ON THE CITY GRID MAP ( 2635). THIS EASEMENT WAS NOT VERIFIED AS OF THIS DATE. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND I5 NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. 40' 40 AS-BU/LT SURVEY I" =30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 32 D, NE 1/4 SECTION 21, T12N, R 3W, S.M. PLAT 70-227 EXCEPTING THEREFROM THE EAST 5 FEET, BY WARRANTY DEED RECORDED 7-23-182, IN BOOK 757, PAGE 725, GRANTED TO THE STATE OF ALASKA, DEPT. OF TRANSPORTATION. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _17 TH DAY OF _APRIL 2024. HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 4508, FB 179-33,54 236-38 223-8615 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161315 Tax Code Number: 01527333000 Work Type: Septic Upgrade Permit Effective Dates: October 21, 2016 to October 21, 2017 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Subdivision: T12N R3W SEC 21 Site Legal Address: T12N R3W SEC 21 LT 32D G:2635 Owner/Address: ELMORE LLC PO BOX 110501 ANCHORAGE AK 995110501 Site Mailing Address: 11000 ELMORE RD, Anchorage Lot Size in Sq Ft: Total Bedrooms: This permit is for the construction of: G De partin etit 47953 4 Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By Date: Date: MUNICIPALITY Community Development Department a Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 015-273-33 Property owner(s) Elmore LLC Mailing address P.O. Box 110501 Anch Ak 99511 Site address 11000 Elmore Day phone Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T12N, R3W, Sec 21, Lot 32D Lot Size 47952 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field -- Septic Tank X. Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN Initial ❑ THIS APPLICATION INCLUDES A VAR OCT 2 0 2016 TYPE OF DWELLING: Single Family (SF) ki (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ !7 (SF and/or D) ti REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. 4A (Signature of property owner or authorized agent) Permit/Rush Fees: 7 & Waiver Fees: Date of Payment: f o 2 Date of Payment: Receipt Number: // u I 7 _ Receipt Number: Permit No. QS��to�3�1' Waiver No. Permit App__- ::' .. c Oct 20, 2016 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New Septic system Legal: T12N R3W SEC 21 LT 32D To Whom it may concern: This is a request for a septic permit on the above referenced lot, the old 3 bedroom system has failed and needs replacing. The new system will be a 4 bedroom system with an alternate site, see plan. A new test hole was excavated in the backyard and found sandy silt, SM. No water was observed during the excavation or after the 7 day monitoring period in the monitoring tube. The perc rate was 3 minutes per inch at 5 feet below grade. A deep trench has been designed as a replacement trench. The tank will also be replaced due to its 3 bedroom capacity. Tile lot slopes to the west at about 1 percent at the proposed leach field site, see the drawing. This replacement system will not impact any of the neighboring properties due to the large lot size. Please call me if you have any questions. Sincerely Mike Anderson, P.E. 4661 Natrona Ave. Anch, Ak 99516 DESIGN CRITERIA: I MOUND OVER (TH#1) 01 GRADE 4 BDRM X 150 = 600 GPD 1.0 ORG SOILS = 600/1.2 = 500 GPD ff4'% TER FABRIC 500 GA/12= 42' 3 0 PIPE (1) TRENCH SM SEWER ROCK 9.0' DEEP 6.0' EFFECTIVE s 0 2.0' WIDE 2.0' -O'MALLEY ROAD- I SEPTIC FIELD SECTION T12N, R3W, SECTION 21 LOT 1A I I I � I --_ I T12N, RM, SECTION 22 i LOT 16 I (\EIC \\ (SEP I T12N. R3W, SECTION 21 1 LOTh6 r EXISTING HOUSE EXISTING WELL I I 1\\ PROPERTY LINE 100' RADIUS EXISTING SEPTIC SYSTEM I I T12N, R3W, SECTION 22 I \ I PROPOSED INFIELD Q LOT dEPTI-- LYNN DALE I I T12N, RM, S C;r ON 21 W I\\\ I I I L _9DRA LOT 1A I I LOT 32/0 QY I I I I I I W I I I QI I I IN,I III I I ---J L— L_--E-112T ENUE-- -- --J Septic Design Prepared for ELMORE, LLC P�� OF ���S�♦♦ T12NM RM, SECTION 21, LOT 32D i 1Sy TH %;♦� 49 — Anchorage, Alaska ....::...................................... .. .. , . .. ......................; Michael N. Anderson, P.E. DATE: 10/14/2016 ;MICHAEL N. ANDERSON.= AV 1♦�No. E 469� 4601 NATRONA AVE DRAWN: DJR ANCHORAGE, ALASKA 99516 ♦1vr •��•' (907) 727-8864 / FAX: (907) 345-1391 SCALE: 1 =100' ♦�11;;'�e� i I I I I I I 1 T12N, RM, SECTION 21 LOT 1 B PROPERTY LINE Septic Design Prepared for ELMORE, LLC T12NM RM, SECTION 21, LOT 32D Anchorage, Alaska Michael N. Anderson, P.E. DATE: 10/14/2016 4601 NATRONA AVE DRAWN: DJR ANCHORAGE, ALASKA 99516 (907) 727-8864 / FAX: (907) 345-1391 SCALE: 1 "=50' SATELLITE DISH of OI of Lu O W / FENCE , DF AV �. •� 49TH '♦�� • � .............. 0��•: MICHAEL.N.. ANDERSON: A- AF ♦♦% �. No. C 9 9 AV 13 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchorage.ak.us (907) 343-7904 Soils Log - Percolation Test • ° ° Performed For: �%I { rn dv,[. L (., ��� t� yYr T �� lLW A 1 C Z Date Performed: Legal Description: 7 ►L 3 W ? Z, 2 1-1A 3?&ownship, Range, Section: _ Slope 1- 2- CO v, 9 3- 4- 5- In !9 0 � c� 6- 40 IkL 7- 8- � �( 9- 10- 11- 12- 13- 14- 15- 16- 17- 18-4___�— Y� v11v *—,, 19- 20- COMMENTS WAS GROUND WATER ENCOUNTERED? /qy s IF YES, AT WHAT DEPTH? L Depth to Water After O P Monitoring? J l/t E Date: L !Ka__ Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop ir r' 3 Vb 3 5� , /P PERCOLATION RATE �_ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 41 FT AND ,�_ FT PERFORMED BY: ivl /_114�1 I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /0 Z ~r DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ) ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MA'LINGADD 'P O' t -¥TS . ~ Z Manufacturer~ ' ~ ' M ' No. of Liq.~n gallons IF HOMEMADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ ~ DISTANCE TO: Well ~ /~ Foundation ~ 7 / Nearest lot ,in~ / P ERM~70 7~7 ~1 .o. o,,i.e7 Length ~$~i~ Total ,enS~li~os Trench wi~ Dista~/~e~n lines .~ '~: ~ inches Total e~ption area ~ ~ Top of tile to finis ~ Material beneat~le~ , , ~ inches Length 'Width Depth PERMIT NO. < ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. m Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER "'~E ~ATER'AL~ ~Xr~ SOIL TEST RATING REMARKS I t90 72-013 (Rev. 3/78) PERMIT N.O. RPPLICRNT F~LFlN HRNNON P.O. BO';'.: t0-47S LOC:RTION LINKNOL,.IN LEGRL L-<2D SEC. 2'1 T'12N RSH S.M. LOT SIZE T'YPE OF SOIL RBSORPTION S¥':;TEM IS: TRENCH MRXIMUM NLINBER OF BEDROOMS = ]: SOIL RRTING (SQ FT/BR)= THE REC.!UIF.:ED SIZE OF THE SOIL RBSORF'TION SYSTEM IS: [:, F'F:' T ~-.{ .... "1 :~__ L K: P-.~ 13 T' ~-~ == 2~:] 2;~-:: ,3 F-:R %-' E L E:"EP'T H MUP-~ Z C: X ~ ~-::~L ][ '"l-~w DEF'"RT[~E[?-'DF HEALTH *ND ENVtRONMENTRL F'RCITECTICN :=,25 'L" STREET., RNCHORRGE, BK. U 2~;4-4720 ,' 8i0747 ::, 4:3700 SQLIRRE FEET THE LENGTN DIMEHSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRFIINFIELD. THE DEPTH OF R TRENCH OR PIT' IS THE DISTRNCE BETWEEN THE SURFFlCE OF THE GROUN[:, RND TNE BOTTOM OF THE EXCRVB'f'ION (IN FEET). THERE IL=; NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RN[:' THE BOTTOM OF THE E::<CRVRT!ON (IN FEET). · ' '- '- ~'~ "1"'¢ PERMIT FIF'F'LICRNT HF!S THE F..Ez, FUL=,IE:ILI TO INFOR. M THIS DEF'RRTMENT [,IIRT~43 ]"HE INSTRLLRTInN INSPECTIONS OF RN't' WELLS R[:,JRCENT TO THISrr~_r-_n:.~-~"F'''~'''''t FIND_ THE NJMBEF.' OF F.:ESIDENCES TNRT THE WELL WILL SERVE. MINIMUM DISTF1NC'E BETWEEN !':1 WELL. RN[.', RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS t00 FEET FOR Ft PRIVRTE 1.4ELL OR 15F~ TO 2F~0 FEET FF.:OM R PUBLIC WELL DEPENDING LiPON THE TYPE OF PUBLIC NELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PR!VFITE SEWER LINE IS ;-25 FEET TO R COMMUNITY SEWER LINE IS }'*5 FEET. WELL. LOGS RRE REQUIRE[:, RND MUST' BE RETURNED "FO THE DEPFlRTMENT WITHIN S0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MFIY RPPL'¢. SPECIFICFlTiONS RN[:, CONSTRUCTION [:,IRGRRMS FIRE FI'v'RIL. FiBLE TO IHSURE F'ROPER INSTFILL. RTION. I CERTIF'¢ THFlT i: I BM FFIMILIRR WiTH THE REQUIREMENTS FOR ON-SITE SEWERS FIND NEL.LS RS SET F'ORT,L4 B'¢ THE MUNICIPRLIT¥ OF' FiNCHORRGE. 2: I WILL INSTRLL THE S'¢STEM IN RCCORDFINCE WITH THE CODES. 2: I UNDERSTRND THRT 'THE ON-SITE SEWER SYSTEM MFl'¢ REt..]UiRE ENLRRGEMENT IF ]"HE RESIDENCE IS REMO[[:,ELED TO INCLUDE MORE THRN 3: BE[.',ROOMS. ,4. 0 ~L4~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST [~/SOI LS LOG [] PERCOLATION TEST PERFORMED FOR: {~t~', LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 SLOPE 10 11 WASGROUNDWATE. t ENCOUNTERED? O P E' IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop 12 13 14 15 16 17 18 19 2O PERCOLATION RATE (minutes/inch) PERFORMED BY: TEST RUN BETWEEN FT AND -- FT CERTIFIED BY: 72-008 (6/79) ~£)t; Kb f aeP,' ~,,o 4/4/a,v £~.4. 57,;e~.,c7; O- :X9 ~:r L,T ;-N~.,W w ti.b), - m x m L c O U a) W a) a) a)^L, E Q O > U) 00 A 0 O LO L 0 0 0 4 O a_ Q J N 0 a) c W 0 Q c N a) N 0 ..0 ~ _C cu N = U M .0 +� +� 2 O N = O O U > OL �, ,, a) E Q 0 _uf� „ vi O W O U Q E _. W w OE 7 Lf ) 06 Cr 1 T)/�� VJ 0 'a -0 o a ;B O N Q. L ++ c U) Y C� c cu o a)cn Q W L m L c O U a) W a) a) a)^L, E Q O > U) 00 A 0 O LO L 0 0 CL 0 4 O N � CU (B J N 0 a) c W Q c N a) N 0 ..0 ~ _C cu N = U M .0 +� +� 2 O N = O O U > OL 3 c M a) E Q 0 O vi O W O U Q E m W w ++ cu 7 Lf ) 06 a) L O W 4? i O O 4-j T)/�� VJ E Q 2 > 'a -0 o a ;B O N Q. L ++ c U) Y LO c cu o vii Q W CD U CN U J Lu -J O U Q N Q } Lu Q� 0 � W � V O O M O 7; W 0� (� C7 r� I` N z f O w O O W o L6 O O Q U [— N 7C3 L O O Q c °i W U 0 Q U) O O � o m _o Q) L U) 4- E 70 O ^O 0 Q] Q QLM c� (1) M 0 O >, QLQ U o � U) C O O a) H U X 0 cc O N c E O U 0i N O N LO N d' ai a� U (D U C O 0 5> Z < 0 0 CL 0 4 Y N � CU (B CU 0 a) c O E 0-00 O -0 s= N A ~ c1 Q. V a) N 0 ..0 ~ _C cu N ZMN N 0 N O Q Q .0 +� +� 2 O N = O O U > OL 3 c M a) E Q 0 Q ,_, -0 C vi O .Q O Q Q. Q E m i ++ cu v r O r-cC a) L O W 4? i O O 4-j .Q N E ^` W �c\LC� V/ E Q 2 > 'a -0 o a ;B O N Q. L ++ c U) i U U) E c cu o vii c cu o N CD U s U a a) L L s V a 5> Z < d- ti TQ VT A! 1 I 1 M Ce) O O O) O7 a) x W O LL 0 �Q f.L. O �2 V Z W r a o - (D U C v) � _U L Z D cu > C/) D0 AJ Z 0 F- M a M M N 0 (n U. � Z NJ Li w Z v LU CD Li T" rm1 A O O O U cu a) Z O cu U O J w N� U) 0 LU m er 0 LL❑ LU N V5 U) LU F- U) LU Ln Z 0 2a O C () N O) O N aa)) a) LL ❑ W a) Co f1 J LL a D U) w LU 7 LL LU 0. M U (A D 0) O a) (D a) O U U U ❑ Q O U) C cQ O > O) � c a) ❑ � U + Q M Q) CO () •L ; U) L 0 U J a) a c�6 Ln 0 El El4. ❑ LU w F cn LL LU a .I (n O c� 2) m LL a) U C O ElU U N cu a_ ❑ a) a) U) N Z U H 0 - LU U) LE U cu Q) O N C M m 0 0 m U) O U cu a) a) 1 m rn cu S2 Q) CO El L U C N a) Li t U C CD Q. Elm a) a) L]0 U) ❑ ❑ LU u. Z 0 a w N m a rw ❑ N W N C 0 E .Q c V Q 0- U) N c a) a) LL a) I i a) (D LL U) 0 C E >, ca O a) c6 0 Zri �r () cu E (1 >, q cu LL O Q a) (/) cu 0 0 U Legal Description: _ COSA Checklist T12NR3W Sec 21 Lot 32D Parcel ID: 015-273-33 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Date drilled Oct 1981 Total depth 209 ft Cased to 209 ft W Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 13 in. Date of flow test for COSA 4/12/24 Static water level at beginning of test 158 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping 4/4/24 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 4/12/24 W ALL standpipes present per record drawing Total measured depth from grade 13.99 ft (max) Measured depth to pipe invert from grade 7.77 ft (min) ❑ N/A - pressurized field. ❑ Per record drawings, field is insulated. 0 Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies COSA Checklist—June 2022 Well production at time of test 4.5+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ❑✓ No © Coliform bacteria is Negative Nitrate 1.49 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 91 Arsenic less than MRL (ND) Collected by Arcterra Consulting___ Date 3/28/24 STATION ❑ Require-d-rm ( Age of lift station _ Lift station material Comments: Adequacy test date _ Results [2]Pass— Fluid Pass Fluid depth prior to test ce completed New install Water added gal New fluid depth in Elapsed time min Final fluid depth in in Absorption rate gpd FIELD STATUS - POST RECOVERY Effective depth (per record drawings) 74.6 in Effective depth used 0 in Effective depth remaining 74.6 in n N O i- �a 0 X W 0 o z 0 Z 0 Z I 0 Z O '- - �'} } } co©ao ° U N = 0 a� Al 3 0 o c b LO > 0 0 AI 0 a) C- a) o a=i z E ff) a) AIcu YD 'm � ro o E 0 U N E - c E > E a U a = c Q c m E w =a N ao 0 awe N I 3 ftf v � <n O Z O Z O Z O Z O Z � 0) a) a) Q) a) a) g} > r C) i o Ain 0 �) _ AIN 0 N °- a y J 'S O N 0 p L r AI 1L Al �� `m O C) J O N _ ty0 Al c ca O � Y O p ` � m a3 N Q E R > � C: m ` �- C a) C a � a) m f04 o to LO L C E OU Q -C z .0 o U) W � CL L •Ql p L. UL a) to � z -0 ¢ z 0 N O i- �a 0 X W WCO L of Q •O 'O .q tQ .V, y u u u ru. y y o � W •` C c7 L O C "'�' r •SSE c Y d .G �• o s ea � u F a �• 2 Fyu u api O• u i >+ w O L C` y��. D➢ y y„ C ° amu•• L u C •� .G L � .- i •o E m o a v � •¢ v � Q i 'u N •W ` `1D � C RS 4 w 4 'y L, :C vi •0 O a O m C O Tp T�'F C•° y E E L y � C O i O C .•C,. C � u E`o°gcu"•d� s u o � V E E 3 o ro S WFC y r. y o L. d O U � o 0 0 0 0 0 z z z a� 'm � ro a_ E =a ao 0 awe N 3 ftf v � L a� a� 0 � N Op CD >�� U C � onI p J �- �) _ QJ -0C N °- a 'S C N .0 W oa ao L aci Q �� `m M o � � ca � •� W�c� � m E i Uo>3uci o � a) m f04 o to ; 'L E O o Y z .0 o U) W � CL 0 O- C O a) O O '0 as >, J v >, i y6 aQ1i�CLo I O� U LL I I I t Zo O E .0 0 O Z O Z O Z O Z O Z _c m p N t O � Z a z�° cu W .F. p U in 'C 0 ❑ S 0 D,F' a a) '5.r - Z C to 70 7 IQ A' �I U) tm o � � a�Al 0 FE°�zs C A (A L C a) AI N 0 W 'a C N �� Q. p O OO •C W �� � tu t/) � p ? a U Q. p. ,c � � c •v m W UQOyO LL m � >� (- W > lL u" WCO L of Q •O 'O .q tQ .V, y u u u ru. y y o � W •` C c7 L O C "'�' r •SSE c Y d .G �• o s ea � u F a �• 2 Fyu u api O• u i >+ w O L C` y��. D➢ y y„ C ° amu•• L u C •� .G L � .- i •o E m o a v � •¢ v � Q i 'u N •W ` `1D � C RS 4 w 4 'y L, :C vi •0 O a O m C O Tp T�'F C•° y E E L y � C O i O C .•C,. C � u E`o°gcu"•d� s u o � V E E 3 o ro S WFC y r. y o L. d O U o �FtCTERR� ,,� AKcTERRA CONSULTING, INC Y 20441 Ptarmigan, Eagle River,AK 99577 Office (907) 696-6111, Fax (907) 868-3793 +K. 9IAG - SOILS PERCOLATION TEST �r OFAf 'kAwl '00*rH Ic 7� KENNETH M. DUFFUS / 1 �s 71 t6 �FESSiO�`L�t Performed for: Rachel Gregory & Michael Vechter Date Performed: 4/12/24 Project: T1 2N R3W Sec 21 Lot 32D TEST HOLE # TH 24-2 Depth (Feet) SEE ATTACHED SITE PLAN l ORG 0'-2' FOR HOLE LOCATION SM 2'-3' 5- 6- 7-j 1 SW 3'-19' B.O.H. 19' Was Ground water encountered? No What depth? Depth to water after monitoring? NA Date (Depth below grade) Reading Date Gross Time Net Time Depth to Water Net Drop 1 4/11/24 1:40 6" 2 1:50 10 95/16,, 6" 3 5/16" 3 1:50 4 2:00 10 9 5/16" 3 5/16" 5 * 2:00 6" 6 2:10 10 9 5/16" 3 5/16" 7 * 2:10 61' 8 2:20 10 9 5/16" 3 5/16" 9 * 2:20 6" 10 2:30 10 9 5/16" 3 5/16" 11 4 2:30 T 12 2:40 10 9 5/16" 3 5/16" *1 Water I Added Percolation Rate 3 (min/in) Pere Hole Diameter 6 „ Test Run Between 47 feet and 5' feet Pere data from TH 24-1 I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date ¢;'/'1! ,/85- GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b). Applicant Name /).,~¢.¢:,~/z-/'/Z~,¢~:'~'~,)(_ Telephone: Home Applicant Address (c) Applicant is (check one): Lending Institution []; Owner/.b~i~r~; Buyer []; Other [] (explain); (d) Lending Institution Address ~¢'4:~ (?) (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family[~ Multi-Family [] Number of Bedrooms '9 Other WATER SUPPLY Individual Well I~. Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [~. Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 ~]~NGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date ~ Terms of Condition//~a Approval Engineer's Seal · CAUTION The Muncipality 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 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-472O Legal Description: q-i~N ¢~ 3 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION J t 3 1985 RECEIVED WELL DATA Well Classification Well Log Present (Y/N) Total Depth ~ O 9' Cased to Static Water Level I ~'~ ' Casing Height Above Ground I Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line N,,~. Cleanout/Manhole N,/~. Water Sample Collected by Water Sample Test Results Comments If~ A, B, C, D.E.C. Approved (Y/N) Date Completed I¢ / ~'t Yield Depth of Grouting t~/J, Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellh'ead (Y/N) ; On Adjoining Lots I I..~" ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on ; D~ate ~¢'/¢' B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) i~J,~, Separation Distances from Septic/Holding Tank: To Water-Supply Well i To Property Line To Water Main/Service Line Course ~ ~¢0 ' ~/'¢,/'~'! Size I~00 No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) ~l,/-J, To Building Foundation To Disposal Field -~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ?/8/~'/ Width of Field ?¢/'" Square Feet of Absorption Area '16o4rm Type of System Design Length of Field '3:$ i Depth of Field "¢0,5' ' Gravel Bed Thickness ~; ~" ' Standpipes Present (Y/N) 'Y' Depression over Field (Y/N) N ~"~E~t~0f'~ast~dequacy Test Results of Last Adequacy Test I~.~-~. ~ ~'~-~'~ ~ ~ ~/ Separation Distance from Absorption Field: To Water-Supply Well I I~' -~ ~ ~ro~dy Li~e ~ To Building Foundation Lot I'~, A. To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Existing or Abandoned System on ; On Adjoining Lots '~ ,¢0 ' To Cutbank (if present) ~/,4, D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** 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. Signed ._¢'~-~ ~, "~¢'/'¢"~ Date Company FlaP~off ?-e¢/~mca! 5~r¢,~¢ MOA No. Receipt No. ~ q ~ ~ I Date of Payment ~ ' ~ ~'~ ~ Amount: $ Page 2 of 2 72-026 (11/84) APPL!! NT FILLS OUT UPPER HA[ =ONLY Pr, oper~,~,-Owner ~-//.A~-~--,.~ /~, ~ ~~ ~L-~ Phone Buyer Address ~ ~ Lending Institution /~, ~ ~F~ ~ ~J~ ~ ~ Phone Address ~/~ Realty Co. & A~nt Phone Address Zip Code Legal Description ~o~- Type of Resi~nce '~ ~ Multiple Family No. of Bedroo~ ~ Other L~:~ '~ ~ '~ Water,Supply ~ - ~ ~ ~/~ A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~' Individual ~ Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility ~ Individual Year Individual Installed: /"~'~ ~ Public Utility When Connected to Public Utility: ~ H~lding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH ENVIRONMENTAl. PROTECTION APR 2 ? !983 RECEIVED ( .~) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDI~'IONAL APPROVAL* Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 (3182) AppLIX-~IT FILLS OUT UPPER HA' ~,ONLY Phone Pr ' erty Owner lan Address 5 ~ ~q Z,p Cods Lending Institution /,,,~r [~j}~ Phone Realty Co. & Agent Phone t! Jr) i)(J-- Zip Code Address LegalDescription -~ I~ki ~ .~(_), ~ Type of Residence I~, Single Family [] Multiple Family No. of Bedrooms [] Other Water Supply rq Individual ATTACH WELL LOG. A well log is required for all wells drilled since June lg75. ~ ~ Community For wells drilled prior to that dale, give well depth (attach log if available). [] Public Utility Sewer Disposal ~ ,ndividua, Year ,ndividua, ,ns~a,,sd: t '~ f ! [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST AccoMpANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Insp~,~tor Field Notes: ~e _~ C,.j.~L~..~.( ( ~'~APPROVED BEDROOMS ,,~ *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE t~ ~ ~' ~- Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received "~ '-- ~ l Well to Tank Septic Tank Size 72-023 (3182)