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HomeMy WebLinkAboutTALUS WEST BLK 2 LT 1Talus West Block 2 Lot 1 #015-201-11 �Etl?iO7 l�Pi7 Ser` ic:e5 Oepar't1'Tient Euiluing Sa7'ety :OMsiar C`Gr G Wasla4A!LL a 'raGraii 4700 Bragaw 5 reet �. P.C. 8a;: 196b5O ;v(ark aegich AnChoraq:, .SIC 99519-bb�O Mayas nnnv.muni.or�larsi ra (947) 243-790=1 Pump Installation Log Well Drilling Permit Number: SW parcel Identification Number:— Legal Descripdor, umber: LegallDescripdon / `•! G➢+.�'' (.✓ _� Cly? � ::�� Pump Installation Date: `, `Z1-11/ ell; Intake Depth Below Top /ofWell Casing: feet Pump Manufacturer's Name: Pump Modem ,�3 j Pump Size 1 hp Pitless Adapter Burial Depth: / feet Date of Issue: Property Owner dame & Address: -�j'� Pitless Adapter Nlanufactnrer's Name: p?tiess .4- dapter ?nstaller: ' �i1e11 Dzsiaiected Jp0a Comp[a ioa?• es I—, Nio '�lletdod oEDsiniee�on: Comments: Pump lDstailer L I=e: ;'!7 Attention: ne pump installer shall provide a pump installation log to the DSD uid-l= 30 days of pump instadation- Municipality of Anchorageg na Community Development Departmcnt Page 1 of 3 On -Site Water & Wastewater Program w 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/Avww.muni.org/onsite ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141429 PID Number: 015-201-11 El New ®Upgrade Name: MYRA POAGE ABSORPTION FIELD ® Deep Trench 11 Shallow Trench ❑ Bed El Mound ❑ Other Address: 11995 WILDERNESS DR, ANCHORAGE, AK, 99516 Phone: No. of Bedrooms: (907) 444-3877 3 Soil Rating: 0.8 GPD/Sq. R. Total Depth from original grade: 10 MAX Ft. LEGAL DESCRIPTION Depth to Pipe invert from original grade: Grovel depth beneath pip.: 3.98 MAX Ft. 6.02 R. Subdivision: Block: Lot: TALUS WEST 2 1 Township: — Range: — Section: — Fill added above original grade: SEE DWG. R. Gravel width Gravel length: 47 TOTAL Ft. 3ed. Number of lines Distance between lines: 2.5 Ft. — —R. SEPARATION DISTANCES Total absorption area: 565.8 SQ. Ft. Number of trenches: 1 Dist, between trenches: — R To Septic Absorption Lift Holding Public/Private Fram Tank Field Station Tank Sewer Lines Well 100'+ too'+ 100'+ — 25'+ TANK ❑ Septic ® S.T.E.P. ElHolding ❑Other Surface Water 100'+ 100'+ 100'+ — Manufacturer: ANCHORAGE TANK Capacity: 1250 Dal. Lot Line 5'+10'+ 5'+ — Material. Number of compartments: N/A STEEL 2 Foundation 5'+ 10'+ 5'+ — LIFT STATION Curtain Drain NONE KNOWN Manufacturer: Capacity' ANCHORAGE TANK/ORENCO 1250 Gal. Remarks: " "Pump onlevel at: lump off" level at: 41 41 High water alarm at: 45 OLD TANK ABANDONED PER UPC — PER CONRACTOR Pumq Deal: LPF-20—OS aedrical Inspections performed by: M.O.A. PIPE MATERIAL SCH 40 House to tank D3034 Tank to D2665 drainfield Installer A+ HOME SERVICES Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 Ft. Inspection Dates: 1st 10/28/2014 2nd 10/29/2014 Location and Description: 3rd — 4th THRESHOLD OF SOUTH FACING DOOR, NEAR POINT 'A' Community Development Department Approval Conditional approval: Date: ENGINEER'S SEAL o0�0004 o� OF p� : � T • d p ...:.... g..— .... . �D p r D DDa .Je A. Ga essf —79 Dire p'ofess.i.o►yn°\ o Approve Date: PERMIT NUMBER: PARCEL ID NUMBER: OSP141429 AS -BUILT DRAWING 015-201-11 EXISTING 3 BEDROOM HOUSE DBLi DBL2 A B _ DBL1\ 9.12 42.68 i // DRIVEWAY DBL2 9.95 42.60 STI 31.23 61.46 - -#'- ST2 36.31 67.40 MH 37.59 69.01 CON i CRE C01 27.29 1 49.10 MT1 27.05 1 48.52 CO2 55.99 45.89 _ �����\`,_ NFUy MT2 MT2 55.40 45.06 \. EXISTING 3 BEDROOM HOUSE DBLi DBL2 GARNESS ENGINEERING GROUP, Ltd ; � :,, ,49 ...................... -- CIVIL & ENVIRONMENTAL ENGINEERS P N c 370 ETIIfA0.0.0Ai]SUITE 101'gNCIp1UGE, qK 8850]'PHONE OUN 33]1]9' PM (ION 338346 -WEBSITE xwwgameswng,qw PREPARED FOR PHONE NUMBER: PAGE NUMBER , , • ,J y A ••• •••• 4 MY RA POAGE (907) 444-3877 2 OF 3 #jai ° CE 95 EGTALUS WEST S/D; BLOCK 2, LOT 1 DRAWN BY : ��. �•, i 1 %i' �.. 'z A.J.G. (1 TYPE OF WORK: DATE: ♦� lO "ROFESV)' P �• SAS -BUILT DRAWING OF SEPTIC UPGRADE 11/4/2014 NEW 1250 GALLON i ST2 C01 / SEPTIC TANK _ MTi MH CON i CRE 'AD O\�� ��� f >1, � / _ �����\`,_ NFUy MT2 -. --- ----- -------- (Y pRAI/ypjFLD CO2 i��/�/ � f EXISTING CRIB AND TRENCH TH#1 U) �� i CONNECTED AS RESERVE SITE Z.X IO'POWER& TELEPHONE EASEMENT N W SCALE: GARNESS ENGINEERING GROUP, Ltd ; � :,, ,49 ...................... -- CIVIL & ENVIRONMENTAL ENGINEERS P N c 370 ETIIfA0.0.0Ai]SUITE 101'gNCIp1UGE, qK 8850]'PHONE OUN 33]1]9' PM (ION 338346 -WEBSITE xwwgameswng,qw PREPARED FOR PHONE NUMBER: PAGE NUMBER , , • ,J y A ••• •••• 4 MY RA POAGE (907) 444-3877 2 OF 3 #jai ° CE 95 EGTALUS WEST S/D; BLOCK 2, LOT 1 DRAWN BY : ��. �•, i 1 %i' �.. 'z A.J.G. (1 TYPE OF WORK: DATE: ♦� lO "ROFESV)' P �• SAS -BUILT DRAWING OF SEPTIC UPGRADE 11/4/2014 PERMIT NUMBER: PARCEL ID NUMBER: OSP141429 AS -BUILT DRAWING 015-201-11 TOP OF TANK AT INLET = 91.49 2" INSULATION (PER CONTRACTOR) INVERT OF BUNG AT INLET = 90.87 TH#1 r FINAL GRADE = 95.42-95.75 1 STT2 MH R II NEW 1250 GALLON S.T.E.P. TANK RELATIVE ELEVATION OF BOTTOM - OFTESTHOLE=81.01(DRY) TOP OF MANHOLE LID = 95.58 TOP OF TANK AT OUTLET = 91.50 ORIGINAL GRADE @ HIGHEST POINT= 97.01 INSULATION T OF PIPE _ 93.03 BOTTOM OF TRENCH =87.01 GARNESS ENGINEERING GROUP, Ltd =- CIVIL & ENVIRONMENTAL ENGINEERS - �-= W01 ETUWRROADSURE 101'AWHOM E.AK69501' PHONE19W1337E179-FA%g0]j30 46 WEBSITE pemravey p m „ PREPARED FOR PHONE NUMBER PAGE NUMBER .. MYRA POAGE ( 907) 444 3877 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: �# TALUS WEST S/D; BLOCK 2, LOT 1 A.J.G. �( TYPE OF WORK: - DATE: �_ PROFILE AS BUILT OF SEPTIC UPGRADE 11/4/2014 OF %FESS\S! >f 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: OSP141429 Tax Code Number: 01520111000 Work Type: Septic Upgrade Permit Effective Dates: October 24, 2014 to October 24, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: TALUS WEST Site Legal Address: TALUS WEST BLK 2 LT 1 G:2736 Owner/Address: POAGE MYRA L 11995 WILDERNESS DRIVE ANCHORAGE AK 995162240 Site Mailing Address: 11995 WILDERNESS DR, Anchorage This permit is for the construction of: Lot Size in Sq Ft: 19773 Total Bedrooms: 3 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 Issued By Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program ftpiitme�nt ° **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP141430 COSA#: Permit#:OSP141429 PID#: 015-201-11 Legal Description: Talus West, Block 2. Lot 1 Engineer: Garness Engineering Group Applicant: Myra Poage Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the a 25% or greater slope has been approved. The approved separation distance is 42.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Grante Date: (7 ? Approved b . tl me of Reviewer ............................................................................. MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-201-11 Property owner(s) MYRA POAGE Day phone 444-3877 Mailing address 11995 WILDERNESS DRIVE *ANCHORAGE AK Site address 11995 WILDERNESS DRIVE *ANCHORAGE, AK Legal description (Sub'd, Block & Lot ) TALUS WEST; BLOCK 2 LOT 1 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: I P� all that apply) Initial Absorption Field ® El Single Family (SF) Septic Tank ® Upgrade ® (w/wo ADU) RenewaDuplex (D) l ❑ r' F„ _A. : r� Holding Tank ❑ , '` � Multiple Dwellings ❑ Privy❑�„ (SF and/or D) Private Well ❑ �. =1 ;iFP z C? ?0111 Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 5l0� Date of Payment: `119Dt11-{ Receipt Number: b35 366n Permit No. 0'�)PI�A Iti2A Waiver Fees: Zt S Date of Payment: ot h)u It Receipt Number: 07j5i5 G Waiver No. f -S PI 4 IV 30 (Rev. 01/11) s MAI 0 !19 September 26, 2014 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System for Talus West; Block 2, Lot 1 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The crib/drainfield is in a state of failure and needs to be upgraded. We are proposing to install a new deep trench type drianfield and a new 1250 gallon step tank. One test hole was excavated on the property and the drainfield was designed around the 30 foot radius of the testhole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 2014 logs which show the soil classifications, groundwater monitoring, and the percolation test results. The soil perked at less than 1 minute; however, based upon engineering judgment we are proposing to use an application rate of 0.8 GPD/Ftz. Based upon the attached result of the sieve analysis, we requesting that a sand filter be waived for this installation. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY/SLOPE WAIVER REQUEST: As can be seen on the attached topo drawing, the slope runs east to west at 8%. Approximately 42 feet away from the proposed drainfield is a cutbank. The existing drainfield only several feet away from the cutbank and no daylighting has occurred. At an elevation 2.5 feet above the proposed invert with an imaginary 25% slope, the theoretical point of daylighting would not occur within 50 feet from the trench. 5. DRAINFIELD ORIENTATION WAIVER REQUEST: We request your department issue a waiver to allow for a portion of the drainfield to be installed perpendicular to the slopes. There will be a two (2) foot elevation change from one end of the trench to the other. The elevation change has no impact on the design or installation because the total depth of excavation is 10 feet and 6 feet of rock (effective) will be installed leaving 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179' Fax: (907) 338-3246 * Website: www,gamessengineering.com Page 2 of 2 4 feet from the top of rock to existing grade at one end and 2 feet at the other while the soil is consistent from one foot below grade down to 16 feet. In short, the entire drainfield will be installed in the same material no matter the change in elevation. Given the porosity of the soil, the effluent should move downward with little lateral movement. We are unaware of any adverse impacts this installation would have on adjacent wells or septic system If you have any questions, please contact us at 337-6179. Thank you for your assi nye. E., M.S. 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com \ RLV�iYAY % , WELL. Py t I I \ ` / TALUS WEST BLOCK 2 LOT 2 D COMMISSION EXIST NG ` /I TANK PER UPC / EXISTING 3 / / 1 / BEDROOM HOUSE / GALLON STEP TANK°` , / INSTALL TS E \ / pp CLEANOUTS FOE \ � LIFTS,JE VALVIN�IVER / I TAN FENCE LIQUID BETWEEN H 1� DRAINFEILDS ° C01 ET PROPOSED 11 _ APPROXIMATE CRIB I M I ACOURT� L DRAINFIELD )CATION. TO BE USED AS RESERVE SITE I / ®�� s SEPTIC AREA LL— _MT CO / THjJ 1� \ 10' U.G. POWER AND TELEPHONE EASEMENT \ CUTBANK / VALHAZLLA #1 BLOCK 4 LOT 13 0 GARNESS ENGINEERING GROUP, Ltd_ CIVIL & ENVIRONMENTAL ENGINEERS - 3701 E. TUDOR ROAD. SUR 101 ' ANCHOR , M 99507 • PHONE (07) 337-6179 ' FM (907) 3 —3246 • WMM.: ww .gmn nglm d PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MYRA POAGE 444-3877 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: TALUS WEST BLOCK 2 LOT 1 DJG TYPE OF WORK: DATE: �l SEPTIC SYSTEM DESIGN UPGRADE 09/19/2014 - NOTE: THE CONTRACTOR DESIGN CRITERIA: cEG, Ltd. HAS A 8 PAGE SPECIFICATION SHALL HAVE THE SOUTH LOT NUMBER OF BEDROOMS: 3 LETTER THAT PERTAINS TO THIS DESIGN. LINE, AND ALL WELL RADII GALLONS PER DAY (GPD): 450 TO OBTAIN A COPY OF THE LEITER FLAGGED BY A REGISTERED PERCOLATION RATE/S: <1MIN./INCH CONTACT GEG. BY PROCEEDING FORWjRD \ PROPOSED APPLICATION RATE: 0.8 WITH THIS INSTALLATION, THE ENGINEER, LAND SURVEYOR PRIOR TO MINIMUM DRAINFIELD SQ.FT.: 562.5 FT' WELL DRILLER, CONTRACTOR AND CONSTRUCTION. PROPERTY OWNER AGREE THAT THEY DRAINFIELD DESIGN: HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND \ MAXIMUM DEPTH OF EXCAVATION: 10 FEET CONDITIONS OUTLINED. \ WIDTH: 2.5 FEET LENGTH: 47 FEET��. M.O.A. APPROVED SAND FILTER: N/A R X I U1>' N LDER / \ SCA E S� D E EFFECTIVE: 6 FEET / 1. REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 564 FT' \ RLV�iYAY % , WELL. Py t I I \ ` / TALUS WEST BLOCK 2 LOT 2 D COMMISSION EXIST NG ` /I TANK PER UPC / EXISTING 3 / / 1 / BEDROOM HOUSE / GALLON STEP TANK°` , / INSTALL TS E \ / pp CLEANOUTS FOE \ � LIFTS,JE VALVIN�IVER / I TAN FENCE LIQUID BETWEEN H 1� DRAINFEILDS ° C01 ET PROPOSED 11 _ APPROXIMATE CRIB I M I ACOURT� L DRAINFIELD )CATION. TO BE USED AS RESERVE SITE I / ®�� s SEPTIC AREA LL— _MT CO / THjJ 1� \ 10' U.G. POWER AND TELEPHONE EASEMENT \ CUTBANK / VALHAZLLA #1 BLOCK 4 LOT 13 0 GARNESS ENGINEERING GROUP, Ltd_ CIVIL & ENVIRONMENTAL ENGINEERS - 3701 E. TUDOR ROAD. SUR 101 ' ANCHOR , M 99507 • PHONE (07) 337-6179 ' FM (907) 3 —3246 • WMM.: ww .gmn nglm d PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MYRA POAGE 444-3877 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: TALUS WEST BLOCK 2 LOT 1 DJG TYPE OF WORK: DATE: �l SEPTIC SYSTEM DESIGN UPGRADE 09/19/2014 1t I Gbarr�m GARNESS ENGINEERING GROUP, Ltd ._„ CIVIL & ENVIRONMENTAL ENGINEERS 3701 ETVOOR ROAD, SVITE 101'ANCHOPAGE, AK9NW-PHONE (90]1 33 HH' PAN (90n 33&3 'WEBSITE:wmv.pamevun9lneervg.wm LEGAL DESCRIPTION: PERFORMED FOR: _ DEPTH (fee 0 ORG 1 2 3 4 5 6 7 8 9 16 11 12 13 14 15 16 17 18 19 TALUS WEST; BLOCK 2, LOT 1 RA POAGE TEST HOLE #1 DEPTH TO GROUNDWATER SOIL CLASSIFICATIONS 8/29/2614 DRY GW 0 GM SEEII' 'II'�IIGMi/„ICT /�'GC NNN ATTACHED%SM CT OH SC DEPTH TO GROUNDWATER DATE DRY 8/29/2614 DRY 9/0512014 8129/2014 SITE V� 5� �o �P N SCALE: T' = 100' DATE READING CLOCK NET TIME I WATER LEVELI NET DROP TIME (MINUTES) I READING I (INCHES) 9/02/2014 1 ABSORBED 10 GALLONS OF WATER IN LESS THAN 5 MIN PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5 FT. AND 6 FT, 26 1 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO SOILS LOGGED BY: ANDREW GRAY PERCOLATION TEST PERFORMED BY: DAVID GARNESS COMMENTS: PERCOLATION READINGS ARE WITHIN 1116 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PEqF0RMljD IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: J Nie n m v M m2 c N p d e o 0 o a1 NS V a4y=_ `0 0 r m o" z NSM"Pc W O N 2 � 007A 006k ON 06k 09h 0" 0£#I OZk gin 08# O W n 0 0 0 OM N Or O r ;y6iaM Aq BUISSBd;uaaaad O r O O r H, m `m I I I i i I I O W n 0 0 0 OM N Or O r ;y6iaM Aq BUISSBd;uaaaad O r O O r H, m `m tl �% ` L t'lliy. V -I' Li'-� i.� i ,�, _6'G' �l. t�- �l Gvrr ( /H iel,. To size the absorption area: • Determine the required size by multiplying the number of bedrooms in the household by the soil rating, as determined by percolation tests and Table 7. For a small commercial system, use Tables 1 through 3 of this manual to determine the quantity of wastewater to be treated and disposed of each day. To size the infiltrative surface, divide the total amount of wastewater by the recommended application rate shown in Table 7. If SM, GM, ML, or CL soils are encountered, the results of a percolation test must be used to size the system. The measured percolation rate should be compared to the values shown in Table 7 to determine the soil rating. If SW or SP soils are encountered the soil may be visually rated by certified installers or engineers. Size the required infiltrative surface by multiplying the soil rating by the number of bedrooms served. Note that approved homeowners must have their soil tested to size their system. 4. Sand Liners. Sand liners are required, (unless formerly waived by the department pursuant to the requirements in 18 AAC 72.260, Table C) when well or poorly graded gravel (GW or GP) is found in the absorption area unless additional treatment will be provided and is approved by ADEC. In most cases, GP and GW soils have such rapid percolation that adequate treatment of the wastewater is not provided unless a 2' thick sand liner is installed to slow the rate at which the wastewater passes through the soil. The sand liner increases filtration effectiveness, and produces a much higher quality effluent. Sand liners should have a maximum wastewater application rate of 1.2 gal/112/day (see Table 7). For single family applications and an assumed water usage of 150 gal/day/bedroom (EPA Onsite Manual), this would result in a requirement of 125 ft2/bedroom, that is 150ag l/day/bedroom = 125 ftZPoedroom 1.2 gal/ft2 /day For sand filter systems, the sand must be from an approved source or shown to meet the an a .eG•.:uemeL:a �t ... A._AC?�, �s 3 Belor,. _.. � , _.. iargei ulao i OGG i7; ADEC may re:tai is fvs every i i i ° 1-1 i 75 Cubic yards) of sand liner installed. It is recommended that compaction be kept to a minimum to ensure infiltration of the wastewater into and throueh the sand liner. Sand liners may be used only on a bed or shallow trench system unless special, previously approved methods are used. Specifications for sand liner material is in the minimum materials specifications section of this manual. Based on the results of a percolation test for SM, GM, ML, and CL soils, or a visual rating for SP or SW soils, size the required infiltrative surface area by multiplying the soil rating times the number of bedrooms. The percolation test results or soil rating should be compared to Tables 7 and 8 of this manual, to obtain the maximum allowable application rate to the receiving soil. Dividing the quantity of wastewater determined above, by the maximum allowable application rate will result in the total number of square feet of absorption area required. 1)1 ..,,AUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑ NEW 1 ,f// rr✓ z,9 /-)qhC_/ ®UPGRADE MAILING ADDRESS LEGAL DESCRIPTION- /.3/c,C/ T 4, s P u 6drv1-5,119 /7j LOCATION NO. OF BEDROOMS II Absorption area Dwelling PERMIT NO. DISTANCE TO: Uy a ZQ Manufacturer Material No. of compartments w I.- to Liq, capacity in gallons IF HOMEMADE: Inside length Width Liquid depth O 1' DISTANCE TO: Well Dwelling PERMIT NO. Jt7Z _ Manufacturer Material Liquid capacity in gallons O Well Foundation Nearest lot line PERMIT NO. w= DISTANCE TO: J LL z No. of lines Length of each line Total length of lines Trench width Distance between lines Z w inches ¢ ¢ Top of tile to finish grade Material beneath tile Total effective absorption area a inches Length Width Depth PERMIT NO. LU (7 Q I- Type of crib Crib diameter Crib depth Total effective absorption area W° w Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J w 3 DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER - PIPE MATERIALS SOI L TEST RATING r01, .S' INSTALLER REMARKS w1�27 P P ✓� APPROVED DATE LEGA �/��%�/ % �j 1( O %/-� 72-01372-013 (Rev. 3178) 3178) DEPHK. l Mhr"41 ! :tHL I H NNU trvV lMLlr41'lrr+r nt /ct• i lull � U TkL� 925 'L,J 1TREET, ANCHORAGE, AK. 9_,. ia - 264-4720 V I Y lD r -A — E3 I T E '_S F= L•J E Fs� F'' F=" FTM lrl x T PERM i T Nva. ( 780396 ) APPLICANT MARK LANGLAND SRA BX 1684E ANCHORAGE 344-3102 LOCATION WILDERNESS DRIVE LEGAL L1. B2 TALUS WEST SUBD LOT SIZE 21725 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING (SO FT/BP..)= 254' THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: G°EPT{-1= -1 10 LEN M -r"= :2;22' r F?'Fi 'E=L_ c-. THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCIES THAT THE WELL WILL SERVE. F2.1 E= FZP. E=G�U I L;->L=Ca BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE 'SEWAGE DISPOSAL SYSTEM I5 100 FEET FOR A PRIVATE WELL, OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATION=S AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. FrrEF-M I T [-=XF- I FLEE = LDIEE1_1--- '" EDC- fz-- i_ -1 :so 7�:D I CERTIFY THAT 1: I AM FAMILIAR, WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED APPLICANT MARK ISSUED BY ---- ��----- fiATE, � � � � a�� V2.2 n• n- i 0 h O . 1 N\ 9 J/ S I " Q i O . 1 N\ " HEALTH DEPARTMENT _ Np 825 >. . 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING '-C NAME ���di i BIZ �� / dr°� V_ -ADDRESS �' `�� U�!%-'�i �5 O'f) PHON'E/ LOCATION LEGAL DESCRIPTION C) � r` Tl'Az5 SEPTIC TANK: DISTANCE FROM WELL MATERIAL��GLV •hQ( NUMBER OF CU)1 CGyl f_c COM ARTMENTS ' Z- 0/ CAPACITY b GALLONS. INSIDE LENGTH /! INSIDE WIDTH LIQUID C' SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH Z LENGTH ( (� DEPTH LINING MATERIAL `` !JC . DISTANCE FROM WELL BUILDING FOUNDATION /�, NEAREST LOT LINE z' 3 / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) .J '�6 SQ. FT. TILE DRAIN FIELD: DISTANCE FROM W LINES DISTANCE BETWEEN LIN ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH: TOP OF TILE TO FINISH GRADE LENGTH OF TRENCH WIDTH IN. TOTAL EFFECTIVE OF FILTER MATERIAL BENEATH ABOVE TILE WELL: DISTANCE FROM WATER TYPE DEPTH , BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM DISTANCES NAME OF APPLICANT '/ ' INSTALLATION LOCATION LEGAL DESCRIPTION L GRE ER ANCHORAGE AREA BO 6UGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK /- TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED cl i 1 �Il���.l:a_ac■ y I9�.: TO BE INSTALLED BY NOTE: THIS PERMIT NOIE�3-- .ld:Nq IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE -"YPE MINIMUM DISTANCES, REQUIREMEME NTS FOUNDATION TO SEPTIC TANK f FOUNDATION TO SEEPAGE PIT � c ,DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL / /> SEPTIC TANK , SEEPAGE PIT �✓ DRAIN FIELD TO NEAREST LOT LINE. / WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. AREA SIZE TYPE WATER MAIN TO SEPTIC TANK , SEEPAGE PIT , DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT DRAIN FIELD , TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. EALTH AUTHORITY/ OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED YSTEM IS IN ACCORDANCE WITH SAID CODE. f DAT �� APPLICANT'S SIGNATURE Z6�" l' -7d % nnvuvnnuL nnLn DVRVVUn DEPt� ,i.NT OF ENVIRONMENTAL QUAD---) CASE # 3500 TUDOR ROAD 14 ANCHORAGE; ALASKA 99502 Performed For Aur„,eAC- _ P' LiJ-Q Date Performed !v -t-7/ Legal Description: Lot I Block Subdivision .Los >=s This Form Reports Soils-Cog_>o — Percolalion Test Depth Feet Soil Characteristics 1 I T•oP��.�� 'UR6hNlC gl(T as/(2o<il �j Net Drop 2 S i LT SILT5 { CLAyy OF NMAaI PX j I4104LY DiScouTluuo::g, nPP`6,3 3 rtilcic wo-aaa a ecotirs", 4 Jb` � I p! rb C-, Vi Diene -.Pose Rd<•_k 5 ^, .,b Vr-PY APGUi,h(t C00RSc 7 e CUUR5 C-� wt.ca ARii/,a'a+eG r 8° I 9 , <- o eren atinn 10 _..._ L� IFQe- + 1 Gross Time I Depth to H2O Net Drop j � � I I s5 Was Ground Water Encountered? AkO oo e If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H2O Net Drop eren atinn aro _..._ Proposed InstaatTT o - Seepage Pit Drain Field Depth Of Inlet Depth To Bottom 0% Pit` r —Trench COMMENTS:_F.fz hr�%r.n- Tr' h ✓ e` F`cr b 43'n ri �rr /l/x .1 7 .._.1_ . ..-,— ..a, .. Date: f • • GE � Municipality of Anchorage On-Site Water and Program (907) 343-7904 SA ETY Certificate of On-Site Systems Approval Parcel I.D. 015=201-11 Expiration Date: 7r L 1. GENERAL INFORMATION: Complete legal description TALUS WEST; BLOCK 2,LOT 1 Location (site address) 11995 Wilderness Drive*Anchorage 99516 Current Property owner(s) Walter Zaleski Day phone 354-8725 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank 0 Community Class Well 0 Community 0 Public Water System 0 Public Sewer ❑ WaiverNariance request for: Distance: /1 r r Received by: Date: i/'74/ �' ` �� - COSA to be released to the engineer,unl 0thwise requested by the engineer. COSA Fee $ 5-2 c" Waiver Fee $ Date of Payment 1"( 2 —I 2 Date of Payment Receipt Number © l O (, 2?C, Receipt Number COSA# d 12-I Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: ►f 1 1/i e oo00p�\Ai In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system C in accordance with the guidelines and regulations established by the Municipality of Anchorage and �.�� O r 14�� industry practices. The reported results describe the condition of the system/s on the date/s of the ' .• S t4 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 00. GIH .. *O�a and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 0• ••.••• • VA groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 / workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and VAVA are outside the control of GEG. Satisfactory test results do not guarantee future performance of the q ••,J- fr- . Gorn-ss;• 0 system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of 1/0 • r • Gi the well or septic system. GEG makes no representation whether an alternative well or septic system i E •ceop can be installed on the property in the event either of the current systems fail to perform adequately in U�� F • �W'.(.• cod the future. The content of this report is for the sole benefit of the person/party that retained GEG to 1Deaii-o`ess+on°\Q perform the evaluation. Reliance upon the information provided in this report by any other person or %0400��0 party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD K� System #1 Approved for . bedrooms System #2 Approved for bedrooms Disapproved �QP�'�� OFA1�ho Conditional approval for bedrooms, with the folloyi ig stialligTs n; WATER AND WASTFWATER oz PROGRAM By: IAA-' Original Certificate Date: 7 ` e-,/�,p The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _Z____ Nitrate Advisory Septic System Advisory / Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10.10-12.doc 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: TALUS WEST; BLOCK 2, LOT 1 Parcel ID: 015-201-11 A. WELL DATA *PER GEG INSPECTION Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 1971 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth*100.9+ft, Cased to UNK ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 3/23/18 • Static water level ft. 73.1 ft. N• 9+ Well production g.p.m. 5. g.p.m. WATER SAMPLE RESULTS: Coliform NEC colonies/100 ml. Nitrate 0.312 mg./L. Collected by: GEG. Ltd. Arsenic: ND ug./L. Date of sample: 3/23/18 B. SEPTIC/HOLDING TANK DATA *DOUBLE CLEANOUTS PRIOR TO TANK. Tank Type/Material S.T.E.P./STEEL Date installed 10/28-29/2014 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N)*YES Depression over tank(Y/N) NO High water alarm (Y/N) YES Date of pumping 3/21/18 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA I*BELOW FINAL GRACE] Date installed 10/28-29/2014 Soil rating .p.d./ or ft2/bdrm) 0.8 System type DEEP TRENCH Length 47 ft. Width 2.5 ft. Gravel below pipe 6.02 ft. Total depth *9.5+ ft. Eff. absorption area 565+ ft2 Monitoring tube YES Depression over field NO Date of adequacy test 3/24/18 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 21 in. Water added 738 gal. New depth 34 in. Elapsed Time: 120 min. Final fluid depth 28 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date — —2188 GALLON PRE—SOAK WAS PERFORMED ON 3/23/18 —OLD CRIB AND TRENCH APPEARED TO BE DRY UPON ARRIVAL AND REMAINED DRY TROUGHOUT TEST —INFORMATION ON 1971 Sc 1978 DRAINFIELDS IS IN MOA RECORDS *SEE 2018 MAINTENANCE LOG BY A+ HOME SERVICES D. LIFT STATION **SECOND COMPARTMENT OF 1250 GALLON S.T.E.P. TANK Date installed 12/28-29/14 Size in gallons **416 Manhole/Access (Y/N) YES "Pump on" level at * in. "Pump off" level at * in. High water alarm level at * in. Datum * Cycles tested * Meets alarm & circuit requirements? * E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: (SEE GEG LETTER IN MOA Septic tank/lift station on lot 100'+ On adjacent lots **96' RECORDS DATED 2/18/15) Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75 + Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 1 O'+ 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: 2014 SYSTEM/1971 & 1978 SYSTEM Property line 10'+/**1' Building foundation 10'+/10'+ Water main 10'+/10'+ Water service line 10'+/10'+ Surface water 100'+/100'+ Driveway, parking/vehicle storagel0'+/10'+ Curtain drain NONE KNOWN Wells on adjacent lots100'+/**94' F. COMMENTS **OLD DRAINFIELD ENCROACHES ON LOT LINE AND NEIGHBORING WELLS. THE 1 FOOT SEPERATION IS PER ROGER SHAFER P.E. LETTER IN MOA RECORDS DATED 2/17/1993. ACTUAL SEPERATION IS UNKNOWN. WAIVERS WERE ISSUED ON 3/11/1993 FOR LEACHFIELD ON PROPERTY TO WELL ON TALUS WEST; BLOCK 3, LOT 1 AND VALHALLA; BLOCK 3, LOT 18 WR#930007. 00�00.,�4 G. ENGINEER'S CERTIFICATION Q�� OF.. 4 / �%�40 00 P. Sir()0 I certify that I have determined through field inspections and i•. q T1A '•,7 0o review of Municipal records that the above systems are in / "' " vA conformance with MOA COSA guidelines in effect on this VA VA VA date. Q e' , • .. Gar ess.•' Engineer's Printed Name JEFFREY A. GARNESS �o49�s E-1791 ceopp Date °'Profess;O c . 0000Z #AECC884 (Rev. 11/05) ...„ ...._ ..__ ___ ___ ..., IH\ ...,----------- V / , .., lJ'' 0j v /- i /i �i i ��/ 0,v;«;/' i ASL T PARK AIC i AR / ay oF[;r ..--) 04E" / ASA+AL T DRA'ENAY / • og o / ,�y o4 i cTCK Fi • ifr o , � o, o / � oo � W Ce(I 1 I ,8 r I I ----,, , o Li I ° *1111 Icr., l / M.N� 1 I COACRETE PAD W,,�l • . I 0 �l LV ��.. % a 8 "---/ ki o o , o f0'UG. POWER AND TELEPHONE EASEMENT N 89 59' E 130.00 o,,p000�OO o � OF q o0 o �.�9sOp off. 49 TH ( Y*�v On �� �i �ab�� AS-BUILT SURVEY 1" = 20 ' ` NO CORNERS SET THIS DATE VOe..- -' SHANE A. HOLT ,' Q 6 LS-6914 ' ,04 I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY Wc, . . . . . . . �a o OF THE FOLLOWING DESCRIBED PROPERTY �r° \ z• LOT 1, BLOCK 2, TALUS WEST SUB. 'D•essiona . OoOo:=-� ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY EXIST OTHER THAN NOTED. CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS DATED AT ANCHORAGE,ALASKA THIS _ 30th DAY OF NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. MARCH 2018. 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 HOLT LAND SURVEYING PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. 9309 GROVER DRIVE ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. ANCHORAGE,AK 99507 223-8615 72644, FB 167-59, 169-30 03/29/2018 10: 11 8686770 APLLIS PAGE 02 ,4? • ' MUNICIPALITY OF ANCHORAGE � � i 1M Development Services Department Phone: 907-3' 3-79( On-Site Water& Wastewater Section Fax: 907-' 3-79.)",. Lift Station/Pump Vault Maintenance Log Owner Wf4ltPr zcIe.i Street Address I I °Is- c,3 ; s „_ Phone at34 •812 s Legal Desc_ PID Septic Tank; -Sludge level 1 inches -Pumping: required yes no •Pumping complete ye?;_,•no Lift station: r3- i, 4 -Pump basket cleaned (3 no •Effluent filter cleaned e no •Control floats cleaned ye no •Proper float settings confirmed (gi_171Q -Operation satisfactory g)_CIQ Alarm System; -Dedicated electrical alarm circuit 4141Mno -Audible and visual alarm inside dwelling -Alarm system operation - n •. sat satisfactory Manhole Riser •Ground water intrusion at riser to tank connection yes no -Ground water intrusion around pipe penetrations •Weep hole functional Yes." no 'Manhole lid: Functional CD no Insulated CLQ Properly Secured gis n:;: Other 'All manufacturer required inspections and maintenance completed 40 no Comments: Maintenance Provider: Technician mtt* .) flakes/et- Date of maintenance Company A • Signature / Date Mailing Address: P. 0. Box 196650 ' Anchorage. Alaska 99519-6650 ' org Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 �z �, _ �^ ij 4 itis (Wol At CERTIFICATE OF ON-SITE SYSTEMS APPRO 'L ^ ,4 2 15 Parcel I.D. 015-201-11 Expiration Date: 1. GENERAL INFORMATION Complete legal description TALUS WEST; BLOCK 2, LOT 1 Location (site address) 11995 WILDERNESS DR ANCHORAGE AK 99516 Current Property owner(s) MYRA POAGE TYPE OF WASTEWATER DISPOSAL: Day phone 907-444-3877 Mailing address 11995 WILDERNESS DR ANCHORAGE, AK 99516 Real Estate Agent BETH SIMPSON W/ KELLER WILLIAMS Day phone 9D7-865-6555 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings .(Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: iii 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WawerNariance requestfor: n/a Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Jr2� Waiver Fee $ Date of Payment S3 Date Date of Payment Receipt Number q Receipt Number / COSA # LlcSi�J��i�i j Waiver# ■ —I ■ 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of 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 -i 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. Address 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. 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 ofAnchorege and industry practices. The reported results describe the condition of the systemis on the datels 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 dialing the year), quality of construction (materials and workmanship), and the water usage of the Family utilizing the systetwe. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the wall or septic system. GEG makes no representation whether an alternative wefl 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 of the penoNparly who retained GEG. Reliance upon the information provided in this report by any otherpenon 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 D bedrooms. System #2 Approved for Disapproved. Conditional approval for Phone 337--61791 - Date 3/l�` i S r UCE-795 3J ��� 3�t..... f% SSt* — �14� XIL bedrooms. OF AfyCN , bedrooms, with the following stipulations j ON-SITE �ntATER AN a 5�:- 5: By; / �J, Original Certificate Date: The Mf 6 pady`e orage Develop, emt Services Division (DSDJ issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: ' / — COSA Checklist l/ Nitrate Advisory — Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 1a12(12) 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: TALUS WEST; BLOCK 2, LOT 1 Parcel ID: 015-201-11 A. WELL DATA *ASSUMED BASED UPON S&S ENGINEERING DOCUMENTATION & SURROUNDING WELL LOGS. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed N - 1971 Sanitary seal (Y/N)--,Y— Wires properly protected (Y/N) i Total depth *135'+ ft. Cased to *40'+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 8/1/2014 Static water level ft. 72 ft. Well production g.p.m. 4.35+ g,p.m. WATER SAMPLE RESULTS: 3/Ik'if15 C cjo7 Wa9TZ Coliform �0 colonies/100 ml. NitrateO' I)' img./L. Collected bGEGLtd y: . . IV Arsenic: O ug./L. Date of sample: 2/17/2015 B. SEPTIC/HOLDING TANK DATA *DOUBLE CLEANOUTS PRIOR TO TANK. Tank Type/Material S.T.E.P./STEEL Date installed 10/28-19/2014 Tank size 1250 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (Y/N) *YES Depression over tank (Y/N) NO High water alarm (YIN) YES Date of pumping NEW Pumper — C. ABSORPTION FIELD DATA *BELOW FINAL GRADE Date installed 12/28-19/2014 Soil rating 01Er ft'/bdrm) 0.8 Length 47 ft. Width 2.5 f Total depth *9.3-10.5 ft. Eff. absorption area 565+ W System type DEEP TRENCH Gravel below pipe 6.02 ft. Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) For=bedrooms Fluid depth in absorption field before test in. Water added =gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= 45D+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date NOTE: TRENCH WAS INSULATED. 24" SOIL COVER SATISFIED. NOTE: OLD CRIB AND TRENCH WERE CONNECTED AS A RESERVE SITE. D. LIFT STATION *TO TETHER CLAMP. FLOAT TETHERS ARE APPROXIMATELY 2" LONG. Date installed 12/28-29/14 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at *41 in. "Pump off' level at *41 in. High water alarm level at *45 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots *96' Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A 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 N/A Water service Wells on adjacent lots 100'+ 10'+ Surface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+/**1' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent Iotsl00'+/**94' F. COMMENTS *SEE ATTACHED LETTER. NOTE: 1971 CRIB AND 1978 TRENCH CONNECTED FOR POSSIBLE USE AS RESERVE SITE. DOCUMENTATION ON FILE W/ MOA. **OLD DRAINFIELD ENCROACHES ON LOT LINE AND NEIGHBORING WELLS. WAIVERS WERE ISSUED ON 3/11/1993 #WR930007. G. ENGINEER'S CERTIFICATION i certify that i have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date (Rev. 11105) tic— i a. .��a rF 49 TH( sem. a SHANE A. HOLT : - m l I'n ��e LS -6914 0°0 O� THE INFORMATION HERcON 15 FOR THE USE OF LENDINE IN5TITVTION5 SPECIFICALLY TO 5HDW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED MOT LINES AND/OR EASEMENTS: AND IS NOT TO 9E USED FOR POSITIONIN6 ADDITIONAL STRUCTURES, IMPAOVE/I.ENTS OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN MASE APPEARING ON ThE RECORD PLAT. ARE NOT SHOWN HEREON (CELIAC INDIUTED) NOTE: FENCELINE5 THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITSON ADDITIONAL IMPROVEMENTS. ANY PAYING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCE55IVE SNOW ANO/OR ICE. N s5 YI F 31, TO AS-BUILTSURVEY I =20' NO CORNERS GET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 1, BLOCK 2, TALUS WEST SUR. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS E%IST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS _16TH_ DAY OF _DECEMBER , 2014, HOLT LAND SURVEYING l DCHIEHVIE'NDRIVE ANCHORAGE.AK 99515 3915513 GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS - . February 18, 2015 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road, Anchorage, Ak 99519-6650 (907)343-7904 REFERENCE: Separation Distances for Talus West Block 2, Lots 1 & 2. To whom it may concern, Both aforementioned properties are each served by a private well and a private septic system. The distance from the well on Lot 1 to the septic tank on Lot 2 is approximately 96 feet. The septic tank on Lot 2 was constructed in 1971 and the well on Lot 1 is believed to have been constructed prior to October 1973, although no well log exists. Based upon this assumption, the distance in question would not require a waiver. Each of the aforementioned properties had HAA's/COSA's issued since then, but the distance was either incorrectly identified as 100'+ or not included in any formal waiver request. The 2002 COSA for Lot 2 (performed by Spurkland Engineering) notes the distance as 96 feet and was approved by your department. We request that you approve the distance in its current configuration. Attached is the 6/4/2001 Spurkland Engineering as -built drawing of Lot 2, clearly showing the proximity of the well to the septic tank. If you have any questions, please contact us at 337-6179. 7� r" 7f `t Su}Eergly, 91� ✓i � I Jeffrey A. iGarnss, P.E., M.S. 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 • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section On P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D.# HAA# yAmscGjn`l9�. 1. GENERAL INFORMATION Complete legal description Lot 1, Block 2, Talus West subdivision 4 3. 4. 11995 Wilderness Drive Location (site address or directions) Property owner Joe Wagner Day phone 14K-5708 Mailing address Lending agency ABOVE Day phone Mailing address Agent Dennis Osborn- Re/ Max of Anchorage Day phone Address 2600 Cordova #100, Anchorage, Alaska 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water 257-0167 NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1191) Front MOA H21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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. NG Name of Firm 1 & S ENGINEERY034 E-gle I„ Read NO, 204 Phone Address Eagle River, Alatlta 99677 Engineer's signature 6. DHHS SIGNATURE .iC Approved for 4L bedrooms. Disapproved. Conditional approval for Additional Comments 1IITIO Date 2—) I _1_� bedrooms, with the following stipulations: Date 3 — / 2 - l/? The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7M25 (Rev. 1/91) Rack MDA 021 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L, -r ) ?��_ Z Parcel I.D. _jy w S&,'r S kO A. WELL DATA Well type AWVIf A, B, or C, attach ADEC letter. ADEC water system number 11 +p h4 Date completed N-1 I Driller iJ )L Loq present (Y/p � Total depth Sanitary seal &Y7tJ) Date of test Static water level Well flow Pump level Cased to 40 1, 4' .4' Casing height z FROM WELL LOG Wires properly protected4MN) AT INSPECTION o c m y m r� 74 -7, q g.p.m. 9 -p.m � Ilk -c `5 on O Z SEPARATION DISTANCES FROM WELL TO: I. ) Septic/holding tank on lot `' � IN/S LL - ; On adjacent lots Absorption field on lot too ; On adjacent lots Public sewer main rA /A Public sewer manhole/cleanout -I N Sewer service line WATER SAMPLE RESULTS: _r Petroleum tank N.w & 14N b to Nitrate ©, /D 'I/ Other bacteria o i orm Date of sample: - 3 Collected by: B. SEPTIC/HOLDING TANK DATA LJ Date installed j Tank size YZ (vO GA(L_ Compartments CleanoutsON)`�—Fou dation cleanout (YW r� Depression (,Y High water alarm (Y/N) /� Alarm tested (Y/N) tJ //� '1 Date of pumping �Z� \8 -�12 Pumper A` CnMnI kik SEPARATION DISTANCES FROM SE IC/HOLDING TANK TO: Wei I(a)onlot ��r On adjacent lots A,>) i Foundation I To property line 12' 4- Absorption field 2'I Surface water/drainage \ C)dt Water main/service line 0 72-026 (Rev. 7/91) Front - CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA 101-71 Date installed N9I'a Length /i2 Width Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested On adjacent lots Surface water f�Maas �,"s 6-f-- C,tJc,1 G�t3 141 X )h, x, co' �5 ) X Soil rating Z Sb System type Gam? G� Gravel thickness V Total depth t o — 11 ) Total absorption area ( 2(-20 4' � Cleanouts present4�WN) Depression over field ResultK3;9Ssrfail) �bF� Date of adequacy test l2 1 B-9 2 - for for Peroxide treatment (pas, 12 months) (Y/�,y /�. �L� QVJJ4 Ifes, y give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FI D TO X14 " 11—ra(-.)s �,/EsT Well on lot On adjacent Its 9 B' v ¢i3 Property line To buildingfoundation 1 d I -� ,- t z� � To existing or abandoned system on lot A t On adjacent lots A- Cutbank S �v1�� Water main/service line )n1� Surface water �� h Driveway, parking/vehicle storage area 2-0 ± Curtain drain ���� (Gi s6lr f/ -t �� t,4, ^ �%�� T . dam 4c,�, E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effecttggt(�W4(of inspection. o ' A 3 [hINIf INIMRIN( `� �A� Signature 17034 feagl© 121vor Loop Rom] No, 2(j4 �r.e �°,, � , �I«•� � � r 4r £y 4 °4 y, 4 ( 4 Engineer's Name �, ,000� V' '-.r no na a 9cOs4ocoa�° 2- 1`j - `73 cis o It d. ;IAFrm Date _ No. ,3,96 2 �! 4AO GJ 04063 yL G:1 HAA Fee $ Z 1 Waiver Fee: $ _ Date of Payment y 1 _� Date of Payment Receipt Number ��(� �� Receipt Number t L! 72-026 (Rev. 3/91) Bock MOA 21 JAN 06 193 11:29 REMN'i PROPERTIES RFX60 P.2 Ap {� r T r 67,t� � Duvra.Merk S.w � qcr•.• LS'�d978 ASt3U1LT-NO CORNERS SET'I'HIS DATE. _ SEW3RD & 1 HEREBY CERTIFY,THAT I HAVE SURVEYED THE $CAL . , FOLLOWING DESCRIBED PROPERTY: ,dz�r./��.�_e::, : �..:: > _�.. AND THAT NO frN,'A0zHMENIFS EXCI~FT AS. DATE: .MST INDICATED. IT IS THE RESPONSIBILITY M -THE OWNER TO DETERMINE THE FY.ISTENCE .OF .ANY GRIDt CASEMENTS, COVENANTS, OR RESTRICTIONS e7,pe WHICH DO NOT APPEAR ON THE RECORDED SUBDI-� . VISION PLAT. UNDER NO CIRCUMSTANCES' SHOULD FB` ANY DATA HEREON BE USED FOR CONSTRUCTION OF.FMCE LINES, OR FOR ESTABLISHINF BOUND- DRAWN: ARY LINES. F Ap {� r T r 67,t� � Duvra.Merk S.w � qcr•.• LS'�d978 MunkApality of Ancl,-.arage Department of Health and Human Services dhh5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 11, 1993 Roger Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 1 Block 2 Talus West Subdivision Waiver Request #WR930007, PID #015-201-11, HA930078 Dear Mr. Shafer: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are leachfield'to the west property line of 1 foot; leachfield on property to the well on Lot 1 Block 3 Talus West of 94 feet; and, leachfield on property to the well on Lot 18 Block 3 Valhalla of 98 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljm:#6 Concur: J'o Sm' h, P.E. gram Manager On-site Services MUNICIPALITY OF ANCHORAGE,-, Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR930007 PID# 015-201-11 HA# HA930078 Permit # Date Received: February 19 1993 Legal Description: Lot 1 Block 2 Talus West Subdivision Engineer: Roger Shafer P E S & S Engineerinq 17034 Eagle River Loop Road Suite 204 Eagle River 99577 Applicant: Joe Wagner Waiver Requested: Leachfield to west property line - 1 foot leachfield on property to well on Lot 1 Block 3 Talus West - 94 feet leachfield on property to well on Lot 18 Block 3 Valhalla - 98 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Y�'— Waiver is NOT Granted: List Conditions or Reasons for above: 5f ft 197Th //-1F0 Date: 3_//41 By: Rec #: 24473/6534 Amount: $ 590.00 Date Paid: 2-19-93 WAIVjEn Rg4uEs7 41UHM9 wR930007 :W/NVEI? REguEST FOI? hf ORPT1o1v IPIT li TRENCH ON S4QTECT LoTra, TgLus wesr G Lv E L L 0 Al jmd=MW L o r / 0/ G Ch' .3 S k a TO 9¢ fPET 2, (.v EGL o1,, L o T /a UL/t .3 Ve L/ -/A L L A 5t -f8. TO 79 fEET I� 3. TO IVF ST 1 aT 61NE FIPO/vTIN6l✓ILIJEI?NESS Ap. ro % foo T, TIC p19TA — THE 01?1611vgL SYS rEM 1v if PERM/Ll-EO `, ('Otif l /g14 C7ED /A/ IZSo gAttov ..,;S:PT 07/. _TRF-�SEPTIC #r rN/S T -/ME Wf7S LO(f9TED _ fiPPliOgllYltl EtY CIO- IS FEET FROM TH!' 1, FLL O.v TH/S C oT. THE R�Qu/REMEnT a i?S f`O FEET /,v /c/7I f% lvi¢/vE1? foq T/�/S S6PrtRriTloo� WILL .vOTRF THE OR)61,v#1 / 13fO1097101V F154P /f 9 )O/T TK,IT /f P/topyBcY 9_ lO Fr TOTgL DEpry, rti S�aE /rf7eA 2 2 iO;5EP I- I T H (p 61?,4 /L & TnE.vCF-/ wfiS dFF OF ry E 572E PA6E PIT. !!THE Agsj o1?pr1Ort/ FIELDS /N iltlf Sj'STE// ARF_ CavJTRuCTEO j/1t/ 6 VI M/3 Fr --RI yL. ThlrE_ OR161a,�LL Pi r 01P L os1E /Tf A}/jS�LjP7/vA/ CAPI901LITIF_f B% IC/78 %H/S Gyv MKrT /fl✓ IAPEQH19rlr FIN FS 11V !r Fv/{ GFFAUIF_ vj T/PI=/fTHFa7. i I i -HFWELtr lA/ Q uESTla.v7A, LEV,97-/ON TNkN 7-1-(E f.NCIeORfH/NG f�/jSOIypT/Oiv SYf7,E19 qY /9 bay s — TO 0 FEET. THESuosur�f rE .STI�RT/}J AIDE -5 -4N ,¢ND ARE SOnrEwH13T T/1'E a/?GA« U Al TU c[ ✓t f T HEi? E /S (o O ' I?�w I� �Tw L 6 v Tf/F �i5SG.pPTioA G/QLD RNG7 TKE FA�f/po,gctritiG _a-fccs /.v 4ufsr�o� ';iTHIF WELLS /N t?Lt6f7/0N HAVE /vuAgE/?ouf LgYFRr OF GRig tlrL1?12 THESE L �l iF/?S /�POff}1? TO fONf1,vE JMgetwL (�kr�sE foA'/7✓EL, V✓ 4 7 1? SF}M pL E3 / a/DI C,47 -E TI -119F IA -1 THa' U -F LLS lti QuESrlvN 91vD 7/14F oti-Lam k�Z ///9UE A-1 B rT,��s� E1 T"(E%z /✓p N/TIP/JTES PeTerl /gL E O/? is I; S. OF A D. E. C. t�I3 J'�R re�p� e H2O I Z %YfTE•N Df PiH = /OB r9v g _:'SOIL SOI�'DTiasv (I �3 (70 f) / 58ME/i014, TY -)03 t0of-)" t�o)/ klAT Eft 7-f113LF x/13✓/ENT /�SsunE �oNs n��nvc % 2ol?17oAlr4C SE PAI?)1T/vai 1 X =.74*2 iXftin roi Z COV(L-I rloly ,I 3.28 2,12 /. 2 2, 76 /K 3,tl, M HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN February 17, 1993 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. Box 196650 Anchorage, Alaska 99519-6650 ROBERT SHAFER, P.E. ROGER SHAFER. P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 MUNICH%d" TV np.1Al„Hn.4AGE EIRONAIL,\7F,LERI•)'VISION 19 1993 RECEIVED REFERENCE: Lot 1, Block 2, Talus West Subdivision Request you issue the attached Health Authority Approval and grant waivers for the following separation distances: 1. The distance between the septic leachfield serving the property and the west property line at approximately 1 ft. 2. The distance between the septic leachfield serving the property and the private well located on Lot 1, Block 3, Talus West S/D at approximately 94 ft. 3. The distance between the septic leachfield serving the property and the private well located on Lot 18, Block 3, Valhalla S/D at approximately 98 ft. A brief chronological history is as follows: The original septic system serving the referenced property was installed in 1971. Apparently the well serving the referenced property was installed shortly thereafter. The well on Lot 1, Block 3, Talus West was drilled in August, 1974. In June, 1978 the septic leachfield was installed too close to the property line and too close to the well on Lot 1, Block 3. These separation distance violations were apparently overlooked during the installation inspections. The well on Lot 18, Block 3, Valhalla was drilled in June, 1983 too close to the leachfield serving the referenced property. There have been subsequent well and septic approvals issued on each of these properties with these separation distance violations apparently overlooked. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 page 2 Lot 1, Block 2, Talus West February 17, 1993 Although the wells in question are actually slightly downhill from the referenced septic system, we feel the requested waivers may be granted for the following reasons: A. There is a roadway with two road ditches separating the septic system from the wells. This would prevent the surface migration of septic effluent from ever reaching the wells. B. Bacteria and nitrates sample results from the encroaching wells, along with the referenced well, were satisfactory. In fact, the nitrates levels were extremely low at less than 1 mg/l. Since septic effluent is very high in nitrates, these low levels detected suggest there has been no influence of the septic system on the wells. This is even after several years of use. C. Logs for the encroaching wells show the wells to be reasonably deep at 80 ft. and 125 ft. Both well logs show water was encountered at a deeper depth than the static water level. This suggests an artesian aquifer under pressure with a confining soil layer above. The logs depict "hardpan" and "clay" soil layers encountered during drilling, also attesting to the existence of confining soil layers. These confining soil layers would detour the migration of effluent travelling toward the groundwater aquifer. D. The well logs for the encroaching wells also show the wells to produce 8 - 10 gallons per minute (gpm). Since these wells serve single family homes we suspect the capacity of the submersible pumps within the wells to be approximately 5 gpm. This suggests the drawdown of the wells would be minimal. Even if the pumps have a greater capacity, the drawdown period would be minimal. This small drawdown would create only a minimal hydraulic gradient. Thus, use of the wells would not necessarily "draw" the septic effluent toward the well. page 3 Lot 1, Block 2, Talus West February 17, 1993 E. Soil reports for all three properties show the septic receiving soils to be rated between 175 and 250 sq. ft. per bedroom. These soil ratings are indicative of soils with a fair silt and sand content. These type of soils are generally ideal in treating septic effluent as it travels through the ground. Thus, the septic effluent would be "purified" long before it reached the encroaching wells. At this time we are pursuing letters of non -objection to the waivers from the property owners of the subject wells. If you have any questions or require additional information to complete you review, please contact us. Sincerely, ROGER J Sr AFER, P. E. attachments i. 5. LEGAL DESCRIPTION DATffRECEIV ED INSPECTION APPOINTMENTS �P C�� j�v,�'�'ix.afLl TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECT, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 MUNICIPALITY OF ANCHORAGE DEPT. OF HcAUiI & EENNVIRONMENTAL P•0iECTION ENVIRONMENTAL SANITATION DI V ISION� Telephone 264-4720 hdr�( t r / 1981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES RECEIVED DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER `/Yl iu n Nei .�4,^ti PHONE 31-IS--ga3I MAILING ADDRESS 7 `7-s w, dco t�.2ss A)d `9s� 7 PROPERTYRESIDENTlit different from above) PHONE PHONE 2. BUYER MAILING ADDRESS _ 7 ,may S 3 � 1l� '(-L' G'"to' � 1 � %hC.�.crh, o -cam �i)�•i/Y�3 77.5 C 3. LENDING INSTITUTION ., PHONE MAILING ADDRESS 4. REALTOR/AGENT p 1 I�Ub� ��(t�� UiIVL ar�� 6A, 146 PHONE S___ OZ MAILINGADDRESS LL -yy x"7'1 �// .�yt y /�, (� y'/, �j SPen. (�h C, Vn� _Ajy , I �V` of 5. LEGAL DESCRIPTION STREET LOCATION lIZ�4rvzs5 �P C�� j�v,�'�'ix.afLl 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY Two ❑ Five ❑ MULTIPLE FAMILY P Three ❑ Six 7. WATER SUPPLY - � INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM O%`� / 1 Be INDIVIDUAL/ON-SITE** f YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 79) /„Qa/I/ ,�� /� Y THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATE INSTALLED Ivc`,f I INSTALLER ❑Septic Tank or ❑ Holding Tank Size: _ ID-%0 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorptiorl Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS EkK APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE S _� (j)( BY VC fvj 72-010 (Rev. 6/79) (�Lr711 _ as ii[ L c, 0 t6 u-l�--t%/ MUNICIPALITY OF ANCHORAGE MUNICIPALITY C- ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOWEPT. C.f 825 L Street - Anchorage, Alaska 99501 EEWIRO p.' �:TiON • ENVIRONMENTAL ENGINEERING DIVISION APR f0 Telephone 264-4720 [[ggam� //'' ��LL REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVU�it�L�L� *EW DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE ~71 A4407 -NOM _ ;x MAILING ADDRESS �, SO PROPERTY RESIDENT (If different from shove) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE ❑ PUBLIC UTILITY depth (attach log if available.) MAILING ADDRESS SOI 6U frr N F G/ 9S 5. LEGAL DESCRIPTION 10 J j9lA- a T Aus WEST SVIS01v si nJ STREET LOCATION W71,5 ub /c/r op N r u io F. 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS El One Q Four El Other & SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM **If individual/on-site, give installation date 742— Q INDIVIDUAL/ON-SITE** If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. de o NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) 'Ot'?SOQ `Q•�a1� i - THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY - ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OFTANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Apsorption Area to nearest Lot Line 5.' COMMIENTS APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE L{ BY (Title) �r LEGAL DESCRIPTION 72-010 (Rev. 3/78) • MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION - • . 825 L Street - Anchorage, Alaska 99501 • ' ENVIRONMENTAL ENGINEERING DIVISION - - -_ Telephone 264-4720 NUMBER OF BEDROOMS REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE Mark Langland 349-3102 MAILING ADDRESS Star Route A Box 1684-E 99507 *ATTACH WELL LOG. A well log is required for all wells drilled PROPERTY RESIDENT (if different from above) PHONE 2. BUYER PHONE None at this time. MAI LING ADDRESS **If individual/on-site, give installation date 1974 3. LENDING INSTITUTION PHONE Alaska Pacific Bank o Rosie 276-3110 MAILING ADDRESS Post Office Box 420 99510 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION Lot 1 Block 2 Talus West Subdivision STREET LOCATION Wilderness Lane 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS M< SINGLE FAMILY ❑ One :0 Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY M< INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM xx® INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date 1974 If system is over two (2) years old an adequacy test is required El PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-01 U(3/78) f i4_ p xs� Ke too moo THIS SIDE FOR OFFICIAL USE ONL - -- DATE RECEIVED - INSPECTION APPOINTMENTS TIME TIME TIME 10 it DATE DATE _ DATE INSPECTO j, INSPFC fORJ R INSPECTOR �r —/ •I --- DIRECTIONS: �1 p o n���l3Cd4.Bf�lV�� — t 1. TYPE OF RESIDENCE NUMBER Or BEDROOMS ❑ SINGLEFAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ MULTIPLEFAMILY ❑ TWO Ca/FOUR ❑ SIX __------- 2. WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL F_] COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY _ LOG RECEIVED Connection Verified 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON -SITE DATE INSTALLED ❑PUBLIC UTILITY Connection Verifier(_ — INSTALLER ❑Septic Tank or ❑ Holding Tank Size: I-,J.E;O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK 1 _ MANUFACTURER TOTAL ABSORPTION AREA MATERIAL / 2 4 laN'1titl_1 4. DISTANCES Septic/Holdinr3 Tank Absorption Area Sewer Line Nearest Lot Line WELLTO: Absomtion Area to nearest Lot Line 5. COMMENTS MJ 'APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accRimpany certif'Cate) �� La ISA�PPROVED Lu- C&A t '�- O DATE (a a.� —>p� rBY(Titlhe)- LEGAL DESCRIPTION /n� _L) J 72010 (Rev. 3/78) lydrICIPALITY OF ANCHORAGE Department of Health and Environmental Protection (� 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 itequest for Approval of Individual Sewer and Water Facilities 1. Property Owner: Mark Langland Mailing Address: SRA 1684 E (Wilderness Tana) .Phone: 349 3102 2. 3. 4. Name of Buyer: none at this time Mailing Address: S Lending Institution: Alaska Pacific Bank Mailing Address: P O Box 420 99510 Realtor/Agent: Mailing Address: none Phone: Phone: 276 3110 Phone: 5. Legal Description: Lot 1 Block 2 Talus West $/D Street Location: Wilderness Lane 6. Single Family Residence: (x) Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (x) Public/Community System ( ) If Individual Well, well depth approximately 135ft. If Community System, name of system ..Sewage Disposal System: >On-site System- (x )--..Public System.- E ) If On-site System, date of installation: "74" *NOTE: A well log is required on ALL wells drilled since 6/75. IAUNI IIEPTOF HEALTH F ANCHORAGE CNVIRONMENTAL PROTECTION Cala/Y^ 3/77 RECEIVED Approval requested by: Mailing Address: GREATER ANCHORAGE AREA BOROUGH �partment of Environmental Quality .reet, Anchorage, Alaska 99503 274-456 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF IVIDUAL SEWER & WATER FACILITIES FOR Phone: 2. Property Owner: Phone: Mailing Address: 3. Legal Description: 4. Location: a:ww eo� o'c/Zf 5. Type of facility to be inspected No. of bedrooms 6. Well Data: o i ifs A. Type B. Depth 126 C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed 41171 B. Installer C. Septic Tank: 1. Size 2. manufacturer D. Seepage Pit: 1. Absorption Area 2. Material2O5S E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area I / C. Absorption area to nearest lot line, --).7 EQ -034 (1/74) Page 1 of two pages GREATER ANCHORAGE AREA BOROUGH._.. Department of Environmental Quality 3330 C St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMR0 VA FHA CONV _ 2. Property Owner: caT /"lF)OPQ, I Mailing Address: / Day Phone 3. Name of Buyer: TC' Mac crhalciwd Mailing Address: Day Phone 4. Name of Lending Institution: Mailing Address: Public Utility Phone (on-site) 5. Name of Realtor or Agent: 74' fie 1Tel ` Mailing Address: (qz� i Phone X77-60/3 ld JQJ 6. Legal Description: Lc; (3)oc2— alas G%sT Location : (,]I � �— e — �fl Yn urt� n" av-e 7. Type of Facility to be inspected: No. Bdrms, y 8. Water Supply Type of Supply: Public Utility Individual_ If Individual, number of dwellings presently served If Individual, depth of well 1,'A0 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation 197z_ EQ -037 (1/74) Page 2 of two pages for Approval of Individual & Water Facilities Legal Description (>f:A,' Approved /���( .:1/Disapproved Date _ Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED/�,- n� J / Date f' EQ -034 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received z/a xAg Time of Inspection le- go — ii -oa �. w c� Date of Inspection ����3 0�,✓v REQUEST FOR. APPROVAL OF ~D� INDIVIDUAI. SEWER & WATER FACILITIES" FOR 1. Approval Requested By: / S�9 Address; S yySo7 Phone: 2. Prooerty Owner: Phone: 3. Legal Description: 4. Location: =a (L d --.lam—a 5. Type of Facility to be Inspected: Number of Bedrooms: l� 6. Well Data: r A. Type B. Depth 14 C. Construction D. Bacterial Analysis 7. Sewage Disoosal System: A. Installed �1 ct 7l 8. Installer���- C. Septic Tank: 1. Size /--2 G 0 2. Manufacturer D. Seepage Pit: 1. Size X/q 2. Material&, -3 L7 E. Disposal Field: Total Length of Lines 8. Distances: t A. Well To: Septic Tank , Absorption Area /fJ?J7� Sewer Lines Nearest, Lot Lane Zo /� , Other Contamination B. Foundation to Septic Tank �� , Absorption Area 07� C. Absorption Area to Nearest Lot Line a 3 AYage Two 9. Comments: Approved,l,z,,., . �, p,'�,Disapproved Date Approval Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTFM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities located at: Signed_ Date