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HomeMy WebLinkAboutTALUS WEST BLK 3 LT 1Talus West Block 3 Lot 1 #015-201-54 10 As srt.... LWA 0 Municipality of Anchorage Rp �ttie2 �i11� Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141533 PID Number: 015-201 -54 ❑ New ® Upgrade Name: MATT SHUMAKER ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 4411 TRAVERSE WAY, ANCHORAGE, AK ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 529-0143 3 CPD/Sq. rt. Ft. Depth to pipe invert from original grade: Gravel depth beneath e: LEGAL DESCRIPTION FL Ft. Subdivision: Block: Lot: nll added above original grade: Grav ngth: TALUS WEST 3 1 Ft. Township: — Range: — Section: — Gravel width: Bede Number of lines: Distance between linea: Ft. Ft. SEPARATION DISTANCES stat obao pti a ea: Number of trenches: Dist. between trenches: TO Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer linea SD. Ft. Ft. Well too'+ - - - 25'+ TANK ® Septic ❑ S.T.E.P. OHolding ❑ Other Manufacturer: Capacity: Surface Water 1Do'+ — — — GREER (OVERSIZED) 1250 Gal. Lot Line 5'+ - - - N/A Material: Number of compartments: STEEL 2 Foundation 5'+ — — — LIFT STATION Curtain Drain NONE KNOWN Manufacturer. ° y' Gal. "Pump on" level at: -Pump off" le High water alarm at: Remarks: OLD TANK WAS REMOVED AND DISPOSED OFFSITE pumv Make & Electrical Inspections performed by: PIPE MATERIAL House to tank EXISTING Tank to EXISTING drainfield Installer Grainfield EXISTING CO/MT D3034 HOMEOWNER Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 Ft. Inspection Dates: 1st 12/20/2014 2nd — Location and Description: 3rd — 4th BOTTOM OF VERTICAL TRIM, SW CORNER OF HOUSE ENGINEER'S SEAL Community Development Department Approval oob000 0 4 o OF op Conditional approval: Date: .. r A. Gar ess.. � 3�O0000�� CE— ap Pip s � ..i 2. ���pdp�ofessto^°o ma Approved: Date: t (_ LWA 0 PERMIT NUMBER: PARCEL ID NUMBER: OSP141533 AS -BUILT DRAWING 015-201-54 / / / / NOTE: 100' SEPARATION TO / SURROUNDING WELLS NOT ! SHOWN ON DRAWING, BUT ! CONFIRMED DURING CONSTRUCTION NEW 7250 GALLON / SEPTICTANK ! B ! I TO CRIB/D 5'SEP INFIELD. ! ARATION TO I EXISTING 3BEDROOM HOUSE TANK, PER CONTRACTOR m '' d o I ST2 FCO. ST1 I A 8 ST1 17.7 25.4 I ST2 27.1 30.4 los DBL1 28.6 31.5 11 100'WELLR"D N DDL2 31.6 33.9 1 \ SCALE: \ 1" = 20' FINAL GRADE = 98.85-99.13 STI ST2 TOP OF TANK TOP OF TANK AT INLET = 94.40 AT OUTLET = 94.29 NEW 1250 GALLON SEPTIC TANK INVERT OF BUNG (10' BURIAL RATING) INVERT OF BUNG AT INLET = 93.95 AT OUTLET = 93.56 .* 6:& OF �� GARNESS ENGINEERING GROUP, Ltd °...4.. .:'....; .....•. CIVIL & ENVIRONMENTAL ENGINEERS - 0 • 3701E. TUDOR ROAD. SHITE 101'AWHOMOE, M 99507 -PHONE (9M 33Tb119-M (90) 3303246' WESSRE:wnwgemee Mime"p % •• • •• • ............. •••••.•;10 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: y GBfD S WQ w MATT SHUMAKER (907)529-0143 20F 2 # J CE -7953 '��_� ff LEGAL DESCRIPTION: DRAWN BY: Air TALUS WEST S/D; BLOCK 3, LOT 1 A.J.G.O� Pte''• ,l2 ?? ; F.• TYPE OF WORK: DATE: ♦��,;'1 VI' `S" :�� AS -BUILT DRAWING OF SEPTIC TANK REPLACEMENT 12/22/2014 On -Site Water and/or Wastewater System Permit Permit Number: OSP141533 Tax Code Number: 01520154000 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 Work Type: SepticTank None Permit Effective Dates: December 19, 2014 to December 19, 2015 Design Engineer: Subdivision: TALUS WEST Site Legal Address: TALUS WEST BLK 3 LT 1 G:2736 Owner/Address: SCHUMAKER MATTHEW & GINA 4411 TRAVERSE WAY ANCHORAGE AK 995160000 Site Mailing Address: 4411 TRAVERSE WAY, Anchorage This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank l.7.•zat-/I/ /:3o Lot Size in Sq Ft: 21792 Total Bedrooms: 3 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: 11&� 2C� c�2* �— Date:–Liz/ i / i MUNICIPALITY OF ce*R Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. Property owner(s) � Tom, Day phone 967- Mailing address ye. // rte, Site address S n n., c- Legal description (Sub'd., Block & Lot) 7-4 rri) t �✓!-'s: Legal description (Township, Range & Section) KY' r --r Lot Size Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) ❑ —❑ (w/wo ADU) Septic Tank Ly Upgrade ❑ Duplex (D) ElHolding Tank ❑ Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ t^ 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. property owner or authorized agent) Permit/Rush Fees: a(s Waiver Fees: _ Date of Payment: 7,q71 Date of Payment: Receipt Number: �25 _?YJ Receipt Number: Permit No. CX) rN1533 Waiver No. Permit App_9 1-12.doc r� '10'-Pwr $ 7afeE3rl,t, / . ..z.... / A ro, 0, p 4 - xx.o' IH f N a Deck E' JJ'- 2.1' YIF11 3°,0o Z \ S Is ¢AY � W 14 •0o. 'a Joo s a. "' '-TRAVERSE WAY PN z /J / ��� �yLt- •✓� a 'f S /k�o^ ACJ CZC=C� / OCA %ao.^� SFi1¢N!>'►« �A�r� - o✓%'LL-Can+ilwer-or OYerhunq r--�r Sira.i nwg E. Arrow< . 0 ... SiNw•wd pttvB N '•?"*��� NOTES: r ..••.• • •. • •••� 1. IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERIFY THAT 4,f BUILDING LOCATION SHOWN MEETS ALL SUBDIVISION COVENANTS AND ZONING •• ••••••••••.• Andrew F. Potts •�� 0 ORDINANCES . 2. IT IS THE RESPONSIBILITY OF TNS SUI LOER "VERIFY ALL ELEVATIONS WITH No. 3514-S �gryp�d - RESPECT TO ALL UTILITIES. • b. THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBED BELOW TAKEN °R�lFSSIDN#VV' PLAT UMENTS FROM THE RECORDED NG AT PARCEL. R RECORDED PRIOR TOOR0. TERBTHEIFILING OF THE RECORDED PLAT ARE NOT SKOWNON TNN$ PLAT. Rer", -9-.7-84 aA,,16 'tea r �3srys SURVEYOR'S CERTIFICATE ION I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DESCRIBED ON THIS PLATAND THE IMPROVEMENTS SITUATED THEREON ARE LOCATED AS SHOWN ON THIS PL/AT. -DATED /TI THH�THIS '�! DAYOF / Nat. As OUII�T —._.- Lor y IBLOCK 3 TALUS .WEST 5UB'D BESSEI EPPS Q POTTS I 2220 E. 88 th AVE. ANCHORAGErAK 99507 OWO NO. l`vl MUNICIPALITY OF ANCHORAGE ` J p 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 El NEW UPGRADE MAILING ADDRESS LEGAL DESCRIPTION 3 s _ T) 2,A/ _R s , LOCATION NO. OF BEDROOMS j L VS o.9/L D EbiJE 3 DISTANCE TO: Well Absorption area ,e / Dwelling / PERMIT NO. 000 cry V-}- 3p 1-Z o- Q Manufacturer Material No. of compartments yF. U�kA( AWA/ 5 2 Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMITNO. Manufacturer Material Liquid capacity in gallons = DISTANCE TO: Well 06-t- Foundation {/�-/- Nearest Iodine 23 PERMIT NO. erJGoo zNo. of lines Length of each line Total length of lines Trench width Distance between lines 193 /B inches F Top of rile to finish grade / Material beneath rile Total effective ab rpti n area -31 inches J Z Length Width Depth PERMIT NO, Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J ClassDepthN/� / Driller 'w Distance to lot line PERMIT NO. w DISTANCE TO: Building foundation Sewer line /bOt Septic tank /0 t Absorption area(s) O /00i OTHER PIPE MATERIALS ^ SOIL TEST RATING r INSTALLER J-� S3 , 5• REMARKS 4e� eo a 6� gg o dA ° a J. O820 1 2d B u E^ L 6 To"� 0105 se /N us Ween�e gze u of ss) �P m APPROVED DATE LEGAL g /- /0.p7 ,"�",�.... �r ��-H,I �W- �H A Q- H A I ' 'I TA q=1 R 0: � DEPARTMENT m`�/E0LTH AND ENVIRONMENTAL F\wTECTION S25 L STREET, ANCHORAGE, AK 99501- 264-47 0..) 9501264-472� �/ | (� IZIN"A_10 1: -I-EZ E3 EE UJ�� ������� PERMIT NO: 950004 � / \ d ^C) 4—' DA7E1!SiE}: (1/}4//! APPLICANT: J. EPPR ADDRESS: 2220 E 88TM AVE. ANCHORAGE, AK 99507 CONTACT PHONE: 349-6451 LEGAL DESCRIP: SUBDIVISION: TALUS WEST (OT: 1 BLD�K: SECTION: 22 TOWNSHIP: 12N RANGE: 31W LOT SIZE: 21725 (SP.FT^ OR ACRES) MAX BEDROOMS: 3 Listed below are the options available to you in designing your septic system. Choose the option that best fits _..... ... __�-____________________ your site. �FR! CH.: IN 1� C-.: I DEPTH TO PIPE BOTTOM (FT.) " � 0 ^ ^ � 0 4.0 GRAVEL DEPTH (FT.) 3"0 0,5 3,0 TOTAL DEPTH (FT") 7"0 4,5 7.0 GRAVEL WIDTH (FT") 2"5 14. C-1 5.0 GRAVEL LENGTH (FT.) . 43.0 28.0 30.0 GRAVEL VOLUME (CU,YDS.) 14.0 14,6 19"5 TANK SIZE (GALS) 1,000,0 1,000^0 ** 1,000.0 ** SOIL RATING (SQ.FT"/BR) 95 85 85 ** TANK MUST HAVE AT WAST TWO COMPARTMENTS �..... ..... ���... .... ����..... ..... ... ..... ... .. ..... .... ....������ I certify that: 1. I am familiar with the requirements foron-sjte swwers aQ wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska, 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit:. 3. I will adhere to all MOA and State of Alaska requirements fok the set hack distances from any ehistingwell, wastewater disposal system or public sewerage system on this o, any adjacent or nearby lot. 4. I understand that this permii is valid for a maximum of 3 bedroomy asd any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDINq CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-ByILTS' WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN., SIGNED / DATE: /- Y` ����---------------� A P PLICANIT. J ETT'13 ISSUED BY DATF: //.'- C/~ [^� COILS LAIN " MUNICIPALITY OF ANCHORAGE a+\\ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2L PERCOLATION 711 825 L. Street, Anchorage, Alaska 99501 264-4720 TEST T SOILS LOG — PERCOLATION TEST PERFORMED FOR:_. RS _ DATE PERFORMED:_ /?L A,/ LEGAL DESCRIPTION: Q 2 TA,LU$ L -j SEG. 2'Z TI2A) R3 w S tic A6C DEPTH SLOPE SITE PLAN l s E f c 1G 11 12 13 14 15 16 17 18 19 20 COMM I0a56; 644ve 6v 5"7- MED. 54tiD WAS GROUND WATER ENCOUNTERED? ND IF YES, AT WHAT DEPTH? 73. Reading Date Gross Time Net Time Depth to Water Net Drop ? 121271 11;57 $ 3 % H _ Z r' /2:03 G> , 3 t Z' - '•y '7' ,z:2-7 -/y /y If s t- 12: 51 -2-11 y PERCOLATION RATE 2 % (minutes/inch) TEST RUN BETWEEN y7 �' FT AND s/Z FT PERFORMED BY: J)XVb\ CERTIFIED BY: 72.008 (6/79) GRE! R ANCHORAGE AREA BOF 'IGH / Department of Environmental Quality G 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING ADDRESS .21' 6 PHONE LOCATION �r�-/�EP_r✓ESS LEGAL DESCRIPTION ��T' �� �w -3 %/>kuS LUdT' SEPTIC TANK: DISTANCE,mog, NUMBER OF FROM WELL /fo MANUFACTURER � ��� MATERIAL S'TE�=Z- COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY lb -'r -t) GALLONS. SEEPAGE PIT: NUMBER OF PITS ! DIAMETER OR WIDTH �LENGTH �0 / DEPTH I� ��// / LINING MATERIAL 6S 94A CRIB SIZE: DIAMETER_DEPTH-DISTANCE FROM: WELL Iio A� 20�4_ 1„- TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE GU ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: MLCST / eVr 6.A11,15. ;DjC74 &jam %�ucs��irre�[rs TYPE 5C;,10/41. CONSTRUCTION BUILDING NEAREST 14- NEAREST FOUNDATION LOT LINE /0 SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES INSTALLED BY: GI-RG/EY- PIPE MATERIAL: OA -5r LOT SLOPE: REMARKS: Form No. EQ -031 DEPTH SEPTIA(AO TANK %O0 DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE /C�EAO SYSTEM 10-0/ 5� Q2 21st " DIY J i DATE �—v2s'` �� APPROVE�`'t`'�`• �(n"� G.A.A.B. ~F ` GRBAl'''ER ANCHORAGE AREA BOR�fOUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT k'), c S xA�g _ MAILING ADDRESS = "' / ��AC ` 3 C -� p ,j L �� INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH (.l SEEPAGE PIT DRAIN FIELD , OTHER TO BE INSTALLED BY SOIL TEST RESULTS->3PTa NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED O/ FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK 2Q / FOUNDATION TO SEEPAGE PIT ,DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL / SEPTIC TANK , SEEPAGE PIT ® DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK /2V VT 1 SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, /Q 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. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE .�;--- APPLICANT'S SIGNATURE FORM NO. EQ -016 AREA SIZE TYPE DIAGRAM OF SYSTEM BOROUGH ORDINANCE NO. 2868 AND THAT THE ABOVE GREATER ANCHORAGE AREA 60RO1;' Department of Environmental QU,_, .j ty 3330 "C" Street Anchorage, Alaska 99503 SOILS LOC - PEROLATION TEST Performed for Glacier Excavating Legal Descripion This form reports: Soils log _ es Percolation Depth Feet 1---- ---- - ._ _._ 2- 3 Inlet to pit !! Silty sandy gravel with some 5 _ large cobbles 6 - z 7 8- 9 - 10 Silty sand 250 SF/BR S/01160 11 - 12 - 13 - 14 - Bottom of pit 111 Was ground water encountered? No AU6 1974 pfd GREATER ANCHORAGE AREA BOROUGH DEPT. OF E'ITAL QUALITY Date Performed 8/16/74 If yes, at what depth? Reading Date -Gross Time Net Time Depth to Water Net Drop A. - ------- ------ -- Percolation rate minute. — ------ Proposed installation: Seepage Pit Yes Drain Field Depth of Inlet 31 Depth to bottom of pit or trench COHMENTS: No -Fe-lcrock-o`r ground -water encountered- --- - - — - -- - -- — -- ------ --- - Performed [3y:A. Z7 op ton Ce-r---C-o--------- Test Date: t e:t— ied D—: __- - — EQ -040 (6/74) Ivy -vv UMILLIIVVr mc. pi Sox 4-1224 1310C International Airport L�d (907) 274-4611 y ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner "1'ri r 3 °'''" Use of Well iio:r Location (address of: Township, Range, Section, if known; or distance main road •� lu i"'75 Size of casing u Depth of Hole 1`..:> feet Cased to feet Static Water leve] f R ft. (abovd) (below) land surface. Finish of well (check one) open end Screen' ( ); Perforated Describe screen .or'perforation 0110 Well pumping test at t` gallons" per (hour) (minute) for 1 hours with ? % ft, of drawdown from static level. { Date of completion t 74 i WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness Sy(FP-OCE Oka jitty SAnn� � CL l r To 6 igly cy (-1AVbPAA 1 TO�.ES 1:r1,.Vri1 _ c�2AVLZ TO 7L rd spwo � �'n4va - .4 TO £'' Snnd SAND ' r SOT�2AU�z `Cl .. > Tp r:yvlly r _ �t2A✓F7[ NAl7nfalAI- 1" ; ' �2 62- / IIARDPAN 3-CONTRACTOR M -W DRILLING, Inc. P. Box 4.1224 - 1310C Itilemationji Airport Ir. I (9071274.41111 ANWORAGE, ALASKA99500 DIZILLINr, i %7c 1 Owner rr•t i- r. —Use of Well lio Lccat!on (address of: Township, Itanec, Section, if known; or distance main road Sao ct casing 6 Depth ct 1101C ic!�, feet Cased to—"' t7 feet Finish of well (check onc) oppri end I. (obovZ) (below) land surfs ce. Fin' Static Watc, IcvcL__9__S-_f Screen Perforated • ..:., IWO Dcs.r;be screen or petforaticn— V;ell PI.Mp7,ng tcs'. at 4 rallons per (hb`jr) (minute)' for ours with AP --ft. 11 of drawdown from static level -Ate C., cCrnPIQ,,!cn V1 E L L L 0 G q, L)Qpth In feet from r-ot;ndsurface Give details of formations penetrated, size of inaterial, color and hardness •.. -_ _:_ ... . ­ - url%.ci Or.nw.!,tr •TC) y 0--U—TO K14, I va c y h ien R,%q C-4 VCL 77 17q T 0 0 10 SAND Aro$ SANw VL t%r_,)/r,/[7t,/ IIA 'ro 0�0 n 7 V` —0 3 — CONTIZAC 1011 •.. -_ _:_ ... . ­ - M -W DRILLING, Inc. i P. O. Box 4.1224 • 1310C International Airport Road (907) 2744611 ANCHORAGE, ALASKA 99509 I�U�C-1� LD� we sv�2CfEreS F/rr/Fr DRILLING LOG IrI�YIFS" Well Owner '' - = = Use of Well Location (address of: Township, Range, -Section, if known; or distance main road YCM Size of casing � LA'3eJ) eLoofole "�' fee Cased to feet N a I W65 ' Static water level r: _ elow) land surface. Finish of well (check one) open end ( .• ); Screen ( ); Perforated ( j, Describe screen or perforation one Well pumping test a+ � gallons per (hour) (minute) for 1 hours with-' ft, of drawdown from static level. Date of completion Di Aug: 74 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness -.D—To 1 Surface 0ganr'rs TO Silty Sanj a Gfadcj -1%,—To-115—Clay _ 25 TO 51 6stVel�y Nurdpae € r - bxav¢i p -� �rnd d Caravel r* -65—To—a— ATO— gam_ Sand V] 2 --To 50m' orayel N Gfavefly rg�doan ��—TO__ LD�bj 5 a Gi7tvelly Pai-4pH 61 12p TO J2f{ _ WGfeV Graves_ _ --TO- O -TO- LA �y L6s6 \ - TO -TO CG fY)Ofi _ 3—CONTRACTOR •�/� Municipality of Anchorage 4w, On-Site Water and Wastewater Program �(907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 015-201-54 Expiration Date: .3 -/ 0 _ J 3 1. GENERAL INFORMATION Complete legal description Talus West Blk3 Lt1 Location (site address) 4411 Traverse Way, Anchorage Alk. 99516 Current Property owner(s) David Hoffman Living Trust Day phone Mailing address 4411 Traverse Way, Anchorage Ak. 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: I] 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 0 Individual iX Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNadance request Received by: Date: I � -1 Ll -- I %. COSA to be released fo a gmeer, less otherwise requested by the engineer. COSA Fee $ (Aoto r Waiver Fee $ Date of Payment a � Date of Payment Receipt Number ®J� �gbG Receipt Number COSA# ©S�1 oZ� J J�� 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 Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SI NATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Date / 2C 2 Off Conditional approval for bedrooms, with the following stipulations: OF WATER AND By: lI EA��/�!� Original Certificate Date: - 0 - fZ orage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the r6prasentations 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Nue sheet r L, c 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 BIQ Ltl A. WELL DATA Well type Private Date completed 8/26174 Total depth 125 ft. Date of test Static water level If A, B, or C provide PWS ID # _ Sanitary seal (YIN) Y Cased to 120 ft. FROM WELL LOG 8/26/74 W Well production 8 N g.p.m. Parcel ID: 015-201-54 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 38 in. AT INSPECTION 11/28/12 69 ft. 5.3 I.P.M. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 0.706 mg/L Arsenic ND ug/L Date of sample: 11/28/12 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Date of pumping 8/17/12 Depression over tank (Y/N) N _ Pumper A+ Pumpers Date installed 8/23/74 Cleanouts (Y/N) Y High water alarm (Y/N) NA C. ABSORPTION FIELD DATA 6/23174-,2129/84 85 sf/bd Crib/Trench Date installed Soil rating (g.p.d./ftz or ft2/bdrm) System type Length 30753' ft. Width 26/18° ft. Gravel below pipe 775.5' ft Total depth 11/10.9 ft. Eff. absorption area 7841583 ft Monitoring tube Y Depression over field N Date of adequacy test 11/28/12 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 9 in. Water added 477 gal. New depth 60 in. Elapsed Time: 1440 min. Final fluid depth 9 in. Absorption rate >= 450+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons _ in. "Pump off" level at E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 100+ in. Manhole/Access (YIN) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS 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 Steven R Pannone Date / 2 VZ -E='S COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 10+ in. 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 numberof bedrooms andtype of structure indicated herein. I furtherverifythat 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 Phone7g Address ' '� ) t% ' / t� �r l' ot-o 3 Engineer's signature Date ��yl �7 ��• o ®.C,'acTo ben Spurkanr ,_r i• \:6�Q NJa.aa CE•2225 6. DHHS SIGNATURE �g9F�jln•.aenaw' tij S _ ,Approved for 3 bedrooms. 6%%let Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By Date Q� CAUTIONr 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 courtesyto 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. 72-M (AV. 1/87) Back MOAk21 : ` Municipality of Anchorage APR 17 19 DEPARTMENT OF HEALTH & HUMAN SERVICES E f �1 !� Environmental Services Division !` C1 hs --- VE 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 " Health Authority Approval Checklist Legal Description: d i I R_ V, 1 AL 0 S UPLZ S 7 Parcel I.D.: O/ L�;_ — aol — +? A. WELL DATA Well type 12, If A, B, or C, attach ADEC letter. ADEC water system number '�_l//i- Log present (Y/N) Date completed C-�/ 01?b l 7 X Y Total depth 1, l Cased to f � Ii Casing height (above ground) Sanitary seal (Y/N) Date of test Static water level Well production FROM WELL LOG "/x&17 ' 7 J WATER SAMPLE RESULTS: Wires properly protected (Y/N) AT INSPECTION '/ f 7 '7v g.p.m. �. h Coliform ��17 // Nitrate Other Other bacteria Date of sample: �/ 9�9 7 Collected by: T7 B. SEPTIC/HOLDING TANK DATA I/ t Date installed 3 Z!�Z Tank size /0Dt3 Number of Compartments �� Cleanouts (Y/N) Foundation cleanout (Y/N) Depression (YIN) =N High water alarm (Y/N) Date of Pumping VVI7 Pumper mazC+S C. ABSORPTION FIELD DATA Date installed I �/ y! r y Soil rating (g.p.d./ft2 or ft2/bdrm) NO O System type / ad=NCW 7 N R I ee PV114 12- Length 2Length ___5.;VWidth .0 Gravel thickness below pipe >4.�:, Total depth I.1 h- H Effective absorption area J� `Monitoring Tube present (Y/N) Depression over field (Y/N) i'J Date of adequacy test W/ X11 1 7 Results (Pass/Fail) For bedrooms ++ it Fluid dept in absorption field before test (in.); 1�'vi6ediately after bu& gal. water added (in.): u Fluid depth 3 % �ns) Minutes later: r 7 Absorption rate = 7 l%C7 g.p.d. Peroxide treatment (past 12 months) (YIN) %J If yes, give date // 1 r 2e,tC.P� i 5'w�i �iu- b a.., a % Z4c�u}- a/ rt1 v w.t alit, >`L 72-026 (Rev. 3/96) I ) V/ZL i a e.. a Ce _ t / D. LIFT STATION N X Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum "Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 116 On adjacent lots ! uU � o i- i Absorption field on lot l a D" On adjacent lots ?; i Via. v -e tY/� i� el p 7 (� Public sewer main N/A Public sewer manhole/cleanout IY//-a Sewer /septic service line Lift station N/i.\ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ' r u Foundation J7 Property line %r U _ Absorption field i 1 D Water main/service line '> / 0' Surface water/drainage jet IO_ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: r i Property line > /U Building foundation 3 k 0 Water main/service liney Surface water t -t 1 0 Driveway, parkin st vehicle o�rage are CY� Curtain drain 1-4 10 Wells on adjacent lots /00 F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records,that the above systems are, in conformance with MOA HAA guidelines in effect on this date. Signature �j Engineer's Name I � 66e, o� r 14 -, lav ex � r Date HAA Fee $ 0 7 Waiver Fee $ Date of Payment Date of Payment Receipt Number. zoc -36-( 70ell Receipt Number 72-026 (Rev. 3/96)* CT&E Environmental Services Inc. .� = no©mm©vr..�mmm®aoommmmoom000©a CT&E Ref.# 971620001 Client PO# Client Name Tobben Spurkland P.E. Printed Date/Time 04/08/97 12:46 Project Name/# Lot 1 133 Talus West Collected Date/Time 04/04/97 16:00 Client Sample 1D Potable Received Date/Time 04/04/97 16:30 Matrix Drinking Water Technical Director: Stephen C. Ede Ordered By PWSID Released By- Sample Remarks: Sample collected by: T.S. AttowabLe Prep Analysis Parameter Results PQL Units Method Limits Date Date Init Nitrate -N 0.20 0.100 mg/L EPA 300.0 04/04/97 SPM Totat Coliform - 1 OB W/O COLI COL/100 ML SM18 92228 04/04/97 RMV LTE CT&E Environmental Services Inc. Laboratory Division Drinking Watel Analysis Report for Total Coliform Bacteria 200 0. PePotter Drive 99518-1605 READ INSTRUCTIONS O.NREVERSESIDE BEFORE COLLECTLVGSAMPLE Tel: (907) 562-2343 Fax: (907) 561-5301 ❑ PUBLIC WATER SYSTEM I.D. 9 X PRIVATE WATER SYSTEM ❑ Send Results ❑ Send Invoice w„n ynem N,me, ompanr Meme 5?Q eK enure n,me bA ND one, um er aTSer ?laim(ACGm Date: Please Prim we "v caee ❑ Send Results ❑ Send Invoice om my Name C.. name M.xc A...i q n< v as !b� f`S• SAMPLE DATE: IT`S I Month SAMPLE TYPE: Routine ❑ Repeat Sample (for routine sample with lab ref. no. ) ❑ Special Purpose SAMPLE LOCATION )/3 TALUS WFS,-'� I it Day Y� ❑ Treated Water % Untreated Water Time Collected TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: < Satisfactory ❑ Unsatisfactory ❑ Sample over 30 hours old, results may be unreliable ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delive mail. Date Received Time Received / ) y Analysis Began 1YI41 Analytical Method: 14 Membrane Filter ❑ MMO-MUG A971620 Sent to A.D.E.C. Date: 00 ml. Result* Analyst A V - Om Anch Fbls Jun ❑ Faxed Time: Client notified of unsatisfacton• results: Collected By ❑ Phoned !b� f`S• Date: Please Prim — Spoke mith Time: BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUG-Result: Total Coliform JJ �_ E. Coli Membrane Filter: Direct Count / v'-' �d ” -Colonies/100 ml Verification: LTB BGB COLIFIRM Fecal Coliform Confirmation Final Membrane Filter Results '50 7��-A i — _ Coliform/100 ml - / ) - Reported By / t-, Date Z" of / Time i 5 �o hrs Comments: 10 SUS Member of the SGS Group (Soci6td GAndrale de Surveillance) 11 Faxed THTC • Lm kuTrmuv Tn C.•nr ON `rnhn Hanrlia T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: HAA and As Built Gentlemen; April 17, 1997 RECEIVED APR 17 1997 Municipality of Anchorage dOpt Health & Human Services We are submitting an HAA and a schematic layout and profile of the septic system . The septic system was upgraded in 1984, but the submitted as built on file at the Health Department does not show all the pipes found in the field. Also it appears that the drainfield was installed deeper than the testhole used for the design called for. On April 16, 1997 a testhole was excavated to a depth 5 feet below the bottom of the trench. Groundwater was not observed. A monitor was left in the testhole. Yours J' Tobben Sekland P.E. WS 90L 96.5 98.0 93.35 91.5 LOC CRIB 791 TESTHOLE 4/16/97 A 00 GAL SEPTIC TANK AEANOUTS MT SEPTIC TANK 1UdtQN JYUKKLANU P.L. LOT 1, BLO(K 3 %ALPS WEST SEPTIC SYSTEM LAYOUT 203 W 157H. AVENUE JOHN EPPS (907) 2779-391616 DATE., APRIL 17, 1997 (NCH. 99 4411 TRAVERS WAY SHEET. -1• 1 GRID: 2736 PERMIT N PID # DWG PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICi--S 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST E 5 c 7 S(k 8 9- 20 10- 101112 11- 12- 13 13- 14- 14151617 16- 16- 17 (3 oTioM pP 18 L_1s TF- s No LL- 19- 20 W E DATE PERFORM Township, Range, Section: 5LUPE WAS GROUND WATER ENCOUNTERED? D _ S IF YES, AT WHAT L DEPTH? O _ P E Depth to Water Aller Monitoring] Dale: _ SITE „'.(ENGINEER'S SEAL) e, PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER /f —n TEST RUN BETWEEN/FT AND FT COMMENTS 01 YO i/ 1.t9''Url�- .- PERFORMED BY:S .__ 1 1�" CERTIFY THAT \ THIS TEST WAS PERFORMED IN ,# ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DA -Q DATE: 6-C nAt L rev 127 � 72-008 (Rev. 4/85) O a CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. ��eownra wr 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Chemlab Ref.# :93.0581-3 REPORT of ANALYSIS Client Sample ID :L1 B3 TALUS WEST S/D Matrix : WATER Client Name :S & S ENGINEERING Ordered By :RAY Project Name Project# PWSID :UA Sample ROUTINE SAMPLE COLLECTED BY: S.S. Remarks: Parameter NITRATE -N QC Results Qual. Units 0.16 mg/l Collected :02/11/93 @ 18:25 hrs. Received :02/12/93 @ 16:00 hrs. WORK Order :63135 Report Completed :02/15/93 Technical Dix ect or:: TE H !2ED Released By Allowable Method Limits ---------------------------------- EPA 353.2/300.0 10 See Special Instructions Above UA = Unavailable " See Sample Remarks Above NA = Not Analyzed U - Undetected, Reported value is the practical quantification limit. IT - Less Than D - Secondary dilution. �+�^±GT = Greater Than QOi SGS Member of the SGS Group (Societd Generale de Surveillance) Extract Analysis Date Date Init 02/15/93 02/15/93 LIN °n °F LAB°MIOPY COMMB-'RCIAL TESTING & ENGINEERING CO. AK DIV CIEMICAL &GEOLOGICAL LABORATORY TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 - Drinking Water Analysis Report for Total Coliform.Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D. # PRIVATE WATER SYSTEM S & S ENGINEERING Na 17034 Eagle River Loop Road W. W No. Eagle River, Alaska 99577 cny SAMPLE DATE: 6 Z Mo. Day SAMPLE TYPE: ARoutine ❑ Check Sample (for routine sample with lab ref. no. ❑ Special Purpose M75 Year ❑ Treated Water ❑ Untreated Water SAMPLE Time Collected No. LOCATION Collected By I Z --o7 i .ac 3 7-j4uj,- cwesTs/o I L zS SS 2 3 4 5 A, D. E.C. READ INSTRUCTIONS BEFORE COLLECTING SAMPLE TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send now sample via special derliivery mail. G Date Received // rZ Time Received Iboin Analytical Method: Membrane Filter No. of colonies/100 mi. Lab Ref. N . Result' Analyst L �I QJ 6� I m En I� m L� m BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filler: Direct Count Verification: LSB Fecal Coliform Confirmation BGB a Coliform/100 ml Final Membrane Filter etisuits Coliform/100 ml Reported By TNTC = Too Numerous To Count Time: �a.m. OB =Other Bacteria p.m. PART ONE OF TWO r��.SGSMei REMAINDER TO FOLLOW a•• MUNICIPALITY OF ANCHORAGE /4- Y v 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 A g, / 1. GENERAL INFORMATION (a) Legal Description (include lot, blo9k, sybdivis_�Qn, �eFtjon, township, range) Location address or directions) qyl I I m V A//),j (b) Applicant Name ka 11" one:Home 3� Business Applicant Address `aLva4 P_ (c) Applicant is Achgck one)�Lending Institution[]; Owner/builder ❑ ;Buyer ❑ ; Other( (explain); (d) Lending Institution t tution �Telephone 'it9�eEPS�,cS c3 - Address t v q� � r„� `Ld ( f��//�CY/�S[`/ ��/ri®•� (e) Real Estate Company and Agent UDui Address Telephone (f) Mail.the HAA to.the following address: 2. TYPE OF RESIDENCE Single -Family R Multi -Far ly�❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well 10 Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. t 4. SEWAW"11.1911159AL Onsite,* Public ❑ Community ❑ Holding Tank ❑ i I 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(11/84) 5. ENGINEERING 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 c Name of I Address Date — 6. DHEP APPROVAL Approved for 94 e e , -- bedrooms by � v9 z- ate jJ Approved --. // Disapproved Conditional Terms of Conditional Approval The Muncipality of Anchorage Department of Healkand 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 DHEPldoes 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. II . Page 2 of 2 72-025(11184) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 l '` Legal Description: -3 - `dQs+ 5V i9 '�' A. WELL DATA Well Classification RIVA If A, B, C, D.E.C. Approved (Y/N) _ 6J11A Well Log Present(Y)N) N) Date Completed 7-6, �' -7Ll Yield 8 UP AA Total Depth L 2_ L4 Cased to ) Depth of Grouting Static Water Level gz� F -r Pump Set At ( 1 Casing Height Above Ground — Electrical Wiring in Conduit (Y/N) Sanitary Seal on Casing (Y/N) — Depression Around Wellhead (Y/N) Separation Distances from Well: _ f To Septic/Holding Tank on Lot ((S On Adjoining Lots To Nearest Edge of Absorption Field on Lot 5_0 On Adjoining Lots I On � Pr To Nearest Public Sewer Line A -JM To Nearest Public Sewer Cleanout/Manhole nl/� To Nearest Sewer Service Line on Lot �S+ �t Water Y Sample Collected b ��" t. �`�� ; P z—rEWTS Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed `I" Size /000 No. of Compartments Standpipes (Y/N) — .-- it -tight Caps (Y/N) y---- Foundation Cleanout (Y/N) Depression over Tank (Y/N) Date Last Pumped *J 1 - 8 t ce Contract on File (Y/N) �) ff ; for Pumping, an enan�%,� Holding Tank High -Water Alarm (Y/N) �— Temporary Holding Tank Permit (Y/N) � Separation Distances from Septic/Holding Tank: To Water -Supply Well To Property Line — To Water Main/Service Line To Building Foundation To Disposal Field — To Stream, Pond, Lake, or Major Drainage Course rl Comments s-� aTr4Cc l�tJlsti�l J!%�� Page 1 of 2 72-026(11/84) / C. ABSORPTION FIELD DATA Iry �� Soils Rating in Absorption Strata Type of System Design l e �✓ Date Installed Length of Field - ra_� Width of Field Depth of Field c. Gravel Bed Thickness Square Feet of Absorption Area l _ Standpipes Present Depression over Field (YoV Date of Last Adequacy Test JU "e v er b Results of Last Adequacy Test /Ns✓�� Separation Distance from Absorption Field _ r To Water -Supply Well To Property Line ( To Building Foundation 73 To Existing or Abandoned System on On Adjoining Lots � 7 Lot NIA a ! ±_ To Water Main/Service Line ��i To Cutbank (if present) A To Stream/Pond/Lake/or Major Drainage Course A II To Driveway, Parking Area, or Vehicle Storage Area 7–lpt 43 <1 V 1 f Comments D. LIFT STATION Date Installed . Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments — Dimensions Manhole/Access (Y/N) — 'Pump Off' Level aJ r -Vo-fit Y/N) Pumping Cycles during Adequacy Test. Meets MOA Check Permitted Bedroom Rating A ainst HAA Request ** I certify that I have check , v fie , o c formed to all MOA and HAA guidelines in effect on the date of this inspection. Signed e 9�yA� Company MOA No. Receipt No. O®2/ Date of Payment Amount:y �S, D� Page 2 of 2 72-026 (11/84) NORTHERN TESTING LABORATORIES, INC. 600 UNIVERSITY PLAZA WEST, SUITE A FAIRBANKS, ALASKA 99709 907-479-3115 6957 OLD SEWARD HIGHWAY, SUITE 101 ANCHORAGE, ALASKA 99518 907-349-8623 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY CLIENT ❑ PUBLIC WATER SYSTEM I.D. # 1 PRIVATE WATER SYSTEM'I�� NAME Mailing Address City State SAMPLE DATE:_?o Phone` ` 6Z51 Day Year Purchase Order No. SAMPLE TYPE: TO BE COMPLETED BY LABORATORY Received at: XAnch. ❑ Fbks. Date Received 9L� J !u p Time Received 1'7Z5 Next Sample Due Zip Code 11 COMMENTS: ❑ Routine ❑ Treated Water ❑ Special Purpose ❑ Untreated Water ❑ Check Sample (for original contaminated sample with lab reference no. Semple Time No. Location Collected Collected by Laboratory Ref. No. 12 1 zoo- �2 ; 5' y tit DTZ AN I L9 2 iAdvs 3 4 5 6 7 8 9 10 Signature of Representative FOR LABORATORY USE ONLY CASN CHANGE PREPAIG iflANSMITTIN SPECIAL INSTRUCTIONS MAIL HOLO FOR PICKUP SATISFACTORY UNSATISFACTORY RESAMPLE OTHER BACTERIA TOO NUMEROUS TO COUNT Direct Verification Count LS�— U R OB TNTC Final Result- Comments 0 -_ *No. of Tot,4,Coliform Colonies per 100 mis Reporfec�by l� Date I' Time U FN116= LAbUHAI UK I -b, INU. LABORkJY I.D. ♦ �r 7127 OLD SEWARD HIGHWAY ANCHORAGE, ALASKA 99518 (907)344-8551 BACTERIOLOGICAL WATER ANALYSIS TO BE COMPLETED BY WATER SUPPLIER FOR LAB USE ONLY DATE COLLECTED TIME COLLECTED TYPE OF�$YSTEM MONTJi G D Y YEq to � (p ' ❑ PUBLIC R7 INDIVIDUAL TT ❑ RESUBMIT SAMPLE Sample rejected because: I.D. NO. (PUBLIC SYSTEMS) CIRCLE CLASS CHECK ONE OR MORE L I I I I I I A B C Residential ❑ Sample too tong in transit. Sample should not be over 30 hours. NAOF SYSTEM TELEPHO NUMB R U ❑ Sample received too late in week ❑ Not in proper container SYSTEM/AD RES/ O ❑ Leaked out ❑ Insufficient information provided. CIT A ` ZIP J4 I_4L't Please read instructions on form. ❑ Other (Specify) LOCATION WHE E SAMPLE WAS COLLECTED 'cSRM^ k COLLECTED BY:(SIGNATURE) RECEIVED FROM // oµh TYPE OF SAMPLE RECEIVED BY Ile (CHECjF ONLY ONE THIS COLUMN) DATE lv Seo TIME /Df3 444 ANALYTICAL METHOD: WODRINKING WATER []CHLORINATED ✓CHECK TREATMENT ❑ FILTERED J ❑UNTREATED OR OTHER C3 MEMBRANE FILTER fj RAW SOURCE WATER ❑ FERMENTATION TUBE ❑ NEW CONSTRUCTION OR REPAIRS ❑ OTHER(Specify) Date & Time Started Date & Time Completed IS THIS SAMPLEA CHECK SAMPLE TO A PREVIOUS NON -CONFORMING SAMPLE? ❑ YES O/NO PREVIOUS COLLECTION DATE LAgORATO Y RESULTS ANALYSIS REQUESTED (IF OTHER THAN TOTAL COLIFORM) Analyst Z l��e:�l� SEND REPO :(PRINT NAME,ADDR ZIP CODE ❑ RESUBMIT SAMPLE NAME D P) Test unsuitable because: ❑ Confluent Growth ,,QQ [� 6 6 ADDRESS �IIZy ❑ TNTC SATISFACTORY UNSATISFACTORY ❑ /� CITY fj.>tiC -A STATE L ZIP BACTERIOLOGICAL WATER ANALYSIS RECORD FOR LAB USE ONLY Membrane Filter: Direct Count Coliform/100ml TOTAL COLIFORMS Verification: LTB BGB . F1FECAL COLIFORMS Final Membrane Filter Results Coliform/100ml OTHER Reported By Date Time A.M. P.M. READ SAMPLE COLLECTION INSTRUCTIONS ON BACK OF FORM Location: BESSE, EPPS & POTTS 2220 EAST 88 AVENUE ANCHORAGE, AK 99507 (907) 349-6451 VIATER WELL TEST B Date:,�s. _ Subdivision: Lot: I Block: 3 Client's Name: J C71n L,� L=- f'.✓J S Address: ( V, e) V o e l i? 4� Tester: Initial Reading on Meter: Production Rate: GPM 24 -Hour Capacity Gallons r'S V V" 1 , , 17 q5 DATE s -3r A♦Home Services 15900 Francesca Drive Anchorage, Alaska 99516 345.1890 • 3 ' 4 -q -Ir -t 2Auczsc. DESCRIPTION PREVIOUS BALANCE r1k64a'1 g�IAICYf ftbsy s ,f�jJ A fYll M��S` JIM WINGERD Owner DATE a- 31-4 -1 I CHARGES I CREDITS I BALANCE m A* HOME SERVICES Septic. Cesspool & Dralnline Cleaning 4NCEDUE ?ase notify notify us at once. 15900 FRANCESCA DRIVE ANCHORAGE. AK 99516 (907)345-1890 PIM'. 114 F'^, D:, ,RECEIVED INSPECTION APPOINTMENTS 6. TYPE OF RESIDENCE TIME TIME TIME SINGLE FAMILY Ll1 At ❑ MULTIPLE FAMILY DATE DATE I � DATE ❑ COMMUNITY % l � _V_tVC� ❑ PUBLIC UTILITY INSPECTOR INSPECTO l �� INSPECTOR 0 INDIVIDUAL/ON-SITE** cv�ao ❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE ���I�II��''ggDE . OF HEALTH & P'OTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION'ONMENTAL 825 L Street - Anchorage, Alaska 99501 • JU1. 2 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED ECEI\/E 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. P OPERTY OWN R � (;� PHONE 3V9 L(tr MAILING ADDRESS sre- 9C)X PROPERTY RESIDENT lit different from above) <` l l-rf4V2SC7GUIP� PHONE 34� 37 2. BUYER PHONE SAI OZ� %CC MAILING ADDRESS 3. LENDING INSTITUTION eoT71 EY36�I� PHONE MAILING ADDRESS 4. REAL/TOR/AGENT /tGbl�i� PHONE MAILING ADDRESS 5. LEGAL DESCRIPT� In 1 a�Lact< 3 -T-Wes � ue STIR STREET LOCATION J� 4 ((PW /C 5 E- () t4 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY ,(y 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.) Agog r - 8. SEWAGE DISPOSAL SYSTEM �y 0 INDIVIDUAL/ON-SITE** `f 7 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ,72-010 (He.. 6/79) >!•f�C.- F -e ,,.y. ./ { 'r t _ 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 CLI.NIDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER f.�?'._->„+%---,• ❑Septic Tank or EA Holding Tank Size: ^!j ” 0 If Tank is homemade give dimensions: SOILS RATING - TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL . 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR J BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY CHEMICAL & GL•✓LOGICAL LABORATORIES. -F ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street p ,.eun•roa:ee Drinking Water Analysis Report. for Total. Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER II TO BE COMPLETED BY LABORATORY WATER SYSTEM: I.D. NO. water System Name Phone No. Mailing Address City... _ .:State ZP.code. SAMPLE DATE: CE -1 Mo. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. ❑Treated Water ❑ Untreated Water E) Special Purposee SAMPLE Time Collected NO. LOCATION CollectedBy 1 2 3 1 1 4 I 5 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Analysis shows this Water SAMPLE to be: EI.. Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. I Date Received t '' Time Received Analytical Method: ❑ Fermentation Tube O`Membrane Filter Lab Ref. No. Result' Analyst m I � m j m .Noof colonies/100 ml. or No. of Positive portions. 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Data a.m. Date Raceivetl Time Raceivetl P.m. Lab. No. lnrnf inml 10m1 I IOml I 1.0m1 I 0.1ml 24 Multiple Tube Report:_ Membrane Filler: Direct Verlflcatic Final Mem Reported _. Broth 24 hours: Broth 48 hours: 10ml Tubes Positive/Total 10ml Portions 1 A dhlgvvonqlow itunituov Sm, pilots! 1 Wo V0001 „Ft AyAs dnuulvlfl"�l innivriah; taumlt III vovy mhulul qumaukv. Ewromummm hl PoHmahS FAR! mmuhr! tiny Pox; io w"Wading runupn Mar Eng"Qw, 1.611 tnvvo -I) vuAOI tin! Whovoilmy as quicWyann posdhk; QN10,10 hjursam, milhasibin. Alvew ,is 1101!n, its, AlpAism"m Q U10 hammkAmomd unntysin in Q7e0and avol "ns"Aqwhal WI &I 0m; any ERMA! 43 KNUOIANV WNW my: (i £`. vqmckd juMmy In"T) In ultilut:iittfl .TAS 151; Ignm TAK! ov q­�' q Onumna Rw" �_nAAaIis k" manow tow(mod To tho UUM" 14 ThonnypQ MA 0j, to jPWAP by wliwvvi9iq ;ill it.,r Q vmi Wdy vykh a My qvorm; �R. ititz C ) W04on Ann W is i Symm Hanoi thoom 01'aym NOWes m find%"; how, MAE! WA: hi mm; Num! vuldh ralm.01"; '01, VAIL & �a;wi -"ONO UPHAMPI W mch id Tha 'WhIn And A& Won of da, wq). eij .11 An MOTY 'U in WHOM lw%'1"ZuAlplivlfj Ltl MWkid !qAaQ1AfJ. 11111 t I f;dbl i Z E i I :i I, j 01A, m; A K QW, tan 1"m So j"M an 10 Simi Ulu top, Qmnplob� ;:� Iotin;..i It i kh Y a:) font I im! M I in McCaw: -111 fW 11 K, f M hi au apy""Wato womiku CanmIQ hultuMqJ -votiv public; watole ijlhwivT (1{.) Wo.}. JAl. Anin vii Abaco Wronvilami 01 Qviromammil Gonmilvinijon it ]loll (W nth %' AW yov� 411 say"6jr. (1060; intv NUPPHOrm MY) 11) INS WATI varuDdly hi ninHinq Tlibn 01h hdi 10m. i[;ro i0v annivsk W lmhhn mov tAjokomt;; tof =J coWurm oAn t;oiiii�:d w 41mil"ing ljvwlz bV Ain 0armorklAmm of 11whormso"W1 mm"nooWn. ALASKA DEVELOPMENT CONSULTANTS, INC. Engineers Surveyors Planners 624 W. INT'L. AIRPORT ROAD, SUITE 103 ANCHORAGE, ALASKA 99502 July 31, 1981 Offlm (90])276-243] ADC N0. 81095 Mr. & Mrs. John Epps SRA Box 1586-D Anchorage, Alaska 99507 Re: Adequacy Test for Existing Septic System on Lot 1, Block 3 Talus West Subdivision. Dear Mr. & Mrs. Epps: At your request our office conducted a percolation adequacy test on your existing septic system at the above -referenced location during the period July 29-31, 1981., The Municipality's Department of Health and Environmental Protection reported that your septic system consists of a 1000-g2llon septic tank and a seepage pit with log crib. The septic tank had not been pumped prior to the percolation test.- Since the 3 -bedroom house had been occupied up to the time of the test, a normal degree of saturation within the leach field is assumed. We understand that the septic tank was pumped on the afternoon of July 29, 1981. In accordance with the Anchorage Municipal Code, Chapter 15.65, Waste Water Disposal Regulations, any on-site sewage disposal system "shall have adequate capacity to properly dispose of the maximum daily sewage flow". The maximum daily flow is computed at 75 gallons per capita -day (gcpd), Since "the population of dwellings shall be estimated at two persons per sleeping room", the maximum daily sewage flow for your 3 -bedroom house is 450 gallons per day (gpd). To test the soil absorption capacity as well as the surge capability of your system, 110 percent of the maximum daily flow or 500 gallons of clear water was added in 50 -gallon increments to the seepage pit. The water was obtained from your on-site private well at a reduced flow rate of about 2 gallons per minute (gpm). The liquid levels were monitored closely to detect any backup in the septic system. The attached Table of Test Data represents the depths of liquid in the septic tank and seepage pit, and the quantities of water added. The septic tank was determined to be 9.0 feet deep (bottom of tank to ground surface) with an initial depth of 4.1 feet in the tank. The seepage pit Was measured to be 14.5 feet deep with an initial depth of 5.8 feet. Ground elevation at Mr. & Mrs. John (.ps July 31, 1981 Page -2- the septic tank standpipe is approximately 5.2 feet above the seepage pit standpipe, which is approximately 3.5 feet below ground surface. The attached Summary of Test Results indicates that the liquid level in the seepage pit at the beginning of testing on Day 2 fell to 0.65 feet below its initial static level on Day 1, during a recovery period of 24 hours. On Day 3, the level had fallen to 0.05 feet below its static level on Day 2, during a recovery period of 24 hours. The level in the seepage pit at its highest level during the test (8.2 feet) was approximately 0.6 feet below the liquid level in the septic tank, prior to the septic tank being pumped. Based on two days of testing, an average percolation rate for your existing septic system of approximately 580 apd is i Since an on-site sewage disposal system for a -bedroom dwelling must be capable ofdisposing of 450 gallons of sewage per day, your septic system appears to be functioning satisfactorily at this time. Many factors affect the operation of a soil absorption type of sewage disposal system. Soil type, groundwater depth, age and history of maintenance of the system, and types of waste are a few. This test has been performed in an attempt to determine actual soil absorption capabilities of your septic system under normal useage by considering the degree of saturation of the leach field and surge loads that might be imposed on the system. This test can only evaluate appar- ent performance at a given point in time, and cannot deter- mine either the condition of the leach field, seepage pit or other components of the septic system., or the depth of the water table. We appreciate the opportunity given to perform this adequacy test. If you have any questions regarding this test, please contact this office. Very truly yours, -:I& OF A4 %�J ALASKA DEVELOPMENT CONSULTANTS, INC.T14* ��P�•••••s9,� °f�..,,....a..a. i Stephen D. Shrader, P.E. •�m���Stephen D. Shrodef Project Manager QO PT•.�• No. 4148-E l� SDS/plh �4 RO...... Mr. & Mrs. John Epps ADC No. 81095 July 31, 1981 Page -3- SUMMARY OF TEST RESULTS Day 1 Day 2 Day 3 Rise in Seepage Pit Rise in Septic Tank Recovery Time between Test (Hours) Drop in Pit during Recovery Average Absorption Rate- (gal/day) 2.2 feet 3.05 feet 0.0 feet 0.00 feet 24 2.85 ft. 650 24 3.10 ft. 510 Adequacy Test for Dcisting Septic System Owner: Mr. & Mrs. John Epps Project No. 81095 77 -297 -81 - Address: 29 81Address: Legal Description:_ Lot 1, Block 3 Talus West Subdivision Components of Septic System: 1000 -gal. septic tank; seepage pit w/ log crib (D.H.E.P.) Number of Bedrooms: 3 Occupied prior to test: Yes X No How long vacant: NA Last pumped: ? Test performed by: P. Shoenberger Water meter/S.N. 22812186 Initial Static Levels: Septic Tank 4.1' ; Seepage Pit 5.8' TEST DATA Dime Liquid Depth, ft * Water Added, gal Meter Reading, gal Remarks Septic Tank Seepage Pit 9:OOAM 7/29/81 Initial levels 9:15 AM 4.95 3.6' -0- 32,407 9:24 AM 1.9' 30 32,437 Stop -call John Epps & advise 9:45 AM 3.5' _0_ Resume test pe Epps request 9:57 AM 2.2' 20 32,457 10:20 AM 1.8' 50 32,507 10:35 AM 4.95 10:45 AM 1.7' 50 32,557 11:09 AM 1.45 50 322607 11:30 AM 4.90 11:32 AM 1.40' 50 32,657 11:57 AM 1.45 50 32,707 12:23 PM 1.45 50 32,757 12:25 PM 4.95 12:47 PM 1.40 50 32,807 1:12 PM 1.40 50 32,857 1:37 PM 1.50 50 32,907 1:40 PM 4.95 Rise= 2.1' / F411= 2.75' * Measured form top of standpipe Owner: Mr. & Mrs John E ps Legal Description: Lot 1, Block 3 Talus West Subdivision TESD DATA (Gont'd) Project No. 81095 7/30/81 Time Liquid Depth, ft * Water Prided, gal Meter Reading, gal Remarks Septic Tank Seepage Pit 8:45 AM 8.0' 4.25' -0- av Ck, int. leve 9:00 AM 8.0' 4.25' -0- 32,917 Start test 9:27 AM 4.00' 50 32,967 9:51 AM 3.90' 50 32,017 9:55 AM 8.0' 10:16 AM 3.551 50 33,067 10:43 AM 1.85' 50 33,117 11:08 AM 1.55' 50 33,167 11:10 AM 8.0' , 11:32 AM 1.40' 50 33,217 11:55 AM 1.30' 50 33,267 12:00 7.95' 12:21 PM 1.40' 50 332317 12:45 PM 1.30' 50 33,367 1:09 PM 1.20' 50 33,417 1:15 8.01 End TestDay 2 Rise = 3.05' Fall = 3.10' 7/31/81 8:30 4 7.7' 4.3' 773-178-1 Ck. levels I� IO Pwr Af Tele Trac—f- _A / 4 2 s>i• y�69g3. 5E W 190.00' --- Can+,Jcver a OYerhanlj i ----s n ro.. i m o g p_ Arrows O S+wv d ptne ��...........;fslO r9 '�• tf la NOTES: it 1. IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERIFY THAT �0° • .Y,f�. .BUILDING ' Andrew F. Potts •� ,S ORDINANCES. 2. IT IS THE RESPONSIBILITY OF THE BUILDER TO VERIFY ALL ELEVATIONS WITH 3o.oa/� 1 1 Y• n I.X4 `o.A`����� - i $a..O z ,r W w o a_ J 0 N ; 0 O z --- Can+,Jcver a OYerhanlj i ----s n ro.. i m o g p_ Arrows O S+wv d ptne ��...........;fslO r9 '�• tf la NOTES: it 1. IT SHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWNER TO VERIFY THAT LOCATION SHOWN MEETS ALL SUBDIVISION COVENANTS AND ZONING • .Y,f�. .BUILDING ' Andrew F. Potts •� ,S ORDINANCES. 2. IT IS THE RESPONSIBILITY OF THE BUILDER TO VERIFY ALL ELEVATIONS WITH �;�% N0. 3514-S ���� RESPECT TO ALL UTILITIES. BELOW TAKEN 3. THIS PLAT REPRESENTS THE PARCEL OF PROPERTY DESCRIBED INSTRUMENTS DESCRIBINGFROM THE RECORDED PLAT THAT PARCEL AFTER THE FILINGOFTHE RECORDED PLAT I.X4 `o.A`����� - H TO OR ARE NOT 9N WN S ed SURVEYOR S CERTIFICATION I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DESCRIBED ON THIS PLATAND THE IMPROVEMENTS SITUATED THEREON ARE LOCATED AS SHOWN ON THIS PLAT. DATED THIS Z1 DAY OF A, ASOUIL.7- -. _ Lor 1, r3LOCK 3 TALUS WEST 5 U B 'D BESSE, EPPS a POTTS 2220 E. 88th AVE. ANCHORAGE,AK 99507 DRAWN P•fL SCALE: t r) ' - OWG NO. CHK BY: DATE. "I_ I'I al FLO BK: T (N04I4t N,t' GREATER ANCHORAGE AREA BOROUGH �Q Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received December 17, 1976 Time of Inspection 0/'no A/nC Date of Inspection 0-, -& L,� ),9d REQUEST FOR APPROVAL OF 4¢ Yv- INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Alaska Statebank Mailing Address: 310 East Northern Lights Blvd. Phone: 279-7637 2. Property Owner: Clifford Manning Phone: Mailing Address: 4423 Cherry Oak Lane, Houston Texas 77088 3. Legal Description: Lot 1 Block 3 Talus West Subdivision 4. Location: Corner of Wilderness Drive & Traverse Way 5. Type of facility to be inspected Single Family No. of bedrooms 4 6. Well Data: A. Type Individual B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: on-site system A. Installed 1974 C. Septic Tank: 1. Size B. Installer D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Manufacturer 2. Material A. Well to: Septic tank , Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page.2 of two pages - Req,.;st for Approval of Individual S,;ar & Water Facilities 4 • t • Legal Description Lot 1 Block 3 Talus West Subdivision Comments Approved Disapproved Date Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certifv that the information contained in this reauest for aonroval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date i -lag;/z, ATE U` ,ufrvLr=rvL yr ncALIM ANU WLL` RE DIVISION OF PUBLIC HEALTH BACTERIOLOGICAL WATER ANALYSIS PUBLIC SEMI-PUBLIC INDIVIDUAL HER REPORT RESULT TO NAME Q— � ADDRESS /d CITY y 31;:110 ADDRESS OF SOURCE SAMPLE COLLECTED DATE COLLECTED a P- TIME I Sample Collected From 1 0 Kitchen Tap I ❑ Other (ust) Bathroom Tap 0 Basement Tap Well- EJ Dug ❑ Driven ❑ Drilled SOURCE: ❑ Spring [) Cistern O Other_ Dug Well or Cistern Construction: Walls - ❑ Wood ❑ Concrete ❑ Metal Top - ❑ Wood ❑ Connete ❑ Metal LOCATION: ❑ In Basement O easement Onset ❑ In Yard 0 Other ❑ Bored ❑ Brick o Tile ❑ Conveta ❑ Open Top ❑ Under House Lab. No 11r7;$b Records in this office indicate this WATER SUPPLY to be of: Satisfactory ❑ Questionable ❑ Unsatisfactory Sanitary Status. shows this Water SAMPLE to be: ❑ Questionable ❑ Unsatisfactory. If an "Unsatisfactory" or "Questionable" status is indicated above you should fake immediate action as recommended below. 1 _1. Notify consumers wafer is polluted. Boil or chemically treat this wafer as outlined in the enclosed leaflet "Drink If Pure." - -2. Increase chlorination sufficiently to meet recommended residual standards. Determine source of contamination and take action necessary to maintain a sale water supply of all limes. —3. Check chlorinating and other mechanical equipment. Make cerfain it is functioning properly. —4. If offer checking equipment a disinfecting residual is not obtained, please wire this office for emergency assistance or advisory services. —5. This is a surface water source and subject to pollution by man and animals. An approved wafer supply source should be developed. --6. Improve your ❑ spring - ❑ dug well ❑ driven well ❑ drilled well ❑ cistern. _7. Relocate your well to a safe location in relationship to your sewage disposal system. ❑ see enclosure Bundle, Sewer Septic DISTANCE TO: Other Drainage Pipe Feet. Tank Feet. g. Sample too long in transit; portion should not be over 48 hours old at Tile Field Feet. Pit pope Feel. Pool Feet. Privy Feet. examination to indicate reliable results, please send new sample. S Ca,, - Other Poazsiblae ❑ Battle Broken in transit, please send new sample. S f C tamination MATERIAL: Building Sewer - ❑ Caant ❑ Wood file ❑Fibre Ej Asbestos Cement _9. Contact your nearest ❑ Local Health Department or ❑ Alaska EJ Plastic ].in'Material-- Type Division of Public Health, sanitation office for bulletins, consultation and GENERAL: Does Wafer Become Muddy or Discolored? Cl Yes ❑ No Diameter of Well Depth Feet Well mi., Material Diameter Depth Length of Water Depth Drop Pipe From 6ogom Feet PUMP LOCATION: ❑ In Well ❑ III In Basemen, ❑ Baffement n Roomility OI Well ❑ Other PURPOSE OF EXAMINATION: Illness Suspected? ❑ Yes ❑ No New Source of Supply? ❑ yes O No Repairs to System? ❑ Yes ❑ No REMARKS Uk. AKIMCINI Vr MALIN ANU VVUL sft Lab. No. DIVISION OF PUBLIC HEALTH BACTERIOLOGICAL WATER ANALYSIS — DATE 11FFIfL PUBLIC SEMI-PUBLIC INDIVIDUAL O OTHER REPORT RESULTS TO NAME ADDRESS - CITY r ADDRESS OF SOURCE Records in this office indicate this WATER SUPPLYtobe of: Satisfactory U Questionable U Unsatisfactory Sanitary Status. Analysis shows this Water SAMPLE to be: Satisfactory ❑ Questionable U Unsatisfactory. It as "Unsatisfactory" or "Questionable" status is indicated above you should take immediate action as recommended below. _1. Notify consumers water is polluted. Boil or chemically treat this water as outlined in the enclosed leaflet "Drink It Pure " SAMPLE COLLECTED BY - 2. Increase chlorination sufficiently to meet recommended residual standards. Feet. Well Casing - Determine source of contamination and take action necessary to maintain DATE COLLECTED TIME COLLECTED am o sale water supply a1 all times. Sample Collected From Kitchen tap ❑Bathroom tap ❑ Basement Tap _ 3. Check chlorination and othermechanical equipment. Make certain it is. U Other (List) functioning properly. 48 hours Drop Pipe —4. If after checking equipment a disinfecting residual is not obtained, please Feet. PUMP LOCATION: Ire this office for emergency assistance or advisory services. Well - U Dug U Driven U Drilled ❑ Bored U In ility —5. This is a surface water source and subject to pollution by man and animals. SOURCE: ❑ Spring U Cistern U Other ¢emenl An approved water supply source should be developed. Dug Well or Cistern Construction Illness Suspected? ❑ Yes Wells - ❑ Wood ❑ Concrete U Metal U Tile U Brick or Concrete -5, Improve your U spring U dug well U driven well - Top - U Wood U Concrete U Metal U Open Top U Yes U No U drilled well U cistern.. LOCATION: U In Basement. - U Basement Offset U Under House Relocate your well to a safe location in relationship to your sewage U In yard U Other _7. disposal system. U see enclosure BmIding Sewer Septic - DISTANCE TO: Other Drainage Pipe Feet. Tank feel. 8. Sample too long in transit; sample should not be over 48 boars old at TilSeeepage Coss Field Feet. SFeel. Pool Feel. Privy F feet examination iindicate reliable s ncae reae resu Hs, le. lease send new sample. P P Other Passible U Boffle Broken in transit, send new sample. Sources of Contamination please MATERIAL: Building Sewer - U Cast U Wood U Tile ❑ Rbre U Iron Asbestos Cement q. Concoct your nearest U Local Health Department or U Alaska El Plastic )Dint Material -. type Diviron of Public Health, sanitation office for bulletins, consultation and GENERAL: Does Water Become Muddy or Discolored? U Yes El No assistance. - - SANITARIAN'S REMARKS Diameter of Well Depth Feet. Well Casing - 48 hours Motmial Brilliant Green Dlomefcr Depth Length of Water Depth 48 hours Drop Pipe From Bottom Feet. PUMP LOCATION: U In Well U Offfset In U In Basement U In ility On ❑ Of Well ❑ Other ¢emenl Raam PURPOSE OF EXAMINATION: Illness Suspected? ❑ Yes U No New Source of Supply? U Yes U No Repairs to System? U Yes U No READ INSTRUCTIONS ON REVERSE SIDE BEFORE BACTERIOLOGICAL WATER ANALYSIS RECORD Date Received Time Received -Pm ` Lab. No. Lactase Broth ]Ore Iocc tocclOcc lOcc 1.0cc O.)cc 24 hours 48 hours Brilliant Green 24 hours - 48 hours EMB gGAR COLLECTING SAMPLE Lactose Broth, 24hrs. 48hrs. Gram'saain Coliform Density Most probable No. per 100cc.) Mf resubs Reported byam Date pm This analysis indicates Coliform Organisms to be: - Absent Present OL 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: CMRO VA _ FHA CONV 2. Property Owner: Clifford Manning Mailing Address: 4423 Cherry Oak Lane Day Phone - o 'soon eT xaa- 3. Nara '; Buyer: John Lewis & Dorotht Anne Epps Mailing Address: 401 Egavik Dr. Anchorage Day Phone 279-2973 4. Name of Lending Institution: Alaska Statebank Mailing Address: Phone 277-5661 5. Name of Realtor or Agent: Dorie Clark Mailing Address: 3300 "C" at. Phone 278-2525 6., Legal Description: Talus West Sub Block 3 Lot 1 Location: Corner of Wilderness Dr. and.Traverse Way Z1u'j w 1(3L11j 7. .Type of Facility to be inspected: residential No. Bdrms. 4 8. Water Supply Type of Supply: Public Utility Individual x If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type -of System: Public Utility ___ Individual (on-site) x If Individual, date of installation X974 [U;"J Niro -1-77 1 �h December 30, 1976 Arca Malty 2 Doric Clark 3300 C stvOlot Anchoraget Alaska 99503 5csbjectL Lot 1 Shoot 3 Talus West Subdivision The home on th. exigti,ng lot. was E4�.�j7Y0 ed 1n 1974 for a three (3) bedroom dwelling- The re "GOt for newer and water approval is for a four M be dr€som home. TherefOrO, we cannot approve the request U til an upgrade bas bee'' In sirdar to speed uta the closing date the seller may escrow funds to have the upgrade completed by may 1, 1977. A permit must be obtained € efore any construction begins can the subJec:t PrOVOKY. if there ase 4ay questiona, please contact this office at 279.2511. sincerelyp Robert C. Pratt, I.S. Saultarian ncp/ly cc; Alaska, : itatebai k John Ta4:[ O/DOXOthy EpP8 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received /.— �' 0 - 7 -5 - Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & 14ATER FACILITIES FOR 1. Approval requested by: Mailing Address: Phone: 2. Property Owner: C 411 Phone: Mailing Address: 3. Legal Description: 4. Location: 5. 6. 7. . �111(1 d e"44�-'e r-2 -/ Type of facility to be inspected t ' ' //I I 'bl No. of bedrooms Well Data: A. Type B. Depth C. Construction D. Bacteria] Analysis Sewage Disposal System: A. Installed 7- V) - B. Installer 1�/f 4 �' 't -1) C. Septic Tank: 1. Size / ot, o r, 2. Manufacturer D. Seepage Pit: 1. Absorption Area, 2. Material 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 C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Rer st for Approval of Individual r & Water Facilities Legal Description Zo 7 k 25 Comments Approved �,, tom- ,��� �'� -,,?,,Disapproved Date ' Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) 06-1220(.) Rev. 1973 DATE ALA.,_ DEPARTMENT OF HEALTH AND SUCIAL 51 ,1Gts DIVISION OF PUBLIC HEALTH Lab No INDIVIDUAL AND SEMI-PUBLIC BACTERIOLOGICAL WATER ANALYSIS, OFFICE INDIVIDUAL C SEMI-PUBLIC C .CHLORINE RESIDUAL PPM REPORT RESULTS TO NAME ADDRESS CITY ZIP CODE ADDRESS OF SOURCE I Analysis shows this Wafer SAMPLE to be: EJ Satisfactory 'C Unsatisfactory C Questionable C Sample too long in transit, sampleshould not be over 48 hours old at examination to indicate reliable results. Please send new sample. ❑ Bottle broken in transit, please send new sample. -- SANITARIAN'S REMARKS COMPLETE THIS SECTION _ ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY - - DATE COLLECTED TIME COLLECTED - Sample Collected From ❑,Kitchen Tap C Bathroom Tap C Basement Tap ❑ Other (List) _ Well — C Dug C Driven ❑ Drilled C Bored SOURCE: E3 Spring C Cistern ❑ Other Dug Well or Cistern Construction: Walls—❑ Wood C Concrete I-] Metal [3 Tile Brick or Top — C Wood C Concrete C Metal ❑ Open Top C Concrete LOCATION: ❑ In Basement ❑Basement Offset L] Under House CIn Yard ❑ Other Building Sewer Septic DISTANCE TO: or Other Drainage Pipe Feet. Tank Feet. Tile Seepage Cess - Field Feet. Pit Feet. Pool Feet. Privy Feet. Other Possible Sources of Contamination MATERIAL: Building Sewer- C Cast Iron C Wood El Tile C Fibre ❑ Cebestos ❑ Plastic Joint Material - Type GENERAL: Does Water Become Muddy or Discolored? ❑ Yes C No When? — Diameter of Well Depth Feet. Well Casing Motmial Diameter Depth Length of Water Depth Drop Pipe From Bottom .Feet. Offset in In Utility. PUMP LOCATION: EI In Well ❑ Basement C In Basement C Room On Top C Of Well C Other PURPOSE OF EXAMINATION: Illness Suspected? ❑ Yes C No -' New Searle of Supply? C Yes ❑ No Repairs to System? C Yes C No Signature — 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1973 i READ INSTRUCTIONS Date Receivedam me Received pm _Lab. No. — Lactose Broth 10 c IOcc locc locc 10cc 1.0cc 1.Occ 24 Hours ON -- _ 48 Hours- - Brilliant Green REVERSE SIDE 24 Hours 48 Hours EMB AGAR BEFORE Lactose Broth, 24 hrs. 48 hrs- Glenn's stain Coliform Density -- (Most probable No. per 100cc) MF Results COLLECTING SAMPLEa.m. � Reported by Date ) r� p.m( This analysis indicates Coliform Organisms to be: Absent Present