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T15N R1W SEC 4 LT 34A
T15N R1W Sec 4 Lot 34A #051 - 072 - 62 /r� Municipality of Anchorage , cat1_ Development Services Department• Building Safety Division On -Site Water and Wastewater Program. 4700 South Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 Page 1 of 4 www.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW SW060103 PID Number: 051.072-62 Name: Rata Wnlf Wastewater System: ❑ New 0 Upgrade Address: PO Boy 671261 Chuglak, AK 99567-1263 ABSORPTION FIELD Phone. Nunes of Bedroom: 4 o Deep Trend. El Shallow Trench o Bed o Mored a other • LEGAL DESCRIPTION Sol Rating- 1.2 GPohtr wrest dr Total Deptl fromgra 2 FI Block: Lo: SuodNMon: 34A Depth to pipe bottom from origin grade 0 rt. Gravel depth beneath pipe: .5 Ft TownNp' ih Range' . Section: 15N 1W ' 1 4 Fe added above original grade: 2 Fi. Gravel Length: 60 rt. Well: • New ❑Upgrade Grave *Rh: 5 Fl. Number Mknee: Pearce batman knee: Nu 2 1 15.2 rt Ciasseabon (RMle• & B• C): • • Exist'g Total Depen' Ft. Cased to: Ft Total fluoride use: 500 re Pipe Maten0: 3034 PVC Dream. '! Date Drilled: Slaw Waite Levu: rt boner. JR's Pumping Dale Installed: 7/18/2006 Yield GPM Pump Bet at. , , FI. Casing Nagar Above Ground. Fr TANK SEPARATION DISTANCES 0 Septic 0 Holding ® S.T.E.P. • Other. 7o From Septic Tank Absorption Field Lilt Station Holding Tank 'ublic/Private Sewer Line Mrnu b4ctuAnchorage Tank y.: Capeo 1500 cel. 121.6 143.1 82 Malarial. Steel Number a Compartments: 2 sub ceW,ter 100+ 100+ LIFT STATION Lot Line 84.1 17.0 or=e: 1500 Gal MaMn,cuer: Anch Tank & Welding/ Orenco FaaeMan 14.3 59.3 'Rano ow level el. 40 In Pump off level at: 36 frh NO weer Manor at. 45 In ewtse Drain 50+ 50+ Pump Make a Model P2005-1 Eleoma/ Inepecnns performed by: Wolf Electric. LLC Remarks: " ° Top 6" of mound consists of topsoil Mound seeded. BENCH MARK Revised 070107. Loaaon and Deeapwn: Back Door Threshold • Assured Llevaimpl: 100.0 Ft. Engineer's Stamp seCC-.` \P,.,....... ii7 `000. ' n r • .• % * • 0 i Inspections performed by: PES, LLC Dates: 1"7/17/2006 2'07/18/2006 Development Services Department approval, Conditional Approval by: Date: • Steven R. Pannone i • •• s°•., N�. CE r8174�-, •� L14;,Q?,, Reviewed and approved by: `1194_4.Date: -2 I - 0 7 Pannone Engineering Services, LLC Consulting Engineers (907) 272-8218 P.O. Box 102954 Anchorage, Alaska, 99510 (907) 272-8211 Fax January 7, 2007 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 34A T15N, R1W, S4 Response to Review Comments Ladies and Gentlemen: I am writing in response to comments received January 4, 2007 concerning the record drawing for the above referenced project. The record drawing was originally submitted to your offices on November 12, 2006. I will respond to your comments in the same order as they were presented. Comment: Discrepancy in information submitted. Depth of pipe bottom reported at 2 feet. Groundwater reported at 4.5 feet, Response: Total depth of system revised on Inspection Report Form. See revised form, attached. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven R. Pannone, P.E. Civil Engineer Attachments: C:\Work\Letters\34A T15N R1W S4.002.doc • • • • i ••. TY • r f /L • Steven n.. Pannone: µ/• • No. CE 8t49 `�"Is • • PERMIT NO: SW060103 RECORD DRAWING WASTEWATER DISPOSAL SYSTEM T15N R1 W S4 LOT 34A P.I.D. NO: 051-072-62 EXISTG SEPTIC EXISTG SEPTIC AREA AREA 34A OUANSET HUT SAS 2 EACH 5' WIDE TRENCHES 60 LF x 5' W x 0.5 ED, 2' TD EXISTG C RAIN FIELD ABANDON® IN PLACE ti • M /AREA DEVELOPEp NO WELLS W/IN 100' 4' OF PROPOSED UPGRADE M EXISTG 1250g SEPTIC TANK 8 LIFT STATION ABANDONED BY REMOVAL 143.1 �M • —{ 17.0 1% i/ 1‘44 •771 111 0 0 a r= ..gyp`.••• *1 r i 49 rN • • • so i t Steven R. Pannone , fH: •d •.^ lrghie .4 • 1I �********s** t • WELL M 41 5.2 1% 17 NEW 1500g S.T.E.P. TANK 1 CO A B FC 35.8 9.3 CO 26.2 40.2 TI 27.8 42.9 T2 33.2 50.5 LS 34.5 52.2 MI 63.2 68.6 M2 120.5 124.0 M3 59.3 77.2 M4 119.8 132.3 AREA DEVELOPED NO WELLS W/IN 100' OF PROPOSED UPGRADE EXISTG SEPTIC FIEF M EXlfrSEPTIC AR 34B /YARNOT AVE M NOTES: 1) All work shall be performed in accordance with AMC15.65. 2) Materials used shall be In accordance with those specified In AMC15.65, Wastewater Disposal. PREPARED FOR: BETA WOLF PO BOX 671263 CHUGIAK, AK 99567 k M DESIG\ FO.151DROCIM: 4 3) Maintain 10' separation to all TANK SIZE: 1500 gallon S.T.E.P. lot lines and proposed water PERC. RATE: 1 MPI lines. SOIL RATING: 1.2 gpd/SF (125 SF/BR) 4) Lots served by private water AREA ROD: 500 SF system. No wells within 100' of SAS: 5 -WIDE TRENCH, 0.5' ED proposed system. SIZE: 120 IS x 5' W, 0.5' ED, 2' TD TOTAL AREA 500 SF PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax DATE: 08-09-06 SCALE: V=50' PLAN C:\StephaniATI 5N RI W S4 LOT 34A.dwg, I I/1/2006 9:32:52 AM • PERMIT NO:SW060103 RECORD DRAWING DETAILS WASTEWATER DISPOSAL SYSTEM T15N R1 W S4 LOT 34A P.I.D. NO: 051-072.62 C;) • i ja�`' 49TM f.4 i Steven R. Pannone ? 1, Z CF 0149 �• z • 0N3 HOV3 IV ISM //01.10111 0111OV31V B9111//OUIOn pg1 110 NV310 NOLLWWIO! e. d.r .f /2 r ( .4 r.1 r.y i N O7 W S W U r:: W N •r m N ch 01 11 an se 1� Q Z o � PREPARED FOR: Beta Wotf PO BOX 671263 Chugiak, Al( 99567 PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax DATE: 05-14-06 SCALE: NTS DETAILS Jul 21 06 02:05p Saggs 807-346-1628 p.2 July 21, 2006 Wolf Electric, LLC Lic. it. 30101 P. 0. Box 241572 Anchorage, Ak. 99524 Mr. Steve Fannbne Re: Beta Wolf 22115 Yarmont Ave. Chugiak, Ak. 99567 Dear Steve: The septic lift station located at the above address is not within any area that is inspected by any code enforcement agency. We used the National Electrical Code for any and all our electrical installations. If you need any further information, please feel free to contact se at 748-6162. Sincerely, 4 ` e Al Saggs MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL. SYSTEM PERMIT Upgrade Permit Number. SW060103 Legal Description: T15N R1W SEC 4 LT 34A Design Engineer: 0062 PANNONE ENGINEERING SERVI( Owner Name: BETA WOLF Owner Address: PO BOX 671263 CHUGIAK , AK 99567-1263 Date Issued: May 19, 2006 Expiration Date: May 19, 2007 Parcel ID: 051-072-62 Site Address: 022115 YARNOT AVE Lot Size: 49821 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑✓ Disposal Field ❑3 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. -THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST BE VEGETATED SUFFICIENTLY TO PREVENT EROSION. ,Jlw.--a\-------- Received Date• 060579 Issued By:1 {' Date: 5 /I q > f. ,�v Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051.072.62 Property owner(s) Beta Wolf Day phone 337.6813 Mailing addressP.O. Box 671263, Chugiak, AK Zip Code 99567 Site address 22115 Yamot Ave Zip Code 99567 Legal description (Sub'd., Block & Lot) 34A Legal description (Township, Range & Section) T15N, R1W, S4 Lot Size 49,821 Sq. Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field 0 Initial Septic Tank 0 Upgrade Holding Tank ❑ Renewal Privy 0 Private Well 0 Water Storage 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Pannone Engineering Services, LLC (Signature of property owner or authorized agent) Permit/Rush Fees: 0 Waiver Fees: Date of Payment: 5[i& o �v Date of Payment: Receipt Number: Sb 2-0 Cp Receipt Number: (Rev. 11/05) Pannone Engineering Services, LLC Consulting Engineers (907) 272-8218 May 15, 2006 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 P.O. Box 102954 Anchorage, Alaska, 99510 (907) 272-8211 Fax Subject: Lot 34A T15N, MW, S4 Septic System Upgrade Permit Request Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed systems will serve an existing four-bedroom house. The existing well is located in the southwest corner of the lot, over 100 feet from the proposed septic system location. The surrounding lots are served by private water systems and are over 100 feet from the proposed soil absorption system. 1. Soils. See the attached soils log. Ground water was monitored for seven days through the May high ground water period. Ground water was encountered in the test hole at a depth of six feet, and stabilized at a depth of four point six feet (4.6') after the water -monitoring period. Bedrock was not encountered in the test hole. It is my opinion that the overall soils appearance of the soils, an application rate of 1.2 gallons/day/square feet should be used using a conventional treatment system. 2. Trench Design. a. Percolation Rate: b. Application Rate: c. Number of Bedrooms: d. Design Flow: e. Min. Absorption Area: f. Total depth: g. Effective Depth: h. Width: i. Reduction Factor: j. Minimum Length: k. Design Length: 1. Effective Absorption Area: m. Septic Tank Size: C:\Work\Letters\34A T15N R1W S4.001.doc G.T. 1 Min Per Inch 1.2 gpdpsf 4 600 gallons per day 500 sf 2 feet 0.5 feet 5 feet 0.0 120feet 120 feet 500 sf 1500 gallon S.T.E.P. 3. Surface Water: There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The average topography in the area of the proposed septic system is approximately 1 percent. The proposed system will be installed on the eastern portion of the lot adjacent to the east property line. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. The existing septic tank, lift station and portions of the drain field are located inside the 100 -foot well radius. They will be abandoned in accordance with Appendix K of the UPC and AMC15.65. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven R. Pannone, P.E. Civil Engineer Attachments: C:\WORK\LETTERS\34A TI SN R1 W S4.001.DOC • 4• QTH •• •j '%Steven .R. Pannone;,Mui sr• ••1•', 1- •. 5�•(�'•'mo i• PERMIT NO: SW06 DESIGN DRAWING WASTEWATER DISPOSAL SYSTEM T15N R1W S4 LOT 34A P.I.D. NO: 051-072-62 EXISTG SEPTIC EXISTG SEPTIC AREA \ M� \/yr /AREA DEVELOPED NO WELLS WAN 100' OF PROPOSED UPGRADE AREA 0-0UANSET HUT PROPOSED SAS 2 EACH 5' WIDE TRENCHES 60 LF x 5' W x 0.5 ED, 2' TO EXISTG C RAIN FIELD IN FAILURE ABANDON E IN PLACE M M EXISTG 1250g SEPTIC TANK & LIFT STATION ABANDONE BY REMOVAL 136.5 62.0 � PROPOSED 1500g S.T.E.P. TANK 1% 28.4 17 1 3 / AREA DEVELOPED NO WELLS WAN 100' OF PROPOSED UPGRADE EXISTG SEPTIC FIE EXIST2-SEPTIC ARE / 34B — */YARNOT AVE Steven R. Pannone CE 8149 /i • 11ritiEst lasts 4' % %%% NOTES: 1) M work shall be performed In accordance with AMC15.65. 4- DESIG\ oLicir 3) Maintain 10' separation to all TANK SIZE: 1500 gallon S.T.E.P. lot lines and proposed water PERC. RATE: 1 MPI lines. SOIL RATING: 1.2 gpd/SF (125 SFA3R) AREA ROD: 500 SF SAS: 5 -WIDE TRENCH, 0.5' ED SIZE: 120 LF x 5' W, 0.5' ED, 2' TD TOTAL AREA: 500 SF 2) Materials used shall be In 4) Lots served by private water accordance with those specified In system. No wells within 100' of AMC15.65, Wastewater Disposal. proposed system. PREPARED FOR: BETA WOLF PO BOX 671263 CHUGIAK, AK 99567 PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax DATE: 05-15-06 SCALE: V=50' PLAN PERMIT NO: DESIGN DRAWING DETAILS WASTEWATER DISPOSAL SYSTEM T15N R1 W S4 LOT 34A P.I.D. NO: 051-072.62 t........evenR. ?` ♦� • Steven R. Pannone •� � • CE 8149: �tj %Cit? Q .•° '62i PliFigi kt PREPARED FOR: Beta Wolf PO BOX 671263 Chuglak, AK 99567 013 N3Y31V 39111 n0aaa11 ON3 NOVI 1V Dara x01,1011 11101N113 NOU.VOM101 ,IJ 11. CHES 60 LON W W r•;4 8 0. zrn PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax DATE: 05-14-06 SCALE: NTS DETAILS PERFORMED FOR: LEGAL DESCRIPTION: TEST HOLE 1 1 2 3 4 6 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 OR GP/ SP SM/ ML BOH SOILS LOG - PERCOLATION TEST PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORAGE, Al< 99510 (907) 272-8218 Beta Wolf DATE PERFORMED: 05-08-05 T15M R1 W S4 LOT 34A Topsoil and Organics Poorly Graded Gravel and Sand Little to No Fines Water C Interface Silty Sand Gray SLOPE {TEST HOLE P�(E, .:gC. �� .. Lam. se {1.nt y'1•••t • T.. • Na Steven R. Pannone F a. eilltFESS, Ott 4. ar J (\ SITE PLAN • „ 34A lv •� / 346 .�._.. /YARNOTAVE•N WAS GROUND WATER ENCOUNTERED? Yes IF YES, AT WHAT DEPTH? -6 DEPTH TO WATER AFTER MONITORING? -4.6 DATE: 05-15-06 SLOPE TEST HOLE READING DATE CLOCK TIME NET TIME WATER LEVEL READING NET DROP 1 05-08-05 148 51/2 • 2 3:49 3MIN 101/4 512 3 3:49 4118 • 4 3:51 2MIN 101/4 612 5 3.51 4 118 - 6 3.53 2 MIN 10 1/4 6 118 PEROLATION RATE G.T. 1 (min/Inch) PERC HOLE DIAMETER 6 Inches TEST RUN BETWEEN 2 FT AND 3 FT COMMENTS: Test hole excavated by Flinstone Services. Test Hole was presoaked before perc test. PERFORMED BY: S. Pannone, 1 Steven R. Pannone, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. • MUNICIPALITY OF ANCHORAGE DE< .ITMENT OF HEALTH AND HUMAN SER'. .ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Na}.Ae6/er Address Phone(s) (5941-2979 Cg S ENGINEERING SP.8 196X EAME RIVER, AK 99577 DISTANCES P rail No. No. of Booms cce acp 2 FROM TO SEPTIC TANK s0 WELL ABSORPTION FIELD WELL /do ;L LEGAL DESCRIPTION LotBlock „414 .-- Subdivision s_ LOT LINE /O -� /D 4 Township. Rang , Section Sit) •/ /.J ` FOUNDATION 2S s / TANKS X SEPTIC ■ HOLDING Manu)ctuler AOC hi• Capacity in gallons /25-0 Material 7 /1 No. of Compartments TYPE OF SYSTEM ENCH ❑ BED • W. DRAIN • OTHER Depth to pipe b om from original grade FT Total depth from original grade FT Fill added above original de ^---- ____ FT Gravel depth beneath pipe FT FT Total absorption area SQ FT rave id FT Distance between lines FT AS -BUILT DIAGRAM (Show location of well, septic system. property fines. foundation, driveway, water bodies, etc.) x • e C0 EX1Sr7,u6-.4/'7 S7fl. Aield /2SV 64-1 Number of lines I Soil brig SQ FT Pipe material 40 Installer Date Installed Co 2 C 5977( T#tt.,% WELLS XPRIVATE ❑ OTHER (Identity) WouS e Classification (A,B.C) Total Depth Cased to ., Inslallei T ! % . aci FT FT REMARKS: FKIS%/N4- G /E .5) /S. 9I7 -Rom we// 4 A/A7 ea�1Q� G6 89 Zeit/ 2l?sifr, FLAI" 5 & S ENGINFERING �o4 LG JAS/S SR B 196X Municipal and ReitggAgeRYIRM4V12,577 Health Department Approval: 72-013 (3/85) Scale: /J rs Inspections teed by: Date: Jul_ 3 0 certify that this inspection was performed according to all A.II. 3 0 1900 Date S-- g4, fir .-4suggenteit. 44 •x e` • 9laben A. Chetut �•� 4•,• N•. 14574 it,p - 'PIrtO •.tee...- ,4 . "tAh :.F.51Gt „•ar. fl ALi Y ANALNC:RAOE LY. PANTALI OF FLFA1ETH AN ENVIk0,YPNTAL PROTSCTION. L STAECie AF4CHORAI, AK 99A -A ;7:t474720 OFITA SLL-. 2E,JEI1 NO: )ATS (PT/05r:Ys AP?CIANT: AD):Ss: CONTACT PIM: -TANIANNE X0EALYA AO' MJ;FA, AY LESAL EASCRIi''l SU Ofl, If:T:10AI PAS,LOCK ; NA • t_GT: 341\ - t.T1(: 4 TOANSHIP: 15F! TZAN6F1 1W LOT 31L -E 4.9sn-I (Si)FT. OR ACPfl) 1 CF:::LTIFY FHAT: 1. 1 AID. FAPii,LIAT '*-1.Th THY. A:t0O-ITTMS.NTS FUA. 0A-3IT): ITSSES, AND NELLS AS SET : FO;-Eifi EY IV:. :TIINISTPFLITY OP ANOF-9PAP:s (UA) AND THE SI-TQt ALAFSKA. , ?. :I OIL'. F;!3T/LL THE 3YSTE. iN ACCOIT.DANN VIDA: ALL :1/1A COOTS 1,.ND REFiULATIONS SOsPLIAPC TITN THA DTSIAPI CRITFIA TF THIS PEA'EATT. , I VILL ADNF11. To ALL MJA AND FFTTS OF ALASKA P!'_OUTEF'-NT.Y }N TNT SIT F.ACK OTOPCSS f: -O- I ANY EXISTIY NOEL, VATE:NATYA DI3PTSAL NY5TI.M DE PUULIC SIATA6S.EYWM ON THIS CT ANY ADJACINT OR F,“TAFP3Y LOT. IF A LIFT STJTOT TNsTALLAF ITS AN ijC.A COVSNFD AY )1,,OA. PJILDING CODES, 11 (1)SL'LCTICAL PFFHIT PTY), INSPECT:FUN RUSTYAI CdTAINE); AS-HUILTS WILL NOT LE APPP;TVAE SJ1HOUT AN EL:iCTAICAL•INSPECTIO1 D,PPORT; RLD (3) TH YELCfPICAL MTF:Y RiUsH LY LILSNSFA) c:LFCLTICIAN. SINFP-p AP:)LILANT: iF.GYIA.F1HA KOshLF; ISSUED TY i'm1 MUNICIPALITY OF ANCHORAGE• � `f 1� \ 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 �,e S PHONE 1 • NEW IIYrX--J`pUPGRADE ((% MAILING �; ESS 1 Cm f d _ 5 ' S t 1q/nec>//f� Sel'/9Ix -.!E' LEGAL S N / /JJ `gyp/ 341» 5 9 WJ LOCATION NO. OF BEDROOMS`'/ SEPTIC TANK DISTANCE TO: Well Absorption area Dwelling PERMIT NO - �– / �, Manufacturer (^i S y/`J c G' """'''"""��, M eryee / No. of compartments Liq.&@ppcitgglfonix �z� ( Ll IFlHOMEMADE: Inside length Width/ Liquid depth o Y S z F DISTANCE TO: Well in ` Dwelling PERMIT NO. Manufacturer ii / T Material Liquid capacity in gallons TILE DRAINFIELD TROPI*H DISTANCE TO: We2.00 � Foundation NearestltineA PERMITf Y)'./C � No. of lines Len3213fre Iats ^ Total /bof knep. Trencyida —t� inches Distance vie Top of ,iiy tc/finokt gr de 1,4-iabenLea sfe P / / P nches Total effe otabsor ' n area SEEPAGE PIT Length Width pth PERMIT NO. Type of crib Crib diameter ,/ irib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line WDISTANCE Class _LppjiyAn. Driller Distance to lot line PERMIT NO. TO: Building foundation Sewer line Septic tank Absorption area(s) J OTHER a PIPE MATERIALS SOIL TEST RATING® /%7C / —4 INSTA R N xcaac� .. i —4 yes tin . R E`,.MAAR Y L:7 /�- re _ _fir L 7-..5 r /j .J/� -.�{j' e ore fit F /(J(&J C.,0. /N D . x/s7 vv 3,- , .4 LEP- cc1 12407c.1/ 1547 y;9 %C7LC/-e AP cal kjLv (. J r / _ U/X At AZ Aly -OV /�i��(��( ///�/�77y�7yA/TEE // /// 2-7 / _ LEGAL tt u. ir. I nti 'IN�''l iC 75 ii, j vt�t^ �L.°^�rG"a Cyia a I 7/ai. 72 013/(Rev. 3/78) 7 Ave 3 1MUNICIPALITY OF ANCHORAGE Department( E Health and Environmenta' 2rotection 825 �, Street, Anchorage, AK. .9501 264-4720 * # HANDWRITTEN PERMIT * * WCEL AND/OR ON-SITE SEWER PERMIT 7 o Sr -5 Permit # Applicant: Location: �e Q._ 44 or Mailing Address: S12 8 06y Phone Number: Legal Description: T/5 Ai RI L) S, c- 39/2 Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: ( _ Seepage Bed: Holding Maximum Number of Bedrooms: Soil Rating(sq.ft/br) DEPTH The length depth of a the bottom The gravel the bottom * * Tank: /ZSR The Required Size of the Soil Absorption System Is: LENGTH / GRAVEL DEPTH / WIDTH dimension is the length(in feet) of the trench or drainfield. The trench or pit is the distance between the surface of the ground and of the excavation(in feet). There is no set width for trenches. depth is the minimum depth of gravel between the outfall pipe and of the excavation(in feet). 0,L, 0 REQUIRED SEPTIC(HOLDING) TANK SIZE =.2e1(--____L-n. GALLONS Permit applicant has the responsibility to inform depaktment during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * * * TWO(2) INSPECTIONS ARE REQUIRED * * * 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 is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: I am familiar with the requirements for on-site sewers and wells as (1) set fe by the Mun' ipality of Anchorage. (2) I w 1 install the Y stem in accordance with codes. (3) I nder- ":nd %y_/he on-site sewer system may re uire enlargement if remodeled to include more that bedrooms. Signe plicant SWP/024(1/81) v d_ Issued by: Date: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 PERFORMED FOR: c C SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION: 230 ❑ SOILS LOG ❑ PERCOLATION TEST J • " Cogait uo DATE PERFORMED: /A//13 cc_ r,s '/ SITE PLAN Pa'dENCOUNTERED? - ter SLOPE COMM NTS & C- Gl/ 2 PERFORMED BY: 72-008 (6/79) WAS GROUND WATER 0 / / E IF YES, AT WHAT E DEPTH? a 5 7 Ha/ Fz- Reading Date Gross Time Ne Time Depth o Water Net Drop • F. A f PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT �z©62F'SPA'_ ms . a t &0INEMING IT3 1w{�a f,1 r S:C AC37fj CERTIFIE DATE/ ADEQUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK ROBERT A. SHAFER Ms. Dee Hayes Crosswind Realty 511 E. 45th Avenue Anchorage, AK 99503 Re: L34A; S4; T15N; R1W Dear Ms. Hayes: November 15, 1983 CIVIL ENGINEER 694-2979 A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank could not be pumped due to an obstruction in the pipe where the pipe is joined to the tank. It will be necessary to have the tank excavated to correct this deficiency before pumping can be performed. The seepage pit was pumped and, after a period of approximately two hours, the water level in the seepage pit had not reestablished at the previous level prior to pumping. It is assumed that the static water in this seepage pit will be maintained at this level as a result of the high water table in this area. It is not possible to consider the seepage pit adequate as long as it is draining into the water table. It will be necessary for the work to be performed on the septic tank, as I noted above, and the seepage pit replaced with a SRB 196X EAGLE RIVER, ALASKA 99577 Dee Hayes Crosswind Realty November 15, 1983 Page 2 shallow bed system and a lift station to eliminate the possible contamination of the water table. If we co an be of further service, please do not hesitate to us. Since , P.E. Municipality of Anchorage Department of Health and Environmental Protection GREr TR ANCHORAGE AREA BOi `I,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME kiwi( 1AKNor MAILING ADDRESS BON it- C sgznn.w 4< LOCATION & gales, Recut PHONE LEGAL DESCRIPTION LIT y recr q nto S' , SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER CrACK lTtCLa INSIDE WIDTH NUMBER OF MATERIAL Creel- COMPARTMENTS 1 LIQUID DEPTH LIQUID CAPACITY /zs O GALLONS. SEEPAGE PIT: NUMBER OF PITS �/ LINING MATERIAL l.& , DIAMETER 1,71 BUILDING FOUNDATION CRIB SIZE: OR WIDTH 2t1 LENGTH Zit DEPTH /S, DIAMETER 0 DEPTH IQ_ DISTANCE FROM: WELL TOTAL EFFECTIVE Q(t/ NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ` 0q SQ FT ADDITIONAL ABSORPTION WELL: TYPE Dr"; ( led CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL APPROVED A -pp comb NEAREST SEWER LINE DEPTH ' S DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM OTHER SOURCES DISAPPROVED REMARKS DISTANCES - DIAGRAM OF SYSTEM INSTALLED BY•• dieeto UULlPf4��(1!u U PIPE MATERIAL• Coq Tzar, LOT SLOPE: Le""/ REMARKS- - ue�� Form No. EQ -031 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 • PERMIT NO SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT Y 130X 12- c;41 NAME OF APPLICANT 1 12ANIZ YAt:No'T INSTALLATION LOCATION 0 3L'Rk, 1Zog6I LEGAL DESCRIPTION for Sq �Q-cr 4 MAILING ADDRESS PHONE VUi- L/18 to u) S. N - INSTALLATION OF: SEPTIC TANK 4� �ILggq, e1 SEEPAGE PIT , I.' Il, . DRAIN FIELD TYPE AND SIZE OF FACILITY TO BE SERVED 1 44 ntj �L"�(`+ 1`�`�'I �'7 'nd0� � I I- A �/1 FINANCED THROUGH rrr(((777n 1.`' TO BE INSTALLED BY 1 I�0� «. ` /rM OA AN SOIL TEST RESULTS I��'�u LKCL COMPLETION DATE ANTICIPATED , OTHER NOTE: THIS PERMIT IS NOT VALID. WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE `- SO TYPE Sreei' ov SEEPAGE AREA SIZE 5611 rv'Tn TYPE ✓eyT1ET4 PIE %Gree MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT �I SEPTIC TANK TO SEEPAGE PIT WALL I S" DRAIN FIELD I SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK 10 OI SEEPAGE PIT 100 DRAIN FIELD ALSO CONSIDER AREA WELLS WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ('� SEPTIC TANK, ' 00 TO RIVER, LAKE, STREAM SEEPAGE PIT /OO' DRAIN FIELD 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 FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL. BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM I5 IN ACCORDANCE WITH SAID CODE. • n , ^,, ,,,,/? DATE l%/97g APPLICANT'S SIGNATURE • C/ ✓lo--9/aA�I'�-✓/ 1 0 b• E EIViINEERING Ft DEVELOPMENT ca Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Russell Oyster - Earl Ellis 694-2774 333-5240 Civil Engineering Surveying Soils Et Foundations Land Development SOIL LOG 1/2 -72 -to.) \4- Performed for: Name: Te -;c1. -ca -C, \'‘•e.rTel . No. Lf 4- Z461) Mailing Address: rrx 1 Legal Description: cse 1} 4 1 -VA 1 '�\\1.i � \ .82", Qw€t Depth (feet) Soil Characteristics 0 1 2 3 al.) 115- CZ -Ns - �wu - Vsa7 et_tc .1 4 Lea 5 6 7 8 9t_. 10 (�\+<Z� ^ Gc��vr�t Csg�hc' It ' Vrs2../ t i 11 0._cs t -sem \&' 12 IA - Ground Water Encountered: Yes No Y If yes, what depth Proposed Installation: Seepage Pit I/ Drain Field Comments: r \/\moi %/thSutZ41) tt " Zit \� �i„A tJ` CX\4,1-0 neerN\ � rr�4ASt>Q� —e �Am ,Vd 1�€ c4. ZJt• r41`X'\r,K o2 1;WC)),trYt ari34'. �\ \et\ctNCrr t i\2` Performed by:7-7 its)Date: \3 avo-y \Gv)4 L 1,--E, r , ,,r,, DEPARTMENT OF NVIRON L DUPLA 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Ne.N,;)fea Exc. Performed For May Crain Date Performed 9-/7 -72_ Legal Description: Lot 3y Block Subdivision Sec, q ns -N f?/iU SM This Form Reports Soils Logo Percolation Test Denth ��Feet Soil Characteristics 1 To ?so'. % (o -'/i' 2 'a,° Sa �4 Crauel ('i -2.) b 3 is D n c S;14 1/2, Graue-I (2 --it) QM 5 °/ z2y- a F4 7 R I/ G 9 i�' 10p gas Ground Water Encountered? 4/p If Yes, At what Depth? I Reading T Gross Time 1 i— Denth to H2O I Net Dron i a� , i 1 1I i 1 i t+ JI j - I I I 1- 1— 1 I - 1 i J til ir 11 1 L, j ' i I I l I Reading T Gross Time 1 i— Denth to H2O I Net Dron i a� , i 1 i 1 i t+ JI j - I I I Reading Date Gross Time I Net Time Denth to H2O I Net Dron t+ JI I 1- 1— 1 I - - Percolation Rate Minute Proposed Inst.a1lation: `e oaa:> Depth of Inlet • COMMENTS: Pit Pr_Iin Field Depth To Bottum Of Pit •Or Trench. .: Test Performed By i Data T a Corti +- e,l RV: cm, /Th, LOG OF DRILLING by A & L DRILLING COMPANY OWNER OF LAND ./'RC/9n Y n g, tie -/- ADDRESS WELL SITE DATE—STARTED /9. 410 ) DATE—ENDED DEPTH OF WELL STATIC LEVEL OF DRAW DOWN FT. GALS. PER HR. KIND OF CASING / WATER FT. / Ir 2O 74 0 6 oD KIND OF FORMATION: FROM FT. TO ..t: n34/14 3 62/C in/4db! /1/ b FROM .01 FT. TO g FT..541.1g2/ h-rotcricriom /L/ r FROM 4,2 LT FT. TO FROM .4L.9 FT. TO C57 FROM C'I FT. TO trcfr FROM C FT. TO PA/ FT.PnR:se Pitin FROM ........ FROM FT519:21-2 egliCACILFROM FT.r..57(ind FROM FROM.421 FT. TO / a y Ettypynd tei9064nom FROM. 43 / FT. TO jiza) 63,ED FROM FT. TO.fil cVrrelendgzovv. FT. TO.../e1.9-• FT L., rfr FT. TO FT FT. TO rr FT. TO F1' FT. TO FT FT. TO FT FT. TO FT MISCL. INFORMATION: 41 „OR- v Eho ?ed. Ries cs-i69-1,4 cse- DRILLER'S NAME ot-t-C.v J7.2./1/1717q November 3, 1983 Jack R. Yarnot c/o Crosswind Realty 511 E. 45th Anchorage, AK 99503 Subject: T15t, it16V, S4, Lot Approval for the individual sewer and water facilities cannot be .ranted until the follow n- items have been completed: The top of the well casing should be sealed so that it is �/� water tight. rV Exposed electrical wires to the well head are in violation ol" the Kiunicipality of Anchorage codes and must be encased, I The septic tank pumped with a receipt submitted to this department. Locate and expose the cleanout to the seepage pit and/or leaching area for our inspection. This is to insure the minimum distance requirements are met between the well and sewer system. o An adequacy test needs to be performed on the existing. leaching area This test will determine if the system is. �' listing 3-2!' . adequate according to National Standards. enclosed. Ttk'_ is test report private firms performing the te°, `• heeds to he submitted to this office for our reiiew. A Please notify thio- Dybartment for a r'eltl:i "NliOn when the nrced disetepcnncies have been cr)rr.rvitnil Ir.there are any further questions, PL<_.- ase call this office at 1.-b;-4720. Sincerely, Cory Willis, A.S. Acting Seeder is Water Program :Manager Enclosure cw8/ej/G1 Municipality of Anchorage March 5, 1986 r-� P.O. BOA 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: T15N R1W Section 4 Lot 34A Waiver Request, WR86-030 Dear Mr. Moore: The Department has considered your request for a waiver of the separation distance requirements stipulated in 18 AAC 72.021. You have requested a waiver of the 100 foot separations required between the septic tank and well and the lift station and well on the subject property. A waiver of these required separation distances will be granted if either of the following conditions aremetprior to June 15, 1986: (1) Groundwater is shown to be a minimum of four feet below the base of the existing septic tank. This determination should be made during the seasonal high groundwater period. (2) The existing (or replacement) tank is verified as watertight. Inlet and outlet of the tank should be equipped with watertight couplings. The tank must be replaced if leakage or significant corrosion is evident. Upon satisfaction of either of these two conditions, inspection reports and/or monitoring results should be submitted to this Department. At this time; the 100 foot separation distance required between the well and septic tank, and the well and lift station will be considered waived to 80 and 97 feet respectively. Sincerely, Y Stephen S. Morris Civil Engineer On-site Services SSM/ljw 113 CIVIL & ENVIRONMENTAL ENGINEERING THEODORE F. MOORE, P.E. PH: (907) 345-1355 NO11D31ONd lb'LN3WNONIAN3 • ENERGY CONSERVATION & ANNOLYYaSO U11b3H JO 'ISO400LHFA. ANCHORAGE, ALASKA 99516 February 28, 1986 M.O.A. Dep't. of Health and Human Services P.O. Box 6-650 Anchorage, AK 99502-6650 Attn: Steve Morris Re: Waiver of separation criteria, L34A, Sec. 4, T15N, R1W, S.M. Dear Mr. Morris: By means of this letter I am requesting a waiver down to 80 feet for the separation distance between the well and the septic tank, and a waiver down to 92 feet for the separation distance between the well and lift station on the subject property. Relevant back-up material is attached. The well, 1250 gallon septic tank, and a seepage pit were installed in 1974. Despite the fact that the permit specified a 100 foot separation, the tank was installed 80 feet from the well. The installation was inspected and approved by the borough on 7/15/74. When the seepage pit failed an adequacy test in 1983, the system was upgraded to a wide drainfield dosed by means of a lift station. The septic tank remained in it's original location. The lift station cleanout is 97 feet from the well, and the drainfield is outside the 100 foot protective radius. No waivers were requested or issued. Health Authority Approval of the system was granted on 12/5/83. The well log shows two impermeable strata above the water - bearing aquifer: a hardpan layer between 25 and 49 feet, and a clay layer between 131 and 140 feet. These can be expected to offer good protection from the possibility of contamination making it's way down from above. I measured the static water level in the well to be at 130 feet on 2/14/86. This water surface is 152 feet from the septic tank, when measured along the slope. The ground surface in this area is level, meaning that contamination from a leaking system would tend to diffuse radially rather than towards the well. At the time of my inspection there were no signs of surface leakage or problems associated with either the septic tank or the lift station. An adequacy test of the system will of course be performed before it receives final Health Authority Approval, but the owner wishes to clear up the separation distance questions before commissioning an adequacy test closer to the time of actual sale. It is my opinion that the relatively minor deviations from DEC criteria, the fact that we are dealing with enclosed tanks rather than a soil absorption system, and the two impermeable layers between these tanks and the aquifer all support the granting of the necessary waivers in this case. Please give me a call if you have any questions, and I shall look forward to receiving your decision. Sincerely, T/ 40-nc. Ted Moore, P.E. cc. Marianna Koehler, Today's Real Estate B. Oldenberg, Chem—Exec Relocation Service Th MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date May 6, 1986 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 34A; Section 4; T15N; RIO); S.M. Location (address or directions) Vaxnot Road (b) Applicant Name Marianne KoehLea Telephone: Home Business 688-3999 Applicant Address Mite 21 OLd Glen Highway, Chug.Lafz, Atasha. 99567 (c) Applicant is (check one): Lending Institution 0 ; Owner/builder 0 ; Buyer 0 ; Other I (explain); (d) Lending Institution Chem -Exec. Retocaii.on Telephone Address 600 Montgomery Sttee-t, Suite 1720, San Ftanei.3co, Cati4okn.i,a 94111 (e) Real Estate Company and Agent Today'.6 Remy Address Chug.Lah, Ata6ha 99567 ((Telephone (f) f the HAA to the following address: S & S EngLneen.ing SRB 196X Eagle R.Lva, Ata4ha 99577 2. TYPE OF RESIDENCE Single -Family Multi -Family 0 Other Number of Bedrooms 4 3. WATER SUPPLY Individual Well ISD( Community 0 Public 0 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite EX Public 0 Community 0 Holding Tank 0 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 (11184) 5. ENGINEERING FIRM PROVIDI.... INSPECTIONS, TESTS, FILE SEARCH, DP. (A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Telephone ��d-29? SR B 196X Address Date EAGLE RIVER, AK 99577 JUI a 0 6. DHEP APPROVAL )�,��,��� �y Approved for "fo"-r bedrooms by -r`�"`-7/�" —'' ed- (a''"'"bate Approved �� Disapproved l/ Conditional Terms of Conditional Approval g'm�-43(0 CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work: Page 2 of 2 72-025 (11/84) :00bc" MUNICIPALITY OF ANCHORAGE (MOA). �\� c04Noclitcs O4 HEALTH AUTHORITY APPROVAL (HAA) �U\,\Ga jwMENtP� 200 �a CHECKLIST - FEBRUARY 1984 2720 01\F \O -'j 01\( Legal Descn ion. L 3 ` 4 ` -4 -7;0-,c/ A. WELL DATA 0 Well Classification �L/✓i�fd If A, B, C, D.E.C. Approved (Y/N) .4 Well Log Present 6 It Date Completed Gtlo /l%7 Yield 7 S 9:N+ Total Depth /WB' Cased to /y8 / Depth of Grouting /14 Static Water Level / /A 7 Pump Set At l'/ Casing Height Above Ground /i N Sanitary Seal on Casing 'I Electrical Wiring in ConduiyJ n Depression Around Wellhead (stay Separation Distances from Well: To Septic/Holding Tank on Lot 8a , ; On Adjoining Lots /do To Nearest Edge of Absorption Field on Lot /00 1` ; On Adjoining Lots /00+ To Nearest Public Sewer Line /) To Nearest Public Sewer r� Cleanout/Manhole To Nearest Sewer Service Line on Lot '- Water Sample Collected by SIG E t6ib-4t -t'^t(-- ; Date 1-/-72.4..) '3 c. Water Sample Test Results Comments B. SEPTIC/HOLDING TANK D TA 7 730 g6 Date Installed 17 -kr 7/'Size /76-21 ''.Gd Standpipes/i)1 4%Nuvq Air -tight Caps )— Foundation Cleanout (r Depression over Tank Date Last Pumped -h-- 2 o G Ne Pumping/Maintenance Contract on File (Y/N) .4-174 for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well So To Building Foundation To Property Line 2.....e.) rr To Disposal Field /0 7 To Water ainfService Line MMTo Stream, Pond, Lake, or Major Drainage Course 0 -16I - _Comments .4" NEP) /25t 6-flt f/Iv( G7 7-m Ai ( £re22 J /AJ1-? 14.1„E� /97 77-N r 77 fil if it C GL 0 7.'M J'c ,t JitS ,eafa JE,D- 2fi /1/4 /7'D LS .5 7H,eu at -r -7-41-S rnx/�. 7H/$ M4T a Lie /4 Syge0le 7 e-) 1-'&x '731 el-Ay/2a_ Dls 7. Page 1 of 2 NQ of Compartments I 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /Zs 1�eg Type of System Design Date Installed N. z /- 63 Length of Field % 7 r i Width of Field S Depth of Field 7 Gravel Bed Thickness / TA Square Feet of Absorption Area S� Standpipes Presents Nj Depression over Field WO)) Date of Last Adequacy Test 7 Z 2 -6 6 Results of Last Adequacy Test -Sfi- r i3—e-rn/Ly, %Yt. V ,2,c Separation Distance from Absorption Field: To Water-Supply�" Well v To Property Line /b '# To Building Foundation 24.To Existing or Abandoned System on Lot Z /# On Adjoining Lots To Water-Mtn/Service Line 3o 4-...// Cutbank (if present) ~/� To Stream/Pond/Lake/or Major Drainage Course 4-1re- ToDriveway, Parking Area, or Vehicle Storage Area 0 Comments D. LIFT STATION Date Installed / Z-/--8 3 Dimensions Size in Gallons /.Z-• Manhole/Access "Pump On" Level at 36"io.— 36 "-,4 x /z6, Per "Pump Off" Level at Ya n /2,0 4-t -zs..-- High Water Alarm Level at 97" c�..6i' Vent.('r Tested for S-2• .6 6,ft ,ir Cpe /2 Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) (1OL>CS .'/0r ar0oti2t r /A ryas A-CIj /16-0,›E /C rerrd/yi C1/ 4*Ore .75 Comments 40 e- lz" to 97 ' ,c � 1�t�c. ����� ** Check Permitted Bedroom Rating Against HAA Request'" I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed 5 & S ENGINEERING Date JUI 2 9 1986 Company_ SR B 196X MOA No �S— OC)3 EAGLE RIVER, AK 99577 Receipt No 400 / 00 2C Date of Payment 5273i/ E6 Amount: $ 6 Page 2 of 2 72-026 (11,04) rte\ /V' unicipalily or Anchorag August 6, 1986 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Robert A. Shafer S & S Engineering SRB 196X Eagle River, Alaska 99577 Subject: T15N R1W Section 4 Lot 34A Waiver Request, WR86-030 Dear Mr. Shafer: The conditions outlined in my letter to Ted Moore have been satisfied. Waivers of the 100 foot separation requirements have been granted for the well -to -septic tank and well -to -lift station separation distances. These distances have been waived to 80 and 97 feet respectively. These waivers are valid for the existing four bedroom single family dwelling only. Any modifications of the septic system will invalidate this waiver. Future approvals of the septic system may require a re -inspection of the tank and lift station to verify that they remain watertight vessels. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw 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 WASTE WATER DISPOSAL SYSTEM DESIGN ROBERT A. SHAFER July 30, 1986 Maniei.pality o4 Anchonage Department o4 Health and Human Services 825 L Street Anchonage, Alaska 99501 ATTENTION: Steve Morris CIVIL ENGINEER 694-2979 MUNI CIPgL�ry ANCHORq�L, ENVIRONME P HEALTH g NTAL PROTECTION !JIJL 3 : 1986 RECEIVED REFERENCE: Lot 34A; Section 4; T15N; R1(U; WaLven Request WR86-030 This letter is in &eply to your tette& to Flattop Technical Se&vices dated Manch 5, 1986. In o&de& to satis4y the &equinements 40& the waive& requested by Flattop Technical Senviees you& option #2 was implemented. The existing septic tank was excavated and 4ound to have signi4ieant eon&osion above the watek tine. The tank was pumped and 4emaved and a new 1250 gatton septic tank was installed pen the attached .inspection report. The .inlet and outlet o4 the tank and all cleanouts to the tank we&e equipped with watek tight couplings. Request you grant a waive& to the horizontal sepa&ati.on distances as previously discussed and that you app&ave the attached Health Authority Approval application. 14 we may be o4 4urthe& se&vice, please contact us. RT A. SHAFER, P.E. S/ss SRB 196X EAGLE RIVER, ALASKA99577 • MunicipahlLy of Anchorage March 5, 1986 P.O. BU. .96650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: T15N R1W Section 4 Lot 34A Waiver Request, WR86-030 Dear Mr. Moore: The Department has considered your request for a waiver of the separation distance requirements stipulated in 18 AAC 72.021. You have requested a waiver of the 100 foot separations required between the septic tank and well and the lift station and well on the subject property. A waiver of these required separation distances will be granted if either of the following conditions are met prior to June 15, 1986: (1) Groundwater is shown to be a minimum of four feet below the base of the existing septic tank. This determination should be made during the seasonal high groundwater period. (2) The existing (or replacement) tank is verified as watertight. Inlet and outlet of the tank should be equipped with watertight couplings. The tank must be replaced if leakage or significant corrosion is evident. Upon satisfaction of either of these two conditions, inspection reports and/or monitoring results should be submitted to this Department. At this time, the 100 foot separation distance required between the well and septic tank, and the well and lift station will be considered waived to 80 and 97 feet respectively. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw 1!3 • .. APPLIC "NT FILLS OUT UPPER HAr ONLY 7 yi k/V 0 y" _ / / 47 Phone . j'G I - 2 2-7- 0,i) :: `. ce}/ / ,,E49 `yam ,,_- 7/2V �j / Mailing Address <�,5 _ /`/i,�^^�`'� 5-,-2,-, !-2— Zip Code .5 ��.� _f�i // / Buyer 1�/////'/ a'!/ P c, /I/'1 e TLS /'% //`*o LV tS• k tr2 , 6zy 4f /l0 . Address 'r d i� Zip Code Date Lending Institutions 4 /,i;'.7 4//1S/7 4117 /SS(46cci %. i -, . G lid/c E 2 Zip Code -->115177 Address Phone T o .0-7_3'Realty / Co. & Agent ,e 0 ' /, // i7 c-/�r--.99 / T-? 7C� 7cr // 4 yrS Address i,-- yt /-S : ir Zip Code Phone ,57::;/-2.233 i-- fL,, Legal Description --p--, `b. N' "J / (if 5 41--, 4/1 (-.37 7 �/ - 4 Street Location ')c V- S7 / f-' `J _1__. _ _ - -/?c / , i/ <- CIL' e c:. // //7F Type of Residence Single Family ❑ Multiple Family No. of Bedrooms 'CONDITIONS OF APPROVAL - - ❑ Other Water Supply :Individual ❑ Community _ (11 Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date,�givey+ell depth (attach log if available). 4 1-1 Al r // 7 c/ - ( / % 7 ri \1 Sewer Disposal . Individual ❑ Public Utility ❑ Holding Tank Year Individual Installed- ' / / -;(,/ When Connected to Public Utility: Well Log Received /j/- 1 NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 1- 1 Y11\/d.i '— .3 lvN✓\ Time Time 1 Time Time Date Date Date Date Inspector Inspector Inspector Inspector /J I t 71 VV/.S. Field Notes: �v-1 W. p Q�Q MUNICIPALITY OF ANCHORAGE II-- DEPT. OF N`-t'!-TII F. 2 0 Y� - ENVIRONA`NT AL PROTECTION Ctc. \,\,.eQ�' c0ga i ("4 -tag" apo-sa-ci � za tin 2 Li t-+ CM_ 4 clLiaj- , toc( . c. a . RECEIVED (`{) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' 11_s83 DATE ` 'CONDITIONS OF APPROVAL - - BY: 0—Aa- 'Rs _(`1 Soils Rating Date Sewer Installed '/ 7 ✓ -/ -7'4 Well To Absorption Area Well to Tank />6 ' Well Log Received /j/- 1 Septic Tank Size / ICC) ` 72-023 (3182)