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KNIK HEIGHTS BLK H LT 16
Municipality of Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SEF{VlCES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: .-.~ ~ 'x,°~ L~''~) ~O~ PID Number: _(.~.~_~'~ - '~' ~' Nar"e:-~7/~'-'¢X-/ ..~:,~.~Z~.~C'~'.,~- Wastewater System: [] New [~pgrade Address: /~ ¢~/ ,,~,,¢~.'~,-¢¢_~,¢~,~ ABSORPTION FIELD Phone~¢/_ ~/~ No o~(drooms: ~eepTreoch ~ Shallow Trench E3Bed ~Mound ~Other LEGAL DESCRIPTION sci, Rating: Total Depth from original grade: Lol: /~ Block: /_~ Subdivision:~2~ ~h~ Depth to pipe bottomfrom originalg~ade:~/~i~Z ~¢/ ~ ~ Ft. Gravel depth bene~ pipette. Ft. Township: Range: Section: F~l~¢¢~&dded above o~iginal grade:: Gravel length: '~~~~ Number of lines: Distance between lines: ~ New ~ Upgrade Gravelwidth: ~ Ft. ~ /~ Ft. Classification (Privale~. Total Cased To: Total absorption area: Pipe~aterial: % ~ Depth: Ft Ft *~ SQ. Ft. '~ ~'~ ~ ¢ I Driller:~~ Slatic Water Level:Ft. Ins~¢/.. ~ ,~ Date installed: o~z ~, ~ TANK SEPARATION DISTANCES ~i~ ~ ~¢~i~ ~ s.~.~.~. TO Seelic Absorption Lilt Holding >ubllc/Private Manufacturer: ¢ Capacity in gallons: From Tank Field Stat,on Tank S ..... Li .... ~¢/¢~~ ' : . Number of Compartments: Lot , ~ Size in Ballots: ~ Ma~ Line ~¢ ~ ~ ~ ~ "Pump on" level at: "Pump off' ,e¢~~water alar O~,::~n ~:~ ~ ~. ~ ~ Pump Make & M0de, ] Electrical ,nspeclions pe,formed by: ~ ¢¢'¢~' BENCH MARl( Remarks: /~ ~x~ ~ Location and Desc~ption: C' I Assumed Elevation: ~." A "'~,~ Inspections performed by: ~ ~~ Dates: 1st ¢~~. ,~..i~2~.~""%~'"' "~=~,,,,~}¢~.~'~'~; ' ¢ 2nd ~/Z~/ 9,~L D0~GL~BT,~ENLEY,'~ t'~'.. ~, ¢~, CE 8176 ., Department of He¢lt~d H~ervices approval ~,-~z. ..~ .ev da da rov - 72-013 (Rev 9191) MOA 25 Permit No, Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: ~-/o' ~'~ ,b/ ,L/~//~ /--//~-~/~--J PID No.: Permit No. Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report PID No.: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940190 DESIGN ENGINEER:DOUGLAS T. KENLEY, P.E. OWNER NAME:SMELKER HOGAN H & JENNIE P OWNER ADDRESS:13326 RIDGEWOOD RD ANCHORAGE, AK 99516 DATE ISSUED: 6/22/94 EXPIRATION DATE: 6/22/95 PARCEL ID:01737216 LEGAL DESCRIPTION: KNIK HEIGHTS BLK H LT 16 LOT SIZE: 43500 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: DATE: Tom Fink, Mayor un ieipality ol Anchorage Department of Health and Human Ser¥ices 825 "L" Street P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 22, 1994 Douglas T. Kenley, P.E. Hc 01 Box 6034 Palmer, Alaska 99645 Subject: Waiver Request for Lot 16 Block ~ Knik Heights S/D Waiver Request #WR940034, Permit ~SW940190, PID II017-372-16 Dear Mr. Kenley: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 7 feet. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. ~gC~ram Manager On-site Services ljw~7 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~[LAQ_~L~[PID# 017-372-16 HA# Date Received: June 22, 1994 Legal Description: Lot 16 Block H Knik Heights Engineer: Douglas T. Kenley, P.E. HC 01 Box 6034, Palmer, Alaska 99645 Permit Applicant: Hogan H Smelker Waiver Requested: Lot line waiver - 7 feet Criteria: 1. Geology: Points: A. Water Table B. Soll Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: ~O ~~ ~ Date: ~e' bf Reviewe[~ Rec ~: 00034/5152 Amount: $ 115.00 Date Paid: June 22, 1994 Douglas F, Kenley, P.E. HC0] Box 6034, Palmer. Alaska 99645 (9(17) 746-1073 May 23, 1994 Mr. Hogan H. Smelker 12901 Ridgewood Anchorage, Alaska 99516 Lot 16 ~ Block H, Knik Heights Subdivision Anchorage, Alaska PERCOLATIO~ TEST RESULTS AND GENERAL SITE INVESTIGATION REPORT On May 21, 1994, the above-referenced 43,500.0 square foot site was inspected in conjunction with soil per]{ t. ests being performed for application and approval for the installation of ail on-site waste water disposal system. The site is located on Ridgewood Road in Ar~chorage, Alaska. The system is being J.nstalled to replace an existing system present].y serving a single famlily, three-bedroom home. The system will be upgraded to serve a single family, four-bedroom home. The exist:lng 1,0O0 gallon septic tarlk will be replaced by a 1,2!50 gallon septic [;ank. The absorption field will be relocated. Tha site is on the east side of Ridgewood Road with a slope ranging from approximately 10% to 8% in the east~was't direction and 2% to 1% in the north-south direction. The immediate area that has been selected for the waste water d-isposal system has an average slope of 1%. The failed bed system is in the back yard, southeast of the existing deck. The proposed replacement site is in the front yard off the southwest corner of the deck. It appears that there are no obstructions that would prevent surface water runoff. The property is seuved by a private well. On-si_re observation and physical s~trvey show that there are no private or comm~lnity water wells within a 100' radius of tile proposed sysl;.em. No surface water was observed at tile time of the inspection. Two percolation, tests were taken at the site to assess the adequacy of subsurface soils to accommodate the replacement site waste water disposal], system. The results of these test are attached to th~s report. Mr. Hogan Smelker May 23, 1994 Page 2 Subsurface soils were found to be medium-dense silty sand with some gravel overlain by 12" of surface organics. The average percolation rate for the two 'test holes was found ho be approximately 6.2 re:inures per inch. It is proposed to put in a 2' x 6' deep trenc, h sysl;.em 'that ~[s L shaped~ with the first leg 25' and the second leg 39'~ for a total of 64', with a minimum of 3' of cover. If there should be any questions concerning the percolation rate or characteristics of the site, please call me at (907) 74~-1073. Sincerely~ . Kenley P.,~} PE#8176 e~ely 'eOeJOqOU¥ B3~'13~3 NVgOH 'BiN Z PERFORMED FOR: Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~ /cf -~¢'"~" /'// ..~/¢//c"/-~/a'/-/7~ownship, Range, Section: 1 2 3 4 5- 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH;' p E DepB to Waler After Monitoring? gate: SITE PLAN / I I I Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ¢ '/~ tminutes/mch) PERC HOLE DIAMETER .__ TEST"UN ~ETWEEN ¢~ ,T AND :___--T__,~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS BATE. DATE: -- (~ fi' T 14.~¢%~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION:/-'/~' ~"~¢/~" /~C,,'J,'.,~ -'~'?~' ~?Township, Range, Section: 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16 17 18 19 20 SLOPE WAS GROUND WATER /,,/.,~.¢~ ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E Depth lo Water Alter Monitoring? gale: SITE PLAN I lmll I Gross Net Depth to Net Reading Date Time Time Water Drop ~ ,, ~ -- ~,, ~ _ PERCOLATION RATE '~" ~ (minutes/tach) PERC HOLE DIAMETER TEST RUN BETWEEN '~7///'~'~ FT AND ~ FT COMMENTS PERFORMED BY: ,~-',~'4~'.~ ~. ,~--~/~)~.~'~," I b~'[~ T ~&,v~ERT~A~ THI~_¢ST ~ P~FORMED IN Permit No. Page _ ~ of ? Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: PID No.: / PERATROVICH, NO*H'INGHAM & DRAGE, INC. 1506 W. 36th Avenue ANCHORAGE, ALASKA 99503 (907) 561-1011 FAX (907) 563-4220 SHEET NO.. OF CHECKED BY DATE SCALE , E /p x Douglas T. Kenley, Pt,2 HCOI Box 6034, Palmer, Alaska 99645 (907) 746-1073 June 22, 1994 Mr. Jim Cross Municipality of Anchorage Health & Human Services On-site septic system approval Re: Waiver request for property line setback- Lot 16, Subdivision. RECEIVED JUN 2, 1994 iViunic~pahty el Anchorage Dapt, Health & Human Services Block ~, Knik Heights Owner: Hogan Smelker Mr. Cross This letter is to serve as a waiver request to decrease the required property line setback often feet as outlined in the Municipal guidelines, Upon inspection of the site and neighboring properties I see no adverse consequences of lessening the setback from ten feet to seven feet. The adjacent parcel, along this property line, is in excess of one acre and is presently undeveloped. The decrease in setback distance is to accommodate the required setback distance of 100 feet to the on-site water well Thank you for your consideration of this request. If there should be any additional questions concerning the characteristics of the site please reference the design application or feel free to call me at 746-1073 Sincerely, Doug~l T. Ke;lley, PE C.E. #8176 ~ IIea MUNICIPALITY OF ANCHORAGE n and Environmental Prote( Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-.4720 0 Il INSPECTION REPORT ON-SITE SEWAGE DISP()SAI. SYSTE~A SEPTIC TANK: i:ItC!L! VILLL . h!ANLJFAC t!IRER. _ ~ _ M,iI'[: RI,IL .............. COMPARTMENTS Il l'.JE [.ll[i(~lll. __ INhliiL Wl{)lll i I(}lJIl} DEPI'il ...... I tQUI[) CAPACI Y/~ _ GALLONS. 'FILE DRAIN FIELD: TOTAL LENGTH ._~ ,)~ i,,~i( ! I ~'>~i '~,'l [ I F OLI;HM~.I ION Iii Alii S] I ©1 (.INE __O:' lINE ......... ~¢ O~ LiltOS . l)lSi .,NEE ISE'IV/Ef{N LIF'~['5 ..... 1NEll(14 V,'ll)llt~ IN. TO1AL EFFECTIVE . ,,.~p F.)'4 /.~t ;' ~ .__ SQ. I F. t LNGFIf OF E. ACt! t IN[{ [)EPlll OF FILT[tt f %.L;I iii. ](pi' Or 11l i iO t ~ilb I., ~,x,x[ k!AIERIAL 13EliE Alii Tit. Il .O. _ _~. ABOVE TII_E ............ IN, SEEPAGE PIT: DI3ME'I Ei~ ..... OR WII')'Flt ..... LENG EH ~, DEPTH Log Crib ...... RJ. ngs Crib Size: NI,%N~L'II_R _ DEP~It ...... DISTANCE FF-'.OM: WELL 'FOI,~L Elf I ECTIVE F a .... 1Jo )t h. [ ..... ~ .-I .... ~ ............... ~-.-I -. ........... -- / , ~ . , , I / I .1. D~.~tdnc(. io: Lot LN~o f - ' f- , ' ; ' ' ! ' , '; t · ''~ , t--~ ' C~'t-'-t "'~"r~' ; .... ~ ; :~'i' "~ ' 'i M-i -'~': ...... ...... ......... . . . ; '~ /w ,. ,. . , ' I . , ; , , ........................... ' ..... , ' i ; :-1 ,~ ~'I'i i'. Well Owner_ DRILLING, DRILLING LOG INC. Use of We]] Loc~tion (address of: Township, Range, Section, if known; or distance main road Size of casing Static water level Screen ( .Depth of Hole ~! ft. ( Perforated ( ,'(-;(; feet Cased to. '~ ;;;, '~ feet (below) land surface. Finish of well (check one) open end ( Describe screen or perforation. Well pumping test at ;~ gallons per ~]i~[ir) of drawdown from static level. ])ate of completion "~ '",, // (minute) for ~ hours with WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness .TO j ~i .TO ~ TO. TO. TO TO TO _TO _TO. .TO. TO TO 2 -- STATE 1" ju JJi: !:ii::' iii;O ]: I,.. I:::fl?,ii::;OJ:~:li?,l' ill OJ",l :iii;"r%-i"l!ii:Jq :[ iii: ' J'tFO':i ]J: j'ji]j,t J",tUJ'q~ii:J~:J:;? OJ'-:' J::J',J'::¥:'lilu' [ J"li~: ..... ]] ;!:; l"l:;;:li!iZN(]:H (]:i t:;i: tiiiuZl'l"T 01"1 0 I:::' H]:D'Fi'I THE!: 'T'HE 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907-279-2581 October 10, 1977 W.O. flA18245 Grid 1!2836 Mr. Jeff McMi. 1]an 1203 "S" Street Anchorage, AK 99504 Subject: Subsurface Investigation, Lot 16, Block [{ Knik Heights Subdivision Dear Hr. HcMJllan: Transmitted herein are the results of the subsurface investiga- tion of the above mentioned property. The purpose of this investigation was to develop foundation recommendations for the pole type construction and to determine lot suitab%lity for on-site sewerage disposal. Included in this transmittal are: Vicinity Hap 'Pest Hole Location Sketch Test Hole Logs Explanatory Information Figure 1 Figure 2 Table A Sheets '1-3 The exp].oration was conducted usinq a continuous flight solid stem auger. The rig is owned and operated by Denali DrJ_ling, Inc. Drilling was supervisc~d, -the t~;st holes logged and percolation test performed by P~r. O.M. I-.tatch, geologist for A].aska Testlah. The logs of the test holes are i',;cluded as Table A of this report. In interpreting the logs, it would be helpful to utilize the explanatory information contained irt Sheets 1-3 of the report. Test Hole ~1 was placed under the planned building location as designated by you., No water table was observed and the soil at pole foundation depth consisted of frost-susceptibl, e Silty Sands and Sandy Silts. The following recommendations ~.z~"']i{ah~"~r a p[~]Y~-?'o~]{i{~ion at this locaL'ion: 1. Poles to be pressure 'treated. 2. Bo'ttom of poles to be minimum of 10.0 feet be]ow grade. Mr. Jeff McHillal. October 10, 1977 Page 2 o Bottom of poles to be embedded in a concrete base at least 12 inches thick and 24 inches in diameter. Bearing capacity of soil below concrete base to not exceed 6000 pounds per square foot. Poles must be protected from frost heave. Poles to be wrapped with two layers of visqueen. Backfill around pole to be clean, NFS (non-frost susceptible) sand. The soil below concrete base is to be disturbed as little as possible° Concrete should be vibrated with a stinger to create a soil cement interface between concrete and soil. Keep good drainage around the building. Water should not be allowed to seep down around the poles. This can be accomplished by: a) covering the area over the poles; b) good surface grades; c) backfilling the top 12 inches azound the pole with compacted silt. A percolation test was performed in Test Bole #2. The procedure used was not a standardized percolation test, however, we understand that the Municipality of Anchorage, Department of Public Health and Environmental Protection, recognizes this test and prefers it for e~aluation on on- site sewerage systems. The observed minimum percolation rate was 3.2 minutes/inch. This is much higher than we would expect from the Sandy Silt encountered in the test hole. Because of the tendency of these fine grained soils to "plug", we feel it would be prudent to use a percolation rate of 5.0-7.0 minutes/inch in the design of the system. This would require a seepage pit absorptive area of 135 square feet/bedroom. No water table was ~encountered in Test Hole #2 while drilling. It should be noted [~hough, that the free water level normally fluctuates seasonally and with precipitation. We hope this report meets your present needs. If you have any questJ_ons or if we can be of further service, please feel free to contact us. very sincerely, JRS: rb Enclosures ALASKA TESTLAB hD R. Schuring, J/.[~//~ T, i] FIG U l-'.10 t,. r'z L. OCAYION Test Hol~ #1 {2~pth in Feet From To 0.0' - 0.5' 0.5' - 3.0' 3.0' - 5.25' 5.25'- 9.0' 9.0' - 13.0' 13.0' - 21.0' Table A WO #A18245 ]}ate: 10-5-77 Logged By: O.M. Hatch Soil Description Brown Peat, Pt, damp, soft. F--4, brown Sandy Silt, ML, damp, soft to stiff, non-plastic. F-2, brown Silty Sand, SM, damp, medium to fine, medium density. F-4, brown Sandy Silt, ML, damp, stiff, non-plastic. F-4, brown Gravelly very Sandy Silt, SM, damp, stiff 'to hard, rounded particles to 3". F-4, brown Sandy Silt, b~, d~mp to wet, stiff to hard, non-plastic, with layers of ~.t_y_ Sand, SM. Bottom of Test Hole: Frost Line: Free Water Level: Remarks: 21.0' None Observed None Observed Soil observed to be wet at 16.5~ content then decreased with depth. only damp at 2/.0' Moisture Soil was Test Hole #2 Depth in Feet From To 0,0' - 0,5' 0.5' - 16.0' Table A WO rial8245 Date: 10-5-77 Logged By: O.M. Hatch __Soil Description Brown Peat, Pt, damp, soft. F-4, brown Sandy Silt, ML, damp, upper layer soft becoming stiff to hard with depth, non-plastic, trace gravel from 6.0'-8.0' and 10.0'-13.0' Bottom of Test Hole: Frost Line: Free Water Level: 16.0' None Observed None Observed SOIL CLASSIFICATION CHART 30% GRAVEL CLAY '; CLAYEY / iix CLAYEY / ~Z /51LTY / X h /SILTY /',~ GRAVEL. I_Y SAND SANDY GRAVEL 20 30 40 50 60 70 80 GRAVEl_ (+~4 SCREEN) % BY WEIGHT \ \ CLAYEY \./ SILTY GRAVEl_ \/ GRAVEL 90 1 O0 NONFROSF SUSCEPTIBLE SOILSARE INORGANIC SOLES CON'rAINING LESS THAN 3% FINER TFIAN 0.02 mm. GROUPS OF: FROST-SUSCEPTIBLE SOILS: Fl GRAVELLY SOILS CONTAINING BETWEEN 3 ABLE) 20¥¢ FINER THAN 0.02 mm. F2 SANDY SOILS CON-rAINING BI FWEEN 3 AND 15% FINER TI lAN 0.02 mm. F3 a. GRAVELLY SOILS CON rAINING MORE ] I IAN 20% FINEt/ THAN 0.02 rlql/q, AND SANDY SOIL.S (EXCEPT FINE SIL-[ Y, SAIXlI.)S) CON] AINING MORE I IIAN ]5% FII'~II-I/ TI-lAN 0.02 mm. b, CLAYS WlTII PLAS'rlCITY INDEXES OF MORE THAN 12. EXCEPT VARVEDCLAYS. F4 a, ALLSILTS INCLUDING SANDY SILTS. b, FINE SII_.TY SANDS CON'IAINING MORE 'rlIAN lb% IINER THAN 0.02 mm. c, LEAN CLAYS Wi rkl PLASTICITY INDEXI-S CE I.ES.% THAN 12, d. VARVED CLAYS, Test Hole Lo~ - Description Guide The soil descriptions shown on the logs are the best estimate of thc soil's characteristics at the time uf field examination and ,ts such do not ,tcbJevc the precision of a laboratory testing procedure. If the log includes soils samples. those samples receive an independent textural classification in the laboratory to verify the field examination. Thc logs often include the following items: _De_2)th Interval · usually shown to 0.1 foot, widtin that zone no significant chauge in soil type was observed through drill action, dkect observation or sampling. Frost Classification - NFS, FI, F2, F3, F4, see "Soil Classification Texture of Soil- An engineering classification of the soils by particle size and proporti'on, see "Soil Classification Chart", note the proportions arc approximate and modifications to the soil group dne to stratification, inclusions and changes in properties are included. Moisture Content - this is a qualitative measure: _dry, no t~r little apparent surface moisture, .di~ n~, moistnre forms portion of color, less than plastic limit, wet, no free water, often soft, if cohesive soil, s?turatcd, fi'ce water ntay be squeezed out, ifa free draining soil; al;latent at natural moisture content, ifn non-plastic silt or fine sand. (The moisture content is further defined by reference to PI, LW, NP, M%or dilatency.) Density -- refers to more-or-less non-cohesive soils, such as sand gravel mixtures with or without a fine fraction~derived from drilling action and/or sample data; usually described as: very loose, loose, medium dense, very dense. Genera] intent is to portray earthwork characteristics. Stiffness - refers.? more-or less cohesive ~oils and finegraincd silts of i'h~-clay-silt groups. Derived from drill action and/or sample data. Very soft, soft, stiff, very stiff and hard are commonly used terms. Particle sizc The largest particle recovered by tile split spoon is 1-3/8", Shelby tube 3", auge~ flights (minute.man) 2', Auger flights {B-50 hollow stem) 6"-8". Larger particles a~e described indirectly by action of thc drilling and are referred to as cobbles, 3" to 8", or boulders 8"+. Therefore when ~eviewing the gradation sheets, it' any, the description on the hole log must be considered for an indication of larger particles, Unified Soil Classification -- This is a two letter code. See Unified C-q;'~Ti'[c'~'[~l~T~e~,~-1'o'TTur'~tller definition. In some cases AASI'IO ~nd/or FAA soil classificatious may be shown as well as the uni(icd. Atterberg Limits - useful for fine grained and other plastic soils. PI: natural moisture content believed to be Icss than plastic limit natural moisture content believed to be between plastic and liquid l~nits L__w+; hat.al moisture content believed to be greater than liquid limit NP; non-plastic, useful as a modifying description of some silty mat/:rials, ?il_ai.e_~_c~ -- is the ability of water to Imgrate to the surfacc of a sattuated or nearly saturated soil sample when vibrated or jolted used as an aid tr. determine if a fine grained sail is a slightly or non.plastic Rock floRr- finely ground soil that is not plastic but otherwise appea~s sTfdil~F'(cF-a clayey silt. Organic Content - usually described as Peat, PT, sometimes includes a~t~ t;3.TG~ such as wood, coal, etc, as a tnodificr to an inorganic soil, Quantity desoibed as; trace, or an es:imate of volume, or, in case of all organic, - as Peat. This may include tundra, muskeg and bog material. Muck - a modifier used to describe very soft, semi-organic deposits ~u~)' occurmg below a peat deposit, Amorphus peat - organic particles nearly or fully disintegrated. Fibrous Peat -- organic particles more.or-less intact. Bottom ofTcsthole - intludes last sample interval, Frost Line - seasonal frost clepd~ as described by drilling action and/or samples at the time of drilling. Frozen Ground - other than frost line, described by samples, usually includes description of ~cc content, often will include modified Unii'~cd Classification t'o~ fit)zen 'soils this is a spec;al case related to permafrost studies. Free Water Level The free water level noted during drilling. This not necess,trdy thc stil[ic watcr table at t]lc time of drilling or at t~:hcr seasolls. Static water table deterlllinatiOll in other than very perlncablc soils requires observation wells or piezometer illstalla{iolls, used ollly special cases. Blowl6" -- The number of blows ora 140 weight free (ailing 30' to advance a 2" split spoon 6": t}~e number of blows for a 12" advance ~s, by definition, the standard penetration. ,,4% -- natural moisture content of the soil sample, equally not performed on clean sands or gravels below thc water table. ~t~Sre~is to 2" split spoon driven into tl, c soil hy 140 pound weight, a disturbed sample, ~, dfin wall tube, "Shelby" used to obtain undisttubed sampies of fine grained soil, .Q, "grab" disturbed sample from auger flights or w.dl of trench, ~, cut sample, undisturbed sample flora wall of tree*cb. ~Str~}[~th -- a useful indicator of a so;Ps clayey fraction, N=None, L=Low, M=Medium, H=lligb (;toE~ - The samples arc placed into al)palently sUni!ar gloups based on CoJor and texture and alc arbitrarily agSlgiIcd .i group letter, l?tll disturbed tests including A~te~lierg Limits, gram size. moisture densny MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 1. GENERAL INFORMATION Complete legal description Lot 16, Block 'H' ,_.-'Knik Heights Subdivision Location (site address or directions) 12901 Ridc~eway Road Estate of Michael Craig. Prope~y owner Mailing address Day phone Lending agency Mailing address Agent Remax/charlotte Schlosstein Address 2600 Cordova Street, Suite 100, Day phone Day phone 257-0106 Anchorage, Ak 99503 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: XXX Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing~to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: xxx Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA#21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Address Engineer's signature S & $ ENGINEERING Name of Firm 17C;4 .... ,~ n: ..... LccF Re:4 No. 20.t Eagle River, Alaska 99577 Phone DHHS SIGNATURE Disapproved. Conditional approval for .~,'.,'% ..., .~ ,.. ~..¢- '~&. ~' ,.~... ~l ~, ~.. ,~, bedrooms, with the following stipulations: Additional Comments .f;lqlt. ii 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 DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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. 72-025 (Rev. 1/'91) Ba~k MOA 1~21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: ~-~2' /~, ,' ! A. WELL DATA Well type ~/ Log present (Y/N) Total depth Sanitary seal (Y/N) Health Authority ApProval Checklist Date of test Static water level Well production If A, B, or C, attach ADEC letter. ADEC water system number Date completed / (~)~,~/L~. "~- Cased to------/~'/,~/~)-/" Casing height (above ground) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION /22. g.p.m, WATER SAMPLE RESULTS: Coliform --~'-- Nitrate Date of sample: B. SEPTIC/HOLDING TANK DA'r.~ Date installed (-~/2-~/¢~T'anksize /~ Foundation ¢leanout (Y/N) Y~ S Depression (Y/N) /%/0 II Date of Pumping ~ --/c'/'/¢¢ Pumper Other bacteria g.p.m. Number of Compartments ~ Cleanouts (Y/N) High water alarm (Y/N) bedrooms C. ABSORPTION FIELD DATA ~)~ Date installed ~/~..~/_/~,/¢v Soilratin~orfF/bdrm) ,,~ Length ~ ¢ Width ~/ Gravel thickness below pipe ~- ~ t,_ Total depth Effective absorption area ~ ¢ Monitoring Tube present (Y/N) ~¢ Depression over field Date of adequacy test _ ~/~//¢¢ Results (Pass/Fail)_ ~ ~5 For /~~- Fluid depth in absorption field before test (in.); Fluid depth // ¢/~/'(ins) Minutes later: Immediately afterZC-'7~cgal; water added (in.): Absorption rate = ,:?/_~ ?z- .g.p.d. If yes, give date ,,'V//~ / Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested~~ ,&/ //~F Size in gallons ~ / "Pump ~ "Pump off" level at* .~~* Datum E. SEPARATION DISTANCES Septic/holding tank on lot Absorption field on lot Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: Sewer/septic service tine / ~0/-/'- Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~/~ Prope~y tine /~ I~ Absorption field Water main/se~ice line ~ ~ Sudace water/drainage /~/~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water On adjacent lots On adjacent lots Public sewer manhole/cleanout Curtain drain / (/O //E~)/'7/- Water main/service line Building foundation ,/O/~//- ,/(~)~:)/'-// Driveway, parking/vehicle storage area ,/~:~/~/' /\/O, Az'~ ,~"/~ 0 ~-J',,',,/ Wells on adjacent lots ,/'O(~/7/-- ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records that ti~~ in conformance with MOA HAA guidelines in effect on this date. Signature ,= ",~ _= ENG!.NEER!NG 17034 Eagle River Loop Roa{~ No, Engineer's Name ............ , Date / · HAA Fee $. Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Municipality of Anchorage JUN 2 8 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MuNiCIPALITY OF · ( ~vmON_MENTAL SERVl6r,,~i/lJli~J~ 82,5 L Street, Room 502 · Anohorage, Alaska ggsoJ (,)07) 3~43:;4744 A. WELL DATA Well type P~¢! ~',z!/~(:: Log present ~'/N) Total depth ~--~ ~(-~ Sanitary seal (Y/N) Health Authority Approval Checklist Legal Description: .~'?.~' /.~, ,/'~O~0C~ /'V. /~'A///<///E'¢~/~.S'Parcel I.D.: , , Date of test Static water level Well production If A, B, or C, attach ADEC letter, ADEC water system number Date completed ,J O//~-/~ ~ Cased to /8~~-/.~-// Casing height (above ground) / Wires properly protected (Y/N) FROM WELL LOG , ? AT INSPECTION /2Z× g.p.m. ,~ ¢ ~ g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample'. B. SEPTIC/HOLDING TANK DATA Date installed ///~'¢ _ Tank size / Foundation cleanout (Y/N) Date of Pumping ~/¢/¢¢ C. ABSORPTION FIELD DATA Date installed ///:~ Length .~4' ! Width Nitrate C~), ~-' /1¢7//~.. Other bacteria co,,eoted by: ENGINEERING 17034 Eagle River Loop Road No, Eagle River, Alaska /~0~ Number of Compa~ments ~- Cleanouts (Y/N) Depression (Y/N) ~(~ High water alarm (Y/N) _ Pumper ~¢¢~RC ~ Soilrating(glp.d./ft~(J~ff_~/b,=.~d . /~- Systemtype '7 Gravel thickness below pipe ~_~ /Total depth Effective absorption area ~'//¢~)8 er Monitoring Tube present CN) ~ Depression over field (Y/~ ,'/~/'O Date of adequacy test _~'//~/~ ~ Results(Pass/Fail)//~ -~ ~ For ~ bedrooms Fluid depth in absorption field before test (in.); / /¢/* Immediately affer/~gal, water added (in.): Fluid depth er ~ ~'/ (ins) Minutes later: ~ ~. AbsorPtion rate = ~ '~- .g.p.d. Peroxide treatment (past 12 months) (Y/N) ~¢A/~ ~tO~ If yes, give date 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested Size in gallons "Pump on" level-at*' *Datum "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot / O~;) /'/- On adjacent lots Absorption field on lot /OO/''7L On adjacent lots Public sewer main /V //z~ Public sewer manhole/cleanout Sewer/septic service line /t'~('~ ×'7x- Lift station /\/ /~ / SEPARATION DISTANCES FROM SEPTIC/HOLDiNG TANK ON LOTTO: Foundation ~ /'-/- Property line /6¢? /~' Absorption field Water main/service line /Q/7~- Surface water/drainage ,/~/'~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: / /, Property line 5~. Surface water / O0 / Curtain drain Building foundation ~__.~¢'~ /-~ Water main/service line ~ / r~ Driveway, parking/vehicle storage area //~//~/~-7_.,%)~ Wells on adjacent lots ,/'~2~) /'-/' F, ENGINEER'S CERTIFICATION ~ c~rt~fy that ~ hav~ d~t~rmined thru fi~d insp~cti~ns and r~vi~w ~f Mun~cipa~ rec~rds th~8~r~.`~ ~ms are in conformance with MOA HAA.auidelir]~es in effect on this date. Engineer's Name ¢~ 0 ~ ~/z j ~, ~ c~4~ Waiver Fee $ Date of Payment ~ / ~- ~/L~.,~ Date of Payment .~/~ '~/?? Receipt Number ¢/7/-~ ( ~ ¢ ~ ~ Receipt Number 72-026 (Rev, 3/96)* MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~_I~q~A4~D PID~ 017-372-16 Ha#~ot%fjA~]lJPermit 9 Date Received: Juno 28, 1999 Legal Description: Lot 16 Block H Knik Heights Subdivision Engineer: Robert C Gowan, PE., S & S Engineering 17034 Eagle River Loop Road, Suite 204~ Eagle River, Alaska 99577 _ Applicant: Estate of Michael Crai8 Waiver Requested: Lot line wazver of 5 feet from the south property line to tho leachfield on property. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3 Other: Waiver is Granted: Waiver ms NOT Granted: List Conditions or Reasons for above: Date: By: Amount: $ 115.00 Rec #: 05045/6009 Name of Reviewer Date Paid: 6-28-99 HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN ROBERT C. COWAN, R E. ROBERTA. SHAFER, RE. June 21, 1999 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 RECEIVED MUNICIPALITY OF ANCHORAGE Department of Health and Human Services PO Box 196650 Anchorage, AK 99519 JUN 28 1999 Munic;pality of Anchorage Dept. Health & Human Services REFERENCE: Lot 16, Block H, Knik Heights Subdivision Request you issue a Health Authority Approval on the referenced property and grant a waiver for the separation distance between the south property tine and the leachfield at 5 feet. We do not anticipate any adverse effect on the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/skh 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Charlottes Web I 907 258 2700 ~.., ~~ ~ , ~~--- iI P.O1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 017-372-16 HAA# HA940311 1. GENERAL INFORMATION Complete legaldescription Lot 16 Block H Knik Heights Subdivision Location (site address or directions) 12901 Ridgewood Anchorage, Alaska Property owner Mailing address Lending agency Mailing address. Howard Smelker Day phone 561-4010 12901 Ridgewood, Anchorage, Alaska 99516 Carol Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: four ( 4 TYPE OF WATER SUPPLY: Individual well XXXXXX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXXXXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system, 72-025 (Rev 1/91) Fronl MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. Ifurtherverifythat 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 Douglas T. Kenley ' Phone 746-1073 Address Engineer's signature Date DHHS SIGNATURE xxxxx Approved for 1:our (4) Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments --This from the engineer regarding the Conditional Approval of June ~=he ccrr~ec~t-i~ns--have been accomplished. ~nc~ an ~.np~r-~-~n~ h~ c~leted by~e engineer. The subject property meets with B~¢~ ~ ~ ~~ ~ Date / department has received written confirmation 28, 1994. been 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 DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # f'-~ \ "~ 1, GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA. Location (site address or directions) Property owner /7,'~ ¢,,¢,~.~ ~,~",,,.¢~-z,,,4¢~.,,~---~ Day phone Mailing address /~¢¢¢? ,~--¢'/~,~,¢'x¢_~.¢ /~/.~,~//.,/¢,,~:,¢~--~,,~' ~"~ Lending agency Mailing address ~ .'~ Day phone Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 [Re','. 1/91} Front MOA #21 ~TATEMENT OF INSPECTION BY ENGINEER /s certified by my seal affixed hereto and as of the validation date shown below, I verify that my qvestigation of this Health Authority Approval application shows that the on-site water supply .nd/or wastewater disposal system is safe, functional and adequate for the number of bedrooms .nd type of structure indicated herein. I further verify that based on the information obtained from he Municipality of Anchorage files and from my investigation and inspection, the on-site water upply and/or wastewater disposal system is in compliance with all Municipal and State codes, ~rdinances, and regulations in effect on the date of this inspection. ,lame of Firm Phone ~ddress ~ngineer's signature )HHS SIGNATURE Approved for bedrooms. Disapproved. '~ Conditional approval for z¢. bedrooms, with the following stipulations: ~dditional Comments Date . iunicipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority val Certificates based only upon the representations given in paragraph 5 above by an independent sional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes eir lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not ct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not lsible for errors or omissions in the professional engineer's work. 1/91) Back MOA #'21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type /~,, ~,.4,~,-*~;¢.- Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level1 If A, B, or C, attach ADEC letter. ADEC water system number ~ Date completed / ¢'¢' ¢///7' ?' Driller //~..¢"/,,~,¢' ~ ~')~'~d~ ,Z'~4~LP ,'~'/' Cased to /¢¢~5T, ¢",,~;/" Casing height ,~1%¢' ,/ '*/ Wires properly protected (Y/N) Y' Septic/holding tank on lot Absorption field on lot Public sewer main SEPARATION DISTANCES FROM WELL TO: / o~ ~,A-,,~. /-~.g ,~-- FROM WELL LOG AT INSPECTION · ,~ g.p.m. ;On adjacent lots /¢~ '¢~ ; On adjacent lots /¢o '¢~ Public sewer manhole/cleanout Sewer service line Petroleum tank Collected by: Other bacteria WATER SAMPLE RESULTS: Coliform ~'Y Nitrate Date of sample: B, SEPTIC/HOLDING TANK DATA Date installed ~,/¢2,7/¢,7/ Tank size //ZS~-O -) ~ / Compartments Cleanouts (Y/N) )/ Foundation cleanout (Y/N) /x/ Depression (Y/N) High water alarm (Y/N) /¢"//~ Alarm tested (Y/N) '4")J/ Date of pumping ,'~'¢,~--~ 'Y'~/.-~.,~-~- Pumper /,0 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot / ~'~ '+~ On adjacent lots To property line --¢ ~' / Absorption field Surface water/drainage t ¢'¢ '¢'.~'¢' Foundation ~ / ,~ ,¢ ¢' ,,c-?- Water main/service line "~,~ 72-026 (~93)° Front CONTINUED ON BACK PAGE ' C'~. IF~TSTATION Date insta~L~L Size in gallons~"-~ Vent (Y/N) ~'""Pu~0n" level at High water alarm level ~.~ ~ / /~ Meets MOA electrical ~des (Y/N) ~/~.~ SEPARATION DISTANCE FROM LI~ STATION TO: Well on lot On adjacent lets Manutacturer D. ABSORPTION FIELD DATA Date installed ~' '?' Length ~ 5/' ' Total absorption area D ate_oLa~.~acy_ test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Manhole/Access (Y/N) "Pump off" Level at Cycles tested Soil rating (GPD/FF) d~, Width ~ Gravel thickness '"~ ~;'/'~ 'z'Cleanout present (Y/N) .. ~/' Sudace water System type Total depth Depressbn over field Results (pass/fail) for 4//~ After test Bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / z~/./c/- On adjacent lots /~'~ ~ Property line To building foundation ,Y',.~. '4/'''' To existing or abandoned system on lot On adjacent lots /~,~ ',~,,z-~. Cutbank ""'Y/J/'q Water main/service line Sudace water ,,z.2~,~,~?' Driveway, parking/vehicle storage area Curtain drain x.2/,~,,.~ E. ENGINEER'S CERTIFICATION · I h ve checked verified, or conformed to all MOA and HAA guidelines in effec[e.¢~((~j;1ate of this inspection. I certify that a , Signature - ~. · . ,,'~/ H~ Fee $ ~ ~ ~ Waiver Fee $ Date of Payme~ ~ -Y--~- ~ Date of Payme~ Receipt Numar ~b-- ~,~ Receipt Number .. " DA I-~ RECEIVED INSPECTION APPOIN'FMENTS TIME T, ME ,. DATE I NSPECT~~ INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION l:.elephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS; Complete all parts oil page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE Jeff McMillanI 345-5257 MAILING ADDRESS SRA Bex 1680-N, Anchorage, AK 99503 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Unknown at this time. MAILING ADDRESS 3, J. ENDING INSTITUTION PHONE Unknown at this time. MAILING ADDRESS 4. REALTOR/AGENT I PHONE Elliot Lawson - Jack White CompanyI 277-1553 MAILING ADDRESS 3201 "C" St.. Suite 100, Anchoraee. AK 99505 NOTE: Please send all reports and info to Elliot Lawson, Jack White Co., Above Address 5. LEGAL DESCRIPTION LOT 16~ BLOCK Hz KNIK HEIGHTS STREET LOCATION Ridqewood Road (off Huffman) 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY ~IUMBER OF~BEDROOMS [] One ~] Four [] Two [] Five ~ Three [] Six [] Other 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM [~ INDIVI DUAL/ON-SITE [] PUBLIC UTILITY ATTACH WELL LOG, A well log is required for all wells drillec since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 77/78 ? .YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MiJST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] iNDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBUCUT~UTY (/- q~ . Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: /00~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line ~ Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS ¢~ED F%~%B~OOMS cer Iflcate 0 AL (letter mu~,t.accompany t' ' ) DATE ~ A~rJ. 1 !d, !nf~? CONSULTING ENGINEER 203 W, 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 Elliot Lawson Jack White Company 3201 C Street Anchorage, AK 99503 MUNICIPALITY OF ANCHORAGE 19 Apri 1 1982 ENVlg ..?lkiz~ h'A. [ 4O~E 'J!-,~ RECEIVED SEWER ADEQUACY TEST Legal: Location: Residence: Owner; Water System: Sewer System: Date of Test: Test Procedure:: Tes~ Resu3~: Lot 16, Block H, Knik Heights Subdivision On Ridgewood, past Fairmont One family, 3 bedroom Jack McMillan On-site well From Municipal records: Tank - 1000 gal. Greer, 2 compartments Absorption system - Trench, 34 feet long, 6 feet of rock Absorption area - 408 sq. ft. Soil rating - 135 Installation date - November 1977 April 16, 1982 System was inspected on April 16, 1982. Tank was 7 feet below ground. Liquid depth 46 'inches, Liquid heavy. Four-inch sump 9-1/2 feet below ground with a liquid depth in sump of 72 inches. Liquid was septic with sludge build-up. Four- inch cleanout was 5 feet deep, dry. Water was added to the sump at a steady rate of 5 gal. per minutes. Every 10 minutes the liquid depth in the sump was checked. It rose to 73~1/2" during the first 10 minutes, and remained at that depth throughout the test. After 60 minutes the well ran dry and stopped pumpting, After 6 hours the well was still low. At that time the tank was pumped and the test terminated. This system was installed with the drainholes up and with a solid pipe as sump. The system accepted 300 gal. in a period of 60 minutes. After 6 hours, the well had not produced suffi- cient water to flood system. Based on the delivery of the on-site well, the sewer system is adequate to absorb the waste- water generated from this residence.