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WEST ADDITION KNIK HEIGHTS BLK 1 LT 3
WEST ADDITION KNIK HEIGHTS Block 1 Lot 3 #017-035-24 usMITTpL Remarks: OLD TANK WAS PER UPC 777 rical Inspections performed by: PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield _MT D2661 Installer Droinfield D3034 CO ALASKA EXCAVATING CO/ MT GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 Ft Dates: 1st 8/l/1 2nd 8/1/12 Location coal Description` 3rd 8/1/12 4th — TOP OF CONCRETE SLAB FOR GARAGE Community Development Department Approval ENOIItEER'88Fw,oo�opOn� Conditional approval: Date: "T e a -e ,NMAMIN I�. - Municipality of Anchorage SEP 0 6 2012 Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. a P.O. Box 196650 Anchorage, AK 99519-6650 a http:Uwww.muni.org/onsits a (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 111312 PID Number: 017-035-24 ❑ New NUpgrade Name: HARVEY VESTAL ABSORPTION FIELD N Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 12641 ELMORE ROAD *ANCHORAGE, AK []Other Phone: No. of Bedrooms: (907) 345-1853 4 Soil Rating: 1.2 GPD/Sq. R. Total Depth from original grade: 11.73 MAX Ft. LEGAL DESCRIPTION Depth to pipe invert from original Smile Gmvel depth beneath pipe: 3.48 MAX Ft. 8.25 Pt _ j` `'';cion: i 1 Block: Lot O ✓ ITh Y1 i 1 3 awns Ip: ——Kange: — ec ion: — nil added abo e original grade: SEE DWG. Pl Gravel width: Gael long h: 32 rt. Beds Number of linee•Distance between linea: 2.5 rt. — — Ft. SEPARATION DISTANCES To Septic Absorption Lift Holding Public/Private From Tank Feld Station Tank Sewer Lines Total abearplian area: 528 SD. Ft. umbo of trenches: 1 Dist. between trenches: — R well 100'+ too'+ - - 25'+ TANK N Septic ❑ S.T.E.P. CHolding ❑Other Manufacturer. capacity: Surface Water 100'+ 100'+ — — GREER TANK 1250 Gal. Lot Line 5'+ ,o•+ — — Material: STEEL Number of compartments: 2 N/A Foundation 5'+ 10'+ - - LIFT STATION Curtain Drain NONE KNOWN Menufactumr. capacity: Remarks: OLD TANK WAS PER UPC 777 rical Inspections performed by: PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield _MT D2661 Installer Droinfield D3034 CO ALASKA EXCAVATING CO/ MT GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 Ft Dates: 1st 8/l/1 2nd 8/1/12 Location coal Description` 3rd 8/1/12 4th — TOP OF CONCRETE SLAB FOR GARAGE Community Development Department Approval ENOIItEER'88Fw,oo�opOn� Conditional approval: Date: "T e a -e ,NMAMIN I�. - PERMIT NUMBER: AS DRAWING PARCEL ID NUMBER: OSP1 11312 -BUILT 017-035-24 F A B FCO 44.38 2.61 ST1 45.43 10.80 ST2 47.76 19.33 DBL1 48.51 21.34 DBL2 48.59 23.41 C01 44.05 46.28 _t — — — —_-------EW — 44.05 3750 13.75 U3....045 3615 15.30 75 7 113.88 NW ELL x EXISTING 4 B OOM EDR, HOUSE M-------- C T2 0 2 cn 0 F-1 IF DBL1& ST2 I EW 1250 GALLON SEPTIC TAN/ 100' WELL RADIUS REVISED LOCATION GARNESS ENGINEERING GROUP, Ltd. 9 �CONSULTAINTS& GENERAL CONTRACTORS ........ ... 1 E 1U ROTO. WN 101 NICIbRIOF, M NME (907)337-6119 s FM (907)=-3M I N M' tEPARED FOR: PHONE NUMBER: PAGE NUMBER: ANTHC — HARVEY VESTAL 345-1853 2 OF 3 . GAL DESCRIPTION- ��noPt_� DRAWN BY: vV9. < —7; BLOCK 1, LOT 3 PNB PE OF WORK: DATE: AS—BUILT DRAWING 8/6/12 (KO, ullub) PERMIT NUMBER: AS-BUILT DRAWING PARCEL ID NUMBER: — OSP111312 017-035-24 INSULATION FINAL GRADE = 100.24-100.80 STi ST2 TOP OF TANK TOP OF TANK AT INLET = 96.53 AT OUTLET = 96.53 NEW 1250 GALLON INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT INLET = 96.09 AT OUTLET = 95.87 ORIGINAL GRADE 0 NAL GRADE = 98.86+ HIGHEST POINT = 98.76 INSULATION FILTER FABRIC INVERT OF PIPE = 95.28 BOTTOM OF TRENCH = 87.03 RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 80.76 (DRY) 006�� 4 OF...... GARNESS ENGINEERING GROUP, Ltd.* . ` 9 �P4p CONSULTANTS & GENERAL CONTRACTORS ..... .. ..... ...... ... �. • .O 3701 E TIOgi ROM, MM 101 • PNCHOI , W 99507 • MOM (9O7)337-81]9 • FM (W7)W —3216 • W M' 1mrg9me19e09M Nn m PREPARED FOR: PHONE NUMBER: PAGE NUMBER: O f .. es.. . ANTHC - HARVEY VESTAL 345-1853 3 OF 3 O , CE-�9$3 vp LEGAL DESCRIPTION: k �'(� K ��$ DRAWN BY: A9, BLOCK 1, LOT 3 PNB (TYPE OF WORK: DATE: 4p fesslo o PROFILE AS-BUILT DRAWING 8/6/12 (Rev. OV05) VAGARNESS ENGINEERING GROUP, Ltd. p* .-=...w..�. --- CONSULTANTS & GENERAL CONTRACTORS u - p ...:. .. .. ... ......... 3701 E. 1000R R00➢, 9Un 101 • PNOHOWE, M 99407 • PHONE (907)351-6179 • FM (907)339-3PK ° YB:BSIfE x.gamevngM Hngxem PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANTHC — HARLEY VESTAL 345-1853 1 OF 2 O13 ey G ness, LEGAL DESCRIPTION: DRAWN BY: Q4 g. CE -79 3 ,'`cm4 KNIK HEIGHTS WEST; BLOCK 1, LOT 3 PNB TYPE OF WORK: DATE: 4�44p4o�OOQo SEPTIC UPGRADE DESIGN 10/25/11 (Rev. OV05) ESIGN CRITERIA: / NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 / PERCOLATION RATE/S: 4.7 / PROPOSED APPLICATION RATE: 1.2 MINIMUM DRAINFIELD SQ.FT.: 500 \ DRAINFIELD DESIGN: Y/ 5 MAXIMUM DEPTH: 12' WIDTH: 2.5' LENGTH: 20' & 12' = 32' M.O.A. APPROVED SAND FILTER: N/A \ i EFFECTIVE: 8' REDUCTION FACTOR: N/A e ACTUAL SQ.FT.: 512+ GEG, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. ^• TO OBTAIN A COPY OF THE LETTER `••� CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND a PROPERTY OWNER AGREE THAT THEY ! •';; HAVE READ THESE SPECIFICATIONS AND I AGREE TO ACCEPT THE TERMS AND 1 CONDITIONS OUTLINED. .• I::: • ` ,"' •" NOTE: THE CONTRACTOR ... ;:' •"' Q�•`. ,'�~.,'.:.' SHALL HAVE THE WEST EASEMENT AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR n / •:•:a_ EXISTING 4 PRIOR TO CONSTRUCTIO BEDROOM . ::..... .•. :S°:: USE -.-. _. _. HO / ;, •• SHE / ,T TWA /.. C� CO ✓20 I� LLJ ST (%%� F ^ ^ co C� \ Q /j / EXISTING 1250 GALLON SEPTIC TANK TO BE REPLACED 1p SAME LOCATION WITH PROPOSED 1250 GALLON SEPTIC TANK. OLD TANK SHALLE REMOVED FROM T SITE AND DISPOSED OF IN ACCORDANCE WITH APPLIC LE REGULATIONS. W PROPOSED / / DRAINFIELD INSTALL DBL CLEANOUTS V\ APPROXIMATE LOCATION OF EXISTING LOCATE SHALLE ORALE FEND OA1 OFTHISTROENCH PRIOR T CO STRUCTION OF THE NEW DRAINFIELD. N 1 100' WELL RADIUS SCALE: a V=a0' VAGARNESS ENGINEERING GROUP, Ltd. p* .-=...w..�. --- CONSULTANTS & GENERAL CONTRACTORS u - p ...:. .. .. ... ......... 3701 E. 1000R R00➢, 9Un 101 • PNOHOWE, M 99407 • PHONE (907)351-6179 • FM (907)339-3PK ° YB:BSIfE x.gamevngM Hngxem PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANTHC — HARLEY VESTAL 345-1853 1 OF 2 O13 ey G ness, LEGAL DESCRIPTION: DRAWN BY: Q4 g. CE -79 3 ,'`cm4 KNIK HEIGHTS WEST; BLOCK 1, LOT 3 PNB TYPE OF WORK: DATE: 4�44p4o�OOQo SEPTIC UPGRADE DESIGN 10/25/11 (Rev. OV05) G.ARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS --•- � -,,, SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: KNIK HEIGHTS WEST ADDITION; BLOCK 1, LOT 3 PERFORMED FOR: ANTHC- HARVEY VESTAL DA DEPTH ., ORGANICS (feet) ,6 TEST HOLE #1 1 GW W/ LENSES OF ML SM TO ML SM %i OH SC DEPTH TO GROUNDWATER DATE DRY 10/14/11 DRY 10/17/11 DRY III111111 2:49 — illl!11 — 2 10 3 1/8" NNN • 2:59 — IIIIIIIII — wnw • %SHIA 3 1/2" 2 1/2" SM %i OH SC DEPTH TO GROUNDWATER DATE DRY 10/14/11 DRY 10/17/11 DRY 10/24/11 2:49 — 10/14/11 SEE ATTACHED SITE PLAN DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/14/11 1 2:49 — 6.00" — 2 2:59 10 3 1/8" 2 7/8" 3 2:59 — 6.00" — 4 3:09 10 3 1/2" 2 1/2" 5 3:09 — 6.00" — 6 3:19 10 3 7/8" 2 1/8- 7 3:19 — 6.00" — 8 3:29 10 3 7/8" 2 1/8" 9 3:29 — 6.00" — 10 3:39 10 3 7/8" 2 1/8" 11 3:39 — 6.00" — 12 3:49 10 3 7/8" 2 1/8" 19� PERCOLATION RATE 4.7 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: #0111#9LATION READJNGS ARE TO THE CLOSEST 1/16 OF AN INCO, PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE 0ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 11 1 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111312 Tax Code Number: 01703524000 Work Type: Septic Upgrade Permit Effective Dates: November 01, 2011 to October 31, 2012 Wo -o'. 8014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: WEST ADDITION KNIK HEIGHTS Site Legal Address: WEST ADDITION KNIK HEIGHTS BILK 1 LT 3 G:2836 Owner/Address: VESTAL HARVEY B 1/3 & VESTAL CATHLEEN 1/3 & MURCHIE PHILLIP 1/ PO BOX 112515 ANCHORAGE AK 995112515 Site Mailing Address: 12641 ELMORE RD, Anchorage Lot Size in Sq Ft: 45977 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Receivec Issued B' MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcell.D. Cid l — O Property owner(s) ANTHC — HARVEY VESTAL Day phone 345-1853 Mailing address 12641 ELMORE ROAD *ANCHORAGE AK Site address Legal description (Sub'd, Block & Lot ) KNIK HTS Legal description (Township, Section & Range) Lot Size AK Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (®all that apply) Initial ❑ Absorption Field ® Septic Upgrade Tank Renewal ❑ ❑ Holding Tank Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: pe'r 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 5'�O —" Waiver Fees: Date of Payment: (� Ia I It LEC) -__ 7- C)- Date of Payment: Receipt Number: G Receipt Number: Permit No. C)�) P � \i _�)k a Waiver No. (Rev. 01/11) Ccv+� October 25, 2011 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Knik Hts West; Block 1, Lot 3 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system.. Due to the age of the septic system the homeowner would like to have it upgraded. The Alaska Native Tribal Health Consortium (ANTHC) granted him funds to replace the septic system. We are proposing to install a new 1250 gallon septic tank and a deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield-specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the topography around the drainfield is relatively flat. In short, there are no slope concerns. We are unaw re of any adverse impacts this installation would have on adjacent wells or septic systems. If you have ny questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com L— — — — — — --'—'� F I I K'HEIGHTS�WEST ADDITION; KNIK HEIGHT$/WEST ADDITION; / BLOCK 1, LOT �\ BLOCK D, LPT 4 \ � APPROXIMATE 100 WELL RADIUS M4CMAHP BLOCK � II IC 100' WELL RADIUS ARS I L----- — — (KNIK v // HEIGHTS WEST ADDITION; BLOCK D,— \ I LOT 5 -CAHQ� BL 4, LOT 7 \ OCK Qa ' •• V...Ft r // I I KNIK HEIGHTS ST ADD R407Us BLOCK D, LOT 66 \\ \ Da I5 \\ \ I 100• WELL RADIUS _i R I I \ / I I I KNIK HEIGHTS WEST ADDITION; /Ir KNIK HEIGHTS WEST ADDTION; \\ BLOCK 1, LOT I I BLOCK D, LOT 7 / I h MC BLOCK 4 (s\ it^ EURRRQVE — — — — — — — — — — — KNIK HEIGHTS WEST ADDITION; r-- \\ BLOCK 1, LOT 5 // KNIK HEIGHTS WEST ADDITION; \ I I BLOCK D, LOT 8 I 1 I N I I r I I II \\ 1"=100' ,' EAIo oa GARNESS ENGINEERING GROUP, Ltd. • 4 CONSULTANTS S. GENERAL CONTRACTORS- _. ....�s*:�. 701 E. N00fl ROPD, SUITE 101 A OWE. M 99507 • PHONE - , . ....: .... . .... ......: ... (907)33]-81]9 FM (907)338—MO WE5 , www.9ameenngm^enn9.99m D PREPARED FOR: PHONE NUMBER:PAGE NUMBER: •• ..•• ................ ANTHC — HARVEY VESTAL 345-1853 1 OF 2 Q Is f ey A. a ness. LEGAL DESCRIPTION: DRAWN BY: KNIK HEIGHTS WEST ADD.; BLOCK PNB p " '. CE-795/3�'• mQ 14, pOH L��Z+r�' 1, LOT 3 er nAoQ TYPE OF WORK: DATE �QOd P�Ofessl00°oo SITE PLAN 10/3/11 � Y y W ry W ^p ,! Q •�• f ?,' , THS Com/ W CO ' f'LO T 1 S ST U F NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 4.7 PROPOSED APPLICATION RATE: 1.2 MINIMUM DRAINFlELD SO.F(.: 500 MAXIMUM DEPTH: 12' WIDTH: 2.5' LENGTH: 20' & 12' = 32' M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE: 8' REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 512+ LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND LPRsoA E CONTRACTOR AVE THE WEST AND ALL WELL LAGGED BY A LAND SURVEYOR EXISTING 4 CONSTRUCTION, BEDROOM HOUSE /- - -- SHE / /FCO `EXISTING 1250 GALLON SEPTIC TANK TO BE REPLACED SAME LOCATION WITH A PROPOSED 1250 GALLON SEPTIC TANK. OLD TANK SHALL pE REMOVED FROM THE SITE AND DISPOSED OF IN ACCORDANCE WITH APPLI LE REGULATIONS. MELD / INSTALL DBL CLEANOUTS 2AINFIELD APPROXIMATE LOCATION OF EXISTING DRAINFlELD. CONTRACTOR SHALL LOCATE r THE END OF THIS TRENCH PRIOR TO CO STRUCTION OF THE NEW DRAINFlELD. r r 100' WELL RADIUS v GARNESS ENGINEERING GROUP, Ltd. p CONSULTANTS & GENERAL CONTRACTORS... a:.. - ^^ ...... 3701 E. TUDOR e . SOOE 101 s N1CIpg0.OE. M 9950'! • PHONE (907)33)-81]9 - FM (90))338-3218 • WEBSITE: xWW.9amewrginaHn9 rom PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANTHC - HARLEY VESTAL 345-1853 1 OF 2 p LEGAL DESCRIPTION: DRAWN BY: KNIK HEIGHTS WEST; BLOCK 1, LOT 3 PNB TYPE OF WORK: DATE: SEPTIC UPGRADE DESIGN 10/25/11 (Rev. 01/05) N 1 I SCALE: 714-0 CE - - _ 111111111161 li o �� �F....�gS�O GA.RNESS ENGINEERING GROUP, Ltd.y�Od CONSULTANTS & GENERAL CONTRACTORS: 3101E T100R ROAD, BVIIE 101 • AN(k10RACE M. 89507 •PHONE: (907)331-8119 - FM; 90])3}8—}218 WEBBfIE: gameasenginaaHng.com SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: KNIK HEIGHTS WEST ADDITION; BLOCK 1, LOT 3 J rey A. rneSS.: PERFORMED FOR: ANTHC— HARVEY VESTAL DATE: 10 14 11 ms c j953 �4` °.@ ! �' E 1J.- Ooc DEPTH _ ORGANICS 0 r essi0000°\ c (feet) ;,,,,,,;;;;;;5> 0 0� TEST HOLE #1 0000 SOIL CLASSIFICATIONS GW ORG GP MIL 3 ^l```ds' GM CL 4 "i:`�d' GC OL 0000 0 SW MH •: :: SP CH SM i / OH 6 SC SEE ATTACHED SITE PLAN _01,;? GW W/ LENSES 7 OF ML y��0; 9 .4 : ,.i.;.. ::,Cf. SCALE 10 gip+'::' G;• 11 .Yd.;..;O.�+s `~dt :+ 13 14 :;;v,;o�' 15 ". 16 17 SM TO ML 18 B.O.H. 19 PERCOLATION RATE 4.7 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ® YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS:' TION RFA41NGS ARE TO THE CLOSEST -1/16 OF AN INCIJ. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 11 1 DEPTH TO GROUNDWATER DATE DRY 10/14/11 DRY 10/17/11 DRY 10/24/11 2:49 — DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/14/11 1 2:49 — 6.00" — 2 2:59 10 3 1/8" 2 7/8" 3 2:59 — 6.00" — 4 3:09 10 3 1/2" 2 1/2" 5 3:09 — 6.00" — 6 3:19 10 3 7/8" 2 1 /8" 7 3:19 — 6.00" — 8 3:29 10 3 7/8" 2 1/8" 9 3:29 — 6.00" — 10 3:39 10 3 7/8" 2 1/8" 11 3:39 — 6.00" — 12 3:49 10 3 7/8" 2 i/8" OCT -31-2012 1^-:01A FROM: TO:3437997 P.1/1 iA/el, Log 1t',urr twi( Dei.Ftn,) ctruf'ittwi� Srr'yt:i Well :hvcftora Jt, Atin5d,4 tkit''r) .4te-0593 Drilling Sinned.'05 r 10„,2012C•„ntpietw; 05/14 !2012 Citvi aaroogh: Suhdiviainn: nI.UC.'1: i.C1T Properly Qx•tur Nnmc& Addtvss: Harvey Vestal , 12641 Elmore Rd. nchorage Knik Heights West 1 3 Anchorage, AK Meridian ', own&hip. Range Section ''/ of _ :Q (1f ''1a ur _ aL, 1110kEHOLE DATA(fronl top of CaSirtg)Depth Unlling inethod: [X) Air rotary. t ) Cable tool, Orl:or mater” al: Type, Color S we6mss Law Tu Wolf use: ( ) Tahoe supply. (X) Domestic. Other Stickup 0 2 Depth or little: 200 11, Casing suckup:.__ 2 It Casing type: steel_ e._._.. 'Ihickrim:.,._ .250 _-- inchu-. Casing. diamcwr: _ 6 inches Casing depth: -- ,200 _ fr sand & gravel 2 12 ntc Later type: - Diaroctnncve Ucpah: �_n clay 12 22 Static water (front top of casing): 85 it on 05 f 14 2012 Pttntping level g pod: ... (wt alter heurs at giant Rccoverynate, 10 gpm,Mothodafresting:_ airlift silt w/ rock 22 76 rievelfiprt1enl ltlellWd: airlift Duration: 1 hour wet clay 76 84 Well intake opening type: { ) Caen end. I ) open hole, OrhorP.er Screened: Scott' � li, Stopped - ft PP - { scree!, typcc 51mnk411.ixc: sand & gravel w/ H2O 84 95 fet•loraied: Srtrt: 85 fl, Slopped: ,._95 ft Stan: 8S It. Slopped: 95 li w silty clay w/ gravel 95 200 Nmc:...-.... -....._.........._......_..........._........._ ......................_..._..._.� Grow type __baritqnda Volume - Depth; from _grour d rfac® ,to 20 N t Pumpinlakcdepth:__" _ _ tt Wux well disinfected upon completion? (X) Ycs. ( ) No Method of disinfcction:CaICIJLIM.H hlofite..(..Chlorine)... WATER QUALITY TES ING Uriicrcmnmcntsldiscluintcrs:..........................._............................,.. --�—•-- Nitrates 2 • a-1 m L ___ . _.. _.................... ......._............. I Well driller numc:Jo nnw - - - Company name:.... DCi.Illrrgt_ Inc.._..._ ... ...... ...,..... .... Mailingoddiess:... � Akula Dr. ........... _ r;ty; Anchorage._. $late: Ac zip 99516 Pirotte number : f 907 ) 345_ 0593 fax:345-4700 .-... Uriilcrs signature: j J Municipality of Anchorage Development Services Department Building Safety Division On -Sita Water and Wastewater Section 4700 South Bragaw St, P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/ortsite (907)343-7904 Attention: Properly owner shall provide a w DSII within 60 days of well completion. Pcrinit Number: OSP111342 _ Date of issue: - CV /201 y Pared Idernification Number: {a well tousled at approved permit 1uc:nion! (XI l'as nr log to the )No OCT -31-2012 03:42P FROM: rI:T.T ,rr'.�v. �a 70:3437997 P,1/2 W LLAC : LOCATIDrt l Msre Rd, DATE: STATIC PRESSURE 1 WEU. HEAD ' Pa DYNAANC PK=RE i WFLL HEAD WI a pal./X PUMP TYPE dlsi�. Ljt l MAKE C��h Him 2� 2kd �@ SERIAL f Pump DRDP TYPE: learor / l Typ. r� C CaXpUm _ POWER cmrx To, P2 2- 14, G�-p Sla 0.1✓�� Camalwa TV Sy✓r ELEC1MCAU Who -J 0 V, [2 Amp.— Am ? WATER TANID /i.,o L Type led /dA14) H ELL C14Ya1G ` rr s ae dk. Typ. CA59 mm rnm D To X00' E STRUCNRE: r Type �P.�'.y, �`— oPEN NDLE: Fran To ~� DRAW ay. ME NANC WELL AS -BUILT NOV-2-2012 09:32A FROM: 70:3437997 P.2�2 community Development Dopmetment Or^$iEv Wito and Wasifovskof Program &'t.7L` eri:.r3 S;. - F1.0, Bax 198554 WnchC ege, Nt 9961$400 • n'Vp:Ihvww,Munl.orgion^alt9 (90,?) 343.700.4 Well DGCO y'tMIStCIOnPig Log �ubvlyis,Dr Aliy. Ac i,iI S tL't 5 Block � mot sect+cn Lot _. �.,rra+re Watar � i�as<e'.�a�r Ar�,r ,; r.�,,:4rt3 uuntree4ee (5arfaft:vlq ,6� wa4 OaC:stareilag�+t�'. f % e a 5;gnarure' j crrcr sear ;:;a.c {o J�_^... t.7«theda4c;ewm,�l�tsttnl�ig: AMC 16.56.i100LI tr. .. b ? .N e- ^•,..^-w3 for E -aa, 5C'.'34Pa3vliml°yarn0!"'.Na,';P^fi:;� n.'u.:ivvGSa.'Vit„:)rap(u4ytxnitsx. On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111342 Tax Code Number: 01703524000 Work Type: Well Initial Permit Effective Dates: November 30, 2011 to November 29, 2012 Design Engineer: Subdivision: WEST ADDITION KNIK HEIGHTS Site Legal Address: WEST ADDITION KNIK HEIGHTS BLK 1 LT 3 G:2836 Owner/Address: VESTAL HARVEY B 1/3 & VESTAL CATHLEEN 1/3 & MURCHIE PHILLIP 1/ PO BOX 112515 ANCHORAGE AK 995112515 Site Mailing Address: 12641 ELMORE RD, Anchorage Lot Size in Sq Ft: 45977 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: 1. The existing well shall be decommissioned in accordance with AMC 15.65.060L. Submit a well decommissiong log in accordance with Policy W.03. 2. An active permit to upgrade the wastewater system was issued in October 2011. Coordinate the proposed well installation with Garness Engineering to ensure the required 100 foot separation distance to the septic tank and/or drainfield is maintained. Received % Issued By: Date: Date: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Elan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel 1. D. O7/ 7-- 2_ Property owner(s) Mailing address _ Site address i Day phone Legal description (Sub'd., Block &Lot) 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial] Absorption Field ❑ Septic Tank ❑ Upgrade ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Private Well W Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: kle14f 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 accordant ith applicable Municipal Codes. P t 4_1 (Signature of property agent) M Permit/Rush Fees: aOO c� Aq Ix aiver Fees: Date of Payment: 1 I cl i I Date of Payment: Receipt Number: Receipt Number: Permit No. 0S 1 11'��I � Waiver No. GABuilding\On Site\Forms\Client FormsTermit App_010411.doc (Rev. 1/11) I ESIGN CRITERIA: / NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 \ / PERCOLATION RATE/S: 4.7 I \ / PROPOSED APPLICATION RATE: 1.2 MINIMUM DRAINFIELD SQ.FT.: 500 DRAINFIELD DESIGN: / MAXIMUM DEPTH: 12' QY WIDTH: 2.5' LENGTH: 20' & 12' = 32' M.O.A. APPROVED SAND FILTER: N/A i w EFFECTIVE: 8' REDUCTION FACTOR: N/A J . ACTUAL SQ.FT.: 512+ GEG, Ltd. HAS A 7 PAGE SPECIFICATION ;': �•: . �: f�j LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER • 4• CONTACT GEG. BY PROCEEDING FORWARD ' I WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND •''.'':: .`•: AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. NOTE: :AE TRACTOR SHALL E WEST Q \ • '••�° '' `' EASEMEALL WELL4RADII BY A af•:..REGISTERESURVEYOR EXISTING 4 PRIOR TRUCTI BEDROOM _ BE HOUSE W • ::• • �t \ � ' TH#1 (�� Ti 1 -C L_L W CO AZO FCO \ EXISTING 1250 GALLON SEPTIC TANK TO BE REPLACED SAME LOCATION WITH A / PROPOSED 1250 GALLON SEPTIC TANK. OLD TANK SHALLE REMOVED FROM THE / SITE AND DISPOSED OF IN ACCORDANCE WITH APPLICLE REGULATIONS. W PROPOSED / \ DRAINFIELD INSTALL DBL CLEANOUTS r APPROXIMATE LOCATION OF EXISTING \ DRAINFIELD. CONTRACTOR SHALL LOCATE THE END OF THIS NCH PRIOR TO A CONSTRUCTION OF THE ENEW DR NFIELD. N 100' WELL RADIUS SCALE: I �,1 2 GARNESS ENGINEERING GROUP, Ltd. p * • 4 -.� CONSULTANTS & GENERAL CONTRACTORS .. . • .. ... .......... 3701 E. TUDOR ROAD. SURE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSITE www.gamaaxngineeringxm P, PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • • • • • • • .. • . • • • • • • • - ANTHC - HARLEY VESTAL 345-1853 1 OF 2ey G ness.- LEGAL DESCRIPTION: DRAWN BY: 0409,. CE -79 3 KNIK HEIGHTS WEST; BLOCK 1, LOT 3 PNB JV <-pAoG TYPE OF WORK: DATE: 04 d�'rofessio�o� o SEPTIC UPGRADE DESIGN 10/25/11 ��1O000-"� (Rev. 01/05) On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111312 Tax Code Number: 01703524000 Work Type: Septic Upgrade Permit Effective Dates: November 01, 2011 to October 31, 2012 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: WEST ADDITION KNIK HEIGHTS Site Legal Address: WEST ADDITION KNIK HEIGHTS BLK 1 LT 3 G:2836 Owner/Address: VESTAL HARVEY B 1/3 & VESTAL CATHLEEN 1/3 & MURCHIE PHILLIP 1/ PO BOX 112515 ANCHORAGE AK 995112515 Site Mailing Address: 12641 ELMORE RD, Anchorage Lot Size in Sq Ft: 45977 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By:,i;1;2, lG�7 t'L,%O//�'�I _ D FA MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I. D.' Property owner(s) ANTHC — HARVEY VESTAL Day phone 345-1853 Mailing address 12641 ELMORE ROAD *ANCHORAGE, AK Site address 12641 ELMORE ROAD *AN( Legal description (Sub'd, Block & Lot ) KNIK HTS Legal description (Township, Section & Range) Lot Size AK BLOCK 1, LOT 3 Sq. Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: ( ® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: p` r Catf.ct 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 5)o ""— Waiver Fees: Date of Payment: Date of Payment: Receipt Number: �� ��� �� Receipt Number: Permit No. � � �„ l �)` Waiver No. (Rev. 01/11) VIEW 11101 Mill" i 2, a d I October 25, 2011 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Knik Hts West; Block 1, Lot 3 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system.. Due to the age of the septic system the homeowner would like to have it upgraded. The Alaska Native Tribal Health Consortium (ANTHC) granted him funds to replace the septic system. We are proposing to install a new 1250 gallon septic tank and a deep trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the topography around the drainfield is relatively flat. In short, there are no slope concerns. We are unaw re of any adverse impacts this installation would have on adjacent wells or septic systems. If you have ny questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com ,,KMFIEtGWS-WEST ADDITION; / BLOCK 1, LOT \ \1 100' WELL RADIUS I a z loo, tOD WEl I L RADIUg I I I I I � I \ KNIK HEIGHTS WEST ADD)6N; \ BLOCK 1, LOT 4 ----------------- KNIK HEIGHTS WEST ADDITION; BLOCK 1, LOT 5 I I I I I I C�rARNIi �S ENCYINE.ERING GROUP, Ltd.. CONSULTANTS & GENERAL CONTRACTORS 701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 ' WEBSITE: www.gamessengineering.c PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANTHC - HARVEY VESTAL 345-1853 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: KNIK HEIGHTS WEST ADD.; BLOCK 1, LOT 3 1 PNB TYPE OF WORK: SITE PLAN L------�—'� KNIK HEIGHT / WEST ADDITION; BLOCK D, LPT 4 APPROXIMATE 100' WELL RADIUS 'P \ J I KNIK HEIGHTS WEST / ADDITION; BLOCK D, LOT 5 L------- D �'-��AQI(Ujs KNIK HEIGHTS ST ADDI BLOCK D, LOT \ I P \ L— — — — — — — — / KNIK HEIGHTS WEST ADDITION; BLOCK D, LOT 7 I � I I Tc I I 9N, L— — — — — — — — -- r ----------i \ KNIK HEIGHTS WEST ADDITION; BLOCK D, LOT 8 I I I I I /''y A. ,a e f eHess: ,a I ......... CE -795 iG ��•' goo kgprofessio(No\ / I / MCMAH N -BLOCK 4, LGT 8 I / / / 1 I RA 1 I \\ I I \ \ I/ -- a ry -UCMAHQN BLOCK 4, LOT 7 \\ W \ � I \ 0 1 R�IUS X100' WELL RADIUS I I MCM BLOCK FURROW EF I / � I \ � i N I I SCALE: I / 100' I // ,,KMFIEtGWS-WEST ADDITION; / BLOCK 1, LOT \ \1 100' WELL RADIUS I a z loo, tOD WEl I L RADIUg I I I I I � I \ KNIK HEIGHTS WEST ADD)6N; \ BLOCK 1, LOT 4 ----------------- KNIK HEIGHTS WEST ADDITION; BLOCK 1, LOT 5 I I I I I I C�rARNIi �S ENCYINE.ERING GROUP, Ltd.. CONSULTANTS & GENERAL CONTRACTORS 701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 ' WEBSITE: www.gamessengineering.c PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANTHC - HARVEY VESTAL 345-1853 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: KNIK HEIGHTS WEST ADD.; BLOCK 1, LOT 3 1 PNB TYPE OF WORK: SITE PLAN L------�—'� KNIK HEIGHT / WEST ADDITION; BLOCK D, LPT 4 APPROXIMATE 100' WELL RADIUS 'P \ J I KNIK HEIGHTS WEST / ADDITION; BLOCK D, LOT 5 L------- D �'-��AQI(Ujs KNIK HEIGHTS ST ADDI BLOCK D, LOT \ I P \ L— — — — — — — — / KNIK HEIGHTS WEST ADDITION; BLOCK D, LOT 7 I � I I Tc I I 9N, L— — — — — — — — -- r ----------i \ KNIK HEIGHTS WEST ADDITION; BLOCK D, LOT 8 I I I I I /''y A. ,a e f eHess: ,a I ......... CE -795 iG ��•' goo kgprofessio(No\ / Ar O� V . '7Sl CONSULTANTS & GENERAL CONTRACTORS �t "� � .: ARNL`.SS ENGINEERING GROUP, � * 4 3701 E. TUDOR ROAD, SUITE 107 • ANCHORAGE, AK 99507 - PHONE (907)337-6179 NUMBERFAx sol ass -3246 ` � PAGE wNUMBERrini neen .co� f ��� • PREPARED FOR: ANTHC — HARLEY VESTAL 345-1853 1 nF 1)ey Garness:' (Rev. 01/05) ESIGN CRITERIA: / NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 / PERCOLATION RATE/S: 4.7 PROPOSED APPLICATIONRATE: 2 MIINIMUUMDRAINFIELD500 / \ DRAINFIELD DESIGN: �\ MAXIMUM DEPTH: 12' y WIDTH: 2.5' LENGTH: 20' & 12' = 32' / M.O.A. APPROVED SAND FILTER: N/A �v EFFECTIVE: 8' �— REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 512+ ~• GEG, Ltd. HAS A 7 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. • TO OBTAIN A COPY OF THE LETTER F CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND • PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND I AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. NOTE: THE CONTRACTOR SHALL HAVE THE WEST EASEMENT AND ALL WELL 1 RADII FLAGGED BY A REGISTERED LAND SURVEYOR EXISTING 4 PRIOR TO CONSTRUCTI BEDROOM HOUSE / •:t4.. J .. SHE / LIJ TH#1 CO f20 Sol i L LLI ST F7 U� F FCO EXISTING 1250 GALLON SEPTIC TANK TO BE REPLACED NN SAME LOCATION O . WITH A PROPOSED 1250 GALLON SEPTIC TANK. OLD TANK SHALL BE REMOVED FROM THE / SITE AND DISPOSED OF IN ACCORDANCE WITH APPLIC)SLE REGULATIONS. W / PROPOSED DRAINFIELD INSTALL DBL CLEANOUTS \ \ APPROXIMATE LOCATION OF EXISTING Y DRAINFIELD. CONTRACTOR SHALL LOCATE / THE END OF THIS TRENCH PRIOR TO CONSTRUCTION OF THE NEW DRAINFIELD. N 100' WELL RADIUS SCALE: 1,. = 40' Ar O� V . '7Sl CONSULTANTS & GENERAL CONTRACTORS �t "� � .: ARNL`.SS ENGINEERING GROUP, � * 4 3701 E. TUDOR ROAD, SUITE 107 • ANCHORAGE, AK 99507 - PHONE (907)337-6179 NUMBERFAx sol ass -3246 ` � PAGE wNUMBERrini neen .co� f ��� • PREPARED FOR: ANTHC — HARLEY VESTAL 345-1853 1 nF 1)ey Garness:' (Rev. 01/05) 00600 pp :r o0 GAS NESS ENGINEERING GROUP, Ltd4 T_ CONSULTANTS & GENERAL CONTRACTORS Q sY 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK. 99507 • PHONE: (907)337-6179 • FAX: (907)338-3246 • WEBSITE: gamessengineernng.com O , ' ' ' ' ' ' ' ' ' ' D SOIL LOG - PERCOLATION TEST 0 LEGAL DESCRIPTION: KNIK HEIGHTS WEST ADDITION; BLOCK 1, LOT 3 .J trey A: mess. PERFORMED FOR: ANTHC— HARVEY VESTAL DATE: 10/14/11 Q4 s s C —7953 (feet) ;.'..::: "d;;' ORGANICS ���d ro essi0l' TEST H 0 LE # 1 p40000�� 1 � SOIL CLASSIFICATIONS 2 GW ORG 3 GP ML GM CL 4 GC OL .; d °o o°o o SW MH SP CH d ' SM OH . SC 6 SEE ATTACHED SITE PLAN GW W/ LENSES 7': OF ML DATE b.. •:: °b". SCALE: 10 •; `:d': 1' = 100' 12133 2:59 15 4Yo ,:4 o 17 SM TO ML 18 B.O.H. 19 PERCOLATION RATE 4.7 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERCOLATION READINGS ARE TO THE CLOSEST -1/16 OF AN INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PETI_II ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I// DEPTH TO GROUNDWATER READING DRY 10/14/11 DRY 10/17/11 DRY 10/24/11 2:49 — DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/14/11 1 2:49 — 6.00" — 2 2:59 10 3 1 /8" 2 7/8" — 6.00" — 4 3:09 10 3 1 /2" 2 1 /2" 5 3:09 — 6.00" — 6 3:19 10 3 7/8" 2 1 /8" 7 3:19 — 6.00" — 8 3:29 10 3 7/8" 2 1 /8" 9 3:29 — 6.00" — 10 3:39 10 3 7/8" 2 1 /8" 11 3:39 — 6.00" — 12 3:49 10 3 7/8" 2 1 /8" GREs„ LR ANCHORAGE AREA BM.„GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 _ INSPECTION REPORT ON-SITE SE//WAGE DISPOSAL SYSTEM NAME / &I-e� ---MAILING ADDRESS PHONE - PHONE J LOCATION SEPTIC TANK: LEGAL_ DESCRIPTION DISTANCE�f/. NUMBER OF Q FROM WELL&T& MANUFACTURER _ �R'� - MATERIAL - f z-fP-- _ ——-COMPARTMENTS`� INSIDE LENGTH INSIDE WIDTH——LIQUID DEPTH LIQUID CAPACITY/k GALLONS. TILE DRAIN FIELD: � l� ` ( TOTAL LENGTH DISTANCE FROM WELL �ile_FOUNDATION ___LQ NEARESSTLOT LINE__ / 0- __OF LINES NUMBER OF LINES— DISTANCE BETWEEN LINES I ZATRENCH WIDTHIrIN. TOTAL EFFECTIVE ABSORPTION AREA -__ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE __MATERIAL BENEATH TILE _2ABOVE TILE --V—IN. WELL: TYPE__/q/x�// W -CONSTRUCTION BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE , SEWER LINE__, TANK_ CESSPOOL OTHER SOURCES APPROVED__ DISAPPROVED DISTANCES: INSTALLED BY:/A�"� - SEWER LINE DEPTH: _�-- PIPE MATERIAL:i`� LOT SLOPE: REMARKS:. 100 01 REMARKS DEPTH SEEPAGE SYSTEM- REMARKS.— YSTEM_ DIAGRAM Of= SYSTEM DAl"E e 1?-% APPR G.A.A j�� DISTANCE FROM: DEPHRTi1Ev,iT OF HEHlH HD an; IRONENTHnow, TECTlON 825 'L' STREEl/ HNCHO|�HGE/ RK99501 ' 279-251i PERMIl NO ( 774�4 ) HPpLICHNT �� HERZOG 2418 EHST 20TH HYE 277—]166 |'EGHL L] Bi KNlK HGTS �E�T LOT �IZE 46200 SQUHR� FEET TYPE OF SOIL H8SORBTION SY�TEM IS� TRENCH MNXIMUM NUM8Ek UF BEDROOMS = 4 SOTL WIT IPhi (SQ FT/BR)r 180 THE REQUIRED �IZE OF THF SOIL HBSORPTION SYSTEM IS� ���� : 7 [1 �. j= 1 1. :�jl 1� ~���I h Y n ) � � x Q I NW 1 A V f�: �, i� . . ���1! 1! - ��r= � ��E LENGTH �IMENS/ON IS THE LEN[iTH (IN FEET) OF THE TRENCH no? DRHINFIEL� THE DEPFH OF A; MENCH M PITHE DIMHNCF 10WEEN THE 1 URFHCE OF THE (�RO1 ii !D HHD THE BOTTGM UF THE EXCHVHTION (lN FEET) !HERE l� I HG SET WI|)TH [OR TRENCHES '}HE GRHVEL DEPTH IS lHE MINIMUM DEPTU OF GRHVEL PhiNEEH THE Ui!TFH|L PIE HND THE 8OTTOM OF THE EXCH�RTION (IH FEET) BHCKFlLLIi -JG OF HNY SYS7B1 WITHOUT INRL IHSPECTION HND RPPHOVHL F,Y THI`m- �EPHRTMENT WILL W SUBJECT T0 PROSECUTIOHE M��IMUH DISTHNCE RETWEEN H WFLL 190 HNY ON^qlTE OUTE DlSP0SHL SYSTE� lS �8� FEET F! 1R H PRiVHTE NELL OR 200, FEET FOH H PUBLIC NELL dELL LOGS HRE REQUIRED HND MUST BE RETURNED TO THE EPHRTMENT WITHIN I0 DF YS OF lHE WBi CGMPLET�(O� OTHER REQUIkEMENTS MAY HPPLYSPInk IPIA CHTIOW 8MD ON DIHGRRMS 8RE 9YH1L98LE TG INSURE PROPER INUTHLilid IOH. ���b - 1 i, ����!� m;::!: 11:� .: , :' 11 7> 111 D � n �U�V 0 0 �� & �" � � , ���� ANCHORAGE F AI1113AN KS CONS[JL'FAN'1'S, INC. JUNEAU 249 EAST 51ST AVENUE • P.O. BOX 6087 • ANCHORAGE, ALASKA 99503 • TELEPHOKE 907-279-0483 • TELEX 090-35419 August 11, 1975 em(;,v Mr. Joe Dri-wmur Ocean Technology, Ltd. 2502 West Northern Lights Blvd. Anchorage, Alaska 99503 RE: Test Hole and Soil Log Report for Sanitary System Lot 3 Block 1 and Lots 3 & 6, Block 2, West Addition Knik Heights Subdivision Pel C'l� Dear Mr. Dri-mmer: k R & M No. 562082 We are submitting herewith the boring logs, percolation results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of July 29, 1975, and those procedures outlined in a letter dated July 15, 1975 by Mr. Rolf Strickland of the Greater Anchorage Area Borough, Department of Environmental Quality. A total of six test holes were drilled at the locations shown on the attached location diagram. Three 20 foot test holes were for defining general subsurface soil conditions and three to a depth of 12 feet were for the purpose of running percolation tests. Excavation was accomplished with an auger type drilling rig. As illustrated by the accompanying logs, the soils encountered indicated .a somewhat erratic subsoil profile con- sisting predominantly of sand and gravel in varying proportions. Surficial soils, varying in depth of between 115 to 2=� feet below existing ground surface, consisted of sandy silt with some organics. The material encountered from 5.0 to 11.0 feet was found to consist of sand with varying amounts of silt and gravel in Test Holes #1 and #2. In Test Hole #3, the material from 5.0 to 11.0 feet was found to consist of sandy silt with some gravel. It was at this depth that the percolation test was performed. The material from 5.0 feet to 11.0 feet was saturated with water for a period of eight hours before the percolation test was started. The results of the test are enclosed. A water table was -not encountered in any of these test holes. I August 11, 1975 Mr. Drimmer Page 2 We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, James W. Rooney Vice President JWR/PJ/ja Encl. xc: GAAB 0 0 R&M CONSULTANTS, INC. X1 I "0.01 1, 4" ORGANICS (PT) It SANDY SILT wi—SOME ORGANICS (ML) Brown' t16J SANDY GRAVEL W/Som, SILT GM t 3.-0, SANDY GRAVEL w/TRACB TO'SOME SILT (GM-$M) �-4-1 n-7 uww.r«..1 1 - ,`w..,.., U U. ORGANIC t'-' '7';�--7 7- 77 h .;;.,SANDY 81tv :7, 'Z7% t7� It S AND.. Acim)' G 10, 7-10.0, Lily GRA GRAVELLY SAND w/TRACE, SP4)., SILT (SM) Gray j3 j d GRAVELLY SAND W/SOME`1' 1.0 SILT (SM -SP) Gray ...... ".00 -1 It 10 o % tg, 1, W 20.0 T.Do 20.0 NO WATER TABLEI . I jr NO'WATBK�:TABT y, I 11,11ti 0 4 tl I InWtj 1.,N. ?)2Z_ I C , HI , cr , 5 49Y Y: px J, I p . NO.L. N . 0!i111^1111 "Irma No. ,h It - el t tr w N I. i% 2 I c v'. 3 10 -TH - I 4 A F t. 5 P it i riho n 1; R o a cl V, (D it 2 TH •-2 3 P M 4 1�2-1'� L-1 ILI- 6 OTH-3 :b, I 7 I ft I;r 8 Leyden Road c A NEA DIAGRAM FAIRDANKS ALASKA 'Iiu v CHORAGV, q-41sm, ALE' 111=2 -,' �'o OWN O.Y 562082�JDW6�O 0. lb3.' 04 4:05 4.06 4:07 4:08 4:09 -10 4:11 4:12 4.13 4i14 t."'.', ". ` .1 .: 4.-15 4:16 4 1.7 4:18 -.2Q 4:40 4: 45 A-50 4:.55 !.5:00 4 Test Hole #1 Test Hole #2; Test"i'Holel. 43." 1 1'4'3/4" 8:29 31, PEPCOLATION'.TEST July •3 It 1975, Time nute Mapsea DOI nute 'rime, glapseg Time 1 apse DOC'' 1 Time .DO Time, Time 0. lb3.' 04 4:05 4.06 4:07 4:08 4:09 -10 4:11 4:12 4.13 4i14 t."'.', ". ` .1 .: 4.-15 4:16 4 1.7 4:18 -.2Q 4:40 4: 45 A-50 4:.55 !.5:00 4 Test Hole #1 Test Hole #2; Test"i'Holel. 43." 1 1'4'3/4" 8:29 31, 1 11 11-11 8:30 1 811 10: 02:- 1 611;,1 1 21 23Y1 8: 31 1 1 111Y, 10 0 3. 1 1 2' 4 3/4" 8:32 1 2'1' 10:04 '1. If. IF 1 21 6Y1 8: 33 1 2' 3a 10-05 1 2'7 3/4" 8: 34 1 21 5 101,06 1 1 21 1 2'8 3/4" 8:35 1 21 7? -41 10:07 1 2 9Y1 8:36 21 8: 3�4 I I cf�. 08 1 2'10;2" 8: 31 1 -2', 10:.09 1 2 8:38 10:10 A .1 1 31 Y1 8:39 1 31 �10611 1 31 Pill 8: 40 1 3': JY 10:12 1 31 2Y1 8: 41 1 3'Vr 10:13 1 31 3-2 11 8:42 3 311 , 04 3. �3 3 1 31 4}:" 8:43 1'. 3'; 3'�" 1U:15 )'1 3 P 1 31 5Y1 8-44 1 4!1 . 10-20 .- '10 : j/4," 1 31 6}S" 8:45 1 '3) '41: "10:25 5 5 1 31 71j" 8:50. 5 3'..7' , io m 5 4' 0A tj 5 41 8.55 5 ..31 j): 10-35 5 5�1 D 00 Ab �b 5 4'9 3/4" 9:05 lo., 5 51 2Y1 9..10 51 Sil LU. 50 5 51 9V 9: 15 5. 4 —A�' .10. 55 ..' 71 40' C, 5 6' 211 9:20 .5 49 IF 1].600 5 V9 3/4" 5 61 911 9:25 5 5 7'1 3/4 9:30 5 5'1.3/4„ 4-" The above information was recorded after eight; hours,:,, of saturation. - P, ..I 1 ...ti. rt PERCOLATION :TEST ` ,2�1" .. August 1, 197.E t � , � I. pp[[ X51°S�1f� ` Tline MM nute. E-apseca DOI Time '. 1. :.-. I i 1 t M nute . , • i -. 1 '_9 E a ses DOT Time ,,Y - .°• a _. r M nu E DOT 1�1 e:. 'f �..I ase .l ne time � 1 , 1`- ' +++ Test Hole #1 Test '.Hole 42 : Test Hole #3- V- �.a lf. .. I t t ♦ 1 (1 A `l l . ' ' +.l V i 4 , ' ,.1b:01 1' 3 3/4" 11 14 r 2 i ' 1 10 r{ Yy { :•t 2�a" ' t ., 4':10':02 2 i''` :.10:03 1 1' 9�" 11:16 1 :. 21 1" :". 14'12 1 10:04 1 2' 11:17 l 2'" 2' .1" 11 18 -:: 2!.All t 10:06 1 211 3/4" 11019 t S 10:07 1 212 3/4" 11.20 v 10o08 1 2'3 1/4" 11 21 1 2°. 7" ' r1:17 3 Vit' 10009 1 213 3/4" 11:22 . 1 2:� 8" 1:'183t '7" " P,...,. 1,0:10 '.•. 1 2' 4�" 1:L:23 1 1: Ir 2. 9 . 1:'19.4 a r' f�; " rl 1 3,8.:3/4 ,. err: , nj- 10111 l 214 3/4" L1:24 1 2'.10"1120 1 3f10"' 1012 1 2' 5Y" 11:25 • 1. ' 2'11"'Y ] e'21` e X 41r ,r .. `10:13 1 205 3/4" 11 26 ' 1:22 ar: 10:14 1 2' 6'Y" 11:2 7 1 3'' 1�a" 1:23 1 3"/411 "i 1015 1 2 r 6�n :L1 28 1 r. u , 3. 2' a-- 1 `24 r sf 10:20 5 2' 911 LJ: 29 1 3- 33d 10:25 5 2'1Va" 1J. 30 1 3!r4�4'R1 1:30 S 4t+:8yilr\+ ,r1,, 10:30 5 311 3/4" 11 35 5 f3J�' ylr " ; , 1 :35 5t..4" rt 10:35 5 3' 4" 1140 `^ 5 i4w'1 3/4'" 100,40 5 3' 6:" 11 4S j 5 ,1.40 41 6' 11 1s45 5 10:45. 5 3' 9" 11..50 5 4'.,13 6k1.50 , 5' a> . 10.50 5 3' 11Y1 11 55 5: ..3/4'; i' u : '+ 5 4� :. 1e'55 .. A i. `i{ ` " 5 10':55 5 4' lis" J.2 00 5 2:00 ,6,8,3/4 5 Tt.'4sa" 5 513 3/411 ;r f Y . Y:� `{i•Irt:: � \. - 1. .- -. - i ., ♦ ' UcD F Locad.on/ J ...... J, .depth of well..... .................... _._. Sizeof ...... I.. .......... ...... .. Distance to vrater..... r.% ..... .......... ....... . _ . _ .. . Distance to water while pumping........?........................................at rate of......... /..... .............................gallons per haou.. Formation �0 from to -- Driller UELTA IIRULPAVAG COMPA(MY SRA BOX 394 B ANCHORAGE. ALASKA 99507 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-035-24-000 Expiration Date: 12/5/2024 Legal description WEST ADDITION KNIK HEIGHTS BLK 1 LT 3 Site address 12641 ELMORE RD Anchorage AK 99516 Current property owner(s) VESTAL HARVEY B & VERNITA X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: Original Certificate Date: 12/20/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory X Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 NMPAUTY OF ANCHORA G n:ss Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section l=ax: 907-343-7997 Certificate of On -Site Systems Approval Application --� 1. GENERAL INFORMATION Parcel I.D. 017-035-24 Complete legal description WEST ADDITION KNIK HEIGHTS; BLOCK 1, LOT 3 Location (site address) 12641 ELMORE ROAD, ANCHORAGE, AK 99516 Current property owner(s) HENRY & VENITA VESTAL Day phone 907-240-9214 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: 0 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 11 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed X Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: [J Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $_ Waiver Fee $ Date of Payment COSA # Q s c,2 3 1 J ��_ Date of Payment Waiver # COSA Applicabon June 2022 COSA Checklist Legal Description: WEST ADDITION KNIK HEIGHTS; BLOCK 1, LOT 3 parcel ID: 017-035-24 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA FM Well log is filed with Onsite (or attached) Date drilled 5/14/2012 Total depth 200 ft Cased to 200 ft Q Sanitary seal is functioning correctly X Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 12/7/2023 Static water level at beginning of test 82.8 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 51" Date of pumping — - ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/1/2012 ❑E ALL standpipes present per record drawing Total measured depth from grade 13.6 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. W■ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced - gallons date Any rejuvenation treatment (past 12 months) N/A If yes, enter date Comments/Deficiencies: " MT2 COSA Checklist June 2022 Well production at time of test 8.0+ gpm Water storage tank volume N/A gallons Well dis' cted for coliform test? E] Yes ® No Coliform bacteria is Negative Nitrate G •5 3 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by GEG, LTD. Date 12/5/2023 STATION ❑ Require Age of lift station Lift station Adequacy test date 12/7/2023 Results 0 Pass Fluid depth prior to test "10.25 in Water added 725 gal New fluid depth '25.25 in Elapsed time 120 min Final fluid depth '16.25 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 99 in Effective depth used 16.25 in Effective depth remaining 82.75 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' Mi Yes if No ft E Yes if No ft Neighboring Tank > 100' ❑m Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' E Yes if No ft Holding Tank > 100' 0 Yes if No ft . Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft �i Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' no Yes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5+ ft Surface Water > 100' Yes if No ft Tank to Property Line > 5' Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' QQ Yes if No ft Community Wells > 200' g Yes if No ft Water Service Line > 10' FMI Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALL. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Garness Date I z�► �� 2 3 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry oboop practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may o 9 exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuat during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing CO*--' 4 H * d the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not 0• • - • - • - - • • • • • • • . - - • • . • • • • guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding 0 the future performance of the well or septic system. GEG makes no representation whether an alternative well ,�� or septic system can be installed on the property in the event either of the current systems fail to perform Jef A. GdTrrtsss., G adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG E— 95 Q�'sd to perform the evaluation. Reliance upon the information provided in this report by any other person or party � e _ (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. UCENS���� o fess 10,0\ COSA Checklist June 2022 #AECC884 M. T\Titrate Advisory Certificate of On -Site Systems Approval # OSC231484 Subdivision: West Addition Knik Heights, Block: 1, Lot: 3 A water sample revealed a nitrate concentration of 6.53 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. y s Ma�l�ng Address P O Box x.96650 *Anchorage, glaska 99519 6650 *www muni org From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. j I Lot 2 ! 5' UTILITY EASEMENTS N 89'54'08" E 278.45' 100' PROTECTIVE WELL RADIUS I ' 40' NATURAL GAS SETBACK 1 0' UTILITY EASEMENT z 7.0 0 Lot 3 m 71.5'. 45,957 s.f. i 0 F' ASRFiALT'Val 0 cam» �%'► PRV�MEN'T . v o f G I © ' to A 167.2' I SEPTIC PIPES N 89'54'08" E 278.56' ( I ( 50.{3' f Lot 4 28g.� l 3.0• CANT 1 j 3.0' CANE � 0 v I j HOUSE DETAIL � �� � Scale: 1 i i I I i II NOTE: DUE TO SNOW do ICE , SOME SURFACE LEVEL FEATURES ARE APPROXIMATE. PLOT PLAN AS BUILT X SCALE 1' = �?' GRID SW 2836 Proleot No. 23-6101A1 n t,� & � S S +f� C i �'! �' +� � , 1 � C . 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 52.2-6476 Phone {907) 522-4625 Fox � Professional Land Surveyors .. ken4langsurvey.00m .:, ... nWangsurvey.00an , ..- •.sS ryanMangsurvey.corn I h -certify thatt I have surveyed the following described LOT 3, 1, KNIK Hi:IG M— ON SUBDrYlSION (PLAT � No. 75-198) ........ Anchorage Recording District, Alaska. and that the Improvements situated thereon are within the Property lines and do not encroach onto the property adjacent thereto, Haat.. no Improvements on the property lying adjacent thereto encroach on the surveyed Promises and that there ars no roadways, transmisslon lines or other visible L easements on sold properly excW ars indicated hereon. ..P-5202-.-- �, Dated this the Day of ;,: _Anchorage. Alaska •..,.' it Is the responsibility of the owfw to determine the exhftwo of any oassments, AE=63 a 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 �7r //� /S 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) t o 3�� k'n r l; lfe _h 6- U/04 Location (address or directions) (b) Applicant Name Tim d- (/ccc i Ccv ff'/(a Telephone: Home 3 '/S- -3 2C3U Business Applicant Address Oir?ga-cu A11C11 i--_ellf-c396 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder l9 ; Buyer ❑ ; Other ❑ (explain); _ (d) Lending Institution (=rrS f Na / r Sc<n �r aF /411/7 Telephone 2 76 -6�30o Address0iYG W- 'Y N' v' — (e) Real Estate Company and Agent f?Q Max ea/�� S� c Pnu/c.< Bern cion Address _ lUUU t=I/roocC (31vd Telephone -�-?- - (030 (f) Mail the HAA to the following address: ` - iaa(o( _�� lC(� lav %�( IKc�QP-e i3 `/5 -r3i5 2. TYPE OF RESIDENCE Single -Family E Multi -Family ❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well C Community ❑ Public ❑ 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 R Public El Community ❑ Holding Tank ❑ ` Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 11 J 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Flarechntcc( / Sc'rvrc6.1 Telephone 3`4S -1.35'6 - Address GhU Sf ._f} 7chyrcz ,e /{ !r )95/G Date A`am �a q 9 14 49 T HH ' •• 9 �......................::.y� V 'o THEODOf,[ F. MOORE N 9m cQ�•.• CE - 3589 < Engineer's Seal .fo�!'.5.,.� raw 6. DHEP APPROVAL /!� Approved for �G`` 6 bedrooms by Aim Date Approved Disapproved ___. Conditional — Terms of Conditional Approval CAUTION 4---1B-fec 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. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & IENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) APR 16 1986 CHECKLIST - FEBRUARY 1984 C 264-4720 RECEIVED Legal Description: ¢ • a ty(.. h 1 r-criti 0-eic hb- G ktr S/D A. WELL DATA Well Classification �' "'��� If A, B, C, D.E.C. Approved (Y/N) NA Well Log Present (Y/N) —`L Date Completed 8/30 / 7 ! — Yield 7 7, a Total Depth 7 7 % Cased to 4t= 77' Depth of Grouting N%A A. Static Water Level 57' Pump Set At _> '70' Casing Height Above Ground :5:-/ Sanitary Seal on Casing (Y/N) — Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot of ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot (�Y` On Adjoining Lots > lam' % To Nearest Public Sewer Line NeA• To Nearest Public Sewer Cleanout/Manhole AI, g• _._ To Nearest Sewer Service Line on Lot N, A • Water Sample Collected by 1-r ; Date — y PV 16C Water Sample Test Results SOr/"C.fw'C_107 — oa ev<</rC P7 kft eb, rt2L Comments B. SEPTIC/HOLDING TANK DATA Date Installed 7 19/77 SizeNo. of Compartments Standpipes (Y/N) Y Air -tight Caps (Y/N) — Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) N Date Last Pumped / 15" l8G Pumping/Maintenance Contract on File (Y/N) N%A• ; for All Holding Tank High -Water Alarm (Y/N) AIA • Temporary Holding Tank Permit (Y/N) N,/), Separation Distances from Septic/Holding Tank: To Water -Supply Well __ 10y' To Property Line _ To Water Main/Service Line Course Comments To Building Foundation Ip r To Disposal Field _ j- r To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 100 0`10c�fr•m Type of System Design `Trench Date Installed -7119 /77 Length of Field Width of Field Sul Depth of Field Gravel Bed Thickness 7r Square Feet of Absorption Area '7 (16 Standpipes Present (Y/N) Depression over Field (Y/N) N Date of Last Adequacy Test 'Y //y 69K Results of Last Adequacy Test Ad efeeacc ea roc-l�u Separation Distance from Absorption Field: To Water -Supply Well (2 y To Property Line lot To Building Foundation Lot To Existing or Abandoned System on On Adjoining Lots > 30' To Water Main/Service Line N, t4. To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course 3 C0G ) To Driveway, Parking Area, or Vehicle Storage Area 30 Comments S'cerrre A�l > 7Uo D. LIFT STATION i\(, A Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request'* Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed TvfA4� 1�' � `'mac Date W /f5 186' Company �f=/�Y� Tecl�n=atI Svcs, MOA No.� Receipt No. 3 i 7 R (p Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) �.®�% A 14 0 t'.6) ..° a ° °�°%, Engineer's Seal Ale•as°°°•,•y°,Q°/p•�rp°°°�°�•e0//s�/.ey(e��j.�o� ® °e THEODORI: F. MOORE ,e [� ���� ' CE -3589 ° w' MUNICIPALITY OF ANCHORA6; DEPARTMEN )F HEALTH AND ENVIRONMEN-E £325 L Street, Anchoracir,. Alaska 1\ ON 264-472.0 PROTECTION 99501- REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILI`T'IES 1. Lending Institution Request: Mailing Address:, __ J 2. Property Owner: Herzog Construction Mailing Address: Phone: Phone: 277-3166 3. Legal Description: Lot 3 Block 1 Knik Heights Subdivision 4: Single Family Residence: (x) Number. of Bedrooms: Four Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well (x) Commuality/Public System ( ) Permit ik. 7Z�/_�_-- Depth of Well 76' Well- Log on File (� ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site System (x) Public Utility ( ) Permit It ._��."�s— Installed 1977 Installers Septic Tank Size i, _ Manufacturer Absorption Area � ���Soils Rate £per �JMaterial 7. Distances: Well to Septic Tank to Sewer Line to Nearest- Lot Line Nearest :Got line to Absorption Area Absorption Area IIUNICIPALITY OF ANCHORAGE Department of Health and Environmental Protection o jf 825 L Street, Anchorage, Alaska 99501 �E 4� 264-4720 quest for Approval of ]Individual Sewer and Water Facilities 2 3. M 5. Property Owner: Mailing Address: Name of Buyer: Mailing Address: Lending Institution: Mailing Address: _ Realtor/Agent: Mailing Address: Legal Description: Street Location: �eLe�O 6. Single Family Residence: Multiple Family Residence: ( ) Phone: Phone: Phone: Phone: Number of Bedrooms: Number of Bedrooms: 7. Water Supply: *Individual Well .(iC,l, Public/Community System ( ) If Individual Well, well depth _71.1e If Community System, name of system 8. Sewage Disposal System: On-site System Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. 3/77 PageTwo Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: _Ls�3pck 1._ �Salilc�_TZ�.i_ght�SubclStS:__—__ __ Comments: Affadavit Attached: ( ) Letter Attached: ( ) Approved: Date: i 162-10--71?— Disapproved: _J S �Date: - --,--� Department Worksheet: