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MANN BLK 3 LT 4A
Mann Block 3 Lot 4A #020-041-07 Municipality of Anchorage I _ Development Services Department d s Building safety Division On -Site Water and Wastewater Program, 4700 Bregaw St. P.O. Box 196650 Anchorage, AK 89519-6650 Page of www.d.anchorage.akus (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO40171 PID Number. 020-041.07 N' Ede Grosch Wastewater System: ❑ New ® Upgrade A. P.O. Box 111665 Anchorage, AK 99516 ABSORPTION FIELD Pt,one Mmes of 6eapaae 4 la Dewrtmtp5hrv.Tana 13SW OM -14 0 0a LEGAL DESCRIPTION � a Taroro. opa 6 M .a Gp t' Ft. abxLM saxawMac Mann 3 4A DepMWP" omn tmm&w ll o G detxhlrwa Fps: 2 Ft. 4 R Tm 0 Racy. save Fi tlW 1. 09. pb Gr twym. 2S Ft. 77 Ft. Well: ❑ New ❑ Upgrade cwr.,an Mnyraw.. 1 Drtro brraen.� 5 Ft. R CIYMMIOM (Pw . A e CL Tar Dwm. Cues b Taal FDvpt o r Pp Mr Existing 235 Ft, 27 R 770 Fp ASTM D3034 PVC o.r.r D.r oaao. sax wr Leat In.uper Dea ama.ea 10/2/83 FL Acreage Systems 6-29-7/5/2004 rra wwsaa C."wVe �oaw Gaup¢ TANK cPM Ft >t 5 FL SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption LIR Holding ublr""m Mw•di••r tr Ftom Tank Field Station Tank S~Lrie Anchorage Tank 1,250 Gr Mr tMmoer a CanVrear+. VM >1W >1017 WA WA >25' Steel Two Wfmowmv >1001 >10(r NIA NIA LIFT STATION La Lem >5' >1(r WA WA GM a 'Pop m'Y.eI.L 'Poop alf VM el �rrr armK FaMroat >S >70' NIA WA k h h Pww M.0 a Mar EMaxxn Vap.Wan. P.rtameo try. C~ DWI None Noted R Existing Septic Tank Pumped, Crushed and Buried On Site. BENCH MARK Laraamr D"Wpean Existing Absorption Trench Tied In With Diverter Valve. Tile Deck at Bottom of Steps South Side of House 2• Insulation Over Entire Absorption Trench. 100.00 FL MEA 661292004. Enk �tgt Inspections performed by: Dates: 18' �F gS>faP 2^^ 7/52004 «"`p�0'•'....AC Development Services Department Approval . Conditional Approval Date: FF ... .... .... .. .... ... s f.. .......S.I.. ..... .... .MICHAEL E. ANDERSON -4381 54, t Reevie ed and approved by: W fy Date: l5 Reviewed (♦f q Aia�e 1 o� ♦♦♦ p. i u�4%p� 4�N 1yy�11� �aaa�S glagez i 13•1j�.j�'°. • iiI\•'N� 0 3 ••r6''•• ' j x a �• 1' ,1111����♦♦♦♦ p a �g � J n w � � W I?uld iul N F V / wa= V o w _ $ O y w V q a n 5 y� n n O O ry Z cw �'O iCL �hd ry n mdiu w CO m p t3 u •� o N fn c g � u a n � 0 z 2 O E Y z' U > EL m D . aN _________ )uawase3 Apim m __ z F— z O Q J Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Bragaw Street Anchorage, AK. 99519-0655 - 343-7904 Onsite Wastewater Disposal System or Well Inspection Report Permit No.: SW040171 75.( 92.5 U N N C4 V) 00 1,250 Gallon Septic Tank 88.15 F U 7T (rrench Length - NTS) PID No. 020-041-07 I5.0 PROFILE AS -BUILT ..••P�E:�:: Sccle: NONE 49th r- ANDERSON ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO40171 Legal Description: AMNN BLK-LT_ ,4A! Date Issued: Jun 04, 2004 Expiration Date: Jun 04, 2005 Parcel ID: 020-041-07 Design Engineer: 0014 Anderson Engineering Site Address: 016300 ELIZABETH ST Owner Name: Eric Grosch Lot Size: 44961 SO. FT. Owner Address: PO BOX 111685 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99511-1685 This permit is for the construction of: ❑v Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Date: C114 -M Issued By: ,r L Date: G411' 671 V ipa MUNICIPALITY OF ANCHORAGE Development Services Department ?151x1 136b On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO40171 Legal Description: AMNN BLK-LT_ ,4A! Date Issued: Jun 04, 2004 Expiration Date: Jun 04, 2005 Parcel ID: 020-041-07 Design Engineer: 0014 Anderson Engineering Site Address: 016300 ELIZABETH ST Owner Name: Eric Grosch Lot Size: 44961 SO. FT. Owner Address: PO BOX 111685 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99511-1685 This permit is for the construction of: ❑v Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Date: C114 -M Issued By: ,r L Date: G411' Municipality of Anchorage Development Services Department Building Safety Division / On -Site Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 020-041-07 Permit Number SW Property owner(s) Eric Grosch Day phone 522.773 Mailing address (1) P.O. Box 111685 Anchorage AK 99511 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Lot 3 Block 4A, Mann Subdivision Legal description (Section, Township & Range) Lot Size 44.961 SF Acres/Sq.Ft. Number of Bedrooms Four (4) THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. '-�L (FQt'� (Signature of property owner or authorized agent) Permit Fees: d(ro Waiver Fees: Date of Payment i17p�_ Date of Payment: Receipt Number. Receipt Number. (Rev. 12/00) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX May 28, 2004 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 4A, Block 3, Mann Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The existing septic system on the subject lot has failed and must be upgraded to serve the existing four-bedroom home on the property. We are therefore requesting a permit be issued for the construction of a new septic system. The attached Site Plan and backup documentation identify the location and configuration of the existing and proposed septic system. Also identified on the plans are the locations of the existing well. No conflicts exist between the proposed septic system and existing well and those on adjacent lots. Drainage arrows are shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. The existing septic tank will be pumped, crushed, backfilled and abandoned in place. A flow diverter valve will be placed to tie in the existing absorption bed for possible future use. The test hole placed on the lot indicated poorly graded sands with gravel with varying amounts of silt in the area of the new absorption trench. The percolation rate for this material is between 13 and 15 minutes per inch. No groundwater was found during placement of the test hole, but was noted at 10.5' below the surface during the monitoring period. We are therefore proposing to place a new 1,250 -gallon septic tank and a 75' long by 5' wide by 4' effective depth absorption trench to treat the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 2' below the surface and the total depth will be 6'. Sufficient fill will be placed over the trench and septic tank to prevent frost penetration and possible freezing. The ground surface on the lot slopes at shallow grades from east to west and north to south. The trench will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a Lot 4A, Block 3, Mann Subdivision May 28, 2004 Page Two minimum of 100' from the existing well and any surface water in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments b � O MICHAEL E. ANDERSON No. CE -4181 �aaa�S agezil3 s € f �� i f�• .X R�,�IIi {5� 3 IIS 4 � • � it ffli O 111. �.. i•��rrrr Ilhha.�•� X a O � f Y sib Z m m Q� w cn I M K 3 n C V 3 t � tli «E F V O 4 iu9wese3 ti!mn M 0 `o di 0 O 2 LOT 4A, BLOCK 3, MANN SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom House Perc. Rate: 13 Min./Inch Application Rate: .8 GPD/SF 5' Wide Trench System 1,250 Gallon Septic Tank 4' Drainfield Rock 4 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 750 SF Absorption Area 750 SF/5 LF (Width)' .5(Red. Factor) = p5 LF Trench Length THEREFORE: Construct a 75' Long x 5' Wide x 4' Effective Depth Absorption Trench. Flow Line Elevation In Trench to be 2' Below Original Ground Surface. Total Depth to be 6' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Natural Backfill 1'6" Geotextile 6" t 4" Perforated t PVC (Holes Down) 4'0" I I �— Drainfield Rock 5' TYPICAL 5' WIDE TRENCH SECTIO"' (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Wells in the Area. Minimum 100' Separation From Surface Water or Streams. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, ALASKA 99519-6650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Eric Grosch DATE PERFORMED: 5/192004 LEGAL DESCRIPTION: Lot 4A Block 3 Mann Subdivision C TEST HOLE # 1 OG/OLPROJECT # M0302 COMMENTS: WAS GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: DATE: MCHAEL E ANDERSON . No. CE43E7 J 5% NO S L 0 10.5' P E 527/2004 SITE PLAN READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 5/19 5:42 8.75" 1 6:12 30 6.38" 2.38" Recharge 6:13 9" 2 6:43 30 6.75" •^ Silty Gravel , '' ,. •.•. W/Sand Clusters 9.13- GM 3 7:14 30 6.88" 225" • °•. BOH @ 13' COMMENTS: WAS GROUNDWATER ENCOUNTERED? IF YES, WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: DATE: MCHAEL E ANDERSON . No. CE43E7 J 5% NO S L 0 10.5' P E 527/2004 SITE PLAN READING DATE GROSS TIME NET TIME DEPTH OF WATER NET DROP Start 5/19 5:42 8.75" 1 6:12 30 6.38" 2.38" Recharge 6:13 9" 2 6:43 30 6.75" 2.25" Recharge 6:44 9.13- 3 7:14 30 6.88" 225" PERC RATE: 13'3 MIN./INCH PERC. HOLE DIAMETER: 8" TEST RUN BETWEEN 4.5 FT. AND 5.5 T. Test Hole Pre Soaked Prior to Test TEST PERFORMED BY: MEA I, MICHAEL E. ANDERSON, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES ON THIS DATE: 5282004 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 4A, BLOCK 3, MANN SUBDIVISION GENERAL: 1. The scope of this project includes the work to pump, crush and backfill the existing septic tank on the lot. Work will then include the procurement and placement of a new 1,250 -gallon septic tank at the location shown on the site plan. Work also includes the construction of a new absorption trench 75' long by 5' wide by 4' effective depth also at the location shown on the Site Plan. The total depth of the trench will be 6' below existing ground and the distribution pipe will be placed at 2' below the surface. All components of the new absorption trench and septic tank must be constructed a minimum of 100' from any surface water and 100' from the well on this and adjacent lots. A flow diverter valve must be placed to tie in the existing absorption bed for possible future use. A minimum of 4' of cover is required over the septic tank and 3' over the absorption trench. In lieu of cover 2" of direct bury insulation and 2' of cover may be placed. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. The Contractor is also responsible to assure the separation distance from wells and surface water in the area is maintained. The engineer will accept no responsibility for Contractor errors. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. Lot 4A, Block 3, Mann Subdivision May 28, 2004 Page 2 of 4 SEPTIC TANK INSTALLATION 1. A new 1,250 -gallon septic tank must be procured from a certified septic tank manufacturer. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4 in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. The Contractor is solely responsible to assure these separation distances are met. Lot 4A, Block 3, Mann Subdivision May 28, 2004 Page 3 of 4 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trench to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections must be completed during the construction of the septic system. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The Contractor must notify the engineer 4 hours prior to the inspection to prevent delays. Lot 4A, Block 3, Mann Subdivision May 28, 2004 Page 4 of 4 The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. His measurements must include verification that the proper separation distances have been met. A certified surveyed as -built may also be required to assure the proper separation distances are met from wells in the area. The as -built will also include separation distances from streams or surface water in the area. �- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME <1I/I. NEW ❑UPGRADE MAILI ADDRESS 10..21 66,77y"' LEGAL DESCRIPTION � `1A A) 4 N ti LOCATION '�' N0.0 BEDROOMS U DISTANCE TO: Well_ r]O ( (F.), Absorptionare_a r o Dwelling �11 r1 p ( / N PERMIT_, NO, Y_'3 U-5 t(,S. 1-2 Manufacturer Materi IC rC? No, of compartments rn Liq. caacit in gallons Ig G IF HOMEMADE: Inside length L Width --- Liquid depth �' DISTANCE TO: Well Dwelling PERMIT NO. i O Z H Manufac� aterial squid capacity in gallons O w= DISTANCE TO: Well _ - r\t�� I✓\ Foundatiopp v10T (V1 Nearest lot line IG PERMIT NO F�)C) W E Z H ? W No f lines- L 1J Length of eac line, i�L' �C� I ?� Total length of lines Trench width r �� X o� inehes, Distance beta nines ccN p Top of tile to finish grade f 'f' Material beneath tile inchesca%-1 Total effective a s tion area LLI Length Width Depth PERMIT NO. QI- ui a`` Type of cri rib diamslr rib depth To I effective abspr ' n -.-.-� NWell DISTANCE TO: itdirag-f undation Nearest lot line J t ss le Depth Driller Distance to lot line_j PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHERPIPE MATERIALS l7�ll ii�l-�Ttti-� r SOIL TEST RATING INSTALLER c� �U REMARKS 8 ops APPROVED ` DATE LEGAL q/n 72-013 Me�.78) / • I��J�SI�'�J�3�' �i�►I�Ib1I�1C�r �C��S� Box 1:3:4111D^ Smit It Hourrii A ANcnoRAGrq AI.*,NKA 90SO2 ' 4144-7714 SIX INCH W.! :, VJELL DRILLED ANU CASED OUT TO THE DEPTH OF olc'Gr"' , DRILLED AT rmE RATE OF PER FOOT. PROPERTY OWNER LOCATION OF WELL SITE— � ��/f %i/tom• 7 f �iGirn12 DRILLER - --- ... �_ .. ., ""'j WELL LOG: ' � Gcr^enh.0 ii.a.,.,t -•.,h t�-� fanoty c.Car, ft✓e•+t, jnval Lo-.,.•�v � Y -/�'--27 --•— -co..,tun+i+lc •�no%�i••�t r.•,�� PonP.y B.dL.<.otc� - ----��•�.k _ .� ►,a..•a- r � � ...� ' : ' ' Z7— 233...-- ,w,N,f.� , ... •' .. ... . fir.. . i^�i n, I.; (:•., rw. t.. .. �,:.•Ft; C.--•^!1 w.h•. tv Tf of fs,All, " 1 ,..n...,•.. ..X.Si •� .. i 1 �• f ,f COST INCLUDES ALL LADOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. ` • „•- nn WRITE CHECK PAYA©LE TO RAMPART DRILLING WORKS FOR THE SUM OF THANK YOU VERY MUCH. C, h 1,:( 0Fj DERNIE CLAUS OF RAMPART DRILLING WORKS SATE.--• SERVICE CHAnGEOF 1!i'.. PCR H')NTH WILL BC ASSESSE. ON PAST OUFA.C/, COUNTS. MUNICIPALITY OF ANCHORAGE Departmen' if Health and Environments Protection 825 L Street, Anchorage, AK. 99501 264-4720 Permit 0 ANDWRITTEN PERMIT WELL AN IR ON-SITE SEWER PERMIT �.h Applicant: (VIO/1 v esS Mailing Address: /.OZ/ W 77 arc yY�S'DZ Location: /j%, mV L,62V _ Phone Number: jw! Legal Description: 4-¢/4 d ,2- T//a X 6v Lot Size: 44� _0/ Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: i/ _ Holding Tank: Maximum Number of Bedrooms: _ Soil Rating(sq.ft/br) AV_294, The Required Size of the Soil Absorption System Is: DEPTH LENGTH Z( I . GRAVEL DEPTH 6 WIDTH 14/ The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /00 0 GALLONS # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * # * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this departmen• will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 u 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I un er and th the on-site sewer system may require enlargement if the' Pidence 's remode �d to include more that bedroom / Jf Signe'a: ( Issued by: P/ scant Date SWP/024 (1/81) A104 • 30 7 5 1/valeC'I /2'"10.4ec/ pav). 42W wl .� �. al -e d�r CONSULTING ENGINEER June 10, 1983 Mr. John Coombes 1021 W. 77th Avenue Anchorage, AK 99502 Subject: Lot LIA, Block 3, Mann Subdivision Dear Mr. Coombes: 203 W. 15Th AVE ^C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 Per your request, I monitored the water level in the perforated pipe in- stalled by you on this lot. On June 7, 1983, 1 found the water level in the pipe to be 9.5 feet be -- low the gravel surface. I understand that when the pipe was placed in May, the water was ob- served at 11 feet. TS/ds Enclosure Yours, . c Tobl: n Spurkland, P.E. �•ek�Doap1D oueso,o qo oo 9o'e°�I ,a '0' a Da d o m Did a, c9•@Ltl No. 2225-E J�°• JUNE 25, 07J <Z t' CONSULTING GEOLOGIST BOX 476-M, STAR ROUTE A ANCHORAGE, ALASKA 99507 a PHONE 344-7071 Mr. John Coombes 3236 LaTouche Street y,/H-6 Anchorage, Alaska 99504 Letter Report :Lot Lam, Mann Subdivision No. 'I Block 3 To whom it may concern: On April. 13, 1979 I performed a visual soils ecamin ;.tion: LhC2 :;u ; 'eci; io'; for Mr. John Coombes for -the purpose of ascertaining the suitability of soils for the on -.site disposal of domestic sewage. A backhoe -excavated test pit disclosed well graded gravelly soils to a depth of 12 feet below ground, overlain. by a thin (one foot) veneer of silty sand. Ground- water was encountered in the gravel 10 feet below ground level. In the event that Mr. Coombes constructs a residence on this lot, he plans to build spread footings for his foundation.. The footings should be placed on natural gravel soils or on well graded, compacted fill. In either case, the gravel base will be very permeable, allowing rapid percolation of migrating groundwater. It is my opinion that the naturally occurring soils and available well graded gravel fills are permeable enough to preclude the use of footing drains on this lot. 1,,.ny fill placed under footings should be non frost -susceptible, clean sandy gravel approximating the gradation of the naturally occurring; soils. Sincerely, Vr Gary F. Player Consulting Geologist December 31., 1979 John Coombes 3236 La Touche Anchorage, Alaska 99504 Permit 'r 79017£3 �'IOP 1 1. Subject: _Lot 4A Block .3 Mann Subdivision A. pe"rmi"t issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer has inspected the installation of the on-site sewer SySt.em, please have them send us the as-bu_ilts for our files. If there are any further Cuestlons, please Contact this office at 204•-472.0. Sincerely, , Z,?, I Les N. Buchh Senior. Envir o LNB/1jw -2 C� o1z, R.S. nmenta 1. spec i , st enc: Copy of Permit DEPHRTMENT 0F HEHLTH HND ENVIR0NMENTH|, PROTECTION 'i TREE[, RNCH0RHGE, RK. 99' 264~4720 TYPE OF SOIL RBSURBTION SYSTEM IDR8INFIELD MHXIMUM ] SOIL RHTlMG (SQ FT/BR)- 85 THE REQU):RED 51ZE OF THE SOIL HBSORPTlON SYSTEM IS� FU��: �,�Rom CA -1 - 1 -1`� �1: WN TA 14 ! A "a" IT 0,. �UM-1 I-ITO: A, THE LENGTH DIMENSION (S THE LENGTH (lN FEET) OF 11 IEL). THE DEPTH UF H TRENCH OR 1) Cf, IS THE DISTHNCE BE0�EEN THE SURFHCE OF THE GROUND HN0 THE 8OTTOM OF THE EXCHVHTlON (IN FEET) �111 ISO 421041 (0 1-4 y, 1 X V, W1-1 Y�� THE GR8VEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE UUTFHLL PIPE HND THE 8OTTOM OF THE EXCHYRTlON (IN FEET). TRWAY11"s 117 ISTUD SO UE V""'0 X Q -0 1ANK nil Y THE— �low 10 ii� ::): ��1. "U~�f?"� PERMIT HPPLICAM HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTHLLRTION INWECTIONS OF ANY WB,LS HDJHCENT T0 THIS PROPERTY HAD THE NUMBER UF RESIDENCES 1HT THE WELL WILL SERVE ��UCcr 31 X RYI TV 10141 CT'KX 17) 141 47T A! PTO U lot V Two R. A Y 1? 17 171 ��__ BHCKFILLING OF MAY SYSTEM 14ITH0UT FINHL INSPECTION HND HPPROVHL 8Y THIS DEPHRTMENT WILL BE SURJECT TO PR0S£CUTION. ��T� ? 1-1 J: I , ,�:: �, PF::�. JF: F.c!: 11� _.: �:':�iz�: Ev Inc Q E7 Twl EyE1 T? Zzk " AL ON X "y � � I ij, i; I! r y i' j . I 1 II P 11 C: d'I T 1...11 11,.i1_IC I I I.: 1. I,:fFI I r Ij I'..! I AJ:lI..:iI_Il I 11,:1 E_;; 1IIN I 1:.: F1 .11 VA 1 1. E I., I f I: T T, FE I I..: 01: F., I I I. IJ ri lf 11 : � ': : , , 11 -j A 1; - , :, 'n e, 11 '1.:., �, - I, p 11 .1 _ .. I __ . ... ll.:- fl -11 if PZ 11 1 1 F::. , � u /N19 Y - 7�ar�� { SOILS LOG MUNICIPALITY OF ANCHORAGE TMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST Pouch 6650, Anchorage, Alaska 99502 276-2221 SOILS LOG — PERCOLATION TEST PERFORMED FOR: C_�(SClVy� =J S LEGAL DESCRIPTION: DEPTH (FEET) O _' I '�_ 1 J Sl J Uj/ nS 3 4 5 ._ , 6 7 8 9 10 11 12 1. 7 13 14 15 16 17 18 19 20 COMMENTS ,' , 0U SLOPE DATE PERFORMED: I 1 ��crck 3 SITE PLAN QUSS�Lj�e �p�waJ'C Reading iu U WAS GROUND WATER S ENCOUNTERED? iCL � - O P IF YES, AT WHAT ( E — - DEPTH?_ Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN - FT AND FT PERFORMED BYA CERTIFIED !7' 72-006 (7/76) DATE I )O Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onslte ✓ 9 (907) 343-79D4 ... Parcel I.D. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING ozo-o4"7 1. GENERAL INFORMATION Complete legal description Lot 4A, Block 3, Mann subdMslon COSA# 0.7041-. Expiration Date: _ 144�OS Location (Site 8ddre55) 16300 EIzabeth Street Anchorage, AK 99516 Current Property owners) Eric ofOsc' Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P.O. Box 111685 Anchorage, AK 99511 Unless otherwise requested, COSA wt7l be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four (4) Day phone Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of On -She Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineers work. 4. 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 Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system Is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage. AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 1011=007 t 49th MICHAEL E. ANDERSON 6. DSD/SIGNATURE I/ Approved for LL bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Report Other By:Q vv Original Certificate Date: 2 115 07 (Rhe 11M) Municipality of Anchorage • Development Services Department Su" Safety Division On -Site Water A Wastewater Program 4700 Sragew Street P.O. Box 196850 Anchorage, AK 995198850 www.munLorgAxmka (907) 343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Desaiption: Lot 34& Sbdr 9. Moan SWXWWm Parcel ID: 020-041-M A. WELL DATA Wen type Prvrrns If A, S, or C provide PWSID S _ Date completed 1041193 Sanitary seal (Y)N) Y Total depth -M--n Cased to—R—It. FROM WELL LOCI Data of test 101N198;t Static water level 78M ft. Wen production 3 g.p.m. WATER SAMPLE RESULTS: Coftm t1 coloniesH00 mL Nitrate NO milt Arsenic: wo mgA Dated sample: 9417107 B. SEPTICMOLDINO TANK DATA Tank TypeAMaterial aevedsrew Tank site 1,450 gal. Number of Compartments Two WON Log (Y" Y vwea preparb pied (Y/M Y Casing height (above ground) ?18 in. AT INSPECTION 94282007 27 R 5.71 g.p.m. Cleat nouts (YM) Y Foundation cleanout (YAO Y Depression over tank (YM) N High water alarm (Y)M Y Date of pumping N UMV Pumper Nortdand Pwnpft Swvbs C. ABSORPTION FIELD DATA Date Installed 71542004 Son rating (g.p.d.Ae or lefodnm) •e GPQW System type S WW9 Trsnm Length 77 ' R Width 5 R Caravel below pipe 4 R Total depth 'a fL Eff. absorption area 7� A' Monitm*V tube Y Depression over field N Date of adequacy test 9=W Results (PassiFam Pm For 4 bedrooms Fluid depth in absorption field before test Ls in. Water added eso gal. New depth 4L5 in. Elapsed Time: 120 min. Final fluid depth 1 In. Absorption rate >= -Aw4P e h g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N b type) If yea, give date D. LIFT STATION Date installed Size in gallons 'Pump on' level at _ in. 'Pump atr level at _ in. Datum CyGes tested Manhole/Access (VIN) High water alarm level at in. Meets alarm a mXA reguirernenb9 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic hmMNR station on lot 11w On adjacent lots >1ar Absorption field on lot >10fr On adjacent lots >wa Public sewer main WA Public sewer manhote/deanoul WA Salver heptIc service line >= Holding tank WA Animal containment areas No Manum/anknal excrete storage areas None SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation >S Property kne >S Absorption field >e Water main WA Water service line >101 Surface water >1w Wells on adjecwd lots >lw SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property kne >10' Building foundation >1Q Water main >1a' Water Service line >1a Surface water >1w Driveway. pmMinyhienids smrag >b Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: G. ENGINEER'S CERTIFICATION I certdy that I have detem*ied through field bwactions and review of Municipal records that the above systems are in conformance w11/1 MOA COSA gutdellnes in efled on Bnls date. Engineer's Printed Name Michael E. Anderson. P.E. Date 1011=2007 COSA Fee S �() — T 7S— Date of Payment r ° l log Receipt Number qj 3 ! 3 (Rev. I imm Waiver Fee $ _ Date of Pay nem Reeedpt Number .E ,L ". r 49th MICHAEL E. ANDERSON FAX NO. : Oct. 08 2007 04:55PM P1 IsA.KN EZ!� ENGINEERING GROUP, .Ltd. s CONSULTANTS & GENERAL CONTRACTORS ttcn October 8, 2007 Eric Grosch 16300 Elizabeth Street Anchorage, Alaska 99504 Subject: Well and Septic System Evaluation for a Single -Family Residence at Mann Subdivision, Lot 4A, Block 3. Anchorage, Alaska. To whom it may concern: The subject lot has a four (4) bedroom house on it, which is served by a private well and septic system. Our field investigation was performed on 9/28/2007. The results of the field investigation and adequacy tests are summarized as follows: WELL: Per MOA records, the well was drilled on 10/2/1983. It is 235 feet deep and cased to a depth of 27 feet. The capacity at the time it was drilled was 3 gallons per minute (gpm), and the static water Icvel was approximately 2 feet below the top of the casing (BTC). The static water Icvcl on 9/28/2007 was 27, (BTC). Water was pumped from the well at a rate of 5.71 gpm for a total of 114 minutes (650 gallons). During the pumping period, the water level in the casing dropped 131 to 158 feet BTC. Based upon this data, it was determined that the capacity of the well exceeds the MOA requirements for a four (4) bedroom house, which is 600 gallons per day, or 0.41 gallons per minute. NVATER QUALITY: Water samples were taken and delivered to a state certified 'laboratory to be analyzed. The results are attached- SEPTIC ttached SEPTIC SYSTEM: According to the MOA inspection report, the septic system consists of a 1250 gallon steel septic tank and a 5 wide trench type drainfield, which is 77 feet long and has an effective depth of 4.0 feet. On 9/28/2007, prior to starting the adequacy test, the drainfield had 1.5 inches of standing liquid in it. Over a period of 114 minutes, a total of 650 gallons was introduced into the trench, which caused the liquid level to rise 3 inches. The flow was then stopped and the recovery of the drainfield was monitored Over a period of 120 minutes, the liquid level in the drainfield dropped a total of 3.5 inches. Based upon this data, it was determined that the absorption rate of the drainfield exceeds 600 gallons per day, which meets the MOA minimum absorption requirement of 150 gallons per day per bedroom. If you have any ggHkions, please contact us at 337-6179. 3701 E. Tudor Road, Suite 101 • Anchorage, Alask Ph: (907) 337-6179' Fax: (907) 338-3246 • Wcbsite: www FROM : FAX NO. : Oct. 08 2007 04:55PM P2 Lab#:. A0709373-OIA Analysts Method Parameter Result L'ntts s Prep Prep Analysis g MRL MCI, Method Date Date ' Analyst 9222B (Aqueous) - Membrane Filtration MF 7Yst was conducted by: Ana/ dica -Anchorage Bacteria, Other <MRL CF1J/100mL 1.0 9272007 9272007 PL Total Coliform "QMRL CFU/100mL 1.0 1 9272007 927/2007 PL Labia: A0709373 -01B Analytica Ititcrnational, Inc. 4307 Arctic Blvd. ParameterPrep Result Units Flags MRL Anchorage; AK99503 Prep Analysis Dau Date Analyst Phone:907-258-2155 ANAL YTICA Fax: 907-258-6634 GROLT 9/282007 92&7007 AJ Gamess Engineering Group, Ltd. Atte: Jody GEG, Ltd. Report Dau: 10/42007 3701 E Tudor Road, Suite 101 Receipt Datc: 9/27/2007 Anchorage, AK 99507 Sample Date: 927/2007 Sample Time: 3:1 LOOPM 907-337-6179 Collected By: PB Fax: 907-338-3246 Flag, Defttnitions• Sample ID: MRL - Method Reporting LimitClient SamplinS Location: Mean UA U3 MCL - Maximum Contaminant limit Client Project: Private Well Testing B - Present also in Method Blank H -Exceeds Regulatory Limit Sample Matrix • Aqueous • COC #: M - Matrix Interference PWS#. - Estimated Value Residual Chlorine: D - Lost to Dilution Comments: " - RL higher than MCL; target not detected TNC - Too Numerous to Count - result rejected CF = Confluent Growth - result rejected TCNG - Turbid Culture No Growth - rejected Lab#:. A0709373-OIA Analysts Method Parameter Result L'ntts s Prep Prep Analysis g MRL MCI, Method Date Date ' Analyst 9222B (Aqueous) - Membrane Filtration MF 7Yst was conducted by: Ana/ dica -Anchorage Bacteria, Other <MRL CF1J/100mL 1.0 9272007 9272007 PL Total Coliform "QMRL CFU/100mL 1.0 1 9272007 927/2007 PL Labia: A0709373 -01B Analysis Method ParameterPrep Result Units Flags MRL MCL Method Prep Analysis Dau Date Analyst 4500-NO3E (Aqueous) -Nitrate Test was conducted by: Analyxtca - Anchorage Nitrate as N <MRL mgt 0.10 70 9/282007 92&7007 AJ Lab#: A0709373 -OIC Analysis Method Prep Prep Analysis - Parameter Result Units Flags MRL MCL Method Date Date Analyst 150.1/150.1 (Aqueous). pH Test wat conducted by: AnalXica -Anchorage PH 7.4 PH 0.0 150.1 9272007 9272007 AJ 232052320B (Aqueous) - Total Alkalinity Test was conducted by: Analytica -Anchorage Alkalinity. Total 162 ma/L 4.0 2320B 9/28/2007 9/282007 AJ CaCO3 2540C2540C (Aqueous) - TDS Tett was conducted by: Analytica -Anchorage e FLIM Reported by: Krissy Plea, Page 1 of 3 Laboratory Project Manager FROM : ANALYTICA GROUP Gamess Engineering Group, Ltd. Atm: Jody GEG, Ltd. 3701 E Tudor Road, Suite 101 Anchorage, AK 99507 907-337-6179 Fax: 907.338-3246 Client Sample 1D: Sampling Locadon: Clicnt Project: Sample Matrix: COC a: PWS#: Residual Chlorine: Comments: Mann L4A B3 Private Well Testing Aqueous FAX NO. : Oct. 08 2007 04:56PM P3 Analytic& International, Inc 4.307 Arctic Blvd.. Anchorage;'AK 99503 Phone; 907-258-2155 Fax: 907-25"634 Report Date: 10/4/2007 Receipt Date: 9/27/2007 • Sample Date: 9/272007 Sample Time: 3:18:00PM Collected By: PB Floe Definitions: MRL - Method Reporting Limit MCL -Maximum Contaminant Limit B - Present also in Method Blank H - Exceeds Regulatory Limit M - Matrix Interference J- E.admatedValue D - Lost to Dilution •' - RL higher than MCL; target not detected TNC - Too Numerous to Count - result rejected CF - Confluent Growth - result rejected TCNG - Turbid Culture No Growth - rejected Analysis Method Prep Parameter Result Units Fla MRL MCL Method Prep Analysis >3 Date Date Analyst 2540C2540C (Aqueous) - TDS Test was conducted by: Anal 4 ca -Anchorage Total Dissolved Solids 218 mg/L 20 Soo 2540C 9282007 9282007 Al 25108 (Aqueous) - Conductivity Test was conducted by: Analytica -Anchorage Conductivity 316 umhos/cm 5.0 9/282007 9/28/2007 AJ Lab#: A0709373-OID Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analvst 00.8200.8 (Aqueous) - Family Well Water (All Test was conducted by. Anal)tica - 7hormon Arsenic 1,%IRL ug/L 0.15 10 200.8 10/32007 10/32007 KS Lab#: A0709373-OIE Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL - Method _ Date Date Analyst 500-NO2-B(Aqueous)-Nitrite ' Nitrite as N <MRL mg/L 0.020 9282007 9282007 AJ Lahti; A0709373 -01F Analymis Method 'Prep . prep Analysis Parameter Result Units Flags MRL MCL Method Date Date • Analyst 200.8200.8 (Aqueous) - Pb Cu eFzzd— Reported by: Krissy Plctt, Page 2 of 3 Laboratory Project Manager Test FROM : FAX NO. : Oct. 08 2007 04:56PM P4 ANALYC[CA GROUP Gamess Engineering Group, Ltd. Atm: Jody GEO. Ltd. 3701 E Tudor Road, Suite 101 Anchorage, AK 99507. .907-337-6179 Fax: 907-338-3246 Client Sample M; Sampling Location: Mann LAA B3 Client Project Private Well Testing Sample Matrix: Aqueous COC k: PWSA: Residual Chlorine: Comments: Analytics International. Inc. 4307 Arctic Blvd. Anchorage; AK 99503 Phone:90i M-2155 Fax: 907-258-6634 Report Date: 10/4/2007 Receipt Date: 9/27!2007 Sample Date: 9/27/2007 Sample Time: •3:18:00PM Cgllected By: PB Flag Definitions: MRL - Method Reporting Limit MCL - Maximum Contaminant Limit B - Present also in Method Blank H - Exceeds Regulatory Limit M - Matrix Interference J- Estimated Value D -Lost to Dilution • • - RL hither than MCL; target not detected TNC - Too Numerous to Count - result rejected CF - Confluent Growth - result rejected TCNG - Turbid Culture No Growth - rejected Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst Copper Lead e FUN Reported by: Krissy Nett, Laboratory Project Manager Flush Draw Tut was condru 7.40 uz'L 0.10 Moo 200.8 0.344 ug/L 0.10 JS 200.8 Page 3 of 3 ay. ,%=uyrrca - i nornron 10/3/2007 10/3/2007 KS 10/3/2007 10/3/1007 KS ZOT 1E 01 • .�� � tee, 'I � SEPTlC SRSL� . I � oust. e ��, •srauer. 00r CR 1 , WEST CR �� OF q w C • LOT4Ey�P,��'"� .• Lot .4A , Block 3 M 4nn :5ubd1v1 on. X-5-:125). Anchorage Recording District, Alaska LOT SURVEY CERTIFICATION I hereby eertlfy mm tea+• •ervb•e The repertr shown ane described .LewM LSI 192 PNOFFSa"ION A��y a rr. ke GO RMOM eaeemonie of more other 4hdn Mose shown en the plot of record an oar shown hereon onlees. otherwise noted. LEGEND ra Brats or Aluminum Capped monument recovered hereon, end That the Impre+.r•enra sitaeud teenon are within In* prop- O. iron pipe anaror reour reuoverwu.- , ertrenn and donor a»rl•p er•neraeah en Wloo.nt ereserb and that O 2t� hub�6 taCk'recovared se Inw••+ement. se oelae• 0 Property a+,Aep er encash m tee Pramluo 0 We'll 30 rebar set this survey , In ewetlon and fast then we no roadways, utility rinse, ar ether visible FENNCE LINE (AFMOX. LCCAT/OAt) easements On sold property oeeept do Indlneted hereon. Serle 'a r o Date O'7 l7 Prepared by: R. L. BUTTON Replerered Land Surveyor e © (9071279-6200- ,6/9WEiphrAAve. AnW+aopeA/oaka995C Re'' 3238 F.B. No'45_55 Property of: E/ C Gro3ch MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES h}� ` 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. # 0_q� - r)L� � J c:)-1 HAA # 0 nlq D 1. GENERAL INFORMATION Complete legal description f3/0ck 3 Mann S/D Location (site address or directions) 16300 e 6A Sl-' Property owner John Co 0,n hem Day phone 3 lf- 69 Z57 Mailing address 16'300 5Irzc eA Sty A}')ck0CeVe At -k S2-95 / ri Lending agency P161 00,9 Trwf Day phone Mailing address Agent pi, c1, Jurvit . Re Day phone Address 2600 CoraCoarg, Ak 9950 3 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 \1 v 276 - Z76/ NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 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 (Rev. 1/91) Frani MON 421 5. STATEMENT OF INSPECTIOTV 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. Name of Firm Flnf fvp Techr+'rcu! J ervicay Phone 3 ys —13r,5- Address !3SS Address Engineer's signature - �� �xL r^� Date .Se41-3, !99 Z A,t; AN -lei s IQ 7 ...••...... ••... •....... .•as•� ♦.... . ...... t6.. THEODORE F. GAOORE •• CE - 3559N Jk 6. DHHS SIGNATURE Approved for bedrooms. :Ar Disapproved. Conditional approval for Additional Comments bedrooms, with the following stipulations: 1UTir The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LoT 14A BL -K 3 MANt1 SIA Parcel I.D. A. WELL DATA Well type PRI✓A T L _ If A, B, or C, attach ADEC letter. ADEC water system number N ,A" Log present (Y/N) X Date completed 10618-3 Driller RAMPART' Total depth 235 Casedto 27 LBEDRoctc� Casingheight 12" "bcl 0(t&h olrnrn're A/ Sanitary seal (Y/N) Date of test Static water level Well flow Pump level Wires properly protected (Y/N) FROM WELL LOG Iol/1Z 19% N SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot I W AT INSPECTION /(00 m e. Nitrate O. 26' mr, /Ze c glaGIgzn 7 r 812S/92 Collected by: EIA770P TECH tn � Y tom► �, �o �y8 g.prr ii7 < 7- > I3K' �-� �D rn n o w� O m 2" ; On adjacent lots ',>, 1007 r , Absorption field on lot > 100 ; On adjacent lots too Public sewer main >100 Public sewer manhole/cleanout 7 /00 r Sewer service line ry 70 Petroleum tank No Nc 0 SSEk vE b WATER SAMPLE RESULTS: Coliform o col /(00 m e. Nitrate O. 26' mr, /Ze Other bacteria co f 1100me Date of sample: 812S/92 Collected by: EIA770P TECH Svcs B. SEPTIC/HOLDIN^GTANK DATA Date installed �11 (S3 r Tank size 1 2 So GAt ,� Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) N A Alarm tested (Y/N) Date of pumping McDoNAcpr, 6I11/92 Pumper Mc b0MA1,1>S SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: � r Well(s) on lot 101 On adjacent lots—';" /00 Foundation 30 To property line 6 �` Absorption field 307 Water main/service line $ r Surface water/drainage > 106 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off' level at Cycles tested Surface water _ Date installed 9I( (83 <1�i30RM Soil rating las ca System type BED Length 28' Width 14 Gravel thickness Total depth '5 Total absorption area 392 CIouts 7p)r, sent (Y/N) Y We MT BACgfca"e'D Depression over field (Y/N) Y PROP" uy Date of adequacy test 8 12 6/92 Results (pass/fail) PasS ( Sae tef-Fer repae+) for Peroxide treatment (past 12 months) (Y/N) Aone known c>f — If yes, give date /q - 4' SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot > log On adjacent lots 71100 Property line ti SD To building foundation 1 7o FRoM C p. To existing or abandoned system on lot N.A • On adjacent lots 5 5e Cutbank > too' Water main/service line ESQ Surface water > feo Driveway, parking/vehicle storage area >so Curtain drain— PCRf- P1Pv Mevi To oR✓EwA( r' (2o' FRDM C,d, E. ENGINEER'S CERTIFICATION bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. �• 14 � ♦ • � .' v Signature yy'j • M: s, •r µ Engineer's Name Th�cQo�G F / tremor / A'11 �R•1.1 •••e•••.•••. o. e.>w� rs� �/ Date ge4 em b c,- 3, 1292 m ••THEObo;iE r. ;1,00PE , e`l �,.Y.''.• CE- 3539 •.° 4,• tom.! HAA Fee $ / 7_0 tc' 0 Waiver Fee: $ Date of Payment Z Date of Payment �q,'/�,,� G� Receipt Number 2'`013 ( 3 77C Receipt Number 72-026 (Rev. 3/91) Back MOA 21 M.O.A. DHHS P.O. Box 196650 Anchorage, AK 99519 Dear Sus: The following is a description of our test procedure and findings with regard to the adequacy of the soil absorption system serving the Coombes residence on Lot 4A, Block 3, Mann S/D located at 16300 Elizabeth Street. A copy of the septic system as -built inspection report and our adequacy test data sheet is enclosed. According to the Municipal as -built inspection report the wastewater disposal system was installed in September of 1983 and consists of 1250 gallon septic tank followed by a 14' wide x 28' long soil absorption bed with 6" of material beneath the horizontal distribution pipe. The as -built inspection report does not clearly indicate where standpipe(s) are located in the bed. When we arrived to conduct an adequacy test on August 27, we found one partially damaged standpipe in the bed, and the boundaries of the bed were not obvious from the topography. After discussion with the property owner and his subsequent repair of the standpipe, it appears that the standpipe is most likely a monitor tube located near the northwest corner of the bed. This standpipe had a statim fluid depth oproximately 18", indicating that either (a) the bed is surcharged, or (b) the bed bottom is not level, o _(c) the monitor tube extends below the bottom of the sewer gravel.��7 �<f•'� � To assess the adequacy of the system we added 667 gallons of water to the bed through the second compartment of the septic tank. The addition of this amount of water over a two hour period caused a gradual increase in the fluid depth of 8.75", which corresponds to 76 gallons per inch. Based on the bed having this much surge capacity, it appears to us that it is not operating in a surcharged state. Once the flow of water was turned off, the fluid level receded over 3" in 25 minutes, indicating that the absorption rate is more than adequate for this 3 bedroom residence. Based on our test data, it appears most likely that either the bottom of the bed is not level, or that the monitor tube extends below the bottom of the sewer gravel. Nevertheless, it appears that the bed continues to be functionally adequate. At the time of construction, special groundwater monitoring was conducted to ensure that the bed had the required 4' separation from groundwater. ,�/oU �. a 7nu In conclusion, even though the measured fluid depths in the bed are greater than one would have expected, I do not see what would be gained by requiring that this system be replaced, and accordingly I recommend that a Health Authority Approval certificate be issued for this system. You may wish to conduct your own field inspection of the system, and/or please feel free to give me a call if you have any questions on this report. Sincerely, c7r-� Ted Moore, P.E. cc: John Coombes CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ( Dem 8amp).t, (U IIA18i 3Ou"1'11 G111 11'W ILI III', ('w lected AUG 23 91" � i2:00 hes. 11"OCLAVO(I AUG 24 02 1, 1.9:20 111 Pyo8oryQrl with AS P'EOUULjr hl)pLIYOS CWnPIA'ted ; AUG "/ 92 La!)o-ertwy 'iupoivicw L MIMIIIN( QE h UA I, -C'I�Mt;UIJ cnr 11 I 10T("' Y) "', 11 3 C h o, i o 1 ab P, I) f 9 2 . 4, 103 iunie 1 1"'-, t j i x : WATiD, CJgoiit kion;FLATTOP Tb'GI11l.WAl, $W! 01jelit Acet I, 10'T OT I"OF :floll'2 0) It o): o (1 1,y JVI) 1100PE 'Y"(1111 I'M. PIN Cj 10 1 IQ L e 1: . .. . .. . .. . a . I, A. 353' . . . . . . . . 1.0 8 1 ,Tq)1f' ROUTJIIY 8AWI,$ LRY 3e 1) 0, c i el 1, 11 I:j t ) 11 C. L i o I b D C UP, -UI -1w 1 1)1e 110llokl� 1)(100 ' C, (I 'Ice Se,mpl.e 'loifaIkii Al)uyo HA= Clot Anl'Ay/'od L'It:-Lo,s 'Tb -n, Th'iri e*(3,-'0'SGSMembor of the SGS Group (Soci6t6 Gbnbrale de Surveillance) 1'LATT01, TECHNICAL SEIZVTCGS 14530 Echo St., Anchorage, AK 99516 P11. (907) 345-1355 .5 Ell r-Ic- ADEQUACY 'T'E'ST DATA SHEET Legal. 'Description: 44 Street Address:_1.300 1:LI Client' Name; Lo d oFl�I�iour�[5r-S Test Date:� z I'eated BY: y: C.ElerS Initial Conditions: Float Float #1 in S PT-rc 14,y�y��set #2 in�.! %� b.t.o. f7 " pipe W. s`/ " fluid Float #set #3 •in-M,T, b SI " " b.t.o. is pipe w. s�._s" fluid Float Pvc set #4 in 47%z —„ b. t.o.._ 1 pipe pipe w. IVA "';'fluid Water added throw h:�_sct_ g ._ s, r�rJ T 1) p1pe ur " fluid Uni1r Absorption ,Capaclt 6G7 �� -7 '1 jt7C� AvoraIIe AbsorpClon Adequate for . B d r m s Surge CapacitY 6�> f•c��,r Adequate for _3y I3drms F APPLIC Ji FILLS OUT UPPER HAL MLV , Property Owner Phone Mailing Address Zip Code ! .r / Buyer Date Date Address ,/ Zip Code Lending Institution j Phone Address/%�/���'%%/ �-r---� /Ar, J:7 ��• l T i ode Realty Co. & Agent Phone /� �� Address (�" Zip Code Legal Description }/l J/ V� (' Street Location / & r /y, / -�� 3�•; �� f}/� j'� \i \ St tL t- Type of Residence ,P�' Single Family i J Multiple Family No. of Bedrooms- edrooms E) ❑ Other Water Supply f'F.PT. OF H°/',LTII is '�NVIRON1 -VIAL PROTECTION J3' Individual ATTACH WELL. LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility f� ( � r iPlJy � $? 1�3SJ':,1 Sewer Disposal Ar Individual /y } Year Individual Installed: ❑ Public Utility ❑ When Connected to Public Utility: Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector -- 1(( Field Notes: (' MUNICIPALITY OF ANCFIORAGF- � ""_"' C-QVQO-' f'F.PT. OF H°/',LTII is '�NVIRON1 -VIAL PROTECTION t� f� ( � r iPlJy � $? 1�3SJ':,1 _ �''� I .q ('"�■�/ 0 RECEIVED (J ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL. APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area XL Well Log Received Well to Tank^ �� Septic Tank Size