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MOUNTAIN VALLEY ESTATES #1 BLK 5 LT 19
Onsite File MounTaIn Valiey E j state I Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 4 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191506 PID Number: 050-651-11 Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Q Upgrade Name WILLIAM AND CHERYL RINEHART ABSORPTION FIELD ❑ Deep Trench X Wide Trench ❑ Bed 0 Mound Site Address 4141 JOHNNY DRIVE, EAGLE RIVER, AK 99577 ❑ Other Phone 227-5039 Number o f Bedrooms 4 Soil Rating *5.0 Total depth from original grade GPD/SF SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 0.52 Ft. Subdivision Block Lot MOUNTAIN VALLEY ESTATES #1 5 19 Fill added above original grade SEE DWG. Ft. Gravel length 40 Ft. Township Range Section - Gravel width 5 Ft. Beds: Number of Lines - Distance between lines _ Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line *160 Ft2 1 -Ft. Well *50+ *50+ *50+ 25+ `i;•ANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer INFILTRATOR SYSTEMS, INC Capacity 1060 Gal, Surface Water *50+ *50+ *50+ Material Number of compartments Lot Line 5+ 10+ 5+ NA PLASTIC 1 Foundation 5+ 0.}. 5+ LIFT STATION Manufacturer Capacity Remarks *THIS IS A CAT II QUANICS AEROCELL SYSTEM INFILTRATOR SYSTEMS, INC 540 Gal. - CAT III SOIL APPLICATION USED FOR HORIZONTAL SOIL CONVEYANCE. Alarm location **OUTSIDE Elect`ricallnstall d i `(�,,.--2e L_ **INDOOR REMOTE ALARM INSTALLED AS WELL. *"D3034/D1785 Installer PIPE MATERIAL House to tank D3034Tank to *** drainfield NORTHERN EXCAVATION Drainfield D3034 CO/MTD3034 Inspector JODY MAUS BENCH MARK (Assumed elevation) 100.00 ft Inspection ection X51 2/11/20 2nd 2/13/20 Location and description 3`" 2/13/20 41' 2/13/20 TOP OF CMU FLASHING AT POINT "A" ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's St p` oo6a0 Conditional Approval: Date �F �4 a--� ............ .......... o Septic Syste oQ effr A. Gar ess. Approved pit/ Datee' CE— 37 p y�3v !✓!'���\�O Note: this approv oes not include well permit requirements. aF _ io,.., nun�ie o Aeccaaa4��Oofess% PERMIT NUMBER: PARCEL ID NUMBER: OSP191506 RECORD DRAWING 050-651-11 NOTE: REQUEST THE REQUIREMENT FOR AN UPDATED AS -BUILT SURVEY BE WAIVED. ALL WELL AND SURFACE WATER SETBACKS WERE FLAGGED BY A REGISTERED LAND SURVEYOR DURING CONSTRUCTION AND NEW SEPTIC SYSTEM UPGRADE IS NOT NEAR ANY LOT LINES. -� 100' WELL �IUS PER GEG SITE VISIT, CLOSEST LOCATION OF CREEK (PONDING WATER) t IS 65 FEET FROM TESTHOLE LOCATION ' APPROXIMATE LOCATION OF STREAM/DRAINAGE PER MOA WATERSHED UPDATED MAPPING (PERFORMED IN DECEMBER OF 2019). PER GEG SITE \ VISIT, ONLY NORTH CHANNEL FOUND TO HAVESURFACE WATER FLOWING IN THIS CHANNEL IN OCTOBER OF 2019 AN NO WATER OBSERVED IN SOUTH CHANNEL DURING SAME TIME FRAME. 50 FOOT SETBACK WAS FLAGGED BY REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. ALL PORTIONS OF DRAINFIELD AND TANKS �\ ARE 50+ FEET FROM ANY SURFACE WATERS/CHANNELS FLAGGED BY SURVEYOR OR NOTED BY GEG, LTD. CONSULTANT, JODY MAUS. \ \ SEE CROSS-SECTIONAL o \ \ DETAIL DRAWINGS n \ \ (SEE PAGE 3 OF 4) m 2019 GEG WE \```�•.. NEW DRAINFIELD \ �` \� NEW QUANICS ATS -6 -AC AEROCEL! UNIT \ A B NOTE: OLD 4,000 GALLON HOLDING TANK WAS DECOMMISSIONED PER UPC PER THE CONTRACTOR, STING FOUNDATION CLEANOUT (FCO) L 1 9%J Ltd ENGINEERING - SALES a CONSULTING 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 • PHONE (907) 337-6179' FAX (907) 33&3246' WEBSITE: www.gamossonglneedng.wm PREPARED FOR: MH1 50.5 35.5 – —NEW IM 540 GALLON STI 53.8 41.4 INFILTRATOR PUMP VAULT DBL1 54.2 42.7 DBL2 54.7 43.5 REVISED M112 56.3 46.0 —INSTALLED DBL C/O'S (DBL1 & DBL2) 601 59.7 55.2 POD1 59.8 57.0 POD2 59.7 58.0 '--NEW IM 1060 GALLON INFILTRATOR CO2 60.0 59.5 4 J� SINGLE CO'MPARTME_NT TANK — CO3 61.7 56.6 1- MT 62.8 57.9 PPROXIMATE LOCATION 1983 TRENCH. MT2 63.7 68.9 DE�COM_MISSIONED IN PLACE IN 1998 MT3 C04 65.4 65.9 74.1 76.3 NOTE: OLD 4,000 GALLON HOLDING TANK WAS DECOMMISSIONED PER UPC PER THE CONTRACTOR, STING FOUNDATION CLEANOUT (FCO) L 1 9%J Ltd ENGINEERING - SALES a CONSULTING 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 • PHONE (907) 337-6179' FAX (907) 33&3246' WEBSITE: www.gamossonglneedng.wm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: WILLIAM REINEHART 227-5039 20174 PROJECT/LEGAL DESCRIPTION: DRAWN BY: MOUNTAIN VALLEY ESTATES #1; BLCOK 5, LOT 19 L.M. TYPE OF WORK:DATE: REVISED RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 4/30/2021 N SCALE: 1"=40' .�i... as....m io il..�...... ... ..}...� A Frey A�a�`e.ss..: w a CE 7 Ar ®®e ff 0ROFESSIQN LICENSE ®®��a�®�®®® #AECC884 NOTE: FLOAT LEVELS ARE FROM BOTTOM OF PUMP / (ff) IS FROM BOTTOM OF TANK. FINAL GRADE NOTE: ADDITIONAL FINAL GRADING TO BE DONE IN THE SPRING OF 2020 ELECTRICAL WIRE/S (SUPPLIED BY CONTRACTOR). SEE INSTALLATION MANUAL FOR SPECIFICATIONS FINAL GRADE OVER TANKS = 91.68-91.72 (SEE NOTE) - TOP OF MH1 LID = 92.1 PERMIT NUMBER: OSP191506 STI cu�u.tcs SJE RHOMBUS INSTALLER FRIENDLY SERIES (IFS) TIMED CONTROL PANEL WITH DRY CONTACTS FOR MYSPY WIFI MESSENGER UNIT TOP OF MH2 LID = SIMITECH PRESSURE FIL' DBL1 DBL2 PARCEL ID NUMBER: 050-651-11 0 —4" BY 4' WIDE RIGID INSULATION CENTERED OVER PIPES (PER CONTRACTOR) —MYSPY WIFI MESSENGER UNIT (REMOTE MONITORING SYSTEM). INSTALLED IN HOUSE AS CLOSE TO INTERNET "BOX" AS POSSIBLE. QUANICS AEROCELL ATS -6 -AC TREATMENT MODULE WITH INTERNAL DIVIDER WALL AND CLEANOUTS 0 O o TOP OF TANK - (INLET) = 87.55 TOP OF 2" OF INSULATION TOP OF TANK - (PER CONTRACTOR) TANK - ®ao%RETURN (INLET) (OUTLET)l' = 87.90 = 87.93 7 WEEP HOLE 1.5" SUPPLY LINE O ----- -- Q-- ------- INVERT OF RETURN PIPE = 86.94 --- *TIMER OVERRIDE FLOAT (38") - 475 GALLONS CAPACITY OPERATING INVERT OF OUTLET ______ WHEN FLOAT IS ACTIVATED. LIQUID 44" LEVEL PIPE = 87.13 (1,094 GALLONS) *HIGH WATER FLOAT (32") - 455 GALLONS CAPACITY WHEN FLOAT IS ACTIVATED. *LOW LEVEL CUTOFF FLOAT (ON/OFF) - (20") - 261 GALLONS CAPACITY INVERT OF INLET INVERT OF INLET WHEN FLOAT IS DEACTIVATED. PIPE = 87.37 PIPE = 86.95 GOULDS PE51M PUMP NEW IM -1060 GALLON SINGLE -COMPARTMENT INFILTRATOR TANK NEW IM -540 GALLON SINGLE COMPARTMENT INFILTRATOR TANK 2 - 8" CONCRETE CINDER BLOCKS FOR PUMP PEDESTAL - STACKED SIDE BY SIDE (SUPPLIED BY CONTRACTOR) TOP OF POD 1 LID = 92.24 TOP OF POD 2 LID = 92.22 20% TO DRAINFIELD REVISION: 1.30.2018 I- E g U) Q PLO z 3: O m w m J zFu LL �a z Z m z cf)= m p� W� O LL Q O m 'cf WB N O >_ -i o 1° tL> ca U` a Q> CL WN O N ZO w 't zJ �' � rn Ill P7 LLI 0 � IL a a _ o <o ,W w z Z- J w o oz W wD SOU w JO LL 0 fI, Imm;� C� Q� w ® OF �® ®�P�E . • .. ®®0® Awl' �•• �/ 49 f AV AV ®0 e ��S• °moi r mA ���• !-/ CE -7953 'Aw LICENSE 4®®R�®SS\O ®®®® #AECC884 E g U) PLO z E O m m J LL �a z Z m z cf)= m w U) WB JO _j >_ -i o 1° tL> J U` a O —i U Z m W LLI W°' � Q W¢ Z� U _ C7o QU0 W 0 LL. Wo < w O <o ,W w z Z- J w o oz W wD SOU w JO LL 0 fI, Imm;� C� Q� w ® OF �® ®�P�E . • .. ®®0® Awl' �•• �/ 49 f AV AV ®0 e ��S• °moi r mA ���• !-/ CE -7953 'Aw LICENSE 4®®R�®SS\O ®®®® #AECC884 PERMIT NUMBER:p p� + PARCEL ID NUMBER: OSP191506 RECORD DRAWING ( ING 050-65141 "FILL" AND ALL DISTURBED AREAS AlMiM CAPPED WITH TOPSOIL AND HYDRO -SEEDED. ALL AREAS 35 FEET OF THE NEW DRAINFIELD WERE GRADED LESS THAN 45% SLOPES. JODY MAUS, GEG CONSULTANT, VERIFIED GRADING AND HYDRO -SEEDING IS COMPLETE. ORIGINAL GRADE ON UPHILL SIDE OF NEW TRENCH = 87.6( RADE SHOT = 92.56 GRADE SHOT @ TH#1 = 89.8; RELATIVE ELEVATION OF GROUNDWATER ON 10/11/2019 @ 80.90 (8.95' BELOW GRADE); HOWEVER GROUND WATER IN BENCH AT RELATIVE ELEVATION OF BOTTOM OF TEST HOLE = 74.85 AL GRADE = 90.04-91.60 "FILL" TO ACHIEVE 2'+ SOIL COVER FILTER FABRIC AND MTI 2" OF INSULATION CO3 MT2 ON DOWNHILL SIDE OF NEW TRENCH = 86.60 45% (2.2: 1) SLOPE GRADE (SEE "FILL" NOTE) FOR FILL ON DOWNHILL SIDE OF TRENCH 'ECTIVE INV. OF DIST. LINE = 87.12 (AVG.) -TOP OF SAND FILTER = 86.60 - ADDED 4.08 - 6.32 FEET OF MOA APPROVED FILTER SAND 0' LIMITS OF EXCAVATION = 80.37-82.52 - EXCAVATION LIMITED TO THE REMOVAL OF ALL ORGANICS FROM BOTTOM OF EXCAVATION (SILTY GRAVEL VISIBLE ON BOTTOM OF TRENCH). TIM EKLUND WITH THE MOA ONSITE DEPARTMENT WAS PRESENT DURING BOTTOM OF TRENCH EXCAVATION. SHOT = 85.40 \ X46% SHOT = 81.50 T7 h � EFT __q TF GRADE SHOT = 79.40 I CROSS-SECTIONAL DETAIL DRAWING SCALE: 1"=5' f- 0 J L Q Y U W 0 u- m Z �k FF_ z W w 0 } (D W z J J Z> OZ aQ YD Fr F- q: 0� OZ 30 w Z) 00 LLU a� wry 0 a w o v 0 0 ....................:........ w A. Garn ss LICENSE ®)ROFESS`v�®®®� #AECC884 Q w z w ()Ifo o� LLQ mIL CN & mNt No O W J Z> ZiN-. ju' m� BENCHMARK FOR PROJECT IS THE TOP OF FLASHING a z o wco w oo FOR CMU AT NORTHWEST CORNER OF GARAGE = 100.00 w Om 0 a a 0o SHOT = 81.50 T7 h � EFT __q TF GRADE SHOT = 79.40 I CROSS-SECTIONAL DETAIL DRAWING SCALE: 1"=5' f- 0 J L Q Y U W 0 u- m Z �k FF_ z W w 0 } (D W z J J Z> OZ aQ YD Fr F- q: 0� OZ 30 w Z) 00 LLU a� wry 0 a w o v 0 0 ....................:........ w A. Garn ss LICENSE ®)ROFESS`v�®®®� #AECC884 Jody Klaus From: plc.chambers@gmail.com Sent: Tuesday, April 07, 2020 9:51 AM To: Jody Maus Subject: 4141 Johnny dr The lift station located on 4141 Johnny Dr was installed in conformity with the latest nec and municipal codes. Exterior wiring method was using xhhw insulation, interior was a combination of MC cable and 12/3 NM cable. The remote alarm and call our unit are located in the garage. Thank you, Aaron Chambers EADE1831 CONS36389 Power Lighting and Control LLC 242-5211 Sent from my iPhone MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191506 Work Type: Septic Upgrade Effective Date Expiration Date Tax Code Number: 05065111000 Site Legal Address: MOUNTAIN VALLEY ESTATES #1 BLK 5 LT 19 G:0758 Site Mailing Address: 4141 JOHNNY DR, Eagle River R,i ne.h o.ti� t Owner:rQ^_ NZA-I=E� CHERYL Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field 21 Septic Tank ❑ Holding Tank ❑ Privy 1/14/2020 1/13/2021 Lot Size in Sq Ft: 70025 Total Bedrooms: X ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received BN Issued By: Date: Date: MUNICIPALITY OF, Community Development Department Development Services On -Site Water & Wastewater Program Mayor Dan Sulliv On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 050-651-11 Property owner(s) WILLIAM REINEHART Day phone 907-227-5039 Mailing address 4141 JOHNNY DRIVE *EAGLE RIVER, AK 99577 Site address 4141 JOHNNY DRIVE *EAGLE RIVER, AK 99577 Legal description (Sub'd, Block & Lot) MOUNTAIN VALLEY ESTATES #1; BLOCK 5, LOT 19 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field Upgrade ® (w/wo AD U) Septic Tank ® Renewal Duplex (D) El❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: N/A Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: b—q,5 Waiver Fees: Date of Payment: _ //— J2 -/9 Date of Payment: Receipt Number: D(P �35 Receipt Number: Permit No. Waiver No. (Rev. 01/11) GARNESS ENGINEERING 9 v�n ���-� d f H..-;. ENGINEERING � SALES * CONSULTING �_ � e � January 3, 2020 (REVISED) Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Attention: Rebecca Carroll, P.E. Ref: Proposed Septic System Upgrade for Mountain Valley Estates #1; Block 5, Lot 19 Ms. Carroll: The existing 4 -bedroom house is served by a private well and holding tank. Per conversations with the owner, they would like to get off of a holding tank and install a septic system if possible. We are proposing to install a new Infiltrator IM -1060 single -compartment septic tank or Infiltrator 1530 two-compartment septic tank, a new Infiltrator IM -540 septic tank (single -compartment - to be used as a lift station), an ATS -6 Quanics Aerocell unit, with Quanics, controls, and a drainfield. One test hole was excavated on the property and the drainfield is designed within its 30 -foot radius. Comments regarding the design are summarized as follows: 1. SOILS: See attached 2019 test hole by Garness Engineering Group, Ltd. which shows the soil classifications, percolation test and groundwater monitoring. Our soil log shows there is 2 to 2.5 feet of organics (disturbed — fill?) and then another 3 feet of organics -peat to a depth of 5 to 5.5 feet. Below the organics, we found a silty soil with some gravel in it which we classified as a ML to GM soil. We attempted a perk bench in this ML to GM soil the day after the test hole was excavated; however, the perk bench at 6 feet deep was found to have water in it. It is unclear if the ML to GM soil are "impermeable" since a percolation test cannot be performed in the saturated soils; therefore, we are going to assume the soil is "impermeable". We did perform a percolation test in the undisturbed organic -peat layer and determined the percolation rate to be 6.2 minutes/inch. We are proposing to use horizontal conveyance in this peat layer. 2. DRAINFIELD DESIGN: See the attached design drawings for the drainfield specifications. We have recently met with you (Rebecca Carroll) regarding this design and discussed your initial review comments. Based upon our conversation, we are proposing that a 5 -wide trench be excavated to where the ML to GM soils are encountered. All organics are to' be removed from the bottom of the excavation and then MOA approved sand filter added so as to create adequate separation to groundwater and impermeable soils. Based upon our conversation, you had no objection to this design approach. After placement of the MOA sand filter, clean, washed drainrock will be used to construct a 5 -wide drainfield (see cross-sectional detail drawing). We have also had a recent phone conversation with you regarding the horizontal conveyance to determine the effective absorption area. Base upon our conversation, you stated we could use both the downhill and uphill sidewalls of the trench for horizontal conveyance for the treated effluent. We are proposing that starting 2 feet below the top of the sand filter, that there will be 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Page 2 of 2 at least a 2 -foot zone of horizontal conveyance for the treated effluent for both the uphill and downhill sidewalls of the proposed trench. There may be a larger zone of horizontal conveyance than 2 -feet (vertical sidewall) on the downhill side of the trench (maybe closer to 2.5 feet), but for this design, we will conservatively assume only 2 -foot. It is our assumption that by the time the effluent from the trickling filter passes through 2 feet of MOA approved sand filter, the effluent will meet MOA Category III effluent standards which will allow us to use a higher application rate. We are proposing to use a Category III application for this design which is 5.0 gpd/sq.ft. In short, we would need a minimum of 120 sq.ft. of drainfield (600 gpd / 5.0 gpd/sq.ft.) for this design. Based upon horizontal conveyance of the treated effluent (using uphill and downhill absorption), this design provides a total of 80 LF of trench sidewall length times a total of 2 feet of effective absorption area which equates to a 160 sq.ft. of absorption area. 3. SURFACE WATERS: There is a creek located to the north of the property approximately 65 feet from the test hole location. The septic system in its entirety is located at least 50 feet from this creek. It should be noted that the location of the creek shown on the MOA wetlands map (at the south end of the lot) is incorrectly located. We have requested from the MOA Watershed Management Department to update their watershed mapping to reflect the actual location of the creek. The MOA Watershed Department has sent a representative to the property and revised the wetland map for this area. Attached is an email and updated map for your review. 4. TOPOGRAPHY: We have recently taken grade shots on the property to make a cross- sectional detail drawing to reflect the average slopes on the property. Attached is this cross- sectional detail drawing. Based upon our shots, the slopes just uphill of the drainfield range from 25-30%. The drainfield is to be installed at the base of this slope where the slopes transition to approximately 15%. We shot grade shots 50 feet downhill from the proposed trench and found the average slope to be approximately 25% (elevation 86.60 — 74.40 = 12.2' elevation difference in 50 feet = 24.4% slope). As can also be seen on the cross-sectional detail drawing, we are proposing that the downhill grade of the slope will be at a 45% slope (2.2 : 1) and we have shown an imaginary 46% slope line starting 2.5 feet above the distribution line on the drawing. In short, the imaginary slope line does not daylight 50 feet downhill of the proposed trench. The entire mounded area and all disturbed areas are to have 6 inches of topsoil and the entire area be revegetated. This work will be done in the spring of 2020. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If yogi have any questions, please contact us at 337-6179. Thank you for your P. E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com MOUNTAIN VALLEY ESTATES I I SEPTIC #1; BLOCK 3, LOT 12 I I AREA I - - \ APPROXIMATE I \ \ I CREEK I LOCATION I ' / I MOUNTAIN PARK ESTATES #1; BLOCK 5, LOT 3 100' WELL RADIUS-'� I I 100' WELL RADIUS I I II I CSEPTIC -' AREA �I- - I I 1 i' MOUNTAIN VALLEY ESTATES I I #1; BLOCK 5, LOT 36 \ I \ / 2019 GEG TH#1 OUANICS // I AWWTS Lul I \` I /> cl \ I MOUNTAIN VALLEY ESTATES #1; BLOCK 5, LOT 18 I / I I G_ARNESS ENGINEERING GROUP, Ltd - ENGINEERING- SALES CONSULTING _- Y3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507' PHO�E (907) 337-6179' FAX (907)338-3246* WEBSITE: w .gamessengineering.wm PREPARED FOR: WILLIAM REINEHART PHONE NUMBER: 907-227-5309 PROJECT/LEGAL DESCRIPTION: MOUNTAIN VALLEY ESTATES #1; BLOCK 5, LOT 19 TYPE OF WORK: SEPTIC SYSTEM DESIGN UPGRADE PAGE NUMBER: 1 OF 4 DRAWN BY: J.L.M. DATE: REVISED 12/17/2019 ARE AD m MOUNTAIN PARK ESTATES #1; BLOCK 5, LOT 4 / I I I 1 VACANT PER MOA RECORDS N SCALE: 1" = 100' MOUNTAIN VALLEY ESTATES #!; BLOCK 5, LOT 5 Air �. '•;�1 A * •�0 •.....:.......... .................. �...... ..............................0 0j 'c r ess �1 �1�J,. C -79 3 �# 44 PROFESS��N*:��• LICENSE 1'l1TA%wWW* #AECC884 } PROPOSED SEPTIC SEE z UPGRADE, DESIGN, PAGE 2 OF 4 00 / MOUNTAIN VALLEY ESTATES Q I #1; BLOCK 3, LOT 13 \\ EXISTING - TANK I 100' WELL RADIUS I IHOLDING EXISTING 4 BEDROOM HOUSE WEt�Rpa \1 \I I \I I I I 100' / I WELL RADIL/S I MOUNTAIN VALLEY ESTATES #1; BLOCK 3, LOT 14 / I \ (:SEPTIC �I-1- - ARE I 100' WELL RADIUS I I I \ I I II \ I MOUNTAIN VALLEY ESTATES #1; BLOCK 5, LOT 18 I / I I G_ARNESS ENGINEERING GROUP, Ltd - ENGINEERING- SALES CONSULTING _- Y3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507' PHO�E (907) 337-6179' FAX (907)338-3246* WEBSITE: w .gamessengineering.wm PREPARED FOR: WILLIAM REINEHART PHONE NUMBER: 907-227-5309 PROJECT/LEGAL DESCRIPTION: MOUNTAIN VALLEY ESTATES #1; BLOCK 5, LOT 19 TYPE OF WORK: SEPTIC SYSTEM DESIGN UPGRADE PAGE NUMBER: 1 OF 4 DRAWN BY: J.L.M. DATE: REVISED 12/17/2019 ARE AD m MOUNTAIN PARK ESTATES #1; BLOCK 5, LOT 4 / I I I 1 VACANT PER MOA RECORDS N SCALE: 1" = 100' MOUNTAIN VALLEY ESTATES #!; BLOCK 5, LOT 5 Air �. '•;�1 A * •�0 •.....:.......... .................. �...... ..............................0 0j 'c r ess �1 �1�J,. C -79 3 �# 44 PROFESS��N*:��• LICENSE 1'l1TA%wWW* #AECC884 DESIGN CRITERIA: NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 6.1 MINUTES/INCH PROPOSED APP RATE: "5.0 GPD/SQ.FT. MINIMUM DRAINFIELD SQ.FT.: 120 SQ.FT. 'FOR CAT III QUANICS AEROCELL SYSTEM DRAINFIELD DESIGN: MAX. DEPTH: 6 FEET MAX. - SEE PROFILE DWG. WIDTH: 5 FEET LENGTH: 40 FEET M.O.A. APPROVED SAND FILTER: SEE PROFILE EFFECTIVE: 0.5 FEET DRAWING REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 160 SQ.FT. (SEE EXPLANATION IN DESIGN NARRATIVE AND OF PROFILE DWG.) NOTE: CONTRACTOR IS REQUIRED TO HAVE ALL / WELL RADII SHOWN AND THE NORTH LOT LINE / AND THE 50' CREEK SETBACK FLAGGED BY A / REGISTERED PROFESSIONAL LAND SURVEYOR / PRIOR TO AN ENGINEERS LAYOUT AND / INSPECTIONS. ANY ORIGINAL SLOPES THAT ARE GREATER THAN 45% ,WITHIN 35' OF PROPOSED SEPTIC SYSTEM MUST BE "FILLED". / APPROXIMATE LOCATION OF STREAM, PER ROBERT COWAN, P.E. RECORD DRAWING IN MOA FILE FOR MOUNTAIN VALLEY ESTATES #1; BLOCK 5, LOT 20. STREAM SHOWN ON MOA / WETLANDS MAP IS NOT ACCURATE. —I MOUNTAIN VALLEY ESTATES #1' BLOCK 5 LOT 20 SEPTIC STANDPIPE LOCATION SHOWN ON 1998 MARK SEWARD AS -BUILT. ASSUMED LOCATION OF END F. •. OF 1983 TRENCH. d"� 2p/9 •' ` ry TEST 1-4— FG OF TREES I (SEE NOTE) APPROXIMATE LOCATION 1983 TRENCH. g PER GEG SITE VISIT, CLOSEST cwn I Lu ;'• . .r;`:,...�_:. J_ • ;' .• 4fi SEE CROSS-SECTIONAL O °o DETAIL DRAWINGS \ (SEE PAGE 3 OF 4) 253 0PROPOSED IM 1060 APPROXIMATE •v , LOCATION PROPOSED DRAINFIELD —(SEE DESIGN CRITERIA) OF TREES I (SEE NOTE) INSTALL DBL C/O'S APPROXIMATE LOCATION 1983 TRENCH. ti 1 � PER GEG SITE VISIT, CLOSEST LOCATION OF CREEK (PONDING WATER) • • IS 65 FEET FROM TESTHOLE LOCATION x ° 2ci SEE CROSS-SECTIONAL O °o DETAIL DRAWINGS \ (SEE PAGE 3 OF 4) 253 0PROPOSED IM 1060 PROPOSED DRAINFIELD —(SEE DESIGN CRITERIA) INSTALL DBL C/O'S APPROXIMATE LOCATION 1983 TRENCH. ti 1 � PROPOSED QUANICS ATS -6 -AC AEROCELL UNIT • • x ° 2ci PROPOSED IM 540 GALLON O °o INFILTRATOR PUMP VAULT MN2 ° INSTALL DBL C/O'S 253 0PROPOSED IM 1060 25:0. GALLON INFILTRATOR _ TWO-COMPARTMENT TANK INSTALL DBL C/O'S I \ 'I EXISTING FOUNDATION CLEANOUT (FCO) \ GEG T.H.#2 - 19988 I I TREE NOTE: THERE ARE SEVERAL LARGE TREES 1 NEAR THE PROPOSED SEPTIC AREA. OWNER WOULD LIKE TO PRESERVE THESE TREES IF \ I POSSIBLE WITH THE PROPOSED SEPTIC UPGRADE N SCALE: 1"=40' GEG, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. 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 CONDITIONS OUTLINED. e� �1� '• %% GARNESS ENGINEERING GROUP Ltd Al ' -_ -- ---- --� ENGINEERING o SALES o CONSULTING 3707 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 -PHONE (907) 337-6179' FAX (907) 338-3246WEBSITE: www.gamessengineering.00m ........... .... . ...... . . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: % • • • •ey.6Gate . SS,•c� WILLIAM REINEHART 227-5039 2 OF 4 ♦j��J, C 7 53 •,° �� PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦♦ •. !S ✓i .•�•.•' ���� MOUNTAIN VALLEY ESTATES #1; BLCOK 5, LOT 19 J.L.M. 1 • • �4W TYPE OF WORK: DATE: REVISED LICENSE 1,Iti�\��'•� • SEPTIC DESIGN SYSTEM UPGRADE 12/30/2019 #AECC884 i APPROXIMATE LOCATION 1983 TRENCH. DECOMMISSIONED IN PLACE IN 1998. O�JO� EXISTING 4,000 GALLON HOLDING TANK TO BE GEG T.H.#1 - 1998 DECOMMISSIONED PER UPC. I \ 'I EXISTING FOUNDATION CLEANOUT (FCO) \ GEG T.H.#2 - 19988 I I TREE NOTE: THERE ARE SEVERAL LARGE TREES 1 NEAR THE PROPOSED SEPTIC AREA. OWNER WOULD LIKE TO PRESERVE THESE TREES IF \ I POSSIBLE WITH THE PROPOSED SEPTIC UPGRADE N SCALE: 1"=40' GEG, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. 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 CONDITIONS OUTLINED. e� �1� '• %% GARNESS ENGINEERING GROUP Ltd Al ' -_ -- ---- --� ENGINEERING o SALES o CONSULTING 3707 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 -PHONE (907) 337-6179' FAX (907) 338-3246WEBSITE: www.gamessengineering.00m ........... .... . ...... . . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: % • • • •ey.6Gate . 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AK 99507' PHONE (907)337-6179 ' FAX (907) 336-3246' WEBSITE: w gamessengineonng.com SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: MOUNTAIN VALLEY ESTATES #1; BLOCK 5, LOT 19 PERFORMED FOR: WILLIAM REINEHART DATE: 10/4/19 DEPTH (feet) 1 ORGANICS (PEAT) 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 TEST HOLE #1 DISTURBED SOIL CLASSIFICATIONS GW ORG NET DROP (INCHES) 10/7/19 1 2:05 - GP ML ORGANICS (PEAT) I H I I W I GM CL 30 7/8" GC OL 3 ° o SW MH 6" ': to , SP CH 3:05 30 SM OH (x�-I L 5 SC - 6" - ML TO GM DEPTH TO DATE GROUNDWATER DRY 10/4/19 8.95' 10/11/19 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 10/7/19 1 2:05 - 6" - 2 2:35 30 7/8" 5-1/8" 3 2:35 - 6" - 4 3:05 30 1-1/8" 4-7/8" 5 3:05 - 6" - 6 3:35 30 1 1-1/8" 4-7/8" 7 3:35 - 6" - 8 4:05 30 1-1/8" 4-7/8" 19 PERCOLATION RATE 6.15 (MIN./INCH) PERC. HOLE DIA. TEST RUN BETWEEN 3 FT. AND 4 FT. 6 (INCHES) 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES E NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: DAVID GARNESS COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: o / G SIJ ay} pue 'sfo}nqu;uoo deVyjeai}SuadO (o) '000N '(PUel1eyl) k_!c]---- !_U row j _J1 1.!o +-fwi i ar.Ili uo,.,.�� � 14 W g4o4 o �;' 1. � oo a o ue ulse e A mul u us3 N3VY 80 '(auou a4ul E)snBuILIu93 9 ' ` 3H ' us3 `uBD�JN mnoS JoulW Ile};nO ■ ;al;nO adld ;al;nO ssed� S 0 J9lJ8Alo E) alo4ueW paglsselo ION 'd 1N3W32i�N1'deuLa;ul `SJS(1 'uluue� '32l3H `!us3 :sa�nos JofeW pel;nO ;alul 0 uleJp;ooN uol;e;S 4!1 99PON AemeftuleJa SWV3Z11S W� £6.0 590.0 9Z£0.0 0 J9410 lle};nO deo adld a alo4ueW oNe;ul dol 0 SOO J9410 slaoJed Xel P 80'0 b0'0 Z0.0 .0 �e;S aJn;ead J8410 0 . ;alul adld o ;oeuuoo pullEl U1See 4oleo 0. adld. _. slaoled . 999` 6 6 6602 `£Z jagwaoaQ 71 r, k . . Y �y Y' � tx ,• � r(� Ri .� `� r.. •:�. �'x•..-../4.M I' '�,'�,.-i .r f. 'i -� 1 r'fa_. v { r � .j`7 i �+r•"..' 11j'�y � Jit ,? . �.:r ' + ! ,_ - 1p AW sAy+ � i � _ f� �. � „ M � f•4i,r , •fir dim. 777 All ,lam ����- •j `� ���r-� ,�- •�.•- ��. � t� ', e I in, defy Ma1na�j Ueld SWM Jeff farness From: Urbanus, Jeffrey D. <jeffrey.urbanus@anchorageak.gov> Sent: Monday, December 23, 2019 6:04 PM To: Jody Maus Cc: Bischofberger, Kristi L.; Ellis, Steve M.; Jeff Garness; Carroll, Rebecca M. Subject: RE: Moa Wetland Map verification for Mountain Valley Est. #; Block 5, Lot 19 Attachments: JohnnyDrive.pdf I was able to make it up there today. There is definitely no stream to the south. There definitely is a stream to the north. There was too much snow up there to map it accurately. I have attached a VERY ROUGH sketch of the route. It splits into a least two channels more or less due north of the shed. The channels are to the north of the test pit. The residents appear to have tapped into it as an auxiliary water source up by the road so they should have at least a rough idea of where the stream is. Where the channel turns to the north, it has been ditched and it very obvious in the contour and DEM data. The existing stream mapping, shown in blue, is incorrect between the arrows. I think this speaks to the issues about the proposed system but I can provide more info as needed. Jeff From: Urbanus, Jeffrey D. Sent: Thursday, December 19, 2019 4:27 PM To: jody@garnessengineering.com Cc: Bischofberger, Kristi L. <kristi.bischofberger@anchorageak.gov>; Ellis, Steve M. <steven.ellis@anchorageak.gov>; Jeff@garnessengineering.com; Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov> Subject: RE: Moa Wetland Map verification for Mountain Valley Est. #; Block 5, Lot 19 I spoke with Mark this afternoon. He confirmed that there is no culvert to the south and that stream flow is directed to the north, via the road ditch, to the culvert at 4240 Johnny. To confirm where flow continues from here, through your client's property, we would need to be perform a site visit. We are happy to try and do this early next week, if you can help obtain permission for our site visit. The owner does not need to be present unless they want to be. Downstream of the subject property, the stream channel is readily apparent, both in our GIS layers and on the ground and along Birdsong Drive. If we end up with a bunch of unexpected snow we'll need to come up with an alternate plan. Thanks, Jeff From: Urbanus, Jeffrey D. Sent: Thursday, December 19, 2019 9:29 AM To: iodv@garnessengineering.com Cc: Bischofberger, Kristi L. <kristi.bischofberger@anchorageak.gov>; Ellis, Steve M. <steven.ellis@anchorageak.gov>; Jeff@garnessengineering.com; Carroll, Rebecca M.<rebecca.carrollCc@anchorageak.gov> Subject: RE: Moa Wetland Map verification for Mountain Valley Est. #; Block 5, Lot 19 Here is my quick 2 cents: Flowing water to the road is readily apparent at 4200 Jamie, the uphill end of the culvert in question, in Google Street View. Whether this flows directly across or is routed to the north to approximately 4240 Johnny is unclear. Mark Littlefield has offered to go out and verify the locations and number of cross culverts. I'll report back when I here from him and we can take it from there. Jeff From: Bischofberger, Kristi L. <kristi.bischofberger@anchorageak.gov> Sent: Thursday, December 19, 2019 8:46 AM 1 To: Uraanus, Jeffrey D.<ieffrey.urbanus@anchorageak.gov> 'Subject: FW: Moa Wetland Map verification for Mountain Valley Est. #; Block 5, Lot 19i From: Jody Maus Sent: Wednesday, December 18, 2019 9:09 AM To: Bischofberger, Kristi L.<kristi.bischofbergerCa@anchorageak.gov> Cc: Ellis, Steve M. <steven.ellis@anchorageak.gov>; Jeff Garness <Jeff@garnessengineering.com>; Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov> Subject: Moa Wetland Map verification for Mountain Valley Est. #; Block 5, Lot 19 Kristi, We are currently working on a septic system upgrade design for Mountain Valley Estates #1; Block 5, Lot 19 (4141 Johnny Drive up Hiland Road). We have performed several site visits on the property and found that the MOA wetland mapping is not accurate in the location of a creek/stream that is on or near the property. Attached is an aerial map of the wetlands map in the area if this property. We have submitted our septic system design to the MOA Onsite Department and Rebecca Carroll is requiring us to request the confirmation on the actual rout of the stream. Attached is a draft copy of our site plan and septic system design for your reference. As you can see on these drawings, we have shown the approximate location of the stream and a small ponding area based upon our site visits to the property. Can you please confirm this location is accurate and no other stream location exist on property? Thank you for your assistance. Sincerely, ®y Maus Consultant Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Phone: (907) 337-6179 Fax: (907) 338-3246 Mobile: (907) 223-0555 Website: www.aarnessenaineerina.com GARNESS v E?MINEMM, SALES CONSULTING r • t i 0 ° �at i e 3 °� A M 0 • a t l� t�� 1 9 �a 1 NRiiievy CVMJFY • AT I HAVE E61F�M-M Ila„, F9L WINQ DESOAI PROPERTY: � � `;E AND THi r 11 !^A— MJCATOUX IT 29M 18 Wry or TI'M OWNER TD 0Er6R><n E� COYF:N WH1Cii Do N�1 T11E ICC CW ANY , QR �STRICTIONR Obi THS pppp �R1Ds V1$10” PLOT. UND ANY D= HiAC1'M ,gym NO CIRstca 0 Fb Uta Foa N&TRUC'r101i1 OF FENCE LINED„ Aav a iuee FOR EvM3LMp0Ni 60M40 D S�tj aPi v'atTa SOJ�t � , awv keQa-oX. Dome omb & we : � •� ta•avie .` '�°•.e �, \* �J R®c®ived 08-29-02 15:06 Fron--307 663 2522 To -Prudential Vista R.F Par■ nnl MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 13th Day of January of 20 20 , by and between Cheryl Lee Rinehart herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Quanics Aerocell System located at (legal description) 4141 Johnny Drive: Lot 19, Block 5, Mountain Valley Estates Addition No. 1 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) CLR Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. CLR It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). CLR Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. CLR Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the "system, MIMI Could iiiclut.lu sewage backup and costly repairs or drainfield replacement. (rcv. 05/18/2018) Page 1 of 3 CLR Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. CLR Owner acknowledges that the fine for failing to maintain and repair an AWWTS maybe assessed in accordance with AMC 14.60.030. CLR Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. CLR Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. CLR Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. CLR Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof: 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: v" By: (signature) Date: 1/13/20 Cheryl L. Rinehart (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this N -day of J Cl 1) V 1'/j , 2010 by L��`P}wI �14,�4tGII STATE OF ALASKA . NO ARY PUjfLIt FOR ALASKA NOTARY PUBLIC My Commission expires: 5 -2 4. 'I y Ciara Taylor My Commission Expires:..i MUNICIPALITY: By: i 6�jl (signature) (1-roz� (print name) Date:—j % 6 0.20 Title: (rev. 0511812018) Page 3 of 3 Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: '-~ L'~ cl ~ O° Z'-~ PID Number: ~:7~0 -- ~.~1 Name: A~, ~q~ ~ Wastewater System: ~ New Address: I~'~ ~~,.p O~. ~,~..,~m~ ABSORPTION FIELD Phone: ~ _~ INo. of Be~ems: ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other LEGAL DESCRIPTION s~GPD/Sq. Ft. Total Depth from original grade: ~~ Subdiv~ion: Depth to pipe ~ginal grade: Gravel depth bene~ WELL: EX,~%,~ow ~ Upgrade Crave, width: D~stance ~n lines: Ft. Driller: ~ ~ Drilled: Ststic Water Level: Date installed: y~p ~ Pump Set at: C~bo~ Ground: ~ ~. ~ ~. TANK SEPARATION DISTANCES ~ Septic ~ Holding E] S.T.E.P. To Septic Absorption Lift Holding >ubflc/Private Manufacturer: Capacity in gallons: From Tank Field Station Tan~ Sewer Lines ~0~ ~ ~ ~l ~0 ~ ~ Material: Number of Compa~ments: su,~oe .... Ioo'k ~ ~. LIFT STATION Water ~ Lot lot+ Size in ~~r: "Pump on" level at: ~~ I High water alarm at: 2o'~ Foundation Cudain Drain Remarks: BENCH MARK Location and Description: Assumed Elevation', I 00,0 fl, ENGIN~'~SEAE Inspections pedormed Depa~ment of Health and Human Se~ices approval "'~ :. ,..,,,,,, ... Reviewed and approved by: ~ /'~° Date: ~'~'~. &',,~:Z 72-013 (Rev. 9/91) MOA 25 I ~ ~ TBM = 100.8, ])OTTOM OF SII)ING AT I ~ ~ POINT 'A' (NDRTHEAST SIgE DF HOUSE) , ~ ~ 1, INVERT AT FCD = 96,8 I ~ ~ 1, INVERT AT TANK = 84,1 I \ \ 2, ToP OF TANK = 84,9, GROUN~ OVER I ~ '~. ~ ~CONT~OL FLOAT INSTALLED IN ST3. m ~ ~ ~ ~ (3/16' GUAGE STEEL TANK WITH MAXIMUM BURIAL ~ { / /.~ ~n ~ST1 w I / /,~-~-. ~' -- ] T[I FCO = ~ TU ST3 = 47,5 SEPTIC UPGRAgE, LOT 19, BLOCK 5, MOUNTAIN VALLEY ESTATES S/Z, . '~ PREPARE~ FBR~ ~EAN KBNBPASEK ' ..... ~'~"PI ................. -- ~ ¢, r · PREPARED ~Y, ALASKA ~ATER ~ ~A~TEVATER--~?,~ '. ..... .."~ DATE, 4/10/98 DRAWN, J,L,M, 1' : 30' %~ PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW980027 DESIGN ENGINEER:WILLIAMS ENGINEERING SERVICES OWNER NAME:BOW DENNIS P & JACQUELINE M OWNER ADDRESS: DATE ISSUED: 3/10/98 EXPIRATION DATE: 3/10/99 PARCEL ID:05065111 LEGAL DESCRIPTION: MOUNTAIN VALLEY ESTATES #1 BLK 5 LT 19 LOT SIZE: 70025 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: HOLDING TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~~ DATE: DATE: Alaska Water & Wastew'ater 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 995~)4 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers February 28, 1998 Municipality of Anchorage Department of Health and Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer Upgrade for Lot 19, Bk 5, Mountain Valley Estates S/D. HOLDING TANK To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The drainfield is operating in a surcharged state and must be upgraded prior to obtaining a Health Authority Approval for the purposes of selling the house. Two test holes were excavated on the property and the soil conditions were found to be unsuitable for an onsite septic (see attached soil logs). Given the site restrictions it is my recommendation that your department allow us to install a 3000 gallon holding tank. We chose a 3000 gallon tank due a local pumper's hauling capacity of 3000 gallons. The new holding tank will be installed near the northeast house corner in order to maximize the distance to the existing surface waters. SURFACE WATERS: There is a surface water source originating from a lot to the west (appears to be Lot 14, Block 3, Mountain Valley Est.) which flows along the west road ditch of Johnny Drive. From our site visit it appears that this water flows under Jotmny Drive near the northwest corner of the referenced lot. From the northwest corner the water flows east along the lots' north property line. The approximate location of the surface water is shown on the attached site plan (see attached site plan). Based upon our assessment of the site there does not appear to be suitable soils, and/or adequate space available, to support a conventional or innovative septic system. An innovative septic system would be a risky installation at best. In short, it is my recommendation that a holding tank be installed. If you have any questions, please contact me at 337-6179. ~cerely, / CULVERT UNDER ROAD IN THIS AREA PER THE HOMEOWNER, i'-i~ UR F'A C E WATER LOT 19 4 INCtl PVC (93034) SLOPED 1/4' PER FT. NIN. -TEST HOLE HOLE HOLDING GENERAL LOCATION DF SEPTIC SYSTEM GENERAL LOCATION DF SEPTIC RE-ROUTE SEWER SERVICE LINE IN THE CRAWL SPACE OUT THE EAST SI])E OF THE FOUNDATION. INSTALL FOUNDATION C/O AND NEW 3000 GALLON HDL~ING TANK, LOT 4 // WELL~ o LOT 3 GENERAL LOCATION OF THE PVT, WELL ON LOT lB LOT 18. PVT. WELL AN]) SEPTIC SYSTEM 1 NDTEj THIS IS NOT A SURVEY. THE LOCATION OF ALL WELLS, SEPTIC SYSTEMS, / AND STRUCTURES IS APPROXIMATE. THE CONTRACTOR SHALL VERIFY THE SEPARATION DISTANCE FROM THE SEPTIC SYSTEM UPGRADE TO ALL WELLS UN A~JACENT LOTS, SEPTIC UPGRADE, L. UT 19, iBK 5, MOUNTAIN VALLEY EST, PREPARE]] FOR~ JACI<IE ]~OW PREPARED ~Y; ALASKA WATER & WASTEWATER DATEI 3/2/98 I)RAWN~ GARNESS SCALE: 1' = 100' LOT 5 ',,domes P. Williems.; '.. CE-9601] ..' PERFORMED FOR: LEGAL DESCRIPTION: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O ~'" ~"E ~';'(~ilNEER'S SEAL) Municipality o, Anchorage DEPARTMENT OF HEALTH & HUMAN SOILS LOG -- PERCOLATION TEST ~ JAM~S~WILLIAMS ~.~ ~'. I,o.~,o~ ..'~ I,~k... C.E......~ . .~ L/~ ~ Townsh,p, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Oel~th Io Water Alter Monitoring? Oale: Reading Date Gross Net Depth IO ¢" Net Time Time Water Drop PERCOLATION RATE I~'0++ tm,nules/inch) PERC HOLE DIAMETER ~/~' TEST RUN BETWEEN _~'~ ~__ FT AND ¢~,'~'~-- FT COMMENTS ~ (~//~.~M, ?.~ ~4~ '/~ O~ '~ . ~1(- ,/~T /~Z~(~ ' / ./ PERFORMED BY~~ / ~~ /~ / ~~FY THAT THIS TEST WAS PERFORMED IN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST PERFORMED FOR: ~'~F--~ LEGAL DESCRIPTION: ~/~/,~/V"/~/~ Y~; /~O7/~!/¢/.~"Township, Range, Section: SLOPE r 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O WAS GROUND WATER )/~ (.~ ENCOUNTERED? IF YES, AT WHAT ~k~/~r. DEPTH? Depth lo Waler After ~'~/D'~al~ ~ Monitoring? ~ Reading Date PERCOLATION RATE /~)/,/,1~_ Gross Time SITE PLAN Net Depth to Net Time Water Drop tm~nutes/mch) PERC HOLE DIAMETER ~ .....TEST RUN BETWEEN /~//~ FT AND *A''j//~ FT COMMENTS ~o~ ~/,~,~ ,~ ¢¢-s,~:' ~,~, ¢~ _l // , , , I , , / ' PERFORMED BY:/,~.~ f (~~ ,~~ ~~ CERTIFY THAT THIS T'ST WAS PERFORME~iN AOOORDANOE ~H ALL STATE AND MUNiOiPAL GUiBELiN~i~ EFFEOT ON THiS DATE. DATE: _ 72-~8 (Rev. 4/85) 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/OF{ WELL INSPECTION REPORT NAME MAILING AaE~'"~ S ' ' ?o 5'¢.5' ¢_¢v' ee, e '- LEGAL DESCRIPTION LOCATION DISTANCE TO: Well ~//i~ Absorption area PHONE Inside length Manufacturer Liq. capacity in gallons IF HOMEMADE: DISTANCE TO: Well ~// Dwelling Manufacturer DISTANCE TO:_ Lengt~ of each ~;l~:~ Total length<2~f~,~ne~ No. of lines / Top of tile to finish grade Material beneath the Length Depth Type of crib DISTANCE TO: Width Crib diameter Well Building foundation Crib depth Building foundation ,Driller Sewer line c,assNZ) N' DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS DwellingWidth~ Material Material Nearest lot line~o ,/~ Trench wid t J:L.j~, 8~-~ inches ,/'~r-NEW E~]UPGRADE 5-77 NO. OFBEDROOMS 3 PERMIT NO. No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. ,~, ~-~, Distance between lines /Vj~ -- PERMIT NO. Total effective absorption area Nearest lot line PERMIT NO. /~bsorption area(s) Distance to lot line Septic tank DATE 72-~13 (Rev. 3/78) LEGAL TER WE, LL RECORD STATE OF ALASKA DEPARTMENT Of NATURAL RESOURES Division o! Geologicot a Geophysical Surveys l/4 qtr$. Dorough Subdivision .afro! ilS'I'ANCE AND DIRECTION FROM ROAD iHTERSECTIONS · W$11 Lace '2'- Surface Top eolfom A.D.L- No. ~[o,lnt hep N[~ E[_~ rldlan sE) ~. owH~ OF w~LL;L%,O~ Construc~ior' P'.O. Box 1915 Eegle 4. wELL DEPTH: [final) 5. DATE OF cOMPLETIO~: ~ Test Well ~ Other: 8. CASING: ~ Threaded ~ d[om.~Jn, to~ ti. Deplh , 9. FINISH OF WELL: ~ ~ove or ~ S,~O~ ~ona ,ur(oc~ iS. PUMP: (If available1 ft. capacity B~il :es%ed at 10 GPM ~F 16. WATER WELL coNTRACTOR cERTIFICATION: ~ell,~al~ License Num.ber,,.i'..:~ .'.. ~,,,. .'.. ,,.,.,., -- '°c' , pINK'~III~, CANAl-Customer ~-;~ ~'' MUNICIPALITY OF ANCHORAGE Departmen~ ~f Health and Environment~ Protection 825 ~ Street, Anchorage, AK. 99501 264-4720 ----~/~ * * * HANDWRITTEN PERMIT * * * Location: Phone Number: Type of Soil Absorption System : Trench: ~ Drainfield: Seepage. Bed: Holding Tank: Maximum Number of Bedrooms:~--' Soil Rating(sq.ft/br) ,~3~/~.---- . The Required Size of the Soil Absorption System Is: 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 : /~'?~-'3(3 GALLONS Permit applicant has the responsibility to inform this department during the ins:ta:~l~at:i~in~spect±~s.:~f:~.a~e~:si~a~jacen~`t~:;~his`~proUe~y.~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 tine 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 8 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 wi~n~all, t~ystem in accordance with codes, i (3 I ~de~nd t~//the on-site sewer system may require enlargement if t~e r~i~nce/~f~/remodeled to include more that 3 b~h~ooms. C/-"A~ p tic an t ~ SWP/024 (1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18 19 2O COMMENTS E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN ! ~ 0 (mjJmtasJinch FT AND ~ FT 72-008 (6/79) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEAl.TH & HLIMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Day phone Lending agency Mailing address Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOIV1S: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State AD£C attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (ROY. 1f91) Front MOA ff21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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/orwastewaterdisposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, lfurtherverifythatbased 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. Alaska Wa~er & Wastew er Name of Firm ........ ,_ ......... ,,,,__,_ Phone -'~ " Address -'A~chorage,~"Alas, l~/995,04 ,! /I/;i. /' ,/ Engineer's signature :'i .......... ,~ ~';,/,/! ~ ? ' "'"'"/;~"-~ Date ,, ~,/ ! / DHHS SIGNATURE '~ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: By: Additional Comments / 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) Beck MOA ~r21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEAt. TH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Day phone L~"/~t - ~'l ~6'i/~¥~ ~ L~'fi'fi ~ Lending agency Mailing address Agent Address Day phone L~.~.,q Dayphone ~E!cj - Unless otherwise requested, HAA will be held for pickup. NUMB£R OF BEDROOMS: ?~ ~' TYPE OF WATER SUPPLY: Individual well '~/ Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State AD£C attesting to the legality and status of system. 724)25 (Rev. 1/91) Front MOA #21 5, STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/orwastewaterdisposalsystem is safe, functional and adequate for the number of bedrooms and type ofstructureindicated herein, lfurtherverifythat 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 Aiasi~a ~v"~ie~r ~/'~ia~te~a~e~ I Phone ~'1 - ~, i ~ ~ 7320 East. ehes~ Ht~~ Address Anchorage, ~fis~' -- /~_ Engineer's signatu re ~~~Q~ Date */,.,/D ~ DHHS SIGNATURE Approved for '--1,~(E ~- Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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-O25 (Rev. 1/91) Back MOAIt21 RECEIVED Municipality of AnChorage APR 1 4 1998 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ~4UN~q~^ul¥ Or 825 L Street, Room 502 · Anchorage, Alaska 99501 Jh~J~[~%~4~S Health Authority Approval Checklist Legal Description: A, WELL DATA Well type Log present Total depth Sanitary seal J~J~ ~cocY.. ~'~ I~ovNT'A-I~ ParcelI.D,: ',JA~.u=,f Es~rA,-r~.~ ~ j Date completed Cased to (08 1 6)5o ~ 65'1 .- II Date of test Static water level Well production If A, B, or C, attach ADEC letter. ADEC water system number Casing height (above ground) Wires properly protected (~Y~N) WATER SAMPLE RESLJLTS: FROM WELL LOG AT INSPECTION q.k. /O g.p.m. -..~, ...~ Z. g.p.m. Nitrate O. / J/"/ /~t-'~/L. Other bacteria Collected by: Alaska Water & Wastewater 7320 East Chester Hts. circle Anchorage, Alaska 99504 Coliform O Date of sample: L~./8 B. ~I~III~HOLDING TAN K DATA Date installed Foundation cleanout ~',1) Date of Pumping Tank size /'-/OD© Number of Compartments '~/~.5 Depression (Y,~ ~JO High water alarm~N) '~E.5 _ Pumper C. ABSORPTION FIELD DATA Soil rating (g.p.d./ft2 or fF/bdrm System typ~/ _~ Gravel thickness beiow~.,...,.,.,~..~-~- Total depth__ Effective absorption area ~ng Tube p..~C.(-Wlq) Depression over field (Y/N) Date of adequacy test Res_.Cte'(P"a's'sC, E~jI) ~ For ..... bedrooms Fluid depth in absorptio_n ,ield~ ' Ir~~_ ~...~_ga,. water added (in.,: _ Flu~ (ins)Minutes later: Absorption rate =.~~~d. P~ide treatment (past 12 months) (Y/N) If yes, give date ' 72-026 (Rev. 3/96)* D, LiFT STATION D~ Size in gallons Manhole/Access (Y/N) . ~poff"level at* _ ested E. SEPARATION DISTANCES .~}~/holding tank on lot Absorption field on lot; Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: I "ZOO.4' ,/,._. On adjacent lots On adjacent lots Sewer/septic service line ~ OOI ,f- Ioo'4- Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 'Zo ~ Property line I OI ,I- Absorption field Water main/service line 10~- Surface water/drainage l0°t'~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Prope~i~,u --__ Building foundation Water main/service Surface water ~a Curt~ Wells on adjacent lots ENGINEER'S CE RTIFICATI.~ ' cedify ,hat~ve ~er~d ,, field inspections and review of Municipal reco¢~t4~,~~_~ are . confor~lw~/~A~AA, ,olinos in o*ct on this dato. Engineer's Na/e ~~ ~ ~ ~ HAA Fee $ --~') (~ '~--~ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Pioperty Owner Buyer Address APPLI( NT FILLS OUT UPPER HAl ONLY Realty Co. & Agent Address Phone Zip Code /.~. ¢~3 "/ zip Code Phone ~,. - Phone Legal Description /... ½ / '? L~'/ /¢ Street Location, /,.,,, /(-;' ..~'*) _~ .... Type of Residence .~.. Single Family -~,' [] Multiple Family '.. No. of Bedrooms - C] Other (l Water Supply ~'~. Individual .: ? ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. [] Community hl For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility %/- , Sewer Disposal ~¢ Individual [] Public Utility [] Holding Tank Year Individual Installed: / "¢ ~ ~ When Connected to Public Ulility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE iNITIATED. Time Time Time Time [)ate Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICiPALiTY OF ANCHORAGE DEPT. OF HEALTH ~': ENVIRONMENTAL PROTECTION RECEIVED (,~ ) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* [)ATE 'CONDITIONS OF APPROVAL Soils Rating Date Sewer Inslalled Well To Absorption Area Well to Tank Well Log Received Septic Tank Size 72-023 (3t82) v/,4kOi7 t-.J.qh', o Cory i-I i.;L.l.j_s, ~-:. 5. EXCAVATION ROBERT A. SHAFER WORK September 21, 1983 CIVIL ENGINEER 694-2979 Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Reference: Lot 19: Block 5: Mountain Valley Estates Subdivision An inspection was performed on the well located on the referenced property as you requested. The well casing was equipped with an adequate sanitary seal and all wiring was in conduit. The ground around the well casing was adequately sloped away from the well. A water samp].e gas taken and submitted to Chemical and Geological Laboratories of Alaska for coliform bacteria analysis. The results 'of this test were satisfactory. If we~.~ay be of further service, please do not hesitate to call. / S SRB 196X EAGLE RIVER, ALASKA