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HOMESTEAD HILLS #1 BLK 3 LT 17
~, " Municipality of Anchorage Page J 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: --~c~°l ~ Gl oil ~ PID Number: ~ ~ ' l ~ ~ Na~:~ ~ 0 ~ Wastewater System: D New ~Upgrade Address: ~ ABSORPTION FIELD l Ph°ne: I No. of B~rooms: ~.~fl~ D Deep Trench D Shallow Trench ~ed ~ound DOther Total Depth from original grads: LEGAL DESCRIPTION So~a,,~: O.~ ~,~s~.~. ~ O, Subdiv~ion: Depth to pipe bosom from original grade: Gravel depth beneath p~e Township: -- IRange: -- ISection: _ .... Filladdedaboveoriginatgrade:~.~ Ft. Gravellength: ~J Ft. Number of lines: Distance ~n lin~: WELL: E~t%w~New ~Upgrade ~ Gravelwidth: ~O! Ft. ~ ~-6 Ft. CI~ (Private, A,B,C): Total~Depth: ~ Ft. Total absorption~area:Go ~ ~ SQ, Ft. Pipe~. ~mat~rial:~* Driller: ~ ~e Drilted: Static Water Level:Ft, Installer:~ [O~ ~. Date installed: Yield: ~ Pump Set at: ~Ab~eGround: ~ GPu I ~'. I ~ ~,~ ~ TANK SEPARATION DISTANCES ~eptic D Holding ~S.T.E,P. To Septic Absorption Lift Holding =ublic/Pfivate M~ ~ From Tank Field Station Tank Sewer Lines s~,ac~ ~ ' ~ ~ ~5~,a~ LIFT STATION Water J~t~ J~ ~i Lot Siz~cturer: Line ~t~ J8 t~ ~1~ ~ ~ , "Pump on' level at: ~igh water alarm at: Foundation ~1~ ~1~ ~ , ~ ,~ ,~, Remarks: ~ ~ ~~O ~AN~, BENCH MARK Location and Description: ...... ENGINEER'S SEAL Inspections.performed bw,--,--.~,_..7320 East Chester Hts,' Ctrcle~'""''"' ~- W~fewaterDateS:2ndlSt ~-I$-q6~'l°'qS ,~,~.~ ....... ~..~. ~y.~ ~,~ ~..4 ~ J~ES E ~L~S Anchorage, Alaska 995~ ,, ~ % D~pa~ment o~ Health and Human Semites approval ~'~'~:.'... u.~. .... ...~ Reviewed and approved by: ~~/~, ~ Date: ~-~ ~' ~ ~.?OFESS~ PERMIT NU,klBEE: AS BLT[I'T :DI~VI"NG PARCEL ID NUMBER; SW980198 ' 015-175-39 \ / WELL I ~ / ~ ~ i / / m~" ~ I~A~ / · · HOMESTEAD HILL SUBDIVISION, LOT i7, BLOCK 5, ~" ': ......... I'~: [i~'. ......... AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 'R~ARED ~R: (907)PHONE NUaam:346_3990 ~' '~ ~' "": ~E-9608 .."~ NANCY REEDER ' ~[..'... ....... ..'~¢~ 7-15-98 J.L.M. = 40' 2 OF 2 JUL-lO-98FRI 08:12 NO, 9073442844 ANCHORAGE SAND and GRAVEL CO., INC. July 10, 1998 ~,chmidt ConstrucUen, Inc. Anchorage, AK Prmj. Septic FiltraUon System Re: Builcling Aggregate ¢4 Minua Dear Mr. Schmidt The Bedding Aggregate ~4 Minus sui:~lied by Anchorage Sand & Grovel Co., inc. (AS&G) from the Klatt Road Terminal meets ~peeifieationa deeignated below. The aggregate for BedUing Aggregate #4 Ggl~$ist$ of natural aggregate washed and processed to assure suitable particle shape and gra~latio~, The aggregate source is the Aa&G pit in Palmer, Alaska. Bedding Aggreg8te #4 Minus haa le4~s than I (one) percent by [otal weight passing the No. 100 and NO, 200 U,S. Standard Sieve. Bedding Aggregate #4 Minus i~ graded within the following limits, U.9. Standard Stockpile Total Per Cent by Weight _ Si(~¥.~, _ Average p~s¢ing 3Y8" 99,6 100 ¢-4 95.3 70 - 100 #16 3,3 0 - 10 #30 1,3 O - 5 #100 0 0 - 1 #200 0 0 - 1 I have attacl3ed a gopy of AS&G'~ Laboratory's test analysis for you, and Alaska Test Lab's 1998 Aggregate Suitability Test results, If you have any questions, or if/can be of any service, Please ca)t me, Sincerely, GE~& GRAVEL CO,, INC, C. Earl Polen Aggregate Sales Manager PAGE 1 OF MUNICIPALITY OF i~NCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 .~NCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT ~ER:SW980198 DESIGN ENGINEER:ALASKAWATER & WASTEWATER SERVICES OWNER NAME:REEDER NANCY L & DAN OWNERADDRESS:4511 TP~APLINE CIR ANCHORAGE i~J_~%SKA 99503 DATE ISSUED: 6/24/98 EXPIRATION DATE: 6/24/99 PARCEL ID:01517339 LEGAL DESCRIPTION: HOMESTEAD HILLS ~1 BLK 3 LT 17 LOT SIZE: 51668 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION I~JST 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 D, LASKA 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 PER~IT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~ ~~_~ / ISSUED BY: Alaska Water & Wastewater 7320 East Chester Heights Circle - Anchorage ~ Alaska 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers June 17, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sand Filter and Sewer Drainrock Replacement for Lot 17, Block 3, Homestead Hills Subdivision #1 To whom it may concern: The existing 4 bedroom house is served by a private septic system and a private well. The existing septic system consists of 1500 gallon S.T.E.P. system and a 20' X 43' pressurized bed with a 2' sand filter below the sewer rock. Currently, the septic system is working above the effective depth of the bed and the sand filter is believed to be biomatted. We request you to issue a permit to replace the existing sand filter with "winter road sand" provided by Central Paving Products and to replace the existing sewer drainrock. All contaminated material will be disposed of on-site. I am unaware of any adverse impacts this replacement would have on adjacent wells or septic systems. If you have any questions, please contact me at 337;6179, or 244~9612. Thank you for your assistance. Sincerely, ~{ ~ff/~ M.S. Princii~al ~ LOT 9, BLOCK 1, ~ PARCEL 8, NW 1/4, SE(:;. 22, T12N. R3W ',~ ~ HOMES'lEAD HILLS S/D ~1 ~ / ~ ~ . WELL ........... , z ~s~'~ ~1 ,~Yl~ '-./ ~ ~-' ~ ~ .-"/"~"~ "~'.. ~~EXISTING ~RESSUR ZED BED - ' < / ,'~ ~ ~---.- ~ WITH 2 SAND FILTER I ~o j-- / / w~ ~' ~ I "~ ',, '-,. ~ PROPOSE TO REP~CE_~D_~IL~R. ~ , / ~ ~ ~ I ~ ', % % .(SEE PROFILE / PAG~ Z ur ) ~ k k",. -..', I ,/ .// ~ /Y 7'., ,e~ ~p ,,, ~ AVENUE ............ X ~ ~ -./I f~' / ~ " ~' , ~l LOT 11, BL~K 3, ~. ' - ~_ ~. ~ ....... ~ .l J ~ / / ~'-. ./'~ ./' LOT ~5, aLOCK 3, . ~ / HOM~ HILLS S/D ~1 / ~ ~ ~ J / ~ ~ ~1 ~ A~S~ WA~R & WAS~WA~R ~%. ~. HOMESTEAD HILLS SUBDIVISION ~1; LOT 17, BLOCK 5, ,.. ; ~.., ~E OF WORK: ~ , " ........ SITE P~N ~de ~ ~ ness: PHONE NUMaEm ~ ~" -7953 PR~ARED FOR: NANCY HERDER (907)346-5990 qh~ .... .... J.L.M. 1 = 100' 1 OF 2 I I I~ I I ' I PROFILE ViEW A~S~ WATER & WASTEWA~R ~~.~. HOMESTEAD HIL~ SUBDIVISION ~1, LOT 17, BLOCK ~PE ~ ~RK: DETAIL OF PROFILE OF PRESSURIZED BED PREPPED mR: PHONE(907)346_5990NUMBER: ~0~2"~. C~--7953 ...",~ Munbcipality of Anchorage 'Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION · Box 196650 · Anchorage, Alaska 99519-6650,· Telephone: 343-4744 ite Wastewater Disposal System and/or Well Inspection Report Permit Number: 5LV c~/O 230 PID Number: G) 151733q __ Name: ,~ O ~;EP. $ ~E 8 ERT Wastewater System: D New ~ Upgrade Address: ~511 T~PLINE ABSORPTION FIELD No. of Bedrooms: Phone: ~- J~7 ~ ~ Deep Trench D Shallow Trench ~ Bed ~ Mound D Other Total Depth from original grade: LEGAL DESCRIPTION soi,.~,~: 0.~ ~,~s~.~. o,~' Lot: Block: Subdivision: ~ ~ Depth to pipe bottom from original grade: Gravel depth beneath pipe 17 ~ ~OMEST~b HILLS O. I Ft. O,~ Ft. Range: ~ Section Fill added above original grade: Gravel length: ' Number of lines: Distance between lines: WELL:~jSTiN~ New ~ Upgrade Graveidepth: O,~ Ft. ~ J ~ ~O ~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ,t, ~t. ~go SQ.,t. 1Vff" 5C~ ~ PV~ · Driller: Date Drilled: StaticWaterLevel: Installer: ~ Date in,tailed: Yield: GPM J Pump Set at: Ft. Casing Height Above Ground:Ft. TANK I SEPARATION DISTANCES ~ septic ~ Holding ~ S.T.E.P. TO Septic Absorption Lift Holding ~ubHc/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~NC~ ~ ~1~ Well JO~ Jt~ ' I10 ~ ~ ~.l Material:5~~ Number of C~partments: Surface Water ~{~' >~ ~m' -- -- LIFT STATION Lot Size in gallons: ~ Manufacturer: Line ~' JSt ~0' -- ~ lO ' N,A.I ~NC~, 7ANIt / "Pump on" level at: "Pump off" level at: I High water alarm at: Foundation. 17, ~0~ ~ ' -- _ 0 - ~ ~, 3~~I ~'~ Curtain Pump Make & Model Electrical Inspections per[ormed by: Remarks: ~l.~( ,5¢~ ~N ~. /,~ ~h&~ BENCH MARK Location and Description: g Assumed Elevation: "~NGINEER's SE~L ..... Flattop Technical Services ,',.'" sod ~6~o~p~ be~ (o~c~ ~nchora~e, Alos~ 9951R · .~x~.," '...~,~ Inspections performed by: F~ATTOP T~H ~Vc5_ Dates: 1st 2/SFI2I ~,~.~ ........... Department of Hea~and Human Services approval '~:,?.. c~- "' Reviewed and approved by: Date:/~-/&--~/ · ' ~P~l~s~': 72~013 (1/91) MOA 25 ' ': , - ' ih, cliO :230 Page ,,'2 of -~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION ~,.L). Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Dispos, al System and/or Well Inspection Report Legal Description: LoT J'7, BLK 3 I~oHE. STEAb R Jcl-,5 PID No.: \ 72~013 A (2/91) MOA 25 ,SCALE.'. EZc~ttop Tec~.~cc~! ]4530 Ec~.o Street ENGINEER'S SEAL '~'~,*., CE - 3589 ,.* *Permit No. ..~14/c110 2,30 Page ~ of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: /OT 1'7, I~L.K-' ,~ F/OM&-STA-~D HtLZ~' PID No.: ?ROFII,,~ I/I Ct, c/ Flattop Technical Service: 14530 Echo Stre6t Anchorage, Alaska 9951f 72-013 A (2/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910230 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:SIEBERT ROGER J & OWNER ADDRESS:4511 TRAPLINE CIR ANCHORAGE, ALASKA 99516 DATE ISSUED: 8/06/91 EXPIRATION DATE: 8/06/92 PARCEL ID:01517339 LEGAL DESCRIPTION: HOMESTEAD HILLS #1 BLK 17 3 LT LOT SIZE: 51668 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: WAIVER ISSUED MARCH 23, 1987 TO INSTALL A LIFT PUMP INTO THE SECOND COMPARTMENT OF A 1250 GALLON TANK IS NO LONGER VALID FOR THE UPGRADE OF THE ABSORPTION FIELD. A 1500 GALLON S.T.E.P. TANK IS REQUIRED OR ADD A SEPARATE LIFT STATION TO THE END OF THE EXISTING 1250 GALLON SEPTIC TANK. IF EXISTING 1250 GALLON SEPTIC TANK IS REUSED, INTEGRITY MUST BE VERIFIED AND THE PROBLEM OF THE TANK BEING 'SURCHARGED' MUST BE RESOLVED. RECEIVED BY: ~-~ ~ THEODORE F. MOORE, P.E. PH: (907) 345-1355 CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS 14530 ECHO ST. ''-JUly 31, 1991 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of the enclosed application for a sewer upgrade pem~it to construct a new soil absorption bed to serve the 4 bedroom residence on Lot 17, Block 3, Homestead Hills S/D. The existing soil absorption trench must be abandoned because it is below the seasonal high water table. Soils logs, a site plan, design drawings and specifications are enclosed for your review. The original wastewater disposal system was installed for a 4 bedroom residence in 1979 and consisted of a 1250 gallon septic tank followed by 51 feet of soil absorption trench containing 5 feet of sewer gravel. When an adequacy test in 1986 indicated that the soil absorption trench was surcharged with effluent, the problem was dealt with by installing an "Orenco" lift station package in the second compartment of the septic tank which prevented the tank from being surcharged above it's design working level. In March of 1987 DHHS formally approved this installation as being adequately sized for a 4 bedroom residence (see enclosed documents). The proposed upgrade to the soil absorption system keeping the same 4 bedroom capacity will utilize the existing septic tank with integral lift station, provided a visual inspection of the tank by the engineer demonstrates it's watertight and su'uctural integrity. The proposed site for the replacement soil absorption bed is on top of a low rise. The soil logs demonstrate a granular stratum at a depth of approximately 3 feet below ground surface with variable perc rates ranging form 0.6 min/inch to 2.1 min/inch. Because of the presence of a shallow groundwater table coupled with areas of highly permeable soils, the proposed design incorporates a 2' thick sand filter and the size of soil absorption bed is based on 0.7 gpd/sq, ft. The required area for this 4 bedroom system is (4 x 150) / 0.7 = 858 square feet which is best accomplished by a bed having dimensions of 20' x 43'. Utilizing a 15 foot width as called for in the ordinance would result in a length which is not compatible with the identified area of good receiving soils. Effluent distribution will be pressurized from the lift station with a pump rated at 34 gpm. Each 1/8" hole will pass 0.4 gpm at 5' of head; thus 85 holes are needed, or 1 hole every 2 feet as specified on the plans. Aside from the aforementioned low rise, the topography of the lot is generally level. The proposed construction will have no impact on wells or wastewater disposal systems on adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Sincerely, Ted Moore, P.E. D 0 , I A ALL IV+ $cH£b PV'C 2O DiSc flARC.;,6 LiNE FRoM E.X'I ST lNG PLAN VIEW SCAL~: I"---I0' -'S,"IRI-u-' ' ~T~e FAS~IC~ J H 3 FILL ~1' __ ',~ NATIVE G~ANULAR Sol~~ SEC-~ION SCALP.: l'=SI UTILITIES A-A Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 L I?, B3, HOMESTEAb H ILLS SOIL ABSORPTION PLAN c CROSS S,':::CTIOH SCALE: AS ' NOTEb bATE: 7/RI Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Lot 17, Block 3, Homestead Hills s/D 4511 Trapline Drive Wastewater disposal system upgrade Specifications 1.0 General: 1.1 The scope of the project consists of construction.of a new 20' x 43' soil absorption bed and connecting the pressure distribution system up to the existing 1250 gallon septic tank with integral lift station. The existing soil absorption trench is to be abandoned in place with the cleanouts and culvert riser removed. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.4 The contractor shall be responsible to obtain utility locates, and to work around the buried utilities running from the northWest comer of the lot to the residence. 2.0 Septic Tank: 2.1 The existing septic tank with integral lift station may be retained in service provided it's continued use is approved by the Health Department and it's structural and watertight integrity is verified by the engineer. 2.2 If a new septic tank is required, it shall be a 1500 gallon Municipally approved tank with an approved integral lift station, and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All man holes and pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and there shall be a foundation cleanout within 5 feet of the house. 3.0 Lift station: 3.1 The existing "Orenco" lift station installed in the second compartment of the septic tank may be retained provided the Health Department does not object and it's functional operation has been verified. The on, off and alarm float settings shall be as specified by the supplier. 4.0 Soil absorption system: 4.1 The soil absorption system shall be constructed by removing the surface soils from the 20' by 43' bed area to expose a level surface in the native granular soil stratum at a depth of approximately 3 feet below original ground level in the vicinity of test hole #1. 4.2 Approved filter sand may be used to level the bed bottom if necessary, plus a minimum thickness of 2 feet of approved filter sand shall be placed in the bottom of the excavation to bring the elevation up to 1 foot below the original ground level at test hole #1. 4.3 A total of 9" of approved sewer gravel shall be placed on top of the filter sand. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 4.4 1.25" diameter schedule 40 PVC manifolds and perforated distribution lines shall be configured as shown on the design drawings and buried level in the sewer gravel such that the pipe inverts are no less than 6 inches higher than the bottom of the sewer gravel. The perforated distribution lines shall have 1/8" diameter holes drilled in the bottoms on 2 foot centers. All PVC joints in the pressurized discharge and distribution system shall be glued. 4.5 Monitor tubes shall be of 4" diameter and installed in the locations shown on the design ch'awings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 4.6 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 4.7 The top surface of the cover material shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 5.0 Inspections: 5.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sand leveling and/or filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after final backfill and grading is complete. If a new septic tank and/or lift station is required, it must be inspected after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. PERFORMED FOR: .~affs~ 'Te'~hnlcal Seivices 14530 Echo St~-eet Anchorage, Alaslca 995t8 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ROGER SEll, ER1' ~.':,:~ *. CE - 3537 DATE PERFORMED: LEGAL DESCRIPTION: L 1'7 1 2 3 4 5 6 7 8 9 10 11 12 ~OHEST£fib ~lLL~ownship, Range, section: 5LC. ~2, "FI2H., SLOPE SITE PLAN SANDY £o/i M SP/-~M MiXTuRE OF: /~Nb POCK~"rS OF' GP POCKETS oF GP 13- 14 15 16 17 18 19. 20- COMMENTS WAS GROUND WATER ,/ ENCOUNTEI:HI)? _ ~'__ ......... s IF YES, AT WHAT DEPTH? ~,¢~c~; ~) ~o,~-~ t 0~ P E n~p~h to ~at~r Alter ~ Monitoring? c~ Dale: '7/2~/~1 Reading Date Gross Net i~'~ Depth to Net Time Time (~. | Water Drop H~o 3:16~o0 23 V~ PERCOLATION RATE _~.~'J (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN :~.o FT AND ~"-~ FT PERFORMEDBY: FLATFoP TErfl. Si'c_(, , ~'"~,~_.~'l~-,-,c CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '"/~ ~'~/'~9~ 72-008 (Rev. 4~85) PERFORMED FOR: ~lattS~ 'Technfca] Sefvice's 14530 Ech.o Street Anchorage, Alaska 99519 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ROGER SE~lSER'r I ',~o,,~-., · · ·, r ...... [ ~.:~::'~ '. CE - 3537 ." I ~ '4~-' ........ ' -~ DATE PERFORMED: LEGAL DESCRIPTION: L. 17 1 2 3 4 5 6 7 8 9 10 11 12 13- 14 15 16 17 18 19 20- B S HOHEST£flb ~JLt~°wnship, Range, Section: PT 5M REbblSH 5ANbY LoAM SP GI~A~/ F~NE 5AND ~L GP SLI6N TL"/ 5,1L7'/ SANbY G RAVEL T I::z N., R3h/ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, ATWHAT O DEPTH? p E Depth to Water After _, _ ,, Monitoring? 7 ~ Dale: Reading Date Gross Net Depth to Net Time Time (.11~ Water Drop 3;N~:o~ 23 PERCOLATION RATE .. ~_,._~__. (minutes/tach) PERC HOLE DIAMETER ~" TEST RUN BETWEEN . L~ FTAND U¢.~ FT PERFORMED By: FLATTop CERIIFY THAT THIS TEST WAS PERFORMED iN ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev, 4/85) PERFORMED FOR: _F. latt6i5 Technical Seivice's 14530 Echo Stree[ Anchorage, Alaskc~ 99518 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST J~oGER SEI~ERT LEGAL DESCRIPTION: L. I"~ B 3 PT ,,~M REDblSH 2 3 4 5 NIL 6 B. I. 8 9 10 11 12 13 14 15 16 17 18~ 19- 20- ~OHEST£/ib ~lLL~°wnship, Range, Section: SEC 22, SANDY Lo~M TI2 N., R 3t, v' SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? p E Depth to Walor Alter Monitoring7 Dale: Reading I Date Gross Net Depth to Net Time Time Water Drop I' PERCOLATION RATE .... (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND ~ FT COMMENTS.. ~"t~O~A~ ~./~/~C4A'¢~0 ,'~ oppr~ x,~{~ I.~' I~ ~r · ~ ' PE"FORMEDBY: ~LA~oP TEC~ SF¢.~ CERTIFY THAT THIS TEST WAS pERFORMED iN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON TMIS DATE. DATE: , 72-008 (Rev. 4/85) CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION MARCH 19, 1987 Re: Conditional Health Authority Approval, Lot 17, Block 3, Homestead Hills Gentlemen; On December 17, 1986, a conditional approval was requested for subject lot and granted. The conditions for the approval have been met. On March 18, I inspected the installation of an effluent pump installed in the second compartment of the existing 1250 gallon septic tank. The on/off float was installed 41.5 inches off the bottom of the tank and the alarm 4 inches above that. The outlet was plugged. This installation will discharge 112 gallons per cycle and maintain a total reserve capacity of 460 gallons above pump on and 209 gallons above alarm. The installation of this pump will solve the problem of surcharging of the tank, which was the concern on the conditional approval given. Please issue a unconditional approval for this installation. .Y~°ur2 ~ Tob . c/c Roger Seibert. 43" ~" ~" MUNICIPALITY OF ANCHORAGE Ill~- ? 0,.=~--~,~- DEPT. OF HEALTH & I1"~..,1~ ENVIRONMENTAL PROTECTION Iool 'M R 1 g !987 RECEIVED ~UNICIPALITY OF ANCHORAGE ~ Department" '~Health and' Environmentali ~otection Pouch 6-650, Anchorage, AK 99502 264-4744 On-site SewerJ~ Permit HANDWRITTEN Permit No: ~ ~ 5~--~- Date Issued: g~/~--~ Applicant: Address: Legal Description: S/D: Section: ~>~(Sq. Ft. or Acres) Lot Size: Lot Location: Max Bedrooms: Lot: Block: Township: /~/ Range: Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. Depth to pipe bottom(ft.) Gravel depth (ft.) Total depth (ft.) Gravel Width (ft.) Gravel length (ft.) Tank size (gat.) Soil rating (sq. ft./bt) TRENCH BED W. DRAIN ** Gravel length 75 feet requires multiple runs (not exceedi.ng 75 feet each) ** Tank must have at least two compartments I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage(MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for the maximum number of bedrooms stated above, and any enlargement or modification will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE~/Y A LICENSED ELECTRICIAN. SIGNED: ~~/~~ DATE:. Applicant ~,~ x ISSUED BY: /~. '-~-~..~_~ DATE: ~__ /~Z__~C~ ~.go. rid w/ pt. mp-o~c~ ~ x 4' $'O.~r~ HoJth~e 4'-10 --1 1/4~ PV~ ~ vu[ve I.~FT ~rfAlzi.,~l ~4T~ .:i PLUG EXISTING DUTLET i BURIED SEPTIC TANK A Fo,.-. L,=,--~ SEPTIC TANK EFFLUENT PUMPING SYSTEM- RETRB-FIT EXISTING Tyixcol Pta,~ Per-foemence Gu,'w J ~.~~ 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 [] UPGRADE MAILING ADDRESS Z LEGAL DESCRIPTION ' I Well Absorption area Dwelling PERMIT NO: 7 ~ ~ DISTANCE TO: J Z~ / /0 ¢ ~<~ Z Manufacturer ~~ Uat~ No. of compartments ~ ~ Liq. capacity in gallons ~ .,~ ........ Inside length Width Liquid depth So ............. ~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in gallons Q Well Foundation Nearest Iot l PERMIT NO, ? ~ ~ ~ DISTANCE TO: L/0/ /~ ~ m / ~/ ~] t~ inches~/~ Length I Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. m Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS REMARKS CONTRACTORt WELL OWNERs LOCATIONs TIME DRILI~Ds WELL DEPTHs YIELDt WATER WELL LOG Arctic Drilling Company. P.O. Box 10-976 Anchorage, Alaska 99511 Roger J. Seibert Let 17 Blk 3 Homestead Hills June 1979 6I ft. Size 6" Amt. Casings 61 ft. 6 G.P.M. (360 G.P.H.) Static level 15' off bottom 0 -40Ft. 53 - 6o Ft. 60 - 61 Ft. DRILLING ~ Brown Clay, few grains of gravel Blue Clay, few grains of gravel Gravel & Clay - Seeps H20 Gravel, Sand, H20 F [:F:.IIII" NO. E;7' RT FI E::"3:;.:[ .J.~tS:.I.F, I:::ll::i:::'l:~ I ¢:RNT ROGEF',' E;E I E~EF.".T L OC:F:IT .'[ ON OP'IFII:_I:,.E"r',VT Fi:FIF'L. ] NE LE:GFIL L.:LT' E::~: HOt'IE:STEFID l:..llLL.:;; E;,-."D T"¢I::'E OF' SOIL. FIF..','SC~RBT~ON E;YS"I"Ei"t ~S: "FF~:I:'EhlCH P1F:IX'!:I"IJH I'.,tLIHE:EF:: OF E:E:[:,ROOHE; .... $ THE LENGTFI DIHEF,ISION IS 'THE LE:NGTH ,:.'IN FEE'T) OF' TF.tE TF. tENC:I:.i OF~: [:,RFIINI::'IEL. D. THE DEF'TH Of:' Ft 7'F.:ENCN OR PIT tE; TI'-'IE DI:'];7'F:INCE BE"I"I4EEN 7'l:4E E;URFI::IC.:E OF' TNE GI:;i:OLIND RND 'THE BOTTOH Ol::' THE EXCFI'v'RT ]: ON ,.':IN FEE7'). 'I"HEFfE I:.E; NO SET 1.4ID'TIq F-':OFi: TRENCHE:'5. 'T'HE GRRVEL. DEPTN :[.S "FI"iE HZ t'.,IZI"'IUt'I [:'EP7'N OF' GF.-'.FI'v'EL E:ETklEEF,t TFIE OLI"FFRL..L. F'ZPE FIND TI:-IE BOTTOH Ol::' THE E.r. XCFIVRTION <IN FEET). F:'EI~:i'"t]:T IqF'PL. IC:F:tNI" HFi:5 THE I:,,E::,I- JI,Iz, IE,.[L]: I r' ' TO tI'.4F'FF:P1.. 'TNI% [.E:l:', .... t~I:.IIIEI,!F' ""'" ' ' [',. F:'II',tG "FHE :[ F,IC: TFII...LFI7'I ON I i'4'2~ F'Er:' 7'I '.': NE OF FIN"r' [,-IELI...E; FtE:,..]'FICENT TO TN I S PF. tOF'EI.;:"r'v FiND 7'HE NJHEEF? OF REE;I[:,ENCES 'TIqRT' TFIE klELL. NILL SERVE. E:FIC:,k:F' ]: LL I NG OF: RN'.? :E,'T':F.,'TEH I.,.! t 'TI:~:tLfT F' I NFIL. I ....... N.z,F [:t...'""'rl _ LiN- Rf-.!D I::IF'PRO'v'FIL. E:'.r' 'I-H 1:5 )EPF:IF?.THEq'.,I'T' kI:[LL BE 2SUE TE:T TO F'F.:Z'SI:.:.":.T.T..'/I'.~ HINIP'tLIN DI~;TI::INCE BETHEEN FI t.4EL. L F:IND RN"r' ON'--F.:;I"FE SEI.,IFIGE DISF"OSI"-iL.. S"r'S'TEP'I :1. OO FEE:T FOF.'. FI I:"'RI'v'RTE NIJELL.; (::Il:;;: :'L50 7'0 200 FEET F'ROH R PUBLIC I:,IEL. L. DEPENDING LIF'ON THE 7"¢F:'E OF l:::'UEd....IC t,.IELI. .... HELL L..OGS RF.':E REQUIRED RI",ID HLI:!.:;T BE: RETURNl:!:".D TO THE DEPFIRT'P1ENT I,.II'FI:-IIF,I Z::O OF THE I.,.IELL. CE$IPL.ETIOI',I. O'H-.iEt:;:: F?.EQI:J I REHENTS HF:I"r' RF'F'L'T', SPEC:: I 1:z I CFI"[' I ON:;5 FINE:, C.':OI",ISTRUC:T .'[ RYR]:LFIBLE TO ]:NSURE f:'ROPE:R IN:.:.':YFFILI:..RT!'ON. I CEF:TIF"-? THRT :L: Z t..:1i"t Ft:::IF'IIL:[FII:;]~ kI:[TFI THE REZ!LIIF~E::HENTE: FOR ON-::'::;I'TI:~: '>:;EI.,.IEF..::.:~; F~ND NELL. E; F'/L::; SET FOF,'TH E:'T' TFIE i'dUNICtF'FIL.].'T'-? OF' f::INCI:.tORFIGE. 2: I I.,.IILL. INE;]"RL.L THE ':7,'¢S"FEH IN F:IC:CORDF:INCI:.'.~ 14I"f'N 'Tk.IE CODEE;. )L.::: :[ L.INDERSTFtI'.,ID THRT I"HE ON--SI"t"E SEEI.,.IEF~: :'-."';"r'~;'T'EP1 .HF:I'.r' REQUIRE ENL..RRGEP1EI'.,IT IF THE F.".ESi'DENCE IS F.:EHODEL. E[:, TO I'I",ICLLIDE:. HORE THRN 4- ::; :t: GF,IE D: ....................... ~:.:.L El:') 4040 "B" STREET ANCHORAGE, ALASKA 99503 (907) 278-1551 February 16, 1978 W.O.~ D1.0764 Grid: 2636 Hr. Cleone ~o~ma~ 521 West 42nd Avenue Anchorage, AK 99503 Subject: Subsurface Investigation for Proposed Homestead Hills Subdivision Dear Mr. Hoffman: As requested, we have completed the above investigation. The scope of the investigation includes eight test holes and examination of the site for suitability of on-site sewerage systems. Transm~.tted with the repor% are the following: Vicinity Map Test Hole Location Sketch Idealized Soil Profiles Test Ho].e Logs Explanatory Information Grain Size Distributioz'~ Curves Figure 1 Figure 2 Figures 3-5 Table A Sheets 1-3 Sheets 4--6 Exploration was ccnducted February 9 and 10, 1978. A Nodwell mounted B-50 drill rig, owned and operated by Denali Drill.].rig Inc., was used. The rig was equipped with a solid flight auger. Test holes were locn~ed in the field and logged by Mr. O.M. Hatch, geologist/senior technician with Alaska Testlab. Percolation tests were performed by Mr. Larry Schmidt, technician on the Alaska Testlab staff. Table A is the log of the test holes reflecting field observations and visual classifications of the soils. As samples were recovered, they were sealed in plastic bags to protect the natural moisture conEent. In the laboratory, the mo]_s~ure Content and dry strength of each sample was determined. Samples of similar color, texture and particle size distribution were grouped together and given an arbitrary group designation. Grain size analysis was performed on composite samples of important groups rather on individual samples. Mr~ Cleone Hoffman · February 16, 1978 Page 2 Percolation tests were performed on those holes which, judging from the logs, were expected to have the ].east favorable percolation rates. The method recommended by the Municipality of Anchorage was used for the tests. Results ara as follows: TEST HOLE NO. RATE REQUIRED SQ.FEET/BEDROOM 2 3.3 mmn./inch 105 3 6.7 min./inch 140 7 5.0 min./inch 125 8 1.0 min./inch 85 The percolation test was attempted on Test Hole No. 8 but the water drained so fast it could not be filled above the 7' depth when carrying water by hand. The rate shown is estimated, based on behavior during the test. No free ground water was observed during exploration. It should be noted that the free ground water may fluctuate seasonally or with precipitation. The idealized soil profiles Figures 3 thru 5 are not drawn to scale and the depth of the test holes is exaggerated'with respect to the slope of the ground. Soil conditions between the holes are interpolated, based on similar soils observed in the various test holes. Based on the results of this investigation; the site appears suitable to on-site sewage treatment systems. We trust the foregoing meets your present needs. If you have any questions or mf we can be of further assistance, please do not hesitate to contact us. Very truly yours, ALASKA TESTLAB R. Mark Hanson Approved: Merlin R. Nichol~-[ Laboratory Manager RMH:mfm: lm Attachments Date: 2/10/78 Logged By: O.M.Hatch Test Hole Table A WO~ D10764 Depth in Feet From To 0.0 0.5 0.5 2.5 2.5 9.0 9.0 16.0 Soil Description Brown Peat, Pt, damp, soft. F-4, brown Sandy Silt,~iL,~damp, stiff, NP. F-2, brown Silty Gravelly Sand, ~, ~damD, medium dens~' r~ ~nJ ~br~unded ~articles to 2" F-d, brown Sandy Silt, ~, with trace gravel, damp, stiff, NP. Bottom of Test Hole: Frost Line: Free Water Level: 16.0 ft. 0.5 ft. None observed while drilling Sample DeDth 1 5.0 2 10.0 3 15.0 Type of Dry M% Sample Strength Group Unified 5.7 G N B SM 1 ~ . 7 G N-L B ML 18.7 G L C ML Remarks: 1 . 3. 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, M=Medium, H=High. Group refers %o similar material, this study only. General Information, see Sheet 1. Frost and Textural Classification, see Sheet 2. Unified Classificat_~on, see Sheet 3. Test Hol~ Depth in Feet From To 0.0 1 .0 1 .0 4.0 4.0 14.0 14.0 16.0 Date: 2/10/78 Logged By: O.M.Hatch Table A WO~ D10764 Soil Description Brown Peat, Pt, damp, so'ft. F-4, brown Sand~ Silt, ML, damo, stiff, NP. F-2, brown slightly Silty Gravellv Sand, SW-SM damp, medium density, rounded, to ~ubrounded particles to 2". F-4, brown Sandz Silt, ML, with trace Gravel, damp, stiff, NP. Bottom of Test Hole: Frost Line: Free Water Level: 16.0 ft. 0.5 ft. None observed while drilling Samp!~ ~pth 5.0 2 10.0 3 15.0 Type of Dry M% Sample Streng th Group 4.4 G N A 5.4 G N A 11 .4 G L B Unified S W - S M SW-SM Remarks: 1. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, ~=Medium, H=Hiqh. Group refers to similar material, this study only. Genera]_ Information, see Street ~. Frost and Textura]. C].assification, see Sheet 2. Unified Classification, see Sheet 3. Date: 2/9/78 Logged By: O.M. Hatch Test Hole #1 Table A WO~ D10764 Depth in Feet From To 0.0 0.5 0~.5 1.5 1 .5 13.0 13.0 16.0 Soil Description Brown Peat, Pt, damp, soft. F-4, brown Sandy Silt, ML, damp stiff F-l/F-2, brown sliqhtly laity_ gravelly Sand., SW-SM, to slJ. ghtlv Silty Sandy Gravel, ~W-GM, dry, medi.um density, rounded and subrounded particles to 3" NFS, b~own Gravelly Sand, SW, damp, medium density. Bottom of Test Bole: Frost Line: Free Water Level: 16~0 ft. 1.0 ft. None observed while drilling Sample Depth 5.0 10,0 q5.0 Type of Dry M% Sample Strength Group Unified 2.7 G N A SW-SM 4.4 G N A SM 4.0 G N A SW Remarks: 3. 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, M=Medium, H:=High. Group refers to similar material, this study only. General Information, see Sheet 1. Frost and Textural Classification, see Sheet 2. Unified Classification, see Sheet 3. Date: 2/9/78 Logged By: O.M.Hatch Test tlole #2 Table A WO# D10764 Depth in Feet From To 0.0 1 .0 1 .0 3.0 3.0 8.0 8.0 16.0 Soil Description F-4, brown Sandv Silt, ~L, damp, stiff, NP. F-2, brown Silty San(], SM, medium and fine grained, damD, ~ed-~ density. F-2, brown Silty Gravelly Sand, SM, damp, medium densin¥, subrounded particles to 2". F-4, brown Gravelly Sandy Silt, ML, damo, stiff, ~]P, ~ubrounded particles ~o 3" Bottom of Test Hole: Frost Line: Free Water Level: 16.0 ft. 1.0 ft. None observed while drilling Sample Depth 1 5.0 2 10.0 3 15.~ Type of Dry M_% S_ample ~trenoth Group 6.5 G N B 14.0 G L C 17.7 G L D Unified SM ML ML Remarks: 1 . o 3. 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strenqth, N=None, L=Low, M=Medium, H=High. Group refers to similar material, this study 'only. General Information, see Sheet 1. Frost and Textural Classification, see Sheet 2. Unified Classification, see Sheet 3. Date: 2/9/78 Logged By: O.M. Hatch Test Hole #3 Table A WOIt D10764 Depth in Feet From To 0..0 q .0 1 .0 5.0 5.0 16.0 Soil Description Brown Peat, Pt, damp, soft. F-4, brown Sandy Silt, ML, damp, stiff, NP, F-4, brown slightly Gravelly Sandy Silt, ML, damp, stiff, NP. Bottom of Test Hole: Frost Line: Free Water Level: 16.0 ft. 0.5 ft. None observed while drilling Sample Depth 1 5.0' 2 10.0 3 15.0 Type of Dry '~% Sample Strength Group Unified 13.9 G L C ML 11 . 2 G L C ML 18.9 G L D ML Remarks: 1. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, I.=Low, M=Medium, H=High. Group refers to similar material, this study only. General Information, see Sheet 1. Fros'c and Textural Classification, see Sheet 2. Unified Classification, see Sheet 3. Date: 2/9/78 Logged · By: O.M. Hatch Test Hole #4 Table A WO~ D10764 Depth in Feet From To 0.0 1 .0 1 .0 4.0 4.0 10.0 10.'0 16.0 Soil Description Brown Peat, Pt, damp, soft. F-4, brown Sandy Silt, ML, damp, stiff, NP. F-4, brown Gravelly Sandy Silt, SM to ML, damp, stiff, NP, subrounded particles to 3" F-4, brown Sandy Silt, ML, with trace gravel, damp, stiff, NP. Bottom of Test Ho]_e: Frost Line: Free Water Level: 16.0 ft. 1.0 ft. None observed while drilling Sample Depth 1 5.0 2 10.0 3 15.0 Type of Dry M% Sample S ti[ en_g th [~roup 9.8 G N B 10.4 G L C 14.3 G L-M C Unified SM ML ML Remarks: 1 . 3. 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, M=Medium, H=High. Group refers ~o similar material, this study only. General Information, see Sheet 1. Frost and Textural Classificanion, see Sheen 2. Unified Classification, see Sheet 3. Date: 2/10/78 Logged By: O.M. Hatch Test Hole ~5 Table A WOE D10764 Depth in Feet From To 0.0 1 .0 0.5 5.0 5.0 13.0 13.0 16.0 Soil Description Brown Peat, Pt, dame, soft. F-4, brown Sandy Silt, ML, with trace gravel, damp, stiff, NP. F-2, brown Silty Gravelly Sand, SM, with NFS Gravelly Sand, SW, layering, damp, medium den.sity, rounded and subrounded particles to 3" F-4, brown Sandy Silt, ML, with trace Gravel, damp, stiff, NP. Bottom of Test Hole: Frost Line: Free Water Level: 16.0 ft. 1.0 ft. None observed while drilling Sample Depth 1 5.0 2 10.0 3 15.0 Type of Dry M% Sample Strength Group Unified 1 5.5 G L C ML 6.0 G N A SW-S~4 11 .0 G L C ML Remarks: 1. 3. 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. Dry Strength, N=None, L=Low, M=Medium, B=High. Group refers to similar material, this study ouly. General Information, see Sheet 1. Frost and Textural Classification, see Sheet 2. Unified Classification, see Sheet 3. Date: 2/10/78 Logged By: O.M.Hatch Test Hole #6 Table A WO# D10764 Depth in Feet From To 0.0 0.5 0.5 1 .5 1 .5 8.0 8.0 16.0 Soil Description Brown Peat, Pt, damp, soft. F-4, brown Sandy Silt, ML, damp, stiff, NP. F-2, brown S~ltv Gravelly Sand SM, damp, medium density, rounded and subrounded particles to 2". F-4, brown Sandy Silt, ML, with trace gravel, damp, stiff, NP. Bottom of Test Hole: Frost Line: Free Water Level: 16.0 ft. 0.5 ft. None observed while drilling ~ample Depth 1 5.0 2 10.0 3 15.0 Type of Dry .~.o Sam~le Strength Group 4.9 G N B 10.3 G N B 13.~ G L C UnifJ ed SM ML ML Remarks: 1 . 4. 5. 6. Type of Sample, G=Grab, SP = Standard Penetration, U = Undis%nrbed. D~[y Strength, N=None, L=Low, M=Medium, H=High. Group refers to similar material, this study only. General Iuformation, see Sheet ~. Frost and Textural ClassificatJ. on, see Sheet 2. Unified Classification, see Sheen 3. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 ECEIVED JUL 2 7 1998 ij~'~J~NICIPALI'P/Ol~ ANCHgt~.AGE ~I~R(~IAL SEI~¥JC. ES DIVISION CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 015-173-39 HAA # ~;~ ~%~, ~3~qq~ 1. GENERAL INFORMATION Completelegaldescription Lot 17; Block 3; Homestead Hills #1 Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Ch~-y] Address 45!! Trapline Ciro]~ Nancy Reeder Day phone 3~6 3990 4511 Trapline Circle Anchoraqe, AK 99516 Day phone Pnnr~c~'r'/Prl]dc, nf'i ~ 1 Vi sta Day phone 27~-7292 Unless otherwise requested, HAA will be held for pickup. NUMBER oF BEDROOMS: 4 ~ TYPE OF WATER SUPPLY: Individual well ×X Community well Public water NO!E: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF wASTEWATER DISPOSAL: Individual on-site Holding tank CommUnity on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. xx 72-025 (Rev. 1/91) Front MOA #21 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/or wastewater dis. posal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date Name of Firm Address Engineer's signature of this inspection. Phone .) 7-Gl 79 Date ALASKA WATER & WASTEWATER IS TO BE PAID $472.50 FROM ESCROW #10-66078 FOR SERVICES PERFORMED. DHHS SIGNATURE ~ Approved for FO~//~ Disapproved. Conditional approval for bedrooms. ~.7953 ¢~ bedrooms, with the following stipulations: Additional Comments By: ¢¢//- / 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/gl) ~ack MOAff21 Municipality of Anchorage R E C E IV E 13 DEPARTMENT OF HEALTH & HUMAN SERVICESjuL ~ Environmental Services Division 2 7 1998 825 L Street, Room 502 · Anchorage, Alaska 99501 · (g(~i~l~/7~nchorage Dept. Health & Human Services Health Authority Approval Checklist Legal Description: ~ '/' / ~7 ~'/~.. ,~ /"/(~fY)E~ .~0-~ "/-~//,~ '~'/ Parcel I.D.:. ~'/.~' - / ~..~ -3 ¢ A. WELL DATA We,, pe Pr, Log present (Y/N) Total depth ~'~ ! "f- Sanitary sea(~) Date of test Static water level Cased to FROM WELL. LOG If A, B, or C, attach ADEC letter. ADEC water system number Date completed /~'/~' ~ /~J~(~ i/ Z'/Z'~)/"/- CaSing height (above grou~,,~ /~'/'- '~)~-~_____.__~'"') Wires properly protected,_(~) AT INSPECTION ! Well production WATER SAMPLE RESULTS: Coliform Date of sample: / B. SEPTIC/HOLDING TANK DATA Nitrate g.p.m. ~'~,/ ~/"7'/J g.p.m. ~. ~ (~ /n,,~/Z. Other bacteria Collected by: r, ~-f~,. ~ Date installed Foundation cleanout (Y/N) 7 Date of Pumping ~,/~ ~/~ 7 C. ABSORPTION FIELD DATA ~/~// Tanksize/~'~)~-~ Number of Compartments C:~ Cleanouts(Y/N)__~.._ Depression (Y/N) //),/' High water alarm (Y/N) Pumper System type ---~/~~ Total depth Depression over field (y/N) ~ For bedrooms Date installed r~//O/~ Soilrating (g.p.d./ff~orft~/bdrm) (~° /, - / Length /-'~J/~.~ Width ~ Gravel thickness below pipe Effective absorption area ~0 ~ Monitoring Tube present (y/N) Date of adequacy test /~ ~L~ Results (Pass/Fail) ~ Fluid depth in absorption field before test (in.); Fluid depth ~/~-- (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* Immediately after Absorption rate = If yes, give date '-~ gal. water added (in.): q.p.d. LIFT STATION Date installed ~"~/~/ Manhole/Access (Y/N) y High water alarm level at* /-;/,~/' Cycles tested '~'///~ E. SEPARATION DISTANCES Size in gallons /~"(~O "Pump on" level at* Z/,..A /t ~ "Pump off" level at* 3 ~ *Datum ~ Septic/holding tank on lot Absorptionfield on lot Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: .-/- Ioo. +- ~ /-'/ Sewer/septic se~ice line 2~ ~ Lift station /~ ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation /~ ~''' Prope~ line /~ ~ Absorption field /~ ~ Water mai~se~ice line /~ ~ Sudace watefldrainage ~ ~ Wells on adjacent Io~ /~ ~ ' On adjacent lots On adjacent lots Public sewer manhole/cleanout SEPARATION DISTANCE FROM ABSORPT O,N FIELD, .ON,LOT TO: t ! ! Property line /0 '/-- Building foundation "/~ ~ Water main/service line /~) -/-- / / Surface water /~0 -/-- Driveway, parking/vehicle storage area /g~O "/- ! Curtain drain /7~'/'/~ ~/~d cd ,~/ Wells on adjaCent lots /~) '/'- ENGINEER'S CERTIFICATION I certify that I hav/determined ti'~r/u field inspections and.review'of Municipal in conformanc~h MOA HAAp"d~in~/ ~. ;~;i on this date. Signature Engineer's I~me ~"~,F~ ~ (/~/L.L./~,VLr ,. Date Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* ~ :DEPARTMENT OF HEALTH & HUMAN SERV c'Es .... DIwslon of Enwronmental Services ::~-:~.,:.;~::~::~ '~ On-S~te Seduces Section ~:': Anchorage, Alaska ~ 99519-6650 CERTIFICATE OF HEALTH AUTHORITY :~'~':::';~'~,'¢(~?~"~A~P~OVAL FOR A SINGLE FAa LY DWELL GENERA~INFORMATION ~' ; -~, ": ~ :', -:~;~,','.'::~ the Municipality of Anchorage'fileS e~ncj from my investigation and inspection, the on-site water supply and/or wastewater disposal System is'in compliance with a I Municipal and State codes, ordinances, and regulations in effect on the date'of this inspection. ' '. . ' Name of'Firm (, "' ...... .... - ' Legal Description: A. WELL DATA wen type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4744 Health Authority Approval Checklist Mo./ ot x 3cJ If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~ [ ~ Casing height (above ground) Wires properly protected (Y/N) ,( FROM WELL LOG AT INSPECTION gq"' g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate 2, Z ~' t~_)~/f Other bacteria Dateofsample:~-/7 ~6~y ~-23- CoLT Collectedby: B. SEPTIC/HOLDING TANK DATA Date installed q/Zq;/ql Tank size /~DO Number of Compartments ll~ Cleanouts(Y/N) Foundation cleanout (Y/N) '¥ Depression (Y/N) ~ High water alarm (Y/N) /~ Date of eumping ~/~a,/q~' Pumper A ~ ~ S~¢$, Y Fluid depth in absorption field before test (in.); Fluid depth ~-q'l~ Minutes later: ~ Peroxide treatment (past 12 mouths) (Y/N) C. ABSORPTION FIELD DATA Date installed i Soil rating (g.p.d./fl or fVPodrm) "7 System type ~'~, OO~J Length ~/.~ t Width ~.0 t Gravel thickness below pipe o ~.. t Total depth ~. Effective absorption area ~bO . Monitoring Tube Present(Y/N) Y Depression over field (Y/N) Date of adequacy test ~/'~'b ~' Results(Pass/Fail) ']2>/15'5 For ~"O O//-- bedrooms t~ Immediately after~5'q'~ gal. water added (in.): (in.) Absorption rate = >> ~00 g.p.d. M If yes, give date /XJ/A Do LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested 5' ~ q/zs- },, S ze iu gallous Y "Punlp off' level at* ~.~.~ t, "Pump oW' level at* g ~ ~ *Datum E. SEPARATION DISTANCES Septic/holding tank on lot Absorptiou field ou lot Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: /Off'~ ,vt, # Sewer/septic service line > Z 5' Lift station SEP~ON DISTANCES ~OM SE~C~OLDING TANK ON LOT TO: Fo~dation i 7 t Prope~ line ~ Abso~fion field : Ou adjacent lots : On adjacent lots Public sewer manhole/cleanout Water main/service line '~$'0 Surface water/drainage ~'i00' Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water Curtain drain Water main/service line '¥ Driveway, parking/vehicle storage area Wells on adjacent lots F. ENGINEER'S CERTIFICATION , · . ' ....... ',~: ~ ; ,i: '" I certify that 1 have determined thrufield mspecttons and rewew ofMuntctpal r~ffco?d~., &at, t~e ~bO~ueV~tems are in conJbrmance with MOA HAA guidelines in efJkct on this date. ,. ;" uate ~/~ ~/~'~ l~ %., ':', ...... ........................................................................ ~ ......... HAA Fee $ 3 ~V ' ~ Waiver Fee $ :'5' Date of Payment Receipt Number / 2 ~ ~ F~X) Receipt Number Rev. 8/95 OSS: haa.wk.doc MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 17; Block 3; Homestead Hills Location (site address or directions) Property owner Mailing address David Greco 4511Trapline Circle 4511Tra~in~ Circle Anchoraqe, AK Day phone Anchorage, AK 99516 Lending agency Mailing address Day phone Agent REAL ESTATE SUPPORT SERVICES Address 8200 Humboldt Ave. S. Suite 204 Day phone 800-829-7377 Minneapolis, MN 55451 m Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well NOTE: 4 'w Public water 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 NOTE: 'XXX Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 ~Rev. 1/91) Front MOA #21 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/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of th on. Name of Firm s & S ENGINEEEING Address 17034 Eagle RIw, Engineer's signature Date 6. DHHS SIGNATURE ,~"'"'Approved for Z¥ bedrooms. Phone ~?L/- q_,~2 ~ Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments A'JIIPJ Date 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 professk, nal engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal DescriPtion: ~-o~/~ /'~r_~' ~ Ho..'t4~-~?"'~ Parcel I.D. Well Data Well ~pe ~ I ~ ~ If A, B, or C, aEach ADEC le~er. ADEC water system number Log present.N) ~,~ Date ~mpleted ~ ? ? Driller Total depth ~[~ Cased to ~ { ~ Casing height Sanita~ seal. N) ~.~ Wires properly protected) FROM WELL LOG ~:~ g.p.m. Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/h~.'.~:.."-3 tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout ~ d_.PO/~-- Petroleum tank /~/~ WATER SAMPLE RESULTS: co,,o N,trate Date of sample: (~o / ~ / ~ ~ B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/.HOLD!.~.~G TANK TO: Well(s) on lot [O~_~ /-/~ On adjacent lots To property line //(~ fJ, z~, Absorption field ~/~ f~'~ Surface water/drainage ff F_~C.~ Collected by: Other bacteria Tank size Compartments Foundation cleanout (Y/N) .~--Dep'l~n (Y/N) ~d (Y/N) Foundation Water main/service line 72-026 (3/93)° Front CONTINUED ON BACK PAGE C. LIFT STATION ,,.,,.,ns,.,,. Size ingallons /.~00 ~-----~f-4/__.(_d/...J~ Vent ~N) ~'*.~ "Pump on" level at High water alarm level ~1L [// Meets MOA electrical codes Y~I) Manufacturer A Manhole/A~es~N) ~ ~ '/ "Pump off" Level Cycles test~ SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot //~.)0 /~'- On adjacent lots /oo Surface water D. ABSORPTION FIELD DATA Date installed ~/7~'/¢[ Length ~t Width TOtal absoq:)tion area ~6 Soil rating (GPD/FF) O, /~ Gravel thickness Cleanout presen Y~) ' Date of adequacy test (o//I/C/C-- Results(~fail) ,/~'~ ~- for iWater level in absorption field before test;c(-- ~ / 0 After test Peroxide treatment (past 12 months) (Y/N) ~ ¢t.J~' //~¢-~c)Z,,_//'-'/ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /~rO /-/- To building foundation / d_.~ f---~- On adjacent lots Surface water / Curtain drain System type ~ ~ Total depth Depression over field Fo o K4._~¢ ~')aedrooms o/ On adjacent lots / O © ~-- Property line To existing or abandoned system on lot ~ ~ / -/'''- Cutbank p.,,a~,~'- /~/4~J'4~l--Water main/service line Driveway, parking/vehicle storage area / dP f.-/-- E. ENGINEER'S CERTIFICATION HAA Fee $ ,~'~t~). ~'~ Date of Payment Receipt Number and HAA guidelines in effect on the date of this inspection. Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: J7/ ¼ TYPE OF WATER SUPPLY: Individual well Community well NOTE: Public water If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site NOTE: Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 fRev, 1/91~ Front MOA #21 ')JJOM %J~)BLI!0UO leUO!SSe~OJd eql u! SUO!SS!LUO JO ~;JOJJ~) JOJ elq!suodseJ iou s! e§~Joqouv ~o /~l!lBd!o!un~ eq.L 'penss! s! el~o!J!lJe~> ~ eJojeq ~Bp ez,q~ue Jo suo!lgedsu! ~,onpuoo lOU op SHHC] jo see/,oldUJ=l 'slueLueJ!nbeJ m,~lS pu~ leJepe~ u!B~Jeo ~s!l~s ol JepJo u! suo!1nlp, SU! §u!puel J!eq1 pu~ seuJoq ~o sJes~qoJ nd m, ~selJ noo ~ s~ s!q~, seop SH HO eq.L '~S~lV jo el~lS eql u! peJelS!§eJ jeeu!Due i~uo!sse,[oJd juepuedepu! ue/Iq e^oqe g tldBJ§~JBd u! UeA!D suop,~lUeSeJdeJ eq~, uodn ~lUO peseq sel~o!~!lJeO le^oJddv ,~j!Joq~,nv qll~eH senss! (SHHa) seo!AJeS u~LunH pu~ qll~eH jo ~,ueuJpBdeC] elSeJoqouv ~o/q!l~d!o!unlN eq.L m, ueuJ LUOO I~UO!l!ppv suo!lelndqs I~U!MOIIOJ eq~, ql!M 'SUJOOJpaq 'swooJpeq JoJ I~^oJdde leUOpjpuoo 'peAoJddes!a Jo, peAoJddv ~7- =~I:II'IIVNIDIS SHHO '9 ,~~/-~ .__ ~_ eJn~uD!s s,jeeu!Su~ /~...t / ~ ~_ ~ sseJppv · uop, oedsu! s!q~, jo re, Bp eq~ uo ],oe,ge u! suo!lelnB@J pue 'seousu!pJo 'sepoo reels pue i~d!o!un~ I1~ q1!M e0U~!IdLuo0 U! S! Luels~s lesods!p jeleMe~SeM Jo/pue tlddns Jm,~M m,!S-UO eql 'uop, oedsu! pu8 uo!~e6p, SeAU! tLU UJOJJ pu~ SeliJ 9I~SJOLJOUV ,[O/[1!led!o!un~ moji peu!m, qo uo!leuJJoju! eq~, uo peseq ~,eql ~J!JeA JeqlunJ I 'u!eJeq pel~o!pu! ej n~,onJ~,s Jo ed~, pu~ sLuooJpeq jo jeqLunu eq~, Jo~ elenbepe pu~ leUOp, ounj 'ejes s! uuels~s I8sOdslp Jm,~MejSeM Jo/pue /~lddn$ Jm, eM e~,!s-uo eq~, ~q~, SMOqS uop, eo!ldde le^oJdd¥ ~:~!JOLI:InV q~,leeH s!ql ~o uop, e6!jse^u! ~uJ l~ql ~JpeA I 'MOleq UMOqS m, ep UO!lep!leA eql JO S~ pue ojeJeq pex!JJe lees/~uJ ~q pe!j!~Jeo sV I:I=I;INIIDN=~ Ag NOIIO~iclSNI .-IO J.N=IIN~I~J.S Municipality of AnchOrage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type ~- --.~ Log present (Y/N) Total depth ~2/ Sanitary seal (Y/N) Y ! Date of test Static water level Well flow Pump level If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to ~ / Casing height Wires properly protected (Y/N) y FROM WELL LOG . g.p.m. DEC 1 I 1991 I ' ]EIVED SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /~ Absorption field on lot //~-~ Public sewer main ~/'/"~' Sewer service line ~' ~'~0 ; On adjacent lots ; On adjacent lots ?//-~ Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ¢ Nitrate Date of sample: ~,c-c ~; 3./ Collected by: Other bacteria ~"~ B. SEPTIC/HOLDING TANK DATA Date installed ~ /~ ~/'~ i Cleanouts (Y/N) ~'/ High water alarm (Y/N) Date of pumping Tank size I ~'~) Compartments Foundation cleanout (Y/N) 7 Depression (Y/N) J~/ Alarm tested (Y/N) J~'/ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot · To property line Surface water/drainage On adjacent lots Absorption field 7~) Foundation ' Water main/service line ' CONTINUEDON BACK PAGE 72-026 (Rev. 7/91) Front Date installed Size in gallons Vent (Y/N) High water alarm level /~- Meets MOA electrical codes (Y/N) C. LIFT STATION "Pump on" level at SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot lJ C) On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested ['"l O ~/r.z_ ~ "/(-~ Surface water D. ABSORPTION FIELD DATA Date installed ~/~'~""/{ [ Length L1/'-~ Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating ~)'- "7 Gravel thickness Cleanouts present (Y/N) System type ~ Total depth Date of adequacy test for /7/ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots ,~ Surface water [?//-~ Curtain drain ~'7// On adjacent lots ~//(,~2 Property line [ ~ To existing or abandoned system on lot ~'~ ~ Cutbank ~////~ Water main/service line ~'~ ,~ O Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature _. DateEngineer's Name "~ C~. HAA Fee $ /y~ Date of Payment Receipt Number ~'~-- Waiver Fee: $ Date of Payment Receipt Number 203 WEST 15TH. AVENUE SUITE 206 ANCHORAGE, ALASKA 99502-3904 (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: TYPE OF WELL: Lot~ 17, Block 3 Homestead Hills 4511 Trapline Roger Siebert Private,~ Single Family WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET: WELL YIELD FROM WELL LOG: PUMP YIELD FROM TEST: DATE OF INSPECTION: TEST PROCEDURE: Yes ~ ~ 6 Gallons per' Minute 9 Gallons per' Minute December 6~ 1991 Well was pumped at a constant rate while the drawdown was moni toted wi th an acoustic probe. At the beginnincj o.~ the test water level was ~<)L.{~d at 26 .Feet belc)w t. op o~ casing. At a pumping rate o.F 9 gallons per minute the water" level dropped to 60 ~:eet a~ter 35 minutes o~ pumping and remained at that level ~or the duration o~: the test, another 35 minutes. A total o~ 615 gallons were pumped. ]"he recovery rate was monitored .For'._.=-":r.., minutes. During this time the we].], recovered to 28 ~eet.~ a 94% rec:overy. TEST FOR E.COLI AND TOTAL NITROGEN: Wai".er was tested for E.Coli and total nitrogen on DEC, 9~ 1991 E. Coli 0. Total Nitrogen 3. 1 rog/1. Ma;.,'. allowable Total Nitrogen 10 mg/1. TEST RESULTS: ]"his wel 1 meets the r'equirements o.F the Municipality o.F Anchorage. THIS WELL WILL PRODUCE MORE THAN ! GALLONS PER MINUTE FOR MORE THAN FOUR HOURS T["ie Municipal requirement ~or well ~low is 150 gallons o~ water per bedroom per" day. 'l"his we]. 1 exceed this r"equir'ement. The assessment o~ the conclition o~ the well applies only to '~he conditifJns as o~ the day tested. The ~:low rate may change due to subsurface conditic)ns '~hat may not be observed ~r'c)m the sur~ace~ and changes in the land use and other ~actors that may impact the aquifer ~eeding the well. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 17 Block 3 Homestead Hills Subdivision - Ti2N R3W Section 22 Location (address or directions) 4511 Trapline Circle (b) Proper~y Owner Roger Seibert Telephone: Home 274-5564 Business Mailing Address 4511 Trapline Circle, Anchorage, Alaska 264-5635 (c) Lending Institution First Interstate Telephone Mailing Address 3300 C Street, Anchorage % Beverly (d) Real Estate Company and Agent Address Telephone Mail the HAA to the followina address: or: Check here:~, if hold for pick up. List contact person and day phone number below. Tobben Spurkland, P.E. (e) TYPE OF RESIDENCE Single-Family ~× Number of Bedrooms four(4) 3. WATER SUPPLY Individual Well~t× Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite F~x Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72~025 IRev 8/86~ Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority ApprovaJ shows that the on-site water supply and/or wastewater dispbsal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Tobben Spurkland, P.E. Telephone 279-3916 Address 203 West 15th Avenue Date Engineer's Seal This department has received written confirmation form the engineer (Tobben Spurkland) regarding the Conditional Approval of December 23, 1986. The corrections have been accomplished and an inspection has been completed by the engineer. The subject property meets with Municipal standards and is now approved. DHHS APPROVAL four(4) bedroomsby 2(~.~ -/~' "~~ Date 'March 2'3, 1987' Approved for Approved Y'Y~Q(~(Y~ Disapproved : Conditional Terms of Conditional Approval CAUTION 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. Page 2 of 2 72-025 (Rev 8/86) Back MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot. block, subdivision, section, township, range) Location (address or directiogs) (b) Prop~y Owner ~, g~l~ Telephone: Hom~ ~- ~ Business Mailing Address (c) ·Lending Institution Mailing Address ~.~V~'¢' % / ;~ ~ o~..~ (d) Real Estate Company and Agent ~'o Address Telephone (e) Mail the HAA to the followina address: or: Check here'j~ if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family/~ Number of Bedrooms WATER SUPPLY Individual Well~ Community r-I Public [] Note: If commumty well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite'~ Public [] Community [] Holding Tank [] 7- Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and Status. Page 1 of 2 72-025 (Rev 8/86~ Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ' As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply ~1~ '~...~ ' I. ! system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this ins_pec_tion. Name of Firm T~.~.4,~..-~_~.~"~ ' ' '' Telephone Address ~ ~,~"~ t,,~t' ~/ Date ~.LC.../~; ! '~ ~'~ ~..o ~/,c~ t'r-/c~ ~/~ ff.- DHHS APPROVAL Approved for ~ ~bedrooms by ~ ~' ~~ Date Approved Disapproved Conditional Terms of Conditional Approval ~~ ~ ~ ~ CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Autho)'i(~, Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH H$ 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. Page 2 of 2 72-025 (Rev 8/86) Back Well Classification MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: Lr~F Well Log Present (Y/N) Total Depth /~ I Static Water Level ~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot If A, B, C, D.E.C. Approved (Y/N) Date Completed Cased to ~, ,/ Depth of Grouting Yield Pump Set At :> ~ ~1/ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots NI To Nearest Edge of Absorption Field on Lot ~ }S ~' ~ ; On Adjoining Lots To Nearest Public Sewer Line /~ O/~/~- To Nearest Public Sewer Cleanout/Manhole /VcON£'~ To Nearest Sewer Service Line on Lot Water Sample Collected by '~. -"~ ; Date Water Sample Test Results B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Size l~"~O NO. of Compartments Air4ight Gaps (Y/N) ~' Foundation Gleanout (Y/N) ~ Date Last Pumped l~/~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) J¥'/'~O~ Separation Distances from Septic/Holding Tank: ~////~' ;for f~/"/*~ Temporary Holding Tank Permit (Y/N) To Water-Supply Well To Property Line To Water Main/Service Line Course To Building Foundation I~ '~ To Disposal Field ,~O't(' To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date lnstalled , A~ I~?~ Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot Type of System Design Length of Field Z~ Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy. Test To Property Line I---~ To Existing or Abandoned System on ; On Adjoining Lots · / To Water Main/Service Line ,~ ¢ ~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Cutbank (if present) LIFT STATION ~'~ 1.0 N ~ Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Etectri'¢al Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have check..'ed'~//verifiec~ or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ""~- ~ Date ~.. ~-, Company MOA No. Receipt No. //~-) ~'~ / 0 Date of Payment / Amount: $ Page 2 of 2 72-026 (11/84) Engineer's Seal ~203W 15th AVE "C- SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279~3916 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: LOT 17, BLOCK 3, HOMESTEAD HILLS 4511 TRAPLINE CIRCLE OWNER: ROBERT SEIBERT TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 6 GALLONS PER MINUTE PUMP YIELD: 6 GALLONS PER MINUTE DATE OF INSPECTION: DECEMBER 12, 1986 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. STATIC WATER LEVEL WAS FOUND AT 31 FEET BELOW TOP OF CASING. AFTER TWENTY MINUTES OF PUMPING WATER LEVEL WAS AT 53 FEET AND REMAINED AT THAT LEVEL FOR ANOTHER 25 MINUTES. WELL RECOVERED 75% IN 15 MINUTES. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON DECEMBER 12, 1986. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. .7 C~NSULTING ENGINEER ,/ ~203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 9950'~ TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: LOT 17, BLOCK 3, HOMESTEAD HILLS 451i TRAPLINE CIRCLE ROGER SEIBERT PRIVATE, ON SITE FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: SOIL RATING: INSTALLATION DATE: 510 SQ. FT. 125 AUGUST 1979 DATE OF PUMPING: DATE OF TEST: DECEMBER 6, 1986. ANCHORAGE CESSPOOL PUMPING DECEMBER 12 AND DECEMBER 16. TEST PROCEDURE: ON DECEMBER 12TH THE SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH FIVE FEET OF COVER AND A WATER LEVEL OF 49 INCHES. TRENCH HAD CLEANOUTS AT EACH END AND A MONITORING TUBE (16-INCH CULVERT). CLEAN OUTS WERE DRY AND 6 FEET DEEP. CULVERT WAS 7 FEET DEEP AND WET AND SOFT, BUT NO STANDING WATER. 300 GALLONS WAS ADDED TO THE TRENCH. THIS CAUSED WATER TO BACK UP IN THE TANK TO A DEPTH OF 56 INCHES. NO WATER WAS OBSERVED IN SUMP. NO LOWERING OF THE TANK WATER LEVEL WAS OBSERVED DURING THE NEXT 45 MINUTES. TEST WAS DISCONTINUED. ON DECEMBER THE SYSTEM WAS INSPECTED AGAIN. TANK DEPTH WAS FOUND AT 72 INCHES AND 17 INCHES OF LIQUID WAS MEASURED IN THE HOUSE CLEAN OUT. 100 GALLONS WAS ADDED TO THE SYSTEM, THIS CAUSED THE WATER LEVEL IN THE TANK TO RISE 16 INCHES. IN 40 MINUTES THE LEVEL DROPPED 9.5 INCHES INDICATING AN ABSORPTION RATE OF 89 GALLONS PER HOUR. TEST RESULT: THIS SYSTEM MEETS THE REQUIREMENTS OF THE CODE OF THE MUNICIPALITY OF TANK IS SURCHARGED AND SO IS THE HOUSE PLUMBING. INFILTRATION ANCHORAGE. THE The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 CONSULTING ENGINEER MUNICIPALITY OF ANCHORAGE DECEMBER 17, DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 1986 Re: Request for Conditional Health Authority Approval Lot 17, Block 3, Homestead Hills Roger Seibert. Gentlemen; On behalf of our client, we request a conditional approval of the septic system serving Lot 17, Block 3 of Homestaed Hills. This system was installed as a four bedroom system in 1979 and inspected by Municipal Inspectors at that time. The existing tank is a two compartment Stack Steel tank that may have settled or may be was installed with an adverse grade to the leach trench. The leach field has an absorption rate of 89 gallons per hour. There is no immediate danger for the system to fail or cause a nuicance. The owner of the house intend to escrow funds to up- grade the system next spring. Yours · ' MUNICIPALITY OF ANCHORAGE £NVIRONMEN1'AL DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 }-~ U I~ ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 RECE!~V~ED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days fo ~PERTY OWNER ~ -- LPHONE MAILING A~DRESS PROPERTY RESIDENT (If ~ifferent from above) PHONE ~ PHONE 2, BUYER MA~ kl ~ ADDB ESS 4. REALTOR/AGENT I PHONE MAI LI NG~AD DR ESS 5. LEGAL DESCRIPTION Lo. ~TR EE'I- LOCATION , 6, TYPE OF RI~SIDENCE [Z~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF BEDROOMS [] One ~ Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) . 8, SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date ?P .. If system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department· NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE R~CEiVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIR ECTI(~NS: 1. TYPE! OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [-'1 OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE iNSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []SePtic Tank or []Holding Tank ,.~ Size: ~ ~,~O If Tank is homemade i SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL I I WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS ~'~'~PPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) August 29, 1979 RogertJ. Seibert Star Route A Box 1551R Anchorage~ z%~aska 99507 Subject= Lot 17 Block 3 Homestead Hills Subdivision Approval for your individual sewer and ~{ater facilities can not be granted until the following items have been completed: (1) A well log is submitted to this office. (2) The water analysis report be delivered to this ~ffice from Chem Lab, 5633 B Street, for our review. If there are any questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, Associate Specialist RCP/lJw ~sie Parks Alaska Paczfi Bank 101 East Benson Boulevard 99503