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HomeMy WebLinkAboutROLLING HILLS ESTATES BLK B LT 5Rolling Hills Estates Block B Lot 5 #011 -072-07 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage Development Services Department Building Safety Division :? On -Site Water and Wastewater Program, 4700 Bragaw St P.O. Box 196650 Anchorage. AK 99519-6650 Page of 'Z www ci.anchorage.ak.us (907)343-79D4 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. S UIC) 60 3 73 PID Number: Oil -O7Z-lV No"Aorn f bra Xrrlalt Soh,;;( E Wastewater System: ❑ New CRUpgrade Adaess , 72 -YO ainfifDrv•12 ABSORPTION FIELD Ptmoro Nunoer of aeaoolmn t/sos' ' Z l - a// BO 9 Deep Trerrll D Shan" T,e D aed o Mould O o1w LEGAL DESCRIPTION So Fining Twat Dspm aomm pianos Q •L3 GPDrFI' 12.3 FI. ltj f Loi S�s m Depth b ppe oonom it" apnio grads Crsoel depth baroanro pt r t3 7 Rollo l�ll� Q . 7 FI. 7.1/ FI To -hang Rnge Ssawn Fm added sMn ongnn pad• C." Lovit 1.0 FL Y 7 Ft. Well: EXrSr ❑New El Upgrade Gray« w h 2.•S- Nunbf d IM, ! Dnt«ws Moven Inw Ft. Fi clandwnwn(Pm•Me A B. cr Tdn own, cased to Tdal aosorptnn res Pep" F-P./Ot>e-jC Ft. Ft 69S FI' 0-70.rV Now- ar'f' Drni« Dns Drew Straw Wn« Lsv irst Dns antnled FL rsa(►elle &-j1% Yro10 Pump Sn rt Ca" i4* m Apo.s Grcmxt TANK GPM FI. Fl SEPARATION DISTANCES IB septic ❑ Holding ❑ S.T E P. ❑ Other. Tol Septic Absorption Litt Holding lubliCIFrivale aau« csia ty From Tank Field Station Tank Sewer Line A ncA or•* a %Q n 4 104.6 God wee los' Its" Mn«WI Numo« d Cmpanmems Su sawn« 7 ter -I. too, _ _ LIFT STATION LM taro YS- l y' _ Sze Gad wuw Farmdnwn 'L.i• f ZOO � - 'Pure pin' N•N n 'Pure orr MvN MHigh rMw Y«m at n n in Cutin Dan _. _ _ Pump Maks a Moon ENancal Fspeawns perl«med by Rom s P, /-r., rfz.t eAe( .t - BENCHMARK Loratwn aW Dasupuan �" 61e~r w / er OG 0741`^ So" Ph Corner 0,0' Gleek S'4'face er/ Msvn le•e4m /+acorn gpin /••tri 2 lGD.On Engineer's Stamp Inspections performed by: _T/�.f�n Tsre4 Sve Dates: 1"_ l t/ 8/0 2nd to, Development Services Department Approval OF .'fir �b Conditional Approval Date: � e z .'l�•rv9TH K' it . :7eHHe H••MeMeaeNNie•'• br......:::.. Reviewed and approved by: / Date:3-12-07 THEODORE F. L30ORE� A ' •• CE -3569 "�• •••ri ��!{•'' PERMIT NO: SW060373 PIC NINIIIN IIIIIIIIII IIIIIIIIII SHED _ %� • • • NEW 1000 -GALLON % SEPTIC TANK "BULL RUN” DIV. VALVE;�E "F" PRE-EXISTING SOIL ABS. TR. (ASSUMED CONFIGURATION) „K„cb NEW 47 -FOOT LONG SOIL ABS. TRENCH w. 7.4' EFF. GVL. F. MOORE PAGE 2OF2 LOT 5, BLOCK "B" ROLLING HILLS r WELL TIES: './//i11�000,r •II/IIIIIIIIII/ • • • - COR." • /IIIIII/IIIIIII IIIIIIIIIIIIIII 'I/IIIIIIIININIC.O. 'INWI/IIII/III IIlI.�yyyyIIIIIIIIII if,•NIIIIII/III.S.T. • • • l III/•IliiilNl: • • C.O. C.O. C.O.PLAN VIEW: C.O. 4'+ SOIL COVER w1i LEVEL '• ,••C413589 ,•.: / • Ei' tr NEW 47 -FOOT LONG at.. ..-.-•. <'.. i:i'.. i:j:,!i' SOIL ABS. TRENCH .ice w. 7.4' EFF. GRAVEL BOT. TR. ELEV. 85.9 BOTTOM T.H. #1 ELEV. 78.9' NO GROUNDWATER FOUND 4'+ SOIL COVER 1000•GALLONILINV. IC TANK 94.1' CROSS-SECTION NOT TO SCALE LOT 5, BLOCK "B•', ROLLING HILLS EST. SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECI INICAL SERVICES SCALE: AS NOTED 14530 ECI10 CANYON ROAD DRAWN BY TFM ANCI IORAGE. ALASKA 99516 i MARCH, 2007 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Nov 20, 2006 Expiration Date: Nov 20, 2007 Permit Number: SWO60373 Parcel ID: 011-072-14 Legal Description: ROLLING HILLS ESTATES BLK B LT 5 Design Engineer: 0019 FLATTOP TECHNICAL SERVICES Site Address: 007240 BAILEY DR Owner Name: ALVIN GAYSHA SMITH Lot Size: 28500 SO. FT. Owner Address: 7240 BAILEY DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99502 - This permit is for the construction of: Q Disposal Field [?] Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By. Date: 11 /7-0 lG� Date: I o , Municipality of Anchorage .. Development Services Department e` Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O f f— C"7 2—/ I Propertyowner(s) Aru,.. F &*gtia Day phone(Sog Zi -Yr60 Mailing address 24862 U&44fcr0F1' Cre. Lzo✓ Cree l_ N H Zip Code 648011 Site address -77-'YO 35kr l i y D �r �-f Zip Code N A. Legal description (Sub'd, Block & Lot) Lot '0 13 lade r�9 Re. 11V /f,IG XID v Legal description (Township, Section & Range) Lot Size A9. `J DU Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank IR Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade IR Renewal ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 'i6lJ tfiWaiver Fees: Date of Payment: 11 / Ps' // D K Date of Payment: Receipt Number: l #21Receipt Number: (Rev. 11/05) CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION d ANALYSIS TED MOORE, P.E. 14530 ECHO CANYON ROAD PH./FAX: (907)345-1355 ANCHORAGE, AK 99516 E -Mail: tgmoore@gcl.net November 15, 2006 M.O.A. DSD 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 our application for a permit to upgrade the wastewater disposal facilities on Lot 5, Block `B" of Rolling Hills Estates, located at 7240 Bailey Drive. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 1. As can be seen from the soil log, the native material between 2 and 19 feet below ground level is a fine silty sand with a measured perc rate of 6 minutes per inch. Using the soil application rate of 0.8 gpd/sq. ft. specified in the wastewater ordinance, this 4 -bedroom residence requires a total absorption area of (4 x 150)/0.8 = 750 square feet. The proposed 60 -foot long trench design with 7 feet of effective gravel has a total absorption area of 840 square feet. To further enhance the longevity of the proposed system we plan to install a "Bull Run" diverter valve allowing future reconnection to the existing trench as needed in the future. The topography of the lot in the area of proposed construction is almost level, with a very slight slope downwards towards the south. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. LOT 1 ♦ , , , 1 1 SEPTIC AREA LOT 2 INSTALL NEW 1250 -GALLON SEPTIC TANK ® 1 SEPTIC RETAIN AREA EXISTING' SOIL ABSi TRENCH / f1 1 ---------------------------- - - - - - - - - - - - - - - - - - - - - - - - - - --------------------------- ------------------------- LOT 3 ; 1 1 1 1 SEPTIC 1 ; AREA ,'II♦AV V••••.. ?, Ar �• i * • 49 DI r I-• -p i THEODORE F. MOORE �� '.• CE - 3589 /1lk L40 fa3SXo Z WEST 72nd AVENUE 1 ; I / / SEPTIC AREA ' / I 1 / I 1 I 1 / , ' / 1 ' ® 1 I , 1 , 1 , 1 , 1 , I , 1 , 1 , 1 \ I \ 1 \ 1 ` 1 ` 1 ` 1 ♦ 1 LOT 6 WELL I I I 1 1 ABANDON EXISTING w ^\ I I 750 -GAL. SEPTIC TANKS \ I 1 . I I� I ♦ ;Dca 1 m.Ll RUMVE / 1 1 DN. VALI I (`.---- I , 0 ECK I co, � v `T.H. DRIVE /' 1 . ks CONSTRUCT NEW LOT 6, BLOCK "B" 60 -FOOT LONG ROLLING HILLS--- SOIL ABS. TRENCH ---------------- � --- W.7r EFF. GVL. I ' I` 1 M.H. ---------------------------------- 1 1 1 `\I LOT 4 SEPTIC AREA ' ' � I1 � _® I ' II , 1 \` 1 I 1 HOUS sib LOT 5, BLOCK "B" ROLLING HILLS ESTATES SEPTIC SYSTEM UPGRADE SITE PLAN n•`,j FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET At . •i WELL 14530 ECI10 CANYON ROAD DRAWN BY TFM ��� ANCHORAGE, ALASKA 99516 NOVEMBER, 2006 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. C.O. CONNECT INTO EXISTING TRENCH DIST. PIPE INSTALL NEW 1250 GALLON CONSTRUCT NEW 60 -FOOT LONG SEPTIC TANK SOIL ABSORPTION TRENCH with 7.0' EFFECTIVE GRAVEL UNDER PIPE BETW. 6.0'& 13.00 BELOW GND. LEVEL 'BULL RUN" "A•r DIV. VALVE 4" DIA.— PERF. PIPE DBL. C.O. M.T.—Jr 0. 60 PLAN VIEW SCALE: 1" = 10' FOM HOJSE MONITOR TUBE CLEANOUT RiPI:rl:T_L�IX; As-➢ V—ORIGINAL GROUND �i� `� ;.;; �,cyu,`•' Ar 9 FILTER FABRIC p..................«..:...p i i THEODORE F. YOORt j Ai 13 4" DIA. F-810 PERF. PIPE ' P CE -3589 Pte. ?y 4ti 7.5 112"-2 12' SEWER GRAVEL : :':;;;:€� ........... BOTTOM OF EXCAVATION CROSS-SECTION "A" - "Al SCALE: 1" = 5' FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 j TEST HOLE # 1 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION:_Lot 5, Block -'B'-Rolling Hills Estates DATE PERFORMED:—November8,2006 PERFORMED FOR:_Alvin_Smidt DEPTH SLOPE (feet)Pt. 1SM silty sand fill 2-M Pt. original ground 7 SM Brown fine silty sand Uniform color and texture a- :' Sidewalls very stable, but . smear easily Soil below 15' Is 16 densely compacted into flat platelets I1% Depth to Groundwater Date No Groundwater 111 06 onitor_tube dry11/15/06_ I . 15, C" 49TH ZLi rs ; THEODORE F. A700RE•; '•, CE - 3589 g^� SITE PLAN 0% Date Reading Clock Time Net Time (minutes) Percometer Net Drop I Reading (Inches) 11_%8 12"Presoak — - 12" Resoak -21-112---- 27112 12" Resoak. 2712 _ 271/2 -__--I 12�tesoak Start_#1 . , 3:08 3:38 30173/4 233/8 _ 5 5/8 Add water 3:39 23 3/8 _#2 4:09 30 _ 171111 6= =5_11%16_ dd water #3 —4: 10 4;40 23 3/8 _ �0 17 3/d 5 5/8_ L� PERCOLATION RATE 6,_ (minutestinch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN 775_FTAND_8.25_FT COMMENTS: Pero test hole tented over and heated -during the extended presoak_pedod. _Design upgrade trench on basis of 0.8 gpd/sq, ft, PERFORMED BY FLATTOP TECHNICAL SERVICES. I 7f- -Xq_ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: it / j S / 06 (-F attop 7echnicaCSen*es 14530 Echo Canyon 4jpg Anchorage, AIC 99516 Thone (907) 345-1355 Lot 5, Block "B", Rolling Hills Estates 7240 Bailey Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandoning two existing 750 -gallon septic tanks and installing a new 1250 -gallon septic tank that discharges effluent into a new 60 -foot long soil absorption trench containing a total of 7.5 feet of sewer gravel. 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 to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 Unless agreed otherwise, the contractor shall be responsible for any tree clearing and grubbing necessary to complete the project. 1.5 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.6 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all disturbed areas. 2.0 Septic Tank: 2.1 The two (2) existing 750 -gallon septic tanks must be properly abandoned by thoroughly pumping, removing the tops and backfilling with soil. 2.2 The new 1250 -gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplinggs. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed 1 - 4 feet from the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. A "Bull Run"diverter valve shall he installed downstream of the double cleanout allowing future reconnection to the existing trench. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating 60 lineal feet of trench as shown to a depth of 13 feet below ground level in the vicinity of the test hole. 3.2 The bottom of the excavation shall be level. All smeared surfaces shall be carefully raked to enhance infiltration. 3.3 A total of 7.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 7.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 3 feet of soil cover is to be placed over the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A total of 4 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 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 (4) after rough backfill and grading is complete. The septic tank requires one inspection 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. Municipality of Anchorage Wq_'_5 • rw (�X)7)sia%'oo 47M 1Srntnne Strict • Anchumge, Alnslu, (Y. 1707 Mayor Mark Ilcgich Btilldind Safety Divisioti September 27, 2006 Steve Pannone Pannone Engineering P.O. Box 102954 Anchorage, AIC 99510 Subject: Waiver Request for Rolling Ilills Estates Block B Lot 5 Waiver Request WRY: 060059 Parcel ID # 011-072-07 SW050364 Dear Steve Pannone: Your request for a waiver of the required 100 feet horizontal separation from the public sewer cleanout public sewer main to the private well has been approved. The approved separation distance is a 44 foot horizontal separation from well to proposed sewer clean-out on Bailey Drive and a 41 foot horizontal separation from well to proposed sewer main on Bailey Drive. This waiver approval applies to the proposed sewer to private well separation only. Any future upgrades to the sewer system or changes in proposal will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, oodall vil Engineer In Site Water�&Mastewater Program Community, Security, Prosperity State of Alaska: Separation Distance Waiver Guidelines for S.C.R.O. (State of Alaska Memorandum to District Office Engineers dated January 3,1985) Waiver Request for: Rolling hills Estates Block B Lot 5 Parcel I D#: 011-072-07 Waiver Request Number WR#: 060059 Waiver Requested: 44 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER CLEAN-OUT ON BAILEY DRIVE. AND 41 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER MAIN ON BAILEY DRIVE. Engineer: Steve Pannone SWO50364 Sewer Main & Clean -Out Any and all sewer main or Clean -Outs located within 100 feet of the lot 3 well radius will have pipe joints positively connected by field lock gaskets. And all pipe connections and joints will be wrapped with water tight seal. A water tight seal will consist of a layer of polyethylene encasement material 8 mils thick and conform to ANSI/AWWA C105 A21.5 Well Data Unfortunately there is no well log on record for this well. However there are enough well logs for the area to give a good idea of the soil strata. Steve Pannone provided a number of soil logs for the waiver submittal. Most of the well logs seamed to have more or less the same soil strata. For the purposes of calculating the points according to the D.E.C. guideline, Rolling Hills Estates Block C Lot 2 well log was chosen. The proposed sewer line is going to be 6 feet deep. The soils from the bottom of the sewer line for 61 feet is Gravelly Silt, then 18 feet of Silty Gravel, thn 11 feet of Sandy Silt, then 7 feet Silty Gravel, and then 4 feet of water Sand and Gravel. Water samples were taken and showed the well currently has no nitrates detectable. Please see permit SW050364. This permit was issued on September 22, 2005 for a well on Rolling Hills Estates Block C Lot 5. The well was issued by Dan Roth On-site Program Manager with a special construction technique as a provision. This provision was added to the permit because these encroachments were anticipated for multiple lots because of a sewer extension plan west 73rd up Bailey Dr. Municipality of Anchorage Development Services Department • +� Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#:060059 PION: 011-072-07 HAIPermit# SW050364 Date Received: September 27, 2006 Legal Description: Rolling Ilills Estates Block B Lot 5 Engineer: Steve Pannone Pannone Engineering P.O. Box 102954 Anchorage, AK 99510 Applicant: Steve Pannone Waiver Requested: 44 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER CLEAN-OUT ON BAILEY DRIVE. AND 41 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER MAIN ON BAILEY DRIVE. Criteria: Geology Points: A. Water Table 7.01 B. Soil Sorption 1.25 C. Permeability 1.01 D. Water Table Gradient 4.50 E. Horizontal Separation 1.34 Total: 15.102 lessee.................................................................... Waiver Is Granted: X List Conditions or Reasons for above: Waiver Is not Granted: Date:279/ 106 By: Joe Goodall Name of Reviewer ......................................................................... Rec#: 86608 Amount: $1150 Date Paid: 9127/2006 State of Alaska: Separation Distance Waiver Guidelines for S.C.R.O. (State of Alaska Memorandum to District Office Engineers dated January 3,1985) Waiver Request for. Rolling Bilis Estates Block B Lot 5 Parcel ID#: 011-072-07 H: �'N7 v Cf. Yh Waiver Request Number WR#: 060059 Waiver Requested: 44 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER CLEAN-OUT ON BAILEY DRIVE. AND 41 FOOT HORIZONTAL SEPARATION FROM WELL TO PROPOSED SEWER MAIN ON BAILEY DRIVE. Engineer Steve Pannone SWO50364 Water Table Points ism Depth of well: 107 7.01 Depth of septic system: 6 101 Distance from the bottom Point of the system to the highest Vatue water table in feet 0 0 8 1 17 2 24 3 30 4 40 5 85 6 100 7 290 8 1000 9 10 • Straight line Interpolation Is permitted between any two values Soil Sorbtion Points is% 1.25 61 1 + 18 1.5 + (I 11 2.5 + 7 1.5 Soil Type I Point Value Clean Gravel 0 101 101 l 101 [ 101 Fractured Rock 1 Course Clean Sand 1.5 + 4 0+ 0 0+ jI 0 0+ 0 0 Sand w/ Small Amt of Clay 2.5 1 101 101) l 101, [ 101, Silt 3.5 Clay and Sand Equal 4.5 0.6 + 0.3 + 0.3 + 0.1 Clay 6 0 + 0 + 0 + 0 *Use the predominant soil type but values can be averaged for a mixture Permeability 0.3 Separation -20% Points slopes toward well -10% 1.2 25 -5% 1.01 1 Soil Type lPointValuej 61 .9 +f 18 1 .4 +jI 113 + 7 .4 Clay(will channel) 0 110, 101 l 101, f 101, Silt and Sandy Clay 2 Clayey Sand 3 + r 4 1 1 +r 0 1 1 + 1+ r 0 1 1 Fine Sand 1.5 l 101 J l 101 J �1 101 J l 101 J Sandy Gravel 1 Fractured Rock 0.9 0.54 + 0.07 + 0.33 + 0.03 Course Sand (30 grit) 0.4 0.04 + 0.00 + 0.00 + 0.00 Clean Gravel 0 *Use the predominant soil type but values can be averaged for a mixture Gradient Points ,..,° 4.5 4.50 I % Slope I Points Value I -30% 0.3 Separation -20% 0.7 t slopes toward well -10% 1.2 25 -5% 2 1 0% 2.9 } flat 5% 4.5 5 10% 6 slopes away from well 60% 7 *If the gradient is unknown, assume the worst case Horizontal Points ,sw 4t 1.34 Horizontal Point Separation Value In Feet 0 0 25 0.7 50 1 75 2 100 3 150 5 200 6 300 7 *Linear interpolation between two point value is acceptable. Horizontally means straight line distance to the well not the contaminate travel distance to water table which may be greater. Conclusion: Grant Waiver Total Points:1 15.102; 1�4•Y f ..yam � "> �n�.(\d fl rlt f%� Wr ~;�_��fi J I .: .< • ..^ / �� I r i i..a '! JS-yjj��j t � 1 �� 5.i:' ,�" iJ.t'ai tj �`1 t~+ S�jli�, 1 t �! ti S, SfY-` ,� • •'a r'r�l 'N L r'n y_ •♦ } +.-w`•C� Tia{j 'iRY� ' � l IfI (/JV)Y / <'I [JIf � '> >.'fG(1•i '�• •, � c �. ...r, /e y <" 1 j 1 y "•< 4 '�F 1 Y� F�le .�^• ram � '<t r, 1 NT ���.`Oitv�!•�7�Vr�t'� �1' f,> ` y?, �„ 4 �'+.�> fa t. 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J r ''> ��J- ,]«X//.t�Fi rbs �a Y.!faaa' i� y� {cr a; �t c <a•yy,Mw Y <i :-.•"- ^-a_ ... w' � �:r ! .y �5..'r -�..1 .Y'....� -+jrw „� •"ter !'t...r �� <".. _ }...«'^ - ti�� iK~ � �' •!•G -M T i 1 i'.t 'a!i � •w. '<! .� :. .� �. •Z � nom.. .�'•�ti- .r r'� .H `►fir }.: 1�: *y y^. �� ...not! ll. ... r X"v �,. e. .-.�. _.�'.'' .., : a." �-: 'tt� s, r > r� o_r'4.Jrr � .. /Y.// of<y: • !. •_� �4 • � ane i\�•„`� ~ mal .'ti - _-� v .�y % •moi .ti �J 4�`�J* ♦ • �� Q+!"1!�." Z �y` Va _ IT f - ' = ,< 4.`fi•?,S .i . �'i..4 iJ � } i :} V'. ��.7"") L� � � � !� y�1 i>•i� I��1i..�'•l�1 S ..� �c1® �� ►ice- wig •` A4 -.,,;T/ i -. I r In r `ate < 1 '�.. Y _ v • > ! 1► c ' a nicer X>:f+•.. .- J4 •L.*-Is"i.' +.'�vi'. ,. a •d. �F �•~ ry.t�� �� �1%,y a�'.+r�. "'.� "� .: �." (! +•J• �.ar �r �`�j ? �t�♦-. ,li �c � r..• .. rJJ. _ �r{. +..^ y� e n i �_ �, L ]rr :* • � : 1-_A' ~ � ..\ _ - - �.C`•-. .•f } Ayn i-. -moi _ a. n.-_ �. Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax September 15,2006 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 5, Block B Rolling Hills Estate Well to Sewer Main Waiver Request Ladies and Gentlemen: W (i ot-oo I am writing to request that a waiver be issued for the construction of a new sewer main in Bailey Street. This request is for a waiver of the separation distances between a new extension of the sewer line to the existing well on Lot 5, Block B Rolling Hills S/D. 1. Soils. Typically the soils in this area are poorly graded sands to silty sands. The well on Lot 5 does not have a log. I have included in this request available well logs from surrounding lots. 2. Waiver Request: The proposed sewer main will connect to an existing manhole in Bailey Street. It will run north up Bailey Street approximately 100 feet and terminate in amain line clean out. The pipe joints will be positively connected by the use field lock gaskets. Further, each pipe connection will be wrapped to provide a watertight seal using material specified in AWWU Design Criteria Manual. The existing manhole currently has all mechanical joints inside the manhole and is watertight. The proposed cleanout will be watertight with a locking lid. See the attached plan set. These plans have been submitted to AW WU (on 8/8/06) for review and comments. I request the following additional waivers: Well to sewer trunk line —41.5 feet; Well to main line clean out —44 feet 3. Topography: The average topography in the area of the proposed sewer main is approximately two to three percent sloping to the southeast. 4. Water Analysis: l have performed a water analysis of the well water on this and surrounding lots. The water results are attached. The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 272-8218. Sincerely— Steven R.Pannone,P.E. Civil Engineer WAIVER FEE:S1LSt- n SSM : 4 5,., �4bt( � : 49TM PAYMENT DATE: a�I Db ; �,Y ���i G. Scop Crowther RECEIPT #: 8tl6'bFj �� No. CE 6491 • Attachments: WAIVER DRAWING SEWER TRUNK LINE TO WELL LOT 5 BLOCK B ROLLING HILLS ESTATE SID, Block B � Block C�� Rolling Hills S/D NEyv S MAIN_ W INET : ' Rolling Hills S/D CLEAN O�tjJT I EXIST'G EXIST'G PRIVATE PRIVATE 6 WELL 107. LJ I WELL '5.0 II NEW 8" DIP 5 EXIST'G PRIVATE 44 ggg I SEWER MAIN WELL I EXTENSION NEW SEWER 1-- 42 5 —moi SERVICE 814.9 814.9 25; - LINE ^ a , S�•JC v �+ SS `0 EXIST'G 0.IB SEPTIC 4' LO 111.9 H TANK ~ v EXIST'G I EXIST'G TYPE B 83. o PRIVATE � MANHOLE I WELL I '43.6 EXISTING WELL —EXIST'G 8" DIP SEWER MAIN &fcn I Z n Irn' 5 'Jm a r�� b.��•,� �4 X10 NOTES: 3) Pshall be ipe Sewer trunk Gne shalt be a heheat-shrinkk membrane to provide a In •��p.� ....••••••..• pj•,•' ♦ constructed accordance with redundant water fight seal AWWU DCM & MASS �1 ip 49 TM `w. �/ 4) Manholes and clean-outs shall 2) Field Lock Gasketts shall be used have a water-fight locking lid. •y•••; on all pipe joints. %yy'•;y••••••:.• C........... J� �o' .tet ;" • G. Scott Crowther �j PREPARED FOR: PANNONE ENG. SVC, LLC P. O. '• i # � # CE 6491 Mike Kowalewski 7241 Bailey Drive Anchorage. AK 99502 BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax •.• 44,,,;' ��• 243-1865 DATE: 9-15-06 I PLAN SCALE: 1'=40' SCS RcCa 1065417001 Client Name Pannone Eng. Srv. Project Name/p L5 BB Rocking Hills Client Sample ID L5 BB Rolling I[ills Matrix Drinking Water PNVSID 0 Sample Remarks: All Dates rimes are Alaska Standard Time Printed Dale rime 09/18/2006 8:09 Collected DateMme 09/122006 11:00 Rectired Date rime 09/12/2006 11:30 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results POI. Units Method Container ID Limits Date Date Init Waters Department Nitrate -N ND 0.100 mg/L EPA 353.2 A (<10) 09/12/06 ALR HOWARD TEAL 344-0498 � 67� 1�zi�Cin9 WATER WELLS 665 W. 87th Avenue Anchorage, Alaska 99502 WELL CONSTRUCTION LOG Dr i I I ing Co. / s USGS no. '—'— Ori liar_ ��1.� Type of rig '4 t' - Date well completed Well owner Well locationy (address & legal description) Depth of well ) 1 ft. Cas Static water gavel 43 _ft. Finish of well: (open-end, scree Describe intervals and size: Nearest communit Location sketch or remarks ing: depth -f—1--? ft, di am.—�_ia. (above, below) land surface. Date _�� 77 / n, perforated, open -hole, other) Well yield tested by (pumping, hailing, air) at / 'fgal/min. I or �h ours with 2.ft of drawdown from static level. GRILLER'S MATERIAL LOG &Ao JOS 4, `lt�Co Depth below land surface in feet Give description of strata penetrated (size of material, color, hardness of drilling, and water content) t a 6. to r� 0 t0 to to — -to- -to-- __to__ to to to to to tn_ S6178 'ON IDS uEld nMMV 910-90S *ON;uauioIOAoa a;unud nMMV O5;bb0o0000-OSS ON aigesioquiiag loa(o.id nMMV 0 d" SNV'Id NOISNZIXZ 2I3M3S �lILlTY • . , [f b'I 02 S31VIS3 S1I7IH ON11102I 4 �G p 00 O O Lo O O W -4 N Cl) U u) ,nC0 Lr) o Z Z H a V. Q 0 O f-4 Zi p z 43 c N O Q C W W � p z z a oat � Q " Q� N 4-1 Cd rn a�3 � a 4-J a �o cl) a N � x rnto b t °xA�00 J O Q b oA M N �-• .c p 9 c�(n t y, R X Yd- c " a a. r. • ar. 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SLOM Y}1{:011 OYJ 017 GRED,ER ANCHORAGE AREA BOR�JGH Department of Environmental Quality 3330 C Street 2 J�?j Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAMED X ///iG� /� O�/ MAILING ADDRESS7- ��/ e PHONE / LOCATION„ /'�/ �- LEGAL DESCRIPTION—may SEPTIC TANK: DISTANCE FROM WEL4 *MANUFACTURER _ INSIDE LENGTH INSIDE WIDTH TILE DRAIN FIELD: _ MATERIAL _ LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY DISTANCE FROM WELL FOUNDATION _NEAREST LOT LINE NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE_ GALLONS. TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE IN. ABOVE TILE IN. WELL: TYPE— CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL , OTHERSOURCES APPROVED_ DISAPPROVED REMARKS -- DISTANCES: INSTALLED BY: 3+" e– 0-ke—` SEWER LINE DEPTH: PIPE MATERIAL: (? I• LOT SLOPE:p REMARKS: DIAGRAM OF SYSTEM � GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY RN11T NO 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 �O•r�no ra., aP /y7y S�jEWXAGE/�DISPOSAL SYSTEM APPLICATION% AND PERMIT NAME OF APPLICANT / / ` " ' ��{, MAILING ADDRESS �L 40 617;/ey ®W( Clf-0 PHONO-� INSTALLATION LOCATION 1 �,.,,, .,«,.o,e�,,,., `ia'�.... 5_`s�/„r !'� %C" � �d��iR�T' l7`✓�1' ���T`t=:--� INSTALLATION OF: SEPTIC TAN TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH 6 SOIL TEST RESULTS / 6-27 DRAIN FIELD OTHER TO BE INSTALLED BY� NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED eU 4 -Y -C FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZED MINIMUM DISTANCES, FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT TO NEAREST LOT. LINE. WELL TO SEPTIC TANK DRAIN FIELD_ WATER MAIN TO SEPTIC TANK DRAIN FIELD TYPE fNTS DRAIN FIELD DRAIN FIELD _ SEEPAGE AREA SIZE SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT SEPTIC TANK, SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM 1 CERTIFY THAT i AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 26.68 AND THAT THE ABOVE DESCRIBED SYSTEM IIS IN ACCORDANCE WITH SAID CODE. 1-#A-' yy �/�� CONSULTING GEOLOGIST BOX 476-M, STAR ROUTE A • ANCHORAGE, ALASKA 99507 • PHONE 344-7071 Date cl Z0! 12 t SOILS LOG Performed for E� CT'-Y� ,z n Legal Description Depth (feet) Soil Description 4?U J --2- - 13 Gvv� -20- % Total Depth f feet in J / was groundwater encountered ? What depth ? Depth to bedrock Ut How determined �-'4ew----- Ao- Respectfully submitted, C 3 Gary F. Player Consulting Geologist 5 il -� Municipality of Anchorage • -� Development Services Department '.'' Building Safety Division Onsite Water and Wastewater Program ` 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orgtonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. oll - 072- ty COSA# LA 0049 Expiration Date: (0 - / :�?' " O 7 1. GENERAL INFORMATION Complete legal description Lof S'� 8 /oc 4 °t� Ro000w H"/Lf S (p 11 o w 3 6'" /! �. Location (site address) 7 Z ` 49 Bar/er Drip. t Current Propertyowner(s) Afvi* i GaytAw So"11,ef Dayphone 4540.5-1 s-Zr-4/186? Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 2862 Clo"Weraf4 Csrrfe� 1- r &&rar. Nn &80/1 Ah USA Day phone �r Cox Re Na'c povp Day phone ?J-7 -of/ 2 11 o w 3 6'" /! �. Sw�/r rOo / r4or agi h -k 99S-0? Unless otherwise requested, COSA will be held by DSD for pickup. Neale Gtr/l Re be tcha SP`+r )ey ; — Q 2S7 – 0116 41 lAen CarA reedy ��/� k• ; 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well 9 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community On-site ' ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affo:ed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. l further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Flal'lo p Technics/ S,,e✓ Phone 3 Ns- 13 S'S Address l YS3 0 6 cAg Cu A:mom flat, Engineer's Printed Name ?J todore T. "c>o.-e Date 7 /- 4 �cb 200'7 5. DSD SIGNATURE Approved for 3 bedrooms. WORE F. MOORE CE -35©9 _ +�'•7 n Disapproved. w,a R.,; ;*_::•. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory . PROGRAM "'1 ;;; Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By v Original Certificate Date: (Pw. 11105) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description:_ Lo/ S, Block 414;ItmelhH44 -t/0 Parcel ID: ort -07 i- /y A. WELL DATA Well type P& -t- If A. B, or C provide PWSID # N• It. Well Log (Y/N) Y 1FFee #:;W) n/ rr Date completed J;42; 1965 Sanitary seal (YM) Y Wires properly protected (YM) Y Total depth _L.LO ft. Dale of test Static water level Cased to I30 ft. FROM WELL LOG ft. Well production to g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/100 mL Arsenic: A'.WSmgfl B. SEPTICIHOLDING TANK DATA Nitrate <o. 1 mg/l_ Casing height (above ground) )6 in. AT INSPECTION 11/b/oG 00 n. 3.65 t g.p.m. Other bacteria ej_colonies/100 mL Date of sample: 2/:0/ o7 Collected by: _rwbo/tArt Tres C. ,e Tank Type/Material _<f. k;C / S/ -re/ Date installed 17 /S- / G Tank size 1000 gal. Number of Compartments Z_ Cleanouts (YIN) _ Y Foundation cleanout (Y/N) _[` _ Depression over tank (Y/N) _ V High water alarm (Y/N) N• A, Date of pumping _ Al. A. t Ntw) Pumper C. ABSORPTION FIELD DATA Date installed 12 /S/Orf Soil rating (g.p.d.e orfe/bdrm) 8 aim System type _ T✓eyA v s Length ti 7 ft. Width 2-S ft. Gravel below pipe 7. 5r ft. Total depth Lam- ft. EH. absorption area 69S ft2 Monitoring lube Y Depression over field P Dale of adequacy test N• A. (_N.w) Results (Pass/Fail) Parr For 3 bedrooms Fluid depth in absorption field before test _j2_ in. Water added O gat. New depth -CL in. Elapsed Time: _0 min. Final fluid depth O in. Absorption rate >= Alts G g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date N• 4. D. LIFT STATION (IV - Date installed "Pump on" level at _ in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump off" level at _in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 140s" Absorption field on lot I t S' Public sewer main H / /walver 4p S9) Sewer /septic service line >2.f' Animal containment areas N. A Manhole/Access (YIN) High water alarm level at Meets alarm & circuit requirements? in. On adjacent lots On adjacent lots 1uo warve� Public sewer manhole/cleanout Y y' o ! oose Holding tank IV - *. Manure/animal excrete storage areas N• A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 26"' Property line yS' , Absorption field 300 Water main 1 Gd' Water service line > 10' Surface water t), 1Go ' Wells on adjacent lots *> 1400 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line IS Building foundation ZO' Water main 7 1lic' Water Service line 1 to' Surface water > 100' Driveway, parkinglvehicle storage > SG' Curtain drain fin* Ce Wells on adjacent lots > 100 F. COMMENTS CR G. ENGINEER'S CERTIFICATION r' : ' '•. �i TH + 4 1 certify that I have determined through field inspections and — review of Municipal records that the above systems are in n......................:...E N conformance with MOA COSA guidelines in effect on this date. �• /��....... Engineer's Printed Name TAtO da•t f. r*oonp . TwQ[iCNit F. /.7OOVE Date 7 H4• el,� Zoo 7 ;_, COSA Fee $ Date of Payment ?— 2� Receipt Number q12 O (Rev. tiros) Waiver Fee $ Date of Payment Receipt Number ��•��• .•From:9076774558�_ PaaeL1!1, Date: 377=712:35:41 PM •-- 16.0 LOT 8 EAST 190.00 18.0 Jeo- LOT 5 O sO V sr sad" V°(p deck W O O Ei O erg Ei ® vV O a e�ap� CP Ol H EAST 190.00 LOT 4 P�E O� q 49TH -! - W10 • Fred WalrKl No. 3255-B 1. . I 83WE I( 30 I I WF X13 • '-'�•. .�`fir`"�'-':���L?:=a;`:;% 0 CC ;: •:• wF I 30 NOTE: Aspfieh 8 concrete locatlan Is eppoxAnste due to snow & ice. I RECERTIFIED 2-23-07 7-6-07 ail: AS.BUILT No CORNERS SET THIS DATE 1 hereby oertly OW I have paltamid a MwWgeds Insp xt m of the folowtq described property. LOT S. BLOCK I ROLL • HitLS CGT\TLC Anchonpa Recor&V wedr4 Alraka, end that the Ynpowmma Mmewd Weraon wo Mar+On popery Ines and do not overlap or ersxsedr On the prop" ly" a4aoent Onreb, that no Mnprovemenh an to popaty INK a4aca d rierelo encroach on the prernlsee in Question a d Ont these ars no roadways, tranemhNon Irw or otrier vYCle eaaemente on said prowty except as Indloled SCALE: 1"-30' -`••�� haree Anchorage. Aeaka INC _2411 dy of Nwamber .2008 EASEMENTS N N THE RECORDED D FRED WALATKA 8 ASSOCIATES THOSE SHOWN H THE RECORDED En&w n and StaveYas PLAT ARE NOT SHOWN HEREON. �� (e07-2tg.18t1a1 _ This fax was received by GF] FAXmaker fax server. For more information• visit http:1twwvv.gfi.ccm SCS ReLN 1070652001 Client Name Flattop Technical Sty. Project Name/## Lot 5 Ulk R Rolling [fills Client Sample ID Lot 5 Dik B Rolling [fills Matrix Drinking Water PN'SID 0 Sample Remarks All D21es/1'imes are Alaska Standard Time Printed Date/Time 02/28/2007 16:16 Collected Dote/Time 02/20/2007 13:30 Received Date/Time 02/202007 14:00 Technical Director Stephen C. Ede Parameter Results PQL Units Method Container ID AllomaW Limits Rep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 02122/07 0212&07 TK Waters Department Total Nitratc/Nitrite-N ND 0.100 mg/L EPA 353.2 D (<10) 0223/07 JDS Microbiology Laboratory Total Coliform 0 coU100mL SM209222D A (<I) 02/21107 DPT MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 0// 072 1,4 `PI b ZS— CQ—)2 Application Date /- z /S 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Z -u+ 5— PLe_ F� Location (address or directions) "rit"- % 3Z. (b) Applicant Name Telephone:- BusinessT Applicant Address t d c srxexr Ap<y,9�"/3 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder Buyer ❑ ; Other ❑ (explain); M:"tn ' a (d) Lending Institution IQ 1/4 Telephone Address �JZr (e) Real Estate Company and Agent Address �i 01 Telephone (f) MI the HAA to the following address: I G, It A J01P, ns» / A1% / /'1 T A'7 --r1 I Vta- 2. TYPE OF RESIDENCE Single-Familyo_Multi-FamilyO Other Number of Bedrooms `/T( 3. WATER SUPPLY LLYY Individual WeII,t�1 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 Public ❑ Community ❑ Holding Tank ❑ Note: community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025(11/84) (69/L0 990-ZL Z to Z abed -Tom s,jeoul6uo leuolssaloid 943 ul suolsslwo ao saoiaa aol alglsuodsai lou sl a6eao4ouy to Al!ledimunn a4l -panssl sl aleoippeo a aaolaq elep azlleue ao suolloadsut lonpuoo lou op d3Ha to sea (oldw3 •sluawaalnbai alels pue leaapal uleliao tlslles of aapao ul suollnipsul 6ulpual j!a41 pue sawo4 to siase4oind of �(saunoo a se s141 S90P d3Ha a41 'e�!sely to alelS a41 ul paaals!6aa aaaul6ua leuolssaloid luepuadepul ue tq anoge g 4daiBeied ul u9A16 suo!leluasaidai 941 uodn Alalos paseq saieo!lpoo lenoaddy tl!aoglny 41IL9H sonss! (d3Ha) uo!loaload leiu9wu0a1Au3 pue 411eaH to luawindaa a6eao4ouy to Ai!ledlounlnl a41 NOI1f1VO lenoaddy leuoll!PuoO to swial leuoglpuoO panoiddes!Q panoaddy ale4 (q swooapaq aol panoaddy IVAOHdd'dd3HO 9 m 1'0`. eeeoeoo leaS s,aaaul6u3 'f } glad Cl/I1/Ytil� y�� ""PPV 7 Ca C 5 9uo4dalal , .S /'i�r, wa!d to auteN •uolloadsul s!41 to alep 943 uo loep ut suo!lelnbei pue 'saoueu!pio 'sepoo 9le1S pue led!olunyq Ile 41!m aouelldwoo ul sl wags (s lesodslp aalemalsem ao/pue Alddns aaiem el!s-uo e4i 'uolloodsui pue u01le611sanu1 AW woal pue salll 96eao4ouy to !i!ledlo!unVj e4i woal pouleigo uo!lewaolw a43 uo paseq ie43 (luaA aa4lanl I •uiejeq paleo!pui ainlonais to ed (l pue swooapaq to aagwnu 941 aol alenbape pue leuo!iouni'ales sl wags is lesodslp aalemaisem ao/pue (lddns aalem alls-uo a411e41 smo4s lenoaddy 41!ao43ny 4lle9H s"41 10 u01ie61is9nu1 I(w ie41AllaaA l'molaq umo4s alep uolleppeA a141 JO se pue 019aa4 paxllle leas (w Aq paipliao sy NOI1VWUOdNI ONV V1V0 `HO!lV3S 3l1d `S1S31 `SNO11O3dSNl JNIOIAOHd WHId DNIH33NION3 '9 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION MUNICIPALITY OF ANCHORAGE (MOA) JUL 1 1988 HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4744 RECEIVED Legal Description: L-0 o s � 00LC,d,cdE A. WELL DATA Well Classification ` P W;TC If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed 04 jr-w-t '. Yield � Fr'+ Total DepthCased to L 4t4 Li'X Depth of Grouting 011 Static Water Level % 7 i Pump Set At r✓1Y�r,�� Casing Height Above Ground / - -2 Sanitary Seal on Casing (Y/N) r Electrical Wiring in Conduit (Y/N) 7 Depression Around Wellhead (Y/N) Separation Distances from Well: i i � 101 b r -{- To Septic/Holding Tank on Lot 90 `f� ; On Adjoining Lots 1� To Nearest Edge of Absorption Field on Lot 1U ; On Adjoining Lots lGZ) f To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results " Comments 5441,Fk. d pzdf To Nearest Sewer Service Line on Lot Date cs a B. SEPTIC/HOLDING TANK DATA .TA��� Date Installed % Size t1)r No. of Co artments q ; -f 7� k0v Standpipes (Y/N) a, /5116& -Air -tight Caps (Y/N) �4 ' � " Foundation Cleanout (Y/N) Depression over Tank (Y/N) Uj Date Last Pumped "- T27 -as rrq.4C'r ��MYXitEfi Pumping/Maintenance Contract on File (Y/N) ► L ; for LL/g Holding Tank High -Water Alarm (Y/N) k -.IA Temporary Holding Tank Permit (Y/N) t�tA Separation Distances from Septic/Holding Tank: /iT ) To Water -Supply Well �t f 9®f OZ P To Building Foundation z i /¢ I 11' To Property Line 4-5 f (-* To Disposal Field lU' t To Water Main/Service Line 7Z 7 To Stream, Pond, Lake, or Major Drainage Course f% Comments omments�(Cl 16 /Iy rtllr�SJ� P..ct.>r pis i Cj� 0 40 ,k 75?. p 1 ut4 Sa ^S" 1(;y , n eat lie" // `tV, fi �5 �E. !� f? �`' ��1 (/./'.S G•1 Ci'iJ '41[31 '"moi Il, w ���%�i.w� �'1.�/. /7 "if � S(:C'.. 1u.�'Zlt!� rr''��� ��y V �? pzr Al. C). ret. 6�%L�.t ` 4 se)')i +I � Page 1 of 2 � � 6 a' 9 72-026 (Rev. 8/86) Front C. ABSORPTION FIELD DATA j _ �a Soils Rating in Absorption Strata %SC�54 { /$i'".'� Type of System Design T'� ` Date Installed �( �> (��' r Length of Field Width of Field Depth of Field f /� + ' Gravel Bed Thickness V , C% Square Feet of Absorption Area 66o s Standpipes Present (Y/N) Y Depression over Field (Y/N) IV Date of Last Adequacy Test PJ" Results of Last Adequacy Test L �.. Separation Distance from Absorption ,Field: , To Water -Supply Well /0 � � To Property Line r To Building Foundation 4� Lot 0Ao16^0vi 6 On Adjoining Lots 3C To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments 0P 1-X1t 0. AF`l1 D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments 10i To Existing or Abandoned System on i f- G) To Cutbank (if present) ­I%Co ` Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify tha I have ch eked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ` Date��� Company 6�04c/W eASJ1C-. MOA No. Receipt No. a3/ (I, �Ii Date of Payment " AV 6 4�` Amo vo En ineer's Seal Amount: $ 17-0 -�— `'� el o '' 9 CO 01n o u o ore ooppo`,:,,. w-7 (gp 3 poo Op ppO rp d S O' 0 01 p. o. E 5283 0 Page 2 of 2"ppp = , =� °mppOOpap 5pt� 72.026 (Rev 8/W Back f - o CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. r� — 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562.2343 FEDERAL TAX ID # 92-0040440 IABORATORIE. ANALYSIS REPORT BY SAMPLE for Work Order # 7098 Date Report Printed: JUN 9 88 @ 08:3B Client Sample ID:L5 BB ROLLING HILLS ESTATE PWSID : Collected JUN 7 88 @ 08:00 his. Received JUN 7 88 @ 13:00 hrs. Preserved With :4 DEGREES C Analysis Completed :JUN 8 88 Laboratory Supervisor STEPHEN C. EDE Released By : j0 C- r0(� Special Instruct: Chemlab Ref #: 1312 Lab Smpl ID: 1 Parameter Tested -------------------------------------- NITRATE-N Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED BY J. KRESS Matrix: Water Result/Units --------------------- ND(0.10) mg/l Client Name CORWIN & ASSOC Client Acct CORWINP P.O.# VERBAL Req # Ordered By J KRESS Send Reports to: 1)CORWIN & ASSOC 2) Method ----------------- EPA 353.2 1 Tests Performed See Special Instructions Above UA=Unavailable ND- None Detected See Sample Remarks Above NA= Not Analyzed LT -Less Than, GT=Greater Than Allowable Limits ------------- 10 Municipality of Anchorage } .r rL Department of Health and Human Services dhh5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 28, 1988 Bruce J. Corwin, P.E. Corwin & Associates, Inc. 1000 East Dimond Boulevard, Suite 205 Anchorage, Alaska 99515 Subject: Waiver Request for Lot 5 Block B Rolling Hills Estate Subdivision Waiver Request #WR88-038, HAA#88-0278 Dear Mr. Corwin: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 90 feet and 80 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. bSincerely, �-,7'�� . - i�' Daniel J. Roth Civil Engineer On-site Services DJR/ljw#6 EWIRONMENIALOLAVi:'s 0 JUL 131988 (0C05%rW9tes,i RECEIVED Consulting Engineers 1000 E. Dimond Blvd. • Suite 205 • Anchorage, Alaska 99515 • (907) 522-1311 July 13 1988 Municipality of Anchorage Department of Health and Human Services 825 L Street, 5th Floor Anchorage, Alaska 99501 SUBJECT: WAIVER REQUEST WELL TO SEPTIC TANK LOT 5, BLOCK B, ROLLING HILLS SUBDIVISION Gentlemen: LQ. Attached is the following data: 1. New Health Authority 2. Letter on well log (Rampart Drilling Works) 3. HAA - January 22, 1985 4. Temporary waiver from A.D.E.C. January 17, 1985 5. Other pertinent Information The subject property has two 750 gallon septic tanks. One tank is located 90 feet from the well, and the other is located 80 feet from the well. A.D.E.C. issued a conditional waiver in January 1985 pending inspection of the tank couplings. Based on conversations with A.D.E.C., review of their files and the information available; we excavated the septic tanks, verified installation of the new tank couplings, and the integrity of the tank. Thus, we feel the original contingency on the A.D.E.C. waiver has now been removed, and we request the waiver be issued by your office. Further justification for the waiver is as follows: 1. The information available on the well indicates that the well was cased to 128 feet. The last 25 to 30 feet of the well is hardpan (cemented gravel). The casing also has certified welds to 128 feet. Static water level is 77 feet measured in the health authority approval. 2. We believe there is no chance of contamination of the existing aquifer or adjacent properties since the sewage would travel through nearly 77 feet of clean sands and gravels to get there. DHHS July 13, 1988 Page Two 3. Since A.D.E.C. granted the original waiver based on the same data, we believe only the contingent items need to be verified for a full waiver, and they have been. Should you have any questions, please let us know. Truly ,Yours, & AtSOCIATES, INC. c Corwin, P.E. BJC/ck t1ErT. OF ENt /RO'%". CNTA1. CONSERtAT/ON i. Ax0*RAG [WESTERN DISTRICT OFFICE 43: 'E' STREET. SUITE 303 Z60RAGE. ALASKA 99501 January 17, 1985' Alaska Environmental Control Services 1200 hest 33rd Avenue Suite B Anchorage, Alaska 99503 3+3-476/ MII 9*11 EID, GOVERNOR 274-2533 SUBJECT: Temporary Waiver Horizontal Separation between Well and Septic Tank, Lot 5, Block B, Rolling Hills Subdivision (8521 -WA -082) Dear Ms. Turner: The Department has reviewed the subject waiver request and hereby temp- orarily waives the horizontal separation between the well and septic tank to 79 feet on the subject property for a single fancily residence only. This waiver is contingent upon the two septic tanks being sealed tanks with watertight couplings and the connecting pipe in good condition. This information should be obtained by August 311, 1985, at which time a full waiver will be granted if the above conditions are met. Sincerely, ' f Bruce Erickson IDistrict Engineer BEE/dd y t% P Sc ? - 6 3195 ,, c S RO ✓1 i i e-VJELL I Igg . _.... _.. _.. . — L- I kX i I i I � I I'I SEVER SYSTEM LOCATION PLAN Lor eLocX sueornswN J, �Co l �I. /+�� SECTION/ TOWNSHIP/ RANGE mo°°mt'°oo ©m°off 0�g 72 t�r��'� Z)/?I�� t.'� °opl� SCALE, r,.. N E. ACCURACY OF LOCATION OF EXISTING z °m ZR '" �� PROPERTY CORNERS, WELLS, AND SEPTIC ro n o o Uo ,0000memm ` EXACT. DRAWN BY, SYSTEMS INDICATED IS NOT !3 NORTH �Jv C/ DIMENSIONS INDICATED HAVE BEEN DETERMINED BY USE OF CLOTH TAPE AND ea©v o ©o :« ? T 61. Corwin 8Y SURVEYING TECHNIQUES. P $ eU :..,Q .,.� x y3'�Y L�w HO e, e� C�-J%8� PREPARED - ¢;' � �£S;tFOR, Fj �;f�J�jV d � i ® pqQ������, .� s�iitlny Er�gG�eecs DATE, / SHEET Of / % Cit AN 7 44 N$p 6 E R *1, i C 0 l ec# %o tp A vE �4yv ��i 1W azE-� � �� � �L � • ter..,. *4 rrliTs IL i fimovsED �` � SEWi4 GE F • D/S%'Q-SHAG Sr'sTEN 28 2009 ft z'� Z- if% ..p4",P, N EA.�E,rf, t.-.' t h+yC :pr v,. f.. t;. .. IQr,q Ol',!ri•r- �'�t�tN6 Lt..S E3TjArr Drr r 1 _ , + B 1 .•r- r 'r�.. • �/f/1.. r,. PNc' Ait:•, t �~ OF A,(E-faofeC fntr� btlfi f' • rr ^Prix ! rt[ ch: 0 ..',C Cl. Via DrOCrrt.. �.. C< iC.�.. lh[l nC lm DroYlr • �.n.. •.y rrr lt�r�.lr rr f i'..5 r„ '� Lail If :* 4AAVV •• t^ 1 r' r' .. SI Irr v'..1: P[i•C• :l.•.r^ E�:7 Or^.j T K% 00 L E Leo AL Z3orep� C1 - Hua Four D [-' 14 S Pr. 28r /975 __ i • - RC&AR 5ET Ill MR4-MR5. RONALD FRATZKE' 720/ /OLFT OR.,AA/CN,AX 9950 L.M.T. /'�=.¢Or :RollmQHillsE.5tates :r..-7�-��-'Tc_c- ` f a MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE Application Date 1. General Information e (a) Legal Description (include lot, block, subdivision, section, township, range) n C L'7 PeL;r4l, r,..C.I,L;C' lE�t. FGt�tac �2ihrlie��Ginri (correct subdivision title) Location (address or directions)'^ (b) Applicants Nameln� rlc�e Telephone — Home Business Applicants Address : �"'Z', Pr f 2?Y (c) Applicant is (check one) Lending Institution(itirnez,jbuilder ; Buyer Other (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Single—Family Multi—Family J Number of Bedrooms Other (describe) 3. Water Supply Individual Well Community Public Note: If commun ty well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite 9�1 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. tw [Page 1 of 2] .iiEvra, tI`,1.1.j 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, 1 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 ow -site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm Address 1211 1 t ,-- ... Date 1/2 f ff f1 LsiCLe TeG Sac=C G &e- Jwfs`Y2 Z11" ?I je-LsrLa-)i� W- t't: z,: ez c/� ��adf�e -wf c .� _ .�✓ J (E iGINEER SEAL) 6. DHEP Approval ' App y, Appproveal for be rooms B ,ae Approved Disapproved Conditional Telephone, 57e) oF �� 2Paft ®® 000$8660000000 � . oob`e. a.. on ofto .a o oy C. Reid, .ir. N . 2257 R c 'cam (yam //i THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of Z] 7-19-84 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & • MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL ( HAA) `JAN 2 n1985 CHECKLIST - FEBRUARY 1984 RECEIVED, Legal Description: !�,f b Wloc A. WELL DATA ale Well Classification P(,al If A, B. or C, D.E.C. Approved(Y/N) Well Log Present (Y Date Completed, lj,Yield L , �z003:N Total Depthi 1 1/i6d to Depth of Grouting Static Wate vel } .q� � Pump Set At io,�zllio rum Casing Height Above Ground (, � Sanitary Seal on Casing n2i) Electrical Wiring in Conduit ON) Depression Around Tbllhead (Y Separation Distances from Well: To Septic/Holding Tank on Lot �fl���(� On Adjoining Lots fioo' To Nearest Edge of Absorption Field on Lot &J� ; On Adjoining Lots 4-1001 To Nearest Public Sewer Line )J A- To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected By �/vi^e�r ' Date Water Sample Test Results Comm nts 1,Igo (I m B. SEPTIC/HOLDING TANK DATA Date Installed q 7& ® Size -�60 No. of Ccxnpartmnts / Standpipes CY�N) 'Vnx 2G "JJ�e Air -tight Caps Y ) Ni Foundation Cleanout &N -- Depression over Tank (Y }1 Date Last Pumped __//A se�( Pumping/Maintenance- Contract on File (Y/N) ; for N t 44W Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well 471 ® qO" "� � To Building Foundation PQ dl To Property Line qV `°- To Disposal Field ID To Water Main/Service Line .4-10 ` -` To Stream, Pond, Lake, or Major Drainage Course 4- ( 6a / 9 Receipt # (p 3 S_ Date Paid:1,:51 V Amount: [Page 1 of 21 2-15-84 J C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata tEn T _0 p Type of System Design �i �.ti�c`f Date Installed Gi /5 �Tp Length of Field Width of Field — Depth of Field Gravel Bed Thickness (a'0 �y Square Feet of Absorption Area;/�•�_ Standpipes Present Y i) _ Depression over Field (Y Date of Last Adequacy Test II/1 Jtl Results of Last Adequacy Test Lits -SE -0 La 1-/ hF okk ,,S Separation Distance from Absorption Field: To Water -Supply Well To Property Line 1'1116 - To Building Foundation _ 5� To Existing or Abandoned System on Lot Or: Adjoining Lots {t �p� a( - To To Water Main/Service Line 4-48 ` � To Cutbank(if present) To Stream/Pond/Lake/or Major Drainage Course_ y-IbiD, To Driveway, Parking Area, or Vehicle Storage Area (n5' Comments © Unmf Av 4rP"k W4 4 imn nnr`i r" nn nmA' le,n Ann, r,„ L n,. AIAD I D. LIFT STATION Date Installed Size in Gallons _ "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes Comments Dimensions Off" Level at 7� Vent (YM) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. Signed Date Z -Z Coiipany MOA No.••e6 ®j /yr r Rs e A • r q oMowe�is KBl d5 s ./ ITZ 7� CC'7zi2��1 {t G7Gr .4 671 r�C7�i [Page 2 of 21 2-.15-84 RAMPART DRILLING WO RAUNI DIPI?TOF I Orr HEALTH & 1201 Ramona Sit. ENVIRONMENTAL PROTECTION Rncho2age, R.ta jka i mi a 1'1986 99515 RECEi ED. P&opt OwrLe&: ft, & IIUW, q t.ex £. & fik to tlic3n&oV 907-344-7714 9wuwAy, 31, 85 LocaU,on of- paopentg: Lt. 5 Btk,. B Rct U.ng IdtV4 Sub. 72.40 Batt -e4 t)&. Wo&k pe&f o&aed: RampaU N UlAnq Oc&k4 cat ted .to pu LL puma on 4 tx finch caned Watez GYe U., examAne Gond i tLon of, Su &mem. to Pump, check depth o., Wateh Glen. Cond-LUan of 1/2 HoA4e Subme&4Vyte Pump: Excel.Lent. good &e4,t4tence..ta the moto& & veV d t tt-te urea& o� the pump tt4e t. G7o&k, pega&med bo Beate C.tau4 of- Rampant h&,UA tng Wo&k4. No&k o&de&ed by, Rtex U1c9. `243 3713^ ~ (995 (Depth of th 14 Wate2 OeU: 130 deet deep; top'a the, ca,44nq meaau&emwa.) Coot. of. Wo&k aegoAraed: 965.00 pe& hou& P& .Cabo& & Pump pu4 Ataq prig. T oft Coot of- nob: 3 hou44 uro&k: 3195.00 15/ d>t4count app led. Paid Wttlzin 4even .�cj�ti �y a cl"o. T ota,L coo t pa -td a4 of- 1aru wAtj, 31 ; 1985 .t75 Thank cpou Rdex. 3'm g.tad to ge-t t t4 �o` comp to ted P& gou. Thank you -fo& the buotn A4 i L. c vL L RAMPART, DRILLING WORKS 1201 Ramona St. Rnchanage, ht"k.a UFlbl gunuaw 314.t, 1985 907-344.7714 Stat Ava on the f. Rndcy rump Watet We -LL: Lt. 5 Btk.. B WU.ing l� Scar. TU4 Wates. WeU wa4 D&W ed w'.i th a Cab.Le Toot t A Ut ktq to Septembers of- 1965. ;rampant D&4A4&4 Wow d,id DAUt the We.LL & .i t wa4 ca4ed 104th 4tX inch 4tea c.,c taq att the wavy dawn to 128 f-eeA Am ground Levet. The f.Encv{. wateA beattncy f anmatton t4 a coat4e watest bean tncy qA uret. 9 nememlreA a t wa4 eaacy DAAVtruy, 4an4 cta4 and g we.L with 25 to 30 deet ol- hardpan. (cemented gAavet) the ia4t 25 o t 4o Aet. ft. Rtex McOnAoiy &ecrue4ted th t4 .in,, o&matton bo phone 1131185. We can ftnd no we LL .Lacy jeon that jab. (duh. 2eca&d4 go, back. to 1968 orU4. Rppa&enA4 lk. Rc mtoy, had pcvtcfuw4ed thio I pAO-6-tt4 adme atiP.'." we n.Ll t.ed tU4 W t t.i Koweveto 9 do �tenemben f', AW4 tcaL LocaUan o tU4 0"i,Leg .art (7240 Ba..) (. 9 teme be& that it wa4 a cyood pdiaduc�c -�e�t CPFft�,"anl .the caobW wa4 d4tuen att the wary th tou.gh .the, uncon isoUdated matraa t bUo the wait bea ing gha.ve.L at one hued ted and twent4 e.I qlc Leet. (Steet. Ca4•t ncy wt th ceJ Led we.Cd4 ai t. .the wavy down to 128 A) Thank you vehty much, Bet,Le C.Lau4 n� Se,tvtce dee an � j ajte& wotk: 025.00 r' ` s7 7 E d/ F ALASKA BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 January 17, 1985 Alaska Environmental Control Services 1200 West 33rd Avenue Suite B Anchorage, Alaska 99503 274-2533 SUBJECT: Temporary Waiver Horizontal Separation between Well and Septic Tank, Lot 5, Block B, Rolling Hills Subdivision (8521 -WA -082) Dear Ms. Turner: The Department has reviewed the subject waiver request and hereby temp- orarily waives the horizontal separation between the well and septic tank to 79 feet on the subject property for a single family residence only. This waiver is contingent upon the two septic tanks being i nood sealed alcondition.a tanks with watertight couplings and the connecting pipe i This information should be obtained by August 31, 1985, at which time a full waiver will be granted if the -above conditions are met. Sincerely, Bruce E. Erickson District Engineer BEE/dd ALASKA CI IUROWnTAL COnTR0L SHUNS, InC. 6n ineerin & Enuironmental Studies MUNICIPALITY OF ANCHORAGE 9 9 dDEPT. OF HEALTH & ENVIRONMENTAL PROTECTION )AN V: 1985 RECEIVED NOVEMBER 1 1984 ALEX MCINROY 7240 BAILEY DR. ANCHORAGE AK 99502 SELLER — BUYER — SUBDIVISION — ROLLING HILLS BLOCK — B LOT — 5 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 660 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 11/02/84 . FLOW TEST ON WELL THE WELL FLOW RATE WAS 4.8 GPM FOR 3 HOURS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1500 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. .a krc# C. Reid, Jr. No. 2251-E ,.d �ry �a 4GI C�0i>••}�� .,.. ni . n__ s . n _ n_ L..._ Al -I - (,.,.I) 11.1„1.„