Loading...
HomeMy WebLinkAboutSILVER CREST BLK 1 LT 3BI;ilvercrest Block 1 Lot 3B #015-062-58 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 10 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: PID Number:6� %' Name: , Wastewater System: ❑ New Upgrade Address: ABSORPTION FIELD Phone: No. of Bedrooms: E � 2/Deep Trench D Shallow Trench D Bed D Mound D Other LEGAL DESCRIPTION Soil Rating: Total Depth from origi/r��(grade: /• .2—GPD/S . Ft. 6 _ -/ Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe ` �J/) _;%/.I/{•.J-;;'9�._,f.-,',.,�� /. Ft. /? 17 Ft. Township: Range: Section: Fill added above original grade: Gravel length: _ Ft. A), `y Ft. WELL: ❑New ❑Upgrade Gravel•depth:W Alf Number of lines: Distance between lines: 5, o' Ft / -- Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. SO.Ft. Driller: Date Drilled: Static Water Level: Installer: , Date installed: / 1 Yield:Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 04eptic D Holding D S.T.E.P. To Septic Absorption Liu Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines Material: Number of Compartments: Well ;tom yv v Surface Water / LIF`(- STATION Lot , Size in gallons: Manufacturer: Line Foundation - -. 1 "Pump on" level at: "Pump off' level at: High water alarm at: f Curtain ; Pump Make & Model Electrical Inspections performed by: Drain f,:,p/,. ✓/ hv/ .p /��I /'/ it'1 iL+- Remarks: //V,T/!l_/r' BENCH MARK Location and Description: _f70 l -• /.`_;'I f /',A ;i-111 001 -til I-) U_(Kk VJ0'trrzAlC;Z Assumed Elevation: f 6r E;> o C J 04 00 000 V �a Oh• 40I�JJ Jv0 Inspections performed by: Dates: 1st /0_/" oa 2nd /6' yma �cre vraca r ' �`-� e e 4 nderson n "e, 4381 - E oe y� cm1 Department of Health d uman rices approval 17 g�°SF ��oe.o„oner°' Reviewed by: Date:�w s and approved 72-013 (1/91) MOA 25 Permit No q 2 O 3 3 (o Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 u Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: L��T 38 Z,97-1 VC -_'j='_ 7 Din n T / N 40, _� WELL 6�[. � kms• � Y��y e l.�[J✓1+��/� Ev e n'1Gc bo GL co nca an co neo on C+B ��+ .< Michae/l F. Anderson + �� ✓� 0D4` Jt. ESQ n000e EN 1S (10/78) • " �. Municipality of Anchorage t' -' DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502-0550 SOILS LOG -- PERCOLATION TEST-� ��a ��i •`� /ichacl fi. /nderson i��G7 PERFORMED FOR: 666 � c, DATE PEAgR.MPP.«�, LEGAL DESCRIPTION: G_ t -`���_ ��' .�/%u�'�tY'1'r"'�-,�Townsnip Range Section: r�--I Poo v I-- 2 c n.Ab sn ti 1--), 4 �w 6v I'AVt b :AM0.5 7 to /,SOME_ 8 5//-7 > 9 10 11 12 13 14 15 16 17 18 19 20 630/-7/ IF YES. AT WHAT DEPTH? usm Is war Aw Wnuonny? II�It L_ --j PERCOLATION RATE (mmU'4'w'ncn) PERC HOLE DIAMETER TEST RUN BETWEEN — FT AND FT COMMENTS % ��A/L /�'J"?1 P'/� l -I- ' -/ >)E1 1-,4, 4:, 1 AJ PERFORMED BY:%N�LGGLCIcL cA.IJ[�ai_�i—e .— TIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE_ OATSL �?i9� 72-008 (Rev. u85) PAGE I OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920336 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:HUFFMAN RICHARD R OWNER ADDRESS:9400 GROVER DR ANCHORAGE,AK. PARCEL ID:01506258 LEGAL DESCRIPTION: SILVER CREST BLK I LT 3B LOT SIZE: 49699 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:10/06/92 EXPIRATION DATE:10/06/93 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: IT MUST BE CONFIRMED DURING CONSTRCTION THAT THERE IS NO BEDROCK TO A DEPTH OF 1.3 FT. THE EXISTING TRENCH TO BE ABANDONED IN PLACE. THIS UPGRADE MUST BE INSTALLED AS SHOWN ON THE APPROVED ENGI EER'S DESIGN DATED 8/9/92 HOWEVER THE LENGTH OF THE DRAI ILD CANNOT LESS THAN 54 FT. RECEIVED ISSUED BY: DATE:_ //✓II7/Z DATE : %a September 28, 1992 Municipality of Anchorage DHHS - On Site Services 825 L Street Anchorage, Alaska 9950. Regarding: Lot 3B B1 Silvercrest Subd. To whom it may concern: Please find the design attached to install a new drainfield on the subject lot as the existing system will not pass an adequacy test. Upon inspection of the existing system the drainfield was found to contain a large amount of wastewater and solids in the piping- It appears that the soils are plugged with sludge material throughout the piping and it has plugged off the natural percolation into the surrounding soils. The lot has adequate area and size to support the new drainfield. If you have any questions please contact me. Yours truly -/-4f-Ja1 Michael E, Anderson, P.E. Jenu 3 c c 4HAY/(J+ c C,i 6°uGO ¢�C�CO o.°aup as pn�p po p °� G n! /r;ichacl C. AnJerson C-) n [ C: ,0j rn ouoE �C� �J Vii. f'/lD':"kSS1C<<P „ ON SITE SYSTEM IMPACT I, 3B Block 1 Silvercrest Subd. Installation of an on-site wastewater system for this lot should have little, if any, impact on surrounding properties since: 1. The lot has sufficient reserve area for the new wastewater drainfield system and still maintain the required 100 foot well separation. 2. Installation of the on-site system will not effect the lot surface or sub- surface drainage in the general area since it is located in close proximity to the existing system and the land downgradient is undeveloped. If you have any questions please contact me at 344-4551. Yours Truly, Michael E. Anderson, P.E. C= too a 3 cS p99Ge 3f � -+aca 00�L' p�eG o u L ,'�� Ahicliael E. !Sndsr;on '�, J� ti —1 0 / TI IJ)V 7i1 ? G In / o a fit (7 N o y BY _ DATE _42 _ CLIENTAL1' /�7 9/cl �__�_ ____ _SHEET _r� r_ OF CHKD. BY DESCRIPTION S Cry G S 5 7 0,k) <3 /M i--- JOB fia _ /�ESIG�s 72 i)C.hf Sc sir ,r7 �i r/.% 15a('Gs 1,.2...�rj�� ;rr vF CJ $D RFDUCT7orn rAc -rol') EN IS (10/78) F/CTF.<'- FfI�3�l/cam •r _ _n wli ��••••YY•LL a�Jo p r-•' Municipality of Anchorage &I 1, DEPARTMENT OF HEALTH & HUMAN.SERVICES i 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TMSTL�— �, PERFORMED FOR: CFIA PL7 / UFFdi'IAII DATE PiPF'R D "'tR�iR %Z LEGAL DESCRIPTION: L 3 /3 S I! ur r. <t F: sr' / Township, Range, Section: DEPTH SLOPE SITE PLAN IFEETI S F 1 RL0E,6 ill 2 ---------%f SW 3 a 6-t iz A 1) n 6 7 9 10� it 12 13- 14- is- 17- is - 1, 314/16171819 20 COMMENTS WAS GROUND WATER ENCOUNTERED? �� d S IF YES. AT WHAT L DEPTH? O P E ttonWurAw Mmlttortrtq? No WA -Ir R Dia 9' 2 PERCOLATION RATE (minutevinch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND ' ' FT PERFORMED BY: i rA, L:i f > G' P.-,1 I 6 km F HAT•THIS T T WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIOEUNES IN EFFECT ON THIS DATE DATE 72-008 (Rev. 4/851 / �m FN: VI LIl11 d Ji,n�l Municipality of Anchorage t �3 DEPARTMENT OF HEALTH & HUMAN .SERVICES t 825 "L" Street, Anchorage, Alaska 99502-0650 -- n.1or soII SOILS LOG -- PERCOLATION TEST Fj PERFORMED FOR: ICII%I /2 U /-� () /' %' in /� J DATE PERFdAMED. '- �Z LEGAL DESCRIPTION: L,:36 v—/l/Township, Range, Section: DEPTH SLOPE SITE PLAN (FEET) 1 P(00 F L 7-N 2 F< CIAuF to 2 sAtt1-)0 INN SW 3 WELL 4 r9, r.5 Ar, V_ D /1KIt.`5 5 6 7 8 9 10- 11 12 --� -- --.._-Y 13- 314151617 14- 15- 16- 17- • 18 19 WAS GROUND WATER ENCOUNTERED? N U S IF YES. AT WHAT L 0 B � � DEPTH? p E Ot" b www Alta q Z • �J 2 20 -j I r It.®II PERCOLATION RATE (mmutwincn�l/PEAG HOLE DIAMETER TESTRUNeETWEEN J FT AND Fr COMMENTS PERFORMED BY: r FA b T Ki 1 CE= ��jTF1AT THIS T /T�WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE. 72-008 (Rev- u8S) TYPE � �F' SOIL t=iB'_;CIRB T I ON SYSTEM I S : TRENCH MAXIMUM NUMBER OF BEDROOMS 4 SOIL. RATING (Sri FT,• B . , F HES REQUIRED SIZE OF THE:: SOIL ABSORPT I O61 SYSTEM I THE LENGTH DIMENSION IS THE LENGTH CIN FEEeT? OF' THE: TRENCH OR E:yRAIN IE Ll). THE DEPT14 OF A TRENCH OR PIT IS THE DISTANCE BE~TWE E N THE SURFACE i lF" 'THE GROUND AND THE:: BOTTOM OF THE E'eXCAVAT I ON CIN FEET). THERE I5 NO SET WIDTH FOR 'TRENCHES. THE GRAVEL DEPTH IS THE:. MINIMUM DEPTH OF GRAVEL BF-TWE:E N THE OI_ITI'=ALL. F"'IL"'E. AND THE BOTTOM OF 'THE. EXCAVATION CIN FEET?. PERMIT fiPPL. I CAN`F' HAG: VI !_.I I'-4 :V. (--, I F • F -'l L_ 1 ' I "Ir' r -'e r-- I<--! VA t__ V4 ID F;; ! f`1 IF Vo DEPARTMENT CaUF :I NG THE DEPAR•I•mE�jhdT HlrALTH AND ENVIRONMENTAL ONMENTAL. �C:ITE::C T I (: N PROPERTY AND THE: NUMBER OF RESIDENCES 825 STREET., ANCHORAGE., At:,". 9,-. ._i 264-4 T20 14 E, 6L_ f-Ir-Arzo 0VA•.--•° -- I `Ir F. !-7=-FE1-4LF -= F*: F-ErF-?tvI :L...'... PERMIT NO, ( 780291. 5 APPLICANT ROBERT MIL..BY _3408 WOODLAND PARK DRIVE 2r'2---2E'.'0�� LOCATION GROVER DRIVE LEGAL 1- 38 A 1 SIL_VERC:KST SUB LINT SIZE 49699 SQUARE FEET TYPE � �F' SOIL t=iB'_;CIRB T I ON SYSTEM I S : TRENCH MAXIMUM NUMBER OF BEDROOMS 4 SOIL. RATING (Sri FT,• B . , F HES REQUIRED SIZE OF THE:: SOIL ABSORPT I O61 SYSTEM I THE LENGTH DIMENSION IS THE LENGTH CIN FEEeT? OF' THE: TRENCH OR E:yRAIN IE Ll). THE DEPT14 OF A TRENCH OR PIT IS THE DISTANCE BE~TWE E N THE SURFACE i lF" 'THE GROUND AND THE:: BOTTOM OF THE E'eXCAVAT I ON CIN FEET). THERE I5 NO SET WIDTH FOR 'TRENCHES. THE GRAVEL DEPTH IS THE:. MINIMUM DEPTH OF GRAVEL BF-TWE:E N THE OI_ITI'=ALL. F"'IL"'E. AND THE BOTTOM OF 'THE. EXCAVATION CIN FEET?. PERMIT fiPPL. I CAN`F' HAG: 'THE RESPONSIBILITY T'O I NFOR:I.1 THIS DEPARTMENT CaUF :I NG THE INSTALLATION INSPECTIONS ANY OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE: NUMBER OF RESIDENCES THnT THE WELL WILL. SERVE;. SIZE? JE_C•T TO PROS,* CLITION. _r 14 tf v® < �2 -� :I I' � �- i= � � m_r: _.I_ � �`s � � �% ! I I � I� I� I� � 'r !-_! � � � ►�: h :e � .. _......_..., BAC:Ik::FILL'ING OF ANY S.Y TE -M WITHOUT FINAL. INSPECTION FIND APF'F:CAr'I`L By THIS DEPART'MIENT WILL BE SIZE? JE_C•T TO PROS,* CLITION. MINIMUM DISTANCE BETWEEN A WE.L..L. AND ANY ON --SITE SE.WAC;E DISPOSAL_ SYSTEM IS 100 FEET FOR A PRIVATE WELLS OR ItiO TO 200 FEET FROM M PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC: WE'LL. WELL LOGS ARE REQUIRED AND MUST BE R.ETURNE D TO THE: DEPARTMENT T WITHIN :O DAYS OF THE: WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS FIND CONSTRUCTION DIAGRAMS ARE AVAIL -ABLE TO INSURE PROPER INSTALLATION. F_• ifs 6'^_ m I -�::. M+�'1 Y"` ' i� F. E E :E.[.,.s+. L`:. A...t l.V :. i - I �•�i'' �. �5. :__-5A J •. L U:. I ' Y 6:_`w I CERTIFY THAT 'I I AM FAh1Il TAR WITH THE REQUIREMENTS FOR ON -SITES SEWERS AND WErLL'M. AS, SET FOFITH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL. 'THE SYSTEM IN ACCORDANCE: WITH THE: CODES. 3: I UNDERSTAND I IT THE: ON-SITE SEWER R �::YSTEM MAY REQUIRE ENLARGEMENT IF TE 1F RESIDENCE IS REMODELED TO INCLUDE MORE. THEIN 4 BEDROOMS. &PL.I CANT FOCiEEdT M E3 ISSUED BY 2 kl AILINICIPAL17. _-F ANCHOPAGI DEPT. 0;; -7, f:=1; Robet-L L. & Parrici.a E. Milb.v r, 1:Dom. IVL L I t I);e of Well ... .... . if hlo'Nll: W. Jismmv n -mill viad, Lot315113.ock.j Sj.j.Veycrcsf:,. Aichorage of c:isiog sumu water level_ 62t. (60-110 !;,nd :,.trjjler-. Vini. h of wo: (vi,crii one) open end Screen I'vifera',vil ( xx Knife Shot I Dc:;crj he A-FLI.K.vur perroriv.1*01I.: I vorlacle rows, 6 por ft. -per row from 69-67' wt.;l 11111oping. test al.. 4. _g"allons per (Ix'X*4\'j 1J.'1111a1e) for..._J.. 11,111r; %Vjjjj__.._jQD%L_ of drawdown from s(ntic l(wo. XX 1.1/2/78 ).);I! c of completion_. .._..._....-•--..... _.. . N.'1:1.1. ompletioll- \VC.U. 1.0( Del)'h in Am from - ground surface (jive det-lik (A forinw-on:: iu,ntlratf,(i. !:i>, or nvo(.,rial, color and hirclnc.%s .0 2 P.tsing ?tickup.... .2 1-0 .. 1.4 SUI:v sand 14- '1.0.24 Sil tv --24- TO....40.. Silty...sand: ro vc 40 T0 Loose..$ iJ t:y.., g ravel 66 ...TO. . _ 69 ve 69....TO....8o-in. ...Qr�ivelly.ar h, (I p. To. ­ TO -- -.TO I — CUSTOMER ffiUNICIPALH. _Ar ANC-!OUG' DEP'r. Gi; U i Dom t se of M] BI ode Sihimmylown, Anchorage SO 8 0 62 'j,'inn !i of %vid: war i. one) open end nifr� phot �-ow�;, 6 per FL. per row From 69-67' imunping, tesi at- 41jjjr, IfP) o I 0_0Z -Am (11, timwCLOWN frona statio, Io?'''), J.1/208 Oaoi (0)nlplet loll WOU Dt'.o"h In fc('I from ground surface of ;Omm! .cm IV neirno I "P" of num ial, color and. hardness 0 -2 Calsirlg Stiel'up 2 1/1 S I. I i�1.7 - u a n C I I /1 1,0 24' Silty _gravel. 2/1 ro 40 S -L Ity said : griv(, I 1._v — ----- - ---- ----- 4 1A 0 _I,0 66 Loose -s i. 1, r y g r a v o 66 To 69 [Jct—grave 69 ro 80 Gfwe'lly hard all 117CO -TO -TO TO, __T0_ — --------- I -- C U STO M E R On,50DI, t -1-J6.90' P/ 2ec " q,�,67 5. EGAL DESCRIPTION z -a / DATE RECEI ED INSPE ION APPOINTMENTS ©u„c�� TIME TIME TIME DATE DATE �^^ DATEJ� INSPECTOROR n INSPECTOR / 1 ❑ Two ❑ Five (�1�U MUNIcIpALITY7AIaun 6. MUNICIPALITY ANCHORAGE DEPT. OF ENVIRONMEf�f>,L DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 APR 1 �: 11€30 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E E iD 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 for processing. 1. PROPERTYOWNER )Fo ,b e,__ f /11 ' L PHONE MAILING ADDRE ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PROPERTY RESIDENT (If different from above) PHONE 2. BPrr /O 1 6 f C_. 14 .t/ PHONE MAILING ADDRESS a?Ia Pkt170 3. LENDING INSTITUTION PHONE MAI LING ADDRESS - I 7g 7 4, s /,t--' of s_s r°A A2 lr - 4. REALTOR/AGENT / W/ Ale e HONE MAILING ADDRESS ` 5. EGAL DESCRIPTION z -a / '': /. C.,f v� STREET LOCATION 6P—OVle 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS El One D4 Four El Other j� SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY 19L INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM P- INDIVIDUAUON-SITE** __YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) - V V THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE LJ PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER 4$ ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING Ias" TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS C4— APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATES I -36- BY 72-010 (Rev. 6/79) ;�3 U k, � 3 _ MUNICIPALITY OF ANCHORAGE DEPT 0.- ENVIRONMENTAL PROTECAMIROK _NLA.] - _CTION- - zaee-^3 /3 - DEPARTMENT OF HEALTH & STREET LOCATION 825 L Street - Anchorage, Alaska 99501 6. TYPE OF RESIDENCE qq APR ENVIRONMENTAL ENGINEERING DIVISION ❑ One Four ❑ Other Telephone 264-4720 RECEIVED [CEIVED Two ❑ Five REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES ❑ Three ❑ Six DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROPERTYO R * ATTACH WELL LOG. A well log is required for all wells drilled PHONE since June 1975. For wells drilled prior to that date, give well I jc�I B. SEWAGE DISPOSAL SYSTEM **If MAILINP�, ADDRESS individual/on-site, give installation dateoG,% .L5 ( ❑ PUBLIC UTILITY by this Department. PROPERTY RESIDENT (If different from above) _ PHONE -2. BUYER MAILING ADDRESS L}} 3. LENDING INSTITUTION PHONE 'U /%g _ MAILING ADDRESS - 1 ', 2k 4. REALTOR/AGENT PHONE MAILING ADDRESS 5, LEGAL DESC 9 IPTIO zaee-^3 /3 %3d.4 C_i- 5�' STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One Four ❑ Other SINGLE FAMILY Two ❑ Five ❑_ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* ` * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM **If = INDIVIDUAL/ON-SITE** individual/on-site, give installation dateoG,% .L5 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, THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED �.o 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED = INSTALLER ❑Septic Tank or ❑ Holding Tank Size: If Tank is homemade give dimensions SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL - Absorption 4. DISTANCES WELL T0: Septic/Holding Tank\1 Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS E4—. APPROVED FOR _� BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE (a I VI 1 BY (Title) LEGAL DESCRIPTION /2-010 1Hev. 3/76) ¢PGS gVi ® '~� Mungcipality.of Anchorage J01.10 On -Site Water and Wastewater Program (907) 343-7904 5 A F 567, 40 Certificate of On -Site Systems Approval Oct Parcel L.O. 015-062-58 Expiration Date: " % X419 0 �6 �a 1. GENERAL INFORMATION: 8� 9 5 7 E Complete legal description SILVER CREST: BLOCK 1 LOT 313 Location (site address) 9400 Grover Drive *ANCHORAGE AK 99516 Current Property owner(s) Deborah Lerner Day phone 907-317-1567 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) 1771 Duplex ❑_ > Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer, ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $_f Waiver Fee $ Date of Payment l 0 -IO Date of Payment Receipt.Number A 0 1-7 Receipt Number COSA # 05K 151 W Waiver # 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, 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. 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) - Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: tp B i /Cf In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o in accordance with the guidelines and regulations established by the Municipality of Anchorage and ��.. industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells T �* and septic systems depend upon a variety of variables, including but not limited to, soil conditions, •' • "" ... • • •' • • • ..• • • • • groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and ......... ....... . are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q f r Gar ess; system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of �O E_7 the well or septic system. GEG makes no representation whether an alternative well or septic system 4 9 c�G can be installed on the property in the event either of the current systems fail to perform adequately in 4p�e e ' • 0...i�.� the future. The content of this report is for the sole benefit of the person/party that retained GEG to dprofesslo`°oma perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for _�L bedrooms System #2 Approved for bedrooms Disapproved ON -SIT Zr IAIArL . "o/P1)lPit'' By: Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA blue sheet 10-10-12.doe Nitrate Advisory X, ArsenicAdvisory /n Other-wv- ItGP Legal Description: SILVER CREST; BLOCK 1, LOT 3B If more than 1 septic system on lot: COSA Checklist # 1 of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1112/78 Total depth 80 ft Cased to 80 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 10/1/19 Static water level at beginning of test 62.2 ft. Comments B. TANK DATA Age of tank(s) 27 years Tank type/material STEEL Measured operating fluid level in septic tank 48 it ❑ Standpipes/foundation cleanout per record drawing Date of pumping 8/20/19 Parcel ID: 015-062-58 Structure served by this system 1 Well production at time of test 4+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ N ❑ Coliform bacteria is Negative Nitrate 7.67 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 9/18/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: NIA D. ABSORPTION FIELD DATA *AT MONITORING TUBE Which system tested (date installed) 10/17/92 Adequacy test date 10/1/19 ❑ ALL standpipes present per record drawing Results Q Pass For 4 bedrooms Total measured depth from grade *7.8+ ft (max) Fluid depth prior to test 32 in Measured depth to pipe invert from grade 3.7+ ft (min) Water added 613 gal ❑ N/A — pressurized field New depth 33 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 15 min depth into effective FEWCode-requiredsoil cover over field Final fluid depth 32 in F-1 System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N/A date of test) Gallons introduced N/A gallons If yes, enter.date NIA Comments/Deficiencies: J(- A -r PAT" COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 0✓ *95+ Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft M Yes if No ft Neighboring Tank > 100' 0✓ Yes if No ft Private Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' P/ Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10'✓❑ Animal Containment > 50' 0 Yes if No ft ✓0 Yes if No ft Yes if No ft Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' 0 Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0✓ Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' 0✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10'✓❑ Yes if No ft Community Wells > 200'✓❑ Yes if No ft Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓0 Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *WR#050088 "'WITH CAVEAT - COULD NOT MEASURE TO WELL LOCATED INSIDE HOUSE ON NETTLETON ACRES #3; BLOCK 1, LOT 2A ***WITH CAVEAT - LOCATION OF H2O SERVICE LINE TO GARAGE WAS NOT EVALUATED G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECC884 r 01, e. DEVELOPMENT SERVICES DEPARTMENT (� On -Site Water and Wastewater Section www.muni.org/onsite Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 191486 Subdivision: Silver Crest Clock 1 lot 3B Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 27 years old. Typical replacement costs range from $8,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. �^''��rp� ''��,��-.� as ��Rdr3�0 Box 1�665Q"1tc t�a'ge�Alstc�9519�b65t� * i�r�iv�nrknr�€ 'F`,,.�'.�ra'�a'',"�.:��>a.ua.�3c, DEVELOPMENT SERVICES DEPARTMENT On -Site water and wastewater Section www.muni.org/onsite r � j 907-343-7904 ` Fax: 343-7997 Nitrate Advisory Certificate of On -Site Systems Approval # OSC 191486 Subdivision: Silver Crest, Block: 1, Lot: 3B A water sample revealed a nitrate concentration of 7.67 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. I all 11 1Vf� [' ddres Bi 9664n car01.111, e; W11-640"'11 ia*vww mu: dtg l Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. gr- �� -�°��llai�i��.�dt�re �F F Bob �665ii r:Ar�Cht�rage,Alaslf"� 99519ge�5�* Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.sk.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. blS-�(n�-moi' HAA# OSDa�� 1. GENERAL INFORMATION Expiration Date: /0 cc Complete legal description SILVERCREST SUBDIVISION: LOT 3B BLOCK 1. Location (site address or directions) 9400 GROVER DRIVE • ANCHORAGE. AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address RICHARD & KATHERINE HUFFMAN Dayphone C/o BARBARA BLOCK w/ PACIFIC RIM PROPERTIES Day phone Real Estate Agent BARBARA BLOCK w/ PACIFIC RIM PROP. Day phone Mailing address 405 W. 27TH AVENUE • ANCHORAGE. AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 762-5417 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ — Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 samples. (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 affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Health Authority 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. 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm CARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines d Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG. Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE , Approved for I bedrooms. Disapproved. Conditional approval for bedrooms, with the Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Phone 337-6179 Date to/"or �l SITE '_ ER AND r tevC;KAM Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date:v n la•+ i) Municipality of Anchorage Development Services Department Suikting Safety Division On-Sne Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 89519.6650 www.ci.anchorage.ak.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: SILVERCREST SUBDIVISION: L38 B1 Parcel ID: A. WELL DATA Well type PIWATE If A. B, or C provide PWSID# N/A Date completed 11-2-1978 Sanitary seal (Y/N) YES Total depth 80 ft. Cased to 80 ft. FROM WELL LOG Date of test 11-2-1978 Static water level 62 ft. Well production 4 g,p,m, WATER SAMPLE RESULTS: Coliform _-'!S� colonies/100 ml. Arsenic: N A mg./L. B. SEPTIC/HOLDING TANK DATA Nitrate L\ .1 mg./L. Well Log (Y/N) YES Wires property protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 9-23-2005 59 ft. 4.46+ g,p.m, Other bacteria —'%^ oolonies/100 ml. Date of sample: 9-23-2005 Collected by: GEG. LtD. TankType/Material STEEL Data Installed 10-17-1992 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) NS Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 9-23-2005 Pumper MCDONALDS PUMPING C. ABSORPTION FIELD DATA Date installed 10-17-1992 Soil reting 4E.A1Jbr ft'lbdrn) 1_2 System type SHALLOW TRENCH Length 58.5 ft. Width 5.0 ft. Gravel below pipe 4.27 ft Total depth •s.17 ft. Eff. absorption area 585 ft' Monitoring tube YES Depression over field NO Date of adequacy test 9-23-2005 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test 30_75 in. Water added 701 gal. New depth 40 in. Elapsed Time: 173 min. Final fluid depth 38_25 in. Absorption rete >= 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - _ D. LIFT STATION Date installed "Pump on" level at _in. Datum E. SEPARATION DISTANCES Size in gallons High water alarm level at in. Cycles tested Meets alarm 8 circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot* 95 Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent kits 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line t0'+ Surface water 100'+ Wells on adjacent lots t 00'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation t0'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS iK Sey. A f.4 C ,r) G. ENGINEER'S CERTIFICATION I certify that f have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineers Printed Name JEFFREY A. GARNESS Date HAA Fee $ q 20 } \1'�-) �5h Date of Payment 1U' 1U Receipt Number ice, �1 (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number 10-07-05;15:53 -S-G$- 907 561 5301 err 2/ 7 SCS ROLA' 1056288001 All DAtes/fimes are Alaska Standard Time Chest Name Gamess Eagineering Group, Ltd. - B 0923/05 AZS ProjectNamdp Lt3BkISilv=rest9400Grover Printed Datelrime 10/062005 14:30 Client5amplo iD Lt3 Bikl Silvererest CollcetcdDatc/I'Ime 09232005 823 Matrix Drinking. Water Received Date/time 09232005 11:57 Magnesium 10400 Technical Director Stephen C-Ede Sample Remarks: Parameter Results Pot Units Motbod Allowable Prep Analysis Container ID Limits Data Date Inil Nitrate -N 4.22 0.100 mg/L EPA 353.2 B 0923/05 AZS Nivitc-N 0.1001.1 0.100 mgfL EPA 3532 B 0923/05 AZS Metals Department Hardness as CaCO3 171 Private Individual Analvsis Aluminum 20.0 U Antimony 1.00 U Arsenic 5.00 U Barium 13.3 Cadmium 0.500 U calcium 51400 Chromium 2.43 Copper 50.3 Iron 454 Lead 1.58 Magnesium 10400 Manganese 8.72 Cbloridc 24.7 Fluoride 0.100 U Phosphorus 200 U Potassium 1050 Selenium 5.00 U Sodium 4180 Silicon 5980 Silver 1.00 U Thallium 1.00 U Sulfate 15.0 5.00 mg/L SM2023403 D 0927/05 0929/05 SCL 20.0 ug/L EP200.8 D 0927105 0929/05 SCL 1.00 ug/L EP200.8 D (<-6) 0927/05 0929/05 SCL 5.00 ug/L EP200.8 D (M0) 0927105 0929/05 SCL 3.00 ug/L EP200.8 D (<-2000) 0927/05 0929/05 SCL 0.500 ug/L EP200.8 D (<"5) 0927105 0929/05 SCL 500 ug/L E•P200.8 D 0927/05 0929/05 SCL 1.00 ug/L EP200.8 D (<-100) 0927/05 0929/05 SCL 1.00 ug/L EP200.8 D (<-1300) 0927/05 0929/05 SCL • 250 ug/L EP200.8 D (<-300) 0927/05 0929/05 SCL 0.200 ug/L EP200.8 D ("IS) 0927/05 0929/05 SCL 50.0 ug/L EP200.8 D 0927/05 0929/05 SCL 1.00 ug/L EP200.8 D (<-50) 0927/05 0929/05 SCL 0.100 mg/L EPA 300.0 B (<.250) 0926/05 DSH 0.100 mg/L EPA 300.0 B (<=2) 0926/05 DSH 200 ug/L EP200.8 D 0927/05 0929/05 SCL 500 ug/L EP200.8 D 0927105 0929/05 SCL 5.00 ug/L EP200.8 D (<-50) 0927/05 0929/05 SCL S00 ug/L EP200.8 D ("250000) 0927/05 0929/05 SCL 200 ug/L EP200.8 D 0927/05 0929/05 SCL 1.00 ug/L EP200.9 D (<.100) 0927/05 0929105 SCL 1.00 ug/L EP200.8 D (<-2) 0927105 0929105 SCL 0.100 mg/L EPA 300.0 B (<-250) 0926105 DSH 10-07-05;15:53 ;907 561 5301 # 3/ 7 SCS Rc(A 1056288001 All Dateslrimes are Alum Standard Time Clicnt Name Gamcsc Engineering Group. Ltd. Printed Date/Time 101061200S Project Name/# Lt3Bkl Silvercrest 9400 Grovcr 34.6 14:30 Client Sample ID LO BIkI Silvetcrest CollectelDatelrime 09/23!2005 8:23 8:23 Matrix Drinking Water Received DateMme 09/232005 10.0 mg/L Technical Director Stephen C. Ede Private Individual Analysis Allowabtc Pmp Analysis Parameter Rcaulu PQL Units Method Container ID Limits Date Date !pit Private Individual Analysis Zinc 34.6 5.00 ug/L EP200.8 D (`+4000) 09/27/05 0929/05 SCL Total Dissolved Solids 246 10.0 mg/L SM202340C C ("500) 0923/05 ISC Ntckcl 2.13 2.00 ug/L EF" -00.8 O ("100) 0927/OS 0929/05 SCL HCO3Alkalinity 129 10.0 mgr1. SM202320B C 0929/05 GRH CO3 Alkalinity 10.0 U 10.0 mVL SM20 2320B C 0929/05 CRH OH Alkalinity 10.0U 10.0 mg/L SM202320B C 0929/05 CRH Conductivity 36S 1.00 umhos(cm SM20 2510B C 0929/05 ISC PH 7.70 0.100 pH units EPA 150.1 C (6.5-8.5) 0923/03 MLW Alkalinity 129 10.0 mg/L SM202320D C 0929/05 CRII Total Coliform 0 eoVIODmL SM209222B A (<.I) 0923/05 TLF O Mayor Mark Ilegich Mlulicipaliiy of Anchorage 1:0. IAI[ 19(i('si0 • �lnchoml;c, ,Unsku �lbl9�fi(ifi(1. TcicpLm,c (!1(17) 94.9�fCi01 • rnz (t!<17) 31.'SS{'Z(MI : �'.`) : i 47M Ilmgmc Stwel • �6,cLarngq ALslm �JfAiOi V - �� maw munl.oq( Building Safely Di..islon October 11, 2005 Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Waiver Request for Silvercrest Block 1 Lot 3b Waiver Request WR#: 050088 Parcel ID # 015-062-58 IIA050527 Dear Jeffrey Garness, P.E.: Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 95.0 feet. This waiver approval applies to the existing septic tank to private well separation only. Any future upgrade to the on-site wastewater disposal system 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 Civ EEngineer On -Site Water & Wastewater Program C01111111111ity, 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: Silvercrest Block 1 Lot 3b Parcel ID#: 015-062-58 Waiver Request Number WR#: 65@57 osoogg Waiver Requested: 95 FOOT WELL TO TANK HORIZONTAL SEPARATION DISTANCE Engineer: Jeffrey Gamess, P.E. IIA050527 Septi Tank Data The septic tank was installed in 1992 and has had a 95 foot horizontal encroachment to the well on the lot. The bottom of the tank is approximately 10 feet deep from original grade. The lot is generally flat in the area and the house is between the well and the septic system. If the septic tank were to over flow the septic effluent would not travel toward the well head. Well Data The well is 80 feet deep. Starting from the bottom of the tank there is 4 feet of Silty Gravel, then 16 feet of Silty Sand, then 26 feet of Silty Gravel, then 3 feet of wet Gravel and 11 feet of Gravelly Hard pan. The layers of silt and hard pan have served to inhibit the migration of wastewater. The water samples results taken by Garness Engineering Group shows Nitrates to be 4.2 mg/I and coliform bacteria results to be undetected, which are within municipal standards. _ 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 05700613 WR#:030527- PID#: 015-062-58 HA/Permit# IIA050527 Date Received: October 11, 2005 Legal Description: Silvererest Block 1 Lot 3b Engineer: Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Applicant: Richard and Katherina Huffman Waiver Requested: 95 FOOT WELL TO TANK HORIZONTAL SEPARATION DISTANCE Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Points: 5.67 2.63 2.03 2.90 2.8 Total: __ J 16.029 .......................................................................... Waiver is Granted: X Waiver is not Granted. List Conditions or Reasons for above: Date: 10111105 By: Joe Goodall .......• ...................•...........•..Name of •Reviewer ••••••••••••••••• Rec#: 75127 Amount: $9= Date Paid: 10/111200 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: Silvercrest Block 1 Lot 3b ParcelID#: 015-062-58 v�oc86 Waiver Request Number WR#: 05052-7 Waiver Requested: 95 FOOT WELL TO TANK HORIZONTAL SEPARATION DISTANCE Engineer: Jeffrey Gamess, P.E. IIA050527 Water Table Points Depth of well: 80 5.67 Depth of septic system: 10 70 Distance from the bottom of the system to the highest water table In feet Point Value 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 no 2.63 Soil Ty -pe I Point Value Clean Gravel 0 Fractured Rock 1 Course Clean Sand 1.5 Sand w/ Small Amt of Clay 2.5 Silt 3.5 Clay and Sand Equal 4.5 Clay 6 170 13.5 + r �Op 12.5 + j �O 2.5 + r �O 1.5 +I 70,0 +r 70 )6 +17010 +(p010 0.2 + 0.4 + 0.6 + 0.6 0 + 0.9 + 0 + 0 'Use the predominant soil type but values can be averaged for a mixture Permeability Soil Type I Point Value Clay(will channel) 0 Silt and Sandy Clay 2 Clayey Sand 3 Fine Sand 1.5 Sandy Gravel 1 Fractured Rock 0.9 Course Sand (30 grit) 0.4 Clean Gravel 0 Points „m 2.03 l 70, 2 + 70 J 3 +[ 7p ) 3 + � 70 j .4 +f 13 l 70, 1 +r 11 70) 3+ 70) 1+ l 0 1 0.11 + 0.43 + 0.69 + 0.15 0.19 + 0.47 + 0.00 + 0.00 'Use the predominant soil type but values can be averaged for a mixture Gradient Points 2.9 2.90 %Slope Points Value Separation -60% 0 30% 0.3 25 20% 0.7 slopes toward well -10% 1.2 100 -5% 2 5 0% 2.93- Oat 5% 4.51 10% 6 slopes away from well 60% 7 'If the gradient Is unknown, assume the worst case Horizontal Points ,.,, 95 2.8 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: I 16.029 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS.®., October 10, 2005 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: Waiver Request and Health Authority Approval for Silver Crest Subdivision; Lot 3B, Block 1. The existing 4 bedroom house is served by a private well and septic system. We request you grant a 95 feet separation distance waiver from the well on the referenced property to the septic tank. The following items are justification for the waivers: The lot is generally flat in the area. The house is between the well and septic system. If the septic system was to overflow, it appears that the effluent would not travel toward the well head. The location of the septic system is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. The other path of contamination is subsurface migration wastewater should the tank begin to leak. As can be seen on the attached well logs, water was found at 70-138 feet. There are several layers of silty sand/gravel and hardpan soils that range from 12-70 feet. These layers of silt and hardpan have served to inhibit the migration of wastewater. Recent water sample results indicated nitrate levels to be 4.2 mg/L and coliform bacteria results to be undetected. Based upon the aforementioned facts, it appears that there is minimal risk associated with the granting of the request for the 95 feet waiver. If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 0 Fax: (907) 338-3246 • Website: gamcssengincering.com SILVER CREST S/D; LOT S, BLOCK 1. 10 0r�fp o�cq�sr �10c; 1p 0f1 :c : \ \ PUC \ a SILVER CRESTS/D;/ LOT 4A, BLOCK 1. / EXISTING .1 ` HOUSE-,, -,, \ / GC / \. �1 1 I I 1 I \ NETTLETON ACRES S/D /3; \ LOT ?A. BLOCK 1. / 1 n' 1 1 SILVER CREST S/D; LOT 3A. BLOCK 1. 1 \ / �i1ERUC \♦ / \ / GARNESS ENGINEERING GROUP, CONSULTANTS & GENERAL CONTRACTOR$ ,••• .,.... Y...o. • ..� .w.a. r yaw, . wor MMM -elft . W (IX)7)e M" . Re - .... g. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: c/o BARBARA BLOCK 762-5417 1 OF 2 LEGAL DESCRIPTION: DRAWN SILVER CREST SUBDIVISION; LOT 38, BLOCK 1, OF WORK: ITE PLAN FOR WAIVER r � � ........... he A .nrn.ee: BY: vo I CE -79`73 ' C.J.G. On . •�� �? .atGcq 10/10/2005 1 I I I / I / EXISTING 1 RAINFlELD � 1 \ 48p NG mouF \ �L NG SEEXIC TANK 1 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS d GENERAL CONTRACTORS Q )A1 C TCCO 0010. W10 101 • NS OOWL M M'Ai • wtOtt (007)M? In • IAO (001)SY " PREPARED FOR: PHONE NUMBER: PAGE NUMBER: c/o BARBARA BLOCK 762-5417 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: SILVER CREST SUBDIVISION; LOT 3B, BLOCK 1, C.J.G. ,TYPE OF WORK: DATE. SITE PLAN FOR WAIVER PACKAGE 10/10/2005 i / / I I I I 6IUNICIPAl17...'P AMOK)PnGE DEPT. G;: 'L7•! •] 1' = 11 Robvl-L L. F: Pal'.r'.i.c i.a R. MH 1!w f S: 1' 1 / ( Dum. K L_ . L I Ow or tivell.... _..._---- _ �...r:r U•m Ia�l,ir•�x: ,r:: 'I'u,ct;:: it:;:, i:.•,,,.r. i:cc!n.r;. if Pnu•sn; ut •;is;mr:o r:aiu road .. _ _..._-_-•--'---._---- Lot L11.od-.1 Si;Jvc.,rcrr,.;;!:, :1nc.hora e . ..6':.....I tcp!h .. r,:,: t. SU. frr•: C:tsc4 !a. 80.7 fcr: `,.r,,.r. x•. !cr la�'ri . 61 !':. ;$;i.>:; 1 !Ir•_I,-:•.I !,a;:i ., rri:'c:•. Pini. is of wcl: wncci< unci upon enol ( ) Srcccn ( ): 1't:rlUrt::ori ( XX ) IQIii:c Shot , -I Verl:i.c'Lc rows, 6 per ft. per. row from 69-67 1>oscrihe sm-mKIor prrfora!inn._. _ ......_ _ . — ll'ri! p:unpmf! Irv! :n._.... ..!;af!nu•• l.cr (Ilhp; r::: n'd:a lu:�........ I.... h„ur::vt:h__...7.Q.1)'G.—._._._._..__.XOc of drawdown from mniic 7.1./7/78 D; l;( ofc:tmilletlon_..._..._..--•--......_...-- I — CUSTOMER Uha.l. I):�p:h in frrl (from ,;room! surface Circ donli, of furw:r!:rs:: 1 -noir -lb -d. sve of nlstt•rial, color and hardness � :I'U._.. � _ •Casing st:icl<up_,_. TO V, _Sl.lf:y. sand _.—.—.-- 7./t :ro . l �i,1l.v ..t rave:l... _. . --24_ To.._40.._ _511y...sand: . grwe.l.l.y.._....._-._.... -... --------- 40 To . _ 66 Loos si) Cy... gravel 66 ..TO 69 .. tic C_ -gra vRl...._... _... 69..-ro_...80 . Sizavelly, hard pan. TO. ........ _ - ....._ ...------- --... ._To..----...---- _ )17 TO I — CUSTOMER m T V A 91 .m. -0_� rt:.0m Dmf m=z Z0-4 0Zo cn OT OZm Z=o m;u mmv 0 0 ?om 0-4 � T O Q O O C �r to 0 r- 0q4A O N / \ .► D°y / \\\ D / \ JPO / p \\ ., .? / 00 f ACb\\ N �O, r ZIP / e \ 8 _? tleck awe e� 0 16.0 14, p o en o� Z � y~ n° N o 0 O o y 2p w r /� p do ?4, p r- 0 0 w W LpO / W 00 Na F O