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SILVER CREST BLK 2 LT 16
Municipality of Anchorage Page I of ...~__ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection:Report Permit Number: ~_~';~ O ~ ,~, ~ ,' .,_. PID Number: O / ~ ~ ~ ~ 7 Name: ,' ~bTI N ~ 5f, ~O u~k~ Wastewater System: ~ New ~Upgrade Address: ¥ r 7/~ ~a~ Ci~. ABSORPTION FIELD Phonm ~No. of Bed~. . ~eepTrench OSha,lowTrench ~Bed OM,und DO,her LEGAL DESCRIPTION So,,Rating: Total Depth from ori~lnalgrede: Lot: Block: Subdivision: Depth Io pipe botlom from original grade: Gravel depth beneath pipe Town~hip: ~ Range: ~ ~ Section: ~ ~Fill addedo ~ab°ve~°riglnalgrade: Ft. Gravel length:~ ~ ~ Ft, WELL: D New D Upgrade ,~ra~.~: ~i~ ~umbero~Hnes: Ol~itlo~tlon (Private, A,B,O): Total Depth: Cas~ To: Tolal absorption area; Pipe Yield:GPM Pump Set al: Fl, Casing Height Above Ground:Ft. ~N~ SEPARATION DISTANCES ~ s~pt~o ~ Ho~ng ~ S.~.~.,. Material: Number of Oompadments: Surface w.t~, ~ ~ LIFT STATION Lot Size in gallons: Manufacturer: "Pump on" level at: "Pump off" level at: High W~t~t alarm Foundation ~0 .... Curtain,[din ~ ~ Pump Make & Model Eleclrical Inspections pe~ormed by: Remarks: BENCH MARK / ~ ~ Assumed Elevation: ~ ~ ENGINEER'S SEAL Inspections performed by: ] Dates: 1st. ~ ........ ' De artment of Hea H .... ~:~ ~t 72~013 (1/91) MOA 25 l'lIfl~ SV H'~ISAS 311d]S NI$ .73VtINV9 9£1Z ~$_7~ N~A lis ~ I0966 'MV 'H3NV 3flN3AV 'Hig~ /~ C02 73 O-q ; ,£ ~37V3S G/ O~ daap 6UOl ,0£ x ~ 6u/PIS wo~4off O0'OOf = HE \ \ x, X I oA uo!~_X!ff IlaA1 \ o .... '- pO~OAa)~ X \ Monitor 5O Biver~ion Valve ~ul[ Bun 1,5' PVC Standard Trenches~ c°' Wide 50' L on9 10' ~eep 7' Sewer rock 3' Cover 14 Monitor MJ SCALE F 810 / Mira Ri 140 ~ 7 £t o£ Septic Rock Cleonout i-- Monitor ~-- d' Topsoil 3' Cover ND SCALE £1ev. 104-+ 88 Exls~, Ground 93 Bench Mork~ ])otto~ Sidln9 L99EN SPURKLAND P,E, 203 W15%h Ave Anchorage ~k 99501 LDT 15 YLDCK 2 SIL VEI~ ££EST SECTION 14, TI2N R3k/ 7136 CANDACE SEPTIC SYSTEM AS 3UILT DATE, Nov, I~ I993 SHEET, 3/3 GRID, 2439 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930459 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:HASTINGS DOUGLAS S & OWNER ADDRESS:7136 CANDACE CIR ANCHORAGE, ALASKA 99516 DATE ISSUED:il/01/93 EXPIRATION DATE:il/01/94 PARCEL ID:01506247 LEGAL DESCRIPTION: SILVER CREST BLK 2 LT 16 LOT SIZE: 52377 (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: 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 (iSAACS0). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: LOT 20~ W 15th, Avenue, Suit~ 206 ANCHORAGE, ALASKA 99501 (907) 279-3916 SEPTIC SYSTEM DESIGN 16 BLOC~< 2 SILVER CIFi. EST Doug Hastings No Ground Water or Impervious Layer to 16 ft. Use Standard Trench Soil Rating. F:rom test October 11, 1.995 30 sin/in = .45 gal/sq, ft. day 11 sin/in = .8 gal/sq.ft.day Disregard Required Area per' Bedroom: 150/.45 = 333.3 sq. Tt.. -Festhole Total Depth 16 Less 6 ~eet 10 I...ess 3 ~:ee'k Cover 7 Rock Depth 7 Number of Bedrooms 4 Length o-~: Trenc. h 4 x 333.5 / 14 = 95.2 Use 2 trenches each 50 feet long S'~f ST EH CONF i GURAT i O~ STANDARD TRENCH TOTAL LENGTH TOTAL WIDTH TOTAL DEPTH ROCK DEPTH COVER 2 x 50 lO0 FT. 2 FT. 10 FT. 7 FT. 3 FT. SEPTIC TANK 1250 GAL. EXISTING EXISTING [IFTSTATIQN ABANDON EXISTING BED Install diversion valve. The total absorption area consists o,~ two trenches. A diversion valve will be installed to provide the ability to utilize one or both of the trenches. If the home owner so chooses he ma~ switch between the trenches on an annual basis. 'That will give each trench a year of rest between use. If 'Ehe home owner prefer not to do this he can remove the valve and the eTfluent will be split between the two trenches continuously. The distribution line in the trenches may be 4-inch F-810 or 1- 1/4" PVC. Pressure distribution within the trenches is immateri- The installation o.F this septic system will not prevent wells -~rom be instmlled an the adjacent lots. There are nt~ developed c~r natural surface / sub surface draillage coursem on this ~:~r the adjacent lots. The proposed septic system will not change the general slope o~ the area. Ponding and/or concentration o~ sur.Face runo~ will. net result ~.:rom this installation. + LB]- i TOBBEN SPURKLAND P.E, 203 W 15TH. AVENUE ANCH, AK, 99501 LllT 16 BLi1CK E SIL VE£ CI~EST SEPTIC S¥S'rEH DESIGN SEC, .14, TJ£N ,~3~/ DATE~ AUG, 1_0, .1993 7.136 CANDi~CE C]I~ SHEET, 1./3 GRID, £439 IElev, 98-* Well ~/vert~/o Va ives -(~ Well /// / / / / / / /// / S/din9 Proposed Trenches 2 x 50' Ion~ deep ,i_ii-, £5 0 £5 50 75 100 SCALE; 1' -- 50 F T, 125 150 TD~BEN SPURKLAND P.E, E03 ~/ 15TH, AVENUE ANCH, AK. 99501 LOT 16 BLOCK £ $ILVER CREST SEC. 14, TI2N R3~/ 7136 CANDACE CIR SEPTIC SYSTEM DESIGN DATE, £c~:, £i, 1993 SHEET, 2/3 GRID, P439 ~Cle~n Uu~ 1,5 PV£ Ill w/th 1/4' holes a t 1£ £ tandard Trenches; £ Non/tar lean gui: £' ~/lde 50' Long lO' Deep 7' Sewer rock 3' Cover 14 ND SCALE Diveri:ion Valve Schedule 40 PVC M/raP/ 140 7 Pt aP Septic Rock Cleonout / Monitor 4' Topsoil 3' Cover' ND SCALE ~4 88 Ground TDBBEN SPURKLAND P,E, 203 ~15th Ave Anchor&ge Ak 99501 LZTF J6 3LOCK £ SIL V££ C£EST SECTION 14, 7136 CANIMCE CIA SEPTIC SYSTEM DESIGN DATE, DCT, 21, 1993 SHEET, 3/3 GR~D, 2439 TH I 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST PERFORMED: 'lO lti[q Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER K[ ENCOUNTERED? O S L IF YES, AT WHAT 0 DEPTH? p Deplh to Water Alter/ Monitoring? CZ E Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ (mmutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN ,,~ FT AND ~'~- FT COMMENTS PERFORMED BY: '~' '~ I %'"~ CERTIFY ']'HAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 0 ¢-----'~' ~/, ] ~ ~ 3 72-008 (Rev. 4/85) TH- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 3 4 7 $ 10 ~7 ~8 2O COMMENTS (ENGINEER'S SEAL) DATE PERFORMED: Township, Range, Section: WAS GROUND WATER ENCOUNTERED? SLOPE SITE PLAN S L IF YES, ATWHAT O DEPTH? p E Oepth Io Water After Monilorino? Oale: Reading Date Gross Net Depth to Net Time Time Water Drop ~;~L ~q.L,~.II:~,':t- ?'/,/ :~,~ PERCOLATION RATE ~ immures/tach) PERC HOLE DIAMETER ~:) TEST RUN BETWEEN ~',..~?- FT AND ,~ FT PERFORMED BY: ~'"~ -...~ I %*'~ CER*[IFY THAT THIS~TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72 008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DE ITMENT OF HEALTH AND HUMAN SER\ ,~S Environmenlal Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEI~ AND/OR WELL INSPECTION REPORT DISTANCES SEPTIC ABSORPTION TANK FIELD Phone(s) Permfl No. Townsh p Range, Section No el Bedrooms L£GAL DESCRIPTION Subdiws~on TANKS XSEPTIC Material [] HOLDING '1Capacdy m gallons TYPE OF SYSTEIVI TRENCH X BED Fill added above original grade FT FT ET X PRIVATE [] W. DRAIN [] OTHER 7'Total depttl from original grade $0 FTt WELLS JO/ ! FT CiaSSdlCahon (A,B,C~ OTHER fldentifv) REMARKS: WELL WELL LOT LINE F0U,OA'.ON ____q¢_ AS-BUILT DIAGRAM (Show Iocahon el well. septic system, property lines, Iou dar on, dnvoway, watol bodls$, etc ) 14eallh Department Approval: Scale: I It: 0 - Inspections Pedormed by: ~ certify thai Ihis inspection was pedormed accordinD to ali 72-013 (3/85) OIEI:::'~;'~,R"fT'IIEI',.I'f' E)f:: I"lliii:(g...'l[.! (~l'qO IEIgViI::;:[fl',II~IIZNT(:'d_ , I ..... I.. ~3'T'F;:I:ii:E] , (:~hlCI'IE)F:;c:~EiE!: ,,, (.;iF::: ;2<:;Itt::':" 1 2? & 4. '--/47 ,'.'20 ~3',:50(:,,SZl. [!i:l".lE) I Iqlii.:l:i:F;~Ei:D DES I (3lq :i. 0 / C:,E! C/(::) 2 '? g" -. ::.".'; 'g' :L A 0 I' S I Z IE: c: o r t. :i_ f' y L h a t.: ],,, ]; ~'i{dfi {'fi~tJil;J. :1. :i.,~:tl' ~,,~:i.t.h 'Lhl..:.., l'f:.':.(::lt.~:J. I*,%~lij6:)f'vLfi:i f'C)l" C)l"i-'~.~.it.(.~.) ~,S(¢W(?l"f5 Ell'icJ I:'or"Lh by t. he Fll..u"i:i.c::i. pat. lit. y c:,f' ¢:~ncl"lc:,r',.:~.ge (1"l[:)(4) ,'at'icl t. he (.~l:.;.'~.'t:.e ,::~f (~l~asl.::,~'~,, 2,, t u',.~:i ]. ]. ;in!~d:.,'~:~].l 'Ll':i6.:, .~iF, y!iirl'.f.~ifl :in frtc:c:.c:,rclar"~c(.:~t w:i.l:l'i all ;.'~r'ld :i.r'l co/lip ]. J. far'i c: (;.z, t^JJ,'[.h I:.lle:, ch!..~f~:i, gn c:..r, i'L¢,.',r' :i.,;:~ c~f' t.h :i.~i i.::,er'rilJ.'t:., £:J:i.~!irl'.,~;d-'~(:6*.~,~it f' r'om any e:,.s,, :i.~;fd;. :i. ng v..~e:.l 1, u~,~.~.t.¢~.:.~w~'~t, er cl :i.s;,pc~,s¢;~]. ~,ys'Lem .of pul:~ I ~ O'~GA N I L I I SOILS LOG ...... MUNICIPALITY OF ANCHORAGE /® DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ,,~ PERCOLATION ~ TEST \I ,'i 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: 7 8 9 10 11 12 13 SLOPE SITE PLAN · ' I Reading Date Gross Net Depth to Net Time Time Water Drop WAS GROUND WATER ,/ S ENCOUNTERED? ~ L O P IF YES, ATWHAT DEPTH? b..,.~ E 14 15 16 17 18 19 2O COMMENTS PERCOLATION RATE ~ ~/'~,~ ~ )(minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY: 72-008 (6/79) CERTIFIED BY: DATE:~,~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchora§e, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME lPHONE [~NEW Home Planning Inc. ~ 344-0013 []UPGRADE MAILING ADDRESS SRA Box 77M .EGALDESCRIPTION Lot 16 Block 2 Silvercrest Subdivision Candice Court, Anchorage, AK WelJ Absorption area DISTANCE TO: t10 '/ 1~0' 10' Manufacturer Greer Liq. capacity in gallons I ............. 1250 ,r nu,w~Jv,~u~: DISTANCE TO: Well Inside length l'Material Width Length of each line LOCATION No.of'inas Length DISTANCE TO: Class I DISTANCE TO: NO, OF BEDROOMS Dwelling 16' PERMIT NO. 780229 No, of compartments Steel 2 Liquid depth Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. 110'/130' 35 ' 20' 780229 Distance between lines Width Trench width 36inches Gravel 60inches Total length of lines Material beneath tile Depth Total effective absorption area 530 S~. Ft. PERMIT ~'O, Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line Depth Driller Distance to lot line PERMIT NO, Building foundation Sewer line Septic tank Absorption area(si OTHER PIPE MATERIALS ~plastic w./ C.I. Connections SOILTEST RATING __130'/Br. INSTALLER H&M R~c~ra17.~3.~ REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) i:i:4.:F~ MCIDI)LFINI:::, F'I'::: [::,F: :, .[ ~ .. f::. THE .I:~:i",t('!iTH I) ]: I"IENt~':; :t: ON ~:.'~; 'I"HE I...ENl':i"f'H ,:'):i'.,I FEET) PF' THE: TF.:t!.:.:NCH E)R: [.F.I'-.[I',IF:'.[E:L.D. THE DEI:::'TH OF' I:~ TI:;~:E:I'..ICFI F Fi' F']:'I" ]:?, TI'..IIE [) :[ E;TFINCE E;E'T'ME:IEI',I THE ~;LIRFFI':F: O1::' THE: EiI:~:I;)LINE:, Fff',l£:, THE: E~'/T'fOH E'F THE: E':;qCFI',,,'F:IT]:E$,I ,:: ]:N IIIE,.E :IS I'.JC :E;E:T I.,JI[::,'I"H F'OF.: .... ; ..... ,~* I f .E N ..HI~:;::,. THE ':' :: :: ,' ............ ..,- ,... .~1..11, I:: ..... I.. I::.i:- fH '.'~'::; 'f'H'E i"1:[i",1~i'"11...1I',1 [.E.F 114 ElF' E',E:'ILklEEN THE E'll TF:'i:iLI... F:It',I[::, THE: E:Cr¥'TCIf,1 E F: THE: E::qCI:::t',,,'FfT ~ CIN ( ]: I",1 I:::t'~:E:T :, - I::'E:F. ff'~i 3: T' t':li::'l':'L ]' f' FII',II" I-'11:::1~!.:, TFIE: i:~:EE;F'CII'.JE; :t: E~, .]: L ]: 't""/ 'h"* ]: NF' ;IF.'H 'H"'I:~ :~; E:,Ei]::'FII:;~:'Ti~,'II~.~NT E:,IJ~:;~: ]' N '!i THE :i '., 3TI:::II~,[ FfTT '"I"! ]:I',I~SF'ECT:[CII'.,I%:i OF: F'IN"r' l lLLL.:::, I::I[::,.:rFic:ENT TC'i-". ' ,-" ...... :::' "' I1.1)':.::, I::'I;;:EIF'EF;:T'.i.' 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I~.:Eg!L.I]:I~i:E EI"JI....I::tRI:~iEHEt',IT :I:F: THE: ;]: EiNE:D: ...... *i ' ..... FEIkI'II T RPPL ~'. C FINT L.CIC:f:tT t ON LESFtI.. FIE £,II~_JP_LRNr.I ~]'~ 1: Nr t..h I',ID :t bb CT 1.,:'[6 I: ..... 2; I I..,VERCREST .~,,, D DEIr'F1RTMEr. IT OF FIEFIL. TI-I FIND ENV:[RONHEN'f'RL PROTEC:TION 264.--4.728 f ~[ [.. CiI:: cO"l RE;Sr.)RIfT;ION ,:"' ~: ....... , Mf;IXXMI. JH t'.41..IH[~ER OF Bi.ZDROOr,IS; = 4 S]IL ~:Frr:[I,4(~ %(. THE REC!U:I: RED c-...., ~ ..... [,~.E OF 'TI4E..-.:a..l""' ,~ L i:~i[~SC)RPTiON c.,,c: .., 'r .., I .I::H THE LENGTH D]:I"IE'},IE;I'ON :[.:S THE L.I~T.,IEITH '::~fN FL:i'.ET) OF THE TRENL]H OR [:,RRINPIEL, t). THE I)EPTH OF R 'fRENCH OR [:'Z"l" ]:5; THE DI'E;TFtNCE'". BETH[:!:EN THE SI..I~'i:Fi~:ICE OF' 'f'H[:~,: f.:~RC)t..If,,ID FIND THE BOT'rOi'd OF THE E',:..':CFIVFrF :I ON ,:::[N FEET). 'THERE IS NO SET 14ZDTI-~ FOR TRENCHES, THE CiF:RVEI? DEP'fH I2; "I"HE MiNIHUH DEPTH OF' (~RRVEi,. 8fS'f'I4EEN THE CtUTFFiL.I.. I'."'~F-"E FIN[.'., TklE [!IOTTOM OF THE EXC:¢4VR'f'IC'~N ,:;;f,N FEET). PERM I 'T' FIPPL ~. C:FtN]" I-.tFIS '['I-tE [,f..) .r¢.~,l:, ".. N.C', I"l..,.:"I l.. l 'T"¢ TO i NFOF.:I't TH ! S D[.-"PFIR THEI'.,rr DUR I N[~i TI41~( .'[ N'.'(';"FFIL. I..FIT I ON :t: NE;PI:'~)::::T [ONS IZ [.:' i;:INY I.,IEL. I..S; FI[)Jt~ICEI'.,tT 'f'O TH :t;.:,"' f.,"[.~'F'jF.'"Er.R '~ .... 1 '~" RNr:, THE Nt..IHBER OF' RE'2:]E:,E'N"E'<::, ........ TI'IFIl' THE I.,IEt...I., l,.tIl..I.. ' Blt'ICI<F;[ L.L ;l: I",l~]i OF: RN"? 5~r'::'r:;Tlff:M H I 'f'HOUT F' ,'[ f,tF:IL. ]: NSPEf.')T I OIq I~ND FtI::'PROVFtL B'¢ TH :[ S bEPFIRTMENT 14II...L BE tSUBJ[3C:"F ]'O F'ROSECJTZON. "'I ]; F,I :I: I"IUM [)ZSTf'tt',IL~:E f:)E]"I4EEI'4 I:i HEI..I.. Ffl:~.P Flf',l"¢ .rJN--,SITE"::,i:U.,I.~t¢[:. ......... L(r)El FEEl" FOR fl PR.!;',,¢RTI:;Z HELI..,~ f-LE.,L I _, HEt.,.I. I,,b, FE'.I",I£)J. NCt L ['t.,f',t THE: TYPE OF F:'LiBI,.. :(C: HEI,,.I.,, ,lIZI...t_ Lt..~.~z:. FIRE REi..4L .~[..[SI} RND ML.I::::;T ~31:Z RETURNED TO THE I}EPFtRTHENT' TH[i: HEL.I... COhlPL.ET'[ON. :rFI-IER RE;lt ~R[~'HEN'f'S HFI'¢ FIPF'L.Y. SF'EC;[I'z~.CFITION2; FINI} CON?I'F,'.UCTION :WFJ:[LFIE)t.,E TC :[N'.S.RE' PROPER II'I',fR'' r '.., .,.:i ~..L. FiT;f. [ C:ISRT :f. F'¢ THFIT L: :[ RM ;' , ..... ' 1' £4fl.fl.,:l,t:lF., HITH THE REE:tU]:I;~'.EI',IEI',.tt',':.::; I-;*OR CIN,--:~ITIE ::,.;[EI,IERS FIN[) t.,IEI. I,:~; [:IS ~;ET -"ORTH b'-¢ THE I"'Ii..INIC[PP]LIT¥ OF i:: Z HILl....[iqz RI.ff., THE S¥,'S'TEI~I IN ................ t't...COt.'.DHNL. E I.,IL(TH THE .... .1:; I UFt[)ER~;TFIN[) ]"HRT THE ON"-'SITF!' SE'.14E:R :. ¥;:, i I:[ Iq ' ...... ' I"tPl'¢ F,;.'EL::!I..t.f. RE ENLI::tRSEMENT IF THE ]E':StD[;:NC[~ iS I~E"F.8[':,FL [<[') :fr:' INCL IPF lr]RFr 'f'ItFII' ,t E '"' ', 'r ] '" ,' '' ""~'"'7' r .............. 4 . / /;(,./ ';/ / ..... ,¢h.,/ nF'F't.:".i::~::~U'f' [.i'E;i:iii!' ' ;';i: ~4i',';[i'i'f:i !i"',Ti:ii:: ........................................ ./ .~ /.-..., .,,.,; / / / :.....: ,: ....:/ //' ,./ / ,/ 4040 "B" STREET ANCttORAG£,ALASKA 99503 (907) 278-1551 April 28, 1978 W,O. t;D10914 Grid #2439 Mr. Mike Stephens Stephens Construction P,O, Box 3-3772 ECB Anchorage, AK 99501 Siubject: Subsurface Investigation for Feasibility for On-Site <, , , ' · cwage I):sposal Systems Lo~s 1~, 12 ,_ind I6, B]oc.k 2, Silvercrest Subdivision and Lot I , Block I, SST Subdivisio~l I)ear fir. Stephens: As requested w? perfcrnK~d a. sklbsurface investigation on the four above referenced lots to determine their suitability for placement fo: on--sit:e sewa(:e disposal systems. ,m,,. ,~, test ho]es were Pl,'~ced on Aprii 12 and 13, 1978. The holes wolfe drilled by ::~.a!i Drili. irg, Inc. The test holes were ]oggc'd and the dri}ling supervised bv ?.{r. O.M. Hatch, senior %echn.i c ia n/geolo:l i s t wi. th Alaska Te s %].a b. Thc holes are }ocat:ed on the adjacent fiqtires {~1 and ~2 'i'h,, ff h hole ]oqs are included as Table A. 18 may prove helpful in interp::oting the data en the test holes legs ke review the standa!',fl explanatory informatiozl contained on Sheets 1--3. ' .. Once the test }o± :; were drilled, they were cased with slottecl plastic [>_it:e` About a week later the test holes we, r~ chocked for ground water ir~hrusion into' the holes~ None had occurred. Ail' three of the' test: holes were dry '.Phen c)n April 25, 1978, the test holes were fJ_lled with water and loft over night to sat%lrated. A percolation test Was t:hon performed tile next day, April. 26, 1978, by ref',.lli, ng the holes and nlo:t.itoriDg the rate at which the water fell in the holesl at 10 mSnute intervals for a period of one hour. The percolation rates based on Ehis testing are as follows: l,ot::; 11 and 12 ~'lock 2, Silvercrest -- 10 minutes/Jrlch. Lot I6, Bio>ok 2, Silver]lc:rest Sul)division -- 5 7 mJ. llutes/' -" Lot 1, Bleck }, SST' Subdi'vision .... 2 minutes/inch. Mr. M~ ~ April 28 1978 Page 2 We would caution the use of a percolation rate as fast as 2 minutes/inch in I,ot 1, B]_ock 1, SST Subdivision. It is our experience that due to thc' clogging action of sewage effluent, that a more con~;¢.,~vatJve design value be used J.n silty sands and silts. They that have a tendency to clog. We would reconunend a design va].uo of 5 minutes/inch. We hope this is suffic.ient for your i~resent needs. Iff we call be of further servi'ce or offer any clarification of any data presented here, please do not hesitate to conhact us. Very sincerely, AZBAS KA TESTLAB Melvin R. Nichols, P.E. Laboratory Manager MRN: rb '\ .,.-, "', [,h2.: C© 3 c~ C~ .L 7 4 3,00£ .~.f. 13 52,120s.f. :\ 0 (0 47,045 (;5 .---r ~ ~, 1 9 //;,'~, ~%,. 22 43,482 .S.t' \ \ \ r',; © F'I cY, I Well Owner Location DRILLING, INC. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMI~NTAL PROTECTION DRILLINO LOG SEP 2 9 1978 Rob ~:~,: &_. 6: 1';~. I..t':i. ',: ,f.a I.[i 1t)3, address of: Township, Range, Section, if known; or distance main road I,ot lC) }]].c,,-:!:. 2 3:Llve. rcro.;!~t Subdivi::;&o:~ i')OL. Size of casing 6" Static water level 6~ Screen ( ); Describe screen or perforation. Well pumping test at 5 __gallons per o£ drawdown from static level. Depth of Hole , ft. (abS9~) Per£orated ( feet Cased to oJ .feet (below) land surface, Finish of well (check one) open end (~<:~ ), (minute) for, ,'[ hours with ].':)'. )~, 8/13/78 Date of completion WELL LOG Depth in feet fl'o~ ground surface Give details of formations penetrated, size of material, color and hardness 0 _TO 2 Cas :Ln!/~ s l:ickup 2 .TO. 5 OrF;anic s 5 .TO 7 7 '? 7 TO ~() 8 0 TO g TO. TO __.TO .To _TO TO .TO TO _ TO. TO. ); Silty gravel: sandy Tlard pan Wat:e.r gravel Ccrl-i[ic'atc" ' dl.J & ' 3--CONTRACTOR • 0E�< <" 10 Municipality of Anchorage ",` •t, �:;. On-Site Water and Wastewater Program <�''t i;.� :`', (907) 343-7904 ir'"�F E T Y n i E 11; n `,l- Certificate of On-Site Systems Approval � Parcel I.D. 015-062-47 t(-2_011-41r `� n Expiration Date: 1. GENERAL INFORMATION Complete legal description Silver Crest Block 2 Lot 16 Location (site address) 7136 Candace Circle Current Property owner(s) Jeffrey & Ellen Banker Day phone Mailing address 7136 Candace Circle Anchorage, AK 99507 Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received b • A�` � ��� ` Alm Date: g/ -i / b' COSA to be released to the engineer,unless otherwise requesteltthe engineer. COSA Fee $ 52 Waiver Fee $ Date of Payment I/9 1rS Date of Payment Receipt Number 06 C/ 34 Receipt Number COSA# 0 5C 6 b No& 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. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe 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 soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system.The content of this report is for the sole benefit of the owner listed above. (907) 745-8200 Name of Firm Pannone Engineering Services LLC Phone Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R Pannone Date 8/8/2018 OACFs, 6. DSD SIGNATURE / •N� � v" X System#1 Approved for bedrooms fit— •Steven R. Pannone: CE-8149 ,& System#2 Approved for bedrooms ��`�gs' • �'� 1����A4OFESSION.f': • Disapproved t\\�.��`t Conditional approval for bedrooms, with the following stipulations: J .0`:Y (-)b i, >G ON_ WATER A1 WASTEWATER C 1 WASTEWATER ->' , -ROGRAM c 4 c( ( „;rte . i• By: 1� ;:�.� • i Original Certificate Date: R-2-0"{,g _ 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet i '• .. If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system I Certificate of On-Site Systems Approval Checklist Legal Description: Silver Crest Block 2 Lot 16 Parcel ID:015-062-47 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 8/18/1978 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 114 ft. Cased to 83 ft. Casing height(above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 8/18/1978 7/27/2018 Static water level 60 ft93.1 ft Well production 5 g.p.m. 3.4* g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 5.70 mg/L Arsenic ND ug/L Date of sample: 7/27/2018 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./Steel Date installed 8/15/2012 Tank size 1500 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y Date of pumping 7/24/2018 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 11/3/1993 Soil rating (g.p.d./ft2 or ftZ/bdrm) 0.45 GPD/SF System type Deep Trench Length 50/50 �1 ft. Width 2 ft. Gravel below pipe 7 ft. Total dept (`ft. Eff. absorption area 1400 ftZ Monitoring tube Y Depression over field N Date of adequacy test 7/27/2018 Results(Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0/0 in. Water added 600 gal. New depth 2/2 in. Elapsed Time: 240 min. Final fluid depth 0/0 in. Absorption rate >= 600+ g.p.d. N Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed $/15/2012 Size in gallons 250 Manhole/Access (Y/N) Y "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? SU 11WEC t o CDVT E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 10+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ 4 ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS *Bedrock well-production may vary. G. ENGINEER'S CERTIFICATION ..i.... of ALk1k. I certify that I have determined through field inspections and Ay, 03.- �) '. 6 review of Municipal records that the above systems are in -*; , - . /' •* 0 conformance with MOA COSA guidelines in effect on this date. %••---.441°.)(L4___ Engineer's Printed Name Steven Pannone i�":Sieveri i2.•15onriorie ie Date 8/8/2018 + :... CE-8149 0� r COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • , r 907-343-7904 On-Site Water and Wastewater Section ` Fax: 343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # 0SC181403 Subdivision: Silver Crest, Block: 2 , Lot: 16 A water sample revealed a nitrate concentration of 5.7 milligrams per liter (mg/L). 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. Mailing Address: P.0.Box 196650*Anchorage,Alaska 99519-6650*www.muni.org 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. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org 08/08/2018 15:53 8686770 APLUS PAGE 01 . TY MuNICIPA�.IOF ANCHORAGEi . MOM ` .i� ) phone: 907-3�''�' 7904 Development Services Department �: Fax: 907-3,1 :'1 799� On-Site Water & Wastewater Section Lift Station/Pump Vault , Maintenance Log ,a' Street Address Owner ~- � 4-- PfD --� - Phone Legal Desc. r 8 ,_ [lk. -Sludgerequired -Pumping completed G ..ca level _Zinc hes -Pumping: yes --1-24 1 S' -Pump basket cleaned ii• -Effluent fitter cleaned01-11 -Q. -Control floats cleaned �s a• -Proper float settings.confirmed !,� -Operation satisfactory .411Or ` "SYSteII• -Audible and via{ alarm inside dwelling visual .� -Dedicated electrical alarm circuit n9 G(1,4. -Alarm system operation 1 . ow Dikanh le Riser -Ground water intrusion at riser to tank connection •Weep hole functional1� .no -Ground water intrusion around pipe penetrations es 4"i• Properly Secured e__rLp;? •Manhole lid: Functional ��. Insulated 0 -D9- Other. •All manufacturer required inspections and maintenance completed y. -- Q S 43D.m-WM Maintena.+nn Provider: 1 n ) 1---0,i- 3 Q Date of maintenances .,rtt S 1 Technician Company _ e �' �' Dat ._ U Signature -0� illOP Ulailcnu Aildre:;s P. O. 11:�r. '1961;5n . ATv:hnri!UE. A+r15k.-a 99599^665O ' .V',n/W.t?lUlll.pry 1111 MUN C PAUTY O ANC.OR^GE DEPARTMENT OF HEALTH & HUMAN SERVICES b / ~ DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner Mailing Address (c) Lending Institution Mailing Address (d) Telephone: Home ,~ ~//& Telephone Real Estate Company and Agent Address Business (e) Telephone Mail the HAA to the followina address: or: Check here~ if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms WATER SUPPLY Individual Well'~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite/~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/861 Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this HeaJth Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. ~ NameofFirm 'FT. Telephone Address~ ~.,.0~ ~ ! ~--~ DHHS APPROVAL Approved for "~'-'-'" ~'~.~bedrooms by /'~¢'~ '~' '~¢'-'""~ Date Approved ~ Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services /DHHS issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or anaJyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 fRev 8/86) Back MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: [.~'T"J~/~,,,~ ~ I1.,.~1~_.~ ~'1~.l~',~'-' If A, B, C, .D.E.C. Approved (Y/N) Date Completed ~/~/~' ~ Well Classification Well Log Present (y/N) Total Depth J ~'~ Cased to Static Water Level c~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) 7,''/ Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots "~ /O-~:~ To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments NoNE To Nearest Sewer Service Line on Lot ;Date B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) "'F'~'~ Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course Size /~,C~O No. of Compartments ~-'"'b,~ Air-tight Caps (Y/N) y Foundation Cleanout (Y/N) Date Last Pumped ~'.~/?,/~ ~ Temporary Holding Tank Permit (Y/N) To Building Foundation ~- ~ To Disposal Field ! ~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot NO/%~ ~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots '~ To Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions ,~'0 ¢ ~ J /,~ Manhole/Access (Y/N) "Pump Off" Level at /,,'~ Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** check Permitted Bedroom Rating Against HAA Request ** Signedl certify that I.~,~~have checked, verified, ~r conformedDate t o~ll/~_..(~A ~//~//7~d HAA guidelines in effect on the date of this inspection. Company MOA No. Receipt No. ~ Date of Payment Amount: $ ¢ %. ~ .? ,,~ Engineer's Seal 72-026 (11/84) 203 W. 15th AVE 'C- SUITE 203 ANCHQRAGE, AI3%SKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 16, BLOCK 2, SILVERCREST LOCATION: OWNER: TYPE OF WELL: WELL LOG ~VAILABLE: 7136 CANDACE CIRCLE NORMAN COLD · SINGLE FAMILY YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 4 GALLONS PER MINUTE PUMP YIELD: 4.5 GALLONS PER MINUTE DATE OF INSPECTION: AUGUST 14, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 4.5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. AT THE BEGINNING OF THE TEST WATERLEVEL WAS FOUND AT 91 FEET BELOW TOP OF CASING. AFTER 5 MINUTES OF PUMPING WATER LEVEL WAS AT 112 FEET. ADDITIONAL :PUMPING DID NOT CAUSE WATER LEVEL TO DROP FURTHER. TEST FOR COLIFORMS AND TOTAL NITROGEN: WATER WAS TESTED ON AUGUST 14. 0 E. COLI, 1.3mg/1 N. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. CONSULTING ENGINEER ~ ~ Q ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOT 16, BLOCK 2, SILVERCREST LOCATION: 7136 CANDACE CIRCLE OWNER: NORMAN COLD RESIDENCE: SINGLE FAMILY, FOUR BEDROOMS WELL: PRIVATE, ON SITE SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1250 GAL. ABSORPTION SYSTEM: BED WITH LIFT STATION ABSORPTION AREA: 900 SQ. FT. SOIL RATING: 150 INSTALLATION DATE: OCTOBER 1985 DATE OF PUMPING: AUGUST 14,1987 MARX ENTERPRISES DATE OF TEST: AUGUST 21, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED ON JULY 31 AND FOUND SURCHARGED WITH THE PUMP RUNNING CONTINUOUSLY AND WATER DRAINING BACK INTO THE LIFT STATION AFTER EACH PUMP 'CYCLE. THE TANK. THE LIFT STATION AND THE MONITORING PIPES WERE -PUMPED. THIS RESULTED IN NO MORE WATER DRAINING BACK INTO THE LIFT STATION. BOTH MONITORING TUBES SHOWED 24 INCHES OF LIQUID. THE SYSTEM WAS MONITORED FOR FIVE DAYS. AT THE END OF THIS PERIOD BOTH MONITORING TUBES WERE DRY. ON AUGUST 14 THE SYSTEM WAS INSPECTED AGAIN AND AGAIN FOUND SURCHARGED. 'THE TANK WAS PUMPED. TWO DAYS LATER THE SYSTEM WAS AGAIN INSPECTED. THE TANK WAS FOUND FULL. AGAIN THE TANK WAS PUMPED. ON INQUIRY IT WAS LEARNED THAT 12 INDIVIDUALS HAD RESIDED IN THE HOUSE DURING PART OF JULY AND AUGUST AND THAT LARGE AMOUNTS OF WATER HAD BEEN USED. FROM AUGUST 14 TO AUGUST 22 WATER USE WAS LIMITED AND THE BED DRIED OUT. ON AUGUST 22 FOUR DOSINGS OF THE BED WERE PERFORMED AT 2 HOURS INTERVALS. EACH DOSING VOLUME WAS METERED TO 170 GALLONS. EACH DOSING CAUSED THE WATER LEVEL IN THE MONITORING TUBE TO READ 18 INCHES. THE FIRST TWO DOSINGS HAD COMPLETELY DRAINED ~WAY AFTER 2 HOURS, THE THIRD VOLUME HAD 4 INCHES OF LIQUID SHOWING AFTER TWO HOURS, AND THE FOURTH DOSE HAD 18 INCHES AFTER TWO HOURS. 24 HOURS AFTER THE TEST HAD BEGUN NO FREE WATER WAS OBSERVED IN THE MONITORING TUBE. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. This system was heavily overloaded when first inspected. The system is designed for a maximum water usage of 600 gallons per day. Indications are that substantial more water than that had been used during the 30 days prior to the test. There was no indications of water surfacing from the bed. When system was allowed to rest, Tobben Spurkland P.E, water within the bed infiltrated the ground. During the test 670 gallons was absorbed. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate durin§ the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requirements of the Municipality and State. 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 Application Date ~¢~'J~ Z ~" o/qs$__ GENERAL INFORMATION (a) (b) (c) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name ~ ,~B~l Telephone: Home ~?~[ 17~ Business ¢?~ Applicant Address ~ ~ % ~ ~ ~ ~ ~ Applicant is (check one): Lending Institution ~; Owner/~; Buyer ~; Other ~ (explain); (d) Lending institution Address Telephone (e) Real Estate Company and Agent Address ~(O~ /~..~ ~,~ ¢ '¢" ~., ,6 ¢' ¢,61 Telephone ~ ~'~ ~ ~ ~ ~'~ ~ ~'~ (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family ~ Multi-Family Number of Bedrooms _ Other WATER SUPPLY Individual Well~t Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status, 4, SEWAGE DISPOSAL Onsite~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm '~ ~ ~¢~ '<~_~ (~___~ I .I V" ~-.,. 1.,,~ J Telephone ~ ~ ~q ~ Address ~ ~ ~ / ~ Date ~ ~~ Seal DNEP APPROVAL '~ ~.,-,- Approved for '¢~im~""~ bedrooms by Approved ~ Disapp,~ed Cond~t'~al Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations 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 requirements. 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. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCI'IORAG,~ DEPT. OF HEALTtl & ~F!VIRONMENTAL PRO[fiCTION Legal ,., Description: WELL DATA Well Classi[ication "~ '~ .~' Well Log Present (Y/N) '~ Total Depth ~D ~ Cased to Static Water Level ~ ~ Casing Height Above Ground __ I,~ '~¢ Electrical Wiring in Conduit (Y/N) ~ Separation Distances from Well: To Septic/Holding Tank on Lot '~ ~'~2) To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line _ ~'~ ~ 1.~ If A, B, C, D.E.C. Approved (Y/N) Date Completed ~ Yield ~f ~,O Depth of Grouting ~ ~) N Pump Set At '~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~' 1~O ~' I~,~¢~ ; On Adjoining Lots ~/~ To Nearest Public Sewer N o ~ ~_ To Nearest Sewer Service Line on Lot ~ ~ t~ .~"~, ,~" · ~ ;Date t ~/~'//'¢"~"" Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments- [~-,-a,~. B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) ~N~¢"~, Depression over Tank (Y/N) Pumping/Maintenance Contract 'on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~'~' Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course Size /~f'~ NO. of Compartments T~'~ ~ Air-tight Caps (Y/N) y Foundation Cleanout (Y/N) Date Last Pumped ICY/ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72 026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption. Strata Date Installed ~)t..,.l~ ~/J¢~",,~ Width of Field Type of System Design Length of Field ~-,~ ~/- .~ Depth of Field Gravel Bed Thickness /~,~ Standpipes Present (Y/N) Date of Last Adequacy Test Square Feet of Absorption Area ~'~1.~ Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation ; On Adjoining Lots To Cutbank (if present) Lot ~N~. '~' To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ To Property Line ~ ~ ~ To Existing or Abandoned System on Itl D. LIFT STATION Date Installed I~ ~"' L ~ ~"'~'""' Dimensions Size in Gallons~ ~~,~t Manhole/Access (Y/N) "Pump On" Level at 'Pump Off" Level at High Water Alarm Level at ~ ¢~'/ ~ ~'~ Vent (Y/N) Tested for Pumping Cycles during Ad, equacy Test. Meets MOA Electrical Codes (Y/N) ~ ~'*/.,~. ,t i~," ~.. J Comments Page 2 of 2 72-026 (11/84) ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have_checked, verifiec~or conformed to all MOA and HAA guidelines in effect on the date of this inspection. ~iogr~da _*~.~ Date ny .... MOA No. Receipt No. _~ ~bq/.¢/'7 -'* '~ - ' Date of Payment ]~'~%~ ~ ~, ", Amount: $ ~ ~ ~'" %r : ~. "/ h~ Engineer's Seal ORAC~[: ~ MUNICIPALITY OF ANCHORAGE " MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~J~IRONMENTAL PF, OTECTION 825 L Street - Anchorage, Alaska 99S01~'~ ENVIRONMENTAL ENGINEERING DIVISION JAN REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts en page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY O~ER ~,,,. ,~ ~ONE MAILING ADDRESS ' ' ' ~ ' / ~'~ PHONE PROPERTY RESIDENT~f different from above) ~AILING ADDRESS . ~ 3, LENDINGINSTITUTIO~ ~ PHONE MAILING ADDRESS MAILING ADDRESS 5, LEGAL DESCRIPTION .47' STREET LOCATION 6, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One ~ Four [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six --1 Other 7. WATER SUPPLY [~ INDIVIDUAL* * ATTACH WELL LOG. A wel log is required for all wells drilled [] COMMUNITY since June 1975, For wells drilled prior to tl~t ~ate, give well ~ PUBLIC UTILITY depth (attach log if available.) -----~)¥) TL~/ ~ 8, SEWAGE DISPOSAL SYSTEM · *If individual/on-site, give installation date ~' "?/TZ · [~ INDIVIDUAL/ON-SITE" / . . If system's over two (2) ,/ears old an adequacy test is required [] PUBLIC UT LITY by this Department. NOTE: THE NSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR ~NSPECTOR I NSP ECTOR DIRECTIONS: 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [~J-.~l NG LE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [~'-dNDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~N'f~IVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~:?~ Connection Verified INSTALLER []Septic Tank or E~ Holding Tank Size: / ~.~O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank IXbsorption Area Sewer Line I Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS ~_.~"APP ROV ED FO R ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) // LEGAL DESCRIPTION 72-010 (Rev, 3/78)