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SUMMIT ESTATES BLK 3 LT 4
Summit Estates Block 3 Lot 4 #015-071-28 V. C' of Anchorage I�Municipality Development Services Department Building Safety Division - On -Site Water and Wastewater Program, 4700 S. Bragaw, St. P.O. Boz 196650 Anchorage, AK 99519-6650 Page / of 2 www.ci.anchorage.sk.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number._SwoyaYY0 PIDNumber. OIS--071 —28 Ne /"Ctrl/n K &>nn;e tir Fwr• Ian Wastewater System: ❑ New ® Upgrade A"n,S62G 5- 98t''A0e. hACA. Ak 29S07 ABSORPTION FIELD Pte» 3 3 3- Y 9 70 Nun 0« a Beo-oan, 3 9 D..P Trown 0 5w o« rraam o baa o rAana o Ome LEGAL DESCRIPTION �"Rnep 0-6' TOW Daps ken 0.,y-aoa GPDXe 81pr Lot Suea,waron: /3]l / 3 S=! A1. �7`1J Depen W PP* Donau ken «pun goes. 3.Ll Gr" geplh Denson Pros 7. / I,7 FI. FI 70~0 Rw" secnm: FO saris sows onpnn grant O• S Gtitval«pl} , = j,s I yH 11 Fl. FI. Well: txIST ❑ New E3 Upgrade G Mw Otl S. S NYmDe aro: I Ona wD,Man Ynaa FI. FI Cusnac«mn (Penal. A, B. 0): Tan Deem: Cow at Tanaowpwnaraa Ppe Mnenai F�61O rNIG Fr. I Ft. G 78I Ft' q - ?O;V n/On -Pp e-je Drat One ordw Suac wel«Lh'n k,Wlbf A 'f' D«. mermen. it 3 I o Ft. Y Ywa Pump Sn n p Ne Casugri ADpro Grw . TANK EKllfin GPM FI. FL SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To From Septic lank Absorption Field Litt Station Holding Tank lubliciPrivate Sewer Line 101 w aclur«. Owner 6urff apaaly 2�0 Gn `"" 79 ICGS' Mn«w. Hur,Wr p Canpanm«ns. scala wn« •716,01 > tGGr — — LIFT STATION se sear« La Late Z77' )I t — — Gal Fananan IS � 3 % • — — 'Pump an' Ievn r -Pump of Ieva1 at Hpn.«« Yarm n. h N in. Pump Make b Maw l tn Eiact ape*" pwfa Dy Carton Dram — — .- — Rem«ks �1'tncfi BENCH MARK urin >< vu /Ory o� krecr Location «n D..Puon /%5 lucall on wr�f C0U4 unan�kl u%tcl esla a k o(� AswRneG wa,an. " fI GGlai'Csr ftun 7-.1'ele6 SO 51d/ O�fT41/ Jt t" eg6C-0 Ft. lerr� cc et Ir 1- lu ry t annin P e.Id O! CA&&L n on SAF. 2 V If frenl:4 IJtFO✓Y Can /7r!l rin •Zne/ t krleq /� C/GCtry Engineers Stamp is OF At 4 ;!. ........ 4fi� iUun -lyeTn l-' Ir%fprc Aea un bt Itn c10oce CaneTTia Inspections performed by: F l`CL � T-tCA SSC Dates: Dates: 1" if / 3 /G y le, E ••�!�,� Developm nt Services Department Approval Ji•Y .................:... •.ODORE •L :THEE F. YOOR Reviewed and approved by: Date: = �' '• CE • 3509 r" r, +... J I PERMIT NO: SW040440 PID NO: 015-071-28 0 WELL SWING TIES: FROM: COR. "A" COR. "B" TO: S.T. C.O. "X" 19' DBL. C.O. "C" 34' TR. C.O. "D" 39.5' TR. M.T. "E" 43.5' TR. M.T. "F" 71.5' TR. C.O. "G" 74.5' II II II II II II II INV. 93.8' I I jltf ajy: I I [ii[�i?j[ji I I ii!i's':i I I 'iaiE%:i: I I iiEi;i i'i;f I I iiiiiiY[iii II II BOT. I� BOTTOM T.H. #1 ELEV. 80.45' / M.T. DRY 11004 53' 60.5' 56.5' 69' 105.5' 108.5' TRENCH ELEV. WELL (IN PIT) LOT 4, BLOCK 3 SUMMIT ESTATES 55 L.F. SOIL ABS. TRENCH w. 7.1' EFFECTIVE GRAVEL --;,G;, :F PAGE 2OF2 X" EXISTING CONCRETE CONC SEPTIC TANK .C.--- `: T.H. —/ I L #1 PLAN VIEW SCALE: 1" = 30' PROFILE VIEW NOT TO SCALE WELL GROUND ��e �� ' , ` ELEV.972' j GZ�� * 49,3m ... /......................... TNEODORE F. MOORE I_ CE - 3589 'I W • MUNICIPALI7YOFANCHORAGE /0"L Development Services Department Onsite Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Oct 19, 2004 Expiration Date: Oct 19, 2005 Permit Number: SW040440 Parcel ID: 015-071-28 Legal Description: SUMMIT ESTATES BLK 3 LT 4 Design Engineer: 0019 Flattop Technical Services Site Address: 005620 98TH AVE E Owner Name: KEVIN & CONNIE MCFARLANE Lot Size: 16193 SO. FT. Owner Address: 5620 E 98th AVENUE. Total Bedrooms: 3 Permit Bedrooms: 3 ANCHROAGE , AK 99507 - This permit is for the construction of: Disposal Field E Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: /G /'Z 2 /o y Issuedyi Itt-' ` Date: r oy Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. _ 615-&ZI-,9k Permit Number SW e• e eu' r i est Property owner(s) kewe) f Cone ee rrc Farle, �r Day phone Mailing address (1) 5'6 Zc> E 96 �' 4 -venue Mailing address (2)_ Ay7c4cr PUS A --k- Zip Code 99507 Legal description (Lot, Block & Sub'd.) f `; 23/6c 4c 3 Legal description (Section, Township & Range) Lot Size- 16- ti Jqo Acre ZSq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 91 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: _ �l 60 Waiver Fees: Date of Payment: _f o / 1 Y/ oy Date of Payment: Receipt Number: �G%%J� Receipt Number: (Rev. 12/00) FLATTOP TECHNIGA_ L SER- CIVM & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE. P.E. Pit: (907) 345.1355 October 14, 2004 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 4, Block 3, Summit Estates, located at 5620 East 98'" Avenue. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed absorption trench will be constructed in the vicinity of test hole # 1. As can be seen from the soil log, the native material below 4.5 feet is predominantly a gravelly silt with a measured perc rate of 29 minutes per inch. There are, however, significant lenses of clean, coarse sand at variable depths which will result in an enhanced absorption capability. Using the soil application rate of 0.6 specified in the wastewater ordinance for soils with this perc rate, this 3 -bedroom residence requires a total absorption area of (3 x 150)/0.6 = 750 square feet. The proposed 63 -foot long trench design with an effective gravel depth of 6.5 feet has a total absorption area of 845 square feet. Due to the proximity of several private wells on the nearby small lots of this subdivision, the area available for the upgrade is extremely limited. For this reason we have endeavored to maximize the . size of the upgrade trench, and have included a diverter valve to allow subsequent reconnection to the original trench, as desired to promote its longevity. The existing concrete septic tank was installed in 1965 at a distance of approximately 80 feet from the well, which was legal at the time of installation. The tank construction is poorly documented; however if an inspection at the time of construction reveals that it is still in sound condition, and has a functional outlet baffle, we plan to retain it in service. The topography of the lot in the area of proposed construction is generally level, with a slight downwards trend towards the west. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. I , , , , , LOT 14, BLOCK ------- LOT 15, BLOCK .SUMMIT ESTATES - , , I , I I I . TRENCH' `-6: LOT 16, BLOCK 2 , EAST 98th AVENUE ` SEPTIC TANK "BULL R.VN" �7 V LVE_ a-- , WELL I i I ,*010/11////IIIIII I%��IIIII IIIIIIII/III�III%I I/II//III.IIIII /I, . III,I,II,NIIIIIII� LO 3. LOCK3 I SU MITESTATES -'SEPTIC l AREA TH----------------------- -----------j ---------- - ------------- - - -- - -- ----------- ": SEPTIC -m® o o AREA SEPTIC AREA SEPTIC , nREA ; , , I ` HOUSE HOUSE �.; OUSE �, , ' WELL ELL WELL , I , LOT5, RAMPART #1 I -Of 4, RAMPART #1 %I LOT 3, RAMPART #1 ♦ *'49m *1 ........................ / :: Y. ........ .. / --- THEODORE F. MOORE i ; r "low ••..f..• �� 1kruNfe sato 1:0, LOT 4, BLOCK 3, SUMMIT ESTATES SEPTIC SYSTEM UPGRADE SITE PLAN FLATTOP TECHNICAL SERVICETlIFNCVH = 50 FEET 14530 ECHO STREET NBYTFM ANC* IORAGE. ALASKA 99516 .OBER, 2004 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIN 4" DIA. F-810 PERF. PIPE 10.5 7 16.5 EXISTING SEPTIC TANK (V VERIFY SIZE, INTEGRITY, & OUTLET BAFFLE INSTALL DBL. C.O. INSTALL "BULL RUN" DIVERTER VALVE _ TO EXISTING TRENCH ..A.. 63 M.T. fix, Lo- PLAN VIEW SCALE: 1" = 10' MONITOR TUBE MOUND BACKFILL 6" ORIGINAL GROUND FILTER FABRIC 4" DIA. F-810 PERF. PIPE 1/2"- 212" SEWER GRAVEL BOTTOM OF EXCAVATION CROSS-SECTION "A - All SCALE: 1" = 5' CONSTRUCT 63 -FOOT LONG SOIL ABSORPTION TRENCH w. 6.5' EFFECTIVE GRAVEL BETWEEN 4.0'& 10.5'B.G.L r•c,�:.•d•rsG4 OF 5,r f , `� . - .x...........0........6, . THEODORE F. MOORE'• 1 R' CE -3589 �` e LOT 4, BLOCK 3, SUMMIT ESTATES SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES SCALE: AS SI TOWN 14530 ECHO STREET DRAWN BY: TFM ANCIIORAGE•AK.99516 OCTOBER•2004 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION:—Lot 4. Block 3. Summit Estates DATE PERFORMED: _October 6..2004 PERFORMED FOR:—Kevin and Connie MCFarlaR._ (feet) 1- 2- 3- 4- 5- 6- 7- 8- 9- 10' 11- 12 - sm 14 15 Pt and loam GP Somewhat silty sandy gravel Many cobbles and boulders ML/GM Gray gravelly silt Sidewalls do not smear SP Clean, coarse sand 0% TH " '. THEODORE F. AIOORE ; CE -3539 ", �4 a hR SITE PLAN T.H. #1 —1 Date Reading Clock Net Time Pter Net Drop Reading Time (minutes) Reading_ (inches) I 10/6 _ 12"Presoak � 27 3/4 _ _J Start _ 134 I _ 231/2 1/8__. - _#1 rt -2:04 --.-30.- 1 22 3/8 _1 -1/8 --.- Add water 2:04:10 __231/2 Add #2 2:34:105 30__ 227/16 '1_7/16_ Add water #3 2:36:30-231/2 3:06:30 3023/8_ -1_i/8. EXISTING SOIL ABS. 8 TRENCH T.H. #1 —1 Date Reading Clock Net Time Pter Net Drop Reading Time (minutes) Reading_ (inches) I 10/6 _ 12"Presoak � 27 3/4 _ _J Start _ 134 I _ 231/2 1/8__. - _#1 rt -2:04 --.-30.- 1 22 3/8 _1 -1/8 --.- Add water 2:04:10 __231/2 Add #2 2:34:105 30__ 227/16 '1_7/16_ Add water #3 2:36:30-231/2 3:06:30 3023/8_ -1_i/8. PERCOLATION RATE -29_ (minutesfinch) PERC HOLE DIAMETER fi_ TEST RUN BETWEEN_5.5_ FT AND 6.0_ FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I�tt�" "�-�C� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: to tFlattop 7echnica[Semkes 14530 Echo Street, Anchorage, Ax 99516 Thou (907) 345-1355 Lot 4, Block 3, Summit Estates 5620 East 98th Avenue Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of verification of the integrity of an existing concrete septic tank and construction of a new 63 -foot long soil absorption trench with a total of 7.0 feet of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 Unless agreed otherwise, the homeowner shall arrange for any necessary major tree clearing prior to the start of excavation. 1.5 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees. 1.6 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank may be retained in service, only if it's structural integrity has been verified by the inspecting engineer, and if it has functional cleanout pipes with airtight caps, allowing pumping access to each compartment. The contractor shall verify the presence of, or install, a functional outlet baffle on the septic tank. 2.2 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A double cleanout shall be installed within 5 feet downstream of the septic tank, followed by a "Bull Run' diverter valve allowing effluent to be switched back to the original trench as desired after it has had a chance to dry out and partially rejuvenate itself. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating a 63 -foot long trench to a depth of 10.5 feet below ground level in the vicinity of the test hole. The long axis of the excavation shall roughly parallel the south property line, however the alignment shall be adjusted to minimize impact on nearby trees while remaining outside the utility easement and the 100 -foot radii of all private wells. 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 7.0 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 6.5 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A total of 4 engineering inspections will be required during the course of the project: (I) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it has been exposed to allow determination of its size, integrity and presence of an outlet baffle. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION S t S'SIb ENVIRONMENTAL ENGINEERING DIVISION 264-4720 825 L Street - Anchorage, Alaska 99501 Telephone ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑ NEW 541dRADE CCS MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS Well Absorption area Dwelling - PERMIT NO. ' O 'X DISTANCE TO: - :� 0, ,r� 7CJ P Z Manufacturer Material No. of compartments w Fkm,C N Liq. capaci�y(gns ((�✓ IF HO EMADE: Inside length Width Liquid depth 6D TO: Well welling Dwelling PERMIT NO. Jt2Z = z FManufacturer Material Liquid capacity in gallons w= DISTANCE TO: Well f Foundatio 7 Nearest lo" t "np S PERMIT N0. 0 u Z No. of lines J Lengthhjof each n� Totalleepgth of est Trench wi th Distance be ee lines inches FTop finish Material beneath rile Total effective adsorption ar of tile to grade r r/ a D inches (j' y'. Length Width Depth PERMIT NO. W Qa F Type of crib Crib diameter Crib depth Total effective absorp�tq yeaO� A4 W „p cYC** oo°om "f w ul Well Building foundation Nearest lot line V 4,Va °° ' o DISTANCE TO: o� � Class Depth Driller Distance to lot Iley�S MIT e J Building foundation Sewer line Septic tank A rpt'�ar DISTANCE TO: ®�Qii1j %. Ti - o _ OTHER183qt. °0 PIPE MATERIALS a� PR FES lo% t�G>x vc ,• _ SOILTEST RATIN S - INSTALLER /✓Lf R E M A PekS s ;9 5 a 3' • 3U � MUNICIPALI OF NC FA O 0 TAL RO ECTI N ENVIRONM: APPROVED DATE PEGA 72-013 (Rev. 3/78) K [ `+ L j ° o R-1 @_l P -A I Y_:: S F—' Y-9 H --_. I -T °-o& Y =Y F= FA VA CD VA Y3 FT FA Ca E_ DEPARTMENT" HEALTH AND ENVIRONMENTALOTECTIONd 25 `V 'S 'i BEET: ANCHORAGE, AK. 95,51 64-4720 T -T E: SF �F 14 & FR_ F' E- Y'^=_ rl T -T' PERMIT NO. C 830870 APPLICANT PYRAMID EiC: 1048 W. INIT AIRPORT RD 561-2484 LOCATIONd LEGAL LOT 4 BLK - SUMMIT EST. LOTSIZE999999SQUARE FEET TYPE OF SOIL. ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER: O •BEDROOMS. —3 _,OIL RATING <SO FT/BR:)= 100 THE REQUIRED -IEE OF THE _OIL• ABSORPTION SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH (INd FEET) OF THE TRENCH OR DR:AINdFIELD. THE DEPTH OF H TRENCH OR: PIT IS THE DISTANdCE BETWEEN) THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (INd FEET). THERE I:5 NO SET WIDTH FOR TRENCHES. THE GRAVEL. DEPTH I_ THE: MINIMUM DEPTH OF GRA'•,'F_L BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE E<CAVATIONd (INd FEET). E Y_ U I F: E E-° . � E �" � l s=- T N ! � a fi =__ :S g � = I- C3 Y -=-Y CA C3 F 9 L 6_ CD fi -d S. PERMIT APPLICANT HAS THE R:ESPON=IBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPEC.TIONSS OF ANY WELLS ADJAC=ENT TO THIS PROPERTY AND THE NUMBER: OF RE'SIDEI'dCES THAT THE WELL WILL SERVE. —F L.j Y_u I, - - JE �" _ , 6=" E. Y -T—I Y_Y �'-��9 i FA Fm a ®�� �,�: E ° -------- BACKFII_LIN•dG OF ANY SYSTEM WITHOUT FINAL INdSPEC:TIONd AND APPROVAL BY THI_ DEPARTMENT WILL BE SUBJECT TO PROSECUTIONd. MININ'UM DISTANCE BETWEEN A WELL AND ANY ON—_,ITE SEWAGE DISPOSAL SYSTEM I • 100 FEET FOR: H PRIVATE: WELL OR: 150 TO 200 FEET FROM A PUBLIC WELL. DEPENdDINdG UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE _,EWER LINE IS• 25 FEET AND f TO A COMMUNdITY SEWER: LINE IS 75 FEET. OTHER: REQUIR:EMENdT'S MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS APE AVAILABLE TO INSURE PROPER IN+ISTALLATIONd. E_° E= C : E= Pl E_ E= FR -_ nL _ IL 00 03 I CERTIFY THAT is I AM FAMILIAR WITH THE REQUIR:EMENdT_, FOR: ON—SITE SEWERS AND WELLS AS SET FORTH BY THE N`IUNIC:IPALITY, OF ANCHORAGE. I WILL INSTALL. THE SYSTEM INd ACCORDANCE WITH THE CODE'S. —: I UNDERSTAND THAT THE ON—SITE SEWER: SYSTEM MAY REQUIRE ENLARGEMENT iF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN _ BEDROOMS. S I G NdED :"—�-------- — APPLICANTHl PYRWlID ISSUED BY._ ._.____ __ . _.__ �i — -----DATE-- �� '-- '4. E_i S & S E INEERS, INC SOILS LOG 7125 Old Seward Hwy. Anchorage, Alaska 99502 PERCOLATION 349-6561 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: N1 (`f -k Q p E—\� CA`J !-��� /O r -1r _ DATE PERFORMED: � S_ LEGAL DESCRIPTION: �� 4 DL sUF Y -"+`--III 5T%7C;t SLOPE SITE PLAN NMI! 1Ma3 c, 6 GM _woq &X"6- WIM some S)t✓T 2 Q/ / 13AWN, AA07P TU /•n0lSf,7na)V14 DL-%�SC 3 lllv///6CAT 67). 61n411,Q0U1)6eU ^� 4 5 /U O% p 7 =n 9 O to 1i 12 C 13u` .2 7D 74 13.0 15 16 I 17 8, 18- 19 20 COMMENTS 6.5--130 GWI_ML 6RA,JFG/-4 61�r wlrrl SOME sA p Liw? -6pay ✓notsf/ snrr a ca ;Es,�E SiWOtGIP- NFn,� 6' AF-Wmes MLLE L;7y WIrH OePV°f, ap a JOHN E. SWANSONo w 1834-E q WAS GROUND WATER �� ENCOUNTERED? IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop _moi«' - Z' —d--- Z 9/i 4 ' Z 1iOI --��_. ? 0 K 3 __----- . k 1Lo PERCOLATION RATE �� C,` (minvtes/inch) /J TEST RUN BETWEEN / 5 FT AND .0 FT PERFORMED BY: CERTIFIED BY: DAT t' I Ez P/1U/,vA,Is MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-071-28 1. GENERAL INFORMATION Expiration Date: 1 �a �Z� Complete legal description Summit Estates B3 L4 Location (site address) 5620 E 98th Ave Anchorage, AK 99516 Current property owner(s) Mailing address Real estate agent Kevin & Constance McFarlane Same 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 153-6 Date of Payment g l l q l i 9 Receipt Number /�, ga�76 COSA # dci CA ICILI/ Date: Waiver Fee $ _ Date of Payment Receipt Number, 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. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for -3 bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 745-8200 Date G g© ql ��a'�\ OF a�g11� Steven .k. f'annome CE 8149dW \4 Conditional approval for bedrooms, with the following stipulations: 12 Original Certificate Date: l r 3 1 _./� 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 engineers work. 7. ATTACHMENTS: COSA Checklist , X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet �������� Checklist � ����^��� ��ox����xxxU��� Legal Description: Summit Estates B3L4 parco||D: 015-071'28 |fmore than 1septic system on/nt: COGACUeoNist# 1 of 1 Structure served bythis system 1 A. WELL DATA C. LIFT STATION [] Well log isfiled with Onsite (or attached) Well production aLtime oftest 3.5 ~pm 1O85 _Dat�onxeo__ Water stonage-tank xo|ume/vP_ -_�Ba||ono----------------- Total depth 63 ft Well disinfected for coliform test? FlYon No Cased to 03 ft XColiform bacteria ioNegative - -- --------W-Sanitary seal infunctioning- correctly Nitnate-5.35mg/L--[l Nitrate less &1R[(NO)-------- ��Wires are properly protected Araeniuug/L M-1 Arsenic less than MRL (ND) Casing height (aboveground) ° in. Collected by Pannone Engineering Services Date offlow test for COGA 9/27/17 Date ofSample »m««y Static water level atbeginning oftest _ ft. Fluid depth prior hotest 22 in Comments * well located in concrete pit with daylight drain Water 450 gal B. TANK DATA C. LIFT STATION Age nftank(s) 54 years []Required maintenance completed Tanktype/mateho| ^~°=~~ Age oflift station yoam Measured operating fluid level inseptic tank Lift station material WStandpipes/foundation cleanout per record drawing Comments: Date ofpumping /043 1 25 D. ABSORPTION FIELD DATA Deep Trench ----Which system rtested (date ineta||ed)'18G5----- - Adequacy test date 9127/17 - - ---- �ALL standpipes present per record drawing Results F/_1Pass For bedrooms Total measured depth from grade 12 *(max) Fluid depth prior hotest 22 in Measured depth topipe invert from grade 5 ft ----- Water 450 gal ElN/A -pmaourizadfield ---- 24 New depth in | ���Nonitortubes gotobo#omofeffecd� effective. If not, state ----- ' 120 depth into effective Elapsed time min ---- Code-required soil cover over field Final fluid depth 22° in System presoaked Absorption t �450 d oqp onrao gp (Required ifvacant for greater than 3Odays prior to Any rejuvenation treatment (past 12months) ~~~°~^ date of test) ---- Ga||onnintmduood _____ a|kznn |fyes, enter date ____ COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Yes Septic Tank/Lift Station on Lot > 100' 80 Surface Water > 100' Community Sewer Manhole/Cleanout > 100' Property Line > 5' ❑ Yes if No ft M Yes if No ft .Neighboring Tank > 100' F/ Yes if No ft Private Sewer/Septic Line > 25' E✓ Yes if No ft Absorption Field on Lot > 100' 0✓ Yes if No ft Holding Tank > 100' Yes if No ft - Neighboring -Absorption -Fields-> 100' --- Water Service Line > 10' -Animal-Eontainment-> 50` - ❑✓ Yes—if No- - —ft -- P/1 Yes if No ft if less than required) Building Foundation > 10' Yes Manure/Animal Excreta Storage > 100' ft If absorption field is under driveway comment below Community Sewer Main > 75' E✓ Yes if No ft 2✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Yes if No ft Surface Water > 100' ❑✓ Yes if No ft Property Line > 5' 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' 0✓ 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' Q✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓0 Yes if No ft Private Wells > 100' Q✓ Yes if No ft Water -Service -Line ->-10— 47 Yes--if-No ft— Community Wells ->-200—❑✓ Yes --if No_____ft Surface Water > 100'✓❑ Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that t 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. ( ?& Q% 2 COSA Checklist yellow sheet 1Y1u11at;1Pd11LY ull 1A11t; 1V1id!JU On -Site Water and Wastewater Program P.O. Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http:/I%vww.muni.org/onsite Review Comments Engineer: PANNONE ENGINEERING SERVICES Legal Description: EPLANS SUMMIT ESTATES BLK 3 LT 4 Permit: OSC191441 WellSeptic Report Tvpe: COSA Completed �, �r�< 1 epartnient The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: After consulting with staff and supervisor you need; 9/23/2019 1st to have an electrician make all the wiring in the pit code compliant, you are required to pull an electrical permit 2nd verify the drain daylights and works. 3rd Address the high moisture issues in the pit N ti C ®'Zt� l '5� 19D --TZ> P_� 7i) fV, e c S --k� LV M z S C`e ac .Ac o N moi✓ < <g ® Le'/v PC_ Ab t>eo X1-0— A , o djz'iJ`r-,o a& M cP16, -z-'.X2 t.3 .Ecklund t ��IIIVVHIJI' M2011" DEVELOPMENT SERVICES DEPARTMENT On -Site water and wastewater section www.muni.org/onsite Titrate Ad visor" y Certificate of On -Site Systems Approval # OSC191441 Subdivision: Summit Estates, Block: 3, Lot: 4 pay ..iI a .. A water sample revealed a nitrate concentration of 5.35 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. C s # w . �11U�lin��t�resso (1,96 "Mi 665t�tyv#iw�nE o�g ..,,_,$^- aW.:,...�.i;..,.x' w ".0=>. .i?.�,.. eM�5..; i.;�;:��.'':?r,'",`:',&3;�,`:T=ter`._ >*': ,.3,,`'aa,a�us";...a...�i�ro:a s�Y �,�5;-"�"=xa;'xe.,u�*- >.. W> 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 fertilize r.and, wastewater. _Often _the nitrate is -in theformof --- --- 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. c��a",'?rc�^'�,xt.£-.."','```"`'.r`"S>1'K„'a^-.�yc,%..'-x'"`„"ua,q,'3'.�,�`ys*ru �,-;;xkeh - Nta�hng Addr.sBox96a0 * Anccirage, AlaskaJ95J 6fi�0 wtitnr court er&7,Y� s� �:kha-� 5.0'x21.3' �P CONCRETE PORCH N 89'59'00"E 120.00 P,=100' (—WELL 1 ..._„11vt KADIUS 57.5' RETAINING HALL , I i Z o CONCREI O x \ w I PATIO Lot 5 2! 4.0 x6.1 \ xSTORAGE I A u+ 12.0'x16.1'_J Lof �S (GREENHOUSE 16,193 s.f. r, GRAVEL` U -C n': < O cn O 0 o /19.0' O 2 STORY LOG RESIDENCE ._?' o x41 Lot 3 as c' 5.3' / IX CHAIN–LINK FENCE–/ SEPTIC PIPES / 1Cil X \ i CHAIN–LINK FENCE 10' UTILITY �- EASEMENT I 1 S 89'57'30"W 120.00'— I !! I CHAIN—LINK FENCE I I Lot 5 I Lof 4 I Lot 3 I � I I PLOT PLAN AS BUILT _X SCALE 1" = 30' GRID SW 2437 Project No 17-412/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang t A S S o C l a f e S y inc. (907) 522-6476 Phone doOp (907) 522-4625 Fax Professional Land S u ry eyo rS ken0longsurvey.com a OF q jonathon®longs urvey.com7S1Q4 I hereby certify that I have surveyed the following described property: LOT 4, BLOCK 3, SUMMIT ESTATES PLAT P-628 ? ' 49TH , ,} .7. QQ Anchorage Recording District, Alaska, and that the Improvements situated thereon are �" """""';i"';"""""t%j within the property lines and do not encroach onto the property adjacent thereto, that ri,-' ( 'Al ' � no improvements on the property lying adjacent thereto encroach on the surveyed j�•`'✓`•t•.-t'...`^•....� KENN H G. LANG - easements premises and that there are no roadways, transmission lines or other visible c^� t - o Q easements on said property except as indicated hereon. -, ; .. U40��'FaAR.LS-5202.•-' Dated this the Day of at Anchorage, Alaska N, do�SSIONA�- It is the responsibility of the owner to determine the existence of any easements, 04pQppc� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 — j — W 0 0 5.0'x21.3' �P CONCRETE PORCH N 89'59'00"E 120.00 P,=100' (—WELL 1 ..._„11vt KADIUS 57.5' RETAINING HALL , I i Z o CONCREI O x \ w I PATIO Lot 5 2! 4.0 x6.1 \ xSTORAGE I A u+ 12.0'x16.1'_J Lof �S (GREENHOUSE 16,193 s.f. r, GRAVEL` U -C n': < O cn O 0 o /19.0' O 2 STORY LOG RESIDENCE ._?' o x41 Lot 3 as c' 5.3' / IX CHAIN–LINK FENCE–/ SEPTIC PIPES / 1Cil X \ i CHAIN–LINK FENCE 10' UTILITY �- EASEMENT I 1 S 89'57'30"W 120.00'— I !! I CHAIN—LINK FENCE I I Lot 5 I Lof 4 I Lot 3 I � I I PLOT PLAN AS BUILT _X SCALE 1" = 30' GRID SW 2437 Project No 17-412/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang t A S S o C l a f e S y inc. (907) 522-6476 Phone doOp (907) 522-4625 Fax Professional Land S u ry eyo rS ken0longsurvey.com a OF q jonathon®longs urvey.com7S1Q4 I hereby certify that I have surveyed the following described property: LOT 4, BLOCK 3, SUMMIT ESTATES PLAT P-628 ? ' 49TH , ,} .7. QQ Anchorage Recording District, Alaska, and that the Improvements situated thereon are �" """""';i"';"""""t%j within the property lines and do not encroach onto the property adjacent thereto, that ri,-' ( 'Al ' � no improvements on the property lying adjacent thereto encroach on the surveyed j�•`'✓`•t•.-t'...`^•....� KENN H G. LANG - easements premises and that there are no roadways, transmission lines or other visible c^� t - o Q easements on said property except as indicated hereon. -, ; .. U40��'FaAR.LS-5202.•-' Dated this the Day of at Anchorage, Alaska N, do�SSIONA�- It is the responsibility of the owner to determine the existence of any easements, 04pQppc� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental ServicesAMENTAL IPALIIV OF AIvC.HVlovi;t On -Site Services Section SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 ; :" 0 1 1996 CERTIFICATE OF HEALTH AUTHORITY RECEIVED c APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # U S - 6 V — K HAA # 1. GENERAL INFORMATION Complete legal description Lot 4; Koch 3; Summit E3tatez Location (site address or directions) 5620 E. 98th Sfiiteet Anohanaae.. AK Property owner James and Dana McKenzie. Day phone 346-1031 Mailing address x620 E 98th Stkeet Anchoaage AK 99516-6412 Lending agency Day phone Mailing address Agent Ernie. Sanchez/ Vista Reap Estate Day phone 689-6472 Address 16635 Cenieh ie ed Dx.i.ve Eatite. Riveh AK 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: if community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: if community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72A)25(R9v.1/91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm _ R s ENGINEERING Phone 6 `f cf 7 17034 Eagle RIVer Lo,.r c:,•. On. 204 Address Ufa Rlyerr, Alqska 995pz Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. 0 Disapproved. Conditional approval for Additional Comments Date bedrooms, with the following stipulations: 4L The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 )Rm l/9i) Back MOA M Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: LO T # 13 LK 3 Sur, in lr E sT . Parcel I.D.: 01 � — O 7 / -'A 9 A. WELL DATA Well type /g2'vq i g Log present (YA@ ND I -1t Total depth 6 ) Sanitary seal 6/1) Y 4F S -r- P IGR M ,t7. A Date of test If A, B, or C, attach ADEC letter. ADEC water system number Date completed _Cased to FIDS FROM WELL LOG u/X 19 t; 5- I( Aeou'c. 494res.+. 'M -Y Casing height (above ground) t l dF COIC46r E P' r a / n» r /s✓� Wires properly protected ((3/N) YES l AT INSPECTION a /a;;t%96 V/K UNAAtf- is Rtm,Vf (,/dl•-NzaA SEAL Static water level e re fl A r �••Q Q,, � N44r >'44 If Well production D/K g.p.m. 3 iS g.p.m. RICT-46 dy WATER SAMPLE RESULTS: 4X DRAIN e14ce20 wITA' wgre'P Coliform t3 Nitrate 3. Ila mg IL Other bacteria Date of sample: a / a,0/9 6 Collected by: S & S ENGINEERING jpuM Eagle River Loop Road No. 204 B. SEPTIC OLDING TANK DATA Eagle River, Alaska 99577 Date installed N 6S- Tank size d,EO 0 Number of Compartments I Cleanouts (9/N) y� S elo Foundation cleanout ( C Y/& RAwL- SPAef Depression (Ye iv 0 High water alarm (YA N a Date of Pumping S/ % g l 9 S Pumper R 0 r o R O d r 4/t C. ABSORPTION FIELD DATA pEOk - Date installed `) F3 Soil rating (g.p.d.W or fr/bdrm inti System type 71UIZO I Length 33 Width 3 Gravel thickness below pipe S' Total depth 8 Effective absorption area 3 3 0 Monitoring Tube present(&N)Y.'S Depression over field (Y& n' O Date of adequacy test )• IX a A 6 Results jERsIs Fail) opts For 3 bedrooms Fluid depth in absorption field before test (in.); t/ / Immediately afterH73 gal. water added (in.): S cG Fluid depth '� I a,l (ins.) Minutes later: 1 -70 Absorption rate = b-0 fg.p.d. Peroxide treatment (past 12 months) (YIN) 0 o^"& kNow N If yes, give date -)� A10E4vA7E 910.sd,e/3Y(ov I,,4J Occ',ewc- %64-61- jiIJT. p,PL Is✓ve.r�;-. D. LIFT STATION Date installed Manhole/Access (YIN) High water alarm Size in gallons *Datum at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Se tic holding tank on lot o On adjacent lots i Absorption field on lot I0 o On adjacent lots MUNICIPALI IY OF ANU. ojI Abt "PtaNViWNMktffALtERVICES DIVISION PAR 0 i 1996 RECF1 V ED Public sewer main Al /,f Public server manhole/cleanout NSA Sewer /septic service line Lift station -v14 SEPARATION DISTANCES FROM&r M?HOLDING TANK ON LOT TO: Building foundation / u -f-- Property line D S._ h Absorption field u Water main/service line R d-- Surface water/drainage /Dot Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation a D t Water main/service line 30 r Surface water { Oki f Driveway, parking/vehicle storage arca Curtain drain Wells on adjacent lots / 00 t Property lint / o F. ENGINEER'S CERTIFICATION 1 certify [lint I have determined thru field inspections and review oflvIunicipa{ records that tbeaH�� r. n con/ornrancewit{ 10 TIiLI guid fines in effect on this date. y�-L-. 0 F Signature n� Pti^•: dpi E,2 T Engineer's Name � �awA�✓ DateRO6ERT C, CO'NAN ------------- ---------------- -------------------------- J)4 -:i. --------- HAA Fee $ —V/— Waiver Fee $ _ '� .��y Date of Paymeu[ t / Date of Payment Receipt Number Receipt Number Rev, 8/95 OSS: Iraa.wk.doe ore 03/01/1996 10:36 9076941211 S AND S ENGINEERING 02/29/96 11:35 [ I&h Cbl � - xllo�.au+ mr; Aef.N Client Sample ID Matrix PWS1D 0 stripe maz s: C7&E gnvlrod. LebcrittOry Division Inc. l*b-d- 6 bry Analysis Report 960593.3331 Collected Date 07/20/96 L4 B3 SUMMIT so 41 W7$3 r11 DA*W9 Plater Technical Direowr PAGE 05 Aeleated BYE"—.�+-.++....++--• /~`y _ s Allowable ?POP Mlllriis aarameeer _ RMLLt* PCL units Rethal Limtte Dere Date mit eitrete•M 3.�Y •5 NR EPA 353.2 u02/R Oi/26/90 02/26/46 aKu n m a caw.A6n6 _.. TN. 14n71 FR2.23C3 Tex, 19071661-5301 N10, WEFT viRGINIA ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, PLbAJOA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, p ... .. .aria;. Manch 6, 1996 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 HEALTHAUTHORITY RECEIVED APPROVALS MUNICIPALITY OF ANCHORAGE Vepartment ab Health and Human Services MAR 7 1996 Attn: Jim Cross P.O. Box 196650 DeptMunicipality of Anchorage SEWER&WATEfl Anchurag e, AK 99519 Health &Human Services MAIN EXTENSIONS REFERENCE: Lot 4; Btock 3; Summit Estates SEWER&WATEfl Dean Mr. Cn064 INSPECTION This letter .is .in reponse to your on-site zerv.tees tran6m-ittal sheet dated Manch 5, 1996 signed by James P. Williams. ENGINEERINGSTUDIES 1. The space bon the adequacy test re6utts has been eompteted. ANDREPORTS 2. I don't understand what point Mr. OIiU iamb is attempting to raise with his comment that "the liquid level exceeded the ebbeetive depth during adequacy test pen H.A.A. check sheet". The ebbeetive WELLINSPECTION depth ob the trench according to record .is 60". The saturation &FLOWTEST tevet at the beginning ob the te,6t is reported at 492". This is a total 6atuAati.on ob 82.5%. The saturation level abte✓c water. was added to the system was 66". This means all the water was still within the gravel layer ab the trench .i.e. 60"to the bottom ob SITE PLANS the pipe, 4" within the pipe, and 2" oveA the pipe. The saturation tevet at the end ob the test wa6 482". This .is evidence to this Engineer that the system .is bunetioning adequately at the present time and doe% not vary eon6iderably Brom ROADDESIGN the re6u2t6 submitted by Ted Moore 2n July ab 1993. 3. The .inbarmation contained on the check sheet should be adequate bait youA review. It is not the poZiey ob this organization to SOILTEST provide 4.ie2d nates Brom adequacy tests, therebare your request bor adequacy test data has been zati�sb.ied with the .inbarmatian contained on the check sheet. PERCOLATION I understand that new emptoyee,6 require a period ob time bor training TEST and there ane sometimes di66.ieuttie6 with an emptoyee that .is tkansitioning Brom the p)Livate sector to a goveAnmental organization. It is not uncommon bar an emptoyee .in these situations to become aver zeatou,s with the bureaucratic process. However, it iz my opinion that STRUCTURAL& the dela .in .issuein the H.A.A. on this ra ert based upon our MECHANICAL y 9 p p y p y INSPECTIONS transmittat sheet (pink sheet) was not 1usti4.ted. ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 4; Bloch 3; Summit Ebtatez Manch 6, 1996 14 you neku,ixe addi ionak .in4onmation pteaae contact uh. S.ince+cety, t"!A. Sha4eA, P.E. R /gk • MUNICIPALITY OF ANCHORAGE � A SERVICES DEPARTMENT OF HEALTH & HUMAN S Division of Environmental Services�`� On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 011h _ 0`1 � ,X� 1. GENERAL INFORMATION HAA # "Q6 oD () 2)'I Complete legal description Lor 4 5Lk 3 SUMMIT Es-rATES Location (site address or directions) 5(020 E. 98 To AvE ANCHoRA6E AK 99si6 Property owner .)Ames + DANA Mc KENZIE Day phone 3116- 1031 Mailing address 5Ame Lending agency SE A77 LE M o Rt -r 6A G E(gtA &moi Day phone �6Z —562C Mailing address sG0 E 3 y to IfiG� fl__ �+� e +k 996-0-3 Agent N. a CJze�1^clnc a� Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well ✓ Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm FLATTOP TECH SVCS Phone 3zFS- 13 SS Address 14S3o ECHO ST ANON AK 99sr(o Engineer's signature � � O Date Tu fy /7, 19'23 49T -H 'HEODORE E. MOORE; CE -3589 6. D S SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments ,A. 1k 9 bedrooms, with the following stipulations: By. Q21"11� Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev.1/91) Back MOAR21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: DoT 4,Ste, SUMM IT ESTRTEs Parcel I.D. OCE- 0-11-,)-r A. Well Data Well type PR 1 VATE If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) N Date completed 1965 Driller UN k r r „ Total depth 63 Cased to 63 Casing height 124 INSrDE CONCRCTE \ .. v (P 17 W. DAYUGNt DRAIN Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump levell SEPARATION DISTANCES FROM WELL TO: Wires properly protected (Y/N) AT INSPECTION MUNIGIPAUTY OF ANCHOkAGE -7/1/93 ENVIRONMENTAL SERVICES DIVISION cou)d Aof mt�rure - p'U,• 3 All) J;n 5e«1 .p.m. S.,!;- R 4 C I V G D "n k Septic/holding tank on lot SOS To C.D . On adjacent lots Absorption field on lot 10 S To C-0 , ; On adjacent lots _ Public sewer main N A - Public sewer manhole/cleanout n'ri Sewer service line > 25' Petroleum tank NONE O B SE R VE D WATER SAMPLE RESULTS: Coliform O co/ /rov "t Nitrate 3.17 mg /-(- Other bacteria Aome re.pov l- r Date of sample: 7/1/93 Collected by: FLATTOP TECH 51105 . B. SEPTIC/HOLDING TANK DATA Date installed ^ 1965 Tank size 2000 Compartments I Cleanouts (Y/N) Y Foundation cleanout (Y/N) N Depression (Y/N) High water alarm (Y/N) K, A, tested (Y/N) N Date of pumping 5 /2o /93 Pumper R OTo- ROOTER SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: r � Well(s) on lot 8o On adjacent lots > too Foundation 18 To property line 30" Absorption field 30 Water main/service line > 2 S Surface water/drainage > CONTINUED ON BACK PAGE 72-026 (3/93)' Front C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off" Level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Surface water loo WARDRM Date installed 9/83 Soil rating (GPD/Ft2) 1.5 GPD/Ff System type TREAICN Length 33' Width 3' Gravel thickness 5 Total depth 9 Total absorption area 330 FJ Cleanout present (Y/N) Y Depression over field (Y/N) N Date of adequacy test 7/163 Results (pass/fail) Pasr for 3 Bedrooms Water level in absorption field before test 36 1, After test 6'3 " Peroxide treatment (past 12 months) (Y/N) NonIE I<NB wN If yes, give date N, A, SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 10 5' On adjacent lots 10 To building foundation So To existing or abandoned system on lot On adjacent lots > 3o Cutbank N, fl. Water main/service line Surface water > too ' Driveway, parking/vehicle storage area > .SO Curtain drain NONE ORSERVE1) E. ENGINEER'S CERTIFICATION >25' I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines ine.the date of this inspection 14 Signature -�c� f //K/• t 1Ne�e��ee. •.�.. a.�a�...1. j.ta' Engineer's Name %�)taeGKi r. &tc cry ...... •...'. ..., . THEODORE E. MOOREr• Date 7. 1!/ 12 /993OL �r �', �°.,•.CE-35£39 ,• '& HAA Fee $ l76 Waiver Fee $ Date of Payment — / 3 - �)3 Receipt Number 72-026 (3/93)' Back Date of Payment Receipt Number. COMMERCIAL TESTING & ENGINEERING CO:' ENVIRONMENTAL LABORATORY SERVICES - oa REPORT of ANALYSIS 5633 B STREET Client lab Ref . # :93 e 315'1-1 ANCHORAGE, AK 99518 Client Sample ID :L3 B4 SUMMIT ESTATES SOUTH HOSE BIB TEL: (907) 562-2343 Matrix :WATER FAX: (907) 561-e301 Client. Name :FLATTOP TECHNICAL SRV WORK Order :67798 Ordered By Report Completed :07/07/93 Project Name Collected :07/01/93 @ 09:45 hrs. Projectile Received :07/01/93 @ 13:45 hrs. PWSID :UA Technical Director:S'l P N r EDE A Released By C �N.---.- �' mpla Remarks: ROUTINE SAMPLE COLLECTED BY: CHRIS. I I QC Allowable Ext. Anal. Parameter Results Qual.[inits Method Limits Date Dates Init - - --- -- --- _ -=--- _---------- - ----- ------------ ----- - ----Nitrate-.N 3.17 ma/L EPA 353.2/300.0 10 07/017 LLH V*J See Special InstructionsAbove-- Y=-= -__ - _ UA =-Unavailable^^--_ ** See Sample Remarks Above NA = Not Analyzed U = Undetected,.Reported value is the practical quanti icati.on limit. C_T = Less Than D = secondary dilution. ��±±GT = Greater Than (UN CuS Member of the SGS Group (Societe Generale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA 1"� MUNICIPALITY OF ANCHORAGE _'• DEPARTMENT OF HEALTH R ENVIRONMENTAL PFOTECTION s t S -. b 1 ENVIRONMENTAL ENGINEERING DIVISION � 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 / I ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAPHONE ANEW I' L�il:.>f_t=o? CE M LINOAO"E �$�F i�[9�X /,lJ , /��--.lir L.c-t-1>.LX_•— -- ' LE UDESC IPTION . • L2L200, �J'S/•��J�.�L_ O� , f 2,z/_ i OGATION: NO. OF 8EDROOMS - 1Wall AMnrrlo^a••a DISTANCE O.�•li^o PERMIT NO. No. of compart. term ;:z d F ManufacturerMaterial --- - V1. I Ljp, IF H .. MADE' Inside 4^nl„ SYdth L.Q.,d depth _ b - OV, Z DISTANCE TO: Wp11 PERMIT NO. I =_4 Msnuiatturer i iAat,al liquid cacsctry in yallfarn F WellFoo^d OEflMI?. O. - ; W,r z W T�ta14p9th otI,ne4 am jm<t r ._.- 1 NQ df lines / Lenq(n�pl ach r1 -nnva tt». tina; I Y "�"� s�.e�'�Jp .nrtvra - � - Hoplof tit@ to finish Wade atA ter,al beneath t•le �f 01➢I e'Ieet1w tips Length: Width pepm PERMIT 41) .. Q- F_- Type of aib Gib diameter G.b ds th Toial effectiw abtorp ' C//�fie -V OF A r " DISTANCE TO: Well 8ui10mg foundation Nearest In Ime—� T-��• ••• Gass'; Depth O•IIIer Ontanoe to lot J ; w .01S7ANCE TO: Building foundation Sev.@r line -_--- Stic tank rp sA . ep q s :1GHN ri i e OTHER '• t WIPE MATERIALS ' OM SMe o� 0 TRA TIN SW 4.(TIEST RA—� - _�- _ _�__ INSTA LER I h , f' I 11// L_4LOsLlGX.f�t[L��T7 •t t fig MAPIk3Iul' _}_ �:ui.�.�..�.�.t— •moa>tii6[�jwl� I _ —�— • � °9 I y -sD •r —�u �� 1+�t wfftiriphit CI1Cf 1 ;; T `!1i ti f.¢JRC1i - Ilj[NJ II MUNICIPALITY OF ANCHORAGE • _ DEPARTMENT OF HEALTH & HUMAN SERVICES} Division of Environmental Services - On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 2L-t�-1 1. GENERAL INFORMATION Complete legal description I of N 6ocic 3 5«r)m Location (site address or directions) S62o E. 4v Property owner 71 "' Mar-izarel /}� t has Day phone '3y6' -364y3 Mailing address 66 20 E `I6+"/ir.e 4n charP� AI- 99S 16' Lending agencyAlor ih fano( f f1or jcrye____ _ Day phone Z 7 - b -)S'0 V Mailing address Unless 260S DCnccll Sutf-e faa ;4A ch Ak 99s733 Agent Da✓r WttncdSor Day phone S6z-�6S3 Address 3000 fi" V -ora ? 14tT 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3, TYPE OF WATER SUPPLY: Individual well Community well Public water 3 NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA 421 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 7,eC1)17,1ca1 Ser"real _phone 3yS- 13S:, _ Address 1YS3o Ec/,a S>`. flncyo�ag2, hh- 99S1df i y Engineer's signature �✓�^ `� r� 9)1� Date *4 3?" ! THEODORE F. MOORE CE 3589 I�fE1p�y'•....••'• Off~ Ar LVA Pre 6. DHHS SIGNATURE Approved for�E bedrooms. M Disapproved. Conditional approval for Additional Comments 11ITIC bedrooms, with the following stipulations: Date L The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7M5 (flee. 1/91) Beck MOA R21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /-elf H fj to c k ,3 Su mm% f Es F, parcel I. D. O/— yV A. WELL DATA Well type P r t ✓c, /e If A, B, or C, attach ADEC letter. ADEC water system number 14-4. Log present (Y/N) N Date completed = t9 6S Driller "n k' Total depth 63'Cased to 63 Casing height 12" (instde concreFe1 Sanitary seal (Y/N) Y Wires properly protected 6)N) c[AY/rq /t i' c(rainJ FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level 3/tz/92 UNICIPAL,ITY OF ANCHORA E Ung 0e cfetwe rumor 1-f s¢ �mnoNit, g.p.m. 3 I +,%RrT 0 1992 an RECEIVED SEPARATION DISTANCES FROM WELL TO: legal of sirnce af) Septic/holding tank on lot 60 r'O• +,Me of t"rf, ; On adjacent lots > /c'0 Absorption field on lot Ids" iv C.0, ; On adjacent lots > /UD Public sewer main Sewer service line WATER SAMPLE RESULTS: Public sewer manhole/cleanout Petroleum tank nlon a Seen Coliform O cot / r°° c++ Q Nitrate 3. 2 ^`? 1'4e Other bacteria O c0///u0.>,.2 Date of sample: 3 It? -19 Z Collected by: /' /a flgP % ecA Svc, B. SEPTIC/HOLDING TANK DATA Date installed 19 6S Tank size 2 000 ja l / 6er Compartments / —�4Mr/r Cleahouts �Y/N) Y Foundation cleanout (Y/N) N Depression (Y/N) Al High water alarm (Y/Nj. Alarm tested (Y/N) N• A. Date of pumping 9 %2519) Pumper Rod Rao ier SEPARATION DISTAKCES FROM SEPTIC/HOLDING TANK TO: Wel l.(s)onIot —Onadjacentlots > /c'O Foundation r8 To property 30, Absorption field 3° Water main/service line >2s' Surface water/drainage 72-026 (Rev. gist) Front CONTINUED ON BACK PAGE C. LIFT STATION (M. A) Date installed Size in gallons Vent(Y/N) High water alarm level _ "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access(Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water _ Date installed 9 /,93 Soil rating too d' dad n System type 7reocA Length 331 Width 3 Gravel thickness 3 Total depth 2 ) Total absorption area 330 0' Depression over field (Y/N) Results (pass/fail) Cleanouts present(Y/N) Date of adequacy test 3/ t'Z/ 9 Z for Peroxide treatment (past 12 months) (Y/N) Nnh e I ,nn wn 9 F If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 10-5-, On adjacent lots 1 oW . _Property line tZ 1 To building foundation 5oTo existing or abandoned system on lot Un k On adjacent lots > 30' Cutbank N•A. Water main/service line >Zs' Surface water > 100' Driveway, parking/vehicle storage area > So' Curtain drain None see E. ENGINEER'S CERTIFICATION bedrooms I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature y�Q* h J . _ �0 Engineer's TAeeWore Mvor2 p.* q.�THC�, 9 r ..I...... ... .. •. .a Date 3/1? /9 2 �. ........`...y...... . THEODORE F. MOORS '3 Cf - 3589 + �ltlr�NfiSSkM1•t*�* O HAA Fee $ 17U Date of Payment -3-20-i � Receipt Number 3�9 72-026 (Rev. 3/91)Back MOA 21 Waiver Fee: $ — Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99516 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS. RESULTS for INVOICE # 51853 Chemlab Ref:.# 92.0953 Sample #. -1 Matrix' WATER Client Sample ID L4 B3 SU1.1MIT ESTATES SOUTH HOSE BIB Client Name :FLATTOP TECHNICAL SRV PCISID UA. - Client Acct :FLATTOT Collected : MAR 12 92 @ 13:15 hrs. BPD# PO# :NONE RECEIVED Received : MAR 12 92 @ 14:30 his. Req# Preserved with AS REQUIRED Ordered By :T.F. 140ORE Analysis Completed MAR 13 92 Send Reports to: Laboratory Supoxyisox STEPHEN C. EDE - 1)FLATTOP TECHNICAL SRV Released By (^�".-- _ . ; ... _ 2) .... , _ _.. ........... ...............:.......... Parameter Results Units Vethod Allowable Limits '---`-------------------------------------- --------- - i NITRATE -N - 3.2 mg/1, EPA 353.2 10- - Sample ROUTINESAMPLECOLLECTED BY: T.F. MOORE. Aerraxks: - - - .._.. „....,..., ........... _........ I.................................. I Tests Performed See Soecial Instructions, Above ND. None Detected See Sample Remarks Above NA- Clot Analyzed LT -Less Than, GT -Greater Than UA -Unavailable Qghs^S Member of the SGS Group (Societe Generale de Surveillance) �C-L-A Vv- L -t '-0- Time APPLI(..NT FILLS OUT UPPER HA:.; ONLY Time t T�imeI -Property Owner Phone Date Date Mailin Address ;'/ Zip Code Inspector Buyer ...%lr i i i` ..i �� i /CL ''✓Gtfi1 c_' j >7// r� <:_.�� Inspector Addressi p _l ! 1 /�;i if * G'F� �, I - /f /r!l" ''(` . Zip Code Lending Institut.=ionr. / i/% Phone Address nTi ,f/,�1`.�, /-7/-.... (f.j Gi "o _/ ,�- T� r{--:.�' - Zip Code Realty Co. & Agent /'7`6 / iJ / 'o7 �' /�- 1, /r� Phone Address `(� /' �� _, /l Z' -A "'1'7• Zip Code DEPT. OF HEA,. ' PROTECTION Legal Description ��// - j /, i - f - - Street Location G rJ_ 1.=. , �6 -fl" C -z.- d'i��'�•%LL.A--; ��_ Type of'Residence r� . Single Family "g Multiple Family No. of Bedrooms ❑ Other (�) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL Water Supply Individual ( ) DISAPPROVED ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community ( ) CONDITIONAL APPROVAL' For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility 1 W Sewer Disposal BY: Individual Year Individual Installed: Soils Rating Public Utility When Connected to Public Utility: Well Log Receivetl ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. �C-L-A Vv- L -t '-0- Time Time Time T�imeI Date Date Date Date Inspector Inspector Inspector Inspector ANCHORAGE 1TY OF Field Notes: DEPT. OF HEA,. ' PROTECTION p U -f -g-� ENVIROVtiENTAL 3 AUG 1"'t r� �CE'V ED (�) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE ,, CODt 1 W BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Receivetl Septic Tank Size Well to Tank 72023 (30) n 1< s� - 'L 5'. /7f August 18, 1983 ,arilyn and Allen Hailey ;tar Rte A 79D Anchorage, `R 99507 Subject: Lot 4, Block: 3, summit Estates Subdivision Approval for the individual sewer and water facilities cannot be granted until the following .items have been completeO ° Expose the well for our inspection to determine ;raper construction, also to insure minimum distance rC'quirC:lilf:nts / 1 are met between the well andsewer system�p•1�lGU�i' Motu, P The septic tank pumped with a receipt submitted t:o this WL department. ° Locate and expose leaching area for minimum distance ,ewer system. the cleanout to our inspection. requireuent's are the seepage pit anti/or This is to insure the met between the well and ° An adequacy test needs to be perkorrmed on tate existing leaching area. _ This test will determine if the system is adecpuato according to wational Standards. ?a listing of private firms performing the test is enclosed. This repoct needs to be submitted to this Office for our review - Please notify this Department for a reinspection when the noted discrepancies have been corrected. if there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt A ssociatcs Environmental Specialist: RP3 AJ/r r Enclosure f ALASKA 6TUIROn STAL COnTROL KkVIICCS, K. engineering & Cnuironmental Studies V lj!""AJOTY OF ANCHORAGE ,EFi, C.' ii�A6TH 8< RitiY Gi; V]'AL PROTECTIOt1 AGUSUT 25 'R�EI_V_EQ STEVIE DELBECQ 207 E NORTHERN LIGHTS ANCHORAGE AK 99503 SELLER — BAILEY BUYER — ANIBAS SUBDIVISION — SUMMIT ESTATES BLOCK — 3 LOT — 4 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A SEEPAGE PIT WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 1 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 10 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 3 BEDROOMS. THE SEPTIC TANK WAS PUMPED ON 8/29/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME IS UNKNOWN. ADDITIONAL COMMENTS : SYSTEM WAS BACKED UP SO WATER REMOVED DOES NOT INDICATE TANK SIZE. SEPTIC TANK SIZE MUST BE DETERMINED DURING SYSTEM UPGRADE. 0`OF Ak m— o C. Reid, Jr. o. 2251-E , 1200 West 33rd Auenue, Suite B 9 Anchorage, Alaska 99503 • (907) 276-1361 6il� 2 `e 6?1 cz riiAIINI�ItrdiAstf iira w�� • DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE -- ENVIRONMENTAL PROTECTION y, DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION f� 825 L Street - Anchorage, Alaska 99501 • J U L 2 �9jpa /0, f" L ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 RECEIVED, ❑ One ❑ Four ❑ Other �l SINGLE FAMILY REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not he processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER�A r • ^ _ J G SCYJ'1 Q1 7. WATER SUPPLY PHONE 3 41V - S4 MAI LING ADDRESS S'". Rox *ATTACH WELL LOG. A well log is required for all wells drilled PROPERTY RESIDENT (If different from above) since June 1975. For wells drilled prior to that date, give well PHONE 2. BUYER 8. SEWAGE DISPOSAL SYSTEM PHONE MAILING ADDRESS individual/on-site, give installation dated: 3. LENDING INSTITUTION - PHONE MAILING ADDRESS 2qq-9b(� / 4. REALTOR/A ENT PHONE 44/3 o Q MAILING ADDRESS 75.2/ 40 /c/ S,L*W.4AC1Awv 2501 A -rs02. A 11 1 5. LEGAL DESCRIPTION DoT u s STREET LOCATION So ,E 8 r 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ One ❑ Four ❑ Other �l SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY 24 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.) 8. SEWAGE DISPOSAL SYSTEM **If X INDIVIDUAL/ON-SITE** individual/on-site, give installation dated: If system is over two (2) years old an adequacy testis required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) q nnn ,/,/ 1 V IW"" NIU �e £� (�ICAL�L LSU Il X -Q1 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 ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISF�OSAL ❑INDIVIDUAL lON-SITE ED PUBLIC UTI L Connection Ve SYSTEM TY ified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or Size: give dimensions: ❑ Holding Tank I If Tank is homemade SOILS RATING - -' TYPE OF TANK I MANUFACTURER TOTAL ABSORPTION AREA I MATERIAL 4. DISTANCES WELL 1 TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to Nearest Lot Line 5. COMMENTS ❑ ❑ PPROVEDFOR BEDROOMS (CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED I DATE (n' 1 �/nI BY (Till LEGAL DESCRIPTION 72-010 (Rev. 3/78) JML' John M. Lambe, P.E. 4303.North Star Street Anchorage, Alaska, 99503 907.279.8056 NEI,'i PHONE PIGMBZR 270-4113 SOIL ABSORPTION SYSTEM TEST PERFORMED FOR: S � �at7t7 CZ17 TELEPHONE 344- 97SG s�n�t+ J C �P DATE �: r TESTS: ��iA LEGAL DESCRIPTION: LLoT 4, i -r- ESQM-rl NO. OF BEDROOMS: 3 RECORDS ON FILE: CRIBDRAINFIELD OTHER 5;kj= Tsaror -+t,Q -No ZEL ,TEST PERFORMED IN ACCORDANCE '.`LITH JML STANDARD PROCEDURE ACCEPTED BY MUNICIPALITY OF ANCHORAGE$ DEPT, OF EIVIR0P1,2yNTAL QUAL TYl'�07N 'y "LITH -.THE FOLLOWING MODIFICATIONS: /N6 & gItAv,zr> /'es O 1Y 205 T'U S %� 11ZL�/ —Lonxs�n�cr as i �-S csa: s0e�oe vr-� SURGE CAPACITY: s�t'Y'G -r»ts+e SOIL ABSORPTION SYSTEM (SAS) lora ee,15 Lipo _ SEPTIC TANK PLUS SAS ABSORPTION RATE AVERAGE 24 hrs IS OBSERVATIONS: - �97J�'1G Li"e- .- gy 6utZ�.O_ctlL��.E�GCL: aF dacta<r-U�1bCuow�l T3uT ./J 55L M�[� T•z> _Q � 1 / 5 �"F fStE..t..a��✓ - t�G.CG� NL 62 02 rzlFCes2r�-s •ww.cnnr.�Ci x2cr NOTES LvvGJ�v-6ow! c2 G.QµS � � PERF024 D 3Y: la;o[S"^� Lx ---►AAM a -0 RT 3?t6 &K SUPERVISED BY: L--D2-A,5L 1=- DATA ATTACHED SHS OF JM1- John M. LamP.E. Street 4303 North Star Str` Anchorage, Alaska, 99503 Anchorage," 907-279-8056 REFERENCE: 2� «dozsa&�< /�e'i?� ' DATE _&ZZ_Z,Z.9 PERFORMED BY: 101yl6e LEGAL DESCRIPTION: Lo -r Z—' rTrt`TE DEPTH BELOW METER READING GALLONS PUMPED TIME REFERENCE` GALLONS NET y { 3 C , 2 7 JM 1 John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 REFERENCE:" DATEPERFORMED BY: LEGAL' DESCRIPTION: GDT �S�/�3 St✓nis�rT G rT DEPTH, BELOW: .METER READING GALLONS PUMPED TIME GAT, NS': NET 2-1 b9 27 `13 15 7 Z/ is �-z32, 3 =3� 01 „r John M. Lambe, P.E. 4303 North Star Street Anchorage, Alaska, 99503 907-279-8056 rtC•�\Jl'i1f .DATEr PERFORMED BY: t ✓:,r�'�7 �--ClfalJF' LEGAL.DESCRIPTION:, `t` ,` _a DEPTH BELOW METER READING '- GALLONS PUMPED TIME BEGAL NS NET 44 y ..5 /,'f og 6 A/, d 714 � Y Y t h1 .;fi i GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received Time of Inspection ,/�j�p. �f ia-J Date of Inspection REQUEST FOR APPROVAL OF C /Vv INDIVIDUAL SEWER S WATER FACILITIES FOR Approval Requested By: Address: Z� hone:3� Property Owner: J Phone: Legal Description: G!Z` 4. Location: 5. Type of Facility to be Inspected:` Number of Bedrooms: 6. Well Data:vv A. Type 'Q0� B. Depth C. Cons tructior� D. Bacterial Analysis c Cart, --T 7. Sewage Disposal System: P vCS� // •7m`°: A. Installed /'0 B. Installer UC -Septic Tank: 1. 2. Manufacturer- D. Seepage Pit: I. Size EX/yl 2. Material CE/45 s X /o )& E. Disposal Field: Total Length of Lines B. Distances: /t A. Well To: Septic Tank rZ , Absorption Area, Sewer Lines Nearest Lot Line o Other Contamination B. Foundation to Septic Tank /�' � '', Absorption Area � C. Absorption Area to Nearest Lot Line 0 Request for Approval of i�'�ividual Sewer & Water Facilitie,.j" y Page Two 9. Comments: Ati(� Aonroved �� "c -- Disapproved Date Approval. Valid for One Year From Date Signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM V 0 v � �{b a' V5�l fY'& a See�ai� p,1 I certify that the information contained in this request for approval to be a true and accurate representation of the subJect sewer and water facilities located at: Signed , Date�3 June 29, 1902 SUN Construction Box 474 r SRA Anchnrage, AN 99507 ubjeetc Lot 5 ?flock 3 Summit Estates Approval for the individual sewer, and water facilities cannot be granted until the following items have been completed: ° A well loci submitted to this office for our file, and review. ° The •~ - a r analysis report nude to be submitted to this orficafrom the Chem Lab, 5x3:3 P At.reet, for our review. i Please notify this Department for a reins P+,ctl.on when the noted discrepencics have been corrected. It there are any further questipns, please call this office at. 264-4720. Sincere-ly i Robert C. Pratt Associate rnvironmen, ist a7. Sped.^.. Rplu/p/w Enclosure