The URL can be used to link to this page

Home My WebLink AboutSUMMIT ESTATES BLK 3 LT 10 Onsite File Summit Estates Block 3 Lot 10 x'#015 - 071 - 22 1976 drainfield cannot be reconnected because it encroaches in groundwater (refer to 05P191391 ) Municipality of Anchorage Sllj) On-Site Water and Wastewater Section • (907) 343-7904r�� Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORTGGF>' Permit Number: OSP191391 PID Number: 015-071-22 , j? oe `tel Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name BARB JACOBS &RICHARD MAUER ABSORPTION FIELD ❑ Deep Trench ❑■ Wide Trench ❑ Bed ❑ Mound Site Address 5455 EAST 99TH *ANCHORAGE, AK ❑ Other Phone Number of Bedrooms Soil Rating ITotal depth from original grade 907-830-4111 3 1.2 GPD/SF 7.5 &7.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft, Gravel depth beneath pipe 2.02 & 2.02 Ft. Subdivision Block Lot SUMMIT ESTATES; BLOCK 3, LOT 10 Fill added above original grade SEE DWG. Ft. Gravel length 28 & 27 Ft. Township Range Section N/A Gravel width 5 & 5 Ft. Beds: Number of Lines - Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 385+ Ft2 2 6+ Ft. Well 100'+ 100,+ 254 TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity GREER TANK 1000 Gal. Surface Water 100' + 100,+ Material Number of compartments Lot Line 5'+ *0.5'+ NA HDPE 2 Foundation 10,+ 10,+ ILIFT STATION Manufacturer Capacity Gal. Remarks OLD TANK DECOMMISSIONED PER UPC PER CONTRACTOR *WR#OSV191078 - SEE ATTACHED AMENDMENT LETTER Alarm location Electrical installed by ADDITIONAL INSPECTION ON 2/4/2020 PIPE MATERIAL House to tank EXISTIh�1 Tank to D3034 drainfield Installer A+ HOME SERVICES Drainfield D3034 CO/MTD3034 Inspector DAVID GARNESS AND TIM ECKLUND BENCH MARK (Assumed elevation) 97.98 ft Inspeection 1s' 11/22/2019 11/22/2019 Location and description ction 2nd TOP OF MH 3i° 11/22/16 411111/25/1 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's tamp 0 Conditional Approval: Date oo* 49T 0 �............... ............ �D Septic System t .J f py A�Garnss.: 0 Approved 6�CLu� 6Date CE-79P3 Note: this approval does not include well permit requirements. 844oODOo0 c)�' #AECC (Rev 05/02/18) PERMIT NUMBER: PARCEL ID NUMBER: OSP191391 RECORD DRAWING 015-071-22 A I B MH 65.8 59.4 ST1 70.6 64.7 DBL1 71.8 65.9 DBL2 72.6 66.9 FS 75.8 66.6 C01 69.0 46.2 MT1 67.3 44.5 CO2 73.4 60.2 MT2 74.9 61.4 CO3 97.3 81.5 MT3 95.3 79.5 C04 82.9 74.9 MT4 81.9 73.9 J 100, W ELL SEE ATTACHED LETTER REGARDING THE DRAINFIELD INSTALLATION; IN ADDITION -WELL RADAII AND OT LINES WERE FLAGGED BY SHANE HOCV, PLS PRIOR TO CONSTRUCTION SUMMIT ESTATES; BLOCK 3, LOT 9 SUMMIT ESTATES; BLOCK 3, LOT 8 10' UTILITY EASEMENT CO 3 SUMMIT ESTATES; BLOCK 3, LOT 11 MT DBL1&2 S S 1 T2 NEW 1000 GALLON \ \ HDPE SEPTIC TANK M 1 APPROXIMATE LOCATION OF FCO- \ A D/U •`� \ I I.j4. aY NEW D AINFIELD / EAS 99TH 10 0, WELL RADIUS ` � \ I I 1 \ SCALE: 1"=40' _ ILVJ GARNESS ENGINEERING GROUP Ltd "'�� 4 �•�:'��'. .....:.................................... ENGINEERING SALES CONSULTING 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 -PHONE (907) 3373179 -FAX (907)338-3246 * WEBSITE: —gamessengin—.ng.cem ...... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �n •• e f y •• ,,,,,,,,,, arnes ........... e• W " RICHARD MAUER & BARB JACOBS4_Z1 m LEGAL DESCRIPTION: DRAWN BY: 907-830-4111 2 OF 3 �j �/ 795 • C •. n /.�a�f e� �� SUMMIT ESTATES; BLOCK 3, LOT 10 D.J.G. 1� FD'••.,,,,•••• ♦♦ TYPE OF WORK: DATE: LICENSE♦� IDROFESS��P � SEPTIC SYSTEM RECORD DRAWINGS 2/10/2020 # ECC 84,111vilkikiliL♦♦♦ PERMIT NUMBER: PARCEL ID NUMBER: OSP151391 RECORD DRAWING 015-071-22 NORTH SOUTH MT COMT CO FINAL GRADE = 98.11-99.56 FINAL GRADE = 98.08-98.48 TH#1 ORIGINAL GRADE AT ORIGINAL GRADE AT TH#1 7 HIGHEST POINT= 96.55 FILTER FABRIC HIGHEST POINT= 97.56 r � r FILTER FABRIC RELATIVE ELEVATION OF BOTTOM OF T.H. = 80.55 (TH#1 DRY ON 11/21/2019) GARNESS ENGINEERING GROUP, Ltd 3701 E. TUDOR ROAD. SUITE 101 *ANCHORAGE. AK 99507' PHONE (9071337-6179* FAX (907) 338-3246 • WEBSITE' www uamessennineerinn nnm PREPARED FOR: PHONE NUMBER: fes.-ff • tl f�f�f•:•:-fes. PAGE NUMBER: :f•f-� •.•f•�• Sl gg •�•.•f-f-• •f •1 1 :�:�: - •-•--:•:•:•-•:•INVERT OF 1 1 (THROUGHOUT DISTRIBUTION LINE) ••••• f•.�:•••••-•'•'f -•'•••'•'•••-• 0. D.J.G. TYPE OF WORK: :�: �f�:�f�f�L•�•�1d �, RECORD DRAWING 1J�b: �:�:J.-.:�:�:�:�f�:tel BOTTOM • :• • • TRENCH = 89.05 •1 1. RELATIVE ELEVATION OF BOTTOM OF T.H. = 80.55 (TH#1 DRY ON 11/21/2019) GARNESS ENGINEERING GROUP, Ltd 3701 E. TUDOR ROAD. SUITE 101 *ANCHORAGE. AK 99507' PHONE (9071337-6179* FAX (907) 338-3246 • WEBSITE' www uamessennineerinn nnm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: RICHARD MAUR AND BARB JACOBS 907-830-4111 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: SUMMIT ESTATES; BLOCK 3, LOT 10 D.J.G. TYPE OF WORK: DATE: �, RECORD DRAWING 2/10/2020 RELATIVE ELEVATION OF BOTTOM OF T.H. = 81.56 (TH#1 DRY ON 11/21/2019) X41, ■.., �....., ,..�.A. ...................0 ' J9ffrey Gamess a _v ff CE .7953 � • LICENSE 141kim\\\�•••O #AECC884 / r7PERMIT NUMBER: RECORD D RAW I N G PARCEL NUMBER: OSP 191391 015-077 1-22 TOP OF MH = 97.98 FINAL GRADE = 97.8-98.02 MH ST2 TOP OF TANK AT INTLET = 93.91 TOP OF TANK AT OUTLET = 93.91 NEW 1000 GALLON INVERT OF BUNG AT INLET = 93.22 H. D. P. E. GREER INVERT OF BUNG AT OUTLET = 93.11 SEPTIC TANK RATED FOR 10' BURIAL l ■VAI ARNESS ENGINEERING GROUP, Ltd ;...................... ............; _--- ENGINEERING D SALES 3 CONSULTING - -- 3701 E. TUDOR ROAD. SUITE 101 -ANCHORAGE, AK 99507' PHONE (907) 3376179 -FAX (907) 336-3246' WEBSITE: www. gamessengineedng.com „ „ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ffrey A.••,, .....arness •:• BARB JACOBS AND RICHARD MAUER 907-830-4111 4 OF 4 �jG'i • JE -79 3 '�LEGAL DESCRIPTION: DRAWN BY: �� O �\ V SUMMIT ESTATES; BLOCK 3, LOT 10 D.J.G. �j'QF�••••••. ,,,,••�� TYPE OF WORK: DATE: LICENS? 4"J :;`S`;�.� SEPTIC TANK PROFILE 12/2/2019 #AECC884 4 1%k GARNESS ENGINEERING GROUP, Ltd ENGINEERING- SALES c, CONSULTING February 10, 2020 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Summit Estates; Block 3, Lot 10 — Re -inspections and movement of drainfield To whom it may concern: Prior to installation of a new drainfield on the subject property, a pre -construction layout was performed. During the layout, what was believed to be a surveyed easement, was in fact a surveyed lot line. After receiving the post -construction as -built survey, it became apparent that the new drainfield encroached 5' feet into the utility easement. Per conversations with the owner, Barb Jacobs, she would not sign the letters of non -objection and required that the drainfield be moved. On 2/4/2020 A+ Home Services excavated and "moved" the existing drainfield outside of the easement. Garness Engineering and MOA onsite employee Tim Ecklund performed inspections of the drainfield. Attached is a survey by Shane Holt, PLS showing the new grainfield pipes outside the easement. a .E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com N 89 5730 " E 120.00 EAST 99TH A VENUE OF A eq�040 x..`49 TH '.90 SHANE A. HOLT a9 -6914 .,'c y \h°fessional L-65 AS -BUILT SURVEY I " = 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 10, BLOCK$ SUMMITESTATES FB HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE THE INFORMATION HEREON IS FOR CONFLICTS BETWEEN EXISTING THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENC ELINES. THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT ARE NOT SHOWN EXIST OTHER THAN NOTED. HEREON ( UNLESS INDICATED) DATED AT ANCHORAGE,ALASKA THIS 6TH DAY OF NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE FEBRUARY 2020 PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. , ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. FB HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 MUNICIPALITY OF ANCHORAGE rJ� ,lryl e,!)j / • \ On-Site Water&Wastewater Program �,. . ..,S�� rate, PO Box 196650 4700 Elmore Road , Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,mayr. http://www.muni.orgtonsite 4 \ .. t.)Npill'ttill`Ilt 4',CHOR p•GE On-Site Wastewater Disposal System Permit Permit Number: OSP191391 Effective Date: 9/11/2019 Work Type: Septic Upgrade Expiration Date: 9/10/2020 Tax Code Number: 01507122000 Site Legal Address: SUMMIT ESTATES BLK 3 LT 10 G:2437 Site Mailing Address: 5455 E 99TH AVE, Anchorage Owner: MAUER RICHARD D & Lot Size in Sq Ft: 15662 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3 This permit is for the construction of: Q Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: / l 1 7 Issued By: � e( Date: atAy/ / ,r „� of Municipality of Anchorage I '` n ,� I.epAI MICHt P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.orq/Onsite Development Services Department On-Site Water and Wastewater Section **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV191078 COSA#: Permit#: OSP191391 PID#: 015-071-22 Legal Description: Summit Estates Block 3 Lot 10 Engineer: Garness Engineering Group Applicant: Richard Mauer& Barb Jacobs Your request for a waiver of the required 10 feet horizontal separation from the absorption field and septic tank to the property line has been approved. The approved separation distance is 0.5 feet. In addition, your request for a waiver of the required horizontal separation between the proposed absorption field and the existing absorption fields that is to be abandoned is approved. The approved separation distance is 5.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the proposed absorption field and septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ' Waiver is Granted: X Waiver is not Granted: Date: _244____ Approved by: diurz& PP Name of Reviewer **** VARIANCE/WAIVER REVIEW **** 5 6 7 8 8 10 MUNICIPALITY OF ANCHO . ,r� Community Development Department 46 / P1'; 907-343-790-. Development Services / 'y : 907- 343-7997w On-Site Water & Wastewater Program 61 Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-071-22 Property owner(s) RICHARD MAUER&BARB JACOBS Day phone 907-830-4111 Mailing address Site address 5455 EAST 99TH 'ANCHORAGE.AK 99516 Legal description (Sub'd, Block & Lot) SUMMIT ESTATES; BLOCK 3. LOT 10 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ® (w/wo ADU) Septic Tank ® Upgrade Duplex (D) II Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: SEPTIC TANK AND DRAINFIELD TO LOT LINE Distance' 0.5 I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: c5-95 Waiver Fees: p` 7 Date of Payment: (OM _ Date of Payment: 60/19 Receipt Number: n03/21 C) Receipt Number: O31? Permit No. 06Piq/y `/ Waiver No. OO V IQ i 5O�p (Rev.01/11) i !G ` GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING September 11"', 2019 Municipality of Anchorage Development Service Department On-Site Water&Wastewater Program 4700 Elmore Road Anchorage,AK 99507 Ref: Proposed Septic System Upgrade for Summit Estates; Block 3, Lot 10 To whom it may concern: The existing 3-bedroom house is served by a private well and septic system. Per MOA records, the septic system was installed in 1976. An adequacy test was attempted on the subject drainfield and it was deemed to be failed because the liquid level in sump and septic tank were at approximately the same elevation. During the excavation of the testhole, a new cleanout and monitoring tube were installed in the existing drainfield, after which it was determined that the existing drainfield encroaches on groundwater, and the configuration of the drainfield does not match the MOA records; therefore, we are proposing to decommission the existing septic tank and drainfield and install a new 1000-gallon HDPE Greer Tank septic tank(rated for 10' burial) and dual shallow trench type drainfields. One testhole was excavated and the drainfield is proposed within its 30-foot radius. Comments regarding the design are summarized as follows: 1. SOILS: See attached 2019 testhole by Garness Engineering Group, Ltd. which shows the soil classifications, percolation test and groundwater monitoring. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: There are no topography concerns. 5. WAIVERS: The proposed drainfield and tank are less than 10 feet from the lot line. We request that your department issue a variance of 0.5 feet from the drainfield and septic tank to the lot line. Additionally, the proposed drainfield may be less than 10 feet from the existing drainfield, therefore we are requesting a 5' variance. Justifications for granting these waivers are as follows: • The proposed tank and drainfield will meet MOA code required separation distances from the well and septic system located on the lot to the east(Summit Estates; Block 3, Lot 11) • The lot line waiver will help maximize the separation distance from the existing drainfield and septic tank • The proposed septic tank will be further than the existing septic tank from the well. • The proposed septic tank will be HDPE • The existing drainfield will be abandoned in place,therefore,a 5'separation distance will cannot effect future performance • After the primary treated effluent reaches the abandoned drainfield, it will have passed through 5 feet of soil, thus improving the effluent quality and limiting the risk of groundwater contamination. • Water samples were pulled by GEG on 7/16/2019. Nitrate levels were 0.263 mg/L. We are unaware of : 'y adverse impacts this installation and/or waivers would have on adjacent wells or septic systems. If you =v: a questions, please contact us at 337-6179.Thank you for your assistance. i-rely . -y i. /mess, P.E , M.S. Pr: d:` t 1 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com A X\ // // /// \._,.--------------A---------3 LL-,J---1 O 00 <\/) -10() El _ \ - , ...-- C- ---.... 0— ___ / // �\ \� �/ EAST 98TH \\\ /00,w, )pO,WF \ I CC RAD i,d l 1�wF<<R I I �. Us 1 \ SUMS ESTA \ / I , I BLOCK 4,LOT\ \/ D J mi \ /\ / \ / \ SUMMIT ESTAT, S MIT ESTATES; / BLOCK 3y0 9 BL K 3,LOT 8 r EMIT E ATES. •CK4. e T 2 \ / SUMMIT'ESTAJJK \ \ / \ BL,'CK L6T 11 \ 1— 109: ELL RADI S \I / \ / \ \ l / / / \ Eil l 70p•W SUM IT ESTAT �\ %//l�iiiit, / / %� 1 I ECC D7U BLS CK 4.LOT / 1 r wCL , — ---• 700, FCC • 'weCC RA / II AD /U vim_ _ , / / \ \ I`� \, EAST 99TH / / 4 7pp,�� rr wFCCR 7 \ �/ \ \ \ // 1 �1 .l I I S SUMMIT ESSUMT�STATE9�` .--BLOCK-1",LOT 5� BLOLK 4,CST f� :I`•T• N O41111P' 11111 I,M LA Q SUMMIT ESTATES; — SCALE: BLOCK 4,LOT 4 \ / 1 .17:, „„„ • • \\\ 111 41:r C Air t \ c ' * �� ' *••� GARNESS ENGINEERING GROUP, Ltd •; ' I. 440 • MINIIIIIMINIIIIMMISC ENGINEERING SALES CONSULTING • - 0ifr 0 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507'PHOPE(907)337-6179'FAX(907)3383246'WEBSITE.wvnv garnesseng,neenng corn �.•••• •••1• ; PREPARED FOR PHONE NUMBER: PAGE NUMBER: 0 vry : J.1 - Gam= s j. RICHARD& BARB JACOBS 907-830-4111 1 OF 2 �•�� , 7-79r '•_� PROJECT/LEGAL DESCRIPTION DRAWN BY: •� c , '`.''(`SUMMIT ESTATES; BLOCK 3, LOT 10 D.J.G. �.4, 4 "'•••••.• ((��\, 4•� TYPE OF WORK: DATE LICENSE,,4',%„S`* �•• SEPTIC SYSTEM DESIGN UPGRADE 8/27/2019 #AECC884 J J 1 DESIGN CRITERIA: GEG.Ltd.HAS AN 8 PAGE SPECIFICATION LETTER — NOTE:THE CONTRACTOR THAT PERTAINS TO THIS DESIGN.BY PROCEEDING SHALL HAVE THE NORTH& NUMBER OF BEDROOMS:3 FORWARD WITH THIS INSTALLATION,THE EAST LOT LINES,AND ALL WELL GALLONS PER DAY(GPD):450 GPD ENGINEER,WELL DRILLER,CONTRACTOR AND PERCOLATION RATE/S:2.1 MIN/INCH PROPERTY OWNER AGREE THAT THEY HAVE RADII FLAGGED BY A PROPOSED APPLICATION RATE:1.2 READ THESE SPECIFICATIONS AND AGREE TOREGISTERED LAND SURVEYOR MINIMUM DRAINFIELD SQ.FT.:375 FT' ACCEPT THE TERMS AND CONDITIONS OUTLINED. / PRIOR TO CONSTRUCTION. DRAINFIELD DESIGN: SUMMIT ESTATES;BLOCK 3,LOT 9 V MAXIMUM DEPTH:7.5 FEET / WIDTH:5 FEET LENGTH:54 FEET(2(8Q 27 FEET) / EFFECTIVE:2 FEET REDUCTION FACTOR:0.7 ACTUAL SQ.FT.:385 FT' APPROXIMATE LOCATION OF POWER POLE SUMMIT ESTATES;BLOCK 3,LOT 8 (ASSUMED 10'EASEMENT IN THIS AREA) APPROXIMATE LOCATION OF EXISTING\ iii — — — — w DRAINFIELD;DOES NOT APPEAR TO BE 10'UTILITY EASEMENT SUMMIT ESTATES;BLOCK 3,LOT 11 CONSISTENT WITH MOA RECORDS s\--r— N I-I- z APPROXIMATE LOCATIO OF EXISTING SEPTIC g+ 0.5'LOT LINE WAIVER r - LU TANK;TO BE DECOMMISSIONED PER UPC 18�• REQUEST FOR TANK \ w s M H# �, AND DRAINFIELD j / > /---.' /510% �� M GJ Dm _ F � r- \ N I 7 .O T . ------- / H T� { 1*/ /I WAIVER REQUEST PROPOSED 1000 GALLON HDPE GREER I TANK RATED FOR 10'BURIAL;INSTALL / I \ DOUBLE CLEANOUTS BEFORE AND AFTER I NO 0 / O Q Y U 7\ / , / 9 / EXISTING 3 A ••' co BEDROOM w 70p•WF( / HOUSE _ .• \ I / I- ~o `�1V3 / / , .,t4:,` I •::.: , / / EAST 99H AVEN E// 1 \ \ 1(\ --4 7p0Wec \ 7p0Wf..LRAOIU / \ N t RgDI(/ \ S S \ / \ \ I SCALE: \ SUMMIT ESTATES;BLOCK 4,LOT 5 I SUMMIT ESTATES;BLOCK 4,LOT 6 i ''''' , /\./ \ / I I — i t V. I 4t; `IN I 0— ,* • , •'' . GARNESS ENGINEERING GROUP, Ltd •:•••..:..•. •• ENGINEERING SALES,CONSULTING • „ • 3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE.AK 99507 PHONE(907)337.6179•FAX(907)338-3246•WEBSITE:www garnessengmeenng corn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 fn I'•••-y •• /eSS RICHARD MAUER &BARB JACOBS 907-830-4111 2 OF 2 ♦��!J,i I... C -7 53 ;•*=PROJECT/LEGAL DESCRIPTION: DRAWN BY: • SUMMIT ESTATES; BLOCK 3, LOT 10 D.J.G. ♦1♦,I • '•l �. 1'�P::.•� TYPE OF WORK: DATE: LICENSE,, 1 PROF. "�_� SEPTIC SYSTEM UPGRADE 9/10/2019 #AECC884 OF s- • I 4 ,♦♦♦i (FARNESS ENGINEERING GROUP, Ltd : - ' 9t.r____v -: •• 3�oie.ruooRRono.suir. _.1nracNowENGGE.AK 95NEERI07•PHONE NG3�SALE179•FAX� 3CONSULTING2S5Qn�neP^ycJm .. .. �t v , .i= .ey,A. Ga4ss , = SOIL LOG - PERCOLATION TEST v. , :%� CE-79153 LEGAL DESCRIPTION: SUMMIT ESTATES;BLOCK 3.LOT 10 �.:�FO ,p i 13 j I C!•;�c:. PERFORMED FOR: RICHARD MAUER&BARB JACOBS DATE: 8/1/2019 q�� PROFESS" "- DEPTH #AECC884 11,��",'•• (feet) TEST HOLE #1 ;1;; 1 .:-. • �� SOIL CLASSIFICATIONS SITE PLAN 2 r • :=Td o`4 GW ::=::::::=:__ ORG r Er-?.e • r �' GM ) MI l CI 4 � • r /i GC �I OL Q- • . °o o°o°° SW I MH• •e•ego•* SP CH r • • SM OH • r #1.. . .9 SC ��Q 6 — • • PG r N • DEPTH TO • F. GROUNDWATER 'n I �xr ())( I GJ 8 ' r • 15' 8/1/2019 r I 14.5 8/6/2019 SCALE: r 9 • r 14.3 8/9/2019 1'=100' r • 10 • r r • ( M I ; • READING CLOCK NET TIME WATER LEVEL NET DROP 11 r • TIME (MINUTES) READING (INCHES) I r 8/6/2019 1 3:45 - 6" - 12 • r • 2 3:55 10 1-1/4" 4-3/4" • I - 13 — r3 3:55 6" - • 4 4:05 10 1-3/8" 4-5/8" I 14 r 5 4:05 - 6" - I r rr 6 4:15 10 1-3/8" 4-5/8" 15 • • 7 4:15 , - 6" - • • 8 4:25 10 1-3/8" 4-5/8" 16 - B.O.H. 9 4:25 - 6" - 17 10 4:35 10 1-3/8" 4-5/8" 11 4:35 - 6" - 18 — 12 4:45 10 1-3/8" 4-5/8" 19 _mil PERCOLATION RATE 2.1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4 FT. AND 5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES El NO SOILS LOGGED P": DAVID GARNESS PERCOLATION TEST PERFORMED BY: ERIK WIDGER COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I. JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: v ) r.3//' ,SG$ SGS Ref.# 1193857001 Client Name Gayness Engineering Group,Ltd(GEG) Printed Date/Time 07/24/2019 8:24 Project Name/# Summit Est.B3 L1 Collected Date/Time 07/16/2019 16:15 Client Sample ID Summit Est.B3 LIO Received Date/Time 07/16/2019 16:43 Matrix Drinking Water Technical Director Stephen C.Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date In it Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 B (<10) 07/19/19 07/22/19 DSH Waters Department Total Nitrate/Nitrite-N 0.263 0.200 mg/L SM21 4500NO3-F C (<10) 07/17/19 EWW Microbiology Laboratory E.Coli Negative 1 100mL SM21 9223B A 07/16/19 ACF Total Coliform Negative 1 100mL SM21 9223B A 07/16/19 ACF 4 N 89 57'30"E 12000 10'VIA/f'EASEMENT i •. 0. I's,. • O v , O l'',... o O jO o 2 DECK 1111'`•. .E FPM��SE „No 'r 72\8 ot ■ DECA III > `, Tr 0 °WEIL Sp, . ooODOp % N8957'30" 70.00 Ov�� OF A��S�O i�49 TH %1\ vo OQ D EAST 99TH AVENUE • '° L.�———.—.——.——.——.—.—.—.—.—.--.—.——.————.�———----————._ oO a SHANE A.HOLT .':, " % • LS-6914 .•.5� 9 44��DO0000�-60 AS-BU/LT SURVEY I" -30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY i 101/0 830(13 SUMM/T ESTATES THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN EXIST OTHER THAN NOTED. HEREON I UNLESS INDICATED) DATED AT ANCHORAGE,ALASKA THIS 22ND DAY OF NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE AUGUST , 2019 PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 1.''.2 -R g9-//) 345-5513 GRE, ., ER ANCHORAGE AREA BOR,, GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER ~ MATERIAl INSIDE WIDTH LIQUID DEPTH NUMBER OF COMPARTMENTS ~- LIQUID CAPACITY/~r) GALLONS. TILE DRAIN FIELD: ¢~~ DISTANCE FROM WELL FOUNDATION NUMBER OF LINES / DISTANCE BETWEEN LINES NEAREST LOT LINE TRENCH WIDTH TOTAL LENGTH OF LINE'S IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE_ IN. ABOVE TILE IN. WELL: . TYPE ~6YV~,W~ BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE , SEWER LINE__ OTHER SOURCES DISAPPROVED REMARKS DEPTH SEPTIC SEEPAGE , TANK SYSTEM DISTANCE FROM: DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL' LOT SLOPE: REMARKS: DATE PPROVED ~ G.A.A.B. PERMIT [:,EPRF.:TMENT., ; HERLTH ..... = "' ;" MhtL. EIq,IKuiqrIEN~HL., ,dJIEL. fluN ;.25':L6 E.*"¢UE:,0R RE:,. ............... ~ ., HNL:I'-ILIRHI:iE., l-iH:.. :¢_~3~1,." ~ /'ff,',~)O ~.4 E b L F:~ N E:. u ~ ,,~ .... Z "fi-' E: "--=. ~:: g....~ E. F~." F" E F~: F~'~ :E T' ,. -.. ........... ~ ) RPPLICRNT LOC:BT I ON LEGRL [.~!] N Dt::IHL SUHMIT STREE].' Lie B:~: SUMfqIT EST SRR BO',:.,', 78 'T'"r'F'E OF' SOIL RBSORBTION S'gSTEM IS: TRENCH LOT '.5 Z ZE :1.4:1.75 SQURRE FEET MR:dlMUM NUMBER OF BE[:,ROOMS = ]~ :E;OIL RFI]"ING (SQ PT,.-"BR)= E:5 THE REQUIRED SIZE OF ]''HE SOIl_. RB:=]ORPTIOIq SYSTEM IS: [- EF ] H-- :~_.e~ L.E:["-.~,]T'H= --' -' -" ," - THE LJENGTH DIMEN':-]ION IS THE L. ENGTH '-'.'IN FEE]") OP THE TRENC:FI OR DRRINF:ZEL. D. 'THE [-"EPTH OF R TRENC'H OR PIT IS ]-HE [:,ISTf:INC:E BETI.,.tEEN THE SURf:laCE 01:= THE GROUND RN[:, THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE tS NO SET HIDTH FOR TRENCHES. 'TIDE GRFCv'EL DEPTH IS THE HINIHUM DEF'TH OF GRI:I',,,'EL. BE'TI.4EEN ].'fiE OLITFFILJ.... PIPE RND ]"HE 6'O'I"TOI'4 OF THE EXCRVRTION ,::IN FEE'r). BRCKFILLING OF 8N'¢ S'¢STEM WITHOUT FINRL INSPECTION RND RPF'ROVRL BY THIS [:,EPRR"rMEI'4T HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE 8ETNEEN I-~ WELL FIN[.., AN'?' ON-'=;ITE SEI4RGE DISI::'OSRL SYSTEH IS ±()0 FEE]' FOR R F'RI',,,'RTE NELL OR. 2~...--.1E~ FEET FOR R PUBLIC WELL WELL LOGS RRE RE6!IJIRED RND r,~us-r BE RETURNED TO THE: DEF'RRTMENT WITHIN :~:E~ OF THE WELL COMF'LETION. SPECIFtCRTIONS RND CONSTRIJCTION DIRGRRMS RRE R',,,'RIL. RBLE TEl INSLIRE F'ROPER I NSTRLL. RT ION. I CERTIF"r' THRT :L: I RM F'RMILIRR t4ITH THE REQUIREMEN].'S FOR ON-L=;ITE SEI.qERS RND I.,IEL.LS RS SET FORTH E:"r' THE HUNICIPRLIT'¢ OF' RNCHORRGE. 2: I WILL Ii'4STRLL. THE S"r's'rEM IN RCCORE)RNCE HITH THE CODES. 3:: I UNDERSTRND THRT THE ON-SITE L=;EI.4ER S'¢STEH I"'IR'¢ REQUIRE ENLRRGEMENT IF' THE RE=,IE. ENL. E. I_, REflu£.EL. EL. ~0 1NL..LIJDE NJRE THHN ~. E, EE.F..uUll .... I -RPPLICFINT DON [:,RI-IL October 19, 1976 R & M No. 656314 Mr. Don Dahl SRA Box 78 Anchorage, Ak 99507 REf Test Hole and Soil Log Report for Sanitary System, Summit Estates Subdivision, Block 3, Lots 9 & 10, Anchorage, Ak Dear Mr. Dahl: We are submitting herewith the test boring results and our con~ents regarding soil conditions encountered at the subject site. This in- vestigation was performed in accordance with your request of October 15, 1976 and those procedures outlined in a letter dated July 15, 1975 by Mr. Rolf Strickland of the Municipality of Anchorage, Departraent of Enviromental Quality. Two test holes were bored, one on Lot 9 and one on Lot 10, for the purpose of defining general subsurface soil conditions for the proposed sanitary systems. Drilling was accomplished with an auger type drilling rig and the test holes were extended to a total depth of 19 feet, each, below ground surface. The final log prepared for the test holes has been included in Drawings A-01 and A-02. Groundwater was not encountered in either test hole while drilling. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. Vice President JWR/pe xc: Municipality of Anchorage EAST NIneTIETH AVENUE Lot 9 TE-2 Test Hole Locations in Summit Estates Subdivision, Block 3 Lots 9 & 10, Anchorage~ Ak Test Hole Location are approximate and have not been located by survey methods. TEST HOLE LOCATION DIAGRAm! DON DAHL ANCHOPAGE, ALASKA JLOW~UO. 656314 A-O1 TH-1 10-18-76 0.0 ORGANIC SILTY SAND, Dark Brown 1.0' TH-2 10-18-76 ORGANIC SILTY SAND Dark Brown Boulder at 3' SANDY GRAVEL (GW) / Many Cobbles ~ Brown Boulder at 4' 7o5~ GRAVELLY SAND (SW) / Occasional Cobbles, /~ Brown SANDY GRAVEL Many Cobbles, Brown Boulder at 9' 12.0' SAND W/S0}~ GRAVEL (SP) Occasional Cobbles, Brown 14.0' SANDY GRAVEL (GW) BroWn 15.5' GRAVELLY S~]~D W/ TRACE SILT (SP) Brown No Water Table GRAVELLY SAND W/ TRACE SILT 19.0' TD 19.0' TD Water Table These Logs represent subsurface soil conditions within Summit Estates Subdivision, Bloc}: 3, Lots 9 and 10 Anchorage, Alaska SCALE: /"='3 ! TEST HOLE LOGS Anchorage, Alaska J[DWG~0. A-02 WATERVELL LOG July 18~ 1978 .VROPER TY OV~.fER: Don Dshl (contractor) DBTYJ,ING- CONTRACTOR: Cook ~alet Enterprises LOCATI0~ OP VEAL: Lot 1% Bik. 3 SLu~Lt Subdivision DEPTH OF 306' DIA?~T~3H O~ %TDiJj: 6!! DRLLLING LOG: 0 - 27' 27 - 65' 65 - 97' 97 - 105' 104'- 141' 151 - 168' 168 - 186~ 186 - 190 - 506' 306' s.andi,,,' grs~¢el aud some cle.y ttua%ig to prove clsy ol~ ~d gravel t~n%~ to p~e clay seepsge~ s~prox~ateDy 1 g~./~n, no head pu~e olsy~ some gravel c],a3~ ~nd grsr~'el oo~se gms~el end clay ol~: ~cl gcoavet clash gr~3¢el a93,~ifer STATIC LEVEL: f~l~.OXl~i&Tl~I,Y 90' ~t{%~. )?DTTOI~ YIELD: 7 g$[o/min. 10' head. DRILLER: J~I E/~ROL COOK TRUE TO THE BEST O~ 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 , Engineer's Printed Name: Jeffrey A. Garness Date: 0 Cl In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and �oo�oOp� industry practices. The reported results describe the condition of the system/s on the date/s of the o� OF evaluation. Separation distances were measured to readily identifiable features. Hidden defects or o ..• ""' jq��4 encroachments may exist that were not identified during the evaluation. The operational life of all wells QUO P / t , r �jll and septic systems depend upon a variety of variables, including but not limited to, soil conditions, V groundwater levels (that may fluctuate during the year), quality of construction (materials and Q — Q 9 TH t workmanship),and the water usage of the family utilizing the s stem/s. These conditions can vary, �'"""" "'"'""""� 9 Y 9 Y ry, and G are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of;ti; • • • • • • • • } G the well or septic system. GEG makes no representation whether an alternative well or septic system �Q '.�e�f y A� G'ess., can be installed on the property in the event either of the current systems fail to perform adequately in_CE 7753 the future. The content of this report is for the sole benefit of the person/party that retained GEG tosf A perform the evaluation. Reliance upon the information provided in this report by any other person or OQ� Pap �otessl3" 5 on party (including subsequent property purchasers) is not authorized, nor will it confer any legal right �0 o whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for bedrooms ``l System #2 Approved for bedrooms `�QP��V OF,Q,y��i/moi/ Disapproved _` ON-SITE% Conditional approval for bedrooms, with the follows tipl.WWBR AND t,— Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other 11 Legal Description: SUMMIT ESTATES; BLOCK 3, LOT 10 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 7/11n8 Total depth 306 ft Cased to UNKNOWN ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 116/19 Static water level at beginning of test 270.6 ft. Comments B. TANK DATA Age of tank(s) 0.5 years Tank type/material ...7m'�' Measured operating fluid level in septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA DUAL TRENCH Which system tested (date installed) ""e Lw° ❑ ALL standpipes present per record drawing Total measured depth from grade 10.5 ft (max) Measured depth to pipe invert from grade 6.0 ft (min) ❑ NIA — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Parcel ID: 015-071-22 Structure served by this system 1 Well production at time of test 5.3+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No RColiform bacteria is Negative Nitrate �'u-?`mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 5<Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 5/29/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Adequacy test date NEW Results ❑✓ Pass For 3 bedrooms Fluid depth prior to test NEW in Water added NEW gal New depth NEW in Elapsed time NEW min Final fluid depth NEW in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) NONE N/A N/A Gallons introduced gallons If yes, enter date Comments/Deficiencies: SYSTEM NOT TESTED -ALL MONITORING TUBES DRY ON 5/29/20 COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Q Yes Community Sewer Manhole/Cleanout > 100' �✓ Yes if No ft ® Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' Q✓ Yes if No ft Absorption Field on Lot > 100' Q✓ Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Q Yes if No ft Water Main > 10' Animal Containment > 50' Q Yes if No ft Q✓ Yes if No ft Q✓ Yes if No ft Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' P1 Yes if No ft Q Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' F71 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100' Q Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' Q✓ 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 *0.5+ ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' Q Yes if No ft Water Service Line > 10' F� Yes if No ft Community Wells > 200' Q Yes if No ft Surface Water > 100' Q Yes if No It F. ENGINEER'S COMMENTS *WR#OSV191078 G. ENGINEER'S CERTIFICATION l certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet r" J y A. Glarness; 139. ' .�CE17 53 y rofess0 o� #AECC884 w000d� _ rf� [~IUNICiPALITY OF ANCHORAGE DEPART~ENT OF HEALTH AND ENVIRONDIENTAL PROTECTION DIVISION OF ENVIRON&'IENTAL H,~ALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 GENERAL INFORtViATION (a) Legal Description ( nc ude ct, b ocq subdivision, section, township, range) ._7 Location (address o~ directions) (b) Applicant Name ,-~-~"'¢~4*.¢~'~n'n~~;¢' ~./~2..c-¢~_ Telephone: Home ~-~'z¢~(~--'~/~'77_ Business Applicant Address (c) Applicant is (check one): Lending Institution ~; Owner/builder ~/'; Buyer []; Other [] (explain); (d) Lending Institution b~~'~/LCL'~'/'(~;~- ~S¢/¢.:eFephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-Family [~Multi-Family [] Other 3. 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 D Community E] Holding Tank D Note: It community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72 025 (11/84} 5.ENGINED'lING FIRM I~ROVIDI!~.~Ii",ISPECTIONS, TESTS, FILE SEARCH, [~,~A AND INFOP¢]IATION As ceHifiod by my seal affixed hereto and as of the validation date shown below, I verify that my ~nvestig~'tion of this Hoalth Aut hori[y Approval shows that the on-site water supply and/or wastewater disposal system is safe, funct~pnal and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the in~prm~tion obtained . from the Municipality of Anchorage fifes 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 ~/-~'~ ~- ~ Telephone Date ~/Z/,~' ~' ineer's Seal DHEP APPROVAL Approved for Y ,~ ~ Approved Disapproved Conditional Terms of Conditional Approval Date ~¢/~-~ ~' CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in pararJraph 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 (~ 1184) wELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 - Legal Description: '~'~'7z/-~, MUNICIPALITY OF ANCHO,~,\G~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECT[ON 1986 TotalDepth .~O~ '~ Casedto .~,~o Depth of Grouting Static Water Level ¢-'~ '~ _%? Pump Set At Casing Height Above Ground ~-/" Sanitary Seal on Casing (Y/N) ..~¢' Y~-¢ Depression Around Wellhead (Y/N) ,'~/~ Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot -¢ ' -b ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ''~ / ~'o ; On Adjoining Lots To Nearest Public Sewer Line ,/~,"¢ To Nearest Public Sewer Cleanout/Manhole ~//~ To Nearest Sewer Service Line on Water Sample Collected by .~;¢-/.,'.¢'-7-' ; Date Water Sample Test Results ~"¢~"~/~-'¢'7~'~'1~"¢¢ Comments ¢ Z,?' "%- SEPTIC/HOLDING TANK Date Installed /0/~ '~ /~0¢ _ Size No. of Compartments Standpipes (Y/N) ~"~"¢ Air-tight Caps (Y/N) /Ye--< Foundation Cleanout Depression over Tank (Y/N) /"~¢ Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ,///,~ ;for Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: TO Water-Supply Well 77~-"¢' Temporary Holding Tank Permit (Y/N) To Building Foundation To Property Line __ .: To Water Main/Service Line To Disposal Field To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(lf/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) Resells of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well -.~ / To Building Foundation ~"~- Lot Type of System Design'~-'~ 'J-~u:¢'~'~f":'-- 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 Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area TO Cutbank (if present) ,'~,,~ LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) , ,~ ,'.~?¢¢'¢,'o,"- ,,',~o~,.--h O,_f ,~. P,--,~'7'~. 4~.r,-~'.,I W~p~.,., I,'~e~.lV Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have check¢~, veer conformed to all MOA a~d HAA g uideli nes in effect on the date of this inspection. Company~~~'~'~ ~'~ ~ MOA No. Receipt No. ~0~{ -DOt '.% Date of Payment ~ -(0'%~ ~ ~." k'~ ~ · Amount: $ ~)~ ~ : ~T % ~ ~ Engineer s Seal ~ k No. ¢~-E ].~ P. c~/o x l~aa~o ANCHOF]AGE, ALASKA 99519-6650 (907) 264-x'!Jd~× 4744 TONY I(NOWI ES. MA YOt? DEPAR'Ff~ENT OF I'I, EALT[I & [IUI~IAN .SERVICES August 13, 1986 Stan Brust, 1610 Dimond Drive Anchorage, Alaska 99507 Subject: Lot 10 Block 3 Sun~it Estates Subdivision Waiver Request, WR86-115 Dear Mr~ Brust: Your request for a waiver of the 100 foot separation distance required between the septic tank and well on the subject property has been granted° This distance has been waived to 95 feet. This waiver is valid for the existing three bedroom single family dwelling only. Sincerely~ Stephen S. Morris Civil Engineer On-site Services SSM/ljw APPLICi~ .~T FILLS OUT UPPER HALt )NLY ...... Phone ~..C-'-~ ~ Address Zip Code Type of Resi~nce ~ Multiple Famgy NO. of Bedroo~_ ~'~..~ Water Supply Year Individual Installed: ~ Holding Tank NOTE; THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date /~ Field Notes: RECEIVED. ( ,~LAPPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received /~,-.,.~ "~ ~:~ Well to Tank Septic Tank Size ~,/~ October 18, 1983 John A. Treptow 420 "L" Street, Suite 500 Anchorage, AK 99501 :~ubject: Lot 10 t~lock 3 Summit Estates Approval for the individual sewer an(] water facilities cannot be granted until the follo%,~in{j items have been com~)leted. °/~'he top of the well casing should be sealed so that it is ~ f %~ater tight. //Exposed electrical wires to the well head are in violation ~/~_.~f'the ~unicipality of AnChorage codes and must be encased in conduit. The septic tank pumped ;;ith a receipt submitted to this department 0 An adequacy test needs to be performed on the existing leaching area. This test will determine if the syste~n is adequate according to National Standards° A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. Please notify this Department for a reinspection ~,;hen the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. olncerely, Ja88/p/E~{ Enclosure c c: Benson W~ndy Chapman 555 W. Northern Lights Anchorage, AK Jim Roberts; Associate Environmental Specialist STANLEY BRUST & ASSOC]IATES En,~ineers - Planners - Surre)'ors Project No. Adequacy Test'Log Date Time Level Readings Remarks septic tank STANLEY BRUST & ASSOCIATES Engineers. Planners - Surveyor~ 1.:.17 Eas! 74th Axcnu¢ Ancho;a~e, Alaska 99q07 (907) 349-6577 SL,,.,TIC SYSTEM ADEQUACY REPORT LEGAL D£SCRIPTION ' TYPE OF EYSTEh' ' [] SEPTIC TANK - SIZE ~//'9 ~ ~)_. Gt,[ LONS CRIB OP, SEEPAGE PIT LEACH FIELD SEPTIC TANK WAS PUMPED [] YES [] NO I unlclpali y , ANCHORAGE, ALASKA 99502-0650 OW (907) 264-4111 Anchorage To. ,'~ /y P7.'29 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION , ~ October 18, 1983 A .... : - , ,,,.. John A. Treptow 420 "L" Street, Suite 500 Anchorage, AK 99501 Subject: Lot 10 Block 3 Summit Estates · \ Approval for the individual sewer and water facilities cannot ') '1 be granted until the following items have been completed: ¢~ ~ [/ o The top of the well casing should be sealed so that it is ,~ ~ ~ water tight. ^~ ~o Exposed electrical wires to the Well head are in violation ~ ~ of the Municipality of Anchorage codes and must be encased ~ in conduit. o The septic tank pumped with a receipt submitted to this department. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report 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, ,//~im Roberts Associate Environmental Specialist JR88/p/EH Enclosure cc: .Benson Wendy Chapman 555 W. Northern Lights Anchorage, AK MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI ON 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER MariamWallwin PHONE ? MAILING ADDRESS 5~55 Summit Street, Anchorage, Alaska 99504 PROPERTY RESIDENT {If different from abovet SEL~e 2, BUYER John A. Treptow PHONE PHONE 274-6759 MAILING ADDRESS 809 E. llth, Anchorage, Alaska 3, LENDING INSTITUTION Coast Mortgage Company MAI LING ADDR ESS P.O. Box 12007 Anchorage, Alaska 99510 4. REALTOR/AGENT Skell Area Re~l~ors IPHONE 279-0665 IPHONE 278~2525 MAI LING AD DR ESS 5. LEGAL DESCRIPTION Lot 10. Block B, Summit Estates Subd. STREET LOCATION ~4~ Summit'Street 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [~ Four [] Other [] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) ~ · MUNICIPALITY OF ANCHORAGF~ /~-~'~ DEPARTML_~' OF HEALTH AND ENVIRONMEN, L PROTECTION i~'~]] ' ' 825-.L Street, Anchorage, Alask'--'a 99501 ./ // /~ . Date Received: May 27 1977 #1: Time 9:30 a.m. 92: Time #3: Time Date 6-1-77 Wed. Date Date Insp Kennedy Insp Insp ? REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Statebank Mailing Address: 310 East Northern Lights Blvd. Phone: 279-7637 2. Property Owner: Donald H. Dahl Phone: 344-5720 Mailing Address: Star Route A Box 78A 99507 Legal DescrSption: Lot 10 Block 3 Summit Estates Single Family Residence: (x) Number of Bedrooms: 2 Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Permit # Construction , 6. Sewage Disposal System: Permit # Septic Tank Size Absorpt'ion Area e Individual well (x) Community/Public System ( ) Depth of Well 302' Well Log on File Bacterial Analysis On-site System ~x~ Public InstAlled 1976 Installer Manufacturer Soils Rate Material Utility ( ) ( ) Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 10 Block 3 Summitt Estates Comments: .Affada~( ) Letter Attached: ( ) Date: Department Worksheet: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: ~ a w_ Mailing Address:~?S~ Box 78 A, Anohore~;e~ A~. 3. Name of Buyer: David Lo~ze Mailing Address: 91st Ave° ~ ~chorec;e, 4. Name of Lending Institution: Alaska Statebez~ Mailing Address: ~lO E. Northe~z Lights Blvd. 5. Name of Realtor or Agent: Mailing Address:~ Phone: 6. Legal Description: Lot 10, Blk. % Summit Estates Day Phone: Day Phone: Phone: 279-76~7 CONV 344-5720 3~-7oo9 Location: Type of Facility to be Inspected: Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served No. Bdrms. 2 If Individual, depth of well 302 Sewage Disposal System Type of System: Public Utility If Individual, date of installation 1976 Individual X 1 X Single Fam, Res, Individual (on-site) 72 003(3/76) #1: Time Date Insp MUNICIPALITY OF ANCHORAGE ' DEPARTMENL~/OF HEALTH AND ENVIRONMENTk_~PROTECTION 825 L Street, Anchorage, Alaska -99501 279-2511, ext. 224 or 225 Date Received: April 19, 1977 1:30 pm. #2: Time #3: Time 4-20-77 Wed. Date Date RCPratt Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Alaska Statebank Mailing Address: 310 East Northern Lights Blvd. Phone: Property Owner: Dahl Construction Mailing Address: Star Route A Box 78 99507 Phone: 344-5720 Legal Description: Lot 10 Block 3 Summitt Estates Subdivision Single Family Residence: (~ Number of Bedrooms: 2 Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit # Construction Public/Community System: ( ) Individual Well: (x) Depth of Well 302' Well Log on File Bacterial Analysis ( ) Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System ~x) Public Utility Installed 1976 Installer Manufacturer Soils Rate Material ( ) Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ,Page, Two- k~/ Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Leqal Description: Lot 10 Block 3 Summit Estates Comments: Affadavit Attached: ( ) Approved: Disapproved: Letter Attached: ( Date: Date: Department Worksheet: I · M'UNICIPALITY OF ANCHORAG~ ~rotec ~ PALiT,F~O,: /~'~k<x I Departmen~of Health and Envlronmen~ ' .- . - · //--~ / .,- - o9~ L Stree~ :~chorage, Alask ~ '-;~i(;~ ?/ 279-2511, ext. 224, 225 ~'~;'? ~ -- ~ ~r~xral Oe Individual Sewer and Wate~ Fac~ Narae of Buyer: _ Phone: Mailing Address: '- Realtor/Agent: Phone: Mailing Address: Street Locatmon: Single Family Resi'dence: Multiple Family Residence: ( ) Number of Bedrooms: 7 o Water Supply: * individual Well ~ Public/Con%reunify System ( ) If Individual Well, well depth ~_~ ~ If Community System, name of system Sewage Disposal System: On-site System ~ Public System If On-site System, date of installation: ~ ~ ( ) *' TE A well ]_og is required on kLL wells drilled since 6/75. NO. : 3/77