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HomeMy WebLinkAboutSKYWAY PARK ESTATES BLK 4 LT 3Akyway Park Estates Block 4 Lot 3A #019�141�20 [,qlj:j -9 Municipality of Anchorage L! On -Site Water and Wastewater Program - (907) 343-7904 NOVaJA fW 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131204 PID Number: 019-141-20 Dwelling: X Single Family (SF) El Duplex (D) El Multiple (SF and/or D) Project: E] New a Upgrade �Name: CHRISTIANA & DAVID BENNETT ABSORPTION FIELD E] Deep Trench [] Shallow Trench E] Bed FEJ Mound Address 11821 TOY DR ANCHORAGE AK 99515 El Other Phone Number of Bedrooms Soil Rating depth from original grade 14 JTotal 0.8 GPDISF _�ee -W,18 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade FjGravel +11.3 depth beneath pipe — 0.5 Ft Subdivision Block Lot SKYWAY PARK ESTATES 4 3A Fill added above original grade 3.7 Ft. Gravel length 50 Ft. Township Range Section Gravel width 18 Ft. JBeds: Number of Li�n_ellstance 3 between lines 6 Ft. SEPARATION DISTANCES TO Septic Absorption I Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 900 Ft2 Ft. well 100'+ 100'+ 100'+ — 25+ TANK D Septic N S.T.E.P. [I Holding [] Other Manufacturer ANCHORAGETANK Capacity 11500 Gal. Surface Water too'+ 100'+ 100'+ — — Material mber of compartments Lot Line 5 1+ 0+ 5'+ — STEEL 2 — NA Foundation 5'+ 1 U'+ 5 1+ CIFT STATION Manufacturer Capacity LLL Curtain Drain NO 1\10� ANCHORAGETANK 1500 Gal, Remarks EXISTING SEPTIC SYSTEM Pump on level at 25 Pump off level at 44.5 High water alarm at 22.5 ABANDONED PER MOA REQUIREMENTS in.1 in.1 in. Pump make and model ORENCO 2 Electrical Inspections performed by 1 MOA Installer PIPEMATERIAL Housetotamlk3034 Tankto drainfi,ld SCH40 Drainfield SCH40 COIMT3034_ inspector L SPURKLAND, A MOXNESS BENCH MARK (Assumed elevation) 100 ft Inspection i� 8/8/13 8/9/13 Location and description dates 2w 3� 8113/13 BOTTOM SIDING AT'A' COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: 9 F. A.4,1 Date le.. I i A� 0 49 00 ..... V0 10 00 '0 ............ x L LA SPURKLAND.-, A ppro Daite 11FOO A im LOT I S W A -LEVEL LEVEL K S T A T E SID BLOCK 3 BLOCK 4 Septicn AreQ [INSTALLED 4-8fDROOM SEP71C SYSTEM 1500 GALLON STEP TANK W1 MOUNDED 9ED LENGTH 50 FEET RED WIDTH 18 FEET ?EMOVED ORGANIC & SILTY SAND LOAM VAX EXCAVATION DEPTH 1.5 FEET 2.3 FEET MOA FILTER SAND YOCK DEPTH 0.5 AEtT NSULA77ON 2 INCHES 7 4 AORM 4 @ 1610 LOT JA LE Septign_ LEVEL LOT 38 Ar Septic!) AreQ OF ft INOTE: SLOPES EXCEEDING 25% WERE NOT OBSERVED ........ .. *7TMN 50 FEET DOWN GRADIENT OF THE PROPOSED 41P C-.? ABSORP77ON RELD LOCATION. 1w 4y 9 NOTE THIS IS NOT A SURVEYED PLA r. PELL & SEP17C . .. i ... . ..... ........ LOCATIONS TAKEN FROM ON-SfTE PAID? AND WASTE WATER i;., IV DEPAR7WMr DOCUMENTAIM ALL LOCA17ONS SHOWN ARE # '-. LA PURKLAN 1APPROMMATE. AF N 0, CE -11500 �7 0 25 50 75 100 125 150 SCALE., I' = 50 FT. s SPURKLAND ENGINEERING -r 003 V 15 TH AVENUE SKYR Y PARK ESTATES BIX 4 L 0 T 3A JPTIC SYST M ASSUILT 4NCH 4K, 95501 CK BENNETT DATE, 4116UST 15 2013 607) 279-3916 11 11821 TVY BR, 4ACHURAGE, AK 99511; SHErP 1/1 OKIIP ejeY PERNIT # DSPI31204 P[B # 019-141-20 SPARKESTATESB4L3aSC50,ASABV6 NUT TV SCALE 18' X 50' Mound Bed. 18, Vide 50' Long Excovotion depth LY 2.3 FAfter Sand 0.5' Rock (effective) LO' Insula tion A -*.., y I 4qthi 1w 4—REDR00M RESIDENCE 0 1500 GALLDIV STEP TANK "IS 0 3' C 6' 6' 0 3' 0 3116' hole 36' on Center wa a& = mo, 1. ��' 1500 CALL17N STEP TANK CC�,e.-4k& LA) SPURKLAND ENGINEERING SATWAY PARK ESTATES BIX 4 LOT 3A SEPTIC SYSTEM ASBUILT 203 W15th Ave I Anchor e Ak 99501 CK BENNETT DATE; AUWST 15 e013 279-3901? 11 11821 TOY X., AhUMNAff, AK 9950 SHEETi 212 GRID, 2729 I PERMIT # 0SP131304 PARCEL IB # 019-141-20 SKYVAYPARKESTATESB4LEAD3-ASBBV6 I On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131204 Tax Code Number: 01914120000 Work Type: Septic Permit Effective Dates: July 26, 2013 to July 26, 2014 Design Engineer: SPURKLAND ENGINEERING Subdivision: SKYWAY PARK ESTATES Site Legal Address: SKYWAY PARK ESTATES BLK 4 LT 3A G:2729 Owner/Address: BENNETT DAVID A & CHRISTIANA K 11821 TOY DR ANCHORAGE AK 995150000 Site Mailing Address: 11821 TOY DR. Anchorage Lot Size in Sq Ft: 33047 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well IN 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15. a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing, Received By: IssuedBy: Date: Municipality of Anchorage Development Services Division On -Site Water and Wastewater Program **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP131206 COSA#: Permit#: OSPI31204 PID#: 019-141-20 Legal Description: Skyway Park Estates Block 4 Lot 3A Engineer: Spurkland Engineerina Applicant: CK Bennett Various waivers have been approved for this lot: 1. The field to field separation requirement has been waived to 0'. 2. The bed width is approved to be 18'. 3. 1.7' of unsaturated insitu soils is approved with engineered fill used to meet required separations. See the engineer's waiver request letter. This waiver approval applies to the proposed Error! Reference source not found. only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. F1 The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. F1 Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. F� Adjacent properties are not affected by this waiver. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Waiver is Granted: x Waiver is not Granted: Date: Approved by: k, /, 4�z� Name of RevievW ................ ................................. r ................... Rec#: 04957G Amount: $200.00 Date Paid: 7/12/13 **** VARIANCEIWAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 019-141-20 Property owner(s) CK BENNETT Mailing address Site address 11821 TOY DR., ANCHORAGE,AK 99507 Day phone 250-6915 Legal description (Sub'd., Block & Lot) SKY PARK ESTATESBLK 4 LOT 3A Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (0 all that apply) Absorption Field rx] Initial El Single Family (SF) El (w/wo ADU) Septic Tank El Upgrade Fx] Duplex (D) F-1 Holding Tank Renewal F] Multiple Dwellings Privy (SF and/or D) Private Well Water Storage THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: EXISTING FIELD TO PROPOSED FIELD Distance: 0 I certify that the above information is correct. I further certify that this is in accordance with Permit/Rush Fees: G5b— Date of Payment: –7 1 k (I 10 Receipt Number: OAS A PermitNo. Pemit App_9-1-12-doe Waiver Fees: L-10 0 — DateofPayment: '-Jv�412) — Receipt Number: 54+U 6 WaiverNo. D'S(912)1�-bS SPUTMand Enohmasnona Environmental Consulting and Design 49 1 SEPTIC SYSTEM DESIGN Skyway Park Estates Block 4 Lot 3A Municipality of Anchorage June 17, 2013 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 11821 Toy Road Ladies and Gentlemen: I am writing to request a septic system upgrade permit for the above referenced property. The existing septic system does not meet ground water separation distance requirements. The proposed system will serve a 4 -bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Cales: Groundwater observed at a depth of 4.2 feet below ground surface (6/14/13). Soil Rating. From Test hole 6/6/2013 2.8 min/in = 0.8 gal per sq.ft/day Filter Media = 0.7 gal per sq. fl./ day No. of Bedrooms Required Area per Bedroom: 15010.7 =214 sq.ft. Total area required: 214 x 4 = 856 sqft System: We are proposing a 1500 gallon STEP tank followed by a mounded bed absorption field. The absorption field will be 48 feet long and 18 feet wide and contain 0.5 feet (864 sq.ft. effective) of sewer rock. Soils: A test hole was excavated on June 6th, 2013. See the attached soil logs. Ground water see n ,tps were observed at a depth of 5 feet. Ground water depth was observed at 4.2 feet on Ju e 14 , 2013. Monitoring will continue through construction of the septic system. Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. 203 West 15 th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland*gci.net MOW Environmental Consulting and Design Topography: The ground surface in the vicinity of the proposed drain field is generally level. Waivers: We are requesting a waiver of the separation distance required between an existing field and the proposed field. A portion of the proposed mound will be constructed on top of the existing absorption field. The existing field is to be abandoned. The vertical separation between the top of the existing field and the proposed field is approximately 4.5 feet. This exceeds the vertical separation requirement of 4 feet to ground water. After septic tank effluent has been treated by passing through filter sand and 2+ feet of insitu soil it will no longer present a contamination risk. Granting a waiver of the required horizontal separation distance should not have any adverse impacts. We are requesting a waiver of 0 feet. We are requesting a waiver to extend the maximum bed width from 15 feet to 18 feet. The proposed system is a mounded bed with pressurized distribution. The maximum width of bed of 15 feet is required to ensure adequate oxygen transfer to the middle of the bed in gravity discharge subsurface installations. Mounded beds allow for better aeration of the absorption surface. In addition pressurized distribution with filter sand should ensure that effluent is distributed over the entire bed surface, preventing localized overloading and maintaining aerobic conditions in the absorption field. The excavator will not place equipment of drive on the absorption area of the bed, to prevent compaction of the absorption surface. Assuming the seasonal high ground water elevation is 3.2 feet below ground surface (4.2' b.g.s + 1', June observation) the proposed install will only have 1.7 feet of unsaturated natural insitu soils during high water. We are proposing to use MOA filter sand as an engineered fill to replace the 0.3 feet of natural soils. The justifications listed above will ensure that the septic tank effluent will be sufficiently treated before it mixes with the ground water. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Pending and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lars S urkl d, P.E. Civil Engineer 203 West 15 1h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland*gci.net BLOCK 3 LOT I LOT 4 S'v-n� I LOT 6 0111 IQA71' RD s r K y W A Y P A R K BLOCK 4 L LOCK 4 Ar.. 'A Q 21 L LOT OT JA 4 BDRM STR LOT 38 Of 2 L 0 LOT 6A 0 NOTE: THIS IS NOT A SURVEYED PLAI. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENIATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. E S T A T E D IB m 4C 4f 4F LOT 5 xegc!) 50 0 50 100 150 200 250 300 SCALE, I' = 100 FT, SPURKLAND ENGINEERING SATFAY PARK ESTATES BLK 4 LT 3A I IsEPTIc sysTEY DEsIGN L003 V 15 TH. AVENUE CK BENNE T r BATE., JUNE 17 2013 4NCH. AK. 99,501 tqf)7) ;D7q-qgl.< 118,01 TOY DRIVE MCHMAG) SHEEP 113 &RID, L0729 I PERMIT # L7SPI11OXX PID # 019-141-20 SMARKESTATESB40A.SCIODDV6 I I s 'A LOT I W A Lf VD, IZ 1-1 A R K E S T A T E S S 0 gLOCK 3 BLoCK 4 Septic Area INSTALL 4 -BEDROOM SEPTIC SYSTEM 1500 GALLON STEP TANK W1 MOUNDED BED BED LENGTH 48 FEET BED WIDTH 18 FEET REMOVE ORGANIC & SILTY SAND LOAM MAX EXCAVATION DEPTH 1.5 FEET LE VEL 2.3 FEET MOA FILTER SAND ROCK DEPTH 0.5 FEET INSULATION 2 INCHES 4 BDRM SIR IN 12 LOT 3A LOT 4 LOT 33 Sept! C:n septic!) Ar N Area NOTE SLOPES EXCEEDING 25% WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORP770H FIELD LOCATION. a th) A SURVEYED PLAT WELL ........... ............ ..... .............. NOTE: THIS IS NOT & SEPI7C LOCA77ONS TAKEN FROM ON-SITE WATER AND WASTE WATER �W .. .......... .. DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE RS SPURKLAND Aw APPROXIMATE. N CE -.11500 25 ....... 0 T5 50 75 loo 125 150 SCALE.- I' = 50 FT, till, SPURKIAND ENGINEERING SATNAY PARK ESTATES B& 4 LOT 3AJ I S-rPTIC sysr-rm DESIGA' 203 V 15TH. AVENUE ANCH. 4K 99501 CK BENNETT BATE,- JUNE 17, 0013 (907) 279-3916 11821 IDr DR., ANCHSRAGE. AK 99515 SHEEP 213 &RIO, 2729 PERMIT It LISPI21OXX PlB # 019-141-20 SP4RKEST4TESB4L3oSC50..OVG 4 -BEDROOM RESIDENCE NOT T17 SCALE 18' X 48' Mound Bad. - 18' Wide 48' Long Excavotion Bepth Remove Drganics Max exca va tion dep th,2" 2.3+ Filter Sond jrL�s 0.5' Rock (efFective) 01 Insulo tion e' Co ver (min) 3116' hole 36' on Center 0 3' 1 6' 1 — 0 0 0 1500 GALLON STEP TAW 1VU JGHLL 1500 GALLLIN STEP TANK ISPURKLAND ENGINEERING SMAY PARK ESTATES BLA' 4 LOT 3A SEPTIC SYSTEM DESIGN 203 W15th Ave I Anchorage Ak 99501 CK BENNETT DATE: JUNE 17, 8013 279-3916 11 11821 TOY BR., ANCHDRAGE, AK 9R SHEETt 313 GRID 2729 I PERMIT # 17SPI11OXXX PARCEL IB # 019-141-20 SK Y VA YPARKES TA TESB4L EAB3, B V6 I Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci. anchorage. ak. u (907) 343-7904 Soils Log - Percolation Test Performed For: CK BENNETT Date Performed: Legal Description: SKY PARK ESTATES BLK 4 LOT 3A Township, Range, Section: _ Depth 15- 16- 17- 18- 19 - W I some vi &D. � PRE -SOAKED. Site Plan WAS GROUND WATER YES Gross Time ENCOUNTERED? Depth to Water Net Drop 6/7/13 �"D. IF YES, AT WHAT DEPTH? FXL�'� 0 L 0 Depth to Water After Performed For: CK BENNETT Date Performed: Legal Description: SKY PARK ESTATES BLK 4 LOT 3A Township, Range, Section: _ Depth 15- 16- 17- 18- 19 - W I some vi &D. � PRE -SOAKED. Site Plan WAS GROUND WATER YES Gross Time ENCOUNTERED? Depth to Water Net Drop 6/7/13 1:37 PM IF YES, AT WHAT DEPTH? 5 L 0 Depth to Water After P Monitoring? 4.2 E Date: 6/14/13 1:57 PM Reading Date Gross Time Net Time Depth to Water Net Drop 6/7/13 1:37 PM 0 MIN 7.250" 1.875" 1:47 PM 10 MIN 8.313" 5.375" 4.500" 1:57 PM 10 MIN 7.375" 3.813" 3.875" 2:07 PM 10 MIN 7.250 3.563" 4.000" 2:17 PM 10 MIN 6.625" 3.250" 3.313" 2:27 PM 10 MIN 7.625" 3.438" 4.063" 2:37 PM 10 MIN 3.500" PERCOLATION RATE 2.8 (.mt..h.h) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 1. 5 FT AND2 FT PERFORMED BY. ANSON MOXNESS I Z AM )lj�A JQJ��_ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL-G—UbaiNES IN EFFECT ON THIS DATE. DATE 8/27/12 IUNICIPALITY OF' ANCHORAGE Heal and Environmental Protec in Fourth Floor West 825 L Street Anchorage, Alaska 99501. 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM -11L,­�� MAII, ING ADDRLSS 6VI PI IONE 3-�adY6 LOCATION --- LLGAL P1 SCRIPI ION — ----- - st-imc TANK- Ult, I ANCL NUMBER OF I POLI ',V:A-L D /"f - - - !,1ANUFAC IURER JLLIW44 --- MAN' IRIAL 2- --)NbIDL. 'NIOU11 LIOUM DEPM ID -ALLONS. -I( U CAPACITY/�- G TIIJ: DPAIN FIFLD: f RM! W1 LL FOUNDATION—— ­NEARFS1 LOF LINL TOFAL LENGTH - LINE If of Lines BEIWEEN UNES TRENCH WIDTH-- IN, FOTAL UFFECTIVE 0:%! i,14L A SQ. 1 11 1. MG rH OF EACH L INE DE -PTH OF I ILI I T? i)l PI I I I (1� 01 1 11 1- 1 0 If,I ISI I GRAOL MATL P I A(� I;CNI-Al H I I L -E IN, A13OVE f I LE IN, SEEPAGE PI F: DI�VAD E R --- OR WIDTH ­—, L E N G r 1-1. -­ 1) E PI 1-1 Log Crib ­F�inqs­ Crib Size : nIAML-I LIR- ---UEPFI3 —­ DISrANCE FROM: WELL ]OIAL D FEC -FIVE ��-M;JDAIIO�I NUARL"T LO F L INE APSORP FION ARFA (WALL AREA) Fr. ell .1 a S s : DAo) Dept h: �11- Distalice To: LoL Line Mg : Sewer Line: ipe MaI:erial,: of Bedroom--.- 11stallec: ,-,marks) : 1 L L t DA Ti fl- (-') )- �MIIIROVI D -1 - owl ��1 CD, J* 9 �' � -4 L_ 1 T_ IV" (3 F:, fon PA (114 C) & F1 ca I-, - DEPARTMENT OF ^ �HLTH AND ENVIRONMENTAL P| 'ECT 1011 825 /L/ STREET/ ANCHORAGE, HK. 9950:t. / 8� 264-4720 Ki�y/' ��fl__K_ 0-1 hI do. c- a 01 --- �-3 1 'T`EK l"WEE FR F�IIEEF�A"U�"11, --- PERMIT NO. ( 770992 ) HPPLICAN T 1 46]] BECH8ROF 99507 349-2041 LOCATION TOY DRIVE LEGAL L 3H B 4 SKYWAY PARK SUB LOT SIZE 33000 SQUARE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH MHXIMUM NUMBER OF BEDROOMS = 5 SOIL RATING (SQ FT/BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: K>EZF"-rv­o== ALAL �_E:V41_-,�­u K-4— 5103 --- C'_" 0-_-, --F H- ­ #:= 7. THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). �������� ��1`01 -T- 1: C0 ����� " m, :1: ;22 EE �­ ����� ������"E. �________ ���F 'fl 0: : �i �Lr­ F -'u 61-4 0- C) No" -1 - 1: 1cn 11' A _- R PACKAGE PLANT NAY BE INSTALLED AT THE PERMITTEE/S OPTION SUBJECT TO THE FOLLOWING CONDITIONS: 1. EITHER H CLASS I OR II NSF APPROVED PLANT NAY BE INSTALLED. 2. H CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF R MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM RND/OR YOU MAY BE SUBJECT TO PROSECUTION. ... ..... ... ����������.... ..... ���.... �������.......... .^��� ��� 1- 1. 0 10 c :�'- 00113HE: BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS. 1q, NT DAN SULLIVRN -����_______�___-`_- H�»PLICH \ /c)^��y'_ I5SUED BY ~...DRTE... �,.~.-___-_._, VI0 P&PA CONSIJ�TANTS. INC. 3024 CORDOVA N BOX 6087 0 ANCHORAGE. ALASKA 995G2 0 F -H. 907 279-0483 M TUX. 09D -251J. October 19, 1977 Jim Hoosier 605 A Street Anchorage, Alaska R&M No. 751249 Subject: Soil Investigation for Sanitary Sewer System, Lot 3A, Block 4, Skyway Park Subdivision, Anchorage, Alaska Dear Mr. Hoosier: At your request of October 12, 1977, we conducted a subsurface soils investigation at the proposed location of the sanitary sewer system on the subject lot. The investigation complied with those procedures required by the Municipality of Anchorage Department of Health and Environmental Protection. This investigation, which was accomplished on October 12, 1977, consisted of a test hole drilled to a depth of 17 feet below the existing ground surface. The test hole was sited according to your instructions and its location is shown in attached Drawing A-01. Drilling was accomplished with a rotary drill rig using continuous flight solid -stem auger with an outside diameter of 6 inches. A sample was taken at the depth shown on the soils log in Drawing A-01. The sample will be held in storage at our lab for approximately six months. In addition, all material brought to the surface by the augers was continuously monitored by an experienced engineering geologist. The topography at the drilling site is generally gently --sloping to the west. At the time of the investigation the site had original vegetation consisting of birch trees. The top of the test hole was located at original ground surface. The soils encountered in the bore hole are shown in the test hole log in Drawing A-01. The symbols used in Drawing A-01 are explained in Drawings B-01 and B-02. This log displays specific conditions encountered at the test location. However, subsurface conditions may vary in other parts of the lot without any apparent surficial evidence of the change. Groundwater was not encountered. Bedrock was not encountered. At the time the hole was drilled, seasonal frost was not present. Permafrost was not encountered. Based on the visual classification of the soil and the requirements set forth by the Municipality of Anchorage, a percolation test was not necessary within the test hole on the subject lot. ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA We appreciate this opportunity to be of service to you. Please contact oa if you have any questions concerning this letter or we can be of additional oezrire^ Very truly yours, R m M CONSULTANTS, INC, Geologist JMA:JMn/rdo Attachments: Drawings A-01, B-01 Jim QoC ^ Head, Earth Science Department I ff I Q� 14 0 E LOCATION SKETCH Not To Scale Distances shown are approximate and have not been measured by surveying methods. TEST HOLE LOC Scale: 1"=3' .01 SILT U/SOM SA -11D Wet, Soft, (ML) -7� — 7— — 1. 0' GRAIM LY SAND W/TRACE TO SOME SILT (SM) Brown, Occasional Cobbles 3.51 GRAVELLY SAND TI/TTZACF SILT (SW) , Brown Occasional Cobbles 6.01 SAUDY GRAI/FL W/TRACF SILT M , Brown Medium Dense� Slightly .Moist, Occasional Cobbles — — — — — — — 11.01 SANDY rRAVEL tl/ SOIE S I= (CM) Brown, Dense, Slight1v Moist 7'T.D. Groundw�xtpr was not efic6unteredi This log denicts subsurface soils observed within the test hole at the location shown. See Drawings n--01 ana B-02 for explanation of s,.n4)ols. DWK Vea E=) CKD. jr4A LOCATION SIMTCH AND R&M CONSULTANTS, INC GRID. 4, ... ... TEST HOLE DATE. 10/18/77 ... ... �.11... LOG, JIM HOOSIER PROJ.NQ 751249 --�WGI N SCALE Municipality of Anchorage Development Services Department Building Safety Division On -Site Water& Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsit6 (907) 343-7904 41712 CERTIFICATE OF ON-SITE SYSTEms APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. COSA# ltvo/40;� j -10 1. GENERAL INFORMATION Expiration Date: Z Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address SKYWAY PARK ESTATES; BLOCK 4. LOT 3A 11821 TOY DRIVE * ANCHORAGE, AK * 99515 RENE & ANN GONZALEZ — Day phone 952-2886 11821 TOY DRrVE * ANCHORAGE, AK * 99515 Day phone Real Estate Agent LISA HARRINGTON W/ DYNAMIC Day phone 261-7600 Mailing address 3111 C STREET * ANCHORAGE, AK * 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage Individual Holding tank E] Community Class—Well n Community On-site El Pub;ic Water System El Public Sewer 1:1 The Municipality of Anchorage Development Services Department [DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professionaf engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 andlor 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 riles and from my investigation and inspection, the on-site wa ter supply andlor wastewater disposal system Is(are) In compliance with 8/1 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm CARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR'ROAD. SUITE 101 a ANCHORAGE. AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. — Date 0-1t))10 Engineers Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MCA DSD. The content of this report is for the sole bonefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will It confer any legal right whatsoe ver. 5. DSD SIGNATURE Approved for _14— bedrooms. Disapproved. Conditional approval for — bedrooms, with the I'llowing stipulations: Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory 0 -the Original Certificate Date: (R.. 11005) , , a W111 P - 0' -� rof as ajoll ;cg� V 1/1/ **-. 0 ON -S E AND M� TE ER F M Municipality of Anchorage Development Services Department Building Safety Division On�Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEms APPROVAL CHECKLIST Legal Description: SKYWAY MEW ESTATES; BLOCK 4, LOT 3A Parcel to: 0 n A. WELL DATA *ASSUMED BASED ON SURROUNDING WELL LOGS. SEE ATTACHED. Well type PRIVATE If A. B, or C provide.PWSID# N/A Well Log (Y/N) YES Date completed 6/-3/1971 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 58 ft. Casedto *40'+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 6 3/1971 1/7/2010 Static water level 45 34 Well production 25 '4.25+ —9 -P.M. WATER SAMPLE RESULTS: Coliform colonies/100 mi. Nitrates.�:) I mg./L. Other bacteria� —0colonies/100 mi. Arsenic: ug./L. Date of sample: 3 5 Collected by: GEG Ltd. B. SEPTICIHOLDING TANK DATA Tank TypeNaterial SEPTIC/FIBERGLASS Date installed 11/4/1977 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N)' YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 10/6/09 Pumper ANCHORAGE CESSPOOL PUMPING C. ABSORPTION FIELD DATA t -TO BorTom OF SUMFWHICH ONLY EXTENDS 61 INCHES BELOW IN -VE -R -T-1 Dateinstalied 11/4/1977 Soil rating (g.p.dJft2orqE�) 100 System type TRENCH Length 36 ft. Width UNKNOWN -ft. Gravel below pipe 8 ft. Total depth 09.25 ft. Eff. absorption area 576 ft' Monitoring tub�_!E_S Depression over field NO Date of adequacy test 1/7/2010 Results (Pass/Fail), PASS For 4 bedrooms Fluid depth In absorption field before test 0 in., Water added*L6_30 gal. New depth*_**34in. Elapsed Time: 120 min. Final fluid depth 32 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN _ If yes, give date **THE LAST 200 GALLONS INTRODUCED CAUSED A RISE OF 8 INCHES (�S GALLONS/INCH) *0*27 INCHES BELOW INVERT D. LIFT STATION Date installed 'Pump on" level at n. E. SEPARATION DISTANCES Size In gallons - *Pump off" Manhole/Access water alarm level at Cycles tested. Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot *79' Absorption field on lot 100,+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots *96, On adjacent lots 100,+ Public sewer manholelcleanout N /A Holding tank NIA Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5*+ Property line 5-+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100,+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10,+ Water main N/A Water service line 10,+ Surface water 100,+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100*+ F. COMMENTS *PER EXISTING WAIV R, WR85-060. G. ENGINEER*S CERTIFICATION i certify that i have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineees Printed Name JEFFREY A. GARNESS Date 0 I -z -c> I Ici COSA Fee T, 75�7,0. ao- Waiver Fee $ — Date of Payment Date of Payment e Receipt Number Receipt Number (Rev. 11105) z Ln 0 m m 0 0 b 0 a 0 0 to d z ,00'OOL 3.tG,tO.0 S --------------- wl GY Dr-txvm 2 w w wE ul Zi So �E w 0 m <0 OW 0 1 z ul 2 0 a:O 0 TO w w z 0� 8 2 Z ww Z2 �O 0 Oz W. Cwl W� 0 z 0 0: 0 Z�z 0 0 word g w 0 w- ww TX6 8 Kp- Zj?w us �s 0 W W SO H z w 00 z zo nn ce. 01, b 4 ?UIY ��v ON 0=1 cz, Uu z WX W 'Its w ro OT ru .0� r 05.ci U,R! w 0 5:;; w wm� & I zz 0 0;; Dw ow w -WSW:( t;E 50 MU W u 0 0 HE, Mx UUJO 0 z 2 w w wE ul Zi So �E w 0 m <0 OW 0 1 z ul 2 0 a:O 0 TO w w z 0� 8 2 Z ww Z2 �O 0 Oz W. Cwl W� 0 z 0 0: 0 Z�z 0 0 word g w 0 w- ww TX6 8 Kp- Zj?w us �s 0 W W SO H z w 00 z zo nn ce. 01, w z 'Its w MUNICIPALITY OF ANCHORAGE DEPARTMENT OF H17ALTH AND ENVIRONMENTAL. PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION 12-3-85 (a) Legal Description (include lot, block, subdivision. section, township, range) Lot 3A, Bk 4, Skyway Park Estates Subd.; Sce. 211, T12N, R4w, s.m. Location (address or directions) 11821 Toy Dri-ve, Anchorage, AK 99515 (b) Applicant Name Rene Gonzalez _51I-9_2()9) 264-042b Telephone: Home Business Applicant Address 11821 Toy Dr"Lve, Anchorat-,,'e, AK 99515 (c) Applicant is (check one): Lending Institution Owner/builder Buyer El ; Other I-] (explain); (d) I -ending Institution National First 1LO"t ��� Telephone Address ___4-�00 B_St. Anchor e AK ag�___995D3 (e) Real Estate Company and Agent Address Telephone Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-Familyll) Multi-FamilyEl Other Three Number of Bedrooms 3. WATER SUPPLY Individual Wall ZXI Community El Public 0 Note: If communitywell system, must have written confirmation from theState Departmentot Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite I@ Public D Community 0 Holding Tank El Note: If communitywell system. must havewritten confirmation from thoState Departmentof Environmental Conservation attesting to the legality and status. Pago 1 of 2 7�-0?5 (11,841 IC 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 6. As certified by my seal affixed bereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-sito 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 AJ.aska 6oil_ Testing and Exiginecring 561-V453 =_JTelephone Address 6100 A%Streat, Anchorc�,,'-e, AK 'j9.502 Date 3,2-3--85 Please note vmiver reque�;t. ST85-26a DHFP APPROVAL Approved,for cz edroorns by -6L - Approved Disapproved Gonditional Terms of Conditional Approval � Fill 1 IMM CAUTION Date inee 11 LUM / �_ - Z.t_ The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The. DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional enginoer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) M. MUNICIPALITY iENVi DEPT. 01 ANC110PA RONM OF HEALTIq a 0 ENW PROTECTION CHECKLIST - FEBRUARY 1984 0 411986, 264-4720 Lot 3AI, Bk 4, kk*JCC711�;otats Sub Legal Description: Sec. 24, T12N, R4W, A. WELL DATA Well Classification Individual If A, B, C, D.E.C. Approved (Y/N) --- Well Log Present (Y/N) N (Comm. -L)Date Completed Unknown (Prior to 19 6 gpni (Ref. Coram. 2) Total Depth 58 ft. —Cased to — 58 ft. Depth of Grouting N/A Static; Water Level __2B_Jj�_ Pump Set At —53 ft. Casing Height Above Ground 14 inches Sanitary Seal on Casing (Y/N) N (Ref. Comment Electrical Wiring in Conduit (Y/N) --y Depression Around Wellhead (Y/N) N Separation Distances from Well: To Septic/Holding Tank on Lot 79 ft, (1�ef . Comm. 4) ; On Adjoining Lots 96 ft. (Ref. Comm. 4) To Nearest Edge of Absorption Field on Lot 100 ft - — ; On Adjoining Lots 1.05 ft. To Nearest Public Sewer Line — 1004- ft. To Nearest Public Sewer Cleanout/Ma n hole ___ 100 4- ft' 204- ft. To Nearest Sewer Service Line on Lot Mark Holum, P.E. 11-21-85 Water Sample Collected by Date Water Sample Test Results Satisfactory Comments 1) WelL driller and date of completion unknown. A prior investigation of the eO� �vt &�Fb­ aond u d.in the well data of Fig. 1, JI&g.5ypd. t lo y 4 1A c6nfirmod I ly��) i a e e LT eiel 0- 5 y at .581%1�'day a c rowed-, for -we-11- i�e a]: - in-stallation-pe n cling review of--waive-r- request, attaGhod. 4)See attached well -septic tanl� separation distance waiver request. B. SEPTIC/HOLDING TANK DATA Date Installed 11-4-77 1500 gal 2 — Size ___ No. of Compartments Standpipes (Y/N) - y Ai N 0�of Comm F&dation Cleanout (Y/N) . N ('�ef Comm 6) r -tight Caps (Y/N) Depression over Tank (Y/N) N Date Last Pumped 11-a-85 Pumping/Maintenance Contract on File (Y/N) NIA, —_ ; for Holding Tank High -Water Alai in (Y/N) N/A, Temporary Ho Iding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well _ 79 ft. (Ref, Comm. 4) To Building Foundation - 10 ft. To Property Line - 21 ft. To Disposal Field 15 ft. To Water Main/Service Line - 10 ft. To Stream, Pond, Lake, or Major Drainage Course 100 ft, n -t. Comments -.5) Funds to be oscrowed for repair and capping of septic tank cleanouu. 6) Funds to be escrowed for installation of foundation cleanout. & Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata - Date Installed 11-11-77 Width of Field Unknown 100 ft2/ bdrm Trench Type of System Design Length of Field 36 ft. Depth of Field - 12 ft. Gravel Bed Thickness 8 ft. Square Feet of Absorption Area 576 ft2 Standpipes Present (Y/N) Y N 11121-26185 Depression over Field (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test Satisfactory Separation Distance from Absorption Field: To Water -Supply Well 100 ft. To Building Foundation 14 ft. I nt N/A To Water Main/Service Line 14 f t. To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION To Property Line 22 ft. To Existing or Abandoned System on On Adjoining Lots 110 ft. — To Cutbank (if present) 100-F ft. 100+i ft. 27 ft. Date Installed N/A Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, vegfed, or conformed to all MOA and HAAguidelines in effecton the date of this inspection. Signed &�, �2�_ Date 12-3-85 Company Ak Soil Testing & LngrMOA No. ST85-260 OF 41 Receipt No. la -q -,K Date of Payment It w Amount: $ Page 2 of 2 72-026 (1 1Y84) Municipality of Anchorage December 27, 1985 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENI OF HEALTH 6 MUMAN SEUMCES Mark Holum Alaska Soil Testing and Engineering 6100 A Street Anchorage, Alaska 99502 Subject: Lot 3A Block 4 Skyway Park Estates Subdivision Waiver Request WR85-060 Dear Mr. Holum: This Department has reviewed your request for a waiver of the minimum horizontal separation required between a well and septic tank for the subject property. The required 100 foot minimum separation to the well on the subject lot has been waived to 79 feet for the septic tank on the subject lot and waived to 96 feet for the septic tank on the adjacent lot(Lot 3B). This waiver is valid for a three bedroom dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw [-[-rrm ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 December 23, 198S Mr. Rene Gonzalez 11821 Tog Drive Anchorage, AK 99515 Subj ect: Lot 3A, Bk 11, SkUway Pori< Estates Subd. Deor Mr. Gonzalez: We have reviewed the subject property and have found that the deficiencies noted in our letter oF December 3, 1985 have been corrected. The well is sealed with on approved sanitary well sea]., and the SBT3tiC SYStBIT11 ClBCITIOUtS have been seciled with "Jim" tgpe Caps. This letter may be Submitted to the Municipality cis a supplement to our Health Authority inspection oF December 3, 1985. Please Coll iF we may provide additional assistance. SiTICBrelg, ALASKA SOIL TESTING AND ENGINEERING MCIr* Holum, P,E. Nonoger Municipal Permit No. ST85-260 MARK I -lot u 5734 U-111 ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, ADchorage, Alaska 99502 (907) 561-7453 December 3, 1985 Municipality Of' AT­1chorOgB Department of Health and Environmentol PrOtBCtiOn Division OF Environmental Health B25 L Street Anchorage, AK 99501 Subject: Conditional Health Authority Approval Request, Lot 3A, Bk q, SkUwoy Park Estates Subd, Gentlemen: As described on thB Following documents, the 01-1-SitE sewer arid water supply do riot conform tO Current state and municipal standards. In order to facilitate the client's refinancing of the existing house, WE) request a conditional approval subject to obtaining a Well-SBptiC tank separation waiver and upgrading the well seal, Foundation CIE-anout, and septic system caps. The attached Waiver request 3-s under, a SBPC1rQtB Cover letter. Please call iF I may provide additional ossistanCE3 Sincerely, ALASKA SDIL TESTING AND ENGINEF--'RING 1�7 Nark Holum, P.E Nonoger III ALASKA SOIL TESTING AND ENGINEERING � I nO A Street Ancliora e Alaska 99502 I b , 4,&�V' (907) 561-7453 ICl/10 OP Adequacy Teist Location: Lot 3P, Bk Li, SkUway Park Estates Subd. Type: Septic tank and Trench Address: 118F1 Toy Drive Client: Rene Gonzalez Date Time Quantity of' Depth Below Water Added Grade of to Trench Water Level In Trench CGC113 C I nchBS3 ---------- Depth Below Grade of Water - Level in Septic Tank CInches] 11-20-85 9:20 am 0 66 3/Li 72 11-20-85 9:30 BO 60 72 11 -20 -BS 9:q5 93 56 68 11 -20 -BS 10:20 155 50 62 11-20-85 10:3q 5Li I/Lf 65 11-20-85 12:22 pm 60 7P- 11 -20-B5 1: 01 61 1,12 73 11-21-85 11:00 am if E�10 J)/2 Pump 1 -22-85 10:LIB am 0 -77'1/2 1.16 11-22-85 10:q9 100 66 116 11-22-85 10:51 E!00 rA 66 116 11-22-85 10:53 300 66 1.16 11 -22 -BS 10:55 L100 65 I/L1 315 11-22-85 10:57 500 GLf 112 1. 1 Li 11-22-05 11:05 71 112 3.13 11-22-85 1:21 pm 72 3/Li 1. ILI 11 -22 -BS 3: qL1 72 3/Li J. lLi 11-26-05 12:33 pm 0 79 I/q 00 11-26-85 12:3S 7 75 BO 11-26-85 12: 39 L10 66 3/q BO 11-26-85 12:q7 88 66 60 11-26-65 12:52 127 66 80 11 -26 -BS 1:20 30B 6S BO 11-26-85 2: 46 SLfS 6Li 3/Lf 78 11-26-85 2:51 65 I/Li 78 11-26-85 2:56 65 3/q 76 11-26-85 3:31 67 3/Li 7B 7/8 1/2 I/P Tank 1/2 112 IIE 112 1/2 3/Li I/P Conclusion: The absorption rote of the BXiSting trench 8XCBBCIS Li50 gallons per day and is adequate For the three bedroom single family dwelling. %h CC)MMBntS: The septic system was in use Prior to th The trench arid observation standpipe appear- to be o by sludge below a depth of approximately GS inches Q�tjj thB F61110ining capacity OF the system appears adequ e,F three bedroom dwelling. i ARK HOLUM Nork Holum, P.E., STBS-260 Performed by: CE 5734 FFr-r-.' ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Ancliarage, Alaska 99502 (907) 561-7453 December 3, 19135 MUTliCipUlity OF Anchorage OBPDrtMBnt OF Health and Environmental Protection Division OF Environmental Health 825 L Street Anchoroge, AK 99501 SULIJ E!Ct: Application For Waiver of' Separation Distance, Lot 30, 131< Lf, SkywuLj Furl< Estates Subd. Gentlemen: This letter, with the attached supporting documents, constitutes a request For a waiver of the minimum horizontal separation distance between an existing Well on Lot 30, Bk L1, 51<ywag Perl< Estates SUbdivison and the SBPtiC tonl<s on Lots 3n and 3B of the subject subdivision. The ujuiver request pertains to the separation distance OF 79 feet between the well and the tank On Lot 3A and to the separation distance cE 96 Feet between the well On Lot 3A and the tank on Lot: 3B . In 0CCOrdOT1C6 With the ADEC memorandum of' January 3, 1985, which pertains to separation distance waiver guidelines, several documents are attached which mug aid in Your evaluation a[-' the UJQiVBr request. Well data concerning the well on Lot 3A, a soil log, septic system installation inspection FBPOCtS, and a water quality report are attached. The well log is not on file and its completion dote is unl<nown. The water level in the well was 28 feet below grade on November 20, 1985, The ground surfoce on the 5Ubj8Ct lots is approximately level . Please call if I may provide odditioncil assistance in your, consideration of the waiver request. Respectfully submitted, MUNICIPALITY OF ANCHORAGE DEPT. 0 RONM NF HE/,CTH ALASKA SOIL TESTING AND ENGINEERING ENVI E TAL PROTECTION i�Lf- " - bu4i M5 Nark Holum, P.E. Manager RECEIVED '10 �zo 0" '9 6D A 9 MC. Bacteria DIMPLETED BY LABORATORY shows this Water SAMPLI to be: �tory "'o ry too long in transit; sample should Ie r 48 hours old at examination ate reliable results. Please send pie. 91vod I plvod Mothod: �mentaflon Tubo niomno FlItor NO. Rosult* An2lyat A/51W Fn 0:1 �_j OD te Jj e fa �q W,� /?, /, f lc- J ee �FCORI) eL ffe V,' P W (f) e >el, 5 7�,k, y L_____ 2, y _164;_ 0 A, e�� '000�_ 1,. No. Pek, V, (nr/vO,-_ _T _10�1 T-1.0—mil _01_�l BEFORE Confirmatory 24 Hours 40 Hours _2L 101,144-�l 0" '9 6D A 9 MC. Bacteria DIMPLETED BY LABORATORY shows this Water SAMPLI to be: �tory "'o ry too long in transit; sample should Ie r 48 hours old at examination ate reliable results. Please send pie. 91vod I plvod Mothod: �mentaflon Tubo niomno FlItor NO. Rosult* An2lyat A/51W Fn 0:1 �_j OD te Jj e fa �q W,� /?, /, f lc- J ee �FCORI) eL ffe V,' P W (f) e >el, 5 7�,k, y L_____ 2, y _164;_ 0 A, e�� '000�_ 1,. No. Pek, V, (nr/vO,-_ _T _10�1 T-1.0—mil _01_�l BEFORE Confirmatory 24 Hours 40 Hours COLLECTING SAMPLE Multipla Tuba Raport;_ Mornbrano FlIt.r; Dirmt Coun Varificatlon: LTD Final Mombrano FlItor ROSUIRS Raportoa By— Brain 24 hOUrs:___l3rotlI 40 hours:— Tuba$ PoSltlw/TOtDl IOMI Part'" -------coil form/I OUMI Data Tlrno collform/100MI p.m. 0 0 0 M m 1:1 0 U) z 0 X z -i m m 0 0 0 :E z G) M m 0 z z M m z m 0 FTFi_e__ nA z b. M 0 x 'Mon :E 0 z m T < k (7) > 0 (n hill M 0 M I z m z �0 c) - )> D Z U) M u 61 M > < > 0 0 M APPLICANT FILLS OUT LOWER HALF ONLY Propetty Owner -5 Phone Mailing Address 7; Buyer Address Lending Ins It loiT 4— Phone Address 'd Realty Co. & Agent _P�_on_e­ Address rf [;_gal Fe—sc—rilpflo—n—T -I _�_7 t,, 7Z' I Street Location A111A) Type oj-Hesidence El Single Family El Multiple Family �,Io. of Bedrooms El Other Water Supply , rr lndlvldual ATTACH WELL LOG. A well log Is required for all wells drilled since June El Community 1976. For wells drilled prior to that date, give well depth (attach log if El Public Utility available.) Sew sposal !?�l nd'! v I d u a I Year Individual Installed.. El Public Utility When Connected to Public Utility: --- P Holdln, Tanl NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PHOCESSING CA14 BE INITIATED. 4�w �S- 1� / / -t.� 9 F,Zou) Iq A�,�f 'adz�� - f /t -f Is-, -�, / 0 0 Municipality 0 k 1 F Ancho POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION March 8, 1982 Mr. Robert 1). Carlsson P.O. Box 10-905 Anchorage, AK 99511 Subject: Lot 3A Block 4 Skyway Park Approval for the individual sewer and water facilities cannot be granted until. the following items have been completed: 0 The water analysis report needs to be submitted -to this office from the Chem Lab, 5633 B Street, for our review. 0 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, Robert C./Pratt Associate Environmental Specialist Enclosure RP50/p/EH e- 7'