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HomeMy WebLinkAboutROCKHILL BLK 2 LT 7kMUV VJIU4710Ji Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221311 PID Number: 015-362-12 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade Name MCCUE ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 6530 SHALE C I R ❑ other Phone Number of Bedrooms Soil Rating depth from original grade 4 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot ROCKHILL BLK 2, LT 7 Fill added above original grade Gravel length Township Range Section Ft Ft Gravel width 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 Ftp Ft. Well 100'+ 50'+ TANK N Septic I] S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCH TANK Capacity 12550 Gal. Surface Water 100'+ Material Number of compartments Lot Line 10,+1 NA PLASTIC 2 Foundation 01+ LIFT STATION Manufacturer Capacity Remarks TANK DEMO PER UPC, Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield MIKE N ANDERSON, P.E. Drainfield Co/MT3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 100 ft n 1n 10/14/22 Inspdeact s Location and description 2 .a TOP OF MANHOLE 100 3`d 4N ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date �``` •`° _- �1'y ••if I..' '� 12 K, a e., IA:C-i„: rL l AK ER�K; ' a Septic Systems Approved l� Date �� - �`i No this approval does include i•� �`- not well permit requiremnts. : . , ,::,'.': v kMUV VJIU4710Ji w LOT 6 LOT 3 10' UTILITY ESMT Z__� S89'59'22"E ABBOTT ROAD 20.00' ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: ROCKHILL SUBDIVISION LOT 7 BLOCK 2 PLAT 79-37 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoull any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E—MAIL APR 20, 2023 1 "=50' schuller0ok.net 23-015-2 DRAWN BY: (NECKED BY GRID NUMBER: BOOK AGE JLS SW2438 230131 LOT 3 _OT 4A •- = FND ALUMINUM MONUMENT O = FND 5/8" REBAR 1c��X OF �\ ASD s V� 0 1 �-� / � • 49TH 1 / / �., 1 7GOO . .. './ a I -JOHN L. SCHULLER.� o / •. LS -10408 ; '0' ••�..,.�...,,•,.� ' 1 0,, , . • ' J / 1831 Talkeetna Street eo, "'• :. . Z d �� Anchorage, Alaska 99508 o fe a , W (907) 227-1455 office sslo=\ , �• (907) 274-4992 fax MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221311 Work Type: SepticTank Upgrade Tax Code Number: 01536212000 Site Legal Address: ROCKHILL BLK 2 LT 7 G:2438 Site Mailing Address: 6530 SHALE CIR, Anchorage Owner: MCCUE DANIEL & TRACI L Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: ❑ Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: 'rent S No GCA `G V llepartment 8/8/2022 8/8/2023 67155 ❑ Private Well ❑ 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 Special Provisions: • The tank is to meet the required 5' separation to both trenches. Received By: Issued By: Date: Date: g Z Z 4 �S MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-362-12 Property owner(s) MCCUE Mailing address 6530 SHALE CIRANCH AK Site address SAME Day phone Legal description (Sub'd., Block & Lot) ROCKHILL BLK 2 LT 7 Legal description (Township, Range & Section) Lot Size 67155 Sq. Ft. Number of Bedrooms `A APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo AD U) Septic Tank 0 Upgrade El Duplex (D) El Holding Tank El Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: �/ 5 0 2 Receipt Number: (09 8D I Permit No. OS l�o� 1 3 i Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc August 8, 2022 Municipalities of Anchorage On-Site Water and Waste Water Section 4700 Elmore Rd Anchorage, Alaska Phone 343-7904 Re: New septic tank permit Legal: ROCKHILL BLK 2 LT 7 To whom it may concern: This is a request for a septic tank permit on the above referenced lot. This tank replacement will not impact any of the neighbors or encroach on any wells, septic or open water issues. The tank will be decommissioned per the Uniform Plumbing Code (UPC). Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221311, Deb Wockenfuss, 08/08/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221311, Deb Wockenfuss, 08/08/22 ' , Municipality of Anchorage Page ! of ~.~ ~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~O~/°~ O10¢.- PID Number: Name:Wastewater System: ~ New ~ Upgrade Address: ABSORPTION FIELD Phone: No. of B~rooms: ~ Deep Trer,~h ~Shallow Trench ~ Bed '~ Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION Soil Rating:O, 8 GPD/~ Lot: ~ BIock:~ ~o~Subdiv~ion:H t LL Depth to pipe bottom from ori~al.i grade: Ft, Gravel depth beneath pipe ~ Ft. Township: Range: Section: Fill added above original grade: Gravel length: Number of lines: Distance between lines: WELL: C New ~ Upgrade Gravelwidth: ~ Ft. ~ ~ F. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Date inst~led; Driller: Date Drilled: Static Water Level: Installer: Yield: GPM IPump Set at: Ft. ICasing Height Ab°ye Gr°und:Ft. TANK SEPARATION DISTANCES ~Septic ~ Ho~ing ~ S.T.E.P. TO Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: FrO~ Tank Field Station Tank Sewer Lines ~NC~ I I Material: Number of Compartments: w~,- io~ i~~ ~ ~ ~5 5T~ S~fac, LIFT STATION Water ~ O ~ ~ LineL°t ~O ~ ~O~ Size in gallons: Manufacturer: Foundation ~01 J ~4 "Pump on" level at: "Pump off" level at: High water alarm at: CurtainDrain ~ , · ~ ~ Pump Make & Model Electrical Inspections performed by: Remarks: BENCH MARK O1~ '~ ~ ~'~ Loc~tion and Description: Inspections performed by: ~ ~ Dates: lsL ~((~D~ ate:_appr°yalo~ u~, '~ervic~s Department of He~ ith an Reviewed and approved by: 72*013(Rev 9/91) MOA 25 5-WIDE TRENCH $ FT TOTAL DEPTH 4 FT SEWER ROCK $! FT TOTAL LENGTH j I 'i 25 50 75 100 125 i50 SCALE; 1~ = 55 ?F. SWING TIES: AB 22.25 FT AC 81 TANK CO BC 85 ¢~"RK ~ AD 89 TANK ¢0 ~ ~IN~ BO 92 ASWktED AT iO0. O0 rr Ar 96 DOU£LE CO I BE 99 AF i05 £ULL£UN & ~0 BF lOB OS 190 i ~ o 49th I i AG 185 CO AND MONITOR TOBBEN SPURKLAND P.E. 205 W 15TH. AVENUE ANCH. AK. 99501 (907) 279-S916 IILOT ?,BLOCK 2 ROCKHILL S/D KEN RICE 6550 SHALE CIRCLE IlSEPTIC SYSTEM AS: BUILT DATE: JUNE 5, i997 SHEET: 2/5 GRID: 2458 PERMIT # SW970102 Piti # 015-362-i£ RflHO?O7?,gW6 IV©n/top IE 90. ;/£f BARRIER~ 87.~ Cleon ZTu Stzonolord Trench .' 5' V/We $1' L on9 8' Deep #' Sewer rock 3' Cover MD SCALE 81 9~ ,J 0-0 ,,., 0 0 0 ~ ~ 0 0 0 0 0 '0 0 0 0 0 0 0 D 0 0 0 0 0 O O ~O~,O~O~O~O~.O,~On ND SCALE  1BSO 9at Septic fan/< 3ULLRUN 87.0 1B3$ SEPTIC TANK ANCHORAGE TANK BENCH NARK. 3Z7TTZTM SIJtNG ASSUME£ ELEV. lO0, O0 SPURKLAND P,E, 803 WlSth Ave Anchorage Ak 99501 L 7T Z 3LMCK £ £ 7CWHILL KEN RICE 5530 SHALE CIRCLE SEPTIC SYSTEM AS BUILT ]]^TE: JUNE 3, i797 SHEET~ 3/3 GR[]3, B438 PERMIT SW970102 PID / 015-562-12 ROHOSO75. DWG PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970102 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:RICE KENNETH W & OWNER ADDRESS:6530 SHALE CIR ANCHORAGE, AK. 99516 DATE ISSUED: 5/20/97 EXPIRATION DATE: 5/20/98 PARCEL ID:01536212 LEGAL DESCRIPTION: ROCKHILL BLK 2 LT 7 LOT SIZE: 67155 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18/LACS0). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~I~~~ ISSUED BY: 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 7 BLOCK 2 ROCKHILL S/D KEN RICE 6530 SHALE CIRCLE MUNICIPALITY OF ANCHORA(~E ENVIRONMENTAL SERVICES DIVISION MAY 05 1997 RECEIVED Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 April 28, 1997 We are submitting an application for the upgrade of the septic system for this lot. The existing system has failed and must be replaced. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3)~ Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following: No Ground Water or Impervious Layer to 14 ft. Use 5-foot Wide Trench Soil Rating. Test hole #1 15 rain/in = 0.8 gal per sq.ft/day Test hole #2 5 rain/in = 1.2 gal per sq.ft/day Use 0.8 gal per day = 187 sq.ft per bedroom No. of Bedrooms 4 Total area required: 187 X 4 = 748 sq. ft Outlet Existing Tank ~ 91.3 (elevation) Ground at testhole locations 95.5+- Bottom Testhole 1 81.5 Bottom Rock 87.5 Invert tank out 91.5 Rock Depth 4 feet Reduction factor for 5-foot wide trench 0.54 Total Trench Length 748 x .54/5 = 81 ft SYSTEM CONFIGURATION 5-FOOT WIDE TOTAL DEPTH ~ FT ROCK DEPTH 4 FT COVER 3.5 FT REPLACE TANK 1250 GAL The installation of this septic system will not prevent wells from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. N V V VACANT SCALE; / / . % i LDT 3 -__J 4 / / ?OBBEN SPURKLAflD P.E. 203 W 15TH. AVENUE ANON. AK. 99501 (907) 279-$916 KEN R/CE 6530 SHALE CIRCLE J J SEPTIC SYSTE,~ DES/ON DATE: APRIL 25, 1997 SHEET: 1/5 GRID: 2458 PEI~NfT # PID# 015-36~-1~ £EHO~O?i, DIV5 ,,/ , *. 1250~L ~NK INSTALL BULLRUN CONNEC TO T. INSTALL S-W/DE 8 FT TOTAL ! I 4 FT SEWER ~ i ' 81 FT TOTAL TRENCN 205 I,V 15TH. AVENUE ?# BLOCK 2 ROCKHILL $/D KEN RICE 6550 SHALE CIRCLE SEPTIC SYSTEk( DESIGN DATE: APRIL 2,3, 1997 SHEET: 2/5 GRID: 2458 PERMIT # PID # 0i5-367-i? RL~HO£OT?,O~6 klonitor Cleon Out Clean ~Tu S?ondord Trench ,' k//de Lan9 Deep Sewer rock Cover' ND SCALE 901 Septic tank 200 FLL}~/ VALVE Z1P DULL£UN 1LT BARN/ER ~ 0~0 ,,u 0 0 0 _ ~ 0 0 0 O O ~ 0 O 0 O 0 O D 0 0 0 0 0 0 0 mOnOnOnOrmO~OmOm ND SCALE ~25~ SEP?ZC TANK BENCH PIA£K. ~O??Okl SIDING ASSUME? ELEV. /?O, OO TBBBEN SPURKLAND P,E, 803 Wl5th Ave Anchopcge Ak 99501 L ~ ? Z ?L ~CK £ £I~C/{HIL L KEN f~ICE 5530 SHALE CIRCLE SEPTIC SYSTEM DESIGN DATE~ AP~fL ~ SHEET~ J/3 GRID, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -, PERCOLATION TEST (ENGI~:ER'~ SEAL) ih PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7-- 8 9 10 11 12 13 8 Io,,~14 15 16 17 18 19 2O COMMENTS ,'7 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? N s L IF YES, AT WHAT O DEPTH? p E Depth to Water Aller j Monitoring? £l~.'~1 Date: Gross Net Depth to Net Reading Date Time Time Water Drop 3:0 &~ I ~ oq-~/~- I" PERCOLATION RATE ~,~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ,1~ FT AND *~? /"Z,, FT PERFORMED BY: ~ '~ I ~"~' "~ CERTIFY THAT.,THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /"//,~ ~/~ ~' 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF H.'=ALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18~ 19- 20- COMMENTS Township. Range, Section: WASGROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth tt~ Water After Monit~dng? Dale: SLOPE SITE PLAN I Gross Net Depth to Net ~,;eading Date Time Time Water Drop PERCOLATION RATE 5 (minutes/inch) PERC HOLE DIAMETER TES~ RUN BETWEEN 7YZ,," FT AND $ FT PERFORMED BY: ~ '~ ~ '~ I CERTIFY THAT THI~S TEST WAS PERFORMED IN AOOORDANCEW,THAL. S.A.EANDM.N,O,pA. .. ,NES,NEFFECTONTH,SOATE. DA.E: 72-008 (Rev. 4/85) NAME ,~ i O C A T I,~N-~ ~ / MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telepho~3e 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Inside length Dwelling Dwelling g 5 ~' Width NO, OF BEDROOMS No. of~artments Liquid depth PERMIT NO. IMaterial Liquid capacity in gallons DISTANCE TO: Well Manufacturer C~~ I IF HOMEMADE: I DISTANCE TO, I Manufacturer ' I Well STANCE TO: I Top of tile to finish gra e Length ~idth Type of crib Crib diameter Well ~ISTA~C[ TO: IClass De~th DISTA~C[ TO: ~uild[n~ foundation Foundation ~, ~ Neares~(~ot~, n~/~. TM~tttlr :[~ tehr e~[ ft !: it I Trencl~d~" inches Depth )istance bet we.eqUines Total effectiCe absorption area PERMIT NO.~ - Sewer line Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to tot line PERMIT NO. Septic tank Absorption area(s) OTHER INSTA~.LER '~O ° REMARKS APP~.~~ DATE LEGAL WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological ~ GeophysicoiSurveys Oriliing Permit No. ~,;'¢~' £~;, ~ ,r'~ O~i'~ (Please )[ete either la, ID or lc.) A.D.L. No. T~.lsoroug, Subdi.ision Lot mock ~-~'1 '/4qtr.. Section No.TownshipNO Range EEO .er,dia. 'c.JlDISTANCE AND DIRECTION FROM ROAD INTERSECT'ONS 5. OWNER OF WELL:~;:':~.~, Street Address and Area of Well Location WELL LOG Feet Below 4. WELL DEPTH: (finaJ) 5. DATE OF COMPLETION Material Type Top Bottom ~';~ ~;' ' ~ Auger Odetted 0 Bored ~ Ot~er: .... / ~" ~ ~/ 0 Commerical ~..~. [~, .. '.. : ........ :~ 8. CASING: ~ Threaded /~ Welded ~ diem. in. fo fl. Depth Sfickup fl. Set between fl, and ft. Backfilling Gravel pack ~.~ Below land surface Date Equipment used: II. PUMPING LEVEL below lead surface and YIELD ..~ ~':__ft. offer hfs. pumping ~s~. g.p.m. 1~.5~OUTING Well ~rouled: ~ Yes ~ No Matert~l; ~ Ne~f Cement ~ Other: Length of Drop Pipe ~ ft. ~ Subm. m del 0 Oentrifice, 0 Other t5. Water Temperature o ~ F ~ C :¥::q:::~ T 7 i::lJq"." L 0 C !:::I T ;[ 0 L E (3 !:::! L 'T'.',.~E: LEN!?]TH [.'.' i ?lENS :[ ON i S THE LENGTH ,:: i' i'.,i FEET ::, OF 'THE TR['ii:NCH CI!:;i: DRF!:[ !",IF,'[ EL.D. THE DEF:q"H C!F F! TF;E:.'NC::H Ed;i: P]:T ]:S THE D)r. STF!I",!C:E BETHEEN THE '.:3Ut:;;:FF:ICE OF THE i]F~:EIUN() ,':':~,i"~ID THE: ,'E~OTTC)M O!:::' THE EXCF:!VFITZOf',! THEF:E :[::5 i",!E~ SET H]:DTH FOR THE; GRF?¢EiL. DEPTH Z:L::; THE M ]: ?',! .'[ h'IUi"I DEPTH OF G[i:I:::I"/E:L EIETH[:"'EN THE OU'TFF:!LJ.,.. !:::','['.F'E F!I",![.':'- THE BOTTOH OF THE EXCC:R'v','::!.TZOhi (]:!",! FEET). F:'E!:;;:MZT ::E:'P.'I'F¢:.'TT H.~"S THE F~:E:SPCNS]:EZ!.Lr"."'.? T'" ;[Nl::'Ot:;;:h! "!"HZS t'.)::'Pi::iF,.'TI',IF'i'.,!'I" DUF;I];NG 'T'HE ]i ?.,ISTF:ILLF!T Z ON :[ NSF'ECT ]; O?.,i:i~ OF' i;l~'-,!'.? , ~::. L :.;:] F!D.TFtCEN"! .... .'~ TH ;[ S h . ..~r*',.:.~, : F!i'.,E) THE I'.! HF I:::'F? OF F'E:":~ ]' £.? :':'.', "l:E:i:: THF:tT 'TH!E .,,(i:L..L. !4 ;~ LL :~IERVE; i'"!iNI.hiLII"I D i.':'~;TRi'-,!CE 8E'.'"FHEi.E;N FI i,.!EL..L. F!hE.'-' FIN? (3t",!-S!TE Ei;E!.,.!F.,'(]iE D iSPO:E;F:iL. SY!S"['E?! IS :;LC:!!E! FEET FOF'. i:::! F'F:ZVRTE HEL. L.. (;6;: ::l..:!;!i(.i~ TO ;;;i:¢13 FEET FF;O.:'"! ,':":I F'UE3L.;[C HEL. L DEF'END;r. NG UPOH THE T'.?pI:'E !3F PUE',L. i E: HELl. .... i"IC[ N :[ ?.iUH D ]: STi::!NC:E FFi:C!M R F:'R Ci: VF!"f'E Hr.E:L.L 'TC! Fi t:::'!::?. :[',,,'FI"FE SEI4ER L I hie i ~E: 2(;!i FEE:T F~i'.,iD TO !:::~ COMI"iUHZ"?¢ SEHE,';;~: L. ZN!!!~' ]::.E.; ';::'~:i F:EET. HEM.... LOGS RF;:E F;:EC!U ;[ !:;;:ED RND i'*iU:E;T' BE F;:ETURhE.:]D TO THE DEF::'FII:~:TI'"IENT I,.!]:TI.~IZN (.'.IF' "i"HE HELL COMF'L.ETI' O"f'HE¢~: F:EC!U Z I:;.'~EMENTS P!f::!'?' .,':::!.r.::'F'L..'T' :E;F'EE: Z !::r ;[ CF:iT !' ONS R!',![:, CONST.P. UCT ]; 01',t [):[ R(3RI:::!!'"I:E'i Fh':~:E i:::i'¢.~:I Z i....RE~LE 'T'(:) ;!] N;E;Lii:;;:E PRCIPER ;I.;' NSTi:::iL.j....FIT I' '[ CE,t:;.';:'T ]; F:'? 'T'HF!'T !: :[ FI?I FFii'"!i[L.:[fgF:: HZTH THE F:EQL.!Z[';;:E?'IENT:i.(. F'O!7 ON'""S:[TE :!.:.;E.'t.,.tERS RND I.,!ECL. L..S FI:E; :.E';ET F'C)?.TH iECT' '?".hie HUH ]: C: i PF!L.. Z 'T'h" OF F!?',iCFiOE?::IC:iE. 2: Z !qI!,,.L. ]:I".!:i?FF!L.L, THE E;"¢STE:i"I IN RCCOF:DFIi'.,!r_":E H:["FH THE :ii:: ;[ U?-,i[)E::RS"i".FIi'.,i[) 'T'H!:::!T THE ()i'.,!-...SZTE SE:HE:F;: Sh.':['~;'T'E!"! Mi::!? I:;~:EC!LtZF;~E ENL. F:IR(;iiE:-'"tENT i:;;: ..i:.~; E; ]; DENCE': Z $ t:;~:EMCE::,ELED 1"O ]: HCLUDE i"!ORE 'T'HF:Ii'.,I 4. E~EDROOM:E';. .,., ~,.,¢ ..,,,~_.....~¢ ~. S ! G N E D: .~..~~~~,,.., i z, ::,t ,,,,:. :, E~ ............. i:;:'F:i"t"E ..... ......... ,..."~,~ :... - ifi2!i "l." S'I REET ANCI IO?,AGE, ALASKA 99501 (,Q01i 2(i4:1111 January 4, 1982 Carleson Const. P.O. Box 10-905 Anchorage, AK. 99511 Permit ~ 811121 Subject: L7 B2 Rockhill A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Sewer and Water Program Enclosure: Copy of Permit PERM:ET NO. FIPF'L I CFINT' L. OCFIT' I ON LEGFlL PC) BOX ±0-.905 CFIRLE:[-;ON CONS]". ROCKHILL L7 B2 ROCKHILL 'T'T'F:"E OF: SOIL. FIBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF' BEDROOMS = 4 L. OT SIZE 56000 SQL.IRRE FEET SOIL RFITING (SQ FT/BR)= 85 THE REQLIIRED SI:ZE OF THE =,.. [_ FIES3RF'TION ~e*.,~;~:,f...M IL-'.;: THE LENGTH DII.'IENSI(]N IS THE L. ENE:~TH <IN FEET) OF TNE TRENCH OR DRFIINFIELD. THE DEPTH OF Ft TRENC:H OR PIT' IS THE DISTFtNCE 8Ef'WEEN 'THE SURFFiCE OF' ]'HE GROUND FIND THE BOTTOI"! OF THE EXCFI'¢FiTION (IN FEET). THERE IS l",IO SET' WIDTN FOR TRENCHES. T'HE GRRVEL. DEF'T'H IS THE MINIMUM DEF"TH OF GRF¢'/EL BETt,.IEEN TNE OI...rl"F.'i.BLL. PIPE FIND THE BOTTOM OF THE EF~:C:W,.,'RTION ,.':IN FEET). PERMIT FIPF'LICRNT HI=IS THE RESPONSIBILITY TO INFORM 'THIS DEPFIRTMEI,',I'T' DL1RING THE tNS'TFILLFITION II",ISPECTIONS OF F'IN'¢ I.,.tEL. LS FIDJFiCEI",IT' TO THIS PROPERT%' RND T'NE NUI.'!BER OF' RESIDENCES THFlT THE NELL NiLE SER'¢E. E;RCKFILLING OF RNY SYSTEM 14ITHOL.tT' FINfll_ INSPECTION F¢',fD APF:'ROYFIL. B'¢ THIS [:,EF'FIF4'.TI.'IEI,.CI" WILL. BE SUBJECT TO F'R-EE] .]"T?'~ M!NII,'tUM [:,ISTRNC:E: BETNEEN Fl I,.IEt_.L Bf',l[~t F(F,t¥ .F.)I,.,i-SITE %EWFlGE [:,I:E, POSHL :=,'¢:=,rEl,,1 .tRR F'EF'T' P'CiF..' R F'F:'I',/FtTE 14ELI r'~[~' ':;l~R '~¢1' 2P"~¢~ FEET FROM Fl F'UBLIC NELL. [:,EF'ENDING UPON 'THE: T"r'PE OF' PUBLIC: WELL. MINIMUM DtSTRNCE FROM ta PRI","FITE WEL. L. 'TO Fl PR I ',,,'RTE SE[,.IER LINE iS 25 FEET FIND 'l"O R (]OMI"tUNtT~" SEI.,.!ER LINE IS '?'5 FEET. t4ELL. LOGS FIRE REC~I. JIRED FIND MUST 8E F.'ETURNED 'TO THE DEPFFF~'.TMENT WITHIN ]:0 OF 'THE: NELE COMPL. ETIOI,,I. OT'FIER RE(;!UIREI,'tENTS MFI'T' FtPPL"r'. SPEC:IFICF'ITIONS RND COI,',!STRUCT'ION DIflGRfll,'iS FIRE FI"..,'FIILI::tE;LE TO INSURE PROPER INS'TFILLFITION. I CERTIFY THFIT' f: t FIM FF~MIL. IFIR WITFI THE REQUIREMENTS FOR ON-SITE SEI.,.IE. RS FIND t.,.IELLS RS SE:T F'ORTH BY THE MUI,..!ICIPFILIT'¢ C;F FINCHORFIGE. 2: I NILL. INSTFlL. L ]"PIE S%".E;TEI,4 IN RCCORDRNCE W!TFI THE CODES. 2: I UNDERSTRND THFIT TNE ON-SITE SEW. ER S'¢ST'EM MR'Y REC!LIIRE ENL. FIRGE?1EI,.,tT IF THE REStDENC:E I:_--; REMODELED 'TO INCL. UDE I,,!ORE THFlN 4 BEDROOM'::;. V4. 0 ~ ~, ,..~ }&,r~J,[. f., OF ErE [:,kEl£ zUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENV[RONMENTAL PROTECTION , ~..~.~_ Pouch 6-650; Ancbm'age, Alaska 9~502 276-222'[ _ .... - SOILS LOG --.PERGQL~TION TEST PERCOLATION TEST P_ERFORM~E,p LEGAL DE.SC~?.IPTION: 1 2 3 4 5 6 7 8 9- 10- 11 12 13 14 15 16 17 18 19- 20- FOR; _ ~ -_ ' ---~ ~,~ r- DATE PERFORMED-' ~oT '7 BLK 2- ~OE.K ~ZL.L ~LO~E SITE PLAN 2 .WAS GROUND WATER ENCOUNTERED? ~. IF YES. AT WHAT DEPTH? D~TE:~ MUNICIPALITY OF ANCHORAGE Development Services Department1. Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-362-12-000 Expiration Date: 7/21/2023 Legal description ROCKH I LL BLK 2 LT 7 Site address 6530 SHALE CIR Anchorage AK 99507 Current property owner(s) MCCUE DANIEL & TRACI LIV TRUST X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 4/21/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory _ Absorption Field Advisory Nitrate Advisory x Tank Age Advisory Arsenic Advisory _ Other COSA Approva"une 2022 MUMMPA L TY OF ANCHORAGE Development Services Department 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION rf Parcel I.D. 015-362-12 I Complete legal description ROCKHILL BLK 2 LT 7 Location (site address) 6530 SHALE CIR„ ANCH AK Current property owner(s) MCCUE 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel X Plastic ❑ Concrete ❑ Fiberglass Age 1 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: 0 Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Date of Payment 5-5-0 `i /-7-/17,0 z COSA # c6c 2 3 05 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 COSA Checklist Legal Description: ROCKHILL BLK 2 LT 7 Parcel ID: 015-362-12 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA Q Well log is filed with Onsite (or attached) Date drilled 4/21/82 Total depth 58 ft Cased to 58 ft W Sanitary seal is functioning correctly FEI Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 4/4/23 Static water level at beginning of test 33 ft. Comments * data from MOA files B. TANK DATA Measured operating fluid level in septic tank 2022 Date of pumping NEW ❑0 Required maintenance completed, if AWWTS Comments: NEW INSTALL IN 2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 6/3/82 ❑81 ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade 4.5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ol Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 25009allons 4/12/23 date Any rejuvenation treatment (past 12 months) If yes, enter date Well production at time of test 3+ qpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes Q No X Coliform bacteria is Negative Nitrate 9.47 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L1111 Arsenic less than MRL (ND) Collected by Date 4/4/23 MNA C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 4/14/23 Results [j]pass Fluid depth prior to test 0 in Water added 600+ gal New fluid depth 33 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 66 in Effective depth used 33 in Effective depth remaining 66 in Comments/Deficiencies: OLD 1982 TRENCH WAS PRESOAKED & TESTED, 1997 SYSTEM HAD T OF WATER COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Q Yes if No _ ft Community Sewer Manhole/Cleanout > 100' Mi Yes if No _ ft ❑� Yes if No _ ft Neighboring Tank > 100' ❑i• Yes if No _ ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' a] Yes if No _ ft Holding Tank > 100' QYes if No _ ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No _ It Ri Yes if No ft _ Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑w Yes if No _ ft ❑m Yes if No _ It ❑ N/A— Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' E Yes if No _ It Surface Water > 100' F Yes if No _ It Tank to Property Line > 5' Q Yes if No _ ft Field to Property Line > 10' Yes if No _ It Water Main > 10' ❑o Yes if No _ ft Water Service Line > 10' ❑� Yes if No _ It F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' ElYes ifNo_ft Q Yes if No _ ft If tank or field is under driveway comment below G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Mtkr; .yylUcvive PF, Engineer's Printed Name '-')a V, COSA Checklist June 2022 Phone 727-8864 Date '41/241- -2: Nitrate Advisory Certificate of On -Site Systems Approval # osc231096 Subdivision: Rockhill, Block: 2, Lot: 7 A water sample revealed a nitrate concentration of 9.47 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. G s Mailing Address P O Box'�96650 *Anchorage, Alaska 99519 6650 *www muni org x :r ~ MUNICIPALITY OF ANCHORAGE" DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 GENERAL INFORMATION (a) Application Date /-J ?&.- Legal Description (include lot. block, subdivision, section, township, range) Location (address or directions). . (b) Applicant Name ~-~,'~.~¢.~ .¢'¢~*~_¢~o4~'¢~ Telephone: Home Business ~-~J¢--~'/i~ Applicant Address '0~0 ~, ~~0~ ~¢Z- ~ ~¢~. (c) Applicant is (check one): Lending Institution D; Owner/builder ~; Buyer D; Other~ (explain); (d) Lending Institution /~]t~'//I Telephone Address (e) Real Estate Company and Agent Address (f) Telephone Mail the H~_pto the following address: TYPE OF RESIDENCE Single-FamilyN Multi-Faro y[~ Other Number of Bt~drooms 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. 4, SEWAGE DISPOSAL Onsite,,~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 (11/84) ENGINEERING FIRM PROVIDh..~ INSPECTIONS, TESTS, FILE SEARCH,. AND INFORMATION., As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this F~alth Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm '~,~.~(- ~'~~ Telephone ~ /-- ~/~ 7 Engineer's Seal DHEP APPROVAL Approved for -~'- Approved / bedrooms by ~~-, ,X~- "~'~ Date Disapproved ~ Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given ~n 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 om~ssions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 DEPT. OF HEALTH & ="V'*O NT^L P*OTECT'ON 021986 284-4'720 Legal Description: WELL DATA Well Classification Well Log Present (Y/N) Total Depth ~--~ / Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ~¢.~_~ I' A, B, C, D,E.C. Approved (Y/N) Date Completed ,,~/~--//~!~-- Yield t' Cased to :~-~ Depth of Grouting y- Pump Set At ~' 2.- Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ~:~'~ ! "~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot //'~'" ! ; On Adjoining Lots To Nearest Public Sewer Line 4~III~ To Nearest public Sewer Cleanout/Manhole /~'"'~/~".~-~ To Nearest Sewer Service Line on Lot Water Sample Collected by IJ0~,~ <~:~¢::~..~a.~~ .'-- ;Date Water Sample Test Results ...;> ¢'t.(-( .~ .it,,-~..c~rl~.-t~., _ B. SEPTIC/HOLDING TANK DATA Date Installed / / Standpipes (Y/N) t~ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /~//(~ Separation Distances from Septic/Holding Tank: To Water-Supply Well '~' To Property Line / To Water Main/Service Line Course ,/V*~, ~,',~: ~/~/~'~- Size ( ~?.~'~"c;;;~ No. of Compartments ~'~,--- ~ Foundation Cleanout (Y/N) ~ Date Last Pumped ~'/~"~/~'~ ;,or Temporary Holding Tank Permit (Y/N) /~"///~ ! To Building Foundation ! ! To Disposal Field 7 To Stream. Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA * ' Soils Rating in Absorption Strata ~ Type of System Design Date Installed ~"~~ --Length of Field Width of Field Depth of Field Gravel Bed Thickness Square Feet of Absorption Area ~J~ - ~ -~ ,~. Standpipes Present (Y/N) /'~ Depression over Field (Y/N) ' ~ Date of/~_a, st Adequacy Test -'~/;~-- ~,/~',~ Results of Last Adequacy Test A-c~i.~.~'"'~' ~.. ~ ~ /:=~,.~--./r'~3o~*v~, %'E~r-r,~ Separation Distance from Absorption Fiel~l: ' / ....... To Water-Supply Well / /"~ I To Property Line /{~ f'"~' To Building Foundation ~'// / Lot ~ ~/~'&~ TO Water Main/Service Line //'~-/"~" To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Existing or Abandoned System on ; On Adjoining Lots / OO f --1L' To Cutbank (if present) ,/~E),~,' ~. Comments D, LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) /Jo ./zE 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 haye chec_.J~, v~rifi.~, or conformed to all MOA and IFIAA guidelines in effect on the date of this inspection. Sign.~t'~'~ ...~~~--- Date ~/'~a-a~C> /~> ~ Company ~~ ~MOA No ~ -- ~ / ~ Receipt No. ~J~/ Date of Payment' /'~/~ Amount: $ ~ ~' ~ Page 2 of 2 72-026 (11/84) Anchorage P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MA ¥OR DEPARTMENT OF HEALTH & HUMAN SERVICES October 9, 1986 Wayne Henderson, P.E. 440 West Benson Boulevard Anchorage, Alaska 99503 Subject: Lot 7 Block 2 Rockhill Subdivision Waiver Request WR86-146 Dear Mr. Henderson: Your request for a waiver of the 100 foot separation required between the septic tank and well on the subject property has been granted. This distance has been waived to 92 feet. This waiver is valid for the existing four bedroom single family dwelling only. Sincerely, Stephen S. Morris Civil Engineer On-site Services ~0 W. Benson Blvd. Sldte ~06 PENINSUI F GI EI iU G Anchorage, A!~lm 99808 (907) 56X-5107 September 30, 1986 Homequity P.O. Box 8034 Walnut Creek, California 94596 Attn: Ron Whitmill Case %2066-935 Lot 7 block 2 Rockhill, 86-E-145 Septic System Adequacy Test & Well Analysis Dear Mr. Whitmill: At the owners request and per our confirmation with your office, on September 16, 1986, we have performed the Adequacy Test and Well Analysis required for the health authority approval on the above referenced property. The test was performed by adding water from the well to the absorption field and monitoring the levels in the septic tank and drainfield for 3 consecutive days. The results and test data are tabulated below: Date Time Tank C.O. %1 C.O. %2 Rate Quantity 9/27/86 0 48 0 32 0 0 20 48 0 36 6 120 40 48 0 40 6 240 60 48 0 41 1.5 270 PmpdTnk 100 2.0 0 42.5 1.5 330 120 2.0 0 43 1.2 354 180 2.5 0 45.5 1.2 426 240 3.25 0 47.5 1.2 498 300 3.25 0 49.0 1.2 570 320 3.5 0 49.5 1.2 600 9/28/86 0 3.75 0 42 0 0 30 4.00 0 45 6 180 40 4.0 0 51 6 240 60 4.1 0 54 6 360 80 4.5 0 56.5 6 480 100 4.5 0 59 6 600 9/29/86 0 4.5 0 42 0 0 A review of the test data indicates that the absorption system functioned adequately for a 4 bedroom home as indicated from the second day test results considering the home has been vacant for some time prior to testing. The well delivery varied from 6.0 to 1.2 gpm over the 5 hour test period the first day and then fully recovered and delivered the full 600 gallon day load in 100 minutes the second day. This was an unusual behavior for a well system of this type but the daily delivery was met and the well appears adequate. If I can be of any further assistance please call. Sincerely, Wayne ~ende'r son Appraiser WH:js APPLI?"\NT FILLS OUT UPPER HA'''''~' ONLY Buyer~-- ~__. ~ Lend~n9 Insfi~ulion . :~ ~..~ ~ ~ ~,~ ~ ~/~/~'~ ...... ¢ _ Phone Type of Resi~nce  Single Family Multiple Family No, of Bedrooms ~ Other Water Supply ~ Individual A~ACH WELL LOG. A wall log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individual Year Individual Installed: J ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Insp~tor Insp~tor Insp~tor Insp~tor C.C ~,~0 Cc~ ~ MUNICIPALI~ OF ANCHO~GE DEPT. OF HEALTH ~/ ~ . ckc)'% ~ ENViRONM5NTAL PROTECTION ~ AUG ~ 6 RECEIVED (~] APPROVED BEDROOMS *CONDITIONS OF APPROVAL (I ) DISAPPROVED ( ) CONDITIONAL APPROVAL* APPL -' NT FILLS OUT UPPER ONLY Prop~rtyOwne~ ~.~.~.~'¢' ~ -D, Ca-~ {~_~0~ Phone MailingAddre~ ~ ,~ ]~ ~ ~{),~ ~"~/vS.~ ZlpC°de Buyer Address Zip Code :- Phone Lending Institution ...~ .~ .,~ .. ~ ; ~.: ~ ~./ . ('~' . ~ /, ~ .... ~ ~. ~ / }. ~ip Code 6'/'~ ~"-~ / '~one,.. Address Realty Co. & A~nt / Address _ ¥ //.~/- Zip Code Legal Description ' ' / / ¢' / Z~ Street Locati~ . , / ~ , /~ ~' / ~ _- ~ , , /' ,/ ~__ , Type of Resi~nce ~ Single Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~lndividual A~ACH WELL LOG. A wall log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~5~ <~ ~ ~ndividual Year individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. '~Z~3'~ ~Time ~/\ ~~.-/' y Time Time Time Date Date Inspector Inspector Inspector Inspector ( ) D S*..ROVED Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received ~Shem%.:~umber , ~ .......... ~:.~ ... .,: