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HomeMy WebLinkAboutKARELLA LT 20D ~NICIPALITY OF ANCHORAGE Healt.. and Environmental Protect Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL .SYSTE~A SEPTIC TANK: iN'_,i',;li L!LtiCiltt . _. INSIt)L WIDI~I .... LIQUII) DEPTH _-LIQUID CAPACITY/~ GALLONS. TII_E DRAIN FIELD: ~ ~/.~,. _ ~',~ ,., ~OTAL LENGTI-I l,,...,,,.,.,~,, ,~,.-,.., ,...,, ,./o~¥~x' _, o,,,.,.,,,o,~ zr.~_~<~ .~.,, ~,,,-~,. ,o, ~,,.~. _/~. ......... o,~ ,..,.~'~-~'-___ {~ of Lines / . tllST:krqCE REIV/EEN [ IP:(.;5 ~'/~ ...... I r~l;t-lctl vne'rll~. IN. TOTAL EFFECTIVE r.~;.:,:~,~ ~,or, .'..t AL~ '2~~. so. ~,. t r_~:;r~, o~: E,.o, t.~E i)[i ~!! Ol [ ILFE~I SEEPAGE PI'f': DI,aMETER ...... OR WIDTit ...... I..E l',i O 1' H ..... DEPTH I,og Crib .... Rings tRJli._f~lr ILl Crib SJ ze: ©I,'\ML'II ti ..... lJf_i'l'll ..... DIS1ANCE FROM: WELL -I O 1'¢*, k [Fl F,[ At~i__%~ t_Of' IINE .... AI?SORPTION AREA (WALL AREA) ........... S~. FT. lass: Depth: 2]1 l)ist:ance {Po: Lot Line Sewer Line: of Bedrooms: ~ ~stal] er: amarks: -M-W DRILLING, INC.. , Well Owner DRILLING LOG Use of Well Location (address of: Township, Range, Section, if known; or distance main road Size of casing. ¢" .Depth of Hole Static water level ')6 }~ .ft. Screen ( ); Perforated ( '%/' feet Cased to 2,00, feet (below) land surface. Finish of well (check one) open end ( ;(:. ); ). Describe screen or perforation Well pumping test at ' gallons per of drawdown from static level. (minute) for J' hours with Date of completion WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness '"'~ TO "" / [)'i.4.]~)'.,LV,) ~,,"" ,.~,, ', ....... h';' ~:~'~". ', .TO. .TO. .TO. .TO. TO. _TO _TO __~TO TO 2 -- STATE 4040 "B" STREET, ANCHORAGE, ALASKA 99503 PHONE: 907-279-2581 September 13, 1977 W.O. #A18225 Gr id ti Ellis & Taylor 5901 Arctic Blvd., Suite K Anchorage, AK 99502 Subject: Subsurface Imvestigation for Suitability of On-Site Sewer, Karella Subdivision, Let 20D Gentlemen: Transmitted herein in accordance with your inst:ructions are the results of the above referenced investigation as performed by us ell September 10, 1977. The scope of this project is the investJ_gatiou for suitability of an on--site sewerage system. Included in this transmittal_ are: Test Hole Location Sketch Test Hole Log Explanatory Information Figure 1 Table A Sheets 1-3 The log of the test hole is included as Table A of this report. In interpreting the log, it would be helpful to uti]J, ze the explanatory information oontained in Sheets 1--3 of the report. It should be noted that the soils classifica- tion are visual classifications only. No samples were -taken or analyzed in the laboratory. No percolation test was performed. Based on the soils' visual classification, tile percolatJ.on ra~e in the interval of 3 ft. to 9 ft. is estimated at 5 minutes/inch :for a percolation test performed using tile Municipality of ])epartment of Public Health & Environmental method. This correspouds tea seepage ]?it requirement of ~25 square feet per bedroom. The exploration was conducted using a continuous flight solid stem auger. The rig is owned and operated by Denali Drilling, Inc. DrJi]ing was supervised, the test hole and percolation test performed ]Dy Mr. Thomas Sexton, geologist for Alaska Testlab. Ellis & Taylor September 13, 1977 Page Two No water table was observed during drilling. It should be noted though, that the free water level normally fluctuates seasonally and with precipitation. We hope this report meets your present needs. If we can be of further service, please feel free to contact us. Very sincerely, ALASKA TESTLAB Melvin R. Nichols, PE Laboratory Manager MRN:mm Enclosures v' .o i ,., /' P'-,4 !", ;.,! I~ " ':'-':),- "' 2 O - A £¥ '., 2 '. ~ o !.134 ac. C) "'" · ~ 20- B °'1 (,~ ~ ,;9,350 :q ' 20-C ._:.,5 ...'_ L .. J_Z._~)''_ ...R j";~ ............................. 70 .......... ~,,. ft',lD :? i/2' i:ra',s cap J ,~rl I"p~pe {~,3'oba',e ground >.' Ci .')1 ./ ~ :.~ ,',, ' ~ NW 1/16 ..... FI6, ~L "i'EiST }-./OLE L. OCATIOFJ $ I-< E 'T:C H Test Hole No.1 Depth in Feet From To 0.0' 1.0' 1.0' 3.0' 3.0' 9.0~ 9.0' 17.4-' TABLE A Date: 9-10-77 Logged by: T.A. Saxton WO#18225 SOIL DESCRIPTION TOPSOIL F-2, tan Silty Sand, SP/SM, well graded sand with a moderate amount of fines, damp. NFS, tan Gravelly Sand, SW, well graded sand with moderate amount of pebbles, damp. F-4, tan Sandy Silt, ML, silt and fine sand, damp, stiff. Bottom of Test Hole: Frost Line: Free Water Level: 17.0 ft. None observed None observed (NO SAMPLES TAKEN) Remarks: Soil from 3' to 9' most suitable for drain field. MUMMPAUTY OF ANCHORAGE 0 /A--- H, a, Development Services Department'" _' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I. D. 015-141-62 1. GENERAL INFORMATION Complete legal description KARELLA LOT 20D Expiration Date: _1 " act r 20zl Location (site address) 11140 LIPSCOMB STREET, ANCHORAGE, AK 99516 Current property owner(s) DAVID B. RODKEY Mailing address Real estate agent Day phone 1140 LIPSCOMB STREET. ANCHORAGE. AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 912. 50 COV I P Date of Payment l `2 ?? Z 0 Receipt Number `� Z COSA # OSC ?_D 15 01,O Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 10/20/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the �y well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: • • • • . �,9 ��� for current or future occupants or guarantee that no unseen encroachments, deficiencies or J discrepancies exist can be given by First Water Consulting & FWCS ' / * • T. ....•:* r 6. DSD SIGNATURE Curtis Huffman / System #1 Approved for �^ bedrooms ����F��s•,• CE 128991 �1 TF�F� Roo/SSIONP�Fffl System #2 Approved for bedrooms `i1O�OFESSO Disapproved Conditional approval for bedrooms, with the following stipulations: kllll(ll(((((((�� Z ONSITE _g WAT �p,TER 0 /JfJ/J DCO B Original Certificate Date:_ V �— L —C) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: KARELLA LOT 20D Parcel ID: 015-141-62 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 10/20/1977 Total depth 262 ft Cased to 261 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 1011512020 Static water level at beginning of test 240 ft. Well production at time of test 4.3 gpm Comments B. TANK DATA Age of tank(s) 17 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 10/15120201 D. ABSORPTION FIELD DATA Which system tested (date installed) 11/20/2003 ® ALL standpipes present per record drawing Total measured depth from grade 8.4 / 8.1 ft (max) Measured depth to pipe invert from grade 3.6 / 2.8 ft ❑ N/A — pressurized field Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 6.26 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) FWC;� Collected by Date of Sample 10/15/2020 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 10/16/20 Results M Pass For 4 bedrooms Fluid depth prior to test 8 / 0 in Water added 600 gal New death 18 / 7 in ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 4.8' 15.3' measured ED Elapsed time 1230 min ® Code -required soil cover over field w/ insulation per IR Final fluid depth 7 / 0 in ® System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced 2000 gallons If yes, enter date F Comments/Deficiencies: E / W TRENCHES — (WEST TRENCH DRY AT START & END) 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' ® Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ 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' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that / 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. Aw •'•• TH .. ... ......... .......... r • Curtis Huffman /s CE 128991 .•��� 4* • t 0/22/;420 \\�AW ft ft Nitrate Advisory Certificate of On -Site Systems Approval # OSC 201590 Subdivision: Karella Lot 20 D A water sample revealed a nitrate concentration of 6.26 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Ac1dress P b Box 196650 *anchorage, Alaska 99519 6650 *www muni org � � From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass.rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. a I) (I 10' UTILITY & Lot 20C 10' UTILITY & ( ( 30.0' C.E.A EASEMENT C.E.A. EASEMENT N 89'49'18"E 298.91' r Lot 20—D t° Z 44,719 S.F. C0 o K: O DECK 0 64,4' o r � SEPTIC • -�* W / `• - —y 2 STORY �a NELL O PIPES s �rrt ; �— N RESIDENCE .. a M Ln 38.5' d Lnfff DECK 48.8'co I ;� _ 100' PROTECTIVE-/ 2.1 x8'8 GP N r� �t WELL RADIUS CST 26.3' t ! r 10.7'x 16.3' .s— MANHOLE-`— SHED w S 89'45'39"W 278.70' L=31.35' / I E. 112th AVENUE- R=20.00' ----------------------------- — -----� — Lot 5 I I Parcel 12 I Lot 6 I I i I PLOT PLAN AS BUILT _X_ SCALE 1_ =50__ GRID _ SW 2636Protect No. N__20-6601A1 ___ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc (907) 522-6476 Phone Q�00000 (907) 522-4625 Fax —' (:) F A d Professional Land Surveyors ken®langsurvey.com o ..... jonathon®longsurvey.com I hereby certify that I have surveyed the following described property: LOT 20—D, KARELLA SUBDIVISION (PLAT No. 77-213) �Y * : 49TH v* PQ Anchorage Recording District, Alaska, and that the improvements situated thereon are ""' .""""•"� within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed K ENNG� ETH ... premises and that there are no roadways, transmission lines or other visible o easements on said property except as Indicated hereon. tt2( 4�Fo2.•'' S°o© Dated this the _ LL- _ Da of — ✓"=� • • • • • • • •' �___ y ___ at Anchorage, Alaska QQO,RaFeSSIONA� A=7 It is the responsibility of the owner to determine the existence of any easements, DOpppoa© covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRObRtENTAL H~ALTH DEPARTMENT OF H~ALTI{ AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date //,O 7' ~¢ (a) Legal Description (include lot, block, subdivision, section, township, range) (b) Location (address or directions) .... /11 Applicants Name ~o~AA~ ~ ~1~ ~~ephone - Home Business Applicants Address (c) Applicant is (check one) Lending Institution Buyer E'~. ; Other ~ (explain); (d) Lending Institution __~ ~ ~ ~ /~ Address ~..~t~. ~F ~r~~ (e) Real Estate Co. & Agent [?~~p~ Address ~ '--I ~ ~ ~ ~ ~ Telephone Telephone~?~- //~ % (f) Mail the }L~A to the following address: 2. T_~2e of Residence Single-Family ~ Number of Bedrooms Multi-Family ~ Other (describe) 3. Water Sup_p_l_zv Individual Well ~ Community ~-~ Public ~ Note: If community well system, must have written confirmation from the State Department of Envirorm~ental Conservation attesting to the legality and status. 4. S__ewage Disposal 0nsite ~ Public ~ Community ~--[ Holding Tank C~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. E__~ineering Firm Providing ~nspections, Test~, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water suppiy and/or w~stewater 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 regula- tions in effect on the date of this inspection. Name of Fi~n_ _/?~,~3~ ~ ,~f)t~ Y~ ~L~J--~.~--. Telephone ~7~ Address .... ,...-.. Approved for ~ bed rooms B } ,,.~ ~'?'?D~te~:/:// Approved ~ DJ.approved Z ' "- Conditio2;~'''''` ''''` / Terms of Conditional Approval CAUTION THE bf0NICIPALITY OF A~NCHORAGE DEPARTMENT OF H~ALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES REALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESEbF~- ATIONS 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 R2gQUIRE'- MENTS. 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. (DHEP SEA1,) RR4/eJ/D18 [Page 2 of 2] 7-19-84 W]ELL EiRTA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 Well Classification °R ~ ~ Well Log P~esent (Y/N) y Total Depth ~/,~ .. Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances f~om Well: To Septic/Holding Tank on Lot · !.O~5 To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cle ancut/Ma nho le tg/~ Water Sample Collected By ~. ~ . Water Sample Test Pesults /',IUNICI?ALF,'Y OF I',NCI-IORAOL~ DEPT, OF i l2A{.Tii & [;NViROiRidLNi AL P:C 1'40V g 1984 Legal Description: If A, B, or C, D.E,C. Approved(Y/N) hJ/A Date Completed_ 7 Yield ~&/ Depth of Grouting fk]O~/~ Pump Set At ~60 Sanitary Seal on Casing (Y/N))/ Depression Around Wellhead .(Y/N) ~/ ; On Adjoining Lots .... ; On Adjoining Lots I0~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date l~o f..¢' ~'"/ SEP~IC/444~B~k~4¢JTANK DATA NO. of Ccat0a~tments Date Installed Size Standpipes (Y/N) ~/~/~ Air-tight Caps (Y/N) ~/ Foundation Cleanout (Y/~.) Depression over Tank (Y/N) ~ Date Last Pumped Pumping/Maintenance Contract on File (Y/N)IV~ ; for Holding Tank High-Water Alarm (Y/N) N'/'~¢ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Building Foundation ~ To Disposal Field 1~5 To Stream, Pond, Lake, or Major Drainage To Water-Supply Well ~ 6)~ To Property Line 16)f To Water Main/Service Line ~/A Cor~nents ~_~ ~ m.~ ~ Receipt Date Paid:. Amount: [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata . Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of ]Last Adequacy Test Date of Last Adsquacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes t>~esent (Y/N) Separation Distance from Absorption Field: To Water-Supply Well I ~-~ To P~operty Line IO To Building Foundation ~ '_~ To Existing or Abandoned System on Lot /~O/~.~ ; On Adjoining Lots ~O + To Water Main/Service Line _ ~.O~ To Cutbank(if present) To Stream/Pond/Lake/or Major Drainage Course ~ (~) To D~iveway, Parking Area, or Vehicle Storage Area ~O ~ Con~ents ~ ,~"/"~o~"~ ~..~ L,)AI(CJ '~,d,u. ~'~ ~ g~! ~, NoT D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) 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 ** certify that I have checked, verified, or conformed to all MOA HAAGuidelines in effect on the date of this inspection. KB1/d5/s Date MOA No. [Page 2 of 2] 2-15-84 CONSUL'rING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 CAROLL KILGORE RED CARPET ANCHOR REALTY ANCHORAGE, ALASKA 99501 NOVEMBER 6, 1984 RE S I DE N [~ I AL WELL I N S P E C T I O N LEGAL Lot 20 D Karella LOCATION OWNER TYPE OF WELL WELL LOG AVAILABLE INSTALLATION REQUIREMENTS MET 11140 Libscomb Lane Ronald & Loita Musgrove Residential Yes Yes NoV 9 1984 WELL YIELD FROM WELL LOG PUMP YIELD DATE OF TEST TEST PROCEDURE TEST FOR COLIFORMS TEST RESULT 5 gpm. 6 Gallons per minute. November 6, 1984 On November 6 the well was pumped at a rate of 6 gpm. for a total time of 75 minutes. A total of 450 gallons was pumped. The well water was tested for Coli- forms. Test was negative. The Municipal requirement for wellflow is 150 gal. per bedroom per day. This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the sur- face, changes in land use and other factors that may impact the conditions of the aquifer feeding the well. CONSULTING ENGINEER 203 W, 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279.3916 CAROLL KILGORE RED CARPET ANCHOR REALTY 520 E 4TH AVE SUITE 201 ANCHORAGE, ALASKA 99501 NOVEMBER 7, 1984 SEPTIC SYSTEM ADEQUACY TEST LEGAL LOCATION OWNER RESIDENCE WATER SYSTEM LOT 20 D,KARELLA SUBDIVISION 11140 LIBSCOMB LANE RONALD & LOITA MUSGROVE SINGLE FAMILY, THREE BEDROOMS ONSITE RESIDENTIAL SEPTIC SYSTEM FROM MUNICIPAL RECORDS: TANK: 1000 gal. Steel, Two comp. ABSORPTION SYSTEM: Trench, 50 feet long 6 fett of rock ABSORPTION AREA: 375 sq.ft. SOIL RATING: 125 INSTALLATION DATE Oct. 1977 DATE OF PUMPING JULY 27, 1984 DATE OF TEST 11/6/84 TEST PROCEDURE System was inspected on November5,1984. Tank was 8 feet deep. Total water depth was 48 inches. 4 inch cleanout was 6 feet deep and dry. Sump was 6 inch Pipe and completely filled with septic liquid. On November 6, water ws added to the cleanout at a steady rate of 6 gpm. The water depth in the tank was monitored for 75 minutes. After adding 450 gallons the waterlevel in the tank remained at 48 inches. TEST RESULT At the time of this test this system meets the operational requirements of the Municipal Code. The 6 inch sump is not hydraulically connected to the drainpipe and can not be used as a monitoring tube. The operational life of all septic systems depends on the local soil conditions, ground- water levels that may fluctuate during the year, and the water usage of the family being served by the system. This test and report do not express any quarantee that the system will continue to meet the Municipal DATt- RECEIVED TI---ME TIME TItlE DATE DATE DATE INSPECTOR ,NSPEOTOS~X~ INSPEOTORg~ ~~ MUNICIPALITY OF ANCHORAGE MUNIcIPALI~ OF ANCNORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF I-IEALTH 825 L Street - Anchorage, Alaska 99501 P~OTECTiON ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 ~DI RECTIONS~ Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing, 1. PROPERTY OWNER PHONE ~AILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2, BUYER PHONE ~AI LING ADDRESS ~ LENDING INSTITUTION I PHON~ I MA~UN~AUD~ESS 4. REALTOR/AGENT ~ PHONE MAILING ADDRESS 5, LEGAL DESCRIPTION £07 ,2_0 ~ /¢.+,~ ~..~ STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [~ Four ~/'~SING LE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY ~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8o SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDtJAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED E~] PUBLIC UTI LITY Connection Verified iNSTALLER []Septic Tank or []Holding Tank Size: ~)~)(-~) If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ~[, ~.....,¢._,~..~ ~)~ 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line ~, COMMENTS [~- APPROVE[) FOR ~ BEDROOMS [] CONDITIONAL APPROVAl. (letter must accompany certificate) [] DISAPPROVED ~ATE BY '¢~' 72-010 (Rev. 6/79) DEPARTFiliN' o-) 5 MUNICIPALITY OF ANCHORA(:E /-/~.~,. /~.- M~ HEALTH AN1) ENVIR()NMENTt- ~OTEC.F~ON~ (L~: I, Streeu, Anchorage~ Alaska 99501 279-251t, e:;<t. 224 or 2....~ O~ /30T ~t~F~ ~-~'~ I~E()UE~ ~OR APPROVAL OF IlqDIVIDUAL SEWER AND WATER FACILI'IT1. ES % Claudia Jones 1. Lendin9 ' ~.~ ' - ' ' c r.o Alaska National Bank of the North MaJl. ing Address: Pouch 7010 99510 Phone: 278-4581 .......... i .................... : .......... X '}- ..................... ~ ..... 2. Property Owner: Jerome A. Kar~lla Phone: Mailing Address: % Mark Korting, Real Estate Corner of Alaska, 274-4505 l,egal l)escript:i.on~ Lot 20D Karella Subdivision Single Family Res:i.d, ence: ~:~ Mult:i.p].e Fami].y Re. sidence: ( ) Number of Bedrooms: Four Number of Bedrooms: 5. W{:.ll System: IndivSdual well 0{>~x Conununity/Pub]ic System ( ) Permit Depth of Well Well Log on File ( ) Construction ]3acterial Ana].ysis .............................. SysLem (x~ Pub].ic uti].ity ( ) 6,Sewaqe Disposal System: On--.,'x:ile ' '= Permit Installed Instal.[er Sept J,(: Tank Size Manufacturer Absorption Area Sol J.s P, ate 14ct uf~l: la 1 7. Distances: Welt to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Are~: Absorption Are 1. Type of Inspection: 2. Property Owner: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CMRO VA FHA Jerome A. Karella Mailing Address: Contact Realtor for access 3. Name of Buyer: Mickey L. & Patricia E. Mitchell Day Phone Mailing Address: Box 1137 Anchorage, Ak. 99510 Name of Lending Institution: Alaska National Bank Mailing Address: Pouch 7-010 Anchorage, Ak. 99510 Phone 278-4581 Name of Realtor or Agent: _Mark Korting - Real Estate Corner of Alaska Mailing Address: 555 W. Northern Lights Blvd. Phone 274-4505 Anchorage, Ak 99503 Day Phone 272-6551 - 279-1411 6. Legal Description: Lot 20D Karella Subdivision Location:__hlH~l,ip~nm~ Lane. Anchorage; Alaska 7. Type of Facility to be inspected: Single-family dwelling 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation 7~29/77 Claudia Jonas Mortgage Loan Processor Alaska National Bank EQ-037 (1/74) No. Bdrms. 4 Individual xxx Individual (on-site) XXX · ' ' Dc..parl;mcmt of_ tlea].lth and fi~r~viroilmr~['.a]. R, equrash for' Appr'oval of Indiv.[dual Sev;~:,r and A:ffadavi~ A'L-,kached: ( ) Lef. tez' il'at, ached: ( ) Disapproved: ............................................... Date: ............................. · I ~:: :~S';~:'~]~.i]!i ~] T6-:~ ~. 26TH AVE., ANCHORAGE (9950:5) 272-8911 or 272-6015 Hatch 2, 1977 Mr. Jerome Karella Box 1730K, SRA Anchorage, Alaska 99507 Re: Subsurface Investigation Proposed Subdivision of BLM Lot 20 Dear Mr. Karella: This report presents the results of our soils investigation for the proposed subdivision of a 5-acre tract located south of O'Malley Road. The investigation was conducted on February 21 and 22, 1977. Results of that investigation are included in this report as follows: 2. 3. 4. Test hole location sketch and vicinity map Test hole logs Summary of laboratory test data Standard explanatory information Drilling was accomplished utilizing a mobile drill B-50 mounted on a rubber tired truck, owned and operated by Denali Drilling, ~Inc. Test holes were logged and percolation tests conducted by our firm. Harding-Lawson & Associates performed the laboratory tests on grab samples taken during the drilling. The purpose of the investigation was to provide soils data for establishing the feasibility of on-site disposal of sanitary waste using seepage pits. To accomplish this, we drilled two borings on the site to a depth in excess of 16 feet. During the drilling, our engineer was present to log the materials encountered and to obtain grab samples for the lab. All soils were visually classified in the field in accordance with the Unified Soils Classification System as described herein. After the holes were drilled, they were filled with water and left to saturate for a period of twenty-four hours. A percolation test was then conducted in accordance with the modified version of the percolation test described in the manual of septic tank practice published by the U. S. Public Health Service. GORDON O. UNWIN,P.E. LEO SCHEBEN,JR.,P.E.,L.S. EARL D. KORYNTA, P.E. -2- The site is a rectangular shaped parcel, sloping from south- east to northwest at a moderate slope of approximately 10 to 12 per cent. There is no terrain in excess of 25 per cent grade. The site is primarily underlain with granular soils to the depths explored. No free water was encountered at the time of drilling. However, it should not noted that the water level will fluctuate with seasonal and climatic changes. Minimum percolation rates for the proposed lots based on field tests or estimated values are: Lot 20A - 8 min./inch; Lot 20B - 8 min./inch; Lot 20C - 6 min./inch; Lot 20D - occupied house with functional system, no data obtained. I hope this is sufficient for your present needs. If we can offer further clarification, please do not hesitate to contact us. Very truly yours, '-~.~ / '- ~ _ Earl Df Korynta, P.E. Partner EDK:jp )mOl'below ~st, replaces 112" ~ ' . ' o~ 49,387 0 ~" " - ' · o ~ ' ,~ ~U~ ..' ~'~ ~ .' .. ' t . -. . . . .-' ~ : · ....- ,./ ..~ ._' , ~ - SHEET OF PROJFCT CLIENT W.O. Karella Subdivision 77644 TEST HOLE NO._ #1 ELEV. TOP OF HOLE 414+ DATE February 28, ].977 Brown, damp, organic sandy silt (OL) Brown, damp, silty sand (SM) Brown, damp, sandy'silty gravel (GM) Cobbles Brown, damp, silty sand (SM) Bottom hole, dry Field Percolation Rate: 8 min./inch SHEET OF PROJECT CLIENT W.O. Karella Subdivision 77644 I'EST HOLE NO. #2 ELEM TOP OF HOLE 404+ DATE February 28, 1972 Brown, damp, organic sandy silt (OL) Brown, damp, silty sand (SM) Brown, damp, silty sandy gravel (GM) Cobbles Less silt at depth Wetter at depth Bottom of hole, no free water Field Percolation Rate: 6 min./inch