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MCMAHON #2 BLK 7 LT 11
,,QGREA.ER ANCHORAGE AREA BOR,~JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: DISTANCE FROM WELL~] INSIDE LENGTH MANUFACTURER ~ INSIDE WIDTH MATERIAL.~ LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID C A P AC I T Y/',,~"~ G A L LO N S. TILE DRAIN FIELD: D,STANCe E ROM WeL,/CF,,'/ fOUND,',T,ON NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA SQ. FT. DEPTH= TOP OF TILE TO FINISH GRADE NEAREST LOT LINEr10 I./.._oFTOTALLINEsLENGTH--~ ~ TRENCHW,DTHZm, N. TOTALEFFECT,VE LENGTH OF EACH UNE ~ / DEPTH OF F,LTER / /7' MATERIAL BENEATH TILE ~' ~ ABOVE TILE IN. WELL, TYPE BUl LDI NG FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE_ OTHER SOURCES DISAPPROVED NEAREST SEWER LINE__ DEPTH __ DISTANCE FROM: SEPTIC SEEPAGE TANK __ SYSTEM REMARKS DISTANCES: INSTALLED BY~ *' i SEWER LINE DEPTH: ~'~ PIPE MATE RIAL:~ LOT SLOPE: Form EQ-032 DIAGRAM OF SYSTEM PERMIT NO. APPLICANT LOCB'FION LEGAL. SEASONAL CONSTRUC TAIGR ST Lit B7 MCMAHON SUB[..' 2001'WILDWOOD LN LOT SIZE 2?:9-2802 2?449 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SD FT?BR)= ±25 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: F:,EPTH= :~ L E i%11.3 TH = _-'32 B..] R R %-" E L [:,,E F' ]" t-t ==~ 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF' THE TRENCH OR DRRINF!ELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF :'FIE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRBYEL BETWEEN THE OUTFALL PIPE: AND THE BOTTOM OF THE EXCAVATION (IN FEET). BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AN[:, APPROVAL B'.r' THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR 8 PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS OF THE WELt. COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INST~LLRTION. F'EF:i'-I I T '.iFIL I ![:-, FOF-; Ctt%IE ~¢ERR Fi;'Cml-'l I '_=.'_'SLIE:.{ I CERTIFY THAT t: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RN[:, WELLS F~S SE]' FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDRNC:E WITH THE CODES. ~:: I UNDERSTAND THFIT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF TNE RESIDENCE IS REMODELED TO INCLUDE MORE ]'HRN ~: BEDROOMS. ~F'~I CANT SERSC~IR¢ C:ONSTRUC 15 ~ ML (275) 16 - ML (275) [,;ds ground wa~or OllCOU;ltere6? Flat ._~_ ......... If yes, at wi}at depLh? Readi.w DaLe Gross Time Net Time _?9~_t_;~?_W_ale,_' Net Drop ................... t ...................... -? .................... 4 ............... ' Proposed .ins La t laiT~'n'.- '-.S'u~'i~a~le I)i t Drai'n Field .~ U~.n of' Inlet Uc.'pLJ'~'"t'(~"JJ,'(L~Jin'~-f-pi t or Lrcm:i~ ..................... COi I: .L ,~ [S. - .......................... I,:Q (I,l(I (I;:"7,11 Richard _A. Drahn, P.E. Richard A. Drahn, P.E. MUNICIPALITY OF ANCHORAGE O 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. 017-361-61 1. GENERAL INFORMATION Expiration Date: 10-17-1 V Complete legal description MCMAHON #2 BLOCK 7, LOT 11 Location (site address) 3601 TAIGA DRIVE, ANCHORAGE, AK 99516 Current property owner(s) THOMAS & DANITA MARTIN Day phone Mailing address 3601 TAIGA DRIVE, ANCHORAGE, AK 99516 Real estate agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 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 $ 15"JO.01D Date of Payment Receipt Number COSA # ©S G 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 ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4640 SHOSHONI DRIVE, ANCHORAGE, AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 7/1/2019 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, Idw OF AW �� • • • �4.� 1 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 to. 1'H of all well and septic systems are subject these various and dynamic characteristics and are outside the control of the evaluator f the well and septic system. Therefore, any estimate of how long a system will function satisfactory 4Q 49 for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by rWCSand Anderson Construction & Engineering. -.MICHAEL N. ANDERSON.- NDERSON.No. No.CE 9489 •'••.7/1/19• '• � � 6. DSD SIGNATURE 1\ .....••.•... V AW ' ISystem #1 Approved for bedrooms MSS1014� System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: V I C Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: MCMAHON #2 BLOCK 7, LOT 11 Marcel ID: 017-361-61 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA — per MOA docs ❑ Well log is filed with Onsite (or attached) Date drilled 1976 Structure served by this system Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No Total depth *73.1 ft ® Coliform bacteria is Negative Cased to *73.1 ft Nitrate 14.7 mg/L ❑ Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected 3 > Casing height (above ground) 18+ in. Collected by W rIs Date of flow test for COSA 5/30/2019 Static water level at beginning of test 53 ft. Date of Sample 6/20/19 Well production at time of test 5.5 gpm Comments *Per 907 Water Well Services Scoping. B. TANK DATA — 6/10/2009 - 1300 -gal Age of tank(s) 10 years Tank type/material SEPTIC / PLASTIC Measured operating fluid level in septic tank 47.5" ® Standpipes/foundation cleanout per record drawing Date of pumping ..&— 7 — / q C. LIFT STATION - NA ❑ Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA — 36'L x 3'W x 6'ED —125 SF/BR = 432 SF Which system tested (date installed) 6/7/1976 ® ALL standpipes present per record drawing Total measured depth from grade 9_9 ft (max) Measured depth to pipe invert from grade 4.4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 5_5' Adequacy test date 5/30/2019 Results N Pass For 3 bedrooms *Fluid depth prior to test 13 in Water added 500 gal *New depth 24 in Elapsed time 1200 min ® Code -required soil cover over field *Final fluid depth 13 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: ED measurements based on post -tank CO invert elevation. *Missing 0.5' added WE to adequacy test measurement depths. Sump clogged — another MT was added previously. COSA Checklist.docx 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 Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ft ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Main > 10' ® Yes Manure/Animal Excreta Storage > 100' ft Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Wells on Adjacent Lots: Property Line > 5' ® Yes if No ft Private Wells > 100' ®Yes if No ft Absorption Field > 5' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Main > 10' ® Yes if No ft If septic tank is under driveway comment below Water Service Line > 10' ®Yes if No ft Surface Water > 100' ® Yes if No ft 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 l certify that l have determined through field inspections and review �� Z4 of Municipal records that the above systems are in conformance cC�' with MOA COSA guidelines in effect on this date. * -4 TH MICHAEL N. ANDERSON.' COSA Checklist.docx '•- No. CE 9469 7/16/19.. ' o� �FEsslo��' Nitrate Advisory Certificate of On -Site Systems Approval # OSC191277 Subdivision: McMahon #2, Block: 7, Lot: 11 A water sample revealed a nitrate concentration of 14.7 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. t �. �. 1�,%"-'�"�'�.�^'. 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. ���:�.�,f �. �-:��;.sX��v.�.�-.�.eu�,��:"s*�����.,. .. ��' �€�,:.;x�.�'s�s�a�rau'�`�».�,�%��.::"e a,;,...�k'e�.s��.�x-, ���.."•.�.�y�3.��'�;<.,�� ?���%�."'�-::.��'.� ���"=.e��� 907 Water Well Services P.O Box 870475 Wasilla, AK 99687 (907)230-1868 johnnie.netherton1702@gmail.com BILL TO Thomas Martin 3601 Taiga Dr Anchorage,Ak 99516 INVOICE # 1812 DATE 07/12/2019 DUE DATE 07/12/2019 TERMS Due on receipt ACTIVITY QTY RATE AMOUNT Weli camera inspection 1 350.00 350.00 3601 Taiga Dr. Anchorage AK 99516 McMahon #2 BLK 7 Lt 11 Total depth 73.1' SWL 52' Cased to 73.1' Pittless Depth 11.8' No cracks, breaks, or perforations in top 73' of casing. All welds look cle n an good condition. _._.... .. ...._..._.....__ _. ._.._ ._ _.......__._... PAYMENT 350.00 BALANCE DUE 0.0 1 Lot 2 / Lot 3 — — — S 88'05'00"E 100.00' S \ % 10' UTILITY EASEMENTS CHAIN—LINK \ Q00� � � FENCE .00\ / Lot 4 q 8.2'x10.3' SHED Lot 1 1 \ �` w/ 3.5' DECK 27,449 s.f. 7.5'x16.4' SHED - CHAIN—LINK FENCE ` \ Lot 12 6.1' DECK z 261 12.2' CARPORT / 64.3- w/ DECK ABOVE TRI—LEVEL RESIDENCE WOODEN FENCE 22.s• C 4i.4' 6.7' ROOF OVERHANG '' N S 89'53'00"W 34.16".. • L 115. —SEPTIC PIPES r /10.2'x16.2' SHED w/ 5'X7' RAMP -1.1'x3.0' CANT --1.0' CANT/� ��6.1'x8.1' CANT 1.0' CANT ' 1.0' CANT —6.2'02.1' PORCH 0'x19.0' CANT h TAIGA D IVC 8.3' LEAN—TO n4 0 \ O \ Lot 10 WIRE FENCE 100' PROTECTIVE RADIUS `—WELL I PLOT PLAN AS BUILT X SCALE 1" = 40' GRID SW 2835 Project No. 17-288/&1 ¢¢�� 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 LangCX. Associates, inc. (907) 522-6476 Phone 4 11 p1 � (907) 522-4625 Fax O F A Professional Land Surveyors ken0longsurvey.com � jonothan®longsurvey.com �A , s Q I hereby certify that I have surveyed the following described property: LOT 11, BLOCK 7, McMAHON SUBDIVISION, ADDITION No. 2 (PLAT 72-87) 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 premises and that there are no roadways, transmission tines or other visible easements on sold property except as Indicated hereon. Dated this the �� � Day of 4�P'T V -L , 20 D , at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH -y( KENNETH LANG O Q � ''•..IrS-•5202.••' SJO NA4.•��Oc .o S10 c, AECC963 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services -- On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~3,\~ - :~.~\- [~\ 1. GENERAL INFORMATION Complete legal description Location (site address or directions) .~6'42; -7-~? cc D r-, ~ Property owner Mailing address Lending agency Mailing address Agent ~fn~- I~a¢~g¢~ ~¢~/~ Dayphone Address 7~O Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: ~i Individual on-site ~ If community well system, provide written confirmation from State ADEC attest- Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY' ENGINEER '- As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~/a/-~/, ~'~c/,~;~,~l /~'/¢~-/ Phone Address 1~'~'.~6' ~¢_..A~, ~'/. ~cA~c~'e ~-~ Engineer's signature ._~'~-"~ ~ ~ Date DHHS SIGNATURE ~Approved for ~"['~'~-~-(~') bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional CommentsN°te' The well for this property meets existing State and Municipal Codes. There are nitrates present. It is suggested that a periodic testin~ be performed to insure the wells continued suitability. Nitrate concentration is 8.14 mg/1. EPA The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to s~tisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-4)25 (Rev. 1/91) Back MOA 1¢21 Legal Description: A. WELL DATA Well type P ~' f Log present (Y/N) Total depth ~> 3-3' Sanitary seal (Y/il) Municipality of Anchorage ~ DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division (9~d~tl~.JtlI~OF ^NCHO~Ge 825"L" Street, Room 502 · Anchorage, Alaska 99501 · k_~IVii[ONM~=-i~L SERVICES DIVI$10 Health Authority Approval Checklist Lo~'ll~ ~ll, c, 7,, McC'tcxkc,,q #~ ParcelI.D.: Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform O cc,(. ~tot Date of sample: ~ B. SEPTIC/HOLDING TANK DATA Date installed [t' 7/ Foundation cleanout (Y/N) AUG 19 1996 RECEIVED IfA, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to .'> ,ffj-t Casing h~ight (above ground) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION g.p.m. Date of Pumping C. ABSORPTION FIELD DATA Date installed fffT/ Length ,~a/' Width Effective absorption area q ~ ~ r,'j' Date of adequacy test ~/I Y [ ~ ~' Tank size IgS"Off~t Number of Compartments '~ ..... Cleanouts (Y/N) ¥' ~ 0 Depression (Y/N) Iv High water alarm (Y/N) ~. ~. Pumper A * Soilrating (g.p.d./ft2orft2/bdrm) j~,' tJ,.~ Systemtype ~'reac6 '"'~g d '"~ . Gravel thickness below pipe 6"' Total depth Monitoring Tube present(Y/N). Y Depression over field (Y/N) For B bedrooms Results (Pass/Fail) Fca.cd ~Fluid depth in absorption field before test (in.); Fluid depth 1 3 .(ins.) Minutes later: Peroxide treatment (past 12 months) (y/N) ~ Inunediatelyafter~'fl gal. wateradded (in.): Ig ~/Y ~' Absorpfionrate = ~> ¥6"~' g.p.d. t4~t t4'oo~,q Ifyes,.give date V. A- ,j: ~" ~;~6 s/~,,,,t?,r,~ .6,- .~ty ,,,~t~ll~d ~..~. Nitrate dj', t ¥ r~ / -fi- Other bacteria No,~t r~f~,rke~ Collected by: F/a p~,/~ 7~c4 ~'~c D. LlYr STATION hi, A. Date installed Manhole/Access (Y/Il) High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Et Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line Size in gallons "Pump on" level at* "Pump off" level at* ; On adjacent lots .; On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~ ,5- r Property line q Q ' Absorption field ~5-' Water main/service line ~> tO ' Surface water/drainage ~ toO' Wells on adjacent lots ¢' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation "/~ ' Property Line t3" Water main/service line Surface water ~:~ too ~ Driveway, parking/vehicle storage area > Curtain drain Nooe £~,a~ Wells on adjacent lots > t~O' ENGINEER'S CERTH~ICATION I certify that I have determined thru field inspections and review ofMumctpal reco.r,.~s.~'.~gthe in conformance with MOA HAA guidelines in effect on this date. ,~,e~,,.~.~;":~ ~,~°~ . ~ ~-~"~' Si gnatur . Engineer sName '7-/o~oa:ffo~__ · /='. t'-~oo~'e "'~ gngi~tqltg~ ...... HAAFee $ ~G'O oo Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number 08×16×96 09:14 CT~E ESI ANCHORAGE ~ 90?5451355 NO.?21 Q05 CT&E Environmental Services Inc. CT&E Client Name Project Name/# Client Sample ID Matrl~ Ordered By PWSID 963668001 Plattop Technical 8~. Ltl B7 McMahon No. 2 LI 1 B7 McMahon ~2 Driald~g Water 0 Client PO# Printed Date/Time Collected Date/Time Received Date/Time Technical Director 08/15/96 12:43 08/09/96 13:30 08/09/96 14:45 Released Byf~,__..,~ ~.~,~__~ Sample RemarkS: Total coliform 8.14 0 Un(ts Method 1,00 mg/k EPA 0 col/100n~ SM18 9222B Atlowabte Prep Analy~ia Limits Date 0ate Il)it 05/14/96 Ese 08/09/96 TAV ~ DATE RECEIVED INSPECTION APPOINTMENTS TIME ~" TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY Ok MUNICIPALITY OF ANCHORAGE DEPT. OF HSALTiI 825 L Street-Anchorage, Alaska 99501 S~, ~) g ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: complete ail parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PROPERTY RESIDENT (If different from above) PHONE PHONE 2. BUYER MAILING ADDRESS 2, LENDING INSTITUTION [ PHONE MAILING ADDRESS 4. REALTOR/AGEnT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four "~ [] Two [] Five SINGLE FAMILY ~ Three [] Six MULTIPLE FAMILY [] Other 7. WATER SUPPLY INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTILITY *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~] INDIVIDUAL/ON-SITE** [] PU.L C UTI.TY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 1 THIS SIDE FOR OFFICIAL USE ONLY ,! I 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FiVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVI DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] IN DIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic.Tank or I-q Holding Tank Size:' /~ ~O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS [~'~APPROV ED FOR ,'~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED .,,...~ DATE BY 72-010 (Rev, 6/79) ANCtiOI:I/~cE ALASKA 99501 264 41 ] '1 (i!:Oi,lIH M SUI I IV/,N, MAYOR September 29, 1981 Marilyn Mo~onaga % Lloyd K. Beck Century 21 - Royal Realty 1317 West Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 11 Block 7 Mc Mahon Subdivision ~2 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: k(1) The water analysis report needs to be submitted to his office from the Chem Lab, 5633 B Street, for our review. (2) The seal on the well head needs to be tightened so that it is water tight. This Will need to be reinspected by this office after it has been corrected. i(3) The septic tank pumped with a receipt submitted to this office for our review. An adequate 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. there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw T bben Spurldand P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 Lloyd Beck Century 21 Royal Reslty 1317 Wo Northern Lights Blvd. &nchorage, Alaska 99503 Legal Location Owner Res ide nc e Water Sewer System Date of Test Test ~rocedure Oct. 20, 1981 SEWER ADEQU&CY Lot 11, Block 7, McMahon On Taiga Drive Marilyn Motonaga Four bedroom On Site Well From Municipal Records: Tank ABsorption System Absorphion Area Soil Rating Installation Date Oct° 19~ 1981 TEST MUNICIPALI?Y OF ANCHORAGE DEPT. OF iL_~:.Li~i & ENVIRONMENTAL p~Oi'FC1 ON OCT g 0 198i RECEIVED Greer Steel, 1250 galt two comparrtment Trench, 36 feet long, 6 feet o~ gravel 432 sq. ft. 125 July 1976 System was inspected on Oct. 10o 6 inch s~p, 3'-3" stick up, 16'-3" tot-~l depth, Liquid depth 6' Clean out dry '~ On Oct. 19 water was added to the tank at a rate of 7 gal per min. The following readings of the liquid depth in the tank were taken: TI~E Depth ~,later Volume mzn inches gal. 0:00 48 0 10:00 52Y~ 70 20:00 5~/~ 140 30:00 52~ 21~ 40:00 52~ 280 50:00 5z7~ 35o 60:00 5~ 420 70:00 52~ 490 80:00 52~ 560 90:00 5~/~ 630 Discontinue filling at 11.00 ~m~. Check at 4.00 pm 48 inches This system accepted'600 gal. in a five hour p~riod. It meets the present requirements of the Munocipal Code. ~' GREATER ANCHORAGE AREA BOROUGH ~ ~ ~/./ De~ar~tment of Environmental Quality ~ L. ,~j3330 "~'~ S~ F~6~t, Anchorage, Alaska 99503 274-4561 Received ~;'~S/i~,~:~J~'~ ~,,~ (~'2~ ~ t~ . Date g~,,.~_ 11~ 1976 j~?.~~,~ Time of Inspection //~~ ~l~'. Date of Inspection ~[~) REQUEST FOR APPROVAL OE · INDIVIDUAL SEWER & WATER FACILITIES FOR Cony. 1. Approval requested by: Home Federal Savings &Lona AssociatiOn Mailing Address: 535 D Street Phone: 274-1451 2. Property Owner: Robinson Construction Phone: Mailing Address: 3. Legal Description: % Bill Schreck 277..3511 Marston Realty Lot 11 Block 7 .Mc Mahon Subdivision 4. Location: 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: IndividUal A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site syste~ A. Installed B. Installer C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 1. Size 2. Manufacturer 1. Absorption Area 2. Material Total length of lines // D , Absorption area /~-~'~ , Other contamination , Absorption area , Sewer Lines C. Absorption area.to nearest lot line EQ-034 (i/74) Page 1 of two pages Pa~e 2 of two pages - Re(~t for Approval of Individual .~/~_r & Water Facilities ' L'ogal'~Descripti0n 'not 11 Block 7 1~I¢ Mahon SubdS_~±$J_on Comments Approvefl~~)dr/~_~ Disapproved . Date P--~ Greater Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the infOrmation contained in this request for approval to be a true and accu.rate representation of the subject sewer and water facilities and these facilities are:Operating satisfactorily. SIGNED EQ,034 (1/74) Date 1. Type of Inspection: 2. Property Owner: Mailing Address: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION AUG 1 :{ 1976 RECEIVED CMRO VA Robinson Construction FHA Day Phone CONY XXXXX 3, Name of Buyer: MONTONAGA, Gary_ S. Mailing Address: Day Phone 4, Name of Lending Institution: FTOlVIE ~EDRRAT. SAVZNGS & If)AM ASSN. Mailing Address: Name of Realtor or Agent: Mailing Address: Phone 272-1451 Bill Schreckof MarstonRealty Phone 277-3511 Please contactMr. Schreckto set up an appointment. 6. Legal Description: Location: ___~, Lot !!, Block 7¢ _M&?e_~kon S/Dj ~2 7. Type of Facility to be inspected: 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 8/4/76 v. thayer EQ-037 (1/74) No. Bdrms. 3 Individual Individual (on-site) DEPARTMENT OF ENVIRONMENTAL QUALITY INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: James E. Jackson and Catherine L. Jackson CONY Mailing Address: 2001 Wildwood Lane 3. Name of Buyer: Gary and Marilyn Motonaga Mailing Address: 18830 ]3agley P1. Seattle, Wash. 4. Name of Lending Institution: Horre :Federal Savings & Loan Assn. Mailing Address: 535 D Street. Anchorage. Ak. 99501 Phone 5. Name of Realtor or Agent: Marsl;or~ Mailing Address: 2g04 W. Nr~. Li_M~*..~ Blvd. :An~.h. 99503Phone Day Phone 279-2802--344-4282 Day Phone 278-3641 272-1451 277-3511 Legal Description: Location: NI-IN Taiga Dr. ~ Anchorage~ Ak. 9950~7 Up Huffman Rd., turn on Kille¥ St. Taiga Dr. is off of Killey Type of Facility to be inspected: single £/~mily residence No. Bdrms. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well unknown Sewage Disposal System Type of System: Public Utility If Individual, date of installation ~]~nown Individual septic one Lll is on left 2 Individual (on-site)septic EQ-037 (1/74)