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Home My WebLink AboutMCMAHON #2 BLK 9 LT 5McMahon #2 Block 9 Lot 5 #017-362-12 Municipality of Anchorage`� s " UBNa" On -Site Water and Wastewater Program • (907) 343-791 of 3 ON-SITE WASTEWATER INSPECTION REP0fi is DEC 2 6 2014 Permit Number: OSP141219 PID Number: 017-362-12 Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New Upgrade Name: GREG BALCO ABSORPTION FIELD ❑ Deep Trench H Shallow Trench ❑ Bed ❑ Mound Address 3700 TAIGA DR ANCHORAGE AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8 GPD/SF 12.7 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 8.7 Ft Gravel depth beneath pipe 4.0 Ft Subdivision Block Lot MCMAHON #2 9 5 Fill added above original grade 0 Ft. Gravel length 75 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 750 Ftp 1 NA Ft. Well >100' 1-25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity 1 -- Gal. Surface Water -- >100' Material Number of compartments Lot Line >10' — NA Foundation >10' LIFT STATION Manufacturer Capacity Curtain Drain -- >50' -- -- - _ Gal. Remarks EXISTING DRAIN FIELD CONNECTED VIA Pump on level at in. Pump off level at in. High water alarm at I -- in. DIVERTER VALVE. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank -- Tankto 3034 drainfieltl Installer A+ HOME SERVICES Drainfield 3034 CO/MT3034 Inspector LARS SPURKLAND/ANSON MOXNESS BENCHMARK (Assumed elevation) 100 ft Inspeection 1w 8/11/14 Z4 8/12/14 Location and description ctio s'" 8114/14 4'" BOTTOM SIDING NE HOUSE CORNER COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date r-.00 OF A4q 1>li • .S� � gyp. Co. ?../49— ... : i ... LA E ApproveLenPRDate Q a l ��i;�9•,, 15 0/ Aw RF?�S�P`c�� is Inspection R po _9-1-12.doc Septic! Area M�MAHON # SLoCK 9 PRC" - PERC TEST TO BE PERFORMED TO THE WEST OF PROPOSED TRENCH BEFORE CONSTRUCTION B£GlN NOTE: SLOPES EXCEEDING 25% WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPTION FIELD LOCATION. NOTE. THIS IS NOT A SURVEYED PLAT. WELL k SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE, 1' = 50 FT 4' CONTOUR LINES ISPURKLAND ENGINEERING I I KYWON 12 BM 9 LT 5 I I SEPTIC SYSTEM DESIGN 203 V 15TH. AVENUE GREG BALC� B4 TE,, AUG 15 2014 ANCH AK. 99501 (907) 279-3916 2700 T416A DR ANCHURAGE AK 99516 SHEET, 2/3 CRIB, SV2835 PERMIT # 17SP141219 PID # 017-362-12 MCMAHON#2B9L5.SC50-asb.DVG Wide Trench, 5' Wide 75' Long 13' Max. Depth 4' Sewer Rock 9' Cover TH u. acv roz�' m rsr aa�d aw aEv ,- sonar W acv M4, NO SCALE Trench Elevation (TyP) Cleanouts Monitors Slit Barrierp HH R..S' rnvar\ FA an:=IJ I 4 ft of Septic Rock BENCH NARK 807TOM SIDING NE CORNER ASSUMED ELEVATION 100 FEET DIVERT£R VALVE TANK ISPURKLAND ENGINEERINGI ( MMMON JZ BLK 9 LT 5 I I SEPTIC SYSTEM ASBUILT 203 W K, 99501 TH. AVENUE ANCH. AK. GREG BALCO DATE, AUG 14 2014 (907) 279-3916 3700 TAIGA DR ANCHORAGE AK SHEEP 3/3 GRID, SV2835 PERMIT # OSP 141219 PID #017-362-12 MCMAHON#2B9L5.D3-ASB.DWG Spurkland Engineering 203 W. 15th Ave. Ste. 202A Anchorage, AK 99501 TEST HOLE I PBC-OLY SOIL LOG AND PERCOLATION TEST DEPTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOIL DESCRIPTION DATE. • -42,114 WAS GROUNDWATER OBSERVED: IF YES, AT WHAT DEPTH: AFTER MONITORING PERIOD: DATE OBSERVED: PERCOLATION TEST.• FILL DATE I GROSS TIME NET TIME DISTANCE DROP w000 12 14 2.15 PM 0 min. 10.625 2.45 PM 30 min. 5.750 4.750 10.500 3.•15 PM 30 min. 6.125 4.500 4.45 PM 30 min. 6.063 4.438 PERCOLATION RATE. 6.8 minutes/ inch PERC HOLE DIAMETER: 6 Inches TEST RUN BETWEEN 6 FT AND _7 _ FT SITE PLAN: N SEE A T TACKED SITE PLAN NOTES: PRE-SOAKED PERFORMED BY. Anson Moxness. I, Lars Spurkland P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERING MCMAM 12 BLK 9 LT 5 SOIL LOG PERCOLATION TEST 203 V 15TH, AVENUE ANCH, AK 99501 GREG BALCO BATE, AUG 15 2014 (9071 279-3916 3700 TAIGA DR ANCHORAGE AK 995516 GRID #, SVE835 PERMIT #OSP 141219 PID # 017-362-12 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141219 Tax Code Number: 01736212000 Work Type: Septic Upgrade Permit Effective Dates: July 02, 2014 to July 02, 2015 Design Engineer: SPURKLAND ENGINEERING Subdivision: MCMAHON #2 Site Legal Address: MCMAHON #2 BLK 9 LT 5 G:2835 Owner/Address: BALCAO GREGORY D & MELODY L 3700 TAIGA DRIVE ANCHORAGE AK 995162856 Site Mailing Address: 3700 TAIGA DR, Anchorage This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank Lot Size in Sq Ft: 24000 Total Bedrooms: 4 N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcell.D. 017-362-12 Property owner($) GREG BALCO Mailing address 3700 TAIGA DRIVE ANCHORAGE AK Site address SAME Legal description (Sub'd., Block & Lot) MCMAHON #2 BLK 9 LT 5 Legal description (Township, Range & Section) Lot Size Sq. Ft. APPLICATION IS FOR: IN all that apply) Absorption Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Day phone Number of Bedrooms 4 APPLICATION IS AN: Initial Upgrade Renewal 0 TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings SU8N117 1 T'PmF%aId/or D) JUN 2 0 20144 i THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. 1 further certify that this is in accordance with applicable Municipal Codes. owner or autnonzea agent) Permit/Rush Fees: 5GA — Waiver Fees: Date of Payment: 23 N Date of Payment: Receipt Number: [fir rJ5J 7C K Receipt Number: Permit No. b Lf 121 Waiver No. Permit App_9-1-12.doc Ej e d *2 W-k� Spurktand Engineering Environmental Consulting and Design SEPTIC SYSTEM DESIGN MCMAHON #2 BLK 9 LT 5 Municipality of Anchorage June 18, 2014 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Septic System Installation Permit 3700 Taiga Dr Ladies and Gentlemen: I am writing to request a septic system installation permit for the above referenced property. The existing septic system needs upgrading. The proposed system will serve a 4 -bedroom single- family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: No groundwater observed to a depth of 19 feet. (6/18/2014). Soil Rating. From Test hole 6/12/14 7.5 min/in = 0.8 gal per sq.ft./day No. of Bedrooms 4 Required Area per Bedroom: 150/ 0.8 =187.5 sq.ft. Total area required: 187.5 x 4 = 750 sq.ft. System: The septic tank was inspected on June 12`h and appears to be in good condition. The proposed upgrade will utilize the existing tank. A new absorption field of the following dimensions, 75 feet long and 5 feet wide with contain 4.0 feet (750 sq.ft. effective) is proposed. Soils: A test hole was excavated on June l la', 2014. See the attached soil logs. Ground water monitoring will continue through construction of the septic system. Groundwater was not observed on June 18, 2014. An additional perc test must be done prior to construction on the eastern edge of the drainfield to confirm similar soils. Surface Water: There are no surface waters within one hundred feet of the proposed septic 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Spurk[and Engineering Environmental Consulting and Design system upgrade. Topography: The ground level generally slopes down towards the north at a 10% slope. Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lars parkland, P.E. Civil Engineer 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net \ \ LOT J \ \ / LOT 4 \ \ LOT 18 \ LOT 15 \ \ \ LOT LOT 9 \ \ / \ \ ® / \ LOT 8 BMJ \� \ rLOr ® \ \ / LOT 8 / LOT 7 \ ' LOT 14 lY N07E.• THIS IS NOT A SURVEYED PUT. WELL & SEPTIC LOCATNJNS TAKEN £ROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE.- 1' = 100 FT. SPURKLAND ENGINEERING MCMAHON 12 BLK 9 LT 5 SEPTIC SYSTEM DESIGN 203 V 15TH. AVENUE GREG BALCE BA TE.- JUNE 13 2014 ANCH. AK. 99501 (907) 279-3916 11 3700 TAIGA DR ANCHORAGE AK SHEET., 1/3 GRID: SV2835 PERMIT # 0SP111OXX PID # 017-362-12 MCMAHON#2B%5.SC100.DVG \LOT 4 Septic Area IDIVERTER VAL \/ LOT 15 \ INSTALL 4 -BEDROOM SEPTIC SYSTEM TRENCH LENGTH 75 FEET TRENCH WIDTH 5 FEET INSTALL DIVERIER VALVE MAX EXCAVATION DEPTH 13 FEET ROCK DEPTH 4.0 FEET COVER 9 FEET LOT 5 LOT 16 MAMAHON BLoCK 9 PRC* - P£RC TEST TO BE PERFORMED TO 7H£ WEST OF PROPOSED TRENCH BEFORE CONSTRUCTION BEGINS NOTE. SLOPES EXCEEDING 25X WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPTION FIELD LOCATION. NOTE. • THIS IS NOT A SURVEYED PLAT. WELL k SEPTIC LOCAAONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION! ALL LOCATIONS SHOWN ARE APPROAMAIT: 25 0 25 50 75 100 125 150 SCALE 1' = 50 FT Lai 1 G 4' CONTOUR LINES 03 V 1 ANU tNlilNttl(IN(i I ( A MAHON 12 BLK 9 LT 5 I I SEPTIC SYSTEM DESIGN I ANC W K. 9 AVENII£ DATE, JUNE 18 2014 ANCH. AK. 99501 GREG BALCO (907) 279-3916 2700 TA16A DR ANCHORAGE AK 99516 SHEET., 2/3 GRID, SV2835 PERMIT # OSP141XXX PID # 017-362-12 MCMAHDNPERMIT OSP141XXX PID # 017-362 MCMAHON#2B%5:9C50.DV6 V/de Trench, 5' Vide 75' Long 13' Max, Depth 4' Sewer Rack 9' Cover NO SCALE Trench Elevation (TyP) Cleanouts Monitors Silt Barrier — \ Septic Rock DIVERTER VALVE ISPURKLAND ENGINEERING I I MCMAHON 12 BLK 9 LT 5 I I SEPTIC SYSTEM DESIGN 203 V 15TH AVENUE GREG BALCO BATE, JUNE 18 2014 ANCH. AK. 99501 (907) 279-3916 3700 TAIGA OR ANCHORAGE AK SHEET, 3/3 CRIB, SV2835 PERMIT # OSP 141XXX PIB #017-362-12 MCMAH5N#2B9LS.B3.BVG Spurkland Engineering 203 W. 15th A ve. Ste. 202A Anchorage, AK 99501 TEST HOLE / ___L— DEPTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOIL LOG AND PERCOLATION TEST SOIL DESCRIPTION DATE.• 6/11 /L.-___ ORGANICS WAS GROUNDWATER OBSERVED. NO IF YES, AT WHAT DEPTH: —_ Sm AFTER MONITORING PERIOD: DRY NO DATE OBSERVED: 6/18/14_ PERCOLATION TEST.• Silty, Sandy Gravel (GP,GM) More sand w/ depth FILL DATE I GROSS TIME NET TIME DISTANCE I DROP 9.938' 6112114 1:15 PM 0 min. 9.813 1.45 PM 30 min. 9.750 2:15 PM 30 m1n. 2:45 PM 30 min. =5.750-4.063 PERCOLATION RA TE 7.5 minutes/ inch P£RC HOLE DIAMETER. 6 inches TEST RUN BETWEEN __6 FT AND Fr SITE PLAN: NOTES: PR£ -SOAKED ------------ — PERFORMED BY.• Anson Moxness. I, Lars Sourkland P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERING NCAMWN 12 BM 9 LT 5 SOIL LOG PERCOLATION TEST 203 W 15TH. AVENUE ANCH. AK. 99501 GREG BALCO DATE, JUNE 18 2014 (90D 279-3916 1 3700 TAIGA DR ANCHORAGE AK 995516 11 GRID #: SWEB35 PERMIT # PID At 017-362-12 B 72-013 (Rev. 9/91) MOA 25 Municipality of Anchorage Page of a 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: Su/ ciL oZ93 PID Number: 01"1 -36Z— ! Name: Wastewater System: ❑ New X Upgrade Address: ABSORPTION FIELD Phone: No. of Bedrooms: Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other p LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: a.8 GPD/Sq. Ft. VNM4 Tti Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe S 9Mc voraiw j 7, 1. V4' Ft.�. I Ft. Township: Range: Section: Fill added above original grade: Gravel length: 1 Z' 4ert.R:: t3mt4 Ft. Ft. WELL: ❑ New ❑ Upgrade Gravel width: Number of lines: 1 Distance between lines: 2 - 3 Ft. FL C a ' ' tion (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. 1'� . SQ. Ft. F 81v -D 3o -S Driller: Date Drilled: Static Water Level: Installer: M;� Date i stall d: Ft. p fcM l01">•b 1 . �i� Z I Yield: Pump Set at: Casin Above Ground: TANK GPM Ft. t. SEPARATION DISTANCES I IRSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines L f d.� 1 Z Material: Number of Compartments: Well- elh Surface Water Water 10 01 �-- Lav 1t —' J LIFT STATION Lot Slz Ions: Manufacturer: Line +o I + Lo 1+ — —' Foundation to t+ &+ _ — "Pump on" level it: "Pump vel at: High water alarm at: Curtain-* $D, - 901 1 1 1 Pump Make &Model Electrical Inspections performed by: Drain ;46 _ ._ — �* o"``C- , BENCH MARK Remarks: g�,a e_N a Location and Description: 1 141 lne< t l It_U YTt.,.,T Assumed Elevation: 1 op ENGINEER'S SEAL 0 At ttg Pe �""°vai°09ee�e W -t1 C�� • °0.60 Sw V �® Inspections performed by: Dates: 1st 9 �zo15` d�� Log ,°stoat a;; e•e o,ee.,va• 2nd z! 9 •e •�• 91a4l51, aeewe•wBe B•�BB ®�Ra Kenneth M. D � 4, Department of ealth an um Services approval a� s� °e CE 7116 ; � ` e ®g F9 °•off%/0.40 �� 4��"ROFEss1o�P� Reviewed and approved b : v Date: l" L p It 72-013 (Rev. 9/91) MOA 25 U"/ 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 `�a_j PERMIT NUMBER:SW960293 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:RIEDEL ROBERT A & NANCY OWNER ADDRESS:3700 TAIGA DR ANCHORAGE, AK 99516 PARCEL ID:01736212 LEGAL DESCRIPTION: MCMAHON #2 BLK 9 LT 5 LOT SIZE: 24000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 9/12/96 EXPIRATION DATE: 9/12/97 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 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 ] ISSUED BY DATE • A? DATE: ND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 /FAX (907)696-8111 September 3, 1996 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot 5, Block 9, McMahon S/D - Sewer Upgrade Gentlemen: At the request of the owner, on August 24, 1996 we excavated a testhole for the subject property for the proposed upgrade of the existing system. The proposed system is for a four bedroom single family residence. The results of the soils test and water monitoring are attached. The property has a gradual slope from southwest to northeast. At the northeast end of the property the slope gets shallower. We propose to install a deep trench 2' wide with a new 1250 tank. A diverter will be installed pre -tank so that the existing system can be maintained for future use. If required, additional fill will be placed over the system to provide a minimum of 3' of cover when complete. There are no public or private wells within 200' of our proposed system location except as identified on our site plan. There is neither surface water within 100' nor any known curtain drains within 50'. We do not expect that there will be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. MUNI EN A Of N S p 15 ON E13`1�� SEP o 41996 Respectfully submitted, XD Engineering Kenneth M. Duffus, P.E. RECEI��D attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WASTEWATER C DISP❑SAL SYSTEM DETAILS/SITE PLAN LOT 5, BLOCK 9, McMAH❑N S/D OF ALS I* 9TH KENNETH M. D S CE -7116 a w 14% ''YOPRSS10'0' 4D''YOFESSIO'Ay Aw DESIGN DETAILS WITHIN 200' OF S WITHIN 200' OF EXCEPT AS NOTED. 4 BDRM X 150 GPD = 600 GPD 600 GPD/0.8 GPD PER SO, FT. = 625 SO, ET 625/2' X 8 (8.0' GRAVEL) = 39.06 FT. TRENCH Total depth of system is 12.5' from original grade. NOTES: 1. USE DIVERTER AND RETAIN EXISITNG TANK & FIELD FOR FUTURE USE. 2, USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER. 3. INSULATE TRENCHES WITH 2° HD BURIAL FOAM.. 4. CONTRACTOR WILL ENSURE MAXIMUM 27 SLOPE INTO SEPTIC TANK. 5. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER. PARED FUR: KND ENGINEERING ROBERT RIEDEL 20441 PTARMIGAN BLVD 3700 TAIGA DRIVE EAGLE RIVER, AK, 99577 ANCHORAGE, AK 99516 (907)696-6111/Fax (907)696-8111 DATE: 8/26/96 nRawING n SCALE: 1" = 100' 96074 -SI •`Municipality of Anchorage 2 [� DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: I_1ohRf ` DATE PERF LEGAL DESCRIPTION: L 5 I3� ��- W1bµo..� Z Township, Range, Section: SLOPE SITE PLAN rDEPTH IFEET) L'17-6 JL .f•' 1 2 3 4 5 4 6 8 9 10 11 12 13 14 15 16 17 18 S� w � p Ld-�u� o� S�'Sf' W, tJnriaws �e�r�- S '4 WAS GROUND WATER ` ENCOUNTERED? f` S IF YES, AT WHAT L O DEPTH? — P E (in Depth to Water After Monitorina7 -0- Dale: ' 4 19 _ :y% 20 'r/8 PERCOLATION RATE S33 tminutesnnch) PERC HOLE DIAMETER A-ub f TEST RUN BETWEEN 7 FTAND 8-. F1 COMMENTS � L� f� SQ'I � To MCL- T- 1 - - PERFORMED BY�� ''� �'")1cJ"��-- I – SO __. CERT If 1 HAT THIS TEST WAS PERFORMED IN ACCORDANCE W17 HALL STA I LANE) MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE Gross Net Depth to D Net Reading Date Time Time Water Drop ayo — 7 S3 1 z `s !� I 3 . 3 Z • 35 Z 1/8 3 B S z (e�/ —:o z 7'sa s8 � to Z 8 3I6 19 _ :y% 20 'r/8 PERCOLATION RATE S33 tminutesnnch) PERC HOLE DIAMETER A-ub f TEST RUN BETWEEN 7 FTAND 8-. F1 COMMENTS � L� f� SQ'I � To MCL- T- 1 - - PERFORMED BY�� ''� �'")1cJ"��-- I – SO __. CERT If 1 HAT THIS TEST WAS PERFORMED IN ACCORDANCE W17 HALL STA I LANE) MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE • Municipality of Anchorage REQUEST FOR VOUCHER CHECK FROM: Health & Human Services (DEPARTMENT) TO: MUNICIPAL CONTROLLER DATE: October 4, 1996 R '�Tr-;nA THIS SECTION FOR ACCOUNTS PAYABLE USE ONLY 1099 VOUCHER NO. PAYMENT DT. V VENDOR NO. REFERENCE NO. INVOICE DATE INVOICE NO. DESC CHECK NO. CHECK DATE PREP APPR 1. REQUEST THAT A MUNICIPALITY OF ANCHORAGE CHECK BE ISSUED TO: Name IND Engineering Address 20441 Ptarmigan Boulevard Eagle River, Alaska 99577 2. THIS PAYMENT IS FOR THE FOLLOWING (SUBSTANTIATION ATTACHED): A well permit application was paid for this property and one was not needed since the well is established and this was a on-site wastewater disposal system upgrade permit only. Please refund the well application fee only. See attached documentation. Recipt #02307/2160 Lot 5 Block 9 Mc Mahon Subdivision 412 3. DISPOSITION OF CHECK: (1) t§XMAILTOPAYEE (2) ❑ MAIL TO PAYEE W/ATTACHMENT (3) ❑ NOTIFY PAYEE TO PICKUP IN TREASURY Name: Phone No.: 4. ACCOUNTS TO BE CHARGED: ITEM 1 2 AUTHORIZED USE ONLY (6) ❑ NOTIFY DEPARTMENT EMPLOYEE WHEN CHECK IS READY IN FINANCE Name: Org. No.: Phone No.: 5. TOTAL AMOUNT OF CHECK 6. SIGNATURES 3-4744 Employee Phone Approving Authority 7. INSTRUCTIONS . a. To be used only when payment cannot be made by purchase order, travel expense report, travel authorization or petty cash. b. Must be approved by department head unless approval authority is delegated in accordance with Policy and Procedure 24-7.- c. Retain carbon copy for your file. 40-001 (Rev. 2/91) MOA #15 120. 120. MUNICIPALITY OF ANCHORAGE r Department of Health & Human Services On -Site Sewer/Well Permit Application (-) 11 — 3i„2 — i NOTE: Application must be filled out completely/ SINGLEFAMILY DWELLING Parcel Identification Number C��i�'`(>-ECQCCLo Property Owner Name tea�� Day Phone Mailing Address3�Oc7 `1 4ir,+s �� rTt L�� AIL Zip Code Legal Description s 9 MC-VAA.4&-, 4�L Lot Block Subdivision Section Township nr ALSERVICL't� _��, EpIVIROtJMEM Lot Size OOCJ .oe�/sq. Ft. Inspections will be conducted by: nNumber of Bedrooms: �_ X Approved Engineering Firm SEP 0 41996 (Ju_,_ A t°1 --1L,, Yr - A In&A-\N5y"'r.S Municipality (permit fee inclLujetC��rr/ [ D Does your house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, Jacu or Water Softener Unit? jo If yes, which one? This application is for: Sewer Only Sewer and Well Sewer Upgrade X' Well Only I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and in accordance with applicable Municipal codes. Property n r/Well Driller Fees: D �� Receipt # � d ermit # �:-w jP' / 72-012 (Rev. 10/86) Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Services Division Telephone: 343-4744 ON-SITE SERVICES FEE DOCUMENTATION Date Paid: 34(01— Legal Description(s): Permit Number: OS— 02307 Type of Payment: (Indicate Amount Paid) ��?,e _ �• a4 WAIVERS: S alth Authority: Excavator Permit: Lot Line: Sewer & Well Permit: Engineer Permit: Well Permit: t�o Pumper Permit: 1 -2.d - '--1, Sewer Permit: Well Driller Permit: Copy Request: 72-034 (Rev. 10/87) Tank Manufacturer: (Waste Treatment) DISTRIBUTION: Well to Tank: Well to Field Field to Surface Water Tank to Surface Water WHITE—MASTER FILE CANARY—PROGRAM FILE w GREA.: ER ANCHORAGE AREA BOR._;JGH (g' ��rj��'��i 61) Department of Environmental Quality `°°�'" 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM {�AJ 0 ' IRA �6A 15�� PHONE '71 NAME1'`\�CL��'� �P'"-^' MAILING ADDRESS 354�7 LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL MANUFACTURER MATERIAL INSIDE LENGTH INSIDE WIDTH TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES ABSORPTION AREA FOUNDATION LIQUID DEPTH DISTANCE BETWEEN LINES DEPTH: TOP OF TILE TO FINISH GRADE WELL: TYPE— NUMBER OF COMPARTMENTS LIQUID CAPACITY 6Z-�o GALLONS. TOTAL LENGTH NEAREST LOT LINE OF LINES -3- -TRENCH — TRENCH WIDTH— IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER i MATERIAL BENEATH TILE FN. ABOVE TILE CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION LOT LINE , SEWER LINE CESSPOOL APPROVED DISTANCES: INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form EQ -032 OTHER SOURCES DISAPPROVED REMARKS SEPTIC SEEPAGE TANK , SYSTEM_ DIAGRAM OF SYSTEM IN. DISTANCE FROM: G.A.A.B. ��I � F��I �� fl - DEPARTMENT( � HEALTH AND ENVIRONMENTAL �OTECTION 2516 E. TUDOR RD. , ANCHORAGE, HK. 99507 276~2221 L -J EF_ k- I- �ir-4 C -P ��— _":E. I -T- EE F_: L -J L=_ I--. �F-"PR 1 7_ PERMIT NO. ( 76817 ) APPLICANT MOUNTAIN ENT SRH BOX 1582N 344~0491 LOCATION THIGH DRIVE LEGAL L5 B9 MCMHHON SUBD LOT SIZE 24000 SQUARE FEET TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH relAXlrllUtl NUMBER OF BEDROOMS = 4 SOIL. RATING l'SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: j �2 �ff=r-jo:3-T"� �F�� - THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL. DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). �� 1_�. 1 ��C-u 1- 1�_j ci < ;2 > I I CIP-4-'ET �1=r�!I-1 I F-OF-El'-ff BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TQ INSURE PROPER INSTHLLHTION. ��lrl I -T I- I E.- F" 0---i F�: 973 P -A f =__ �r-- " F-' F::- ir-I I "-"=, lE_. I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]� I UNDER D HT THE QN~^SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE/I8/RE�]�ELED TOL INCLUDE MORE 'THAN 4 BEDROOMS. SIGNED APPLICANT 1_'UNT It ENT ISSUED BY~_ Department of Health and Environmental Protection 2516 E. Tudor Road Anchorage, Alaska 99507 276-2221 SOILS 1.O(. I'1?HI�I,A't'IUN I I,s r Performed for MR. WXdKfXM JACKSON MOUNTAIN ENTERPRISES ;,,ate Perforri!!d9-�7-76 �egdl Uescriptaon:_LOT 5, BLOCK ��-liDIlAHON�U®DIVISION This form reports: Soils 109 x' __ ,______ Perco ation test_____ Depth Feet _ 1 - LOAM 2 3 4 TIGHT SAND AND GRAVEL Sw — 125 13 - MEDIUM -FINE SAND 14 - S P- _150 16 Was ground water encountered? _No If yes, at wifdt depth? C OPEN FOR DAYS OF RAIN, TO -0 zeading Date Gross Time Net Time ------------ Kill Was ground water encountered? _No If yes, at wifdt depth? C OPEN FOR DAYS OF RAIN, TO -0 zeading Date Gross Time Net Time ------------ Depth to Water Net Urp", Percolation rate minute. -Proposed installataor Seepage Pit _ drain Field Oe{>th of Inlet _ Depth to bottom of pit or trenci II'1LNTS: WITH BOTTOM OF CDI- .._.RECOM-MEND-�2rJ-SQ-U-ARE-FSE-�'-SU-RrF A-6 E-AR6-A- R--asOR O-0# -- FIELD ABOUT 10 FEET DOWN Perfornby_m ---------------- -Certifiedl3y - Jate:�7�7.6__ fcd .1-M.-TxoMa.sa=-N,- - e.E-.- _ 1:(1-040 (6/74) MUNICIPALITY OF ANCHORAGE DEPT. Of HEALTH WATER WELL LOG ENVIRONMENTAL PROTECTION FOSS DRILLING �� ` DEC 91976 1336 Ingra Street n Anchorage, Alaska }99501 RECEIVED WELL OWNER )wj. 00 wv�N�USE OF WELL i 1'✓J LOCATION o- jod'k me jy" o o Sw6j m' -r' [inn - SIZE OF CASING_�LDEPTH OF HOLE_aFT. CASED TO % FT. STATIC WATER LEVEL_ FT. YIELD.�L.GAL.PER.MIN. WITH r FEET OF DRAWDOWN. REMARKS y � DATE COMPLETED� —PUMP TO BE SET AT / Z O t 0."� S—to11Q I vt0 to. zat O.24l 7=1-* t OJ4 t 0� —t O— t O� _t0� _t O� t O— - t O__ �.t 0— t 0� -- t O_ t0� ^ i 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. # 21-7- 3�Z -172- HAA # 1. GENERAL INFORMATION Complete legal description ` s z sJ-N Location (site address or directions) Tion i 4cin Property ownerDay phone Mailing address Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. - - 4. TYPE OF WASTEWATER DISPOSAL: MUNICIPALITY OF ANCHOM6r Individual on-site ENVIRONMENT'AL�SERVICES[DI IVl OtI Holding tank Off d .7 1996 Community on-site �r; - Public sewer R E C C 1 v E V 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 r 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 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 furtherverify 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. v rrigineel frig Phone Name of Firm 20441 armigan Blvd. Address Engineer's signature 6. DHHS SIGNATURE JO= Approved for2� bedrooms. Disapproved. Conditional approval for Additional Comments By: n Date CdA s I Cil OF A4�ej� 'cW(�'`T& � rte§"- • �e eeoay / � eeoi� 0 a e C0.• e • y° a � .��E • A if s Y 1 �� Ke'pneth K. G4€a �� ®�p J CE 711/6 ' °ROFESSt�N�� bedrooms, with the following stipulations: Date 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 satisfy 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. 72-025 (RV. 1/91) Back MOA #21 k Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 0 Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: L--- s R3Loclt= G M c VACJLO� 4L 2 Parcel I.D.: Qt -7- ate z - 17 A. WELL DATA :1 MUNICIPALITY OF ANCHORAGE / Well type I cl, If A, B, or C. attach ADEC letter. ADEC water system numgWIRONMEUTALSERVICES DIVISION Log present (YIN) Date completed t 2 -7(,OCT 0 7 1996 Total depthCased to ��! Casing height (above ground 11 IVED Sanitary seal (Y/N) ` Wires properly protected (Y/N) FROM WELL G AT INSPECTION L Date of test -7L < < Static water level 'to 4 Well production WATER SAMPLE RESULTS: 9— p.m- Coliform CD Nitrate � .�8 Other Date of sample: t5 /1 [T G Collected by: Tc� B. SEPTIC/HOLDING TANK DATA 9.p -m. Date installed q z 1 1 -11, Tank size I z •E;0 Number of Compartments _Z Cleanouts (Y/N)4— Foundation cleanout (Y/N) Depression (Y/N) �j High water alarm (Y/N) Date of Pumping I Pumper C. ABSORPTION FIELD DATA d./ftz �'`M�) O.8 System e TizeNc ti Date installed G 21 Soil rating (g.p. .tea=n. type �� Length Al Width Z Gravel thickness below pipe S.? Total depth voazAes 09'- 11.8' Effective absorption area Monitoring Tube present(Y/l)--V-- Depression over field (YIN) Aj Date of adequacy tesResults (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); — Immediately after= gal. water added (in.): Fluid depth — (ins.) Minutes later: — Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date D. LIFT STATION Date installe Manhole/Access (YIN) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot teo' + Absorption field on lot _ 1 00, 4 - Public sewer main Sewer /septic service line _ _ 25 1 "Pump off' level at* On adjacent lots t 0of-1- On adjacent lots loo Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10 f -1- Property line to 1-}- Absorption field to '+ Water main/service line 10 '+ Surface water/drainage toot -� Wells on adjacent lots 1 0o1 -t SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation ko k* Water main/service line 10, -r Surface water too t + Driveway, parking/vehicle storage area ZS i + Curtain drain so' I -Wells on adjacent lots 16)01 a- Property line to t -r �X K�o 'moue„ Arca,,%, F. ENGINEER'S CERTIFICATION I certify that l have determined thru field inspections and review of Municipal records 060 � Wills are in conformance with MOA HMA guidelines in effect on this date. � ��(ep°,•°11 �@D� e• •° ^ Signature off '° t °•° �� o a:F• ' ° ° Ave9i�a �� : � d ` rr Engineer's Name ev�n F'a ••o os e• ses ass.•'•o e ip a 660 eTf m Kenno Ji M. lff1Us Date tb 1: i 9 f✓ C 17116 HAA Fee $ Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number CT&E Ref.# Client Name Project Name/# Client Sample ID Matrix Ordered By CT&E Environmental Services Inc. Laboratory Division 0000 000000000�o�z 963480001 Tobben Spurkland P.E. L5 B9 McMahan L5 B9 McMahan Drinking Water 200 W. Potter Drive Anchorage, AK 99518-1605 Tel: (907) 562-2343 Fax: (907) 561-5301 Client PO# Printed Date/Time 08/06/96 13:56 Collected Date/Time 08/01/96 16:15 Received Date/Time 08/01/96 16:30 Technical Director PWSID 0 Released By Sample Remarks: Parameter Nitrate -N Nitrite -N Total Coliform a e T Member of the SGS Group(SociAt6 GAnArale de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA Allowable Prep Analysis Results PQL Units Method Limits Date Date Init 3.98 0.500 mg/L EPA 353.2 08/02/96 ESC 0.1000 0.100 mg/L EPA 353.2 08/02/96 EMB 0 0 col/100mL SM18 92228 08/01/96 TAV a e T Member of the SGS Group(SociAt6 GAnArale de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA 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. # 1 i - �( - 1'-A HAA # 1. GENERAL INFORMATION Complete legal description Location (site address or directions) 3 '7 &>-O I 6 !a i'y e - Property owner i -e-d -e-f . P�E 6 'A_ Day phone -5qs— logk Mailing address _- _57O -C TkIGA - 12 - Lending agency Mailing add Day phone Agent i err; e_ �;"c Day phone 7�v2 — 3 i . 7 Address -e X40) (;z��-�? c's f 0 V J� Unless otherwise requested, HAA will Lb�e held for pickup. 2. NUMBER OF BEDROOMS: I 3. 4. TYPE OF WATER SUPPLY: Individual well I/ Community well Public water MuN/cIP ElyyIRONMfNTq� ESER V/C 3 p R GE AU VISION 6 � � 1986 Revel V FD NOTE: If community well system, provide written confirmation from State ADEC attest- - ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site 11 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 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 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 ... -em SyL) r k 14L kc Phone 39 b Address n b 3 Cly Engineer's signature n1��-�( �f�¢ Date 1 �' 6. DHHS SIGNATURE By: Approved for bedrooms. Disapproved. Conditional approval for U bedrooms, with the following stipulations: Additional Comments The wastewater system currently serving this property does not appear to meet minimum Municipal requirements for absorption abilities for a four(4) bedroom home. This conclusion is based upon recent test results conducted by the engineer. 411Th Date 8 - Z 3 - % 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 satisfy 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 engineers work. 72-025 (Rev. 1/91) Beck MOA N21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES %tyk ��,/ryoF Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 �SFR11/cl okacF U(,+ 0? oi�/S/off ii Health Authority 'Approval Checklist �PC 19,96 Legal Description: kwi- s-, Ps i< a 1✓I z ka,�te-f,� Parcel I.D.: "ecel A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water/system number Log present (YIN) �� Date completed L' "l 7(e:, f 11 Total depth q 1 Cased to q Casing height (above ground) �i9 Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION P Date of test J 1 7 b �/� / % PE1, / 1 Static water level G Ll Well production g.p.m. � 9— p.m- WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria / Date of sample: SSG / 9 6 Collected by:. B. SEPTIC/HOLDING TANK DATA Date installed /o fn Tank size 0 Number of Compartments --,2— Cleanouts (Y/N)_� Foundation cleanout (Y/N) Depression (Y///N) i� High water alarm (Y/N) ly Date of Pumping 60,6LCIS Pumper g C. ABSORPTION FIELD DATA `� Date installed 1 C'14,;,& Soil rating (y+AP# 1 or ft2/bdrm) j� System type T _ e- Length Width Gravel thickness below pipe Total depth /,� Effective absorption are Monitoring Tube present (Y/N)�1 Depression over field (Y/N) Date of adequacy test q Results (Pass/Fail) For '7 bedrooms r g! 3//IK fc Fluid depth in absorption field before test (in.); Immediately after water added (in.): r_ Fluid depth (ins) Minutes later: 10-0� }} Absorption rate = 6-6 g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)"' • L / l V1s�0'vtsi� CGi it/�l� �////{) ��Q� /1 PA f Jit lI^ �1X. 1 21 Z`-1 JAI aIr '�fi Q•t"..'C k1 / �V D. LIFT STATION 141 a Date installed Manhole/Access (Y/N) High water alarm level at' Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at' `Datum "Pump off" level at` SEPARATION DISTANCES FROM WELL ON LOT TO: ! 1 Septic/holding tank on lot % On adjacent lots Absorption field on lot >, t 16 5 f On adjacent lots ' lao r Public sewer main q1A Public sewer manhole/cleanout Sewer /septic service line i L4 -- Lift station tq SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation Ho I Property line �7 10 1 Absorption field ID I 1 /� f Water main/service line N —5 Surface water/drainage "� Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: ( I % Property line /0 Building foundation 7 a5 Water main/service line / Q s Surface water _ 'q/A Driveway, parking/vehicle storage area > 4 ei Curtain drain N//�t Wells on adjacent lots f ! ! F. ENGINEER'S CERTIFICATION ! certify that f have determined thru field inspections and review of Municipal records that the:above•.systems are in conformance with MOA HAA guidelines in effe t on this date. I (r , Signature Engineer's Name J, Date HAA Fee $ Date of Payment / Receipt Number 72-026 (Rev. 3/96)' Waiver Fee $ Date of Payment Receipt Number T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Daniel Roth Municipality of Anchorage Department of Health and Social Services 8201 Street Anchorage, Alaska 99501 Subject: Pink Sheet Lot 5, Block 9 McMahon Gentlemen; August 19,1996 RECEIVED AUG 2 0 1996 Municipality of Anchorage Dept. Health & Human Services This test was performed as requested by Jim Cross. The procedure and result was described in a letter attached to the Municipal HAA forms. If you have reservations with the test procedure and the results your comments should have been addressed to Mr. Cross prior to advising my clients how to properly testing the system. Yours T. Spur land P.E. T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 James Cross, RE Municipality of Anchorage Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Septic System Adequacy Test Lot 5, Block 9, McMahon S/D Gentlemen; August 6, 1996 Per your instructions we went back and retested the septic system on this lot. Our original test was deemed invalid by DHSS because water was backing up into the septic tank during the test. On out second attempt great care was taken not to have water backing up into the tank. This was achieved by adding water to the trench through the steel monitor pipe installed by us and placing a float with a flag in the septic tank. The flag was even with the top of the second compartment clean out. As soon as water started to flow into the tank the flag would rise. A 50 gallon inflow into the tank would have raised the flag one inch or more. The maximum inflow into the tank during our 8 hour test raised the flag less than 3/4 inches. At loam on August 5, 1996, 310 gallons were added to the system which resulted in raising the water level in the tank 3/4 inches. Adding this amount of water took 1 hour and 45 minutes. Three hours later an additional 200 gallons were added to the system. This addition caused the water level in the tank to rise 1/2 inch. 2.5 hours later another 100 gallons were added to the trench. This addition did not cause water to flow back into the tank. This test shows that without surcharging the system it will still absorb more than 600 gallons per 24 hour period. (200 gallons in three hours, more than 100 gallons in 2.5 hours) Please issue a HAA for this system i urs T. Spur and P.E. - DATE RECEIVED INSPECTION APPOINTMEN Ts a C- TIME TIME F_ TIME q DATE DATE / DATE El one ,� Four ❑ Other / � Q INSPECTOR INSPECTOR INSPECT MUNICIPALITY OF ANCHORAGE RRD��EPT. OF H-ai-1'i I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECNViENI"AL %::JTECTION TIOfd 825 L Street - Anchorage, Alaska 99501 • y', hl n J9,81 t� T_' J I ! ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED ECEIl/ED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PR PERTYOWNER PHONE 11 INDIVIDUAL/ON-SITE** °I ? YEAR ON-SITE SYSTEM WAS INSTALLED. MA L5hqG D S�� ` IS PROPERTY RESIDEN/T (lf different from above) r-- 5.� l C �C. �� C l ltd-� �� -� r✓ e, i PHONE O (�. 2. BUY R S Io C-, PHONE C< MAILING ADDRESS 3. LENDING INSTITU ON � / /J PHONE (t<n MAILING ADDRESS 4. REALR/A ENT Q PHONE IN MAILING ADDRESS �j 5. LEGAL DESCRIPTION Z �5 / / / S ---4"5Z---4"5/ a C- STREET LOCATION `T", C_i�e q 6. TYPE OF RESIDENCE NUMBER OF,BEDROOM �I SINGLE FAMILY El one ,� Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 11 INDIVIDUAL/ON-SITE** °I ? YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) I 1 THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED jo Cp INSTALLER ❑Septic Tank or ❑ Holding Tank Size:. If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER J TOTAL ABSORPTION AREA MATERIAL n 1 � 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS I --.APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) em$lya �a<'b..n'..�.a t>�•.3`.,w..a%S si t� 'ev R A ("Dill 0. lir �t crff'd t1yy} 825 "L." STREET ANCHORAGE, ALASKA 59501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTNIEN"i OF HEALTH AND ENVIRONkIENTAI, PROTECTION January 8, 1981 Norman R. Best, Jr. Star Route A Box 1.553--W Anchorage, Alaska 99507 Subject: Lot 5 Block 9 Mc Mahon Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1 The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. tank tic The 2) septic p . pumped with a receipt submitted to this office. �(3) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system I�,tF is adequate according to National Standards. A listing 11 of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S Associate Specialist RCP/ljw cc: First National Bank of Anchorage Post Office Box 720 99510 "Woody" Sayers % Polar Realty Paula Best SRA Box 1553-W Anchorage, Alaska 99502 Dear Mr. and Mrs Best, DAVID A. SLENKAMP MECHANICAL ENGINEER 694-9055 January 28, 1981 Reference: hot 5; Block 9; McMahon Subdivision No. 2 ROBERT A.SHAFER CIVIL ENGINEER 694-2979 A sewer system adequacy test was performed on the system located on the referenced property as you requested. The absorption trench was tested by a continuous flow of 535 gallons of water over a period of 24 hours. There was no adverse effect resulting from this flow. It can be concluded from this test that the absorption trench is currently functioning adequately for your three bedroom residence. The septic tank will require pumping to verify it's capacity and a receipt should be obtained from the pumper that can be presented to the Municipality. If we can be of further assistance, please -do not hesitate to call. Sincerely, ;BERT A. SHAFER, P.E. RAS/ss cc: First National Bank ATTENTION: Penny Polar Realty ATTENTION: Woody Smyers Municipality of Anchorage Department of Health and Enviornmental Protection SRB 196X EAGLE RIVER, ALASKA Paula Best SRA Box 1553 --W Anchorage, Alaska 99502 Dear Mr. and Mrs. Best, DAVID A.SLENKAMP MECHANICAL ENGINEER 694-9055 February 3-, 1981 ROBERT A.SHAFER CIVIL ENGINEER 694-2979 Reference is made to our letter dated January 28, 1981 concerning an adequacy test performed on the system located on Lot 5; Block 9; - McMahon Subdivision No. 2. At the request of Mr. Woody Slayers, Polar Realty, the adequacy test on the absorption system located on the referenced property was repeated to determine it's capability to provide -sufficient absorption for a four bedroom residence. On February 1 and 2, 1981 a continuous flow of 640 gallons of fresh water was added to the absorption system with no adverse effect. It can be concluded from this test that the absorption trench is currently functioning adequately for your four bedroom residence. If we may be of further assistance, please do not hesitate to call. SincerAly, f� BERT A.4AFE , P.E. AS/ss cc: First National Bank ATTENTION: Penny Polar Realty ATTENTION: Woody &Vers Municipality of Anchorage Department of Health and Enviornmental Protection SRB 196X EAGLE RIVER, ALASKA �0. �CN09AGE AYFA 'NI/Y[0 AA11UA0.9 �• GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C Street, Anchorage, Alaska 99503 274-4561 P 2 11 Date Received February 1, 1977 Time of Inspection 11:30 a.m. C7h u_nsd0.L. Date of Inspection 2-3-77 Buchholz REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: First National Bank of Anchorage Mailing Address: Post office Box 720 99510 Phone: 2. Property Owner: Mountain Enterprises, Bud Jacksonphone: 344-0491 Mailing Address: Star Route A Box 1582-N - 3. Legal Description: Lot 5 Block 9 MC, Mahon Subdivision 4. Location: q4-ga Drive 5. Type of facili o i_nspQcted single Family No. of bedrooms 4 6. Well Data: wLU Lw v. A. Type Ind' ual B. Depth 84' C. Construction D. Bacterial Analysis 7. Sewage Disposal System: on-site system,-1C�g11, A. Installed jc3��n B. Installer ALIA(C),PQ�k�, C. Septic Tank: 1. Size �,� Qc, 2. Manufacturer C=,< Y D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Rei st for Approval. of Individual F or & Water Facilities Legal Description Lot 5 Block 9 Mc Mahon Subdivision Comments Approved A Greater Ancho Disapproved Date _id for one year from date signed Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certifv that the information contained in this reauest for approval to be a true an( accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) MUNICIPALITY OF ANCHORAGE MUNtCIpZrr�F NCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIONllEpT. F,F AUV & 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221EWIRONM( T \PPTECT(ON REQUEST FOR APPROVAL OF FEB 1 1977. INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV_s 2. 3. Property Owner: 1� s `' '' / -/" - 42Z Mailing Address:-- Name ddress:_Name of Buyer: Mailing Address:_ 4. Name of Lending Institution: Mailing Address: Day Phone: � C)'�z y z 7' -J Day Ph Phone: 5. Name of Realtor or Agent: Mailing Address: Phone: 6. Legal Description: 7 0 Location: Type of Facility to be Inspected: Water Supply No. Bdrms.— Type of Supply: Public Utility Individual -4 If Individual, number of dwellings presently served If Individual, depth of well , Sewage Disposal System Type of System: Public Utility If Individual, date of installation 72-003(3/76) Individual (on-site)_ L_J o r v m \-- 130.00 2 230.0(7 19000 z 57 R N (14 00° 07 00 W _ _L72.45 320.00 w o �. o rn O 452.45 v 30.00 ---13000 4�` I57.$1 170.00 4ji� ti�L r- I z I r--1 30 30 I Iql L- cz, I ® o OD IL L I m U4 z O_ I of m+al 0 �0 or- Q o I w I -�» L-, cn N 00 07 00 160.00 0 1 0 160.00 r N 000 07' 00,: o (� Z 3(1,5 31; I B'7.97 I o 200.00 mr > N O CD ID O `1 O w N N u, OD W L_1 m N W )>a_ N ° W o . ga of - v. 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