Press Alt + R to read the document text or Alt + P to download or print.

No preview available

The URL can be used to link to this page

Home My WebLink AboutLOMA ESTATES BLK 2 LT 2Loma Estates Block 2 Lot 2 #020-092-43 4, MAI'r.,73AI Municipality of Anchorage 28 NI Community Development Department -UG ge 1 Of 3 On -Site Water & Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - hftp://www.muni.org/onsite ® (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number. OSP171205 PID Number. 020-092-43 171 New E Upgrade Name: DAVID & ELIZABETH DRISCOLL ABSORPTION FIELD Address: 171 Deep Trench 0 Shallow Trench M Bed E Mound 17020 BELARDE AVE., ANCHORAGE, AK 99516 El Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: 744-4409 4 *2.0 GPD/Sq. FL SEE DWG. Ft Depth to pipe Invert from original grade: Gravel depth beneath pipe: LEGAL DESCRIPTION SEE DWG. Ft. 0.52 FL Subdivision: Block: Lot: Fill added above original grade: Gravel length: LOMA ESTATES 2 2 SEE DWG. Ft. 30 Ft. Township: Range: Section: Gravel wkm: Beds Number of lines: Distance between lines: 10 Ft 2 5 Ft. SEPARATIONDISTANCES — Total absorption area: Number of trenches: Dist between trenches: To Septic Absorption Lift Holding Public/Private From 300 Tank Field Station Tank Sewer Lines SO. Ft. Ft. Well 100'+ 25'+ TANK El Septic 0 S.T.E.P. 0HoIding_,B-(5t_h�er IManufacturer. Capacity. Surface Water z 1001+ z Gal. Material: Number of compartments: Lot Line X 10'+ X NI /I A] W W A Foundation 101+ LIFT STATION Curtain Drain NONE KNOWN Manufacturer. L \y�G Gal, Remarks: *THE DRAINFIELD RECEIVES CAT 11 AEROCELL EFFLUENT. 'Pumpon'lovelat 'Pump oer��_ High water alarm at THE ALLOWABLE RATE FOR THIS INSTALLATION IS 4.0 GPD/SQ.FT. Pump Make & M Electrical Inspections performed by: (5 MINJINCH PERK RATE) PIPE MATERIAL House to tank EXISTING Tank to EXISTING drainfield - Installer A+ HOME SERVICES Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection Location and Description: 100.52 / 95.90 Ft, Dates: 1 St 8/3/2017 2nd 8/4/2017 3rd 8/712017 4th - TOP OF MANHOLE LID (500 GALLON TANK) TOP OF GARAGE SLAB ENGINEER'S SEAL T1 % Community Development Department Approval OFI, Is� `444'0 Conditional approval: Date:% 4 .......... .... .. .................... y A,.Gatness lQ ij 0 ir AV CE -79 3 Approved: Date: 441jillifAVI E LICEN E ME C V%k Isk Inspection Report _1.1-12.doc PERMIT -NUMBER: t -N rll% PARCEL ID NUMBER: OSP171205 RECUMD DRAWING 020-092-43 I 111111m. 111111m. Pi 100.1 127.5 137.0 P2 100.6 127.4 137.8 VP 101.7 127.5 139.5 C01 95.8 125.1 131.8 MTI 96.5 125.7. 132.5 MT2 100.8 130.0 136.6 CO2 101.5 130.8 137.2 CO3 1104.1 1125.3 143.5 MT3 1104.9 1126A 144.1 MT4 1 108.3 1130.1 147.4 C04 1109.4 1131.1 148.5 EXISTING WELL EXISTING 4BEDROOM HOUSE 1� EXISTING FOUNDATION CLEANOUT APPEARS TO BE "WATERTIGHT" EXISTING PUMP VAULTJ EXISTING 500 GALLON NORWESCO LIFT STATION WITH QUANICS PUMPS AND CONTROLS: EXISTING 10' WIDE BY 30 FOOT LONG DRAINFIELD. BED REBUILT IN SAME LOCATION. ALL SAND FILTER TH#2 WAS REMOVED AND BED BOTTOM RESURFACED. ALL NEW MOA APPROVED SAND FILTER, CLEANNVASHED SEWER DRAINROCK, AND PIPING INSTALLED. EXISTING CAT 11 AEROCELL UNIT. UNIT WAS REPOSITIONED ON BED 1250 GALLON SEPTIC TANK 11 Tp GARNESS ENGINEERING GROU Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 -PHONE (907) 337-6179' FAX(907)338-3246 - WEBSITE: www.gamassengineering,com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DAVID AND ELIZABETH DRISCOLL 744-4409 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: LOMA ESTATES S/D; BLOCK 2, LOT 2 J.L.M. TYPE OF WORK: DATE: � RECORD DRAWING OF REBUILDING OF BED 8/10/2017 V=40' INFO DF 47 AV ANY .......... ............. 01 "o ainess fir J y AN c 7953 m AV AP Alit ........... . 4 4wiltio pY�ESS LICENSE FAjjyja,& #AECC684 4 P2- Pi- EXISTING FOUNDATION CLEANOUT APPEARS TO BE "WATERTIGHT" EXISTING PUMP VAULTJ EXISTING 500 GALLON NORWESCO LIFT STATION WITH QUANICS PUMPS AND CONTROLS: EXISTING 10' WIDE BY 30 FOOT LONG DRAINFIELD. BED REBUILT IN SAME LOCATION. ALL SAND FILTER TH#2 WAS REMOVED AND BED BOTTOM RESURFACED. ALL NEW MOA APPROVED SAND FILTER, CLEANNVASHED SEWER DRAINROCK, AND PIPING INSTALLED. EXISTING CAT 11 AEROCELL UNIT. UNIT WAS REPOSITIONED ON BED 1250 GALLON SEPTIC TANK 11 Tp GARNESS ENGINEERING GROU Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 -PHONE (907) 337-6179' FAX(907)338-3246 - WEBSITE: www.gamassengineering,com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DAVID AND ELIZABETH DRISCOLL 744-4409 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: LOMA ESTATES S/D; BLOCK 2, LOT 2 J.L.M. TYPE OF WORK: DATE: � RECORD DRAWING OF REBUILDING OF BED 8/10/2017 V=40' INFO DF 47 AV ANY .......... ............. 01 "o ainess fir J y AN c 7953 m AV AP Alit ........... . 4 4wiltio pY�ESS LICENSE FAjjyja,& #AECC684 PERMIT NUMBER: OSP171205 *TIM EKLUND WITH THE MOA ONSITE DEPARTMENT WAS PRESENT DURING EXCAVATION OF CONTAMINATED MATERIAL AND TOP OF SAND FILTER. MR. EKLUND HAD NO OBJECTION TO THE EXISTING MOUND SLOPES CONDITIONS AND MATCHING NEW GRADING TO THE SAME SLOPES CONDITIONS. PARCEL ID NUMBER: 020-092-43 BENCHMARKS ARE: TOP OF MANHOLE (500 GALLON TANK) = 100.52 TOP OF GARAGE SLAB NEAR "B" = 95.90 REBUILDING OF DRAINFIELD NOTE: THE REBUILDING OF THE DRAINFIELD CONSISTED OF THE REMOVAL OF ALL CONTAMINATED MATERIALS (SAND FILTER, DRAINROCK, PIPING, ETC.) AND REPLACING WITH NEW MATERIALS AT THE SAME ELEVATION AS THE OLD DRAINFIELD. ALL DISTURBED PORTIONS OF THE MOUNDED DRAINFIELD WAS BACKFILLED WITH ORGANICS, SAND, AND GRAVEL SOILS AND GRASS SEED WAS SPREAD BY CONTRACTOR. ADDITIONAL SEED WAS ADDED ON 8/25/2017 AND THAN COVERED WITH TOPSOIL PER A+ HOME SERVICES. CONFIRMED ON 8/25/2017 BY JODY MAUS, GEG CONSULTANT. TOP OF AEROCELL UNIT = 105.23-105.24 FINAL GRADE = 104.5-104.9 MT CO co MT mf m m `—RE -INSTALLED 40 PSI INSULATION INVERT OF DISTRIBUTION LINES = 101.56 — TOP OF NEW SAND FILTER = 101.04 (AVG.) BOTTOM OF EXCAVATION (REMOVED ALL OLD SAND AND CONTAMINATED MATERIAL) = 97.93-98.84 2.2 TO 3.11 FEET OF MOA APPROVED SAND FILTER TER FABRIC -ORIGINAL GRADE AT HIGHEST POINT WAS 101.04 PER 12/11/06 INSPECTION REPROT RELATIVE ELEVATION OF GROUNDWATER = 96.54 ON 5/3112006 — RELATIVE ELEVATION OF BOTTOM OF TEST HOLE = 88.54 — TH#2 +�0��•r. �4� ! 00 GARNESS ENGINEERING GROUP, Ltd, CIVIL & ENVIRONMENTAL ENGINEERS full -.0R G 3701E TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507 -PHONE (907) 337-6179' FAX (907) 338-3246' WEBSITE. www.gamessengineedng.com � � f � y . (w O...........�i........ 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ® C^ /�Y A:ame s �0 ,' to )€` ® DAVID DRISCOLL 744-4409 3 OF 3 # -J� €w ( CE -7953"` ' PROJECT/LEGAL DESCRIPTION:DRAWN BY: ®� �`• �® LOMA ESTATES SID; BLOCK 2, LOT 2 J.L.M. ��Q"p'•••••••• •+,�� TYPE OF WORK: DATE: REVISED LICENSE t RECORD DRAWING OF DRAINFIELD REBUILD 8/29/2017 #AECC884 nii`Yo�- MUNICIPALITY OF ANCHORAGE to £12j On-Site Water &Wastewater Program 0 PO Box 196650 4700 Elmore Road . w ` Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 s for http://www.muni.orglonsite '� 1It �, DupdFuncut 4NCHORP On-Site Wastewater Disposal System Permit Permit Number: OSP171205 Effective Date: 8/2/2017 Work Type: Septic Upgrade Expiration Date: 8/2/2018 Tax Code Number: 02009243000 Site Legal Address: LOMA ESTATES BLK 2 LT 2 G:3337 Site Mailing Address: 17020 BELARDE AVE, Anchorage Owner: DRISCOLL DAVID K& ELIZABETH M Lot Size in Sq Ft: 60149 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: D Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: �� 'r Date: 3/ //-? Issued By: PL NAI,f4 eaiLI' Date: 8/00 / 7 (1)4111°‘ JUL 2 7 2ta17 MUNICIPALITY OF ANCHORAGE b _ Community Development Department // Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On-Site Water & Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 0 2 0 — QG1 2 — Property owner(s) DAVID DRISCOLL Day phone 744-4409 Mailing address 17020 BELARDE AVE., ANCHORAGE, AK 99516 Site address 17020 BELARDE AVE.,ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot ) LOMA ESTATES S/D; BLOCK 2, LOT 2 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial n Single Family (SF) Absorption Field ® (w/wo ADU) Septic Tank ❑ Upgrade Duplex (D) n Renewal ❑ Holding Tank ❑ Multiple Dwellings I j Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: NONE Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: j GtG1 Waiver F ees: Date of Payment: 1 1 a-1.111 Date of Payment: Receipt Number: 0 �]-)(.4el Receipt Number: Permit No. 66f 11 1206 Waiver No. iRev 0-41; uank.cs GARNESS ENGINEERING GROUP, LtdAdv J t`tYf Fr cot lI ?`S(Orr) cr•rn�rh eo CIVIL&ENVIRONMENTAL ENGINEERS Dealer July 26, 2017 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Rebuild of Drainfield for Loma Estates SID: Block 2. Lot 2 The existing 4 bedroom house is served by a private well and septic system. The septic system (installed in June of 2006) is a Cat II Quanics Aerocell treatment system that consists of a 1250 septic tank. followed by a 500 lift-station (with Quanics pump, controls, etc.) and a 650 gpd Aerocell unit. The existing drainfield is a mound type bed drainfield that is 10 feet wide by 30 feet long and has 0.5 feet of effective. The drainfield is currently operating above the effective depth of the drainrock (6 inches). so an adequacy test could not be run on it. We suspect that less than ideal maintenance contributed to formation of a biomatt in the trickling filter and the drainfield. Rather than chemically treating the drainfield, the homeowner has opted to rebuild the small drainfield. No obvious signs of groundwater intrusion into the sewer lines or tanks have been noted by the current service provider (ARM Services) during their past, and most recent inspections/servicing. however it was brought to our attention by the previous Quanics service provider (Around the Clock Pumping) that the water-tightness of the foundation clean-out may be compromised. We are proposing that the FCO be inspected and repaired as necessary. If it is subject to frost- jacking. a 6 inch vertical sleeve should be placed around the vertical FCO pipes so as to minimize the potential for frost-jacking of the pipe to occur. We are proposing that the drainfield be rebuilt by removing all contaminated material (sand filter. drainrock, piping, etc.) and new sand filter, sewer drainrock (clean & washed), and piping be installed to the same dimensions and at the same elevation or slightly higher. The existing mound is currently heavily vegetated and we are proposing the excavator leave as much of the existing side slopes of the mound undisturbed as possible. We are requesting to utilize the existing mound slopes (approximately 2:1), since the system has functioned adequately (to the best of our knowledge) without daylighting for over 11 years All disturbed side slopes and the top of the drainfield will be re-topsoiled and vegetated. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If yo have any questions, please contact us at 337-6179. Thank you for your assistance. Sinc rely Jeffriy, ;3 P,E., M.S. Preside it 3701 East Tudor Road, Suite 101 *Anchorage. Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com //I ,, ,� \\ N. 1 A \ Ck N 1 I d I — ~_ I . I ;r EXISITNG WELL `•`• Y.;'--.•1. ••.'7'' • I EXISTING 10'WIDE BY 30 FOOT I r I •:�' ;�,: +. LONG DRAINFIELD.TO BE \� `,,`... i'':`' I I REBUILT,SEE PAGE 2 OF 2 •j : >e ••••1;: ▪ •.r1•••* I j,4:•,f-.:%+,• .!: '' I I~ �l l t 7.. 1 • / 1 I I\ EXISTING— •,lti•▪•'' '-`;c -);i I I / J+TH#2 N ' \ 4 BEDROOM ' .. s•' 1 I / I 1 I I \ HOUSE �.. :� `�: . i r . r •i, ..{ I I® , I I I \\ �-...:,:; I �.�t I /� SCALE: iii \ I ;/ 1.'50, II i ' \\\ I 1 / \ I I EXISTING CAT II AEROCELL UNIT I I EXISTING FOUNDATION _ — — CLEANOUT(SEE NOTE) I I I I EXISTING PUMP VAULT I ' ` EXISTING 1250 GALLON ' EXISTING 500 GALLON �` SEPTIC TANK w I NORWESCO LIFT STATION WITH ``\ • w i QUANICS PUMPS AND CONTROLS `�n ,+` ,,� ` • k ? � s ` w ` NOTE:THE SEPTIC TANK IS TO BE PUMPED JUST •O \ PRIOR TO EXCAVATION AND LIQUID LEVELS IN `\ \.% , THE TANKS ARE TO BE MONITORED TO INSURE ,\ , ,\9C \, THERE IS NO WATER INTRUSION INTO SYSTEM. I I \ „<<s `\ I o I \, \\ DESIGN CRITERIA: NOTE:THE FOUNDATION CLEANOUT IS TO``\ %• NUMBER OF BEDROOMS: 4 BE INSPECTED DURING CONSTRUCTION ,,� \ ``\ GALLONS PER DAY(GPD): 600 I I TO VERIFY WATER TIGHTNESS AND,IF `, `` PERCOLATION RATE/S: 5 MINUTES/INCH NEEDED,BE REPAIRED AND SLEEVED TO \ ``\ ` MINIMUM EDRAD PNFIP.ELD STE O FOTGP300/OSQ.FT. PREVENT FROST JACKING. '\ �\ GEG,Ltd.HAS A 8 PAGE SPECIFICATION �\ \ DRAINFIELD DESIGN: LETTER THAT PERTAINS TO THIS DESIGN.TO MAXIMUM DEPTH:LIMITED TO THE REMOVAL OF I OBTAIN A COPY OF THE LETTER CONTACT „ CONTAMINATED MATERIAL(SAND/DRAINROCK) \ GEG.BY PROCEEDING FORWARD WITH THIS WIDTH: 10 FEET I I INSTALLATION,THE ENGINEER,WELL DRILLER, ,�\ LENGTH: 30 FEET CONTRACTOR AND PROPERTY OWNER AGREE M.O.A.APPROVED SAND FILTER:AS REQUIRED THAT THEY HAVE READ THESE EFFECTIVE: 0.5 FEET \ I I SPECIFICATIONS AND AGREE TO ACCEPT THE ' TERMS AND CONDITIONS OUTLINED. ACTUAL SO.FT.: 300 .l I \ \ \ +♦�'I "t�rA', 14 sQ ...• X11 41/ • GARNESS ENGINEERING GROUP, Ltd :41 •.. itl \* I. ,. CIVIL&ENVIRONMENTAL ENGINEERS N, / •• 3701 E TUDOR ROAD,SUITE 101'ANCHORAGE.AK 99507'PHONE(907)337-6179'FAX(907)33143246'WEBSITE www.gwnessengneering.com • • I} PREPARED FOR: PHONE NUMBER: PAGE NUMBER: /. .r: • Garn- -'s 't•o, • DAVID DRISCOLL 744-4409 1 OF 2 •��•�'•• E-7953 _� PROJECT/LEGAL DESCRIPTION: DRAWN BY. •. 2,�/1 ' LOMA ESTATES S/D; BLOCK 2, LOT 2 J.L.M. 4 PROFESS. 111 �. TYPE OF WORK: DATE LICENSE S.. r A 111„` ,yf i DESIGN OF REBUILDING OF DRAINFIELD 7/26/2017 #AECC884 I 'THE MOUND AND AREA AROUND BENCHMARKS ARE: SURCHARGED MOUND IS HEAVILY BOTTOM OF SEPTIC TANK(IN ST1)=92.37 TOP OF MANHOLE(500 GALLON TANK)=100.52 VEGETATED NO VISIBLE DAYLIGHTING OF EFFLUENT HAS BEEN OBSERVED. REBUILDING OF DRAINFIELD NOTE: THE REBUILDING OF THE DRAINFIELD SHALL CONSIST OF THE REMOVAL OF ALL CONTAMINATED MATERIALS (SAND FILTER, DRAINROCK, PIPING, ETC.) AND THAN REPLACED WITH NEW MATERIALS AT THE SAME ELEVATION (OR SLIGHTLY HIGHER) THAN THE EXISTING DRAINFIELD. ALL DISTURBED PORTIONS OF THE MOUNDED DRAINFIELD MUST BE TOPSOILED AND REVEGETATED. —2 FEET MINIMUM OF SOIL COVER WITH INSULATION INSULATION(IF SOIL COVER IS LESS THAN 3 FEET) FILTER FABRIC MT CO CO MT 1E, lei 1 �EPO�C\ ZIOec, N I �G O4 P4p� 04.x' r . m rmiiii rim rir ? i� l. P .1'.. --:..i:2.0TO2.9FEETOFMOA .p.-'7-'_ `= r.'..}s`• wrsM.�•ti '15:: ,;:ai.k,PPROVED SAND FILTER.,r;.sap•`f't�; INVERT OF EXISTING DIST. .� 'y�}�� f ti_;yr �ti.tn�.!."� I1f•!S� j� LINES=101 55(AVG.) b_s .� r,;..c n •i,.F�••v,� .r;r. ••fr-.gi TOP OF EXISTING SAND FILTER=101.04(AVG.) BOTTOM OF BED=98.14-99.04 y� n "+l No t(451.41....A—Nr-re. � ��I?FF_� 1F 45 3 P or-- CoVPJ(2 - 0011101111111140_ .�p� .OF ...rr +++++ •411..2.?" ; % 1 *• ` 1i ' '-,\ *•.. GARNESS ENGINEERING GROUP, Ltd .• CIVIL&ENVIRONMENTAL ENGINEERS ) • 3701 E TUDOR ROAD.SUITE 101'ANCHORAGE.AX 99507'PHONE 1907)337-6179•FAX(907)338-5246'WEBSITE-.www.pamessengneang oom + •• .1• ; PREPARED FOR: PHONE NUMBER: PAGE NUMBER: I C� y A. ••arness ; DAVID DRISCOLL , 744-4409 2 OF 2 ••0 , . .7.5 PROJECT/LEGAL DESCRIPTION: DRAWN BY: IN •v �f• `�=� LOMA ESTATES S/D; BLOCK 2, LOT 2 J.L.M. �+++Ar"rpq''��,^J. b1(42 .• TYPE OF WORK: DATE: LICENSE +1 �� 4 DETAIL OF DRAINFIELD REBUILD 7/26/2017 LICENSE .1 Municipality of Anchorage • Development Services Department Building Safety Division Onsite Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 9951M650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO60174 PID Number. 020-092-43 NameMELINDA & RANDALL JONES Wastewater System: ❑ New ■ UD9rode Address: 17020 BELARDE AVENUE ' ANCHORAGE, AK 9951E ABSORPTION FIELD Phone: No. of Bedrooms: (907) 345-6599 4 O Deep Trench ■ Shallow Trench Deed ClMound ■ Otherd LEGAL DESCRIPTION sos Rally: e2.0 raa Dwth fmm pripinw y.oa: 2.0 MAX 'n. GM/sq. R Block: Lot: Subdivision: Depth to Pb. eaaam from edpinal gno fi.e.t depth erwah ptw: 2 2 LOMA ESTATES SEE DWG. n. 0.5 rt Township: Range: Section: to eaa.a aww "g prod.: GnnN twyth: — — — SEE DWG. rL 30 rt WELL: ❑ New ❑ Upgrade crew .knh: 10 RunW.r a 1 w 2 uetw.c. W. ww 5 rL rL cknwrK.uw, (Prha., ties): raa Dwtti Co..d To:Total may„ ana vpe ewlwbi: m 300 SO. FL D 3034/ F-810 orsr.: Stwo Raw tw.i: EX15StNG kwtos.r. GEG, Ltd. I Do 6%26-28/2006 rt. rwb: P." set AL casing Nwaht Ae.e. Uww: TANK ,s„ n n SEPARATION DISTANCES aseptic 0Holding 0S.T.E.P. ■Other To Septic Tank AbsorptionUft Few Station Holding Tank .;/PrIwN 5..w ttr. Mona«tur. ANCHORAGE TANK D.D.cm' H pal°"'' 1250 Fra,,, Well too'+ too'+ too'+ — 25'+ STEEL w.na a a^vw,. 2 Surface water too'+ too'+ too'+ — — LIFT STATION Lot Lne 5'+ to'+ 5'+ — — Sn in pwonc Yonne ~.. 500 NORWESCO Foundation 5'+ 10'+ 5'+ _ _ "" i a` on i..w wt R.yh waw w a. TIMER TIMER 46' Curtain Drain NONE KNOWN P oOUZ4iCS E4otdoa krv.a.wu swfemwd eY• P—TE-30—PLUS MOA Remarks: THE OLD SEPTIC TANK WAS PUMPED, BENCH MARK Loc.rs, end awwlph CRUSHED AND COMPLETELY ABANDONED. THE OLD BOTTOM OF SEPTIC TANK (ST1) DRAINFIELDS WERE ABANDONED IN PLACE. *THIS IS A SCAT AEROCELE UNIT. "«a f1wo1ir` 92.37 rt /� . Ltd. Inspections performed by: GEGDates: 1st 6/26/2006 ENGINEERS 6/27/2006 _900 0 Q....• 2nd ��, �S��Q 3rd 6/28/2006 vo Development Services Department Approval :... y'Q00 Reviewed and approved by: Date: •• • •• ......• ........ OQ f y a ess.: Q E-7957] : p Q4°ems •.,)2Jt L/�•cqo� ��pedPfessto'o, � ��o40p, Reviewed and approved by: Date:- -1' 'n :7 (R... 4/0e) PERMIT NUMBER: AS \ ? N SEPTI TANK ON JDpp��ffii\.�,, \ \ \ \ \ \ \ \ \ \ PARCEL ID NUMBER: SW060174 ST2 94.95 127.18 - DRAG 020-092-43 SPI 94.77 123.84 - MTI 101.6 132.23 - 001 104.3 126.01 - MT2 104.99 126.25 - CO2 110.53 132.59 CO3 102.56 131.28 - DBLt 96.70 128.83 551.2 97.71 129.74 - SCI 99.08 127.44 - SC2 101.37 129.79 - 11 �:. P:'•i'•' EXISITNG EXISTING I I \ 4 BEDROOM % �•' .'` I I HOUSE I Pv C X t \` #H/1 - NEW 500 GALLON NORM SCO UFT STATION II C01 /-NEW DRAINFIELD AEROCELL 650 UNIT UAPLE PORT (SP1) & OBL2 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS b GENERAL CONTRACTORS �••••.• •• •• ......• ......•••• Ml E TDM 0010. LIR 101 • MO(AM L MN301 . 0.0[ (001j3T1-1110 • 111Y (001I3L-314 . O'OLR w�.0.rn.wq�MOa� PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .. •• .......• ......•••• MELINDA & RANDALL JONES 1 345-6599 2 OF 3 �Q fr rness.: LEGAL DESCRIPTION: DRAWN BY: Q °o, CE -79 3 :04 L• I11 o'• N LOMA ESTATES SUBDIVISION; LOT 2. BLOCK 2. J.L.M. OQ�e� ' iZ ,,• . goo TWE OF WORK: DATE' 40 Val Pro(essio0o4c AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 12/11/2006 ppppo� 1Hw. Ul=) A 1 B C \ ? N SEPTI TANK ON JDpp��ffii\.�,, \ \ \ \ \ \ \ \ \ \ PV 27.20 - 44.00 STI 86.74 119.72 - ST2 94.95 127.18 - SPI 95.07 125.78 - MH 84.09 114.48 - SPI 94.77 123.84 - MTI 101.6 132.23 - 001 104.3 126.01 - MT2 104.99 126.25 - CO2 110.53 132.59 CO3 102.56 131.28 - DBLt 96.70 128.83 551.2 97.71 129.74 - SCI 99.08 127.44 - SC2 101.37 129.79 - GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS b GENERAL CONTRACTORS �••••.• •• •• ......• ......•••• Ml E TDM 0010. LIR 101 • MO(AM L MN301 . 0.0[ (001j3T1-1110 • 111Y (001I3L-314 . O'OLR w�.0.rn.wq�MOa� PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .. •• .......• ......•••• MELINDA & RANDALL JONES 1 345-6599 2 OF 3 �Q fr rness.: LEGAL DESCRIPTION: DRAWN BY: Q °o, CE -79 3 :04 L• I11 o'• N LOMA ESTATES SUBDIVISION; LOT 2. BLOCK 2. J.L.M. OQ�e� ' iZ ,,• . goo TWE OF WORK: DATE' 40 Val Pro(essio0o4c AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 12/11/2006 ppppo� 1Hw. Ul=) PERMrrNUMBER: AS -BUILT DRAG PARCEL O NU4 SWO SW060174 020-092-433 TOP OF TANK AT INLET - 97.; INVERT OF BUNG AT INLET - 96.61 FINAL GRADE - 101.99-102.81 NEW 1250 GALLON SEPTIC TANK THE MOUND AND AREA AROUND MOUND WERE TOPSOILED AND SEEDED DURING AUGUST OF 2006 BY PROFESSIONAL LANDSCAPERS. c INVERT OF PIPE 101.55 (AVC.) TOP OF SAND . 101.04 (AVC.) - BOTTOM OF BED 98.14-99.04 - TOP OF TANK AT OUTLET . 97.24 BUNG 96.46 INVERT OF INLET 96.10±— FINAL GRADE - 105.75+ ULATION FILTER FABRIC CO 1117CO MT OF MANHOLE 100.52 FINAL GRADE 100.10* 500 GALLON NOR GO UFT STATION RICINAL GRADE 100.14-101.04 RELATIVE ELEVATION OF GROUNDWATER - 95.54 RELATIVE ELEVATION OF BOTTOM OF TEST HOLE . 88.54 --I GARNESS ENGINEERING GROUP, Ltd CONSULTANTS6 GENERAL CONTRACTORS �.... . •• . • • •••• ......... A91 C TI0011 MYO, LAE 101 MooRtlG M 1W) lIp4C (Ml)=AllT • IM PREPARED FOR: PHONE NUMBER: PACE NUMBER:D •••••• ••• MELINDA do RANDALL JONES 345-6599 3 OF 3 Q p • �1 fr y A. Gorness.- � LEGAL DESCRIPTION: DRAWN BY: y0°p, CE -7953 LOMA ESTATES SUBDIVISION: LOT 2. BLOCK 2. J.N.T. �� ^e. •LL,'jz .0(;� TYPE OF WORK: GTE; 0 dprofesslot,!ooo PROFILE AS -BUILT OF SEPTIC SYSTEM UPGRADE 12/11/2006 ��O�o��o Sep 15 2006 10:06RM Rising Son Electric, Inc. 622-6777 p.2 ►wa of t ORT MUNICIPALITY OF ANCHORAGE BUILDING SAFETY DIVISION 170x) SOS ERAGAW STREET 1:�SPEG770/YS Noicc (907) 3[i-830VFar: eW7/ 24V-n7T -.. —•--• -- - -- NAA KF�/� r.i COMPANr fZS`. JPJC- PBONrr LOT. -f.l aOCl: C1 DM14WN73 OA DMW IyONs: PHONEO LNs'PECrAIM. HONE if 27'OL'DVBPdCT1ONr Re, PO cv vAdz vZS Mm LmJrEvWA ME ONL r) iOt" PAPYJEDNAAiZ-- 7 DA 2r. 677- f T00vi XMVS =0 VOK OOZP CiC LOE YY3 OuLO I1Li 00/4T/80 .r,- GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS ---- December 12, 2006 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Slope Concerns regarding Loma Estates Subdivision; Lot 2, Block 2, To whom it may concern: The drainfield was installed on at the end of June of 2006 and has been in operation for over 5 months. The installation of the septic system was performed by our firm and then the owner hired professional landscapers to topsoil and hydroseed the disturbed areas. After the landscapers had finished the final work, it came to our attention that some of the slopes from the bed did not meet the 3:1 slope requirement. During our site visits during the months of September and October, the grass over the drainfield and around the base of the drainfield had already developed a heavy vegetated mat. It should also be noted that during the record rainfalls during the end of August and the month of September, no visible erosion was found on or around the drainfield area, nor was there any indication of daylighting effluent. Based upon our site visits, it is our opinion that the slopes around the drainfield meet the intent of the wastewater code in that there are no concerns regarding bank stabilization or daylighting effluent. v1.S. 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246 0 Website: www.gamessengincering.com MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water b Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 23, 2006 Expiration Date: Jun 23, 2007 Permit Number: SWO60174 Parcel ID: 020-092-43 Legal Description: LOMA ESTATES BLK 2 LT 2 Design Engineer: 0855 Garness Engineering Group, LTD Site Address: 017020 BELARDE AVE Owner Name: RANDALL & MELINDA JONES Lot Size: 60149 SO. FT. Owner Address: 17020 BELARDE AVENUE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-5322 This permit is for the construction of: Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: �iy7,�LI/�71L�/.L71f - Date: fO 2 Date: Municipality of Anchorage ° • Development Services Department Building Safety Division ,.. Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 6-10ngA- y3 Property owner(s) MELINDA do RAN^e1 i JONFS Day phone 345-6599 Site address Legal description (Sub'd, Block & Lot ) LOMA EST LOT 2 BLOCK 2. Legal description (Township, Section & Range) N/A Lot Size (nd 14q Acres/Sq.Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank Holding Tank n Privy ❑ Private Well Water Storage ❑ Zip Code 99516 Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. Permit/Rush Fees: Date of Payment: Waiver Fees: Date of Payment: Receipt Number: 1) 2 as %-� —.ia�, Receipt Number: (Rev. 11/05) �"�. GARNESS ENGINEERING Gn u Y, Ltd. CONSULTANTS & GENERAL CONTRACTORS June 13,2006 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Loma Estates; Lot 2, Block 2, To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The septic system is in the state of failure and needs to be upgraded. We are proposing to install a new 1250 gallon S.T.E.P. Tank with a SCAT aerocell unit and a bed type drainfield. Two test holes were excavated on the property. The drainfield will be designed around the 30 foot radii of these test holes. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the drainfield is a 10+/- percent slope running approximately northeast to southwest. In short there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: gamcssengineering.com 0 .I \I LOMA EST. �S/D; I LOT 1, BLOCK 2.\ I\ I \\ it. I I I 1 I I I 1 I I SEPTIC LOMA EST. S/D; LOT 10. BLOCK 3. LOMA EST. S/D; \ LOT 11. BLOCK 3. I —EXISTING 4 BEDROOM NOUS PROPOSED SEPTIC (SEE DESIGN PAGE 2 OF S) i E I 11 r00' WEI I RA01 K 1 r i .\ i1 -�A_'/ r. MIMN x wIll GARNESS ENGINEERING GROUP, Ltd.`: CONSULTANTS S GEN ERAL CONTRACTORS ��'�� • • •' __ ..... .. .n.. ' "" M "I, • /.O.[ (007)11]-•1]0 . IAN b SN -)]4 �91C: mow., - # r. .. MELINDA & RANDALL JONES ;AL DESCRIPTION: LOMA ESTATES SUBDIVISION -E OF WORK: SITE PLAN FOR PROPOSED (11". 01N5) HE NUMBER: PAGE NUMBER: 345-6599 1 1 OF 5 LOT 2. BLOCK 2. SYSTEM ssrneSS: i 97 ..•' ..�a NUMBER OF BEDROOMS:4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 10 MIN./INCH PROPOSED APPLICATION RATE:2 MINIMUM DRAINFIELD SO.FT.: 300 DRAINFIELD DESIGN: MAxIMUAI DEPTH:2 FEET WIDTH: 10 FEET LENGTH:30 FEET M.O.A APPROVED SAND FILTER:2-3 FEET EFFECTIVE: 0.5 FEET REDUCTION FACTOR: N/A ACTUAL SO.FT.: 300 __-ExIrnNG ••!?': •'� "f 1 y�' I / MTS \ 4 BEDROOM HOUSE FOUNDATION I/ I CLEANOUT �I I PROPOSED GRINDER PUMP BASIN I 11 1\ I \1 1\ I \\ I In no 1500 2. TANK PROPOSED SCAT AEROCELL UNIT DRAINFIELD \ NOTE: CONTRACTOR SHALL HAVE THE SOUTHEAST LOT \ \ c\ LIE AND THE 100' WELL REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION -OLD SEPTIC TANK TO BE \ \ \ PUMPED CRUSHED AND \ A II I N COMPLETELY ABANDONED LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT DEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION. THE ENGINEER. WELL DRILLER, CONTRACTOR AND DRAINFIEL.DS TO PROPERTY OWNER AGREE THAT THEY TONED IN PLACE HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND GARNESS .ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS X, L TOM 90.0. 9.O[ 101 . NI0100..4L M( "502 • F (002}V2- m • Fa (M»}H-02N M®91L w..M can PREPARED FOR: PHONE NUMBER: PACE NUMBER: 1 MELINDA & RANDALL JONES 345-6599 2 OF 5 LEGAL DESCRIPTION: DRAWN 8Y: LOMA ESTATES SUBDIVISION; LOT 2. BLOCK 2. C.J.G. DATE: TYPE OF WORK: 6/2/2006 DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 1. (R".01005) )�Jf . ...... ........... y amess: CE -7)53 :c ----------------------, I I I I I i MTO I L--------------------------- 0' -------------------------J0' LONG FINAL GRADE ORIGINAL TOP OF 2' MAX. BELOW FILTER FABRIC, \ INVERT OF DISTRIBUTION UNE tV I MAX BELOW O.G. BOTTOM OF SYSTEM MOUND TO BE TOPSOILED AND SEEDED AFTER INSTALLATION. GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS. "'• In, L n wA wrt n1 • wownG Mwoi • pcic po>)zn-�� • rwv Iw73X- " • .mnc w..w••••• w� PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • "' """ """: "' MELINDA & RANDAJONES 345-6599 3 OF 5 OQ ; _7 53ness; LL eL LEGAL DESCRIPTION: DRAWN BY:OO.D �8O LOMA ESTATES SUBDIVISION; LOT 2, BLOCK 2• B.F.M. �0.' Epd E: 066 ��OOOoo��oo. TWE OF WORK: GAT6 PROFILE DRAWING OF SEPTIC SYSTEM � � (R6, 0105) GARNESS ENGINEERING GROUP, Ltd. o* �.�..� CONSULTANTS & GENERAL CONTRACTORS . JJ . .... ........... SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: PERFORMED DEPTH (feet) LVMn c": " `• o" " " FOR: MELINDA & RANDALL JONES DATI ____ _ _z= ORGANICS TEST HOLE #1 6' 5/31/2006 12:50 1:20 13 ob 6 2' — 4� 3 SOIL CI ASSIFICATIONS — 6. LOAM / ML 4 1:50 2 3- ___ GW -- = ORG 1:50 — L`r+l GP ML 3 2:20 GM CL 3" GC OL 4 e'e o SW MH •''•' ' SP CH 5 SM r i OH SC 6 7 0 111'11'01111�1 11• 12- 13 14 15 16 17 18 DEPTH TO GROUNDWATER DATE 4• 5/26/2006 6' 5/31/2006 12:50 1:20 13 ob 6 2' — 4� CE -7953 ; Prolesslo,^- 1 Ii 1 I 1 • F,. 1 1 %T142 I �{ 1 ' LOMA EST. S/D: \ LOT 7A4 OLOCK 2• I \ : DATE READING CLOCK (MINUTE) LEV WATER READING EL NT DROP (E CHES) 5/26/2006 1 2 12:50 1:20 — 30 6 2' — 4� 3 1:20 — 6. — 4 1:50 30 3- 3' 5 1:50 — 6 — 6 2:20 30 3. 3" PERCOLATION RATE 10 (MIN./INCH) PERC. HOLE DIA. c tINCFItb) 19 TEST RUN BETWEEN 2.5 FT. AND 3.0 T. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENNY MAUS COMMENTS: PERFORMED BY CEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WASP FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: �� Ltd. • GARNESS ENGINEERING GROUP, v¢ �: 4p`I CONSULTANTS b GENERAL CONTRACTORS _ .......... SOIL lOG — PERCOLATIONTEST ........... I (ev mess, LEGAL DESCRIPTION: PERFORMED DEPTH (feet) FOR: MEUN)A k RAN )ALL JONES DATI _: 6a}n ORGANICS TEST HOLE 2 (INCHES) 5/31/2006 1:20 r2/o6 6. - LOAM / ML SOIL CLASSIFICATIONS 30 0' 6. 3 1:50 - 6" GP ML 3GM 30 0' CL 5 2:20 GC OL 4.. 6 o . SWMH 30 0' 6• •• •�. SP CH 5 .:� ' " 122. SM � i OH a SC 7 GP TO GM �• 8 .r-.•, 10 ' . .T.' 11 .LY . LW1 12- 13- 14- 15- 16- 17 21314151617 18 DEPTHTO GROUNDWATER DATE 5' 5/26/200.5 (INCHES) 5/31/2006 1:20 r2/o6 6. - CE-79� 3 •`i •6.13. /off', I TH+2 \ ,IA LOMA EST. S/O. LOT 3A, BLOCK 2. `\ DATE READING TIME NET TIME (MINUTES) EL WATERCLOCK READING (INCHES) 5/26/2006 1 1:20 - 6. - 2 1:50 30 0' 6. 3 1:50 - 6" - 4 2:20 30 0' 6• 5 2:20 - 6- - 6 2:50 30 0' 6• PERCOLATION RATE 5 (MIN./INCH) PERC. HOLt UTA. o kllm .nuQi 19 TEST RUN BETWEEN 2.5 FT. AND 3.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BENNY MAUS COMMENTS: PERFORMED STATE AND MUNICIPAL GUI EL NES IN EFFECT ON THIS ;S DA E: ESS, CERTIFY THAT THIS W 6 o�RMED IN ACCORDANCE WITH AL Municipality of Anchorage Page 3 of DEPARTMENT OF HEALTH AND HUMAN SERVICES -ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number:-- 6&,,1cMQ3 PIDNumber: Name: Wastewater System: ❑ New PrOpgrade Address: ABSORPTION FIELD Phone: / No. of Bedrooms: p Deep Trench l d' hallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION $oil Rating: Total Depth from original grade: GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 3, 7w- Z. L OM ® s.7 Ft. Ft. Township: Range: Section: Fill added above originalrade: Gravel length: Ft. 1./ Ft. WELL: �y( C3 New grade Gravel width: Z Ft Number of lines: Distance between lines: Ft. Classification(Private, A,B,C): Total Depth: Cased To: Total absorption area: X 3 e Pipe material: A, 5"r Ft. Ft. 1 SQ. FL Driller: Date Drilled: Static Water Level: Installer: Date inst Iled: .?) S� f 4 - Ft. Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. f� SEPARATION DISTANCES P'Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines %.5 Well- 100 � 100 f IV A AIIA- / �A Material -Number ` �� ET C of Compartments: of X1 NA N �%+ N/A LIFT STATION Water Lot Line ! 2 4 IvAr I IY A - Size in gallons: Manufacturer: ! "Pump on" level at: "Pump off' level at: High water alarm at: Foundation! '36 5D N A- Al Curtain Drain li' g/ ! !tt Pump Make & Model Electrical Inspections performed by: BENCH MARK Remarks: A.96rJ3f7-)vA/ r— A -PO 7t®C� l5 F L D W 14-1 !t Location and Description: _ v u c -ice S©rte' 11 Al F, X16Tr G!T F�a-5 -./-- A 55.?lne,Z 6 Z- _ 100 Assumed Elevation: Ar Ft� r r�Q ENGINEER'S SEAL Pi / c V �v15•�� O@@ AAX {r a 9T 0 / Inspections performed by: Dates: 1st & • nd/y&S _f _ 9 , JAMS IM, RIC i .' 0 j approval GE 8e41 Department of Health � uma er ` s �e� < Reviewed and approved by: ate. L� �lO`SS1��P�, 72-013 (Rev. 9/91) MOA 25 Permit No. Page I _ of 3 Municipality of Anchorage 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 Legal Description: PID No 1�7f A�el'ue ae�9Td2 0 v N 4 k � k d m II E F {� t e t m � z ep i p o 0 0 Z Z O Q 6 1 0 0 m ^ll l� 0 U) V I 1 UJ O 1 Z4 3 Z O yy Hel �1 U V kr~ w F Z � II 11 i N jj l h+i V X O II E II T11� I 2 0 o 1 I I I F I I m a Z 1 U T, O�QO PCZ U �_��••, � •••�,�� o i • H MES M, IGHT �;•c�. CE 8841 • •��,�� 1�7f Permit No, 60 1f6)22, `f b Page 2- of 3 Municipality of Anchorage 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 Legal Description: .151him BBQ/ POINT A B ELEV GROUND REMARKS C1 55.8 92.4 83.06 87.10 INV. OF PIPE C2 56.3 92.4 83.06 86.83 INV. OF PIPE C3 76 95.0 80.06 86.59 BOTTOM OF ROCK C4 89.9 115.4 80.06 86.56 BOTTOM OF ROCK M1 119.0 148.3 80.06 86.56 BOTTOM OF ROCK 0•°�e�� j • .i P . . X ° JAMLS WRIC T s ,�° ., CE 5941 . I�NP�"� o..os BBQ/ PAGE 1 OF 1 1 sr /0/0 9/9 y@ 1 i• 3 0 7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES v4 P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940340 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:MACLEAN A DUNCAN & JUDITH T OWNER ADDRESS:17020 BELARDE AVE ANCHORAGE, ALASKA 99516 PARCEL ID:02009243 LEGAL DESCRIPTION: LOMA ESTATES BLK 2 LT 2 LOT SIZE: 60149 (SQ. FT.) 2 NUMBER OF BEDROOMS: 3 THIS PERMIT: k - THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 9/12/94 EXPIRATION DATE: 9/12/95 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) 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 B ISSUED BY: DATE: q_1q : 7 4L rQ ` `4— APDSPPkAL 6I vfi,V tO AM drAAtES wtZ�►efiKT' Ta gP6R4Oe S YS %tH Falb 2 Ig�Ol� aa,K1 !ti STt�4-/! OF T!•G� I��Po�@ F . B p � SuPVo�irr�� i+P�,�wapk � i�tckep. October 13, 1994 Department of Health and Human Services Anchorage, Alaska Re: Onsite sewer system upgrade (permit addendum) for Lot 2, Block 2 Loma Estate Subdivision. Dear DHHS, This is a request for an onsite sewer permit addendum for an existing residence located at the above address. The existing system has been in place about 10 years. During installation of the permitted improvements the home owner Duncan MacLean ask me if it would be possible to upgrade the system to a 4 bedroom. An additional 15' of trench added to the permitted 40' of trench would provide the necessary absorption area for a 4 bedroom system. the material in which the 40' of permitted trench was installed was a sandy/silty/gravel (non-cemented) which would be consistent with a percolation rate of 13 min/inch. The existing tank was inspected and has a capacity of 1250 gal. Sincerely James M. Wright P.E. RECEIVED OCT 7 41994 dMunicipality of Anchoraga ept• Health & Human Servcga �I T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Septic System Upgrade Permit Lot 2 Block 2 Loma Estate Gentlemen; August 26,1994 Duncan MacLean, owner of Lot 2 Block 2 Loma Estate, is applying for a septic system upgrade permit. Tobben Spurkland P.E. was engaged by Mr. MacLean to prepare the appropriate submittals to obtain this permit. On July 12, 1994 we performed an adequacy test on the septic system serving this lot. We determined that the system was able to absorb 340 gallons in a 24 hour period. Based on this test we request an upgrade equivalent to one bedroom. On August 4 we excavated a testhole to determine the soil conditions at the most logical location for the addition to the septic system. This testhole was excavated to a total depth of 15 feet. No groundwater was observed on this date or 6 days later. We determined that the soil did not have the required absorption rate. On August 10, two additional testholes were excavated. In one testhole a layer or pocket of blue clay or silt was observed. Water was observed on top of this layer. A second testpit was excavated on the "downstream" side of the existing seepage trench to a total depth of 12 feet. No evidence of groundwater or silt/clay was observed. The clay and water observed in the second testhole is considered to be a localized condition with no consequence for the existing and proposed drainfield. The second testhole was located on a slope with a gradient between 40 and 50%. The top 4 feet of material was loose gravel, with a cemented gravel/sand below 5 feet. This material was moist but did not have any free water. The bottom of this pit was approximately 5 feet below the bottom of the existing trench and 10 feet distant. No evidence of concentrated water flow was observed after ten days. The stratification of the soil strata was parallel to the groundslope, indicating that the flow of any introduced water would be in the same direction and not in a direction that would lead to surfacing on the slope. Section 15.65.060.2a of the AMC requires that the Health Department specifically approved installations of drainfields on slopes steeper than 25%. 1 The existing drainfield has been in operation for 12 years. Field measurements indicate that the field is installed in the cemented materials observed in testhole #3. At present the trench is less than 80% full. The moisture observed in the testhole indicates that the material is absorbing effluent throughout the depth of the trench without concentrating the flow of water or causing water to surface on the slope. The necessary partial upgrade to this septic system can only be located on this slope. Please issue the permit for this upgrade. Yours Tobben Spurkland P.E. ►.1 T.SPURKLAND P.E. 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 2 BLOCK 2 LOMA ESTATE DUNCAN MacLEAN No Ground Water or Impervious Layer to 12 ft. Use Standard Trench Soil Rating. From test 8/10/94 13 min/in = 0.8 gal / sq. ft. at 5 feet > 60 min/in at 12 feet No. of Bedrooms 3 Required Area per Bedroom: 15010.8 = 187.5 sq.ft.. Existing Septic System Sufficient for 2 Bedrooms. Total area required: 188 sq. ft. Usable Soil: 3 feet Trench Length Required: 188/ 6 = 33 feet Ground Elevation at Tank 98 Elevation of Tank Outlet 94 Ground Elevation at Testhole 94 or less Ground Slope: 40%<S>50% Soil Strata parallel to ground slope. Testhole excavated 10 feet distant from existing trench. Effluent from trench does not appear in testhole after 14 days. No evidence of daylighting. SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 40 FT. TOTAL WIDTH 2 FT. TOTAL DEPTH 5 FT. ROCK DEPTH 3 FT. COVER 3FT. SEPTIC TANK 1000 GAL. CHECK INTEGRITY The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system may change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. pg.1 j H `4�.."'(ENGINEER'SSEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: .1./l %A LAtlr 'ACC— h'e—CLA-t DATE PERFORMED LEGAL DESCRIPTION: Lo 4 k/2— Range, Section: DEPTHTI"'� � �S�'tLI . SLS_ O_I I I SITE PLAN (FEE) 1 2 3 � �tL4- 4 5 6 7 8 9 10 WAS GROUND WATER I� j ENCOUNTERED? L �t 11 L IF YES, AT WHAT O 12 DEPTH? P E 13 Depth to Water Iter Monitoring? Date: '911 1 14- 15--- 16 LiOI� 17 18 19 20 COMMENTS Reading Date Gross Net Time Time Depth to Water Net Drop BAIILI 2; U -C::) 7 3 0 1O 77 &S 3,1 6 4, E:, V 8zz --y I PERCOLATION RATE > Io t7 (minutes/inch) PERC HOLE DIAMETER `J TEST RUN BETWEEN FT AND b Z FT sv7 1 T,) I—� 171 PERFORMED BY: I CERTIFY THAT THISTESTWAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Z - Municipality of Anchorage ® e DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR:__ Lk'vl L_Ct �t L. h-@�(sf�1 DATE PERFORMED; 1-6 LEGAL DESCRIPTION: Z Township, Range, Section: P� LC)k h IZ ST., � Le. SLPSITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 L -w o S -e- WAS GROUND WATER y ENCOUNTERED? IF YES, AT WHAT ' C) L O DEPTH? P E Depth to Water Alter Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE _ (minutes/inch) PERC HOLE DIAMETER / CST RUN BET EEN FT AND FT/' COMMENTS PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ,� �' • (ENGINEER'S SEAL) G Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES . 825 "L" Street, Anchorage, Alaska 99502-0650 c SOILS LOG — PERCOLATION TEST 1M' ,I, PERFORMED FOR: W1s1 CCAAt 1 �• C e �t6t DATE PERFORMED:��'t F -t;2 •��`�'�Ji j LEGAL DESCRIPTION: Lo t �, Township, Range, Section: H SLOPE SITE PLAN � m 2 N o v �✓�v 3 4 5 v Y r7 !/�v �• mr Depth to Water Net Drop 6 0, c `I. g C.—t rw ✓� 7 ! ,/ 8 9 10 �y O to 11 r) / 12 3 -------- 13- 14 15 16 17 81920 18- 19- 20-4 COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Aller Monitoring? i Date: O s L O — P E Reading Date Gross Net Time Time Depth to Water Net Drop I So 3 L� ci h a a ria 1 D to 3 1 3 7/a a e3. 12- s/ 3 0 /I PERCOLATION RATE 3 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN �_ FT AND FT n U.. �..,. 'I.QII — in I --( PERFORMED BY: CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Lot 5 � \ O lot 10 lot 11 \ \ /LOT 8 \ \ LOT 1 \� i Ilei LOT 2 IR, LOT 9 Well � LOT 3 o-) Q i \� LOT 4 / Q� \ LOT 10 0 50 100 15_0 0 250 300 J SCALE, 1" = 100 FT TOBBEN SPURKLAND P.E.SEPTIC SYSTEM DESIGN Zo3 A W 15TH. VENUE LOT 2 BLOCK 2 LOMA ESTATE 203 AK. AV DUNCAN YcLEAN DATE: AUGUST 9, 1994 ANC,,, ,,, 17020 BELARDE SHEET: 1/3 GRID: 3337 I � 1 1 1 0000 I / ♦ 00I go♦I II 10000/ / I I 0000 i � I � e / >* I a I Well I a I 1 I I Iva I I 1 I I I I♦ 1 I 1 5p°l Testh#1 IL 5 Testhole, 2 �X Et Trench�� C��F t ` r, c � u , I,• C1 J I 1 t {�pfe #3 i 3n New Trench 40 Ft. Long C 1 / 5 Ft. Deeps c 1 3 Ft, of Rock 25 7'2,5— 50 75 100 125 150 SCALE: 1' = 50 FT, TOBBEN SPURKLAND P.E.SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE LOT 2 BUCK 2 LOMA ESTATE ANCH. AK. 99501 DUNCAN McLEAN DATE: AUGUST 25, 1994 17020 BELARDE SHEET: 2/3 GRID: 3337 40 Cl ea nou is Monitor 4" Topsoil 3' Cover Mira Fi 140 3 Ft of Septic Rock NO SCALE Ag n �� o� aps oac•anaasUe ¢aarto lr L^omsn. �mo-�.. oo e.mmamneoum &� m� Ta66c: S�mk'rnd (� Cf: -2225 /��. 'ZgL mtrtyi 0_4�. u ink gal. septic tank ITOBB£N SPURKLAND P.E.LOT 2 BLOCK 2 LOMA ESTATE I I SEPTIC SYSTEM DESIGN I 203 W151h Ave 17020 BELARDE AVENUE DATE: AUGUST 25, 1994 970-Tp�g9 I 9 11 Ak 99501 DUNCAN MacLANE SHEET. 3/3 GRID: 3337 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 0* ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99509 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW fib '0dF �� / q�� ❑ UPGRADE MAILING ADDRESS � r fX C ( , . LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS DISTANCE TO: Well P Absorption area at(E f Dwelling / 6 PERMIT NO. (� S r�U(2O0 U Y .(. 0� - Q Manufacturer /� Material No. of compartments aa. y Lic. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 1 G z DISTANCE TO: Well Dwelling PERMIT NO. O z F Manufacturer Material Liquid capacity in gallons Well Foundation 4 Nearest lot line PERMIT NO. /� ?� SrQc40 T DISTANCE TO: �Uf 5- O �c: LU LL Z No. of lines Length of each line f Total length of lingsf Trench width Distance between lines Z w F_— - ( / cS 1 x I(o inches OC Q f. Top of tile to finish gradeMaterial P/ beneath tile pn area Total effective absortio O , - rA inches f%�Q Length Width Depth PERMIT NO. LU C7 i I- Type of crib Crib diameter Crib depth Total effective absorption area W WWell (n Building foundation Nearest lot line - DISTANCE TO: -j CI _ Depth R l�LILrLL Driller 'T -t Di tan�eto- lot line. i�s'l�!/ PERMIT W Building oundation Sewer line P Septic tank f Absorption area(s) DISTANCE TO: Z(/r%—� OTHER + PIPE MATERIALS V-10 Asz� i 40 0 SOIL TEST RATING Soo �VV V INSTALLER `n644d :�avfS REMARKS ,vc+ r .J P D h. P APPR�O�/tVED�J�/jam/ LEGAL /j�DATE ^ DEPHRTMENT r'\HEHLTH HND ENVIRONMENTHL /-`OTECTION �� TRE! A-T�'/ uY '�* �o�_~��o ~' �p ERE U. L. Now sy! E5 T!" 14S—��K IT in 1. � PERMIT NO ( 820600 ) HPPLICHNT ALEXHNDER MHCLEHN 2�1 E� ]�D 99501 `\\�'� 277- , LOCHTIQN u LEGHL L232 LOMH ESTHTES LOT SIZE\ 999999 SQUHRE FEET �� TYPE OF SOIL HBSORPTIGN SYSTEM IS� TRENCH u -)w/~1 /u/x M�XIMUM NUMBER OF SOIL RHTING � THE REQUIRED 5IZE OF THE SOIL HBSORPTION SYSTEM IS� 114 ERIE P" -11- 1-1 -v- K kGR; R.. Ell: E A M -T' 9- 151 �L!,�:li N_j IRE! U �; EHE Rol -T- Yj two 11. Q: THE LENGTH DIMBNSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD, THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET) THERE IS NO SET NIDTH FOR TRENCHES THE DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE �UTFHLL PIPE HND THE BOTTOM OF THE EXC8VHTION (IN FEET), �� 14�A�� 51! :,T �� PERMIT HPPLICHNT HHS THE RE5PONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTHLLHTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF RESIDENCES THHT THE WELL WILL SERVE �—� -if- k - 'R �,.,a M F&I NEW IFT K GA 1.1 11�� BACKFILLING OF HNY SYSTEM BY THIS DEPHRTMENT NILL BE SUBJECT TO PROSECUTION. ^ BETWEEN H WELL HND RNY ON~SITE SENHGE DISPOSHL SYSTEM IS MINIMUM DIST�NCE 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDIN8 UPON THE TYPE OF PUBLIC WELL FROM H PRIVHT11 WELL TO H PRIVHTE SEWER LINE IS 25 FEET H�D MINIMUM DISTHNCE TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS f-11RE REQUIRED AND MUST BE RETURNED Ti,,') THE DEPHRTMENT WITHIN ]0 D9YS OF THE NELL COMPLE�ION QTHERREQUIREMENTS MHY HPPLY� SPECIFMAT' ONS HND CONSTRUCTION DIHGRHMS HRE AVAILABLE TO INSURE PR8PER INSTHLLFAIOM FIMAW-1 X V 'aP �(17 EEV 0 -110 EZE Hot 1A 211 :2. sit W A-: I CERTIFY THAT P I HM FHMILIHR WITH THE REQUIREMENTS FOR ON~SITE HS SET FORTH B� THE MUNICIPHLITY OF HNCHORHGE 2� I WILL INSTHLL THE SYSTEM IN HCCOR�HNCE WITH THE CODES 10 FI -Mr TIAF 0P-STTEE MWER ';' YSTFTM MAY MQUIRE ERINLHREMENT IF HE ` RESIDENCE IS REMODELED TO INCLUDE MORE THHN � B R O S (� ---'-�^- /��X` ��= / HPPLICH�T HLEXHNDER MHCLEHN . . ° T} {} I�'.,` ISSUED BY � � ` DHTE --� �~~~~-~~ -~� WAS GROUND WATER 11 ENCOUNTERED?-. U0 12 LARGE, _ GRgvE1 5 P0614 II -1 1F YES, AT WHAT,_,_ DEPTH? - - - 13 14 �' - • �•VcR� . �..�''°' S- '4'� . _ - ReadingDate GdSs Net .- Depthto ` Time_ Time Water -. Net Drop j- P 1, 15- - _ = - - ��_7 +'u`9 `^� 12 Z. �3II6-� 7- io • 0 4154 - E t o 19 20 • 7oTRt_nEPrH OF Bor��u G ZQ. o PERCOLATION RATE - (mi utes m.ch) 1 --: - - TEST RUN, BETWEEN -r -_FT AND FT-..--�— --- - COMMENTSz"I�nQc�< tT1tF3 t ZXZ 6�� t�iS i7 1CHxci<�n 3y %J��oen�oy I�Guwt� att. t+ t � PERFORMED_BY: 'i7�HIJ F^s2ANAM�C M �/=(vr�r.r.,CERTIFIED_BY: // :;w./ - DATE, w A.TER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either to, Ib or Ic.) A.D.L. No. bdivision Lot Block 1/4 qtrs. Section No. Township N❑ Range E❑ Merldion lo. BoroughFISO IT1GfiYP.:?. ,� r~ t_of_of _ S❑ W❑ F-9 Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: ly:i, I�&i�,y ?;iF�1;'i,t, i1,l Address: Street Address and Area of Well Location 2. WELL LOG Feet Below 4. WELL DEPTH: (final) 5. DATE OF COMPLETION Surface _ Material Type Top Bottom 6. ❑ Cable tool._ ❑ Rotary ❑ Driven ❑ Dug ❑Auger E] Jetted E]Bored ❑ Other: c:1.2,i -- ,_...Yr`.'1 1, i'r_.Y i' -1 7. USE"❑ Domestic ❑ Public Supply ❑ Industry E]irrigation❑Recharge ❑ Commerical ❑Test Woll ❑Other: 'r�'.; ,,,., _":C`F'v ��•�- -%.i. j� %-�'.- j(_? 'f: _ ,,)(.:! V '-`r`'I' 8. CASING: ❑ Threaded _❑. Welded' diam. in. to " ft. Depth Wei hh ! tbs./ft. 9 diam. in. to ft. Depth Stickup ft. :..,, .-'r: "-=iC?;C' .' :; C_t o .'. ('' ' 9. FINISH OF WELL: Type: ;'.OL{r Diameter ('t. Slo1/Mosh Size: Length: Set between - ft. and ft. Backfilling Gravel pack .. = =1' - 10. STATIC WATER LEVEL: ft. ❑ Above or ElBelow land surface Date OF ANG Equipment used: ENVIE it .P.,U F '1 ') II. PUMPING LEVEL below land surface and YIELD fl. after hrs. pumping g.P.m- L: { L_: .,1. (= ft. after hrs. pumping __g.p. m. 12.GROUTING Well Grouted: ❑ Yes ❑ No Material: ❑ Neat Cement ❑ Other: 13. PUMP: (if available) HP Length of Drop Pipe. - ft. capacity ❑ Subm. ❑ Jet ❑ Centrifical ❑ Other 14. REMARKS: 16, WATER WELL CONTRACTOR'S CERTIFICATION: 15. Wafer Temperature _° ❑ F ❑ C This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief; Registered Business Name Contract License Number Address. Signed ! -'-' �� ! i r -.-.j /�y!..._�i'I t:' �' -.-. Data. Authorized Representative r Form 02-WWR (11/81) Coov Distribution: WHITE-Stote DGGS, PINK -Driller, CANARY -Customer g. p. m Development Services Department �.tiT Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-092-43-000 Expiration Date: Legal description LOMA ESTATES BLK 2 LT 2 Site address 17020 BELARDE AVE Anchorage AK 99516 Current property owner(s) SHAWN & EMILY DEGLER 5/17/2024 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 11/17/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaIjune 2022 11 0 HUHM AUTYOF A VICH0 AGE 4 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-092-43 Complete legal description LOMA ESTATES; BLOCK 2, LOT 2 Location (site address) 17020 BELARDE AVE., ANCHORAGE, AK 99516 Current property owner(s) SHAWN AND EMILY DEGLER Day phone 1-806-543-0149 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: 0 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 17 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: X AWWTS 0 Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑® Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $_ 5 g� u Date of Payment (Il l I l �7O Z COSA # �.�, Ca 1 t 137 ` Waiver Fee $ Date of Payment Waiver # COSA Appllcation_June 2022 COSA Checklist Legal Description: LOMA ESTATES; BLOCK 2, LOT 2 Parcel ID: 020-09243 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA ❑Q Well log is filed with Onsite (or attached) Date drilled 7/30/82 Total depth 265 ft Cased to 74 ft ❑■ Sanitary seal is functioning correctly n Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 11/8/2023 Static water level at beginning of test 24.3 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 50.25^ Date of pumping OC -1- 2.o'Z3 A Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/7/17 0 ALL standpipes present per record drawing Total measured depth from grade 4.6 ft (max) Measured depth to pipe invert from grade 3.3 ft (min) ❑ N/A — pressurized field. Q Per record drawings, field is insulated. M Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) "YES If yes, enter date 10/9/2023 Well production at time of test 4+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ® Nc MR Coliform bacteria is Negative Nitrate 3.34 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L X Arsenic less than MRL (ND) Collected by GEG, LTD. Date 10/13/2023 C. LIFT STATION 0 Required maintenance completed Age of lift station 17 years Lift station material PLASTIC Comments: Adequacy test date 11/8/2023 Results Q Pass Fluid depth prior to test 0 in Water added 657 gal New fluid depth 5.5 in Elapsed time 150 min Final fluid depth 2 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 2 in Effective depth remaining 4 in Comments/Deficiencies: *40 -GALLONS OF HYDROGEN PEROXIDE. COSA Checklist June 2022 l_onJ:�D e_S T / 'sZIL E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' *50'+ 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' QYes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50'+ ft Holding Tank > 100' ■❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑■ Yes if No ft ❑o Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft ■❑ Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' ❑ Yes if No *50'+ ft Tank to Property Line > 5' Mn Yes if No ft Wells on Adjacent Lots: 00 •�S�Q / Field to Property Line > 10' ❑ Yes if No *51+ ft Private Wells > 100' ❑ Yes if No *50'+ ft Water Main > 10' M Yes if No ft Community Wells > 200' [:]Yes if No ft Water Service Line > 10' 9 Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *THIS IS AN AWWTS. PUMP VAULT PRIOR TO TANK WAS INSTALLED 75' • FROM WELL. PUMP VAULT INSTALLED IN 2006 AND APPROVED BY MOA ONSITE DEPARTMENT. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Garness Engineering Group, LTD. (GEG)Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Garness Date ► 13 _ In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry obo�p DO�� practices. The reported results describe the condition of the system/s on the date/s of the evaluation. o �0 Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend o _ _ �� ' '' upon a variety of variables, including (but not limited to) levels fluctuate 00 •�S�Q / soil conditions, groundwater (that may during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing ;" 4 _7 Q the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not *" :.. .. .... .............. guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regardinj the future performance of the well or septic system. GEG makes no representation whether an aftemative well I G " "' or septic system can be installed on the property in the event either of the perform to fail stems currents Y p in Q A. orness �' G adequately the future. The content of this report is for the sole benefit of the person/party that retained GEGQ to the evaluation. Reliance upon the information in this by Q m CE -7953 �Q perform provided report any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. �r�� • •""• • • F�°o COSA Checklist—June 2022 ab00po��o� WMICIPALI IV OF ANIC111MAGE A DV AN ('10) W A S'l FAVATEWFU F, A I MEN I- 14YN11 I FIM A'If E V R1 A I NTKNANCV A 14P 10TA 110, M 1 61 V N I IM 'I'Alit M WkFJV11',V1 1, h'$cifi entered into, ns of dhiss O 4 0, AYMA'-) W Arich�ruge, horcin thv "MUNICIPA1.11 Y", inAccor'bMec wills Ao0io1 aw- Jkj1t'ri6Px"' iA'X'10 I 5,(15'34'5, In Considefation of fhtr° mullall covenant'i conuflncd hf:rci'n, 0 -' Agnecnwnt aprev as i'ollows: I 5y's -rr- I tic Ow-cr to utilize and operatc art Advanccd Wastewater'I'MatnIcut SPtr; (A WWF-`,), 1. dcscrined s5 kicaac,d at i lcgsl description) 47' I 2' IN -tai nfenance Rell0i" sand Altc"tLfnns- (OixPer is required to read, understand and initial each section) I' 11-naugF op out the term f this Agreement, the Owner shall enter into a service agraennelR' l with an AWW'FS service and maintenance provider approved by the 1114unicip-all-ty wr dh maturcr's representative. �- The AWWTS shall be maintained in a safisifecto-v —miac condition cap -able of perForr-ning as designed and producing treated septic effluent acpnic ipill? 'y . orda,joe WiCt, the equipment's approval for operation in the Mtn It shall b -z !he responsibility Of the Owner during the term of this Agree-mcnit to pay F,,ir all repair(s). mainteramcc, adjustment(s), replacement costs, and inspection costs, This ;.act udes; an annual maintenance fee (typically S400 to $600). - I IL -r agree.- thaonly mainicnance and repair personnel approved by the )w. t r1jap any neccssw aintcr--nc.�, -ufiacturer's representative will inspect and make, wry mt, repcirs or permitted alterations to the system. (. w,, -,r ?.ckr,,,)Wlcdgos that regular maintenance of an AWWTS rcJucts Ulie 1nji,erre rjfthv systein, which could include sewage backup and costly repairs o: drdil'15= d Rage I of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. ,-2`0' Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14,60.030, Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 0VV ER: -- - By: (signature) Date: ��/5/-51 (print name) STATE Or ALASKA ) ) ss. THIRD JUDICIAL DISTRICT } The foregoing instrument was acknowledged before me this day of MoV eyy)beY, 20_10A, by nekV\10A S•,M ms NOTARY PUBLIC FOR AeOKA State OfAlaska My Commission expires: NOTARY PUBLIC Carrie Nordlof MVC niTifiiissinii Expires jar)10, 2027 MUNICH' TY: By: (signature) 'Date: I �% (print name) Title: I �.QtiJ (rev. 05/18/2018) Page 3 of 3 ARM Septic Services, LLC Shawn and Emily Degler 17020 Belarde Anchorage, AK 99516 To Whom it may concern: 10-30-23 ARM has completed a number of repairs over the last few years at the subject property. Please see the below breakdown of the repairs completed. -July 2017: Replaced on/off float in Quanics lift station. -November 2019: Completed jetting and camera inspection of service line from treatment pod to drainfield. -January 2020: Replaced Float in grinder basin. -May 2020: Replaced override float in Quanics Lift station. -November 2020: Replaced media in treatment pod, and installed aeration system in Quanics Lift station. Electrician hard wired aeration blower into power from Quanics control panel. -February 2021: Replaced on/off float in grinder basin under warranty. -March 2021: Replaced pump in grinder basin. -May 2022: Jetted Sewer line from house to grinder basin after rocks were dropped down FCO. Removed all rocks from basin. -September 2023: Treated drainfield and pumped/cleaned tanks. -October 2023: Replaced pump in grinder basin with new, high flow pump (WS0511BHF). Repaired connection of electrical for air blower in Quanics lift station. Completed safe electrical connection in grinder basin. Sealed grinder basin riser property. Please let us know if you have any questions. Thanks! 4� Nathaniel Swan erg Septic Technician ARM Septic Services (907)688-9433 ARMServicesAK@outtook.com 17933 Old Glenn Highway *Chugiak, AK 99567 office: (907) 688-9433 Email: ARMServicesAK@outlook.com ARM Septic Services, LLC Maintenance Checklist: Advanced Treatment System J Operational Checklist: Advanced Treatment System Legal Description: Street Address:, Service provided on Date ' Time. !Zl\ Service provided by: Company: Technician: ..) Date of last service 11c, By:Yot�/ Other 1. Type of Aerocell Treatment System: Cat 11 -AeroCell Treatment System Cat 111 -AeroCell Treatment System 2. Conditions at media filter: ?? cceptable ❑ Unacceptable a. Evaluate presence of odor within 10 ft of perimeter of system. -%-None Mild C Stronq Chemical ❑ Sour b. Source of odor; if present: _ 3. Manhole Risers and Pipe Caps: eceptable ❑ Unacceptable a. Cover/s intact. t" No b. Method of securing cover. c Insulation present on all lids?19Yes L]No d. Any plumbing leaks or water intrusion ❑ Yes Rto e. Surface v✓aterfinnitration into components ❑ Yes o 4. Venting/Air supply: ptable [ Unacceptable a. Air supply unit operating properly S Yes i_l No b. Venting appears operableK--Yes ',^7_7 No 5. Media surface: !K cceptable Li Unacceptable a Eiomat on surface L Yes No b. Uniform spray pattern. Yes 1- No d Pondina in/on media. ❑ Yes Flo e Plugging/clogging of nozzles. C Yes '�slio f. Media appears to be settling. Yes o g. Appropriate maintenance performed. -es No h_ Pest activity at surface. E"Yes o 6. Effluent quality a_ Effluent odor after passing thro=ugh media filter Nene Midi = Strong b. Effluent color after passing through media filter. Clear Brown El Flack 17933 Old Glenn Highway `Chugiak, AK 99567 office/fax: 1907) 688-9433 Email: ARMServicesAK@outtook.com (PAGE 1 of 3) ARM Septic Services. LLC [ 7.Tasks for recirculating/discharge flows: 4 Acceptable a |, applicable, Januyvalve funodoning� El Yes u� If applicable, Januy'Valve basin dry � �]vas c Cleaned collection ays,eminAemcexunit, Yes d.Design recirculation ratio 80 e Actual recirculation ratio (Estimated) o.Pump System: []Unacceptable a, Control panel 'nAuto I-N41es L] No []Unacceptable ��m� mn =� mm 1:1 No [YN/A Ell Nn 5�ntNeceonary 20 b Timer settings IFS Panel (No Override bmer): Yes DN�L,^OFF L7-__ ovemu*om��=�_�_ Override OFF: N/A o Floats mcorrect placement L��s No o Floats working properly -ts—yeo No e. High water alarm operational �irYea No [ High water alarm count V/(, g� Pump Run Counts. oPump Run Time /� Float Error Counts j� Total Override Counts:_______ Ei�Io\ x Effluent Filter serviced No | Tank lids secured after inspection. [Tr�es No m Weep hole mnctmnai-- x No 8. Primary Tank. El Unacceptable aSludge and scum x � Tk��en 0 N o S|uugeoScum|eve|s 12nd:_Ill ��N/A n TanKneeds mbepumped ms �J-fljo u Water softener backwash discharging nn,ystem7[]ves iDmv a How many people live nnthe system? r Tank lids/caps secveuafter mspe�ion� N Yes []mo g Last Date Tanxvvmped it)—b»z, 2j. 10.Drainfielu n �e�D�n�mk�� 5 --vide Deep Trench 62 k DesgnE#ec*ve depm c- Checked Liquid Levels inOmmno/d- es IL No MT#1Liquid Level mums MT#2uoutdLevel Inches xT#3Liquid Level Inches m1T#4Liquid Level mcms u Is there anysurfbcingeffluent? EiYes ��mp 1793]0N Glenn Highway Thugjak, AK 99567 office/fax: (q07)h8894]]Email: ARMServicesAK@outkxxk.cmnWAGE 2of3} ' ^ ARM Septic Services, LLC 11. Is the remote monitoring fu (if F-1 Yes aType mmonitonng b Phone line vvor�mg? 12.Does m/ssystem receive anadvisory no«�e^maming?(�so, describe incommemn) []Yeo a�^o 13. s | the system i a�wfoc�u - 3 omsy�rem nm satisfactory ��o [�No Other Comments: 17933,01 - n Highway 'Chugiak, AK 99567 office/fax: (907) 688-9433 Emait: AP.MServicesAK@outIook,com (PAGE 3o/3'1 MUNICIPALITY Of '*) AGF 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. 020-092-43 1. GENERAL INFORMATION Expiration Date: 10---s—/2, Complete legal description Loma Estates, Block 2, Lot 2 Location (site address) 17202 Belarde Avenue Anchorage, AK Current property owner(s) Meegan & Kim Driftmier Day phone (boa)5s7-4263/(808)597-4511 Mailing address Real estate agent 17020 Belarde Avenue Anchorage, AK 99516 2. TYPE OF DWELLING: 0 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 El Private Septic 0 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 $ I q5. o -D Date of Payment � Receipt Number S ly I D COSA# 03 C1912to3 Waiver Fee $ Date of Payment Receipt Number Waiver # wo 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 Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 6/25/19 6. DSD SIGNATURE System #1 Approved for 4 System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms bedrooms, with the following stipulations: x/11)1?111111 By: Original Certificate Date: 3-/2 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 blue sheet Legal Description: Loma Estates, Block 2, Lot 2 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 7/30/1982 Total depth 265 ft Cased to 74 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12 in. Date of flow test for COSA 7/28/17 Static water level at beginning of test 36 ft. Comments B. TANK DATA Age of tank(s) 13 years Tank type/material Steel Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Bed Which system tested (date installed) 8/7/17 ❑ ALL standpipes present per record drawing Total measured depth from grade 3.5-3.9 ft (max) Measured depth to pipe invert from grade 3.1-3.5 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Absorption System constructed within the last two COSA Checklist yellow sheet r Parcel ID: 020-092-43 Structure served by this system Well production at time of test 4.6 gPm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 2.27 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by FORGE ENGINEERING Date of Sample 6/19/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date New Results ❑ Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' Q✓ Yes Community Sewer Manhole/Cleanout > 100' M✓ Yes if No ft M Yes if No ft Neighboring Tank > 100' ✓Q Yes if No ft Private Sewer/Septic Line > 25'✓0 Yes if No ft Absorption Field on Lot > 100' Q✓ Yes if No ft Holding Tank > 100' Q✓ Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment > 50' 0✓ Yes if No ft M Yes if No ft Q Yes if No ft Water Service Line > 10' Q Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' E] Yes if No ft F/� Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q✓ Yes if No ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Q Absorption Field > 5' Q Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' ft Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' Q 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' a Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓Q Yes if No ft Private Wells > 100' ❑✓ Yes if No Water Service Line > 10' Q Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS SCAT Aerocell Septic System constructed in August of 2017. G. ENGINEER'S CERTIFICATION 1 certify that l 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.4th MICHAEL E. ANDERSON it C. -�'n -, NO CE -4:591 6/25119 s« � a........_ COSA Checklist yellow sheet � ,p W'., ft ARM Septic Services, LLC January 17, 2019 Kim Driftmier o 17020 Belarde Avenue Advanced TreaLmentSyst.-ms Cerf illied 01 Anchorage, AK 99516 AqUJ Subject: Quanics Aerocell - Maintenance Report Mrs. Driftmier, We appreciate the opportunity to provide a quality inspection and maintenance for your Aerocell system. Overall, your system appears to now be in acceptable working condition and the drainfield was found to be dry. The pump and return functions were tested, along with the floats and alarm functions. While onsite, ARM cleaned the pressure filter, the nozzles in the Aerocell, and serviced the media. In addition, we visibly inspected the effluent quality and found it to be clear in color and free of major odors. The following deficiencies were noted during our inspection and should be addressed to ensure the Quanics system functions properly: 1. The Aerocell media was quite slimy and coated with sludge. In addition, the useful life of the media is approximately 10 years, your Quanics system was installed in 2006 (appropriate maintenance was performed on the existing media, however, treatment/ replacement of the media and/or an aeration system may be necessary in the future). 2. The spray nozzles inside of the Aerocell unit were clogged with small rocks upon ARM's arrival. The nozzles were cleaned and the line was flushed by ARM onsite and an even distribution was established. 3. No remote monitoring system was available to test. 4. System was in high water mode upon our arrival. This was likely a result of the nozzles being plugged with rocks. ARM (and Garness Engineering) always recommends that a quality tank pumping/cleaning is completed annually on systems serving more than two people. in addition, all advanced wastewater treatment systems (AWWTS) are required to maintain a working remote monitoring system. Please provide ARM notification if you wish to set up a remote monitoring system via phone line connection or if you are interested in a newer wifi compatible system, negating the need for a phone line connection. Please feel free to contact me via phone or email with any questions. Sincerely, Rob Campbell Managing Member ARM Septic Services, LLC (907)688-9433 24738 Chugiak Drive *Chugiak, AK 99567 Ph: (907) 317-9433 office/fax: (907) 688-9433 Email: ARMServicesAK@outtook.com Municipality of Anchorage g On-Site Water& W s rogram (907) 9 70 rb 41 CIV 6 AUGo 20 CERTIFICATE OF 0 SITE 41§)6y'S E t_ APPROVAL A0 CZ CV Parcel I.D. 020-092-43 OL 6 8 b 9Expiration Date: � 0,4 oC o?0 1 `7 imejZRIM "I. M011, Complete legal description LOMA ESTATES; BLOCK 2, LOT 2 Location (site address) 17020 BELARDE AVENUE, ANCHORAGE, AK 99516 Current Property owner(s) DAVID & ELIZABETH DRISCOLL — Day phone Mailing address 17020 BELARDE AVENUE, ANCHORAGE, AK 99516 744-4409 Real Estate Agent LISA HERRINGTON Day phone 229-6822 2. TYPE OF DWELLING: ll Single Family (w/wo ADU) Ej Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 TYPE OF WASTEWATER DISPOSAL: Individual Well In Individual On-site In Individual Water Storage E] Individual Holding tank ❑ Community ClassWellF] Community On-site D Public Water System 0 Public Sewer D Waiver/Variance request for N&I Received by: /-'I— Date: COSA to be released to the engineer, unless otherwise requested by the engineer. Distance: - 5. STATEMENT OF As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply andlor wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage les 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the systemis on the datels of the evaluation. separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation.The operational fife of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwaterleveis (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an altemative well or septic system can be installed on the property in the event either of the current systems fail The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authodzed. in short, GEG disavows any legal duty to anyone other than the personlparty who paid for this report. IN 11 i JSystem #1 Approved for bedrooms. System #2 Approved for bedrooms. Phone 337-6179 Date 3 / 114 Disapproved...;: Conditional approval for bedrooms, with the following stipulations: �• , . '_-Q V� [\ST E� �1,A Original Certificate Date: S1 /,09 1 /Q0 1 -7 The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: s COSA Checklist !� Septic System Advisory Well Flow Advisory (Rev. 10112/12) Nitrate Advisory Arsenic Advisory,, Other If more than Iseptic system is on the lot: COSA Checklist # Structure served by this system Legal Description: LDMAESTATES; BLOCK 2.LOT 2 Parcel ID: 020-092-43 A. WELL DATA Well type _PRIVATE - If/,B.orC provide PVVS|O#_«u/� Well Log RYN\ YES Date completed 7/30/1902 Sanitary seat (Y/N)`YES Wires properly protected (Y/N) YES Total depth 265ft. Cased tn74ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 7/28/2017 Static water level ft. 3 ft. Well production 1 g -p -nn. 4 g.pm. WATER SAMPLE RESULTS: Co|ifonn _NEG. _oo|oniom/1OUml. Nitrate 272 mg./L. Collected by: GEG, Ltd. Arsenic: _<5.0_ug./L. Date ofsample: _'7/28V2017_ - B' SEPTIC/HOLDING TANK DATA TenkTvpm/yWohehm| Date installed 6/26-28/06 Tank size _125l_gal. Number ofCompartments _2_ C|eanouta(Y/N) YES Foundation cleanout (YYM)YES Depression over tank (Y/M) NO High water alarm (KN) YES Date ofpumping Pumper A+HOME SERVICES C. ABSORPTION FIELD DATA Date installed 8/3-7/2017 Soil rating (g.p.d.*eo °*2.0 System type BED Length 30 ft. Width 10 ft. Gnama| below pipe 0.52 ft. Total depth _*3.5-l.9_ft. Ef[absorption area _300_*x Monitoring tube YES Depression over field NO Date ofadequacy test °°°NEVV Results (Pann/Fmi|)- For 4 bedrooms Fluid depth in absorption field before test _-_.in. Water added _-gal. New depth - in. Elapsed Time: _�_�min. Final fluid depth _-_in. Absorption osts >= - g.pd. Any rejuvenation treatment (past 12mo.\MYN@type) NONEKNOVVM |fyes, give date -___ °°ALLQVVABLESOIL APPLICATION RATE WAS 4.OGPD/S{3.FT. °°°DRA|NF|ELDREBUILT -88-7/2Ui7 Date installed "Pump on" level @iTIMER in. Datum BOTTOM *SEE ARM SERVICES LLC. SERVICE MAINTENANCE REPORT ' "PER MOA ELECTRICIAN INSPECTION REPORT DATED 9/14/06. Size ingallons 500 K4anho|n/Aoueeo(Y/N) YES "Pump off"|eve|etTVMER in. High water alarm level at in. Cycles tested *YES Meets alarm & circuit requinamentm7 °~yEG E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ONLOT TO: Septiotank8100,+i� station on lot On adjacent lots Absorption1he|don|mt []nadjacent lots Public sewer main 75+ Public sewer 100,+� Sewer /septic service line Holding tank Animal containment Manure/animal excrete storage areas Ic SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Water main 51+ Wells on adjacent lots 100,+ Property line 5+ field 51+ Water service line 10,+ Surface water 100,+ SEPARATION DISTANCE FROM ABSORPTION FIELD ONLOT TO: Property line 1 Building foundation Water main 104 Water service line 101+Surface water Driveway, parking/vehicle storage ^0y4__ Curtain drain NONEKNOWN Wells on adjacent lots t0r+_' /mnrtify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA CO8Aguidelines ineffect onthis date. Engineer's Printed Name JEFFREY A. GARNESS Date � (Re 10n2/12) LICENSE it TAk 0 U) PJ 0 o QV INS 00 r; 0 O` V 00 0 0 � Slue cp i CIO �iyCi co -juaLu9se3;a68UlE!JC1 9Z 0) U) > 0 ------ ---------- IUGWOse3 Al!mn m z9t,2 00'OLZ M..6 kZO.00N w co a .0 CO 00 00 U 00 0. 0 Lo 65 00 0 so 00 0) Mmo Aff CL LL AW 0, s ®ice®�'®� co - a) 0 (D _j CO 0 -S 2 IS < ;�, (D U) CO c -Si 06 w a• Z: 0 a) = w 01 ca W.Lo Z) C C/) — E -- NO cu r X < co lE a) co E cL E.� a) z of Q) CL 0 0 0> =0 2 0 c C 0— cc CL 0 w 'Eh Z 2 0 r oo QZ5O 1; 2 E0 ce CL M 10 Co U- W -0 0 > (D cc -0U) V) 0 (D c 3: V) Z 0 .6 b aj SO 2 0. a-) LLJ -0¢ 0, :9 0, ig CD < 0 =u maw 0 m mE C co (D a) (D .6 , < < L) < m —:ob 2 o II 0 0 > 0 (D S:s 2 o C� 2 mo 0 a) 5 _j Ca m :6*2i �5 .r- = ------ ---------- IUGWOse3 Al!mn m z9t,2 00'OLZ M..6 kZO.00N w co 00 00 U 00 0. 0 Lo 65 00 0 so 00 0) Mmo Aff LL AW AX s ®ice®�'®� ------ ---------- IUGWOse3 Al!mn m z9t,2 00'OLZ M..6 kZO.00N w co I c Municipality of Anchorage ' • Development Services Department Building Safety Division _ On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL �,�� q FOR A SINGLE FAMILY DWELLING /gyp Parcel I.D. _ala �3 COSA# (JdDd�a2' 1. GENERAL INFORMATION Expiration Date: —! �� 0 R Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address LOMA ESTATES: BLOCK 2 LOT 2 17020 BELARDE AVE "ANCHORAGE AK MELINDA do RANDALL JONES Day phone 345-6599 17020 BELARDE AVE 'ANCHORAGE AK Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 riles 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date -7 C3 1 D$ Engineers Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not pn de any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for _ _ bedrooms. Disapproved. 4.f y o nes.- D.��•'no Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Reort Nitrate Advisory Other By: (Rev 11105( >�Qr �;X G.•' , C ON-SITE •• WATER AND WASTEWATER �•,• PROGRAM Original Certificate Date:-._ q -n s Municipality of Anchorage Development Services Department ' Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street' P.O. Box 196650 Anchorage, AK 99519650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: LOMA ESTATES; BLOCK 2, LOT 2 Parcel ID: O %,O - O c1.2 - q3 A. WELL DATA Well type PRNATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 7/30/1982 Sanitary seal (YIN) YES Wires properly protected (YIN) YES Total depth 265 ft. Cased to 74 ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test 7/30/1982 Static water level UNK ft, Well production 1 g.p.m. WATER SAMPLE RESULTS: Coliform _ 0 colonies/100 ml. Arsenic: NO ug./L. Nitrate A. mg./L. AT INSPECTION 6/30/08 27 ft. 5.9 g.p.m. Other bacteria O colonies/100 ml. Date of sample: 6/30/08 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA "THIS IS A OUANICS AEROCELL UNIT Tank Type/Material SEPTIC/STEEL Date installed 6/26-28/06 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Date of pumping 6/20/2008 Pumper MCDONALD PUMPING C. ABSORPTION FIELD DATA AA, ?BELOW EXISTING GRADE Date installed 6/26-2e/qp Soil rating (g.p.dJft/bd'o "2.0 System type 8ED Length 30 ft. Width t0 ft. Gravel below pipe 0.5 ft. Total depth *_ft. Eff. absorption area 300 ft' Monitoring tube YES Depression over field NO Date of adequacy test 6/30/08 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test DRY in. Water added 767 gal. New depth DRY in. Elapsed Time: E min. Final fluid depth DRY in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN if yes, give date - D. LIFT STATION Date installed 6 26-28 0 C "Pump on" level atTIMER In. Size In gallons 500 Manhole/Access (Y/N) YES "Pump off" level at TIMER in. High water alarm level at 46" in. Datum BOT Cycles tested YES Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 0�... .� I certify that 1 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 y A date. Gar ess: : QO p Engineers Print1d N�me JEFFREY A. GARNESS Q CEr7 :0 7 Date q o8 U. p og coa COSA Fee S Date of Payment q-//LLl/ogq Receipt Number e2154/ / / (ROV. 11105) Waiver Fee $ Date of Payment Receipt Number JUN -05-2007 TUE 12:31 PH LANTECH FAX N0. 5616626 P. 01 Lor 1 LO r� N �0' 2.s 12.51 0 DAI,wn iLn ..: - :: { LOT 2 h7 :..rN. • ! � s.xs , FXISONC ' glV:;l;' I ; 2p' DRAINAGE 1.01 ' " I" ' ► % I IIAJ}r_ : f ' EASEMENT f— J I /•. 0 0; CENIFIL Df aWIDC p1I `HED 'pI k0CK DRAINAGC DITCF('� N r _I ItD nl In rI ry �I �I I for I 6 lip? s ��F LOT 3......!.-.l 0 �7 ?F Q^m, Antra. y P. '• Mman.- a LS —Q020 I.I (2] NOTE: 1) THIS DRAWNG IS NOT TO BE MODIFIED FOR USE AS A PLOT PLAN. .oqa Decerift:on: AS-BUILT Ord.red By. Melinda Jones Legend: Set Fnd Septic Slandplpe( 5/e'RB W/CAPC 5/a' RD O Water Woll Q Fence—X—X— 7.25' AL.MON. .MONUMENT 4$� Litt Station Q Aspnat'.. i::: r ::--r,r -.•w:. h, a .. Ono 111::,1 i! �_`•.WoodeO�ek: Lot 2, Black 2,"'•''Conuete.:,;•' Loma Estates Subdivision EXCLUSION NOTES: It 1: the responsibility to the ts, or s whit d of any easements. Covenants, or reo not appear circ which Mrlt&.Ch pco,,sn an the no on Ne recorded tubJlrlcion lot. NOTE: Under no circumstances should on es y data hereon be used for construction or for estobBthing property linea. AND k CONSMUCTION SURVEYORS—PLANNERS—ENGINEERS 440 Woe: Denson Boulevord, Suite 200 Phone- 562-5291 Anolmragc. Alaska 995_03 Fax: 561-6626 �7fi-25?—! _ SURVEY CERTIFICATION: LANTECH has conducted a physical uvvoy of this property at shown on this drawing and that the Imp,ovomente situated thereon are w:lhln the property linai end no encroachments exist other then noted. Date: JUNE 1, 2007 Drawn By. 1M Met: O id SW3337 — —2007L102 Wax Olden rb/Fv; REF:93L543 scole; 1'=50' lChocked By. APH Complete legal description L -e> 2 7ELocK 'Z cr,,,,' A &3T Location (site address or directions) 2Q �' G�- CNCU&-� 4VLc - Property .owner--hLTkCA v t,11mr-14 A4AC1-&r--A&) Day phone 3qS 6?( i Mating.address (-422o `Z��CA�bc A�cz 99s - Lending agency Mailing address_ Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: Day phone. Day phone 3. TYPE OF WATER SUPPLY: Individual well `F Community well Public water 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: 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 Fir;1&'0AXWa &- Nc, Sur Phone Address T- o�K 10a'?'Sq AN c,9 ACL goy o Engineer's signature Date 1z16'14 A -r- Ic A Cjf&'D PZ tom. �r 4ch Y ti 6. DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. CE -8149 • .ur.n.r•'" n1„ bedrooms, with the following stipulations: Additional Comments Cy�a � 1Ae_e'c's v By; GN% 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. Municipality of Anchorage a DEPARTMENT OF HEALTH & HUMAN SERVICERS I EDEnvironmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) D90-4_131998 998 Municipality of Anchorage Health Authority Approval Checklistrept. Health & Human Services Legal Description:L--,' -F,2 2 l-�MA . Parcel I.D.: 020 - 092- —q,3 A. WELL DATA Well type _1- i U A"r6�- If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) i Date completed Total depth C Cased to Sanitary seal (Y/N) FROM WELL LOG Date of test (9 A)(WC'& A-� q,,r Static water level 5 Jo Well production GENA g•p.m• WATER SAMPLE RESULTS: Coliform . 1> I R82 I Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION fI12SlYo 3 2 S.3 g.p.m. Nitrate I • 'S-5 Other bacteria Date of sample: 1112- 41 40 Collected by: S PC- �I oAnJ,yaA) a B. SEPTIC/HOLDING TANK DATA Date installed :�'l2 t'I V`Z Tank size 12Z-0 Number of Compartments Z Cleanouts (Y/N) Y Foundation cleanout (Y/N) le Depression (Y/N) A-) High water alarm (Y/N) Date of Pumping i"tI Z�I4� Pumper !J _'_4Ma Svc C. ABSORPTION FIELD DATA ,✓ ( A Date installed 10115-14k . -7182 Soil rating (g.p.d./ft2 System type Length 59 Width 3 Gravel thickness below pipe 10 . Total depth r 3 S lu i [3 Y k E5 �. Effective absorptioHaa%a /ISO Monitoring Tube present (Y/N)�r_ Depression over field (Y/N) Date of adequacy test Results (Pass/Fail) '9Z�ASS For e( bedrooms S W ca 31%? 3 6" Fluid depth in absorption field before test�in.); 'iz�2,e Immediately after&cc gal. water added (in.): 'r� Pe Fluid depth 't>ar' (ins) Minutes later: /qt(0 Absorption rate = 6,00 g.p.d. Peroxide treatment (past 12 months) (Y/N) 'yd If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /e_na� Absorption field on lot Public sewer main Sewer /septic service line / dOT ,•✓ lA Size in gallons On adjacent lots "Pump off" level at* 100 On adjacent lots /"_r Public sewer manhole/cleanout "L" � A t Lift station (00r - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 30 t Property line / o Absorption field o Water main/service line 2,5;_ I Surface water/drainage 100 Wells on adjacent lots /pd SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line /0 Building foundation 2S� Water main/service line 5_6 t Surface water BOO _r Driveway, parking/vehicle storage area So t Curtain drain /o�� Wells on adjacent lots F. ENGINEER'S CERTIFICATION i certify that l have determined thru field inspections and review of Municipal in conformance with MOA HAA guidelines in effect on this date. Signatur Engineer's Name Ski*_ ) Date t'a /., % 96 HAA Fee .$ 00 Date of Payment l a I AS c1cS �,1 Receipt Number nt-f ',z)`i21 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number /co -6- R. Pannone", It Q. 8149 /. are TYPE OF;WASTI mrx Inc 3 Ha 5. STATEMENT OF INSPECTION BY ENGINEER w 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 invest�qation 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 Phone Z Ari ri reec 4 ��%b✓�T J 3 f"_ /•dam �%� tY/l�G /�i?3�/i'/-rY -`i�'�n '7Q -..i Additional Comments Municipality of Anchorage Department -of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L of L r✓L-Z. LOtV/+ Parcel I.D. rz-.57-4-r S A. Well Data,. � GI�L_L Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) y Date completed Driller Total depth Sanitary seal (Y/N) Cased to Casing height f Wires properly protected (Y/N) z t N FROM WELL LOG AT INSPECTION Cz Z Date of test o �t m O Static water level << z () Well flow W g.p.m. t7 1 g.p.m. rr`t o Pump levell J ' <� O rn Z SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 106) 'VI- ; On adjacent lots Absorption field on lot 100 v`- ; On adjacent Jots �br3 cf� Public sewer main �/ Public sewer manhole/cleanoutt > /A - Sewer service line XA Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate r/ Other bacteria ,/1 o&iE7 Date of sample: -i % �/� ��% Collected by: JCtfn--_5 W B. SEPTIC/HOLDING TANK DATA Date installed '712- _ Tank size Z S Compartments 'Z- Cleanouts (Y/N) Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) Alarm tested (Y/N) %VA - Date of pumping Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot % 1%0 4- On adjacent lots co 4- Foundation t` To property line �-® / A / Absorption field �2- Water main/service line Surface water/drainage CONTINUED ON BACK PAGE 72-026 (3/93)' Front C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA (V� �/i 2-G�� J Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water Date installed 1 Soil rating (GPD/Ft2) (�, t� System type )kQ /�� c J TG Le,o cL Length 9 t03 Width Z , S Gravel thickness 3 Total depth 6 / Total absorption area J7 4- B Cleanout present (Y/N) Date of adequacy test Resultsas fail) y c Water level in absorption i/Id bfeffirttest Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Depression over field (Y/N) Al for _ _After test _ If yes, give date Well on lot DG On adjacent lots Property line To building foundation 5—o To existing or abandoned system on lot Z D On adjacent lots Cutbank 100-/- Water main/service line M IA Surface water / V0 .�— Driveway, parking/vehicle storage area ) Gv Curtain drain OC> 9f - E. ENGINEER'S CERTIFICATION Bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ti r Es +A ' r , ' A 71 Enginee ame Date HAA Fee $ J l C%Z7 Date of Payment 5- - %L�t Receipt Number Waiver Fee $ Date of Payment Receipt Number, tlfi � it '.F .. 1:•v Time - APPLIC' `NT FILLS OUT UPPER HAI` ONLY Phone Property owner r Mailing Address(' �� %l! zip Code L / Date Buyer Address - Zip Code e ding Initution Phone ( Zip Code l _ f Cll Phone Inspector Realty Co. & Agent Inspector ' I Insp to( Zip Code Address - �' Legal Description �D-t' j G�� 4,L - vy-) "o, -J i 1 Z� J Street Location �( Type of Residence MUNICIPALITY OF ANCHORAGE 56 Single Family g� ❑ Multiple Family No. of Bedrooms �? ❑ Other [NNIS. .. i!. I <... .G c J Water Supply - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Individual - For wells drilled prior to that date, give well depth (attach log if available). RECEIVED ❑ Community - - 'CONDITIONS OF APPROVAL ❑ Public Utility ( ) CONDITIONAL APPROVAL' Sewer Disposal �) Individual Year Individual Installed: 7 1-?- ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank - - - - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time - Time Time r Time c\� i Date Date Date Date L�1{ l _ f Cll Inspector Inspector Inspector ' I Insp to( Ica MUNICIPALITY OF ANCHORAGE Field Notes: [NNIS. .. i!. I <... .G c J RECEIVED APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' 1-?- DATE BY: " Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size (ZS_D [ —8 Z Well to Tank