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HomeMy WebLinkAboutMACBETH BLK 2 LT 5BMacBeth Block 2 Lot 5B #015-511-02 Municipality of Anchorage Page I of 3 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: SW 920 122- __. PID Number: 01$51/02 Name: MENGLER RAMON �- ESTRELLA Wastewater System: ❑ New 1 Upgrade Address: 9 za 10095 DEC IMA DR WEsrmiNs*rEk CA ABSORPTION FIELD Phone: - N, A. No of Bedrooms 3 U Deep Trench XShallow Trench U Bed LJ Mound ❑ Other LEGAL DESCRIPTION Soil Hating I.0 GPD/Sq. Ft. Total Depth fr original grade: 5 / T.Y, C, -f cl Lot: Block: 'Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Ba MHC BETH I.5 Ft. D S Ft. Township: ' 12 N Range: 3W Section: 2 3 Fill added above original grade: I Gravel length: 7 SS ` + 36 91 .o Ft. = Ft. WELL: New ❑Upgrade EXIS7IN� Gravel width: 5 Number of lines: 215 Distance between lines: Ft. Ft. Classification (Private, A,B,C): Total Depth:Cased To: Total absorption area Pipe material: PERF A00 Ft. Ft. It55" SO. Ft. 41r1 D-3o3Y NoN-PERF Driller: Date Drilled: Static Water Level: Installer: n +v l Date petalled: / -2S Ft. f'6/22 Yield: Pump Set at: I Casing Height Above Ground. TANK GPM Ft. Ft. SEPARATION DISTANCES VSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity ingallons: From Tank Field Station Tank Sewer Lines ANcHORAGE TANk 1000 Well 1os1, losf .___ �O Material: STEEL Number of Compartments: Surfac <: Wate Water %IoU 7/UU — — y/OU LIFT STATION Lot / 20 r 2 —' '— r 25 Sin; iu yadluns: Manuluclurer: Line Foundation 72' 74'] — 0 "Pump on" level at. "Pump off' level at: High water alarm at: " Curtain Pump Make & Model Electrical Inspections performed by: Drain Remarks: BENCH MARK ¢rr q 0r; e/7or( cAc/YA! Eegl7c lank Location and Description: Coif4CRETE SL/18 Sol SIDE and e a -e 411 doiJecC 6 F 6AFA6E 'Doof2 um in cc/!oi hac1''c�f-i11, a rfli Assumed Elevation: I 100.0 12 Fria/ sol / F seri iir cF co,?rbwchd,�- ENGINEER'S SEAL �� F�!�4 4 areeL vein done 713192. Inspections performed by: ELATToP_ -rEcN. Svcs_ Dates: 1st 6/2 -2-z s * : rqT1� •.••......•.....•..r•• 6/.239 2nd z �.•.. Department of Hea nd H Services approval ��•• : TIIEOUORG P. MOOHE '• CE . 2589 Reviewed and approved Date:.--pa�' , _----._------__ - lie 72-013 (Rev. 9/91) MOA 25 Permit No. S W 9 2 U l 2 2 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: LOT SBr BLK 2 MAC BFT N__ S/D _ PID NO : OI SS 1 10 2 WELL SCAIC'. I"=&D' t 3 IIDR �� NovSE � A �, a �.o. TEM o0 HOUSE CORNERS A B SEP, TANK C.O. "c" 74' 82 DRAINFIELt) M.T. p„ 90' 95 c L, —1000 6AL 56PTi(: TANk Flattop Technical C.0, 0YP) 14530 Echo Str \\>1 Anchorage, Alaska ENGINEER'S SEAL �'5x 36' a4/ �r►��41�,� DRArnIFi6LDS ,a,6,7, oIF A t 4� YC .0•i9•9TH fi% V s•vh' io -� y THEODORE F. MOORE •.• CE - 3589 R I D G E C R EST- --D R 1 V - ++� �P►�dM.'S5 V�a 72-013 A (Rev. 9/91) MOA 25 9951E Permit No. 5 W g 2 D 12 2 Page 3 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: LoT o0b, BLK­S' MAC BETH SXp PID No.: U 155 I 1 02 5r I I SEPTIC_ TAkk 1 70 5f 72-013 A (Rev. 9/91) MOA 25 INVERT rLEV: INLET : 77.0' puTLET = 76.8 OR19WAL GRounlp pn.rER SAND INVERT ELEV. D IST. P IPE UPPER TRENCH x-'75.8' ENTIRELENGTH) VeRlICAL SCALE; I"� 5 NO HOR[Zor47AL SCALE Flcdf6p Technical Services 14530 Echo Street Anchorage, Alaska 99516 TBM: CONCRETE SLAB, SOU-ro SIDE oi= ELEV=1o0.o'GARA6E BOOR ORIGINAL 6RD ,�76.8' T.N. *12 F1LTeR S/jr(D INVERT ELEV. DIST. PrPE � LowER 'j'"(;6Kcbl 7y.'7 ' E- 69 0 ��5WtRE LEN6TN� N10 Cl C..- 62.0 B.N. ENGINEER'S SEAL Ap. p A4'q Aw joM.Ho •,..e eearee.ee�: sed THEODOKE 'r. AA00RE je SII j °�•.� CE -3589 •`yw' Ilk PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE I)Q M DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 obiu ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920122 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:MENGLER RAMON & ESTRELLA OWNER ADDRESS:10095 DECIMA DR. WESTMINSTER, CA 92683 PARCEL ID:01551102 LEGAL DESCRIPTION: MACBETH BLK 2 LT 5B SEC 23, T12N, R3W, SM LOT SIZE: 22000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 DATE ISSUED: 6/03/92 EXPIRATION DATE: 6/03/93 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: 6/8 1,92 DATE: 1T Municipality of Anchorage t Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 3,-1992 Ted Moore, P. E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 a Subject: Waiver Request for Lot 5B Block 2 MacBeth Subdivision Waiver Request #WR9200271 PID #015-511-02 Dear Moore: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 2 feet from north property line which abuts Lot 1. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, /`e ,0 V Daniel N. Bolles On-site Services DB/ljm Concur: Aohni Program Manager On-site Services I. WR# WR920027 MUNICIPALITY OF ANCHORAGE, Department of Health and Human Services On-site Services Section Waiver Review Worksheet PID# HA# Permit # •S�! /22 Date Received: May 28, 1992 Legal Description: Lot 5B Block 2 Mac Beth Subdivision Engineer: Ted Moore, P. E., Flattop Technical Services 14530 Echo Street, Anchorage, Alaska 99516 Applicant: Ramon Mingler Waiver Requested: Lot line - 2 feet from north property line which abuts Lot 1 Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: � Waiye�4 —G -ranted; List Conditions or Reasons for above: 170 Date: Rec #: 23730/2291 By: Name o Amount: $70.00 Date Paid: 5-28-92 CIVIL. & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 May 28, 1992 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 5B, Block 2, MacBeth S/D, located at 11141 Ridgecrest Drive. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The existing septic tank and seepage pit serving this lot are to be abandoned. The proposed system will be constructed in the vicinity of test hole # 2. As can be seen from the soil log, the native material between 4' and 6.5' is a gravelly sand with a measured perc rate of less than 1 minute per inch. This percolation rate necessitates the use of a 2' thick sand filter under the soil absorption system. Using the soil application rate of 1.0 gal/day/sq. ft. specified in the wastewater ordinance for filter sand, this 3 bedroom residence requires a total absorption area of 450 square feet. The proposed design with 90 lineal feet of 5' wide soil absorption drainfields has a total absorption area of 450 square feet. Since the original system was sized for only 2 bedrooms, the site plan for this upgrade to 3 bedrooms designates a 3 bedroom replacement site in the vicinity of test hole #1, which is sized on the basis of 0.8 gpd/sq. ft., using the measured perc rate of 1 minute/inch in test hole #1. The topography of the lot slopes in the vicinity of the test holes slopes to the WNW at approximately 10%. Because of this slope, the optimum design concept is a series of parallel 5' wide drainfields connected in series. The configuration of the lot and the location of the best soils in the vicinity of test hole #2 mandates construction of the proposed system near to the north property line. For this reason we are requesting a waiver of the normally required 10 foot separation from property lines allowing the proposed system to be constructed within 2' of the north property line which abuts Lot 1. Lot 1 is a very large lot, and the existing septic system serving the residence on that lot is over 100 feet away from the proposed drainfield on Lot 5A, and the well is on the far side of the septic system. Construction of the proposed system will have no impact on the ability to build replacement systems on Lot 1 at such time as they become necessary. No other known wells or septic systems are within 100 feet of the proposed system, except as shown on the site plan. As addressed above, the proposed project will have no Impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, T-c.�� Ted Moore, P.E. m h r a a N � b n ,V m t� co o O m -� i -A �„ A N m d • a mA N W Z O- a a N o m P4 ,V 4 t� a x o O < 9 -� i -A �„ A N m d • a RIDGECREST DRNVE ri o LA BE N 0 0 r- 0 0 H a 0 110 m P4 ,V 4 t� n ,00 *� uo 7C m 'y `N 'V mA m o0 Z -4 n x 3 U fi m M y 3 m z a RIDGECREST DRNVE ri o LA BE N 0 0 r- 0 0 H a 0 110 ?fit- X-770 z 0 �m o M 'V mA D Ld \ O 117 3 U fi m F y ^G � � T \ \ o Nrtv � TO vii aoo d03 z N Yrs zmy 8a x v m :xi' °) o d o O �r r m c v o� d Flo N x o O o - c (A Il - n x � r r 0 0 1 „�: A 35�_� CLEANOUT O4 -MONITOR TUBE C.O,'y T 4'1 F -SIO DISTR%BuTIoN LINES C.O. K 55' PLAN VIEW I' 10' y" NON - PERF D3034 10` 6"Oump IN MM2 CIO. Ot MIT. _ 5' Fo E- 1000 GAL SEPTIC TANK OR161NA� DOV$LE N•IT. C�.O� 2 `COVER MATERIAL GROVND C•0.y, �j y 2" INSuLgrloN pILTER FABRIC " CLEANOUT 3 MONITOR TUBE 2° fNSULgTION � � 2 INSULATION Oven TANK OVER LINE 2' �b" 1000 GAL SEP TANK Bump 3Ic FILTER SAND IN LINE To l' SEWER CRA✓Et LOWER 'TQeNCd tom-" 5P F1 -1EV SAND 2 ` SAND GRAVELLY SAKtD ^tea 6" SEWER 6RAVEL +(J� SECTION A -A BELOW DISTRIBUTION LINE EXcAm-re APPROX. 4' 1"=s` Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 QF A• •...1Y11..111..111�1. j,�+e • . • 1. 1 1 11 1YV`1/L•—,1' 1^/1(I//1//_a/•_(•rl,Ia THEODORE P, MOORE j• J I CE -3589 ;' 4 LOT 58, BLK 2, MAC -13E TH S/D 5E PT IC SYSTEM PLAN I- CROSS SECTION SCALE : AS sgowN DATE : S/I DWN Sy: Flattop 7echnica/Services 14530 Echo Street, Anchorage, AK99516 Phone (907) 345-1355 Lot 5B, Block 2, MacBeth S/D 11141 Ridgecrest Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandonment of the existing septic tank and seepage pit serving this lot and installation of a new 1000 gallon septic tank followed by two parallel 5' wide drainfields with a combined length of 90 feet. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around.any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank is to be abandoned by thoroughly pumping it, cutting the top out, and backfilling it in place with clean soil. 2.2 The new 1000 gallon septic tank shall be Municipally approved with two compartments, and shall be set level on undisturbed soil outside the 100 foot radius from the well. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A new cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed in the line between the septic tank and the soil absorption drainfield. All portions of waste lines that are buried less than 3' shall be insulated with 2" of rigid, burial type insulation. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by carefully stripping off the surface peat and reddish sandy loam to create a 5' wide bench in the top of the underlying clean gravelly sand stratum at a depth of approximately 4' below original ground level. Because the sand stratum is relatively thin, care shall be taken to not overexcavate it. The bottom of the excavation shall be level and follow the natural contour of the top of the stratum. 3.2 A total of 2.0 feet of coarse pit run sand shall be placed in the bottom of the excavation to create a level base for the sewer gravel. This filter sand shall comply with Municipal specifications. 3.3 A total of 1.0 feet of approved sewer gravel shall be placed on top of the filter sand with the perforated distribution pipes laid level such that the pipe inverts are no less than 6 inches above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. The non -perforated 4" diameter ASTM D-3034 pipe connecting the upper and lower drainfields shall incorporate a 6 inch "bump" causing septic tank effluent to utilize the upper drainfield first. This pipe shall also be insulated with 2" of rigid, burial type insulation. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel in addition to 2" of rigid, burial type insulation. A minimum of 2 feet of soil cover is to be placed over the insulation 3.6 The top surface of the cover material shall be graded to smooth contours which direct surface drainage away from the system. Fill slopes shall be no steeper than 3:1. 3.7 After the backfill soil has had an opportunity to compact, the owner shall arrange to cover all areas disturbed by the construction with 4 inches of topsoil and to seed these areas to promote rapid revegetation. 4.0 Inspections: 4.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sand filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after final backfill and rough grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. ....... • , ' Flattop Technical Seivices � N 14530 Echo Street 1aINEEJ Anchorage, Alaska 99516 �s.......>..•�••••,��•�� *. Municipality of Anchorage !✓ DEPARTMENT OF HEALTH & HUMAN SERVICES�' """"• ••w'••••• ••.. 825 "L" Street, Anchorage, Alaska 99502-0650 �� ,Qy ;�H=oCE- F. onooRe3589 ao SOILS LOG — PERCOLATION TEST ,�`o PERFORMED FOR: _ SUSATJ JA I: OV I TC 9 DATE PERFORMED: S/tI /7Z LEGAL DESCRIPTION:_ LOT E B RIK 2 MAC&rTH Township, Range, Section: SEC 23, 7120• R 3W DEPTH SLOPE SITE PLAN r 9 10 tt 12 13 14 15 16 17 18 19 20 COMMENTS FILL PT SM REDpisH SANDY LOAM SP/sM 51LT`I GRAVELLY 5/10 GM SILTY GAVELWAS GROUND ENC UNTEREDATER ES Depth to \ Water (I4) Net Drop (M 12" a oRk Dp Mp IF YES, WHAT S /6 rr P DEPTH? 15 5ATVRATEDE 2 -Yg t 9v o Depth to Water After „ 27 3/8 Monitoring? 10'Y B6t Date: 5/18/012 NZ o SEEP .A. Reading Date Gross Time ,Rme (MIN� Depth to \ Water (I4) Net Drop (M 12" a oRk 2 1121: �{0 27 4 11:26:30 2 -Yg t 9v o 11:27: IS 27 3/8 START 11:30:25 23318 2 21 s 3,F 23 S/2 go =11*33 21 3/y23% 23 '/m - �. ,y . yy PERCOLATION RATE 1. 1 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN t FT AND —_ FT PERFORMED BY: -FLATTOP `iECN SVCS I ��Z CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: z7/9 2 72-008 (Rev. 4/85) Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 • Municipality of Anchorage 0 DEPARTMENT OF HEALTH & HUMAN SERVICES t 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST TN,a- PERFORMED FOR: SUSAN JA kOV I TCN DATE PERFORM d1r Fi* r...... �THEODORI> F. MOORS CE -3589 :°'fir;: •..... •: ick LEGAL DESCRIPTION: Lor S B PIK 2 MAC&rTN Township, Range, Section: SE( 23 '1 IZN R 3t✓ DEPTH p SLOPE SITE PLAN (FEET) r T E c 1C 11 12 13 14 15 16 17 18 19 20 COMMENTS SM REDDISH 5ANDY LOAM SP GRA WELLY SAND 6RAVE1 FRACTioN INCREASING NEAR BOTTOM OF STRATUM SP/SM SILTY 6RAVEILY SAND (SIMI'IAR To MATERIAL IN T.y, 01) SM GRAVELLY, SILTY SAND WAS GROUND WAT�. ENCOUNTERED? IF YES, AT WHAT DEPTH? YES S L 16 9` D 6M P E SANDY SILTY 6kAVEL(Iepth to Water Alter , Monitoring? 8'2 'M. Bale: 5118/92 DAMP Nz0 SEEP i. N. Reading Date Gross Net Time Time Depth to Net Water Drop RESOAk $ 92 12: S/ 2 o 12:S1:3o i63/ DR S GAL I z-. s6 18 '• sb : IS 17 D PERCOLATION RATE j (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN S FT AND 5 1/2 FT PERFORMED BY: _FLATTOP TeCN SVCS ,fr-4-e'( %^p CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: E I2 7 19 Z 72-008 (Rev. 4/85) �q►'�, ter !�` -w Flattop Technical Services •• • • • • • • • 1► 14530 Echo Street 3 • GINEEq,S Lf ' ' 49TH P Anchorage, Alaska 99516 �s..,,0 0 , ,. • •, age** *. ,•, Municipallty of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ,`�•�•'•'• •• �•••�•• . .V� ;THEODORG F. MOORE 825 "L" Street, Anchorage, Alaska 99502-0650" ':?, •. CE . 35II9 : • ti rI SOILS LOG —PERCOLATION TEST �0�,•..�••••• *0�e!o T. tl:, # 3 PERFORMED FOR:—SUSAN JA )COV I TC rl LEGAL 1 3 4 5 7 8 9 10 DESCRIPTION: LOT S Q KK 2 MACBETN Township, i PT 5M RE'ADISq SANDY LOAM 5P GRAVELLY SANDloe GM SANDY, SILTY GRAVEL � H'O SEEP (LEANER LENSES WAS GROUND WATER 8•N ENCOUNTERED? Range, Section: ERFORMED. SEC 25 7'1 R 3W DEPTH (FEET) SLOPE 1 SITE PLAN N I TDI2 c - 7 . ES 11 s IF YES, AT WHAT / I L 12 DEPTH? ro P E 13 Depth to Water Alter Monitoring? 4'$ 136L Date: 5 ) /92 14 Reading Date Gross Net Depth to Net Time Time Water Drop 15- 16- 17- 18- 20 516171820 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: _FLATTOP TECH SVCS IC -� %%'�,..,L CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S -/Z7/9? - 72 -008 (Rev. 4/85) GAAB-HD-I G�kATER ANCHORAGE AREA BORPMPH HEALTH DEPARTMENT L� -^' 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM r Jr� 5 i C� 1/�� 1 C} %� �� �- ADDRESS r ( ' jo s i NAME �r`i � (Jr� eL� I. �A dA')Ci(_Pi40'1Nf IPTION k01 % tai SEPTIC TANK: NUMBER OF DISTANCE FROM WELL ��� MATERIAL (�ewu Cv, — COMPARTMENTS-()-j'r, -4, 6 , . m) LIQUID CAPACITY A 0 G"_C GALLONS, INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS -OUTSIDE DIAMETER / OR WIDTH r e f LENGTH, DEPTH LINING .MATERIAL `- � �-mjcc �t . DISTANCE FROM WELL ���r "' BUILDING FOUNDATION s�Ci 'F - NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) A k'> �r SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE , OF LINES_ NUMBER OF I`QZ DISTANCE BET LI ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE ENCH WIDTH EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE. IN. ABOVE TILE �3 ` r� i DISTANCE FROM WELL: �% 1 L;. 17a,1L(..G`;� ( WATER _. TYPE DEPTH BUILDING FOUNDATION.—SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE` % OTHER LOT LINE SEWER LINE TANK Gad SYSTEM Ort CESSPOOL SOURCES_ DISTANCES: A =©v z-7 ` DIAGRAM OF SYSTEM y GAaB-HD-2 GREATEr'ANCHORAGE AREA'"iOROUGH case No. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT'S NAME b APPIJCANT �' -2�- / ( MAILING ADDRESS 7,r) X Al Z'S PHONE N�49. RESIDENCE ADDRESS.U� I )1 e' t f , LOCATION OF INSTALLATION LEGAL DESCRIPTI'bN UT 31 K z M a Jul APPLICATION `f011�STAL°L; SEPtIC"fiAI�K' ��-,�SEtE�PAGE'PIT ��, DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY � M I-) B_'M FINANCED THROUGH - F TO BF�'INSTALLED BY LLQ(_IKF PERCOLATION TEST RESULTS ANTICIPATED DATE OF COMPLETION NO7YE BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT yin(Z PiN36 L. %k) S �' THIS IS TO SERVE AS PERMIT TO INSTALL A lz_' Wv AS DESCRIBED BELOW. IZE OF UNIT T,O..BE SERVED 'h � - SEPTIC TANK SIZE 1000 TYPE SEEPAGE AREA TYPE DISTANCES: U) e_VQ �r 4-a p -u)' I OCA ►J Ny-n,- �0 *V 41 HEALTH AUTHORITY l OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. rte, ►Y Q U'� V _c) L I ® �ou c - DATE J 1D APPLICANTS SIGNATURE.f'.i s } ` ►` �",IGR.EATER, ANCHORA E AREA BOROU Hr,', HEALTH DEPARTMENT CASE i# 377 EAGLE STREET ANCHORAGE, ALASKA 9950.1 Performed For�Rj)be, irVnlc of,Date Performed � ip:2n Legal Description-. Loth Bloek-'�Suhc ssion�G This Form Reports a: Soils Logue ereolatxon'rest Depth Feet Soil Characterist..cs The sed vnenis Grp errJit ((iFi1 erudue Sec�ivv%eM+Si to e-(1uv�c1 f! This 1jro,4('je represents ori auer&ye- There s ,, kic,4 Pert¢ni,ay.e C4 sand S"-? loe4rAC41es &L,J fke Sor4(1 i5 D t rt" ivltovApte}e Vra+u rte. ttir sediwienis n re eo,-n p4c:I- �,iih a (o,L) r�,oisfuve A ML 11 Was Ground Water Encountered? Of, °e@ If Yes, At What Depth Location Sketch Reading Date Gross Time Net Time Depth To H2O Net Drop erco a ion Kate ,inu e Proposed Instailat� ion— Seepage Pit Drain Field Depth Of Inlet u , Depth To Bottom Of Pit Or trench �� r COMMENTS: �s d Test Performed BS :a pe r -c_ r n Data Certified BY: ��® , o fiS > i.a Dat V2 A4 A MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES}' T Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 4 r f_ -S t I o 2'N 1. 2. 3. 4. GENERAL INFORMATION HAA # "Qn QL LA i iii Complete legal description L.ot Sri 6locL 2 Mac Ecm S /D Location (site address or directions) 11111 t3tcteje crorf Dr'tt,c. Property owner Ran►on meoiler Day phone N-4. Mailing address I009S' Decti•,ec Di.� Wesfminsfer, CA 926'83 Lending agency C1 1 -Y htvri aqe Day phone S63 _o2vo Mailing address q&S w 3G �`' A�G� +Aah rrapG 4 kc 99.ry Z Agent Susan Jac leo v�clti fent 2/ - Ntw Hoi t zetr Day phone S62-6-233 Address 220 E Tcca cr- Rol ,4n� e A k 99S0 7 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water 3 \. NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA 021 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Flatf-off %clinical See-v;ciel Phone 3ZS_ - 13437 Address yh'S30 Ccho -574., ,4nc� �, A1c 99S/xe Engineer's signature 07-/ - - Date June 30 1992 1W ko .........♦ ......: ... . E _ I. THEODORE F. MOORE; L $ " �•. CE - 3589 044444 '. 6. DHHS SIGNATURE WA;PjMAMM Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: A IZ7 Additional Comments By: Date i - S a O/A The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rov. 1/91) Back MOA N21 Municipality of Anchorage Department. of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 1^of 5,6 421k 2 Mac Sey% SID parcel I.D. D/ S -S1/02 A. WELL DATA Well type Pvt If A, B, or C, attach ADEC letter. ADEC water system number N. A-. Log present (Y/N) i� Date completed Driller C/eM ens00) Total depth 197 r Cased to 197' Casing height 1B p Sanitary seal (Y/N) _ Date of test Static water level Well flow Pump level Wires properly protected (Y/N) FROM WELL LOG 8 /6/ 70 /5-0 IS, 9— p.m- SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot AT INSPECTION y / ZY/ 92 M 156 rT't > 6. 7 g.2 v OS -1 ; On adjacent lots > (oo oat ; On adjacent lots > 100 ' Public sewer main N.A. Public sewer manhole/cleanout Petroleum tank None o6Sef-v,-4 C F' i f—U Sewer service line �1 G' WATER SAMPLE RESULTS: I -e Coliform D co l /166 /h a Nitrate D. 2.Other bacteria O col /r°o ^,a Date of sample: y/2 y /9 2 - 04,fu"19 21 Collected by: F/at%p Tech S�� B. SEPTIC/HOLDING TANK DATA Date installed 25/ 92 Tank size 1000 `fat Compartments 2 Cleanouts (Y/N) y Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) N. A. Alarm tested (Y/N) N• �• Date of pumping,' N• r?. C newt Pumper N. A. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Wel l(s) on lot Q25 On adjacent lots? 100' Foundation 72 To property line—^20'i line 20' Absorption field S Water main/service line 90 + Surface water/drainage > too ' 72-026 (Rev. 7/91) Front - '• , CONTINUED'ON BACK PAGE C. LIFT STATION N. A. Date installed Manufacturer Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water Date installed 6I Z5'19 2 Soil ratingI1 �/e� eft' System type SI w10 0(r4;0f4101r Length 911 Width s.* Gravel thickness O -S' betow e ,e Total depth 2.3 ' Total absorption area 115"T 47' Cleanouts present (Y/N) Depression over field (Y/N) Date of adequacy test Results (pass/fail) for 3 Peroxide treatment (past 12 months) (Y/N) N If yes, give date Y Ntiu� bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: 6 /3 /9Z Well on lot 106' Onadjacentlots > tam' Property line 2/ u�alve� �srup� To building foundation -7 Y' To existing or abandoned system on lot 20' On adjacent lots '-z .70' Cutbank N.A. Water main/service line %S Surface water 7 tooDriveway, parking/vehicle storage area 20' Curtain drain IVone e6fef tleo� E. ENGINEER'S CERTIFICATION I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. n Signature T.KQ;.•'�`•;^�{ Engineer's Name Thta aCaee F. /'tuo @.'49TH ,r............�,...... �..�. Date _ Z"ne 30, 199 2... ..............y. **THEODORE F. MOORED 11� •.� CE - 3589 +� HAA Fee $ 170 ` fP Date of Payment -7—/ —`/Z Receipt Number a3? -2-7 CaX71 ) 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee:,$ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY a _fig A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. Lweowwr RY 5633.BSTREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 i ANALYSIS RESULTS for INVOICE #'53144 - - Chemlab Ref,# 92.1738 Sample # 1 Matrix: WATER Client Sample ID L5B B2 MAC BETH Client Name :FLATTOP TECHNICAL SRV PWSID UA Client Acct :FLATTOT Collected @ hrs. BPO# : PO# :NONE RECEIVED Received APR 24 92 @ 14:30 his. Raq# Preserved with AS REQUIRED Ordered By :TED MOORE Analysis Completed : APR 27 92 Send Reports to: Laboratory Super(iso :.S �YHEN�C. EEDEE i)FLATTOP TECHNICAL SRV Released By �/�,C . i'"� 2) ..................... 0.. ........................ ...s...................................................................... ParameterResults Units Method Allowable Limits NITRATE -N 0.23 rag/1 EPA 353.2 10 j ;I j i i Sample ROUTINE SAMPLE COLLECTED BY: UA, NO TAG FOR THIS SAMPLE. Remarks: .nq................................q.... .. . .................n............................................ 1 Tests Performed See..... Instructions` Above UA -Unavailable ND- None Detected "'_See Sample Remarks Above NA- Not Analyzed LT -Less Than,'GT•Gxeater Than ADSGS Member of the SGS Group (Societ6 Generale de Surveillance) i aRM {� 11�6sl Not G��,i �► 9 WEU SCHEDULE I,E.aI' U. S. DEPT. OF THE INTZRIOR C90LOCICAL SURVEY WATER RESOURCES DIVLSXON ai MASTER CARD ,..Iv bG sour * .17ri1IGrS ,G{� Record by L.._ faRV ✓/1, aL data gtnE nGtaM' D•ft/1461 Man C OT / : y ova state i 0 COunk or town) J fv'W 4,- l.�tttud*t too ro" 'd��• S Lon icuda• / 1 79 :$• sao_uenciil� � *; Lat,lon Y m a c �'""""'"^� o$r a• s nu�6ai1 �.y 213 n aoe u la Til =p. d lee Veil num erri� Q/ a t (j' ('i 1 ,w ;!,. 1 1 ' S7 Other F,h IN�. Local ue•; a,l•�',, , t , t t 1 t t' : , , �./ drnar �^ , `✓1 - Ira. ,.A$ ...,,,, 101 d m� Hama. Gt rao s/ Owner °t—""TM°t Ad_ar.ea• —� _ ._ Aj 0wnarahi•t county, red Cov t sty, �' Pr Vat Stara Adancy, paras Dile a (A) (d) (C% (L) (F) N) (I) oo '(N) (p) (R) - nV VF.4 ofoAll COOS, bottling, C", ..t;, Power, Fir D Xrr, Med, Ind, F L, I=OC, wa,,, A t_ar it Stock, 'neat, Unused, Rapraiaura, 1ta4lxiirga, DasaI"F S, Der•1-other, Ocher at U as oL 4U ( (F) .(D)� trwa11i A4odm, BaW10, Nx+t ^o•, Obs, 0i1•taa, Recharge, Test, UnurVhrWaste. Dtatroyad. DATA AVAt.__ W!Lb: !ll a,: I I 1. Freq. W/L maua 1 1 ttald_.gvil�r char. Ic� NYA, lab L's–A: , –'-- 70 ',..",::r.....u.�,.+.�,�..,w, .�,w.�...., moo. � ._.. „ n,:iA •dFwv,,. M.,, sual..ywaterd,_ta; typal (�JJJJ Y5,� FKag. Iamalitut L.. 1 pumpa4,,nvtntory: no, ap rigid: f{1444,.� a ' ARerture dardat yea F1 Log data= _._ _ t DY -wire 20 WEl l-D6SCR1Ft14N CARD SANG A8 ON MAStBR CARD Depth o waI1 % i t 17 Mear. !t id-� 2 s4Pt •yDth eugqd• ft I typoi am 'Caaln accuracy m ( Fini{ht .� _ Brae aravel, h(eit oq)n es!„ acrmen ■dr) ,shared,) R�Y•, •--�� concrete, (Dart. (aCtCdnj'�, gaoler e . Ft. )n (�) Method Dr Zia t �n� hvte ea61a pg, ayI -Jetted, air eaversa trenching, driven, de4v Data pareuwion, roearY, wamh, 9;nar tk3'Ty ,r„ intake setting: as ft 1 , tl11•r: !{ is p LtLt r.enm ' G) (J) ) 3D t • : air, buekit, cone, et multiple, muleylX•, (N) {P)^• (g) (g){ rai= (gl Deep (cont.) (tvrb.) Woos, piston, rot, eubmer$, tur6, okhmr gc Phar ar Shallow $ net LP ,e11 Ti°SL•..43 - e a u diaa•t, alae, dao, !'no, hand, d, wind; Nom, w^ mace n•. – fltmerlC. MP abgYe u !t belowL$D, Alt. MF , Atl,$pt ,/ „? , , , ,A Accuracy! w.t•r–»�.�'–.._.�....._. at W m9vrca �Q a11.i�1 SQ . "'------ EMU :• uAove above�71"1i'.–r '`41owi Dr el L{ Ylayld: _. "dpm a•c_r Drawdown- !t { r t ",3 Aeeuraeyt ao UALITY OF .,- 1F''^"'1I !" - t..,..+ --t aro �...�__..............—hr■ 1.,y...r111 Pum !n wATRR_OATA: son -9u1{ata 7 PW s —�� hleride 1--.--INard, ' SP. Conduct ,• x x 10d *am D,,,IIp pm '-31' >f Taste color, etc• e l Yell Hp, , v C,7 ' x i.ntltuda.lenaitudn p S MYDROGIOLOGIC CARD '—" s '1 Yfirosoatavhte 1--� SAME hq OR MASTER CARDp - 1 peevine■• 11..4_,.,1 � a rnl cry (Il Ton of depression$ ctrl%WA chamnsl, dans%, flat, hilltop, pink, ..amp, Vail sitar (i) dpi (g) (T) ,(a) M off%hors, podimant, hillside, terrace, undulating, valley Flat ,1Yf WOR ErgR: , syr 4m .Llchotorr• 1%% si squixer, 0%%4Rfns armee en, group A vifar ""7S""'7T'� Thleknes■• en th ofh well Us" to; to ft tr-..1.. r -4r a' a—° a" .....e. Sys C—�a4Yi�e Aa 4 aqu 6Mr oi'tlaL en, group Aguilar u " p„t.,+ Or!■in: Thteknoaa! :c s S Ien=th of Ne11 seen tai bepeh ee F! cep 1 tonna i ■ted lock: ' }EJ tt a0-L--6.T„„,;,,,Ali Source of data! �- _ 1� (laeth CO aeft ' ' Soured of data• a1� guvf ai a I Infiltration 70-1>, S aea3�� aLarlirlcl3 er..etlria pro , 411!elent rana;, gpd/f! I S Coefficient COtf� fi_idnt 8t_ OYRRosOYRRes f4•�+= Ya p_M — ...... apd/fta; Spot ca ■ _P._8r pm/fC, Hunbar eF aee�egia earAa: ri , v C,7 rA.'Va CHEMICAL & GEOLOGICAL LABORATORY J -ce A DIVISION OF COMMERCIAL TES'T'ING & ENGINEERING C0: LAOORATORY 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS for INVOICE # 55261 Chemlab Ref.# 92.3091 ' Sample # 3 Matrix: WATER Client Sample ID : L5B B2 MACBETH EAST HOSE BIB Client Name :FLATTOP TECHNICAL SRV PWSID UA Client Acct :FLATTOT Collected JUN 26 92 0 13:45 his. BPO# PO# :NONE RECEIVED Received JUN 26 92 0 14:30 hre, Req# Preserved with AS REQUIRED Ordered By i i Analysis Completed : JUN 29 92 Send Reports to: Laboratory Supervisor STEPHEN C. EDE 1)FLATTOP TECHNICAL SRV Released By (j C ' �� / 2) ..................................................................... . Parameter Results Units Method Allowable Limits t -----------------`-------------------------------------------------------------------------•------------------ NITRATE-N 0.55 mg/l EPA 353.2 10 r i Sample ROUTINE SAMPLE COLLECTED BY: CHRIS. i Remarks: .... ......................................................................... ..... .. ...... r+-1 Tests -Performed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA. Not Analyzed LT -Less Than, GT -Greater Than 0911IS S Member of the SGS Group (Societ(5 G6n6rale de Surveillance)