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HomeMy WebLinkAboutLILAC PARK BLK 1 LT 4ALilac park Block 1 Lot 4A #015-211-37 \ Municipality of Anchorage Development Services Department •''=- `_' I Building Safety Division = On-Sifts Water 8 Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.d.anchorage.ak.us(907)343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO50302 PID Number. 015-211-37 Name: TODD HARDESTY Wastewater System: ❑ New ■ Upgrade Address: 12230 LILAC DRIVE a ANCHORAGE. AK. 99516 ABSORPTION FIELD Phone: No. of Bedroome: (907) 244-7762 4 ■D"p Trench Oshallow Trench OSed ClUound Gather LEGAL DESCRIPTION '`� eaY� 0.8 Tdd a.pe sae M/se. n. (MAX)° R Block: Lot: Subdivision: aeplh b pp sollwn born . .. , peck Gear #.vire Innealh PIPs: 1 4A LILAC PARK SEE DWG. n 5+ n Township: Range: section: n eeew ebo eryM Vedw craw l'a'sso — — — SEE DWG. n 80 (2 O 40' LONG EACH) n WELL: ❑New ❑Upgrade Or" .we. 3 manbw of 2 enm a 10~+� k. pL n Cbwrbad. A&C To Caw is 0 Told WearpUen ens: 800+ Flee aeterbG D 3034/ F-810 -ICSNC' n R so. n o w� od@ tkw.m n.ea wa-Ar+ HOME SERVICES od.24-26/2005 a�n TANK cpu rt SEPARATION DISTANCES ■Septic ' 0Hoklirw aS.T.e.P. ocher To rrem septic Tank Ab tion urt Station Noldlr Torek 04-U sever urwe ir""re k"n ANCHORAGE TANK CepedW in 9mow- 1250 Well 100'+ 1006+ — — 25'+ uar� STEEL wawa. d 2 Surface water IDD'+ 100'+ — — — LIFT STATION Lot un. 5'+ 10'+ — — — w. a yMa a w.eR.eo." Foundation 5'+ 10'+ — Curtain Drain NONE KNOW �p war. ewvawa b Remarks: BENCH MARK iraww sea Dee"~ THE OLD SEPTIC TANK WAS COMPLETELY ABANDONED TOP OF DECK AGAINST FLOWER BOX PER UPC. •THE NEW TANK IS A DEEP BURIAL TANK 4.80 n ewaweerrs F �Q' .•••' " •'950 GEG, Inspections performed by: Ltd. Dates: 1st 8/24/2005 *....... ........ * . y.. 2nd 8/25/2005 3rd 8/26/2005 y ........... r Development Servic s Department Approval�00' 79 3 s OQ� •''•f3�3��cS��eo"e Reviewed by: Dote: c _"' QA and approved (0961011 IPERMIT NULASBUILT DRAWING PARCEL ° 7 SW050302 02 - 015-2111-337 A B FCO 13.35 5.41 STI 14.80 14.19 ST2 19.97 21.56 DBL1 21.92 23.86 DBL2 22.42 24.60 FD 23.40 26.48 FS 47.56 47.51 C01 66.06 68.23 UTI 65.05 67.42 CO2 45.07 38.20 MT2 44.45 38.40 CO3 69.89 67.20 WT3 67.98 64.70 C04 62.40=16 9.59 MT4 63.12 50.62 T� T"4 NEW �� SEPTIC TANK EXISTING DRAINnELD WILL BE USED AS A FUTURE SITE I I I I I I I I I I ' I ' LOT 3A, BLOCK 1; b LILAC PARK S/D 1 I I I 4 FVA0014G / / ♦ OF O. DSLI .� FS TH/3 DRNNFIELDS J� GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS ......• •• • • . •••• ......•••• I L w nw � to • ronwl M 6M • n "OrA gtr • pot po'Av " • o w.4w.�4mwV4r tEPARED FOR PHONE NUMBER: PACE NUMBER: •• •.... ... .... TODD HARDESTY 907 244-7762 2 OF 3 OQ P ff y Car ass.: CAL DESCRIPRON: DRAWN BY; LILAC PARK SUBDIVISION; LOT 4A. BLOCK 1. R.A.L.�Q •5��1. p ��� PE OF WORK: DATEP�of�sslooa AS -BUILT FOR SEPTIC SYSTEM UPGRADE 8/31/2005 Oppp� Vw .glad SW05 30 AS -BUILT DRAWING PARCEL 211-37 FINAL GRADE . too ooa TOP OF TANK AT INLET - 94.08 INVERT OF BUNG AT INLET - 93.51 ORIGINAL GRADE - 99.58 O HIGHEST POINT - n NEW 1250 GALLON SEPTIC TANK TANK AT 94.12 BUNG AT 93.05 rFINALGRADE NAL GRADE 99.00+ 99.00+ ,,,e --ORIGINAL CRADE - 99.29 AT HIGHEST POINT RT OF PIPE`IHVERT OF PIPE 90.59 i 90.29 �-BOTTOM OF TRENCH `BOTTOM OF TRENCH RELATNE ELEVATION OF BOTTOM 85.58 85.29 OF TEST HOLE O 79.58 MST HOLE DRY) GARNESS ENGINEERING GROUP, Ltd. ��_ CONSULTANTS 6 GENERAL CONTRACTORS �* PREPARED FOR PHONE NUMBER: PACE NUMBER: ••• •••••••••• TODD HARDESTY 907 244-7762 3 OF 3 J y meas. 793 LEGAL DEscwE vnoN: DRAWN eY: QO'oy : �•� q�d LILAC PARK SUBDIVISION; LOT 4A, BLOCK 11 R.A.L �Q 6�31J5 ov TYPE OF WORK: DATE o0�04CL�`� PROFILE AS—BUILT FOR SEPTIC SYSTEM UPGRADE 8/31/2005 GARNESS ENGINEERING GROUP, Ltd. =ate ==_ern CONSULTANTS & GENERAL CONTRACTORS am n =kms^ September 1, 2005 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lilac Part: Lot 4a, Block 1. To whom it may concern: Based on the site evaluation performed by Susan Oswalt and Joe Goodall the soils on the property above arc in accordance to the test hole performed by Mike Anderson. Attached is the soils log of the seXond trench. If you have any questions, please contact us at 337-6179. Thank you for your assn ancc. P.E., M.S. 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: gamessengineering.com PERFORMED FOR: v LEGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 15 16 17 18 19 20 COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST 19 (ENGINEER'S SEAL) DATE PERFORMED: v "Zq —yJ5 Township, Range, Section: 12P - m' �'Q'""'LC, 4TER a /� r YYY VVV Depth to Water Mer Monitoring? Batt ■■■■■■■■■■ PERCOLATION RATE (nninutevinCh) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: ' • 0'u"-tr I CERTIFY TT T TT IS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE f 72 -OW (Rev. 4185) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & 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: Aug 19, 2005 Expiration Date: Aug 19, 2006 Permit Number: SWO50302 Parcel ID: 015-211-37 Legal Description: LILAC PARK BILK 1 LT 4A Design Engineer: 0855 Gamess Engineering Group, LTD Site Address: Owner Name: TODD HARDESTY Lot Size: 110824 SO. FT. Owner Address: 11230 LILAC DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-2261 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: Issued By: Date: 4—'- -71 OS 01 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT 1^ APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 6/6-- o f f - a Permit Number •roperty . •D• HARDESTY •- . . •• Mailing address (1) 12230 LILAC DRIVE 0 ANCHORAGE. AK. 0 Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd.) LOT 4A. BLOCK 1: LILAC PARK SUBDIVISION. Legal description (Section, Township & Range) N/A Lot Size //O, ffi Acre Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade E THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above Information is correct. I further certify that this application Is being made fora Single Family Dwelling and Is In accordance with applicable Municipal codes. CARNESS ENGINEERING GROUP, Ltd. Permit Fees: q 0ae� + I� Waiver Fees, Date of Payment: �i- Iu��� Date of Payment: Receipt Number: Receipt Number:, GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS August 16, 2005 Municipality of Anchorage Development Service Department Onsite Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Lilac Park Subdivision; Lot 4A, Block 1, To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The drainfield is currently in the state of failure and needs to be upgraded. We are proposing that a dual deep trench type drainfield be installed . The integrity of the existing 1250 gallon septic tank will be verified during construction. If the integrity is found to be poor, we propose that a new 1250 gallon septic tank be installed. Three test holes where excavated on the property by Micheal E. Anderson on 9/27/1992. The new drainfield will be designed around the 30 foot radius of Micheal E. Andersons test hole #2. 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 topography drawing the average topography in the area of the proposed drainfield is a relatively flat. 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 arty 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.C. 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: gamessengineering.com I I I I IAT 12. BLACK 4; I I VAlNLIA S/Dj1 I I (NO CONCERN) i I SEPTIC I I AREA I LOT 11. BLOCK 4; I I VMA LA S/Dj1 I (NO CONCERN) I I LOT S. BLOCK 1; LILAC PARK S/D LOT 10, BLOCK 4; VAHALLA S/Djt I (NO CONCERN) I I r, LOT 9, BLOCK 4: I 4 BEDROOM VAWLLLA S/Dj1 I I FK)IfSE (NO CONCERN) I I I I LVAAK Wit. (NO CONCERN) I / / DUSTING I SEPTIC \ TMj2 \� LOT 7, BLOCK 4; I VkMlA S/Dj1 I I (NO CONCERN) I I I I I i i I I PROPOSED RNN;TaV I LOT 3A. BLOCK 1: I I SEPTIC I I LILAC PARK S/D I I AREA / LOT 6, BLOCK 4; VAHALLA s/Dj1 (NO CONCERN) i I II I I I._ I Lem r-)-\ LOT S. BLOCK 4; (NO�CONCCEERRN+I I •}. ` I LOT 6, BLOCK 1; LAAC PARK S m (NO CONCERT GARNESS ENGINEERING GROUP, Ltd. ;? Al C RDG SMO. SMO. 101 � MIOCMOf. Mf FC( -�1T • AC N •'�E�OU �w PAGE NUMBER: CONSULTANTS i GENERAL CONTRACTORS O PREPARED FOR. PHONE NUMBER. �Qp TODD HARDESTY (907) 244-7767 1 OF 3 LEGAL DESCRIPTION: DRAWN BY: ULAC PARK SUBDIVISION; LOT 4A, BLOCK 1, R.A.L. TE OF WORK YP SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE 8/16/2005 m".01ASI /1,9 / LOT 4. BLOCK 2: / LILAC PARK S/D LOT 3. BLOCK 2; LILAC PARK S/D .i NUMBER OF BEDROOMS:4 GALLONS PER DAY (OPD): 600 PERCOLATION RATES: 5.5 MW./INCH PROPOSED APPLICATION RATE: 0.6 MINIMUM DRAINFIELD SO.FF.: 750 DRAINFIELD DESIGN: MAAMUM DEPTH:14 FEET WIDTH: 2.5 FEET LENGTH:60 FEET (2 O 40 FEET EACH) M.OA APPROVED SAND FILTER: N/A EFFEMvT-' 5 FEET REDUCTION FACTOR. N/A TO OBTAIN A COPY OF THE LETTER CONTACT CEG BY PROCEEDING FORWARD WITH THS INSTALLATION. THE ENGWEER. WELL DRILLER. CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY I«:i» TMt )F DUSTING 1250 GALLON SEPTIC TANK WILL BE VERIFIED RING CONSTRUCTION. IF THE TANK /WILL BE REPLACED WTO /7 N SEPTIC ISI I ISI I I I LOT 34. I BLOCK 1; � LILAC PARK S/D PEP G � M INSTALL FLOW DIVERTER • ice\\ ���_ l /RLS SPI / FLOW SPUTER ILL RNC DRNN WILL REIAAIN W PLACE FOR FUTURE USE / GARNESS ENGINEERING GROUP, Ltd. p°O`*'�' y CONSULTANTS & GENERAL CONTRACTORS ""' ............ =I L noa Ado IaR "I • A400MM r 6w • wIDI[ • W pvr)uraw • O ...�... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: . ••"••' ••......; •.. TODD HARDESTY 907 244-7762 2 OF 3 DO p IF r A mess: LEGAL. DESCRIPTION: DRAWN BY: Qy CE -79P3 LILAC PARK SUBDIVISION; LOT 4A, BLOCK 1. R•A•L 00 • '' • g �.Y'/°°o�' 0400 •Lol o\ 4 TYPEPATE: DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 8/16/2005 25' OWT GO w. I LOW SPLTTER IN FROM 101+ TANK owr 25' CO �L-0M-------------� ORIGINAL ww GRADE -1 RI'{ rFAgRC FILTER 14' ORIGINAL GRADE - 14' GARNESS ENGINEERING GROUP, Ltd. * • 4 CONSULTANTS & GGEENR EAL CONTRACTORS ' • • • • "" ""' """"' =I L TIDOII 11M0. SM 101 a MOCWOL K MW • "CW 00W eln • WI (MY}p O • � eee�MI PREPARED FOR IPHONE NUMBER: PAGE NUMBER: TODD HARDESTY 1 (907) 244-7767 1 3 OF 3 V_ DESCRIPTION: LILAC PARK SUBDIVISION; LOT i OF WORK: DETAIL FOR PROPOSED DRAINI (Iter. Oi=) BLOCK 1, R.A.L. DATE: UPGRADE 8/16/2005 AS A. 6amess... r r Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: IIA,eZ-2F� ill OA' LEGAL OESCnIPTION: I /l L/Life. lc .q o /G Township, Range. Section: r Epr� SLOPE SITE PLAN 1 4 I�4Om� GAc•rt=.o !-'/ 14. 5 � I /27/i r�. s 7 8 9- to - 11 to 11 lK/1br0 13 (A(;Ih(AtAL) 14 15 16 17 18 19 TN,z WAS GROUND WATER ENCOUNTERED? No IF YES. AT WHAT DEPTH? Depth to Waler Alter Monllonnp? A160—' patr 7 L 20 —• Ohl „ PERCOLATION RATE 1512-ammuieLmchl PERC HOLE DIAMETER 6 TEST RUN BETWEEN 9 FT AND �U FT COMMENTS rn-r /NISTALLfDi f/01E PPrs0 1KEy Reading Date Groff Time /%/Af, Not Time M/.V. Depth to Water /N Net Drop /AI / �•/z•�z — 2 ry of /O. 15, PERFORMED BY: ,V 1. M c FA D n P P ( 114"41 4E"LQL—'7CrN.TIFY THAT THI TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: &' 9 1L 72.008 (Rev. 4185) Municipality of Anchorage Page 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: —�iW PID Number: 0/,5z 11 3 '1 Name: Wastewater System: 8 ew ❑ Upgrade 7-- � / / )� = r Address: AM0 C...pJti)vT�Ca C F�f- Ia# lVfr'. ABSORPTION FIELD Phone: No. of Bedrooms: p�6eep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: 8 Total Depth from original grade: 15 e GPD/Sq. Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 41 A /- C.. 4 k'. I/ g / Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: Ft. 7 �/ 7 Ft. WELL: ❑New El Upgrade ' Gravel depth: S_ Number of lines: Distance between lines: Ft. Ft. Classification (Private, A,,B,C): Total Depth: Cased To: Total absorption area: Pipe material: f/ -' I V /'I ( is', 161 FL 1 Ft. -1 Z so. Ft. b 3O .T'-, Lz _ Driller: rDate Dril ed: 'l �T%. Static Water Level: BS Installer: Date installed: A L. _ %M f to FLg�- _— Yield:Pump Set at: Casing Height Above Ground: TANK GPM /1/DT IAI 6_�% Ft. Ft. SEPARATION DISTANCES 215aptic ❑Holding ❑S.T.E.P. To Septic Absorption Lift Holding Pvbtic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines L. J":���F ��'-f`�- /_. r5 �..�--- Material: Number of Compartments: Well 1.2 /08 > /00' >/00r — - LIFT STATION Watere LotSize in gallons: Manufacturer: Line ' 2111 —� "Pump on" level at: 'Pump off" level at: High water alarm at: Foundation 0r ,, / Curtain / i •,�._. �� Pump Make & Model Electrical Inspections performed by: Drain /Z6- 1,90 BENCH MARK Remarks: Location and Description: Con I�.t<T-:~ SLAB Ar l /IeAC- r Assumed Elevation: ENC,[Nfigi'S SEAL S A A p r it a Inspections performed by: w M C t- A D D E - W Dates: 1 st g Z z C 2nd 29 9 ',�+ +loon o0 X001 ; t • Anderson 6 a;<• S1.E Department of Health andHuman Se ces approval Date: Reviewed and approved by: 72-013 (1/91) MOA 25 Permit No. SOLI 9 Z Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 to Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LoT yA ft I L ! Z AC PA K• PID No.: 0/52/137 FoR DF51��1 c4 O O F J I_ p o AsS v/1iF-O Cj CJ o- EL,/00, h0 V SCAB � a) N �s Aj r- 72-013 A (2/91) MOA 25 i F `3��eMTI(�i 51� FoR DF51��1 c4 O O F J I_ p o AsS v/1iF-O Cj CJ o- EL,/00, h0 V SCAB � a) N �s Aj r- 72-013 A (2/91) MOA 25 .=/fes/ - < :4 - - - ����y� \* \� -- §! )•� \2�� O e , y Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0659 SOILS LOG — PERCOLATION TEST �WIUJ r Y !• I Ee 14, T _ a?ac 4 ``,i.nderson o f n l`` r asap __°'•c'��; PERFORMED FOR: // 9 10F DATE PEA. �K+.E)S°�= LEGAL DESCRIPTION: Lle Township, Range, Section: DEPTH f SLOPE SITE PLAN IFEETI i i l 7 r�-�� ' ML 2 C0m1')14CrC-D 3 FI // P)4TF_ 2/Al a 5 6 M7- A 10 I WAS GROUND WATER 14 Railing Oatr Gross Not Deocn to Nrt Tina Tilavo water Drop 15- 16- 17- 18- 19- 20 5i617181920 PERCOLATION RATE (mmumumcn) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND �eFT COMMENTS C0W'S ISTENC / CFltrCIc� OF L 5 ('�53) %)-276i MOf' C�PI��IVLAP, —_ PERFORMED BY: W 1s,�^ �� I — CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. OATS 72.068 (Rev. +185) ENCOUNTERED? 11 IF YES, AT WHAT OL ! o d r L lr DEPTH? P 12 G f,)/4,D FEE E S 6 N (�S ato nrvalr ma 13 Um 14 Railing Oatr Gross Not Deocn to Nrt Tina Tilavo water Drop 15- 16- 17- 18- 19- 20 5i617181920 PERCOLATION RATE (mmumumcn) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND �eFT COMMENTS C0W'S ISTENC / CFltrCIc� OF L 5 ('�53) %)-276i MOf' C�PI��IVLAP, —_ PERFORMED BY: W 1s,�^ �� I — CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. OATS 72.068 (Rev. +185) From : ALPINE DRILL 907 345 0202 :pro. LOCATION OF WELI Oct,01.1992 04:07 PH P01 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD CONTR/A6TOR INFO/RMATIOJ/N: Regis( d Business Name �T 4,< gnature of Authorized i e�esorit4tiveatD e REMARKS: PLEASE MAIL WHITE COPY OF Lai TO: DNR/DIVISION OF WATER ' PO BOX 772116 EAGLE RIVER AK 99977.2116 BOROUGH..�� SUBDIVISION LOT BLOCK SECTION UTRS SECTION TOWNSHIP RANGE MERIDIAN DN DE /�f� rz ❑ ❑ 1,x..4 -e,. S W LOCATIONISKETCH: WELL OWNER: r' ggg;' %t/u v :r/ DEPTHS MEASUR90 FROM:'Boasing top ❑ground surface WELL DEPTH:/(, � DATE OF COMPLETION: Depthof hole: ft BOREHOLE DATA: Depth Depth of casina�.�—ft 1• 7 ! - Material Type and Color From To DEPTH TO STATIC WATER LEVEL: it below ® top of casing ❑ ground surface Date: 6Jj ��!a / METHOD OF DRILLING: `CA air rotary ❑ cable tool ❑ other �,- USE OF WELL: (A domestic Q Irrigation Cl monitor is �'fx •,,.r,•1 1. ......,l v �i 7 ❑ public supply ❑ other.. CASINO STICK-UP: 2 _ft. Diam: ,�___in, toL6bt ..<.:! r.., ., s, ....� (,• % (J ?. Casing type:_._• in. to _ 1t { _ WELL INTAKE OPENING TYPE:,U open end ❑ screened ❑ perforated ❑ open hole Depths of openings: to It / +.,+r,,.<..* el' fiz <<^ �• I' /$ 7 �la i SCREEN TYPE: _ Diam: in. Slot/Mesh Size: Length:_ ft GRAVEL PACK TYPE: _ Volume used: Depth to top: { a_, ' 6 ' ' i aGROUT V TYPE: Volume: I. J, Depth: from _ ft to ft P - {-�11 1,j)J DEVELOPMENT METHOD: 24ce- 6 Duration: Z 2c2fn Mu1j; :' of A " y PUMPING LEVEL AND YIELD: Dor, ft after / —hrs pump1ng_ gpm; PUMP INTAKE DEPTH: __ft Horsepower: WELL DISINFECTED UPON COMPLETION? G YES ❑ N6 CONTR/A6TOR INFO/RMATIOJ/N: Regis( d Business Name �T 4,< gnature of Authorized i e�esorit4tiveatD e REMARKS: PLEASE MAIL WHITE COPY OF Lai TO: DNR/DIVISION OF WATER ' PO BOX 772116 EAGLE RIVER AK 99977.2116 ANDERSON ENGINEERING P.O. Box 240773 Anchorage, AK 99524 Municipality of Anchorage Department of Health and Human Services 82.5 "L" Street Anchorage, AK 99519 Attention: Dan Bolles Reference: Lot 4, Block 1, Lilac Park Subdivision Subject: System As Built Dear Mr. Bolles: The installer of the subject septic system, Harten Construction, placed the drainfield lines using a lazer. They further state the lines were placed level with no variation from end to encl. As built elevations were determined by placing a grade rod in the cteanout at each end of the field and measuring the elevation difference using a level. The accuracy of the as built measurement is hampered because of the difficulty of determining whether the grade rod is actually at the invert of the drain line. The contractor was notified of the elevation difference and told that according to Municipal ordinance all systems must be installed level. He again reiterated his position the system was in fact installed level. Based upon past experience with absorption systems I do not feel a .36' variation will adversely affect the operation of the system. The contractor has advised that all future installations will be installed level for engineer and MOA approval. Sincerely, Michael E. Anderson, P.E. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW9202.09 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:HARDESTY TODD A & OWNER ADDRESS:1963 COMMODORE DRIVE #7 ANCHORAGE, ALASKA 99507 PARCEL ID:01521137 LEGAL DESCRIPTION: LILAC PARK BLIC 1 LT LOT SIZE: 110824 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 ml THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 8/05/92 EXPIRATION DATE: 8/05/93 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: ENGINEER WILL SUPPLY ONE ADDITIONAL SOILS TEST AT THE TIME OF CONSTRUCTION TO V�EF�IFY CONSISNCY OF SOILS AT NORTII END OF TRENCH. �/ / / RECEIVED BY: ISSUED BY: DATE: DATE: -S" 7 Z ON SITE SYSTEM IMPACT L4 BL - Lilac Park Subd. Installation of an on site wastewater system and well for this lot should have little if any impact on the surrounding properties due to: 1. The subdivision has large lots and there is plenty of room for water and wastewater systems plus reserve systems on the lots. 2. Installation of on site systems will not effect the lot drainage or drainage in the area. 3. When this subdivision was developed excess materials from road cuts, etc. were placed on this lot and all materials are well compacted at this time. If you have any questions please contact me at 344-4551. Yours //Truly, M. 'Ut•e't &LL' Michael E. Anderson, P.E. F 'r Q (,�'g 0(D� oEaa•upu n�^ c0Y•1, c oonp r0 �• �� rn ,, Michael L.. Anderson 61.7 sti a �asv rii� uosaopuV' '7 �en9'!W E �© ,weenap a'�cooe._ocn 20✓�odvc lo'J{iv�°via i`� o � � y Z BY GG( -)i_1% DATE 7 /� ZZ_ CLIENT --LZ R SHEET OF e— CHKD. BY DESCRIPTION Z- i / A /_ r;� r / im N -� %/`ate Los. 750 F� AJDP, PATE �2 fgg 0 t'+p BEo�O� BaOCC o 33�,.Q Oa90°o0a° 0 �' �' I�_n/�oo�eo Lr °aeon Mkhaol E. Rndcrson - �c ;12 !7 �T Ci G1 C3 [ EN 1S (10/78) c� rho M o r m i Municipality of Anchorage R f,EB 5 "LMStr et A chorage, Alaska 9 502-0650 T OF HEALTH & HUMAN EJ SOILS LOG — PERCOLATION TEST 1/ { PERFORMED FOR: _17 IP.G>��%J/ DATE P LEGAL DESCRIPTION: _ Zz) j Township, Range, Section: DEPTH SLOPE WAS GROUND WATER ENCOUNTERED? N o S IF YES, AT WHAT L 0 DEPTH? P E Depth to Water After Monitoring? Q0 WATER Dale: Michael E. Anderson u{! SITE PLAN to Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER �1 TEST RUN BETWEEN FT AND _ FT COMMENTS /i l 7- �r�n7-A 4 / U PERFORMED BY: C EA01: f`J I i�,, ER1"7'M-THATTI�JIIISTEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '_/ -.,. / 9 Zr 72-008 (Rev. 4/85) (FEET) 1 - ML 2 COh���flcTr 3 4 5- 6- 7 8- 9- n�1 c. 10 11 12- 13- 14 15 -- S P 16 PoopLy 17 6�i?UGU 18 19 WAS GROUND WATER ENCOUNTERED? N o S IF YES, AT WHAT L 0 DEPTH? P E Depth to Water After Monitoring? Q0 WATER Dale: Michael E. Anderson u{! SITE PLAN to Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER �1 TEST RUN BETWEEN FT AND _ FT COMMENTS /i l 7- �r�n7-A 4 / U PERFORMED BY: C EA01: f`J I i�,, ER1"7'M-THATTI�JIIISTEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: '_/ -.,. / 9 Zr 72-008 (Rev. 4/85) in Municipality of Anchorage r''( DEPARTMENT OF HEALTH & HUMAN SERVICES rC5 ' 825 "L" Street, Anchorage, Alaska 99502-0650' ° SOILS LOG — PERCOLATION TEST o �E�6`fN,f R'S SEAL) J . Michael E. Anderson nn � f, PERFORMED FOR: A /_ � /vV DATE LEGAL DESCRIPTION: G. IZ/%/< Township, Range, Section: FIDEPTHI SLOPE SITE PLAN III 2 m� 3 C �mj�eJc�t�l= i� 4 6 7 — (9 Pe`a /I 8 -- s 10- 11 P o D 1": C_ Y 1, F, A #a 12 13 � f; l 6 # 14 15 16 17 18 19 T#z WAS GROUND WATER S�� ENCOUNTERED? 0 S IF YES, AT WHAT L DEPTH? 0 _ P E Depth to Water Alter Monitoring? -dl6 0 E Date: 12-- 0 Reading Date Gross Time AVIA/, Net Time /i%/'U• Depth to Water /Nr Net Drop /A/ / 7 /2 9,Z — — �3 r/ /o. s .� • l 3 � „ 20 PERCOLATION RATE -- ,F'� .r ' HF � (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN C� FT AND / FT COMMENTS MT PERFORMED BY: W �`^ )— %� �� r- t`-1 ""• �'"- L)=f TIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage a DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOC — PERCOLATION TEST S PERFORMED FOR: 141 .5 I/ DAl LEGAL DESCRIPTION: L r-1 L.. l L At- %�/l lam' lL.- Township, Range, Section: 1- 2- 3 4 M L 5 C0JYIA0-`rFt D 6 7- Gross Time/VJ//t/, (ENGINEER'S SEAL) 8- Net Drop IA" 7-/ - q z 9- r, . S 0 10- 11 12- 13 a--- p- a�JG9 14- 7 111.15 ana�5 c1 �. 9'JCP I -1 o 1 15- 16- 6 17 17 18 19 20 ---- - ---- —SON SLOPE Th' .3 WAS GROUND WATER ENCOUNTERED? IA O S IF YES, AT WHAT L DEPTH? O P E Depth to Water Alter Monitoring? No WATER Date: �7X 97 W 2t / Reading Date Gross Time/VJ//t/, (ENGINEER'S SEAL) Depth to Water 1A1, Net Drop IA" 7-/ - q z r, . S 0 — p- a�JG9 0A 1 7 111.15 ana�5 c1 �. 9'JCP W 2t / Reading Date Gross Time/VJ//t/, Net Time /y%/N, Depth to Water 1A1, Net Drop IA" 7-/ - q z r, . S 0 — (_ II 20 7 111.15 „ PERCOLATION RATE % (minutes/inch) ��PERC HOLE DIAMETER 40 TEST RUN BETWEEN FT AND —JJ— FT COMMENTS JtijS-rALL1=-L-) OLC Pte Ss0AKI'(� PERFORMED BY: W, MI FAA I E�"' r� LL' '7'E�TIFY TH T THISTESTWAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 77/1! b 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE MEMORANDUM DATE: October 26, 1988 TO: File; Lots 4&5 Blk.l Lilac Park FROM: D.N. Bolles, On-site Services SUBJECT: Imported fill. A site visit by D.N. Bolles and S.E. Oswalt, on this date, revealed that almost all the available area on both the subject lots had been covered with imported fill material. The thickness of the fill varies, however, the eastern extremity would seem to exceed 15' in depth. This fill material contains trees and other organic materials, thus rendering it unacceptable for use by on-site waste water disposal systems. Another concern is that the native organic mat may not have been removed and thus act as a conduit for surface and ground water. Also the storm drain platted along the back of Lots 1 and 2 along the side of Lot 3, discharges through a CMP to the north. This pipe crosses Lot 3 and may cross over portions of Lots 4 and 5 as well. Until these items can be taken care of the subject lots cannot receive approval for on-site well or septic. The storm drain must be platted and an easement granted,also no septic system may be allowed within 100' up slope or 30' down slope of the storm drain. The fill area must be probed and the content and depth determined. (j. i c"a If Dv1 i c"a Municipality of Anchorage�,a {4 On -Site Water & Wastewater Program ;llf (jt IS I�Ii3 (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-211-37 Expiration Date: / 1. GENERAL INFORMATION Complete legal description LILAC PARK S/D• BLOCK 1, LOT 4A Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 12230 LILAC DRIVE, ANCHORAGE, AK, 99516 RANDY WEDDEL Day phone 12230 LILAC DRIVE, ANCHORAGE, AK, 99516 GARY COX W/ REAL ESTATE BROKERS OF AK Day phone Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: 727-8990 727-4279 TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site N Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: f Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Y �b' Waiver Fee $ Date of Payment �P�2� �iJ� Date of Payment Receipt Number 6 1��Receipt Number COSA# �scl3la7l Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t 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. 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, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 seared 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 provide 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 otherperson or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Phone 337-6179 Date & t3 f rVy A.-Gopf ess; P CE 7953 vi bedrooms, with the following stipulations: -\N tOF ref, t, �a J ON-SITE WATER AND o WASTEWATER PROGRAM Original Certificate Date: & 12 —13 The Molt pall orWkaga Develop, emt Satvices 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: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11105) L� Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: LILAC PARK S/D; BLOCK 1, LOT 4A Parcel ID: 015-211-37 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 8/27/1992 Sanitary seal (Y/N) YES Total depth 161 ft. Cased to 161 ft, FROM WELL LOG Date of test 8/27/1992 Static water level 85 ft. Well Log (Y/N) YES Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 5/2/2013 93 ft. Well production 10 g.p.m. 5.28 —g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 1.38 mg./L. Collected by: GEG, Ltd. Arsenic: NO ug./L. Date of sample: 4/30/2013 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments E Foundation cleanout (YIN) YES Depression over tank (Y/N) NO Date installed 8/24-26/2005 Cleanouts (Y/N) YES High water alarm (Y/N) N/A Date of pumping 2/22/2013 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA *BELOW EXISTING GRADEI 8/28-29/1992 Date installed 8/24-26/2005 Soil rating .p.d./ r ftl/bdrm) 0.8/0.8 System type TRENCH/DUAL TRENCH Length 77/80 TOTAL ft. Width 3/3 ft. Gravel below pipe 6/5 ft. * 13.8/ 924/ Total depth *14+ ft. Eff. absorption area 800 ft2 Monitoring tube YES Depression over field NO Date of adequacy test **5/2/2013 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test DRY in. Water added 1 100 gal. New depth 43 in. Elapsed Time: 1385 min. Final fluid depth 9 in. Absorption rate >= 600+ Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - **TESTED SOUTH TRENCH OF 2005 SYSTEM. 1992 SYSTEM HAD 66" OF LIQUID IN TRENCH. D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in. "Pump off' level E. SEPARATION DISTANCES level at Cycles tested Meets alarm & circuit requirements? 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'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ 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 5'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS SEE ATTACHED REPORT DATED 2/3/2009. THERE HAVE BEEN NO INCIDENCES SINCE THE CORRECTIVE ACTIONS WERE TAKEN. G. ENGINEER'S CERTIFICATION i certify that t 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. Engineer's Printed Name JEFFREY A. CARNESS Date feIb113 (Rev. 11/05) r I .A.......ess.:.. . CE—(753 prof es sion°` GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS February 3, 2009 Randy Weddel 12230 Lilac Drive Anchorage, Ak 99516 Ref: Field Investigation of Septic System @ Lilac Park; Lot 4A, Block 1, Mr. Weddell: It is our understanding that Mike Blakeslee with A+ Home Services recently pumped your septic tank and turned the Bull Run valve from the 1992 drainfield to the 2005 drainfield. In the day's prior to this, Anchorage was experiencing abnormally warm temperatures, which resulted in rapid snowmelt/runoff throughout the city. Per your comments, at the time of extreme weather event, there was approximately 3' of water submerging the north end of the 2005 northwest drainfield. It is to our understanding that once A+ Home Services switched trenches, the water backflowed from the 2005 drainfield, filled the recently pumped septic tank and backed -up into the house. A+ Home Services was then called back to switch flow back over to the 1992 drainfield, which immediately stopped the backflow into the house. In fact, water in the house then flowed to the 1992 drainfield. Per your request, on 1/28/09 we performed a site investigation. A surveying instrument was used to verify relative elevation of all three trenches and the liquid levels. We found that the bottoms of the all three trenches are all within a foot of each other. This leads us to believe that it was not groundwater flowing from the 2005 trenches back to the house. If it was in fact groundwater, all of the trenches would have been fall to essentially the same level, and switching the Bull Run valve would not have relieved the situation. It is our assertion that it was not groundwater encroaching into the drainfields but rather surface water infiltrating into it, via septic pipes @ the ground surface. It is our belief that, given the fact that the clean-out and monitoring tube located at the north end of the northwest trench installed in 2005 were submerged in 3 feet of water, that surface water entered the 2005 drainfield, causing the resultant back-up. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com The weather events which occurred to cause the extreme surface runoff and flooding event are rare, but the impacts are severe. In order to prevent your system from being adversely impacted by surface infiltration, we recommend the following; • The monitoring tube @ the north end of the 2005 northwest trench should be filled with silty soil to within several feet of the ground surface. The upper 2 feet should be 'filled with ebonite chips. The standpipe should then be sealed with a glued -on cap, and buried below grade. • The clean-out @ the north end of the 2005 northwest trench should be extended above grade. • Import and place fill as necessary to prevent future ponding over the drainfields. • Don't operate on the 2005 trench system if the area appears to be flooded. If you have any qu$stions, please contact us at 337-6179. Sincerely, „ !, F% —`Jeffrey /A.arness, F.E., M.S. Presid@t u � 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengincering.corn I Municipality of Anchorage ' Development Services Department j Building Safety Division On -Site Water a Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us �� t (907)343-7904 CERTIFICATE f `Z OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 615--JII --3 9- HAA# 1. GENERAL INFORMATION Expiration Date: — S Complete legal description _LILAC PARK SUBDMSION: LOT 4A. BLOCK 1. Location (site address or directions) 12230 LILAC DRIVE • ANCHORAGE. AK. 99516 Current Property owner(s) Mailing address Lending agency Mailing address TODD HARDESTY Dayphone_(907) 244-7762 LILAC PARK SUBDIVISION: LOT 4A. BLOCK 1. Day phone Real Estate Agent BAaaMA ulataSOHN w/ PRUDENTIAL JACK WHRF Day phone 230-5577 Mailing address 3801 CENTERPOINT DRIVE, SURE j 200 • ANCHORAGE, AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E 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 Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 Health Authority 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. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 6 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 provide 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 _1� Approved for _A_ bedrooms. Disapproved. Conditional approval for Phone 337-6179 Date Q�3r�oS bedrooms, with the following stipulations: 'V • •• `7 r �: ON-5ttc nTFR ANDAND _ � WASTEWA1EK • o�nr,RAM Z, Attachments: � �• •' HAA Checklisty Maintenance Agreements ����ON�� Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: o�N Original Certificate Date: 9-1-050 -1"Q (Rev. 1201) Municipality of Anchorage ' Development Services Department ' Budding Safety Division �. OnSke Water & Wastewater Program 4700 South Bragaw St. P.O. Box 198850 kwhorege. AK 99519MM www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Desalptlon: - LILAC PARK SUBDIVISION: LOT 4A. BLOCK 1. Parcel 10:015-- 211- 37 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 8/27/1992 Sanitary seal (Y/N) YES Total depth 181 fL Cased to 161 ft. FROM WELL LOG Date of test 8/27/1992 Static water level 85 ft. Well production 10 9 -p.m - WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 0.812 mgA. Well Log (Y/N) 'IES Wires properly protected (YEN) YES Casino height (above ground) 18+ In. AT INSPECTION 18/2005 98 ft. 5.4 9 -pm. Other bacteria 0 colordes/100 ml. Arsenio N/A mgA. Date of sample: 8/9/2005 Collected by: GEG. LtD. B. SEPTICIHOLDING TANK DATA Tank TypelMaterlal STEEL Date installed 8/24-26/2005 Tank size 1250 9W. Number of Compartments 2 Cleanouts (YM) YES Foundation deanout (YIN) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping NEW Pumper - C. ABSORPTION FIELD DATA 00wilm7um "OLD TRENCH / 0/28-20/1992 0.8/ NORTH TRENCH / Date insured a 4-20 Sollrating .p.d ft9bdmr) O_8 System type SOUTH TRENCH n Length 40 40 ft. Width 3/3/3 ft. Gravel below pipe 6/5/5 ft. Total depth •1144+/ ft. Elf. absorption area 800+ ft' Monitoring tube YES Depression over field NO Data of adequacy test NEW Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test _ In. Water added�e ew depth_in. Elapsed Time: _ min. (past 12 mo.) (YIN &type) FOLD TRENCH WILL BE Absorption rate N g.p.d. If yes. ghre date - USED AS RESERVE SITE D. LIFT STATION Date installed 'Pump on' level at _in. E. SEPARATION DISTANCES Size in gallons High water alarm level at h. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankMft station on lot 1001+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service Ane 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer menhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDING 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 fine 10'+ Building foundation 10'+ Water main N/A Water service One 10'+ Surface water 1 OO'+ Driveway, parlingtvehide storage 5' Curtain drain NONE KNOWN Wells on adjacent kits 100'+ F. COMMENTS 0. ENGINEER'S CERTIFICATION ��v/� f 4. 1 certify that I have determined through held inspections and review of Municipal records that the above systems are in conformance wilh MOA MAA gukelines in effect on this date. Engineer's Printed Name JEFFREY A GARNESS Date 'a I4r�°S HAA Fee $ � � t or) 121oy�1 Date of Payment g'3 Receipt Number (FW. 1201) Waiver Fee S Date of Payment Receipt Number "ZA,EI-0- - - MITIF--��_ _ � , | | | ] � � X992 k § � , | | | X992 k § � , | | | I MUNICIPALITY OF ANCHORAGE • �_ DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# 0(52/137 1. GENERAL INFORMATION HAA # Complete legal description L yA ,QC i lid 9G P9/zi< Location (site address or directions) 1273 L LAG Z),Z i VF— Property owner I o DDIAP- EsTV Day phone Mailing address Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: q Nd 3. TYPE OF WATER SUPPLY: Individual well 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: 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. 1191) 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 _ AN D Phone Address } Engineer's signature �Gi�� < , (/t tic�t��®— Date 6. DHHS SIGNATURE _,2�__ Approved for y bedrooms. Disapproved. Conditional approval for Additional Comments 0 111 TIC bedrooms, with the following stipulations: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Flov. 1/91) Back MOA 021 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST h Legal Description: -LIA A E I �1 Cllr. PA 2/4 _ Parcel I.D. n/ 52• //3 7 A. WELL DATA Well type Pel'147E —If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed -1 Z Z — Driller Z,'oVlyl�—' Total depth /�-/ Cased to 161 ' Casing height 5 Sanitary seal (Y/N) Date of test Static water level Well flow Pump level Wires properly protected (Y/N) FROM WELL LOG 81,2 7 It? 2, X `? /O g.p.m. 1107— SEPARATION DISTANCES FROM WELL TO: AT INSPECTION o va .277 9•p�, OE TFlZih/USD 9 D an Septic/holding tank on lot _ !Zo ; On adjacent lots Absorption field on lot /0 s CD 0Q /.SO 2 ; On adjacent lots — > /50 Public sewer main MtLF_s Public sewer manhole/cleanout /x /LFs Sewer service line /157 Petroleum tank Nour= IN AREA WATER SAMPLE RESULTS: Coliform 5 Nitrate O Sa Other bacteria L/ Date of sample:193LCol L�71 -3 (Ni Collected by: W, cFA j�-^r B. SEPTIC/HOLDING TANK DATA Date installed cg ZS 9 Z Tank size 1 Z 50 Compartments Cleanouts (Y/N) % Foundation cleanout (Y/N) 2 Depression (Y/N) N( High water alarm (Y/N) — 011- % Alarm tested (Y/N) N,/X Date of pumping 1051A1 CONST. 6ef 1/le /3� Pumper CJcrr��ri�/ "Y SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /Zy r ._On adjacent lots —> /,Oen / Foundation To property line N yr r Absorption field 7 ",later main/service line Surface water/drainage > /Oo' O/ 72026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level A I A "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer 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 '/z9 Soil rating 8 System type -FI EWcN Length 77 Width -3 � Gravel thickness 4,_5 Total depth �S Total absorption area 92q Cleanouts present (Y/N) Depression over field (Y/N) N Date of adequacy test ME W Co0sr, Results (pass/fail) /SASS for `} bedrooms Peroxide treatment (past 12 months) (Y/N) r4 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot D 8 / On adjacent lots > 1S01 Property line 3 Y To building foundation 221 To existing or abandoned system on lot NbNE- QK1 4 -OT' On adjacent lots 5 07 Cutbank > /oo/ Water main/service line b/ Surface water > /��1 Driv �5y, parking/vehicle storage area i 1 Curtain drain'`��� E. ENGINEER'S CERTIFICATION t certify that I have checked, verified, or conformed to all MDA and HAA guidelines in effect on the date of this inspection. 6 Signature �ii 1 C- 1l VY A \ 3 f � ✓.. C= , �,, �, , � ` c z4!) Engineer's Name 1 i Lr �4� _-i�l� CTZ1a � �_ �" �-;°G Date HAA Fee $ I w 1(Li-) Waiver Fee: $ — Date of Payment Date of Payment Receipt Number�� `-t U t- Z_ Receipt Number 72-026 (Rev. 3/91) Back MOA 21 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Chemlab Ref A :93.0235-1 Client Sample ID :WELL WATER L4 LILAC Matrix : WATER Client Name :MCFADDEN, WAYNE Ordered By Project Name Project# PWSID :UA REPORT of ANALYSIS Collected :01/17/93 @ 15:00 his. Received :01/18/93 @ 08:30 his. WORE Order :62433 Report Completed :01/18/93 Technical Director :S EPHEN C. EDE Released By CL%� Sample ROUTINE SAMPLE COLLECTED BY: W. MCFADDEN. Remarks: QC Allowable Extract Analysis Parameter Results Qual. Units Method Limits Date Date Init --------------------------------------------------------------------------------------------------------------------------------------- NITRATE-N 0.30 mg/l EPA 353.2/300.0 10 01/18/93 01/18/93 LLH ...................................................................................................... See Special Instructions Above UA - Unavailable See Sample Remarks Above NA - Not Analyzed U . Undetected, Reported value is the practical quantification limit. LT - Lose Than D . Secondary dilution.GT - Greater Than rQ* w 113S Member of the SGS Group (Societe Generale de Surveillance)