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HomeMy WebLinkAboutLAKE O THE HILLS BLK 1 LT 6Lake 0' he Hills Block 1 Lot 6 #015-331-15 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211482 PID Number: 015-331-15 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name CHRISTINA M MORONELL ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11471 MOUNTAIN LAKE DRIVE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 GPD/SFJ Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot LAKE O THE HILLS 1 6 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100'+ __ - 25,+ TANK ® Septic ❑ STE.P❑ Hong ldiEl - p :. . Manufacturer Capacity Surface water 100'+ -- GREER 1500 Gal. Material Number of compartments Lot Line 51+ __ NA HDPE 2 Foundation 10'+ __ LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by installer DENALI EXCAVATION PIPE MATERIAL House toan tk 3034 Tank to 3034 drainfield Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdecctiiosn 1" 1/5/2022 2nd 1/5/22 Location and description 3`d 1/6/22 4'" TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL \I Conditional Approval: ..5-0-0 Aso, OF t '' Date X9 r • • • • • • • •.... . • . Septic System Approved - >� e % '• Curtis Huffman ����'�•.• Date �— •Zd CE128991 �'!�•. 1/6/2022 . �k,, OPROFESSION?� Note: this approval does not include well permit requirements. ..., ionc,nnia o � 11\GV -1-110 PID: 015-331-15 PERMIT: OSP211482 o`"• 19$ 2s s, o � 1? 0, o. Io O 8.0' s LOT 6 WELL BLK 1 I 58.5' e-Q� 5.0' .� Qtv O � o 0 29 S' irk w No 0 72 0' FCO B STAKED 100' WELL RADIUS PRIOR TO A DCO CONST. C H .._. !A!STP.LLED NEW - D. CO DCO 1500 -GAL HDPE SEPTIC TANK E F WITH NEW PRE & POST DCO. A -C=12,5' B -C=17.6' A -D=14.4' B -D=19,8' A -E=19.5' B -E=23,9' A -F=21.7' B -F=26,2' EXISTING FIELD SEPTIC SECTION SCALE, NTS LAKE 0 THE HILLS 131, L6 PREPARED FOR: CHRISTINA M. MORONELL 1147 MOUNTAIN LAKE DRIVE ANCHORAGE, AK 99516 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK@gmail.com JVrrVt'C 1 JtKVIGtJ: OFF5ALS C � * TH DATE: 1/6/2022 2022 rtis Huffman SURVEY. KGL'4, CE 128991 DRAWN: FWCS 1 /6/22 SCALE: 1" = 30' FESSIO10 m Hl - m m m =Z m O 3_3�oom 0 O ?t0 rA y 0< m m� m -,o m �o00�0- a u, 3'0007< a c m tin �O , °30mwv7�C� m -O y < s m � m m v �• � •. O m m c S� O p 0,40 D= 0. O ' mROp M m a� oa= rr O.0 aI 0 aQ3ai/Is mM L CL IA IX 0 3 "O m?0070 om _ �w-`o"�3 CD ? m m to 0 0 Z M m O o m. =r ca m ? O O m 'a 'fl O 's Xto (°.v3ca G o m m CL O o3 V� O c ? (3 NO to -+, 0 00 I m O .d:.+ 00'.3 0 ®�OGW m (ac > Nm3.0- 0 3 �c "a .03 0 m:mCD m '7 n w CL to -+ Pr 0 O m (O CO -+ tA 3.004140 0C NNS 0 •A• O) t0mrn�.A tA•<NV< c.n Cn(7)CD o a X 0 A 3 CC O G to m 0 -•I Z N c jr F_� n A Rr1 0 0 I c� I N o Ip�R�N 4.y•. � r7,3. I D=mN cn a to o m�Zju r2 o, I ju Z oc'm v o Desk ti ib of a °�t- x o` : o ©o��� . • • ST��Q�O o . do -.�rn rn z; n Q rf =. 1_ O W o (ID � COO PA y : o s 0� -a © W m C r V m0 0 D O Z S �o ocZi7� PmK mZ > -j -0a ;uZ x� ,00'ZZ L M. 1.9.90.00 N � =131.58' R --37o.00, D 00 \, D' DZZ 00 C1t <� U) \�\\ 3: \ MOX> �cm \ ---- m m Lr'�"AO M (/J CJ+ \ v a O. / 1 P r- A 00 pt! n y i Z x C.r \ Q / Z G Z /� _ 0 0 v \ m m ` r Ln o / L7 to -moi• zb I Opr G mJ Ut >� m V Sx I oD O 0 m V) zD m 7h r m W / �m f S 0 '00'00"E 100.00' / R r I'7 , MUNICIPALITY OF ANCHORAGE On-SIte Water & Wastewater Program P4 Bax 195550 4700 ElmarB Road .Ancharags, ALmW 9951 M55G Fftmw (907) 343-7W4 Fax, S907I 343-7997 http:?1wwr.!rnunl.argh0n!j le On -Site Wastewater Disposal System Permit Permit Number: OSP211482 Work Typt­ SepticTank Upgrade Tax Code Namber`. 0163A115W0 Site Legal AddreRs= I AKF n THF HII 1'.q AN K y I T F; 7 ❑ S lt.e Mailing Address: 11471 MOUNTAIN LAKE DIS, Anchorage Owner. MORCNELL CHRISTINA M Das 1-gM Engineer: FIRST WATER CONSUI_TI1,IG This permit is for the construction of; Effective Date rx pi rati on Data: Lot Size in Sq Ft; Total Bedr*omS; 12M2g21 12{112 54470 ❑ aisposar Field R1 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private well d Water Storage A] I oe detraction s hall he i n accords n ce wrrith, 1. The attached approved design - 2. All req uirements spacitl l in lirtlChOUBIge Mun ici pal code Chapters 15.55 Sri d 15.$5 and the Stage of Alaska Waslewater Disposal Regu lations (18AAC72) and Drin king Water R"ulatlons {1 BA_ACAOO . The WaStewateT Wode req ui res irtspoot ns during the installation- The engin-aer shall notify the Development SaMces .Department per AMC 15-65- Provide rn-oliticatlon by calJing (907) 343-7904 (24x7). 4, From October 15 to Aprll 15. a Subsurface soil absorption systern udder construction du ring freezing weather shall be either: a, Opened and Closed on the sarne day, or - Covered, Sealed, and healed to prevent freozIng penia I F revisions: Prior to construction, the bedroom count from M OA Pro porly Appralso I is to be ch a nged to 5 bedrooms or a Change Order is to be submitted for a $ bedroom tank design. L r Rcoeived By: Date: 12/212021 Issued Qy:�,. Date. 5 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water &Wastewater Section Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-331-15 Property owner(s) CHRISTINA M. MORONELL Day phone Mailing address 10688 CHESTNUT HILL LANE, DAYTON, OH 45458 Site address 11471 MOUNTAIN LAKE DRIVE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) LAKE O THE HILLS 131, L6 Legal description (Township, Range & Section) Lot Size 54470 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) TYPE OF DWELLING: Absorption Field ❑ Initial ❑ Single Family (SF) 0 Septic Tank 0 Upgrade rX (w/wo ADU) Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage . ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 2 Z Waiver Fees: Date of Payment: 1 l 2 0 21 Date of Payment: Receipt Number: 31'4?- 5 a Receipt Number: Permit No. O.Sp 2 1 1 1-t,3 2 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com November 24, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: LAKE O THE HILLS B1, L6 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1500-gallon HDPE tank per the attached design to serve the existing 5-bedroom residence. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211482, Deb Wockenfuss, 12/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211482, Deb Wockenfuss, 12/01/21 Permit Name: Jeffrey Pi Address: 11471 Mo Phone: Municipality of Anchorage Page 1 of 3 Development Services Department On -Site Water and W t as ewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT :r: SW930305 PID Number: 015.331-15 Wastewater System: New LEGAL Block: Lot: 1 6 Township: Range: Well: New Bedrooms: section: 192 Static Wates 95 U 1-2.5 .ra"W "CRh: 3.5 rota/ absorption area 960 nstallec Harten Construction )RPTION FIELD Deep Trench GPD/Fe 9.5.10 Ft. le: Gravel depth beneath P Pe: Ft. 6 Ft. Gravel Length: p Ft. 80 Ft. Number or lines: Distance betwean lines: Ft. 2 >12 FI. Pipe Material: Fe ASTM 3034 PVC Date Installetl: 6/17-20/94 rL GPM I Ft. 11 >2 Ft. TANK SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. El Other., To From Septic Tank Absorption Field Lift Station Holding Tank ublic'Private Sewer Line anu urr: e Anchorage Tank apace, � a ons 1,500 well >100, >100, NIA NIA >25' ateml Steel um r omps Two (2) suaasawatar >100' >100' N/A N/A LIFT STATION — NONE ON LOT Lot Line >5' >10, N/A, N/A 'w an a are. Gal Foundation >5' >10' N/A N/A ump n"Te_var7 umpo eve a: ig eraarma: Curtain Drain I None I Noted in. Pump Make & Model in. Electrical Inspections performed Is. BENCH MARK Garage Slab. Inspections performed by: A. Harala Dates: 1n 6/17/94 6/20/94 Department of Health and Human Services approval Reviewed and approved by: Date: qRc 10/99) 100.0 Ft Engineer's Stamp *�wglil �F.... ++0 to :'� i ��.... n a MICHAEL E. ANDERSON J}':, No. CE -4381 =�� in. Mountain Lake Drive W 0 0 PJ Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: SW930305 PID No. 015-331-15 NOTE: TH1 Completed to 69'. No Groundwater Or Bedrock Found. NORTH LEG U E 90.5 83.35 Drainfietd Rock 77,2 40' (Trench Len SOUTH LEG PROFILE AS -BUILT No Scale "ERIK: - Municipality of Anchorage - DcRAR T MEN? OF HEALTH $ HUMAN SERVICES ult 320 "L" Str=et, Anchorage, Alaska 99502-0650 SOILS LOG —.PERCOLATION TEST ' 6 PERFORMED FOR: %^'-/ i J dtrS'.✓ __. DATE LEGAL DESCRIPTION: � , �'7a �-a � ILI N'1 . ownship, Range, Section. i 2 /(/ i . Av �I � 0 n � WAS GROUND WATErR ' ENCOUNTERED? 11 a/O - .lei ^vi'peiv. - I IFYES,ATWHAT - .i2 DEPTH? j3 �" Dem n Apel la. water a� Mnoringl pate _ 14- 15- 1,6 4 15js 17- 20- L 720 L O P E t, QOY COe eeyea M9CNAEL $, ct. SITE PLAN Reading Date Gross Net Depth to ..I ; Net Time Time WaverDrop ,r M� f PERCOLATION PATE (rrinules inch) PERC HOLE DIAMETER ��! TEST, NBETWEEN FT AND FT COMMENTS _67'�ii✓ "-.,- �` / ` .�i�'//r�'r c'�t` 7z✓ 1-�.a^vtr PERFORMED 6Y CERTIFY THAT THIS TEST WAS PERFORMED IN ACCOROANCE WITH ALL. STATE AND MUNICIPAL GUI OF LINES 11 EFFECT ON THIS DATE. DATE PAGE 1 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Lo -v P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND ` WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930305 A:L V ISEv 41�/iv DATE ISSUED: 8/16/93 DESIGN ENGINEER:ANDERSON ENGINEERING EXPIRATION DATE: 8/16/94 OWNER NAME:PIERCE JEFFREY & JANET OWNER ADDRESS:11571 MOUNTAIN LAKE DR PARCEL ID:01533115 LEGAL DESCRIPTION: LAKE 0 THE HILLS BLK 1 LT 6 LOT SIZE: 54470 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS 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: FE 5 SHALL NOT- EXCEED 9.5 HE5 ?in[JST 'E , A I PAINED. BY DESIGN MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 DATED ALRTL 1994-, RECEIVED E ISSUED BY: PAGE 2 OF 2 DATE: ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 April 5, 1994 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Attention: Robbie Robinson RECEIVED APR 51994 Municipality of Anchorage D80i Hsaith & Human Services Subject: Lot 6, Block 1, Lake O' The Hills Subdivision Permit No. SW930305 Dear Robbie: The owner of the subject lot has requested that the permit for the onsite septic system be revised to reflect construction of a five bedroom house. This will require upsizing the septic tank to 1,500 gallons and the extension of `'each drainfield lateral to a minimum of 39'. A revised site plan along with the design factors and system requirements is included for your review. Please issue a revised permit reflecting the construction of a five bedroom home. Thank you for your assistance with this project. Sincerely, Michael E. Anderson, P.E. Lot 6, Block 1, Lake O' The Hills DESIGN FACTORS: Five Bedroom Home Perc. Rate: 9 Min./Inch Application Rate: .8 GPD/SF SYSTEM REQUIREMENTS: Deep Trench System 1,500 Gal. Septic Tank 6' Gravel Below Pipe 750 GPD/.8 GPD/SF = 937.5 SF / 12 SF/LF of Trench = 78.1 LF Trench Therefore: Each Later Pipe. 2 Construct a Deep Trench System with Two Laterals. to be 40' Long with 6' Gravel Beneath the Distribution 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:SW930305 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:PIERCE JEFFREY & JANET OWNER ADDRESS:1651 DASHON CIRCLEE DR ANCHORAGE, AK 99515 PARCEL ID:01533115 LEGAL DESCRIPTION: LAKE 0 THE HILLS BLK 6 LOT SIZE: 54470 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 PAGE 1 OF 1 DATE ISSUED: 8/16/93 EXPIRATION DATE: 8/16/94 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM - ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE NUNIC;1AL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA AS,TE^IA)lER DISPOSAL REGULATIONS (18AAC72) AND DRINKING_.,,WATER,,R8GjJLATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS {�T LEAST, 2 HOURS PRIOR TO EACH INSPECTION. PRO WIDE NOTIFICATION BY CALLING 343-4329 OR 343=46.81 FTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15--', S '1tSURFACE SOIL ABSORPTION SYSTEM UNDER CQNSTRUC ON DURING FREEZING WEATHER MUST BE EITHER A. OPENED AND CLOSED, ON -T�E ;SAME DAY B. COVERED,, SEALED] AND HEA�,t.p TO PREVENT FREEZING 5. THE<F.OLLOWING S,,,PECIAL PROVISIONS. SPECIAT+.PROVISIbNS, RECEIVED DATE: DATE: ISSUED BY: G' P Ad 1 LT t THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM - ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE NUNIC;1AL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA AS,TE^IA)lER DISPOSAL REGULATIONS (18AAC72) AND DRINKING_.,,WATER,,R8GjJLATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS {�T LEAST, 2 HOURS PRIOR TO EACH INSPECTION. PRO WIDE NOTIFICATION BY CALLING 343-4329 OR 343=46.81 FTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15--', S '1tSURFACE SOIL ABSORPTION SYSTEM UNDER CQNSTRUC ON DURING FREEZING WEATHER MUST BE EITHER A. OPENED AND CLOSED, ON -T�E ;SAME DAY B. COVERED,, SEALED] AND HEA�,t.p TO PREVENT FREEZING 5. THE<F.OLLOWING S,,,PECIAL PROVISIONS. SPECIAT+.PROVISIbNS, RECEIVED DATE: DATE: ISSUED BY: G' P ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 August 9, 1993 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 6, Block 1, Lake O' The Hills Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: The topography on the subject lot is detailed on the attached site plan. The proposed septic drainfield is located in a fairly flat area with good drainage in all directions. Testholes excavated on the lot revealed no ground water with soils suitable for a drainfield. We are proposing to construct a deep trench system with 6' of drainfield rock below the pipe. This type of system should provide adequate absorption of the septic effluent for the proposed five bedroom home. If the system is constructed in accordance with the attached design the following statements can be made: 1. The system, if constructed as designed, will have no adverse impact on the wells currently in use or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will b y b �a t3 impact on drainage patterns in the area.VJAn°oD`3OP,"°o' fi Sincerely, .0..0 � /�� � I!'4 �CM1� G� ! • c�'/�D• CO'a Q'•V an eD00 9 �.. a hhichasl E. Anderson aD `-•� G •D 1361 • E e q,<.az Do Michael E. Anderson, P.E. MAA J013 L=14 64 J1,4 L^v %�&L:Lg gga> SHEET NO. OF CALCULATED BY.. DATE CHECKED BY DATE 77 ... . .... . .. 41 w ... ..... ... M . .......... . F A �q7 .... ........ CIO . . .......... .. . .... %0 ...... . ... ..... ..... ;5 ,7 oma 90 ..... .... .... ..... ...... ...... ... ....... ........... .. ..........i ........... . .. ..... . ..... . ............. ........... .. ... ..... ... .. ... ..... .. .. ...... . .. ... EY Anderson 4- Micllcle ,4j ........ . . ............ .. ..... .. ...... ............ ......... .. . .......... . .... ........ .......... F JCB y. /S60 uc SHEET NO. CALCULATED BY MLS DATE- CHECKED ATE CHECKED BY DATE SCALE A/D Al E P'rz SO(A?l.P __+�hRr' Y./v1 JNN Ga_ /r"44Co. 77.0N _%ZAr-e-../FT. L GP 1? _ ` :GPD t :_ .. 75.D, Fri F •8 .; T;,,o _ Tag�,c.aes 33" _06 w1na:_ LAr Lo 11�A'i'[lttAL. i i ..... Ve72._ TisCNW46 ... I .... .. ' ... I _...... 4 .........._. �- I i , , N)oN n- a.2.... ,TuE P "TIP, Bet ......... dlQ 7Tzo4"es -m E / i I 1' i � ........ .... c T. Dhapl C. tenderson IC,icD 4381 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION: �r %�4 I Ak l !l'� II1 Township, Range, Section: SI (SPF SITE PLAN 1 2` 4 K 4 nG di 6 7 871/-'01'*. 9 11 0 •• 12 ` Q 13 O o. 140 15-- .0 5 .0 , 16-1 0. 0 17- 19 7 19 0 5Mt wAnwoI S� w /qr-rel 1 I T� el WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ,� p DEPTH? P E Depth to Water Ahe`� r q3 Monitoring? Date: 6 7 20 // v PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER I¢1— I- I_ TEST RUN BETWEEN FT AND FT COMMENTS 'G5� r'�I� )6`y2 P�- PERFORMED BY: o� I r"''V .L, ea_ 't'� IFY THAT THIS 71;- 72-008 /TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 917 A 1 ;- 72-008 (Rev. 4/85) PERFORMED LEGAL DESCRIPTION: goz PT Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST 12 13 14 151 f 16 17� 18- 19- 20- COMMENTS s1920COMMENTS %Il V/AI�JI. DATE IIIb Township, Range, Section: SLOPE .V&T'S SEAL) yty��� °°'5145- o�e�`v i %`�z Anderson SITE PLAN WAS GROUND WATER ENCOUNTERED? S 2 ai IF YES, AT WHAT 0 DEPTH? P �I OcGr Q)Ibyfil E Depth to Water After Monitoring? Dale: I� v �f•'�__IY-1�� 4 0,0'o i I • I r • � o b °D.°' o: v - .t7 D o� • Oo 7 8 / •i 9 G ` y, 11 �•• 12 13 14 151 f 16 17� 18- 19- 20- COMMENTS s1920COMMENTS %Il V/AI�JI. DATE IIIb Township, Range, Section: SLOPE .V&T'S SEAL) yty��� °°'5145- o�e�`v i %`�z Anderson SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? P E Depth to Water After Monitoring? Dale: I� PERCOLATION RATE _i1L— (minutes/inch) PERC HOLE DIAMETER �L TEST.RUN BETWEEN FT ANDy FT PERFORMED BY: T 1 4tdL4 - `F! &2L-MTIFY THAT THIS EST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-DO8 (Rev. 4/85) LT1T ��it1�L��ES�1s ��■L!��■!j��177/rr``®ins :: : ;�� �f•'�__IY-1�� '���/ i I • I r PERCOLATION RATE _i1L— (minutes/inch) PERC HOLE DIAMETER �L TEST.RUN BETWEEN FT ANDy FT PERFORMED BY: T 1 4tdL4 - `F! &2L-MTIFY THAT THIS EST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-DO8 (Rev. 4/85) PERFORMED FOR: LEGAL DESCRIPTION: ! '" tT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 " U' Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST SM, W/oma �ens� w TeJ 44,,, f DATE i, Range, Section: SLOPE NONE ■■UFS ■INNIM MMON ■■(13E ■EAN. MORE MORE ORION EFINE M111EN NUM -01 WAS GROUND WATER ` r ENCOUNTERED? P S IF YES, AT WHAT L 0 DEPTH? P E Depth to Water After' �7 13 Monitoring? Date I PERCOLATION RATE �5 (minutes/inch) PERC HOLE DIAMETER G n TEST RUN BETWEEN FT AND _L—FT COMMENTS r w v ry W PERFORMED BY: I NG"f+ C' E��"''��EE3 IFY THAT J HI TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 6/719 r 72-008 (Rev. 4/85) (ENGINEER'S SEAL) e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES � 1 aa� ` 825 " L" Street, Anchorage, Alaska 99502-0650 c,e ao J o�oa©°o° SOILS LOG — PERCOLATION TEST "4, �. � 1 PERFORMED FOR: i/TI DATE PEfFOD: 9�'� lap PROFEW LEGAL DESCRIPTION: r Township, Range, Section: SLOPE SITE PLAN 1 � L r• N 2-- v�. 3- 4 0 / 1-47 r//I � 1N/5t7M!/bII�'� 5ovni��rB�t.� 6',• 0 7 ``°: r 8 .e 9 WAS GROUND WATER !1� 10 ENCOUNTERED?IF 0 V DEPTH? WHAT P 12 c� E Depth to Water After {{ 13 Monitoring? `� Date: 7 3 14- 15- 16- 4 1516 TO -3 71a1917- 18- 19 20 PERCOLATION RATE TEST RUN BETWEEN COMMENTS s id' u F (minutes/inch) PERC HOLE DIAMETER FT AND FT PERFORMED BY: 11Vk!--- 1 �J � %� IL c TAT f f THAT THISTEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) _ 01 PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION 18- 19- 20- COMMENTS 81920COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? (ENGINEER'S SEAL) 1?e /' r, Pj Michael r.� DATEtF3�/IEl�NfD':31D 0000 Range, Section: 44®OFE" SLOPE SITE PLAN s L 0 P E Depth to Water After G Monitoring? Date:' % 3 O� p PERCOLATION RATE _/ (minutes/inch) PERC HOLE DIAMETER I I TES�T�R`{N BETWEEN � /y �TAND � 7y FT o�lCe.� hrtor �C� +e!5+�i nol PERFORMED BY: n T 1 M'`" "L �x AEKTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S./Z/9-T 72-008 (Rev. 4/85) .o' 2- 3- 4- 4 5 5 8 ,%�• 9 U�p 10 b ' 11 12 13 ; A O; 14- 4 15 15 T65 Pie 16 � ,1 (� 17 18- 19- 20- COMMENTS 81920COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? (ENGINEER'S SEAL) 1?e /' r, Pj Michael r.� DATEtF3�/IEl�NfD':31D 0000 Range, Section: 44®OFE" SLOPE SITE PLAN s L 0 P E Depth to Water After G Monitoring? Date:' % 3 O� p PERCOLATION RATE _/ (minutes/inch) PERC HOLE DIAMETER I I TES�T�R`{N BETWEEN � /y �TAND � 7y FT o�lCe.� hrtor �C� +e!5+�i nol PERFORMED BY: n T 1 M'`" "L �x AEKTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: S./Z/9-T 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: M. L.&Tni. DATE LEGAL DESCRIPTION:�10, �I. I�p l4i fll7 Township, Range, Section: 1 a• 2- ENCOUNTERED? d 3 3 S IF YES, AT WHAT "moo DEPTH? � - a 4 0'• • o 5 , ' Monitoring? '� Date: 8 ' -.- pRb O� o O8 9 10 -X ; 11 on 12 o�OpO 13 q=' 14 Ww 5p w/7 ,ar.G, II II'' 1Yi4 60 15 1wq 16- 17- TH 4 1s 19 20 COMMENTS I? SLOPE SEAL) 000�0r% 0,O �W . 0 0 ' - W7 oAooa rg . p� oo emmamg o:yaoo [8 AY Iva a _ 11 om, �p0000mooa "`M 4381 pi; SITE PLAN WAS GROUND WATER " ENCOUNTERED? d S IF YES, AT WHAT t DEPTH? P E Depth to Water Atter Monitoring? '� Date: j,� q PERCOLATION RATE 'Y- (minutes/inch) PERC HOLE DIAMETER E rEST RUN BETWEEN FT AND 69 FT PERFORMED BY: I Z 1 4U.AatL " ��C kTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Depth to Water j,� q PERCOLATION RATE 'Y- (minutes/inch) PERC HOLE DIAMETER E rEST RUN BETWEEN FT AND 69 FT PERFORMED BY: I Z 1 4U.AatL " ��C kTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Jj J. & P. Seafaring Ventures Inc. P.O. Box 110041 Anchorage, AK 99516 (907) 345-4756 RECEIVED DEC 2 3 1994 'pafiiy of Anchorage ACL ze)- OePt- Heaith & Human Services GO C9 7�e fz. iX- o -ice- A Ile, 4 Q - OL (2 7Y, Vj ke F}-orn ALPINE DRILL 907 345 ©202 Dec. 14. 1994 11:34 P11 P01 ,. y STATE OP AI ASKA DEPARTMONT OF t4ATURAL RESOUA001 DIVISION OF WATER WATER WELL RECORD S-' n ufall SUBDIVISION LOT Bl.4GiC SECTIONOTRS SECTION TOWNSHIP RANGE ❑N C7E CIS 0 ei4�NfSK 1}FL; WELL OWNER: n PP f i ;I f 6 jUGASUREU FROMOcasing top ®ground surface WELL: DFPTM. DATE OF t94h�k1 4i t`j Depth of hole: rr�ft r.... t ifr:pth Depth of Cash r��ft /% ' �i� 1 v and Color From TO DEPTH O 81'baui WATER LEVEL. ---ft below top Of casing 0 prgUnd;W"Doo., f, r I METHOD OF DRILLING, air rotary 0 other USE OF WElI.L,) domestic C) Irrigation 0 i public supply 0 other ! i �' .• CASING STICAC UP ft. Diem li �.as1-1j� ),v.a.._o 5! WILL INTAKE OP£NINO TYPE: I. open on `L I�grarbrfab �'.. parforated fr open hole I -:1 C ��•,::..rJ 3..... _ .�, .:'F. x./ Depths of opanmgs: r' to SCREEN TYPE: viem: Iri. -- — Slotftsh Size: t -- GRAVEL SACK TYPE: i : - -- -- _ �- Volume used: Depth CU to tl ' t'ROUT TYPE: Volume: _ Depth: from ft to DEVELOPMENT METHOD.- i Duration: I, t PUMPING LEVEL AND YIELD: It after /Is purnpirta., P f,� PUMP INTAKE DEPTH:€t MorsOppwgr, ( j WELL DISINFECTED UPON COMPI.£ilOfYii #� y� �STORIANPORMA'TION: REMARKS: z. Hess{ am't V er PLEASE MAIL, WHITE CO OF Iii +? d t tonne esprss ntative DNR/DIVISION OF WATER lT%04 (late PO BOX 772116 - X11 /y. Iate,• • _ i.. MUNICIPALITY OF ANCHORAGE 0.14 �{ �Y.r SHa 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. 015-331-15 1. GENERAL INFORMATION Expiration Date: q — /Z —2 Z Complete legal description LAKE 0 THE HILLS BLOCK 1, LOT 6 Location (site address) 11471 MOUNTAIN LAKE DRIVE, ANCHORAGE AK 99516 Current property owner(s) CHRISTINA M. MORONELL Day phone Mailing address Real estate agent 10688 CHESTNUT HILL LANE, DAYTON, OH 45458 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 950 Date of Payment /2_/3Oh-1 Receipt Number %1034'52 COSA # Date: Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: 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 FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 12/3012021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS 6. DSD SIGNATURE System #1 Approved for S bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms *: 49 TH ....�:* ...�." • • • Curtis Huffman ��+ �'FG,/ ;• CE 128991 •.0AW� 1t ,F,�•• 1z�3o/za•���„ 1 F�PROFESSIONP� bedrooms, with the following stipulations: By: Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other • A Legal Description: LAKE 0 THE HILLS BLOCK 1, LOT 6 Parcel ID: 015-331-15 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 9/6/1994 Total depth 224 ft Cased to 192 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 11/9/2021 Static water level at beginning of test 99 ft. Comments B. TANK DATA Age of tank(s) NEW TANK years Tank type/material SEPTIC/ HDPE Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping NEW TANK Well production at time of test 3.9 gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FES Date of Sample 11/9/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station __ years Lift station material Comments: D. ABSORPTION FIELD DATA (UPPER / LOWER TRENCH) Which system tested (date installed) 6/20/1994 Adequacy test date 11/9/2021 0 ALL standpipes present per record drawing Results 0 Pass For 5 bedrooms Total measured depth from grade *11.8 / 12.7 ft (max) Fluid depth prior to test 0 / 0 in Measured depth to pipe invert from grade *4.8 / 7.4 ft Water added 1000 gal (500 / 500) (min) ❑ N/A — pressurized field New depth 27 / 0 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 1020 min depth into effective **6.1'/ 5.6' OF THE 6'ED Final fluid depth 0 / 0 in ® Code -required soil cover over field Absorption rate 750 gpd ® System presoaked Any rejuvenation treatment (past 12 months) N (Required if vacant for greater than 30 days prior to date of test) If yes, enter date Gallons introduced 2000 gallons NES Comments/Deficiencies: *AT MT / CO. **PER ELEVATION SHOTS TAKEN. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ft ® Yes if No ft ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Manure/Animal Excreta Storage > 100' Building Foundation > 10' Community Sewer Main > 75' ®Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' — I� Yes . if No ft Community ! > 00' Wells _ 2., ®Yes if No ft Water Service Line > 10' ® 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' ® Yes if No _ ft If absorption field is under driveway comment below Property Line >1 10' ®Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells >' 100 _ ®Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review ,� {�:'' of Municipal records that the above systems are in conformance /'�••9}� with MOA COSA guidelines in effect on this date. &: • 7H ;* � • Curtis Huffman ��¢ ����•.. CE 128991 ..•���/' ���O���pROFESS ON�`�'\.,,,.�� Municipality of Anchorage . °E • Development Services Department r C�a Building Safety Division < s• •*. t 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING��� Parcel I.D. �1J-3.31'iJ HAA# 0s6J� 1. GENERAL INFORMATION, Expiration Date: / ;Rn ^au�ln_ Complete legal description LAKE O' THE HILLS SUBDIVISION; LOT 6, BLOCK 1, Location (site address or directions) 11471 MOUNTAIN LAKE DRIVE * ANCHORAGE, AK. 99516 Current Property owner(s) JEFF AND JANET PIERCE Day phone 346-2356 Mailing address 11471 MOUNTAIN LAKE DRIVE * ANCHORAGE, AK. 99516 Lending agency' Day phone Mailing address Real Estate Agent CHARLIE WHITLOCK w/ COLDWELL BANKERDay phone 562-7653 Mailing address 2525 "C" STREET * ANCHORAGE, AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 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 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 .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 & 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 Approved for ` bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing Phone 337-6179 Date ZQ fo G WW N l r� oo Attachments: J'+J�r�' HAA Checklist_ Manitenance Agreements ////J))))))))j1 Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: 6 6> A-►�JLIf�[3 o (Rev. 12/01) Original Certificate Date: Iq Municipality of Anchorage • Development Services Department n` Building Safety Division !1A On -Site Water & Wastewater Program 4700 South Bragaw St i P.O. Box 196650 Anchorage, AK 99519-6650 +www.ci.anchorage.ak.us (907)343-7904 r I HEALTH AUTHORITY APPROVAL CHECKLIST x Legal Description: LAKE 0' THE HILLS SUBDIVISION: LOT 6. BLOCK 1, Parcel ID: Aly^351'!5 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES g Date completed 5/6/1994 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES r Total depth 224 ft, Cased to 192 ft, Casing height (above ground) 12+ in. I FROM WELL LOG AT INSPECTION Date of test 5/6/1994 10/4/2004 r Static water level 95 ft. 95 ft. Well production 12 g.p.m. 5.13 g.p.m. WATER SAMPLE RESULTS: Coliform . colonies/100 ml. Nitrate< • 10 mg./L. Other bacteria colonies/100 mL Arsenic: N/A mg./L: Date of sample: 10/5/2004 Collected by: GEG, UD. B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL Date installed 6/17-20/1994 w Tank size 1500 gal. Number of Compartments 6 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 6/11/2004 Pumper DENALI SEWER C. ABSORPTION FIELD DATA' 1 Date Installed 6/17-20/1994 Soil rating C.p—DiDor ft'/bdrm) 0_8 System type DEEP TRENCH Length so ft. Width 3.5 ft. Gravel below pipe 6 ft. Total depth t1_1 —13.4 ft. Eff. absorption area 960 ft' Monitoring tube YES Depression over field NO Date of adequacy test 10/4/2004 Results (Pass/Fall) PASS For 5 bedrooms NORTH/SOUTH Fluid depth in absorption field before test7/00 in. Water addedln6r4lgal. New depth » §in. h t( Elapsed Time: 11 min. Final fluid depth 17/0 in. Absorption rate >= 750+ g.p.d. F Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN if yes, give date – r I t "Pump on" level at _in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1001+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A 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 101+ Surface water 1001+ 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 1001+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. of A nesse Engineer's Printed Nam 1 JEFFREY A. GARNESS �Q4; E-7953` 4 ` Date HAA Fee $ 4.3 � Waiver Fee $ Date of Payment i�� Date of Payment Receipt Number 5 to Receipt Number (Rev.. 12(01) i 1 I Q S 0'00'00' AVMN'1YM E ]00.00 � I � ' tlNV / C:3 Z ' UJ O d 'iN93 3ONYWAiNIVN W KVO .4B C W a W C7 - _ J .-C _ �_-•----- Z N LU = J i 4n _.y r H Z cn ~ N 0'06'51 �niba 3�dn NiviNnow 10 'd 'ON Xdd Wd 60:b0 3m b00Z-61-100 SEP -29-2004 WED 09:17 AM FAX N0, P. 02/02 SEP -23-2004 THU 06:05 AM FAX N0, P. 11 o8/l0/2004 10:07 FAX 907 201 2201 PNWT-TITLE + STEW TITLE 2002 ■DWYAU LAKE 988 'erw • I•'I/ �� N. r R Q �+ :jai i i I l�' � t 6 vFe 1t±Pi4 f ii 1 Z-4`. -