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HomeMy WebLinkAboutBOYD LT 3 Oct. 2120 02:24p A nc.hc!-age/Ve!i8-, �:--nip Ser 9072430742 p.1 1.1"Jil-diRO CIG.�r4�tl . V b*ASiOl,"I tiCOc. 0, 5: s I vvv 0.� e r r n Mark Begick,. Mayor t-4. ni, C�,!.jinsl 1 z 19',Ti Pump Installation Log VVell Driffing Permit Number, S'W Date tif ISSUV: Parcel Identificablon Number: 22 Legal Dtscriptioxi Froperky Owner Name & Address: o Fump Installation 1), te: 7 Pump Intake Dtjoh Below Top of W' 11 C�zftq: fN!t Pump Alonufaclurer's Name: r Pump Model: Pump Size hp Pitbe;,s Adapter BuriAl Depth,. -feet Fitless Act apter 7Mnn-cfacturer's Narr,2,, 14144144F111t,4— Piflvss Adapter Installer: Well Disinfected Upon Comple6oll? 21�-Vi NO Method W'Dishifution- Cora ments: Pump Installer N:nnc: ,icjjOr3Rr- Punp Servjict', 330 East 761h Avence Anchorage, AK 99518 None: 9011.-2143-0740 S-97-243.07421 Attention: fh: anip Insi F. 111 e i- sisal? pio-v ide a pinup itlst id! aiiol I I o"C, to 01C I3vfa y/it"lill 3C days of pump hristail ation. Municipality of Anchorage Page t 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: ~L,,Jq S O1"7( PID Number: ~)~5'~9.1 Name: ~A~ D ~0~~0~ Wastewater System: ~ New ~ Upgrade Address: ABSORPTION FIELD Phone: 5~U- lfl~ ~ No. of Bedrooms'~ ~eep Trench ~ Shallow Trench Q Bed ~ Mound ~ Other LEGAL DESCRIPTION 'So, Rating: Total Depth from original grade: Lot: ~ Block:~y~Subdiv~i°n:~[~ Depth to pipe~ bo~om~ from~ original grade: Ft. Gravel depth~ ~beneath~ pipe Township: ,Range: ,Section: Fill added above original grade: Gravel length: ,~ I I Gravel width: ~ Number of lines: ~ Distance between lines: WELL:~x~sv~ueD New 0 Upgrade / ;.G Ft. ~I Iq' Ft. Classification (Private. A.B.C): Total Depth~ ~d To: Total absorption area: Pipe material: Driller: ~ Date Drilled: Static Water Level:Ft. Installer: ~ ~O~~l~ Date installed: Yield: ~ I Pump Set at: I Casing Height Above Ground: TANK .~ GPM Ft. Ft. SEPARATION DISTANCES ~s~p~ic ~ ,o~Uing ~ To Septic Absorption Lift Holding Public/PrivateManufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~NCflO~ ~ ~ ~ [1~{ N~mb~ of Co~partm.,ts: '+ ~4 ~ ~ ~ LIFT STATION Surface Water t ~ I o~ Lot ~ i ~ Size in gallons:~ Manufacturer: I Foundation (~' I~' ~ ~ ~ "Pump on" level at~ level at: ~ High water alar~ at: Curtain __ ~0, ~ /~o ~ ~ - ~°del IElectdcallnspect'°nsperf°rmedby: Drain Remarks: ~oTE-- ~~T A~O~4L ¢o~ BENCH MARK Location and Description: I Assumed Elevation: S & S ENGINEERING ]7034 Eagle River L°°P R°'d' N°' 2" Department of Health and Human Services approval '*,~-- Reviewed and approved by'g Date' ~-/~ -~ 72-013 (Rev. 9/91) MOA 25 Permit No SW950171 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report LOT 5, BOYD SUBD, Legal Description: PID No.:01552128 CO1 C02 910' It , lNG SYSTEM C05 NO WATER 7-7-9 IN THE FUTURE MT2 C08 ¢.o' 90. MT3 cog NEW TREI'ICHES EPTIC TANK ,0' WELL WELL SCALE 1" 40' LOT .5 ROBERT C. COWAN CE - 8801 72 013 A (Rev. 9/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950171 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:JOHNSON DAVID C & DEAMA J OWNER ADDRESS:ill01 TOTEM ROAD ANCHORAGE, ALASKA 99516 DATE ISSUED: 7/20/95 EXPIRATION DATE: 7/20/96 PARCEL ID:01552128 LEGAL DESCRIPTION: BOYD LT 3 LOT SIZE: 78478 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVIS IO~ RECEIVED BY: ~~~~ f4 j~P ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. July 11, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE W,~STEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human S~rvices P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 3; Boyd Subdivision ~oc~ b¢~oom house on thc r¢~e~cneed peope,,~. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. At the time of excavation no ~t~r was encountered and after seven day ground water monitoring, the monitoring tube was found to be dry. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. There are no points of contamination within the well radius which can be seen on the attached site plan. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1"=50' ~CALE ~d 0 ~ o o SITE PLAN GROH STREET UP-GRADE z~ ~Z Z o o ~zo Z~ ~ ~ (ENGINEER'S SEAL) Municipality of Anchorage ~-. DEPARTMENT OF HEALTH & HUMAN SERVICES ~... 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~.~~,~..~ ..... :,..,. · '~ ~.. c / Township, Range, Sect -~[fg0r[~$x~x ~' WAS GROUND WATER V~/~1(~ ENCOUNTERED? S __ L IF YES, AT WHAT 0 DEPTH? p E Del)th to Water Alte~ Monitoring? , Date: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop 111~$ ~ ~'&" J~" I~oo lo ~" Ye" ~to to ~" PERCOLATION RATE TEST RUN BETWEEN · (minutes/inch) PERC HOLE DIAMETER ·. FT AND 9 FT PERFORMED BY: $ & 17034 i =agle ~Jver, Alaska 995~ 72-008 (Rev, 4/85) CERTIFY THAT, THIS TEST WAS PERFORMED IN DATE: ? ,/,, S- ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 3, Boyd Subdivision July 11, 1995 GENERAL: 1. The scope of this project includes the installation of a leachfield trench to serve the four bedroom residence located on the referenced property and excavation of the existing 1250 gal septic tank to verify its integrity. If the integrity of the existing septic tank is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1250 gal septic tank installed. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade· 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 3, Boyd Subdivision July 11, 1995 Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 3, Boyd Subdivision July 11, 1995 Be Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. ® Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the $200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 3, Boyd Subdivision July 11, 1995 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 3, Boyd Subdivision July 11, 1995 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE He~ h and Environmental Prote Fourth Floor West 825 L Street Anchorage, Alaska 99501 279-2511, x 224, 225 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE NUMBER OF COMPARTMENTS INSIDE LENGTH__~ .... INSIL)E WlDl'tt t_IQL~ID DEPTH ~ LIQUID CAPA~ T~~ ~ / A f TOTAL LENGTH DEPTIt: TOP OF 'TILE TO FINIStt GRADE ..___~ .... MATERIAL BENEAIH IlL[ ............. IN. ABOVE IlL[_ SEEPAGE PIT: DIAMETER ~OR WIDTH____ LENGTH___, DEPTH Log Crib BUILDING FOUNDATION ........ Rings/,.;RIB SIZE: DIAMETER ...... DEPfH ..... DISTANCE FROM: WELL ]OTAL EFFECTIVE NEAREST LOT LINE .... ABSORPTION AREA (WALL AREA) __SQ. Ff. Well Class: ~A ' Depth: Well Distance To: Lot Line Bldg: Sewer Line: Pipe Materials: # of Bedrooms: Installer: Rem~ [:,EPFtRTMENT "~= HEFIL. TH FIt",I[:' ENV I ROI'4HEI",I"f'Afl :::'RCFFEC:T I ON 8;:7.':5 ,_'" :::';TREET., AfNCHORFIGE., f='ERMIT NO. ( "7'72:~:5 ) AfPF'L. I CRNT KENN[.:.'TI-~ W ILK I NG'.~; I....OCflT I (]t"t :Fi~J'f'EI"'I ' L..E:C. iFtL [...]i: E',O"r'[:' SIJB[.', 'I"","PE {itl:: SC'lIE FtBSOF.:BI"ION ':':'.;'¢.':=;TE]"I IS: TRENCH MAfXIMUH NI...IHE:ER OF E:E[:,F.:OOH'.'5 = 4 SO I L RR'I" I NI]i ,:.' SI;! i='T,,."BR ]:, = fl..91;~i THE; R1.:.:.6'.¢...I I RE[:, S I ZE OF "FHE '.'.:.; ] I I_. FISSCIF.:PT t I]IN ~?r ::TEl 1 I S, ' THE L. EI"4GTH D I HEN:L:; 1 O1"4 I S THE LENGTH ( I N FEE7' ) OF ]"HE TREI",IE:H OF.: [:,RF~ i NF:: I EL.i:,. THE [:,EF'TH OF I=t TREI",ICH CR F'IT IS THE [:,ISTRNE:E 8ETI.,.IEEN THE: '.:.':;URF'RCE; OF' TH.E: GROUND' FIN[:, THE E:O'f'TOH OF THE EXCAf',,,'FFFION <IN FEET). THERE I:5 1"40 SET W I[.':,]"I'4 FOR TRENE:HES. THE GRR',,,'EEI._ DEPTH iS THE H iNIHLIM DEPTH OF GRFt'v'EL BETHEEI",I THE OUTF'F:tL..L. PI F:'I.E RI'4D THIE BOT]"OIt Oi:: 7'FIE EXCAf',,,'FtTiON (IN FEET.':,. '"'iF" It..,-!t ,::::} < 2: :::, if.. i"-,I ::¼; F" IF:Z C: "T" Z CD f-,i "::~; Ft F..: E=--. F::: E: ~':::~ Eli ][ Bt::ICKF'ILL. II'.4G OF F-fl'.4"r' SYSTEM I.,,tI"FHOIJT FII'.,II=IL iN::T, PECTZCIN FIND RF:'PF.'.O',,,'FE.. BY :"HIS [:,EF:'AfF.:THENT 141L.L BE: :.:..-;U.F.,',IECT TO PROSECUT I ON. H I N I MUH D I S"f'RNCE IF.:ETt.4EEN I:l WELL. RI'.,II} FIN'.r' ON-S I TE L:,Et4AfGE D I SPOE;FtL. ~;'T'STE]"t 1:5 ::LEil¢.':t FEET' FOR Af F'RI',,,'AfTE WELL OF.: 200 FEET FOR Af PUBLIC 1.4EL. L.. ."SF:'EC I F' I CAfT 1 ON'.5 AfN[::, C:ONSTRUCT I ON [:, I AI3RAI"I:5 AfiRE: R',,,'FI I LI:IBt...IE Tl:l I NSi...iRE F:'t:~:'.Ed:::'I!ER I NSTAfL. I._AfT I ON. t CERT I F'"r' THAf]" ::t..: I Afl"l F'AfHILIFIR WITH 'THE REQUIREMEI'-iTS FOR ON-SITE :.'.:.';EHER:Ei; 81'4[:, t,,~Et....L:!ii; F:iS :i.3E:T FOR]'H B'-r' THE HUN I C I PAfl.... I ]""r' OF FINCHORFIGE. 2: ]'. t.,.IIL, i .... IN:i.:;TFiLi .... THE: SYSTEM I1"4 AfC:CORDFINCE 14.T. TI"! THE CODES. .:ii:: :i: I.JI"~[:,ER':=;TRt'4[:' 'I"HAfT THE ON-'.:::;tTE :.:;EWER S"r'STEH I'"lR',r' REg¢..tIRE ENLFiF.':GEHEI"4T IF THE RE$IDE:.I",ICf=] ]:S REMOIT.:'ELE[:' Ti.".) INCL. LIDE MORE ]"HRN 4 BE[:'F;'.CIOI"IS. R FI::' L. I C R N T K E I"~"~E 1' H WI L k:;¢~4 G :!.:.; .......... ............................. ':" '. ..... .................... .7..._..: ............. CONSULTANTS, INC, 50z4 CORDOVA · BOX 6087 Il ANCHORAGE:. ALASKA 99562 · PH. 907'279-048g · TLX. 090-25360 March 18, 1977 R & M NO. 751124 Mr. Marshall Austin 109 Muldoon N. Anchorage, Alaska 99504 Test Hole and Soil Log Report for Sanitary System Lot 3, Boyd Subdivision, NE¼, Section 22, T12N, R3W, S.M. Anchorage, Alaska Dear Mr. Austin: We are submitting herewith the test boring results and our comments regarding~soil conditions encountered at the subject site. This in- vestigation was performed ~n accordance with your request of March 15, 1977 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 19 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling° A percolation test was performed from a depth indicated and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. ~R/pe xc: Municipality of Anchorage PERCOLATION TEST MARSHALL AUSTIN R & M NO. 751124 TH-1 March 17, 1977 TIME 11:00 11:01 11:02 11:03 11:04 11:05 11:06 11:07 11:08 11:09 11:10 11:15 11:20 11:25 11:30 11:40 11:50 12:00 ELAPSED TIME 0 1 2 3 4 5 6 7 8 9 10 15 20 25 30 4O 5O 6O INCHES 20.25 20.25 20°25 20.50 20.75 20.75 20.75 21.00 21.00 21.25 21.25 22.00 22.75 23.50 24.50 25.50 26.25 27.00 DROP IN INCHES 0.00 0.00 0.00 0.25 0.50 0.50 0.50 0.75 0.75 1.00 1'.00 1.75 2.50 3.25 4.25 5.25 6.00 6.75 8o 9 MINUTES/INCH LOT 3 NOT TO SCALE Test Hole locations are approximate and have not been located by survey methods. TH-1 3-16-77 Ail Samples A SAND W/SO~ SILT, SO~ GRAVEL . ~ANDY SILT ~TP=~CE GRAVEL Slightly Moist, Light Brown SILTY SAND ~'~TPcACE GRAVEL Fine, Light Bro,in Slightly Moist SAI~Y SILT %~TRACE GRAVEL Light Brown Slightly Moist SILTY SAND W/TRACE GRAVEL Fine, Brown, Wet 0.0~ No Water Table Encountered 2.0' 7.01 12.0' 16.0' 19.0' TD This log represents subsurface soil conditions within Lot 3, Boyd Subdivision, ~%, Section 22, T12N, R3W, S.M., Anchorage, AK ID WN: ~q'/~ ~ KD: SI,IH aTE: 3-17-77 CALE: 1"=3' S~NITARY S~R TEST HOLE [~RSHALL AUSTIN ANCHORAGE, A/~SKA GRID: 2637 /1pR0a'N0' 751124 //DwG. NO. ,~-n'~ '0 S 69© 69' IO"E 296.70' Seplic I,-~ ,5,0/// 4.4x&/fT4.5 ~q ~contllever 160.15 S 89© .58 ' 40"~ 1 IO'Ulilit y E o:,omo nh%. 0 woll lr) finished gr(lde ond uhll~/ COl~r~uClitulb tJhd TO ~elern,,ne Ihe ~JSJEIICI~ O[ Ol~ ¢gt,elff,e:Jf~, COVt",bl,15 (if f~ ,JrlChdl,~ ~- oF AL . ~ ~ ' ' ~-- ~- I'h 5 O' / k-->~ ~ / ~ I d [}at, Surveyed '~-~V '.~ ..... ~ ¢.~*'. ~ ,' ~ ¢ Da~e Drown %~ ....... · .~ LE(;END hub ~ iock-iound IrOII rebor -fouRd iron pipe -found br~]ss cop -{ound alum. cap -found Prepared by Robert E. Johns. Jr. Assoc. Professional Lanof Surveyors Drawn by REB 6-4-79 Checked ~ REd 6-13-79 Grid 2637 l eg:llDwscriptlo~t LOT 3, BOYD SUBDIVISION Y.~.77t~. ~369 Star Route A Anchorage, Alaska Oct. 1~th,73 One six inch cased Hater well drilled out to the depth of 130 feet. Drilled at the rate of $13.00 per foot. Property owner: ~. ~arshall Austtin 3~A~-8310 Locatlon of wall site: Lt.~ ~lk. Driller~ ~ernie Claus of Rampart Drilling Works ~136~ SRA Anchorage Said~-ell producing 10 GP~with a static level of 60 feet off bottom. Finished water bearing formation made up cf fine and course gravel. Woll drilled at the rate of $13.00 per foot totaling $200°00 paid in adv~ceo Cost includes ali labor and material for completion of said drilling. E~ecute check p~yable to Rampart Drilling ~rks for the sum of $~0.00 1200 l~mine Anchorage Bernie Claus of Rampart Drilling Works ...../ Parcel I.D. # 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 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION CERTIFICATE OF HEALTH AUTHORITY MAY 1 2 1997 APPROVAL FOR A SINGLE FAMILY DWELLING o~ ~- s.~-~ ~' ~^^ ~///~ ¢~ ~~ C E IVE D GENERAL INFORMATION Complete legal description Location (site address or directions) Prot:grty owner Mailing address Lending agency · ._ Day phone Day phone Mailing address AgentAp-,--;t I...~., j~,,, ¢(~.y Add ress c~..b-cu~-~ C__o ~-,~'~) ~' ct Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: --~ RECEIVED TYPE OF WATER SUPPLY: Individual well Community well Public water MAY 1 2 1997 Municipality of Anchorage Health & Human Services NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm I ~ ~/o-~ o ~'~ ~'~ Phone ¢LT'i- qlJ Address ¢,4.¢% ~ 1,~-/-~ /~,,,~.o '-% Engineer's signature ,~---.. ~.--, _ 0 Date ? DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: ~~. ~~/~~,~_'~ Date~/~O/~ 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 (Rev. 1/91) Back MOA~21 ~uNICI~AU~ oF ^~CHO~G~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SER~]CES Environmental Services Division ~,¥ 1 2 1997 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal DesCriPtion: A. WELL DATA Well type ~ Log present (Y/N) ~/ Total depth } ~ I Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed t O/1~/7~'~ Cased to I '11 Casing height (above ground) Wires properly protected (Y/N) y Date of test Static water level Well production WATER SAMPLE RESULTS: FROM WELL LOG AT INSPECTION , ID g.p.m. Coliform ~,P Date of sample:, ~/'~/'~ ~ Nitrate Collected by: g.p.m. Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed Foundation cleanout (Y/N) Date of Pumping ~'~-/f 7 Tank size /*..'-C:~'~:;' Number of Compartments ~ Cleanouts (Y/N) ~// Depression (Y/N) ~'"~' High water alarm (Y/N) ~ I .um r A+ C. ABSORPTION FIELD DATA Date installed ~'/~,///~'.5- Length '~t~.,, ~/~/ ~ Width Soil rating (g.p.d./fF~'4Ffbdrrn) (:~ Z/'~"' System type '~,,f,.4,~ ~ / Gravel thickness below pipe ~'~ T ~' Total depth Effective absorption area /~ '~ ~, Monitoring Tube present (Y/N)__..'~___ Depression over field (Y/N) 7 Date of adequacy test ~ P///~ Results (Pass/Fail) ~¢~ '~,~For ~-~/~ ,5 bedrooms Fluid depth in absorption field before test (in.);/'/~ ~ Immediately after gal. water added (in.): Fluid depth (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) Absorption rate = If yes, give date g.p.d. 72-026 (Rev. 3/96)* LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) High water alarm level at* Cycles tested SEPARATION DISTANCES "Pump on" level at* *Datum "Pump off" level at* RECEIVED SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot J ~1.~'/'~ ! MAY 1 2 19 7 i~ NIl~rlJOil:)ality of Anchorage Health & Human Services Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Uft station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation /q Property line ~/f~) Water main/service line ~Zj~ Surface water/drainage ~'q/~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LoT TO: Property line /{~O 'J~ Building foundation J[ J'/ Absorption field ,~/ Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area Surface water t'~ 1 D Curtain drain I'~ / 1~ Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of in conformance with MOA HAA guidelines in effect on this date. Signature am~~~:~ Engineer's N ~ ~' Date ~L.~ ?,/ /q~'7' HAA Fee $ ~ ~ ~ Date of Payment ReceJptNumber c~ ,~3C2:~/g-).,~ ) 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number APPLI¢ NT FILLS OUT UPPER HA~ ONLY Property Owner ~.,..1~, [-~ J. & Silvia S, ~Ph°~e44--9767 k,,,ailing Address ~ BoX'"~706-K ~N,,chorage, ~ 99507 zip Code W 276(i33~Z7 Buyer · Address Zip Code Lending Institution Phone Address Zip Code Phone Realty Co. & Agent O~)ldwell Banker Jack White Ccrapany Agent; Larry J. Houle 594-55999Age~. Address 3201 C Stz~eet Suite 100 .99503 Zip Code 277-1553 Off:i Legal Oescriptlo~t 3.!:]~3'yd Sukx:~vi~ion ....... Street Location OOOO ~tem Road Type of Residence Single Family Multiple Family No. of Bedrooms 4 [] Other water 'supply ~i~ individual (~i (~' ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. [] Community ~ ? For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility :' Sewer Disposal  Individual Year Individual Installed: Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time / ~:;7_.,~) f'~'~'"'"~'"" Tifi'~.=.. .~ .... Time Date Date '~/; U /~'V Date tnsp~tor Insp~tor Insp~tor ~ Insp~ /Field Notes: ~ ~~, ~~ '7~0/~¢ 7'- MUNICIPALITY OF ANCHO~GE  ENVIRONMENTAL PROTECJlON , RECEIVED ( DISAP~OVED ( ) CONDITIONAL APPROVAL* DATE [ ~ "~ 7 '~ ~ Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received 72.023 (3182) CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 Larry Houle Coldwell-Banker/Jack White Co. 3201 C Street Anchorage, Alaska 99503 October 25, 1983 SEWER SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM SEWER SYSTEM: DATE OF TEST: TEST PROCEDURE TEST RESULT Lot 3, Boyd Subdivision On Totem Road off O'Malley Harry J. Kantas 4 Bedroom Single Family Unit On Site Well. From Municipal Records. Tank Absorption System Absorption Area Soil Ratin9 Installation Date 1250 ~al Greer Steel, Two Compartments Trench, 51 feet long, 8 feet of rock. 760 sq. ft. 190 August 1977 October 21, 1983 System was inspected on Oct. 12, 1983. Tank was found 13 feet deep with 49 inches of liquid. No sump had been installed only two cleanouts to the drain field. Both these clean outs were dry. On Oct. 21 one thousand gallons of water was added to the system at a sta~dy rate of 5 gal per min. No backup was observed in the tank. This system mee~s the requirements of the Municipality. ~ " p'civate ~J.~'~'~s ~><'~f.o~';~ing tho test ::~ irtC~: re i y, DATE RECEIVED "-- INSPECTION APPOINTMENTS TIME TIME TIMI~ DATE DATE DrAfT E MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF H~ALT;-I & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ;~;.{ )TECTION ENVIRONMENTAL SANITATION DIVISION bEC 8 ~980 Telephone 264-4720 REOUEST FOR APPROVAL oF INDIVIDUAL WATER AND SEWE~~I~ ~ DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ' ~ PHONE MAILING ADDRESS (~'t ~~ ' PROPERTM RESIDENT (If different from'above) PHONE 2. BUYER PHONE MAILING ~D~ESS ' 3. LENDING INSTITUTION J PHONE ~AILING ADD~ESS 4. REALTOR/AGENT J PHONE MAILING ADDRESS 5. LEb/{,L DESCRIPTION STREET LOC~ATI ON 8. TYP~ O~ ~I~NO~ '~ SINGLE FAMILY ~ ~ULTIPLE FA~I LY NUMBER OF~BEDROOMS [] One ~ Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY  I NDIVIDUAL* COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTI LITY Connection Verified []Septic Tank or [] Holding Tank Size: ~..~"O IfTank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTI ON AR EA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SiX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOl LS RATING MANUFACTURER Septic/Holding Tank ISewer Line [] OTHER Nearest Lot Line 5. COMMENTS DATE [][] CONDITIONALDisAPPROVED APPROVAL (letter mus~ee~mpany certificate) 72-010 (Rev. 6/79) 825 "L" STREET Aixcho age ..... ANCHORAGE, ALASKA 99501 (907) 264-4111 ¢~,~ \,,~¢,_...__ DEPARTMENT OF HEAL'FHAND ENVIRONMENTAL PROTECTION December 12, 1980 Ken/Marilyn Wilkings % Dynamic Realty 501 West Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 3 Boyd Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: ( ) A well log submitted to this department for our review. ( ) The top of the well casing sealed with a sanitary seal so that it is water tight. ( ) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. ( ) The well casing extended twelve(12) inches above ground level. Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit. The water facilities were not turned on at the time of the scheduled inspection. Please call this office for another aPpointment. The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. Expose the well for our inspection to determine proper construction, also to insure minimum distance requirements are met between the well and sewer system. Ken/Marilyn Wilkings December 12, 1980 Page Two The septic tank pumped with a receipt submitted to this department. The depression around the sewer system needs to be filled in with impervious type soil and reinspected by this office. Please notify this department for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S~ Associate Specialist aCP/ljw cc: Alaska Pacific Bank Post Office Box 420 99510