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Home My WebLink AboutBUNNY SLOPES LT 1Onsite File WON b ■, ■ Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181052 PID Number: 017-092-30 Dwelling: ❑N Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑■ Upgrade Name: Stanley M. Masneri ABSORPTION FIELD ❑t Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address PO Box 110230 Anchorage AK 99511 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.8 GPD/SF 10.7 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4.7 Ft. Gravel depth beneath pipe 6.0 Ft. Subdivision Block Lot Bunny Slopes 1 Fill added above original grade 0.1 Ft. Gravel length 48 Ft. Township Range Section Gravel width 1.5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 576 Ft2 1 Ft. Well NA >100' NA NA >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Existing Capacity Gal. Surface Water NA >100' NA NA Material Number of compartments Lot Line NA >10'ENA NA NA Foundation NA >10 NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain None Noted RemarksExisting septic tank inspected and Pump on level at in. Pump off level at in. High water alarm at in. verified suitable for continued use. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank Tank to D3034 drainfield Installer Michael N. Anderson Drainfield D3034 CO/MT 3034 Inspector J. Millette BENCHMARK (Assumed elevation) 100 ft Inspectiones: 15` 5/26/18 5/26/18 Location and description 2nd Bottom of siding SE corner of house. 3rd 4`h COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OiFA,gl1l Conditional Approval: Date Q. S 1t: 49 TH TH •.>k / .. ......... t✓r • '• Michael E. Anderson �+ �F`•• Approved �Q, ��, Date (0 11 1 4381-E•�` AW AW iIkI, OPROFESSIO -. Inspection Repo rt_9-1-12.doc BUNNY SLOPES, LOT 1 PERMIT # OSP181052 PID # 017-092-30 ----J---------------------------- I � \ I —� E:- 24th Avenue 'Asphalt \� \XISTING WELL 441 C C) •EXISTING 1250 GAL1CONCRETE r-1 0 W 0- O J W W 0 Z 2CO1 --- 4.5 59.3 TANK INSPECTED AND VERIFIED O =ti< '' 18.0 --- 2CO2 36.3 SUITABLE FOR CONTINUED USE q Mw °�k W 33.7 --- MT 57.8 ' 0O2 62.9 1 77.8 - - Lot 2 \ I B 2co� i '^ 'U) i 1.` v i 48' LONG x 1.5' WIDE x 6',EFF. `' — -, • : ; -- --'� FD DEPTH ABSORPTION TRENCH-2CO2 - EXISTING I — / CO2 C01 TRENCH W I TH LOT EXISTING CRIB 1 (EXACT I Iw // A B C LOCATION' UNKNOWN) a- I O 2CO1 --- 4.5 59.3 DV 44.9 18.0 --- 2CO2 36.3 23.2 --- 001 36.2 33.7 --- MT 57.8 71.9 --- 0O2 62.9 1 77.8 - - I I w i 1 - -- - -- - - - -; ---1---; -------------------- 10' Utility Easement! UNDEVELOPED *k.NG' Lot 5� - -M _ar-r-e —' ,"o� OF NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE LEGEND A\\ PROPOSED SEPTIC SYSTEM CO -CLEANOUT r.�P• /r i) 2CO - DOUBLE CLEANOUT CD7 ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS Ar 49 Tli �r�� FCO - FOUNDATION CLEANOUT . .. .. PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC •��— SYSTEMS. FD - FLOW DIVERTER VALVE • :. • • MH -MANHOLE Michael E. Anderson : / 0 50 100 0 SLOPES > 25% MT -MONITORING TUBE G43 81! -E FEET SLOPES > 46% SV - SEPTIC VENT �i1;F0PROfEssloNp�+ 1 "=50' TH - TEST HOLE BUNNY SLOPES LOT 1 PERMIT # OSP181052 93.3 98.1 FINISH GRADE 98.0 ORIGINAL GRADE DRAINFIELD ROCK 87.3 48' 79.5 '�-i \- NO GROUNDWATER 10/15/95 NOTE: PID # 017-092-30 ABSORPTION TRENCH ONLY PLACED UNDER THIS PERMIT. EXISTING SEPTIC TANK INSPECTED AND VERIFIED SUITABLE FOR CONTINUED USE. ��. FORGE PROFILE AS -BUILT (NO SCALE) O U 93.3 M0 E. 124nd Avenue N89056'36"W 252.47 7226A 0 co 30 1 LOT J McCarrey Subd, _ OF XXI1 A� 1 AM i • 49th •� ,�j • / 00 .. r .. ,: 10 �,•. zabeth Walatka . o00 �� sr • • 8036 - LS . • • e SCALE: 1 "= 50' % X % %:*1 ' EASEMENTS OF RECORD, OTHER THAN 1.-7.9 ` THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. FB 75-9, pg 56 BE N 0 0 0 0 G Recertified 4-03-11AZUE 08-11gfLc AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 1, BUNNY SLOPES SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 30th day of December, 1975. FRED WALATKA & ASSOCIATES Engineers and Surveyors 907-248-1666 ,� 40 wap 2(9SRik cCD o UJ Lot 2 0 CD nT 2-6,I 1 2. a LOT J McCarrey Subd, _ OF XXI1 A� 1 AM i • 49th •� ,�j • / 00 .. r .. ,: 10 �,•. zabeth Walatka . o00 �� sr • • 8036 - LS . • • e SCALE: 1 "= 50' % X % %:*1 ' EASEMENTS OF RECORD, OTHER THAN 1.-7.9 ` THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. FB 75-9, pg 56 BE N 0 0 0 0 G Recertified 4-03-11AZUE 08-11gfLc AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 1, BUNNY SLOPES SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 30th day of December, 1975. FRED WALATKA & ASSOCIATES Engineers and Surveyors 907-248-1666 ,N,c'._L�ryo, MUNICIPALITY OF ANCHORAGE �,�,enr �� On-Site Water&Wastewater Program c° S� -'b.e' PO Box 196650 4700 Elmore Road ' Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997 : ;` http:Nwww.muni.org/onsite ` \ \ Department 4';'CHORP6b On-Site Wastewater Disposal System Permit Permit Number: OSP181052 Effective Date: 4/25/2018 Work Type: Septic Upgrade Expiration Date: 4/25/2019 Tax Code Number: 01709230000 Site Legal Address: BUNNY SLOPES LT 1 G:3038 Site Mailing Address: 6100 E 142ND AVE, Anchorage Owner: FORGE ENG Lot Size in Sq Ft: 76500 Design Engineer: FORGE ENGINEERING Total Bedrooms: 3 This permit is for the construction of: El Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907)343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: 1 /C/!ol---A / {d7 --/ Date: 4/2-5/& Issued By: Ulrl� -- Date: Y2C// MUNICIPALITY OF ANCHORAGE r• �/ Community Development Department Phone: 907-343-7904� Fax: 907-343-7997 Development Services Division On-Site Water & Wastewater Program en@�pc C t V )1 . C 6� ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-092-30 '5 )-a -7"113 Property owner(s) Stanley Masneri Day phone 440-1771 Mailing address PO Box 110230 Site address 6100 E 142nd Ave Legal description (Sub'd., Block & Lot) Bunny Slopes Lot 1 Legal description (Township, Range & Section) Lot Size 76,500 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Single Family (SF) 111Absorption Field r] Initial ❑ (w/wo ADU) Septic Tank I I Upgrade n Duplex (D) ❑ Holding Tank 1 I Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage f 1 THIS APPLICATION INCLUDES A VARIANCE/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: J cc,° p Waiver Fees: - Date of Payment: - I c.- 0 Date of Payment: Receipt Number: O O 5 t Receipt Number: Permit No. 05f l?I. C) 2- Waiver No. Permit App_2- 09/0/Y) J PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) April 18, 2018 Municipality of Anchorage Development Services Dept- On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Bunny Slopes Lot 1 – 6100 E 142nd Ave Septic trench design and permit application Dear On-Site Services Engineer: The septic system on the above lot has failed, so we are submitting this permit application for the construction of a trench. The existing tank is concrete, and we have verified its integrity. The attached site plan identifies the location of the home, well, existing septic location as well as the proposed trench. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot is flat where the house sits, but on the rest of the lot slopes mildly toward the south and west. The slopes do not exceed 15 %. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Drainage arrows are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. It will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. We will install a bull-run valve to allow the existing trench to recover and be used as an alternate site. Please refer to the attached test hole logs, soils lab analysis, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE 4/18/18 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181052, Deb Wockenfuss, 04/25/18 deckAsphalt 8 1 8 . 0 816 . 0 8 1 4 . 0 81 2.0 808.0806.0804. 0 80 2.07.6%8.4%7.4%10050 0 FEET 1"=50' 48' LONG x 3' WIDE, 6' EFFECTIVE DEPTH ABSORPTION TRENCH 3-BD R M HOMEEXISTING WELL EXISTING 1250-GAL CONCRETE TANK NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FD - FLOW DIVERTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND CO MT TH BUNNY SLOPES, LOT 1 Apr 25, 2018 SLOPES > 25% SLOPES > 46% E. 124nd AvenueCL PICKETT STREETCLRock wall 10' Utility Easement EXISTING TRENCH UNDEVELOPED UNDEVELOPEDUNDEVELOPED WELL > 100' FROM PROPERTY LINE CO FD 2CO EXISTING CRIB (EXACT LOCATION UNKNOWN) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181052, Deb Wockenfuss, 04/25/18 BUNNY SLOPES LOT 1 DESIGN FACTORS: SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW PERK RATE: 12 MIN/IN APPLICATION RATE: 0.8 GPD/SF 3' WIDE DEEP TRENCH SYSTEM 1250-GAL SEPTIC TANK (EXISTING) TYPICAL DEEP TRENCH SECTION (NO SCALE) 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 3' 6" 6" 4' 6' Apr 25, 2018 NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY BOTTOM OF TRENCH: 10.5' BELOW GRADE FLOW LINE ELEVATION: 4.5' BELOW GRADE TOP OF TRENCH: 0.5' ABOVE GRADE 0.8 GPD / 450 GPD/SF / 6' DEEP / 2 SIDES = 46.9 LF TRENCH REQUIRED (48 LF SPECIFIED) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181052, Deb Wockenfuss, 04/25/18 Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 October 21, 1996 John A Mazneri Geraldine M Mazneri Revocable Trust Masneri J A & G M/Trustees PO Box 111793 Anchorage, Alaska 99511 1793 Subject: Lot I Bunny Slopes Subdivision Permit #SW950346, PID #017-092-30 The subject permit, issued October 17, 1995 by this office for a single family well and/or on-site wastewater system, has expired as of October 17, 1996. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. Ail inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. SiCely, ~ J~,n~&¢ Cross, I~.E. ~ogram Manager On-site Services enc: Copy of Permit cc: Anderson Engineering PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950346 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:MASNERI JOHN A & GERALDINE M OWNER ADDRESS:6100 E 142ND AVE ANCHORAGE, AK 99516 DATE ISSUED:10/17/95 EXPIRATION DATE:10/17/96 PARCEL ID:01709230 LEGAL DESCRIPTION: BUNNY SLOPES LT 1 LOT SIZE: 76500 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION 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 (iSAACS0) . 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 PROVISIONS: October 16, 1995 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 1, Block 1, Bunny Slopes Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: The absorption trench on the subject lot has failed and must be replaced. We hereby request a permit to upgrade the system in accordance with the attached design. A testhole placed on the lot revealed a medium graded sand with a percolation rate of 12 minutes per inch. We are proposing to place a wide drainfield with 4' of drainage rock beneath the laterals. A total of 57' of trench will be required. A diversion valve will be installed so the existing absorption system may be reused at a future time if it dries out. The topography of the lot slopes from north to south from 3% to 4%. It also slopes from west to east at a rate of 2% to 5%. No groundwater was found in the testhole at depths over 18'. The existing septic tank falls within the 100' radius of the well, but it has grandfather rights since it was installed in the early 1970s. If the tank is found to be leaking it will be replaced with a new tank placed outside the well radius. No other conflicts exist with other wells in the area. If the absorption trench is placed in the location shown the following statements can be made: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 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. Lot 1, Block 1, Bunny Slopes Subdivision October 16, 1995 Page Two 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. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments LOT 1', BLOCK 1, BUNNY SLOPES SITE PLAN SCALE 1" -- 50' 300.43 NSB'54'Og"E 252.38 30 IIm L '-- ~so.oo__. J 10' Ttlecom & £ .', I"-..~'J s8g,,*48'lg"E _ LOT 1; BLOCK 1, BUNNY SLOPES JOB SHEET NO. CALCULATED BY CHECKED BY SCALE OF DATE DATE ......................................... : ............................. SYSTEM PLAN ......................................... : ......................... SCALE 1" = 20' ............ NOTE: Verify the Integrity of the Existing Concrete Septic Tank. - Place Diversion Valve at Intersection of Old and New Trenches .... Place Two New Post Tank Cleanouts. .. P~OOUCT 2~4-1 ~ngm She~) 205-I (Pmd~d) t(~ inc Gnmlea Ma~. 01471 TD O~dif PHO~ TOLL LOT 1, BLOCK 1, BUNNY SLOPES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home Perc. Rate: 12 Min./In. Application Rate: .8 GPD/SF Reduction Factor: .5 Shallow Trench System 1,000 Gallon Tank (Existing) 4' Gravel Beneath Dist. Pipe 3 Bdrms. X 150 GPD / .8 GPD/SF = 562.5 SF of Absorption Area 562.5 SF / 5 LF X .5 (Red. Factor) = 57 LF Total Absorption Trench Therefore: Construct a Shallow Wide Absorption Trench System With a Total Length of 57 L.F. Distribution Pipe Placed at 5' Below Ground Surface. Verify the integrity of the existing septic tank and resuse if acceptable. NOTE: TYPICAL WIDE TRENCH SYSTEM (NO SCALE) Bottom of Trench to be 4' Above Groundwater. Grade Area Over Trench to Drain Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCR,PT,ON: ~1t t~, l~lS~'l' ~ r~/~. 1 2 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Menitoring? Gross Net Depth to Net Reading Date Time Time Water Drop ' 3';~ 1~5,~ ~.-~ ~,'/~ PERCOLATION RATE I ~ [m~nutes/,nch) PERC HOLE DIAMETER TEST RUN BETWEEN - 7 FT AND -- ~ FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: THAT TTIS TEST WAS PERFORMED IN 72-008 (R~. 4/85) GREATER ANCHORAGE AREA BORL, GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~ LOCATION. MAILING ADDRESS ~¢-X ~'~-~ ~ i~A LEGAL DESCRIPTION LOT I PHONE SEPTIC TANK: DISTANCE , FROM WELL INSIDE LENGTH MANUFACTURER ~.A t~-~/~] INSIDE WIDTH ~ MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS LIQUID CAPACITY /~O GALLONS. SEEPAGE llil~:'-r NUMBER OF PITS DIAMETER OR WIDTH__, LENGTH , DEPTH LINING MATERIAL BUILDING FOUNDATION ADDITIONAL ABSORPTION CRIB SIZE: DIAMETER__DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA) ,<~-'C SQ. FT. WELL: BUILDING--) /--~ NEAREST NEAREST FOUNDATION _'t~U LOT LINE SEWER LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC gt~I SEEPAGE , TANK , SYSTEM DISTANCES: INSTALLED BY: ~)~'~ ~) REMARKS: DIAGRAM OF SYSTEM j\ APPROVED G.A.A.B. GREaI __.R ANCHORAGE AREA bOr 'gh-~/'~ --;'~ PERMit NO. DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "E" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT INSTALLATION LOCATION 'EGAL DESCR,PT,ON ' INSTALLATION Of: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH ~2~~d SOIL TEST RESULTS t COMPLETION DAte ANtICIPAtED ~ sEE2GE PIT v DRAIN FIELD TO BE INSTALLED BY FINAL INSPECTION: 24 HOUR NoTIce REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTA QUIREM S FOUNDATION TO SEPTIC TANK ~~--~~~ FOUNDATION TO SEEPAGE PIT , DRAIN FIELD TYPE DIAGRAM OF SYSTEM SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PiT TO NEAREST LOT LINE. ~ / WELL TO SEPTIC TANK - DRAIN FIELD / ~ /r WATER MAIN TO SEPTIC TANK DRAIN FIELD ., DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT SEPTIC TANK, , SEEPAGE PIT , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBed SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE Pit FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL BOROUGH ~ LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THEJ~IIREMENTS OF GREATER .~NCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DES SY AC r A CE~WiTH SAID CODE. -- // :2TRM NO, EQ_0, $ PLICANT'S SIGNATURE7 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT Legal Description_ 'F L,,~ ,, N~ ,, ! Application to Install: Septic tank _ eepag,e plt Drain field__, Other To Serve the Following Facility._ 3 Financed Through ~J44~,,~ ........ To be Installed Percolation Test Results_ , .......... ~tieipated Dat. of Co~let~m_. BELOW T0 BE FILLED O~ BY ~ALTH DEP~T~NT ~ ,,, . permit to install a ' " - _ ~~__as descmibed ~elow. Size of ~t __~0~ · ~tic tank size. /~ Type ~,,S~page ~ea DISTANCES: DIAGRAM OF SYSTEM I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. T.H. -1 8-21-75 ORGANICS w/TRACE SILT SILT, TRACE aAHD 0.0w 3.0~ SAND, SOP1E SILT (SP-SM 200 sq. ft./bedroom) 6.0' INT.E~YE~ OF SANDY NO WATER TABLE 20.0' T.D. Log represents Lot 1, Block 1 Bunny Slopes Subdivision R Consultants Inc. ANCHORAGE FAIRB'ANK$ ALASKA John Masneri Property Log of Test Hole Anchorage, Alaska Parcel I.D. 4. Complete legal description Bunny Slopes LOL -1 I Location (site address) Current Property owner(s) Mailing address Real Estate Agent Expiration B 9 70 10 77 \_S A F€ /A\J) 0 M�00-qwwm Stanley M. Masneri Day phone (907) 440-1771 PO Box 110230 Anchorage AK 99511 2. TYPE OF DWELLING: Fx-1 Single Family (w/wo ADLI) ❑ Duplex F-1 Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: -3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Z Individual El Individual Water Storage D Holding Tank 1-1 Community Class Well 0 Community 0 Public Water System E] Public Sewer 0 WaiverNariance request for: Distance: Received by: I Date:f COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5-1-121M Date of Payment -Z/I/ a 16 Receipt Number 6 L3wn COSA # 1"?U 9 11 Waiver Fee $ Date of Payment Receipt Number Waiver # Cl /I 1 -zi 1 As certified bymyseal, affixed hereto and as of the validation date shown below, |verify that myinvestigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this app|icebon, shows that the on-site water supply and/or wastewater disposal eysbano is (are) aefe, 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(ore) in compliance with all applicable Municipal and State codes, ordinances, and regulations ineffect atthe time ofinstallation. Name OfFirm Address PO Engineer's Printed Name Michael Anderson, PE 6. DSD SIGNATURE System #1 Approved for bedrooms Disapproved ~� ��ond�ioDo|approval for --] Phone (9O7)522-7773 Date 4/23/18 bedroorne, with the following stipulations: ` Original Certificate Date: The Municipality ofAnchorage Development Services Division (DSD) issues Certificates ofOn-Site Systems Approval (CO8A) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered inthe State ofAlaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. COGACheokkst X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other on»xblue sheet -C *' � " Bunny Slopes, |nf1 Legal Description: `^ ~ ^^'"'� ' ^-"` ' A. WELL DATA Well [�['v�t� type Private IfA,[lorCprovide PWS |D#__ 10/04/68 Da�uom�e�d Sanitary seal (YIN) \/ Total depth _12O ft. Cased to 120** ft� FROM WELL LOG Date uftest '~'~ 1O/D^1"/°~�� Static water level `~��~ ft. � Well production ° 9 -P.M. WATER SAMPLE RESULTS: O Co|iColiformno|onias/10OmL Nitrate _,309 mQ/L 35.7 4/18/18 Arsenic — ug/L Date of sample. — Ifmore than fseptic system ioonthe lot: COSAChecklist # —of ___ Structure served bythis system Well Log (//N)Y Wires properly protected (Y/N)_,______. Casing height (above ground) 16 in. AT INSPECTION 4/21/18 R� _� ft� Collected by: Forge �p O�rrpt� 5 TankTvpe8No�hpd`�~~�""'`� ~'~~~ O��in��`��^�.^� 1250 1 YTanke�*_.�°�^'_gm|� Numb�rof<�onnpo�ments_^C|eonouba/YYN)_,____ Foundation cleanout (Y7N)N N Depression over tank (Y/N)_~,__ High water alarm (Y/N)_ Date of pumping 5/26/2018 Pumper Around The Clock Pumping 71 Date installed 5/26/18 Soil rating (g.pdm2or*u«`drnl) ]8GPD/SF System type Deep Trench Length 48 ft. Width 1'5 ft. Gravel belowpipe A ft. 108 �7� `/ NTota deoth~fL E�aboorpdonarea .ft~ yNonUohngtube __.__ Depression over fi�d_~,_ Date ofadequauytest New Const. Reauho(Pasa/Fai()For bedrooms Fluid depth inabsorption field before test in. Water added— gal. New depth in. Elapsed Time: min. Final fluid depthin. Absorption rate >= g-p.d. Any rejuvenationtreatment (past 12mo.)(YIN &type) |fyes, give date ________ D. LIFT STATION Date installed___ "Pump on" level ad Datum _ Size in gallons __ in. "Pump off" level at _ Cycles tested ff K8anho|o/Aooess(//N)_______ High water alarm level cd____ Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL 0NLOT TO: **� 8eptictanW|ift station��'�=1/l0/ on lot "~ On adjacent lots ' ~= / Absorption > 1�O/ on�e|don|Vt '=� <]nadjacent lots > '~~ 1DM /7�' Public uevvermain �p' ~ Public eevvermanhole/cleanout >100''°°1OO '' ~ ��>75' Animal service line >^- Holding tank ' ~^ ^ Anima|oontainnnentareas >50' Man ure/an imal excrete storage areas >100/ SEPTIC/HOLDING TANK {)NLOT TO: � Building foundation >~/ n Property line >51 [1' VV Water main >1 '" aterservice line >1O/ Wells onadjacent lots >1OO'____.,~^°___ ABSORPTION FIELD {}NLOT TO: Property> 1O/ |ine '~ Building foundation >10/ / VVaterService line >10/ 8u��1DO aoewahar '�~ 0OO�� yJ��f�� Curtain drain None Noted = VVe||a on adjacent lots >1OO' Absorption field >9 Surface water >1OO/ Water main >1/Y Dhveway, paddng/vehicleetom�,1O/ge�_�� F. COMMENTS New absorption trench installed. Old system connected with diverter valve. **Casing depth aSSUOOed from information recorded OOwell log. +*+F[OrDmost recent surveyor aSbuilt. G. ENGINEER'S CERTIFICATION / certify that /have determined through field inspections and review of Municipal records that the above systema are in 49 Id. conformance with MOA COS4guidelines /neffect unthis date.71 K�'��B��| /\D�6�[�D� �� Engineer's Printed Name Michael " ' ` ° ' ' `Michael E. Anderson - R/12/18 Date in. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT (• jr1.7) 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Arsenic Advisory Certificate of On-Site Systems Approval # osc181175 Subdivision: Bunny Slopes, Block: , Lot: 1 A water sample revealed an arsenic concentration of 35.7 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On-Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.0. Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org Municipality of Anchorne P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://Www.muni.org/Onsite Develoiument Services Department On -Site Water and Wastewater Section Waiver#: OS1t181xxx COSA#: OSC181175 Permit#: PID#: 017-092-30 Legal Description: Bunny Slopes Lot 1 so a-- 11 * Applicant: Stanley Masned i} Ct2t Ag Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the private well has been approved. The approved separation distance is 95.0 feet. Condition has existed for at least 43 years and water sample results do not indicate that tank is affecting the water quality of the well. This waiver approval applies to the existing septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. .. M a 2 a. a a M a z 2 M M M a a a a a a a a a a a a a a 0 a 9 a a a z M K 0 M M 2 X a 2 a a a a a a a a a a a a a a z 0 M 2 ff a M a a a a a a a a a a a I Waiver is Granted: X Waiver is not Granted: Date: Approved by: Name of Reviewer a a a M a M M a a a a a a a a M a N 8 a R a B H a H 2 a a a a a M 2 M a M a a I 'M" , V"'. A 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 Parcel I.D. # 0i'7 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ~'~ .~',:-.~' NAA# GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address ~[_~ :,~r c,~. " Day phone , ~ ....· ~, f.;,, Day phone Agent Address Day phone 2, NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 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: NOTE: Individual on-site Holding tank ~ Community on-site Public sewer 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 STATEMENT OF INSPECTION BY ENGINEEi:I 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. NameofFirm / ~/~'~/ ,J ~-~".,-.L~;,'~Y ~--- Phone c-~-~ c7/~ Address "~ ~> I.,~ /~'-~/ Engineer's signature ~ ~.c~f.--~-~ Date ~'~c~,J¢2'~-.,/~1 / /~S SIGNATURE . Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: 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(Rev, 1/91) Back MOA#21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAl. CHECKI.IST LegalDescription: L~.~T'I, t~-.-./ ~i~t>,~ ParcelI.D. ~J-] A. WELL DATA Well type ~-- -g ~ Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number ~//~ Y' Date completed I0/~/~.~ Driller i ~ Cased to ! ~ Casing height ;,~-~ Wires properly protected (Y/N) Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: FROM WELL LOG g.p.m. Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform //0/.[/ Date of sample: Nitrate Collected by: Other bacteria B. SEPTIC/~ TANK DATA Date installed c~ ,-~',Z-;7~-~ Cleanouts (Y/N) / High water alarm (Y/N) Date of pumping Tank size / ~ J)-O Compartments Foundation cleanout (Y/N) ~ Depression (Y/N) 'h'///~- Alarm tested (Y/N) ~/~/~i Pumper A JI-' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 'i~.') To property line Surface water/drainage On adjacent lots ~'/g~-~' Foundation Absorption field /7/(~ Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off" level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~ ~>~ Width Total absorption area ,--~4 Depression over field (Y/N) Results (pass/fail) '~ Peroxide treatment (past 12 months) (Y/N) Soil rating /~-t'~ System type Gravel thickness /0 / Total depth Cleanouts present (Y/N) Date of adequacy test lO/b?- "5 for ~ bedrooms ~ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /~'~ '''~ To building foundation On adjacent lots ~ ~:~ Surface water Curtain drain On adjacent lots ~/0~-2 Propertyline ~ ~ To existing or abandoned system on lot ~///~ Cutbank ~//A Water main/service line Driveway, parking/vehicle storage area J. ~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effrr~.n~,r.,.t on the.. ~..date of this inspection. Signature Engineer's Name I~ - i. ~I'~, [F~[~i4_~9.~ ~--- Date HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 John Masneri P.O.Box 111793 Anchorage, Ak. 99511 345-1978 ~nicipality of Anchorage Health and H~nan Services On Site Services Section 825 L St. #502 P.O.Box 196650 Anchorage, Ak. 99519-6650 Re. On site i~spection approval for lot 1 Bunnyslopes. To whom it may concern; Mr Tobben Spurkland, the P.E. in charge of our on site inspection suggested that I write this note to explain the change in status of our home from a four (4) bedroom house to a two (2) bedroom house. The following changes have been made in the floor plan of our home. 1) One of the two bedrooms was converted and plumbed into a hot tub room. ~2) The second bedroom has been set up as an exercise room containing the following; a) A Nordic Ski machine. b) A Proform electric treadmill. c) A weight bench and weight set. d) A stationary bicycle. e) A gravity exerciser. I hope this satisfactorily explains the change J.n the number of bedrooms in our h~me. Sincerely ohn t~asneri Certified Well Location....,?/.'. ................................................... , ...................................................... ,,. ~,,e ~om~,~...Z.'/....~. :.Z ............................................................................ Depth of well ................ .~- -~-.. ...................................................................................... Size of casing ..... .~. /( Distance to water whil.e pumping .................... : ........................................... at rate of ............. .~-.. ..................... :...gallons per hour. Description of Formation. '"' from · : to ' -' - -'z ~'..': ~:' "-'~ ~ , '\N~....,. i'ceftif~,.the,'abov~tru'&:'and'~otrect;:':::':'.'"-::~-.ii"':'i :'-" ..... o¢ ~ ~ ~o~.:~?_~.~ 0:.~.:~~ ........................................ ~ .~; ,_~ ~x'~'~e.~~ ' .... Driller $wafford Drilling 3401 Spenard Road Spenard, Alaska We advise you to attach this certificate to your deed. ~.03 ~ ~'51'1'{, ~IVENIJE LD,7' 1 £L.WNY 203 WESl 15TH. AYENUE SUITE 206 ANCHDRAGE, ALASKA 99502-3904 (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: Lot 1 BLll']l"/y Slope S/D LOCATION: 5100 E 142nd~ Ave OWNER: John Masher i TYPE OF WELL: Pr'ivate~ Single F.'amily WELL LOG AVAILABLE: Yes INSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOG: Ga].lons per' Minute PUMP YIELD FROM TEST: Gal 1 ons per Mi nute DATE OF INSPECTION: TEST PROCEDURE: Well was pumped at a constant rate while the dr awdown was mon i toted w i th an ac~ust i c probe. At the beginning o~ the test water level was ~ound at 78 ~eet below top o~ casing. At a pumping rate o~ 5 gallons per minute the water level dropped down to the pump intake~ 99 ~eet below top o~ casing. At that time 90 gallons had been delivered,, The well recovery was monitored ~or 2 h~}ur's. Durin~ this time the well recovered to 80 ~eet. 90% recovery. This well c~an proctuce 800 gallons per day. TEST FOR E.COLI AND TOTAL NITROGEN: Water' was tested ,For E.Coli and total nitrogen on Oct. 15 and (]ct,, 23. E.Co].i O. Total Nitrogen ND (None Detected). Max. allcJwable Total Nitrc)gen 10 rog/1. TEST RESULTS: Th i s Municipality (:)f Anchorage. well meet. s the r'equirements o~ the The Municipal requirement -Fc~r well qlo~ is 150 gallons c,{ wa'tier per bedroom per clay. This well exceed this requirement. The assessment of the condi ti on c)~c the (.~e]. 1 appl ~m es only to the cc)nditions as o-~ ti'ne day tested. The .Flow rate may change due to3 subsurface conditions that may not be observed ~r'om the sur~ace~ and changes in the land use and other the aclui-Fer .Feeding the well. 20~ HEST 15¥H, ~VENUE SUITE 20& ~NCHOR~GE, ALASK~ 99502-~904 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 1 Bunny Slope S/D LOCAT I ON: 5.1.00 E 142nd. Ave. OWNER: John Masneri RES I DENCE: Si n(..~l e [--ami 2 Bedrooms WELL: Private: On Site SEPTIC SYSTEM: FROM MUNICIPAL. RECORDS~' 4 Bedroom System .... (") Gal One Compares. TANK: Espinosa ~.x.~ ..... ABSORPTION SYSTEM: Lo~ Crib Trenc:h ABSORPTION AREA: 500+ Sq,, Ft. SOIL RATING: 125 INSTALLATION DATE: 09/23/75 DATE OF LAST PUMPING: A+ 09/09/91 DATE OF TEST: October 23, 1991 TEST PROCEDURE: System was inspected and measured. Tank was found with 4 feet of cover and with a liquid level of 52.5 inch- es. Tr"ench clean []L~t was 5.5 ft. deep and dry. 6-inch trench monitor tube was 16 ft. deep with 124 inches o-f water. The moni tor may not be perforated. 340 gallons o-~ clean water" was added to the trench while the water- ].evels in the tank and the monitor tube were monitored. The water level in the tank did not change~ while the level in the monitor rose 12 inches. The absorpt:i.~)n was monitored .~or 75 minutes. During this time the water level in the sump dropped back to the pre test level, indicating that all the added water had passed out of the system TEST RESULT: This system meets the code requirements of the Heal th and Social Services Department of the Municipality of Anchorage. NOTE The operat:ional life o-~ all septic systems depencls on the local soil conditions~ groundwater levels that may fluctuate dur':i, ng the year~ and the water usage of the family being served by the system. These cond:i, tions are outside the control of the eva]uator of this septic system. We can there.~;~:e_not give any estimate o~ how lonq., thi=. system will ~unA~l'oO:;s~t~.~¢~actory.. .., ,. .~ czLtrrent c)r future c)ccupants. ,;.~ '~'-~'~ ... ,, ~, ,,,. Legal Owner Client Test T.D.B.T.P. LLA. B. S.U. ~T,,P. ARCTIC SPECIALTIES AND SUPPLY Serving Alaskan Engineers with Well and Septic Adequacy Tests and Soil Percs since 1986 P.O. BOX 771747 e. EAGLE RIVER, ALASKA 99577 · TELEPHONE (907) 694-7112 Phone Phone Date zT MUNICIPALITY OF ANCHORAGE Y~~4~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PRO7 ECT~IC[PALiTy ~: 825 L Street- Anchorage, Alaska 99501 DEPT. OF : ~ .L, : ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 AU0 2 ~5 J~ J-JFJJl p J J DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE ~AI LI~ADD~ ESS PROPERTY RESIDENT (If different from above) PHONE PHONE 2. BUYER MAILING ADDRESS, 3. LENDING INSTITUTION~' J PHONE MAILING ADDRESS PHONE 4. REALTO~ENT MAILING ADDRE88 /9/c'e s T 5. LEGAL DESCRIPTION L,,/ STREET LOCATION . 6. TYPE OF RESIDENCE S INGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY INDIVIDUAL~ COMMUNITY [] PUBLIC UTILITY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five [~ Three [] Six f - [] Other * ATTACH WELL LOG. A well log is required for ail wells drilled since June 1975. For wells drilled prior to that date, give welt depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVI DUAL/ON-SITE~* PUBLIC UTILITY **If individual/on-site, give installation date ( ~ 71~' If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3~78) THIS SIDE FOR OFFICIAL USE ONLY TIME I NSPECTI ON APPOI NTM ENTS TIME DATE RECEIVED TIME DATE DATE DATE NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM E~ INDIVI DUAL/ON -SITE []PUBLIC UTILITY Connection Verified E~Septic...Ta[~k_or [] Holding Tank Size: I ',.~_~-O If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING INearest Lot Line 5. COMMENTS (~APPROVED FOR ~--~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVEDBY (~) ~// DATE LEGAL DESCRIPTION 72-010 (Rev. 3/78) 2.49 EAST 515T AVENU~''' CONSULTANTS, INC. P.O. BOX 6087 ANCHORAGE, ALASKA 99503 TELEPHONE D07-~'79-0483 I"A! I'{B AN K.'$ JIJNE.%Li TELEX 090-35419 August 22, 1975 R & M Ho. 5620913 John Masneri SRA Box 456 Anchorage Alaska 99507 RE: Test Hole and Soil Log Report for Sanitary System Lot 1, Block 1, Bunny Slopes Subdivision Dear Mr. Masneri: We are submitting herewith the test boring results and our comments regard- ing soil conditions encountered at the subject site. This investigation was performed in accordance with your request of August 21, 1975, and those procedures outlined in a letter dated July 15, 1975, by Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 1 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 20.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was nog encountered in the test 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 con- tact us. Very truly yours, R & M CONSULTANTS, INC. Vice President JWR/ja xc: GAAB