HomeMy WebLinkAboutSPRING FOREST BLK 2 LT 3Spring Forest
Block 2
Lot 3
#015-321-27
SITE MAP
1"=100•
1 of 2
Permit No.
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone:343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description Lot 3 Block 2 Spring Forest PID ,2-7
SEPTIC
SYSTEM
SEPTIC LOT 5
SYSTELI
BLOCK 2
HOUSE
LOT 2 a N HousE
BLOCK 2
LOT 4
HOUSE BLOCK 2
varm m� IR
Q ClF/lpVi � .6 SEPIC C
Bu.
.At 15
/ (C CIE.'1WI5 1 1.6'
Ap, �
ST
T� , s
FF ,.
LOT 4
BLOCK 1 sEPnc
LOT 5 LOT N OF q��ltlit
SYSTE"' BLOCK 1 BLOCK 1 = p- •.,5� ,��
49th ;
ASBUILT """"""'
i
ry S. Me
F6) '. E-6353
'tt tottROFESS 0�`� ``
Permit No.
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone:343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description Lot 3 Block 2 Spring Forest
RFSeR�'F \
Sp
� SCE
O
O�
SEPTIC SYSTE PLAN VIEW
ExISTINC
GROUND
'=I
C7
\ 1 2.3'
/ 24.2'
18.
MONITORING
TUBE
3'
3'
3
42' ,
ABSORPTION SYSTEM CROSS SECTION
NOT TO SCALE
Page 2 of 2
PID No: 6/6' - 32 � /
.58UIL 1
i
ABSORPTION SYSTEM PROFILE
NOT TO SCALE
NOTES
I. CONTRACTOR TO VERIFY MIN. SO. FOOTAGE
PRIOR TO PLACING TOPSOIL.
2. CAUTION SHALL BE TAKEN TO MINIMIZE
REMOVAL OF EXISTING VEGETATION OUTSIDE
OF SEPTIC AREAS.
3. DISTURBED AREA SHALL BE SEEDED TO
PREVENT EROSION.
4. NO WELLS, SURFACE PLATER, OR CURTAIN
DRAINS WITHIN 100 FT OF NEW
ABSORPTION SYSTEM.
MON TURING
TUBE
W
..
49th
. . ............
I
j '. C - y S. Mey,
CE 1635
I t'O�%V0.
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 PERMIT
PERMIT NUMBER:SW930148
DESIGN ENGINEER:ARCTIC SLOPE CONSULTING GROUP
OWNER NAME:ROSS PAUL D & JUDI C
OWNER ADDRESS:7621 EAST 6TH AVE. #B
ANCHORAGE, ALASKA 99504-1942
PARCEL ID:01532127
LEGAL DESCRIPTION: SPRING FOREST BLK 2 LT 3
LOT SIZE: 42830 (SQ. FT.)
NUMBER OF BEDROOMS: 4 THIS PERMIT: 4
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
uu
-) I - U
DATE ISSUED: 6/10/93
EXPIRATION DATE: 6/10/94
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 343-4329 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:
AT THE TIME OF CONSTRUCTION ENGINEER SHALL PERFORM A PERC.
TEST IN THE SANDY -GRAVEL SOIL BELOW THE SILTY SAND THAT THE
BED IS BEING CONSTRUCTED IN. THIS TEST SHOULD BE SUBMITTED
WITH THE AS-BUILT/INSPECTION REPORT.
RECEIVED E
ISSUED BY:
DATE: /U J OTAI' 9.3
DATE: l - /
C
ENGINEFP.S ARCHITECTS - SCIENTISIS • SH4VEYORS
June 9, 1993
Mr. Dan Roth
Municipality of Anchorage
Dept. of Health and Human Services
825 L Street
Anchorage, Alaska 99501
Re: Septic System Approval: Lot 3 Block 2, Spring Forest Subdivision
Dear Mr. Roth:
Attached is the permit application for a proposed septic system on the above referenced lot. The
following narrative is provided for your review:
Adjacent Wells - There are no existing private or community wells within 200 feet of the
proposed new septic system. All the adjacent lots use the Spring Forest Subdivision
community well. All parts of the proposed septic system are separated by more than 10
feet from any water line.
2. Adjacent Wastewater System - The adjacent lots are developed and have bed and trench
style absorption fields.
3. Reserved Space - Adequate space remains within a 30 foot radius of the test holes
immediately to the west of the proposed system. The reserve absorption field, designed
with an acceptance rate of 0.5 GAL/ft2/Day, would be 50 feet long and 24 feet wide.
4. Drainaee - The lot slopes gradually (1 to 2%) towards the south and southwest. No
concentrated drainage will be directed toward the field and no existing streams are within
100 feet of the proposed field.
The accepting layer of silty sand (SM) is underlain by a mixture of sand and gravel (GW).
Visual inspection indicates that the underlying layer has a faster percolation rate than the
accepting layer. Finally, the proposed system's separation distance radius will include parts of
adjacent lots, but will not interfere with the on-site systems on these lots.
Sincerel ,
c� y� �
Gregory 1 iagee, P.
Sr. Civil Engineer
GLM: EG: CC: 11 100026\CL100
30i ARCTIC SLOPE AVENUE, SLIT: r- 2C0 • ANCHORAGE A[i6KA 9951 i:•-3035
)907) 349-5148 • FAX _907) 349-4213
Permit No.
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 ond/or Well Inspection Report
Legol Description Lot 3 Block 2 Spring Forest PID No:
LOT 2 —'w HousE
BLOCK 2
C
SITE MAP
]"=100,
PROPOSED
HOUSE
1250 GAL
SEPTIC TANK
LOT 4
BLOCK
LOT 4
BLOCK 2
r\
3.6
1
-"_ A
SEPTIC LOT 5 LOT
sY5TEM BLOCK 1 BLOCK 1
.......... ... ....�I
p..Gi qor L� Mrige
f:L -7974 .i
�/� �.I, i
1
sEPnc
srsrEM
1 SEPTIC
C
SYS7EM
L0-�T
BLOCK
HOUSE i
LOT 2 —'w HousE
BLOCK 2
C
SITE MAP
]"=100,
PROPOSED
HOUSE
1250 GAL
SEPTIC TANK
LOT 4
BLOCK
LOT 4
BLOCK 2
r\
3.6
1
-"_ A
SEPTIC LOT 5 LOT
sY5TEM BLOCK 1 BLOCK 1
.......... ... ....�I
p..Gi qor L� Mrige
f:L -7974 .i
�/� �.I, i
Permit No.
Municipality of Anchorage
Page 2 of 2
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 34 3-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description Lot 3 Block 2 Spring Forest PIC) No:
MONITORING
TUBE „I F-AKIrx1 IT -
ABSORPTION SYSTEM CROSS SEC TION
-6,
MIN
2' INSI)
ACCESS
MONITORING
TUBE PROPOSED CLFANOLITS
MONITORING
TUBE
NOTES
I. CONTRACTOR TO VERIFY M111 W FOOTAGE
PRIOR TO PLACING IOPSOIL.
2. CAUTION SHALL BE TAKEN TO MINIMIZE
REMOVAL OF EXISTING VEGETATION OUTSIDE
OF SEPTIC AREAS.
3. DISTl1RHED AREA :HALL BE SEEDEO TO
PREVENT EROSION.
•1- NO WELLS, SURFACE WATER, OR CURTAIN
CI RAINS WITHIN 100 FT OF NE9
ABSORPTION SYSTEM.
5 SYSTEM TO BE INSTALLED A MINIMUM
OF 10 FEET FROM PROPERTY LINE.
I
ASCG
Calculations
System Calculations for Lot 3 Block 2 Spring Forest 28 -May -93
Paqe 1 of 1
Tank Size
4 Bedrooms = 1250 Gallons
Absorption Field Sizing
Using an acceptance rate of 0.8 gal/SF/day
and a daily load for 4 bedrooms of 600 gal/day.
Req'd Absorption Area = 600 gpd / 0.8 gpd per SF = 750 SF
System Dimensions
42.0'X 18.0' = 756.0 SF
The laterals are to be spaced 6.0' apart and 3.0' from
edge of the bed.
OF
.rp
49
Gr, or L Mn9e
/! `C, CE 7,,)74
!! �t��'•, •••1
f
SOILS LOG — PERCOLATION TEST OF��%a'�'��,�
ASCV
PERFORMED FOR: MITCH WAGNER
INCORPORATED •.•. •.../
cxurzTr,•uwrzms•xnrrsrs. wmfroxs
LEGAL DESCRIPTION: LOTS BLOCK 2 SPRING FOREST
wi u<rc sioFt AA., surf im • u:cxauu, uuxA ncse-.w5s % Cr jor L. MOge
C —7974
TWSHP, RNG, SCTN SW1/4 S14 T12N R3W SM AK
DATE PERFORMED: 20MAY93 i,If
fill `a`;`",�
0-
I-
2-
3-
4-
5-
6-
7-
8-
12-
13-
14-
15-
16-
17-
18-
0-
20-
(FEET)
(FE )
TEST HOLE 1
PERC TEST
—
HOLE
Bf-)TTOM
SLOPE
SITE PLAN
�EOU140AT10N
DATE
II CLGNOIIT
\
\
DEPTH TO
WATER
NET
DROP
4'O ACCESS
TUBES \
20MAY93
110 GAL—Z \
IC TANK
iCLEANOOi'
\
-
2
I) l'
3
13:13
10 '-5.0"
6.0"
4
13:18
15
�I
-
_
13:23
20 min 5
u
7
13:28
13:33
25 riln 5'-4.'
0 r'iin 5'-4.0''
WAS GROUND WATER
ENCOUNTERED? NIF YES, AT WHAT DEPTH? --
DEPTH TO WATER AFTER c1l
MONITORING? - DATE: 27MAY93
NO.
DATE
GROSS
TIME
NET
TIME
DEPTH TO
WATER
NET
DROP
1
20MAY93
13 03
0
5'-U.0"
-
2
13:08
3
13:13
10 '-5.0"
6.0"
4
13:18
15
�I
-
_
13:23
20 min 5
u
7
13:28
13:33
25 riln 5'-4.'
0 r'iin 5'-4.0''
4.3
g
I?:38
35 11'
4 fi"
PERCOLATION RATE 1.3 NN/NCH) PERC HOLE DIAMETER 6.0"
TEST RUN BETWEEN 5-0.0" FT AND 5-6.0" FT
COMMENTS: PERC HOLES WERE PRE-SOAKED FOR FOUR HOURS PRIOR TO TESTING
PERFORMED BY: ERIC GROPP / GREG MAGES CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 20MAY93
SOELS LOG - PERCOLATION TEST F
ASCG
PERFORMED FOR: MITCH WAGNER
INCORPORATED — i...l. ..3.t.1,... ,, •. ....•.�
LEGAL DESCRIP'T'ION: LOT3 BLOCK 2 SPRING FOREST
m, x m uuvr Art., surf zoo , ulcxavnc, uwsrA sesta-ays . ,rp • • L' •� • • Ee i
A� rY J ' rl-
�j Tc CE -797
TWSHP, RNG, SCTN SWI/4 S14 T12N R3W SM AK �i� .r,'•,
DATE PERFORMED: 20MAY93
0-
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
ll-
12-
13-
0-
20 -
DEPTH
(FEET)
CLAY&
ORGANIL
TEST HOLE 2
SILTY
SAND PERC TEST
HOLE
BOTTOM
;3r_•)w
SITE PLAN
EOUN[IATION
CLEANOUT
I I
ACACCESSTU
PJ6E;
'S4
GAL-/\ CLEANOIJTS
C TANK
-- a
WAS GROUND WATER
ENCOUNTERED? N w r IF YES, AT WHAT DEPTH?—
DEPTH TO WATER AFTER s - --
MONITORING? - DATE 27MAY93
NO,
DATE
GROSS
TIME
NET
TIME
DEPTH TO
WATER
NET
DROP
1
20MAY93
13105
0 lnin-
2
13110
5
3
13:15
10 rein
4
1320
5 1,),n
R'-2.0"
2.0"
5
1325
20 r�ln
6
13:30
25 r9in
7
1335
30 min
10 .3"
R"
13:40
35 19in
R'-1 .R"
I ,"
10
-
-
-
PERCOLATION RATE 28 (MIN/INCH) PERC HOLE DIAMETER 6.0"
TEST RUN BETWEEN 5-0.0" FT AND 5-6.0" FT
COMMENTS: PERC HOLES WERE PRE-SOAKED FOR FOUR HOURS PRIOR TO TESTING
PERFORMED BY ERIC GROPP / GREGMAGEE CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 20MAY93
ASCG
INCORPOILATAD
[rlGrL(RS • AePI1rF<Ts�uonrcrs . wmc.'ws
J01 AiCI1C S101h
All. SUR 2w . µC X1 ..1. 99510-Y1J5
0-
1
2-
3-
4-
5-
i1cm
14-
15-
16-
17-
18-
19-
20 -
DEPTH
(FEET)
roPsoi
SAND
SOILS LOG - PERCOLATION TEST
PERFORMED FOR MITCH WAGNER
LEGAL DESCRIPTION: LOTS BLOCK 2 SPRING FOREST
TWSHP, RNG, SCTN
DATE PERFORMED:
TEST HOLE 3
SILTY
SAND I PERC TEST
HOLE
BOTTOM
SWI/4 S14 T12N R3W SM AK
20MAY93
SLOPE
cJ _
C)F A/sl III
4 th i
P r. d •r L..Mnq.. rT '
In -7974 // r
'11111 �^iF(j •''•.. ...•'' ��`�
SITE PLAN
FOUNDATION
C,LEANDUI
11
n"I ACCESS
TUBES \
.50 GAL ( CLE 401YTS
IC TMK \
/ h/SEkLr
WAS GROUND WATER
ENCOUNTERED? N m i _ c_;
IF YES, AT WHAT DEPTH? --
DEPTH TO WATER AFTER -
MONITORING? - DATE 27MAY93
NO.
DATE
GROSS
TRVIE
NET
TIME
DEPTH TO
WATER
NET
DROP
1
2OMAY93
13:51
0 Iain
4'-O.0"
-
2
13:55
5 Inln
4'-1.0°
1.0"
3
14:01
10 rgln
4'-1 .0"
4
14:06
15 rgin
4' l.0"
10"
5
14: 1 1
2"0 rein
4'-1.0"
1.0
6
14:16
25 rgln
4'-0.8"
7
14f21
30riln 4'-0.'?"
9
—
— —
—
10
-
- -
--
PERCOLATION RATE 63 NINANCH) PERC HOLE DIAMETER 6.0"
TEST RUN BETWEEN 44.0" FT AND 4'-6.0" FT
COMMENTS: PERC HOLES WERE PRE-SOAKED FOR FOUR HOURS PRIOR TO TESTING
PERFORMED BY: ERIC GROPP / GREG MAGEE CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 20MAY93
Municipality of Anchorage
v j
Department of Health and Human Services dhh5
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage. Alaska 99519-6650
January 10, 1991
Turner Construction
PO Box 3489
Palmer, Alaska 99645
Subject: Lot 3 Block 2 Spring -Forest Subdivision
Permit #900030, PID #015-321-27
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1990.
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 needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as -built inspection report
(three-part form) must be sent to this office for review,
approval and documentation. All inspection reports must be
submitted within 30 days of construction completion.
when applying for a new permit, the fees are: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questio
Sincere Ly,
V�
John S'th, P.E.
Progra Manage>
On-site Services
JW/ljm:200
enc: Copy of Permit
please call this office at 343-4744.
"Kids Are Our Future"
MUNlC1PALlTY OF HNLHbKAb�
Department of HealU1 to Human Services
G25 L Street., Anchorage, Alaska 99501 343-4720
ON - SITE SEWER PERMIT
Date lssued: O2/08/90 "Angineer Designed
Owner Name: TURNER CONSTNUM 1ON Day Phone:
Owner Address: P.O^ BOX 3489 562�5881
PALMER, AK 99645
Pa,cel ld: 015-321-27
to Legal: Subdivision: SPRlNG FUREST SUBD" Lot: 3 Block: 2
Seciifill : 14 Township: 121 Range: 3W
Lot Size 42830 (sq.or acres>
Max Bedrooms: This Perm�t: 4 Total Capacity: 4
SEPTIC lANK: Minimum total septic tank capacity: 1,250 gallons. Each septic
tank must have at least A compartments. Depth to top of septic tank(s) < 4.0
feet requires insulation over tank(s).
lNFURM D.H.H.S, PRIOR TO INSPECTIONS BY ENGINEER, IF AFTER
0H IFS HOURS, CALL 343~4b81 AND LEAVE A MESSAGE,
CONS; TRUCT PER ENGINEERS ATTACHED DES\GN.
[HlS PEZvi l} EXPIRES 1w/31/90 A%18 VALID FOR A SlNGLE FAMILY HOME.
EXCAVAl[ON MUST 8E OPEN AND CL0SED lHE SAME DAY OR ELSE HEATED
IF LEFl OPEN OVER NIGHT.
I CERTIFY THAT:
L . l am amiliar with the requirements (or on-site sewers and wel1s as set
forth by the Municipality oi� Anchorage ( I'll OA) and the State of Alaska^
2, I will install the system in accordance with all MOA codes and regulations,
and io compliance with the design criteria A this permit.
3. I will adhere to all MOA and State off Alaska requirements /or the set back
distances �rom any existing well, wastewater disposal system or public
sewerage system on this or aoy adjacent or nearby loL.
4. I understand that this permit is valid for a maximum of 4 bedrooms. I
also understand that the ca;acity o{ the total system is It bedrooms and
any en1argement will require an additional permit.
Signed: DATE:
kid',~_�~-_'___-_/_-'_____________
(Owner) |U ^ `ONSTRUCllON
TURNER
(907)
February 26, 1990
CONSTRUCTION CO., INC.
P. O. BOX 3489
PALMER, AK 99645
745-8334 or 561-5882
Municipality of Anchorage
L Street
Anchorage, AK
TO WHOM IT MAY CONCERN:
I hereby authorize Alice A.
any on-site sewer and well
Co., c.
avy'y"ZI
Rex L. Turner, Presi ent
Smith to sign for and pick up
permits for Turner Construction
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
2 7 X00
000
RECEIVED
Municipality of Anchorage
Department of Health and Human Services C�hhS
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
January 8, 1990
Turner Construction
PO Box 3489
Palmer, Alaska 99645
Subject: Lot 3 Block 2 Spring Forest Subdivision
Permit #890251, PID #015-321-27
The subject permit, issued by this office for a single family
well and/or on-site wastewater system has expired as of December
31, 1989.
Permits are issued on a calendar year basis by authority of the
Municipal Code of Regulations. A new permit must be obtained
from this office for an well and/or on-site wastewater system
not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this office for documentation of the installation and to close
the permit.
If a private engineer inspected the installation of the on-site
wastewater system, the original as -built inspection report
(three-part form) must be sent to this office for review,
approval and documentation.
When applying for a new permit, the fees are: $90.00 for an
on-site wastewater permit; $50.00 for a well permit; $140.00 for
a combined on-site wastewater and well permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
John Smith, P.E.
Program Manager
On-site Services
JW/ljm:200
enc: Copy of Permit
"Kids Are Our Future"
MUI'd IClPALITY OF ANCHORA6�
Department o�H�alth & Human Services
825 L 6treet� Anchorage, A1aska 99501 343�4720
ON~Sl[E SLWER PERMlT
Permit Number: 890251 �����O /L����/
DaLe [ssued: 10/27/89 Engineer Designed
Owner Name: CONSTRUCTION TURNER Day Phone:
Owner Address: P.O. 8OX 3489 562-5881
AK 99645
Parcel Id: 015~321~27
LoL Legai: Subdivision: SPRING FOREST SUBD. LDt: 3 B1ock: 2
Section: 14 |ownship: 12N Range: 3W
Lot Size 42830 (sq.{t. or acres)
Max Bedrooms: This Permit: 4 Total Capacity: 4
SEPTlC TANK: Minimum toial septic tank capacity: 1,25V gallons. Each septic
tanI must have at 1east 2 compartments. Depth to top optic tank(s)
�eet requires insulation over tank(s)'
INFORM D.H.H.S. PRIOR TO lNSPECTlONS BY ENGINEER� IF AFTER
OFFICE HDURS� CALL 343'4681 AND LEAVE A MESSAGE^
CONSTRUCT PER ENGlNEERS ATTACHED APPROVED DESIGN.
[H}S PEHMlT EkPIRES i2/31/89 AND VALlD FOR A SINGLE FAMILy HOME.
EXCAVATlDN MUSl BE OPEN AND CLUSED lH1E� SAME DAY OR ELSE H[ATED
[F LEFT OPEN UVER N]GHT.
l CENlFY THAT:
(amiliar with t1 irements |�or on~siie sewers and wel1s as set
forth by the Municipality I Anchorage (MOA) and the State o[ Alaska.
2. 1 wil1 install the system in accordance with all MOA codes and reOulations,
and in compliaoce with Lhe design criteria of this permit.
J. l will adhere to al1 MDA and State of Alaska requirements or ihe set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. ] undersiand thazs permit is valid for a maximum o[ 4 bedrooms" l
a1so understand Lhat the capacity of the total system is 4 bedrooms and
any enlargemonL wil1 require an additional permit.
Signed:
,
(Dwner) TUR��R
Issued By: DATE:
I-
/0 Ae
We ii
Y( PIS
7(00
37
4:9
' \ Z07-3
5,-e 5-J), 2
01
K 0)
All
0f , \4b
Vol
VO
NOTE:
All Dimensions And Locations Must Be Field Verified Prior To Construction
SEWER SYSTEM LOCATION PLAN.
LOT BLOCK SUBDIVISION
'51012 lAla 7-
SECTION/TOWNSHIP/RANGE
7 9, Al, 4 A�_
,
14 7
SCALEt 7 NOTE
The Accuracy Of !-location Of
Exisiting And
,0_ ; Proposed Property Corners, Wells, and Septic
DRAWN BY, Sy5teats Endicated IV Not Exact. Dipconions
15 NORTH
1indicated nave Been Determined By Uso Of Cloth
i ��---...-"1-- *y /1 I BJI-6�
and/or Municipal Records, And Net By
1. A 1-1 Surveying Techniques
PREPARED FOR -
2
I W. 112e v 7al
DATE - /0////
69 SHEET OF
A PPP? ovkrO
10-2,7-99,
OP
1 1, - I - - -
X /So= 660
/' 5 = 9eo'c /
3-75 -49oo
2 2
NOTE:
All Dimensions And Locations Must Be Field Verified Prior To Construction
SEWER SYSTEM LOCATION PLAN
LOT GLOCI( sueolvIsION
rJ
SECTION/TOWNSHIP/RANGE
/V 12- 3W 5 A Alasle
SCALE
v /V, The Accuracy Of Location Of rxisiting And
Proposed Pcoperty Corners, wells, and Septic
DRAWN By' Systems indicated is Not Exact. Di�n-lions
indicated have Been OeterwLned By Use Of- cloth
NORTH 113 L i I Pcccrds And Not 8
2
C Pa
Surveying Techniques
PREPARED FOR-
OeX Turner
DATE4 SHEET OF
®, (E'NGINEER'S SEAL)
e,
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES v f�
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: %L�t./G'�2- COtiJ Si�uGi ire DATE PERFORMED_;, M
LEGAL DESCRIPTION:/J� /: Z 51 41'6" /-�70 Township, Range, Section:
_ SLOPE SITE PLAN
O OEPTH AR6�4'iv/G �L: +Ti
¢ 1 1312iw,v S c r, SoA'E 5.4+.0
N
2
0-" �.4nr� / tit 046
3 17;t �J
4
5
6
7
8
9, 9
10
11
U`tAly 54oi.0 WAS GROUND WATER /[ /O
ENCOUNTERED? N v
S
/%li�GGL
IF YES, AT WHAT p
DEPTH? P
12 p E
1 z`Jr. AB s fdW Depth to Water After
13 Monitoring? _—�— Dale: �t7
14-
15-
16-
17-
18-
19-
20-
COMMENTS.
4151617181920COMMENTS
PERCOLATION RATE (mmutesimch) PERC HOLE DIAMETER b
TEST RUN BETWEEN FT AND FT
PERFORMED BY: ed 40 1%N / La�I Rd 66C/ � 76� CERTIFY THAT THIS TESTWASPERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: �� U
72-008 (Rev. 4/85)
SPRING FOREST, INC.
P. 0. Box 90647
Anchorage, Alaska 99509
344-5800
October 26, 1989
HAND DELIVERED
iunicipcii-ky of Anchorage
Sewer Permits Division
P. 0. Box 196650
Anchorage, Alaska 99519-6650
Re: Sewer Permit for Lot ?, Mock 2, Spring Forest Subdivioion
Dear Madam or Sir:
Please issue a sewer permit for the above referenced lot to Rex
Turner, Turner Construction company, Inc.. We are selling th,=
lot to Turner Construction Cimpany, Inc., the transaction is to
close within a week.
If you should have any questions, please call me.
Very truly yours,
SPRING FORES, INC.
Jose Pb' ?--Cange,
Dzrpc.ii n„
MUNICIPALITY OF ANCHORAGE
DEPT. OF HE UH &
ENVIRONMENTAL PROTECTION
00r 2 '' 9980
RECEIVED
fry \ Municipality of Anchorage ••,
Development Services Department
( Building Safety Division ..
On -Site Water 8 Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ek.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING .
Parcell.D. 015-321-27 HAA# osDW9
1. GENERAL INFORMATION Expiration Date:
Complete legal description SPRING FOREST SUBDIVISION* LOT 3. BLOCK 2.
Location (site address or directions) 5921 WEST TREE DRIVE • ANCHORAGE. ALASKA 99507
Current Property owner(s) JUDY k PAUL ROSS Day phone 346-2757
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
5921 WEST TREE DRIVE • ANCHORAGE. ALASKA 99507
Day phone
JULIE ERICKSON W/ PRUDENTIAL JW Day phone
273-7522
3801 CENTERPOINT DRIVE #200 • ANCHORAGE, ALASKA 99503
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
E
Individual Water Storage
❑
Individual Holding tank
❑
Community Class *A* Well
E
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, 1 verify that my
Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate
for the number of bedrooms and type of structure Indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) In compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP. Ltd. Phone 337-6179
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineers Printed Name JEFFREY A. CARNES$, P.E. Date -7/7/09
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 8 Regulations. The reported results described the pedormance 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 3 bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
WASTEWATER
Septic System Advisory
Supplemental Engineers Report
Well Flow Advisory Other
By. Original Certificate Date: 7— 0 J
(Ray.17,01)
Municipality of Anchorage
' Development Services Department
Building Safety Division
On,Ske Water R Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 9951966W
www.ei.anchorage.ak.us
(907) 343.79W
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: SPRING FOREST SUBDIVISION; LOT 3. BLOCK 2. Parcel ID: 015-321-27
A. WELL DATA
Well type •A•
Date completed
Date of test
Static water level
Well production
COMMUNITY WATER
If A, B, or C provide PWSID# 213564
San" seal
Cased to ft.
FROM WELL LOG
WATER SAMPLE RESULTS:
Colftm colonies/100 ml. Nitrate
Arsenic:
S. SEPTICIHOLDINO TANK DATA
R.
g.p.m.
Pdf'iIr']
protected (Y/N)
Casing height (above ground) in.
AT INSPECTION
of sample: Collected by:
ft.
g.p.m.
— colonies/100 mi.
Tank Type/Matedal
SEPTIC STEEL
Date Installed
6/21/1993
Tank size 1250 gal.
Number of Compartments 2
Cleenouts (YM)
`/ES
Foundation cleanout (YM) YES Depression over tank (YM) NO High water alar (YM) N/A
Date of pumping 6/23/2005 Pumper MCDONALD'S PUMPING
C. ABSORPTION FIELD DATA
Date installed 8/21/1993 Soil rating .p.d ft%dr) 0_8 System type BED
Length 42 ft. Width 18 ft. Gravel below pipe 0.5 R.
Total depth 625—e.5 ft. ER. absorption area 756 R' Monitoring tube YES Depression over Bend NO
Date of adequacy test 6/23/2005 Results (Pass/Fall) PASS For 3 bedrooms
Fluid depth In absorption field before test 1:W4 in. Water added 601 gal. New depth 8.5/9.01n.
Elapsed Time: 333 min. Final fluid depth 7.25/7.51n. Absorption rate >. 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) NONE KNOWN If yes, give date —
D. LIFT STATION
Date installed
"Pump are level at _in.
E. SEPARATION DISTANCES
:Size in gallons Manhole/ Nrump ofl" n. High water aiarrn level at
Cycles tested Meets alarm b circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAl t station on lot
Absorption field on lot
Public sewer main
service line
COMMUNITY WATER
On adjacent
On
Public sewer manhole/deanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 108+ Property line 5'+ Absorption field 10'+
Water main 25'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 2000+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property One
10'+
Building foundation 10'+
Water main 25'+
Water service
line 10'+
Surface water 100'+
Driveway, parkinghrehide storage '0'+
Curtain drain
NONE KNOWN
Wells on adjacent lots 200'+
F. COMMENTS
• PORTION OF BED IS UNDER DRNEWAY
G. ENGINEER'S CERTIFICATION
1 :t --:
I certify that I have determined through field inspections and
review of Munictpa/ records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer s Printed Name JEFFREY A GARNESS �
mess.
Date 7 L;-.O�'IV
ed p- - . .a 0
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
Jul 07 05 02:06p Julie A Erickson 92737398
B'—T
SPRING FOREST SUBDIVISION
LOT -3,08 LOCK 2
SURVEYING. LLC
.EFF A. GASTAVAA RLS
1726 WEST WTH AVENUE
ICHORAOG ALASKA "SM
PHONE 248-6154
NoDA/TE
xtx e/2ahone
IL roe rXA
13-12 S{S32
I HIE EBY CERTIFY THAT 1 N<VE s TRW D THE
PROPERTY DE 4MM AEOTVE AN THAT NO
eNCRQACNYENM EXIST EXCEPT AS INDICATED.
R 15 THE RESPONSPBLLRY OF THE OWNER TO
OETMME THE M"ME OF ANY EASCIA MS
COVCMgM OR RESTRcnoN5 WHICH DO NOT
APPEAR ON 11-E RECORDED SUBOMSION PUT.
UNDER NO CRCUIMS7AN= SHOUED ANY DATA
HEREON BE USED FOR CONSM=ON OR FOR
ESTABLISMO BOUNDARY OR FENCE EINES
ANCHOR'S REODMNO I)MMICT, ALASKA
NOTE: NO CORNERS SET THIS DATE.
OF e,
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GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
July 18, 2005
Municipality of Anchorage
Dept. of Dev. Services
On -Site Services
4700 S. Bragaw St.
Anchorage, Alaska 99507
Attn: Jeff Poet
Subject: Spring Forest, Block 2, Lot 3
Mr. Poet:
We inspected the seepage bed on the subject property and reported that a small portion of the bed
lies under a driveway which was constructed after the sewer system installation. Previous
inspections reported that none of the bed was within the driveway. Based on our calculations, a
comer, approximately 6 feet at the longest portion, extends under the driveway. We request that
the approval be granted for the following reasons:
1. The driveway was constructed after the sewer system installation.
2. The top of the bed at the driveway is 5.6 feet below ground surface and has operated
for over ten years without any evidence of damage and/or freeze up. Thcre is no
reason to presume that freeze up might occur in the future.
3. It would be an extremely costly and unnecessary process to move the driveway
(which is asphalt) to meet the technical regulation.
Therefore we/ore asking that an exception be made and the approval made. If you have
additional q e tions, please contact me at 337-6179.
E., M. S.
3701 E. Tudor Road, Suitc 101 * Anchorage, AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com
MUNICIPALITY OF ANCHORAGE
° T DEPARTMENT OF HEALTH & HUMAN SERVICES j
Division of Environmental Services M
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # d �� 52 I —,;C72 HAA # AWI S M 1
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner / 0-7_tf
Mailing address 0__
Lending agency
Mailing address
Annnt
J
A 4/4,,1
Unless otherwise requested, NAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual well
Community well X
Public water
Day phone 3 (/'�' )156
3e15' —,�Z /-=Z 9-
Day phone
Day phone
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site X
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 1121
tZg VOW NOUB fl6/l "ea8) SZtrZC
Naon% sa9aul6ua leuolssaloid ayl ul suolsslwo ao s.)ona aol alglsuodsaa
IOU sl a6eaoyouy to AllledlolunW ayl •panssl sl aleol}llJao e aaolaq elep az/(leue ao suolloadsul lonpuoo
lou op SHHO to soa/oldw3 •sluawaalnbaa alels pue leaapal ulepgo (lslles olaapao ul suollnl!lsul 6ulpual alayl pue
sawoy to saaseyoand ol/salanoo e se slyl saop SHHG ayl'e�selylo alelS ayl ul paaalsl6aa aaaul6ua leuolssaload
luapuadapul ue /(q anoge g gdea6eaed ul uanl6 suolpaluesaidw ayl uodn (luo paseq saleollllaao lenoaddy
Al!aoylny ylleaH sanssl (SHHCI) saolnaaS uewnH pue ylleaH to luawuedaa a6eaoy0uy to /liledlolunW a41
mollelndils 6ulnnollo! ayl yIIM 'swooapaq
h/ 8-1-F, I alea
sluawwoo leuolllppy
aol lenoidde leuolllpuo0
'panoaddeslQ
-swooapaq aol panoaddy
3aniVNDls sHHa
aanleu6ls s,aaaul6u3
71b ��y210rr�N� ��t 1 ssaaPPV
euoyd9��! wail 10 aweN
'uolloadsul siyl to alep ayl uo loalla ul suoilelnbaa pue 'saoueulpao
'sepoo alelS pue led!o!unW Ile yl!M aouelldwoo ul sl wals�(s lesodslp aalennalsI?m ao/pue Aid
aalenn alts-uo ayl 'uolloadsul pue uo1le6lls9nul AW woal pue salt} a6eaoyouy to Al!ledlolunw ayl
woaj paulelgo uollewaojul ayl uo paseq leyl A;uan aaylan) I •ulaaay paleolpul aanlonals to ad j pue
swooapaq jo aagwnu ayl Aol alenbape pue leuollounl 'ales sl wets (s lesodslp aalemalsem Aolpue
lddns aalem alls-uo ayl leyl snnoys uopeolldde lenoaddy Al!aoylny ylleaH s!yl to uolle6llsanul
(w leyl lllaan i 'molaq unnoys alep uollep!len ayl to se pue olaaay paxllle leas (w �(q pallllaao sy
In
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aol lenoidde leuolllpuo0
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-swooapaq aol panoaddy
3aniVNDls sHHa
aanleu6ls s,aaaul6u3
71b ��y210rr�N� ��t 1 ssaaPPV
euoyd9��! wail 10 aweN
'uolloadsul siyl to alep ayl uo loalla ul suoilelnbaa pue 'saoueulpao
'sepoo alelS pue led!o!unW Ile yl!M aouelldwoo ul sl wals�(s lesodslp aalennalsI?m ao/pue Aid
aalenn alts-uo ayl 'uolloadsul pue uo1le6lls9nul AW woal pue salt} a6eaoyouy to Al!ledlolunw ayl
woaj paulelgo uollewaojul ayl uo paseq leyl A;uan aaylan) I •ulaaay paleolpul aanlonals to ad j pue
swooapaq jo aagwnu ayl Aol alenbape pue leuollounl 'ales sl wets (s lesodslp aalemalsem Aolpue
lddns aalem alls-uo ayl leyl snnoys uopeolldde lenoaddy Al!aoylny ylleaH s!yl to uolle6llsanul
(w leyl lllaan i 'molaq unnoys alep uollep!len ayl to se pue olaaay paxllle leas (w �(q pallllaao sy
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»33NIJN3 A8 NOUDEIdSNI d0 1NMELLViS 'S
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: -5,;r169- T)/-,'67Parcel I.D. 0/5 - 3a Z
A. Well Data
Well type _If A, B, or C, attach ADEC letter. ADEC water system number �
Log present (Y/N) Date completed
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
Well flow
Pump levell
Cased to
FROM WELL LOG
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Driller
Casing height
Wires properly protected (Y/N)
AT INSPECTION
MUhiCI:1ALnY CF AWHO11,AGE
FN\(W'."Ni1V NTAL.`,ER`rIC1.S DIVISION
air\�/ `I ii 1�J3
g•P•m..;
I.,
:CEIVE
/ova ; On adjacent lots /y,"
Absorption field on lot ; On adjacent lots /Vv
Public sewer main 111) Public sewer manhole/cleanout
Sewer service line // o .LiJ1�l� - v =. Petroleum tank A6 Ce/eoll
WATER SAMPLE RESULTS:
Coliform
Date of sample:
B. SEPTIC/HOLDING TANK DATA
rate
Collected by:
Other bacteria
Date installed Tank size /2,5 0 Compartments Z
Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y _Depression (Y/N)
High water alarm (Y/N) Alarm tested (Y/N)
Date of pumping h�-/cJ SdS ��yl t Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Wells) on lot V0 GL)e // On adjacent lots 106 -74- Foundation
416 '
To property line 13 Absorption field 7% � Water main/service line
Surface water/drainage /�JO
CONTINUED ON BACK PAGE
72-026 (3/93)' Front
C. LIFT STATION
Date installed Manufacturer
Size in gallons Manhole/Access (Y/N)
Vent(Y/N)
High water alarm level
"Pump on" level at
Meets MOA electrical codes (Y/N)
SEPARATION DIST,
Well on
D. ABSORPTION FIELD DATA
tested
LIFT STATION TO:
off" Level at
On adjacent lots Surface water
Date installed l�� � /1/ 61' `3 Soil rating (GPD/Ftz) System type B F 7
Length Width /v Gravel thickness Total depth �4
Total absorption area
Cleanout present (Y/N) Depression over field (Y/N) //�-/
Date of adequacy test A�bJ wr Results (pass/fail)
Water level in absorption field before test '-- After test
for
Peroxide treatment (past 12 months) (Y/N) `' If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot dO WPICS h cr On adjacent lots 2/o /142P//olv- /o f Property line / , 5
To building foundation /06 t To existing or abandoned system on lot X(o/" �
On adjacent lots /llve91� Cutbank /o0 _t- Water main/service line C�)o
Surface water /02_9 f Driveway, parking/vehicle storage area /o
Curtain drain
E. ENGINEER'S CERTIFICATION
Bedrooms
I certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect;on the. date of this inspection.
C J
Signature
i
En neer's Name C� e/�� k"
Engineer's / �y (.,r,V Ac,ar
Date
< l
HAA Fee $ ° Waiver Fee $
Date of Payment//- i�3 -y =3 / Date of Payment
Receipt Number a� / %/ �� Receipt Number_
72.026 (3/93)' Back
ASCG
INCOPPOAATSD
uroiE[as •.war"c[sys.�w�ms • summa¢
ui Ascot xoe[ Ali, sort zoo . u+cxow+.4 uisY+veSie-wu
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: M1TCH WAGNER
LEGAL DESCRIPTION: LOTS BLOCK 2 SPRING FOREST
TWSHP, RNG, SCTN
DATE PERFORMED:
TEST HOLE 4
0-
DATE
GROSS
TRAE
1_
CLAY&
NET
DROP
1
ORGANICS
1220
2-
6'-2"
-
3-
12:25
4-
SILTY
3.2"
3
SAND
12 30
5-
6'-4.4"
2.4"
6-
T ST AT
15 min
6'-3.8"
BOTTOM
7 -HOLE
OF BED
15 min
B OTTO M
1.7"
8-
12 40
9-
6'-3.5"
1.5"
10-
12 45
II-
12-
13-
14-
IS-
16-
17-
18-
19-
20-
SWI/4 S14 T12N R3W SM AK
2LYUN93
SLOPE
0
CSF A(
V-
' 9th :
........ .......,
I
�'. Care Meyer .•(!
E 535.3
SITE PLAN
Y_
4
WAS GROUND WATER
ENCOUNTERED? N w 0
IF YES, AT WHAT DEPTH? - s
DEPTH TO WATER AFTER
MONITORING? - DATE: -
NO.
DATE
GROSS
TRAE
NET
Tm
DEPTH TO
WATER
NET
DROP
1
21JUN93
1220
0 min
6'-2"
-
2
12:25
5 in n
6'-5.2"
3.2"
3
12 30
10 min
6'-4.4"
2.4"
4
12:35
15 min
6'-3.8"
1.8"
5
12:35
15 min
6'-3.7"
1.7"
6
12 40
20 min
6'-3.5"
1.5"
7
12 45
25 min
6'-3,4"
1.4"
8
12:50
30 min
6'-3.4"
1.4"
9
12:55
35 ruin
6'-3,4"
1.4"
10
1 -
I -
I -
PERCOIATION RATE 3.6 OAIN/INCH) PERC HOLE DIAMETER 6.0"
TEST RUN BETWEEN 6'-2" FT AND 6-8" FT
COMMENT'S: PERC HOLES WERE PRE-SOAKED FOR FOUR HOURS PRIOR TO TESTING
PERFORMED BY ERIC GROPP / CAREY MEYER CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2L1UN93
Page 2 cf 2
Permit No.
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone:343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description Lot 3 Block 2 Spring Forest PID No:
>s
90'
10'
1 ,
1
�4. 0
i
MONIT I
UBE
ROUT
3'
J' MONITOR
3
42'
O
SEPTI Y T M PLAN VIEW
/
1" =30'
EXISTING
GROUND
NOTES
I. CONTRACTOR TO VERIFY MIN. SO. FOOTAGE
5.2'
PRIOR TO PLACING TOPSOIL.
2. CAUTION SHALL BE TAKEN TO MINIMIZE
REMOVAL OF EXISTING VEGETATION OUTSIDE
OF SEPTIC AREAS.
-
',T,,
'+'' XRIC ROCM lRfl !IR¢C
XRIC RttF
BIER fIBNt
{
R[RIM1Im pK-
J. DISTURBED AREA SHALL BE SEEDED TO
PREVENT EROSION.
,e
4. NO WELLS, SURFACE WATER, OR CURTAIN
DRANS WITHIN 100 FT OF NEW
ABSORPTION SYSTEM.
5. SYSTEM TO BE INSTALLED A MINIMUM
OF 10 FEET FROM PROPERTY LINE.
ABSORPTION SYSTEM CROSS SECTION
NOT TO SCALE
ELEV=500.7'
ACCESS
TUBES CLEANOUTS
ELEV=499.7'
ELEV=500.7'
MONITORING MONITORING
TUBE
CLEANOUT S
TUBE
ELEV = 496.6',
`
`\ ( C q
^q \�...... n.(, x
^ 'l ,• y ��
4+'
—
52'
if
9th
.... ............ ........T
i .. ... ..�
�/ -'. Core S. Mey.
I.E.=495.3• 2" INSULAT ON I.E.=492.7'
ELEV=490.4'
ELEV=490.4'
q Q
�' TC�,r ' • �' L !•�' �-+
ABSOR SYSTEM PROFILE
42
NOT TO SCALE
Permit No.
1 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
Legal Description Lot 3 Block 2 Spring Forest
HOUSE
LOT 2
BLOCK 2
/
SITE MAP
1"=100'
sEPnc LOT 5
SYSTEM
BLOCK 2
Fw HOUSE
w�
LOT 4
HOUSE BLOCK 2
ra.xo�ma izw
LOT 4LOT 5
BLOCK 1 s
SYySTEs"
M BLOCK 1
ASBUILT
PID No:
I }q
st
LOT OF
BLOCK 1
49th
I
\C
��11 �'ROPEIs•�>
To legally construct, install, modify, or operate any part of a domestic wastewater facility in Alaska, owners/operators are
required to pay a plan review fee pursuant to AS 44.46.025. Please check the information on this form for accuracy and remit the correct
plan review fee to the address above, with a copy of this form.
Signature of DEC contact:
If there are any questions regarding this form, please contact your local ADEC office.
Date: 7�/6�73
MITTANCE COPY, PINK - FISCAL, GOLD - FILE COPY
printed on recycled paper by o.
INVOICE #
7`"`., �j
STATE OF ALASKA DOMESTIC WASTEWATER PLAN REVIEW FEE
REMIT TO: BILLING NUMBER:
2/2/93
STATE OF ALASKA YEAR PROG. REG DIST
SUB PLAN REVIEW NO.
F
FISCAL/REVENUE 9 JAI 13 16 0 Q 0/
W 15 4 4 12 It- Awl- - f/ 19 'I O a 4
R
DEPT OF ENVIRONMENTAL CONSERVATION
DEC CONTACT (TYPED OR PRINTED):
0
410 WILLOUGHBY AVE, #105
/�%c/lAEL Lu
M
JUNEAU, AK 99801 .1795
PHONE:
3q 9-7'7SS
MAKE CHECK PAYABLE TO: STATE OF ALASKA
Applicant name, address and phone number:
IMPORTANT
Xev;,r, 'ebner
Asca
1. Please reference Invoice number on your check.
T
30/ Ar :t Slo,eg A yr
0
-'( 9f/8— 3035
2. Submit part two of this form with your payment.
349-5/y8
BK a
Facility Project name:
FEE BEGS.
SUB-
I
DESCRIPTION / FEE BASIS
Fee Amount
Amount for
REFERENCE
CATEG.
plan review
72.212
DOMESTIC WASTEWATER PLAN REVIEW
(a)(1)
WA
Based on Peak Design Flow of
0-500 gpd
$100
(a)(2)
WB
501-2,500 gpd
$150
(a)(3)
WC
2,501-20.000 gpd
$450
(a)(4)
WD
20,001.50,000 gpd
$700
(a)(5)
WE
50,001.250.000 gpd
$1,000
(a)(6)
WF
250,001-750,000 gpd
$1,400
(a)(7)
WG
More than 750,000 gpd
$1,800
(a)(8)
WH
Modifications <20%: 20 percent of fee In (a)(1) to (7)
Modifications 20% to 50%: equivalent %age of fee in (a)(1) to (7)
Modifications >50%: 100% of fee in (a)(1) to (7)
(a) (9)
WI
For sewer replacement, or extension of
<200 ft.
$200
200ft:1,000 ft.
$500
> 1,000 ft.
$1,000
(b)
WJ
i u
On-lotcowet system with bank loan certification
$250
2 50
(d)
WK
Fee reduction of 10% if simultaneous submittal of 18 AAC 80 plans
< >
PAID: — CASH or Note: Payment due upon
Total Amount of Fee $ 2 SO
— CHECK # receipt of invoice.
To legally construct, install, modify, or operate any part of a domestic wastewater facility in Alaska, owners/operators are
required to pay a plan review fee pursuant to AS 44.46.025. Please check the information on this form for accuracy and remit the correct
plan review fee to the address above, with a copy of this form.
Signature of DEC contact:
If there are any questions regarding this form, please contact your local ADEC office.
Date: 7�/6�73
MITTANCE COPY, PINK - FISCAL, GOLD - FILE COPY
printed on recycled paper by o.
Of' To STATE OF ALASKA
DEPARTMENT OF ENVIRONMENTAL CONSERVATION
F� M'
.... _
APPROVAL OF ONSITE RESIDENTIAL WATER AND SEWER SYSTEMS
F,1 L.15µ
PROPERTY DESCRIPTION
Block & Subdivision or U.S. Survey
Lot 3, Block 2 (5921 West Tree Dr.)
Spring Forest Subdivision
PWSID no.213564
Certificate Issued for Application No.:
9421—DW-194-004
This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance
of the water supply and wastewater disposal systems.
WATER SUPPLY
A recent water sample was tested and found to meet Department of Environmental Conservation drink-
ing water standards for total coliform bacteria.
Name ® T"'e Environmental Date July 16 , ' 9
Ena. Asst. II
WASTEWATER DISPOSAL
The domestiwastewater system was:
Elinspected by a Department of Environmental Conservation and found to be in compliance with
applicable req ' ements of 18 AAC 72;
❑ inspected by a Profe ional Engineer who certifies that the system co plies with applicable re-
quirements of 18 AAC
❑ installed by a Certified Installe who certifies that t ystem complies with applicable requirements
of 18 AAC 72; or
❑ tested by a Professional Engine o rtifies that the performance of the system is satisfactory
and that the system comp ' with the ' imum separation distances specified in 18 AAC 72.
This approval is, or a ❑ single family ❑ m ti -family unit with a total of bedrooms.
Name
180404 (Rev. 8185) DISTRIBUTION: WHITE—BANKILENDING INSTITUTION; CANARY—APPLICANT; PINK—DEPARTMENT
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE DISTRICT OFFICE
800 E. DIMOND BLVD., SUITE 3-470
ANCHORAGE, ALASKA 99515
July 15, 1993
Mr. Kevin Liebner
ASCG
WALTER J. HICKEL, GOVERNOR
SUBJECT: Lot 3, Block 2 (5921 West Tree Dr.); Spring Forest Subd.
Class "A" Public Water System, PWSID No. 213564
Dear Mr. Liebner:
(907) 349-7755
I have completed a review of this office's files concerning the monitoring status of the
above -referenced Class "A" Public Water System and found the following:
1. The last satisfactory Total Coliform Bacteria Sample results was submitted
to this Department on June 10, 1993. This does meet the provisions of 18
AAC 80.200(a) of the State Drinking Water Regulations.
2. The last inorganic Chemical Contaminants Sample results were submitted
to this Department on January 28,1991. This does meet the provisions of
18 AAC 80.200(a).
3. The last Radioactive Contaminants Sample results were submitted to the
Department on February 12,1993. This does meet the provisions of 18 AAC
80.200(a), State Drinking Water Regulations.
4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC)
were submitted to this Department on June 16, 1992. Based on analysis
of the previous VOC samples results have been satisfactory. This does
meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations.
Issuance of this letter does not imply that the above -referenced Class "A" Public Water
System is in compliance with other provisions of the State Drinking Regulations. Unless
otherwise noted, this letter is valid for 30 days and is for the specified legal description
noted above only.
If you have any questions on the above information, please do not hesitate to contact this
office at 349-7755.
Sincerely,
Environmental Eng. Asst. III