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HomeMy WebLinkAboutSTEVAHN BLK 1 LT 1AStevahn Block i Lot 1 A #017-422-08 Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: PID Number: Name: Wastewater System: ❑ New Upgrade "ddfQ$5 00 { it +��i'I P r—t 'gyp ABSORPTION FIELD Phone: No. of Bedrooms: ❑ Deep Trench E] Shallow Trench ❑Bed ❑ and 71 Other LEGAL DESCRIPTION Soil Rating: Totalriginal grade: GPD/Sq. . Ft. Lot: t� Block. Subdivision: 51_"P_1�_r Depth to pipe bottom from original grade: Ft. pipe Ft. Township: Range: Section: Fill added above original gr e: Gravel length: FL Ft. WELL: ❑ New ❑ Upgrade Gravel width: Number of lines: Distance between lines: Ft. Ft. Cla sifica/tionn (,PriJvate, A B, Q): Total Depth: Cased To: Total ab7,11' ion area: Pipe material: FL Ft. SQ. Ft. Driller: Date Drilled: Static Water Level: Installer: I Date installed: Lt Fl. S Yield Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES L1 Septic Holding ❑S.T.E.P. To Septic Absorption Lin Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines G{-10 v !/� Well — — /� 1LO� I 2z�,/G— Material: Number ofCpinpartments: Surface ._- �/ ._ LIFT STATION Water —'- t - Lot l,/ % Size in gallons: Manufacturer: Line Foundation ` "Pump on" level at ump off" level at High water alarm at: — ,,,� 12� Curtain , f / ` ` Pump M Model Electrical Inspections performed by: Drain BENCH MARK Remarks: Location and Description: Assumed Elevation: o `mt` `zB,to P l fi .• _ D r�� a0 IY u`' °R S & 5 ENGINEERING 17034 Eagle River Leap Read, 6gtl Inspections performed by: st ag a ver, ae a 99577 ewAzae+q(, �°sm m oe ase - ROG ;6i J. GIq FEA 8 Department of Health and Human Services approval Q Reviewed and approved by: 0Date: 72-013 (Rev. 9/91) MOA 25 Permit No. �� � Page 2 of 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 WastewaterDisposalSystem and/or Well Inspection Report Legal Description: '5LAx-!:C3 lir Imo' PID No.: coco g P"_ l n iY rl 9"2 �'_g5el eo! I- 72-013 A (Rev. 9/91) MOA 25 .A WFS' ix SHAFER No. 6215 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:SW920387 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:GOTT DAVID L & DEANNA L OWNER ADDRESS:8100 HUFFMAN RD ANCHORAGE, AK 99516 PARCEL ID:01742208 LEGAL DESCRIPTION: STEVAHN LT lA LOT SIZE: 15649 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: HOLDING TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:11/16/92 EXPIRATION DATE:11/16/93 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: L� DATE: I ( ` ( % _ 9, -7 - ISSUED ,-7- ISSUED BY:i '/�`�'(>"�_ -�`�-«�� DATE: l % Z HEALTH AUTHORITY APPROVALS November 9, 1992 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street SEWER&WATER Anchorage, AK 99519-6650 MAIN EXTENSIONS SEWER& WATER INSPECTION REFERENCE: Stevahn Subdivision, Block 1, Lot 1A ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 We request you issue a permit to upgrade the septic system serving the referenced property. ENGINEERING STUDIES An adequacy test was performed on the existing system and the AND REPORTS absorption capacity of the system was found to be inadequate. Three test holes were excavated and percolation tests performed. Due to the impermeable soils and area available to WELLW TEST pg p system, ON ELupgrade the septic s at this time we feel the only acceptable means of wastewater disposal for the property is a holding tank. The approximate location of the test holes are located on the attached site plan. SITE PLANS We do not anticipate any adverse effects on neighboring properties by the installation of the proposed holding tank. If you have any questions, or require additional information ROAD DESIGN for your review, please contact us. Sincerely, SOIL TEST F �ger J. Sher, P.E. PERCOLATION TEST RJS/LSU/lsu STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 PERFORMED LEGAL DESCRIPTION: 6- 7 7 -� 10 �Ll 11 O I� 12 !/ 13- 14- 16 314 16 17 18- 19- 20- COMMENTS 81920 COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST DATE PERFORMED: ! - Township, Range, Section: SLOPE _D 0 t WAS GROUND WATER s �� ENCOUNTERED? s L IF YES, AT WHAT 0 DEPTH? P E Depth to Water After '/� Monitoring? Date: 8'4 BIZ SITE PLAN IW Reading Date Gross Time Net Time Depth to Water Net Drop 6(/ , !`f U tp - PERCOLATION RATEi (min ut s/inh) PERC HOLE DIAMETER 1�j TEST RUN BETWEEN FT AND FT PERFORMED BY: S & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 204 ACCORDANCE WITH t6bl%TM"ArktMMMyt 7GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 0 PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: �1 1 Township, Range, Section: P CJ t SLOPE 14- 15- 16- 17 4151617 18- 19 SITE PLAN 20 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: S & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 17334 Eagle River Loop Road No. 204 1 ACCORDANCE WITI�ylilb��E F�y.�hltFL GUIDELINES IN EFFECT ON THIS DATE. DATE: l 72-008 (Rev. 4/85) PE TH 2 3 JFJ l" 4 5 6 -eldr! f 7 _ � ) �° 8 10 WAS GROUND WATER �I{ �• I _ •c", ENCOUNTERED? 11 S L IF YES, AT WHAT O 12 DEPTH? P E 13 Depth to Water After Monitoring? — Date. f%��t/ 14- 15- 16- 17 4151617 18- 19 SITE PLAN 20 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: S & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 17334 Eagle River Loop Road No. 204 1 ACCORDANCE WITI�ylilb��E F�y.�hltFL GUIDELINES IN EFFECT ON THIS DATE. DATE: l 72-008 (Rev. 4/85) HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSALSVSTEM DESIGN Mike Lewis PHH/HOMEQUITY 400 East Las Cotinas Suite #300 I)Lv.ing, Texas 75039 ROBERT SHAFER, P.E. ROGER SHAFER. P.E. CIVIL ENGINEERS September 29, 1992 FAX69 FAX 6944 1 12121 1 Boweevand REFERENCE: Lot IA; Bkock 1; Stevahn Subdivision; 8100 Upper Hu6bman Road Aneho)Lage, Alaska HOMEQUITY NO: 2520-30086 Dean Mike, At your )Leque6t we have pen6o)Lmed a second so.ia test on .the %eJeAenced pnopenty box punpose6 06 deteAm.ining a location bon a septic upgrade. This test hale was pe)L6onmed on the opposite side o6 the p)LopeAty 100 6t. away 6)Lom welts on adjoining p)Lope)Lties. We eneounteAed a betteA so.its layeA within test hole #2 than within test hole #i. This soil layeA was between 1 6t. and 5 6t. and has a pe)Lcokation )Late o6 20 min/inch. HoweveA, we encounteAed the same pooA soit6 bound .in test hole #1 below 5 6t. Abed type o6 leaeh6iekd would be the only possible option. HoweveA, as can be been 6Aom the attached site plan there .is timited room on the pnopeAty due to p)Loteetive we22 Radii. Even the we t seAving the )Le6e)Lenced pnope)Lty could not be moved too 6a)L away 6Aom this site due to the location o6 the netghbo4,i.ng septic system to the south. With a 3 bedroom house and soil6 Rated at 20 min/.inch we wound need a leaeh6.ield abzonpt%on aAea o6 1125 6q.6t. TheAe is not enough %oom on the pnopenty to .insta22 a leaeh6ietd o6 this type and size without encAoaehing at least two pnatecti.ve wetk )Ladii, unwaiverably ekose. Thene6one, we sti22 Geek the only 6ea6ible means o6 wastewateA di6posa2 on the )Le6eAeneed pAopeAty at this gime .is a wastewater. holding tank. 16 we may be o6 6u)Lthe)L 6eAv.ice, o)L i6 you wish ws to p)Loeeed with obtaining a peAm.it to instatt a wastewateA holding tank, pkease contact U6. Sinee)Leky, 1��� ROGER J. SHAFER, P.E. RJS/gm 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE I DEPARTML-NT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99507 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME `-i PHONE W 44 �,��,-(3 E-1 UPGRADE MAILING ADDRESS r. �3t8 LEGAL DESCRIPTION L I �� K I_ LOCATION NO. OF BEDROOMS LA�Z� 131 WellAbsorption area Dwelling PERMIT NO. c1 DISTANCE TO: ../-/Q aY Q Manufacturer A ' Material No. of compartments w 1.. w Liq. capacity in gallons Inside length Width Liquid depth ®©d IF HOMEMADE: DISTANCE TO: Well Dwelling PERMIT NO. _10Z = z Manufacturer Material Liquid capacity in gallons FQ- O Well Foundation Nearest lot line PERMIT NO. W = DISTANCE TO: J LL z No. of lines Length of each line Totaltl) of lines Trench width Distance between lines h?w 4p ,3 Co inches Q Top finishgrade Material bene th the Total effective absorption area of tile to I r p~ S inches Y�J2-- Length Width Depth PERMIT NO. W Q f- Type of crib Crib diameter Crib depth Total effective absorption area w° W Well Building foundation - Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J w � Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER 0. PIPE MATERIALS b' t SOILTESTRATING !42 x INSTALLER t� iJ R REMARKS L3 0 APPR DATE LEGAL �na-)-')17 72-013 (Rev. 3/78) / CVF= 0-11"Ic 7 DEr PFPTMENT UF HEALTH AND ENVIRONMENTAL PROTECTION 825 /L/ STREET/ ANCHORAGE, HK. 99501 ` 264~4720 FA PA E> CA V4 Eo on E= L4 K F? F" E= Fn! P"I �. PERMIT NO. ( 780506 ���^ IF RPPLICHNT NEHL 8URLESUN ]]18 ILLIHMNH DR 995m�.LOCHTION RIDGE/HUFFMF|N ���f�U� iOT SIZE 1562 `�Q.HRELEGHL L1H B1 STEYHHN S/D . ���� '-� --_�/ TYPE OF SOIL HBSOR8TION SYSTEM IS: TRENCH � MAXIMUM NUMBER OF BEDROOMS ] SOIL RATING (SQ FT/BR)= 160� THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E> E= FO !F FA == AL K' 15 L_ E= t4 C3 IF VA == at nL Ca FT FFI EE L_ f> EF F�'T-��� THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). |��U I F.: -'EE E� "—=- E: F� -Ir I f-- �n r--1 Vc !H� T =-� F=� �RD "= C-1 ����f__j VA� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ­ —� -r- 1-4 f -p < :2 > I[ wif.FlEEC11- I C3V4"T FIFTEO FREFE-G-D.11-il��� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. �����-r E=KF"j1FQE="n E>E=C2E0PlE3E=FQ �!L, ���.0_: I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: l WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED BURLESON ISSUED BY L VI2 / � P1 @-0 04 T. A_ I" F=° FA L_ WE 'T- °-R-° A_•A F l " P' - I—I I_ F' W fl R„ �:n . DEPARTIE•dT C ��HEHLTH AND ENVIRONMENTAL !' !iTEC:TION v. r; :'.L STREET, ANCHORAGE, HN:. 99U -1 L 10 P-4 E'" A_'A 1-4 — ". 1 -T- E—: r= Al NEC:= o 9—° E_ @ ::_ 6'°l :I= -11F PERMIT NO. c: ;•;_a. 026 APPLICANT KEN SWANSON SRA B,<; 44=I—K FINCH 349-2146 LOCATION F ,- - :..HCE LEGAL_ LT. I -A BK:. 1 STEVAHNa =r'D LOT SIZE 15000 SQUARE FEET TYPE OF SOIL ABSORBTIONd SYSTEM I'_.: TRENCH MAXIMUM NUMBER OF BEDROOMS := 4 SOIL RATING (_O FT/BR?=- 165 THE REQUIRED SIZE OF THE SOIL ABSORPTIONd SYSTEM IS: E_" E_' F=° "T- F -I — IL F L 1E- I'-4 A_.� ...I . �� _ "_. Ca Fes' FA %I E= P_ EA En F=° IF VA -- a THE LENGTH DIMENdSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINdFIE:LD. THE DEPTH OF' H TRENCH OR PIT I_ THE DISTANdCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (INd FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINdIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL- F'IF'E. AND THE BOTTOM OF THE EXCAVATION (IN FEET). F-' FHl TT! k_l .F. Fw' E0E-" ° -I J P_. -T_. F A I° A I N _ _; T 0"E_-= A_ 2 " a E R F I PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE' S OPTION SUBJECT TO THE FOLLOWINdG CONDITIONS: 1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED. L. A CONTINdUOI_S MAINTENANCE AGREEMENT IS REQUIRED. IF H MAINTENANCE AGREEMENT 15 NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL. ABSORPTION SYSTEM ANdDZOR YOU MAY BE SUBJECT TO PROSECUTION. < '•2" :_" 1 PA _ F-° E= C _ I T= A D 6'••°§ =,. Fi F� E_ F' F A- -ALJ E F-° E : E - - - BACKFILL..IN•IG OF ANY SYSTEM WITHOUT FINAL INdSPEC:TIONd AND APPROVAL BY TI -IT._ DEPARTMENT WILL BE _:ABJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM Is 100 FEET FOR R PRIVATE WELL OR 200 FEET FOR H PUBLIC: WELL. WE:L-L. LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL. COMPL..ETION. OTHER REQUIREMENT_ MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INdSTAL.LATIONd. F= E_ F=' O °-g 7. T- E= iF-' I FOE="" E;" E= A4 E= I l I E= Fes' _ _I : • _:L. I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNdICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE 'SEWER SYSTEM MAY REQUIRE. ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INC:LUDE MORE THAN 4 BEDROOM::. IGNED: - ---- ------------ APPLII_HNT KEN _WANSONd IS_;UE ; -41 AI&V V3. 0 m a R&M CONSULTANTS, INC. 5024 CORDOVA • BOX 6087 • ANCHORAGE, ALASKA 99502 C PH. 90]-2]9-0483 • TLX. 09 0-2 536 0 ENGINEERS GEOLOGISTS PLYNNERS February 1, 1978 Mr. Ken Swanson SRA 449K Anchorage, Alaska 99507 R&M No. 851103 Subject: Soil Investigation for Sanitary Sewer System, Lot 1A, Stevahn Subdivision, Anchorage, Alaska Dear Mr. Swanson: At your request of January 27, 1978, we conducted a subsurface soils investigation at the proposed location of the sanitary sewer system on the subject lot. The investigation complied with those procedures required by the Municipality of Anchorage Department of Health and Environmental Protection. This investigation, which was accomplished on January 31, 1978, consisted of a test hole drilled to a depth of 20 feet below the existing ground surface. The test hole was sited according to your instructions and its location is shown in attached Drawing A-01. Drilling was accomplished with a rotary drill rig using continuous flight solid stem auger with an outside diameter of 6 inches. Samples were taken at the depths shown on the soils log in Drawing A-01. The samples will be held in storage at our lab for approximately six months. In addition, all material brought to the surface by the augers was continuously monitored by an experienced engineering geologist. The topography at the drilling site is generally rolling. At the time of the investigation the site had original vegetation consisting of willow and spruce. The top of the test hole was located at original ground surface. The soils encountered in the borehole are shown in the test hole log in Drawing A-01. The symbols used in Drawing A-01 are explained in Drawings B-01 and B-02. This log displays specific conditions encountered at the test location. However, subsurface conditions may vary in other parts of the lot without any apparent surficial evidence of the change. Groundwater was not encountered. At the time the hole was drilled seasonal frost was present from the surface to a depth of 1 foot. Permafrost was not encountered. A percolation test was performed within the borehole at the depth shown in the attached Table 1. All depths were measured from th + r: +r hose The data in Table 1 show average infiltration from the depths ANCHORAGE FAIRBANKS IDNEAV VALDEZ WASILLA February 1, 1978 Mr. Ken Swanson Page -2- indicated to the bottom of the hole. The measured percolation rate was 7.7 minutes per inch. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this letter or if we can be of additional service. Very truly yours, R & M CONSULTANTS, INC. '''���!!!��� k ���s 1� � 94 Lynne Kosikows Jim McCaslin Brown, Ph.D. Staff Geologist Head, Earth Sciences Dept. LK/JMB/gld Attachments: Drawings A-01, B-01, B-02, Table 1 LOCATION SKETCH Distances shown are approximate and have not been measured by surveying methods. DWN. M� CKD. DATE. 2///7f3 SCALE. see above 4 TEST HOLE LOG Scale: 1"=3' All Samples A b, SAND W/TRACE ORGANICS Gravel lense at 2', QReddish -brown 2-1 GRAVELLY SAND W/TRACE SILT M Brown, ry Loose 5.5' Boulder at 7' SANDY GRAVEL W/TRACE SILT GPM, ry, O Slightly Dense 11.5' SAND W/T.T2ACE SILT SM Brown, Slightly moist, aSlightly Dense —16.5' SANDY SILT W/TRACE GRAVEL ML Brown,_S�ghtly moist, QS�o ft Qr 20'T.D. Groundwater was not encountered. This log depicts subsurface soils observed within the test hole at the location shown. See Drawings B-01 and B-02 for ex- planation of symbols. p FB. RM CONSULTANTS, INC. LOCATION SKETCH AND GRID Ka FFAs GEOLOGISTS °`"""E". sG"�E"�" TEST HOLE LOG PR0J.N0. 5j'//O DWG.NO. A-01 v . / TABLE I PERCOLATION TEST R&M NO. 851103 ELAPSED TIME TIME INCHES DROP IN INCHES 3:34 INITIAL 7.2 3:35 1 7.8 .6 3:36 2 7.8 0 3.37 3 8.4 .6 3:38 4 8.4 0 3:39 5 8.4 0 3:40 6 9.0 .6 3:41 7 9.0 0 3:42 8 9.0 0 3:43 9 9.0 0 3:44 10 9.0 0 3:49 15 9.6 .6 3:54 20 10.8 1.2 3:59 25 11.4 .6 4:04 30 12.0 .6 4:14 40 12.6 .6 4:24 50 14.4 1.8 4:34 60 15.0 .6 7.8 TOTAL DROP IN INCHES 7.7 Minutes per inch I�5 R&M CONSULTANTS, INC. 5024 CORDOVA Y BOX 6087 • ANCHORAGE. ALASKA 99502 Y PH. 907-279-0483 • TL%. 09025360 GEDLO GIBTS YNNERS SURVEYORS . I February 2, 1978 Mr. Ken Swanson SRA Box 449K Anchorage, Alaska 99507 R&M No. 851103 I Re: Sanitary Sewer Soils Investigation, Lot 1A, Stevahn Subdivision, Anchorage, Alaska Dear Mr. Swanson: In response to a telephone conversation with the Municipality of Anchorage, Department of Sanitation, on this date, we are submitting this letter as a supplement to the above referenced project. The percolation test performed at the site February 1, 1978 was conducted in a single 20 foot deep drilled hole in accordance with Paragraph D, Existing 1977 Procedures, in the Department of Health and Environmental Protection letter of December 7, 1977, by Les Buchholz. We have reviewed this test and conclude that the even though the area.Tia which is assumed to have the primary effect on the ttes'-E-results is the Sandy Gravel with trace Silt (GM) located between 5.5' and 11.5'. All material below this strata is less porous and should have a lesser effect on the percolation rate._ Since this controlling strata is within the zone of the normal absorption area, the test results are expected to reflect the absorption field characteristics. Very truly yours, R & M CONSULTANTS, INC. Gary A. Smith Senior Geologist GAS/gld xc: Municipality of Anchorage, Dept. of Health & Environmental Protection ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASH -LA I „ M -W DRILLING, INC. DRILLING LOG "iE':L.i. . �;):: ..�.;�;; Cil. i. I)C1!TL. Well Owner Use of We11 Location (address of: Township, Range, Section, if known; or distance main Size of casing u Depth of Hole L -3 -2 -0 --feet Cased to—L-5 • –1 feet Static water level ' `j ft. X(hbM) (below) land surface. Finish of well (check one) open end ( _ Y ) ; Screen ( ); Perforated (;: - ): Describe screen or perforation 1'4/ z1 Well pumping test at -"'” gallons per , (}zeitir) (minute) for I hours with of drawdown from static level' Date of completion WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness n 3 TO Z Casing ,ti:rlc°.zo TO S . ��:%J_L`,�%''. in"'a-ve_l. r l..) TO S'W Badj'ock :ray v`7'i'En, in thr'oVghol C -TO- OTO -TO- t'FVENA Ce31_.r. , j r ,tractor Certificate No's, 814 & 973 3 — CONTRACTOR Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 Certificate of On—Site SystemE Approval y Parcel I.D. 017-422-08 Expiration Date: 1. GENERAL INFORMATION Complete legal description STEVAHN; BLOCK 1, LOT 1A Location (site address) Current Property owner(s) Mailing address Real Estate Agent 8100 Upper Huffman Rd 'Anchorage 99516 David & Beth Kohler Day phone 632-0853 Beth Simpson Day phone 727-2384 2. TYPE OF DWELLING: Ie Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ■ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Wrdv.,Nerienee Received by:/ / �� COSA to be released to the engineer, unless otherwise requested by Ne engineer. COSA Fee $ �5a Date of Payment Receipt Number COSA# Date: Waiver Fee $ Date of Payment Receipt Number Waiver # Dlslen.: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK, 99507 Engineer's Printed Name Engineers Comments: JEFFREY A. GARNESS, P.E. In mnducb'rg this evaluation, GEGpmvidsd an eigineenig evaluaflan ofNe well andlorsepb'c system in accordance with the guidelines and ragulab'ons established by Ne MuniopelRy of Anchorage and industry practices. The repeated results deaaibe Ne condition of Me systemVe on the deters of rhe avaluefion. separation dsfemes ware measured to reatldyldentfiable features. Hidden defects or anuomili ems mayeast that were cwt identified during the a valuation. The operelional life of all wells and septic systems depend an a variety of vanables indudng, but not lim@ad to, ml condilbns, gmunionfer Met; (Nat may lluduats during Me yeadj, quaRy of construction (materials ane wariaminship), and the water usage of the family uhZioll the systeays. These coradion can very, and are outside Me can Mal of GEG. Setishdory fest results do not guarantee future performance of the sysionvs, M9refaa, GEG makes no warranty, (¢)press orlmpeo) mgarAng Me future performance tithe wall or septic system. GEG makes an representab"on whafher an alternative well or septic system con be installed on Me property in the event either of the current systems hal. The content of this repot b for Me sole benefit of the person parry who retained GEG. Ratio= upon the indesam Min provided In this report by any other person or party, including but net lunged to subsequent poportypurchasws. is not atoonYed. In short. GEG dsan" any legal duty to anyone other than the persa✓party who paid fw this report 6. DSD SIGNATURE 4- System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the Phone 337-6179 Date 11 t t 1:�w_ d /\moi O4 PROFESS00, LICENSE it IL � #AECC8B4 � p� t0 Sip vo-, f� F s rr1r_ �gSTF R.gIVn � /VOGRA " It Original Certificate Date: I I - 2m— The Municipality orAnchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the rapresenstations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional enginee/s work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 10/1]14) Nitrate Advisory Arsenic Advisory Other C If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: STEVAHN; BLOCK 1, LOT 1A A. WELL DATA . r Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 7/21/78 Sanitary seal (Y/N) YES Total depth 320 ft. Cased to 25 ft. FROM WELL LOG Date of test 7/21/78 Static water level ' 25 ft. Well production 3+ g.p.m. WATER SAMPLE RESULTS: Parcel ID: 01.7-422-08 Well Log (Y/N) YES Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 10/21/16 19.1 5.6+ g.p.m. Coliform 0 colonies/100 ml. Nitrate NO mg./L. Collected by: CEG Ltd Arsenic: ND ug./L. Date of sample: 10/21, 16 B. SEPTIC/HOLDING TANK DATA *ASSUMED I HIGH WATER ALARM WAS TESTED AND IS FUNCTIONAL Tank Type/Material HOLDING TANK/STEEL Date installed 1/4/93 Tank size 2000 gal. Number of Compartments _*1 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 9/29/16 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA' Date installed -Soil rating (g.p.d./ft'orft`/bdrm)_ System type Length ft. Width ft. Gravel below Total depth ft. Eff. absorption area_ ft' Date of adequacy test Results Fluid depth in absorption field befor _ in. Elapsed Time: n. Final fluid depth rejuvenation treatment (past 12 mo.) (Y/N & type) Monitoring tube Depression over field Fss/ ail) For bedrooms Water added gal. New depth in. 1. Absorption rate >= g.p.d. If yes, give date D. LIFT STATION Date installed . Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at we er alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A Absorption field on lot N/A On adjacent lots - On adjacent lots Public sewer main ' 75'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 109+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Building foundation 5'+ Property line 51+ Absorption field N/A Water main 10'+ Water service line 19+ Surface water 100'+ Wells on adjacent lots 75'+ 100'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water Water service line Surface water w. Wells on adjacent lots FaWd87i`dTf4:i&D G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date ' 11 h2h& & (Rev. 10112112) storage L: �. ;..........� c^: e. r Garn ss,iZ= ♦ c +. ♦ i� CE -795 ....x).12:? ♦���pROFESSI��.• LICENSE ���"`��• #AECC884 n 11/23/2016 08:37 8686770 APLUS PAGE 01 A+ HOME SERVICES 7501 E. 140th Avenue Anchorage, Alaska 99516 (907) 345-1890 November -23,2016 David & Beth Kohler 8100 Upper Huffman Anchorage, AK 99516 Re: Pumping Report 10-28-16 1400 gallons 10-06-16 2000 gallons 09-29-16 1700 gallons 09-01-16 1500 gallons 08-11-16 1600 gallons 07-21-16 1700 gallons 07-01-16 1600 gallons 06-09-16 1500 gallons 05-04-16 1600 gallons 04-25-16 1500 gallons 04-04-16 1900 gallons 03-03-16 1800 gallons 02-10-16 1800 gallons 01-20-16 1800 gallons Please let me know if you have any questions or concerns. A+ Home Services, Inc. Beverly Blakeslee Your Sentic Svstem. Holding Tank, Excavation Professional. Service Company N 0 J to m UPPER HUFFMAN ROAD N89053'30"E 124.85 I— — I I 8447N 0 to II 10' Utility Easement ----'--------- i i n I c� LOT 1A 114- 1 t / N EI (D c ° > nB W O r W L o I U I a y CO a o 1 T 0 �I CD 0 CD U) I N N N89053'30"E 124.85 LOT 2A ``N\\ %A 1 OF q �,. 49th 00 W • f • W 90 Anchorage Recording Precinct, Alaska, and that the "" • v • "' 0o improvements situated thereon are within the property lines 04 and do not overlap or encroach on the property lying Ar^c '. Fred Wal a tka , / adjacent thereto, that no improvements on the property lying . J. adjacent thereto encroach on the premises in question and -.�•,�. , siF • • 3255 - S • �� that there are no roadways, transmission lines or other SCALE:_��,=30' �� PPp ' 0 5 visible easements on said property except as indicated 1 PROF 1A` w hereon. , X \s\��"' Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN this .26th day of October ,2016 THOSE SHOWN ON THE RECORDED FRED WALATKA & ASSOCIATES PLAT ARE NOT SHOWN HEREON. JKDEngineers and Surveyors BE (907-249-1666) 25 M N W 0 0 m 0 O U) 25 W U Q 0 - LU 0 �� AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: I OT 1A RI O(:K 1 STEVAHN SUBDIVISION MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D.# C1-I=LLi2LQ-0k HAA # t� Qso1'� C ISI n 1. GENERAL INFORMATION uahv Complete legal description Lot 1A• B2ock1 St v�div'a.Lon Location (site address or directions) 8100 Upper. Hu66man Property owner Gneg K)tipa Day phone 345-2708 Mailing address 8100 Upper Hu66man Anchorage AK 99516 Lending agency Paci6.Lc Akaska Montgaae Day phone Mailing add Agent Chkis Swinea/ VISTA REAL ESTATE Day phone 562-6464 Address 4241 B St�Leet Anyhoaaae AK 9950 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 XXX �4-1 NOTE: if community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank XXX 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 MOAVI 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 furtherverifythat 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 s & s c "17034 E0910 River Loop Address E Engineer's signature 6. DHHS SIGNATURE Approved for Disapproved. 0 Conditional approval for Additional Comments bedrooms. Phone f'� �� % Date �;, Aq Ai V 11"1 :1. . .nv bedrooms, with the following stipulations: %UTIC 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. 92025(Rev.1/91) Back MOAq l ® Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lor //a i3LK I STE!/HAN S/P Parcel I.D. 2 A. Well Data Well type PR IVAT7 If A, B, or C, attach ADEC letter. ADEC water system number N11 Log present6N) -�eS Date completed %/ Z I / 9 Driller M - IJ D✓zILLlN(o , 1 NC , Total depth —3Z -O' Cased to ZS LK) Casing height / �f Sanitary sea] (@ N) Wires properly protected (@ N) Y6 --S Date of test Static water level Well flow Pump levell FROM WELL LOG 2/z/ /?� zS' AT INSPECTION 3-(— g.p.m. 6. Z� g.p.m. UK VK SEPARATION DISTANCES FROM WELL TO: Septie#tolding tank on lot q/o ; On adjacent lots Absorption field on lot FIcLD/NG TuiAJV ; On adjacent lots Cd /t Public sewer main X /-)L Public sewer manhole/cleanout /0n Sewer service line ZS /d Petroleum tank No N L' NUn -tom WATER SAMPLE RESULTS: Coliform 6((0014— Nitrate �L Other bacteria 61/00,A -L Date of sample: %IZSI 54- Collectedby: B. SEPTICH+Gb0fNGrTANK DATA Date installed 114-15-3 Tank size 2000 64L Compartments Z C./ v Cleanouts�N) res S Foundation cleanout Y& % ) _Depression (Y& N' High water ala (Y N) YgS Alarm tested (ON) Date of pumping ��/a ��'� Pumper SEPARATION DISTANCES FROM SEPTI /HOLDING TANK TO: !' Well(s) on lot c/� / On adjacent lots %S Foundation 1Z To property line /S ! Absorption field /"/ l Water main/service line O /� Surface water/drainage lo()' -4- 72-026 (3W)' Frmt o()/f 72-026(3W)•From CONTINUED ON BACK PAGE C.LIFTSTATION 00t -'L' /'le,65,v- / Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) _"Pump on" level at "Pymp o High water alarm level _ /__---- Cvcles tested _ Meets MOA electrical codes (Y/N) SEPARATION DISTANeE-VROM LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA Hd( b1 AJG 714) Date installed Length Total absorption area _ Date of adequacy test_ Water level in absorption Peroxide tre (past Width _Soil rating (GPD/Ft2) Gravel thickness Cleanout present (Y/N) _ at rface water Systemtype over field (Y/N) for Bedrooms liel f eaf"test After test _ 12 months) (Y/N) If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot— To ot—To building foundation On adjacent lots_ Surface water E. ENGINEER'S CERTIFICATION l certify that / have checked, verified, On adjacent lots _ To Signature Engineers Name 170 gi or Loop Rc Eauf&ftrver laska 99577 Date HAA Fee $ �� op Date of Payment 71f (–W Receipt Number Awh Or? �� 72-026 (3/93)' Back Property line or abandoned system on lot _ Water main/service line parking/vehicle storage area to all MOA and HAA guldefines /n effect on Waiver Fee $ ate of this inspection. Date of Payment Receipt Number, AL, SWLE 1909 CT&E Ref.tl Client Supple M rax+,.Y Client'Name Ordered By ProjectNome Piojcctii t,WSID AM Commercial Testing & Engineering CO. Environmental Laboratory Services LABORATORY ANALYSIS REPORT 94.3222-1 LOT1A }31 -Ki STEVIYAN SID NVA1'8R S & S E OTNEERING R1$ UA Wino: urdlr 19195 I'utlledJa(e 071011?4 ColleutedDate 06/28/94 ReceivedDate 06/28/94 l'@ 14:56 1¢9. (a,11:15 lus. (7x 13:00 hrs: Tcc}mical Director STEPHEN C-EDE ReleasedBy'�;^ :�Snnipi: Remarks:~--RO(I1TP'E SAiv1f'T.F.CUI,�ECf"E17 BY: SS. Allowable Ext, Anal QC Tnit fti-kills Qi -al uldtu fill tihlki bh:` -------- n?R. (?VA iii 9Pi1111i IU 06/29/94 Ch1iL • 'Idilint:-2i I i =66 «®Saa Sgpriet Sx Rt n,rtinns AF,ovc (IA=Lfnav ailallle "" See Sarilplj= le Remarks Above =. Analyzed t _ Lf = (Jndatecleti, Repoltedvalue is lhepracti'al cruntification limit, :fT.css illuf D -Se uu0.vty Uiluli". 5633 8 Street, Anchorage, AK 99518.1600 — Tel: (907) 562-2343 fax: (907) 561-5301 — _.....----rMIA _ ....___.. ti �,i i�,r•� n, eeaun If a nunOO. PL(]RIOA. ILLlty 013, MARYLAND, NEW JERSEY, OHIO, UTAH, WESTa MUNICIPALITYOF ANCHORAGE O DEPARTMENT OFFHEALTH &HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # CA 1. GENERAL INFORMATION Complete legal description Lot IA: Stevahn Subdivision Location (site address or directions) 8100 Upper HuAAman Road, Anchorage Property owner PHH/HOMEQUITY Day phone 214 506-8826 Mailing address 4// Fa6t IaA CoFinaA :•rd. „ , Ruito #500. , .1• .,. 7903i Lending agency Mailing add Day phone Agent C4a,ih Ramseu / JACK WHITE COMPANY Day phone 563-5500 Address 3201 "C" StAeet. Suite 100 Anchoaage, A&,5ka 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank XXX 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(R.v.1191) Front MOA#21 iu vow e3ae (Lsn ,OU) 93o-zL ->pom sdaeu!6ue leuo!ssa;oid aql ui suo!ss!wo jo saoaja ao; a gisuodsaa lou s! ebLjogouy ;o A1!ledpunN aqj -ponssi sl ejum poo a aao;ag elep azAleue Jo suopoodsui lonpuoo IOU OP SHH];o sea (oldw3'sluawa.i!nbei alels pue leaapa; upiao lgs!les of aapio ui suoppisui bu!pual a!agl pue sewog;o siesegojnd ofAsolinoo a se s!ql scop SHHO agl'e�selV;o elelS eql u, paaalsibaa aaaui6ua leuo!ssa;ad luepuadapui ue (q anoge 9 gdea6eaed ul uaA16 suo!leluosaidaa aql uodn /luo paseq s9leo1;!u0o !enaddV A1poglnV glleaH sonss! (SHHa) 6WI NOS uewnH pue L1111301-1 ;o luawlaeda4 a6eaogouy;o /1!ledlolunN aql ff MOM MIN __ /— / a}ea :suol}elnd!ls 6ulmollo; ay} gllm 'swooapaq W s}uawwoo leuo11!ppy ao} lenoidde leuo!1!puoo •panoiddes!Q •swooapaq aol panoaddy -� 3unIVNJIS SHHa 9 ainleu6!s s,Aeou!Bu3 WiSely'aaAlb 816e3 ssa.lppy bOZ'ON peon dool aoAla area bsoct auogdJNI?133NION3 S W S wa!d;o aweN •uo!}oadsui s!q1;o alep aql uo loalla ui suo!lelnbei pue 'seoueulpao 'sapoo ale1S pue ledlolunlnl pe 111!M eoue!idwoo ui s! wels (s jesods!p JaleMalsm ao/pue (lddns as}eM alis-uo ag}'uo!loadsu! pue uo!}e6!lsanu1 Aw woa; pue sail; a6eaogouy;o Al!ledloiunlN aq1 woa; pou!elgo uo!lewao;ui aq1 uo paseq }eg1l;uana9glan; I -u!aaaq poleo!pui a.in}onals;o ad/1 pue swooapaq;o aagwnu agl ao} alenbape pue leuo!}oun} 'a;es si walsAs lesods!p aaleMalseM Jo/pue Alddns aalem alis-uo eq1 legl smogs uo!leo!idde lenoaddV Al.ijoqlnV glleaH s!gl }o uo1le61lsanu1 Aw legl (}!aaA I 'molaq umogs alep uop'p!leA aq} }o se pue olaaaq pax!}}e leas Aw (q pa!}!laao sy 833NION3 AS NOLLOUSNl d0 1N3lN31V1S 'S Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:. -ter I /-\ �14"� 19 Parcel I.D. A. WELL DATA Well type!— � �� If A, B, or C, attach ADEC letter. ADEC water system number / Log present 6 N) Date completed 7 - 21 -7B Driller Total depth �� Casedto ZS I—Casing height - Sanitary sea r(Y N) U Wires properly protectedd5 N) WATER SAMPLE RESULTS: I Coliform 6� Nitrate �� Other bacteria Date of sample: j -05 B.-SEP:FtC/HOLDING TANK DATA Collected by: S :� 5 if�)✓C /2, Date installed -�� Tank size Compartments Cleanouts&VN) Foundation cleanouto?N) y Depression (Y4W High water alarmdVN) Y Alarm testedd fel) y Date of pumping hl Pumper SEPARATION DISTANCES FROM'5121�/HOLDING TANK TO: II '+ Well(s) on lot �� 4- On adjacent lots JJ + Foundation S To property line 1t, AbsorptionfieldV Water main/service line I -C> Surface water/drainage ) C-_� I -4 72-026 (Rev. 7/91) Front _ CONTINUED ON BACK PAGE FROM WELL LOG AT INSPECTION -71b13 m ) _912 Date of test z o Static water level li7 l' a g.p.m. 3.3 n 0 Well flow g,p.rq o Pump level Z t`51 n w SEPARATION DISTANCES FROM WELL TO: O t `� t � O m 3ept-ic/holding tank on lot / ; On adjacent lots Absorption field on lot ; On adjacent lots�)'I" Public sewer main Ar N Public sewer manhole/cleanout Sewer service line '2J!5 11 Petroleum tank oN� WATER SAMPLE RESULTS: I Coliform 6� Nitrate �� Other bacteria Date of sample: j -05 B.-SEP:FtC/HOLDING TANK DATA Collected by: S :� 5 if�)✓C /2, Date installed -�� Tank size Compartments Cleanouts&VN) Foundation cleanouto?N) y Depression (Y4W High water alarmdVN) Y Alarm testedd fel) y Date of pumping hl Pumper SEPARATION DISTANCES FROM'5121�/HOLDING TANK TO: II '+ Well(s) on lot �� 4- On adjacent lots JJ + Foundation S To property line 1t, AbsorptionfieldV Water main/service line I -C> Surface water/drainage ) C-_� I -4 72-026 (Rev. 7/91) Front _ CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in galla Vent (Y/N) — "Pump on" level at High water alarm level — Meets MOA electrical codes (Y/N) _ Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot _ On adjacent lots D. ABSORPTION FIELD DATA Datetalled Length Width Total absorption area _ Depression over field (Y/N) Results (pass/fail) Peroxide treatment (pas( 12 months) (Y/N) Surface water Soil rating System type — Gravel thickness Total depth Cleanouts present (Y/N) Date of adequacy test for If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot— On adjacent lots Property line_ To building foundation _ To existing or abandoned system on lot On adjacent lots Cutbank Water main/service line - Surface water Driveway, parking/vehicle storage area Curtain drain _ bedrooms E. ENGINEER'S CERTIFICATION I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & S ENGINEERING v or eq, � 17034 Eagle River Loop Road No. 204 �� '" f ` Signature Eagle River, Alaska 99577 �f� z� V,`��� E3 v Engineer's Name e r , r a' t ne wco m q F111 Tgpp f9^C 11 Date 12 i5 HAA Fee $ Waiver Fee: $ Date of Payment f_ ,,// Date of Payment Receipt Number Z03 Z 3 `7 v Receipt Number 72-026 (Rev. 3/91) Back MOA 21 CHEMICAL Val I.Ld & GEOLOGICAL 4Vl.0.L 1 ABVB0.[$.!LTOMW 1. A DIVISION OF COMMERCIAL TESTING & ENGINEERING V^O. 5533 b STREET ANCHORAGE: ALASKA 99516 TELEPHONE (307) 562-2343 FAX! (07) 561.5301 ANALYSIS RESULTS for INVOICE # 62052 Chesilab Ref.1 93.0041 Sample # 1 Matrix: PATER Client Sample ID : 11A STEVANN S/D PWSID DA Collected 01/05/93 1 09:50 htt. Received 3l/05/93 4 15:06 hts. Pretelved with Analytic Completed 01/06/91 Laboratory Supetvitor STEPW C. P Released By �'t•--��� 2 .i Client Name :,S c 5 ENCINBBRING Client Aa,.t :SY.3PN.GP BFO# Rag1 Ordrrred Ey :P.AY Ss"A Retorts to 11S & 3 BNOI1lEE?.IFO 2) PO# :NONE RBCEIVBD ............... —............. ........ Paramete. ........ ............ I ................ $6E+7te ..... u;ti t , . ...... ko:had AlInwable Limits ---------I ----------------- ...•--'--------- NITRATE -N -- -------- I -------------- NW. 10) -----�l1 RY: .--------- _ a ;;53.2I�00.0 _ :.0 Sample ROUTINE UNPLR COLLEC_BD BY: S.S. Remarks: ............................ ...........,,.......P........................................ 1 Tests Performed Sea Special Instructions Above UA-Unavailebla HO- None Detected Sas Sample Renarks Abeve NA- Not Analyzed LE -Lett Than, GT-Greatet Than P. )BGS Member u'the SGS Group l,Soci6t6 G6n6rele do Sw :ei!12nce) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 1 Application Date --/' 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) -_ r'3 ( STEU A H Al 5 U._B (b) (c) Location (address or directions) �o c3 U PPFR 0UfiEAMA/ Applicant Name ,� R RX S Telephone: Home 93--55! 3 1 Business Applicant Address Applicant is (check one): Lending Institution 19(; Owner/builder uyer ❑ ; Other ❑ (explain); (d) Lending Institution 1`9 / t Telephone l'� 6_ Address �F o '� (0 (e) Real Estate Company and Agent Address Telephone 3 V c —Z- S O, (f) Mail the HAA to the following address: D 2. .TYPE OF RESIDENCE Single -Family Ftk--IQT-uIti-Family ❑ Other Number of Bedrooms S F IJALE :I'I= T nci- -, 3. WATER SUPPLYQ�� ' Individual Well —Community ❑ Public[] - - Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) '.. 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verifythat my investigation of this Health Authority Approval 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 regulptions in effect on the date of this inspection. Name of Firm �� `✓1 A �.n�� p N� Telephone Addressl%b t.,�✓--�"''�F t�'-�G"' ' /7'� f �d ��' Date 6. DHEP APPROVj#L Approved for ,be( Approved Terms of Conditional Approval Engineer's Seal CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. i Page 2 of 2 72-025 (11/84 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA/ DEPT. OF HEALTH & HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECTION CHECKLIST - FEBRUARY 1984 1985, 264-4720 A. WELL DATA Well ClassificationrL"Iwt, -a_ If A, B, C, D./E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed 7/ ��� 7 S" Yield Total Depth —'52- O r --Cased to ✓ Depth of Grouting Static Water Level 2—g Pump Set At l Sanitary g ( Casing Height Above Ground y Seal on Casing Y/N) Electrical Wiring in Conduit (Y/N) K� Depression Around Wellhead (Y/N) /V o Separation Distances from Well: To Septic/Holding Tank on Lot �o On Adjoining Lots bbd To Nearest Edge of Absorption Field i3on/ Lot % On Adjoining Lots To Nearest Public Sewer Line /1 p To Nearest Public Sewer Cleanout/Manhole y To Nearpt Sewer Service Line on Lot' �r^ Water Sample Collected by Yin L� nate �/� /g i n T Water Sample Test Results"��� Comments B. SEPTIC/HOLDING TANK DATA Date Installed Z-, : /7 Size No. of Compartments Z_ Standpipes (Y/N) Air -tight Caps (Y/N) S Foundation CleanoutY, V) Depression over Tank (Y/N) I a Date Last Pumped_�T Pumping/Maintenance Contract on File (Y/N) _ for Holding Tank High -Water Alarm (Y/N) e7 Temporary Holding Tank Permit (Y/N) — Separation Distances from Septic/Holding Tank: t To Water -Supply Well /v To Building Foundation To Property Line To Disposal Field To'Wata6ld /Service Line :�5 i 4 To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata _ / Z> Type of System Design —R Date Installed �ZZ `Z Length of Field �i o Width of Field Depth of Field � Gravel Bed Thickness Square Feet of Absorption Area — Standpipes Present (Y/N) / Depression over Field (Y/N) TTI Date of Last Adequacy Test Results of Last Adequacy Test—_cJ.a„ c nor �c droavr� -- Separation Distance from Absorption Field: To Water -Supply Well / ID/, -To Property Line To Building FoundationjI Lot Al On Adjoining Lots To Existing or Abandoned System on i To Water Main/Service Line _ o C) A To Cutbank (if present) jyo-71 eF To Stream/Pond/Lake/or Major Drainage Course /V -C) N To Driveway, Parking Area, or Vehicle Storage Area Z_ 11�3 Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off' Level at " Check Permitted Bedroom Rating Against HAA Request " Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I hav chec rif' d, or,onformed to all MOA and HAA gi jidelines in effect on the date of this inspection. Sign /� ate O Company tLi MOA No. G Receipt No. 5GCJ (P Date of Payment ) Y) Amount: $ i,C` Page 2 of 2 72-026 (1 1J84) is Seal PENINSULA ENGI"F4RING 440 W. X06 Benson Blvd. /yLl/c/ Anchorage, Alaska 99503 (907)561-5107 OFTIiy - ok'FO,, OF October 3, 1985 L. Roberts C J 8100 Upper Huffman Road Anchorage, AK RE: Lot lA Block 1 Stevahn Subdivision H.A.A. and Adequacy Test Dear Ms. Roberts: Per your request we have performed the adequacy test on your above referenced property. A water sample has been tested and the results enclosed along with the Health authority approval application required by the M. O. A. The sewer system consists of a 1000 gallon septic tank and a 41 foot trench with cleanouts at both ends. The system was tested by adding water at 7.5 gallon per minute to the drainfield until 450 gallons were delivered and the level monitored regularly. A tabulation of the results follows: Septic Beginning End of Rate Volume Date Time Tank of Trench Trench (GPM) Added (Gal.) 9/26 0 53" 0" 2" 0 0 10 53" 0" 4" 7.5 75 35 58 1" 7.5" 7.5 263 45 60 2" 8" 7.5 338 55 62 8" 12" 7.5 413 60 63 12" 16" 7.5 450 9/27 0 53 3" 7" 7.5 0 10 60 6" 9" 7.5 75 20 67 -- 18" 7.5 150 30 74 -- 24" 7.5 225 40 78 9" 24 0 300 50 65 13" 19 7.5 300 60 78 -- -- 7.5 375 65 79 -- 27 7.5 412 70 80 19" 27 7.5 450 9/28 53 2 7 0 0 Due to the high delivery of the well (7.5 gpm) the levels in the septic tank and trench standpipes were found to rise significantly during October 3, 1955 L. Roberts Page #2 the second day of testing. However, the system did receive the 450 gallon requirement for the three bedroom home for two consecutive days and is considered adequate. The Health authority approval application and required documents have been filled out for delivery to the M. O. A. health department for their approval. If I can be of any further assistance, please call. Sincerely, Wayne H derson P.E. WH:kr .l' ' •-' MUNICIPALITY OF MUNICIPALITY OF ANCHORAGE DEPT. OF TH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC IO�yIRONMENTAL PROTECTION ' 825 L Street - Anchorage, Alaska 99501 J • OCT 121978 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 D C E' ` V / E D t "1! REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER CILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing; 1. PROPERTYOWNER 3 — gs� PHONE d ASS - MAI NGDDRE �au PROPERTY RESI ENT llf different from above) PHONE Lot C // *'V /L ;/>" d- 2. BUYER �� o b eyc w o� 43c([5 PHONE y rSrs�7' MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING DDRESS 4 e-,- 4. REALTOR/AGENT - PHONE L 2 G -z o n --,G e MAILING ADDRESS 5. LEGAL DESCRIPTION - o f L f. -a. y N STREET LOCATION U U n d 'Vo e 6. T E OF RESIDENCE KUMBER OF BEDROOMS SINGLE FAMILY ❑ One ❑ Four 1:1 Other J ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY a INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM ,, � 17,9 INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date 61 If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) H,- O � 1 L • 1 C . nN ci- / ? (-J 10 THIS SIDE FOR OFFICIAL USE ONLY - INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE - ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY - ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified _ PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ED Holding Tank Size: If Tank is homemade; give dimensions: SOILS RATING TYPE OF TANK - MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES WELL TO: Septic/Holdiny Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS C 4PP OVEDFOR _3 BEDROOMS CONDITIONAL APPROVAL (letter must aCCMDany cert' ' e) CS3--DISAPPROVED DATE I `-3 BY Title) c ,t LEGAL DESCRIPTION 72.010 (Rev. 3/78) 10 -A X.A. October 17, 1978 Neal Burleson 3313 iliamna Anchorage, Alaska 99503 " Subject: .first lA Block 1 Steva hn Subdivision The request fos~ approval on that individual sewer and water facilities can not be granted at this time. Before approval may be greaxtedr the perforated pipe at the rand of the leach field ::gust be a solid pipe down to the gravel. The perforated pipe from the top of the gravel to the bottom of the trench is satisfactory. A there are any que t onsr please contact this office at 264-4720. Sincerely# Robert C. Pratt, Ros. Associate Specialist RCP/ljw oc 8 First National Bank of Anchorage Southcentee Branch Post office sox 4-2090 99509