HomeMy WebLinkAboutT15N R1W SEC 8 LT 38B T15N R1W
Sec 8
Lot 38B
#051 - 092 - 48
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171173 PID Number: 051-092-48
Dwelling: ■❑ Single Family (SF) ❑ Duplex (D) ❑ Multiple(SF and/or D) Project: ❑ New ■❑ Upgrade
Name:
Julia Lugo ABSORPTION FIELD
Address
❑ Deep Trench Q Shallow Trench El Bed ❑ Mound
P.O. Box 672233 Chugiak, AK 99567 ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
Five (5) 1 .2 GPD/SF 6.8 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 5.8 Ft. 1.0 Ft.
38B Fill added above original grade Gravel length
Township Range Section 0 Ft., 55 Ft.
15N 1W 8 Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES 5 Ft. Ft.
To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches
From Tank Field Tank Line 316 Ft2 1 Ft.
Well >100' >100' N/A N/A >25' TANK 1 Septic ❑ S.T.E.P. ❑ Holding ❑Other
Manufacturer Capacity
Surface Water >100' >100' N/A N/A Anchorage Tank 1500 Gal.
Material Number of compartments
Lot Line >5' 10' N/A N/A Steel 2
NA
Foundation >5' >10' N/A N/A LIFT STATION
Manufacturer Capacity
Curtain Drain None Noted Gal
Pump on level at Pump off level at High water alarm at
Remarks
Existing Septic Tank Decommissioned
in Accordance with Municipal Code. Existing in. in. in.
Absorption Trench Shortened to 55'. Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank D3034Tank to 03034
Installer drainrield
Royce Martin Drainfield D3034 CO/MT D3034
Inspector MEA BENCH MARK (Assumed elevation) 100.0 ft
Inspection
t'' 7119117 2'"' 7120117 Location and description
3' a'h Back Door Stoop.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL :ii�riktS mp
•� �O F.....Conditional Approval: Date Z k.,. *4!',,
;* 491H '* •
00
F
---- ..opte•y•.a....42:::",
- �*r.,AMICHAEL E. ANDERSON :'-
s
# _,a.• CE-4381 .z`'m,
�. e,p'.S? 1s d 1 .•' `4.
Approved . — ‘...i.,_ s/A� / Date 7-27- 17 # ,9 ,„ ..... ..,
Inspection Report_9-1-12.doc
Municipality of Anchorage Page 2 of 3
Permit Number: OSP171173 DEVEOPMENT SERVICES DEPARTMENT PID No. 051-092-48
4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904
I
1 KRYSTAL LANE o
• 0
tx1p •
N 90'00'00"E 279.83'
e�j 20' ROADWAY &
UTILITY EASEMENT
T15N R1W SECTION 8
fn
WELL LOT 38B
A B .< Li)
Z Si 6.4' 34.8' ,= oo,
Q S2 11.7 38.T x_. ( O= - o
v
o C4 29.6' 62.7' 1 s Lot 1
L--------o C5 84.2' 105.9' I o
0
M1 31.5' 62.T all Five m
o v' FS‘,/ 15.8' 42.6' Bedroom F_S S1 52 GO
Home ._ Existing 55' Long x 5' o
D , FSv • Wide Absorption Trench. a
CIO O O mi 1TH1 •
_ C4, _ — — - 105
I '\ New 55' Long x 5' Wide
rn Absorption Trench.
(T1 —
Alternate Site i
(,/) Existing Septic Tank Decommissioned
- in Accordance with Municipal Code. Lot 2
73 29.9' i
ri S 89'59'35'W 299.75'
Existing Absorption Trench Shortened ALTERNATE SITE 405aa�si
, mkiiii
5' by Removing Pipe and Septic CAT III Treatment System w/25' 4,411.;,,, ,. •.. 4j
Rock and Replacing with In Situ Long x 5' Wide x 1' Effective �•f.� '' Sfy♦•�
Material. Lot 38A Depth Absorption Trench. 6.0 z :: -,1.--
LEGEND App. Rote. 49th 1� • * 0
SV — Septic Vent �20' ROADWAY & ini
CO — Clean Out I UTILITY EASEMENT "'��`�.�.. •�•
MT — Monitor Tube PLAN AS BUIL, T .•. ;MICHAEL E. ANDERSON ;�:
Municipality of Anchorage Page 3 o' 3
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655 -343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number: OSP171173 PID No. 051-092-48
99.8
_ _
la Finished
OG
}f 1,
JSeptic500Gallon Tank ,
1948 -- 94.65 I
sIet s-
0 m
Um Z U
- r 99.7 1–
Finished
Finished Gratle _—
Original Grade
Geatexule Fabnc
93.9 �— 92.9 Drainfield Rock 93.9
--- -4
55'(Trench Length)
- --
83.7
Groundwater @ 85.7'
7/24/17
i ' 49th 4.` ���
i 1�� £.L..•�""f�,
PROFILEAS-BUILT ..IMICHAEL E. ANDERSON it
No Scale ~�
MUNICIPALITY OF ANCHORAGE •too,+ Ill
iii
DEVELOPMENT SERVICES DEPARTMENT �r��P� "....... . . 5���#i,
4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 N4;# 49t �1� ••s
SOILS LOG - PERCOLATION TEST 1 s
M
/c� MICHAEL E. ANDERSON s
. NO. CE-4391 ti a
LEGAL DESCRIPTION: LOT 38B, TI5N RIW SECTION 8 �' , I
PERFORMED FOR: JULIA LUGO .1;±`,9ptp4t►�
�Vaikw--
DATE: 7/17/2017 PROJECT No.: 16
Professional Engineers Stamp:
PARCEL ID#: TECHNICIAN: M E A
DEPTH TEST HOLE 1
(feet)
1 OB/OG SLOPE SITE PLAN
a
2 p
3 4
a
4
5 a SILTY GRAVEL o SEE SITE PLAN
a WITH SAND
6 4 GM
A
7 a
a
8
9 -Is
:
-
o
WAS GROUND WATER ENCOUNTERED? Y
10- ES
• IF YES�WHAT DEPTHS 14'
DEPT H OF WATER AFTER MONITORING: 14' 2%
11 DATE OF MONITORING: 7/24/I7
a
12 .° ..z
GROSS TIME NET TIME DEPTH TOWNET DROP
13 n DATE READING (MINUTES) (MINUTES) ( NAHER (INCHES)
14—.` TEST HOLE PRESOAKED PRIOR TO TESTING:
15— . 7/17 1 4:22 3.38"
16— BOH @ 16'
2 4: 52 30 9.88" 6.50"
3 4:53 3.25"
17-
5:13 30 9.75" 6.50"
18 5 5:14 3.38"
19— 6 5:44 30 9.88" 6.50"
20
PERCOLATION RATE: 4.6 (MIN/INCH) PERC.HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN: 3.5 FT. and 4.5 FT.
COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST.
TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT
THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS
DATE: 7/25/17
�' - ..,,°' MUNICIPALITY OF ANCHORAGE
On-Site Water&Wastewater Program 5
PO Box 196650 4700 Elmore Road f
Anchorage.Alaska 99519-6650 Phone: (907)343-7904 Fax:(907)343-7997
http.//www.muni.org/onsite
nLJ1
I).:1;.11 [111 Il
4NCko0.0,6f
On-Site Wastewater Disposal System Permit
Permit Number: OSP171173 Effective Date: 7/7/2017
Work Type: Septic Upgrade Expiration Date: 7/7/2018
Tax Code Number: 05109248000 '1 /ri / t'1 -t
Site Legal Address: T15N R1W SEC 8 LT 38B G:1357
Site Mailing Address: 20735 CRABTREE ST, Chugiak
Owner: LUGO JULIA M Lot Size in Sq Ft: 44964
Design Engineer: ANDERSON ENGINEERING Total Bedrooms: 5
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: A test hole shall be completed at time of construction to verify separations to groundwater
and impermeable barrier(test hole shall be a minimum of 12 feet deep), as well as to verify percolation rate.
Construction may proceed at your own risk before the 7-day water monitoring is complete. If the results require
a design change, construction shall stop pending On-site review and approval. Submit stamped and signed test
hole results with the inspection report.
Received By: ( 1,4�I21) 1W , j Date:
Issued By: g, tiE Date: 7®a0 I
MUNICIPALITY OF ANCHORAGE
t • }s, Ali
Community Development Department I-r P one: 907-343-7904
Development Services Division - ' 2 01 3 0 201 _ Fax: 907-343-7997
On-Site Water & Wastewater Program iffy' ),,,N)
4.., ,
ON-SITE SEWER/WELL PER I1 LI
� ot6 � �
Parcel I.D. 051-092-48
Property owner(s) Julia M. Lugo Day phone
Mailing address P.O. Box 672233 Chugiak, AK 99567
Site address 20735 Crabtree Street Chugiak, AK 99567
Legal description (Sub'd., Block & Lot) Lot 38B
Legal description (Township, Range & Section) T15N R1W Section 8
Lot Size 44,964 Sq. Ft. Number of Bedrooms V-1 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(® all that apply)
Absorption Field ® Initial Li Single Family (SF) 0
(w/wo ADU)
Septic Tank El Upgrade 111
Duplex (D) ❑
Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
74"--4-1c
a4-j-- -7
(Signature of property owner or authorized agent)
Permit/Rush Fees: ?I`- 4" 3 5%.-1 Waiver Fees:
Date of Payment: 1711-14- lila! (7 Date of Payment:
Receipt Number: 6361rrt 214221 Receipt Number:
Permit No. OS'P I1 111 o Waiver No.
Permit App_2- .-...'c
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 (FAX)
June 30, 2017
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, AK 99519-6650
Subject: T15N R1 W Section 8, Lot 38B
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
The Septic Tank on the subject lot has failed and must be replaced. We are proposing
to replace the tank with a new 1,500-gallon septic tank to serve the five-bedroom home
on the lot. The absorption trench system will also be enlarged to serve a five-bedroom
home.. The existing tank will be decommissioned in accordance with Municipal Code.
We are therefore requesting a permit be issued for the construction of a new tank to
serve the home and the upgrade of the absorption system. The attached Site Plan and
backup documentation identify the location and configuration of the existing septic
system and the location of the new septic tank and absorption trench. No conflicts exist
between the well and septic system on this lot and those on adjacent lots. The drainage
patterns on the property will be maintained after construction.
Test holes placed on the lot in the past indicate well graded gravel (GW) subsurface
soils on the lot. The soils were visually rated at 85 square feet per bedroom. A recent
adequacy test on the existing absorption trench indicated no water present at the
beginning of the test and no accumulation during the test. The absorption trench is
obviously in good condition.
A new test hole will be placed prior to construction to verify the quality of the subsurface
soils. If conditions are not as anticipated work will cease and a change order will be
completed. The proposed design includes the placement of a new 1,500 gallon septic
tank and a new 50' long by 5' wide x 1' effective depth absorption trench. The existing
trench will be connected with a flow splitter valve to insure even flow to each trench.
The flow line will be placed at the same level as the existing trench or 5' below the
surface. The he total depth of the trench will be 6'.
C1
15N R1 W Section 8, Lot 38B
June 30, 2017
Page 2 of 2
The ground surface on the lot is basically flat in the area of the new tank and trench.
The tank will be placed near the same location as the existing tank at nearly the same
elevation. It will then be tied in to the existing service line. The tank will be constructed
in conformance with Municipal requirements. The trench will be placed parallel to the
contours of the existing ground.
If the septic system is constructed in accordance with our design the following
statements apply:
1. The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
2. The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
3. The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattern will be maintained.
Sincerely, n Q
Michael E. Anderson, P.E.
Attachments
♦•♦• ( -1 i 14
•
411.
1 )tl
•
MICHAEL E. ANDERSON •
fir; .• No. CE- /4`J•1
J
1111 1,
........... .Z ' i
14 11
T15N R 1 W SECTION 8
LOT 38B
KRYSTAL
I
279.83
i20' Utillity Easement
1 I—
I
1N H.
Driveway '
Z
a
t N 1 1,500 Gallon d Q
Existing Septic Tank Existing 60' Long x 5' u7 Q
Well 2C0 Wide Absorption Trench.
Five co
N Bedroom
msy V Aff 1 Proposed TH 50' Long x 5' Wide
Ci - —4co x 1' Effective Depth
In
)
Absorption Trench.
Driveway
ALTERNATE SITE
I I CAT III Treatment System w/25'
w I Long x 5' Wide x 1' Effective
W Depth Absorption Trench. 6.0
Ce App. Rate.
Il m N89'59'35"E 299.75
414C1I� LEGEND
IX
0 I SV — Septic Vent ����11111111d1/,��
I � CO — Clean Out ��.4% OF `i,Q .a1#
SCOPE OF WORK: z� A MT — Monitor Tube +���•''••� � ' 0j
J H cri �:'
I TH Test Hole =# : / '' :• ,
1. Place Foundation Cleanout. MH — Man Hole s 49th s
1 2. Decommission Existing Septic Tank X.....- , �n
in Accordance with Municipal Code. f 17 cc"-nvM l
3. Placed New 1,500 Gallon Septic f
Tank and 2 Post Tank Cleonouts. MICHAEL E. ANDERSON;: _ g,
4. Place New 50' Long x 5' Wide x S I T El D I__.,L\ \ No. CE-43611' Effective Depth Absorption Trench. #4,e,4:••47.-� 1•T-17 .����
Splitt r Va B Trenches with Flow SCALE 1* = 40' ♦.�I DF ESSI...1‘b\,4,
5. #
LOT 38B
T15N R1W SECTION 8
DESIGN FACTORS: SYSTEM REQUIREMENTS:
Five Bedroom Home 5' Wide Trench System
Pero. Rate: 1-5 Min./Inch 1,500 Gallon Septic Tank
Application Rate: 1.2 GPD/SF 1' Drainfield Rock
5 Bedrooms X 150 GPD/1.2 GPD/SF (Application Rate) = 625 SF Absorption Area
625 SF/5 SF/LF*.87 (App. Rate) = 108.75 LF Trench Length
THEREFORE: Utilize Existing 60 LF x 5'Wide x 1' Effective Depth Absorption Trench. Place New
50' Long x 5'Wide x 1' Effective Depth Absorption Trench for a Total Length of 110'. Place Flow
Splitter Valve to Insure Even Flow to Each Trench. Flow Line to be Placed at 5' Below Existing
Ground. Total Depth to be 6'. Provide 4'of Cover Over New Septic Tank and 3'of Cover Over
Absorption Trench. Maintain 100' Separation from all Wells in the Area.
Natural
Backfill
4'6"
Geotextile
/ Fabric
6' a 4" Perforated
- PVC (Holes Down)
1'0" Drainfield Rock
5'
I I
TYPICAL 5' WIDE TRENCH SECTION •.4 '4 "14*
(NO SCALE) ���P '�Si1
NOTE: Grade Area Over Trench to Drain Away. �� 4L%
Minimum 6' Separation From Bedrock. i : 49th
Minimum 4' Separation From Groundwater. ` � L,,12
Minimum 100' Separation From Private Wells in the Area. I, •fi: Michael E.Anderson •��
Minimum 100'Separation From Surface Water or Streams. 1 o : , 'u
Minimum 10' Separation From Water Service Line. j�sj •. ��JE4381
, �
'1i.,OS �+•FES ..
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF FIEALTH & ENVIRONMEN'rAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchora§e, Alaska 99501 Telephone 264-472.0
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
NO. OFBEDROOMS4
IF HOMEMADE:
Well Dwelling PERMIT NO.
DISTANCE TO:
Manufacturer Liquid capaciW in gallons
Well
No. of lines
Material
F °u n dat i°n,2 ~ ¢'~?~]_ ~ I i n eT~---
Top of tile to finish, gr~Je J
Length
Width
Total eff3~Z.~¢/~orptien area
PERM T NO.
Type of crib Crib diameter Crib depth Total effective absorption area
Well [3uifding foundation Nearest lot line
DISTANCE TO:
Class Depth Driller Distance to lot line IPERMIT NO.
DISTANCE TO: Building foundation Sewer line Septic tank LAbs°rpti°n area(si
OTHER
PIPE MATERIALS
INSTALLER
REMARKS
[:'EPFIRTf~IEN'I' OF' HEFILI"H F:IN[:, Ef',I',,"II';b:~Nf'IEN"f'I:IL. PRErYI~:C:'f'~::I't
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F' ,t. ,::il HI::IT[::HE:R~'
I"lFl~:Ir'l[Ji"l IqUNIi!~E]:~'. 01:'~ BEDROOMS
THE: [;~E:I]]I...I ]: RE~:I:::, ..,
THE DEPTH OF' F'~ I I.EN,..H -P PIT I;. THE :~ ...........
E, .L_,~ I,EL E.E, IUE, EN THE :..,IJE~ ~ bE, OF THE
' ' ,'
GR()UN[:, FII",ID THE E - 11 ~ r I OF TI-IE E',~CFI'4FFF I ':N
THE:RE
THE C~RFIVEL, [:,EPTH I,~. THE I'./:EN:EMIJr,I bE:PTH OF' G~.FI,,.E.:L E,~'NEEf,I THE OU"I'I:~EF~L P~PE:
F~NE:, TI-lEE E,. fl .,,N OF' THE E ,~ I~.N ,..,EN FEE:T).
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IN.: I I._1.. I i: ..]1 .[I,I~["E._ F J: ...N..-., CIF FIi"4~r' I, IE:L. LE', FID..:IFICENT I]/] II II..., FI . I [.'.1. I FIN[::, THE
NI..If,'IEI[~:R CIF I,E...):I.E.i'~I..,E.. "['HFYI' "I'HE I,.tEL. I. I,.lIl..I.~ :E:EF,'",,'[:~
M I N :[ I'lL.II"l [:, ~ STFINC:E'.
::t_EIt~) F:'EET [::'(:lt~: FI PRIVFTI'E: I,.tEL.L E:IR ::l.f:~iEI TEl ;;~1~1~'.1 F'EE:T FROM f:l F:'UE',L'[C I.'.IELL DEF'END:[NG
UPON THE 'T"'r~F'E CIF F'UE:L:[C [4ELI ....
M:[t".I~MI..IM D ZE:TFINC:E FROM [~ F'RZVf~TI]: tqELL TO FI F:'R:[VIaTE SEI'.IER LII"~E l:): R5 F'E:E'F FINE)
TO F'I C:OF]MI..INI'I"'Y' ':~;EI,IER LZNE ~E~ ~:"5 FEET.
I'IELI.. I..OE~E: FIRE: F~E[~!U~I[:E~I:) F~ND
OF' TFIE WELL. C:OFIF'I.,ETION.
0'/'I'IER RE(;EJ I [q~:MENTS MFI~T' [aF'F'L'.r'. :E;F'EC: I F Z CFIT :[ 0i'-,1% F:IND C(:IN:F~'['[~'.I.I[::T :[ ON [)I [~I::iREIFI~C, FIRE
[:~Vf~ :1: L.[:IBL, E: 1"0 I I'.,IE;I..IRE F'RCIPE:R :[ NSTF]L[..FIT~ ON.
I CE:RT I F"r' THFFF
::1..: :t: F]I'I FFIFIII._.:I:I::II;':' WITH ]"HE RE~:!LI~:I';:~Ei"IEN'I'S FOR Cd",t"-E:I'F[;i: ~:i;EI,.t[~:R:i:~: FIN[::, I,IILI.I..E: FI::~ ::.':;E'T
FORTH B'~' THE: I"II..INICIPF'II...IT'~' OF F~IqCFIC~RF~GE:.
~:~:: ]: I.,~ILI.. ZN.%TI::ILI..~ THE E;"~:L':TEM :[t",} FtC:COR[::'FINCE N):TH THE:
]:: Z t..Ir-~[:,E:RSTi:INI} THF:iT '['FIE CIN-!!~;ITE: SE:[,iL::R S'.P:~;TEM I,IFI'T~ RE[~:!I.J:[RE Eb. IL.FII;~:GE]',i[~:i'.T'[' Z[:: THE:
i',~:[.Z:~:~I'DENO[E .T.E~ REITIODE:LE:[':, TO INCLI..I[)E FIC~RE: THFIN 4
·; ;'~ ,.~ ;:..'. ~ :;' f
5 :[ [:'ii",lE:[:': ~.,,.:..: .......... ~:~:....~,:,.:.;.,.-.:.:.I. ......... :~: .............. :,:.,::.. :i:, ?',::::::::....: ......................
FtPPL. I CFff',I]' I'fF'IROL[:' F:X"FIE:I:~:FtM EE;
" L&,
SOILS LOG
PERFORMED FOR:_
LEGA' DESCR,PT,ON~
MUNICIPALITY OF ANCHORAGE
DI:PARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLATION TEST
7-/,5-,0,,
SLOPE
11 0/ WAS GROUND WATER
~ ~_~.~,_ ENCOUNTERED?
12
IF YES, AT WHAT
13 DEPTH?
'/0: E
[] PERCOLATION
TEST
DATE PERFORMED:/
cOlA_l,
SITE PLAN
14
15
16
17
18
19
2O
PERFORMED BY:
72-008 (6/79)
Reading Date Gross Net Depth to Net
Time Time Water Drop
/
PERCOLATION RATE //~ _(minutes/inch)
FT
[:,EPFiF?.TM_r.~]'.,IT OF FIERL. TH FIND ENVIRONMEIq~r'FiL. PROTEC:'TION
82:5 "L"
264-4'F2~)
Ib.~l LE.C IL_ ~. .... F-'::tl IP. ql
FIPPL I CFINT
LOCRT I ON
LEGI::IL
HFIROL. B, F' RBRFII',12; :l.E,.a FISH
F:Z'_E;H HI::ITCHER~'r' R[:~
L.O]" ~:8"-E~ L~I:£E: 8 TiSN R':L.W
HR'r'c H L::r~:'.r' P.[:,
688
I"?F'E OF SOIl... RE~SORPTIOIq E;~?S"r'EM :[2;: TRENCFI
MF]II.:',IMLli','I I",!LIME:E:R OF' E:E[:,ROOMS = 4
SOIl_. RF'ITING '::'SQ F"T/BR} .... 85
THE REQLIIRE[) SIZE OF THE SOIL RE:SORPTION S'-?S'TEM :[~;:
'THE LENC'iTH C,I MEI',I2;I O1',1 I'-:; 'T'HE [_.EN6'rH ,:: :[1'.,I FEET ::, OF THE TRENCH OR DRFI I Iql:: I IEL. E:,.
f'HE I::,EF'TH OF' Fi TRENCH OF4: F:'IT I~!.:; THE I])ISTFII'.,ICE [.3ETI.4EEN THE ~.;tJl;:F'FIC:E (:iF:' 'THE
GROUN[) FIN[:, THE 130'T'TOM OF I-HE E',:.:',CFI',/FI'T'ION ():1'.,I FEET).
T'HEF;?.E IS'; NO :~;ET I,H:[:,TH FOR TRENCHES:'].
'FI-lIE GRFI",,'EL. [;,EF"TH IS THE MINIMUM [)EP]"H (:iF:' GF.'.FIVEI.... E:ETP.~EIEN THE OU'TFRLL. PIPE
FIND THE [~OT'TOM (IF THE E?,:CF'IVFITION (IN FEE[.::'[':).
I::'EI:RMI'T F:IPPL. ICFtN]" HF;I!'; '/"HE RESF:'ONSIEC[LZ(T"r' TO II',II::'ORM "FHIS DEPRRTMEN'T [)I..IRING
Z 1'4%'T'FILLRT t' OIq I N!~;I::'EC'T I OI",I:E; OF FIN'-.,-' 1.4EL.LS FIC, JI::ICENT TO TH I !-:; PF?.OPERT'¢ FIND 'T'HE
I'..IL.IME:ER OF RIZSIDENCE:if; 'T'HFIT THE HELL I.,.IIL. L SEER',,,'E.
BF~CI<FrII-L. ING OF' Fll",l"r' S'.r'L:.TrEM NITHOUT FINF. IL INSPECTION FIN[) FIF'PROVFIL. E:'~.' ]'HI:i:;
C, EPRRTI','IENT I, IIL.L BE ~E;UEL.TEE:T "['O F'RCISEC:UTICfl',I.
M I N I MUM C, I S'FF:IIqCE EIE'I"I4EE:N R 1.4EL. L FIND FINY' ON-.S I 'f'E SE1-4RGE !} I 'Z.;F'O'_.'~;FIL. :~:'.¢!::'TEM I S
:~;!'.~(;~ FEET FOR R PRI'v'FITE: HELL OF?. :'t. 5~;~l "f'O ;;.~E~E~ FLEET FROM I'-'l F'UE:L. IC 1.4ELL DEPEN[:,ING
UPCff.,I THE T"r'F:'E OF' PI..IBL. IC I-,.IE.L.L..
M I ['41 MUM [:, I STRNCE FROM R PR I VRT'E t.'.IELJ_.. ]%) [;:I F'R I","FITE SEI.4ER L I NE '_1;:!5 25 I=EET Flhll}
TO R COMMUNI'T"¢ SENEI:R LINE I:":; 7'5 F:EET.
14ELL LOGS RF..'E I:;?.EQLIIF;!E[:, FIi'.,II~ MUST BE F;'.ETURNEC, TO THE [:,EPFIR]"i'dENT 1.4ITHIN ]i:O t'.:,!:::!'-r".~i;
OF' THE: NELL COMF'LETION.
OTHER REQU I P. EM[EIqTS
FCv'FIILI::IBL. E TO INSURE: F'ROPEF:: INSTFILL. RTION.
I CEF;:'T'IF'"r' THFIT
:'L: ! F:II'4 F'F:IMILIF:ffR P]I']'I-! ]'HE RIE(;:¢J:(I:;;!EMENTLE; FOR ON""'.:.::ITE SEI4ERS
FCff¥1"H B'¢ ]'HIE MUI",IiCIF'RLII'"r' OF FtNCFIOF~FIGE.
;21.: I P.IILL IIqSTFILL. THE :L~['T'S"l"t~:l'"J ]:N F~CCORI}FINCIZ I,.IITH THE CODES.
S: I UNDER:~:;TFIN[:, 'TFIi:¥f' THE ON-'.E;ITE E;EI.,.IER :.:.;'¢'..T, TEM MFI'¢ RE6:~UIRE
RE:'..::;II}ENCE IS REMODELEB', "FO II",ICL. U[)E MORE ']"HFIN 4
.... f...g ,ILl ....... '=~ .......... =.--~.~:.=..-~ ...................... ~-....--¢-.: ...............................................
Itl: f L..iL.}II,I] FI[:ff..uL..[.. I: HL,f..HII .....
' ,':,'- -' ..... :d,_: ...................
[ ,:.,:,l.,l~j[, [~, 'r .......
RN[:, !-4E._].J..IIE; t::~S SET
EI'.~,LFtRGEMENT IF THE:
Russell Oyoter
694-27'74
0 & E EN¢ 'NEERING & DEVELC
Box 90, [:)avis St., Engle River, Alaska 99577
694-2774 or 688-2280
'MENT CC).
Earl EIlI:~
SOIL LOG 686-2260
Performed for: Name: , ........... ~ =:"~1:-~_: ................ T'- ----.: ¢'¢4 ,~%(~,_ _ _2 .............. Tel. No.
Legal Description: ~?-_~ ........... ~ ......... ::__-- ~ .......... w .......x
Depth (feet)
Soil Chereclerl~llc~
12 .....
13 ......
14
Ground Water Encountered: Yes ........ No_ _ If yes, what depth~//~_ __.
Proposed lestallation: Seepage Pit_ __ Drain Field~.
Comments: ......................................
PERC. TEST
Performed by: ~"~z~,~. /~'( .:,. ~ ~ [)ale,-~.~. - '
....... f. ............................................... :z_ _7: ............
· *CHUGIAK ALASKA
..... 688-3199
q ;RILLING CO.
WE, SERVE ALL ALASKA
I~O~T OFF~CE BOX 42 - CHUGtAK, ALASKA
/
ADDRESS ... (..!...d; ........~,;..;.'..L.L.~.-;..~.. z.%.:: ......... ;....L ..........................
RiTg ---~ ~:~ ) ,*/ · ': / ._
WELL - - ............. ,.....::;.; ............. .....; ................ ; ................................
DATE-STARTED ...... ~ ~.:...!: :..:..::/.:.! .....................................................
DATE - ENDED .......................................................................................... ·
KODIAK, ALASKA
4864826
DEPTIt OF WELL ..._.: ...... ; .......................................................................
STATIC LEVEL OF WATER FT.....~~.!..!......:..~;.: ....... ~.~.;..~.'.~ ...................
GA~.~'ERHR ........... ......: .............. Z...~.:: ....... .: ................................... :..
KIND OF CASING ......(.Z; ............. :Z:Z:...~ ........ :.d.~. ....................................
KIND OF FORMATION:
FROM .....!~:~ .............
FROM ......c..~ .............
FROM ...!!J)..~ ..........
FROM .....!. Z'-.~.L .......
FROM .......... i ...........
FROM ...:)..2 ........... FT. To ..../..t.:..! ......... FT.....~i..!..~:.:~ ...............
FROM ...I.!.:.L .......... FT. TO .......t,!~.~2 ...... FI' ....... ~;.~. :3.......'..:..~ ::..~, (-'~
FT. TO....~...:a..~J..... FT ....... .c...L!~.:./ ............... .
FT. TO .... t..~:.,~. ....... FT....~7. ~..1~.:.:.,(.:.~......'.... ' ;'~'~': ['
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ...................... FT. TO ...................... FT ...................................
FROM ...................... FT. TO ...................... FT ....................................
FROM ....................... FT. TO ................ ; ...... FI' ..................................
FROM ...................... FT. TO ........................ FT .................................
FROM ....................... FT. TO ........................ FT ................................
FROM ....................... FT. TO ........................ FT ................................
FROM ....................... FT. TO .................... "~F FA~"~ ............................
FROM ...................... FT. TO ..~. ................. FT. ~.x,, ........................
FROM ~"'
FROM
FROM ...................... FT. TO ....................... FT .................................
FROM ....................... FT. TO ........................ FT .................................
MISCL. INFORMATION:
~ (~ ~Dgh qqc)
MUNICIPALITY OF ANCHORAGE
/, DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL HEALTH CASE REVIEW WORK SHEET
[] PLATTING BOARD [] PLANNING & ZONING
CASE NU~',IB E R,NAME
S-5604 T15N RiW Section 8 NE% Lot 38
DATE RECEIVED
February 25, 1981
COMMENT TO PLANNING BY
March 13, 1981
FOR MEETING OF CASE OF
[] PUBLIC WATER NOT AVAILABLE TO PETITION AREA
[] PUBLIC SEWER NOT AVAILABLE TO PETITION AREA
HEVIEWEH'S COMMENTS:
71-014 (Rev. 2/78)
· '" . O & E ENC~NEERING & DEVELC'~.MENT
Box 90, Davis St., Eagle River. Alaska 99577
Russell Oyster
694-2774 SOIL LOG
Performed for:.
Legal Description:
Earl Ellis
688-2280
Name: ,,r~ ~ ~_--~.~- ,_l,~,_,.,,...,~.J Te~. ,o. ~4-z~-¢ s
,,,,,,,,,ng.,.d,:,ress: ~-'~'"' ,.-/'~r.,,. /_.-~,'-~,.--',~,,.',.:Z /P~_. v~'~
Depth (feet)
Soil Characteristics
m
2~
3~
4~
5.--
6__
7__
8__
9~
10__
11__
12
13
14__
15__
16__
Ground Water Encountered:
Proposed Installation:
Comments:
PLOT PLAN
Yes.~__~ No If yes, what depth
Seepage Pit Drain Field
Performed by: ~.~ /~"~ t ~ ,.~"t?ff'~
t
PERC. TEST
•
E ri
Municipality of Anchorage =�
On-Site Water and Wastewater Program t• ��j:1 ir
(907)343-7904
Certificate of On-Site Systems Approval
Parcel I.D. 051-092-48 Expiration Date: I Q �2 7-17
1. GENERAL INFORMATION
Complete legal description T15N R1 W SEC 8 Lot 38B
Location (site address) 20735 Crabtree Street Eagle River, AK
Current Property owner(s) Julia Lugo Day phone
Mailing address P.O. Box 672233 Chugiak, AK 99567
Real Estate Agent Day phone
2. TYPE OF DWELLING:
❑ Single Family(w/wo ADU)
❑ Duplex R
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Five
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Q Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well LI Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: I i 4�1?,( r/,1 �' 1
' I )
Received //J/i Date: i/ 2 ,'/ .J
COSA to be released to the engineer,unless otherwise requested by the engineer.
2,(49Y5"' '-1(01.(Di+
COSA Fee $ Lin (6, 7Y/P -fid 147 Waiver Fee $
Date of Payment 119-5/ (i Date of Payment
Receipt Number D DIR:/c1 Receipt Number
COSA# , t-N Waiver#
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 Anderson Engineering Phone 522-7773
Address PO Box 240773, Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date 7/24/2017
44276.c.. OF A4.1 tilt
SO
•:9p
r*: 49 TH • $r
6. DSD SIGNATURE ••• .•
( System #1 Approved for �r bedrooms ° MICHAEL E.-ANDERSON •
vo. o
� .
System #2 Approved for bedrooms �*�l• CE-4381
Disapproved PRO SSIONA o
"Ilea foo"
Conditional approval for bedrooms, with the following stipulations:
trm
. oN-SJTE
WATER AND j?,
WASTEWATER
PROGRAM
Original Certificate Date:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet_f 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: T15N R1VV SEC 8 Lot 38B Parcel ID:051-092-48
A. WELL DATA
Well type
Private If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 9/7/81 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 168 ft. Cased to 168 ft. Casing height(above ground) >1 2 in.
FROM WELL LOG AT INSPECTION
Date of test 9/7/81 6/27/17
Static water level 50 ft. 68'2 ft.
Well production 4 g.p.m. 3'2 g.p.m
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate N� rng/L
Arsenic ND ucl/L Date of sample: 6/14/17 Collected by: And. Engineering
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 7/18/17
Tank size 1 ,500 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank(Y/N) N High water alarm (YIN) N
Date of pumping Pumper New Construction
C. ABSORPTION FIELD DATA
10/81 7/19/17 Soil ratingz z 1.2 GPD/SF 5' Wide
Date installed
(g.p.d./ft or ft2/bdrm) System type
Length 2 @ 55' ft. Width 5 ft. Gravel below pipe 1 ft.
Total depth 6.8 ft. Eff. absorption area 632 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 6/27/1 7 Results (Pass/Fail) Pass For 4* bedrooms
Fluid depth in absorption field before test 0 _ in. Water added 600 gal. New depth 0 in.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >_ _ 600 g p d
Any rejuvenation treatment (past 12 mo.)(Y/N & type) N If yes, give date
*1,500 Gallon Scptic Tank& Second Trench Constructed 7/19/17 to Increase Absorption System to Serve 5 Bedrooms.
Original Trench Tested on 6/27/17 for Four Bedroom Home.
D. LIFT STATION
Date installed Size in gallons Manhole/Access(YIN)
"Pump on" level at in. "Pump off"level at in. High water alarm level at in.
Datum Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot >1 00' On adjacent lots >100'
Absorption field on lot 100' On adjacent lots 100'
Public sewer main >75' Public sewer manhole/cleanout >100'
Sewer/septic service line >25' Holding tank X75'
Animal containment areas >50' Manure/animal excrete storage areas >100'
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5 Property line �5 Absorption field >5
Water main Water service line Surface water
Wells on adjacent lots X100'
ABSORPTION FIELD ON LOT TO:
>10'Property line Building foundation 10 Water main X10
>10' >100' >10'
Water Service line Surface water Driveway, parking/vehicle storage
Curtain drain None Noted Wells on adjacent lots X100'
F. COMMENTS
The septic system is now sufficiently sized to serve a five bedroom home.
G. ENGINEER'S CERTIFICATION
/ certify that / have determined through field inspections and `�•OF.A 4 rRt
review of Municipal records that the above systems are in a.,P;•• •'-�S °f
conformance with MOA COSA guidelines in effect on this date. ar6- r•'='=
r, * 49TH :y to
Michael E. Anderson, P.E. s•��� .
Engineer's Printed Name •'
Date 7124117 yg,:MICHAEL E. ANDERSON : ¢
�'.• CE-438i •�4`�.r
+. 1"1"� �
. 7-�.y=i7 ..�av�__
COSA brown sheet 10-10-12.doc
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PLOT PLAN AS BUILT _X SCALE 1” = 40' GRID NW 1357 Project No. 17-238/A1
11500 Daryl Avenue. Anchorage, Alaska 99515-3049
Lang & Associates , L •EVEL (907) 522-6476 Phone QQQpOq��
(907) 522-4625 Fax a p F A L°°4
Professional Land Surveyors kenOlangsurvey.com v ,Q
jonathanOlangsurvey.com �'. -
.
I hereby certify that I have surveyed the following described property: 0C]:' .49T1-1 /\ '•. 7Q
LOT 389. SECTION 8, T15N, R1W, SEWARD MERIDIAN, ALASKA (PLAT 81-184) * . ��
Anchorage Recording District, Alaska, and that the improvements situated thereon are
within the property lines and do not encroach onto the property adjacent thereto, that Q
no improvements on the property lying adjacent thereto encroach on the surveyed �'43, KENN ii" G
premises and that there are no roadways, transmission lines or other visible 'easements on said property except as indicated hereon. Ytip � j252�zl ' ..�JIII
Dated this the -.a-kl' Day of i1--i , - , at Anchorage, Alaska �14� ,o ,,a0o
A)kRoFEssroNak-`A4
It is the responsibility of the owner to determine the existence of any easements, sk�400�.4 '
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
Lot 38B; Sect~on 8; TI5N; RIW; SM
Location (address or directions)
NHN Crabtree, Eagle River, Alaska
(b)
(c)
(d)
Property owner Fidler , ~'~""'~"~'¢- ¢~. d~,.-. Telephone: (home)
Mailing Address FIRE.,AI, .~ FUND
Business
Lending Institution
Mailing Address
Telephone
Real Estate Company and Agent RE/MAX OF EAGLE RIVER - Bob Womboldt
Address 16600 Centerfield Drive, Suite 201, Ea~le Rive% Alaska 99577
Telephone
694-4200
(e)
Mail the HAA to the following address: (or check here ~, if hold for pick up.)
List contact person and day phone number below:
S & S ENGINEERING/694-2979
17034 Eagle River Road, Suite 204
Ea~le River, Alaska 99577
2. TYPE OF RESII:)ENCE
Single-Family E~ Number of bedrooms
4
WATFR SUPPLY
Individual Well,~ Community [] Public []
Note: if community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
SEWAGE DISPOSAL
On-site ~ 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.
72-025(Rev. 7/88) Page 1 of 2
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 verify that 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 regulations in effect on the date of this inspection.
Name of Firm
Address
Date
17034 Eagle River Loop Road No. 2~4
RaCe Rlveh Alaska
Telephone
6. DHHS APPROVAL
Approved for '~ bedrooms by
Approved ~ Disapproved
Terms of Conditional Approval
Conditional
~:'~l,JJ i ['iiI
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections
or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions
in the professional engineer's work.
72-025 (Rev. 7/88) [Jack Page 2 of 2
A. WELL DATA
MUN!O[~AJ~I~OF ANCI-IORAGE (MOA)
~,.~,,4~,,¢'.,,/NM~:Nf' ~HE'(,KLrlbT - FEBRUARY 1984 343-4744
Legal Description: '--"~
Well Classification ~ h,~'J ~ ¢.-~'~
Well Log Present(~N) V Date Completed '¢~ -'"]
Total Depth~,¢~_ Cased to \~'(~' _ Depth of Grouting
Static Water Level ~"~----~ Pump Set At
Casing Height Above Ground
Electrical Wiring in ConduitdCi~N) __ ~
SEPARATION DISTANCES FROM WFLL:
To Septic/Holding Tank on Lot
Sanitary Seal on Casingd~)
Depression Around Wellhead
\ c::~c:~ I.~. ; On Adjoining Lots
To Nearest Edge of Absorption Field o~ Lot \ ~:::>t W ; On Adjoining Lots
To Nearest Public Sewer Line r'~ /~ To Nearest Public Sewer Cleanout/Manhole
To Nearest Sewer Service Line on Lot "~-~
Water Sample Collected by ~ '~--~'~~c:J~c-A'~-'''~;' ;Date
Water Sample Test Results
Comments
B. SEPTIC/HOLDING TANK DATA
To Water-Supply Well
Date Installed \(:;"'q¢~ Size
Standpipes~'N) V .Air-tight Caps (~N)
Depression over Tank (Y/d~
Pumping/Maintenance Contact on File (Y/N) _
Holding Tank HiglYWater Alarm (Y/N)
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Property I..ine
To Water Main/Service Line
No. of Compartments
_Foundation Cleanout((2~N) ~/
/ Date Last Pumped ~"~ \\-~:)'~
; for
Temporary Holding Tank Permit (Y/N) _ r~/,/~
To Building Foundation
To Disposal Field
To Stream, Pond, Lake or Major Drainage Course
Co m m e nts _~"~
72-026 (Rev 7/88) F~ont Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed / u:> - ~ -
Width of Field ~'- J
Square Feet of Absortion Area
Depression over Field (Y/t¢~
Results of Last Adequacy Test
/'T.~' ~'"'¢'/'¢;'¢~-~ Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Statndpipes Presentd~N)
Date of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well ~ bt;2 ~ ~ To Property Line ~ ~ 14,
To Building Foundatiog 'Z,-~2 ~ To Existing or Abandoned System on
Lot ¢ /~' ; On Adjoining Lots
To Water Main/Service Line \*=:- 14-
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Cutback (if present)
D, LIFT STATION
Date Installed
, ,S, ipZuemi~
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
ycles during Adequacy Test.
Signed
Company
Date
MOA No.
**Check Permitted Bedroom Rating Against HAA Request**
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in eff~t'~i~
inspection.
S & $ ENGINEERING
~nale River, Alaska 99577
[his.-..,r ....
Receipt No.
Date of Payment
Amount: $
Receipt No
Waiver Fee: $
Date of Payment
72 026 (Rev 7/881 Back Page 2 of 2
ae
t3.
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
Legal Descrlpt~en
Well Classification
Well Log P~esent
Total Depth. I ~ 8 ' Cased to
Static Water Level ~-~
Casing Height Abov~ Ground ~_, ~'
Electrical Wiring in Conduit ~/N)
Separation Distances f~om Well:
To Septic/Holding Tank on l~t_
To Nearest 5~dge of Absorption Field on Lot
If A, B, c~ C, D.E,C. ApProved(Y/N) /k/./~ _
Date Co~leted ?'-'~-'~ I ..~ Yield
]g~' Depth of G~outing (7~J~/(~C~]/kJ
Pump Set At_
Sanitary Seal on Casing ~/N)
~ession ~ound ~llhead ~,
; On Adjoining Lots~ ~lObt~--
; On Adjoining Lots ~oo-~-- __
To Nearest Public Sewer Line _ /%~/A _ To Nearest Public Se~r
Cleanout/Manhole_ ~///A To Nero:est Sewe~ Service Line on LOt ~//% __
Water Sample Test R~sults _c~,..~. ~c~,Z,~
Date Installed /¢5- ~1 Size I.,%.~CJ _q~_ No, (~ Compartments ~..
Stan pims Ai '-tig t Ca S Foundation C eanout
De ession over ank ate ast
Pumping/Maintenance Contract on File (Y/N) ~.//+ ; for
Holding Tank High-Wate~ Alarm (Y/N) /t.j./~_ ~.~mpora~y Holding Tank Permit _(Y/N) ~b/,4_
Separation Distances f~cm 8eptic/Holdin~ Tank:
To Watezr-Supply Well _ I dkD.ff
To P~operty Line
To Weter Main/Service Line
C O~ ~ ~ ~/~
To Building Foundation_ ¢~ ~ ~
To Disposal Field_ ,~'
To S~eam, Pond, L~(e, o~ Major D~ainage
Con~nts pE£ /~o~
[Pa~e 1 of 2] 2.-~5-s4
Ce
ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed /O- ~ !
Width of Field 5~
Square Feet of Absorption A~ea 2J~/~r~/ ~
~/~&'/~l Type of System Design
Length of Field ~O /
~p~ of Field ~ '
Grail ~d Thick,ss .I ;
StenCils ~esent ~N)
Depression over Field (Y/~ Date of Last Adequacy Test
Results of Lest Adequa~ ~st /,loo~,72~ .'a.d,~d~_ r~,~
Separation Distan~ fF~ ~sorption Fie~ld:
To ~te~-Supply ~11 ~OO~ , To ~o~rty Lir~
To Building Foundation ~ %~' To Existing or ~ando~d System
Lot ~/~ ; ~ Adjoining ~ts
30
TO Water Main/~rvi~ Line ~/~ TO ~t~(if pre~nt)
To St~e~ond~ke/~ Majo= ~ainage ~se ~
To ~i~way, Pa~ki~ ~ea, ~ Vehicle St~a~ ~ea
D. LIFT STATION
Date Installed /V/.~
Size in Gallons
H~gh Water Alarm Level at
Tested fo~ /U,/A
Electrical Codes(Y/N)
Comments
Dimr~ions
Manhole/Access (Y/N)
"Pump Off" Level at /%///%
/%/j/~ Vent (Y~)
~ing Cycles ~ing Adequa~ ~st.
~ets MOA
** Check Pem~itted Bedrocm Rating Against HAA Request
I ce'¢tify that I have checked, verified, o~ conformed to all MOA HAA Guidelines in effect
on tb~ date of this inspection.
Signed /~J~_~ ~/~_) -~gA) Date
Compa~h ~.~__.~,., ;~-/UC MOA
~B1/d~/s ED dh~u
[Page 2 of 2]
2-15-84
ACHEMICAL & GEOLOGICAL LABORATORIES OFALASK~I, INC.
Anchorage, Alaska 99518
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
[] PUBLIC WATER SYSTEM I.D.# [ I I [ I [ I
~ PRIVATE WATER SYSTEM
Name
S & S ENGINEERING
. ~ 70:t~,_EacjIe_RJv~-J..o o p J{ eact- N ~¢-, 2L.~
Mailin~jlr~J~[ver, Alaska 99577..
Phone No.
City State
Mo, Day Year
Zip Code
SAMPLE TYPE:
~ Routine
~ Check Sample (for routine
with lab ref. no.
[] Special Purpose
sample
[] Treated Water
[] Untreated Water
SAMPLI-- Time Collected
NO. LOCATION Collected By
4 I J
TO BE COMPLETED BY LABORA'TORY
saSiS shows this Water SAMPLE to be:
t.isfactory
[] Unsatisfactory
I~1 Sa~ple too long in transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
Date Received ,5'-/~"-~ ~
Time Received / ~
Analytical Method: Membrane Filter
* No. of colonies/100 mi.
Lab Ref, No. Result*
[-%1
[-1-1
Fqq
Analyst
BEFORE
COLLFCTING SAIVlPLE
~'/. )~-~ / .~¢'J~ ,~ /BACTERIOLOGICAL WATER AN.ALYSIS RECORD
READ ,NSTRUOTIONS Membrane Filter'. Direct Count_____O Co'~
Verification: LTB BGB_~
Final Membrane Filter Results ~ ~ Oollformll00ml
Time:
TNTC = Too Numberous To Count
OB = Other Bacteria
MIALYSIS REPORt' BY SAIdPLE for ~ork Order ~ 13313 Date Regott Printed: ]~A¥
Client Sample ID:L3EB SEC
?~ISID :UA
Collected MAY ll 69 @ hrs.
Received ~,IA~ 12 D9 @ 15:00 h~s.
p~esel:ved with :AS
Client Mame : S ~ S E~G5
Client Acer : SMSE~GP
?.0.~ NOllE REC'D
Ordered By :
Send Reports to:
Analysis Completed :l,f~Y 15 69 I)S & R ZRGR
Labozatozy Supezviso~ :STEPMZR C. EDt
Special
Inst ~uct:
Chemlab Re~ ~: 5270 Lab Smpl ID: 1 Matzix: }lATER AlJ. owabl~
Result/Units Method Limits
?a~amete~ Tested
MD(O.1) m~/1 E~A 353.2
Sample RODTIME SAMPLE.
~ema~ks: SAI,~PLE COLLECTED BY RJS.
I ~ests pe~£ozlned ~' See Special Instzuetxons Above UA Unava]lable
ND= Mono Detected '* See Sample 5emazks Above
MA= Mot knalyzed LT=Less Than, GT:Greate~ Than
MUNICIPALITY OF ANCHORAGE
D VISZON
APPLICATION FOR =ALTH AUTHORITY ~PROV~, CERTIFICATE
].. ~neral Infom~ation Application Dage .~5~.
(a) Legal Description (include lot, block, subdivision, section, toimship, range)
Location (address or directions)
, -~ , ~ .~/ /f Tale hone - }Iome'<~ ~Business
Applicants Mdressi
(C) Applicant, ia ;(che'ck ode) Lending Institution ['--[ ; ~mer/builder
(d) L, endin8 Institution
Address
(e) Ileal Estate Co. & Agent
Address
Telephone
(f) Mail the HAA to
the following address:
Z. T__y.~_ of Reside_~nc_e
Single-~7 ami y
Number of Bedrooms
biu.lti"F amily
Other (describe)
3. Water ~u~L~y_-
Individaal Well ~ Community ~_~ Public
Note: If community well system, must have written co~tfirmation from the State
Department of Enviror~ental Conservation attesting ts the legality and status°
4. Sewage Dis~sal
Onsite ~. Public [~--~"I ' c°~munitY [iii~ l{oldiug Tank
N re: T~ community well system, must haw~ ~:[~ten confirmation from t~e State
o ~ - -- J ',~-~ Conservation atte~ti:~ to the legality aha status.
[Page 1 of 2]
Engineering_Firm Providin~S~_ctio}~.~ Tes~t~_ File Search2_Data and Information
As certified by my seal affixed hereto and as of the validation date shown below, I
verify that my investigation of this llealth Authority Approval shows that the on-site
water supply and/or wastewater disposal system is safe, function~ and adequate for
the number of bedrooms and type of structure indicated herein. I further verify that,
based on the info~ation obtained from the ~Mnicipality of ~chorage files and from my
investigation and inspection, the on-site water suppiy and/or wastewater disposal
system is in compliance ~th ~i Municipal and State codes, ordinances, and regula-
tions in effect on the date of this inspection.
_ "__:-"_ ...... ',...
, .~ <.~.:~ ~t.,~<l ~z,',~.~./)1<''''° ~"~"'~ ..... . .
~ [, . - ' ~'~% p~,~y C.
~'"~ ~ "" '~'~"~" / ...... ~ ~:~%1 h
-- loved for ~{ bedrooms By ~/
Approved ~_, Disapproved ..... Conditional
Terms of Conditional[ Approval
CAUTION
THE MUNICIPALITY OF ANCRORAGE DEPARTMENT OF [-H,]ALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES ~ALTH AUTHORITY APPROVAl, CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATIONS GIVEN IN pAllAGRAPtt 5 ABOVE BY AN INDEPENDENT PROFES~,O--~7 ENGINEER REGISTERED
IN THE STATE OF ALASKA. THE DNEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AN])
THEIR I~;NDING INSTITUTIONS IN ORDER TO SATISF~ CERTAIN FEDERAL AND STATE ILEQUIRL-
MENTS. E~MPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISolON~ IN T~IE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAl,)
RR4/ej/D18
[Page 2 of 2]
7-19-84
BUI[ O [B [ TRL CO[1T[ OL IBC.
July 25, 1984
Department of Health and
t~vironmental Protection
825 L Street
Anchorage, Alaska 99501
Attention: Keith Bandt
subject: T15N R]~ Section 8, Lot 38B
Dear Mr. Bandt:
On July 25, 1984 ~is office rechecked the well on the subject property~
It was fo~d that the sanitary seal s/~d conduit had been installe(l, and
is now in compliance.
be of further assistance, please contact us at
If this office can
561-5040.
Sincerely,
Larry Montgcg~ry
Engineering Technici~u~
/eaj
Approved By :~ ~ ~
ALASKA [1Ul[qO lillB[1TAL
July 16, 1984
Department of Health and
Environn~ntal Protection
825 L Street
Anchorage, Alaska 99503
Attention: Keith Bandt
Subject: T15N R1W Section 8, Lot 38B
D~mr Mr. Bandt:
This office repeated the well flow test on?July 10, 1984. The flow rate was
set at 1.0 gpm, which was sustained for 2.5 hours. During the last 30
~inutes of the pumping phase, the flow rate fluctuated between 0.5 - 0.75
.gpm.
The pum~ activity during the test was recorded, and is as follows:
Drawdc~n Recovery
Minutes Act ivit~ Minutes Activit~
0-16 pump off 180-230 pump on (50 min.)
1.6-28 pump on (12 min.) 230-249 pump off (19 min.)
28-31 pump off ( 3 min.) 249-251 pump on ( 2 min.)
31-180 pump on 251-321 pump off (70 min.)
The pump r~ained on during the recovery period (for 50 minutes); this
prob~bly reflects the filling of the storage t~nk. Storage tank capacity is
reported as 42 gallons, all(~ing for 50 minutes to fill; therefore, the tank
was recharged at a rate of .84 gpm. The 2 minute pump on (249-251 minutes)
is probably the result of the storage tank.
Static water level was recorded at 85.2 feet, this was confirmed (rechecked)
prior to commencing the test. Static water level was also checked 24 hours
after the test, and found to have total recovery.
The maximum draw down was 145.42 feet, a difference of 60.22 feet frc~
static water level. During the last 30 minutes of the draw down test, the
water level fluctuated between 145.0-145.42 feet.
Recovery rate (with pump off) averaged . 24 feet per minute. Despite the
interva], with pump on, the well had recovered within 13.78 feet of static
water level (98.98 feat).
Spurlou~ readings were virtually eliminated, by use of new well probes.
Evidently, previous tests were influenced by the equitx~ent used.
The residence was established as a four bedroom, with appropriately d. esigned
septic system. The syste~, and well use, is based on total occupancy (8
people, 2 per bedroom)° ~e family Consists of four (4) people, who will
occupy the residence on a full time basis. The family has been in
residence, since June 1984, end have reported no problems with the well, or
12o0 LUcsl 33r~ Au¢.u¢. $ui]¢ B · Anchorage. Al s o 99503"[907) 5$FSOZlO
· the water.
It appears t~at the well, although marginal, is sufficient for this family's
needs. The occupancy of 'half' (compared to standards) also lends itself to
a reduced well use '~han is normally predicted for a four (4) k~=dr(x~n
often is less than
reslden¢,e. Also of consideration, is that 'usage'
standardized "norms".
This office feels that the well is productive for dom~stic use; however,
prolonged ~se-such as watering the yard-may decrease flow rate until allc3wed
to recover.
If this office can be of further assistance, please ~)ntact us at (907)
561.-5040.
Sincerely,
Larry D. Montgomery
Approved By:
Jr. , P.E.
LDM/C'aj
ALASKA
June 5, 1984
Department of Health and Environmental Protection ~.~ ,:
825 L Street
Anchorage, Alaska ,J/ ?
Attn: K. Bandt
Subject: T15N R1W Sec.8 Lot 38B
This office performed well flow tests on the subject
property's well. The well appears marginal; however, during
attempts to probe the well, readings were difficult to obtain.
Positive readlngs were observed anywhere from 55-120 feet.
The well productivity appears to be limited, as per the well
log:
1) flow rate 240 gph (Est.)
2) 100% drawdown (Est.)
The static water level was76.42 feet, as observed on June 1,
1984. Maximum drawdown was beyond the capacity of the well
probe. During the test, the flow rate varied from 5.0 gpm
(max.) initally, and decreased after 24 minut'es. I~ declined
steadily, and at 38 minutes flow rate was u~readab%e~
Recovery rate was .28 feet/min"(average), an~ the total
recovery was estimated to be 108 minutes. Recovery
· e from 17~106.5 feet, ~fter the well had
measurements w?re
The well appears to have been marginal since it was installea
in 1981.
The client has been informed of this situation. The well
could be used for domestic use, with the unHerstanding that
production demands are limited'. Perhaps storage capacity
should be addressed, as a possible~alternative to the
limitations of the well.
If this office can be of further assistance, please contact us
at 561-5040.
Sincerely,
L. D. Montgomery
]200 ~Ucs~ 33r~ Aucnug. $ui1¢ 'B' Amhord§¢. ~lds~o 99503 ,[907) 56L50zlO"
ALASKA llUIRO llll lll'AL COI1TROL S RUIC $, IBC.
JUNE 6 1984
CHARLOTTE FID]hER
POST OFFICE BOX 671152 C
CHUGIAK AK
S~LLF2~ - ROY WTT,LIAMS BUYER - CHARLO~~fE FIDT,~.R
SUBDIVISION - T15N R1W S~E 8 BLOCK - LOT - 38B
ADEQUACY TEST FOR SEWER SYSTPI~
THE TYPE OF ABSORPTION SYST~4 IS A D~BAINFIF~D WITH AN AREA OF 340 SQFT.
THE SYSTD~ IS CAPABLE OF ACCEPTIN~/1100 GAL~DNS OF WATER PER DAY.
THE SURGE CAPACI~%{ OF T~ SYSTt~4 IS 1100 GALLONS.
BASED UPON THE TEST DATA THE SYST~4 IS ACCEPTABLE FOR A
4 BEDROOM HO~. ~0' ..... -
THE SEPTIC TANK WAS PUMP ~
SEPTIC TANK ADEQUACY
THE E~ISTING SEPTIC TANK VOLUME
THIS 4 BEDROOM HOUSE.
ADEQUATE FOR
1200 lllesl 35r~ Aue*~ue. Suite B" ~nchor(tqe. Al~sko 99503' [907) 551-50~10
CHEMICAL & ~LABORATORIES OF
TELEPttOi~ 562.2343 ANCHORAGE INDUSTRIAL. CEN~'ER
. .~; 5633 B Street ,-]
Drinking r An, alysi~s Rep°rt for Total Co!lfo~
TO BE COMPLETED BY! SUPPLIER TO
WATER SYSTF-M:
NsmG
Mailing Address
AMP -E DA' 'E: IL ZT- !
Mo.
SAMPLE TYPE:
~ Routine
[] Check Sample (for routine eampl(
with lab ref. no..
[] Special Purpose ~'
SAMPLE
NO. LocATION
2 Loo'f~'--/~
4 t
_READ INSTRUCTIONS
BEFORE
OOLLECTING SA. MPg[
o?
Bacteria
COMPLETED BY LABOFLATORY
,See h on back
shows this Water SAMPLE to be:
"Zip Code
Year
'[3 Treated ,Water
.~, Untreated Water
Ti;.e
Collected1
&--,I I i/£:~;
_1
._.1
Collected
By
E) v
[] too long in transit; sample should
not ~e over 30 hours old at examination to
Indipate reliable results. Please send new
sample via special delivery mall.
Analytical Meth~:
=>~ D Fermentation Tu~
:, ~Membrane Filter
~b Ref. No. Reeult' Analyst
~ t Jl~
06.1220 ~) BACTERIOLOGICAL WATER ANALYSts RI"CORD
Membrane Fllten Direct Count.
Verltlcatlon: LTB
I!lnnl Membrane Filter Results ('~ -
TNTC = Too Numerous To Count ~.
_ Collformll00ml
Collformll00ml
WATER sYSTEM:
Water System Name
I.D. NO.
Phone No,
Mailing Address
Stste
City
MO. Day year
-- Zip Code
SAMPLE TYPE: '
[] Routine
[] Check Sample (for routine sample
with lab ref, no,_
[] Special Purpose
[~ Treated Water
[] Untreated Water
SAMPLE
NO, LOCATION
~;' ~," _J
,' ~ i'\ ,_
Time Cdtected
Collected By
Analysis shows this Water SAMPLE to be:
[] Satisfactory
~] Unsatisfactory
[] Sample too long in transit; sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
[] Fermentation Tube
, [] Membrane Filter
Lab Ref, No, Result* Analyst
j _--_
READ INSTRUGI'IO~NS_
BEFORE
COLLE. CTING SAM PL--~E
06-1220 (b)
Rev. 1978
Date Collected,
BACTERIOLOGICAl- WATER ANALYSIS RECORD
Reported By
Time ReCeived- _ p.m, Lab. No ~i
Time ,ne
Time
Date
Inspector
Date
Inspector
Comrrlents
Conditional Appi'ovA~
Date
1-nepector
Date Sewer Installed-,~p~,~, ['~,[g.~.~,~/~)'
Soils Rating
Permit No.
Well To Absorption Area
Well to Tank
Septic Tank Size
Holding Tank Size
Well Log Received
Property Owner
Mailing Address
APPLICANT FILLS OUT LOWER HALF ONLY
/~d 7~-,.~& I-r'-. / ~' ~,~ ~ '1 ~
Fho~e
Fhone
Fhone
Buyer
Address
Lending Institution
Address
Realty Co. & Agent
Address
Street Loc~tlon _
Type~pf Residence
/~ Single Family
~[3 Multiple Family No. of Bedrooms /'
[] Other
Watch. i: Supply [] Individual
[] Community
[] Public Utility
ATTACH WELL LOG. A well log Is required for all wells drilled since June
1975. For wells drilled prior to that date, give well depth (attach log if
available.)
Sew~ge Disposal ~] Individual
[] Public Utility
~ Holdla~ Tank
Year Individual Installed:_
When Cormected to Public Utility:
NOTE: THE[ INSPECTION FrEE NJUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE" INITIATED.
AS
BUILT SURVEY
Richard R Honkins~ hereby certify that I have surveyed the following described property:
LOT 3E-,~, ~r/oH, 8, 77/~'H., ??./ W., .s.~.
Anchorage Recording District~ Alaska, and that no encrpochmonts exist
except as indicated hereon.
it is tho responsibility of the owner to determine the existence of
any easements, covenants,or roetrictione which do not appear
the recorded subdivision plot. Unde[' no circumstances should
any data hereon be used for construction or for establishing
boundary or fence lines.
Dote: Drown by:
Scale: Plot filing no:
Prepared by
RICHARD R HANKINS
REGISTERED PROFESSIONAL LAND SURVEYOR
RO, BOX 1105'EA6LE RIVER~ALASKA
PR. 694'2371 99577
