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Home My WebLink AboutT15N 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 I.-IFtI'~:CII..J':~ F F~EJRPII'IE: 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). F'ERi'"I:i:T "tF.H_, I .HF.I I H'.':, THE F.E..:,I: [.N-~:,IE,II...I T ~ TO [NF[.T.I'I IH:I:.., E:,EPFIF,.".'I"f, IENT [::,L P ]: M ':i THE 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 13381S 33d18Vd3 I -- - = ----- ` - - — w 0 ArOCL M„51,01.00 N } R�`1U. � \ •• _. 1 \ ( - V N .x \ 4� o - _ y l En o ! eco Do 0 o 1\ip 1 I mD I � = n I ZR° b-4 ^'IV Z i A 1 \‘./ . X 1 z. hwM NIIG a Ilk"z \ `„ � 1 -I 54.2 -�� ' 54.01 I -C In N rRr--ZEV V) RES10EN E N —� co - ,L g£ s�.2' ro Z 'F' ,I— r up { Gi 11 1),1 1lH lintll q of _ n- o W mrn �0° o CO (ND x O O.-- Z _ -in m (0 S.J1 CO T. N .l D 7[1 m V V! m,n �� 71 CO r-o-. 0 ` Cti mo CA rao -Ut 0 I Irl m rnrn�c o .'gR' c -1 N r O O O P)• 3..a O N M n O a) z�° T Lw Wu) u = m 2 03 o o 30.0' 1 .. r ,t-Z'05 t 3„00,L0.00 S �`• 0 o • N3 -.. '1.1111M.M.6. , Z / 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