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Home My WebLink AboutTIMBERLINE LT 15Onsite File Timberline Lot 15 #015-164-16 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211440 PID Number: 015-164-16 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name C/O PARAGON PROPERTIES ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ound Site Address 11160 VOSIKOF PLACE ANCHORAGE, AK EJ Other Phone Number of Bedrooms Soil Rating Total depth original grade 907-242-5287 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot TIMBERLINE; LOT 15 Fill added above original g Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Tank Line Fe Ft. Well 100,+ I TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity 1000 Gal. Surface Water 50'+ Material Number of compartments Lot Line 5'+ NA HDPE 2 Foundation 110'+ I LIFT STATION Manufacturer Capacity Remarks OLD TANK DECOMMISSIONED PER UPC Gal. PER CONTRACTOR Alarm location Electrical installed by Installer PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 A+ HOME SERVICES Drainfield D3034/EXISTING CO/MTD3034 Inspector GEG AND MOA BENCH MARK (Assumed elevation) 97.17 ft Inspection 15` 12/8/2021 - Location and description 2 3'd - 4t" _ TOP OF MANHOLE ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp 00600 � Conditional Approval: Date ........ .............. (%E7� A.ess. o �� 9��o Septic System X�Q� Approved -�L` tet; Date 444�pr000��o�o Note: this approval does not include well permit requirements. #AEc kmuv uuluLl ILS) PERMIT NUMBER: PARCEL ID NUMBER: OSP211440 RECORD DRAWING 015-164-16 A I B MH 37.4 44.2 ST1 41.4 47.8 MH 42.5 48.6 DBL4 43.5 49.5 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS TIMBERLINE; LOT 14 / RAISED DECK WERE GENERATED IN AUTOCAD. SURFACE WATER "PICKED UP" BY GEG ON 12/1/2021; CREEK "DISSIPATES" AND COULD NOT BE "TRACKED" / �Do BRIDGE THROUGH THE SNOW. HOWEVER, IT IS TRAVELING AWAY/ �F< FROM THE SEPTIC TANK AND DRAINFIELD �q0 / 7GS PROTECTIVE BERM TO CREATE A 100'+ TRAVEL PATH TO SURFACE WATERS -- SEE AS -BUILT SURVEY / ' PAVED DRIVEWAY EXISTING 3 EXISTING DRAINFIELD--\ BEDROOM HOUSE DBL1&2- 10' UTILITY EASEMENT TRAILS END; BLOCK 1, LOT 4A SHED NEW 1000 GALLON \ HDPE GREER TANK TRAILS END; BLOCK 1, LOT 6 & 7 N SCALE: v 1"=40' I*.*****I%,%44 OF *'0 ...........T ...............� . r i 0..... ::...... ......... . A A. Game s E-7 2 LICENSE r, #AECC884 `1�1•ilkIk / ENGINEERING - SALES -, CONSULTING ..-:�, �.,_ :>..��• 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE. AK 99507' PHONE (907) 337-6179' FAX (907) 33&3246' WEBSITE: www garnesseng,neenng com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: C/O PARAGON PROPERTIES 907-242-5287 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: TIMBERLINE; LOT 15 D.J.G. TYPE OF WORK: DATE: �,_ SEPTIC TANK RECORD DRAWING 3/25/2022 N SCALE: v 1"=40' I*.*****I%,%44 OF *'0 ...........T ...............� . r i 0..... ::...... ......... . A A. Game s E-7 2 LICENSE r, #AECC884 `1�1•ilkIk / PERMIT NUMBER: PARCEL ID NUMBER: I OSP211440 RECORD DRAWING 015-164-16 TOP OF TANK AT INTLET = 94.65 INVERT OF BUNG AT INLET = 94.01 TOP OF MANHOLE = 97.17 FINAL GRADE = 97.0-97.09 NEW 1000 GALLON H.D.P.E. SEPTIC TANK 2" INSULATION PER CONTRACTOR TOP OF TANK AT OUTLET = 94.64 INVERT OF BUNG AT OUTLET = 93.79 ENGNINEEM"INte-im GROUP%Ltd ENGINEERING -- SALES o CONSULTING , 3701 E. TUDOR ROAD. SUITE 101 'ANCHORAGE. AK99507- PHONE (907) 3374179* FAX (907)33&3246*MBVM.—.game ngneeiing.c PREPARED FOR: PHONE NUMBER: PAGE NUMBER: C/O PARAGON PROPERTIES INC. 907-242-5287 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: TIMBERLINE; LOT 15 D.J.G. TYPE OF WORK: DATE: �- SEPTIC TANK PROFILE 12/21/2021 ... ......... 4W . . ......... ........... I... #AECC884 ffrey A. Games Aff —a CE 7953 -Z;� a ?i 2- -2, coi AV i I ... ........... VOSIKOF PLACE Scale 1" = 40' EDGE OF GRAVEL ('bad 1993 PROTECTIVE BERM Lot 15 Timberline Subdivision 53,687 Sq. Ft. +/- 11160 Vosikof Place 3 Story Wood Frame House With Attached 2 Car Garage R .,g• C" RAISED DECK BRIDGE CULVERT CREEK RET. WALL 3RD STORY KICKOUT 2ND STOVY WOOD DE PAVED DRIVEWA Y WOOD DECK 29.3 Cf) 12.0 ITS ( Q') 0sc NOO 00' 00"E 20.00' 1 1a' VTIL I TY EA SEMEN T ) -------------------- ---------------------------- A r S890 53'08"W 330.08' --f-T-m— i —C".— — (M— OM— mss -ow— am— am— am— OW*— cm— cm— ow— Qw— am— om--j- om— LOT 3 LOT 4A I TRAILS END SUBDIVISION M. X Electric Meter c-0_) Telephone Pole 0 Concrete Bollard A I/ T Tel. Pedestal Gas Meter Over Head Utilities LIN A EElec. Pedestal ff-Cl Culvert Chain Link Fence 'S Septic W1 Water Well k,,,/) Septic Riser M.H. .am cieneral Notes 1. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2. This document is created by Frontier Surveys for the purpose of An as -built for Kristen Abegg, only. 3. This document is based on Plat No. 1974-113, Anchorage Recording District. -1.0 40.4 .8. 4 Cn Fg------------------ _X ......... X X X -N890 53'07"Lt 20.00' NOO 01'23,�W 30.00' T T LOT 6 LOT 7 LOT 8 01 Disclaimer 1. This survey complies with the ASP LS Mortgage Location Standards. The survey represents visible irH 'of improvements and conditions at the time of the survey. This document does not constitute a boundary �H survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the ........ responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. PlerrM.S gier t.12 LS 210 40 8 1 0 3P/24/2022 IWA* 0, Scale in Feet ESSIM406 TRACT AN AS -BUILT OF LOT 15 TIMBERLINE SUBDIVISION 11160 VOSIKOF PLACE ANCHORAGE, AK CONTAINING: 53,687 Sq. Ft. +/- (RECORD) RECORD PLAT: 1974-113 ANCHORAGE RECORDING DISTRICT PREPARED BY: FRONTIER SURVEYS, LLC 650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518 907-460-1686 DRAWN BY: SS DATE: 12/22/2021 DRAWING ID: 21-910 CHECKED BY: PS SCALE: I"= 40' SHEET 1 of 1 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program pOBox 1m050 4700 Elmore Road Anchorage, Alaska yeo19-so5o Phone: m* Fax: (yu7)u43-7yo7 Permit Number: OSP311440 Work Type: SepUcTankUpgmd* Tax Code Number: 01518416000 Site Legal Address: TIMBERLINE LT 15 G:2641 Site Mailing Address: 1116OVOS|KDFPL, Anchorage Owner: STEWARTCHARLES GRAHAM Design Engineer: GARNESSENGINEERING GROUP LTD This permit iofor the construction of: [] Disposal Field RSeptic Tank [] Holding Tank [] Phvy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms 12/2/2021 12/2/2022 11 Private Well OWater Storage All construction shall bainaccordance with: 1. The attached approved design. 2. All requirements specified inAnchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18/V\C72)and Drinking Water Regulations (18A\880) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65.Provide notification bycalling (QO7)343'7Q04(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall boeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated boprevent freezing Special Provisions: The 1993 berm is required to be in place or rebuilt to ensure I 00'of travel for the effluent prior to surface water. Received By: _=� Issued By: Date: ( )— / :3) )_ /. 3 `k` A xt Tj OF ANCHORAGE ` �� Phone.907-343-7904 Development Services Department �� On -Site Water G Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-164-16 Property owner(s) Paragon Properties, Inc. Mailing address 11160 Vosikof Place *Anchorage, AK Site address 11160 Vosikof Place *Anchorage, AK Legal description (Sub'd., Block & Lot) Timberline; Lot 15 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 Day phone 907-242-5287 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade M (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 4'Z?_G7 Waiver Fees: Date of Payment: AZ I Date of Payment: Receipt Number: _�252 726 Receipt Number: Permit No. D_'-:� P 2 ) L LI Lfy Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Clie nt FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211440, Deb Wockenfuss, 12/02/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211440, Deb Wockenfuss, 12/02/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211440, Deb Wockenfuss, 12/02/21 i V PLACE it EDGE OF GRAVEL Scale 1' 40' KUM wolm NOO 00'00"E 20,00' t� . t tt �`' �._ 1(1 UTILITY' EASEMENT — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — A S890 53'08"W 330.08' L J —ow— ow—cm— ow— ow— cm—ow— at— am— "—Ow— owl :)am— ow— CM— DM— OW— QW— cm— 0"u— 0M ow—Q--,--- 0Om — OW — am — OW LOT 3 1 LOT 4A IGM0 Y, Electric Meterc-0-3 Telephone Pole Concrete Bollard A Over Head Utilities T Tel. Pedestal Gas Meter A LES Elec. Pedestal Culvert Chain Link Fence Septic Lot 15 Timberline Subdivision 53,687 S. F. +/- 11160 Vosikof Place 3 Story Wood Frame House With Attached 2 Car Garage RAISED DECK, BRIDGE RQ CULVERT CREEK RET, WALL 3RD STORY KICKOUT PAVED DRIVEWA Y 29.3 12, Cn r- 0 1.0 040.4 68.4 .3 CY) SHr=[) c"� -------------------- *- X -- X X --, X ---- X — X. j"I- ftai-ftal- f"l- nw- 041- am- ow- am- CM- of LOTLCAT7 TRAILS END SUBDIVISION –N890 53'07'YE 20.00' NOO 01'23"W 30.00' OF At luenera l Notes Disclaimer 1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible 1 Excepting for gross negligence, the liability for this survey shall not improvements and conditions at the time of the survey. This document does not constitute a boundary► H Z' �0 exceed the cost of preparing this survey. Dimensions to property lines /-4 survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the are plus/minus 0.1ft. responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for 2. This document is created by Frontier Surveys for the purpose of a plot ..... .... I construction or for establishing a boundary or fence line. lPierr�m. --4ier 00 plan for Kristen Abegg, only. 00 00 3. This document is based on Plat No. 1974-113, Anchorage Recording 0 20 40 80 09/02/2021 St - District. Z fill Scale in Feet PESSIONN-; S:1- WINEMS NOTM #.%# I A P TIMBERLINE SUBDIVISION 11160 VOSIKOF PLACE ANCHORAGE, AK CONTAINING: 53,687 Sq. Ft. +/- (RECORD) RECORD PLAT: 1974-113 ANCHORAGE RECORDING DISTRICT PREPARED BY: i FRONTM FRONTIER SURVEYS, LLC ul*vevs* 650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518 907-460-1686 DRAWN BY: SS DATE: 09/02/2021 DRAWING ID: 21-600 CHECKED BY: PS SCALE: 1" = 40' SHEET 1 of 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NO. OF B~OOMS ~ Manufacturer ~~ ~ MateriS~ ,o, ofc?~ents "~ Liq. capaz~ons IF HOMEMADE: inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PER~IT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons No. of lines ~inish grad~:n~ ~ne Total ,~f, ines ~inches Distance be~/:s Total ef ctive ~sorption area k~ Top of tile to Materla' beneath tile ~ Length ~th ' Depth '- PERMITNO~- ~ ~ Type of crib Crib diameter ., Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE~ATEBIALS INSTAL ER 72-013 DEFHRTfIENT C HERLTH RND EN',/IRONMENTRL ~ .OTEE:TION ':'": .... L" STREET., RNbHuRRuE., BK. ,=.64 ~,,,-IEb b Ri"-~[:, Ei['-,~--"_.~ I 'Ti _ ,--,OLdE, 2. c~ PERMIT Nn. ( '-' --~"-' APPLICRNT CARL LUL. H::,INuER P. 0. E,U,, LOCAT 1 ON ',,,'OS I EOF LEGI=IL L 2.5 TIMBERLINE LOT _,I~.E . 54888 =,&~IJRRE FEET ]'"r'F'E OF ,=-,OIL MB--,LRFTILN ~'r_,TEM TRENCH , ' .:.L I L RRTINJ FT?BR)= MR::--IIMUM NUflBEF.. ,OF E:ED, ROOMS=,-:-.~" '-] ' ' p (qLq_. ' "-'~ THE F.'E.] IRED' '- '~ OF '-' '- '' r. '-' '"" ._ =,I,¢..E THE :,JIL RB_-,OF..FTIJN =,¢_-,TEM IS: : : -'- -- 4'~ E:,EPTH= E L E t%~ L.~ FH ~--. E P T H = THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFBCE OF ]'HE GROUND BND THE BOTTOM OF THE E~CRVBTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXC:BVRTION (IN FEEl'). RE(~LIZRE[:, SEF'TZC: TRf4b:: SIZE~ '.{L~,~Z~ ISRLLOf-~S F'ERMIT ttFFLI~.MNT HR-, THE RE=FuN_IE, ILITT TO INFORN THIS DEPRRTMENT [:,LRING THE INSTRLLlaTION INsPECTILN.=, OF RN'.'r' HELL_, RD..TRCENT TO THIS PRAPERTY RND THE NUflEER OF F..E_,IDENL. E_, THRT THE WELL HILL SERVE. · R_.KFILLINu OF RNY _-,'r.=,TEM WITHOUT FINRL IN=,FEbTILN RND RPPROVRL BY THIS DEF'RRTMENT WILL BE SUBJECT TO PRCSECLTION. MINIMUM DISTFINCE BETWEEN R WELL 8ND RNY ON-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL OR 2.50 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTF~NCE FROM R PRIVRTE WELL TO 8 PRIVRTE SEWER LINE IS 25 FEET BND TO R COMMUNI'FY SEWER LINE IS 7'5 FEET. WELL LOGS RRE REQUIRED RND MUST 8E RETURNED TO THE DEPRRTMENT WITHIN ]:0 DRYS OF THE WELL COMPLETION. OTHER RE&]UIREMENTS MRY F~PPLY. SPECIFICRTIONS RND CONSTRUCTION DIBGRRMS RRE RVRiLRBLE TO INSURE PROPER INSTRLLRTION. F'EF-;r4 I T E:~:P ~ F-:ES [:,ECEf-~iBEF~ _-"3-2., I CERTIFY THRT~ , 2.: I RN FRM.~L~R !~ITH THE REG~UIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FCmRTH BY TH~ /~NIL. IPRLITY OF RNCHORRGE. 2: I WILL I/N~L THE SYSTEM IN RCCORDRNCE WITH THE bODES. ~:' I IINB, ER~T~:,~THFIT THE /N-SITE SEWER S'¢STE~ MR'T' REQ~IIRE ENLRRGEMENT IF THE DOuGLAs A. STARK and ASSOCIATES. CONSULTANTS 957 Westbury Drive · Anchorage, Alaska 99503 * Phone: 277-4300 O¢:tober~ ~.~, i980 So il Te s:~- D~t'~: o£' test~ October' 25, 1980: c> Pareel~ Let 15,,~ Timberline ubdivxsxon~,, soutt~ end V, osikof Place · Test. location,~ 10" north'~ 190" east of southwest: corner' of' 1'ot., Tes~c. me'thod~ al2? bac:khoe ~ole ~as" dug ~it~'a:shelf 6' down. N~ groundwat'er was engountere~. ~ soul sample wag taken'at: the~ 6~ leve~. ~eeause o£the desirah~'anature of the s'oi~, a:per¢olatiom test was not?performeff.. THe' hole was'lef~ opem~ Att'achments~ lot map, soil gradat£om.' Organization * Management * Engineering · Surveying * Plannin~a * Human Resource Development PLACE 7 ~4 At,, 1-~-4v- t4ot~ 10.9.,.0.80 l! he~eb~"¢:erti'£y that I have surveyed L~t I5, Timbe~I£ne Subdi~isi'on)~ ~nchorage, KIaska- October' 20, i980 Location ....... ~?:. ..... (,.~. ..... :...,..Y~..(...~...~..~. ?,,~..~,.~ ..... ~./,~..: .................................. /.)ate completed ....... ~...:.....],..:, ..... .,~,.~ ........................................................... i ......... Depth of well ......... ...,~.,..( ......................................................................................... ~,ize of casing ........................................................................................................... Distance to water .......~,0...( ................................................................................... Di. stance to water while pumping .............. ~,~ .................................. at rate of ................. -~..0~ .................... gallons per hour. ........... Formation from to /0 DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section E N P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 APR' 03 1997 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY RECEIVED APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Day phone Property owner Mailing address Lending agency Mailing address Agent Address Day phone ~-~'~ Day phone /"/~r- Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ \' TYPE OF WATER SUPPLY: Individual well ~'~ Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 79~025 (Rev. 1/91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 dat~ this inspection. Alaska Water & Name of Firm w~t~water Services Phone 8471 Address ? Engineer's signature Date /¢~///'~ '? DHHS SIGNATURE ,~ Approved for Disapproved. edrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS 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 engineeCs work. 72~25(Re¥,1/91} Back MOA#21 Legal Description: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVld~ C E i V E D Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907A1~{~3-434~97 ...... Municipality of Anchorage Health Authority Approval ~necKIml~%pt. Health & Human Services ~-o"r' {~"~ Tm~F-.~--c-m~E- ~/.0 ParcelI.D.: Ot~--/~4---J~ A. WELL DATA V~ell type ~ gel-;, Log present (Y/N) ~'~---~ Date completed Total depth Cased to 4-0 Sanitary seal (Y/N) '~-~,~ IfA, B, or C, attach ADEC letter. ADEC water system number Date of test Static waLer level Well production WATER SAMPLE RESULTS: Coliform Date of sample: Casing height (above ground) Wires properly protected (Y/N). B. SEPTIC/HOLDING TANK DATA Date installed /~/~ O Tank size /O~3~:~ Number of Compartments ';~ Cleanouts (Y/N) Foundation cleanout (Y/N) ~ . Depression (Y/N) ~O ~ High water alarm (Y/N) Date of Pumping ~ Pumper ~+ C. ABSORPTION FIELD DATA Date installed /o~O Soil rating ~or ff~/bdrm) /~ System type Length ~ ~ Width _ ~ / Gravel thickness below pipe Total depth Effective absorption area ~ f~ Monitoring Tube present ~/N) ~¢Depression over field (Y/N) ~Date of adequacy test ~/~/~ Results (Pass/~ail),~ For ~ bedrooms / ~ Flu,d depth in absorption field beforetest (in.); ~,, Imm~ely after' gal. water added(in.): { L Fluiddepth//~ (ins) Minutes later: /~ Absorption rate =_~4~O .g.p.d. ~ Peroxide treatment (past 12 months) (Y/N) po~ ~ If yes, give date FROM WELL LOG AT INSPECTION ~-- g.p.m. ~' ~'~' ~ g.p.m. Nitrate ~', ~ ¢~,v~/~. Other bacteria Collected by: D. L~ON Manhole/Access (Y/N) __~ "Pump off" level at* High water alar~ .~.~"- *Datum ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /'.,O,'c~' f± Absorption field on lot / ~'?~ ~ Public sewer main /'J IA- I ~' IoO Sewer/septic service line On adjacent lots On aOjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ,~3 / '~' -- Property line ~'_~/4- Absorption field Water main/service line. ~lC'! Surface water/drainag~e (ciot- f~o/ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~ '~/4-- Building foundation Sudacewater~ '¢{'~,6I TD "7,~.[ Curtain drain I, Jo,'vE- F. ENGINEER'S CERTIFICATION Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots ~ I O O / I certify that I have determined t~ field inspections and review of Municipal records in conformance it OA 'A u defines in effect on this date. Signature -- Engineer s Nam~ d~r~q/~ 4- ~:~.~$~ Date are HAA Fee $ '~.,~'¢~ ' ~ Date of Payment 72-026 (Rev, 3/96)* Waiver Fee $ Date of Payment Receipt Number Water & Wastewatelr April 2, 1997 8471 Brookrldge Drive ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: HAA for Private Well & Septic System. Lot 15, Timberline S/D. To whom it may concern: The subject lot has a 3 bedroom house on it which is served by a private well and septic SYstem. The results of the field investigation and adequacy tests are summarized as follows: A. WELL: On the day of my inspection (3/27/97) the static level was 34 feet below the top of the casing. Water was pumped from the well at an average rate of 6.55 gpm for 100 minutes (655 gallons). Throughout the pumping period, the water level remained at 37 feet (3 foot drawdown). At the end of the pumping period the recovery was monitored for 10 minutes, during which time it recovered completely. Based upon this data it was determined that the capacity of the well exceeds the Municipal requirements for a 3 bedroom house (450 gallons per day). B: SEPTIC TANK: The existing septic tank was installed in October of 1980 (approx. 16.5 years old). According to the M.O.A records, it is 1000 gallons, has two compartments and is made of steel. No warrantee is made regarding the future life of the septic tank. C: DRAINFIELD: The drainfield is a single trench that is 3 feet wide, 39 feet long, and has an effective depth of 5 feet. The elevation difference between the bottom of the sump, and the cleanout invert (at the beginning of the trench) is only about 1.3 feet. In short, the sump does not appear to go to the bottom of the drainrock. Prior to beginning the adequacy test, it was noted that there was approximately 4 inches of standing water in the clean-out at the beginning of the trench. It was assumed that there was a blockage, and a pumper was contracted to jet clean the line. Bill McDonald (Old Mc,Donald, s Pumping) indicated his jet line would not go any further than about 5 feet past the clean-out. Based upon Mr. McDonald's findings, a contractor (Mike Blakeslee, A+ Home Services) was retained to correct the problem. Mr. Blakeslee exposed the drainfield in the vicinity of the alleged blockage, visually inspected the inside of the pipe, and determined there was no obstruction. He did discover that the west end of the trench is about 4 inches lower than the portion of the drainpipe that was exposed. This explains the surcharged condition observed in the eleanout. Although this is not ideal (the drainpipe not level), given the fact that it has operated adequately for almost 17 years, it is reasonable to assume that the future perforn~ance of the system will not be impaired. It should be noted that the exposed drainrock looked very clean. D. SEPTIC SYSTEM ADEQUACY TEST: Prior to beginning the test, the sump was dry. Water was introduced into the cleanout and sump (alternated) at a rate of 6.55 gpm for a total of 100 minutes (655 gallons). The last 200 gallons of water rose the water level from 2.625 inches to 5.375 inches (rise of 2.75 inches). This corresponds to 72.7 gallons/inch. During the first 15 minutes of the recovery period, the water level dropped 3.75 inches, indicating an absorption of 272 gallons. Based upon this data, it was determined that the absorption rate of the trench exceeds 450 gallons per day, as required for a 3 bedroom house. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sincerely, Jeffrty[ . Garness, P.E., M.S. Principal NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance 05'equency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seismic activi(v and deteriorate with age), (ype of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the ,pecific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected No warrantee is made regarding the fitture performance of this well or septic system C.C. Bob & KT Tyler MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Lot 15 Timberline Subdivision T12N R3W Sec 24 Location (site address or directions) 11160 VosJkof Place Property owner Richard An,$huchz ~'~ ~ ~,C2.~'x IJ ~r ~ ~-~ Mailing address Day phone--2~8-129~ Lending agency Mailing address Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well x Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: x If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91} Front MOA#21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my inves~i_gation 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 ,'~// Engineer's signature ."?~ ~ DHHS SIGNATURE ~ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 15 Timberline Subd:[vi~io~ A. Well Data Well type Individual Log present (Y/N) Yes Total depth 40 ' Sanitary seal (Y/N) Cased to Parcel I.D. TI p~p~w ~r- 74 If A. B, or C, attach ADEC letter. ADEC water system number Date completed 1/1,/R] Driller ,~n, Casing height Wires properly protected (Y/N) g.p.m. FROM WELL LOG Date of test 1/1/81 Static water level 30 o 3 ' Well flow 5 Pump level1 AT INSPECTION 5/18/93 29.R2' 8 18" MUNIC!PALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DiViSION ; .'..Y 2 g 1993 g.p.m. RECEIVED SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 125' ~-o S/P Absorption field on lot 122' l:o S/? Public sewer main N/A Sewer service line N/A WATER SAMPLE RESULTS: Coliform 0 Date of sampte: 5/18/93 B, SEPTIC/HOLDING TANK DATA Date installed 10/30/80 Tank size 1000 Cleanouts (Y/N) Y-es Foundation cleanout (Y/N) High water alarm (Y/N) N/A Date of pumping 5/18/93 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 1].8' On adjacent lots 300 '+ To property line 20 '+ Absorption field 30 '+ Surface wateddrainage Drainage: 60' to 80' ; On adjacent lots 100' + ; On adjacent lots 100 ' + Public sewer manhole/cleanout N/A Petroleum tank N/A Nitrate 3.28 reg./T, Other bacteria 0 Collected by: Davp Tc'c~t-Pr Compartments 2 Yes Depression (Y/N) Alarm tested (Y/N) N/A Pumper Unknown Foundation 23 ' Water main/service line N/A CONTINUED ON BACK PAGE 72-026 (3/93)* Front C. LIFT STATION Date installed N/A Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at .Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D, ABSORPTION FIELD DATA Date installed 10/30/80 Length 39' Width 3' Total absorption area 375 Date of adequacy test 5/20/93 Results (pass/fail) Water level in absorption field before test ri Peroxide treatment (past 12 months) (Y/N) No SEPARATION DISTANCE FROM ABSORPTION FIELD TO: On adjacent lots Surface water Curtain drain Well on lot 118 ' To building foundation 3R ' 25~+ 43.6 to 72' Unknown E. ENGINEER'S CERTIFICATION Surface water Soil rating (GPD/Ft2) ] 25 System type Trench Gravel thickness 5' Total depth 8 ' Cleanout present (Y/N) Yes Depression over field (Y/N) Pass for 3 After test .If yes, give date On adjacent lots 300 ' + Properly line ]5 ' To existing or abandoned system on lot Cutbank N/A Water main/service line N/A Driveway, parking/vehicle storage area gn ' + I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect .~'~/¢~-'~d'~a~'o( this inspection. Signature Engineer's Name ~,'~/ ~ ~'~ Date %~ ~ Waiver Fee $ Date of Payment Receipt Number HAA Fee $ /7¢ Date of Payment Receipt Number No Bedrooms 72-026 (3/93)* Back it is the 'responsibility of the owner to determine the existence of any easements, covenants, or re- strictions which do not appear on'the recor&ed su division plat. Under no circumstances should any data hereon be used for construction or for estab- ltshtog boundary or fence lines, l~e surveyor takes responsib~lity'fo¥ the initial transacti'on onlY. LOT /.5' BLOCK '~ SHOWN HI. EON. Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 May 28, 1993 Michael D. Travis, P. E. RZA AGRA Alaska, Inc. 711 H Street, Suite 450 Anchorage, Alaska 99510-3442 Subject: Waiver Request for Lot Waiver Request 15 Timberline Subdivision 9WR930027, PID 9015-164-16, HA930261 Dear Mr. Travis: Your request for a waiver(s) of the required 100 foot horizontal separation of a septic system to the surface water has been approved. The approved separation distance(s) ar~ the leachfield to the surface water of 42 feet. This waiver approval applies to the existing septic system to surface water separation only. Any future upgrade to the septic system will require all separation distances be met or another approval from this department. Should the operation of the subject wastewater disposal system cause any contamination or degradation of the subject surface water, this waiver will become void. Sincerely, Dan~el~. Roth Civil Engineer On-site Services DR/ljm ~'~ MUNICIPALITY OF ANCHORAGE'~ Department of Health and Human Services On-site Services Section Waiver Review Worksheet PID~ 105-164-16 WR9 WR930027 Date Received: May 21, 1993 Legal Description: Lot 15 Timberline Subdivision Engineer: Michael D. Travis, P.E., RZA Agra Alaska, 711 H Street, Suite 450, Anchoraqe~ Applicant: Richard A. & Judy A. Anschuetz Waiver Requested: Leachfield to surface water - Permit inc. Alaska 99510-3442 42 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver List Conditions or Reasons for above: D~ Rec ~: 24710 Amount: $ 590.00 RZA AGRA Alaska, Inc. Engineering &Environrnental Services May 10, 1993 711 'H' Street, Suite 450 Anchorage, Alaska 99501-3442 (907) 276-6480 FAX (907) 258-4128 31-1428 Dan Roth Municipality of Anchorage On-Site Services 811 "L" Street Anchorage, Alaska 99501 Subject: Dear Mr. Roth: Request for Waiver Anschuetz Property Lot 15, Timberline Subdivision Municipality of Anchorage As mentioned in our previous discussions, a small, intermittent drainage traverses the subject property. The drainage is within 100 feet of the existing septic system drainfield. The approximate location of the drainage swale or stream with relation to the septic system and other improvements is shown on the attached sketch. In our opinion, a waiver is not required because the drainage is intermittent. However, the owner is presently contemplating sale of the property and because of timing, prefers to resolve any doubt at this time. According to the microfiche records at the On-site Services Office, a 12-foot test boring was completed on the property for the septic system design. The Icg of this boring indicates that the upper 3-4 feet of soils consist of silty sand with gravel underlain by sandy gravel to the depth of the boring. The soils rating in the absorption strata was 125, with the bottom of the system installed to 8-feet below grade. Unconfined ground water was not observed in the test boring. The presence of the drainage was not indicated in the original report (1980), or in the report dated 7/30/86 when the system passed an adequacy test. The bottom of the leach field and the drainage are approximately the same elevation. The ground surface slopes toward the drainage at approximately 10 degrees. At the closest point, the horizontal separation of the system and seep is 42 feet. (See sketch.) The site was visited again on Tuesday, the fourth of May, to take elevations and determine the source and characterization of the drainage. Present flow in the drainage braids just beyond the Anschuetz property and percolates into the ground. The flow does not appear to resurface in the immediate vicinity (checked for approximate 300 yards down slope). The area was also traversed perpendicular to the drainage and was not found to resurface. The area is dominantly alder vegetation. The water source consists of seeps and a roadside drainage intercept upgradient from the Anschuetz property. One large seep contributes approximately half of the stream volume and is about 300-yards from the subject property and just north of the powerline. Approximate elevations taken with a hand level are shown on the area attached sketch. To protect the drainage area from any potential impact associated with an overflowing drainfield event, we propose constructing a small diversion dike between the system and drainage channel. The location of this proposed diversion is shown on the attached sketch. The upslope terminus is above any area that could ~AGRA Earth & Environmental Group Municipality of Anchorage 31-1428 May 1993 Page 2 potentially be impacted by an overflow. The downslope terminus has a retention basin to capture any overland flow. The design, incorporating an impervious liner, will provide a drainage break between the system and drainage. A cross section of the dike is shown on the enclosed sketch. We would appreciate your review of this matter, and if acceptable, issuance of a waiver. In the meantime, if you have any questions, please contact us. Sincerely, RZA AGRA, Alaska, Inc. Michael D. Travis, P.E. Mey 10, 1993 ~arth & Environmental Group FAC$1PllLE TRANBHITTAL FO ,H TOTAL ,'~ OF TRAN$t'. IlS5iONS (INCLUDING THIS PAGE): _~, PART. (.-.- OF., ~ FA×~: .... CONTACT NAME: CONTACT~' COMMENTS: FROM:CHEMICAL AND GEOLOGICAL LABORATORY OF AK. A DIV. OF CT&E 5633"B"STREET ANCHORAGE, AK 99518 / PRELIMINARY: ~ FAX CHARGES: FINAL REPORTS: BILLED ON INVOICE: INVOICE TO FOLLOW NO CHARGE RZA AGRA Alaska, Inc. Engineering & Environmental Services 711 'H' Street, Suite 450 Anchorage, Alaska 99501-3442 (907) 276-6480 FAX (907) 258-4128 May 26, 1993 31-1428 Dan Roth MOA On-Site Services 811 "L" Street Anchorage, Alaska 99501 Subject: Request for Waiver Anschuetz Property Lot 15, Timberline Subdivision Dear Mr. Roth: I inspected the leachfield improvements at the Anschuetz property. Dr. and Mrs. Anschuetz implemented these modifications to fulfill your requirements for a waiver of the Health Authority Approval Guidelines. This waiver is required because the absorption field is within the mandated 100-foot separation distance from a surface drainage. I enclosed as-built drainages of the new separation berm. This berm will stop any overland leachate from the septic system from flowing into the drainage. The major difference from what we proposed in our May 10, 1993 letter is that no retention basin was constructed. Because there is ample vegetation between the berm and the septic system, the lack of a basin will not affect the performance of our design. The vegetation and berm will still allow the leachate to absorb into the ground before reaching the drainage. I believe the berm was adequately constructed. This modification will protect the quality of the area's surface water. Please issue the waiver for this system. Sincerely, RZA AGRA Alaska, Inc. Michael D. Travis, P.E. Vice President Enclosures: As-builts Waiver Application Health Authority Approval Checklist May 26, 1993 ~AGRA Earth & Environmental Group rq MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONIVlENTAL HEALTH CERTIFICATE OF }NSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 26~3-z~720 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name ~J~ ~OETE Telephone: Home ~' ~ ~O Business (c) Applicant is (check one):'L~hding Institution ~; Owner/builder ~; Buyer ~; Other ~ (explain); (d) Lending Institution" Telephone Address ~ ~ TYPE OF RESIDENCE Single-Family,J~ Multi-Family [] Number of Bedrooms Other · WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. ,. SEWAGE DISPOSAL , , Onsite~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status· Page 1 of 2 72-025 {11/84) ENGINEERING FIRM PROVIDIN~ ~NSPECTIONS, TESTS, FILE SEARCH, DA,~ 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 /5~ ~..~ /_ i~,f ~..~ Telephone .~'/--,~-0 ~ Approved for ~ P (~, bedrooms by~7 Approved 74'.~ Disapprove/' Conditional Terms of Conditional Approval ~ ' ¢~AUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEp does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements, Employees of DHEP do not conduct inspections or analyze data before acertificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84} MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION WELL DATA Casing Height Above Ground Electrical Wiring in Conduit ~}'N) Separation Distances from Well: Well Classification I/VDtMI DgR'/ ' If A, B, C, D.E.C. Approved (Y/N) Well Log Present (~1) Date Completed ¢l/~(~ Yield Total Depth ~ ~) / Cased to 6~/0 [ · Depth of Grouting /~//~ Static Water Level -~t¢), "~ / Pump Set At (]~V[~ 3, I / Sanitary Seal on Casing ~'N) Depression Around Wellhead (Y~ To Septic/Holding Tank on Lot I ,~.~/ TO ..,~/P ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot t2,2'/ /'O $/~2; On Adjoining Lots To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results N'//~ To Nearest Public Sewer N/fir To Nearest Sewer Service Line on Lot /~/~' FAoT0 Y Comments B. SEPTIC/HOLDING TANK DATA Date Installed ~ Size Standpipes ~)/N) Air-tight Caps ~'N) , Depression over Tank (Y,~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) N/~ separation Distances from Septic/Holding Tank: To Water-Supply Well 12.~ To Property Line ~-O To Water Main/Service Line Course ! O0 / ~ No. of Compartments 2- Foundation Cleanout Date Last Pumped ~V -/~3r 'for Temporary Holding Tank Permit (Y/N) To Building Foundation 2.1~ / To Disposal Field ¥~0 / To Stream, Pond, Lake, or Major Drainage Comments · Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/~ Results of Last Adequacy Test Type of System Design Length of Field .~.~ / Depth of Field ~ / Gravel Bed Thickness ~ / Standpipes Present ~}/N) Date of Last Adequacy Test 71.5 F4¢'/'<Pg Y' Separation Distance from Absorption Field: To Water-Supply Well !2.2_ To Building Foundation -.~.~ Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line I,~' t To Existing or Abandoned System on ; On Adjoining Lots ~-,~' To Cutbank (if present) /O0 Comments LIFT STATION Date Installed Dimensions ~'/"*"~'~¢"/ Size in Gallons Manhole/Access (Y/N) .~..--"~ ~ Vent (Y/N) / Pumping Cycles during Adequacy Test. Meets MOA "Pump On" Level at _ //~ High Water Alarm Level at Tested for Electrical Codes (Y/N) _/ Comments jJ ** Check Permitted Bedroom Rating Against HAA Request , certify th at, havff~ee~., vLce;i fiT. or con for reed to ~a~ M CA, nd Signed ~.'~7-~4-¢,¢'~/~ Date Company / ~C~ I~Ci MOANo Date of Payment Amount: $ (~5~ / WF&& 606 Page 2 of 2 72-026 (tl/84) .2251 JR,~ ALASKA el dlI OFIITleFITAL COFITI OL ~nqineerinq 6 ~nuironmenlol InC. RICHARD ANSCHUETZ 2841 DEBARR SPACE #32 ANCHORAGE ALASKA 99508 SELLER-SAME AUGUST 4 1986 RICHARD ANSCHUETZ 2841DEBARR SPACE #32 ANCHORAGE ALASKA 99508 60419 LEGAL:TIMBERLINE BLOCK 0 LOT 15 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-JULY 30 1986 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 375 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 701 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 8 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON JULY 31 1986 THIS REPORT DOES NOT VERIFY THE INTEGRITY OP THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE-JULY SO 1985 A FLOW TEST WAS PERFORMED ON THE WELL, 701 GALLONS OF WATER WAS PUMPED AT A RATE OF 8.76 GPM OVER A DURATION OF 1.5 HOURS. THE DRAWDOWN WAS 4.1 ' WITH A RECOVERY TIME OF 10 MINUTES AND THE STATIC WATER LEVEL WAS 30.3 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. ALASKA ENVIRONMENTAL CONTROL SERVlC~ INC. 12OO West 33rd Avenu~ Suite B ANCHORAGE, ALASKA 99503 Phone 276-1361 Jo. IA5 7'/~_Et~LIN~ Sug SHEET NO. OF CHECKED BY DATE so^LE ! % 20' ,/ INSPECTION APPOINTMEN TIME TIME ~'~ TIME DATE DATE DATE ,NSPEOTOR ,NSPEOTO. 'NSPEOTOR )x ~UNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~IPALI~ OF ANCHORAG~ 825 L Street - Anchorage, Alaska 99501 DEPT. ENVIRONMENTAL P~,OTECTION ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 APR 2 3 1981 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be proce~ed, Please allow ten (10) days for processing, (if different from PROPERTY RESIDENT above) PHONE 2, BUY . PHONE 3, LENDING I~I~UT ON PHONE 4. REALTOR/AGENT PHONE STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS ~,~'~N [] One E~ Four GLE FAMILY [] Two [] Five [] MULTIPLE FAMILY I~'"Three [] Six [] Other 7. WATER SUPPLY ~ INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled [] COMMUNITY since June 1975. For wells drilled pr[or to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~/ INDIVIDUAL/ON-SITE** J~ ~ ~ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTI LITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [~ OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PU.UC UT,L,TY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: _l Oi~) If Tank is homemade SOILS RATING give dimensions: / TOTAL ABSORPTION AREA MATERIAL 5. COMMENTS [] APPROVED FOR ~.~ BED[lOOMS [~CONDITIONAL APPROVAL {letter must accompany certificete) [] DISAPPROVED 72-O10 (Rev, 6/79) 825 "L" STREET ANCHOPIAGE, ALAokA 99501 ( 9071 264-4111 GEORGE M. SULLIVAN MAYOR DEPARTMENT OF ItEALTEI AND ENVIRONMENTAL p~tOFECTION April 30~ 1981 Carl E. Luchsinger Post office Box 10-374 Anchorage, Alaska 99511 Sub2ect: Lot 15 Timberline Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analys~s report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. (2) Exposed electrical wmres to the well head are in violatzon of ~he Munmcmpatity of Anchorage codes and musm be buried. Also, the water line needs uo be buried and needs to be reinspected by this depargment~ If there are any further questions, please call this office an 264-4720. Sincerely, Rober5 C. Pratt~ R.S. Associate Spe¢:ialist RCP/ljw cc: First National Bank of Anchorage ~ost office Bo:~ 4-2090 99509