HomeMy WebLinkAboutTHAYERMOORE HEIGHTS BLK 3 LT 2 . Municipality of Anchorage Community Development Department Page 1 of .3 On-Site Water&Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage, AK 99519-6650 •http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171043 PID Number: 015-08-113 ❑ New ®Upgrade Nome: BRYAN BROWN ABSORPTION FIELD Address: ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 7231 RUSSELL CIRCLE *ANCHORAGE, AK 99507 ❑Other , Phone: No. of Bedrooms: Soil Rating: Total Depth frern ortglr& WWI' (907) 529-1813 4 OPD/Sq. Ft. rt. Depthto pipe invert from original erotic Gravel depth beneath • . LEGAL DESCRIPTION Ft Ft. Subdivision: Block: Lot: Fit added above original grade: • •h: THAYERMOORE HEIGHTS 3 2 lownshiP Kan e: Section: Grovel ei :din: [.. --;°4C2 -' + G Number of Nn. Distance between Nns: — — — SEPARATION DISTANCES F` Total obsorpt'• area: Number of trenches: get. between trench..: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SQ. Ft. Ft. Well 100'+ EXISTING 100'+ — 25'+ TANK 0 Septic ® S.T.E.P. ['Holding 0 Other Manufacturer. Capacity: Surface Water 100'+ 100'+ — ANCHORAGE TANK 1500 Gal. Lot Line 5'+ 5'+ — Material: Number of comportments: N/A STEEL 2 Foundation 5'+ 5'+ — LIFT STATION Curtain Drain _ NONE KNOWN Manufacturer: CQP�Y ANCHORAGE TANK 1500 Gat. Remarks: OLD TANK DECOMMISSIONED PER UPC .Pump Dn. level of •Pump off• level at: High eater alarm at: 43 39 47 PER CONTRACTOR Pump Make & Model: Electrical Inspections performed by: PF200511 MOA PIPE MATERIAL House to tank EXISTING Tank to D1765 drainfield Installer A+ HOME SERVICES Drainfield EXISTING CO/MT EXISTING Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 rt. Inspection Location and Description: Dates: 1st 4/18/2017 2nd — 3rd — 4th — BOTTOM OF TRIM CD SE CORNER OF HOUSE ENGINEER'S SEAL Community Development Department Approval Qo�oo40, Conditional approval: Date: , , ••••14)04- ... • 1 „ ,.6 o 0 /� f -,' Go .ess.: OD q �- • E-795 . op Approved: iJ C� CnrQiDate: 5/1/.201-1 Q� edProfessionOo� LICENS OQ #AECC884 ODpppo4 Inspection Report_1-1-12.clac c. PERMIT NUMBER: PARCEL ID NUMBER: OSP171043 RECORD DRAWING \ 015-08-113 / / \ / A B \ ALL WELL RADAII WERE MH 53.5 55.2 SURVEYED (PRIOR TO / ST1 43.2 50.0 CONSTRUCTION / ST2 52.2 54.6 1 APPR X T I EXISTINGBY TRENCH;A+ HO CLEANOUT WELL RADIUS LOCATED ME SERVICES DURING INSTALLATION; 1 10' UTILITY EASEMENT PROFESSIONALLY SURVEYED IN BY SHANE HOLT, PLS 10' UTILITY EASEMENT 1-- W / ------ y\_ \ 5HE1� I w ' i ¢ NEW 1500 GALLON >- / STEP TANK I- EXISTI \\ ST IS / >< i HOUSE / / X / / J4— .A 1 ` / / / APPRO RAD " WELL IUS I O, �I '�-I' RA 1,0600 VS \ LD Ii / I \ I✓4Z, 1 \\ RUSSELL CIRCLE RADs / / \` / / / / / S E: \ \ i / / Ivo... iiia ••• E OF qq4 ,�,4h • GARNESS ENGINEERING GROUP, Ltd " '9 ��\'� CIVIL&ENVIRONMENTAL ENGINEERS i 3701 E.TUDOR ROAD.SUITE 101 •ANCHORAGE.N(99507•PHONE(907)337-8179•FAX(907)330-3246•WEBSITE:wm.garmwaginwUq.com .....f . .1 ; PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 rill. f A.-G•rness : Lk/II BRYAN BROWN 529-1813 2 OF 3 •• -1 . E-795 , _� LEGAL DESCRIPTION: DRAWN BY: F ZS • THAYERMOORE HEIGHTS; BLOCK 3, LOT 2 D.J.G. •c.Fu'p••�•,•�•I.... .• �'P�i TYPE OF WORK: DATE: LICENSE'44 `OFESS1�••• RECORD DRAWING 4/24/2017 #AECC884 ��Ilk J PERMIT.NUMBER: PARCEL ID NUMBER: \ • OSP171043 RECORD DRAWING 015-08-113 FINAL GRADE = 102.85-102.91 TOP OF MH = 103.90 ST1 ST2 MH TOP OF TANK - o ` TOP OF TANK AT INLET = 93.22 AT OUTLET = 93.28 )CL. INVERT OF BUNG NEW 1500 GALLON S.T.E.P. AT INLET = 92.47 TANK - DEEP BURIAL PER CONTRACTOR l #pF C 4A3'/ ***SA 'INNS .44... 0 i el q I. ii N 41 GARNESS ENGINEERING GROUP, Ltd ;,i, si ': • CIVIL& ENVIRONMENTAL ENGINEERS i ( 0 3701 E. TUDOR ROAD, SUITE 101 •ANCHORAGE.AK 99507 • PHONE (907) 337-6179 • FAX(907) 338-3246 •WEBSITE: www.gomeeesnglneeAng.com 0 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 �f'�e• I. Larness.• BRYAN BROWN 529-1813 3 OF 3 ••0 ; CE-795 _• LEGAL DESCRIPTION: DRAWN BY: •,•% .,• (�'7,Lr ( •:'• • THAYERMOORE HEIGHTS; BLOCK 3, LOT 2 D.J.G. .AFD p......••......•P\\- •• TYPE OF WORK: DATE: X44,;:ESS 44 RECORD DRAWING 4/24/2017 essiiii- Municipality of Anchorage • Development Services Department ( ". ?r P.O. Box 196650-4700 Elmore Road TA' Anchorage, Alaska 99519-6650 Info and Help: (907) 343-8211 ���MORI.GE INSPECTIONS: Voice: (907) 343-8300 Fax: (907)249-7777 4/21/2017 Inspection Report License/AP#: RETROE171155 Parent AP#: Inspection #: 450874 Type: DPRETRO Status: Closed Address: 7231 RUSSELL CIR Parcel: 01508113000 Inspector: M.Green Project: Resp Party: Descr: Installation of lift station controls and power Inspection Electrical (Electrical Inspection) Item: Evaluation: Approved Result Notes: Septic system electrical installation approved. Inspection Item Item Description Evaluation X78 7 WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophyslcol Surveys Or1111nq P.rmll Na. LOCATION OF WELL (PI••a♦ complete •Ichor la, lb or Ic.) A.D.L. No. Io.IDoroushS bdlrlslon Lot Moue !b. 1/44,,,,. S.ctlOn No. Township NO Ranq. EO Meridian ri yed / �� I ��3_ ..o'_ p..__of— r� '.-.' s 0 •---•--- wO �- IcOIgT_ANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: Addre.j. b /��^ iffo.x ` Street Addrn• and Areo of Wall Location _ !� d # /'•OL O� y Foal Slow ?�i T7J 2 WELL LOG 4. WELL DEPTH: (fined S. DATE OF COMPLETION S.rfoc. Mat.rlal Typo Top eoltor. /3p ' .ft. - — — g� 40 _.e". —.2 0 S. able tool ORotary ❑Orison 0 Dug iet o s3_/3 0 Auq•r ❑,yelled ❑eared 0 Diller •�/ . r _ ^L3 'Z 4/6T.USE:#'Dorn.oua ❑ Public Supply 0 Industry ice{ 4/0 LrO Sr ❑ Irrigation ❑ Recharge ❑ Comm.rleel .,-Q S8 6-s--6 3 U Toot wall 0 other: .‘mter ,l——63 6 R S. cASINvr 0 Thr od.e ❑ Weldor, 69 r`..„..-cy//ei di... Coe In. 1a 1, fl:pth w•Ightf Mel ft. r . _ __/le/2 /e2tAdiom. In. 10/30 ft. Depth stickup 7 ft. _% ./� - - rL _y 9. FINISH OF WELL: r f � �✓ Type C{IZ Diameter` Blei/ oh Ws,: Liength: Sot between ft. and ft. Soekfllllnq 6rarsl pati —1 _17.C.--117-1,- - /3(� t0. STATIC WATER LEVEL p y f 1. �47,1N._ - Dist. Q Above or Q Below and surface a Equipment used: -.�C. 7 -7 n n (-- I1,14C4 LEVEL below land aurfoc. and YIELD I qi ft. after '--1fra. pumping/ p.p.m. Z ff. offer Ayre pumping 0.P m. m 4 • 12.GROUTING Well Grouted 0 Yes grNo Molsrlal: Q Neal Cement Q Other: 0 (f IS, PUMP: suable) HP /hen CO, Length of Drop Pipe ft. capacity 9.p• . '' m r 1 • 0 Sub.1. ❑ del Q C.ntrifical ❑ Other V^ o t 11.RE MARKSoce 14o W �$ 1 ` it WATER WELL CONTRACTOR'S CERTIFICATION: 1¢. Wolof' Temperature a Q F ❑ C This will woe drills nd• juAlsdlc Ion and his report Is Irus to the best of my knowledge and b•Ilef; .ie 9,Q(7 k,, b 02;e7s..11(ere Business me Contract License Number Q OD Add.etc `f'". i !�%-re. 1 \/1/ • l Signed: Co": 7-12- ke Authorized R• sentatlr. Farm 02-WWR (11/91) Copy Distribution: WHITE-Stets DSOS, PINK-Driller. CANARY-Customer MUNICIPALITY OF ANCHORAGE D£ RTMENT OF HEALTH AND HUMAN SER ES Environmental Health Division ~/"~- 0 ~' / / '~ 825 "U' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL. INSPECTION RFPORT Add[ess 7931 R,~-~e(I LEGAL DESCRIPTION Lot I Block~ Subdivision ?- [ T/'lo. TANKS DISTANCES .TI SEPTIC ^O80RPTION ~ TANK FIELD WELL ; WELL log ~ / ~-o / LOT LINE q~ 15' ~ ~' FOUNDATION 3 7 ~ T~ ' q6' ' ~1 SEPTIC + Kit=/- [] HOLDING SI-eel I ~ -61 TYPE OF SYSTEM []TRENCH [] BEE) [] W. DRAIN ~] OTHER i.v._ 12. fT original grade 7 I:T-~--~atl;~ ff~- FT ~-+ FT ~0 SQF~ ...... -~ FT Numbe, ot/hnus I1 So,~ ,aUngl g~ gQ FI j p,po rnater,a~ ~ W~oh~( 0 Per~ WELLS E [] PRIVATE [] OTHER fldentif¥) REMARKS: Cased Io F1 1 3 ?_ FT '. ~- ~ ~' ceHily that this inspecli0n WeS pefloneed according to all ~unicip81 and Slate guidelines in ellec~ on this dale 72-013 (3/85) ENGINEER'S SEAL A i :1:I ~:~'IAI ION :I:S ]:I'~IS'iALII'i!:D :[Iq Ahl Al::dii:Ot COVEt::~ED BY MOA I:d}]:[.[)Ilxtb I lli]fi ( :! ) AIq I:[ 1:3::; i R:I:C(]I F:'I]~HI'I [~kll:) :l:lqSl:::'l:~:c)'r toIq MUST ]31~: [:)~.~IA i] ~ C ~F~'! CAI WOI::d::: I't[~S I Bfq:: [)(:]NI: BY ~'~ I iC:I~:IxlSEO I::I..E[] tR].CIAN~ ' ~ ~ ANCIIOflAGE ALASKA 99!)01 CONSUl_TING ENGINEER TELEPHONE f907 279-3!)16 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 6-6650 ANCHORAGE, ALASKA 99501 SUBJECT: REQUEST FOR WAIVER OF FILTER SAND SECTION 15.65.060.A2 LOT 2, BLOCK 3, THYERMORE HEIGHTS MAY 28, 1987 1987 REC[IV[D Gentlemen~ We are submitting a request for waivers from the requirement that a sand filter be installed when the insitu soil has a percolation ra~e less than 5min/inch. The residence in quesnzon was constructed in 1982 as a three bedroom house. A fourth room was used as a study/library. On sale last year the bank required that th~ septic system be upgraded ~o four bedroo~ system. A soil as identified by testhole drilling is silty grave], down to 22 feet. The uank has 9 feet of cover, and the end of the exist:Lng trench is 17 feet deep. The soil was perc'ed at three elevations, 22 ft., 15 ft, and 9 ft. All three location perc'ed faster than 5 min/inch, thus requmrmng a sand filter layer. 1 By installing a trench 15 f~et deep and with 5 feet of rock, the excavation can be kept to the mzn~mum and the possibility ~o damage the existing system minimized. No ground water was observed at 22 feet, the log for the well on the lot shows total well depth of 132 feet with wa%er au 124 feet, hard pan between 120 and ].24, and generally silty materials above tha~. The stated intend of the required sand layer is to ensure that complete filtration takes place before Lhe effluenE reach any ground water. Based en the test borings, ~he well log, and 'the fact that the system is being loaded intermittently at a rate less than~1'2 gallons per sq. ft. per day [he the possibility of ground wat{r contamination zs remote in this case. P f~L~)~ ,.' (-.L,~.~... ¢. ~: ,,". UJ'IE 25, ~97k ..~"~,~ ~ "' izod, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SFRVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TESI" PERPOR~ED EO.: bA~.~. MOt~P~'/ Ac~ ~'~IT ~ DA*E PERPO~O*~Ah' .gO,d*'7 LEGAL DESCRIPTION: )mO'~ .¢..,[~7~,"T~,~'~/2.,~O~-.~T°wnship' Range, SectiDn:.CE"~| I~.,, ~'~ U/./~ T I ,,3..-INI SLOPE SITE PLAN DEPTH? p 12 E Oepth Io Water AIIQr. _ ,-- ~'/~/. / 13 Monitoring?_ j'~/O~ gatm_2/~,~//¢F Gross Net Depth to Net Reading Date Time Time Water Drop 14 15 ~1~ 18 20 ~ ~PERCOLATION RATE '~"'~4~//k/ (minutes/inch) PERC HOLE DIAMETER ~/ TEST RUN BETWEEN _¢~ __FTAND t ~ Fl ~1 ACCORDANCE WI,H ALL STATE AND MUNICIPAL GUIDELINES IN EF~ ~ ~,,~ DA,E: ~ 72-008 (Rev. 4/85) IP TECHNICAL SERVICES CIVIL & ENVIRONMENTAL.ENGINEERING * ENERGY CONSERVATION & ANALYSIS H{E F. MOORE, P.E. 14530 ECHO ST. ANCHORAGE, ALASKA 99516 1345-1355 June 9, 1987 Dale Murphy Jack White Company 3201 "C" St., Suite 100 Anchorage, AK 99503 RE: Lot 2, Block 3, Thayermore Hts., Septic System Upgrade Dear Mr. Murphy: The following is a summary of the current status of the subject project, and the steps necessary to complete the upgrade of the on-site wastewater disposal system. On Jane 3, I accompanied Mr. Spurkland on an inspection of the site where we observed the open excavation and discussed the appropriate course of action to complete the upgrade. On June 4, I met at the site with Mr. Dan Roth from the Municipal Health Department and Mr. Del Isabelle, the coatractor, to work out the details of the upgrade, and to verify that it would be in compliance with Municipal requirements. Although previous perc tests indicate porous soils to 20 feet, the best soil for receiving effluent is a gravel stratum extending from approximately 8 to 13 feet below ground level. Since the existing soil absorption system constructed at a deeper level than this is near failure, we propose to reconstruct the entire 4 bedroom wastewater disposal system as a trench in the higher gravel stratum using a soil absorption rate of 125 square feet per bedroom through the sidewalls. Mr. Roth indicated that due to the presence of tighter underlying soils, no sand filter would be required in this case. Thus, pending continuity of the strata in the unexcavated area, the design concept will be to install 50 lineal feet of trench containing 5 feet of gravel, for a total sidewall area~of 500 square feet. Since the absorption strata is higher than the house outfall line and septic tanks, a lift station will be required to pump the effluent up into the distribution pipe. The lift station will consist of a 115 Volt Zoeller 2" waste pump installed in the new 500 gallon tank, and it will provide a dosage of 50 gallons, and will have a reserve of 200 gallons above the high water alarm level. Access to the lift station compartment will be provided by means of a manhole riser insulated on it's upper 6 feet. Watertight seals will be installed on all tank openings. A 2" to 4" adapter will allow effluent distribution through standard 4" perforated pipe. A cleanout pipe will be installed at each end of the soil absorption trench, and a monitor tube will be installed to the-bottom of the gravel near the middle of the trench. You may wish to confirm these understandings with Mr. Roth at the Health Department. Please feel free to give me a call if you have any questions. Sincerely, Ted Moore, P.Eo cc. Tobben Spurkland MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telel)hDne 264-4720 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL. INSPECTION REPORT NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION i_]Well ~,~ ~Absolptionarea DISTANCE TO: ~_j,) -_. // ! Liq. capacity in ga~ HOMEMADE: Ma%%ETO: 1W '' Inside length Dwelling ujm~i DISTANCE TO;I _i~-Z [ ND. of lines / IL~ ~th~f~achlhle/ F ° u n dat i °n/,~/I¢?. / Total length of lines Material beneath die Crib depth Building foundation Drilier Sewer line OTHER PIPE MATERIALS SOIL TEST RATING~// INSTALLER REMARKS APPROVED DATE LEGAL Width Material Nearest lot line [Trench width __~ inches [P"ONE 3'¢9-"/?,s3l E:] mRAO. PERMIT NO. Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO. Distance between lines Total effect)ye absorption area PERMIT NO. Total effective absorption area PERMIT NO. ~,(~O~..¢~.~ , NO. OFBEDROOMS I"!.h(: i .i::!",!(:i i'H i:::, :1_' I't~:H!::: :[ Oi-,[ :!: :~i; ~['i I[~: [.Ei",IGTH ( ]: ?"H!: I::,!i:i:::'TH OF !:q 't'i:;?!:t",!C!.lO1:;i; i::':1:"I- :,r.:_:: THF': [::,:!:':i;~IFIt'.,I(?F: GF:QI.,II'.,!!::, FIN[', Ti.I!i: !:-i',()T'TOi"! C6:' 'rile 'Ft..!I::F:f:: I:S t",!O '!i;[':T J'.I:I:D'i"H !::(:)f;: '~,'F:[~:t"!CHE:':~;. THE GF:!:::!VI!:L [:,E:F"I'H :I:S i-l"!li: H:I_'I"I.~!"iLIt"! OEP'iH i=I~',![:, 'T'H!ii: ~ii:O'i'T!:)H 0-':::' THE: E::'::CFI'v'I=!I'):t.:ff,! PERMIT NO. [:,EF'FIRTrqENT OF HEF]LTH RND E]?v'IRElt'.~!MENTF~L. PROTEC]"IE$,I 8:25 "L." STRF::ET., FINC:HORFIGIE., FiK. 995E1:1_ 264-..,q. 7'2EI ~...Ii [E== L_ L_ ~:-=~ ~s~ [:~ C:~ I?-~ '~- ~CC: :[ "F EC: :S!~: F~ A ,,.J1 ~E F,? i1-::" E:E B~ L~"~ :E -T" ,:: :Ed. 070;2: ::, · FIPPI.. l C:Fll',FF LOCFKF I L.EGFIL t~'1 :[ CHFI[!'ZL. P. 'T'OUNCJ ]"HFI'¢Elq:MORE HE I L. 2 83: 'f'HFt"r'E"Ri'qCIRE HEJ:EiH-['$ %*'"D S. I::'I=IR k: L. OT' FEET 'I"T'PE~ OF $[)IL FtBSORF"I'IOI",I $¥'-:'!;TEM 15: TRENCH I'"IFI>:: ]: MUM 1"4UME:EI:,:': (-if' E:EDRCIOi'"I'.::; :: 5 SOIL RFITING ,::SC! FT,/BR)= :.35 THE RECH_.IIRL::[:, SIZE OF I-FIE: ':;OIL FIB$ORF"T'ION $'T'ST[.:.'M I$: I'HE LENGTH [:,]: MEN:L:; I Ol',! I S TFIE I._ENGTH ,:: I N FE:E'f') [IF' 'THE TRENC:H OR DRFI I I'.,1[: I ELI::,. THE [:,EF'TH OF FI T'RENCH OR PiT t$ THE: DI'.ST~NCE E:ETHEEN THE SURFFIC:E OF THE{ i]ROI.]N[) F/NE:, TFIE E:CiT'FOM OF 'THE E::.:;IZ:I:IYFiTICiN (!N F:E~:ET). TI-IEIRE l$ NO SET' HI[)TH F'Or*: 'I"RENC:HESS. THE GRF¥,,,'EL. DEPTH 15 THE h'IZNIPIIJH DEP'FH OF GRF~VEL. BETP]EEN THE OLITFRLL F'IPE RN[) THE BO'F-FI3M OF' THE E::,:;CFF,,,'FI]' ]i ON ,::IN FEET). F'ERM ]: T FIF'F'L I CFINT I-IRS ]"lie RESF'OI'4S I ['-:: I L I T'T' TO I iqFC1Rh'l TH :[ $ BEPFtR'TMEr. K[ [:,l...IR I Iq[!i THE I NSTRL. LF[F I C$1 [ N'/SPECT I CFI,IS:; OF FIN'T' !4ELL.5; RL':,J'FICfZNT T'O TH I :._:., I='ROF'ERT'¢ ?,IUME~ER Cfi= RES I DEI",ICE$ THF:IT 'THE I.,.IE:L..L P.I l LL SERVE. BRCKF ILL I NG OF F:I[',IITI ~=~.;II"$'FEM l'l I -f'HCIUT F I NRL l N:F.,PECT I CIf-,I Fff,ID [:'EI::>FIRTMENT HILL E:E '.SUEL]'ECT T[:I F:'ROS:ECUTION. RF'F:'I'~:O',,:FIL B'T' THIS; MINIHLIH [)ISTAN[Z:E BE'FHEEN FI 1.4EI..L FIND FIN'./ ON--..Si'TE S;EHRGE C,I':SF'C~SF:IL '.:?'r':::;'FEM IS; :t. OE~ F[FET F'OR FI F'Ri'v'FITE HELL OR ::l. SEI TO 200 F:E::t'.::T FROM FI F'IJE:L. IC HELL [:,EF:'ENE)II",IG UF'ON THE T"r'F'E OF F"LIE:L. IC: HEL.L. MINIMUM DI'.=JTRNC':E FROP1 Fi PR]:',,,'RTE HELL TO Fl I:;:'R~',/I=I'TE SEP.IER L..II'.,IE IS 25 FEET I::IND TCI R COMMUNI"f'V SEI.,.IER LINE IS; '75 F'EET. I,.IEL. L L. OGS; FIRE REQLIIRED RI'.,II::, HUST BE RETURNED TO THE t?.,EPFIRTMENT [)F THE HELL CCIMPLETICd'.,[ OTHER RECEJ Z[;i:EPIEI,Kr:5 MFI'T' RPPL'Y. SPEC I F ~ [::R'[' IONS FIN[:, COI'.,IL=;TRIJE:T I ON [':, I FIG[;?.RM% FIRE FI',?I=tZLFiBLE TO INSURE PROPER INS'T'RLLFFf'IL')N. ]: CI;.:_'F.:'FIF:'Y I'HFIT 21.: I RM F:'FIMILIFIR H ITH THE F?.EQLIIREP1Ei'.,IT%:; F:'OR ON-SITE SE[,.IER$ RND HEL.L$ FtS; SET F:'ORTH E:'¢ THE M[.INIC:IPRLZT'¢ OF: FFF,IC:FIOI:~!FIGE. 2: I I,.lIl..[.. IIq?l'FIL.L THE '.:.:,'T'$TI/M IN FtCE:OR[:,FINC:E I-4ITH 'THE CODES. ?: I UI'.~E:,ERSTFIN[:, THFIT THE ON-$I-FE SEHER SYSTEM MFI'T' REQLIIRE ENL.FFFR[~[=J"IEi'.KI' ZF THE RE:F;IE:,ENC:E ]2_=; REM[lC, EL[f:, TCi Zf)~,E: MORE -FHRf.,! 5 Fq:'F'L. Z CFINT M Z I.~IEL FL yCIIJNI3 :[:E'-;: ..EE, E:Y .............. [:,RTE ............ 6 7 8 10 1§ --~ 17 18 20 MUNICIPALITY OF ANCHORAGE DEPARTMr ' OF HEALTH AND ENVIRONMENTAL PW 8~ L, Street, Anchorage, Al~l;a ~)9501 264-4720 SOILS LOG - PERCOLATION TES'F PERFORMED FOR: '.E~AL DESC.,PT,O.~ £ ~L ~ ~ 7-/¥/~ ~-/~ ~ O/~ SLOPE 3 COMMENTS CTION [] PERCOLATION SITE PLAN: WAS ~ROUNO WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net DePth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN 72.008 (6/79) FANS MUNICIPALITY OF ANCHORAGERU5N Development Services Department ` R/ Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 015 081 13 Expiration Date: 9-7 7 `( q 1. GENERAL INFORMATION Complete legal description THAYERMORE HEIGHTS BLOCK 3 LOT 2 Location (site address) 7231 RUSSELL CIRCLE Current property owner(s) SANTEK Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: E Single Family (w/wo ADU) Riau ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Q Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 5,,5�// / r 330 Waiver Fee $ Date of Payment u!c3�!�9 /4/(o/i9 Date of Payment Receipt Number O ? iob I 01?3.70 Receipt Number COSA# °SC!9Wa63 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 C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 5/30/2019 re*•491+ 7 •*90/ 6. DSD SIGNATURE '` /,e, System #1 Approved for V bedrooms �Y CHARLES G BALZARINI o System #2 Approved for bedrooms V•. CE-13854 •••�/ 4isi4. ..".• • ••`DisaPProved l PROFESSIW .:�... Conditional approval for bedrooms, with the following stipulations: ,t'1 STYO tF< <�< k <�,-( ON-SITE tPyP�_ WATER AND m WASTEWATER PROGRAM 9' RERVI 1>1)))))))11 " By: - Original Certificate Date: 7-11' 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 K' Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: Thayermore Heights Block 3 Lot 2 Parcel ID: 015 081 13 If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1 A. WELL DATA •Well log is filed with Onsite (or attached) Well production at time of test +5.4 gpm Date drilled 7/17/82 Water storage tank volume no gallons Total depth 130 ft Well disinfected for coliform test? ❑ Yes ❑� No Cased to 130 ft ■❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate 6.39 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/LN Arsenic less than MRL (ND) Casing height(above ground) +12 in. Collected by C&M Engineering Date of flow test for COSA 5/29/19 Date of Sample 5/30/19 Static water level at beginning of test 88 ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) 2 years 111 Required maintenance completed Tank type/material stepsteei Age of lift station 2 years I Standpipes/foundation cleanout per record drawing Lift station material plastic Date of pumping 4/25/19 Comments: D. ABSORPTION FIELD DATA trench Which system tested (date installed) trench%-tS. 7 Adequacy test date 5/29/19 ■❑ ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 11.75 ft(max) Fluid depth prior to test 1 in Measured depth to pipe invert from grade 7 ft(min) Water added 600 gal ❑ N/A—pressurized field New depth 1 in ❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 10 min depth into effective 4.7 El Code-required soil cover over field Final fluid depth 1 in El System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) none date of test) Gallons introduced 600 gallons If yes, enter date na Comments/Deficiencies: Monitor tube does not extend full depth as documented by previous cosas COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout > 100' 0✓ Yes if No ft 2 Yes if No ft Neighboring Tank > 100' Z Yes if No ft Private Sewer/Septic Line > 25' OYes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' E Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' E Yes if No ft E Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E Yes if No ft ['Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ✓❑Yes if No ft Surface Water> 100' ✓❑Yes if No ft Property Line > 5' E Yes if No ft Driveway/Parking > 0' p✓ Yes if No, comment Absorption Field > 5' 2 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ❑✓ Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Service Line > 10' 0✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft Driveway/Parking > 0' ❑✓ Yes if No. comment Property Line > 10' ✓❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓❑Yes if No ft Private Wells > 100' ✓❑ Yes if No ft Water Service Line > 10' ✓❑Yes if No ft Community Wells > 200' ✓E Yes if No ft Surface Water> 100' ❑✓ Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION ,�`��~"L . °F A•gsl_l I certify that I have determined through field inspections and review �'��'.' of Municipal records that the above systems are in conformance with j*: 49 TH *.::9`04..* r MOA COSA guidelines in effect on this date. 5/29/2019 • • � �� ,4r/_2____ / / CHARLES G BALZARINJ 6! �� •••. •CE-13854 .•�`�/: oIkkI ''PR0FESS10N' COSA Checklist yellow sheet ���\�����' MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Nitrate Advisory Certificate of On-Site Systems Approval # OSC191203 Subdivision: Thayermore Heights , Block: 3, Lot: 2 A water sample revealed a nitrate concentration of 6.39 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address: P.O. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log ( ,v))i t- \� Z----6(---"Owner .311 Streett Address 7)- 73/ P�5 Septic Tank: •Sludge level 1J2 inches •Pumping: required es no -Pumping completed es no Lift station: -Pump basket cleaned tt no -Effluent filter cleaned aLlig -Control floats cleaned no •Proper float settings confirmed no -Operation satisfactory : no Alarm System: -Dedicated electrical alarm circuites no •Audible and visual alarm inside dwelling — no -Alarm system operation ctor not satisfactory Manhole Riser •Ground water intrusion at riser to tank connection es o 1 -Ground water intrusion around pipe penetrations es _. -Weep hole functional dO no •Manhole lid: Functional Si— Insulated s no Properly Secured de. no Other -All manufacturer required inspections and maintenance completed yes no Comments: pcMf f-r, 13Y ,4-f o-t/ W; `7/`7. /(f -- i2- lit l s//z)� AA.9 Sl/S' Qualified Mtenance Provider: Technician � i��A Date of maintenance �` `1 Company 6'..4 wi fNv: �G Signature Date z7h.ePT Mailing Address: P. 0. Box 196650*Anchorage, Alaska 99519-6650*www.muni.org s6 '7 8 9 70 77 Municipality of Anchora• = o t• •-tt • APR 26 2017 3..:TAM i_ On-Site Water&Wastewater Program • (907)343-7904 6 :.g :1.`9 Certificate of On-Site Systems Approval Parcel I.D. 015-081-13 Expiration Date: ( 1 2 0 11 1. GENERAL INFORMATION Complete legal description THAYERMOORE HEIGHTS;BLOCK 3,LOT 2 Location (site address) 7231 RUSSELL CIRCLE*ANCHORAGE,AK 99507 Current Property owner(s) BRYAN&MICHELLE BROWN Day phone 529-1813 Mailing address Real Estate Agent JESSICA HORWATT Day phone 441-8196 2. TYPE OF DWELLING: II Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well U Individual On-site U Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for. N/A Distance: - Received by: .{psi- -- Date: S/I / I COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee$ —Z.0 Waiver Fee$ Date of Payment 11/21,0-1 7- Date of Payment Receipt Number �t� "07x6 Receipt Number COSA# V cam./ WIS1 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are)safe, functional and adequate for the number of bedrooms and type of structure indicated herein- I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP,Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD,SUITE 101 *ANCHORAGE,AK,99507 Engineers Printed Name JEFFREY A.GARNESS,P.E. Date 9,125-)I Engineers Comments: In conducting this evaluation,GEG provided an engineering evaluation of the eel and/or septic system in accordance kb the , %1101,%% guidelines and regulations established by the Munfcioatly of Anchorage end industry precbces.The reported results describe the .I4`f OF a ' , co clition of the system's on the deteis of the evduetion.Separation distances*ere measured to reit*denti(abk ` features. .0 A__........... . . 4, Hidden defects or encroachments may exist that Nes,not identified during the eveiatiun.Rhe eperetional rale of of eels and septic ,•I' s • systems depend on a variety of variables including but not timed fp soil cordfiors,groundwaterkvek(that may fluctuate during _ the year),qua*of construction(materiels end workmanship),end t he water usage of the fainly utlzi,g the systems.These i ' '• /\ tl0 conditions can vary,end are outside the control of GEG.Setfsredo y lest resuls do not guarantee future performance of the a J ..... •• ; •system's:therefore,GEG makes no aemanly(express or impfed)regarding the More perhrrmence ofthe eel or septic system. GEG mares no representation whether an atemdive we/or septic system can be insteled on the properly it the event eiher of the %„ ,,, „,,,,,, % now systems fat.The content ofthis report is for the sole benefit of the persoNpatywho rehired GEG.Reiance upon the IN .i-. :t �......•••�� •a intonation provided in this report by any other person o pally,including but not fnhfed to subsequent property purchasers,is not �• C... ff - A.Gar ass authorized.In short GEG disavows any legal duty to anyone other then the persoNpedywhopaid for thireport 1+J1•. •• 795 •.�` Z. .....s.'i-e-ar 6. DSD SIGNATURE �+rz �1P\' •� LICENSE •�l lIt %%.�' �( #AECCa84 System#1 Approved for 1 bedrooms. System#2 Approved for bedrooms. Disapproved. �il'4, V` Conditional approval for bedrooms, with the following stipulations: . [j ON-1i? , r 7-- PROr-�r, o co 4/T y l / cif By: l .�h°(:r' o. (.4- f' Original Certificate Date: 5 i/o?U 1 The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the represenatations 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. ATTCHMENTS: A. COSA Checklist Nitrate Advisory A. Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12,12) 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 THAYERMOORE HEIGHTS: BLOCK 3. LOT 2 Parcel ID: 015-081-13 A. WELL DATA Well type PRIVATE If A, B. or C provide PWSID# N/A Well Log (YIN) YES Date completed 7/17/1982 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 130 ft. Cased to 130 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 7/17/1982 3/28/2017 Static water level 84 ft. 84.3 ft. Well production 15 g.p.m. 4.2+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 5-7g mg./L. Collected by: GEG, Ltd. Arsenic: ND<5 ug./L. Date of sample: 3/28/2017 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL Date installed 4/18/2017 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping NEW Pumper - C. ABSORPTION FIELD DATA •BELOW EXISTING GRADE Date installed 9/29-10/5/87 Soil rating (g.p.d./ftZor /bdrm 125 System type DEEP TRENCH Length 52 ft. Width 5+ ft. Gravel below pipe 5 ft. Total depth `11.5+ ft. Eff. absorption area 520 ft` Monitoring tube YES Depression over field NO Date of adequacy test 3/28/2017 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test"DRY in. Water added 1206 gal. New depth """1 in. Elapsed Time: "'0 min. Final fluid depth —1 in. Absorption rate >_ —600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) NONE KNOWN If yes. give date - "MT EXTENDS APPROXIMATELY 4.66 FEET BELOW THE LATERAL LINE —DURING THE INTRODUCTION OF THE FIRST 393 GALLONS. THE LIQUID LEVEL IN THE MONITORING TUBE ROSE TO 1 INCH. THE LIQUID LEVEL IN THE MONITORING TUBE REMAINED AT 1 INCH FOR THE REMAINING 813 GALLONS 'SECOND COMPARTMENT OF 1500 GALLON STEP TANK "PER MOA ELECTRICAL INSPECTION-ATTACHED D. LIFT STATION Date installed 4/18/2017 Size in gallons '500 Manhole/Access (YIN) YES "Pump on" level at 43 in. "Pump off" level at 39 in. High water alarm level at 47 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? "YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 100'+ 100'+ Septic tank/lift station on lot On adjacent lots 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 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas too'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'1- Water '+Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS .. ,%*1\\ii, G. ENGINEER'S CERTIFICATION •'" +R+ I . :: • II. % * '. I certify that 1 have determined through field inspections and • • review of Municipal records that the above systems are in r• f i •• conformance with MOA COSA guidelines in effect on this •j• ift, •, . •1 , date. I c•am1= eh` ,A. Garness:: 7.Engineer's Printed Name JEFFREY A. GARNESS 1 SJ,% !~E 79� 1l Date 4 ZC1/7 +4 ,, 2.ESS1��.•'. LICENSE •Ikikt„tok• #AECC884 (Rev.10/12/12) Municipality of Anchorage Development Services Department -- err.:; yt ,.r skh _ Building Safety Division ;i111 F! " $AAY On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On-Site Systems Approval # OSC 171151 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 3, Lot 2 of Thayermoore Heights subdivision. This inspection revealed a nitrate concentration of 5.79 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. I - i . 4. 50.1 j , • N RUSSELL CIRCLE A5-BUILT SURVEY 1" = 30' 4gOO�OQO4 NO CORNERS SET THIS DATE 0 ! OF q C % I • ' = CERTIFY THAT I HA ORMED A SURVEY V OF THE F1 . : • PROPERTY Ox..:(' ,9s LOT 2, BLOCK 3, THAYERMDORE HEIGHTS SUB. p�v�49 TH �'� O�oo THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE "�� CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS.AND IS VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN 0 /f�i�/� /,j//tp/ D NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES,IMPROVEMENTS,OR FENCELINES. THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS VA `�e "" G EASEMENTS OF RECORD,OTHER THAN THOSE APPEARING ON THE RECORD PLAT,ARE NOT SHOWN EXIST OTHER THAN NOTED. V p DATED AT ANCHORAGE,ALASKA THIS _21ST DAY OF V '" . o p HEREON(UNLESS INDICATED)o. APRIL , 2017 On A '. SHANE A.HOLT o O NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE — VQ a LS-6914 • O� PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. 4QP 9 G ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. Hal LAND SURVEYING ° ........ l'�G:7 9309 GROVER DRIVE �rOJessions1 goo ANO-10RAGEAK 99507 QOOQO�DO •3q'2 FB '81 ''.181 '4 345-5513 ;:, Ho ¢ n g' '~tipulatlons: dent =ho. roes Log present (Y/N) y Total depth___/ ~ ~ / Sanita~, seal (Y/N) MunicipaLity of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825'L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist A. WELL DATA Welltype /~:/'/~.~7L~fA.B, orC, attach ADEC letter. ADECwatersystenlnuulber Date completed Cased to /' .72 d%-~ Casing height (above grotmd) Y Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of san,pie: Wires properly protected (Y/N) __ FROM WELL LOG AT INSPECTION g.p.m. Nitrate .~z~//~ Other bacteria ''-~ /~)© (~/ ~'d~ Cleanouts (Y/N) y Foundatioo cleanout (Y/N) _ V Depression (Y/N) _~ High water alarm (Y/N) ~' Date of Pumping z ~/~'}C[~ Puntper .-'~-'(~ ~-2(57~_~ C. ABSORPTION FIELD DATA Date installed //~//'¢/?~? Soilratiug (g.p.a./ftZorft2/bdrm)}2~,~i~4~ste,ntype~G Length ' '~ ~. Width 5 ~ Gravel thickness below pipe .~ Total depth Effective abso.fioa area ~ ~E3 Monitoring Tube present(Y~ ~' Depression over field ~) Date of adequacy test Results (Pass.ail) For Fluid depth in abso~tion field before tesl (i ~ ): ~ Immediately ~e~gM water added (in.): Fluid depth ~ Miuutes later: · (in.)' ACsorPfion rate = g.p,d. Peroxide treatment (past 12 mooths) (Y~) ~. ~ ~ If yes, give date LIFT STATION Manhole/Access (YFN) ¥ High water alarm level at* Cycles tested Size ia gallons "Pump on" level at* ~ ~, *Datum "Pump ofF' level at* ~C~O 7- v/7/7' E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line ; On adjacent lots ; On adjacent lots Public sewer mm~hole/cleanout Lia sta¢on SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation --'~ 7 f Property lille ~ ~9 / Absorption field Water manffservice line Surface water/drainage SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ~-, / Building foundation ~c) ~r-:) Surface water ,/V (~F~ C Curtain drain ~OJQ ~ Water main/service line ~/"~C~ / D iveway, parkin /vet',ic e stor ,ge area We,sonaOcent,ots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review in conformance with MOA llflA ~:effines m effect on this date, Signature~fff~-g .~0¢) Engineer's Na~' me ~;~ee~ ~' ¢/~/W~e # 1~17 E HAA Fee * ~ '~f~ Date Receipt Number Waiver Fee $ Date of Payment Receipt Number Rev. 8/95 eSS: haa.wk.doc MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAl. SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITF SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) (b) C~c~ber ~ /~07 Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) PropedyOwner ~¢[c ~c Nt4~ Telephone: Home 3~- Mailing Address 7 ~ I ~ ~ ~ If Business (c) Lending Institution ~r[~4 ~ f-tu.(~¢~ I /~-n/~ Telephone Mailing Address 6"Or cc,,, d-'~ 7,.¢3 -/'d'7/ (d) Real Estate Company and Agent ,'7"'~c.(,~' c~/~ll~ C-o, Address 3'F-O( ~" g'~ ~cfi¢~ Telephone ~'~ ~ - ~ (e) Mail the HAA to the followinq address: or: Check here ~, if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single-Family [] Number of Bedrooms WATER SUPPLY Individual Well [] Community [] Public ['] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting 1o 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 77-025 fRev 8/861 Fronl 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 verity 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 informagon 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. NameofFirm /~:(~,/"'~/~ ~cJl~9/c~[ _~(rv¢['~, _Telephone ~'* /~ Address I~ ~cJ~ ~ ~c~¢~ ~ ~l~ Date f ~ / ~ / ~ 7 Approved for Approved /~. OF. ..... This department has received written e~a~ion from the engineer regarding the Conditional Approval of December 23, 1986. The corrections have been accomplished and an inspection has been completed by %he engineer. The subject property meets wihh Municipal standards and is now approved. bedrooms by Disapproved Condilional Terms of Conditional Approval CAUTION 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. Page 2 of 2 72-025 (Rev 8/86) Back RECI:.IVED WELL DATA MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAl. (HAA) CHECKLIST - FEBRUARY 1984 OCT 41987 264-47-14 Legal Description: ,~.¢, ¢' Cased to _ Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot If A, B, C, D.E.C. Approved (Y/N) Date Completed Yield _ Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N} Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course Size No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026 fRev 8/861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed I0 / 5'/8 7 Width of Field ,5' ' ¢' Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well I ~¢' ~ To Building Foundation 5'0 ~ Lot ¢-b o ye ?r~',~uj ~y.~/',,', TO Water Main/Service Line N,.4.. To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Length of Field Depth of Field Gravel Bed Thickness ,5' ?-O Standpipes Present (Y/N) N Date of Last Adequacy Test Type of System Design To Property Line /6- ~ To Existing or Abandoned System on ; On Adjoining Lots ~ .70 / To Cutbank (if present) N,/~, Comments D. LIFT STATION Date Installed _ Size in Gallons 5'"0~ ~'~,/ "Pump On" Level at High Water Alarm Level at '~' Tested for N~ .4, Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments N~' ',,~.~/~1/,~o~ 6,,v ~/~:¢'r'~¢ ¢oC~r,, ~nc ** Check Permitted Bedroom Rating Against HAA Request ** I ce~ify that I have checked, verified, or conformed to all MOA and HAA guiddines in effect on the date of this inspection. Signed ~~ ¢ ~ Date /O//V /¢ % Company ~l~ ~ g~c~ MOA No. ~7 ~¢~ Receipt No. Date of Payment Amount: $ Page 2 of 2 72 026 fRev 8/861 8ack Engineer's Seal MUNICIPALITY OF ANCNORAGE DI"PARTMENT OI= HEALTH & HUMAN SERVICES DIVISION OF FNVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE S[-'WER AND WATER FACILITY 264-4744 Application Date GEN["RAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Properly Owner ~;1~¢ ~ ~¢¢..c~ ~ Telephone: Home Business (b) (c) (d) Mailing Address Lending Institution Mailing Address (e) Real Estate Company and Agent Address Telephone Telephone Mail the HAA to the followinq address: or: Check here~ if hold for pick up. List contact person and day phone number below. ~2 TYPE OF RESIDENCE Single-Family, s, Number of Bedrooms WATER SUPPLY , \ I ' ~, Individual Well Community [] Public [] ,,' N'x" ,,, ' Note: If commumty well system, must have written conhrmabon from the State Department 0f Epw ronmental Conservabon 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 Enviroh~nentel Conservation attesting to the legality and status. Page 1 of 2 72-025 IRev 8/861 Fronl ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEAl:iCH, DATA AN[) INFORMATION r As certified by my seal affixed hereto and as of the validation date shown below, [ 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 Municiparity 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 ~ ~4.,c'C6~'~'~// Telephone _ ~7 ~- ~ V/~ Address / ~.~ ~ ~ I~ Engineer's Seal Approved for f(~"? bedrooms by ..... ate Approved Disapproved ~ Conditional_ ~ l'erms of Cond't'ona Approve ~p~ .> ~ ~x/b'~' ~'~2: ~, ~ ~ CAUTION 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. ,CONSULTING ENGINEER ~ Q ANCHORAGE ALASKA 99,501 TELEPHONE 907) 279-3916 MUNICIPALITY OF ANCHORAGE DECEMBER DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 19, 1986 Request for Conditional Health Authority Approval Lot 2, Block 3, Thyermoor Heights William Jarves Gentlemen; On behalf of our client, we request a conditional approval of the septic sysnem serving Lot ~ A Health Apporoval was given September 13, 1986 for a three bedroom residence. However it now appears then the lending instituion considers one of the room used as a library as an additional bedroom, making the house a four bedroom house. Bids have been secured to add a 500 gallon tank and 10 feet of -trench next spring. Funds will be escrowed to do the work. Attached ms a sketch showing the location of the required up grade. Groundwater monitoring and verification of the soil ratin~ will be conducted in the spr%Dg_~ when a permit will be asked_for. Yours /'~7 Tobb~q Spurkland P.E. DEFq. DF HEALTH & FJ~VI ~,~ M ~ TAI~ PROTECTION RECEIVED (~ ~EL L 0 gr_UU /] NEW 500 GAL. LOT 8, BLOCK 3 TANK ADD NEW TRENCH MONITORING TUBE LOT 3, BLOCK 3 30 45 60 75 GRAPHIC SCALE 1' = 30' TOBBEN SPURKLAND P,E, 203 W i5TH, AVE. ANCHORAGE, ALASKA LBT ~, SLDCK 3 THAYERMBBRE HEIGHTS SEPTIC SYSTEM DESIGN PRELIMINARY DESIGN II DECEM~ER 18~ 1986 . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWERANID WATER FACILITY 264-4720 GENERAL INFORMATION (a) (b) Legal Description (include lot, block, subdivisio_.~n, section, township, range) Location (address or directions) Applicant Address (c) Applicant is (check one): Lending Institution/~; Owner/builder Iq; Buyer []; Other [] (explain); (d) Lending Institution /~,~///~ .~6/., ~ /~t~ ~/0~/"~ ~ _ Telephone Address (e) Real Estate Company and Agent __ Address (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family [] 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 D 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) F. NGINEERING FIRM PROVIDIN~ INSPECTIONS, TESTS, FILE SEARCH, DA ~ A 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 flies and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compfiance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection.,~ .., ~, ~..~ _~~~ Telephone .__~' ~ ~ ~ ~/~ Name of Firm Address ~~1 ~_~ ~//~ ~ Approved for _? bedrooms by ~.,//~,~/~---'~ ~Date _.~////c'~7 Approved ~'~'~ DisapproveE _ __ Conditional, Terms of Conditional Approval :CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued, The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (I 1/84} ' APPLK 'NT FILLS OUT UPPER HA!' ' ONLY Property Owne,~'r_~//~/-~L>/,,..7'-' ,~ z ~.~ ~.>~-.'~> ' /~,~ ~ -"~ ~'~ ~ ~ d.~/:::~' ~/~ .,c;~ % Phone Address Zip Oode , ~ · , .,,~/ ,/~,d ,-/~ ZiP Code Address ,, f ~ -~ ~,, ../~ /,.'7 /~ ~=..~/~,:- ~ i, , .. , ,. ' Realty Co. & Agent ~'~..~ ~] /~:.t~ c~ ~:~:._./7~. t ~. Address ,~)- (.~( ~,~:/~,,. '~/~ ~/~/,/~ h ,~ ~., ~/~;:} , Zip Code Legal Description t~ ,.;~ ~) }~/~ r.,~:_~_ Z~ ~///7~ c.' ~ _. ~ /~¢'~-'~/~c* /'~-: /'~ Type oi Resl~nce ~lngle Family ~Jndlvldual Year Individual Installed: 'rime Time l'i~r~e ~/ Time Date [)ate Date Date .nsp.lor ,nsp.lor In sp't¢~,.~ 'nsp't°r ~S, ~ MUNICIPALITY OF ANCHQI~AG[ RECEIVED ( ~APPROVED BEDROOM8 'OONDITION8 OF APPROVAL ( ) DISAPPROVED Soils Rating Date ~wer Installed Well To ~sorplion Area Well Log Reoeived ~.P ~' "z. ~"-~ ,~Y "]/ Well to Tank Septic T~k Size ~IJ,~JCIP^LITY OF ANCHON.-..OE DI~pT, OF HEALTH & J~/JI~JI',J~TA L PROTECTION MUNICIPALITY OF ANCHORAGE [MOA) HEALTH AUTHORITY APPROVAL (HAA) SEP 1 1 CHECKLIST - EEBRUARY 1984 26..4,20 RECEIV£D Legal DescrJpuon: . /,O'i' ~,~ /5,~ '"', 'l['t~."~IEIt..3'-4OE,~r WELL DATA Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N} Separation Distances from Well: To Seetic/~ Tank on Lot / ~ ~- To Nearest Edge of Absorptioa Field on L.or _ To Nearest Pue.c Sewer Line Cleanout/Manhole I~ONI~. Water SamDle Collected by I. ,.~ Water Sample Test Resu ts _ Comments If A. '~ Date Comeleted _ Yield Cased '0/:~ D. ept, of Grouting ~8 '¢/~/¢~ Pump Set At J ~ Sanitary Seal on Casing (Y/N) ~ Depression Around Wellhead (Y/N) ; On Adjoining LOtS | ~ : On Adjoining Lots To Nearest Public Sewer __ To Nearest Sewer Service Line on Lot : Date B, SEPTIC/I',k~N~ TANK DATA Date Installed ~_~J--_ Size /f,.,"~ No. of Compar[mems _ Standpipes (Y/N) '~'¢~;~ Air-tight Caps (Y/N) ~' __ Foundation Cleanoul Deeresslon over Tank (Y/N) t~ Date Last Pumpee f Pumping/Maintenance Contract on File (Y/N) ~¢/~ ; for Holding -rank High-Water Alarm (Y/N) ~'~,/A _ Temporary Holding Tank Perm t (Y/N) Separation Distances from Seotic/Holding Tank: To Water-Supply Wel J O ~. To Procerty Line · To Water Main/Service Line ~'i Course To Building Foundation ~-~ To Disposal Field J J 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/N) Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test S~paration Distance from Absorption Field: To Water-Supply Well J J ~ To Building FoUndation L~,~ Lot ~¥0/~ ~ To Water Main/Service Line ~> I ~2~ To Stream/Pond/L~.ke/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on ; On Adjoining Lots ~ To Cutbank (if present) Comments D. UFTS'rATION NON Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test, Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, 9,r conformed to all~4OA end HAA guidelines Signed ~'~"~ ~---~"~'~"¢~// Date Company MOA No, Date of Payment (~ ..t ~¢%~. ¢.~7 .~.'., ~.¢.; . .f%,~.. Amount: $ Page 2 of 2 72-O26 I11/84) in effect on the date of this inspection, Engineer's Seal ,,~ '~ ',~ ~-) ~,~ .,~ ~ ANCHORAGE, AEASKA 99501 CONSULIlNG ENGINEER TELEPEIONE: (907) 279-3916 .R E S _J[ _.D _E N _T .I_ A _L W E L L I N S P E C T I O N LEGAL: LOCATION: OWNER: TYPE OF WELL: WELL LOG AVAILABLE: INSTALLATION REQUIREMENTS MET: WELL YIELD FROM WELL LOG: LOT 7231 RUSSELL COURT WILLIAM & SUSAN JARVES SINGLE FAMILY YES 2, BLOCK 3, THAYERMORE HEIGHTS ~, · ,', No, 2225-E YES '4~: ~;:'... 9 GALLONS PER MINUTE '' PUMP YIELD: 7.5 GALLONS PER MINUTE DATE OF INSPECTION: AUGUST 21, 1986 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 7.5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. STATIC WATER LEVEL WAS FOUND AT 88 FEET BELOW TOP OF CASING. AFTER 7 MINUTES OF PUMPING AT 7.5 GPM THE FLOW OF WATER STOPPED. WATER LEVEL IN WELL WAS MEASURED TO BE AT 120 FEET BELOW TOP OF CASING. TOTAL WELL DEPTH IS 132 FEET PER WELL LOG. RECOVERY RATE WAS MONITORED FOR 10 A RECOVERY OF 1 GALLON PERMINUTE. MINUTES WAS .75 GALLONS PER MINUTE. MINUTES. THE FIRST MINUTE SAW THE AVERAGE OVER THE FIRST 10 TEST FOR COLIFORMS: TEST RESULT: THIS WELL MEETS TIIE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. HOWEVER THE S.-T-~O.~R~G-E~AyA~I,~A_B~L~E~I_~.~!!=E_[!['~_ CASING IS NOT A~--V~--AI~L.6~-LE_~--%6!~.~A~!0--M~l~LUfii~']S_~J!_E._RIOD TO MEET THE DEMANDS OF _THLS R~E~S I~I~?_E_NCE~: ..... %H_ .I,$~.--RKQLL!iI~'],~ .E~IT~C_AN._~QN~LY _ BE ME~T BY PROVIDING N~LL-~..~O-~,BY~-INS-~AL-L~]_A~J,,,All~GE~__STORAGE TANK IN THE HOI~ TO~AL The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requJ_rement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. CONSULTING ENGINEER TELEPHONE: 1907) 279-3916 SEPTIC SYSTEM A D E Q U A C y T E ~' TL~ LEGAL: LOT 2, BLOCK 3, THYERMORE HEIGTHS LOCATION .. 7231 RUSSELL COURT OWNER: WILLIAM & SUSAN JARVES RESIDENCE: SINGLE FAMILY, THREE BEDROOMS WELL: PRIVATE, ON SITE SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1000 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 304 SQ. FT. SOIL RATING: 85 INSTALLATION DATE: JUNE 1982 DATE OF PUMPING: AUGUST 22, 1986, ANCHORAGE CESSPOOL PUMPING DATE OF TEST: AUGUST 22, 1986 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 6 FEET OF COVER AND A WATER DEPTH OF 52 INCHES. ~E___N~H HAD NO CLEANOUT. THE SUMP WAS 17 FEET DEEP WITH 24 INCHES OF LIQUID. WATER WAS ADDET TO THE SUMP IN 100 GALLONS INCREMENTS. THE WATER LEVELS IN TANK AND SUMP WERE MEASURED AFTER EACH ADDITION. THE WATER LEVEL IN THE TANK DID NOT CHANGE WHILE THE SUMP LEVEL CAME UP 30 INCHES AFTER THE ADDITION OF 400 GALLONS. THE INFILTRATION RATE WAS MONITORED FOR 20 MINUTES. DURING THIS TIME THE WATERLEVEL IN THE SUMP DROPPED 4 INCHES TO 26 INCHES TOTAL DEPTH. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi-- rements of,~h~,~Municipality and State.