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UPPER CHINOOK ACRES LT 2A
Upper Chinook Acres Lot 2A #015-163-42 Nov 29 21 09:35p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services Department j Phone: 947-343-7904 On -Site Water & Wastewater Section �• % fax: 907-343-7.- 82-0&0 Pump Installation Log Well Drilling Permit Number: Date of Issue: _ Parcel Identification Number: Legal DescriptionBlock Lot/� Property Owner Name `& Address: ulo peir c h l'1' ov)6 A GY e `J' I"1 Pump Installation Date: Pump Intake Depth Below Top of Well Casing: feet Pump Manufacturer's name: 37'07L -f%�' Pump Model: �f ��1-1 S D a3 Pump Size: � hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manuf'acturer's Name: A4^47 Pitless Adapter Installer: Well Disinfected Upon Com eti/oonn�?�� ❑ "s p No Method of Disinfection: Comments: Pump Installer Name: Company: Mailing Address: City: ANCHORAGE WELL. & PUMP SERVICE 7640 King Street Anchorage, AK 99518 PH: (907) 243-0740 State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage •f_ _ "a . Development Services Department r'-__ -_:ro Building Safety Division �_ ---_ On -Site Water & Wastewater Program, 4700 South Bragaw St. 5 : , , r P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO30413 PID Number: 015-163-42 Name: BECKY & P.K. WILLIS Wastewater System: ❑ New ■ Upgrade Address: 11300 HIDEAWAY TRAIL * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 346-1361 4 O Deep Trench O Shallow Trench ■ Bed DMound 0Other LEGAL DESCRIPTION Soil Rating: 0.7 Total Depth from original grade. SEE DWG GPD/Sq. FL FL Block: Lot: Subdivision: Depth to pipe bottom from original grade: Growl depth beneath pipe: - 2A, UPPER CHINOOK ACRES SEE DWG. FL 0.7 FL Township: Range: Section: Fill added above odginol grade: Gravel length: - - - SEE DWG. FL 48 FL WELL: ❑ New [3Upgrade Gravel width: 18 & 21 Number of Ilna: 4 Distance between lines: 4.5-5.5 FL Classification (Private, A.9,C): Total Ds Cased To: Total absorption area: Pipe material: Ft. FL 936+ so, FL D 3034/ F-810/ SCH. 40 Driller. \ Date Drilled: Ey` Static Water Level: Installer. AKWWC, INC. Date installed: 10/7-13/2003 rL Yield:Pump Set At Casing Height Above Ground: TANK GPM IR FL SEPARATION DISTANCES aseptic E3 Holding 0S.T.E.P. other Septic Absorption Lift Holding Public/Private Manufacturer. ca gallons: tv Tank Field Station Tank Sewer Lines ,��,^, 7Well — 100'+ — — 25 + Material: Number of compartmenb: — 100'+ — — — LIFT STATION Lot Line — 10'+ — — — Size In gallons: Manufacturer. Foundation — 10'+ — — — Pump on level at: or High water abrin at Curtain Drain NONE KNOW Pump Malo eL Electrical Inspections performed by: Remarks: BENCH MARK Location and DncdpWn: EXISTING STEP TANK VERIFIED TO BE OF GOOD TOP OF MANHOLE LID INTEGRITY Assumed Elevation: 100.00 FL ENGINEER'S SEAL 1C=11 � 4d AKWWC, INC. Inspections performed by: Dates: 1st 10/7/2003 0.... 9- ...... 0 D 2nd 10/10/2003 V 0 3rd 10/13/2003"� ..J fir y r ss:' Dorf ' 7953 Development Vc s Department Approval -i ""' ''o Reviewed and approved by: Date: /O- l(o"(�� (Rev. 12/01) q�0"OP rofes 00 s104� 40400 IPERMIT NUMBER: AS -BUILT DRAWING PARCEL INUMBER:1 SW030413 015-11 63-4242 I 100' WFI I RADIUS 0 I EXISTING 1500 GALLON S.T.E.P. TANK. VERIFIED TO \ BE OF GOOD INTEGRITY 7— _--- 10' UTILITY EASEMENT ------�— -- —-- -\ UNE UNDER DRIVEWAY INSULATED w/ 2" OF ; ',�1312 BLUEBOARD PER 1993 INSPECTION REPORT ` DBL 1 / A B C �� ..�•= / ST1 24.66 14.95 — ST2 33.70 13.45 bB MH 36.20 14.40 — MT1 — 66 05 89 51 FA DATE: 10/14/2003 DRAWN BY: ALASKA N'E'ATER & NVAS"'FEWATER SCALE: C.J.G. �.V_, �,�,—.�.�.� CONSULTANTS, INC. 1 " = 40� 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 ' FAX (907)338-32L6 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BECKY & P.K. WILLIS (907) 346-1361 1 2 OF 3 LEGAL DESCRIPTION: UPPPER CHINOOK ACRES SUBDIVISION; LOT 2A, TYPE OF WORK: AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE oQ � OF,; T 'a.....I.... I........ I •.J fr mes Q4 ��� E 795 �G p 40��E'r0 f e s slO� I y M MT2 — 81.71 105.18 ___ •±. MTII MT3 — 100.09 94.91 z o MT4 — 87.12 78.13 80 - -- MT4L. — —J41T3 \ / EXISTING WELL NEW DRAINFIELD 1 FA DATE: 10/14/2003 DRAWN BY: ALASKA N'E'ATER & NVAS"'FEWATER SCALE: C.J.G. �.V_, �,�,—.�.�.� CONSULTANTS, INC. 1 " = 40� 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 ' FAX (907)338-32L6 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BECKY & P.K. WILLIS (907) 346-1361 1 2 OF 3 LEGAL DESCRIPTION: UPPPER CHINOOK ACRES SUBDIVISION; LOT 2A, TYPE OF WORK: AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE oQ � OF,; T 'a.....I.... I........ I •.J fr mes Q4 ��� E 795 �G p 40��E'r0 f e s slO� PERMrTNUMBER: BUILT DRAWING PARCEL INUMBER: SWO AS -BUILT 015-11 63-42 MONITORING TUBE FINAL GRADE - 107.36-108.26 2' OF INSULATION -MONITORING TUBE / r -FILTER FABRIC TOP OF SAND - 103.71 (AVG.) - O or NAT MATERIAL HIGHEST j'� •.,�^j';•i.-.',,.� ...,I ��'R •• 1 1��'L�l'.�i:�:4/,L/.�I.IiI .I Iy r&� POINT . CORNER) _ a.NATIVE ij,:'.fi:?/ iiiiii:%�i�i•�'�rira_.I:iAi ._4/:/_I /:i:/�r:/�:al106.61 -18 FEET WIDE-- RELATIVE ELEVATION OF MIKE ANDERSON, P.E.. TH/4 (1993) - 91.30 (H20 O 98.86) INVERT OF PIPE - 104.31 (AVG.) THE DISTRIBUTION UNES ARE 1.25 INCH SCHEDULE 40 PVC WITH 1/8 INCH HOLES SPACED APPROXIMATELY 26 INCHES ON CENTER. (18 HOLES PER LATERAL HOLES TOTAL) CAVATED OUT CONTAMINATED --BOTTOM OF BED AT HIGHEST SAND. SAND IN 1993 BED POINT (SE CORNER) - WAS NOT 2.0 FEET DEEP 101.21 EXCAVATION LIMITED TO THE REMOVAL OF THE CONTAMINATED MATERIAL THERE WAS NO SAND AT SE CORNER OF 1993 BED DATE: 10/14/2003 DRAWN BY: ALASKA NVATER & WASTEWATER SCALE: C.J.G. .•r_ u , �s.�. �,,,:,u.�, CONSULTANTS, INC. w ,-. . .. 1 " = 40' 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-32L6 PREPARED FOR: PHONE NUMBER:PAGE NUMBER: BECKY & P.K. WILLIS (907) 346-1361 3 OF 3 LEGAL DESCRIPTION: UPPER CHINOOK ACRES SUBDIVISION; LOT 2A, TYPE OF WORK: PROFILE AS—BUILT OF SEPTIC SYSTEM F A o� 0 feyG ness., CE 95 �i win—Pro fnssloln i MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 02, 2003 Expiration Date: Oct 01, 2004 Permit Number: SW030413 Parcel ID: 015-163-42 Legal Description: [UPPER:CHINOOK ACRES`LT.V2Af Design Engineer: 0041 AK Water & Wastewater ConsultaN Site Address: 011300 HIDEAWAY TR Owner Name: Becky & P.K. Willis Lot Size: 49466 SQ. FT. Owner Address: 11300 HIDEAWAY TRAIL Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99516-1186 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: to .3 -0? Date:/ Q 3 9 JJSV4 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 401P&O ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. o _ I >—`-t Z' Permit Number 5WO30413 Property owner(s) BECKY & P.K. WILLIS Day phone 346-1361 Mailing address (1) _ 11300 HIDEAWAY TRAIL * ANCHORAGE. AK Mailing address (2) Zip Code _ 99516 Legal description (Lot, Block & Sub'd.) LOT 2A: UPPER CHINOOK ACRES SUBDIVISION Legal description (Section, Township & Range) _ N/A Lot Size Lq I L4Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: 1100 f- 150 "550' ^ Waiver Fees Date of Payment: 10-1-05 Receipt Number: '�a5t U /�►�f Date of Payment: Receipt Number: ALASKA. WATER E.- WASTEWATER c:.x ra n c:� r7vR.: rcr, �ina;Y� :rn CONSULTANTS, INC. �s: rrrrn a».rsFtcu ccs str sru::n�mrnu nry Rn ; rsmra September 30, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lot 2A, Upper Chinook Acres Subdivision. To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The septic system consists of a 1500 gallon S.T.E.P. tank and a bed type drainfield that were installed in 1993. The drainfield is surcharged and must be upgraded prior to the sale of the house. We are proposing to inspect the existing S.T.E.P. tank to verify its structural integrity. If it is in good condition, it is our intent to reuse the tank. We are proposing to excavate the contaminated material from the existing bed and then re -build it to its current elevation and dimensions. Comments regarding the design are summarized as follows: 1. SOILS: Attached is the soil log prepared by John Simpson, P.E. On the inspection report it states that the soil rating was 0.8 gallons/day/ft2. 2. DRAINFIELD DESIGN: Rebuilding existing Bed a. Percolation Rate: 5 minutes/inch b. Application Rate: 0.8 gallons/day/R2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 ft2 f. Sand Filter: 2 feet minimum g. Effective Depth: 0.5 feet h. Width: 21 feet i. Length: 44 feet j. Effective absorption area = 924 f12 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: There are no slope concerns. 5. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at your assistance. I.S. NOTE: Attached is a site plan drativing, a design drawing, a topography site plan, a soils logs, and a 7 page constniction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com LOT 1; WORLD TOP ACRES S/D LOT 3; WORLD TOP ACRES S/D I I LOT 4; WORLD LOT 2; WORLD \\ TOP ACRES S/D — -- — TOP ACRES S/D I I ��-�-- / ASEPTIC ARS I I .� - — — — — — — — — — L-------------- \-----------•--- --------- %_ �\ � EXISTING f I 4 BEDROOM RpD1U5 I HOUSE \ LOT 28• UPPER CHINOOK ACRES ------------------------ t LOT 28; STRUCK I I I I I I LOT 1; STRUCK DATE: fr° ` 9/30/2003 DRAWN BY: ALASKAWATER & WAS T4WATKR C.J.G. CONSULTANTS, INC. — SCALE: 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE 0071337-6179 • FAX (907)338.3246 1 11 = 1 001 PREPARED FOR PHONE NUMBER: PAGE NUMBER: BECKY & P.K WILLIS 346-1361 2 OF 2 1L DESCRIPTION: UPPER CHINOOK ACRES; LOT 2A OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE 1 I I I 1 I 1 I I I I I I I I I I 1 I 1 I I I L------- ... 49 .V .......:' ffr y r GbrRess:' E 953 JIJ� •••'\�,�� +`', Pro sgt0n PROPOSED SEPTIC UPGRADE LOT 1B; UPPER (SEE DESIGN PAGE 2 OF 2) CHINOOK ACRES .` / U LOT 1A; UPPER / CHINOOK ACRES -------------- --- ---------------__-__—_���_._- ------------------------ t LOT 28; STRUCK I I I I I I LOT 1; STRUCK DATE: fr° ` 9/30/2003 DRAWN BY: ALASKAWATER & WAS T4WATKR C.J.G. CONSULTANTS, INC. — SCALE: 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE 0071337-6179 • FAX (907)338.3246 1 11 = 1 001 PREPARED FOR PHONE NUMBER: PAGE NUMBER: BECKY & P.K WILLIS 346-1361 2 OF 2 1L DESCRIPTION: UPPER CHINOOK ACRES; LOT 2A OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE 1 I I I 1 I 1 I I I I I I I I I I 1 I 1 I I I L------- ... 49 .V .......:' ffr y r GbrRess:' E 953 JIJ� •••'\�,�� +`', Pro sgt0n i EXISTING 1500 GALLON S.T.E.P. TANK. THE TANK IS TO BE EXPOSED AND THE INTEGRITY VERIFIED. IF OF POOR INTEGRITY REPLACE WITH A NEW 1500 GALLON S.T.E.P. TANK — — 10' UTILITY EASEMENT INSTALL \ FOUNDATION CLEANOUT I \ �l( MTF- •1l' •3 PROPOSED REBUILDING OF EXISTING BED. THE EXISTING BED IS A 21 FEET WIDE BY 44 FEET LONG BED TYPE DRAINFIELD WITH 2 FEET OF SAND AND 0.73 FEET OF EFFECTNE. WE ARE PROPOSING THAT THE BED BE EXCAVATED AND THAT ALL CONTAMINATED MATERIAL BE REMOVED. AFTER ALL CONTAMINATED MATERIAL IS REMOVED, INSTALL A MINIMUM OF 2+ FEET OF M.O.A. SAND FILTER TO BE AT OR ABOVE THE BOTTOM OF THE EXISTING DRAINROCK. THEN ADD 0.5 FEET OF NEW, CLEAN WASHED SEWER DRAINRDCK. THE DISTRIBUTION UNE IS TO BE 1.25 INCH PVC WITH i INCH HOLES SPACED 26 INCHES ON CENTER (18 HOLES PER LATERAL,/72 HOLES TOTAL) — � NOTE: THE CONTRACTOR SHALL HAVE THE 100 FOOT WELL RADIUS ON THE NORTHERN LOT AND THE EAST LOT LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. I I I I r 0 �F 9/30/2003 � . lK DRAWN BY: Ov • .�o ALASKA WATE�Y,'V� R ASTEWATKR SCALE: c'J'G' 4 *CONSULTANTS, INC.- """'® 1-- - 40' ''•' .••••••• 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338.32L6 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ,,,,,, BECKY & P.K. WILLIS 346-1361 2 OF 2 f G mess: O_ I LEGAL DESCRIPTION: UPPER CHINOOK ACRES; LOT 2A, C ... ~�G ' SAO TYPE OF WORK:400a�'rofesslorloo� DESIGN FOR PROPOSED SEPTIC UPGRADE �O0000ao Sent 8y: flONNA ORR REMAX PROPERTIES 907 348 7767; Sep -12-03 9:50; Munk mft at Andmwage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 IV Street. Anchorage, Alaska 99502 -OW SOILS LOG -- PERCOLATION TEST GATE Range. Section: 1. 4ffE "N Page 16/16 ORION 10lI0NINNINNININ!' P.� ■iIM■ INIMOOMEMEM10E: ■gum■ 10010101mmirli ml Ellaimm IOINNOENOC�:�'..0. moms 101MMEME iii!!u1 ■illm■ lOrEMENE l i mmi r ■IMMEMEMEW t��air��a�i �■ i� 210 PERCOLATION RATE�� (ffMhUbMwoen) PEAC HOLE DIAMETER T Rt1N BETWEENND FT A Colatilcx" 'v PERf=vf fea BY: J, I CERTIFY Tti�►T 7T+ s TfsT WAS PERFOr mao IN Acemomm WITH ALL 5'rAse AND tawNICIPAL tiL10EtJNES tN EFFECT ON THIS CATS DATf;: .019 n -am Imo. Qa5l 0 i7��C�i!L�6Z1 OIiC'' mm, 210 PERCOLATION RATE�� (ffMhUbMwoen) PEAC HOLE DIAMETER T Rt1N BETWEENND FT A Colatilcx" 'v PERf=vf fea BY: J, I CERTIFY Tti�►T 7T+ s TfsT WAS PERFOr mao IN Acemomm WITH ALL 5'rAse AND tawNICIPAL tiL10EtJNES tN EFFECT ON THIS CATS DATf;: .019 n -am Imo. Qa5l 4' ca,-a� (I's. Municipality of Anchorage Page i of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5Ujg3pgS Z PID Number: 01511&34z. Name: Wastewater System: New ❑ Upgrade Address: �L it ���� �st�-a ABSORPTION FIELD Phone: No. of Bedrooms: ❑ Deep Trench ❑Shallow Trench Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: .Y7 GPD/Sq. Ft. ?.—$ Lot: Block: Suladivaloq Depth to pipe bottom from original grade: Gravel depth beneath pipe C 1.5 Ft. Ft. Township: Range: - Section: Fill added above original grade: Gravel length: L 0-1-5 Ft. 1++ Ft. WELL: L1 New ❑Upgrade Gravel width: I Number of lines: Distance between lines: 1 r Ft. FL Classification ((Private A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: 17_71°- rVG/ Y,VAl- ^' X76 Ft. 7 W% r Ft. q / SG. Ft. �qo G. Drill r. Date Drilled+ illrc Static Water Level: In Iles / Date installed' L1111<4 /9717 Ft. - R Yield: Pump Set at: I Casing Height Above Ground: TANK 6-0 GPM UNKN FL �- �, f%r Ft. SEPARATION DISTANCES � ❑ Septic ❑ Holding To Septic Absorption Liu Holding .' /Private a ufa hirer: Capacity in gallons: From Tank Field Station Tank Sewer Lines 19900 Well 12�r �fo�r 16pr >/Z,O/ Material: Number of Compartments: LjOr I sd Iso / >I7o' - LIFT STATION Watere I Lot r �0 / 10 / Sa i' r to Size in gallons: Manufacturer: 5 Line ,i Itjpo v Foundation "Pump on" level at: 59 "Pump oft.. level at: High water alarm at: 5" 1 4,5Iu Curtain / / / /� Pp Make 8 Model Electrical Inspections performed by: Drain / / BENCH MARK Remarks: Location and Description: s Assumed Elevation: Ipo°i ENGINEER'S SEAL Inspections performed by:Dates: 1st N ?3�cc 2nd I c0 �to e .. "� Michael E. Anderson ��• �� Department of Heal a Human rvices appr vat G°�z5F n" ea367 b9 �\4 t Reviewed and approved by. Date: 72-013 mev. 9/917 MOA 25 f/. _. _____ -_ ,. Municipality of Anchorage Page 3 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report. Permit Number: PID Number: a,yT�Is°r� l Fy INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD INSPECTIONS (807) 563-3464 �Alo INFORMATION (807) 786-8211 i rye/ NAME ._ Mit C /L"('.� r 1 L. /PERMIT NO. 173-2724% J'j� 1 J / S E7 ADDRESS '-J"� G p '! PHONE � o 6-j LOT/�BLOCK/—..�..SUBOIV. 'r { G /DATE q 3 FOOTING ❑ ELEC. TEMP. ❑ PLBG. UNOGR. v _ ❑ FOUNDATION — ❑ ELEC. SERVICE ❑ PLBG. ROUGH — Ell, BOND BEAM ❑ ELEC. ROUGH ❑ GAS TEMP. ❑ FRAMING ❑ ELEC. FINAL (� GAS ❑ INSULATION ❑ OTHER �j MECHANICAL ❑ STEETROCK ❑ MECH.FINAL ❑ STRUCT. FINAL ❑ FIRE FINAL ❑ PLBG. FINAL --- ❑ OTHER 0 ZONING ❑ OTHER O ANO NONCOMPLIANCE OBSERVED 0 CORRECTIONS ESSENTIAL AS EXPLAINED BELOW ❑ WILL REEXAMINE AT NEXT INSPECTION ❑ DO NOT CONCEAL UNTIL REINSPECTED COMMENTS WHEN a1.Op} IRav, 1tl07) MS ARE MADE, PLEASE CALL FOR INSPEdTic DO NOT REMOVE THIS NOTICE z sv o rrl G r`i _rn cD W rn d: �L. WHEN a1.Op} IRav, 1tl07) MS ARE MADE, PLEASE CALL FOR INSPEdTic DO NOT REMOVE THIS NOTICE z sv o rrl G r`i _rn cD W rn PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930452 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:MCCAUGHAN WILLIAM T & GAIL OWNER ADDRESS:P.O.BOX 112481 ANCHORAGE, AK 99511-2481 PARCEL ID:01516342 LEGAL DESCRIPTION: UPPER CHINOOK ACRES LT 2A LOT SIZE: 49466 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: /)-,Q 93 t9m DATE ISSUED:10/27/93 EXPIRATION DATE:10/27/94 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5_ THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: DATE: %� ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 October 22, 1993 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Attention: Susan Oswalt RECEIVED 00-f 2 21993 Municipality of Anchorage Dept. Health & Human Services Subject: Lot 2A, Upper Chinook Acres Subdivision Septic System Upgrade Permit Dear Susan: The Site Plan and Area Map of the design for the septic system upgrade for the subject lot have been modified to include an alternate site for the proposed bed system. The alternate site will be located immediately west and slightly south of the primary site. Testhole No. 4 was used for the design of the alternate site. We will place another testhole during construction of the primary system to verify the soils for the reserve area are consistent. Please let me know if you have additional questions or comments. Sincerely, n,r-l"Mt�, C atcJ- Michael E. Anderson, P.E. ANDERSON ENGINEERING P.O. BOX 240773 MUNICIPALITY OF ANCHORAGE ANCHORAGE, ALASKA 99524 ENVIRONMENTAL SERVICES DIVISION October, 1993 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 2A, Upper Chinook Acres Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: OCT 19 1993 The seepage pit on the subject lot failed a recent adequacy test and must be replaced with a new drainfield. In addition, the septic tank is sized for a three bedroom home. A new tank is required for the four bedroom home. The lot is narrow and surrounded by wells on all four sides. The available area for a new system is restricted due to the setback distances from the wells. The water table was found at a depth of 8' so a shallow bed system will be constructed along with a lift station to raise the effluent to the drainfield. If the system is constructed as required the following statements can be made: 1. The system, if constructed as designed, will have no adverse impact on the wells currently in use or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. 11 The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. Sincerely, �c.0(.L2i,Xs �- Michael E. Anderson, P.E. ,�a� ,� ��/ 9lv �� 7-1 h/�) I mmu:� w.i �smxm..ei xsi �v,�x�� n. k..;,„„ v,.. a�,.i ..,.r,. �. �� , � wa �xn., um €,. GINEER-S SEAL) f � Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: DATE DATE LEGAL jv a .: 2 P�a 3 /� {ASGPi 41 �1 8 '09 R 16 17 18 �fhr DIG 19 1 1 P&0 Ranae. Section: E WASGROUNDWATER ENCOUNTERED? 1 I S jo IF YES, AT WHAT L "11T5 O o DEPTH? P E v '� WAr- DeO to Walt tiler MmbriDq? °=.�7� Galt /moo 9 0 10- 12 12- 13 13 .oma 14 16 17 18 �fhr DIG 19 1 1 P&0 Ranae. Section: E WASGROUNDWATER ENCOUNTERED? 1 I S jo IF YES, AT WHAT L "11T5 O o DEPTH? P E v '� WAr- DeO to Walt tiler MmbriDq? °=.�7� Galt 20 { I n IL_ll PERCOLATION RATE lminutesnnchi PERC HOLE DIAMETER J TE TRUN BETWEEN �FTAND _FT r COMMENTS eA Wy W." i k1v'1,D t6414r 'I PERFORMED BY: �,/� I MW4, AL `�'^^^'�" CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10hq 19-? 72-0081Rev. 41851 Wiwi 20 { I n IL_ll PERCOLATION RATE lminutesnnchi PERC HOLE DIAMETER J TE TRUN BETWEEN �FTAND _FT r COMMENTS eA Wy W." i k1v'1,D t6414r 'I PERFORMED BY: �,/� I MW4, AL `�'^^^'�" CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10hq 19-? 72-0081Rev. 41851 2srEVVN baa IL. COs T SHEET NO. OF CALCULATED BY. A4 DATE ��ial93 PPAOLCEN41 poE )ml(Pat0.tl)®odx,GMd16 01171. TO ONp% Ta WFE I$]Pffi Lot 2A, Upper Chinook Acres Subdivision DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home Shallow Bed System Percolation Rate: 5 Min./Inch 1,250 Gallon Septic Tank Application Rate: .7 GPD/SF Lift Station Water Table 7.8' (4 Bdrms. X 150 GPD) / .7 GPD/SF = 857 SF 857 S.F. / 20 L.F. = 42.8 L.F. Therefore: Construct Shallow Bed 20 L.F. X 44 L.F. 1. Remove insitu material to SW/GW material. 2. Place 2' of medium/coarse sand. 3. Place 12" septic rock. = 'r 4. Place 1-1/4" pressure piping system. 5. Place styrofoam insulation and backfill with natural fill. �� ry o 1 l f� a c as u eaoa o°oa 0095406a0� O � L" Michael E. Anderson 438XI 7 J 'xa a '�s r�N�0 A, MOOLCIN l(Smpk5An )m IPtlNFI®O Onit^• %Iii.Ta phffMglEiOLLiPFEIffiA]1561M GAAB HD -I NAME It LOCATION A4 SEPTIC TANK: L GIRFATER ANCHORAGE AREA BOROIJOH HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING DESCRI - DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE - :?Y./ /gciT PHONE ? DISTANCE FROM - -. WATER 7 TYPE , DEPTH ryry 'IJ �J�/Y In p �C/d �e �/4 C.L.t cs vm� EI.rA"- DISTANCE FROM WELL /4NUMBER OF MATERIAL &7YJCAc_z COMPARTMENTS t' I SS!% av) �G.z'ro.4+�' 14; 10 LIQUID LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE WIDTH - DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS T OUTSIDE DIAMETER OR WIDTH 13 LENGTH ♦`3 DEPTH �- LINING MATERIAL �,c%✓�ULZL�c. ✓� .DISTANCE FROM WELL No; � BUILDING FOUNDATION NEAREST LOT LINE 6 - TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) fZ_ SO. FT. TILE DRAIN FIELD: DISTANCE FR M WELL— NUMBER O LINES_ ABSORPTIO AREA.. FOUNDATION E BETWEEN LIN FT. L GTH OF EACH. LI NEAREST LOT. TOTAL LENGTH OF UN)i5_ TOTAL -DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE - WELL: �Y�r�p" ? DISTANCE FROM - -. WATER 7 TYPE , DEPTH , BUILDING FOUNDATION. SAMPLE p NEAREST LOT LINE NEAREST SEPTIC �a SEEPAGE` i i OTHER SEWER LINE , TANK SYSTEM CESSPOOL m SOURCES= DISTANCES: DIAGRAM OF SYSTEM G^"B.HD-2 GREATEr'�ANCHORAGE AREA''OROUGH Case No. HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT �D �p 171fz/ NAME OF APPLICANT 1 C MAILING ADDRESS PHONE NO. RESIDENCE ADDRESS® !a' 4 /G- LOCATION OF INSTALLATION � /)c> LEGAL DESCRIPTION��'/,',ICfU11A / f 0 a1__1C�_s 611ilVe-elm_ APPLICATION TO INSTALL: SEPTIC TANK f0 , SEEPAGE PIT I" , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY /9Cf/f" • //, ff%C FINANCED THROUGH -� TO BE INSTALLED BY a -`-=ice `�y- - l:� 1.3 9e TEST RESULTS 333 i ANTICIPATED DATE OF COMPLETION //�� BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS /R• fV PERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE ) UNIT TO BE SERVED_ >� SEPTIC TANK SIZE C TYPd SEEPAGE AREA �yf;ff 74 TYPE &11i,14e, DIAGRAM OF SYSTEM *151 DISTANCES: (1&111 jnalx) • HEALTH AUTHORITY OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anc orage Area Borough above describedSys em is "n accordance with said code. G!D DATE APPLICANTSSIGNATUR<� No. 28-68 and that the ')GREATER ANCHORAGE AREA BOROUGH? HEALTH DEPARTMENT CASE, 4 327 EAGLE STREET ----" �� ANCHORAGE, ALASKA 99501 Performed PorI�R' / W;6'/'i" a Date Performed��' q� / Legal. Description: Lot Block Subdivas2.on --�- m,—�-..-m.. s W This Term Reports a: Seryls Lo- ,®Percolation Test_ Depth Feet. Soil Characteristics The soil Ce/7oGliarl ore erral,c J -//,/s 1'w111P/eo,-ejei,Zf on everaye, r/)ere r�; z h/yh !?IO/j/C! P cep+ el/i a f /,17�er�469;7- 4p/7m/-to efe )Ogee% soc/f/� U�fdcS. Si fe ftiP Lvkfer ¢utile /3 a� /0; Herr, /3 jome e uc'<1eo, ce �- SPrin`l Or SOMe grow„E Gc,a f er GeiiLi /here 4 i po gl-eo e( wafer /h Me 1i"057 "Oe fl Prr, %Y p Was Ground Water Encountered?s / o .00 If Yes, At What Depth Location Sketch rroposea installation¢ Seepage Pit Drain Field Depth Of Inlet Depth To Bottom Of Pit Or Trench COMMENTS: C _ .SFP/)/.� ✓: error .. /z -i ..., .4/ // lest rerrormed By: NP rec n Data Certified By: Dater tllAGi{I gUi • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 =*> Certificate of On -Site Systems Approval Parcel I.D. 015-163-42 Expiration Date: f 0 _ 1. GENERAL INFORMATION Complete legal description Upper Chinook Acres, Lot 2A Location (site address) 11300 Hideaway Trail Current Property owner(s) Robert & Rebecca Hughes Day phone Mailing address 11300 Hideaway Trail Real Estate Agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) WaiverNariance request for: Received by f_(t `:' Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Ll 6, -o Waiver Fee $ Date of Payment Z"Iia..fi-i/n Date of Payment Receipt Number 0& Ogg P Receipt Number COSA# 66&13132y Waiver# 4 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well n Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public VV'dter SybIU111 Elrubiic Scaler F-1 WaiverNariance request for: Received by f_(t `:' Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Ll 6, -o Waiver Fee $ Date of Payment Z"Iia..fi-i/n Date of Payment Receipt Number 0& Ogg P Receipt Number COSA# 66&13132y 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 Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 6/24/13 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms bedrooms, with the following stipulations: By Original Certificate Date: F7' v Th unit ty chorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r '- t.. c If more than 1 septic system is on the lot: COSA Checklist # + of I Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Upper Chinook Acres, Lot 2A Parcel ID: 015-163-42 A. WELL DATA Well type Private Date completed _ Total depth 56* ft. Date of test Static water level Well production If A, B, or C provide PWSID # _ Sanitary seal (Y/N) Y Cased to > 40 ft. FROM WELL LOG Well Log (YIN) NO Wires properly protected (Y/N) Y Casing height (above ground) 24 in. AT INSPECTION 6/24/13 49 7.6+ ft. Al2W WATER SAMPLE RESULTS: Coliform Pr 5colonies/100 mL Nitrate !S• 3 5 mg/L Arsenic - Z 1 ug/L Date of sample: G 2 III> Collected by: 1 e,5 B. SEPTIC/HOLDING TANK DATA TankType/Material S.T. E. P. / Steel Date installed 11/1-4/93 Tank size 1,500 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm ((Y�/,N_), Y Date of pumping Zq Zr1 3 Pumper 4fi /�InC� s�I')e-E ,on - C. ABSORPTION FIELD DATA Date installed 11/1-4/93 Soil rating (g.p.d./W or ftp/bdrm) 0.8 GPD/SF System type Bed Length -44 L/ 91 ft. Width 21 ft. Gravel below pipe 0.73 ft Total depth 6.2 ft. Eff. absorption area 924 ftz Monitoring tube Y Depression over field N Date of adequacy test 6/24/13 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption Feld before test 0 in. Water added 612 gal. New depth 0 in. Elapsed Time: 120 min. Final fluid depth 0 in. Absorption rate , 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed 11/1-4/9``3 Size in gallons 1,500 Manhole/Access(YIN) Yes .� 4 "Pump on" level at3-Pump offlevel at *3- 3 . High water alarm level at 45 in. Datum Bottom of Tank Cycles tested 4 Meets alarm & circuit requirements? Yes E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 100+ On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS * Information from Inspection Report G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date COSA brown sheet 10-10-12.doc 6/24/13 Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ Municipality of Anchorage Community Development Department Development Services Division 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 # 131324 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 2A of Upper Chinook Acres subdivision. This inspection revealed a nitrate concentration of 5.35 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. AAROW PUMP & WEAL SERVICES LLC P.O, Box 110496 Anchorage, AK 99511 Office: (907) 346-9355 • Fax (907) 345-0202 Eagle River: (907) 622-9335 CUSTOMER X OB SITE No. 9863 J INVOICE DATE -y WELL -L) z S CN INCO[i ATEe _'^.-,-.�'.� potvP PTH �� SALESPERSON `F f� <.%?�l QUANTITY DESCRIPTION PRICE AMOUNT :t�l1-- - - - - LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR WORKORDEFF7 DATE COMP. TOTAL LABOR PAY THIS AMOUNT Thank YOU SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to allow Aarow Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. Municipality of Anchorage Development Services Department Building Safety Division •�, j� On -Site Water S Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 w (907) 343-7 onsite t"a (907) 343-7904 "J CERTIFICATE OF ON-SITE SYSTEMS APPROVAL /h FOR A SINGLE FAMILY DWELLING Parcel I.D. 015 /&. - go- COSA# A 1. GENERAL INFORMATION Expiration Date: I a ' oz G - o (o Complete legal description UPPER CHINOOK ACRES SUBDMSION• LOT 2A Location (site address) 11300 HIDEAWAY TRAIL ► ANCHORAGE, AK 99516 Current Property owner(s) JAMES DOOLEY Day phone C/O AGENT Mailing address 11300 HIDEAWAY TRAIL • ANCHORAGE AK 99516 Lending agency Day phone Mailing address Real Estate Agent NANCY RERG—PO I O K w/ PR r)FNTIAI .Day phone 76 —5818 Mailing address 3801 CENTFRPOINT DR 0700 • ANCHORAGE- AK 9950 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site K Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS. P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines B Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily tdontifiable features. The operational life of all wells and septic systems depend on the local soils condition, 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sote other errsonofit of or pathe owner rty Is notursted above. Any thorized. nor will it cconfor anliance y legal rigor use ht whais lsoovm port by any S. DSD SIGNATURE V/ Approved forbedrooms. Disapproved. Phone 337-6179 Date q /at lob Conditional approval for bedrooms, with the tllowing stipulations: Attachments: C/ COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Reort Nitrate Advisory �� Other ��ttttt�tOF AN6, r6,, Q .•�c ,ER '• VNIER ip's M I./— 06 Lv, Original Certificate Date: v2%– By: IGS, ilR l Municipality of Anchorage Development Services Department Building Safety Dion OnSke Water & Wastewater Program 47W Bragaw Street P.O. BOX 196650 Anchorage, AK 99519.66W www.muni.org/onske (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST 9*1t, _."APF"ev p Legal Description: UPPER CHINOOK ACRES SUBDIVISION: LOT 2A Parcel ID: O1 JS" -16 3 -Y2 A. WELL DATA WOO type PRIVATE if A, B, or C provide PWSID# N/A Date completed -1970 Sanitary seal (Y/N) YES Total depth 50+ ft, Cam to 40+ ft, FROM WELL LOG Date of test Static water level Well production N� g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: ND ugJL. B. SEPTIC/HOLDING TANK DATA Nitrate 5.63 mgJL, Well Log (YIN) NO Wires property protected (YM) YES Casing height (above ground) 12+ in, AT INSPECTION 9/11/2006 50 ft, 5.90 g.p.m. Other bacteria 0 colonies/100 ml. Date of sample: 9/11/2006 Coeected by: - GEG. Ltd. Tank Type/Material - SEPTIC/STEEL Daft installed 11/4/1993 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YM) YES Depression over tank (Y/N) NO High water alarm (YIN) YES Date of pumping J 1IAI.2aeL Pumper McDONALD'S PUMPING C. ABSORPTION FIELD DATA Date installed 10/13/2003 Soil rating (g.p.dAld t bd 0_7 System type BED Length 48 ft. Width 18+21 ft. Gravel below pipe 0.5+ ft, Total depth s.6 -4.e ft. Eff. absorption area 935 ft' Monitoring tube YES Depression over field NO Date of adequacy test 9/11/2006 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test DRY In. Water added 603 gal, New depth DRY in. Elapsed Time: 0 min. Final fluid depth DRY in. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date D. LIFT STATION Data installed 11/ 1-4/ 1993 Size in gallons 1500 Manhole/Access (YIN) YES "Pump on" Wei at 39 in. "Pump off" level at 43.5 in. High water alar level at 45 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alar & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent kits 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line25 + Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100,+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A 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 N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION OF I candy that I have determined through field inspections and *! review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this .... ............ date. �p f sy A. nes*., Engineers Printed Name JEFFREY A. GARNESS Y►4q CE -79 3 •' Date COSA Fee S L/ () n Waiver Fee E _ Data of Payment 1I14 Ic'j' Date of Payment Receipt Number I q 41 J1 Receipt Number (Rev. 11/05) Municipality of Anchorage Development Services Department w Building Safety Division ." - On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 060466 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 2A of Upper Chinook Acres subdivision. This inspection revealed a nitrate concentration of 5.63 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. w"'itill SGS ReLB 1065389001 Client Name Garness Engineering Group, Ltd. Project Name/p Lot 2A Upper Chinook Acres Client Sample ID Lot 2A Upper Chinook Acres Dlatri: Drinking Water Sample Remarks: All Dates/Times are Alaska Standard Time Printed Date?ime 09202006 827 Collected Dale/rime 09/112006 11:03 Received Date/rime 09/112006 14:10 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Date Date Init Metals by ICP/M3 Arsenic ND 5.00 ug/L EP200.8 C (<10) 09/12106 09/14/06 Nil Waters Department Nitrate -N 5.63 0.100 Microbiology Laboratory Total Coliform 0 mg/L EPA 353.2 0 (Q0) 09/11/06 ALR col/IOOmL SM209222B A (<1) 09/11/06 TLF Municipality of Anchorage o • Development Services Department Building Safety Division , A [ T Y On -Site Water & Wastewater Program 4700 South Bragaw St. C� P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-163-42 HAA# 030 57 a 8 1. GENERAL INFORMATION Expiration Date: � '" /G — 0 T Complete legal description LOT 2A: UPPER CHINOOK ACRES SUBDIVISION Location (site address or directions) 11300 HIDEAWAY TRAIL * ANCHORAGE, AK 99516 Current Property owner(s) BECKY & P.K. WILLIS Day phone 346-1361 Mailing address Lending agency Mailing address Real Estate Agent Mailing address 11300 HIDEAWAY TRAIL * ANCHORAGE, AK 99516 DONNA ORR w/ REMAX PROPERTIES Day phone Day phone 2600 CORDOVA STREET * ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 240-7493 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer. of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior to closing for the engineering services provided. 4. 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 Health Authority 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. 1 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for �_ bedrooms. Disapproved. Phone 337-6179 Date l o ! to 03 Conditional approval for bedrooms, with the fllowing stipulations: OF UN WATER AND . - WPROGRAM • Attachments:``` 9HAA Checklist � Manitenance Agreements JJJJJJ�`0�`'' `�` ` J� Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: Original Certificate Date: (Rev. 12101) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: UPPER CHINOOK ACRES S/D: LOT 2A, Parcel ID: 015-163-42 A. WELL DATA Well typePRT— If A. B, or C provide PWSID# N/A Date completed UNKNOWN Sanitary seal (Y/N) YES Total depth 53+ ft. Cased to 40+ ft, FROM WELL LOG Date of test Static water level ft. Well production ;;�2fg-p-m- WATER SAMPLE RESULTS: Well Log (Y/N) NO Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 9/16/2003 52 ft. 6.63 g.p.m. Coliform 0 colonies/100 mL Nitrate 3.69 mg./L. Other bacteria 6 colonies/100 ml. Arsenic: N/A mg./L. Date of sample: 9/16/2003 Collected by: AKWWC, INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL/S.T.E.P. Date installed 11/1-4/1993 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 7/16/2003 Pumper NORTHLAND PUMPING *BELOW FINAL GRADE. TO C. ABSORPTION FIELD DATA TOP OF IMPORTED SAND Date installed 10/7-13/2003 Soil rating EDr ft2/bdrm) 0.8 System type BED Length 48 ft. Width 18 & 21 ft. Gravel below pipe 0.7 ft. Total depth 3.7-4-6 ft. Eff. absorption area 936+ ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) — For 4 bedrooms Fluid depth in absorption field before test — in. Water added — gal. New depth — in. Elapsed Time: — min. Final fluid depth — in. Absorption rate >= — g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) — If yes, give date — D. LIFT STATION Date installed 11/1-4/1993 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at 39 in. "Pump off' level at 43.5 in. High water alarm level at 45 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm R circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A 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 _ N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 5'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION ooh'`; Sy400 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in ' ' ' • ' • • ' ' ' • ' • • ' ' • conformance with MOA HAA guidelines in effect on this date. OQ ff ey . Ga ess Engineer's Printe N e JEFFREY A. GARNESS �O0 CE 7953 �o5cV Date /o l6 D3 4��dprofessiot'ah Od4000� HAA Fee$ 3:7-s-** -005"' Rush Date of Payment/ k!_ 603 Receipt Number. 2 (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number 9-23-03; 5:26PM; ;907 5615301 # B- 2 GS Ref.# 1036032001 .lient Name AK Water & Wastewater Consultants Inc. Iroject Name/# Lot 2A Chinook Acres :tient Sample ID 11300 Hideaway Terrace tatriz Drinking Water ample Remarks: All Dates/Times are Alaska Standard Time PrintedDate/Time 09/23/2003 14:59 Collected Datel Time 09/16/2003 8:24 Received Date/Time 09/16/2003 12:40 Technical Director `�tep_/h� de Released f/� Allowable Prep Analysis arameter Qualifies Results PQL Units Method Container 1D Limits Date Date Init 'aters Department Nitrate -N 3.69 0.100 mg/L EPA 300.0 ficrobiology Laboratory Total Coliform 6 OB, No Coli col/100mL SM18 9222B D (<=10) A (<=1) 09/16/03 JJB 09/16/03 DKC p�O Eym DAD m0.12T <D Z cG10 C)M ? 0,z TO Mx� 0cm x -4i zzz o ME <A0 Rom go M' x o zoz M o = Nva �o Z m T O r r0m M -1,n C) m N rm yy Z -1 b S ow O v O OZ Z ZO z n ? �z z x m r m �-N n N> c ZO Z yOy S OOZ !n M O ^' p zN v o S 0 cmi O 0 - MM - m �^ m c No -' m O 00 O N m 1n 2 O O XvhO m oo Z z z m cn -1 { K 50 Z o zz O ? cZi � 0 c qm { 0� M ? �xoo mg -1 ,rm-r- 00 Ozm Tim qz6o JOI�Z 3mmc) u�y= m -,am 09 m�0 mmmpcj ga N -Ag �Z 4zZco U mo xfn l/1N � DM. -/ �OCn � 91; 74 _C O sol i W1 ! yL— oma z� M� M -1 0a S O°❑ 110011 W 1 64.92' I I I I I I I I I I I I I I I to Ch i •:O � I= 0 % fo 9q� O I 17 Z rr Y d 0a S O°❑ 110011 W 1 64.92' N O°O 1' 00" E 1 64.92 H_I D EAWAY TRAIL T), ❑ t0 N N N N t0 A I I I I I I I I I I I I I I I to IC fo I 17 Z rr I n D O I m M li N li N I � I N rn o,ti I I to s1Nc�f 1 ogM1`r I .p FRAMf NpV I 42.4 Sf I pfp/C � b S N \ P \ A I mr \ \ \ \ c4 \ z I I \ 91 \ F I N } \ I N \ \ I 1n N \ \ \ \ I N O°O 1' 00" E 1 64.92 H_I D EAWAY TRAIL T), ❑ t0 N N N N t0 A MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES M} Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ©I S 1& 34L '�-o - 6" 1. GENERAL INFORMATION p n Complete legal description LOT- ZA VPPL-'7L b41No0tl- A"ye-S Location (site address or directions) 11300 I hbCAulAr� 1'1)mL_ Property owner J'%I'r IAM T' MC, CnUGHA-N Day phone Mailing address PO goy- IIZ`,Al SIL qq5-j) - Z ,5j Lending agency Day phone Mailing address Agent C4G_7Z. I— ►p- o"DCP__Day phone S(, Z- 76 53 Address �olu unrC PRoPcRT1� S Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. 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. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X 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. 72-025 (Rev. 1/91) Front MOA 921 j rfl,eRnnl. �._...—�� � rt�+a...-een•...m..+rnmn.......e--�-..-...� S. 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 date of this inspection. Name of Firm A,) Phone Address P 0' �o,c 2 ft7 ]7 3 A-ri (Wan/vi 6 r /-H�- - 99s` Engineer's signature %'✓W'a.'.Qf ^^^' Date I115lR3 6. DH'HSS:SIGNATURE V Approved for bedrooms. a Disapproved. Conditional approval for Additional Comments •iia, N,ichnei F. Am Arson 4381 - L bedrooms, with the following stipulations: I11TIC 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-02518ay. 1/91) Back MOA 021 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LoT Z/t L/�/�rimOck�{��e� Parcel LD. A. WELL DATA Well typeAb If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) A/ Date completed ire, /2)® Driller Total depth n S6 Cased to Casing height /Z' /� # Sanitary seal (Y/N) Date of test Static water level Well flow Pump level FROM WELL LOG wo /r Yiii711fx C SEPARATION DISTANCES FROM WELL TO: Septicgtank on lot /30' Absorption field on lot Wires properly protected (Y/N) AT INSPECTION 1*62 €MUNIGPALE ANCHUrcI NVIRl1N6•tENTATAI SERVICES DIVISION "18 / lj()V 0 5 1993 g.p.m. 6.0 g. m. "mak RECEIVED On adjacent lots ; On adjacent lots > Z-00 ' Public sewer main �� Public sewer manhole/cleanout A41 ks Sewer service line t /w Petroleum tank > //C/ WATER SAMPLE RESULTS: Coliform a NitrateZ•S—�22O//ther bacteria Date of sample: I Y-163 Collected by: � B. SEPTIC/HOLDING TANK DATA Date installed /// /23 Tank size /SooCompartments Foundation cleanout (Y/N) �% Depression (Y/N) N Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Ia Alarm tested (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot /jO Onadjacentlots > //oFoundation / ) 7 To property line 50 Absorption field S4 Wateriaain/service line >50' Surface water/drainage /s;-0 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed//Z /93 Manufacturers✓ TRK /Ci5/ Size in gallons A 00 Manhole/Access (Y/N) % Vent (Y/N) "Pump on" level at 3 i "Pump off' level at (1-J•s High water alarm level �S It Cycles tested Z Meets MOA electrical codes (Y/N) Y SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot /3o r On adjacent lots //a / Surface water , D. ABSORPTION FIELD DATA Date installed /r// -2`1i3 Soil rating•$ —7qhiw/� — System type 6'd t Length 24� Width Z/ —'Gravel thickness •73-• 9 " Total depth Z v _3 Total absorption area Depression over field (Y/N) Results (pass/fail) yZ�/ Cleanouts present(Y/N) Date of adequacy test A/Elr✓ Sr5>�j for Peroxide treatment (past 12 months) (Y/N) 14/�— If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot &V /r On adjacent lots > /36_ Property line /0/ i To building foundation c; -G3 To existing or abandoned system on lot > 75 v On adjacent lots Cutbank N Water.rearfl/service line > 00 r Surface water Driveway, parking/vehicle storage area Curtain drain /✓�f� E. ENGINEER'S CERTIFICATION bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name A uylq-cZ rt- Arj o E9bro j Date C . v •. f is a .i L i:n rson c,. FIAA Fee $ 06)0 o Waiver Fee: $ Date of Payment //- S j3 Date of Payment Receipt Number X95 `/ z0 09,9' Receipt Number 72-026 (Rev. 3/91) Back MOA21 COMMERCIAL TESTING & ENGINEERING CO. s ENVIRONMENTAL LABORATORY SERVICES Ek SiNCE 1908 REPORT of ANALYSIS Chemlab Ref.# :93.5271-1 Client Sample ID :UPPER CHINOOK ACRES PRIVATE WELL WATER Matrix :WATER Client Name :ANDERSON Ordered By :A. HARALA Project Name Project# PWSID :UA Parameter Nitrate -N ROUTINE SAMPLE COLLECTED BY: A. QC Results Qual Units 5633 B STREET ANCHORAGE, AK 99518 TEL: (907) 562-2343 FAX: (907) 561-5301 WORK Order :71753 Report Completed :10/08/93 Collected :10/04/93 @ 20:50 hrs. Received :10/05/93 @ 12:15 hrs. Technical Director:STEPHEN EDE Released By (/ A, WITNESSED BY LINDA . Allowable Ext. Anal Method Limits Date Date Init 2.58 mg/L EPA 353.2/300.0 10 10/06 LLH * See Special Instructions Above UA = Unavailable "* See Sample Remarks Above NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT = Greater Than 10,.7477 Member of the SGS Group (Societe Generale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA p MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 19 1 DIVISION OF ENVIRONMENTAL SERVICES 1- 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # l�l� /�.%S'2 HAA #41-4 V0 //3 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Geo f 2f}� i.(�nPr Cii rn oo (-> /}ct'e_f Location (address or directions) ! l 300 Nr cleccwcc y Ti'ar'l (b) Property owner Q f! Mc Caughun Telephone: (home) 3y6-2065 Business Mailing Address U., 360 14(dectwa� Trail,Ani'. 1Fk 99516 (c) Lending Institution Firs I' NaPf Cernir Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here 9, if hold for pick up.) List contact person and day phone number below: Ted "Ocr-e 3yS -/3sS 2. TYPE OF RESIDENCE Single -Family 9 Number of bedrooms 3 3. WATER SUPPLY Individual Well ® Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to'th legality and status. 4. SEWAGE DISPOSAL On-site 9 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system,.must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (ReV. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION' As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. '* Name of Firm F/crffcp Tech Svc . Telephone 3`f S- l35 S� Address 1,Y530 4FC40 S-/ /fin cAonc p, Ak 9Q5 -1,f Date Aer!l l0 199/ # S2C le k1 to T• Sm,f� Y//o/9/ v-erffy,�y /o)f s,dewulf area ade5 {�r z def�nu. �. ........ THEODORE F. :100RE CE - 358? ra Cj�°e••a. e.a••°•f Qiti. Engineer's Seal 6. DHHS APPROVAL 71 Approved for bedrooms by Date Approved Disapproved Conditional Terms of Conditional Approval 11 CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. veep Book Page 2 of 2 I3_ y; MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) { CHECKLIST - FEBRUARY 19E 343-4744 �y Legal Description: COT 2A UPPER C41gooK ACRES V_ PQM WELL DAT��(,` Well Classification PRIVATE If A, B, C, D.E.C. Approved (Y/N) N.4. Well Log Present (Y/N) N Date Completed FR)oR To 5/70 Yield S.6 m mcaS 2lzz/p� Total Depth Cased to :�;! 'YO' Depth of Grouting N, A. Static Water Level Casing Height Above Ground 17 Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: Pump Set At Sanitary Seal on Casing (Y/N) 1 Depression Around Wellhead (Y/N) N To Septic/Holding Tank on Lot 132 To C•o. ; On Adjoining Lots ^ 150 To Nearest Edge of Absorption Field on Lot 147 -ro C•0 . ; On Adjoining Lots : /60 To Nearest Public Sewer Line > /oo r To Nearest Public Sewer Cleanout/Manhole '7100 To Nearest Sewer Service Line on Lot 12o Water Sample Collected by FLATTOP TEC H SVC S ; Date 2/21/91 Water Sample Test Results O CO (rfonn1/100 m4. 2 7 mj/ nrkafe - lV Comments B. SEPTIC/HOLDING TANK DATA Date Installed 5/7o Size 1250 No. of Compartments Standpipes (Y/N) Y Air -tight Caps (Y/N) Foundation Cleanout (Y/N) N Depression over Tank (Y/N) 1`( Date Last Pumped II I f6I9a 6, & R00%er Pumping/Maintenance Contact on File (Y/N) WI A. ; for N -A - Holding Tank High -Water Alarm (Y/N) N. A • Temporary Holding Tank Permit (Y/N) NA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 132 FROh C•0. To Building Foundation )3t FR0 C,0, To Property Line 45 r FROM C.0 . To Disposal Field N' C.D. To C.O. To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments Foes C.o. not re916"( of km2 of inr%r/(afT'o� 72-826 (Rev. 7/88) Front Page 1 of.2 C. ABSORPTION FIELD DATA Soils Rating in Absorption StratType of System Design SEEPAGE PIT Date Installed S ( //70 Length of Field 13 Width of Field t3 Depth of Field 9 YZ To Building Foundation Lot ; On Adjoining Lots To Existing or Abandoned System on loo, To Water Main/Service Line x 7s ' To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course %7/00e To Driveway, Parking Area, or Vehicle Storage Area _%�) Comments N/9/9/ So(Lr fcrf shower./ soil rak be/ -ween 3.5't 7,S' A, he es o' / bcfrrn. gf ofescr, baa( ,n Ie fAer {o T. S.�'lfh y seencve ares cccaPauu�l .�o� 3 �eoCraoms, v D. LIFT STATION N, A} Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) **Check Permitted Bedroom Rating Against HAA Request** 'Pump Off' Level at Vent(Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidel.Lnes;•i,n,Effect on the date of this inspection. Signed I %?4r•c^c !r,°> 4 Company FlccH24 7ec/n 'coc/ Date /`4a�r 7 /99/ �/ ?�t, gineer'sSeal 90 —o/ 1 yP MOA No. 9 ty ntroro�a r-. +.)ooue ; Receipt No. o� ( �Q( (off Receipt No. Date of Payment v _ Waiver Fee: $ Amount: $ Date of Payment I2-026 (Rev. 7/88) Back Page 2 of 2 Gravel Bed Thickness 6 r Square Feet of Absortion Area 312 .ptr ccr-bdai Statndpipes Present (Y/N) i Depression over Field (Y/N) N Date of Last Adequacy Test 2- /22/9D Results of Last Adequacy Test 4�sor{9fcan rakE ad¢�ivafe :GrL�¢ becfroonl SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well I'♦ -I' FRon C. o. To Property Line 2.7 FPor C.O. To Building Foundation Lot ; On Adjoining Lots To Existing or Abandoned System on loo, To Water Main/Service Line x 7s ' To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course %7/00e To Driveway, Parking Area, or Vehicle Storage Area _%�) Comments N/9/9/ So(Lr fcrf shower./ soil rak be/ -ween 3.5't 7,S' A, he es o' / bcfrrn. gf ofescr, baa( ,n Ie fAer {o T. S.�'lfh y seencve ares cccaPauu�l .�o� 3 �eoCraoms, v D. LIFT STATION N, A} Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) **Check Permitted Bedroom Rating Against HAA Request** 'Pump Off' Level at Vent(Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidel.Lnes;•i,n,Effect on the date of this inspection. Signed I %?4r•c^c !r,°> 4 Company FlccH24 7ec/n 'coc/ Date /`4a�r 7 /99/ �/ ?�t, gineer'sSeal 90 —o/ 1 yP MOA No. 9 ty ntroro�a r-. +.)ooue ; Receipt No. o� ( �Q( (off Receipt No. Date of Payment v _ Waiver Fee: $ Amount: $ Date of Payment I2-026 (Rev. 7/88) Back Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS REPORT BY SAMPLE for WORKordert 32122 Date Report Printed: FEB 25 91 4 09:44 Client Sample ID:L2A UPPER CHINOOK ACRE 0/S (W) H.B. Client Name :FLATTOP TECHNICAL SRV PWSID :UA Client Acct :FLATTOT Collected FEB 21 91 A 08:50 hre. BPO I PO t NONE RECEIVED Received FEB 21 91 A 14:12 hre. Reg i Preserved with :AS REQUIRED Ordered By :TED MOORE Analysis Completed :FEB 22 91 Send Reports to: Laboratory Supe via r EPHEN C. EDE 1)FLATTOP TECHNICAL SRV Released By : 2) Chemlab Ref 3: 910606 Lab Smpl ID: 1 Parameter Tested NITRATE -N Sample ROUTINE SAMPLE COLLECTED BY: T. F. MOORE. Remarks: Matrix: WATER Allowable Result Unita Method Limits 2.7 mg/1 EPA 353.2 10 ............................................................................................. 1 UA -Unavailable Tests Performed See Special Instructions Above ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Lasa Than, GT -Greater Than RECEIVED NOV�y 91993 pt Ng � h 8k HUMM S' f r LOCATION OF, WELL, (Pieces complete either As Ib 'or Ic.) Itl Borough 8u bbdivision Lottp Block Ib J/4gtrl. upper k of of _ Ic. DISTANCE AND DIRECTION Fftiri AOAD INTERSECTIONS Street'. Address:apE - Area of Well Location - 2. WELL LOO _ FeelBe Surto, 'fdoterlal Tylis. Top _.._ WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological & Geophysical Surveys Drilling Permit No. A. D. L. No. Section No. Township N0 Range E0 Meridian s❑ wp 3. OWNER. OF WELL: G x{.00 L. ery w,. (TeAt' Address: 4. WELL DEPTH: (final) S. DATE OF COMPLETION 230 ft. s - L - $� e, (3 Cable tool ® Rotary C] Driven O Dug 11 Auger oJelted [3 Bared O Other?. 7. USE: ® Domestic C) Public Supply ❑ Industry O Irrigation O Recharge O Commerical C) Test Wall C] Other: O. CASING: E]Threaded!a Welded g. tits... s In. to gQ ft. Depth Weight1i,�lbs./tt. 'dtam. - in, to ft. Depth Stickup ft. A,FJ:Yt?' Yea 9. FINISH OF WELL:// - - T®rn /JO� - Olam•tsr S' Typo: / slot/Meeh sl:•:,��r�•�.•ngtn: y Set between IV If ft. and �,$'. ft. Backfilling Grovel_ pack to. STATIC. WATER LEVEL:. go ft. S 113 --� E] Above or ® Below Ione surface Date �-�"-•'y'-`� �� Equipment used: �� I I,. PUMPING LEVEL below [and surface and -YIELD R, offer _bra. pumping_ a. p. m. -- - ft. after his. pumping _g.p.m.- 12.GROUTING Well Grouted: C] Yes No Material: O Neat Cement ❑ Other: _--- -- 13. PUMP: (if available). HP y m Length of Drop Pip*. a ft. capacity tea Pm. H r -�-- — i 9ubm. ❑ Jet O Centrif foal- O Other 14. REMARKS: z — — f ie, WATER WELL CONTRACTORS CERTIFICATION: - - 15. Water Temperature '_o ^O F Cl C this vYeit was drilled under my jurisdicll on and this report is true to the best of my knowledge and belief Rk 1. .... fFn�C✓Prlsct AA 3327 Reaisfa d Business . Contract License Number Nome, ? - AJtharliedt'Re(iresentalive - 6r...'nh-w.Jo r.✓opt' �_.... �. ...._... �,�.�_�... Date:. ®I 4. WELL DEPTH: (final) S. DATE OF COMPLETION 230 ft. s - L - $� e, (3 Cable tool ® Rotary C] Driven O Dug 11 Auger oJelted [3 Bared O Other?. 7. USE: ® Domestic C) Public Supply ❑ Industry O Irrigation O Recharge O Commerical C) Test Wall C] Other: O. CASING: E]Threaded!a Welded g. tits... s In. to gQ ft. Depth Weight1i,�lbs./tt. 'dtam. - in, to ft. Depth Stickup ft. A,FJ:Yt?' Yea 9. FINISH OF WELL:// - - T®rn /JO� - Olam•tsr S' Typo: / slot/Meeh sl:•:,��r�•�.•ngtn: y Set between IV If ft. and �,$'. ft. Backfilling Grovel_ pack to. STATIC. WATER LEVEL:. go ft. S 113 --� E] Above or ® Below Ione surface Date �-�"-•'y'-`� �� Equipment used: �� I I,. PUMPING LEVEL below [and surface and -YIELD R, offer _bra. pumping_ a. p. m. -- - ft. after his. pumping _g.p.m.- 12.GROUTING Well Grouted: C] Yes No Material: O Neat Cement ❑ Other: _--- -- 13. PUMP: (if available). HP y m Length of Drop Pip*. a ft. capacity tea Pm. H r -�-- — i 9ubm. ❑ Jet O Centrif foal- O Other 14. REMARKS: z — — f ie, WATER WELL CONTRACTORS CERTIFICATION: - - 15. Water Temperature '_o ^O F Cl C this vYeit was drilled under my jurisdicll on and this report is true to the best of my knowledge and belief Rk 1. .... fFn�C✓Prlsct AA 3327 Reaisfa d Business . Contract License Number Nome, ? - AJtharliedt'Re(iresentalive - 6r...'nh-w.Jo r.✓opt' �_.... �. ...._... �,�.�_�... Date:. �a I HEAD IN FEET CA 1. CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS TIiEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 June 28, 1991 ANCHORAGE, ALASKA 99516 Robert W. Robinson M.O.A. DHHS RECEIVED P.O. Box 19-6650 Anchorage, AK 99519 U L Municipality of Anchorage Dear Mr. Robinson: Dept. Health & Hunan Services This letter is in response to your letter dated April 24, 1991 regarding our request for a Health Authority Approval certificate for the residence on Lot 2A, Upper Chinook Acres S/D. The following comments are numbered to correspond with the numbers you assigned to those of your comments requiring response. 2. As verified by our inspection on this date, the owner has converted one of the downstairs bedrooms into an office/den by removing the closet doors and installing shelves in the resultant space. The room is fully equipped as an office, and is obviously being used as such. We verified that there are now only three bedrooms in the residence, so there is no need to have the HAA certificate be conditional with regard to that question. 3. As stipulated in your letter, on June 19 we had a backhoe excavate a new test hole to a total depth of 16.5 feet near to our earlier test hole at a distance of approximately 20 feet from the edge of the seepage pit. A soils log for this test hole is enclosed. On June 26 and 27 we checked the monitor tube which we had installed in the test hole and determined that the groundwater level is at 14' - 10" below ground level. Working on the assumption that the surface of the groundwater table parallels the surface of the ground, one can conclude that the bottom of the seepage pit at 9.5' below ground level is over 5 feet higher than the groundwater level. Thus, based on the data from this test hole, the seepage pit appears to be in compliance with Municipal and State regulations with regard to vertical separation from groundwater. If you concur with this analysis, we would appreciate your completing the processing of the Health Authority Approval certificate, which we submitted in April and you have been holding in abeyance pending resolution of the groundwater issue. The property owner needs to get this certificate so that he can secure the bank financing to do his long -planned remodeling work. Please give me a call if you have any questions with regard to this report. Sincerely, Ted Moore, P.E. cc: Bill McCaughan Flattop Technical Services ,e � � ° NGIN EAU 14530 Echo Street p � .' Q �TI4 fi, 1 Anchorage, Alaska 99STa ......••• •..... *. y� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES •" "' '•fix fI °°TH 825 "L" Street, Anchorage, Alaska 99502-0650 k°"�•. EODORE F. MOORE-` A CE - t SOILS LOG — PERCOLATION TEST ®0 +"P 539.•'�.0 PERFORMED FOR: a0 etc cayhan DATE PERFORMED: /9/ LEGAL DESCRIPTION: ZR� / peer Chmovir / .Township, Range, Section: Sec29 T12.A/ 133&&/ DEPTH p{. SLOPE SITE LAN Sri Redofah sandy �uM 2 3 4 5 fr pjd.h Brown SrllF Sa4dy 6 I I �j w c rla4 sRACfr t/nu .v/ 7 a 9 10 11 12 13 14 SP/.tri 5-17h 1-1 'y sIMr sa4r( WAS GROUND WATER ENCOUNTERED? 15 j::: h1A Sciway silt 16 W. f3ualderf 17 13'0. m 19 20 IF YES, AT WHAT DEPTH? Y S L &1-10" p E Depth (o Water Alter Monitoring? 1Hr^ lbN Date: l�l� /9/ Reading Date Gross Net Depth to Net Time Time Water Drop I I PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER LL�__JJJ I hTEST RUN BETWEEN FT AND FT COMMENTS 1/11.1 ' ecf ole weu �Lua alo a.[r!e[.I ifi »ivlen CC 4/SC7roa/i0ewalrr ,;A,n q f44e 6 m 00(- f3l set C i / unr.(u leicuFec! 1:�- fa' E &f rtl. w / d, 2-0'06 o,{'s42 PERFORMED BY: Flu TCCIinICGI SvCr I `.T-e�C Aae-,.- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 6 t/2,9 19Y 72-008 (Rev. 4/85) ■■■■■■■E■■ ■gas ■■■ ■■ =100 m�l MEN 1SAM■R►i■■��i■ ■i ■■■ ■■■■■rwl ■■■ ■■■■■E■■■■ Y S L &1-10" p E Depth (o Water Alter Monitoring? 1Hr^ lbN Date: l�l� /9/ Reading Date Gross Net Depth to Net Time Time Water Drop I I PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER LL�__JJJ I hTEST RUN BETWEEN FT AND FT COMMENTS 1/11.1 ' ecf ole weu �Lua alo a.[r!e[.I ifi »ivlen CC 4/SC7roa/i0ewalrr ,;A,n q f44e 6 m 00(- f3l set C i / unr.(u leicuFec! 1:�- fa' E &f rtl. w / d, 2-0'06 o,{'s42 PERFORMED BY: Flu TCCIinICGI SvCr I `.T-e�C Aae-,.- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 6 t/2,9 19Y 72-008 (Rev. 4/85) (Ckr , ur,icapality ®f Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 April 24, 1991 Ted Moore, P. E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Lot 2A Upper Chinook Acres Subdivision Reclassification of Status of Septic System Dear Mr. Moore: a In response to your letter dated April 10, 1991 requesting that the on-site wastewater disposal system on the captioned lot be upgraded to three (3) bedrooms, our comments and decisions are as follow: 1. The procedure you used to determine the design capacity of the absorption field is commensurate with established "state of the art" guidelines. We agree that the system is adequately sized for a three (3) bedroom single family residence. 2. We have no problem with conditionally approving a Health Authority Approval contingent upon the remodeling planned this summer converting the dwelling from four (4) bedrooms to three (3) bedrooms. We believe that a reasonable period of time for this condition to be completed would be by not later than August 1, 1991. 3. As has been recently discussed several times, we will not pursue the above requests until it is confirmed that the existing absorption system (seepage pit) has four (4) feet of vertical separation from the seasonally high groundwater table, On the initial soil test taken by Perco, mention was made of groundwater being observed on top of the ML soil at a depth of 10 feet. On the adjoining lot (2B), groundwater was observed on the initial soil test (by Construction Test Lab on 9/29/75) at a depth of 9 feet. In view of the strong possibility of groundwater encroachment on the subject absorption system, water monitoring testing must be performed within 30 feet of the existing pit. The monitoring test hole(s) must be to a depth of not lees than 13.5 feet. Ted Moore, P. E. April 23, 1991 Page Two The Health Authority Approval request for Lot 2A Upper Chinook Acres submitted on April 10, 1991 will be held in abeyance until the water monitoring information is received and evaluated. If there are further questions, please call our office at 343-4744. Sincerely, j Robert W. Robinson Civil Engineer On-site Services cc: Bill Mc Caughan 11300 Hideaway Trail Anchorage, Alaska 99516 John Smith, P. E., Program Manager On-site Services RWR/ljm:359 CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 April 10, 1991 ANCHORAGE, ALASKA 99516 John Smith M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Mr. Smith: This is a follow-up to our March 18 meeting with Bill McCaughan regarding Mr. McCaughan's wastewater disposal system on Lot 2A, Upper Chinook Acres. As you will recall, the issue was the number of bedrooms for which this existing system could be approved. I had tested the wastewater disposal system in February and found it to be functionally adequate for a 4 bedroom residence. The construction permit had initially been taken out for 4 a bedroom residence and a 1250 gallon septic tank was installed, but the as -built shows that the seepage pit with 312 square feet of sidewall area was only sized for two bedrooms, based on the soil rating of 155 square feet per bedroom shown on the soil log. Mr. McCaughan stated that his residence has had 4 bedrooms ever since it was built, but that a remodel planned for this summer will combine two small bedrooms, causing the residence to end up with three bedrooms. You informed Mr. McCaughan that the only way DHHS could grant approval for more than two bedrooms without an upgrade to the system would be if a percolation test of undisturbed soil near to the pit were to demonstrate that the original design was conservative, and that the sidewall area of the existing pit is sufficient for at least a three bedroom residence. Accordingly, on April 9 we dug a percolation test hole approximately 20 feet east of the seepage pit. The test results are attached. The bottom of the seepage pit is " fcet_below_ground level. The original soils log indicates SP material between 6 and 10 feet which is rated at 150 square feet per bedroom. In our soils test we encountered a GW stratum between 3.5 and 7.5 feet overlying the sand stratum. The GW stratum was so permeable that we could not fill the perc test hole to 12", and with a 6" head the perc rate was 2 inches per minute. Based on this test, we concluded that the top 4 feet of the material surrounding the seepage pit should have been rated at 85 square feet per bedroom. Since the perimeter is 52 feet, the absorptive area of this stratum is 208 square feet; when this is divided by 85 square feet per bedroom it can be seen that the upper 4 feet of the pit sidewalls have an adequate sidewall area for 2.44 bedrooms. Using 150 square feet per bedroom from the original soils log for the lowest two feet of the seepage pit sidewalls, it can be seen that the capacity of the material surrounding the bottom two feet of the seepage pit is 2 x 52 / 150 = 0.69 bedrooms. These two portions combine for a total seepage area adequate for 3.13 bedrooms. Based on this analysis we are requesting a 3 bedroom Health Authority Approval for this residence. If you wish, you may stipulate on the certificate that proof must be provided before the end of the year that the residence does in fact have no more than three bedrooms. Please call me if you have any questions. Thank you for your assistance. Sincerely, T�%n,_, C Ted Moore, P.E. Municipality of Anchorage DEPARTMENT OF HEALTH 8 HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST TI II:OUDHC r, lADONE.� r 7% *•, CE -3539 � • �+4T PERFORMED FOR: 13111 Mc C«ughan DATE PERFORMED: h'/9/9/ resoa k N /9 2: zd: HS LEGAL DESCRIPTION: 2A, ulp02r Cl,InoOlr ACM( Township, Range, Section: .Sec 12y, 7-12-A(,R3G� DEPTH P.r. SLOPE SITE PLAN - 1 Srl I ,sunat /rias+ N 2 3- 4- 4 SP PA E 6T 5 vTrC 5 C(ean Sundy G'raue/ 6 No 7 G Q 8 5P/SI`1 9 to - 11 - 12- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS Gr M (3(own Sif�y Graut/ ' WAS GROUND WATER N ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? p E Depth to Water Aller Monitoring? gate: Reading Data Gross Time Net Depth to Time (("ti n) Water Net Drop (.rn resoa k N /9 2: zd: HS 2 ly 2:29: 115- 2:30: HS' 2:.70: tHZo 2:3/:25 233/e 2 2:32t2s / 2rTr r & +HcO23'rz s(y I 748 trii0 2: 3H: YU 23'"z 3f: YU I 2r 'rz 2 PERCOLATION RATE �• S (minutes/inch) PERC HOLE DIAMETER 8 TEST RUN BETWEEN � •s FT AND SU FT 20' L9 term rn C PERFORMED BY: Tech SuC I — 2. v CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1Y19191 72-008 (Rev. 4/85)