The URL can be used to link to this page

Home My WebLink AboutT12N R2W SEC 30 E2SE4NW4NE4SE4T12N R2W ec. 30 E2 SE4 NW4 NE4 SE4 #021 -022- 12 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: _______________ Date of Issue: ____-____-____ Parcel Identification Number: ____-____-____ Legal Description Block Lot Property Owner Name & Address: Pump Installation Date: _____-_____-_____ Pump Intake Depth Below Top of Well Casing: __________ feet Pump Manufacturer’s Name: ___________________________ Pump Model: _____________________________________ Pump Size: ____________hp Pitless Adapter Burial Depth: _________ feet Pitless Adapter Manufacturer’s Name: _________________________ Pitless Adapter Installer: ____________________________ Well Disinfected Upon Completion? XX Yes No Method of Disinfection: _____________________________ Comments: Pump Installer Name: __________________________________ Company: ___________________________________________ Mailing Address: ______________________________________ City: ___________________ State: __________Zip: _________ Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP151045 PID Number: 021-022-12 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: Maria Gowan & Marc Rodman ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ® Mound Address 18625 Collett Dr., Eagle River, AK 99577 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.5 GPD/SF 0.00 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +0.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Fill added above original grade Gravel length 3.1+Ft. 2X40 Fl. Township Range Section ',/ q c�i '1 /V U 3� � ✓ee �C ifs /V��r� Gravef width Beds: Number of Lines Distance between lines 15 Ft. 3 5 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenchesDist. between trenches From Tank Field Tank Line 1200 Fey -- -- Ft. Well 100+ 100'+ 100'+ NA NA TANK ❑ Septic ® S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING Capacity 1 1500 Gal. Surface water 100'+ 100'+ 100'+ NA Material Number of compartments Lot Line 5'+ 10'+ 5'+ NA 2 NA Foundation 5'+ 10'+ 5'+ NA LIFT STATION Manufacturer EXISTING Capacity Gal. Curtain Drain NA *50'+ NA NA Remarks *None known. Pump on level atPump in. off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer Northern Excavation PIPE MATERIAL House to tank 3034 d cin Tank to 3034 Drainfield 3034 CO/MT 3034 Inspector ARCTERRA BENCHMARK (Assumed elevation) 100 ft Inspection ection 1" 3/24/15 3/24/15 Location and description 2�d 3'° 3/25/15 4" 3/25/15 Finished Floor COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin .a-. --W�_\ AW - OF Ai � Conditional Approval: Date '0' 0Qi� _ 4 TH r 0- P KEYNE'1'H Approved Date ttt f 7116k 1P r.*v PRoPESSlor�ti I •� ear's Stamp J inspection Heport_a-t-12.00c AS -BUILT SYSTEM DETAILS/SITE PLAN T12N, R2W, SEC30, E2, SE4, NW4, NE4, SE4 M., OVERHEAD ELECTRIC io Dft` oe / oM E PROVIDE POSITIVE E c, AWAY FROM EXISTINGING ANAN ot CAUTION NEW FIELDS OVERHEAD ELECTRIC OM E n DM f EJ¢ SEX NWY NEA4 SEX T12N R2W SEC 30 S.M. I<� i (A 00 ,4 LOT 1 WELL 200'+ AWAY Permit 1 ❑SP151045 PID#I 021-022-12 v VACANT R1 SYi SWY4 NEY4 NEY4 SEY4 c ,4s T12N R2W SEC 30 S.M. xo � CAUTION OVERHEAD ELECTRIC {� ® \ e AiOR 6 W't SCALE, 1' = 50' A—C=70.3' i - 40' � 97,50 FINAL GRADE F 97,10 'REPARED FOR, MARIA GGWAN &MARC RGDMAN B—C=51.6'''11 13351 ALPWEG wti :2l �7 ^� P. ANCHORAGE, AK 99516 A—D=106' wn FILTER FABRIC & INSULATIBN— z r a � VARIES B—D=88.4' BOUNDARY: DRAWN: BM sTAR1Nc JLS DEQ®: KMD ... :. A—E=93.0' 0 94.... 50 .$i✓i:,1[]t�;',,.t;' 94.50 . e—E=78.7' S1ItCi '. TRENCH `t .. 94,00 0:50' A—F=130.2' AUEN 2.5' SAND °�`�"` B -F=115.5' y 40, i SCALE NTS � 100.0 FINAL GRADE F 96.90 ABBREVIATIONS FILTER FABRIC & INSULATIBN� -ARIES BOH = BOTTOM OF TESTHOLE 0.5' :.. F.0,50' CO = CLEANOUT MT - MONITORING TUBE :: :;:•:. ., ..:.;.,`.'.::� ;'5 ::: TOr c'. i OF AZI, 1,11111i / * TH * i . / / XENNETII M. '� `i CE -7116 / '•�'ES5IOT3� AV 2.5' SAND ASBUILT: JLS DATE' 03/27/1 DW0. FILE Q(1Q 2943 ACRD AM. JOB No.: 15-103 fq AK 98577'' i - 40' i 88,00 1 'REPARED FOR, MARIA GGWAN &MARC RGDMAN 1 CTER � 13351 ALPWEG wti :2l �7 ^� P. ANCHORAGE, AK 99516 z r a � x 4 w FIELD BOOKS COMPUTED: BOUNDARY: DRAWN: BM sTAR1Nc JLS DEQ®: KMD ASBUILT: JLS DATE' 03/27/1 DW0. FILE Q(1Q 2943 ACRD AM. JOB No.: 15-103 fq AK 98577'' On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151045 Tax Code Number: 02102212000 Work Type: Septic Upgrade Permit Effective Dates: March 12, 2015 to March 11, 2016 Design Engineer: ARC TERRA CONSULTING INC Subdivision: T12N R2W SEC 30 Site Legal Address: T12N R2W SEC 30 E2SE4NW4NE4SE4 G:2943 Owner/Address: GOWAN MARIA S E & / Too RODMAN MARC D PMB 905 9138 ARLON ST STE A3 ANCHORAGE AK 995166973 Site Mailing Address: 13351 ALPWEG, Anchorage Lot Size in Sq Ft: 54450 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF ANCHORAGE Community Development Department Phone 1"r Development Services Division Fax 7 L On -Site Water & Wastewater Program MAR 0 9 2015 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. AV A�� 1 _ Property owner(s) Mailing address _ Site address / Legal description ( Gretchen Stuller Legal description (Township, Range & Section) ,l Lot Size Sq. Ft. Number of Bedrooms "I APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) Septic Tank Upgrade (w/wo ADU) Holding Tank ❑ Renewal El Duplex (D} ❑ Privy F-1 Dwellings ❑ (SF and/or D) (SF Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signatufe of proi)ed'v/fwner or authorized anent) Permit/Rush Fees: 661 Date of Payment: Receipt Number: Lti5ti?jSL Permit No. C151? 16 leis Permit App_9-1-12.doe Waiver Fees: Date of Payment.- Receipt ayment:Receipt Number: Waiver No. 6&y oL ARCTEl3Rq , �`FA ING_ March 7, 2015 ARC 1 ERRA CONSULTING, INC 212E. 51" Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit — T12N R2W SEC30 E2 SE4 NW4 NE4 SE4 It has been determined that the absorption field of the subject property is saturated. Subsequently, the owner has requested we proceed forward to obtain a septic permit to upgrade the septic system that serves the 4 -bedroom house. The general slope of this lot is from the south to north at a grade of approximately 0-5% over the septic area. We will be utilizing the testholes performed by Robert C. Cowan on 9/14/1994 that are found in the MOA record documents. We propose to install two 40 foot pressurized absorption beds. The property and adjacent lots are served by private water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. 47 Kenneth M. Duffus, IT.Y. Attachments: On -Site Sewer Application Wastewater Absorption System Details/ Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA T12N, R2W, SEC30, E2, SE4, NW4, NE4, SE4 NO PUBLIC WELLS WITHIN 200. OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200. OF PROPOSED WELL EXCEPT AS NOTED. Scale+ 1'= 100' PAGE 1 OF 3 .*__`N 49 H ` CE -7 16wA' / SS100, 5-005 SeDtic.dwG DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/0.5 GPD PER SQ. FT. = 1200 SQ. FT (1200 / 15' (W) = 80 FT. BED USE 2 BEDS - 40 (L) X 15' (W) X 0.5'(D) Total depth of system Is 0' from original grade. Total depth of gravel below dlstributlon pipe Is 0.5' NOTES: 1. CONTRACTOR TO CONNECT TO EXISTING STEP WITH DIVERTER TO EXISTING DRAIN FIELD. 2. INSULATE BEDS WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4, ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 2' COVER WITH INSULATION. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS & SEPTICS, EASEMENTS, & OTHER SETBACK REQUIREMENTS. PREPARED FOR; MARIA GOWAN & MARC RODMAN 13351 ALPWEG ANCHORAGE, AK 99516 FIELD BOOKS COMPUTED. BOUNDARY: BOUNDARY DRAMN: BMW STAKING: STAKING CHEC'OOX KMD AsBD'LT` JLS DAA 3/12/15 On. nom: GRID: SW2943 ACAs"FILE JOB N.: 15-005 oA' WASTEWATER DISPOSAL SYSTEM DETAILS T12N, R2W, SEC30, E2, SE4, NW4, NE4, SE4 oIN E PROVIDE POSITIVE DRAINAE / AWAY FROM EXISTING AN o\r CAUTION NEW FIELDS OVERHEAD ELECTRIC oA I EY2 SEY4 NWY4 NEY4 SEX T12N R2W SEC 30 S.M. m CAUTION OVERHEAD ELECTRIC HCP �v RAMP 0 low OF A4,,,S�1' TH HE C 711 .'meq/ #AV EBSIoT��' Aw \"�''4bl"`ft:"� • SEPTIC BED 'DECK • 1� • 0 SPLITTER Rss CONNECT TO EXISTING 1500 -GAL STEP 1�p co W O N O (. O UT Crl C-1 01) -Bw CANT GRAVEL D/N PREPARED FOR: MARIA GOWAN & MARC RODMAN 13351 ALPWEG ANCHORAGE, AK 99516 FIELD BOOKS BOUNOARW. BDUNC sTf"D` STA0 ASBOILT. JLS On. nm ACAs FILE FILE COMPUTED: ORABN: BMW CHECKED:KMD DAM 3/12/15 MID: SW2943 " Na: 15-005 LOT 1 WELL 200'+ AWAY VACANT SY2 SWY4 NEY4 NEY4 T12N -R-2W-SEC 30- Scale: 1'= 30' PAGE 2 OF 3 WASTEWATER ABS❑RPTI❑N SYSTEM DESIGN DETAILS T12N, R2W, SEC30, E2, SE4, NW4, NE4, SE4 FINAL SLOPE NO GREATER THAN 3N \ w 1'— FINAL SLOPE NO o rc GREATER THAN F p 3Q = FINISHED GRADE (ADD UNCLASSIFIED FILL) 4' TOPSOIL & SEEDED / VEGETATED = FILTER FABRIC AND INSUL 35 LF 1 1/4' PVC W/3/16' HOLES 5' SPACING (TYP) Ir � J W SEWER ROCK MIN 2,51' SAND FILTER FOR SEPARATION E 0 TWO 40' BEDS �CLW 0 J N 1500 GAL N S,T,E.P, 't Ol EXISTING w 1'— FINAL SLOPE NO o rc GREATER THAN F p 3Q = FINISHED GRADE (ADD UNCLASSIFIED FILL) 4' TOPSOIL & SEEDED / VEGETATED = FILTER FABRIC AND INSUL 35 LF 1 1/4' PVC W/3/16' HOLES 5' SPACING (TYP) Ir O SEWER ROCK MIN 2,51' SAND FILTER FOR SEPARATION ' 51—f— TWO 40' BEDS CONTRACTOR WILL TAKE SPECIAL CARE & WILL NOT OPERATE HEAVY EQUIPMENT OVER THE BED 2.5' (typ*-\ I1 1/4' PVC FROM TANK TO FIELD 1 1/4' PVC FOR MANIFOLD 2,5-/ J a M.T. L7 o oWOU y CD C7 ,-1 O() GrN. I 0 Varies Nin 2.5' 6' SEPARATION TO BEDROCK REQUIRED BEDROCK AT 6'. EXCAVATE 2,5' FROM BOHBEDROCK ORIGINAL GRADE & INSTALL 2.5' MOA APPROVED SAND BACK TO ORIGINAL GRADE. 2.5' (typ-�\ rAP FNT]S nF PTPF� 0 35 LF 1 1/4' PVC W/3/16' HOLES 5' SPACING (TYP) Ir O 40' M,T. T II7 1 o PRESSURIZED DISTRIBUTI❑N SYSTEM HOLE SPACING DESIGN 6 1. RESIDUAL HEAD = 5' 2, HOLE SIZE = 3/16' = 1.00 GAL. PER HOLE @ 30 PSI 3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES 4' SOLID FROM HOUSE 4. 1210 LF LATERAL/30 HOLES = 7') USE 5' SPACING PER HOLE 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS. PAGE 3 OF 3 * 9TII 7t�/ 9E D ` CE -7116` �„/ �pa k p5/-1115- AW \ SSIov� AV PREPARED FOR; MARIA GOWAN & MARC RODMAN 13351 ALPWEG ANCHORAGE, AK 99516 FIELD BOOKS BOUNDARY: BOUNI STAKING: STAKIP ASBUiLT JLS DWG. NLE: 'SAD Nom` FILE COMPUTED: DRAWN: BMW CHECKED: KMD DAA' 3/7/15 MCk SW2943 " Na' 15-005 /Ueen/Me dew/UEmn/CcM.1n../...apple.mcn/DaW/Ub.,/Man Do nu d./73F3M3—OCW—QW—BBDB—DED77STBFDBD/PnreeBetlOe ll ., Municipality of Anchorage PagLe DEPARTMENT" OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343On-Site Wastewater Disposal System and/or Well Inspection PID Number: Permit Number: Name, Wastewater System: r New ,Upgrade. n /C HAEz Address: ABSORPTION FIELD _--- /�3`S/ o. of Bedrooms: Phone. N❑Deep Trench 11 Shallow Trench ,$i Bed ❑71Mound Other -� y Soil Rating. Total Depth from original grade: LEGAL DESCRIPTION D.S- GPD/So. Ft. 2,45" ---- .Subdwieierr- Depth to pipe bottom from original grade: Gravel depth beneath pipe Blemk: �. S FL Lot: E / ✓ / E / f D.bl Ft. Fill added above original grade: Gravel length: Ft Range: Section: -- Township: 2 (/1JES ?0 Fl. Gravel width: Number of lines: Distance between lines: WELL: ❑ New ❑ Upgrade /S Ft. 3 q, 6;, Fc Total Depth: Cased To: Total absorption area: Pipe material: Classification (Private, A,B,C1: CX/ST. / ye , LI Fl 0 Ft %, 27S So. Ft. 4ST� �C'= /VA Date installed: Driller: Date rill Static Water Lev el: Installer: _ z/ _9C/ — W1 -w DR U �1 II`I%7y 27 FL IWECD EXCAVAI/NG --� Yield: Pump Sol at: Casing Height Above%rj Ft. TANK --_ / GPMFtT ❑ Septic ❑Holding A S.T. E.P. SEPARATION DISTANCES Capacity in gallons: TO Septic Absorption Lilt Holding Public/Private Manufacturer: /s.X From Tank Field Station Tank Sewer Lines /I/C%'i A�E 7�r,v,k Number of Compartments: Material: Welt 21St STEEL�� '2' ��• Surface LIFT STATION Water /GYM t /00— Size in gallons: Manufacturer: Lot5� G a0 AGE �ANK Line 7-/ 3S,Sl 74 — "Pump n" level at: "Pump off' level at: High water alarm at: Foundation S/ (o/,S 5/ _ Pump Make &Model Electrical,Inspections performed by: NONE KA) 5/ OSNN Curtain N 5 ELECT Z/C ED �o�--• Drain _ BENCH MARK Remarks: _TL TL Location and Description: - zow - TOP of Assumed Elevation: 17034 Eagle River Loofa Rorad, No. 704 Inspections performed by: rA raver alesiw 99577 Dates: 1st /0 20 -9Y ✓, ��,1;- .`, 2nd /Q Z/ -9y II%l 1 RoaERT C. COWAN ddc CE 8801 Department of Health'and Human Services approval v Reviewed and approved bye a� '� �`��— Date: Permit NOSW940388 2 2 Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL. SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disosal y m and pr Well Inspection Report T1 2N, R2W, SEC.3 EAS 1L, SE1 4, 02102212 NW1/4, NE1/4, SEI/4 PID No.: I anal flacrrintion: -- 72-013 A (1193) e' 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:SW940388 DATE ISSUED:10/10/94 DESIGN ENGINEER:S & S ENGINEERING EXPIRATION DATE:10/10/95 OWNER NAME:CAMPBELL MICHAEL B & OWNER ADDRESS:13351 ALPWEG ANCHORAGE, AK PARCEL ID:02102212 LEGAL DESCRIPTION: T12N R2W SEC 30 E2SE4NW4NE4SE4 LOT SIZE: 54450 (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: 1. THE ATTACHED APPROVED DESIGN. REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 2. ALL 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 (24 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:Z /U ( 1 / ��( /x �- DATE: RECEIVED BY: ^^ /Ili DATE: U D Zv ISSUED BY: t pili September 26, 1994 ROBERT SHAFE_R, P.E. CIVIL ENGINEERS (907)694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 "L" Street P. 0. Box 196650 Anchorage, Alaska 99519-6650 SEWER & WATER MAIN PXTENSIONS REFERENCE: The East z, SE;, NW'-,, NE'„ SE;, Sec. 30, T12N, R2W, S.M. 13351 Alpweg, Anchorage SEWER&WATER Request you issue a permit to upgrade the septic system serving the INSPECTION four bedroom house on the referenced property. The existing septic system is in a state of failure; bedrock is less than 6 feet below the bottom of the trench, therefore does not meet ENGINEERING STUDIES Municipal Regulations. ANDREPORTS A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. The monitoring tube within WELL INSPECTION &FLOW TEST the test hole has been checked and found to be dry. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring properties SITE PLANS by the installation of the proposed septic system. If you have any questions, or required additional information for your review, please contact us. ROAD DESIGN Sincerely, SOILTEST Robert C. Cowan, P.E. RCC/JA/It PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER OISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP SUITE 204 EAGLE RIVER, ALASKA 99677 MR I1- 0 1- p rail N w cn w � O t^ z _o oz wZ U0O- 2"3 �Q~ =d Z<o aNoa Oo U� KN p UwNa Ua NwoN zr�= 0 7fO0aZQor InooJJ w � I-wmmz° V) M-Zm2 a NDKawo W=NwNNZL r-r-mw,a,,ao N J p CK I � UZN i~wZF O a N> N Z N N a � p d I F OW Vce) Vol A �w> 00 I, OUQ V co [,f OW A �Ow O a N U Ohm a U�FC) Wa Z 7 a'c Z Z z a C)o23 n t^ z _o oz wZ U0O- 2"3 �Q~ =d Z<o aNoa Oo U� KN p UwNa Ua NwoN zr�= 0 7fO0aZQor InooJJ w � I-wmmz° V) M-Zm2 a NDKawo W=NwNNZL r-r-mw,a,,ao N J p CK I � UZN i~wZF O a N> N Z N N a � p d W � � o Oo a \n�o h 7d J r-� IoUwo O I2 o< Z 3 J ~ w N 0 K viNZUD Z Q 2 -1 G4V = V wmo = w-, OMvw ~ O N N 2 F= N O¢\=off N2' N o. � IIWJ_ av D -k lac l> J V% S Q. J Ft Q w J v d ar z 3ada9dn 1 ,os = „J i.G% NJ I F OW Vce) Vol A 1 U,b�D cM Z oZdU> -w Ng 0. OW A G] O a (\I U Ohm a U�FC) Wa Z 7 a'c Z Z z a tk V) roow�O NQUOP4 > aJ 00 0, I C) I LO W. N WWnwmN W a Z a� C) 11LLI w Q \ \..l Kllo m o WJI..J a$JJ�� _ rte, r(�,�aoa�.aaz3 - MNZNZOZZNN- W o W � � o Oo a \n�o h 7d J r-� IoUwo O I2 o< Z 3 J ~ w N 0 K viNZUD Z Q 2 -1 G4V = V wmo = w-, OMvw ~ O N N 2 F= N O¢\=off N2' N o. � IIWJ_ av D -k lac l> J V% S Q. J Ft Q w J v d ar z 3ada9dn 1 ,os = „J i.G% NJ I F z p 4 I Vol A 1 U,b�D cM Z ��yyI IF 0. OW A G] ZE"�] I� U Ohm Wa N 7 a'c z a tk V) aaU I L W � � o Oo a \n�o h 7d J r-� IoUwo O I2 o< Z 3 J ~ w N 0 K viNZUD Z Q 2 -1 G4V = V wmo = w-, OMvw ~ O N N 2 F= N O¢\=off N2' N o. � IIWJ_ av D -k lac l> J V% S Q. J Ft Q w J v d ar z 3ada9dn 1 ,os = „J i.G% NJ I F -v. --11 I I z 1 ��yyI IF I WN I I� Nw I I�.I aaU I L I I J 1 I n woo I _,_ ZJ zW m a� \ \ W � � o Oo a \n�o h 7d J r-� IoUwo O I2 o< Z 3 J ~ w N 0 K viNZUD Z Q 2 -1 G4V = V wmo = w-, OMvw ~ O N N 2 F= N O¢\=off N2' N o. � IIWJ_ av D -k lac l> J V% S Q. J Ft Q w J v d ar z 3ada9dn 1 ,os = „J i.G% NJ tL E T no m Y U z Nk UPJ 4p a o �w., ..,,.Nib✓Jp1pp � .a O � a o F U W 5 i— a C-) z 0 s o a N � � z z C N � a G .a O � � G .a O � a o F W 5 i— a C-) z 0 s o a � � z z N d F A A n w v G o � x — A C M 11V130/N011035 I I Gz z w ca, a boa �Vv WOaw 7 � LL1 V) (A V) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "1-" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED DATE LEGAL DESCR I PTION: IIvYv/ „ L- Gross Date Time Net Time WAS GROUND WATER '/Kvr.0/'7_ WEPTH (FEE'r(N D;ZG-l�'F' G�.(iFlYa lce Y �i }7 S i l IF YES, AT WHAT DEPTH? LO P 3 D 1.1 _ E 13 ;W w 4 oft• d 2 5 1 � > "— ,m�e11 a/ 6 3tD 4�CA(( 1� .0. L,-1) W/(-/6-"7 FRAe7(1a&S 7 fir. ��- 8- s 9— DATE Range, Section: JlVrt 10 Gross Date Time Net Time WAS GROUND WATER Net Drop 9 c�0 ENCOUNTERED? S i l IF YES, AT WHAT DEPTH? LO P 12 _ E 13 ;W w Depth to Water Aller 7 Monitoring? — �� Dale: 14 15 16 17 18 19 SITE P Reacting Gross Date Time Net Time Depth to Water Net Drop 9 c�0 ;W w )4o Bio d 2 — I/2_ "— a/ 1L fir. ��- 20 PERCOLATION RATE � (minutes/inch) PERC HOLE DIAMETER _ TEST RUN BETWEEN — FT AND r FT COMMENTS PERFORMED BY: '� I �) �• LI RM J 1—T�""""`y-- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE_ WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /A7 / 72-008 (Rev. 4/85) PERFORMED LEGAL DESCRIPTI Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST COMMENTS p ( PS DATE PERFC ), Range, Section: SLOPE SITE PLAN WAS GROUND WATER— ENCOUNTERED? \1 5 IF YES, AT WHAT L DEPTH? N O P E Depth to Water After Monitoring? Date: Reading Date Gross Time Net Time Depth to Water Net Drop 3 5MN : o t; 4 S ''IL 10 f•l Ci 7 5 v i,J r.f 6 Qt:O QdC K, 7 8 9 10 11 12 13 14 15- 51617 16- 17 18 19 20 COMMENTS p ( PS DATE PERFC ), Range, Section: SLOPE SITE PLAN WAS GROUND WATER— ENCOUNTERED? \1 5 IF YES, AT WHAT L DEPTH? N O P E Depth to Water After Monitoring? Date: Reading Date Gross Time Net Time Depth to Water Net Drop 5MN : o t; _ �4 10 C,uiw 7 i!J v / h PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER G TEST RUN BETWEEN FT AND FT C/ -- n /.1 M t'uA._ AA�nri PERFORMED BY: T !M W ILLI �f- f I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE:The East Z, SE -4, NW;,, NE4, SE;, Sec. 30, T12N, R2W, S.M. 13351 Alpweg, Anchorage I. -raU.. 1. The scope of this project includes the installation of a 1500 gallon wastewater S.T.E.P. system (septic tank) and a pressurized absorption bed to serve the-Mar-eer bedroom residence located on the referenced property. The existing septic tank is to be excavated, pumped, crushed, and abandoned in place. Also the existing leachfield is to be abandoned in place. 2. Construction shall be in accordance with the approved site plan and design drawings; D.E.C. permit with any special provisions or conditions, and all applicable State Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must be familiar with construction practices in this area and either be certified by the Municipality of Anchorage Health Department or have been previously certified under the D.E.C. certification program. Owners installing their own systems must: also receive prior approval from the D.E.C. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Page Two 4. Septic tanks installed with less than 4' of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10' from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. URIZED MOUND SYSTEM INSTALLATION: 1. Any peat or organic matter must be removed from the elevated mound site. 2. The bottom of the basal bed area as well. as the top of the sand filter is to be within two inches of level. 3. The distribution piping :is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. 4. The side slopes of the top layer of the mound system must not be steeper than 330 (3:1). 5. The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. 6. The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill in such a way as to prevent damage to the piping system. 7. Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. B. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than forty-eight (48) inches. Page Three MINIMUM MATERIAL 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tape of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanout -s, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at .least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR INSTALLER ,. 'I GRE, ANCHORAGE AREA BOk f Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME '5G65 -%Py MAILING ADDRESS ! iqA �O"--37,)-/ PHONE 4'4,y�o'r LOCATION _ — _ _.— _ LEGAL DESCRIPTION G.("" SEPTIC TANK: — --- -( �3 �� y1 nU 0 DISTANCE, ! NUMBER OF _/ FROM WELL__ MANUFACTURER _11. LO'P'E'// MATERIAL — _� �__ COMPARTMENTS INSIDE LENGTH__ --INSIDE WIDTH_ _^_ LIQUID DEPTH '""" LIQUID CAPACITY _(000. GALLONS. ' � TOTAL LENGTH DISTANCE FROM WELL LLiS __FOUNDATION �,� __NEAREST LOT LINE _'7q _ / NOF LINES � NUMBER OF LINES_— r��//_/DISTANCE BETWEEN LINES _ —__TRENCH WIDTH_ _6 N. TOTAL EFFECTIVE ABSORPTION AREA _. 3 _ SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE_ II /-2- MATERIAL BENEATH TILE— 7._0. ABOVE TILE _ IN. WELL: TYPE --. -Tr iA2-aP_e- CONSTRUCTION —.._��.PM__L� j -_ __ ___DEPTH _._ DISTANCE FROM: BUILDING FOUNDATION - CESSPOOL APPROVED DISTANCES: 0((_ INSTALLED BY: _ (Zsct-R-P 19 SEWER LINE DEPTH: I _�_ PIPE MATERIAL:/ NEAREST LOT LINE OT HER SOURCES DISAPPROVED — LOT SLOPE: REMARKS: Form EQ -032 NEAREST SEWER LINE REMARKS DATE-V1/A' SEPTIC SEEPAGE _ TANK SYSTEM—._- DIAGRAM OF SYSTEM RE 4NCHORAGE AREA BO. i i �77 �� a'P1�•t DEPARTMENT OF ENVIRONMENTAL QUALITY �' (� lIf`RMIT N 3330 "C" STREET ANCHORAGE, ALASKA 99503 J TELEPHONE 274-4561 0e' uV uu UIIIIIIVVV////// SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT , NAME OF APPLICANT 50 -If I � fk- J\ �v®MAILING ADDREBS "� �� PHONE7lL-01/0 (v INSTALLATION LOCATION 1-5 LEGAL DESCRIPTION ��Ll�1,c=L�T /� J /)1 r V i f COMPLETION DATE ANTICIPATED/✓ P L rNI -S Y'llj 0 /L' FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY INSTALLATION OF: SEPTIC TANK E/ SEEPAGE PIT —, DRAIN FIELD --—. OTHER LI or Al SEPTIC TANK SIZE .�1ZT7.-LL TYPE TO BE SERVED _V " - TYPE AND SIZE OF FACILITYp ' - FAINIMUM DISTANCES, REQUIREMENTS FINANCED THROUGH Y _ TO BE INSTALLED BY E `-- 0 1, e SOIL TEST RESULTS `, •� NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED/✓ P L rNI -S Y'llj 0 /L' FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE .�1ZT7.-LL TYPE SEEPAGE AREA SIZE - TYPE FAINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT / _,I DRAIN FIELD� SEPTIC TANK TO SEEPAGE PIT WALL ! V��J ry �� /'r�✓ r SEPTIC TANK -. SEEPAGE PIT OL V DRAIN FIELD _ TO NEAREST LOT LINE. WELL TO SEPTIC TANK - SEEPAGE PIT / d DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, /aZ . SEEPAGE_ PIT �"✓" / DRAIN FIELD TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM S IN ACCORDANCE WITH SAID CODE. DATE 1`� APPLICANT'S SIGNATURE --- FORM NO. EQ -016 "..&ATER ANCIIORIIGL ARLA BOROUL. Department of ❑ivironmental Quality 3330 "C" Street Anchorage, Alaska 995113 SOILS LOG PEAZMATION TE -ST Performed for �� __ ote Perfonnv,I .- --- - -- Legal Description: c� W- -1 yok, jQj_�iI_�_�i�__5 <_ 3<__[ iZN_'-c_� This form reports: Soils li>g__I-------------.--- Percolation lost -- Depth Feet ----- - — . 2- /�=yl: 3- 10 - - - Was ground water encountered? _ ...... If If yes, at wnat depth? Re ading mi Date Gross Time Net Time ---- - - -- ----- -- - Field Depth of Inlet Depth to lottom of pit Depth to Water Net Orop Percolation rate nute. Proposed installation: Seepage Pit Drain Field Depth of Inlet Depth to lottom of pit or Lrenci COMMOTS : v1 «, i. c=t' _ 'Jr_ < ` WA _ A Mn Performed Ilv•�Ct�r.T _c�a -� Certified I3y _ Me: V(.)-ndo rr.i?n) hT 84 MunicipaRty of Anchorage on -M Vater and Wastewater Program (OV) 943-7994 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 021-922-12 . -- Expiration Date: _ _[f — & -_ - 1. GEN RAL INFORMATION Complete legal description Location (site address) I33.5IAVWP,ANWMGE,MW6 ----_-.. _ Current Property owners} tri IA f34}tNAN &A4.RODW -.:..- _ Day phone Mailing address Real Estate Agent _.._----.---_---. � Cay phone 4 - 4.. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL, tn*Wugd Well londl� Wwuw WaterStore" " Tl t El community Class e` EJ Co£turay 13 Pubk Vhftr system Pu te$ t Q WaIwAtehance, request f0t* _ s: DOW S. STATSMENT OF INSPECTtON SY ENGMEER As carufb4*d by my seat affilied hereto and as of the validation date shown below, I va* that MY irwestipu0n, based on procedures ourfitried in ft Cortificate of On -Site Systems Approval GUIOOWM for this appillastion, she" OW the on-afte water supply aniftr wastewater disposal System Is WO) safe, Rindionat and adequate for the mamber of bedrooms and type 6f ritructule indicated herein. I fulther verify that based on the information obtamed, from the Municipality of Anchorage files and ifrom my investigation and 1171SWtiOn, the Qn-afte water supply andfor wastewater clispirsal system ia(am) in compliance with all applicable Murildipat and State codes, ordnancor;7 and regurlatfieris in met at the time of instathation. NaMe of Firm _AVKTU __ 79I RRA 4; lj]�T�Nq, 1INC., Phone Address Engirfe(Ws Printed Name KENNU11 M. D UFFQS .... T1221W, 6 Engineers COMMals: This invesligattlin VMs osinpleted in oompilance with ADEC Bad MQA regV1000M. The ars0safflant Of OW COndhim of the well. and septic applies only to the owdilbrug as of tire day tested, The flow and absorption rates, May. change, " to subsurface omWitons that trisit not be Observed ftra the Surface, changes inland "a. local so![ characteristics,adodiiia Wels that may fluctuate du" the Per and the Water Us"O Of the feWy bernil served by the system The operational J, of air waff, and sep(lo systems are sAdd to lhemviarlous; and dynamic characteristics and, we outside the, central of the evalusW of the wall arid septic sitsterit. TheraWre, Arr,'Teirra can nd utive anv asibnatit olhow land a pants iti can AraTerra guaranteathatifict intreen a adeamft, clefiefert cies or diso rep a fto4ai eAst, B. DOD 0111MATURE �Systienn #1 Approved for bedr000rns- $"tam#2Approvsrd for bedrooms. Disapproved. Conditional applowid for bedrooms, vitith the I tpf Y 'or Y op'l ON-SITE WATERAND 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: T12N, R2W, SEC30. E2, SE4 NW4 NE4 SE4 Parcel ID: 021.022.12 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # _ Date completed 911911975 Sanitary seal (Y/N) Y Total depth 150 ft. Cased to 20 ft. (into bedrock) FROM WELL LOG Date of test 9/19/1975 Static water level 30 ft. Well production 3 g:p,m, WATER SAMPLE RESULTS: Well Log (YIN) Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 113112015 25 ft. 0.67 g.p.m. Coliform Nep colonies/100 mL Nitrate 0.21 mg/L Arsenic: ND ug/L Date of sample: 3112/2015 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC-STEP/STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (YIN) Y Depression over tank (Y/N) N Date of pumping Pumper C. ABSORPTION FIELD DATA- NEW SYSTEM Date installed 10121/1994 Cleanouts (Y/N) Y High water alarm (Y/N) Y Date installed 312412015 Soil rating (g.p.d./f:2 or fe/bdrm) 0.5 System type MOUND Length 80'(2ea X40') ft, Width 15 ft. Gravel below pipe 0.5 ft. Total depth +0_.5 ft. Eff. absorption area 1200 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEIN Results (Pass/Fail) PASS 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) N If yes, give date D. LIFT STATION Date installed 1012IM994 Size in gallons 1500 Manhole/Access (Y/N) Y "Pump on" level at 43 in. "Pump off' level at 33 in. High water alarm level at 45 in. Datum Bottom of Tank Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 1001+ Public sewer main 75'+ Sewer /septic service line 25'+ Animal containment areas 50'+ SEPTIC/HOLDING TANK ON LOT TO: Meets alarm & circuit requirements? Y On adjacent lots 1004 On adjacent lots 1004 Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 1004 Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 104 Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1004 ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 101+ Water Service line 104 Surface water 1004 Driveway, parking/vehicle storage 104 Curtain drain 50'+(NON€KNOWN) Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. OF AZ�� , Engineer's Printed Name KENNETH M. DUFFUS Date 8/3/2015 % * 49 TTH 6 �i CO3A canary shy 2-9-15.docXEPN:a N, D SM fs q ssianI .r Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ei.anchorage.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 151078 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot E2 SE4 NW4 NE4 SE4 of T12N R2W Section 30 subdivision, the well's productivity was determined to be 0.67 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. J& N Z(n z� N *Z rrn 0z om 10C tn(n k�q O/ ' OWN E �C W 0 0 0 0 M W coN N N 0 ANCHORAGE RECORDING DISTRICT ASBUILT OF: E1/2 SEI/4 NWI/4 NEI/4 SE1/4 T12N R2W SEC 30 S.M. S89°53' am I- 1 amE EX SEX NWY4 NEY4 SEX T12N R2W SEC 30 S.M. sEP'nc VENT • (gym) SEPnC VENT • (t») • OIN E A • /�'�Hcp ' RAMP WEELLL SURVEY CERTIFICATION: I, John L. Schuller, have conducted a physical survey of this property as shown on this drawing and that the improvements situated thereon are within the property lines and no enchroachments exist other that noted. EXCLUSION NOTES: It is the owners responsibility to detenmine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines, 15-005 JLS 1 2943 1 150118 - SW CANT EXPO BRAVA. DA ALPWEG ROAD 162.78' O =FND 518" REEAR iA�..OFt1L4N 0��:�1 .TH .. ................... m L SCHIJLiER.' o` 1111L —10408 �•�' It 99 M m 00 C) LOT 1 LAft aw0 G�, f�G1 � p r i11 a l"Z 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax • Municipality of Anchorage ANN On -Site Water and Wastewater Program (907)343-7904 S..E.. CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 021-022-12 Expiration Date: 1. GENERAL INFORMATION Complete legal description T12N R2W SEC30 E2 SE4 NW4 NE4 SE4 Location (site address) 13351 ALPWEG ANCHORAGE AK99516 Current Property owner(s) MARIA GOWAN &MARC RODMAN Day phone Mailing address 9138 ARLON ST STE AS ANCHORAGE AK 99516 _ Real Estate Agent Day phone 2. TYPE OF DWELLING: ® 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 ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Cgmmunity ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: COSA to be released to the engineer. unless COSA Fee $ a, q ~ �(ot�:cWaiver Fee $ Date of Payment _S1g1'15 -4(,/1_ Date of Payment Receipt Number 66'2? 6-7 0Z� Receipt Number COSA# nSGlSiO�l$ 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS 3/7/2015 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future ' OF, `1 r� ` occupants or can ArcTerra guarantee that no unseen � _ „ encroachments, deficiencies or discrepancies exist. l* r ;r 4TH ,. �_. 6. DSD SIGNATURE ,0 KENNETH M: DI�FFl�3 System #1 Approved for _ bedrooms.All System #2 Approved for bedrooms. �O rRofE ,,� �_�Ar Disapproved. e Conditional approval for bedrooms, with the following stipulations: BY: 11O / Original Certificate Date: y `—i The6u icip it 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 bl esheet_te-0N a -12A. 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: T12N. R2W, SEC30, E2 SE4, NW4, NE4, SE4 Parcel ID: 021.022.12 A. WELL DATA Well type PRVT Date completed 9/19/1975 Total depth 150 ft. If A, B, or C provide PWSID # _ Sanitary seal (Y/N) Y Well Log (Y/N) Wires properly protected (Y/N) Y Cased to 20 ft. (into bedrock) Casing height (above ground) 12+ in. FROM WELL LOG Date of test 91`1911975 Static water level 30 Well production AT INSPECTION 113112015 ft. 25 ft. g.p.m. 0.67 9 - p.m - WATER SAMPLE RESULTS: Coliforma colonies/100 mL Nitrate 19, m /L Arsenic: ug/L Date of sample: I Z r7 Collected by: ARCTERRA B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC-STEP/STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Date of C. ABSORPTION FIELD DATA Depression yyrover tank (Y/N) N mnar Li'l" LL--. Date installed 1012111994 Cleanouts (Y/N) High water alarm (YIN) Y Date installed 10/21/1994 Soil rating (g.p.d./f:2 or ft /bdrm) 0.5 System type BED Length 85 ft. Width 15 ft. Gravel below pipe 0.5 ft. Total depth 3,5 ft. Eff. absorption area 1275 ftp Monitoring tube Y Depression over field N Dgte of adequacy test 113112015 Results (Pass/Fail) FAIL For 4 bedrooms Fluid depth in absorption field before test 3.4+ in. Water added 600 gal. New depth 7-8+ in. Elapsed Time: 1440 min. Final fluid depth 6 in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed 10121/1994 Size in gallons 1500 Manhole/Access (Y/N) Y "Pump on" level at 43 in. "Pump off' level at 33 in. High water alarm level at 45 in. Datum Bottom of Tank Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 1004 Absorption field on lot 1004 Public sewer main 75'+ Sewer /septic service line 25'+ Animal containment areas 501+ SEPTIC/HOLDING TANK ON LOTTO: Meets alarm & circuit requirements? Y On adjacent lots 1001+ On adjacent lots 1004 Public sewer manhole/cleanout 1004 Holding tank 1004 Manurelanimal excrete storage areas 1001+ Building foundation 5'+ Property line 54 Absorption field 54 Water main 104 Water service line 104 Surface water 1001+ Wells on adjacent lots 1004 ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10'+ Water main 104 Water Service line 101+ Surface water 1001+ Driveway, parking/vehicle storage 10'+ Curtain drain 504416N€ KNOWN) Wells on adjacent lots 100'+ F. COMMENTS Vacant septic system's initial state with only 600 gallons of water added— could not accept are -soak amount G. ENGINEEWS CERTIFICATION I certify that / have determined through field inspections. and review'of Municipal records that the above systems are in conformance with MOA C4SA guidelines in effect on this date. Engineer's Pring& Name KENNETH WDUFFUS Date 31712015 COSA canary sheet12.9-15.doc - X� AZ *A * H Buyer: Jillian Simpson 13351 Alpweg, Anchorage, AK 99516/T12N R2W Sec 30 E2SE4NW4NE4SE4 To Whom it may concern: Residential Mortgage LLC will be holding funds in escrow for the repair/replacement of the failed system for the above referenced property. The amount of escrow will be two times the highest bid received and repairs should be completed by April 6, 2015. Thank You, Kamee King Lic. # 198474 Residential Mortgage, LLC 100 Calais Drive, Anchorage, AK 99503 907-222-8835 Direct 907-743-9692 Direct Fax kin�kC�residentialmtg.com Proposal Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 March 11, 2015 Arc Terra Consulting Inc 20441 Ptarmigan Blvd. Anch, Ak 99577 Phone 868-3792 Re: 13351 Alpweg Road Description of Excavation Services Proposed: Excavation and installation of a new leach field system located on the above referenced lot w/ (2) beds, 6 inches effective x 40' long x 15' wide connected to the existing STEP tank. Total Proposal $ 21,300.00 v MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES 1 1° 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. # o a 10 a a r z HAA#LA'4!0(o33 1. GENERAL INFORMATION Complete legal description -E2, SEto.NW,.'NE'o, SE1T12N,' R2W, Sec. 30 Location (site address or, directions) _ 13351 e, AK Property owner M.LchaeP B. C. mpbeP! —_ Da hone YP Mailing address 13351 At weg Anchu cage, AK 99516 Lending agency Mailing add Day phone 345-5420 Agent_ Boatmen Re.2ocati.on Management Day phone (314) 466-5989 Address 510 Locust S.tAeet St. Lou,i6 MO 63101 - Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well XXX O,. Community well _ ��' � Public water NOTE: If community well system, provide written confirmation from Stat{'ADEC attest ,> ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: XXX Individual on-site _ Holding tank Community on-site _ Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of systema 72-025 (Rev. 1/01) Front MOA#21 - 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm9 g F5 N94RING Phone h ol y– 9 17034 Eatie Kier Loop Road No. 204 Address % Engineer's signature I , 1 49 Date 6. DHHS SIGNATURE % Approved for 4/ Disapproved. Conditional approval for Add t — • nal Comments j 10 bedrooms. bedrooms, with the following stipulations: _ Date Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: E '12- 5F_ ' ' e % SEA Parcel I.D. _ 02/022/2 T/21V,22W, Sec. 30 A. Well Data Well type Pn/VATE If A, B, or C, attach ADEC letter. ADEC wattr system number N,4 Log present (Y.'_) „_ Date completed «! } _L)riller 'w DRiz4 tom. Total depth Cased to a0'(5 CL1C _Casing height L2 / f Sanitary seal (Y/N) YS Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION n Date of test SII ?S —2.131 9 o z -= n Static water level 27 Well flow 3 g.p.m. _ g.p.m. ;1 q N Pump levellNK. U�h c� :5z n 1'"314® n rn T SEPARATION DISTANCES FROM WELL TO: < `v; G m Septic/Ding tank on lot On adjacent lots /Gd f z Absorption field on lot /09 Public sewer main Sewer service line WATER SAMPLE RESULTS: On adjacent lots Public Public sewer manhole/cleanout /00 '1 - Petroleum tank Coliform- Coe ,uies ///D ml Nitrate 0. y2 mq Z Other bacteria Date of sample: koy. }_/991/ Collected by: S F S EUG/NEE2 U( B. SEPTIC/HQMNG TANK DATA Date installed 10-21 -941 Tank size 160D Compartments Cleanouts Y,) ) --LES Foundation cleanout&N) yes Depression ( -N High water alarm (DN)— YELS Alarm tested (@ N) y4 Date of pumping�A 06 W TA,Uk Pumperzv-,�,4 SEPARATION DISTANCES FROM SEPTIC/H0t4)1INI', TANK TO: Well(s) on lot _ /0,5, _On adjacent lots /DO > Foundation To property line 7`/ Absorption field Surface water/drainage /00 /-"' Water main/service line /O /- 72-026(3/93)'Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed /0 -2/ - 9�/ Manufacturer A/ucHOR,4G6 /-41uA Size in gallons AS -a) G.9z. Manhole/Access ON) ES Vent (YO AJo "Pump on" level at Z3 "Pump off' Level at High water alarm level 4,�-" Cycles tested 3 Meets MOA electrical codes ®N)ycS SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot /OS On adjacent lots Surface water -/- D. ABSORPTION FIELD DATA aESYU)Z-- DIS'TR//Tarp./ Date installed /O -,2 - 9q Soil rating (GPD/Ft') O• System type lNea vOF-� 66,1) Length QS' Width /S' Gravel thickness / ' Total depth 6 Total absorption area /, 27Cleanout present (YQ Ali Depression over field (Y(O Ala Date of adequacy test SIA NEw sYETi7;ResuIts (pass/fail) A1/A for 'o/4 Bedrooms Water level in absorption field before testAfter test U/g Peroxide treatment (past 12 months) (Y�q /UO A If yes, give date 44 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /rte ' On adjacent lots /00 t Property line To building foundation 6 /. S' To existing or abandoned system on lot On adjacent lots /0 't- Cutbank S0 , I -Water main/service line /0 '1' - Surface water /00,11- Driveway, parking/vehicle storage area c%O t Curtain drain n101JE KA)OWnI E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect,Qptdtle;dae of this inspection. „ , I `r Signature Engineer's Name if d /j /tltT Cl G r -A jP j aoerr.T C. COWAN �J;��,',•t CE -3301 Date HAA Fee $ J0,/) ' �ID Date of Payment �/� /� _ 7Az Receipt Number �/ (7,S S 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number HAA Fee $ J0,/) ' �ID Date of Payment �/� /� _ 7Az Receipt Number �/ (7,S S 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number rnuri OCT.27.9,1 Q. - ED'S ELECTRIC INC. 3190 COMMERCIAL DRIVE ANOHONA015, ALASKA 90501 S+S ENGINEERING 7.7034 EAGLE RIVER IMP RD. EAGLE RIVER ALK. LIFT STATION AT 1`'iiKE CAIVIPBELL RESIDENQ ON k,PWEG DR. ANCHORAGE ALASKA THE ELECTRICAL WIRING ON THE LIFT STATION ON SUBJECT JOB IS INSTALED IN ACORDENCE WITH LOCAL + NEC. CODES SINCERELY ,,.�� 4� 6p,- 41 EDWIN STROUT OPER. MANAGER 9;56AM P.001 VAl,V U ANci4o ,,,r (9071272.3595 PaX 2Y4.020 MUNICIPALITYOFANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES 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 l.D.# t0r �—c7 �` __ „HAAIt �Qal\01)?)l 1. GENERAL INFORMATION II Complete legal description L S L` (14 Null 114 �%� �� tq— Location (site address or directions) 3 3 I _ A Property owner o - ��Luu Day phone Mailing address 1 5-�L14`f /Ai Lending agency Mailing address Day phone Agent ` Day phone Address __ R r' Unless otherwise requested, -HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: r, 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 Holding tank Community on-site Public sewer `J NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. ,2-025 (Rev. 1/91) Front MOA 421 iN vow ao.a MA tee) SZOZL -�jonn s�eaui6ua leuoissa;ad 9y1 ui suoissiwo ao slam jol elq!suodsai IOU si 96eaogouy;o k;pedioiunyj eql 'penssi si aleoij!pso, a aao;eq elep az,geue ao suoiloadsui lonpuoo lou op SHH4;o sea (ojdw3 •sluaweiinbai slels pue lejepa; u!eljao /gsiles oliepio ui suogn}gsui buipual jiagl pue sawog;o siasegoind of Aselinoo a se sp scop SHH(l egj,aNsel`d to alelS agl ui pajelsibei aeauibua jeuo!sselojd luepuedepui ue .(q anoge g gdea6ejed ul u9ni6 suoileluesaidaa agl uodn Aluo paseq seleoi;ilaap Ienaddy lquog;ny gl1e9H sanssi (SHH4) saoiruaS uewnH pue g41e8H;o luewindep e6mogouy;o /gijed!oiunw aql :suoile!ndils buinnollol aq; gaits 'swooapaq ��ISS3�dyd011 f �� : puo� i,nds uoggol ��cC eG ....... ...... «. A s;uawwo0 Jeuo!3!Ppb 'r A i f ao; Jenoidde jeuoi;!puo0. •panoaddesic] ,;i •swooapaq ao; panoaddy 3linIVNDIS SHHO A, a c sseippv qbE-vmouod -,n �(.,2 ��_a .wai3;oaweN •uoi;oadsui sigl;o a;up ag; uo loa};a ui suo!lejn6ai pue 'seoueuipio 'sapoo alelS pue ledioiunw lie g;inn eouegdwoo ui si wa;sls jesodsip aoleMalsenn jo/pue /lddns aa;eM @;!s-uo aq; 'uoiloadsui pue uoi;e6i;sanui (w woa; pue sap; a6eJogouy;o Al!ledioiunw aql woa; pauie;qo uoi;ewio;ui ag; uo paseq legl /4iaanjaglan; 1 •uiajag pa;eoipui aan;onals;o ad (; pue swooapaq;o aagwnu ag; ao; alenbape pue jeuoiloun;'a;es si wals/s lesodsip aalemelsenn ao/pue (lddns jaleM alis-uo aql legl smogs uoileoildde Jenoaddy (luoglny glleaH s"41 10 uoi;e6ils9nui (w ;eq; (;uan I 'Molaq umogs alep uoilepi1en aql;o se pue o;aaaq pax!;;e leas (w !q pai;iljao sy .9 Ii33NIDN3 A9 N0003r"41 d0 LN3W3.LVJ.S 'S o Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lc /1 Sr-: YV NV(/'lj HE: 1 S ` Parcel I.D. n 21- a z.z-- I'L- SL"L. 3o TI�.ti1,W/ A. WELL DATA Well type R If A, B, or C, attach ADEC letter. ADEC water system number N,�/� Log present (Y/N) N___ Date completed N K Driller N l<� Total depth - L%*_ —Cased to 13 F_'P Q-0 C< —Casing height ,2_5 Sanitary seal (Y/N) Wires properly protected (Y/N) �e N FROM WELL LOG AT INSPECTION o � UU � Lim Date of test _ a Static water level 0 J 1 LLL Well flow g.p.m. - /6 9.10 M. z c-�r lJ LU Pump level w SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot On adjacent lots Absorption field on lot I ; On adjacent lots lore Public sewer main N/A _ Public sewer manhole/cleanout N�/4 Public sewer service line NIA, Petroleum tank NSA WATER SAMPLE RESULTS: Coliform 9� — Nitrate �� > �4 rr'Other bacteria — 7W -11 1! J 1 i Date of sample: _ Collected by: B. SEPTIC/HOLDING TANK DATA Date installed gA1179 --Tank size I1-0-0 Compartments Cleanouts (Y/N) _ Y Foundation cleanout (Y/N) -tq Depression (Y/N) t1j High water alarm (Y/N) Alarm tested (Y/N) _ N/A Date of pumping /v 9.�t.a �1 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 1 D fs On adjacent lots. ) o a fi Foundation 93 n Topropertyline- 90 ± Absorption field d -V —Water main/service line 1z;b Surface water/drainage N/A 72-026 (Rev 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION (Y/a Date installed Size in gallons Vent(Y/N) High water alarm level . "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Date installed 8l 11 /7 5' Soil rating Length 6Y. S Width "Pump off" level at Cycles tested Surface water - Gravel thickness Systemtype -Tf2EENU4 Total depth Total absorption area y 3( Cleanouts present (Y/N) Depression over field (Y/N) Date of adequacy test — Results (pass/fail) hoc ss for Peroxide treatment (past 12 months) (Y/N) r4 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 13 5 T- On adjacent lots 149U * Property line t o To building foundation 1 uo t To existing or abandoned system on lot N�4 bedrooms On adjacent lots 1 L-0 a- Cutbank NCH Water main/service line 10.0 = Surface water le-\ Driveway, parking/vehicle storage area I0_ - Curtain drain N E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect'on the date, of this inspection. Signaturer n , , Engineer's Name Date �S Ij ?acv ," ....., • ' Ur;_. rrorrss _ HAA Fee $ 72), � Date of Payment / Receipt Number __%7 �( 2 9 45-,o ,! 72-026 (Rev. 3191) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number APPLIC 4T FILLS OUT UPPER HAf OINLY -- ' Pro ert O'.vner (- P V - Phone Mailing Address 7...� CC J{n/l{Zip Code e --✓_ Buyer Date Address ' 130 / /" til f%y/; P,."_.. zip code �.,.. Lending Institution Phone Address %! 9/ /e/ 4� :'dmd �C,�l/ N (� pl 7 — �:)C.� �.< xm I /12/!,G ,i::� ZIP Code Really Co. & Agent Phone Address Zip Code MUNICIPALITY OF ANCHORAGE DFnT Or Legal Description ,e .i�/•r..� �i/ /�Y1(.Z% { ( �� /G Z, 4J !. �//,!.¢<.�..7y0 %/«i /1 / /f� ,� G:.•� r Street Location/Yl/L� ��/��C� :�, r/ - a L I �• Type of Residence a Single Family} r] Multiple Family No. of Bedrooms �� R Eo C E: I V S D ❑ Other �C3 - �� _ CZ 'CONDITIONS OF APPROVAL Water Supply Individual ATTACH WELL. LOG. A well log is required for all walls drilled since June 1975. ❑ Community For wells drilled prior to that date, give wall depth (attach log if available). ❑ Public Utility s Sewer Disposal- yy Year Individual Installed: �� 1 Individual Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. -P-A CQ -ks't L�\/ Time Time Time Time Date Date Date Dale ,, `tea A Inspector Inspector Inspector i Inspector Field Notes: I f/R ._ N3-ovl (3z'(22/L,I _ . ,1�..C� l9� MUNICIPALITY OF ANCHORAGE DFnT Or �. ENVIR�).V, -T., A . . . u,KTION r� (S , ( u"\/ S R82 i (T i �� R Eo C E: I V S D ( I APPROVED BEDROOMS J =-- �C3 - �� _ CZ 'CONDITIONS OF APPROVAL ( ) DISAPPROVED (AT) CONDITI4NAL—'DATE �"_ 44 „✓//�� I Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received �% S W19 ell to Tank Septic Tank Size 72 023 ALASKA HUIROW TRL conTROL RUNS, Inc. Engineerinq & @nuironmental Studies MUNI 1p)\k- tY DF ANCrtoRnoE _TION 11/15/82 GEORGE DESPAIN P.O. BOX 1.0-1097 ANCHORAGE AK 99511 SELLER — GEORGE DESPAIN BUYER—MARGUERITE R STONE SUBDIVISION—T12N R2W E1/2 SEI/4 NW1/4 BLOCK—NE 1/4 SE 1/4 SBCT30 ADEQUACY TEST FOR SEWER SYST&A THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 436 SQFT. THE SYSTIN IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 225 GALLONS. BASED UPON THE 'PEST DATA THE SYSTFIN IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY '.['HE EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. felt i fp�aeaas u •ey�.o°'°eo� dQ �� •° Leroy C Reid, Jr, o• �� ij� V$B �F�'. 2251E °.•,VAN ��ti�ORO�rc;tON��av 1-000 IS ADEQUATE FOR 1220 West 25th Auenue • Anchorage, Alaska 99503 9 (907) 276-1361 LOT -12 -'� GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 C Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection 12 5r REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by Mailing Address: vim= 2. Property Owner: y r�q --- Phone: ___!��64 -- - Mailing Address: ��3—_-- 3. Legal Description: 4. Location: 5. Type of facility to be inspected S' '. 1), 6 7 Well Data: A. Type C. Construction Sewage Disposal System: ae''+e .144T B. Depth No, of bedrooms 3 D. Bacterial Analysis 59, A. Installed �� B. Installer C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Manufacturer 2. Material A. Well to: Septic tank _, Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank _—_ Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages + 2 of two pages R Legal Description Comments Appr st for'Approval of Individual.,er & Water Facilities Disapproved Date //-s -ou Pohraval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) ME