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HomeMy WebLinkAboutWILDWOOD GLEN LT 3WI'*Idwood Glen Lot 3 #015-092-67 "Two wells on lot, both to be tested for Cosa" l4"a �V' _ ws 'S f+ Municipality of Anchorage J'� On -Site Water and Wastewater Section • (907) 343-7904 4iiage /pf 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211180 PID Number: 015-092-67®�, S Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New M Upgrade Name KYLE BROWN ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bedound Site Address 7620 WILDWOOD CIRCLE *ANCHORAGE, AK ElOther Phone Number of Bedrooms Soil Rating Total depth original grade 907-360-2911 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot WILDWOOD GLENN; LOT 3 Fill added above original gr Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES 0 Septic Absorption Lift Station I Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 1001+ 25'+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity GREER TANK 1000 Gal. Surface Water 100'+ I Material Number of compartments Lot Line 5'+ NA HDPE 2 Foundation 110'+ LIFT STATION Manufacturer Capacity Remarks OLD TANK DECOMMISSIONED PER UPC Gal. PER CONTRACTOR Alarm location Electrical installed by Installer PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield A+ HOME SERVICES Drainfield EXISTING CO/MT D3034 Inspector GEG AND MOA BENCH MARK (Assumed elevation) 100.00 ft Inspdection 15` 9/10/21 2 - nd Location and description 3'd - 4'" _ TOP OF MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date 0060 O.• 4 TH � �....:..i ... ...... ............ ..................0 Septic System Approvedyz" A� Date 11 8.202 Je fJ A. Gar ess: �O P r/CE- p� �9f 4.Ro Note: this approval does not include well permit requirements.anecc 44O000""moo �I�cv VJ/VU 10� PERMIT NUMBER: PARCEL ID NUMBER: OSP211180 RECORD DRAWING 015-092-67 100 DBL1 44.1 38.8 DBL2 44.2 39.6 MH 44.6 41.8 STI 44.2 45.6 DBL3 44.1 47.1 DBL4 44.4 48.1 FD 43.1 47.2 MT1 68.9 91.8 C01 70.7 93.3 VACANT PER MOA RECORDS I / C 3w 0 s \ n 100, ICL QO2 100' WELL RADjEII A DO EEO) / ) z ) ' w / w � t1 o ( I I 01 ' APPROXIMATE LOCATION OF 1978 TRENCH PER \ MOA RECORDS AND NEW CO AND MT LOCATION O r/ �- NEW 1000 GALLON HDPE GREER TANK; INSTALL DOUBLE CLEANOUTBEFORE AND AFTER TANK I I I N SCALE: 1 1"= 40' GROUP,GARNESS ENGINEERING Lltd ENGINEERING �, SALES ,� CONSULTING �.�.� � .� ...._... 3701 E. TUDOR ROAD, SUITE 101' ANCHORAGE, AK 99507 -PHONE (907)337-6179 ' FAX (907)338-3246 ' WEBSITE: w.vw.gamessengineenng.ccm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: KYLE BROWN 907-360-2911 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: WILDWOOD GLEN; LOT 3 D.J.G. TYPE OF WORK: DATE: I SEPTIC TANK RECORD DRAWINGS 11/5/2021 •.• •........ ..........\ .. ♦, J r mess �WAV ♦ % . GE -7 53 �~AW L I C E N E+11,;;;��� #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: OSP-211180 RECORD DRAWING 015-092-67 TOP OF TANK AT INTLET = 95.89 INVERT OF BUNG AT INLET = 95.21 TOP OF MANHOLE = 100.00 99.75-99.50 NEW 1000 GALLON H.D.P.E. SEPTIC TANK 2" INSULATION PER CONTRACTOR TOP OF TANK AT OUTLET = 95.89 INVERT OF BUNG AT OUTLET = 95.09 ENGINEERING,,SALES- CONSULTING ......:_..� .x �_..�. 3701 E TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507' PHONE (907) 337-6179' FAX (907) 33&3246' WEBSITE: vmw.eamesaeng�neanrrg.com PREPARED FOR. PHONE NUMBER: PAGE NUMBER. KYLE BROWN 907-360-2911 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: WILDWOOD GLEN; LOT 3 D.J.G. TYPE OF WORK: DATE: II,SEPTIC TANK PROFILE 10/28/2021 AW :� ffrey A. Cart s AA ll �i C-7953 • 1,7 •' ,,��N 41P LICEN -6144 ••♦♦ #AECC884 \\1� / �J I m L L 44 N 0) w z M. 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SE lz< MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211180 Work Type: SepticTank Upgrade Tax Code Number: 01509267000 Site Legal Address: WILDWOOD GLEN LT 3 G:2440 Site Mailing Address: 7620 WILDWOOD CIR, Anchorage Owner: BROWN KYLE R & ELLYN G Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: o�'� c n t IS' ' V DeI)a►•tment 6/1/2021 6/1/2022 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Septic tank shall have a minimum 20 -inch manway riser to the first compartment. Received By: Date: I Issued By: Date: 7O� I 3 N -ON OF �.. .. ... . ._. a _ 4" FI Development Services Department' On -Site Water & NiVastewater Section -- Parcel I.D. 015-092-67 -NCHQ 13 E ON-SITE SEPTIC/VVELL PERMIT APPLICATION Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) Kyle Brown Mailing address 7620 Wildwood Circle *Anchorage, AK Day phone 907-360-2911 Site address 7620 Wildwood Circle *Anchorage, AK Legal description (Sub'd., Block & Lot) Wildwood Glen; Lot 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade 0 Duplex (D) r_1Holding Tank ❑ Renewal r_1Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: n/a Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: Jr ),27/21 Date of Payment: Receipt Number: 060036 Receipt Number: Permit No. d 5 IP a 111 n Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Clie nt FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211180, Rebecca Carroll, 06/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211180, Rebecca Carroll, 06/01/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211180, Rebecca Carroll, 06/01/21 00 06T A4 m 0 tr, 00 00 N Cl) w w (n w z 0 m tu Q > 0 % tu- IS 4j- ra c a Z qTa.'K Z tu lz -Qt cc Iq 94L it Jollf '--\ Q IV 0 4z P, Cn sti Lw r 'o, z �Aj !"t Qi cl- `5- uj i— �kjj (ZI tu Q > 0 % tu- IS 4j- ra c a Z qTa.'K Z tu lz -Qt cc Iq 94L it Jollf '--\ Q IV 0 4z cz GO �z C) u LQ Z QiU Ul cz CC 42 CL U, C5 Lu QQ CL -LU Lu cw_ LLJ U-; "ME UU, l< f2. UJ ct b *,- czj 8� X Lu Lu C CL Z5 z Q: CZ, f- OL LL Luo Ct CL :z I u 0 -A- UA 0 Q U'l LL C5 Z� C) M LU 1— U- LL pc uj -Z woo >- z U, z BE Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 Mail! Begich www muni oro/onsite Mayor (907) 343.7904 Well Log Permit Num r.NSW080004 Date oflss 122 ParcelldentiflcationNumberolS-U`i2 Date Started:!Ss og Date Completed:: 30 0S is well located at approved permit location? ® Yea ❑ No Leg Prooperty Owner ame & Address: aFtt A Fit.&nl F> VA ZD WILOL4000 C{2C.k-FC Borehole Data: Depth (h) Soil Type, Thickness It Water Strata From To Method of Drilling ❑ air rotary ❑ cable tool Casing typr. �eC— Well Thickness:OZ2 inches Diameter. to incbes Dcpth:23_L feet Liner Type: �- Diameter. — inches Depth: — feet Casing stickup above ground: — feet LILY �� 5 CIA(Z.S(L (J �j Static water level (from ground Icvel)2Zfo feet Pumping kvel: feet after — hours pumping_ gpm Recovery Rate: -rte gpm Method of Testing:th k O F j A940- JCI Z 2.2.8 Z`t Well Intake opening Type: End ❑ Open Hole Screened Start — fat Stopped — feet ❑Perforations Start—fat Stoppcd—Cat mut ype:gji --_;NI o ume:c T Depth: Start __0_ Stopped cfO±feet Pump: Intake Depth .75 feet Pump size jy�t_ hp Brand Name _ Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: CHL0f-A^4r- Comments: Well Driller. (4-LPlAJrL O(Lill-.k"1 r1A I . Attention: The well driller shall provide a well log to DSD within �0 days of wmpletion. Development Services Department Building Safety Division ��. • '� On -Site Water & Wastewater Program �•aaa 4700 Elmore Road . P.O. Box 196650 ` MorkBeytch Anchorage, AK 99507 Mayor www muni org/onsite (907)343.7904 Pump installation Log Well Drilling Permit Number: Sw00004 Date of Issue: Ib2/ )q Parcel Identification Number -LI �09Z-io,7 0' 9'73Li5 1_1_ i L.J;Lo boo (OLJCL^4 Pump Installation Date: (Q 7 /0o s Pump Intake Depth Below Top of Well Casing. Z37 feet Pump Manufacturer's Name: %OV Lp `) Property Owner Name Jk Add s: iLY l L A r L -Y iSr 76Zo wtt._OCA_�000 Ct2Cclf— 19� CH O k -"CL? F_Y__ 9% S"O `i_ Pump Model: Pump Size 311 by Pitless Adapter 311 bp Depth: feet P11 b A( C Pitless Adapter Mamdacturcr's Namr. Pitless Adapter Installer. Well Disinfected Upon Completion? ETYes 0 No Method of Disinfection: rj.A Lt72t,"1- Comments: 1=t2� PRAY ritTt�3�1 k 1 R-21 G q} t t J WY�i (_ — Pump Installer Name.. _ MILL -(oto a, LQ GJ F—LO l i Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of ptanp installation. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Jan 22, 2008 Expiration Date: Jan 21, 2009 Permit Number: SWO80004 Parcel ID: 015-092-67 Legal Description: WILDWOOD GLEN LT 3 Design Engineer: 0000 ZZ - NONE NEEDED Site Address: 007620 WILDWOOD CIR Owner Name: KYLE BROWN Lot Size: 38385 SQ. FT. Owner Address: PO BOX 111165 Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99511-1165 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 catling (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. 5. The following special provisions. THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55. PLEASE SEETHE ATTACHED SHEET 'PERMIT REQUIREMENTS FOR A PRIVATE WATER WELL.. ITIS THE BURDEN OF THE PROPERTY OWNER TO DETERMINE THAT THE PROPOSED WELL WILL NOT HAVE ANY ADVERSE IMPACTS ON ADJACENT WELLS OR SEPTIC SYSTEMS AND DETERMINE ANY EXISTING WASTEWATER PERMITS EFFECT THE LOCATION OF THE PROPOSED WELL. IF THERE ARE ANY QUESTIONS, PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT 907-343-7904. Received By: Issued By. Date: Date: I O z a i Municipality of Anchorage Development Services Department 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 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING •r�� M 1 Property owner(s) j3gwo K :YLE-- Day phone flO 3l{y `6 � Mailing address -• t) . F) Zip Code // Legal description (Sub'd, Block & Lot) k0T 3 +E�' Legal description (Township, Section & Range) Lot Size 3% 385 Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Er Water Storage ❑ Number of Bedrooms / THIS APPLICATION IS AN: Initial ❑_� Upgrade ❑ Renewal ❑ 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. of property owner or authorized agent) Permit/Rush Fees: / / i Waiver Fees: Date of Payment: _ % fZ2 ,C�f Date of Payment: Receipt Number. �O �f�y!!! 1� Receipt Number: (Rev. 11105) MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water Q Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Upgrade Date Issued: Jan 11, 2007 Expiration Date: Jan 11, 2008 Permit Number: SW070004 Parcel ID: 015-092-67 Legal Description: WILDWOOD GLEN LT 3 Design Engineer: 0000 ZZ - NONE NEEDED Site Address: 007620 WILDWOOD CIR Owner Name: Kyle Brown Lot Size: 38385 SO. FT. Owner Address: PO BOX 111165 Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99511-1165 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. 5. The following special provisions. r _.. THE INSTALLATION OF A WATER WELL SHALL MEET ALL THE ANCHORAGE MUNICIPAL CODE 15.55. PLEASE SEE THE ATTACHED SHEET "PERMIT REQUIREMENTS FOR A PRIVATE WATER WELL'. IT IS THE f BURDEN OF THE PROPERTY OWNER TO DETERMINE THAT THE PROPOSED WELL WILL NOT HAVE ANY ADVERSE IMPACTS ON ADJACENT WELLS OR SEPTIC SYSTEMS AND DETERMINE ANY EXISTING P WASTEWATER PERMITS EFFECT THE LOCATION OF THE PROPOSED WELL. IF THERE ARE ANY QUESTIONS, PLEASE CALL THE MUNICIPAL ON SITE WATER AND WASTEWATER PROGRAM AT 907-343-7904. Received By. Date: ) 9- Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 ON-SITE SEPTICIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING ..�- 'r • i Property owner(s)p t� 'VYLFF Day phone clo� SpIq `6Y31 Mailing addresZip Code Ij Site address W I t�D 1 J(5O r"-. Zip Code Gert A� Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size 34i; 385 Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal ❑ 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. of property owner or authorized agent) Permit/Rush Fees: AI75- Waiver Fees: Date of Payment: I Z Z7 l%� Date of Payment: Receipt Number: g 770 Receipt Number: (Rev. 11105) �.'Vw 30 1 colwI Lr&- 5p-cw titWkLO000 _ wA�g95o� c t.oz- 3 g�1=1 • — Gal�D1,.�oaD loC.>znl L I = 6 5 fir. =" b G 11398 SF o n CIRCLE wee 3`14-(.431 10' UTILITY 53779 SF � � 1 41 43667 SF I I: I10' UTI TY EASEMENT 4.32..-'. Municipality of Anchorage Page I of 2 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: 71 0 %Z� Name: Wastewater System: . New tqupgrade Address :&Sb c t2 ��S�l/O ABSORPTION FIELD Phone: No. of Bedrooms: Seep Trench El Shallow Trench ❑Bed O Mound El Other LEGAL DESCRIPTION Soil Rating: //� G'C/�GPD/S Total Depth from original grade: .Ft. Lot /Block: Subdivision: Depth to pipe bottom from origins; grade: Z Gravel depth beneath pipe Y�II LT JWOQ_l% Ft. J Ft. Township: Range: Section: Fill added above original gratle:� Greve) length: J ,,,grade 2 Ft. T Ft. WELL: El New ❑ Upgrade Gravel width: 'Jr Numb�r of lines: DislNebAetween lines: Ft. f— Ft. Cla/ssyif�ication (Private,�A�,B�,Cri7-I): rSL ttl rY Total Depth: Ft. ased To: Ft. Total absorption area: SO. Ft. Pipe material: FS /O "PE2r AsSr"'V-3&2 ' !PYC- Driller: ate Drilled: Static Water Level: Installer: D ucr7a Date installed: l0 1Z�Cl?j Ft. Cort Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES *Septic(" 5"1� El Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines Well 1� t+ Materiae TES L Number of Compartments: Surfac LOOta 0&+- — - — LIFT STATIO l Water Lot✓/„ Size in gallons: Manufacturer: Line ✓lY I/L( ll �— Foundation I �'l ,_ "Pump on" level a "Pump off' level at: High water alarm at: Curtain P>mi>ake &Model I Electrical Inspections performed by: Drain Remarks: /2/F!C E I [ BENCH MARK /''� / / ;/Wkc LocatW Description: ft�� /Yud 1y4,09,0 2 Assumed Elevation: looms Ft ENGINEER'S SEAL S & 5 ENGINEERING �' s Inspections performed by: 17034 Eagla'RiverLoop RoafQNIP.M%t Eagle River, Alaska M77 2nd l o �otoir It, Department of Health Human S v' es approval a. gyp' 14X N n n Reviewed and approved b ate: 72-013 (Rev. 9/91) MOA 25 Permit No. SW930413 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: WILDWOOD GLEN, LOT 3 PID No.: 01509267 100' WELL RABID 3 BDRM _. HOUSE B vO'( FCO :CO2 UBC C0 _ CO1 _ONERTER \ SN. W1p EXIST. 1000 GAL. NEW TRENCH J SEPTIC TANK CO3 EXIST. TRENCH TO BE --- - - - - ABANDONED SUCH THAT - IT MAY BE USED IN THE FUTURE 10' UTIL. ESMT SCALE 1" = 40' ' � / / _. _. CO1 63 37 V 71 47 fCI O1 -- Co N 88.5'9 84.1 72-013 A (2/91) MOA 25 83.9' ♦ 69.3' NO WATER D.. CO2 89 107 CO3 180 161 MT1 173 180 , 1 �'� % c c a c 'OUND r 'Rokat'i A. ° gyp... 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:SW930413 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:EAST MICHAEL K OWNER ADDRESS:7620 WILDWOOD CIR ANCHORAGE, ALASKA 99516 PARCEL ID:01509267 LEGAL DESCRIPTION: WILDWOOD GLEN LT 3 LOT SIZE: 38385 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: ICS I d - la -93 DATE ISSUED:10/06/93 EXPIRATION DATE:10/06/94 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 BY: ISSUED BY: DATE : 16 - G DATE: r � -4/- a September 25, 1993 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTHAUTHORITY APPROVALS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99519-6650 SEWER & WATER MAIN EXTENSIONS REFERENCE. Wildwood Glen Subdivision, Lot 3 SEWER & WATER INSPECTION We request you issue a permit to upgrade the septic system serving the ENGINEERING STUDIES three bedroom house on the referenced property. AND REPORTS An adequacy test performed on the existing system for Health Authority Approval purposes found the absorption capacity of the existing system to be inadequate. WELLINSPECTION & FLOW TEST 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 the test hole has been checked SITE PLANS and found to be dry. Attached it the proposed upgrade design. We do not anticipate any adverse effects on neighboring properties by the ROAD DESIGN installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. SOILTEST PERCOLATION TEST 0 STRUCTURAL& MECHANICAL INSPECTIONS ON SITE \ WASTEWATER \ DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 J W J W O M M 2 Q D O Z Q -o �a ZQa O O W W' UNn- =wO N =ww ~ 'If Z_ JLi::) J aoo p w} Z }_ of Q � W dJw CL mF-O >NZm zwm o � J � W � Z wWwao U F Y NLLI U _ U = F wz� >wz N O O- 0 U Ow U w F 2 iv4 scot Q <NFZ �Ll ZN W¢F¢ ZwZ SX�WO � waz0 30VaJdn OV = .,j ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Wildwood Glen Subdivision, Lot 3 GENERAL: The scope of this project includes the installation of a leachfield trench to serve the three bedroom residence located on the referenced property and excavation of the existing 1000 gal septic tank to verify its integrity (if the tank is of good integrity a second cleanout is to be installed). If the integrity of is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1000 gal septic tank installed. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions; and all applicable State and Municipal 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. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 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 Wildwood Glen Subdivision, Lot 3 September 25, 1993 4. Septic tanks installed with less than 4 ft. 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 ft. 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. ABSORPTION TRENCH/DRAINFIELD INSTALLATION; Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier 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. 4. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. 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 thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Wildwood Glen Subdivision, Lot 3 September 25, 1993 MINIMUM MATERIAL SPECIFICATIONS: 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: Type 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, Mirafl 140N, 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, it's gradation specifications must conform to current M.O.A, or D.E.C. requirements. Page Four Wildwood Glen Subdivision, Lot 3 September 25, 7993 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. 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, cleanouts, 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. Y r Municipality of Anchorage Y DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage, Alaska 99502-0650 r.3 SOILS LOG — PERCOLATION TEST y PERFORMED FOR: Y vl�Kf� DATE PERFORM E LEGAL DESCRIPTION: L3 WII-DLA1660 ISUz-ry S�� Township, Range, Section: Si nap SITE PLAN 33301NOL AVENUE TESTING LABORATORIES/ INC. 2505 FAIR BANKS STREET FAIRBANKS, ALASKA 99701 ANCHORAGE, ALASKA 99503 19 07( 456-3116 • FAX 456-3125 (907)277-8378 • FAX 274-9645 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA Arctic Slope Consulting Group 301 Arctic Slope Avenue Public Water System Z.D.# Anchorage AK 99518 1 � Susan C.Tifental Microbiology Supervisor Date Received: 09/03/93 Time Received: 08:45 Date Analyzed: 08:00 09/03/93 Time Analyzed: Date Reported: 09/13/93 Time Reported: 12:52 Next Sample Due: Comments: S = Satisfactory U = Unsatisfactory Collected by: E Gropp POS = Positive Test Result -. ND = None Sample Type: - Detected TNTC = Too Numerous Special To Count> CG = Confluent Growth (>200 Colonies HSM = Heavy Sediment Masking, Results Method of Analysis: May Not Be Reliable SA Membrane Filtration = Sample Age >30 Hours But <48 Hours, Results May Not Comments: Y Be Reliable = Sample Age >48 Hours, Too Old Analysis For R = Resample Required - NT = No Test * # Colonies/100 ml Location Sample Colonies/ml Sample Date _____________________ Total* Fecal* * HPC Other* ** Time Lab# Coliform 1 Lot 3 Wildwood Gl-"'--- Glen 09 02 93 / Coliform Bacteria Result -----"" ___ Comments 17:45 A B2229 p --------NT NT S 1 � Susan C.Tifental Microbiology Supervisor '`.,y.VIUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEI PHONE XNEW ,� _ !� -, G , p ❑ UPGRADE MAILIIINGGADDR SS LEGAL DESCRIPTION / L 3 LOCATION'�� NO. OF BEDROOMS ' lIT DISTANCE TO: Well Absorption are 11Gi " _� 92 Dwelling PERMIT NO. �9 r" Uy a Q Manufacturer � - Material No, of compartments wF. 'Ce �� ti Lic. capacity in dallons IF HOMEMADE: Inside) th g �� Width w/ 4 Li quid depth q p IU14 /v y DISTANCE TO: Well Dwelling PERMIT NO. J =Z = z F Manufacturer Material Liquid capacity in gallons D w= DISTANCE TO: Well // Foundation Nearest lot liq PERMIT NO. J LLZ No. of lines Length o each lin Total I n th of li es Trench width Distance Setween lines zw ~ j= y inches P Top of tile to finish rade _ Material beneath tile Total effective absor_otion area inches Length Width Depth PERMIT NO. w Q F Type of crib Crib di e e Crib depth Total effective absorption area wS w w Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Se er line / <I tD d Septic tank t/J' / (f Absorption area(s) OTHER PIPE MATERIALS n- c SOIL TEST RATING yo S J P F5 U. INSTALLER Z/n/ q- t:J<< REMARKS � r co APP VE DATTEE LEGAL yam/ 72-0136 v. 3/78) // N l is f-: Fi fi [s Fi E+ is H f•+ Ex f� H Ey H H it EA Ea CJ '✓ C) am [`.✓ o i - O: ci �: of 'd ri �� : c ; r7 i ci E r E <. O E 0 : 0: � 4 W :sa i"< S+ E�v f< 4. :i 14 da •1 :i co Vl; O:D O: c^.; '`:'l: {`: 0\E. O: Jti Vr E U O • i -3" L1: b : i� i OD: CO : CD i co: O ® ® ® O O O O O O H H H F•+ H E� H H F H H H �:; eJ i fi Er H N Ei �•+ e+ H w i ! i i t^:! co. ! O Cl'; Vl S`: O: H O -1i t`� V N : GJ ! CJ "..D O O O O O O Na ,. • M o_F F' -•F I e::� I F=`"F_ I -IF 070 w_e F= Fl td a_ FA RD #:P.* 9=# C3 LE DEPARTMENT OF HEALTH AND Ei'VIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE.. AK. 99501 264-4720 �,a F=1_ 1_ F� C-.1 C:� ®�a F' -•F -- �;: I -T F= _• E F.� E F=' F✓' � F=° F -•'F I "F-" PERMIT NO. 780535 APPLICANT DELBERT RUPPERT 1321 PATTERSON -::f 2E184 LOCATION CORNER GRIFFITH/WILDWOOD C:IR 1' l LEGAL L3„� WILDWOOD GLEN /D LOT SIZE 3�J000 SQUARE. FEET TYPE OF SOIL ABSOP..BTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = { SOIL RATING (SQ FT/BR)= 90 11'HE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C -u E F=' -F`" eF, F _ F= t`a T F -F = =---4 C� F_,? 9 -E %= ' Er FL_. F FJ 7 F F =: 4 - THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE [INSTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL_. BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F<_E=QU I F i'F=C+ E--- F= T I CT9=5"K I z F-- I Elawlea PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE:: INSTALLATION INSPECTIONS OF ANY WELL- ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCIES THAT THE WELL WILL SERVE. -- — — -FL N s�� =: :=� I "� F= E. �- -C I CJ""=-; F= B Fb _ F = F - F= ®'c U I F _ FF C_• BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO i PRC �= ECL �T I ON. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL.. SYSTEM Is 140 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM H PUBLIC: WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN _30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. `_=•PEC:IFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. Fes' F = R M I -1-' FEEX F=° I F_� F _ C'o E I- E= r-1 F- E FR 7 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS Aral:' WELLS AS :SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. _z: I UNDERSTAND THAT THE Circ -SITE SEWER :SYSTEM MAY (=EQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOM=. S I GNED :-�d=-�rf-Cd ._ Y - ---------- - PPLICANT DELBER ;UPPERT ISSUED BY-- --"____._________DATE_ 6 _a %— -78 - i .. Departnent of Health and Environmental T' tection SOILS LOG P£-ReOIdiT-ION—?£6'i-' 78-6 Perfo=ed for Dale Ruppert Legal Description Lot 3_ O r —te r 0 - 1.5' - Red, sandy silt w/organics Date Performed 3/21/78 Wildwood Glen Subdivision L 16' 1.5- 7.5' - Gray -brown, sandy gravel (GW) 85 ft.2/bdrm. 1.5- 9.5' - Gray -brown, silty, sandy gravel (GM -GW) 200 ft. 2/bdrm. 9.5-16' - Gray -brown, sandy gravel w/some silt (GW -GM) 180 ft.2/bdrm. Total Depth = 16 feet No Water Table Encountered Pit dug 150' from NW corner along N property line AVERAGE ABSORPTION AREA FROM SOILS LOG = 193 ft.2/bdrm. Percolation Ra Performed By_ minute CHAMPION DRILLING COMPANY, INC. MUNICIPALITY OF ANCHORAGE Agi • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental ServicesCMD On -Site Services Section P.O. Box 196680 Anchorage, Alaska 99519-6650 ' 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D.# HAA# V-* 1(1nln`� 1. GENERAL INFORMATION Complete legal description Tot 3 Wi I dwaad rl en Location (site address or directions) 7620 Wildwood Cr. Property owner Mike East Mailing address 7620 Wildwood Anchorage Ak 99516 Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 � 3. TYPE OF WATER SUPPLY: Individual well xxxxxxx Community well Public water Day phone 522-3522 Day phone Day phone 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 xxxxxxx 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. 11911 Front MOA U21 Lau vow Vus (1en nu) szo-ze ,ylaoM sdaaul6uo leuolssaloid aql ul suolsslwo ao sjoija jot alglsuodsai lou sl 96eaogouy to Allledlolunyj aql •panssl sl aleollluao a ajolaq elep oz/leue ao suolloodsul lonpuoo IOU op SHHQ to saaAoldw3 •sluawailnbai alis pue lejapal waliao /idles of japio ul suollnllisul 6ulpual jlagl pue sawoq to siasegoind of Asal noo a se slgl saop SHHO agl'eylSLIV to alels eql ul pajalS169a aaaul6ua leuolssaloid luapuedopul ue Aq anoge g gdeibeied ul UBA16 suoilelussaidw aql uodn Aluo paseq saleoglaaac lenoaddy Aluoglny gileaH sonssl (SHHO) SaolruaS uewnH pue gileaH 10 luawliedaa a6eaogouy to AllledlolunW agl :suollelndlis 6ulMollol agl gIIM 'swooapaq - auogd sluawwo0 Ieuo11!ppv ON aol Ienoidde Ieuo!1!PuoO •panoaddesla sol panoaddy --j aunIVNDIS SHHO '9 s,aaaulbu3 ssaappy (w!=I to aweN •uolloadsul slgl to alep aql uo loalla ul suolleln6w pue 'saoueulpao 'sapoo alelS pue led!ownW Ile Om aouelldwoo ul sl walsAs lesodslp jejumalsem ao/pue Alddns aalem ails-uo agl 'uolloadsul pue uolleBljsanul Aw woal pue Sall; 96eaogouv 10 A111edlolunyq agl wa1 paulelgo uollewjolul aql uo paseq leg; Allaanaagl(nl I •ulajaq paleolpul ainlonalslo adAl pue swooapaq to aagwnu aql aol alenbape pue leuollounl 'ales sl walsAs lesodslp aalernalsum jo/pue Alddns AeleM ails-uo agl leg; smogs uolleolldde Ienaddy AlljoglnV glleaH Slgl 10 uolle6llSanul Aw leg; AluaA I 'Ano!aq uMogs alep uolleplleA agl 10 se pue olaaaq paxllle leas Aw Aq palllllao sy a33NION3 AS N01103dSN1 d0 1N3W311i1S 'S u Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: U�_" -Parcel I.D. A. Well Data �7 Well type If A, B, or C, attach ADEC letter. ADEC water system number Ap, Log present6)N) Date completed �I -\1 -1 S Driller Total depth Cased to 40\ Casing height `� N Sanitary seal &N) Wires properly protected (ON) FROM WELL LOG AT INSPECTION Date of test ��'-1 °0 Static water level JtL Well flow 7i 9.p -m. 9 g.p.m. Pumplevelt JtL / s� z n c dg3'1 3 D SEPARATION DISTANCES FROM WELL TO: N n { Septic/holding tank on lot On adjacent lots Absorption field on lot o o ; On adjacent lots \ a C, �1.4 c x Public sewer main s Public sewer manhole/cleanout �k \� o" z Sewer service line Petroleum tank 25 WATER SAMPLE RESULTS: Coliform O Date of sample: _I b /a /�3 Collected by: 17034 Eagle giver Lois g®eg Neu age River, Alaska 99577 B. SEPTIC/HOLDING TANK DATA Date installed V _Tank size _ /4� Compartments_ Cleanout q( ,N) _ _Foundation cleanou (Y N) __Depression(Y 1. High water alarm (YJtay � Alarm tested (Y/N) �Z, Date of pumping �� -0/I9 3 Pumper SEPARATION DISTANCES FROM SEPTIC/Ht1G TANK TO: Well(s) on lot 1,,56 On adjacent lots /60 Foundation I�C�rd To property line 5(P Absorption field Water main/service line Surface water/drainage ) oo 'r 72-028(3/93)'Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level Meets MOA electrical codes SEPARATION DISTAN FF Well on lot D. ABSORPTION FIELD DATA Pump on" level LIFT STATION TO: (Y/N) "Pump off" Level at Cycles tested On adjacent lots Surface water Date installed 10 J-2- IQ 5 Soil rating (GPD/Ftz) d. Cv System type _T)EEp nGt JCf�" r / Length 7� Width 3 Gravel thickness `5 Total depth 1� 7 -— Total absorption area _SG 1�7 Cleanout presentbN) Depression over field (Y _4e 1_ s� (P ) Date of adequacy test � !� Results ass/ ail /-J /-A - for Water level in absorption field before test test ti Peroxide treatment (past 12 months) (Ytq /�J If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: r Well on lot / Si On adjacent lots To building foundation /0Z) W Property line W r To existing or abandoned system on lot /Z On adjacent lots -5014- Cutbank 1677 -F Water main/service line Surface water /O7i Driveway, parking/vehicle storage area JPO Curtain drain t� E. ENGINEER'S CERTIFICATION Bedrooms / U , -f-- I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the,date,.of this inspection. Date of Payment 4 'Ab Receipt Number Z57) 2 7� jI x 72-026 (3/93)' Back vva,vc, , cc w Date of Payment Receipt Number IWATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO.J41A s1� During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot �_ Block — of 1/✓//_ao DdoL,=- Subdivision, the well's productivity was determined to be O• ¢ gallons per minute. The minimum well productivity required by this department (AMC 15.55) for a —3 bedroom residence iso, 3/9S 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 noncritical 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 Health Authority Approval. ; ' r. t HSCG-EhlGIld, TEL��'�r'�[_„t�;�' �� 11 ID J 1 kt,.001 --'-- _- .. Post -It"' brand fax transmittal memo 7571 Nof pagan . WELL LOCATION: Subdivision: W11P4 ' %U— Lot:— Block: --- — �,r:,�; •Gare .Meye V •;��`.i,-'• '.• N 552 Lrg•�•..,,.•H• �, d Client's Name: •'"" " "—--•-----'�"�- Address: DATE: REC VFD NOV 2 1993 c,pairiy ui Arichora fealth & Human Seri TESTER: Anu•iino nn Meter: -- 14 NOTES: /7 Cap.;cil)'7iJrC) Canons Production Rale: GPM P1 uv_P J W � 0 r MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. # ��Sl� �67 HAA # la Ari ?:jf)L( cl � 1. GENERAL INFORMATION Complete legal description R- 0 V 3 ( L' Woo Location (site address or directions) '7- G z U v✓ �z G Property owner —1 Mailing address Lending agency Mailing address Agent Address Unless otherwise eqL 2. NUMBER OF BED NO, 3. TYPE OF WATER SU`I IndividU Commu Public v ((.(-5 nu HAA will de held LY: well :v well phone-, -22-3S22- Day Z-3Szz Day phone NOTE: If community well'syatan<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. ]2-925(Rev.1/91) From 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 Firm A S (7• G L Eve, , Phone — °-y 9 -3-1 b 8 Address S v I A e2rar_ S r_ v 1•'(: A vc- Engineer's signature Date ;• {Rs or I OMI �flfl P• 09 - (� �flpu C1r'• Qyju�^T .9 � << Core i Meyer/ I i `i r. c v, S3L3 IIVIII r+ 6. DHHS SIGNATUREl�`��gp; Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/01) Back MOA N21 MUNICIPALITY OF ANCHORAGE • L 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.# 0'5- N X"—E% HAA# 0R92:1LLi0l\ 1. GENERAL INFORMATION Complete legal description L or 3W +amu�w� C-"57✓ Location (site address or directions) _*'?� G Z o v-1 ru1 w o n C r Property owner -r Day phone S z 2-3.5 22- Mailing address -7-6 2(2 Wtj'nw0uu Gtr Lending agency Day phone Mailing address Agent Day phone Address 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(Rw.V91) 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 furtherverify 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 S G& L rVe. , Phone `y 9 -;Y' f ti S Address .3 U 1 Ae2C (c� 0 ('C AVC_— Engineer's signature Date 2� ee Wa S0 xq 5+{ `y Ru.°gkri°° iir`k a�a U' °Ni Care....°Mete rli r�i 5353:'-3 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments a wTlc Date %"- y - �3 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 purchasersof 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 (floe. 1191) Back MOA 021 Municipality of Anchorage Department of Health and Human Services mg HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L 0 r 3 y,/ LnW o0 u 6 c0,v Parcel I.D. A. Well Data Well type 13r� tyA r6, If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Y Date completed I X17 Y Driller S Y✓16-/u 13i2 US U4ic� rvCr Total depth `-! 1 Cased to W U Casing height 1 d Sanitary seal (Y/N) Date of test Static water level Well flow Pump IeveH FROM WELL LOG Nor 3hr)l✓/✓ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 1 0 `J Absorption field on lot 1 ou }' Wires properly protected (Y/N) AT INSPECTION I zl l 9 A C:oz - Z Li U 3> t n M G)Zi M D r ^ M M T �vw J � < Z � rT1 40 n N O < G) y O On adjacent lots I o o m On adjacent lots Iw'd- Public sewer main /✓ o rve- Public sewer manhole/cleanout IVO A/ v Sewer service line /Vc9(t/C _Petroleum tank A/C) w t--, WATER SAMPLE RESULTS: '1 LOL4 NY Coliform (Of Nitrate :2 - 9 '% Other bacteria �VUML Date of sample: r^rrmT% %/2I/93 601-jFof1m Bhoi2lCollected by: G✓Lrc r7WOPE B. SEPTIC/HOLDING TANK DATA Date installed 7 / � / Z5 Tank size X00 V GAL Compartments_ Cleanouts (Y/N) Y (woes) Foundation cleanout (Y/N) Y Depression (Y/N) High water alarm (Y/N) n/ tested (Y/N) d Date of pumping � / Z ) / 93 Pumper /&L?,rvALu`.5 Prrnav,Nc- Sc�awc� SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /v N' On adjacent lots Io y r Foundation 3 To property line 20 ~ � Absorption field 1 z Water main/service line NGNC Surface water/drainage tions (: 72-026(3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION rJ//4 Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) High water alarm level "Pump on" level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA "Pump off" Level at Cycles tested On adjacent lots Surface water s= Date installed A 7 / 7- 8 Soil rating (GPD/Ft') 90 rsrz," System type oc<_ r i "rc,o<- -( Length '1 L) ' Width 3' Gravel thickness Total depth Total absorption area 3 z o i7 ! z Cleanout present (Y/N) Y Depression over field (Y/N) iV Date of adequacy test - / ;71 / 9 3 Results (pass/fail) 1'/J S J for S Bedrooms Water level in absorption field before test 2 '- G " After test _ z Peroxide treatment (past 12 months) (Y/N) t\/ T I-iG sVs rvM /{cc[oo)'c-0 rHc� ,Qc(a) U/atrLR SEPARATION DISTANCE FROM ABSORPTION FIELD TO: If yes, give date w1rHln/ 24 H"Ils, 130r IT IS A M 4rVOC SYSr'Clo, At/✓D Jr- A<CC VTCU rHL WAroi4 SI-G,tyy Well on lot I ocv r On adjacent lots 100 '4- To + line < c" To building foundation -S U ' To existing or abandoned system on lot IV L' /U C On adjacent lots 9C ' Cutbank A/o i✓ Water main/service line ti'o,v G Surface water /VV/VL Driveway, parking/vehicle storage area _ S v V' Curtain drain A/d1✓C- - E. ENGINEER'S CERTIFICATION 1 certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in eftept on th&,dale, of this inspection. T i c/r wj �z Signature Engineer's Name t r r lfl�/1h < rY 7�"1�119 Date 0 HAAFee$ 1-70`tfD Date of Payment Y ` /rJ' _173 Receipt Number 72026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number V NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99707 (907)456-3116•FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 1907) 277-8378 • FAX 274-9645 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA Arctic Slope Consulting Group Public Water System I.D.# 301 Arctic Slope Avenue Anchorage AK 99518 Date Received: 09/03/93 Time Received: 08:45 Date Analyzed: 09/03/93 Time Analyzed: 16:00 Date Reported: 09/13/93 Time Reported: 12:52 _._Next .-Sample—Due.;._ Collected by: E Gropp Sample Type: Special Method of Analysis: Membrane Filtration Comments: Comments: Sample S = Satisfactory U = Unsatisfactory POS = Positive Test Result ND = None Detected TNTC = Too Numerous To Count (>200 Colonies) CG = Confluent Growth HSM = Heavy Sediment Masking, Results May _____________________________________________________________________________________________ 1 Lot 3 Wildwood Glen Not Be Reliable SA = Sample Age >30 Hours But <48 Hours, 0 Results May Not Be Reliable Old = Sample Age >48 Hours, Too Old For Analysis R = Resample Required NT = No Test * # colonies/100 ml ** # Colonies/ml Susan C.Tifental Microbiology Supervisor Sample Sample Total* Fecal* Other* HPC** Location Date Time Lab# Coliform Coliform Bacteria Result Comments _____________________________________________________________________________________________ 1 Lot 3 Wildwood Glen 09/02/93 17:45 AB2229 0 NT 0 NT S Susan C.Tifental Microbiology Supervisor AARCTIC SLOPE CONSULTING GROUP, INC. or AC 0 n : 00 —_L� Engineers •Architects •Scientists •Surveyors _e._., e.a..,,.., sa .a.. ea a• er301 °an—Avenge MCM,p9e• ua.ka 99s1e-393s 9 Care . Meye TelePhooe: (907) 349-5148 Fm: (907) 349-4213 3 WELL fQ'ra••°.aa�oaP �X,r ROFES F LOCATION: Subdivision: W,LUWOOD GL LTW Lot: 3 Block: Client's Name: Address: TESTER: (1 6 w U PP Initial Reading on Meter: ,o 00 UU DATE: Z7 3(A4 9-S DRAW TIME DOWN GPM GALLONS VOLUME GALLONS FIELD MONITOR TOTAL LEVEL METER READING G ! S"S— r v, y_ S-6 0"13 9 9 IS Is 1/ NOTES: s ('STC" Alt 1 S /'1 -1 'Pl't 1° C. 4 ev O A c c C P TJ WAI 1-6 fP S L v "'b V Production Rate: (-'+ t.� GPM 24 -Hour Capacity �(,/`� L7 Gallons -TUL--2 I -93 WE: D 1 3: 57 0 ;14�1 2701 EAple Street —. A A1.. OWNER Or LAND i`• n ..,,,.._. .. .._.... ...•-. .., ...... .......... ....... ....... ......._.. ADDILESS -(`1': t i _. .. .... ......-...... .. ....). S.L.....t t 1....... ,...... ...... ......... .......... 1 DATE STA RTCI).... _' .; /� s ................................................. _.. ;........ ....: l..i. 4,;, 1:_.,. �. '..:. y,,.._.,:.�(•._i",;L liu,l,, 4` � �� r { HIND Ur FOI(:4AT1tN: t'1N1}5... .. .. .. Ff. 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INFORMATION: OEM NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 19071456-3116 • FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 19071277-8378 • FAX 274-9645 Arctic Slope Consulting Group-^ 301 Danner Avenue, Suite 200 Anchorage AK 99518 Attn: E. Gropp Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: Lab Number Method _ A124882 Wildwood Glen Lot 3 Water Parameter A124882 EPA 353.3 Nitrate -N C! Reported By: Susan C. Tifental Microbiology Supervisor Units mg/1 Report Date: 07/29/93 Date Arrived: 07/21/93 Date Sampled: 07/21/93 Time Sampled: 0807 Collected By: EG * Definitions * B.= Below Regulatory Min. H = Above Regulatory Max. E = Estimated Value M = Matrix Interference D = Lost to Dilution MDL = Method Detection Limit Date Date Result * MDL Prepared Analyzed 2.9 0.1 07/27/93 'AUG 13 193 09:47 NORTHERN TESTING, ANCHORAGE P.2 NORTHERN TESTING LABORATORIES, INC. 33301NDUSTRAL AVENUE FAIRBANKS, ALASKA 89701 19071457-3116• FAX 458.3725 77.8378• FAX 274.9646 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 2 DRINKING WATER ANALySIS REPORT FOR TOTAL COLIFORM BACTERIA Arctic Slope Consulting croup Public Water System I.D.# 301 Arctic Slope Avenue Anchorage AR 49518 Date Received: 08/10/93 Time Received: 07:59 Date Analyzed: 08/10/93 Time Analysed: 17:00. Date Reported: 08/13/93 Time Reported: 08:41 Next,8ample Due: Comments: Susan C.Tifental Microbiology Supervisor 6 = Satisfactory V Unsatisfactory FOS = Positive Test Result ND = None Detected TNTC . Too Numerous To Count (a200 Colonies) Collected by: E Gropp CG = Confluent Growth Sample Type: HSM = Heavy sediment Masking, ResultS.May Routine Not as Reliable SA = Sample Age 730 Hours But <48 Hours, Results May Not Be Reliable ' Method o! Analysis: Old Sample Age >48 Hours, Too Old For Membrane Filtration Analysis R=.Reeample Required Comments: NT = No Test * # Col6nies/100 ml ** #'Colonies/ml Sample Sample Total* Fecal* other* HPC** Time Lab# Coliform Coliform Bacteria Result Comments Location Date ---------------------------------- _ 1 Lot 3 Wildwood Glen 08/10/93 07:40 AR14653 0 NT 1 NT S Susan C.Tifental Microbiology Supervisor HFLA iTOP -TECHNICAL-SERVI,CC;r:. Cn'IL & F.NVIRONAIENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSLS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 June 4, 1992 ANCHORAGE, ALASKA 99516 Mike East RECEIVED 7620 Wildwood Circle Anchorage, AK 99516 p y %� (Lra ulv o b C2c Ell a U L 'u o 1993 Municipality of Anchorage Dear Mr. East: Dept, Health & Human Services Per your request on May 25 we conducted adequacy tests of the water supply and wastewater disposal systems serving your residence on Lot 1, Wildwood Glen Subdivision. According to the driller's log, the well was completed in July of 1978 and has a total depth of 404 feet. and a yield of 1-2 gpm. On the date of our test the static water level stood at.245 feet below the top of the casing. During the course of our test we pumped a total of 557 gallons of water from the well and aboveground storage tank over a 4 hour period. After the water level inside the well was drawn down to the pump intake at 401 feet, we measured the actual well production to be 0.32 gpm. This yield just meets the minimum Municipal. criteria for Health Authority Approval of a 3 bedroom residence, but does not meet the FHA lending criteria of 3 gpm over a 4 hour period. It should be recognized that the yield of many wells do fluctuate over time and that the yield measured at a future date could vary from that which we measured. Water samples collected on May 21 were satisfactory, showing 0 coliform or other bacteria per 100 ml., and 2.9 mg/1 of nitrate -N. Before the water system could qualify for a HAA certificate it will be necessary to install a new gasketed well seal with conduit enclosing the aboveground portion of the wires. You could do this installation yourself, or Dave Harper at Alpine Drilling could do it for you. According to the as -built inspection report on file at the Municipal Health Department, the wastewater disposal system was installed in July of 1978, and consists of a 1000 gallon septic tank followed by 40 lineal feet of soil absorption trench containing 4 feet of sewer gravel. To assess the adequacy of the system we ran measured quantities of water into the system through the sump at the end of the trench, while monitoring fluid levels in the septic tank and in the soil absorption system standpipes, before, during and after the flow of water was stopped. The initial fluid depth in the sump was 53 inches and the addition of just 18 gallons of water caused the fluid level to rise another 15 inches. These measurements indicate that the soil absorption system is presently operating in a surcharged mode, and thus it could not qualify for Health Authority Approval. There is a remote possibility that the absorption characteristics could be improved by treatment with hydrogen peroxide, however that in itself is relatively expensive and the Health Department would require a retest of the system after 3 months before issuing a HAA certificate. The first step towards upgrading the system is to brine in a backhoe and dig 2 or more test holes in the vicinity of the proposed upgrade location, which would enable us to assess the soil conditions and design an appropriate replacement soil absorption system. After walking the lot with Chris and evaluating the options, I believe the best location for an upgrade may be a shallow system constructed in the bottom of the Swale northeast of your house. The 1978 soils report indicated good gravel down to a depth of approximately 7.5 feet, but the exact location of that test hole is unknown. In conducting the soils tests, it will be necessary to pay particular attention to potential seasonal high groundwater conditions, as this proposed replacement area is not well drained. The following is a breakdown of estimated engineering and related tasks and costs associated with upgrading the system. Initials: Seller Buyer. Backhoe for test holes $400 Soils analysis (2 visual soils logs, perc tests, groundwater monitoring) $410 System design (site plan, construction plans, specifications and narrative) $450 M.O.A. fee for upgrade permit $200 Construction by excavating contractor - Unknown, but probably $5000 - $10,000 Construction inspections and as -built inspection drawings $450 M.O.A. fee for HAA certificate $170 Please feel free to give me a call if you have any questions on this report. If you wish us to proceed with soils testing and design of an upgrade to your system, I would appreciate your sending us a $1000 retainer, with the balance of the design costs to be paid at the time the plans are ready for submission to the Municipality. The soils testing and design phase typically takes 3 - 4 weeks to complete. Sincerely, Ted Moore, P.E. RECEIVED JUL 3 0 1993 Municipaiity of Anchorage Dept. Health & Human Services InitiaW Seller• rguyec i%r!. „ ASCD I N C O R P O R A T E D ENGINEERS • ARCHITECTS • SCIENTISTS • SURVEYORS DATE: PREPARED BY: SUBJECT:_ SHT.: OF 301 Arctic Slope Avenue • Suite 200 • Anchoroge, AK 99518-3035 • PHONE (907) 349-5148 • FAX (907) 349-4213 A subsidiary of Arctic Slope Regional Corporation. UL 3 0 1993 Muni Dept. H (pality of Anchorage alth & Human c arvices SCc-�,t.t /v lac /1'-"1/nC-1/ 4L , INAve P[ —/zv c, F; r Al �F �/ L' i Y 1",4 i/ s J C /✓l /NdY1� �,r}C[.oNv �Y ro , rl;e I, [ v __ - - FU - /�Lpi rG -Q V,i2 . rt -, ca-_..... ._, CXl?�Sc� �J/YleS -'G(%✓L- C'LL �>�✓J. _IlTT9 .lU�l� 1 E Of/dL l2 tA Ifi •_ t-! l ��5 � i Jr �.:. /!✓a ,� ?rF�c.i %/;� �%�•'%��1:.=.� 1::: r,— .r — :11.3ss,<,Trol,' F�:r�, A", � I Lv, �o/l �CPJCC—F 301 Arctic Slope Avenue • Suite 200 • Anchoroge, AK 99518-3035 • PHONE (907) 349-5148 • FAX (907) 349-4213 A subsidiary of Arctic Slope Regional Corporation. DECEIVED T_ sF}ur.co<:�r�sug r_ E_ JUL 3o 1993 203 WEST 15TH. AVENUE SUITE 206 ANCHORAGE, ALASKA 99501 Municipality ofAwh©r p (907) 279-3916 DE,pf.lH"1,,th,&ftmMae0tw Karl and Ellyn Brown July 2?, 1'9 F.U. Box 111165 Anchorage, Alaska 97511 Subject: Septic System at 7620 Wildwood Circle Dear Mrs. Brown; Per our telephone conversation this morning regarding the septic system at 7620 Wi.ldwood Circle 1 offer the following: This system was installed in 1979 and when tested by ACSG "mar- ginally passed"_ Very few septic systems continue to meet the municipal requirements after 15years, so the testing result is not a surprise, however, marginally passing the required test and performing satisfactory for the residents of the dwelling are two different things. You may still be able to use this system for several years, clow many years will depend of the amount of water being discharged from the house_ but if you seek Municipal Certification of the system it is likely that it will not pass_ My recommendation is that you identify a replacement site for the septic system before you obtain this property. The fee of prop- erly identify a -site s 1,975_00 . This cost includes excavating a testhole, monitor for ground water, and perform a percolation test. A description of the absorption field will be given; and an estimated cost of installation. if a replacement site can not be identified, a holding tank is presently the only alternative. Yours Tobben Spurkland ,_E. 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME 6. TYPE OF RESIDENCE L ❑ One ❑ Four ❑ Other h L 1 DATE DATE DATE 7. WATER SUPPLY CX INDIVIDUAL- * ATTACH WELL LOG. A well log is required for all wells drilled C C INSPECTOR INSPECTOR INSPECTO 8. SEWAGE DISPOSAL SYSTEM �CL,3 - MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONVIRONMENTAL "OTECTION 825 L Street - Anchorage, Alaska 99501 • MAY 1 J 19EI ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R.E C E REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE 344-1965 Delbert L. Ruppert MAILING ADDRESS Star Route, Box 2071-R PROPERTY RESIDENT (lf different from above) PHONE Wildwood Circle PHONE 2. BUYER 276-5859 Mike East MAILING ADDRESS 1004 Lancaster Drive 3. LENDING INSTITUTION PHONE @0_LL#@ N.B.A. MAILING ADDRESS Pouch 7-025 Anchorage, 99510 4. REALTOR/AGENT PHONE Clair J. Ramsey at the Jack White Co. 277-1553 MAILINGADDRESS 3201 C St. Anchorage, 99503 5. LEGAL DESCRIPTION Lot 3, Wildwood Glen STREET LOCATION Wildwood Circle 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other C�d SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ® Three ❑ Six 7. WATER SUPPLY CX INDIVIDUAL- * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM CX7 INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/]9) 1 THIS SIDE FOR OFFICIAL USE ONLY .. 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE El PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: �Q00 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 4 --APPROVED FOR -,3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must ace any certificate) i❑ DISAPPROVED DATE __V_ BY 72-010 (Rev. 6/79)