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SUNSET HILLS WEST BLK 1 LT 9
Sunset Hills West Block 1 Lot 9 #018 - 203 - 07 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT .a,.e DISTANCES -- F.'~ P [ ~- ~/~C ~ SEPTIC ABSORPTION -- Address ~ [ It~lt ~._ ~ TANK FIELD WEI. L Phone(s) Permit~00 ~N°' No. ol ~rooms --WELL [ O [ ~ ~ d _ Township, Rsnge, Section ~S-BUILT DIAGRAM {Show location ol welD. sop0c system, property hnes, Ioundaho~ Material L V~ -- (~'~ 6 "°' gl Comp~.menls -- TYPE OF SYSTEM ~TRENCH ~ BED U W. DRAIN ~OTHER /,~, ~. ~'. --'"stanerREMARKS: °"te Installed: XJ AL~-~ 6 o~ ¢~ ~ ~$ L6¢~ I ~, o ¢- nspections Peflormed by: . -.- ".,, . I ~~ __ cedlly thM Ihls inspection wes pedoruLed according to all ' 72-013 (3/85) _1 ELECTRIC DOCTOR×APOLLO ELECTRICAL '"' ' ~"~'~"?~'~'~ --.- ~o ~/~ 40~ W: N~HNA~O~L~A~., PHONE ?~- IN~PFOT~O~3 ~ 6,90 15:26 P o o~ o r.q ~ Eneroaehme: Area Field Existing Tank~ IX 42 if ~reneh, 7' o ~ TH1 0~ [ 04' 10 9~ 8 Hancock Dr~ve C~ ---- depth Septic System Upgrade SEPTIC SYSTEM DESIGN Lot 9, Block 1, Sunset Hills West DATE 8GALE 11-13-90 1" = 50' PREPARED FOR: Acreage Systems PREPARED BY: Kniefel Enginoering page 1/3 KNIEFF. L ENGINEERING 8441 Miles Ct., Anchorage AK. 99504 (907) 337-1121 · Fax (907) 338-1874 SEPTTC SYSTI=M UPGRADE CONSTRUCTION NOTES ~" .': LOT 9, BLOCK 1, SUNSE!T HZLLS WEST "! "' : page 3/3 1. This upgrade is for the purpose of replacing a failed septic system field. The field was failed during a HAA test completed lg-29-90. The well passed both the flow test and water quality analysis. Zn addition to the current system failing, the septic tank was encroaching on the utility easement, the end of field was less than 100 feet 'From the well, the drain field was covered by the driveway area, and the tank was less than 10 feet from the lot line; All of these problems have no existing waivers. 2. The Lot 10 area shown on the plot plan as "Encroachment Area" is a system installed within the last two months that leaves less than 100 feet from the Lot 10 field and lift station te the well on Lot 9. The owner and engineer of Lot 10 are currently working to resolve the encroachment problem. 3. System Design - The old permit file for this lot show a four bedroom system, but the house contains only three bedrooms. 'The new design is as follows: 3 bedrooms x 188 sf/bed = 564 sf. 4. Trench Design = 42 If x 7 foot 9ravel depth x 2 = 588 si:. 5, Due 'bo 'the (;lose distances between the existing wells and the new field and tank, the final system layout will be staked and checked to insure all required separation distances are made. Any discrepancies should be immediately relayed to the Engineer. 6. All construction methods, materials and inspections will follow MOA rules, regulations and guidelines. The lift station will be a MOA currently approved unit only. The Contractor is responsible for calling at least two hours ahead of schedule 'For MOA inspections (343-4744 or 343-4681) and Engineer' (337-1121). 7. The site of the new field is on the flat top of a mound area supporting the house, front yard and the field. The yard slopes in most directions at a 5 7% grade until it reaches the driveway and roadway cut-banks. The slope to the south property line starts gradual and increases 'bo the 15% area at or near the property line. The field 'is being installed level across the area. The area for the installation of the new 'bank and piping to the field wil'l cut through the asphalt driveway area, which will need re-paving next Sprirlg. 8, The installation of the new tank and field should have little or no effect on the other wells 'in the area and little or nc) effect on area drainage patterns. This upgrade will provide greater distances from the systems to adjacent wells for this lot and the well to septic distance from lot 10. 9. Pages 1/3, 2/3, and 3/3 along with the soils test information are part of this design. MuRIclpallty of Anchorage DEPARTMENT OF HEALTH & HUMAN SE-'RVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TES'T' LEGAL DE TION: ~.~.~_~.~, ~, p, Range, Section: I! SLOPE 10 11 12 13 14- 16- 17- 19- 20- COMMENTS E%'~ cS OC~IRNOTUE I~1~ D~ ?ATER' f, epth to Water After ~ ~Aoflltoring7 _ ~ Bate' Drop to- to 171. PERCOLATION RATE 7 TEST RUN BETWEEN 3 . _ (m~nules/inch) PERC HOLE DIAMETER -- FT AND ~ -- FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE; 72-008 (Fiev, 4/85) KNIEFEL ENGINEERING 8441 Miles Ct., Anchorage AK. 99504 (907) 337-112'1 · Fax (907) 338-1874 B,EALZ~....A~ZBQBI.Z%.,,,B,E~LZ.8..,AB.B..ABAL%~,~ Date of Testing: October 29, 1990 Legal Description: Lot 9, B'lock 1, Sunset Nills Nest Street Address: 14235 Hancock Street Number of Bedrooms: System Design (4), House actual (3) Well Flow Test: Depth of Well: 125' Static Water Level 65.9 Average Flew Rate: > 6 gpm Results of Water Quality Analysis:,.,~9,~.,Bg,]9~.,_,~ Total Coliform -- colonies Nitrate-N --- mg/1 (10 mg/1 allowable) Results of Septic System Adequacy: .~.~.%gB,,Eai]~,~ Total Gallons into the system: 108 The septic system was already flooded to the top of the sewer rock layer (approximately 4' below the ground surface) prior to the start of the test. An addition of 108 gallons caused a 1.9' rise in the field water level and a rise in the septic tank water level of 0.25' After one hour with no addition of water, the field had dropped only 0.10' of the 1.9' rise. The system is failed due to its inability to accept and absorb 'the required amount of water, Additional concerns with the system which require waivers include: 1. The well to field cleanout distance is only 95' 2. The well to the NE neighbors new field is only 92'. 3. The septic tank is inside the electrical easement and only 9' from the property line. 4. The trench drain field is also inside the electrical easement and is covered by the parking area asphalt. The system was tested in accordance with MOA pol icy and regulations in force at the time of this test. FZELD RESULTS LOT 9, BLOCK 1, SUNSET 14ZLLS WEST page two Date Time Well Meter Total Field Tank Depth Reading Gallons Depth Depth (feet) (gal) (feet) (feet) 10-29-90 11:56 am 65.9 12277 start 5,1 4.9 12:06 pm 69,3 12311 34 3.3 4,9 12:16 pm 69,6 12339 62 3,2 4,9 12:31 pm 69,1 12385 108 2,95 4,6 Stopped water flow into system. 12:48 pm 69.5 12445 168 3.2 4.65 1:01 pm 69.1 12503 226 3.25 4,70 1:'16 pm 69.6 12592 315 3.26 4.72 1:31 pm 69.6 12686 409 3.32 4.80 Test otopped. Well averaged (12686 - 1244.5) 241 gallons flow in (1:31 pm 12:48) 43 minutes or 241/43 = 5.6 gpm. During last period of measurement, the well averaged 94 gallons (409 31!5) in 15 minutes (1:31 pm - 1:16 pm ) or 94/15 = 6.2 gpm with no drop in well water depth, ~T 30 '90 l~:~ ~T~-~HCH~ 907 P.1/2 NORTHERN TESTING LABORATORIES, INC. ~505 FAIRBANK!~, STREET ANOHORAGE, ALASKA 99~ ~O7,277,D378 ~ FAX 274.9~45 3330 INOUSTRIA& WAY FAIRBANKS, ALASKA 89701 9074~,3116 * FAX 458.3t25 Kniefel Engineering 8441 1411es court Anchorage AK 99504 Robert Kniefel Da~e Arrt.ved~ 10/26/90 Dote Sampled~ :[0/26/90 Time Bampled~ :L055 Collected Syl BK Our Lab #: A106650 Your Sample ZD~ · 14235 Hanoook B~mple Ma~£~ Wa~e~ Comment~ Flag De~ini~ions Below Det:ection Limit DL Sta~ed in Result BelOW Regulatory Min. Be[ow Det:e¢=ion Limi= ~s~lma%ed Value Me~hod Parameter Unit~ Re~ul~ Flag Analyze~ E~A 300.0 Nig~age-N mg/1 1.2 10/26/90 Anchorage Ope~ations Manaqer GRE/-..R ANCHORAGE AREA BOR ,$H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION SEPTIC TANK: D,STANCE FROM WELL INSIDE LENGTH MANUFAC.rURER /~ _~ ]) /~.~-/~ NUMBER OF M A T E R I Ab,--~'~-~-/'' _ _ COMPA RTM ENTS _~-, INSIDE WID1 FI ....... LIQUID DEPTH LIQUID CAPACITY~-~"-~GALLONS. TILE [)RAIN FIELD: ' DISTANCE FROM WELL J ~ FOUNDATION _.~] NEA REST LOT LINE //~/) _oFTOTALLINEsLENGTH ,~-~"~'~' NUMBER OF LINES / DISTANCE BETWEEN LINES /~J- TRENCH WIDT].~-~-IN. TOTAL EFFECTIVE ABSORPTION AREA ,~¢'"-~)O SQ. FT. LENGTH OF EACH LINE .. ~>~'~' ' f DEPTII OF FILTER ~ DEPTH: TOP OF TILE TO FINISH GRADE _~/~ MATERIAL BENEATN TILE ~:~ ~ ABOVE TILE ____'/7z IN. TYPE A~O [ ~f CONSTRUCTION DEPTH DISTANCE FROM: BLJILDING NEAREST NEAREST FOUNDATION .... LOT LINE SEWER LINE SEPTIC SEEPAGE TANK ___, SYSTEM CESSPOOL OTHEIR SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: _. INSTALLED BY: ~/J~ SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF: SYSTEM , ~,o, ,.t,~-t,¢v APPROVED .~ G.A.A.B. ~) L J:3 C:I:;tT I Ol",l FI f:ll"d C:Cu:~:I< Ii)F,:: T"r'l='li~ CII:=' !i~;O I I.. I::'lli3~i;OI;?.E:'l' I Ol",l :.~;"r".~i;TE]"l I fi;: 'f F?.Iii!iF,IC:FI I'll::l::.::II"ll..lt'"l I'.,tl..llql3Ef.?. Cfi= 131ii~[)F~:OOM~iii~ =: ~'1 TI"lEi: I...~}~I",I{::iTH [:, ]: i'"ll!~]',l'.~i; I CII'.J I :iil; THE L.I/]",ICiiTi-I THE: DI:~:I:"r'H OF:' I:;:l "FF;~:i-~]'.,IC:HOF?. I='):T i::!iI:;~:CiLIN[) I'::li'.,Ib THL:: 13OTTOI,'I O1:= THE: TI.IE]:;?.EZ :l:~il; I'.,IO :11;1!171" I.,.III:)TH F:CiI;i: 'll-.llli: GF?.F:I'v'I.iiX. E:,E]:"I'H ]i~:i:; THE< HIi'.,l:[MIJi','l r:ll'.,l[:, THE: 13C~T'I'OH f3F: -r'l-I~: 1:i:7;.:',C:FiVfflT]'CiN i',ili'.,llFILll','l [)I:i!71'l::lisiC:lili: ~31!?II.,.IE:E]'.,I I::1 I.,.IE!]..I.. I:tl',l[:, I::tl",l"r' ON-:!~;ITli!: tOO F'E]i=71' F:'OF?. I::l F:'l:;i:]?v'l::lTli=i I.,.ll!g].J... CII:;?. ;?.OO F:lii:Ei:'f' J:;;'Ol;?. I=l i::'LHi31..IC: HE:_'L.I.I..OG~i; I=IF?.E:: I:;:'.Ei:C!LIi[F?.I~:I') F:II",I[:' I"lLl:iiTl' 1:3Ei: I:;?.I}]TLIF~'.i'qI:]:[) TO TI'il!i: OF:' TI'lEi: I.,.ll-}~l....t.. C:OMI='L.E:T:I:Oi",I. ::i;l='ri[li::]iF;'iC:f:lT:[Of.,l:ii~ Fli'.,l[) C:OI'.,I'.:.~;TI:;?.LJCT]:OI'.,i i:)illr:lc~l:~:ffll,l?:; I::iF~'.Ei: Fl'vq':llI..FIl:.:,'L.~i~ :[ l'-,l:!Tt' I::ll..I..l:::lT ]: ::1,: :1: F:II"I F:'I=II'IlI._:[F:II;i: HI'f'H 'Fl'-II!!: I;i:Iii:(;!U:[F?.E!r,IE::N"I':i!~; I='01:;?. ON-:!i;:I:TI!~: ff;l!i].,.IE£1:~:~il; FIND Nli;:I .I Z!; I:::l:!i; Sliii:'T I:::OF;i:TFI f3'.d TI. Eli: HI..II'.,I:ECI:I::'i::II..]:Th.' i:')F::' ;?.: :I: H :t: L.L :I:I'.,I~iii;TFIL.I~ 'FI...IF;: ::i!;"r%Tl~]'d :1:i",1 I:::IC:C:OFd:)FIf',IC:E: I.,.I I "I'FI "I'HJF: 2:: ]: LII'.,[[:ff~:F~!~i~;TFII'.,II:) TIJFI'T THE: C:~t",I'.<!);]"FI~i: ~!il;li~].,.II~:l;;: ~ili;"r",~i;'l'l!ii:l'l I'll:::l"r' ]:,~iii:l:;:!l..l:[l::i:l!!i: I~i]",ll.l:::ll:i:Gl!i:l"'lli!i]",IT I1::: 'IF'II!i: 4040 "B" STREJ'_-T, ANCHORAGF, ALASKA 99503 PHONE: 907-279-2581 May 6, 1977 W.O. t~1802] Mr. Doug Bird P.O. Box 4-1729 Anchorage, Alaska 99509 Subject: Subsurface Investigation for Suitability of On-Site Sewer, I,ot 9, B]k. 1, Sunset Hills Subdivision Gentlemen: Transmitted herein in accordance with your instructions are the results of the above referenced investigation as performed by us on May 3 and 4, 1977. The scope of this projech is investigation for suitability of an on-site sewerage system. Included in this transmittal are: Test Hole Location Sketch Test Hole Log Explanatory Information Figure 1 Table A Sheets 1-3 Tile exploration was cor~ducted using a Nodwell mounted Mobile Drill )'.~odel B-50 drill rig with a continuous flight solid stem auger. The rig is owned and operated by Denali Drilling, Inc. Drilling was supervised, the test holes logged an(] percolation test performed by Mr. O.M. Hatch, Geologist with Alaska Testlab. The test hole was placed at the approximate location shown on FJcjure 1. The log of this test hole is included as Table A of this report. In interpreting information contained in Sheets 1 to 3 of this report. When drilling was completed a 3/4" slotted PVC pipe was inserted in the hole to aid in determining the free water level. For the percolation test, the test hole was filled with water and left overnight to saturate. On returning the next day, tile hole was refilled with water and the drop in the water level carefully monitored over the next 60 minutes. This procedure Js not a standardized pe]"cola[~ion test, however, we understand that the Municipality of Anchorage, Department of Public Health and Environmental Protection prefers tests performed in this manner to evaluate a site for a proposed on-site sewerage system. Using tile above test, tile observed minimum perco].ation rate was 5.0 minutes per inch. Mr. Doug Bird May 6, 1.977 Page 2 No water table was observed during drilling, but it should be noted that the free water level normally fluctuates seasonally and with precipitation. We hope this report meets your present needs. If we can be of further service, please feel free to contact us. Sincerely, Melvin R. Nichols, P.E. Laboratory Manager MRN:gf Enclosures 3,4 20 12 x I0 /4 // ',, 7 /C) ,'v' /3 /2 15 /4 Lot 9, Block 1 Table A W.O. I~18021 Depth in Feet From To 0.0 2.0' 2.0 6.0' 6.0 11.0' 11.0' 16.0' Soil Descripti__oR, F-4, brown pa~ silt, ML, soft to stiff. F-2, grey ~ravel~ very silt~ sand, SM, damp, stiff, particles to 3". F-l, grey si].~ ~3jldz ~9vq~, damp, medium to high density, particles to 12". F-4, grey grave]lz 9and~ silt, ML, damp, stiff, particles to 3". Bottom of Test HolLe: Frost Line: Free Water Level: 16.0' 1.0' to 2.0' None Observed MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE D;SPCSAL G','.ST~J'~-AND/O~¥WELL INSPECTION REPORT NAME Doug Burd · PRONE L~ NEW ~31',~- 92 2 9 ~ UPGRADE MAILING ADDRESS P.O. BOX 4'-1729 LEGAL DESCRIPTION Lot 9, Block i, Sunset Hills ~es~ Subdivision LOCATION Anchorage, Alaska 99509 !~ Y Lid. capacity il~ gallons I IF HOMEMADE t- Z Manufacturer Manufacturer --~,f t_~fi~ih Width NA ~ DISTANCE TO: Well ~ I Pti.va ue 125 NO. OF BEDROOMS three IAbsorption area Dwelling PERMIT NO. MI Matel ~- No. of compartments Inside length ~- Liquid depth Dwelling PERMIT NO, Liquid capscity in gallons Foundation PERMIT NO. IMaterial Nearest lot ]i.e Trench width Total length of lines Dista.ce between lines inches Material beneatl~ tile Total effective absorption area inches Depth PERMIT NO, Crib depth Total effective absorption area Building foundation Nearest lot line ~r~[[el~rp a r ~ Dr il 1 L~S~oa,,¢e to ,ct, ne PERM,T NO. _ Sewerline - Septictank &~.~t Absorptionarea(s) ~.05, PIPE MATERIALS OTHER RES ID~JNTIAI, WELL, SOIL TEST RATING Found 6" steel casing INSTALLER extending-q,' above with ground sur£ace sl( REMARKS away from well within iO-f~ radius. ~o space observed. Top of casing sealed with bolt-on cover with rubber seal. ~,~ater sample taken from ki'tchen faucet IAW DHEP --tions, and sample Dep't of' Ileal'th & S~',~Svc ].~.b this --date. .,~~~ S.D, Shrader, P.E. Development ,ge, Ak DATE LEGAL 72-013 (Rev. 3/78) Nay' 22, 1978 ADC No, ?8020 Mr. Doug Burd P.O. Box ~-1729 Anchorage, Alaska 99~09 Re: Inspection of Existing Residential Well, Lot 9, Block 1, Sunset Hills West, Anchorage, Alaska. Dear Doug~ Attached ' .... zs the znspect.zon report for your exmstmng 6" we:L1 at 'the above referenced location, and a copy of your well log. I suggest that you a'ttach a copy of 'the well log when yom submit 'the inspection report to -the Municipality's Department o£ Healt~ and Environmental Protection. If we can be of any further service, or there are any questions concerning this inspection, please do :not hesitate to con'tact me. Very 'truly yours, ALASKA DEVELOPNIENT CONSULTANTS, Stephen D. Shrader, Partner Incl: As Stated N~ox 1369, ~T.AI1 I~OU?E A ANCHOI/AG~, ALA~IiA ~.~(~ SIX INGH WATER WELL DRILLED AND CA-~ED OUT TO THE DEPTH OF , DRILL. ED AT THE RATE OF PRoperTY OWNER ~ Doug. LOCATION OF WELL SITE Bernie Claus DRILLER PER FOOT. 125 feet. of Ramp~c Drilling Works. WELL LOG: 0 .... 21' Silty _~ravel with ~0% ela_v bi, er. _2X---47' ~r~vel ~th several sm~ _47~-82' 8~1~8' S~ ~avel ~lth th~ stre~, of c~. _118-124' Wet X24-~26' Water producing gravel ~ield~ 8 GPM with a ~0 foot stand of water in casing. Pump should be installed ~ feet off bottom. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF THANK YOU VERY MUCH. DaTe Jul.v BER~E~LAUS OF R~AMPART DRILLING WORKS SERVICE CHARGE OF lYa% PER MONTH WILL BE A~SESGED ON PAST DUE ACC:OUNT~. Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Se~,ices On. Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAM LLY DWELLING 018-205-0~ GENERAL INFORMATION Complete legal description SUNSET HILLS WEST SUBDIVISION: LOT 9. BLOCK 1 Location (site address or directions) 14255 HANCOCK DRIVE ANCHORAGE AK. 99515 Property owner RoD BRADLEY' Day phone Mailing address 142-35 HANCOCK DRIVE ANCHORAGE AK. 99515 · Lending agency NONE Day phone Mailing address Agent TERESA BELL-WITH PRUDENTIAL JACK WHITE Dayphone (907) 000-0000 Address 3201 "c" STREET, ANCHORAGE AK. 99503 Unless. otherwise requested, HAA will be held fo pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well xx Community well Public water NOTE: If communl~ well system, provide wn'tten 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 NOTE: XX _ z If community wastewater system, provide written confirmation from State ADEC lng to the legality and status of system. 72q)25 (Rev. 1191) Front MOA #21 Computer Vemion 5. STATEMENT OF INSPECTION BY ENGINEER As cedified 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 fudher vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and ins ~t[on, the on-site water supply and/or wastawatar tnd State codes, ordinances, and regulations in effect disposal system,ls in compliance with all Municip[ on the date of th~s inspection. /77 Name o~ F.'irm ALASKA W'~-EE: & ~'R~WA//'/ Address_. o EBAR 'OAD,/S EngineefsSig!~ature ~ ~ ALASKA WATER &: WASTEWATER CONSULTANTS, INC.- SHALL BE PAID $2425.00 AT, OR PRIOR TO, CLOSING FOR THE ENGINEERING SERVICES PROVIDED. 6. DHHS SIGNATURE Approved fOr Disapproved Conditional approval for CONSULTANTS, INC. Phone (907} 337-6179 --- Date bedrooms _ bedrooms, with the following stipUlations: Additional Comments Date '2 - '2.~"'-~ 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. 1/91 ) Back MOA fY21 Computer Version ¢ECEIVED FEB 2000 Municipality of Anchorage MUN~C~p^m~ OP ^NC~gj~j~ DEPARTMENT OF HEALTH & HUMAN SERVI,Cf~NT^L SERViCeS Environmental Services Division ~ 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 Legal Description: A. WELL DATA Well Type Health Authority Approval Checklist SUNSET HILLS WEST; LOT 9, BLOCK 1 Parcel I.D.: 018-205~10 PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N/A Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production 126' YES Date completed Cased to 125' YES FROM WELL LOG 7/20/77 76' 7/20/77 Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION 2/4/2000 WATER SAMPLE RESULTS: 2'+ YES 73' 8 g.p.m. 5.4 g.p.m. Coliform 0 Date of sample: 2/4/2000 B. SEPTIC/HOLDING TANK DATA Date installed 12/90 Tank size Foundation cleanout (y/N) YES Date of Pumping 2/4/2000 Nitrate 2.66 mq/L Collected by: 1000 Depression (y/N) NO Pumper A+ HOME SERVICES Other bacteda A.W.W.C., INC. C. ABSORPTION FIELD DATA Date installed 12/90 Soil rating (g.p.d./fi2 or ft2/bdrm) 188 System type TRENCH Length · 42' Width 2'+/- Gravel thickness below pipe 7.5' Total depth 9.5' Effective absorption area 650 SO FT Monitoring Tube present (Y/N) YES Depression over field (y/N) NO Date of adequacy test 2/4/2000 Results (Pass/Fail) PASS For ,3 Bedrooms Fluid depth in absorption field before test (in.); DRY Immediately after 1553 gal. water added (in.): 65.5" Fluid depth 17" (ins) Minutes later: 1200 Absorption rate = 450+ Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date 72-026 (Rev, 3/96)* Computer Version Number of Compartments 2 Cleanouts (y/N). YES High water alarm (Y/N) YES D. LIFT STATION Date installed 12/90 Manhole/Access (Y/N) YES High water alarm level at* 50" Cycles tested ,7, Size in gallons 400 ."Pump on" level at* 29" "Pump off' level at* *Datum BO'FrOM OF TANK 1 9" E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line 100'+ 100'+ N/A 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Water main/service line UNKNOWN Surfacewater/drainage 100'+ *SEE ATTACHED WAIVER LETTER Absorption field. 5'+ Wells on adjacent lots *99 SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation Surface water 100'+ Curtain drain NONE KNOWN f F. ENGINEER'S CERTIFICATION/,¢', of Municipal re/dords ti~a~'/t~i~/~//bv( with MOA H~ gu/de/~ct Signature~~ Engineers Name~FR~ A. GARNESS ~eld inspections and review ,stems are in conformance this date. 10'+ .Water main/service line UNKNOWN Driveway. parking/vehicle storage area 1 o'+ Wells on adjacent lets. 100% ,,. ... . ' .,,,~-;:~ HAA Fee $ d_~ O'-,O · Date of Payment Receipt Number 72-026 (Rev. 3/96)* Computer Version Waiver Fee $ ~'Z.,_,~'"', 'O'~ Date of Payment '7_../~-.~,r-~ Receipt Number ~--~/ ~" ~'~3 77) ALASKA WATER cA WASTEWATER •....xu e -x CONSU LTAN Ts . INC. ""-" c. ._ February 22, 2000 State of Alaska Department of Environmental Conservation Division of Environmental Health Drinking Water & Wastewater Program 555 Cordova Street Anchorage, Alaska 99501 Subject: Waiver Request for Sunset Hills West Subdivision; Lot 9, Block 1 To whom it may concern: We would like to request that your department issue a separation distance waiver of 99 feet from the private well located on Lot 10, Block 1, of Sunset Hills West subdivision to the septic tank on the subject property. The following are some mitigating factors for the justification of the requested waiver: • The subject well is located uphill from the septic system, so it is impossible for surfacing effluent to migrate towards the well. The only path for contamination would be subsurface. • The septic tank installed on Lot 9, Bk 1, Sunset Hills West was installed approximately 99.2 feet from the private well located on Lot 10, Bk 1. This encroachment has existed since 1990. Recent water samples from the well on Lot 10 (attached copy) indicated nitrate levels of 0.529 mg/L and no bacteria. This is confirmation that the geological conditions are such that the aquifer is not being adversely effected. • Attached is well logs for Lots 6, 9, 10, 12, of Bk 1. All of the logs show clay or hardpan soil layers that have served to protect the aquifer. • The well on Lot 10, Bk 1, is only 78 feet from the septic tank on Lot 10, Bk 1, a waiver was granted by ADEC for this encroachment. Based upon the aforementioned facts, there appears to be minimal risk in granting the requested waiver (well to septic tank = 99 feet). If you have any questions, or require additional information, please contact us at 337-6179. Thank you for your assistance and consideration in this matter. e fr A CarnessE., M.S. Presi.-nt 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.a n c h o rage . a k. u s February 25, 2000 Jeffrey Garness Alaska Water & Wastewater Consultants, Inc. Subject: Waiver Request for Sunset Hills West, Lot 9, Block 1 Waiver Request #WR000008 Parcel ID #018-203-07 HA000057 Dear Mr. Garness: Your request for a waiver of the required 100 feet horizontal separation from the on-site wastewater disposal system to private well has been approved. The approved separation distance is 99.0 feet from the private well located on Lot 10, Block 1 of Sunset Hills West to the septic tank on the subject property. This waiver approval applies to the existing on-site wastewater disposal system to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On -Site Water Quality Program LOT 10, BLOCK 1 SUNSET HILLS 5/0 N \ / I / / / 0 TRENCH MONITORING TUBE NOTES: 1. EDGE OF WELL TO ST1 = 101.8 2. EDGE OF WELL TO EDGE OF TANK CSD ST1 = 99.3 3. EDGE OF WELL TO EDGE OF TANK 0 ST2 = 99.2 LOT 8, BLOCK 1 SUNSET HILLS S/D ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SURE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: SUNSET HILLS WEST SUBDIVISION; LOT 9, BLOCK 1 TYPE OF WORK: SITE PLAN PREPARED FOR: ROD BRADLEY DATE: DRAWN BY: 2/22/2000 K.D.W. PHONE NUMBER: (907) 345-9292 I SCALE: 1 = 30' PAGE: 1 OF 1 000000pp0 O.F LN o°�:;' 49?H 400 S .A, f/ ( Q Q SHANE A. HOLT � 044 Ls -6914 O" ^. �p�O/SS SiOD°I o ��Op000�� 00110) X rb 0 -' R^ chi 0 O• 0 4, )9° 'gS LEGEND 0 SEWER VENT AS -BUILT SURVEY NO CORNERS SET THIS DATE 1' = 30' THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.(UNLESS INDICATED) NOTE ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEES INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 9, BLOCK 1, SUNSET HILLS WEST SUB. ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS 14TH DAV OF FEBRUARY 2000 HOLT LAND SURVEYING 3319, FB87-17,30-34 TEL. 345-5513 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES. Division of Environmental Services On-Site Services Section P,O, Box 196650 Anchorage, Alaska 995'19-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 1. GENERAL INFORMATION Complete legal description Sunset Hills West, Block 1~ Lot 9 Location (site address or directions) 14235 Hancock St. (off of DeArmoun & Old Sew.) Property owner _ Mailing address Kathy and Ron ~- ~a~ 14235 Hancock St. Anchorage, Dayphone~ Ak 99515 Lending agency Mailing address Agent Address Day phone Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 3 NOTE: Individual well Community well Public water X If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: X individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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/~f this inspection. // Name of Firm Environmental Mcnage~t, Inc. Phone 2~2-9336 Address 206 g. Fir---~e~d ~ane. S//Jl-~ d,~201 An~-h~-c~g~. A~,' 99503 EngineeCs signature ,~,/~-~ >~ ,,,~-'b-~ ..-i' ' Date DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct Inspections or analyze data before a certificate is Issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Lot 9 LegalDescription: Sunset Hills West, Block i$.arcelI,D. A. Well Data Well type Private Log present (Y/N) Total depth 1 2 5 ' Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number. N/A Yes Date completed --07/20/77 __Driller R~mp~rf- n-¢~ 11 -lng Works Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Cased to 125 ' Casing height Yes Wires properly protected (Y/N)_ YPs FROM WELL LOG AT INSPECTION 07/29/77 05/31/94 75 ' 67 ' 8 g,p.m. 6 .g.p.m. 12o' 12o' ; On adjacent lots 102 ' .; On adjacent lots 102 ' Public sewer manhole/cleanout Petroleurn tank N/A N/A Septic/holding tank on lot 113 ' 103' Absorption field on lot Public sewer main N/A Sewer service line N/A WATER SAMPLE RESULTS: Coliform 0 Nitrate_ 2.28 ~/]. Date of sample: May ~? i 1994 Collected by: Other bacteria Chad Hel~eson B. SEPTIC/HOLDING TANK DATA Date installed 12 / 90 Cleanouts (Y/N) Yes High water alarm (Y/N) No Date of pumping _ Ma~ 27, Tank size 1000 Gal, Compartments 2 Foundation cleanout (Y/N) Yes Depression (Y/N) _ Alarm tested (Y/N) No 1994 No Pumper Denali Sewer & Drain Service SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 113 ' On adjacent lots 101 ' To property line 11 ]_ Absorption field 60 ' Surface water/drainage None Observed Foundation 17 ' Water main/service line. N/A 72-026 (3/93)* FrofR CONTINUED ON BACK PAGE C. LIFT STATION Date installed 12/05/90 Size in gallons 400 Vent (Y/N) No "Pump on" level at High water alarm level 24" Meets MOA electrical codes (Y/N))f (M. 0. A. Manhole/Access (Y/N) Yes 17" Depth "Pump off" Level at Cycles tested 4 Permit¢~ E90-8615 Manufacturer HDPE Acreage Lift Station 13" SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot ]-08 ' On adjacent lots 101' .Surface water None Observed D. ABSORPTION FIELD DATA Date installed 12/90 Soil rating (GPD/Ft~) 188 Length 42' Width 2 ' Gravelthickness 7 ' 6" System type Trench Total depth 9 ' ~" Total absorption area Date of adequacy test 05/31/94 Water level in absorption field before test __ Peroxide treatment (past 12 months) (Y/N) Cleanout present (Y/N) Yes Depression over field (Y/N) No Results (pass/fail) Pas s for 3 Bedrooms 106" After test 69" No If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 103 ' To building foundation On adjacent lots 28 ' Surface water Curtain drain On adjacent lots 101' Property line ] 5 ' 21' To existing or abandoned system on lot 65 ' __Cutbank 65 ' Water main/servioe line N / A None Observed Driveway, parking/vehiole storage area 32' None Observed E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or co formed to all MOA and HAA Signature ,~/~tc.-,----.,~ ~,) ~//~...~...._ ¢'77- ? t f HAAFee$ ~OO ,'~:J-'~) Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number. 72-026 (3/93)' Back SAMPLE DATA SHEET (use continuation sheet for Class A & B) PROJECT: ........ . LOCATION OF ~LL (Legal I~scription): DATE OF TEST: WELL DEPTH: FT. CASING: Fl' SCREEN: DATE DRILLING CO(4PLETED: DRILLER: STATIC WATER LEVEL (Top of Casing): ~7o FT DATE: Elapsed Time Slhce ' -- -- Clock Pumping Started/ Depth to Drawdown/ Pumping Remarks ...T!m¢ Stopped, Min. · Water, ft~ Recove..~ { Rate, GPM ~. --.-. ...... I;,'/~ 0 ?~ 7L.(swl) 0 0 Start , ·. 7o/- ,.. ~ ,, 15 ~'oF- ,, ~0 "" 2 5 35 4-- , ,' ~ ~ 40 o~ " ~ ,, 7 ~ · -- 60 ~1 hour) Tc~'~'' ~e . . :' :- 90 .>/, ' (~" e iZO (2 hours) - 150 _~.~:~ · 180 {3 'hours) Z~O (4 hours) - REgOVERY ['~f t 0 t' 7~' 0 t/t' Comments: SEPTIC S~'STEM FILL STA,~ ~0 O '-0 0 d. ' ~ - "1 ~ .... ' ~j TCtT~L F'. O1 ~ I~('ORPOR,k'IED July 21, 1994 Mr. Dan Roth Municipality of Anchorage Department of Health and Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Dear Mr. Dan Roth, Absorption of water in the absorption field at Sunset Hills West, Block~ Lot 9 has been verified. Approximately 120 gallons of water was directly added into the absorption field on July 5, 1994. Water was added at a rate of 6 gallons per minute for 20 minutes. The level of rise in the monitoring tube was 2 inches. The initial water level was 21 inches and the water level after the water had been added was 23 inches. After 10 minutes the water had dropped to 22.5 inches. A half hour after the water had stopped pumping the water level was again at 21 inches. Based on the above rate of absorption and the original input of 900 gallons this system is able to absorb 600 gallons in a 24 hour period as required to pass the Health Authority Approval. rely, En ~nen ent, ~ohn Simpson, P.E. ~/ Program Manager Inc. 206 E. FIREWEED LANE, SU[TE 201 · ANCHORAGE, AK 99503-2703 CONSULTING (907) 272-9336 * FAX (907) 272-4159 * TRAINING (907) 272-8852 · FAX (907) 272 0319 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICA'T'E OF: INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner Mailing Address ,Ct ¢, - ' ,Telephone: (home) Business (c) Lending Institution Mailing Address Telephone (d) Real Fstate Company and Agent Address Telephone ,,,/ (e) Mail the HAA to the following address: (or check herein, if hold for pick up.) t. ist contact person and day phone nomber below: 2. TYPE OF RESIDENCE Single-Family'/ Number of bedrooms -~ 3. WATER SUPPLY Individual Well~] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site,~/ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed he reto and as of the validation date shown below, I verify that my investigation of th is Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm [~'i~-~,~ [~-r~'C-'/~J~'~--~'L'~"L'- Telephone '~'~'7--1 ~.~ Address ~7 ~-_ O ~- ~- '* Engineer's SeAl .... . 6. DHHS APPROVAL Approved for -~ bedrooms by Approved ~ Disapproved Terms of Conditional Approval Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ¢t,¢~ MUNICIPALITY OF ANCHORAGE , ~ ¢;,'*'-'~,~¢2~,~ Department of Health & Human Services ~,,." ~'~¢.'q',C'~,.~'~'24./ DIVISION OF ENVIRONMENTAL SERVICES Pa 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner F-~/NI' ~' /¢~4fI-~'' Telephone: (home) :Business Mailing Address (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here~t~.if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family,S- Number of bedrooms 3 3. WATER SUPPLY ' '~ Note: If community well system, rnust have written confirmation from the State Department of'Enwron~entat Conservation attesting to th legality and statue. '." ' ~'~.': 4. SEWAGE DISPOSAL On-site ~- Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025(Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional end 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. Telephone Name of Firm Address Date 6. DHHS APPROVAL Approved for Approved bedrooms by .~o~ ~'~!l'H Date Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of H'ealth and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements, Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The M u n icipality of An chorage is not responsi ble for errors or om issions in the professional engineer's work. 72-025 (Rev. 7/88)Back Page 2 of 2 · ,o~ MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) ('~",~,~.~ CHECKLIST - FEBRUARY 1984 ~,~. o~ 343-4744 Well Clas i~ CttJ~ fA B ~ ~ --~ , , , C, D.E.C, Approved (Y/N) rotalDepth~l~ Casedto Depth of Grouting _ ~ /~ Pump Set At Static Water Level _ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SI=PARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~ ~) ~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~ ~."~ < To Nearest Sewer Service Line on Lot _ Sanitary Seal on Casing (Y/N) 7~¢ Depression Around Wellhead (Y/N) y¢'~ ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments B. SFPTIC/HOLDING TANK DATA //., Date Installed~,, C~O Size Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~"'J/A [¢ ¢¢ No, of Compartments ~ Air-tight Caps (Y/N) ,Y~.~ Foundation Cleanout (Y/N) ~/~-~ E)ate Last Pumped ~,2 ¢" ~ J~I/A ;for ~/A Temporary Holding Tank Permit (Y/N) /~'/~ SFPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line __ To Stream, Pond, Lake or Major Drainage Course Comments ~, ~ ~,~ ¢~.~ I"1~'"~",*, TO Building Foundation ~ J To Disposal Field ~'0" 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed l, ~ ~ 0 Width of Field ~ ~ Type of System Design Length of Field Depth of Field Gravel Bed Thickness Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test Statndpipes Present(Y/N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well / O~1~ ~' To Property Line To Building Foundation ~. ~ ! To Existing or Abandoned System on Lot /~J /A ; On Adjoining Lots To Water Main/Service Line /PC To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Cutback (if present) D. LIFT STATION Date installed Size in Gallons "Pump On" Level at ~'~' ~'~ High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) ~ ~.~ Comments ~ I ~"/~'0 × 73 t4'efb'W - Dimensions r Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pum~ng Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified,~r conformed to all MOA and HAA guidelines i,n, effect on the date of this Signed /,~ ' ¢ ~/ ';. ;,- '., Company ~t~ ~¢~ Date 4~/1~/'0 Seal MOANo. ReceiptNo. ~ ~¢/~ ~_.~'// ~¢ ) Date of Payment Amount: $ /~ 72-026 (Rev. 7/88) 88ck Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 NORTHERN TESTING LABORATORIES, INC. 2505 FAIRBANKS STREET AHCHORAGE, ALASKA 99503 907-277-8378 · FAX 274-9945 3330 INDUSTRIAL WAY FAIRBANKS, ALASKA 99701 907-456-3116 · FAX 459-3125 PRELIMINARY RESULTS REPORT December 17, 1990 Customer Name Lab# Customer ID Method Parameter Units Result Kniefel Engineering A107571 Lg~B1,Sunset EPA 300.0 N~trate-N mg/[ Hi[Is ~est KNIEFEL ENGINEERING 8441 Miles Ct., Anchorage AK. 99504 (907) 337-1121 · Fax (907) 338-1874 (revised 10/30/90 to include Water Analysis Results) (revised 12/'13/90 to include approved septic system) Date ef Testing: October 29, 1990 Legal Description: Let 9, Block 1, Sunset Hills West Street Address: 14235 Hancock Street Number of Bedrooms: System Design (4), House actual (3) Well Flow Test: Depth of Well: 125' Static Water Level 65.9 Average Flow Rate: > 6 gpm Results of Water Quality Analysis: Total Coliform -- O colonies Nitrate-N --- 1.2 mt/1 (10 mt/1 allowable) Resul'bs of Septic System Adequacy: New System, Approved 12/12/90 The old system failed due to several problems with size, easement infringement, well to septic distances, etc. The septic system was replaced with a new system which removed al'l problems with the old system. The system was tested in accordance with MOA policy and regulations in force at the time of this test. OCT 30 '90 1~:33 NTL-RHCHORRGE 997 ~74-9645 P,1/E NORTHERN 'rESTING LABORATORIES, INC. 2505 FAIRBANKS STREET ANCHORAGe, ALASKA 99533 907.B??,8~78 · FAX ~74.9~5 ~0 INOUSTRIAk WAY FAIRBANKS, ALASKA 99701 907.4~,3115 * FAX 4~6.3196 Kniefel Engines=lng 8441 MtleB Cou~t Anchorage AK 99504 Robert Kniefel lo/3o/9o Date Arrivcd~ 10/26/90 Date ~lampled: 10/26/90 T~me 8ampledz Our Lab #: Leoation/Pro~ect= A1066§0 14~35 Hanooo)¢ Wate~ ~lag Defini~ionz Balow Deteo~ion Limit DL Sta~ed in Result Below Regulatory Min. B~low Detection Limi~ ~stima~ed Value Da~e ~PA 300,0 Nitrate-N mg/1 1.2 10/26/90 ReDo~'~ed By~ ~ran~oi~ Rodigari APPLIL NIT FILLS OUT UPPEI HAl ONLY Street Locatim Type of Residence "Single Family Multiple Family No. of Bedrooms [] Other Water Supply Community L3 Public Utility Sewer Disposal · Individual ~ Public Utility L~ Holding Tank Phone Phone ATTACH WELL LOG. A well Icg is required Ior all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attech Icg if available). Year Individual Installed: When Connected to Public Utility: Time Date Inspector NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUE,~T BEFORE PROOE,)SING CAN BE INITIATED. Time Time Time Date Inspector Date Date Insp6ctor Field Notes; (,~Ii~T~PR OV E D BEDROOMS ~ ) DISAPPROVED ( ) CO N Dl'rl~o N At. j~ P~PR(~VA L ' DATE ~/'2:~/ 0'~ "CONDITIONS OF APPROVAL Soils Rating Date Sewer Inslalled 72-023 (31~2) Well To AbsorpSon Area Well to Tank Well Log Received Septic Tank Size / %.,. February 9~ 1984 Eric Chan c/o Judy Upton 2702 Gambel ]., Lot 9r I!~].oek t~ Sunset l-[ill',; ~est ;%pproval fort the individual sewer al]d water t~acilities .... )~Jc l:ank pur~tpe<] w~l) a receipt subm£t~ed to An adequacy test needs to be peItJ!ortaed on the exiuting ].eachin9 area,. This test will determine if the ay~teut i.~; a(JP)cjuate according to National Staudards. A ].J. sting privat~,~ firms perfor~uin9 the test is enclosed. '?'his report: needs to bo submitted to tl~i,~l office for our Exposn tile well for our inspection to dot~]rmine Droi)er construction, also to :Lnsure minimum di~H:ance requi, rm~w~nts aye leek O0t~¢eefl thc ~';~11 and ~;ewor Locate and ~xpose th~ cleanout to the sel~page Dit and/or leachi~lg area for our inspection. This is to insure the ¢:liniraul~ diatarmo requi, remonts are met between the we3,], and Pleas; notJ. l]y this Dei:)artment Lurther questions, please (.,:~_ 1 this Ji~{~ Roberts As~;ociate }:;nvi ronmenta 1 [~pe ?;iai i!; n c ]. o s ti t?o Ancho]-.~]ge, AK 99503 S ~,,e. PTIC SYS]EM ADEOUACY REPORT OR ....... SECIlON ..... , T . N , R __W, S M. , ALASKA PERFORMED FOR; TYPE OF SYS] [] [ '~"L EACH FIELD REC, UL S7 ED BY: SEPTIC XAUK - SIZE ~ _~'3~. GALLONS CRIB OR SEEPAGE BT"N O NUMBER OF BEDAOOMS _~ SEPTIC TANK ',','AS PUMPED I] YES L'___ (' . STANLEY BRUST & ASSOCIATI<,5 Project NO. Adequaq~ Test__Lo~. Legal Description No of Bedroo=s .2> Do t e T4 ~ne Leve 1 septic tank /0 /o.~. Readings · _- INSPFCTION APP0 NTMENTS TIME DATE TIME DATE '~ATE RECEIVED T]ME )ATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE MUNIC~ALh~ OF ztNC~ ©RAGE DEPARTMENT OF HEALTH&ENVlRONMENTALPROTECTIO~['PI OF L ~ 825 L Street - Anchorage. Alaska 99501 ENVIRONMF q],~,L .I LC'NON ENVIRONMENTAL SANITATION DIVISION Telephone 2§4-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10} days for processing. PHONE 1. P PERTY OWNER MA'I LF~G ADDI~ ~SS PROPERTY RESI DENT (If differen~ from a~o~.) MAILING ADDRESS PHONE PHONE PHONE 4. REALTOR/AGENT MA~ LI'N G ADDRESS PHONE ~'. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,3EDROOMS ~ One E~ Four ,~ SINGLE FAMILY r- Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7, WATER SUPPLY ~ INDIVI DUAL* * ATTACH WELL LOG. A well log ~s rec]uired for ail wells drilled [] COMMUNITY since June 1975. For wells drilled ~ flor to that c~ate, give wel [] PUBLIC UTILITY depth (attach log [ available S. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED, [] PUBLIC UTI LI'rY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN .,~.~.INITIATED, 72 010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED [~] PUBLIC UTILITY Connection Verified INSTALLER [] Septic T. ank or [] Holding Tank Size: //.~ ~t~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL ~~~ ' ~1 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~DISAPPROVED DATE BY ~ 72-010 (Rev. 6/79) OF ANCHOR~ I,~UNh.,PALIT'~ Or ~J~,.HORAGE DEPT OF ~Lfll & DEP~RTMEN~ OF HE~kLTH 8z ENVIRON[,,ENTAL PROTECTI~/i~ON~tEN1 ~....,,,-2 h°tJ'~~ ~-X <'z-. ~~ONMENTAL ENGINEERING DIVISION JAN t 4 1980 ~/ Telephone 264-4720. REOUEST FOR APPROVALOF INDIVIDUALWATEH ANDSEWE I 1, PROPERTY OVi'NER Fred Rickert (Homequity Inc.) JPHONE MAILUx'G ADDRESS 14135 Hancock Drive PROPERTY RESIDENT (if different frolu above} 14135 Hancock Drive 2. BUYER none ( property is for sale ) PHONE vac a]F,.t PHONE 3. LENDING UqS1 ITUTION MAILING ADDRESS 4. REA L}-OR/AGENT ~LEiL_J~a~lsey ~Jack White Co. MAILING ADDRESS 3201 C St. Anchorage, Alaska 99503 PHONE _3 7 5, LEGAL DESCRIPTION Lot 9, Blk. 1 Sunset Hills West STREET LOCATION 14135 Hancock Drive 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS C3 One (-~ Four ~ Other ...... ~ SINGLE FAMILY ~ MULTIPLE FAMILY E~ Three E~ Six 7, WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well Io9 is required for ~11 weI1s driIled ~ COMMUNITY since June 1975, For wel!s drilled prior to that date, dye well E_~ PUBLIC UTILITY depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEh~ ~ INDIVIDUAL/ON-SITE** *'if individual/on-site, give Jnstallstion d~te ....... ~ PUBLIC UTILITY NOTE: THE INSPECT[ON FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN EEINIT[ATED, Property vacant since October 1, 1979 THIS SIDE FOR OFFICIAL USE ON iDATE RECEIVED INSPECTION APPOINTMENTS / 1, TYPE OF B~SIDENCE ~ SINGLE FAMILY ~ MULTIPLE FAMILY 2, WATER SUPPLY iNDIVIDUAL COMMUNITY PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM ~.~ IN DIVI DUA L/ON -SITE ~PUBLIC UTILITY Connection Verified L.~Sepuc Tank or L_~- Holding Tank Size: If Tank is homemade give ciimensions: ONE ~ THREE ~ FIVE TWO ~ FOUR ~'~ SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING [] OTHER TYPE OF TANK MANUFACTURER 'feTAL ABSORPTION AREA NIATERtAL 4. DISTANCES Septic/Holding Tank /Absorption Area Sewer Line ] Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS L~' APPROVED FOR BEDROOMS L~-' CONDITIONAL APPROVAL (!ettel must accom~.,¢ny certificate) ~ DISAPPROVED DA'FI! BY (Title) -L-CC.';- ~ -D E S C R I P~YO N .......... MUNICIPALITY OF ANCHORAGE DEPARTMENT O1" HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 9g~301 ENVIRONMENTAL ENGINEERING DIVtSION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONSt Complete all Darts on Page 1, Incomplete requests will not be processed· Please allow ten (10) days for processing 1. I'ROPERTY ()WNEM P.O. Box 1~-1729, Anchora~:e. Alasl:a PROPERTY RESIDENT[If different from above] ' PHONE NHN H~mcock Driv( 2, BUYER DouMlas W. & Marlbeth Burd Same MAILING ADDRESS 3, I.ENDING INSTITUTION MAILING ADDRESS 4, REALTOR/AGENT MAI LING ADDRESS 10 5 I EGAIo DESCPJ. PTIJ~N, -- · ' 7, / ~-~-~.~.'~, Sunset Hills STREET LOCATION NHN Hancock Drive 6. TYPE OF RESIDENCE SINGLE FAMILY MULTIPLE FAMILY 7, WATER SUPPLY PHONE NUMBER OF BEDROOMS [~] One ~-- Four ~ Other '-1 Two ~ Five ~( Three ~ Six ~ INDIV)DUAL' ' ATTACH WFLL LOG. A well Icg is required for all wells drilled ~ COMMUNITY since June 1975. For wells drilled prior to that date, g ye we ~ PUBLIC UTI LITY depth (attach Icg if available 8. SEWAGE DISPOSAL S~STEM ~ NDiViDUAL/ON.SiTE.~ **If individual/on-site, give installation date If system is over two (2) years o~ an adequacv test is requiree [] PUBLIC UTI LITY, by this DepartmenL NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE DATE RECEIVED INSPECTION APPOINTMENTS .' TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE [] THREE [] F~VE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY ~ /7 C~'~ DATE DRILLED ~ PUBLIC UTILITY ~ ~ Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~INDIVIDUAL/ON -SITE DATE INSTALLED ~PUBLICUTILITY ?-It-.~ ~ Connection Verified INSTALLER : I~ ~ If Tank is homemade SOILS'~A~ING Lot 4. DISTANCES WELL TO: / / ~ ) ] 0 ~ ) 5. COMMENTS ~ APPROVED FOR BEDROOMS ~ CONDITIONAL APPROVAL (letter must accompany certificate) ~ DISAPPROVED 72-010 (~v. 3~78) October 2, 1981 Roger L./Judith D. Snyder 3630 Burl Court Anchorage, Alaska 99504 Subject: Lot 9 Block 1 Sunset Hills West Subdivision Approval for the individual sewer and water facilihJ_es cannot be granted until the following items have been completed: Q The water analysis needs to be submitted to report this office from the Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted to this office. ~J~D'~n An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this Office for' our review. A cleanout needs to be installed to 'the septic tank and the trench area. %h~.s will need to be reinspected by this office after completion. If there are any further' questions, please call this office at 264-4720. S incer ely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Mutual Savings Bank Post Office Box 1120 99510 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF FIEAI_TH & ENVIRONMENTAL P~-IOTECTION ENVIRONMENTAL ENGINEERING DIVISION S25 L Street- Anchor~ge, Alaska 99501 l'elephono 264-4720 CERTIFICATE OF INSPECTION SEWER AND WATER FACILITIES 1, PROPERTY OWNER MAILING ADDRESS 2. LEGAL DESCRIPTIDN 3. TYPE DWELLING SINGLE FAMILY RESIDENCE MULTIPLE FAMILY RESIDENCF.~ E; OTHI~R (Describe) 4. WATER SUPPLY [~ INDIVIDUAL · [~ COMMUNITY/PUBLIC SEWAGE DISPOSAL INDIVIDUAL/ON-SITE PUBLIC UTILITY HOLDING TANK (Maintenance Required} APPFtOVED FOR _~- ~_ ..... BEDROOMS CONDITIONAL APPROVAl_ (See Attached) DISAPPROVED DATE 72-014 (3/78)