HomeMy WebLinkAboutGREENLAND BLK 5 LT 11 Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report PermitNumber: .~1~ 9,,¢'00"~1 PIDNumber: <2l~"1 713<~ ;:3-o~ :~e~/' Wastewater System: [] New [] Upgrade Address: 'V7 8/ ~.,,,,,~r ,4,.'¢~ ~,,¢..4, ,~ 97¢/~ ABSORPTION FIELD Pbona: ::3 ff'~' - .3 K~O ,o. el LEGAL DESCRIPIION Lot: Block: II Township: I Range: WELL: ~7,~'r' [] New Classification (Privale, A,B,C): Driller: GPM I Pump Set at: Yield: Subdivision: Section: [] Upgrade Tolal Depth: Cased To: Date Dr lied: FI. Ft. Slatic Walo¢ Level: Ft. Caaing Heighl Above Ground: FI. FI SEPARATION DISTANCES wen 106-f I'~0' - - Surlace WalerLot Line F°undati°n t~CurtainDrain V Deep Trench [] Shallow Trench b~ Bed U~ Nlound [] Other Soil Rating: O, ~' GPD/Sq. Fl. Depth Io pipe bollom Irom original grade: Tolal Depth from original grade: I0.~ Gravel deplh beneath pipe FI. Fill added above original grade: Gravel length: ~,~' F~. R9 ~ Total absorplion area: Pipemaleriah ~-~,10 Date installed: 5'1 /~/ TANK Septic [3 Holding El S.T,E.P. Manufaclurer: Capacity in gallons Material: -- Number of Compartments: LIFT STATION Size in gallons: Manufacturer: "Pump on" level at: "Pump elf" level al: I High water alarm Pump Make & Model Electrical Inspeclions performed by: BENCH MARK Localion and Oest:riplion: Top Inspections performed by'...Fl~b~p Tee4 5~c _ Dates: lsb!/ll Dopartment of Health and Human Services approval Reviewed and approved by: _~/~~ Date: 7- 72-01a (Rev. 9/91) MOA ~ Assumed Elevation: 1 6'o-, o ENGINEER'S SEAL TR. M.T. "J" 71' 72' TR. C.O. "K" 110' 118' TR. M.T. "L" 110' 108' TR. C.O. "M" 117' 96' LOT 11 BLOCK 5 PLAN VIEW · SCALE' 1" = 30'- 0" JUMAR ROAD I ','. · . ~ ,~; ..... .: .., ~. 20'ALLEY ~ PAGE 2 OF 2 PERMIT NO: SW950021 ':, Ii/ ~. --WITH 6.0' SEWER GRAVEL ORIGINAL TRENCH--~'~,: /~:t~' 5' LONG EARTH PLUG : "~ ,,~,, ~,,,,~ .....~ 36' LONG TRENCH SEGMENT ,,, ~} ~"J" WITH 6.O' SEWER GRAVEL "BULL RUN" DIVERTER VALV~ ..... .-'~ , '-. S T C O, D 61 65 I ' ' ~ DBL. C.O. "E" 63' 68' ' : A 4 BDRM I~¢0' VALVE IIFII 65' 70' I HOUS~ / TR C.O "H" 67' 85' ~ ~ ~ TR CO "1" 106' 117' ~ WELL PROFILE VIEW NOT TO SCALE NV ~NV 89 0' (BOTH ENDS :~ 2: · · : :: :1 :!i!:NV. 88.9' BOTH ENDS;~ : i 89.2'i :: 3e,LoNG TRENCH SEGMENT ~6N~ :TR:~N~H ~:~:~: LOT 11, ELK, 5, GREENLAND S/D SEPTIC SYSTEM UPGRADE AS-BUILT INSPECTION REPORT FLATTOP 'I'ECItNICAi~ SERVICES SCALE: AS-SHOWN T.H. ~1 M. 14530 ECHO STREET ~DRAWN BY TFM DRY ~ 76.0' ANCHO~GE, ALASKA 99516 ~JUNE 1995 .... ~ 1250 GALLON SEPTIC TANK Rick Mystrom. Mayor Mumcipality of Anchorage Department of Health and Human Services 825 '%" Street P.O, Box 196650 Anchorage, Alaska 99519-6650 July 27, 1995 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 11 Block 5 Greenland Subdivision Waiver Request ~WR950033, PID ~015-171-38, SW950021 Dear Mr. Moore: Your request for a waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 2 feet from the north lot line. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from 'this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services DJR/ljm MUNICIPALITY OF ANCHORAG. Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#t~~ PID# 015-171-38 Date Received: July 11, 1995 HA# Permit #SW950021 Legal Description: Lot 11 Block 5 Greenland Subdivision Engineer: Ted Moore, P.E., Flattop Technical Services 14530 Echo Street, Anchorage, Alaska 99516 Applicant: John Jent Waiver Requested: line. Lot line waiver of leachfield to the north property Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: Name of Rev±ewer Rec %: $01079/1382 Amount: $ 115.00 Date Paid: July 11, 1995 CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 On-Site Services Section M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sh's: July 10, 1995 14530 ECHO ST. ANCHORAGE, ALASKA 99516 MUNICIPALITY OF ANCHORAC~E ENVIRONMENTAL SERVICES DIVISION R[CEIVED By means of this letter we m'e requesting issuance of a Lot Line Waive]' allowing the recently installed soil absorption trench upgrade on Lot 11, Block 5, Greenland S/D, to be within 2 feet of the north property line which abuts a 20 foot wide alley. As can be seen from the site plan submitted in conjunction with the permit application, all of the adjoining lots also have septic systems nero' to this alley, and the presence of the alley will ensure adequate sepm'ation without the necessity of the no]xnally required 10 foot setback from property lines. The installation was made in this location in order to minimize the need to cut trees on the subject lot. Please give me a call if you have any questions on this waiver request. Sincerely, Ted Moore, P.E. M-U-NICIPALITY OF ANCHOP~AGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHOR_AGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT NUMBER:SW950021 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:JENT JOHN N & OWNER ADDRESS:4?21 JUMAR AVE ANCHORAGE, AK 99516 PARCEL ID:01517138 LEGAL DESCRIPTION: GREENLAND BLK 5 LT 11 LOT SIZE: 18000 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 PAGE 1 OF 1 (UPGRADE) PERMIT DATE ISSUED: 2/21/95 EXPIRATION DATE: 2/21/96 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE C}~PTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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: CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS THEODORE F, MOORE, P,E. 14530 ECHO ST. PH: (907) 345-1355 February 13, 1995 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dem' Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to construct wastewater disposal facilities oil Lot 11, Block 5, Gmeifland S/D, located at 4721 Jumar Road. The present soil absorption system is no longer able to absorb water at an adequate rate for the residents living in the house, and thus must be pumped frequently. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 1. As can be seen from the soil log, the native material between 5.75' and 18' below ground level is a silty sand with a measured perc rate of 13 minutes per inch. Test hole #2, as well as another test hole dug throe years ago in the alley just north of the property show similar soil chm'acteristics. Using a slightly conservative soil application rate of 0.6 gpd/sq, ft., this 4 bedroom residence requires a total absorption area of (4 x 150)/0.6 = 1000 square feet. The proposed design consisting of 84 lineal feet of trench with 6 feet of sewer gravel beneath the horizontal distribution pipe has a total absorption eu'ea of 1008 square feet. The topography of the lot is variable, but generally slopes down from east to west at 0 - 5%. Since the present system was sized for a three bedroom residence, we have verified that them appears to be sufficient area remaining on the lot (to the southwest and the southeast of the proposed u'ench), outside of the 100 foot protective radii of neat'by wells, to allow another replacement 4 bech'oom system to be constructed at such time as it may be needed. The proposed project will have no significant impact on present or futm'e water supply and wastewater disposal systems serving adjacent propetlies, nor will it have any significant impact on reserved space- surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this subinittal. Sincerely, Ted Moore, P.E. HOUSE HOUSE I LOT I I LOT 3 LO'I' 1 ~8 SEPTIC I SEPTIC ~-P-T SYSTEM ~ II ~_~STEM.. lOS TEM u I Il I LOT 3, BLOCK 5 ~ TEST HOLE #2 20' ALLEY I i~ 50' EXISTING I SEEPAGE ~ NEW84 SOILABS. I PIT & TRENCH TRENCH WITH 6' LOT :::~:::~:~:~:~:~ GRAVEL T.H. :::::::::::::::?:::?: ~ --~ ] O I fl2,,,, ~''''. SEPTIC - ~;V-" CX~SEPTICTANK '~,~ .-' SYSTEM --'~.,. LOT 10 / : ............... ~0' ' o (VACANT) , ~¢~ 4 BDRM ~ ',, ,,[:~ Hous~ ~ ,, ' ~:~:~:~:~ HOUSE I ' ~::::~ WELL~,, ' '~?,~ dUMAR ROAD ' I ? .... -F--- ~ ' ,, , , ~ I , ,, ,, , ....................... 0 ' ~ ' ~' ~ '' ' o~ f - .- -..SEPTIC , ~ HSE ~WELL 0 I ,' ~,.~.~,. LOT 11, BLK. 5, GREENLAND S/D ,~,~, ~; ~-,~. , ,' ~¥~ .. . .,~ ~ .... WELL AND SEPTIC SYSTEM ~.~¢.,' ~/~.. ',i~::?.,~ SITE PLAN ~- ANCHO~GE, ALASKA 99516 JANUARY, 1995 'e.'f~:.:... c~- ~ ,/~ ~ ~OT~: T~S ~S ,CT* SU~WVS~ *~*T. ~.'.'~:4~ ,, ,,' ~'~, ', ..... ,~ ,~T~ ALL LOCATIONS SHOWN ARE APPROXIMATE. EXISTING SEEPAGE -- NEW 84 SOILABS. lOT 1 PIT& TRENCH ......... ~ /~,/I T.H.~--TRENCH WITH 6 ...... ~ ~ It'--#1 SEWER GRAVEL Hi ' DOUBLECO LOT 1 0 ," ~:~?~;~ 4 8DRM F ~0' ', (VACANT) , ,, HOUSE ~ ' ,' ~:~:~:~:~ HOUSE ~::::~ WEL b ,, . ' ...... ~?~[~[~'-. BLOO~ 5--'~?~ ~ -'-' --. WELL~ ~ -- F-810 PERFORATED PIPE " 50' + 34' LONG SOIL ABSORPTION TRENCHES ~ , j ,j ,,,~/? x-~ ~ -r-/) WITH 6' SEWER GRAVEL ~ /: ,", ...../,,.~ -J'-~.qci~ ~! lc- ~- ;" ~/ BELOW HORIZ. DIST. PIPE DOUBLE NEW 1250 GALLON SEPTIO TANK -- MONITOR TUBE CLEANOUT UNOLASSIFIED BAOKFILL MOUND 1' ABOVE OR1G. GROUND FABRIC PiPE PLAN VIEW SCALE: 1' = 10'-0" 6.5' SEWER GRAVEL (6.0' BELOW INVERT) SECTION "A- A" SCALE: 1" = 5' - 0" L 11, BLK 5, GREENLAND S/D SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES 14530 ECHO STREET ANCHORAGE, AK, 99516 SCALE: AS sHoWN DRAWN BY: TFM FEBRUARY, 1995 Flattop Technical Services 14530 Echo Street, Anchorage, AK99516 Phone (907) 345-1355 Lot 11, Block 5, Greenland S/D 4721 Jumar Road Wastewater disposal system upgrade Specifications 1.0 General: 1.1 The scope of the project consists of abandonment of an existing 1250 gallon steel septic tank and installation of a new 1250 gallon septic tank followed by 84 lineal feet of 12 foot deep soil absorption trench containing a total of 6.5 feet of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or requked by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in confmxnance with Municipal requkements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper di'ainage is achieved after settiement and that there are no residual depressions. Insofar as possible the conu'actor shall rninimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. The existing concrete ring seepage pit and soil absorption trench may be left in place for possible later reconnection. 2.2 The new. 1250 gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe cormections to the tank shall be equipped with waterproof mechanical couplings, The waste line from the residence to the septic tank shall have a minimum slope of 1/4'" per foot, and the waste line between the tm~k and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed at the point of connection to the existing waste line leading out from the house and a double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Soil absorption system: 3.1 The ~oil absorption system shall be consu'ucted by excavating an 84 foot long, tee shaped, trench configured as shown on the design drawings to a depth of approximately 12 feet below the original ground elevation in the vicinity of test hole #1. 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infilU'ation. 3.3 A total of 6.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 6.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entke top surface of the sewer gravel prior to backfill with unclassified material. 3.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the consu'uction. 4.0 Inspections: 4.1 A total of 4 engineering inspections will be required dm'ing the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently fa' in advance to ensure the availability of the engineer. TEST HOLE LEGAL DESCRIPTION: DATE PERFORMED: PERFORMED FOR: DEPTH (feet) COMMENTS: LOT 11, BLOCK 5, GREENLAND S/D JANUARY 9, 1995 JOHN .rENT FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG -- PERCOLATION TEST Pt SM REDDISH SANDY LOAM GM/SM SILTY SANDY GRAVEL NOT COHESIVE STUMPS AND TRASH BUR~D S. SIDE OF T.H. SLOPE SM S~TYSAND F~B, SOFI' SCATTERED LENS OFCAKEDMATL. Depth to Groundwater Date NO GROUNDWATER ]/9/95 MONITOR TUBE DI>& 2/8/95 3/5 GREENLAND TEST HOLE/42 20' ALLEY o~.._36 T.H. PERCOLATION RATE 13 (minutes/inch) PERC HOLE DIAMETER 7" TEST RUN BETWEEN 8.5 FTAND 9.0 FT Reco~nmend deep trench between 6' and 12' sized on 16-30 min/h~ch perc rate Clock Net Time Percometer Net Drop Date Reading Time (minutes) Reading (inches) 1/9 12" PRESOAK 12:05 28 + H20 & START 3:26:30 23 3/8 #1 3:36:30 10 22 1/4 1 1/8 ADD WATER 3:37 23 3/8 10 #2 3:47 22 9/16 13/16 ADD WATER 3:47:30 23 '1/16 10 #3 3:57:30 22 11/16 3/4 ADD WATER 3:58 23 11/16 10 #4 4:u~ 22 15/16 3/4 PERFORMED BY FLA'FroP TECHNICAL SERVICES. I ~/"..~ ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. CERTIFY THAT THIS TEST WAS PERFORMED IN FLATTOP TECHNICAL SERVICES 14530 ECHO ST. 4 ANCHORAGE, ALASKA 99516 TEST HOLE # ~ ¢'~"¢~'3~) SOILS LOG -- PERCOLATION TEST LE:GAL DESCRIPTION: LOT l 1, BLOCK 5, GREENLAND S/D DATE PERFORMED: JANUARY 9, 1995 PERFORMED FOR: JOHN JBNT DEPTH SLOPE (feet) Pt SM REDDISH SANDY LOAM SM/ML SILTY SAND FINE, SOFT SOME COHESIVE CLUMPS SIMILAR TO T.T, #1 SP i'~iEDIUM SAND CLEAN B.H,, COMMENTS: . . · ,, ~ ~,,,,*~ .~. THEODORE F, k~OORE SITE P~N _3/5 GREENLAND - TEST HOLE #2 20' ALLEY ," ~ HOUSE iIt Depth to Groundwater Date NO GROUNDWATER 1/9/95 MONITOR TUBE DRY 2/8/95 Clock Net Time Percometer Net Drop Date Reading Time {minutes) Reading (inches) PERCOLATION RATE (minutes/inch) PERO HOLE DIAMETER TEST RUN BETWEEN FTANB FT PERFORMED BY FLATTOP TEOHNIOALSERVIOES. I ':'~',.,.,,~,.¢..¢,,,~ CERTIFY THAT THIS TEST WAS PERFORMED IN AOOORDANOE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: F-¢...~ ! (2/ /~' ¢o~ PERFORMED FOR: ;~atlop Technical Services 14530 Echo Street Anchorage, AIaskct 99518 Municipality gl Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG ~ PERCOLATION TEST · 1 2 3 4 6 7 8 9 10 11 12 13 14 15, 16- 7 18 19 Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT Beplh l0 WRier filter Roadlng PERCOLATION RATE (~ (minutes/inch) PERC HOLE DIAMETER __ ~' ~]" ~"~ TEST RUN BETWEEN --~_ FT AND ~ FT PERFORMED BY: ~l~c//n/¢~( ~¢~1 ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED ACCORDANCEWITHALLSTATEANDMUNlClPALGUiDELiNES N EFFECT ON THJS DATE. DATE: 72-008 (Rev, 4/85) ' Gross Time Net Time Depth to Water Not Drop Date · gale: NAME MUNICIPALITY 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 MA~UNG-~'DDRESS / LEGAL DESCRIPTION LOCATION I DISTANCE TO: ~-' 2 I Manufacturer  Liq. capacity in gallons IF NOME~DE: ~ Well ~ IDISTANCETO'. I ~ ~ N~ of lio~ ~. Length of eacJ~ ~iEe ~ ~ L~gth Width ~ ~ I~ Crib dia~ete~ ~ ~ " ICl~ Depth Well _ml ~ulld,n~ found0t,o~ NO, OF BEDRid_ MS Absorption area I Dwelling ,~<~r~ I Material / PERMIT NO. No. of compartments Inside length Liquid depth Dwelling PERMIT NO. Liquid capacity in gallons IMaterial N-'~ra r e's~ o t line t Trench width .. / (e nehes Foundation ~ -,~. Total length of lines ateria beneat~ tile Depth inches PERM,T NO, Distance between Total effective ab~,q~io~::,rea PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line PERMIT NO. Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS LAFPROV E/J~--% /~ DATE LEGAL F'[:EF.:M .1, T IqO. FI P I:::' [.,. i C FI N T I,,.EIC;F~T I ON L,EGFII... GFIR'¢ GOODH:I:N H. KL.~~ L5 f?,~I.:;L GR. EEEI'.4LFINE:, S,.."D SRFt DO',:.:: ::1..7';21:.,,,.::.:: LOT '.-*!; I ZE ]i:44 J.8:F';lli)(i!i SI]:!I..II:;:II:;i:E: I::EE"f' T'¢F'E (:iF SOIL. FtE?,SOREKFION '.".;;'.r'S'I"EM IS: 'I"P.".IENCH MR;:.:', I MUM i".tUME:IEF.: ElF BEDROOM'.:; SO I L F.'.FIT I NG ,:: :i¢6! FT,.."IS~R ) = ::1..~.S5 'THE RE:6!U ]: REED S I Z[::: OF THE E;O I L RBS';ORPI"I ON :i!;'.r'S"I"E:M I S: THE Lt;~NGTH [:, I MEI'.,IL:; I ON I S; THE LENGTH ,:: I i"',1 FEi:E:T ;.', OF THE TRENCH Of~: [:,f;i:F:l I I',IF:' I EM}. THE DEPTH OF 1.-I TI:;.'.ENCH OR P I T 1% THE b I ::STI:::II'.,tCE E:ETHEEN THE '.St..IF:'.F;'f':ICE OF TI-IlS GROUN[:, FIN[) "I"t4E E,'OTTOM OF THE EXCFI',,,'F:ITZI]I",! (tl'.,I FLEET). THERE IS 1'40 SET I.,.IIDTH FOR TREI",ICHES. THE GF:'.FtVEL DEPTH I S; THK M Z N.I' MLIM E:,EI:::'TH OF I]RFI',,,'[EL. E',ETHEEN THE L)UTF:'F:ILI.... i::' ]: I:::'E Ri'.,IE, THE E:OTTOf'I OF THE EXC:FI'v'F'ITION (IN FEET). F'ERM I T i~PPL ]] CI=It'.,tT I-.'ll::lS THE F.'.ES;f:'OI"',tS I E: 1!; L.. I T"r' 'f'O I I",IFI]RM 'T'H I :S DE.~;PF:IF.':TMEI",IT 1}I..IR I NG THE lq.S;"f'r:lLLF:ff' I Oi'4 I I'.,ISPECT I OI'.,IS.] OF' FtI',,I',d HELLS F:IE:,JF:ICEI'.,IT TO 'f'H I ':S F'I:rO]F'EF;?.T'.r' Bf.,ID THE t'.,ILti'"IE:ER OF I:;.".ESI[:,EIqCE'.~:; 'rH'~:rr THE HELL I.,IIL. L, SERVE. E: f':l C K F ~11L l.. I. I",1G O I:; F:11"4 "r' S "r% T E M I.'.11 T H O U T F I N R L. I N ~; P ~ii C: "1' ICl N 1'4 N [:' FI P P R O ',,,' FI L I]!:"r' "f' H :1: '.'.(; · 'I;~.:I:::'F:IRTI"IENT HILL E:E SUBJECT TO PRIDSECLrFION. M INIMLJrd I)I'i!;TFINCE 8ETI.4EEN F~ HELJ... RN[:, Ri",I'T' (::IN-S~;ITE SEP.IFtGE C, ISF:'I]I'Jii;F:I[.. ':?.;"r'S"I'EM ±OE~ FLEET F:'OR Iq F"R~',,,'RTE I.,.IELJ_~ OR :1..5E~ TO 2E~E~ FEET FROM Ir4 PUE]L):C HEL. L DEPEN[:,ING UPON THE l""r'F'lE OF F'UE',L. IC HELL.. OTHER REI]:II..I I REMENTS f'll::l"r' RI:'F'L"r'. SPEC I F I CRT IONS F:II",ID CON'.:::;TRLICT I ON [:, I:::I',,,'F:I:i;IJ:IE~L. li!~ 'FO ~ i",ISURE PROPER ~; i'.,ISTF:ILLI~T I I]i'.,I. I CEI:;i:"I"I F'"r' TFIF'I'F :1: I I::fM FFIf'I~:t.IFIR HITH THE REQIJIRE'MI~;},IT!~; F'"OR I]N"..'SIT,~E SEHEi:R!.::; FIN[) !.,.IEL. L.S Ft:S '.SET F'Ot;;'.'T'H B"r' '1'1 It ldt.IN l' C I PFIL I T"r' OF' FINI2HOF.:I:IGE. 2: I I.,I I LI....1: h:.,TF1LL. THEE S"r'STEM I I",1 IqCC':ORDFINCE I.,.I Z 'll'"l 'f'HE CODES. ;;: I I..IN[:'ER'..::;]'FINE:' 'l"HKrr 'THE ON-.-SITE SEHEF.: S"r".STEi'd MFI"r' RE6!LIIRE E']",ILRRGEi]"II:i!]",IT IF "l"l"lEi; R!:F.'.:~;:EI)E:NCE IS F.:E:MP~';' ::~" TO INCLI. J[)E': MOf,:'I.. 'I'IaFIi",I ]: E:E[:,RCIOi'"I%. '!:.:; I diNE[:,: ............................... I::IF'PL ): CFIN f' !;:'/ ff~OO[:,.[41 N l' '.:,3 I,.I E [:, E 'r' ........ '/.. ..... ,.. .... ~..; ..4: .......... :,.: ......... .... E:'H] b ...... .- .... L. z4-J....4---/- ' GR" ~R ANCHORAGE AREA BOROU' ' DEP~TMENT OF ENVIRONMENTAL QUALFI. 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION ~/:~:' SEPTIC TANK: __PHONE DISI'ANCE FROM WELL__fi~) LIQUID CAPACHY GALLONS. MATERIAL ,~'~.,,'r'l./E ~_ 7~"C'f. NUMBER OF ~ COMPARTMENTS~ INSIDE LENGTH ~ INSIDE WIDIII LIQUID DEPTH SEEPAGE SYSTEM: SEEPAGE Pti': ,? NUMBER OF PITS__/_ .... OUTSIDE DIAMETER ~ OR WIDTH NEAREST LOT LINE ~) (-/'- TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH__/.~ ___, DEPTH , BUILDING FOUNDATION_.~ SQ. ET. TILE DRAIN FIELD: DISTANCE FROM WELl NUMBER OF LINES__ ABSORPTION AREA DEPTH: TOP OF TILE TO FINISH GRADEJ~£/P/~?.~' FOUNDATION. , NEAREST LOT LINE!_ '~'~{~ r,/- __ /0~ / DISTANCE BETWEEN LINES C3 TRENCH WIDTH '~-J6- SO. FT. LENGTH OF EACH LINE //~ DEPTH OF FILTER MATERIAl. BENEA1H TILE TOTAL LENGTH , OF LINES IN. tOTAL EFFECTIVE IN. ABOVE TILE WELL: LOT LINE TYPE 1(00i~. -/';~,,',Z/~-z_~;.:'~ DEPTH. NEAREST /0 ~'~ ., SEWER LINE-~ SEPTIC TANK DISTANCE FROM - /,z WATER , BUILDING FOUNDATIOh. _,~_'t- SAMPLE ~ SEEPAGE ~ ,.~'O '/- , SYSTEM__ /~L~.)_. -, CESSPOOL~';~'~ DIAGRAM OF SYSTEM , NEAREST OTHER //)o~c , SOURCES~ DISTANCES: TU.,5 ~-; 1(~5'-'~ ~ oc~,~,,-~ .:,t-tEA ,'/ ANCHORAGIE AREA E~OI~ ..... Gt'I S[~WAGE k)iSiO,:,~-,~ SYS~F~M ..... APPi-.CATIOfq AND PERMIIT ........ SEEPAGE PIT ~=-- (' , DRAIN FIELD '"""' ~'~ -~'~P~'~: '~,~ A~z; ' - ..... ~,~[ ~,'~ ._~L~ ~ ~r~ MEAL.TH A U'f'HOFII'f'y [-IC£NSED D[4,~I GN ER I Cr_R~IFY 'rNA'ri A~ FA~411_IAR WITH TH~ REqUmEI~ENTS OF 6~ATE. ANC.ORA6~ AR~A BO.OUOH ORD ~C~ NO. ~8.~a AND THA" Tim AUOVE Was Ground Wa'~er Encountered? 'if Ye$~ At W~a'c Depth ( Re aa ','~a g i Date Gross Time Na'c Time Death '£o H20 . -~h O~ ir. feZ ])ep~h ?o i}o'c~om Of Pi. 20P ...... ' COy.. : ; · .... r Tes'c PaPf~rrr, ad 53,: .~ '-';' _, ,{'' ,l . SHEET NO ALASKA ENVIRONIV"NTAL CONTROL SERVICL , INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 CHECKED BY SCALE /; ~0 OF DATE DATE IO, g ~ '~ Y,g t//L r" DeArmoun Area Relerence Map-P14 ,~ VE F~OR ~ 174 175 183 -'~"- 185 193 184 .', COPYRIGHT 1981 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTiFiCATE OF INSPECTION FOR HEAl_TH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAl. INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Appli~;ant Name ~(}~'/) ~.¢t/~z- Telephone: Home ~ ~ Business (c) Applicant is (check o~e): Lending Institution ~; Owner/builder~; Buyer ~; Other ~ (explain); rnstitution __ ~ / -- (d) Lending ¢~ ~ ~/'/~ ~~/~g Telephone Address (e) Real Estate Company and Agent _~)~ ¢~*-~¢¢/~/~. (f) Mail the HAA to ti~e following address: TYPE OF RESIDENCE Single-Family'~ Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY individual Well'S[ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~[t~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Dopartment of Environmental Conservation atlesting to the legality and status. Page 1 of 2 72-025(~1,84) 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 H~alth Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. . . Name of Firm __ ,/~:~.5 Telephone / - Date 2~' ¢?~ DFIEP APPROVAL Approved for '~':~ Approved bedrooms by Disapproved Conditional __ Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Paon ? nf 9 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: MUNICIPALITY OF ANCHO~E DEPT, OF ItEALTH & ENVIRONMENTAL Well Classification '~P/I/'/~¢' If A, B, C, D.E.C. Approved (Y/N) __ Well Log Pr~s. ent (Yt~ Date Completed '¢'1_//'~''¢¢1w'~/ Yield Total Depth ~ ~'~' Cased tc~ ¢~ Depth of Grouting Static Water Level .(~ ~;'"--:¢ ~' Pump Set At Casing Height Above Ground Electrical Wiring in Conduit QN) Separation Distances from Well: To Septic/Holding -rank on Lot _(-~,) Sanitary Seal on CasingCN) Depression Around Wellhead (Y~'.~ ; On Adjoining Lots(~ ¢~" ; On Adjoining Lots /~-'~' To Nearest Edge of Absorption Field on Lot _ To Nearest Public Sewer Line .~./,,4- To Nearest Public Sewer Cleanout/Manhole _ ,x/'//,¢ To Nearest Sewer Service Line on Lot ~'~ Water Sample Collected by ~ ~ ~I~ ; Date ~ Water Sample Test Results B. SEPTIC/HOLDING' TANK DATA Date Installed Standpipes ~q) ~,~ Air-tight Caps ~,~N) Depression over Tank (Y,~_.~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ ~';~ / To Property Line ,~.,9 To Water Main/Service Line Course Comments O ~/$f/'~L'E" /,~/ Size 1,'~'~'"/¢ ~/'~ No. of Compartments Foundation Cleanout (Y(~ Date Last Pumped //JO'" ;for ,4~/~ Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ "~'.'~" 7:~"'''- Width of Field d.~/,¢- ~' ~' ~¢'/',d~ Square Feet of Absorption Area Depression over Field (YN~~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation ~' Lot To Water Main/Service Line Type of System Design ¢'~/~ / Length of Field ¢2~/& ~/~. Depth of Field d~,'/~ ~ ~ Gravel Bed Thickness ~//~ ~ ~¢,qKE~,~ Standpipes Present ~'-'~) Date of Last Adequacy Test To Property Line ,/¢ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Existing or Abandoned System on ; On Adjoining Lots ~'"~)" / To Cutbank (if present) LIFT STATION Da~'/J// Dimensions Size in G_all~ns ~ Manhole/Access(Y/N, "Pulp_On" Level at ~ "Pump Off" Level at Hig.h .W~ter Alarm Level at ~ Vent(Y/N, Tested for ____ ~ycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify tha(l h a./~,~ e/c~d~.~v¢ied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~'¢"'/'"'~ ~ '~' '~'~'- Date ,~' ~ '~/-~ Company /'~-' "% MOA No. Receipt No. -'-'-'-'~ ~, ~_."-7 [ Date of Payment '"P3 ~ '"2'2 Amount: $ Page 2 of 2 72-026 (H/84) i;!:~,/~ r,,,~.,_, 1 '/ TM '4'4 ' ' lQ } ]~111 ~ I ~k' ~')] '[()~j I~c i~(":,V3 h~V'~ }¥'~'il "'O'tl~)~"~:(':d APPLIC: FILLS OUT UPPER HAL ONLY Prope-ty Owner ,-'] / . '? - Phone t~'d ,z .. k~ / ; //? jl~ , .-- ~.i :_. . ?_~,.,b/,/ .: //', .t ,,/ (':'.'.' //¢ '4' z t' ~ Zip Code ,~/;/.. Buyer ~ ._ ,- . ~' ~.- '/.. ,..-. ./'., ~, f ~ ,,' ...,, . ~ ,./ Address .. . / k . , ~.; 17~' ~ ~ ~/" ..-'/ ~ ~ Zip Oode . - Lending InstltuUon ',. .' . / . .... Phone , . -?X , ~.. ,. ~ t~ 'Y'~"~'~(~ ?~ ' ~ .Z,'v~'~ / Y'''' //' ' ' '~ '":' '" / ~:~' ~" "'"~:~'. ~-:.:., ;~7) . / //,. '.. / zip cod~ Realty Co, & Agent Phone A~O~s . .' / , ,/{/~. / / . _ Z,..,~ ~,/~:.;:. z~, Co~ Legal Descriptio~ / .,. . / / ., '~' -. _street Locai~ ~./ ~Y.--' ,/ ../,.'"-- ~-./;J,,- ..... ~( /" - ,.~¢,,.~ .... ," ' ~" z~ (/ ~ :" l~(.'.- Type of Resi~nce ( ~} ~-~ ~ Single Family ~' Multiple Family No. of Bedrooms '-' ~ Other Water Supply .. ~: Individual ". /&.t' .... ~ .-~" ': < ~ ~- ATTACH WELL LOG. A well log is required for all wells drilled siece June 1975. ,~' Community - · '~. ? t ; .' ' .,~ / , ( , .',; For wells drilled prior to that date, give well depth (attach log if available). I ~ Public Utility ~ewer Disposal ~ Individual Year Individual Installed: '/ ._?, ~, .?/ /'"/ ..' /--- ,~Public Utility When Connected to Public Utility: ' ' ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. ,/-.), Time Time Time Time Date Date Date Date /0.~ ~"'7/~,~- ~,~ Inspeclor Inspector Inspeclor Insp,~or Field Notes: y/),..--z2 ~.,?'~,C,'- MUNICIPALITY OF ANCFIORAGE DEPT. OF ~/:~ ~ ~ ENVIRONMENI'AL PROTECI'ION · RFCFIVFB (' ~' ) APPROVED BEDROOMS 'OONDITION8 OF APPROVAL ( ) DISAPPROVED ( ) OONDITIONAL APPROVAL* DATE Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 72-023 MUNICIPALITY OF ANCHORAGE i _., , t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION i:l.i, , ..... '/,.. 82!5 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 - - - ' REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete ell parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing, 1, PROPERTY OWNER PHONE Gary/Julie Goodwin ' MAILING ADDRESS Klatt Road PROPERTY RESIDENT (If different from above) ' ' PHONE 2. BUYER ' PRONE Peter/Anne Brown 276-7132 MAILING ADDRESS 5917 Prosperity Drive 3'. 'LENDING INSTITUTION ' ' I National Bank. of AlaskaI PRONE 276-1132 MAILING ADDRESS Pouch 7-025 99510 4. REALTOR/AGENT I PRONE- **Kristie Vincent, Century 21 J 276-2233 MAILING ADDRESS ll5 West Northern T,icjhts Boulevard 99503 5. LEGAL DESCRIPTION Lot 11 Block 5 Greenland Subdivision STFIEET LOCATION Kla~t Road 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One ~ Four [~l Other ~ SINGLE FAMILY [] Two -~ Five [] MULTIPLE FAMILY I~× Three [] Six 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8, SEW.~GE DISPOSAL SYSTEN1 ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, :j~ve well depth (attach Icg if available.) ** f individual/on-site, give installation date f system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) THIS SIDE FOR OFFICIAL USE ON~-~ , DATE RECEIVED INSPECTION APPOINTMENTS TIME -IME TIME DATE DATE DATE NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: NUMBER OF BEDROOMS 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2, WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified. 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS [] ONE [] THREE [] FIVE E~ TWO [] FOUR [] SIX [] OTHER )ERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED *4' L(') ,,TxJ STREE: AND N0. (plus postage) r)¢TIr)l{AL SERVICE~ FOR M]r)ITiOHAL FEES ItECEIPf ~/) 2, ~;hows towhom (late a ( ' ere delivered. 35d PS Form 3800 NO INSURANCE COVERAGE PROVIDED~ '~pi, 1071 riOT FOIl IHrE~NATIOIIAL MAll. POSTMARK OR DATE (See other side) [~"/APP R OV E D FOR '~ BEDROOMS [] COi~IDITIONAL APPROVAL (letter must accompany cerbficate) [] DISAPPROVED BY (Title) ¢~/(~ DATE LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCNORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION //'~.,~ ,~ 82~i L Street - Anchorail~,, Alaska 99501 ~ Telephone 26~'-~ '20 ~ ~//} REQUEST FOR APPROVAL OF INDIVlD~ATER AND SEWER FA~S DIRECTIONS: Complete all parts on paBe 1. In~gmplete requests will ~ocessed. Please allow ten (10, days for p ~ces~ing. 1. ~PERTYOWNER ' ~ ' ~ ~' ~; ~ I --~/)HONE 2. ~ER, PROPERTYRESIDENT~fdifferenXr°mab°ve' ~,., ~ )~' -- ' ~~-----~HONE X,~ y PHONE 3. LENDING INSTITUTION A ~ X ~ ' [~' I PHONE 4..~EALTOR~AGENT ~, ~ / ~ ~9~x~ ~'~-~ . ~ I PHONE' MAI LING ADDRESS ~ ~ ' ~ .... .... ,.. - ............. 5. LE'GAL DESCRIPT, ION/ STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY ~ One [] Four ~ Two ~] Five [] MULTIPLE FAMILY ~ Three --I Si): 7, WATER SUPPLY [] INDIVIDUAL* ~:~' [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM Other * ATTACH WELL LOG. A wel 9g is required for all wells drilled since June 1975. For wells drilled prior to that date, ~lve well depth (attach Icg ii: available.) [] INDIVI DUAL/ON-SITE~ ** f individual/on-site, give installation date / c)"~c~) . f system is over two (2) years old an adequacy test is required [] PUBLIC UTILITY by this Department. NOTE', THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE NITIATED, ~2-010(3/78) THIS SIDE FOR OFFICIAL USE ONL DATE RECEIVED INSPECTION APPOINTMENTS TIME ¢~ TIME TIME DATE DATE I NSP ECTOR INSPECTOR I NSPECTO R 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 E}Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line WELL TO: I I Absorption Area to nearest Lot Line 5. coMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF ENVIRONMENTAL QUALITY ~.~, Anchorage, ~~ - ~P'~'~"I 825 "L" street 279 2511 825R~.~J~S~[nFt3R APPROVAL OF iNDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: Hr, and Mrs. Goodwin (Gary and Julie) CONV XX Mailing Address: 000 Klatt Road Name of Buyer: Peter and Anne Brown Day Phone NA Mailing Address: 5917 Prosperity Drive 4. Name of Lending Institution: National Bank of Alaska Mailing Address: Pouch 7025, 99510 Phone 276-1132 §. Name of Realtor or Agent:___Kristie Vincent, Century 21 Mailing Address: 115 W. No. Lgts. Blvd. Phone 276-2233 Day Phone 276-7132 PLEASE CALL REALTOR FOR INSPECTION PURPOSES Legal Description: Lot Il, Block 5, Greenland S/D Location: Klatt Road Anchorage, Alaska 7. Type of Facility to be inspected: __ 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well Unknown 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation E0-037 (11741 Single Family Residence No. Bdrms. 3 Individual XX Unknown Individual(on-site) Unknown XX ALASKA IiLIIROI IllCF1TAL COmTBOL S FIuIC $, IF1C. ~n§ir~¢~r'irn~ 6 ~r~,ir'nr, m~r~l,~l $1u,Ji~s RICHARD & D~ILENE BUSHELL 4721 JUMAR ANCHORAGE ALASKA 99516 SELLER-JEAN HOHNSTEIN OCT 2 1985 WILL PICK UP FROM OUR OFFICE 50644 LEGAL:GREENLAND SUBD/BLOCK 5/LOT 11 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-SEP 27 1985 THE TYPE OF ABSORPTION SYSTEM IS A CRIB/TRENCH WITH AN AREA OF 543 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 665 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON SEPT 27 1985 . FLOW TEST ON ~LL WELL FLOW DATE-SEPT 27 1985 A FLOW TEST WAS PERFORMED ON THE WELL. 665 PUMPED AT A RATE OF 6.6 GPM OVER A DURATION OF THE DRAWDOWN WAS 6.9 ' WITH A RECOVERY TIME OF 53 FEET. BEDROOM HOME. AND THE STATIC WATER LEVEL WAS THE WELL IS ADEQUATE FOR THIS 3 GALLONS OF WATER WAS 2.2 HOURS. 30 MINUTES 1200 UJcsl 33rcJ Aucnue, Suite B ,J Anchorage. Alaska 99503,[907) 561-50Z10 ALASKA IidlROFlmeDTAL COF1TROL $ RIjIC $, IFIC. ~nqin¢~rinq $ ~nmronmcnlo] Slu~i~s OCTOBER 6 1983 ANNE & PETER BROWN SRA BOX 1723--M ANCHORAGE AK 99507 SELLER - ANNE & PETER BROWN BUYER - RICHARD BUSHELL SUBDIVISION - GREENLAND BLOCK - 5 LOT - 11 RECEIV_E ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT/TRENCH WITH AN AREA OF 543 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 GALLONS.  ASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A BEDROOM HOME. ~THE SEPTIC TANK WAS PUMPED ON 10/7/83 . SEPTIC TANK ADEQUACY o~THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. 1200 UJcsJ 33rd Aucnu¢, Suite J~ ~, Anchoeaqe, Alaska 99503 · (907) 2764361 JML John M. Lambe, P.E. June 22, 1978 I 4303 North Star Street I Anchorage, Alaska, 99503 907-279-8056 New Phone No. 276-4113 _ I Gary and Julie Goodwin S.R.A., Box 1723X Anchorage, AK 99507 Subject: Lot 11, Block 5 Greenland Subdivision Dear Mr. and Mrs. Goodwin: At the request of Christie Vincent, your real estate agent, the writer has observed the well and septic system on the referenced property. A flow rate test was performed on the septic system with the results presented on Sheet 1 attached. A sample of water was collected at the kitchen faucet and delivered to the State Laboratory for testing with copies of the test results to be mailed to you and to the Municipality. You were requested to have your septic tank pumped and obtain a receipt to present with this report to the Municipality. This report presents the writer's observations, the test data, and the writer's interpretation of the test data. Relative Locations of Well and Septic Systems The writer has prepared a sketch showing the relative locations of the well, house, and septic system, presented on Sheet 2 attached. This sketch was prepared from the "on-site sewage disposal system inspection report" dated June 23, 1972 by the G.A.A.B. and supplemented with field measurements. The soil absorption system is 100' or more from the well. The septic tank is 93.5± feet from the well. Soil absorption systems on adjacent lots appear to be 100' or more from the well, however the stand pipe for what appears to be the septic tank on the lot adjacent to the east is 95' from 'the well. Wells on adjacent lots appear to be 100' or more from the septic system. Well The well is located in the driveway. The casing extends 10" above ground. The top of the casing has a sanitary seal. The area around the casing is paved and shaped to drain. John M. Lambe, P.E. 4303 North 8t~r Street Anchorage, Alaska, 99503 907-279-8056 EXISTING DRAIN FIELD TEST DE EPTH BELOW METER READING GALLONS PUMPED TIME ~F~CE ( G~U~NS9 ~ N~ ~ ' I II '/ I ,i ' - // i t -- Goodwin Report, 6/22/78 page 2 Septic System The septic system is north of the house. It is a composite system consisting of a septic tank, seepage pit and drainfield. ~b~_s~epage pit was nearlN full, indicating to the writer that the drainfield is p-~o~-T~ l~]~--~S~-~l?'~ functional. Four inch (4") I.D.'---~a~ lro'~--~ ve-~¥HYs/clean o-6-~=-~we~¥ccess to the septic tank and to the seepage pit. No clean out was observed for the drainfield. A flow rate test was considered to be appropriate to test the system. Flow Rate Test Results and Interpretation Before beginning the test, the water level in both the septic tank and seepage pit was measured from the top of the respective vents. Water was then entered into the system through the septic tank vent at 10 gpm, to try to ascertain the surge capacity of the system, then progressively less rates until the system experienced relatively small water level rises during pumping intervals. Measurements were taken at approximately lO0- gallon increments. 510 gallons were pumped into the system. The system ~i$__use during the test with three residents in the house. The levels in both the septic tank and pit rose rapidly at a pump rate of 10 gpm until at 300 gallons, the level in the pit was at ground surface elevation but still contained in the vent. Pumping was stopped for 15 minutes. The level in th~.~__~pJze~.~LT" in less than.~J~_i~[~t~e_~..an~ remained at that level for 10 minutes. The flow rate was decreased to 4.5 gpm. After 90 gallons were pumped, the level in both the ~!t and the tank rose 5 inches. Pumping was stopped ~5~-~h-6--~-~tem returned to the ~~t~e-'90-~?o~n_~re!n~n~.i~l~in~. The flow rate was reduced to 2.86 gpm. After 100 gallons were pumped, the level in the system rose about 2 inches. Twenty minutes after the pumping was stopped, the water level returned to the level to which the system returned after surging. Fourteen hours later the levels in the system dropped an~/-- additional 5 inches where~mained for 40 hours ~f~er~be-~t.e~t.~T~is level is 8" higher than oFiginatly ~-~Fe~-.-~A~m~ di~ the system appear to back up into the house. The writer concludes that presently the system has a failure surge capacity of less than 300 gallons, and a flow rate of less than 2.86 gpm. For a three-bedroom house generating 450 gpd and assuming this occurs in eight hours, the average flow rate would be 0.94 gpm. If a peak factor of 6 is applied, the peak flow rate would be 5.6 gpm and failure would occur in approximately 1½ hours. Failure is defined for the purposes of this report as when the water level in the seepage pit reaches ground surface level. Because the system did not return to the original level 40 hours after pumping, there is a potential for progressive reduction in the capacity of the system during heavy use; and the possi_jz~l~ha~~em m~ not accept long-term loading of 450jpd. Tests by private enterprise to ~va~u~te~6~?~b~f~t6'~:~q~H'~h~ ~iter's opinion, not be economically justified in view of the cost of system improvement. Goodwin Report, 6/22/78 page 3 The writer trusts the foregoing is sufficient to your needs. The data is presented for evaluation by the Municipality of Anchorage, Department of Environmental Quality, in review of a loan approval. The conclusions are those of the writer and are not necessarily exhaustive of the possibilities, nor intended to recommend approval or disapproval of the system. Approval or disapproval of this system is the function of the Municipality of Anchorage Department of Environmental Quality based on the data presented and their experience in this area. Very truly yours, /dohn M. Lambe, P.E. ¢5v~1 Ink,neet, 4254-[ JML/yme Attachments (3) JACK BENNY'S AND AN~,HORAGE ~,, ~-,~,~ ....... UMPING Star Route A Box [~ hNCItORAGE. AL/~SKA 99502 Phone 344-2632 or 349-~,3~