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Home My WebLink AboutTHUNDERBIRD HEIGHTS #1 BLK 8 LT 3Thunderbird Heights #1 Lot 3 Block 8 #051-582-26 /- - , • MUNICIPALITY OF ANCHORAGE i0 • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION o f 4 ENVIRONMENTAL ENGINEERING DIVISION " 825 L Street- Anchorage,Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEPHONE 'NEW Pizii.J &/-76`7":. /45-0 ,73/ UPGRADE MAILING ADD SS 7 Ont. 07,56� / filZ&2,40e LEG L DESCRIPTION ZD r- 'icy IAL,edziebir-el rn LOCATIONNO.OF BEDROOMS Ki4Lif 61 l e kl .brad - _. Well �"� Absorption area Dwelling / PERMI0. DISTANCE TO: c_,O� 7/' 00— $' .Qs�7 o WQ Manufacturer /� RPS J MatP� QP( No.of rpmpartments y Liq.capa� ycittyyin gallons Inside length Width Liquid depth //..x� IF HOMEMADE: O Y DISTANCE TO: Well Dwelling PERMIT NO. J22 I Z< Manufacturer Material Liquid capacity in gallons O Well Foundation ( Nearest lot line PERMIT NO. r� w= DISTANCE TO: �mm �j /kV"4. Nj7r o`-n(�I>/ LL Z No.of lines Length of each line Total l,ength of lines Trench dth Distance/WA lines -2 w 1 Ye3 To, 4, inches / / f... Top of tele to finish grade Material beneath tile Total effective absorption area cc O 60 inches V00 Length Width Depth PERMIT NO. w CO a I- Type of crib Crib diameter Crib depth Total effective absorption area wa LaWell Building foundation Nearest lot line y DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J w - 11 DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS163 / l eie SOIL TEST RATING toe . INSTALLER- kA�s o t 7 14 REMARKS /" n Cie 111 C/5 1 i \ e„ APPR• `I if DATE LEGAL K,24.„,,,g- 72-013 (Rev.3/78) MU r-4 I C I a==° _=u�. I -Tr"-mss RIF- El r-415-_-_-:1-111;F.: Cil n2L DEPARTMENi• - �= HEALTH AND EN'VIF:CiNt1ENTA 'RUTEL ': '-t'IL C) Lp 5 E TREET. ANCHORAGE, AK. _ _1 / LD.:., Scg F'ERt1 I T NO. < 820507 1Pia( 1,C CnsY‘S1 1 111 L�)_ k/ i. AF'F'L I C:At•JT KLEIN CONST E:0 X 2524 PALMER 745-2;71 I_OC:AT I ON - LEGAL L3B8 THUNC:ERB I RD HTS LOT SIZE 2222'2'2 SQUARE FEEL. TYPE OF SOIL ABSORPTION SYSTEM IS : TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING <SO F T•BR)= 100 THE REQUIRED SIZE OF THE SOIL ABSCIR:STI IiN SYSTEM I S : l ! _ 67- I:. F"-71--1= .- E 1"-112:i T !1-1 --- B-_1 A_.3 P:Fi"-,.,,np" '7__ E.-..EE F-"-1-1--4,,,,, : THE LENGTH DI MENS I ON IS THE: LENGTH < IN FEET: OF THE TRENCH OR DRA I NF I ELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND ANL::' THE E:OTTC'M OF THE EXCAVATION I t•d FEET:'. THERE IS NO SETWIDTHFOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE EXCAVATION < IN FEET F: 1.7:!.Li I r :E-C:, E.:r-_°M I C: E Fi '-41.g-_-_ :_-. I " — :::1....1. 0-17.11 C A L._..1__0 4-.1:-- PERMIT APPL IC:ANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL_ _:ERVE. -- M-.I Cu ,:: . ::, I N ..r^F"E C:-11-- I 0 t-.9 E F'• Q F E: F: A_Y LJ I F:EE.E:, -- BACKFILLING ---�. EAC:t':F I LL I NO OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM C I STANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DI SF'OSAL SYSTEM IC 100 FEET FOR A PRIVATE WELL OR 150 TO 2010 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL. MINIMUM C>ISTANCE FF:Ot'1 A PRIVATE WELL TO A PRIVATE'ATE _EWER LINE I S 2:5 FEET AND TO A COMMUNITY SEWER LINE I S 75 FEET. OTHER REQUIREMENTS MA'•r' AF'F'L'7. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS AF:E AVAILABLE TO INSURE PROPER INSTALLATION. F"EE.F_F1 I .T :=-::F• I F_ ___. c:::,EElc:E MEr,E=F_ _ i_._, :I_" .1�� I CERTIFY THAT _ 1 : I AMFAMILIAR WITH THE REQUIREMENTS FOR ONN ITE SEWERS AND WELL A,: CET FORTH B'r' THE MUNICIPALITY OF ANCHORAGE. I HILL I NSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 2 : I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS RF =iDELEC' TO INCLUDE MORE THAN 4 BEDROOMS SIGNED : _____ _ _..____-_-4---/- ' -- -___-- APPL *' H.IKL =I N CONST -----' _ P.DATE_____- 14`) _ "4. 0 11 01.` ` N SO I LS LOG ... 6S' `mss t MUNICIPALITY OF ANCHORAGE • t rfr DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION , TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: �/ f7J- r o`J J r DATE PERFORMED: /O ja,,,k/ 1 LEGAL DESCRIPTION: g 717a La/l a Q-/h ) 1 ' SLOPE SITE PLAN DEPTH (FEET) 1 v 11. , - 2 `'/ 4.1 .5/LT� 0 2G•-9A' ( cJJ 4 0 , 3 c� .��y �t ' C-2. �-� {�K`h' 1110 l- 4 V.. P 5 0 _ peDiri)/L'ii 6 /e)Dn./ , ). ,, , , u , -'-x,) -,,,..0 , ` Co ‘,1/4.f /2 `/ , / VJ W 9 . " Pt; Ai/ L) & 10 C ,tt WAS GROUND WATER /,� S 11 ENCOUNTERED? L ' O _ P �� 12 E _ go Ali) "1 D J� IF YES,AT WHAT DEPTH? 13 , 14Reading Date Gross Net Depth to Net Time Time Water Drop 15 • ['•.k.::'1.fr.wanes .-.-.., �"r. ic 17 `ter,.,, s. -.F. V ,i ,(I 4' t 18 w4v^J4i•.• f - 19 yh � Kolirrt A. that* ,i , . `557t ' F r%. r 20 �- ,ti. P::'.' te`''n?,\r:' PERCOLATION RATE /"7 A (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS B a s Enginefring �' PERFORMED BY: CERTIFIED G, 7 1' / DATE:/ � / 72-008 (6/79) • • : .t rniciall T `\ POUCH 6-650 �. ANCHORAGE. ALASKA 99502-i:650 Of I ,00f 1 (907) 264-4111 TONY KN06"✓I.FS. Anchorage MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION January 4, 1982 Klein Construction Box 2524 Palmer, Alaska 99645 Permit # 811019 Subject: Lot 3 Block 8 Thunderbird Heights Subdivision A permit issued by this department for a well and/or sewer system has expired as of December 31 , 1981 . Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well , a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files . If there are any further questions , please call this office at 264-4720 . Sincerely, chaE;(2. Les N. Buchholz R. . Program Manager Sewer and Water Program Enclosure: Copy of Permit r , t''11_.1 r-.1 I s_: 1-A L-. I: 1 °-a-" CIF= F I r 1 c:1-� ,F:IF=!r E ' .DEPARTMENT HEALTH AND EN"I RONMENTAL OTEC T I ON 825 'L' STREET, ANCHORAGE. AK. 99501 IS 4-4 i'x_0 O r-,l— " I -f E: E.1... E_F: F-"E. 1 tri T. 1 PERMIT Ni!. ( 811019 APPLICANT KLEIN CONST E,m::: 24 PALMER OtgCol-iS 745-2731 LOCATION THUN[::'ERB I RD DR LEGAL L3 B8 THUNDERBIRD HEIGHTS LOT c,I7F 21000 SQUARE_ FEET TYPE OF SOIL ABSORPTION SYSTEM I S : TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 _OIL RATING <'=O FT•BR:' 100 THE REQUIRED SIZE OF THE SOIL AB_ORPTION SYSTEM I_ : 1_.n EE 5--' A-L—!'-- - L_1=r-J G 1 9-E= 1 F_-F: EE I___ L"EE -- F_._.__. ..-1- THE LENGTH DIMENSION IS THE LENGTH < IN FEET:? OF THE TRENCH OR LDA I NF I ELL:}. THE DEPTH OF A TRENCH OR P I T IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION ( IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRA'V'EL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION ( IN FEET). F":F=-a-:!1-1 i� °E1- :° ..=;F=F="1-. 1 r_: -1-Fir-V‹ is 1--- -_ 1_2-?!5c711 s F 1 L_L_Cr r-.s"_" PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSFECTION_S OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE HELL WILL SERVE. --.---...-. 1-J40 °:: — ::' I r-.a`.f;F. 1 C: !` I c -- ; 1-1 F':F LF: i_s 1,_I 11'''-: E-° ------ BACKFILLING .__._-- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PRCISEC:UT I i�N. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL S'Y TEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO :200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE I S 75 FEET. OTHER REQUIREMENTS MA'T' AF'FL'T'. SPECIFICATIONS ANL:' CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F-'E F°Lrl I T1=: :F," I !F�'"_IE - c E R::: 1=:_1'"i IE: E._.F' a_=-.4 e 1_ I CERTIFY THAT 1 : I AM FAMILIAR WITH THE REQUIREMENTS FOR CON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2 : I HILL I NSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3 : I UNDERSTAND THAT THE: ON--=ITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED/ EMODELED :I I NC:LUDE MORE THAN 4 BEDROOMS. ARF'L I1011 :::LE I N CO.-ST (Th WALTER J. HICKEL, GOVERNOR ^ b e DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE (907) 349-7755 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 June 28, 1993 Mr. Ray Shafer S & S Engineering SUBJECT: Lot 3, Block 8 (27732 Raven Ct.) Thunderbird Heights Subdivision Class "A" Public Water System, PWSID 211156 Dear Mr. Shafer: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: 1. The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on June 1, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 2. The last inorganic Chemical Contaminants Sample results were submitted to this Department on September 14, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 3. The last Radioactive Contaminants Sample results were submitted to the Department on December 1, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. 4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on June 4, 1992. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. Unless otherwise noted, this letter is valid for 30 days and is for the specified legal description noted above only. June 28, 1993 Page 2 If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, LafOit Michael Lu Environmental Eng. Asst. II M L/pf of rye STATE OF ALASKA F� rc DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS °F 4 L A s v PROPERTY DESCRIPTION Lot.Block&Subdivision or U.S.Survey LOt 3 , Block 8 (27732 Raven Ct. ) Thunderbird Heights Subdivision PWSID no. 211156 Certificate Issued for Application No.: 9321—DW-175-121 This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria. Name Title Dat Environmental June 25 , ' 93 /.,414/ Eng Asst II WASTEWATER DISPOSAL The domestic wastewater system was: El inspected by the "epartment of Environmental Cons- •ation and found to be in compliance with applicable require -nts of 18 AAC 72; `-1 inspected by a Professi• al Engineer wh• ertifies that the system complies with applicable re- quirements of 18 AAC 72; ❑ installed by a Certified Installer o certifies that the system complies with applicable requirements of 18 AAC 72; or ❑ tested by a Profession- Engineer who .-rtifies that the performance of the system is satisfactory and that the syste r complies with the imum separation distances specified in 18 AAC 72. This approval • valid for a ❑ single family ❑ m i-family unit with a total of bedrooms. Name Title Date 18.0404(Rev.8/85) DISTRIBUTION:WHITE—BANK/LENDING INSTITUTION; CANARY—APPLICANT; PINK—DEPARTMENT Time Time ,ne Date Date Date Inspector Inspector Inspector Comments Conditional Approval c.4 14+4 Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Weil To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner T & D Construction Phone Mailing Address Box 2524 , Palmer, AK 99645 725-2731 Buyer • Roland & Beverly J. Erbey • Address 485 Chugach, Palmer , AK Lending Institution Alaska Pacific Bank Phone Address 1§1 W. Benson Blvd , Anchorage, AK 99503 276-3110 Realty Co. &Agent Totem Realty, Inc. /William J. Schlegel Phone Address 724 E. 15th Avnaue, Anchorage, AK 99501 272-0571 Legal Description Lot 3, Blk 3, Thunderbird Heights Street Location Raven Loop Road Type of Residence tk Single Family 1 Multiple Family No. of Bedrooms 4 J Other Water Supply X Individual ATTACH WELL LOG. A well log is required for all wells drilled since June X Community 1975. For wells drilled prior to that date, give well depth (attach log if i 1 Public Utility available.) Sewage Disposal bt Individual Year Individual Installed: 1982 ri Public Utility When Connected to Public Utility: CJ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MUNICIPALITY OF ANCHORAGE • t DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services 1, On-Site Services Section �Z P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # C:(, 1- HAA # 1 C`12D C) 2) alo 1. GENERAL INFORMATION Complete legal description Lot 3 ; Block 8 ; Thunderbird Heights Location (site address or directions) 27732 Raven Court Chugiak , AK 99567 Property owner Roland & Beverly Erbey Day phone . 745-3138 Mailing address P .O. Box 120 Palmer, AK 99645 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well Community well xxx Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOA tt21 5. STATEMENT OF INSPECTION BY ENGINEER ' As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S&S ENGINEERING /� Name of Firm 17034 Eagle Rives Loop Road No_ Phone �f" ZI • 9 Eagle River.,-Ala :a 99577 Address ' /z /�� Engineer's signature . Date ! Cs .4 2 . 511 Pi .TE. h. ani „:„.,71-....,--,:a .a..e ta'•N ^ /1 t t�.• 145741 `V'N i ' .a,. 6. DHHS SIGNATURE "<-,gib.--.` Approved for 4 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments •. ./.. / 0 Le Date 7- - 3 By: �� 7 9 CAUTION 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#21 4 Municipality of Anchorage :. ......- Department of Health and Human Services r Sil HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:Lo'( --- 6‘.4L g -VA Qt.SDd e-{S -o Parcel I.D. A. Well Data Well type N If A, B, or C, attach ADEC letter. ADEC water system number 2k \\S to Log present (Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG ' PECTION eyi Z O G Z Date of test x 5Static water level C m D Well flow g.p.m. g•p•m• rn o D Pum. fell m . >T `'' c 0 SEPARATION DISTANCES FROM WELL TO: C, N rn 0 Septic/holding tank on lot -Z-4:. a ; On adjacent lots z Absorption field on lot --/...-e,t. ; On adjacent lots Public sewer main Public sewer manhole -: out Sewer service line -- . eum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria •: - of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed L.- -(32 Tank size \2'c' Compartments Cleanouts�N) \I Foundation cleanout (Si/N) y Depression (YIN) 4 High water alarm (Y0 ti. Alarm tested (Y/N) '. A Date of pumping Lo -2-S -1 3 Pumper 51--_ C-f—SS P c.o L., SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 7i-7 o \..k--- On adjacent lots o- ( p, Foundation S y \� \ � To property line d Absorption field - Water main/service line I Surface water/drainage kr d o 72-026(3J93)*Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at p off" Level at High water alarm level ycles tested Meets MOA electrical codes (Y/N) SEPARATION DIST.. FROM LIFT STATION TO: - on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed —`3 v Soil rating (GPD/Ft2) l,o o�!Pr- System type ` -42-6-plt Length Width 2 Gravel thickness - Total depth I Total absorption area 4-Do 16 Cleanout present ON) Depression over field (Y, i Date of adequacy test (-•-2-5--- -� Results.,i a ail) (.r-ss for '¢ Bedrooms N Water level in absorption field before test -5(=>'''-5(=>''' After test 26- Peroxide treatment(past 12 months) (Y0 ►-- l h- V--$-LbJ r& If yes, give date i L SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1-o o 1 On adjacent lots `s l F. Property line 1 To building foundation "4" To existing or abandoned system on lot t- To adjacent lots �(.. ` Cutbank l 1n Water main/service line l c Surface water 1'I a 1-4- Driveway, parking/vehicle storage area '3 0 Curtain drain ln� * 0.0 ek E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on th ti. Alit. vection. y �Vee.ree'oo... °•..T..2 SO �6 ok ••/ ., • S&S ENGINEERING `� "'4. �- �R . ;.•'Yid �- 17034 Eagle River 1 p Road No.204 ../ ` •••et'••••"`•8`° Signature Eagle R< r, Al t(a 99577 . . ' Engineer's Name - CO 0` ,} e..:3':k ,<ms: shofar ,A-,1 •„ No. 144E, a�' Date Z 77/' ?• 8`pis ••°• . ' . M0 rtc'V'^•''',I1-4" . - HAA Fee$ /7C)(C Waiver Fee$ Date of Payment to-2-? Y Date of Payment Receipt Number 174/ 7r r7 6�) Receipt Number 72-026(3/93)'Back / cviD Municipality of Anchorage t!: Department of Health and Human Services • Division of Environmental Services i ,�''.r✓_> On-Site Services Section 825"L" Street Room 502 ft LT: P.O Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-582-26 HAA# it_490065- 2-0 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 3, Block 8 THunderbird Hts#1 Location (site address or directions) 27732 Raven Court Current Property owner(s) Patricia Deardorff p" Day phone Mailing address 27732 Raven Court Chu .Pre t r�T -7-I L-P Lending agency Day phone Mailing address Real Estate Agent Colin Roth Day phone 727-1191 Mailing Address 2600 Cordova Street, Anch. AK 99503 Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class A Well Community On-site ❑ Public Water System ❑ Public Sewer 1 I The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C weii and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Rev :1,99) 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Eng. Svc. • Phone 272-8218 Address P.O. Box 102954, Anch, AK 99510 • Engineer's Printed Name Steven R. Pannone. P.E. Date 10/14/2000 444 • o 7•4,_ ,• s 6. DHHS SIGNATURE 1/ Approved for L}- bedrooms. �� '•erCo (f Disapproved. 1*44. 1-.•� Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report t , 'Neil Flow Advisory Other C('• / Cnginal Certificate Date: /G - 2 4-0 O =:;ciraticn Date: f D 2 174 - O / Reissue Date: /"• Municipality of Anchorage ', Department of Health and Human S es rhpi. Division of Environmental Services C E 1 , On Site Services Section 825"L" Street Room 502 V D 10= P.O. Box 196650 Anchorage, AK 99519 6650 www.ci.anchorage.ak.us OCT 1 6 2000 (907) 343-4744 ` MUN40 OFANCHOP GE HEALTH AUTHORITY APPROVAL C�re� sERvicEs DIVISION Legal Description: L3, B8 Thunderbird Hts #1 Parcel I.D.: 051-582-26 A. WELL DATA Well type A If A, B, or C provide PWSID# Well Log NO Date completed Sanitary seal Wires properly protected Total depth ft Cased to ft Casing height(above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft ft Well production g.p.m g.p.m WATER SAMPLE RESULTS: Coliform colonies/100 ml Nitrate mg!I Other bacteria colonies/100 ml Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 6/21/1982 Tank size 1250 gal Number of Compartments 2 Cleanouts Y Foundation cleanout Y Depression over tank N High water alarm N/A Date of pumping 10/16/2000 Pumper JR's C. ABSORPTION FIELD DATA Date installed 6/21/1982 Soil rating (g.p.d./ft2 or ft2/bdrm) 100 System type TRENCH Length 40 ft Width 3 ft Gravel below pipe 5 ft Total depth 8.7 ft Effective absorption area 400 ft2 Monitoring tube Y Depression over field N Date of adequacy test 9/29/2000 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 20 in Water added600 gal. New depth43 in. Elapsed Time: 1440 min Final fluid depth 20 in Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) If yes, give date (Rev. 11/99) D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in"Pump off' level at in High water alarm level at in Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 6 Property line 25+ Absorption field 5 Water main 25+ Water service line 25+ Surface water 100+ Drainage 100+ Wells on adjacent lots 200+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 25+ Building foundation 10 Water main 25+ Water Service line 25+ Surface water 100+ Driveway, parking/vehicle storage 30 Curtain drain 100+ Wells on adjacent lots 200+ F. COMMENTS ixtouviaviiitip G. ENGINEER'S CERTIFICATION •�jtL.��.��, �< .•♦♦j I certify that I have determined through field inspections and • , , review of Municipal records that the above systems are in • ,'1'>>�7�J ; conformance with MOA HAA guidelines in effect on this date. i : ;teven :Jonnoneltf Engineers Printed Name Steven R. Pannone, P.E. *♦ t. No. �:r= 8149• 4C Date 10-14-00 1F . • HAA Fee $ 2l?7 ` C'Z Waiver Fee $ Date of Payment /61/6 fro Date of Payment Receipt Number ieK)7 C�7_40 Receipt Number (Rev. 11/99) Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineer Anchorage,Alaska 99510 (907)272-8218 SEPTIC SYSTEM ADEQUACY TEST .***E OF A,44♦♦ 17 C'D Legal: Lot 3,Block 8 Thunderbird Heights S/D, , • • Owner: Patricia Deardorffas, 1.40=1S, Residence: 27132 Raven Court, Chugiak. AK 99567 f • No. of Bedrooms: Four(4) st "'� Septic System: Tank Size: 1250 gallons. Absorption System Type: Trench ♦♦ D .'•••••••••••••`'' : t7,rLr •. • • f � Municipality of Anchorage On-Site Water and Wastewater Program (907)343-7904 .'i�/TV Certificate of On-Site Systems Approval Parcel I.D. 051-582-26 Expiration Date: 1 - )0-1q 1. GENERAL INFORMATION Complete legal description THUNDERBIRD HEIGHTS #1 B8 L3 Location (site address) 27732 RAVEN CT. Current Property owner(s) JUDY MARKADAKIS Day phone Mailing address 27732 RAVEN CT. CHUGIAK, AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: EJ Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community Cl Public Water System Q Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: f Z'lel C� COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ J�z(o Waiver Fee $ Date of Payment /1012 Date of Payment Receipt Number Q oZ' t Receipt Number COSA# (n,5C 1?157, Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe,functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection,the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes,ordinances,and regulations in effect at the time of installation. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations.The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition,ground water levels that may fluctuate during the year,and the water usage of the family being served by the system.These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system,nor do they guarantee that there are no hidden defects or encroachments.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system.The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 9/27/2018 r~' 9 ie 14 t 6 *• �1`j. of -. 6. DSD SIGNATURE • /•••`m�9�� - T System#1 Approved for `( bedrooms •'•'•:S�t:veri k. Pannone. System#2 Approved for bedrooms h :•NCE-8149 � 41111, Disapproved Conditional approval for bedrooms,with the following stip ations: 0j L Ay) fc c2Z ON-SITE , = WATER AND o WASTEWATER o= . -` -, RnGRAM -: oQ��NT SEeco RI By: �J - / Original Certificate Date: JO f g The Municipality of Anchorage Development Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Adviser Well Flow Advisory Other S ce E. ✓;Crd`� COSA blue sheet t c / If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: THUNDERBIRD HEIGHTS #1 B8 L3 Parcel ID:051-582-26 A. WELL DATA Well type PUBLIC If A, B,or C provide PWSID# Well Log(Y/N) N Date completed Sanitary seal (YIN)_ Wires properly protected(Y/N) Total depth ft. Cased to ft. Casing height(above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 6/21/1982 Tank size 1250 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) N Depression over tank(YIN) N High water alarm(Y/N) N Date of pumping 5/16/2018 Pumper JR'S Pumping C. ABSORPTION FIELD DATA Date installed 6/21/1982 Soil rating2 2 100 TRENCH (g.p.d./ft r ft/bdr� System type Length 40 ft. Width 3 ft. Gravel below pipe 5 ft. Total depth 8.7 ft. Eff. absorption area 400 ft2 Monitoring tube Y Depression over field N Date of adequacy test 6-7-2018 Results(Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 23 in. Water added 600 gal. New depth 31 in. Elapsed Time: 220 min. Final fluid depth 23 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment(past 12 mo.)(Y/N &type) None Known If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access(YIN) "Pump on"level at in. "Pump off'level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES • WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 6' Property line 25'. Absorption field 5+ Water main 25+ Water service line 25+ Surface water 100+ Wells on adjacent lots 200+ ABSORPTION FIELD ON LOT TO: Property line 25+ Building foundation 10+ Water main 25+ Water Service line 25+ Surface water 100+ Driveway,parking/vehicle storage 30 Curtain drain 100+ Wells on adjacent lots 200+ F. COMMENTS SURVEY ON FILE G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and ��• td i review of Municipal records that the above systems are in B ; 4. i NI't.` A\ �J conformance with MOA COSA guidelines in effect on this date. `+••�' IO# Engineer's Printed Name Steven Pannone ":Sleveri One.:'- 9/27/2018 � �. CE-8149 i Date { ��`; COSA canary sheel_2-6-15.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT i • r'12 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Septic Tank Advisory Certificate of On-Site Systems Approval # OSC181516 Subdivision: Thunderbird Heights #1 Block: 8 , Lot: 3 The septic tank for this property is 36 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $6,000 to $9,000. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. 44 4047 , „: aY'64-).",1:7;4''-'- 64-) S''�- L !*, fit- '. ry<� K`� .1^ d • �r �iEd ke c + 410 r , SAY ."; 4 Art . � ..' _ . r $ y ael s .qy t" ,4;. J► 'lz: frtY+ �yg�. R.t > rs 4 N$"a • A A 'F` i a. g l '< .- ,. 1 18 4: 1, a v ' :::,:,':7". ,:.;:',"'•:::s S;u1. S'F`r - y,: .� Mailing Address: P.0. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org --- — - • . • . • • • • SZI7 II r. . .,...... . .15..g..Y..42:2 ip.............e_.:.-i......._.......... ........... . -1.... . '.• ,-. .. . ..'1.2.'.7..'.....i:_-!.. ..-....... . ...I.•:..f:q •.--, ....., . I .., 1 . r t t,..;:i A.c.•::. ;A.c.' , r ,-,..; ....•3 i•-• Q.1 , II. 2'•p r• o 1 tit ;• ...:.,-." 1 _t_1.-.).‘:. A.,... •;,.....-.. -s- q..i ,,). • 1 ...,!.... tari-f--`7,„ , 5 ••• . ..1 F.b, i .., , iv; )4s4 , •. z 1.t (...i. 11' 14-_-.tf it.2._._,L-1,-1_1;St.':....11.5"21:'-Za•-•`,'. , I i 141 , •••.. te) 1 lz 4511 ! i • ; '-... ! ... ; %13; i; I 1 i • i li 1 I U,1 -- f.— ——- — „ . VI .!-:.47:).. i Scq le:l30' As.guity r, ,,,,,,-.......- , • . . . . /.",,t,`:-`•.4..4-4 k.,. ." :,•:...s.-0 • - , . , ... . . .. „•..4c'•••••1,1277, 1 •'). r.- - • :::. ,:.•.:.t.,tr:5•.(:-.1:-. l,—,, - - ' . ' . ' ' — . , •• .0 lus.., ..•., 1 .., _, -,-/a.f,,.....,..,..,:,--,...i,......:4A.:• • i •.'...“As;/.tiOt'X•;.:',:•it:It....;:. ;4' ''4 . --. .... Municipaii'.ty, of/ ncnora.e Department of Health and Human Services Division of Environmental Services On-Site Services Section 825"L" Street Room 502 P.O. Box 196650 Anchora9e, AK 99519-6650 www, ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 05t-582-26 1, GENERAL INFORMATION Complete legal description HAA# Expiration Date: Lot 3, Block 8 THunderbird Hts #1 Location (site address or directions) 27732 Raven Court Current Property owner(s) Mailing address Lending agency Patricia Deardorff 27732 Raven Court Day phone Day phone Mailing address Real Estate Agent Colin Roth Day phone 727-1191 Mailing Address 2600 Cordova Street, Anch, AK 99503 Un/ess otherwise requested, HAA wi//be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well Public Water System TY'PE OF WASTEWATER DISPOSAL: [] Individual On-site [] individual Holding tank [] Community On-site [] Public Sewer The Municipality of Anchorage Department of Health end Human Services (DHHS) issues Certificates of Heeith Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaske. Certificates of Hee!th Authority Approval are required for the transfer of title (except between spouses) on prope~ies served by a single family on-site wastewate? disposai and/or water supply system. DHHS also issues HAAs upon request to home owners. Ce~ifica[es of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C weii and may be reissued with new water sample results less then 30 days oid. Ce¢fificates are valid for one year for properties served by Class A or B wells or a public water system The Municipality of Anchorage is not responsibie for errors or omissions in the professionai engineer's work. 5, STATEIV]ENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for this Heaki~ 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 ~nd type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage fifes and from my investigation and inspection, the on site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone En.q. Svc. Address P_,.O.B.____o._x 102954..~Anch, AK 99510 _ Engineer's Printed Name Steven R. Pannone, P.E. DHHS SIGNATURE Approved for Disapproved. Conditional approval for ' Phone 272-8218 Date 10/14/2000 bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisoc/ Well Flow Advisory Maintenance Agreements Supplemental Engineer's Repor~ Other ..................... Legal Description! A. WELL DATA Well type _A Date completed __ Total depth Municipality of Anchorage Department of Health and Human Services Division of Environmental Services~'~ C E ! V E D On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage,ak.us OOT 1 6 2000 (907) 343-4744 MUNIC OF AN HEALTH AUTHORITY APPROVAL ~~,._ .... "°e~VICEs DIVISION L3, B8 Thunderbird Hts #1 Parcel I.D.: 051-682-26 ft IfA, B, or C provide PWSID #__ Sanitary seal __ Cased to ft FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform colonies/100 mi Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL ft g.p.m Well Log ~ Wires properly protected Casing height (above ground) AT INSPECTION in. Nitrate mg/I Other bacteria Collected by: '-~ ft g.p.m Date installed 6/21/1982 Tank size 1250 gal Cleanouts _Y Foundation cleanout _Y Depression over tank _N Date of pumping 10/16/2000 Pumper JR's C. ABSORPTION FIELD DATA Date installed 612111982 Soil rating (g.p.d./ft2 or ft2/bdrm) 100 Length 40 ft Width 3 ft Total depth 8.7 ft Effective absorption area 400 ft2 Date of adequacy test 9~29~2000 Results (Pass/Fail) Fluid depth in absorption field before test 20 in Water added600 gal. Elapsed Time: t440 rain Final fluid depth 2._~0 in Any rejuvenation treatment (past 12 mo.) (Y/N & type) (Rev, 11/99) colonies/100 mi Number of Compartments _2 High water alarm N/A System type TRENCH Gravel below pipe 5 Monitoring tube Y Depression over field N PASS For 4 bedrooms New depth43 in, Absorption rate >= 600 g,p.d. If yes, give date D. LIFT STATION Date installed __ Size in gallons "Pump on" level at --___ in"Pump off" level at Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A Absorption field on lot Public sewer main Sewer/septic service line Building foundation Water main 25+ Drainage _100+ in Manhole/Access High water alarm level at .__ in Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 6 Property line. 25+ Water service line 25+ Wells on adjacent lots 200+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO; Property line 25+ Water Service line 25+ Cudain drain 100+ F. COMMENTS Building foundation 10 Surface water 100+ Wells on adjacent lots 200+ G. ENGINEER'S CERTIFICATION / certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone, P,E. Date t0-14-00 Absorption field $ Surface water 100+ Water main 25+ Driveway, parking/vehicle storage 30 HAA Fee $~,~b'--~ , ~'7~ Date of Payment __,/(5,//~:,,/~D Receipt Number '/-~ ¢~/.) -7 ('?~ 7-'~ /~ (Rev, 11t99) Waiver Fee $ Date of Payment Receipt Number Pannone Engi~ieermg Se~;ices, LLC Consulting Engineer P.O. Box 102954 Anchorage, Alaska 99510 (907) 272-8218 Legal: Oxvner: Residence: No. of Bedrooms: Septic System: Date of Pumping: Date of Test: SEPTIC SYSTEM ADEQUACY TEST Lot 3, Block 8 Thunderbird Heights S/D, Patricia Deardorff 27132 Raven Court, Chugiak. AK 99567 Four (4) Tank Size: 1250 gallons. Absorption System Type: Trench Absorption System Size: 40x3x5 Absorption Area: 400 s.f. Installation Date: 6-21-82 Soil Rating: 100 sf/br 10-17-00 By: JR's Pumping 9-29-00 Test Procedure: System was inspected visually and measured. The tank was found to have 4 feet of cover. Liquid depth was measured to be 50 inches. The drain field was found to have 42 inches of cover and a total depth of 104 inches. There was 20 inches of liquid measured in the field's monitor tube. Water was added at a rate of five point eight (5.8) gallons per minute (GPM) into the drain fields monitor clean~ out. Liquid depths were measured in the monitor tube. The liquid levels rose 23 inches in the monitor tube w/th the induction of 600 gallons of water into the drain field. The liquid levels returned to the original level within 24 hours. This system is able to absorb 600 gallons per day. This house is served by a community system and does not have a well on the lot. TEST RESULTS: This system meets the code and operational requirements of Municipality of Anchorage, Department of Health and Social Services for a four (4) bedroom house. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DHHS Guidelines & Regulations. The reported results describe the performance of the system under the conditions encmmtered at the time of the tesl, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on thc local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evatualor of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. The content of this report is for the sole benefit of the owner listed above. An3, reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever.