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HomeMy WebLinkAboutHOMESTEAD HILLS BLK 1 LT 6Homestead Hills Block 1 Lot 6 #015-173-10 Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw, SL P.O. Box 196650 Anchorage. AK 9957966W Page I of 2, www.d.anchorage.ak.us (907) 3417904 , ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. 5 6v 050 2 `!O PID Number. O 1 S - 17 3 —1 p Wastewater System: ❑New ®'Upgrade Ada.ee: `1831 Ti>rT irnt Drrre 995! ABSORPTION FIELD Pnon.: 3 Y 2 0 t*~ of Bed' 9/ 3 MDW Tome D awp. Tmnrn Deed D uara D mw. LEGAL DESCRIPTION SW w.nv 1.2 o.r/P i C.PMo,,e Tar o•F•r hmeVrr vx &a%: La: 1 1iornBikret,wJf/!! •mWP-0 vde: S. 2 Gn.r dlpn E•r4•In P'0.: S.O 4/ Fl. FL Tawnnp: fWP: Seceen: Fe aaMa•ew.dnPrrpede: Gray lrpc o.S n. SO Fl. Well: (J\/- A. ❑ New ❑ Upgrade Gr•.r teat 2, S Mnera►,Q Warc•e•nn.n •nee: — FL CaawW W (PnntC A e. Cl: "A" Tar Dppe Caa•d b: Tar aaapm m Soo -S Prf e1asr ' n. FE Fe D 3F 4o - Nen - •,z3( Drrer Dre Pr.¢ sbx WOW Lr r; Ymaew: Dew Yma4d: FL 4+ /Joint S ".C. 1 7/ 2,!r/0S rigid: Pw So Cn gNPWAAp•••canm TANK GPM R FL SEPARATION DISTANCES Nsepsc ❑Hwft ❑S.T.EP. OOther. To Septic Absorption Utt Holdup lubliePrivate Fran Tank Field Station Tank SewerUne AAchoro a 7-;,,^4 1000Gr. I w•F >Zoo' >?.cb' - - - .ran•E Slee/ Nw of c4ffv rrw: swba wort > (oo' > 160, _ _ LIFT STATION tJ- r. La Un• 7d• 3S' — — cr. FawWawn G • 'Z �'� - 'Pwre ar Ynr •C •Pw or l•MX.Mer Yenll r: k b h w"w. 4 rudr FLtvxr PwPe miamed W. Cunsn omn - - - R" Orr real to I -ie 1"[rnle a4an./on.d BENCH MARK Eoo.m rr o.emwa. o!• recit^ •J-rrn, etf NE art G/r Orl libn en coc4 m -er ear bn A•wnrd •nwn. rorner e/ )have 1lJO.O FL [nth ewca.riufrtan wen Ct+rtfrflEenf w 'orf A o 1e Engineers Stamp .si��G•OF.A- rn � Inspections performed by: F let fav T -ch Soc Dates: 1°` 7/26!OS n Tr' Q9TH�� :yy Development Services Department Approval li• •�••.••i••..••..• • THEODORE fe••••••. y. N• RE ;• ' Reviewed ane approved by: Date: $_ 3.05' LrCF-3589 q k wT,'. 77. .� - I PERMIT NO: SW050240 PAGE 2 OF 2 j NEW 50-FOOT LONG PID NO: 015-173-10 SOILABS.TRENCH w. 5.0' EFF. GRAVEL ; • I T.H. "H" 1 i � NEW 1000-GALLON Z SEPTIC TANK L , SWING TIES: TBM "G" FROM: COR. "A" COR. "B" COR. "C' "F" TO: • S.T. C.O. "D" 11' 55' WATER SVC "E" S.T. C.O. "E" 11.5' 61' APPROX. DBL. C.O. "F" 40' 14.5' 66' TR. C.O. "G" 51' 29.5' 85' TR. M.T. "H" 67' 52' 110' DRIVEIa. 1 TR. C.O. "1" 88' 75.5. 134' w z ; �o LOT 6, BLOCK 1, F ) HOMESTEAD HILLS SID 1:1F.44 �t PLAN VIEW SCALE: 1" = 30' =; .............�r ....... �Ir : THCOGCRE F. MOORE ; 1R F' CE-35oq r 4 3'+ SOIL COVER : • •> ^ ��'`�" ORIG GROUND 5' SOIL COVER ELEV. 100.7' 2" RIGID INS. FILTER FABRIC 1000-GALLON INV. INV . INV INV. SEPTIC TANK 96.3' 95 5 _... 95 5 95.9' 50-FOOT LONG TRENCH w. 5.0' SEWER GRAVEL BELOW DIST. PIPE BOTTOM ELEV. 90.5' LOT 6, BLOCK 1, HOMESTEAD HILLS SEPTIC SYSTEM UPGRADE CROSS-SECTION AS-BUILT INSPECTION REPORT BOTTOM T.H. #1 -- jjj''' ELEV. 82.7' NOT TO SCALE FLATTOP TECHNICAL SERVICES SCALE: AS NOTED / M.T. DRY 7/15/05 14530 ECHO STREET DRAWN BY TFM j{ ANCHORAGE, AK 99516 1 JULY, 2005 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 21, 2005 Expiration Date: Jul 21, 2006 Permit Number: SWO50240 Parcel ID: 015-173-10 Legal Description: HOMESTEAD HILLS BLK 1 LT 6 Design Engineer: 0019 Flattop Technical Services Site Address: 004381 TRAPLINE DR Owner Name: IRMA GARRAND Lot Size: 29543 SO. FT. Owner Address: 4381 TRAPLINE DR Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-1536 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By. Date: 7/2&40 S Date: /2' 1 Lo I MUNICIPALITY OFANCHORAGE ��� Development Services Department I I� 1p Onsite Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 21, 2005 Expiration Date: Jul 21, 2006 Permit Number: SWO50240 Parcel ID: 015-173-10 Legal Description: HOMESTEAD HILLS BLK 1 LT 6 Design Engineer: 0019 Flattop Technical Services Site Address: 004381 TRAPLINE DR Owner Name: IRMA GARRAND Lot Size: 29543 SO. FT. Owner Address: 4381 TRAPLINE DR Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-1536 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By. Date: 7/2&40 S Date: /2' 1 Lo Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. D/S'/ -?.3 — /15 Permit Number SW Property owner(s)"rrTa Garrrtn -f Day phone '3 Y6- Zo9 / Mailing address (1) `/381 -Trap line D. -;-t Mailing address (2) i)n cJ orad A Zip Code 9a.rr,r Legal description (Lot, Block & Sub'd.) I -of 13/oek ly 126 . esl,6--d ff'/[, s Legal description (Section, Township & Range) Lot Size 1;1q, -Ti 3 Acr /Sq.Ft THIS APPLICATION IS FOR: Number of Bedrooms 7 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 12 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. P lEnia n:,// Tio! /-raa-e- /e 7 rs-13r3- .//G,1t.C�i_. (Signature of property owner or authorized agent) Permit Fees: 'y 6o Waiver Fees: Date of Payment: 7 1 1& os Date of Payment: Receipt Number: Receipt Number: (Rev. 12100) ���� YLATTOP TECHNICAL SERV,IVCES-= CIVn. & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS TIIEODORE F. MOORE, P.E. 14530 ECHO ST. Pit: (907) 345.1355 ANCHORAGE, ALASKA 99516 July 15, 2005 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 6, Block 1, Homestead Hills SID located at 4381 Trapline Drive. Soils logs, Pere 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 4 1. As can be seen from the soil log, the native material between 2 and 8.5 feet below ground level is a coarse sandy gravel with a measured perc rate of «1 minutes per inch. Below 8.5 feet the soil is a sandy silty gravel with a measured percolation rate of 5 minutes per inch. The proposed upgrade is a 50 -foot long trench with 5 feet of effective gravel between 6 and 11 feet below ground level. We have credited the upper 2.5 feet of sidewalls with an acceptance rate of 1.2 gpd/sq. ft., for a total of 6 gpd/l. ft. We have credited the lower 2.5 feet of sidewalls with an acceptance rate of 0.8 gpd/sq. ft., for a total of 4 gpd/l. ft. This 3 - bedroom residence requires a total absorption of Q x 150) = 450 gallons per day. The proposed 50 -foot long trench design is sized to handle 500 gallons per day. The topography of the lot in the area of proposed construction slopes down towards the west at approximately 2%. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, 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 submittal. Sincerely, Ted Moore, P.E. LOT 5, BLOCK 1, HOMESTEAD HILLS SEPTIC SYSTEM 0 �Ei�FAL AV r49m ................. Svc CONSTRUCT NEW 50 -FOOT LONG SOIL ABS. TRENCH w. 5.0' EFF. GRAVEL " LOT 6, BLOCK 1, HOMESTEAD HILLS SID THEODORE F. MOORE ,_ CE - 3589 NO WELLS WITHIN 100' 1+� LOT 6, BLOCK 1, HOMESTEAD HILLS SID SEPTIC SYSTEM UPGRADE SITE PLAN - , * TI ''•`I'•7,'C FLATTOP TECINICAL SERVICES INCH =50 FEET / 1000 -GALLON �, ANCHORAGE, ALASKA 99316 JULY, 2005 F SEPTIC TANK .• NIII VIII II •. I IIS' IhI1 N NI DIiMi .•. 1 , • • " LOT 6, BLOCK 1, HOMESTEAD HILLS SID THEODORE F. MOORE ,_ CE - 3589 NO WELLS WITHIN 100' 1+� LOT 6, BLOCK 1, HOMESTEAD HILLS SID SEPTIC SYSTEM UPGRADE SITE PLAN - , * TI ''•`I'•7,'C FLATTOP TECINICAL SERVICES INCH =50 FEET / 14530 ECHO STREET DRAWN BY TFM �, ANCHORAGE, ALASKA 99316 JULY, 2005 F NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. FROM EXISTING INSTALL NEW FOUNDATION C.O. 1000 -GALLON SEPTIC TANK CONSTRUCT NEW 50 -FOOT LONG SOIL ABSORPTION TRENCH ..A•• 750 w. 5.0' EFFECTIVE GRAVEL 4" DIA. D-3034 4" DIA. F•810 PERF. PIPE C.O. ogjwo Lio— PLAN VIEW SCALE: 1" = 10' MONITOR TUBE MOUND BACKFILL 12" GROUND FILTER FABRIC 4" DIA. F -S10 PERF. PIPE GP 12" - 2 1/2" SEWER GRAVEL GM BOTTOM OF EXCAVATION CROSS-SECTION "A - A SCALE: 1" = 5' T. THEODORE F. YOORE ' •CE -3589 r�47 ..7.!c�;. � tP Flattop 7ec6nica[Sen ices 14530 Echo Street, Anchorage, AX 99516 Thone (907) 345-1355 Lot 6, Block 1, Homestead Hills SID 4381 Trapline Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing 1000 -gallon septic tank and installing a new 1000 -gallon septic tank that discharges effluent into a new 50 -foot long soil absorption trench with a total of 5.5 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 required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, 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 Unless agreed otherwise, the contractor shall be responsible for any tree clearing and grubbing necessary to complete the project. Prior to the start of excavation, the contractor shall cut down and remove the branches of all trees larger than 6 inches in diameter and neatly stack these trees outside the construction area. If requested by the property owner, the contractor shall then bury nun -detrimental branches, brush and roots generated by the construction work at a suitable site on the property located no less than 10 feet away from all present and foreseeable construction areas. The contractor shall neatly stockpile any detrimental material which cannot be buried, for subsequent disposal by the property owner. 1.5 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.6 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. 2.2 The new 1000 -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 connections 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 tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed 1 - 4 feet from the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. Particular care shall be taken to not exceed the minimum allowable pipe slopes in order to utilize as much of the highly permeable shallow gravel stratum as possible. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating a 50 -foot long trench to a depth of 11 feet below ground level. The long axis of the excavation shall parallel an existing contour 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 5.5 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 5.0 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 tl:e 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 entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. 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 construction. 4.0 Inspections: 4.1 A total of 4 engineering inspections will be required during 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 insulation or 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 far in advance to ensure the availability of the engineer. FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION:_LOt 6. Block 1 -Homestead Hills SID DATE PERFORMED: —July 7-2005. PERFORMED FOR: rrrta Garrand DEPTH or^'^.,.,�-^-^ PL (feet) 1 J. ° i SM Reddish sandy loam 3 4- 5 -' GP/SP Coarse sandy gravel 6-' 7- 8 9' Depth to Groundwater 11- No groundwater_ M,T. Dry 0% Date 12- GM/ML Sandy silty gravel Increasingly dense 13- bottom 2feet -_ ._.._...._ 4- ` 3 I Clock Date Reading Time 15' 7/72" Presoak w , 19� 20 -' on�uam pF Fel a!e� r.y • w[,. •,•r vb a TH •.�� ./......../.J. I............e .i•�....' •..•••• .... . THEODORE F. MOORE j A,= CL -3599 SITE PLAN T.H.— #1 J,}n 52 / �i.. 60 L LOT 6, BLOCK 1, HOMESTEAD HILLS SfD a Net Time Percometer Net Drop (minutes) Reading (inches) - _ L�27.112 ,---- -- I 27 112 _ 231/2.—__ -- .._-15._ -20----31/2.--- F—' Add water_ -__11:55 #2 12;10 _ _ _ 15 __ _._. 20-- t 23112 B.H. `__. #3 12:25:30_1..__15_-__. PERCOLATION RATE 5 (minutesAnch) PERC HOLE DIAMETER -.-6" TEST RUN BETWEEN 9,75 -FT AND_j0.25_FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I ---CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7/ I5' /0--- 2% i Net Time Percometer Net Drop (minutes) Reading (inches) - _ L�27.112 ,---- -- I 27 112 _ 231/2.—__ -- .._-15._ -20----31/2.--- F—' Add water_ -__11:55 #2 12;10 _ _ _ 15 __ _._. 20-- t 23112 B.H. `__. #3 12:25:30_1..__15_-__. PERCOLATION RATE 5 (minutesAnch) PERC HOLE DIAMETER -.-6" TEST RUN BETWEEN 9,75 -FT AND_j0.25_FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I ---CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7/ I5' /0--- FLATTOP TECHNICAL SERVICES 14530 ECHO ST. �' " + t'•y . �J'y� ANCHORAGE. ALASKA 99516 n , � • TH � ` � •�f. ¢ TEST HOLE# la �.......... SOILS LOG — PERCOLATION TEST E Io ,; •. TFiEOOC?'. F. MOORE LEGAL DESCRIPTION. _Lot 6..51ock A. Homestead Hills DATE PERFORMED: _.July 7.2005. ,r�E+'��'`G • •?��,�r,`r LT PERFORMED FOR:_ lima Garland. DEPTH SLOPE_ _— _ SITE PLAN (feet)I T.H.-'-� } SM Reddish sandy loam 111 1 2 I I 52 N 3 60' 0i I i 4- % I I r?i 5- t. GP/SP Coarse sandy gravel 7- LOT 6, BLOCK 1, 8- HOMESTEAD HILLS SID I 9- J _---...----- - - -- — - -- 10 Depth to Groundwater Date-- It - No groundw er-7l1/05 2% _ M.T•dry— 7/15/05_ �— SLOPIE 12 - GM/ML Sandy silty gravel — Increasingly dense 13- bottom 2 feet------------- ---- - - --- --- - --- 14 - Clock Net Time Percometer Net Drop Date Reading i Time (minutes) Reading (inches) 15- T5-gallonpre-soak.! 11:28. __--_ -241/2.. 11:263021 20 dry).- -- - " 18- ----- ---------- -- ._ 17- 18- B.H. — i-_----------- ! --- ---- _��__. 19-1------ I i PERCOLATION RATE «1—_ (minutesfinch) PERC HOLE DIAMETER - 6'-- -__ TEST RUN BETWEEN 4.75 FT AND-5.25 _- FT COMMENTS.5-Gallon.presoak was only able to build Pp depth-to 5.5" and was entirely absorbed in less than 1 minute.-_---_--. Underlying stratum should provide Adequate_filtration prior to effluent reaching water fable.— --_—.__..__--_---- PERFORMED BY FLATTOP TECHNICAL SERVICES. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:_? � MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 LStreet -Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑ NEW UPGRADE MAI LI NG ADDRESS - LEGAL DESCRIPTION I j V�Vs � l LOCATION Tvnolil NO. OF BEDROOMS Wo Absorption area Dwelling 7 > PER"Orly NO. '/ f U DISTANCE TO: 1 ry _Y i z Manufacturer Material. . No. of compartms w F y Liq. capacit in gallons Inside length Width Liquid depth IF HOMEMADE: ---- Y DISTANCE TO: Well Dwelling PERMIT NO. JCDz _ Manufacturer Material Liquid capacity in gallons O DISTANCE TO: W I Foundation St PER NO. w Lu LL No. of lines Length a line Total lent fines Trench vgidtf h Distance between I' se z �(00 4 Top finish Material be Total effective tigarea ac of tile to grade i eath tile absor p nches j� Length Width Depth PERMIT NO. Lid 0 4 F Type of crib Crib diameter Crib depth Total effective absorption area as LU W Well Building foundation Nearest lot line DISTANCE TO: .j Class Depth Driller Distance to lot line PERMIT N0. J Lu DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATLNG Ir INSTALLER _ r REMARKS - to 0 j APPROVED DATE LEGAL Ni'�Y1G� �i��_ l �Il 0 T� 1 1�J� �f✓ 5 &7`1 T"A H-_-,K�r;P, 0--.110 E -Z DEPF.*jRTMENT OF �E�LTH AND ENVIRONmEyTR� PROTECTION ~ r ' 825 'L' STREET/ HNCHORAGE/ HK D9501 ~ 264~47­-�D RNC694EAGLE RIVER ��V .4 1 ~­ EE E." 0-4 E -Z ��FR.' P1 I -� PE1'T APPLICmrTKELLY PHONE: _�-,44�4]]8 8DDRESS� 4]91 TRHPLINE 5�3 HNC1 1 'Fl GE, HK 99507 LEGHL DESCRIPTION HOMESTEAD HILLS BLOCK: 1 LOT� . LC."T �IZ[ 2�0Q0 SQ� FT. 1_01,11,1_111,p:~ R8NGE: � SECT�ON� � MHXIMUM INUMBER OF BEDROOMS SOIL RATING 85 85 85 (SQ. F'^[ /BR) LISTZD DELOW FIRE: THE 8VHILHBLE TO YOU INDESIQNING YOUR SEPTIC SYSTEM� CHOOSE THE OPTION THAT BEST FITS YOUR SITE. ~ ~ � � ~ _ _ ~. � ~ _ ~ � '. _ ~ T' F,-,,. . r U E»��P-A WIDTH = 2 5 FT. LENGTH � ]7 0 FT TOTHL DEPTH 7. 5 FT� GRAVEL I"EPTH GRHVEL VOLUME 1]. 7 Cil YDS. TANK SIZE � �, 000 0 �ONS (TWO COMPARTMENT THNK) KD,��E6,. 1E. !Z:.][��i�� ' �~ WIDTH � 14� 0 FT. " LENITH = 28 0 FT. ' TOTAL DEPTH FT. GRH\�l DEPTH c� 0. 5 FT. G�HV[L VOLUME 14, 5 CU. YDS. THNK �7 IZE = �, 000 0 �H�LONS (TWO COMPRRT�ENT T�NK) � r" -,u LE f"...3 I c -i P A TOTRL D�PTH � G,'. 5 FT. GRlVEL DEPTH GROY�L YOLUME = 10. ] CLi YDS6 / THN|( SIZE 1/ 000. 0 G8LLONS (TWO COMP8RTMENT TANK,' _ �_ . ~ ~ � � I CERTIFY THHT� 1. I HM FHMILIHR WITH THE REQUIR�M��TS FO� ON -6 -SITE �EQ��S HND WE�LS HS SET FORTH BY THE MUNICI�HLITY OF H��CHORRQE Ry�D THE STRTE OF RLRGKA. ��I ��E CODES HND RECEIVED THE CYSTEM IT H COPY OFTHE� CODE SU���8RY O��D DIHGR8� RTT8�HM���TS WH�C� IS P8RT OF THIS PERMIT. ' ] I U�[��RSTHND THHT THE ON�SITE SEWER SYSTEM MAY REQUIRE ENLHRGEMENT �� THE RESIDENCE IS REMODELED TO Il4CLUDE MORE THAN ] BEDROOMS PER�IT HPPLICRNT H; THE RSP8NSIBILITY TQ INFORM PERSONNEL DURING THE INSTHLLRTION INSPECTIONS OF HN� WELLS HDJHC�NT TO THIS PROPERTY FINE." THE OF THHT TFIE WELL WILL SERVE. IF R LIFT STHTION IS INSTRLLED, HN TlLECTRICHL PERMIT 8ND INSPECTION MUST BE OBTOINED8S~DUILT7 CNNOT BE APPROVED WITHOUT HN ELECTRICAL INSPECTION REPORT. THE EL�CTRIC8�� i4OR� MUST DE DONE BY H �ICEN��ED EL��T�ICIHN� SIGNE�� '. ~^~.... ..... ..... - 8P7LICA���� THD�8S K[I.LY ISSUED BY: . ^ DATE �..... . .~�����������������^���� MUNICIPALITY OF ANCHORAGE `_ Department^?f Health and Environmenta�Protection �^ 625 Street, Anchorage, AK. j9501 r i HANDWRITTEN ' � HANDLVRITTEN PERMIT Permit #/� Wim --AND/OR ON-SITE SEWER PERMIT Applicant:,-�J'l�ltyGac-4 Mailing Address: 17W Location: Phone Number: Legal Description: L(o If"DS t Size: -t2, l-6 Type of Soil Absorption System Is: / Trench: Drainfield: _ Seepage Bed: v Holding Tank: Maximum Number of Bedrooms: _ Soil Rating(sq.ft/br) S�5 The Required Size of the Soil Absorption System Is: DEPTH LENGTH �!�GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit 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 gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPT IC(HOtDi-NG) TANK SIZE = --l-00-0 GALLONS # # Permit applicant 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 serve. # # TWO(2) INSPECTIONS ARE REQUIRED # # # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system 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 is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. # # # PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence i rem o led to include more that 3 bed o ms. Signed: Issued by: 77� App1 cant Date: \ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: % — ©3 // 'yam i LEGAL DESCRIPTION: L. ©T lb p`-C'3L� 1 (® ��S�Ei \ 1--k- S DEPTH SLOPE SITE PLAN EI Tp 1 ( G'iiLAJ£'� Pw►i� atz�e.�te.. S��->,(Ol ( 11 2- 3 3 of r• 4 V ELv ® �RaV1:D 5WQ�j 6 7 / 9 i N %'iZQJE�u� St LZ' 10 11 I WAS GROUND WATER S i1 ENCOUNTERED? Ab L 0 P 12 0 IF YES, AT WHAT E DEPTH? 13 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) u!� TEST RUN BETWEEN FT AND FT COMMENTS 2SC.QM"F-012 `3cbC?'¢1ft 17'E �.Ii�1oJC; 011A S'E�T\C `-CRtJ1� �dt-'�JPTI+Ji� NOD '8Eo l®ep%-lORS N t -\Fr' S-rNnbt.9' Nbj Se 1. f-ybEj siG'£Df(of�SEP11Cf2ocK PERFORMED BY: F--05\I=»j STQ'3"DZ- CERTIFIED BY: DATE:-/;? a —e 71_nnn 19,10, _,. GREA,ER ANCHORAGE AREA BM JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 {/p �^5+INSPECTIONR�EJP�ORT ON-SITE SEWAGE DISPOSAL/SYSTEM NAME/OZ2.2 55"a_jai"7_yl�rp��„INGADDRESS 710,2/ �� aT� PHONE,? LOCATION�rdp/ f�i�%� . LEGAL DESCRIPTION Oe - SEPTIC TANK: DISTANCE. "-)NUMBER OF FROM WELL MANUFACTURER ?C C-- MATERIAL Z3�'6&1 COMPARTMENTS ' INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH •-- LIQUID CAPACITY425 GALLONS. _7_2c4uems , T I b E 9RA4b EIEI n MTOTAL LENGTH DISTANCE FROM WELL FOUNDATIONMNEAREST LOT LINE OF LINESy NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA Vw SQ. FT DEPTH: TOP OF TILE TO FINISH GRADE WELL: TYPE PG^Gl ut CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES LENGTH OF EACH LINE DEPTH OF FILTER _MATERIAL BENEATH TILE NEAREST SEPTIC SEWER LINE . TANK_ _IN. ABOVE TILE IN. DEPTH DISTANCE FROM: SEEPAGE SYSTEM_ APPROVED_ DISAPPROVED REMARKS Po_r /ju � - DISTANCES: INSTALLED BY: -' A E yc, SEWER LINE DEPTH: PIPE MATERIAL:! w Pv_u,•4',l-Ae,k . LOT SLOPE: C.,wit C. REMARKS: 1,004 6d DIAGRAM OF SYSTEM PERK I T NO. 0-0 C-3 F=' F:� P-1 Irl 11 r4 1 17-; 1 F (-"- F_j F? F -i #_-2i DEPARTMENT Ot-' HEALTH AND ENVIRONMENTAL rk.OTECTIcnit. 25.16 E. TUDOR RD., ANCHORAGE.- AK 99507 276-2221 < 76778 ) I o/✓A q. APPLICANT TOM STEWART CONSTRUCTIO 7102 EAST :17TH FIVE LOCATION TRAPLINE DR LEGAL L6 B1 HOMESTEAD HILLS SURD LOT SIZE 'TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH q1 333-8684 15000 SQUARE FEET MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SO FT/BR)= 100 THE REQUIRED SIZE OF 'THE SOIL ABSORPTION SYSTEM IS: U-- [E F:I"T- " j ;ao L_ F=-- r -j C_il- " � 2� �F. (3 F" F=I%oa FEE I UP F='F=:"-r4__ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT 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 GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). Fm°. E: 0 U I F" FE C -x F= F`IF I 1::� "IF " " K !F- I :E F= = A. _2!ffm El f3 Fi I L_ 0""_" 7'L-3 f_ -v <;2 > I N 4�" F::" E-: C_- -T I C-1 "!F- n F -C F= F -co F-= fz--! U I Vno- F:, E--' BACKFILLING OF ANY SYSTEM WITHOUT' FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM Is 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F="EE Ft%"M 1 7- ow, F=l I M I E -P F= 0 F. -O ID " I-= A -e Ez n F? F= F -C 0 V1 1 #-g IE-= I CERTIFY THAT 1: 1 AN FAMILIAR WITH THE REQUIREMENTS FOR ON --SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ' R A C I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REG!Ul E ENL RJEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. S I GNED: ---- � (/..Y. -Y, - z-,,. A- --- ---- -- CONSTRUCTION ISSUED BY lA C OiN3IJLIANTv, I N r- 249 CAgT ! 1ST AVE. .0X .087 ANChIOMAGE, AK.SU02 P,H. 901279' OA83 TLX.09023360- September 10, 1976 R & M No. 656299 Tom Stewart 7102 E. 17th Ave. Anchorage, Alaska Re: Test Hole and Soil Log Report for Sanitary System Homestead Hills Subdivision, Block 1, Lot 6, Section 22, T12N, R3W, Anchorage, Alaska Dear Mr. Stewart: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of September 8, 1976, and those procedures outlined in a letter dated July 15, 1975, by Mr. Ralf Strickland of the Municipality of Anchorage Department of Environmental quality. A single test hole was put down within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 17.5 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling. A percolation test was performed from a depth indicated and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Rooney Vice President JWR/sc xc: Municipality of Anchorage ANCHOMAGE FAIRBANKS. JUNEAU T. 11. 1 9/9/76 0.01. ti ti ORGANICS 0.5l SILTY SAND ---- --- — ------1. 5' 0�o of SAND W/SOME GRAVEL, SOME SILT R T.H. 1 0, Q da _1— Lot 6 ��o, 3.0' .CD'g GRAVELLY SAND W/TRACE SILT Cleared) sA01 Occasional Cobbles Area I by odd? y::(7 :Dip V, SILTY SAND W/SOME GRAVELS 6.0?; Occasional Cobble o.. ——.--_...-------9.0' GRAVELLY SAND W/TRACE SILT Iee`:o; ..._ .._..:.....—.—.---.._......10.0' -z—c e, GRAVELLY SAND W/SOME SILT a Boulder at 13' SILTY SAND t4/TRACE GRAVEL r'. Test Hole Locations are approximate ""--------------- 16.0' and have not been located by survey r methods. °XX GRAVELLY SAND W/SOME SILT 17.5' T.D. This log represents subsurface soil conditions within Homestead Hills Subdivision, Lot 6, Block 1, Section 22, T12N, R314, Anchorage, Alaska Dv+rrt hllk(�' CD 1, CKD &gyl Ci7NSUL7ANTS, IN � Tom Stewart DATE; .�.,�.... ..o o.,.,. ...........,o.. Log of Test Hole Y PERCOLATION TEST T.H. 1 9/13/76 Tom Stewart 656299 ELAPSED TIME TIME INCHES DROP IN INCHES 2:28 16.5 2:29 1 17.75 1.25 2:30 2 19.0 1.25 2:31 3 20.0 1.0 2.32 4 20.5 0.5 2:33 5 21.5 1.0 2:34 6 22.25 0.75 2:35 7 23.0 0.75 2:36 8 23.5 0.5 2:37 9 24.25 0.75 2:38 10 25.0 0.75 2:43 15 27.0 2.0 2:48 20 29.75 2.75 2:53 25 e 35.0 5.25 2:58 30 37.5 2.5 3:08 40 40.75 3.25 3:18 50 44.5 3.75 3:28 60 48.0 3.5 31:5 inches total drop 1.9 min/inch NLnt� r—riC" Municipality of Anchorage • .� Development Services Department •�'.`i . " Building Safety Division _ On -Site Water and Wastewater Program 7 ° 4700 South Bragaw St. ' • ' P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. _ 016-- 173 -16 HAA Expiration Date: 1. GENERAL INFORMATION Complete legal description C vt 6, r3fae 6c 1, TYPE OF WASTEWATER DISPOSAL: S /b Location (site address or directions) _ /i83/ 7-rcroe tin e Dri, ,e Current Property owner(s) -_-Q-ma G -G rranef Day phone 34'6- 209i Mailing address H631 Tn,phne Dr-el-ef�ncc,o� o /�c� 9¢s-rl Lending agency A I ur k« uSR- Day phone Mailing address Ecce(e lirva^. A -k - Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. Ple�i,. ce,l/ Glic y„e 2. NUMBER OF BEDROOMS: 3 @ 3571- 96Ba wAep; 1fiF4 v rtaay fvr- ptc4-" 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 12 Individual Water Storage ❑ Individual Holding tank ❑ Community Class A Well ® Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) 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) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) 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. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation ate shown below, lothis verify that my inv s ttig tion. based on procedures outlined in the Health Authority Approval the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm F(ufA'r T«�'nFeu/ Phone 35'5- 12EL Address IHS 30 EcAn A4r-29S1d-- �r F nc, �P Date U-9- 1Y 29, 20 Engineer's Printed Name ' 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following " o{TAMP y ' '!0_ s 9 •. T 'a� , � •........•1•••••/•)•,�•,•I�.M . THEODORE F. kOOR J - + �' ••• CE -3589 �-`�j Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineers Report Other By: Original Certificate Date: R - 3 - OS401/r/— 40OF - (Rev. 1200) Municipality of Anchorage Development Services Department Building Safety DIvsion < Onsite Water 8 Wastewater Program ' 4700 South Bragaw St. P.O. Boot 196550 Anchorage, AK 9951943550 www.cl. anchorage.ak. us (907) 343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: t-ot 6 r'/oc le 1. l60W Shr-10f h' -rt If r/D Parcel ID: O rS— /"7 A. WELL DATA Well type -!A-1, If A, B, or C provide PWSID 0 21 / 669 Well L og (YIN) Date completed _ Sanitary seal (YIN)_ Wires properly protected (YIN) Total depth ft. Cased to fL Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level fL ft. Well production 9 -p -m. WATER SAMPLE RESULTS: Coliform oolonies/100 ml. Nitrate mg.A. Other bacteria oolonies/100 ml. Arsenic: _ mg.A. Date of sample: _ Collected by: B. SEPTICAHOLDINO TANK DATA Tank TypelMaterial Sq' Re_ / S/vr t Date installed 7 / 26 10 r Tank size 1& UU gal. Number of Compartments �_ Cleanouts (Y/N) _ Y Foundation cleanout (Y/N) Depression over tank (YIN) N High water alarm (Y/N) N- 4. Date of pumping N. A ( n ew) Pumper C. ABSORPTION FIELD DATA Date installed -7 / Z6 OS Soil rating (g.p.d./ft= or fe/bdrm) L—Z /,Pt System type Tranc! Length SU ft. Width 2•S A. Gravel below pipe S.O ft. Total depth 14. Z ft. Eft. absorption area S� fe Monitoring tube Y Depression over field Aj Date of adequacy test N. A. [new, Results (Pass/Fail), Pa& For1_bedrooms Fluid depth in absorption field before test G in. Water added o gal. New depths in. Elapsed Time: _4 min. Final fluid depth O in. Absorption rate >= MS -ed. 9 P• Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) N If yes, give date D. LIFT STATION N. A. Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at _ in. 'Pump otf• 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: N. A. C Corti ..t^.F, wdkr-, Septic tankpift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manholelcleanout Sewer /septic service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 6' Property line 7u' Absorption field Z? ' Water main 7 fo ` Water service line> ro' Surface water > r r� Wells on adjacent lots > Z 6,0' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 3S' Building foundation ?8' Water main Water Service line > fa' Surface water —> tae ' Driveway, parkh*mhide storage Curtain drain Novi coor) Wells on adjacent lots > acov,w u S F. COMMENTS �'�'� OF A a, �4;......, 4 A V G. ENGINEER'S CERTIFICATION * 49L �* b I certify that I have determined through field inspectbns and �......... . ........ review of Municipal records that the above systems are in THEODOkf r uxRe.� � conformance with MOA HAA guidelines in effect on this date. a9 q Engineer's Printed Name _�.•_.._ mom. Date 79- IV _2.9 ZGGS HAA Fee $ Y30 -=5! Waiver Fee $ Date of Payment R - / - 0 5 Date of Payment Receipt Number -7J % 40� /2_ a4 --;P Receipt Number (Rev. 12/01) HOMESTEAD LOT 1 II=30' TRAPLINE DRIVE GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE. ALASKA 99502 PHONE 248-5454 GRID DATE 2636 7/28/2005 F.B. JOB NO. 05-07 1 HHS61 71-191 HILLS SUBDIVISION 66 5B SOCK 1 2. I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT. ALASKA NOTE: NO CORNERS SET THIS DATE. FENCE (SPX) Municipality of Anchorage Cil • Department of Health and Human Services Division of Environmental Services On -Site Services Section 825 V Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.rrs (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D._O rS -173 -'4/ HAA# Expiration Date: 1. GENERAL INFORMATION Complete legal description loft 6/oc42 14.//f Location (site address or directions) 113-31 13�ci �uw S� Current Property owner(s) Ce c r 1 r ci oomja.AC Day phone s6.3 . rs6< Mailing address 11 3 3l fecccPnc. SA Ar,c4�o-�4 ,¢cr 9fS k� Y Lending agency Un k Day phone Mailing address Real Estate Agent anc;e Held Conk,—,. ?e 13 y..f Bvf Day phone_ S22 oc� Mailing Address sG0 F. T« rc., R .�e. �� c ti rczpP i! k 9eso Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: �►«lp c,, lletc( 2. NUMBER OF BEDROOMS: _y 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: ® Individual On-site �] ❑ Individual Holding Tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ 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 well and may be reissued with now water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or 0 wells or a public water system. The Municipality of Anchora a is not res 'bl f V ponsi a or errors or omissions in the professional engineer's work. 72 as rne„ o, ow 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 the Health Authority Approval application show 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 tiles 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. Nameof Firm_FIa.F * _7cctinic4/ Steffi« Phone 3YS— i35 r Address rys-30 EcAO Sf. /incti0e y ,yam 995 -re, Engineer's Printed Name 7-AmeeovP Date 6/8/00 ENGINEER'S •• — . . STAMP b. DHHS SIGNATURE t/ Approved for L_� bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations. Additional Comments Attachments: i HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineer's Report ; Woll Flow Advisory Other BY�� 6c/• �a i- Original Certificate Date: - 1- 0 O Expiration Date: 4q - a 1 - C 1 Reissue Date: 72 C25 •Fey 01001• . Municipality of Anchorage Department of Health and Human Services RECEIVED 4 Division of Environmental Services On -Site Services Section 825 OV Street • Room 502 AUG 09100 P.O. Box 196650 Anchorage, AK 99519-6650 www.cf.anchorage.ak.us MUNICIYAUtY 01PAN yVRAQE (907)343-4744 LNVRtoW"AL$ER1RCj$DMslo1 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: J_cf 6 61&cic 22, S/p Parcel I.D.:o+s-rte]-2 A. WELL DATA Well type 4C .4 A Date completed _ Total depth _ Date of test Static water level It A, B, or C provide PWSID # Sanitary seal It Cased to ft FROM WELL LOG ft Well production g.p.m WATER SAMPLE RESULTS: Coliform colonfes/100 ml Nitrate Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Well Log Wires properly protected Casing height (above ground) in. AT INSPECTION It mg/I Other bacteria colonies/100 ml TankType/Material Scolzo, /S1v-, 6 /6/6_S SGo r Date Installed ho /3 /7Y Tank size ia041 gal Number of Compartments r Cleanouts Y Foundation cleanout Y Depression over tank _N High water alarm N..r, Date of pumping 6 � 7 / oo . Pumper i4 -r C. ABSORPTION FIELD DATA Date Installed _6 /6 / QS' Soil rating (g.p.dJft2 or ft2/bdrm) 2 r' c" System'type TY e- .'CLA Length io9 It Width eft Gravel below pipe 6 ft Total depth _2_ft Effective absorption area r23 ft2 Monitoring tube Y Depression over field Date of adequacy test 891 -7 -loo ReWls (Pass/Fall) Amory For 'V bedrooms G ft 04 Fluid depth In absorption field before test 31 � c Water added -LI-Y 2 gal. New depth 79 r in. 1VT 1V 30 / Nry Elapsed Time: '25 min Final fluid depth 35'ry y In Absorption rate >- 6c2 g.p.d. L° Any rejuvenation treatment (past 12 mo.) (Y/N I kA o w n If yes, give date �u A 72026 (Rev. ovoor D. LIFTSTATION N. r4. Date Installed "Pump on" level at — Size in gallons In 'Pump off" level at in Manhole/Access High water alarm levet at in Datum Cycles tested Meets alarm & circuit requirements E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: V.,4. C lvf� ,9 weep Septic lank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation to' Property line �- Kar Absorption field 2 s'' Water main 10' t Water service line 1,0 It Surface water 100 Y. Drainage 10.0 1 PWells on adjacent lots � 100 � 0 f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 12. Building foundation 2/ Water main 8611- Water o'rWater Service line ro' t Surface water r G0 1 - Curtain Curtain drain IVune SO4f, + Wells on adjacent lots > zoo I rao F. COMMENTS G. ENGINEER'S CERTIFICATION certify that I have determined through field inspections and,rr review of Municipal records that the above systems are in i11" conformance with MOA HAA guidelines in effect on this date`s o Engineer's Printed Name T'h ee,.ta.y P. Date Auq evi 7 2a on HAA Fee $ 300 Gp Waiver Fee $ Date of Paymentq- C7 Recefpt Number C> 72-M (Rev. 01100)• Driveway, parking/vehicle storage = sm, cwN.»L 'r -r Oy iYii.11ppilYiliENi i:. ia< IIL•iODU.�� F, 174UNE Date of Payment Receipt Number \F lAI S +aIP / 1 Time APPLIC"ANT FILLS OUT UPPER HAL-" ONLY w Time Date Pxoperty Owner -o/ /Gt {Cl V �� rt Y r{ ( _: ( thlRS Phone Date '73 ^ Inspector Mailing Address :7 .. _E.7,. _ _. Zip Code Inspector Buyer Address '> _ _ _ Zip Code Lending Institution �� � � S �c, � {r<`4�e C N e c. � "�-� �1 I%t r.3Ly Phone Address r_. ._J� C)O <^ ' -, - -i� - -� l: � , .... � �> !r � K.. Zip Code MUNICIPALITY OF ANCHORAGE Realty Co. & Agent 'f��<� _c..� �� , _ ( ��� _.:,r t� �a V' ti., ria. to)-, �� - c, �G. �, ry��:S Phone Address- Z� r ZiprC'ode `[ q G �. 6s; Legal Description —i. .��l� /—of- S ` �G �' t � r V t .5 hOf- 6} �'�'C (� DATE , c7 c ��� t CEJ y. . Street Location Soils Rating Type of Residence - Well Log Received - X Single Family t ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply ❑ Individual A ` D�-- d ^� L G- ATTACH WELL LOG. A well dog is required for all wells drilled since June 1975. 5� Community / " For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal �c, ' CW Individual Year Individual Installed: ' ❑ eublic Utility '' When Connected to Public Utility: Aq-A- ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. \F lAI S +aIP / 1 Time Time Time Time Date Date Date Date ` �j Inspector Inspector Inspector Inspector % Field Notes: ►a 'rP: MUNICIPALITY OF ANCHORAGE ¢A� DEPT. OF H`ALTH c: Et PROTECTION v Gnn, YJ w. S� ^"'"rt (APPROVED BEDROOMS 'CONDITIONS OF APPROVAL _ ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' ��+ /'i \ C.. Ll._— �I DATE , c7 c ��� BY: Soils Rating D e Sewer Installed Well To Absorption Area CB Well Log Received - t Well to Tank Septic Tank Size a SC:1 November 15, 1983 I.Iffiomcas P. and Barbara C. Kelly SRA 1735E; Anci-torage, Al: 99507 Subject: Jot 6r Block 1, 11omescead 1-jills !: ubdivisic)n Approval for the individuai sewer anu water facilitie�; cannot A 11pleted be granted until the L011OWil-19 lteWS 114v(-� ccyl • The septic tank pu#iipea with a roceipt submitted to this depart tient. • An adequacy test needs to Ix., performed on Lite o-xisti "Ci Ica chi ng arena. This test will determine if tile sYst(-.Ikl is adequate according to *t,4,,jtionaI 5tandards. A listing of private ed -1 fires performing the test is enclOs- . Vis report needs to be submittead to this Offic,) for our review. Obtain approval from Mr. Palike Mathews of the State Departcm-'.�nt of Environmental Conservation for your co'Mmunity water system. please call him at 274-2533. pleaso -notifthi,j ,)egirtI nent for , reinspection when the noted discrepancies have� been corrected. If there are any furtfier questions, please call tilis office at 264-4720. Sincerely, Cory 'iPjillis' "'R.S. Acting Sewer & Water Pro�jrai'Li ivlt)Livt�jer CW26/ej/21 Enciosure ALASKA C1, IROf1 VTAL COCITROL SR!jj-�eS, Inc. Engineerinq & Enuironmental Studies ' E pJ�UNIG1AAtr1TYJ `Z'1` _ �NCH��o11 CEPT _ tiiH� PwflSE Fi`1V IR�iv; er�� RECE1v Ep NOVEMBER 28 1983 RED CARPET ANCHOR REALTY/GENE BATES 520 E 4TH AVE SUITE 201 ANCHORAGE AK 99501 SELLER - THOMAS R KELLY BUYER SUBDIVISION- HOMESTEAD HILLS BLOCK - 1 LOT - 6 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 400 SQFT. THE SYSTEM IS CAPABLE OF ACCE NG 722 G-AILLUS OF WATER PER DAY. THE SURGE ,CAPACITY OF THE SYSTEM IS27 GAL ONS. THE SYSTEM IS UNACCEPTABLE BECAUSE -TnGE CAPACITY IS LESS THAN 75 GALLONS. THE SYSTEM IS NOT CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. °F••A4.4011 0 eroy c. Reid, Jr. S . t> � No. 2251•E•••.At r A.l••••,...�•••• �_s 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • (907) 276-1361 a :W Pm LIX 9- Ito -1s MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 0 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 Alaska REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE Marcus L. & Christine A. Zahrt 344-2447 MAILING ADDRESS XfThree ❑ Six SRA Box 1735 E , Anchorage,Alaska PROPERTY RESIDENT (If different from above) PHONE NHN Trapline Drive, Anchorage, Alaska since June 1975. For wells drilled prior to that date, give well 2. BUYER PHONE Thomas R. & Barbara C. Kelly 276-0110 MAILING ADDRESS **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required 1200 L Street #903, Anchorage, Alaska 99501 by this Department. 3. LENDING INSTITUTION PHONE Coast Mortgage Co 279-0665 MAILING ADDRESS P. O. Box 1200, Anchorage, Alaska 99510 4. REALTOR/AGENT PHONE Valda Drake - Dynamic Realty 279-7611 MAILING ADDRESS 3380 C Street, Anchorage, Alaska 99503 5. LEGAL DESCRIPTION Lot 6, Block 1, Homestead Hills STREET LOCATION NHN Trapline Drive, Anchorage, Alaska 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ED One ED Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY XfThree ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL* ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well � D PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date If 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 INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR.. INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED 7� INSTALLER v ❑ Septic Tank or ❑ Holding Tank Size: -0 If Tank is homemade give dimensions:. SOILS RATING TYPE OF TANK MANUFACTURE TOTAL ABSORPTION AREA MATERIAL _ 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 12 APPROVED FOR _ _ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE 1 BY ITi e) LEGAL DESCRIPTION 72-010 (Rev. 3/78) bb�q ApCM04AGt gRgq ti'' gg 0 G �g'M/PEO JATUA4"1 A \9b, GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 `274-4561 Date Received March 2, 1977 Time of Inspection 10:��C� Date of Inspection n REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Conv. First National Bank of Anchorage Mailing Address: Post Office Box 720 2. Property Owner: Mailing Address: _ 3. Legal Description: 4. Location: M No Tom Stewart 7102 East 17th Avenue Lot--f-Block-6-Homestead Hills Type of facility to be inspected Well Data: Phone: 276-6300 Phone: 344-5441 Single Family No. of bedrooms 3 A. Type _=' �� B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site system, Permit # none A. Installed B. Installer C. Septic Tank:,1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: 2. Material A. Well to: Septic tank , Absorption area Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EO -034 (1/74) Paae 1 of two oaaes l�)MUNICIPAUTY OF ANCHORAGE DEPT. OF ff=/,L`iN Ve w MUNICIPALITY OF ANCHORAGE ENVIRONMFNIAL I'R(AfCTION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 MAP 2 — 1977 Type of Inspection: 2. Property Owner: REQUEST FOR APPROVAL OF RECEI_V_ED INDIVIDUAL SEWER and WATER FACILITIES CMRO VA FHA CONV Z.^' Mailing Address: %(l ',fin p? f �� Day Phone: 3YYa Pt� q �/� 3. Name of Buyer: /'r' + mij- rgkyo., Mailing Address: Day Phone: 4. Name of Lending Institution: Mailing Address jn(�, U�cvx 12O . 5. Name of Realtor or Agent: 13, w" te­) Mailing Address: 6. Legal Description:_ Location: Phone: Phone:_ J6 /13l k I /- a CI.e 7. Type of Facility to be Inspected: t" 5 <L No. Bdrms. 3 8. Water Supply ��` wtiG r� � l Type of Supply: Public Utility Individual If Individual, number of dwellings presently served 0_/J0.� / If Individual, depth of well 9. Sewage Disposal System 72-003(3/76) r9j Type of System: Public Utility Individual (on-site) If Individual, date of installation F-64 4 Page 2 of two pages - Rec —\t for Approval of Individual E r & Water Facilities n Lega1"Description Lot 1 Block 6 Homestead Comments Approved Disapproved Date Approval;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date Fn -nen (7n4)