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Home My WebLink AboutTALUS WEST #1 BLK 5 LT 14 Municipality of Anchorage Page 1 of 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ~: .~.~ . ENVIRONMENTAL SERVICES DIVISION P.O: Box. ;196650 Anchorage, Alaska 99519-6650 Telephone: 545-4-744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW990175 PID Number:. 015--202--34 Name:CAROL SCHATZ Wastewater System: [] New · Upgrade Addreea: 4520 SUNSTONE CIR. ANCHORAGE, AK 99516 ABSORPTION FIELD Ph°ne:(907) 248-5937/345-2650 No. of Sedroomm ,,% [] Deep Trench · Shallow Trench [] Bed [] Mound [] Other LEGAL DESCRIPTION o.6 ~,/~. L~t: Bio,k= Sub~ivlalon: De~h to Mpa bo~rn from 14 5 TALUS WEST #1 4.37-0.57/4,37-1.58 rownohlp: Range: Seoflom m add~ above o~ol - - - 0 - 3.0 WELL: [] New [] Upgrade 5,0 c~a1(x~on (Prlv~ &~,c)= ?o'~1 ~,~ ~ To= ?o~1 ot~cfl~on ~ p~pe .,.~.l,.h 1 1/4" SCH. 40 PVC i r~ F~ 776 S~. Ft. ASTU D-3034/F-810 7/12/99 7/14-/99 S~,,~';~/ n. CAT'S EYE EXCAVATING ~..,..-'~1 ..I " TANK /SEPARATION DISTANCES · Septic [] Holding · S,T.E.P. Ca~av In To SeptTc N~8orptlon Uff Harding ~ut~=/prk~]~ Uanuf(~urm. Tank Held Station Tank S*,~ Ur~ ANCHORAGE TANK 1250 Fram ~ Wall 100'+ 100'+ 100'+ - 25'+ STEEL 2 Su~oae ~oo'+ ~o0'+ ~00'+ - - LIFT STATION Water Lot 5'+ 10'+ 5'+ - - 1250I ANCHORAGE TANK Foundation 5'+ 10'+ 5'+ - - 41" Curtain 20 OSI 05 HHF Drain , N( NE KNOW , M.O.A. ~emarke: *THIS IS A PRESSURIZED DISTRIBUTION SYSTEM. BENCH MARK THRESHOLD OF MAN GARAGE DOOR IN REAR. 91 Inspections performed by: AWWO, lng. Dates: 1st 2nd 7/17/12/994./99 3rd 8/4/99 L~'...Cfi'e! .,. ~,or-,~.~s: '"i Department of Health and Human Services approval Reviewed and approved by~//~'~////~ ~ ~,~' Dote: ?-/~'~t? -~pr'~""~ooo~:~~-,~ PERMIT NUMBER: SW990175 SOUTH TRENCH AS- BUILT DRAWING PARCEL01 _202_34,0 NUMRER', Mf Mf NORTH TRENCH \\ \ N~W 12¢0 dA~LON 5,f,~,?, TANK DRAINRELDS ALAS~ WA~R A~ WASTEWA~R CONS~TANTS, INC. 6901 DEBAR ROAB SUI~ 2B, ~0H0~0E, ~ 99804 PHOne: (007) 337-6179/F~: (907) 338-3246 .EOAL DESCRIPTION: TALUS WEST S/D #1, LOT 14, BLOCK 5 r~PE OF WORK: AS-BUILT OF SEPTIC SYSTEM PREPARED FOR: CAROL SCHATZ PHONE NUMBER: (907) 248-5937 I SOALE:I" ---- 40' IPAOE: A B C FCO 9.5 6.3 ST1 21.1 14.7 ST2 26,8 20,5 MH 28.3 22.0 C01 35,4 32.6 MT1 - 39.2 36.1 MT2 - 59.1 50.9 MT3 - 96.7 91.5 MT4 51.4 68.8 - MT5 92.6 107.5 - DA're:8/13/99 ID~WN BY:j.W.M. 2 OF 2 FROM : PHONE Sep. 82 1999 09:05PM P1 ~ ~ ~ ~ INSPECTION REPORT MBNIC~ITY OF A~tCHORAGE - BUILDING SAlrETY DIVISION 3500 EAST TUDOR ROAD, ANCIIORAGE, ALASKA IN~PECTION'~: Voice: (907)563-34(~4 Fax: (907)343...8235 INFORMATION: (907)343..8211 NAME: L&It ELEC .ADDRESE: 4320 SUNSTONE CIR. PytON~ #I: DATE: 8/30/99 7:IOAM 344-241t SUBDt~SION: TALUS 4068 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box '196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW990175 Legal Description: TALUS WEST #1 BLK 5 LT 14 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Carol Shatz Owner Address: 4320 SUNSTONE CIRCLE Cate Issued: Jul 07, 1999 Expiration Cate: Jul 06, 2000 Parcel ID: 015-202-34 Total Bedrooms: 3 Site Address: 004326 SUNSTONE CIR Lot Size: 21222 SQ. FT. Permit Bedrooms: 3 ANCHORAGE , AK 99516-2221 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. Date: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Snite 2B ~ Anchorage - Alaska 99504 (907) 337-6179- Fax (907) 338-3246 Consnlt~ng Enginee~ s June 29, 1999 Municipality of Anchorage Department of Health & Human SmMces Division of Environmental Services On-Site Se~wices Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Upgrade Design for Lot 14, Block 5, Talus West Subdivision #1 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system consists of a 1250 gallon septic tank and a deep trench type drainfield. The drainfield is surcharged and must be upgraded prior to the sale of the house. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are logs which shows the soil profile, and the percolation test results. In TH#l, the soils below the organic layers are a ML material to a depth of 13 feet (bottom of test hole). In TH#2, the soils below the organics are a ML material to a depth of 7 feet and then transition to a GM/ML material to a depth of 9 feet. At 9 feet, the soils transition back into a ML material to a depth of 13.5 feet (bottom of test hole). No groundwater was encountered during the excavation of the test holes. Two percolation tests were perfm~ned in TH#1 between the depth of 1.0 feet to 2.0 feet, & 5.0 feet to 6.0 feet. The percolation rates were 6.2 and 10.4 minute/inch. Two percolation tests were performed in TH#2 between the depth of 2.0 feet to 3.0 feet, & 6.0 feet to 7.0 feet. The percolation rates were 10.9 and 15.0 minnte/inch. It is our opinion that due to the overall appearance of the soils, the new drainfield should be designed around the 30 foot radius of TH#2 and that a application rate of 0.6 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 6.2, 10.4, 10.9, & 15.0 minutes/inch b. Allowable Application Rate: 0.6 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day _ e. Minimum Absorption Area: 750 ft2 f. Total Depth: 7 feet (max.) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j Minimum Length: 80 feet total lenagth (2 ~ 40 feet long each) h Effective absorption area -- 800 ft~ 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. Sincerely 3a~~~ ~ Pre NOTE: Attached is a site plan drawing, a design drawing, topography site plan, four soils logs, and a 4 page construction specification letter which are all part of the design package for this septic system. ,' // J LOT 21, BLOCK 5 ...~..t_ ............ .~-..... / // / // .J. TALUS WEST jJl .~.~----~/~..."~-~'"-.. / / / / // (I~ ..-'~:";-'" ,"/" "-.~"~"// LOT ~, BLOOK ~_. ___ ~¢ __~ ~ ~ ,,Z/ /// I j i ~ ,~~,'// , ~~ /~' ~us W~ST T~LUS w~ ~ TALUS W,ST ~ ', /.J_~ ~ ~ / I / ~ / ' I .~7 / ~ X /// J .~ / ./ ~U~ ,/// LOT 4, BLOCK 5 _ . ~ ~'/," '-~... / ,' ~ ',,~~ Ih~' I , ~~/// ~ / ~/ / ~ ~ ~~~ ~LOCK 5 / / / // I ~ ~ ' A~S~ WA~R AND WASTEWA~R CONS~TANTS, INC. ~5~ ,.o,~: ~o~> ~-~/~: r~o~> ~-,:~ ~ .'/7//~'. SITE P~N FOR SEPTI0 SYSTEM HPGR~DE ~.7~ ;] ..~..~ : ...~ ~ ~ '~e If ~ A. G~r~es~.. c~oc SCU~TZ (~07) 248-S~37 u~, '... ...... ..." 6129199 K.D:W./J.L,M. I = ,oo, I , or 2 ~ /~ ~ ~~ : ;: ~:~ TOTAL L~N~TH). ADD 4 FE~ OF CL~N. W~HEO / / ~ ~ ~ ~..~ .-~" -, ' ' ~ S~ER D~INROCK. THE D]~RIBUTION ~NE IS TO BE / ~ ~ mNSTALL FCO / ~ ./. EXISTING 125~NK ~ ~~~ ' / ~L~S~ ~ ~'. ~5~ / ~~. ~ RESERVE SITE. NOTE: THE CONTRACTOR SHALL HAVE THE NORTH~ST ~ THE SOUTH~ST PROPER~ LINE, AND ALSO THE 100 FOOT WELL RADIUS F~GGEO BY A REGISTERED ~ND SURV~OR PRIOR TO ANY CONSTRUCTION. A~AS~ ~A~E~ AND ~AS~A~ CONS~AN~S~ PHONE: (907) 337-6179/F~: (907) 338-3246 " SEPTIC TANK UPGRADE 'REPARE~ ~OR~ P~ONE ~UU~R~ (9o7)24s- 9s7 CAROL SCHATZ - , ,.,' TALUS WEST ~1 TALUS WEST ~1 / ~-../ J ~-X_ I I ~ \ / / / / ~ / L 12, BLO ~:~'~'°°xF F~.*~:~.'~."~. · i~:,_,oo~_ "~:~o~¢ .... ~ ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEeARR ROAD, SUITE 2B * ANCHORAGE, AK. 99504 [SOIL LOG - PERCOLATION TEST] LEGAL DESCRIPTION: TALUS WE~ S/D ~1; LOT 14, BLOCK 5 ~..;..~ ~;~ ..... PERFORMED FOR: CAROL SCHA~ DATE PE"FORMED: 6/21/99[ HOL~ ~ I DEPTM- ~TEST U~. ............ '~ (feet) ORGANICS 1-- (PAGE 1 OF 2) 4~ GC OL ' ~ ;~ ~EXI~ING THRE~/~ ~ ~ ~ BEDROOM HOUSE / sw X // 5-- ~ SP ~ ~ CH SM OH / 7-- DEPTH) DEPTH TO DATE 8-- DRY 6/21/99 ~ ~ ~o- / 11- DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING ONCHES) 12-- HARDER 6/23/99 PERC. HOLE W~ PRFSO~EO 4+ iOURS PRIOR TO TEEING DIGGING UPPER 1 2:16 ~ 13-- -BELCH-- 2 2~46 30 1 9/16" ~ 7/16" 3 2~47 ~ 6" 14-- 4 3:17 30 1 3/16" 4 13/16" 5 3=19 ~ 6" 15-- ~ 3~49~ 30 1 3/lS" ~_13/16" 16-- _~ ~ 17-- 18_ lg-- PERCOLATION RATE 6.2 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20-- TEST RUN BETWEEN 1.0 FT. AND 2.0 FT. COHHENTS: PEECO~TION DATA ON THIS PAGE FOR UPPER BENCH PERC. HOLE ONLY. PERFORMED BY~S~ WATER ~ WAST~ATEE. I. JEFFR~ A. GARNESS. CERTI~ THAT THIS WAS PERFOEME~ IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: '~/?~/~ DEPTH TO DATE 3ROUNDWATER DRY 6/21/99 DRY 6/28/99 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK. 99504 PHONE (907) 337-6179 * F~ (907) 338-3246 ~ -x,. / .~ [SOLE LOG-PERCOLATION TEST] PERFORMED FOR: CAROL SCHA~ DEPT, TEST HOLE ~1I 3__ ~' 6p ML = 4~ ~ GC OL 5-- ~ SP CH z SH ~ OH t / 7-- ~ DEPTH TO DATE ;ROUNDWATER 11 ~ : DATE READING CLOCK NET TIME WATER LEVEL NET DROP 0 TIHE (HINUTES) READING (INCHES) 12~ 6/2~/99 PER& IOLE W~ PRFSO~ED 4+ tOURS PRIOR T~T~ING Z LOWER 1 2:18 O 3 2:49 6 5:50 30 3 1/8' 2 7/8" 16-- 19-- PERCOLATION RATE 10.4 (NIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 5.0 FT. AND. 6.0 FT. CONHENTS: PERCO~TION DATA ON THIS pAGE FOR LOWER BENCH PERC. HOLE ONLY. PERFORMED BY A~S~ WATER ~ WAST~ATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON ALASKA WATER & WASTEWATER CONSULTANTS~ INC. 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK, 99504 [SOIL LOG - PERCOLATION TESTl " -" W ST LOT 6/21/99 DATE PERFORMEO: T[ST HOLa ~2] ~ a "~..~<~ ~~ ORGANICS (PAGE I OF 2) : 11t1' ~',,;.¥~b3':t, GP ~ML SITEPLANJ /X~X~ , / CL I" = I00' · ' ] , 4 ljjllJjlj ML 6H ~ / // I , GC OL ' /' Xi;Z~X!~ ~EXI~ING THREE/ DEPTH TO DATE 3EOUNDWATER ¢' k TH~ ~ '° 111 11111 11 ML DATE READING CLOCK NET TIME WATER LEVEL NET DROP II I I I lli II(DENSER WITH TIHE (HINUTES) READING (INCHES) 12~JmmjjjllJ DEPTH) 6/23/9_.9_JPERO. HOLE W~ PRESOAKED 4+ HOtRS PRIOR TO TEEING____ UPPER 1 2:21 ~ 6" l~/Jl[llllll -eRiCH-- ----' 2 2:5~ 30 3 .~/16" 2 11/16~- 3 2:52 ~ 14 4 3:22 30 3 3/16" 2 13/16" 15 6 3:53 30 3 1/4" 2 3/4"~- 16 ____ - 17 18 -- 19 PERCOLATION RATE 10.9 (HIN./INCH) PREC. HOLE DIA.. 6 (INCHES) 20 TEST RUN BETWEEN 2.~ FT. AN~n 3.0 FT. CO~ENTS' PE.CO~T~ON DATA ON TH~S PA~E FO. ~ ~C?~ HOLE ONLY. ' / ///[/// ~ PERFOMED BY A~SKA ,ATER · WAST~ATER I, ( ~~--L CERTI~ THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STA~/~-~UNIClP~L GUIDELINES IN EFFECT ON THIS DEPTH TO DATE 3ROUNDWATER DRY 6/21/99 DRY 6/28/99 ALASKA WATER & WASTEWATER CONSULTANTS~ INC. 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, Al<. 99504 [SOIL LOG - PERCOLATION TEST] ~9..' .~.:~~ PERFORMED FOR: CAROL SCHA~ ..:....~ DATE PERFORMED: 6/21/99 DEPTU- TEST HOLE ~2 2~ ~ ~ 7-- ~ DEPTH TO ~ /x. / X m SROUNDWATER DATE ~. C / T.~'''~ 0 ~ DATE READING CLOCK NET TIME WATER LEVEL NET DROP 11 0 TIME (MINUTES) READING (INCHES) 12-- Z 6_/2~/99 PERt. IOL~ W~ PRE$O~D 4+ HOURS PRIOR TO TESTING 0 LOWER 1 2:20 -- 6" __ 1~-- ~ ___-BE~OH--- 2 ' 2:50 ~0 ___ ~ 9/16" 1 7/16" 0 3 2:51 -- 6" __ 14-- ~ 4 2:21 30 4" 2" ~ -' 6" ~ 5 3:24 -- 15~ ~ 6 3:54 30 4" 2" 16-- 17-- 18-- 19-- PERCOLATION RATE 15.0 (HIN./INCH) PREC. HOLE DIA.. 6 (INCHES) 20 TEST RUN BETWEEN 6.0 FT. AND 7,0 FT, COHHENTS: PE~CO~TION DAT~ ON THIS PAGE FOR LOWER BENCH PERC. HOLE ONLY. PERFORMED BY A~S~ WATER & WAST~AT/R. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS ,PEREO~M~ IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON OAT[. GREA iR ANCHORAGE AREA BOR, ]GH Department of Environmental QuaJity 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ---. ,.. . :- K: ?/,~ ¢'T FROM WELL MANUFACTURER __ MATERIAL COMPARTMENTS INSIDE WIDTH. LIQUID DEPTH LIQUID CAPACITY/~)(~GALLONS. INSIDE LENGTH .~T-I~L- E-BRATIXl~F I E L u: DISTANCE FROM WELL¢/~~'~ FOUNDATION NEAREST LOT LINE_/~'~) ? TOTAL LENGTH OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA 0 r SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE IN. ABOVE TILE IN. WELL: TYPE '~::1~.~_ CONSTRUCTION - ~ DEPTH BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK SMSTEM CESSPOOL. OTNER SOURCES APPROVED ~DISAPPROVED __REMARKS DISTANCE FROM: INSTALLED BY: SEWER LINE DEPTH: DIAGRAM OF SYSTEM DATE~ A G.A.A.B. / ~,,'bU . .~{GRE, ER ANcHORaGE AREA BO1 UGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT/ NAME Of APPLICANT INSTALLATION OF: SEPTIC TANK /~ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEEPAGE Pit DRAIN FIELD _, O~'HE~ / NOTE; THIS PERMIT IS NOT VALID WITHOUT BOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, MINIMUM DISTANCES, REQUIREMENTS ~'~ FOUNDATION TO SEPTIC TANK SEEPAGE BI-T DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK WATER MAIN TO SEPTIC TANK DRAIN FIELD /'Q / SEPTIC TANK, '//~ / ~-~¢"~ ~ -, SEEPAGE ~ ~(~ , DRAIN FIELD ~ /~ / TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP EXCAVATION 5 PEET INTO UNDISTUrbED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WiTH AIRTIGHT REMOVABLE CAPS. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. / DIAGRAM , CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO, 2"-68 AND THAT THE ABOVE W,TH SAm CODE. I also c)a~tify~that t~ishc~e will contain a maximum of DESCRIBED ACCORDANCE rv1-VV DRILLING, Inc. P.O. Box4-1224 * 1310C International Airport Road (907) 274-461] ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner Dick Wriqht Use of Weir Location (address of: Township, Range, Section, if known; or distance main road Lot 14~ Blk 5~ Talus West Size of casing. 6" Depth of Hole Static water level 30 ft. ~1%'6V~ Screen ( ); Perforated ( 61 feet Cased to 61,2 feet (below) land surface. Finish of well (check one) ). Describe screen or perforation Well pumping test at 7 gallons per (h~ffitO of drawdown from static level. Date of completion 7 Oct. 1975 (minute) for 1 hours with 100% WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness Orqanics open end ( x ); ft. 0 _TO 3 3 _TO 40 40 _TO. 59 59 _TO 61 .TO. ·Siltv qravel-med. Sand Gravel.,, w ajke r/J',r,~/~4 .TO. .TO. TO .TO. .TO. .TO_ TO _TO ¸TO_ ¸TO 1--CUSTOMER MUNICIPALITY Of ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE~i,O~ HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete'legal description LOT 14, BLOCK 5~ TALUS WEST #1 Location (site add.ress or directions) 4520 SUNSTONE CIR. ANCHORAGE, AK 99516 Propert~'*0'wner' CAROL SCHATZ ' Mailing ~ddre~s LOT 14, BLOCK 5, TALUS WEST Lending agency JOHN LEVY Mailin. g address· Day phone Day phone 248-5957/345-2650 561-2220 Agent ' :." Address · Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: NOTE: Individual well XXX Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site ' Holding tank Community on-site Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. ?2-025(Ray. I/gl) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 sys~bm is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the da 9 of this inspection. Name of Firm AWWC. INC. /¢.' ' ..-Ax Phone (907) 537-6179 Address 6901 S liTE 2B ANCHORAGE ALASKA 99504- Engineecs signature ( /~/~k.~ j Date '-7(/'(/,,:-; Alaska Water & Wastewater Consul~nts, Inc. Shall be PAID _$ ~ at,' or prior to, closing for the Engineerin¢~' ~e~,i¢~¢.~ DHHS SIGNATURE A?proved for T//~/~-c~' bedrodms. Disapproved. Conditional approval for bedrooms, with th-e following stipulations: Additional Comments The Municipality of Anchorage Department of'Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to pumhasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Ernployees 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 engineeCs work. - RECEIVED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ~u.~l~r,,,Lu'Y o~ ^NC 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907~~~tvlc~s 0~V~S[eN Legal Description: A. WELL DATA Well type PRIVATE Log present (Y/N). Total depth 61' Sanitary seal (Y/N) Health Authority Approval Checklist LOT 14, BLOCK 5, TALUS WEST #1 Parcel I.D.: 015-202-34 If A, B, or C, attach ADEC letter. ADEC water system number YES Date completed 10/7/75 Cased to 61,2' Casing height (above ground) YES FROM WELL LOG 10/7/75 30' N/A Date of test Static water level Well production 7 WATER SAMPLE RESULTS: Coliform 0 Date of sample: 8/1 o/gg B, SEPTIC/HOLDING TANK DATA Date installed 8/¢/99 Foundation cleanout (Y/N). Date of Pumping. NEW C. ABSORPTION FIELD DATA Date installed 7/12/99 - 7/14/99 Length 90' (2 @ 4-5')Width 5' Effective absorption area776 SC) FI' Date of adequacy test NEW 12"+ Wires properly protected (Y/N) YE.C; AT INSPECTION 10/27/98 31' g.p.m. 8.~ g.p.m. Nitrate 3 nR n,,g? Other bacteria 0 Collected by: A,W.W.C., INC. S.T.E.P. TANK Tank size 1250 Numberof Compartments 2 Cleanouts (Y/N)~'ES YES Depression (Y/N) NO High water alarm (Y/N) YES Pumper - Soil rating (g.p.d./fF or fF/bdrm) n R System type TRENCH Gravel thickness below pipe3,17-3.18 Total depth3.73-7.53 4.75-7.54 Monitoring Tube present (Y/N)¥E..~__ Depression over field (Y/N) NO Results (Pass/Fail) For ,...~~bedrooms Fluid depth in absorption field before test (in.); r added (in,): Fluid depth ~r."'~"~ Absorption rate = g.p.d. _-Pero'xi-d'~"~eatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed 8/'4-/'99 Manhole/Access (Y/N) YES High water alarm level at* ¢4-" Cycles tested _ SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line 100'+ 100% N/A 25'+ Size in gallons "Pump on" level at* 42" *Datum - 1250 "Pump off" level at* 4-2" On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Lift station 100% SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Sudace water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 10'+ · Surface water Building foundation 1 o'+ Water main/service line 1 o% 100'+ Driveway, parking/vehicle storage area 10'+ 100'+ Waiver Fee $ Date of Payment Receipt Number HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Curtain drain NONE KNO'~_ Wells on adjacent lots ENGINEER'S CERTIFICATION I certifythatl~haYe'~ ¢~Jn~ufi Irec_.~. Id inspections and review of MuniCipal rec ~. ~ items are in conforma~e with~ ¥ yA~uid~ rnes in effect on this date. ~?~' Signature ~ ~~ ~ Engineer's Name~ ~ ~JEFFR~ A, GARNESS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date '~/~ GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range), Location (address or directions) (b) Property Owner /~¢~¢ OtJ*a~L¢"'~4 Telephone: Home ~ ~,~'-- D~ZZ'-Business Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the followino address: or: Check here [~ if hold for pick up. List contact person and day phone number below, TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms 3 WATER SUPPLY Individual Welling' Community [] Public [] Note: If corn munity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. Page 1 of 2 72 025 fRev 8/861 Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional 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. N ama 0f Fir m ,~. ", ~1-~.~_c~ ~".~~ ~ Telephone Address -.¢¢~ 4-0 ¢, ~ Date ~ ~ DHHS APPROVAL Approved for 7',,~.~'~ bedrooms by Approved X Disapproved Terms of Conditional Approval Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services /DHHS) issues Health Authority Approval cerlificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS 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. Page 2 of 2 72-025 fBev 8/86) Back Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Dis(ances from Well: MUNICIPALITY OF ANCHORAGE (MOA) ~uNIC~P/~I:I¥ ~¢'~UblI~/~I~T~'~-~F ~~[I~IcJTHORITY APPROVAL (HAA) · . 264-4744 ' (, 'g8 EB t 6 988 Legal Description; ~/~ Well Classification %~"~¢~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) ~ Date Completed ~* C sed o ¢/ D pthofG o.ti.g ~ ~ Pump Set At ~ ~ Sanitary Seal on Casing (Y/N) ~ ~ Depression Around Wellhead To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments To Septic/Holding Tank on Lot, /00 ( ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /00l'''t'' ; On Adjoining Lots JI~D/P"z~' To Nearest Public Sewer ,~,.'¢~ ~v,~' To Nearest Sewer Service Line on Lot ~, ~ ;Date B. SEPTIC/HOLDING TANK DATA Date Installed ~'///7~ Size [ ~'*;~"~ ,~No. of Compartments Standpipes (Y/N) ' '/~"~'¢ Air-tight Caps (Y/N) -~-"~' Foundation Cleanout (Y/N) Depression over Tank (Y/N) /I,~:) Date Last Pumped '~"'/~/~ Pumping/Maintenance Contract on File (Y/N) /I.M/~:~¢'-' ;for Holding Tank High-Water Alarm (Y/N) /~//'/¢- Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line '~ ~ /' ~.~../'t/~¢¢. ,,~'~.~. Course Comments To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 727028 IRev 8/861 Fronl ABSORPTION FIELD DATA Date Installed ~'///7 ~ Length of Field Square Feet of Absorption Area ~'~ ~'~'O.-IDO~ ~,F~ Standpipes Present (Y/N) Depression over Field (Y/N) ,~ ~ Date of Last Adequacy Test Resu, s of Last Ad qu ,Oy Test r- Separation Distance from .Absorption Field: To Water-Supply Well" l O0 /'-.~- To Property Line To Building Founddtion '~"'~' ~ To Existing or Abandoned System on Lot /'t.)~:~ ~/~'* ; On Adjoining Lots ~"O /"~ To Water Main/Service Line ~ ~ ¢' ~'~.~'~ ~¢---~ -/~ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course ~,,/~ ,~/,~:' ~/'7'~-~/'A,,,' To Driveway, Parking Area, or Vehicle Storage Area :~?~' / ~ ~/'/',~" Comments LIFT S-~ON Date Insta;;ed ~.~ ,~"///~ Dimensions ,_ Size in ?tl, o, ns , , ~ Manhole/Acc:ss ,Y/N) "Pump On" Level at ~ Pump Off' Level at High W~ter Alarm Level at ' ~ Vent(Y/N). Tested for ~ Pumping Cycles during ~,dequacy Test, Meets MOA Electrical C(~de, s (Y/N), ~r Comments, ' ' ** Ch~ed Bedroom Rating Against HAA Request ** I certify that I hsve chgcked, ver. i~ed, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. companyP MOANo/ ~,~' ,~7,~/'~- Receipt No. /0 ~ / ~ ~:~ Date of Payment Amount: $ Page 2 of 2 72-026 fRev 8/861 Back Well and Septic Adequacy Test Legal: Lot 1~ Block 5 Talus West Date: 2/9/88, 2/10/88 Engineer: Wayne Henderson P.E. System: 50' trench of unknown depth with 1250 gallon concrete septic tank Proced~tre ~ Absorption system was tested by adding water to the trench directly from the on-site well and monito~dng the levels in the system with time until the average daily demand was obtained for a 3 bedroom home. (~50 gallons ). 2-9-88 Time Septic Co //1 Co #2 Rate QuantSty (Min) I Tank I Trench Trench I(gpm) I I Added I 0 10 2O 3o ~0 ~5 50 60 75 2-10-88 0 0.2I 0,2' 0.2' 0,2' 0.2' 0,2' 0,2' 0.2' 0.2' 0.8I 0.9' 0.9' 0.9' 0.9' 0.9' 0.8' 0.8' 0,8 0,8 2.8I 3 3.2' 3.2' 3.2' 3.2' 3.2' 3.2' 3.2' 2.8' 0 7 ? 7 ? 5 5 5 5 0 70 1~0 210 280 315 3~0 39o ~65 ~he absorption system performed adequately for a 3 bedroom home and the well delivered a steady flow at 5-7 gpm which is very adequate. ACItEMICAL & GEOLOGICAL LABORATORIES OF ALASKA~ INC. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER PRIVATE WATER SYSTEM Mailing Addcess City SAMPLE DATE: ~ MO. State Zip Code Day Year SAMPLE TYPE: {~ Routine Check Sample (for routine with lab ref. no. VJ Special Purpose sample .) [] Treated Water [] Untreated Water SAMPLE LOCATION,~ 3 I 4 I 5 I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: .j,~ Satis factory [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received c'~ ~ ¢) ~ ~ Time Received / ~'' °2~5;) Analytical Method: Membrane Filter * No. of colonies/100 mi. Lab' Ref. No. Result* I I I Analyst BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter: Direct Count CoilformllO0ml BEFORE COLLECTING SAMPLE Verification: LTB Final Membrane Reported By TNTC = Too Numberous To Count OB = Other Bacteria BGB. I~rl Reb~ult s ~/_#~ O _ Coilform/100ml Time: /~0 a.m. FART I OF £ I~EMAINDER TC FOLL.O',V Preserved uith :~0~ ~nalysis Co~pleted :~ZB JO 8~ Send ~eport~ to: 2) [!D= ~o~e Dejected ~ See Sample ~ealarks A~ove ER ~(NCHORAGE AREA BOROUGH ~ ~x~,/ ~ / Department of Environmental Quality ~ '~3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received June 2, Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. l. Approval requested by: First National Bank of Anchorage 1976 10:00 a.m. 6-2-76 John Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: 4. Location: Post Office Box 720, 99510 Phone: Dick Wright Phone: Star Route A Box 1585A, 99507 Lot 14 Block 5 Talus West Subdivision 344-4214 5. Type of facility to be inspected Single Family 6. Well Data: Individual A. Type ~ ' C. Construction ~ Sewage Disposal System: On-site A. Installed 6-1-76 C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank No. of bedrooms 2 B. Depth 61' D. Bacterial Analysis B. Installer 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line Sewer Lines , EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re st for Approval of Individual ' er & Water Facilities legal Description Lot 14 Block 5 Talus West Subdivision Comments Ap~al Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 EQ-034 (]/74) 06-1220~'a) Rev. 1973 Lab No. DATE ALA, DEPARTMENT OF HEALTH AND SOCIAL SI' CES DIVISION OF PUBLIC HEALTH INDIVIDUAL AND SEMI.PUBLIC BACTERIOLOGICAL WATER ANALYSIS OFFICE INDIVIDUAL NAME SEMI-PUBLIC [] CHLORINE RESIDUAL PPM REPORT RESULTS TO ADDRESS CITY ZIP CODE ADDRESS OF SOURCE Analysis shows this Water SAMPLE to be: [] Satislactary [] Unsafisfaclory [] Questionable [] Sample too long in transit; sample should not be over 48 hours old at exambafion to ~ndkate rellable results. Please send new sample. [] BoHle broken in transit, please send new sample. SANITARIAN'S REMARKS COMPLETE THIS SECTION ONLY IF WATER IS AN INDIVIDUAL SUPPLY SAMPLE COLLECTED BY Diameter of Well Well Casing Material Diameter Deplh Feet. Depth . Water Depth From Bottom Feet. In Utility ~] In Basement (~ Roach [] Yes [] No READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE o6 ~2o (bi BACTERIOLOGICAL WATER ANALYSIS RECORD Rev, 1973 am Dale Received Time Received pm Lab. No. Lactose Broth ?Occ 1Otc 1Otc 1Otc 1Oct 1.Otc 1.0¢c 24 Hours 4B Hours Brilliant Green 24 Hours 48 Hours -- EMB AGAR MF gesulls Dale Absent MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA FHA 2. Property Owner: Mailing Address:~ ~'.~ ~ ~)'~ (~' /,~ ~ /~ Day Phone: 3. Nameof Buyer:. Mailing Address: . ~ Day Phone: 4. Name of Lending Institution: Mailing Address: 5. Name of Realtor or Agent: Phone: Mailing Address: Phone: Location: 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation No. Bdrms. Individual ~ ~ ~ / Individual (on-site) 72-003(3/76) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality r ~ 3330 "C" Street, Anchorage, Alaska 99503 274-4561 ~ ,~ .~ ~t'L {) ~ · Date Received April 19, 197~1~-~ ,3.]~~l ~bt bc' ~ 0~ ~ ~te of I~spection ~-~-~. ~] ~'a~ ~J INDIVIDUAL SEWER &~R FACILITIES ~.~"q~ ~q~,k '~ REQUEST FOR ~OF ~% . ~' ~OR ~ $'~ (~ C~nv. ~ Approval requested by: First N~i Bank °f Anch°rag~~Cathleen Property Owner: Dick Wr~ _ ~9~e: __ _ Legal Description: n~ ~4 Block 5 Talus W~ S~d~ision ~1 Typ~ 0f faci~t3~inspected Single Family N/ No. ~ bedrooms 2 We]?ata: ~%~d~l - serving o~ ~ ~ A. T~e ~~ ~ ~epth ~J C. C~uction. Bactemia] Analysis Sewage Di~ System. On-site 3. 4. 5. 6. 7. ~epth A. Installed B. Installer / C. Septic Tank: 1.Size~\~ ,~ 2. Manuf D. Seepage Pit: 1. AbsorDt~,~n Area 2. E. Disposal Field: Total ~.~gth of li~ Nearest lot lineX~ , Other contamin[ B. Foundation to septi.~tank. , Abs¢ C. Absorption area to nearest lot line__/ ;ewer Lines __., ~rea EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re :st for Approval of Individual ~er & Water Facilities Legal Description Lot 14 Block 5 Talus West Subdivision Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 EQ-034 (1/74) MUNICIPALITY OF ANCHOP. AGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF ENVIRONMENTAL QUALITY ~N¥1RONMENTAL pI~O'I'ECt[ON 3330 "C" Street, Anchorage, Alaska 99503 - 274-4561 APR g 1976 REQUEST FOR APPROVAL OF R~C~.I~V~ INDIVIDUAL SEWER and WATER FACILITIES ...... 1. Type of Inspection: CMRO 2. Property Owner: Dick Wright VA FHA CONV ~ Mailing Address: 3. Name of Buyer: Kevin O'Leary Day Phone 1720 Cache Dr. ~4 Day Phone 344-0850 274-1521 Mailing Address: 4. Name of Lending Institution: First National Bank of Anchorage Mailing Address: P.O. Box 4-2090 Phone 5. Name of Realtor or Agent: Christine Shennum - Shennum Agency Mailing Address: 236 E, 5th Phone 279-3511 ext. 39 Legal Description: Lot 14 Block 5 Talus West ~/1 Location: 4320 Sunstone Circle Anchorage, AK Type of Facility to be inspected: Water Suppty Type of Supply: 99507 Single Family Dwelling No. Bdrms. 2 Public Utility Individual XX If Individual number of dwellings presently served If Individual depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation one Individual (on-site) XX RETURN TO: UNICIPALI~r' OF ANCHo.~G~ ~NVI~ONMEN1AL PROTEC[ioN, MAY 3 ANCHORAGE MUNICIPALITY R CEIVED Department of Health and Environmental Protection 2510 East Tudor Road Anchorage, Alaska 99507 Spring Clean-Up Committee NAME OF SCHOOL ,~C'~t4'~ ~-.,/' NAME OF PTA PRESIDENT: ADDRESS: ~ ~C~/ ~c) ~/'~ PHONE NUMBER: (day) ,~27-C5'~ (evening) A.M. VOLUNTEERS (2) (3) --/--(,~) VOLUNTEERS PLEASE INDICATE ONE PERSON ON EACH SHIFT WHO WILL BE RESPONSIBLE FOR THE SUPPLIES AND COORDINATION OF THE WORK