HomeMy WebLinkAboutPENNINGTON PARK BLK 1 LT 1APennington Park Lot lA Block #020-181-37 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191314 PID Number: 020-181-37 Dwelling: Single Family (SF) Duplex (D) Multiple (SF and/or D) Project: New Upgrade Name: ESTHER BUMGARDNER FAMILY TRUST ABSORPTION FIELD - EXISTING Deep Trench Shallow Trench Bed Mound Address ND 5400 E 172 AVE., ANCH., AK 99516 Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.8 GPD/SF 9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 1.5 Ft. Gravel depth beneath pipe 7.5 Ft. Subdivision Block Lot PENNINGTON PARK 1 1A Fill added above original grade VARIES 2.1- 2.4 Ft. Gravel length 60 Ft. Township Range Section Gravel width 3 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank 900 Ft' Ft. Well -- 100'+ NA NA qATANK Septic S.T.E.P. Holding Other Manufacturer EXISTING Capacity Gal. Surface water -- 100'+ NA NA Material Number of compartments 2 Lot Line -- 10'+ NA NA NA Foundation -- 10'+ NA NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain NA *NA NA NA Remarks *None known. ST exposed, integrity Pump on level at in. Pump off level at in. High water alarm at in. verified & additional cleaning/pumping. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank Tank to 3034 Installer MIKE N. ANDERSON drainfield Drainfield 3034 CO/MT 3034 Inspector FWCS / MNA BENCH MARK (Assumed elevation) 100 ft Inspdection 1s` 8/3/19 8/5/2019 Location and description 2na 3" 8/5/19 4" 8/7/2019 BOTTOM OF SIDING COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL O�®� ® Ai Conditional Approval: Date !*.49TH *� Pixzzo .MICHAEL N. ANDERSON: its .•. No. CE 9469 sv Approve 1 Dated`' S� 8/9/19.. -` d." ........ 0 low ®ftsszoly� inspection Neport_a-i-i2.00c PENNINGTON PARK BLOCK 1, LOT 1A CRIB MT E MT TANK INTEGRITY CO VERIFIED \ DIVERTER TO CRIVD CO PID: 020-181-37 PERMIT: OSP191314 • WELL TH#2 1999 O Co b REBUILT / ? 60' TRENCH a 10' UTILITY ESMT 126.2' N90'00'00"W— 5.13' SCALE: 1" = 30 FCOCO DIV CO MT MT CO CO CO pp 90.6 FINAL GRADE FILTER FABRIC EXISTING 87.0 87_0 1.250 GALLON S STEEL TANK EWER ROCK VERIFIED 7 CO 88.5 0.0 ° I'D ORG GM/sm—ml SEPTIC SECTION 16.0u TH#2 9/30/1999 — DRY SCALE: NTS 72.5 PREPARED FOR: SUPPORTSERVICES: ESTHER BUMGARDNER FAMILY TRUST �� OF AL<Q�, PENNINGTON PARK BLOCK 1, LOT 1A * 49 TH 5400 E 172ND AVE., ANCHORAGE, AK 99516 Michael N. Anderson, P.E. DATE: 8/10/2019 MICHAEL N. ANDERSON NO. CE 9469 4661 Natrona Ave. DRAWN: FWCSF �`2Af Anchorage, Alaska 99516 %A 8/10/19 ' (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' PESSIO'0 7/30/19 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 020-181-37 Property owner(s) ESTHER BUMGARDNER FAM. TRUST Day phone 3104298204 Mailinq address 5400 E 172ND AVENUE, ANCHORAGE, AK 99516 Site address 5400 E 172ND AVENUE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) PENNINGTON PARK 131, LOT 1A Legal description (Township, Range & Section) Lot Size 73,150 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field © Initial ❑ Single Family (SF) (w/wo AD U) Septic Tank 1:1Upgrade Duplex (D) ❑ Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 5_7 Date of Payment: Z=117 Receipt Number: Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 July 30, 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: PENNINGTON PARK BLOCK 1, LOT 1A PHYSICAL: 5400 E 172ND AVENUE, ANCHORAGE, AK 99516 The septic field has failed and we request a septic permit to upgrade the system on the above referenced lot. Due to site constraints, we propose to remove and replace the existing trench to serve the existing 4-bedroom residence. The location of the existing system to excessive slopes has not shown any or known to have any daylighting issues since installed 20+ years ago. Based on this information, the soils present and observations of the field – it appears that the field will become saturated prior to any possibility of horizontal / downslope daylighting. The design is based on the test hole conducted previously for the exiting system. The lot and area is served by private water and the design will not impact any of the neighboring properties. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191314, Rebecca Carroll, 07/30/19 Michael N. Anderson, P.E. ESTHER BUMGARDNER FAMILY TRUST Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191314, Rebecca Carroll, 07/30/19 Michael N. Anderson, P.E. ESTHER BUMGARDNER FAMILY TRUST STAKE UTILITY EASEMENT PRIOR TO CONSTRUCTION. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191314, Rebecca Carroll, 07/30/19 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services OmSite Services Section 825"L" Street Room 502 P,O, Box 196650 Anchorage, AK 99519-6650 Page / of '7.~ www.ci,anchorage.ak,us (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ~-~t,k3 ~C{ L)'~ ~ ~ RID Number: ~,'TZO --I 8~, -,.~ ~-- _ Name: '~ ('~W~ %~,~ Wastewater System: ~ New ~Upgrade ~.d .....%~o ~ f?~.z ~ g~c~ ~,~ ABSORPTION FIELD Phone: ~ '~ ~0 ~ ~ Number~edro.s: ~eepTrench g Shal,.Trenc, ~ Bed ~ Mound = Othe. Soil Ragng: To~ Dop~ from original grade: LEGAL DESCRIPTION ?~)~ ~) GPDIFI' S bdMsion: Depth to pipe ~tt~ fr odg~nal grade: Gravel depth beneath pipe: TownshTp: Range: ~ect~n: Fill added above original grade: Gravel Length: Gravel ~dth; Well: DdYer: ~" ~,"GO ', Date Dfilled:.~ Static Water Levoh.~ ,1 ,ns~llen~(,,~" ~ . Oate ,nstallod>>d~ ~r Yield:/0 GPM PumpSetat~0 FI. CasingHeightA~veGr°und:/ "~. TANK ' SEPARATION DISTANCES ~septio U Holding D S.T.E.P. U Other: To Septic Absorption, Lilt Holdin~ ~blio/Prival~ T~nk Field Station Tank Sower Uno ~CY ,~ [ ~ ~ aal. t.~ ~ 'Pump eh" level at: "P ~t: High water ala~ at: Engineer'~SJamp Depa.ment of ~alth?~ Human Services approval Permit No. SW990380 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT lA B1 PENNINGTON PARK SUBD. PID No.: 020-181-57 MARK A B CRND PIPE ELEV. ELEV. C01 31.8 43.6 104.4 97.2 C02 259 535 995 ,969 TC01 279 54.6 95.4 TC02 54.2 59.2 98.2 CO3 .37.7 625 95 91.9 L C04 37.7 623 95 91.9 DIVIDER 40.1 647 9.3.9 90.7 __ ____ MT___ 63.~ 868 90.;~ 79.54 C05 80.6 108.6 90.8 87.24 C06 651 8.3.0 912 87.54 ' I - EXISflNO CRiB SCALE[ 1"=180' , F~°' ~o,~ ~o~ ~ .... .,..~ ~.., '~.~%, ,;' - MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box '196650, Anchorage, AK 995'19-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 08, 1999 Expiration Date: Oct 07, 2000 Permit Number: SW990389 Legal Description: PENNINGTON PARK BLK 1 LT lA Design Engineer: 0088 Anderson Construction & Eng'g Owner Name: Ester Bumgardner Owner Address: 5740 E 172ND STREET ANCHORAGE, AK 99516-5607 Parcel ID: 020-181-37 Site Address: 005400 172ND AVE E Lot Size: 73150 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [~] Disposal Field [] SepticTank ~ 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. 5. The following special provisions. ANY PORTION OF THE PROPOSE[) ABSORPTION FIELD SHALL BE CONSTRUCTED A MINIMUM OF 35 FEET FROM THE 25+% SLOPE. Date: M 'tchael Anderson P. E. 14250 Golden View Drive Anchorage, AK 99516 (907) 345-3377 home (907) 345-1391 fax October 7, 1999 Department of Health and Human Sca'vices On-Site Se~'vlces Section P. O. Box 6650 Anchorage, AK 99519-6650 Re: Lot lA Block 1 Pennington Park Snbd. To Wlmm It May Concern: The above residence has a aa-septic system boilt in 1972 which is in failnre. Two test holes were excavated on thc south west side of the lot. The first bole had a perc rate greater than 60 minates per inch while the second test hole had a much better pcrc rate of 2.7 minntes per inch both at apporximately the same elevotiou. The excavation on test bole #1 took twice the time compared to test hole #2 due to the stiff soils. Water was also found at 17 feet in test hole #1. No water was discovered in test hole #2 even after the 7 day waiting period. However test hole #2 is 15 feet from a slope of 25% or greater, bnt no otber area was available to install a new system. Tbe system will be designed with a perc rate of 0.8 gallons per day per foot squm'ed for a single trench 58 feet long aod 6.5 feet of effective depth. This is a slower perc rate for added safety and life on the new system. The slope of the lot is to tbe west with a greater slope on tbe far west side of the lot. Tile surrounding systems appear to be perfoming well. This new system will not impact any of the neighborlog system to the best of my knowledge. Please feel free to call me if yon have additional qnestions. You may reach me at 345-3377. --1t I 17' OM -172ND ~.-~MOUND OVER ~I X,,f==~: ~''-FILTER F'ABRIC 2,0' ~DRAIN~ ROCK AVENUE- SLOPE GREATER THAN 25% 1250 GALLONG DOUBLE 0.0. 10' UTILITYEASEMENT L SEPTIC DESION PREPARED FOR JIM &: ESTHER BUMGARDNER LOT IA, BLOCK 1 PENNINOTON PARK SUBDIVISION PREPARED BY MICHAEL N. ANDERSON, P.E. 14250 N. GOLDENVIEW DRIVE (907) 545-.3377 / FAX (907) 545--1391 100' EXISTING FRAME HOUSE 4 9 ~_U~H ... Cl-'_ - 9469 SCALE: 1"=50' SEPTEMBER 1, 1999 IDESlGN. _60 B!~R!A_: ................................. 4, BDRM = 600 GPD SOILS = 0.8 GPO/SQ. FT. ~0_o/o.~ ~ ,~o p.jT._ ?'D ............. TRENCH: 8.5', DEEP 6,5 EFFECTIVE - 1 7 2 N D A V 2,0' WIDE 58' LONG 525.0' WEST ................................................ Z 5( APPROXIMATE EDGE OF SLOPE HOLE (T~2).~ < ~ TESI HOLE 30' RAOIL /\ FRAME HOUSE 325,0' WEST %. NEIGHBORS SEPTIC / AREA ~ SEPTIC DESIGN PREPARED FOR JIM & ESTHER BUMGARDNER LOT lA, BLOCK 1 PENNINGTON PARK SUBDIVISION ;TING 100' WELL RADIUS1 I~:~ PREPARED BY MICHAEL N. ANDERSON, P.E. 14250 N. GOLDENVIEW DRIVE (907) 345-3377 / FAX (907) 345-1.391 SCALE: 1"=50' SEPTEMBER 25, 1999 PERFORMED FOR:__J~- ~ J~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~ MICItAEL N. ANDERSON DATE PERFORMED: ~'~ ,/~/ lq 2 3 4 5 6- 7 8 9- 10- 12~ 13- 14 15 16 17 19 20 COMMENTS Township, Range, Section: SLOPE WASGROUND WATER ENCOUNI'ERED? SITE PLAN IF YES, AT WHA'r DEPTH? Depth to Waler Aller D ele:_~(__~'~L,/' '~'_ Gross Readin9 Net Date Time Time Depth to Net Water Drop PERCOLATION RATE .L_(~-- (Imnutes/mch) PERC HOLE DIAMETER TEST RUN BE'IWEEN ~' ~"~ FT AND ~. ~,2 FT ACCORDANCE WITH ALL STATE Ar4D MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ._ ' F~['¢ ¢¢ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Aechorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST .E,~O,MED ~OR: ~'~/'/¢C~¢' 3- 5- 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS DA'rE PERFORME[ Township, Range, Section: SLOPE SITE PLAN N WAS GROUND WATER 'i-..I ENCOUNTERED? mo, o ,o? Rp~-oat,: [~L__L__L I I I 1/ I J Net Depth t4~o~ Not Time Water Drop Date Gross Time IO ~ ,,z.., ¢-, ,-9,././..¢ . / o i?EFClL:OLA'IION RATE -- *~ umnutoo/mch) PERC I-IOLE DIAMETER ]~,~Sff ,~i .IN BETWEEN /~, O FT AND "~' ~:~ FT GREI ":R ANCHORAGE AREA BOB Department of Environmental (]uality 3500 Tudor Road Anchorage, Alaska 99507 SH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ,~7~/~ ~/_.5"~z~////~.~'~- MAILING ADDRESS~/~//~/~/~-J~ PHONF /A~z~ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE '/3~/'~//~!5' NUMBER OF FROM WELL ~'~7~ ' MANUFACTURER-:rJ~'~eC'~'~ MATERIAL -~----~/~ COMPARTMENTS /' INSIDE LENGTH_ -- .INSIDE WIDTH -- LIQUID DEPTH '--.LIQUID CAPACITY/~<~'5~ GALLONS. SEEPAGE PIT: -- ~ . . ~/z~/~-~:.-~- NUMBEROF PITS / DIAMETER __~ OR WIOTPI LENGTH DEPTH /~ ~ ~u,~)~'>>z~ ~ DISTANCE FROM: LINING MATERIAL~[~ . CRIB SIZE: ~IAMETER~ DEPTH. / WELL ///~/'~ .~ ~ TOTAL EFFECTIVE BUILDING FOUNDATION ~ ~, NEAREST LOT LINE~ ~ ABSORPTION AREA (WALL AREA) ~ ADDITIONAL ABSORPTION WELL: TYPE,~'°~'~//~///~ CONSTRUCTION ~//~' DEPTH //~ ~ DISTANCE FROM: SEPTIC~~- SEEPAGE ~/~:: BUILDING ~ / NEAREST ~_ NEAREST /~ /~. FOUNDATION~2 / LOT LINE /¢ SEWER LINF¢7 TANK SYSTEM -~/~ ' o o- CESSP , OTHER SODRCES /'(//~'/c/z=~-~ /<""-/g/~'c:z'/'-'f/ A~'PRO~_VED-~_-DISAPPROV~D REMARKS D I S T A N C E S INSTALl_ED PIPE MATERIAL:~//~/~:~ LOT SLOPE: REMARKS: Form PW-026 DIAGRAM OF SYSTEM G.A.A.B. GREATER ANCHORAGE AREA E]OROUGH DEPARTMENT OF ENVIRONMENTAL. QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION ANi) PERMIT PERMIT NO.- ]NSTALLAT{ON t-OCATION INSTALLATION Of: SEPTIC TANK ~ ~ . SEEPAGE PIT--~ TYPE AND SIZE OF FACILITY TO BE SERVED ~/ ~ FINANCED THROUGH ~OIL, TEST rESULTS ~ OTHER NOTE: THIS PEI~MIT IS NOT VALID wI'rHOUT SOIL TEST FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT .~ ~) DRAIN FIELD . SEPTIC TANK To SEEPAGE PIT WALL WELL TO SEPTIC TAnK ¢~ .... seepage WATEr main tO SEPTIC tANK ~ ., SEEPAge SEPTIC TANK, __/~, seepage Pit /~¢ / , 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT GRAVEL BACKFILL CONFORM 'to BOROUGH REGULATIONS REGARDING INSTALLATION. GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVTRONMENTAL QDALITY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case Legal Description: Lot v/-# Dl~ck' ~/ This Form Reports Soils Log ~ Soil Test Must Be Logged To 4' Depth Feet Soil Characteristics lO=- ll-- 12-- 13-- 14-- Dated Pe~rformed ~-]Jj~/~ Subdivision Ny~,,,,~7~-Z'~7 Percolation Test Below Proposed Seepage System < Was Ground Water Encountered? j/o__ d~m. If Yes, At What Depth? Reading Date Gross Time Net Time Depth to H2(1 Net Drol Percolation Rate Minute Proposed Installation: Seepage Pit Depth of Inlet Depth to Bottom COMMENTS: ~)~,.5-~7~~..~ Drain Field of Pit or Trenc~ Test Performed Da te: MEMORANDUM E. MUNICIPALITY OF ANCHORAGE l Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 020-181-37 1. GENERAL INFORMATION Expiration Date: Complete legal description PENNINGTON PARK BLOCK 1, LOT 1A Location (site address) 5400 E 172ND AVENUE, ANCHORAGE, AK 99516 Current property owner(s) ESTHER BUMGARDNER FAMILY TRUST Day phone Mailing address Real estate agent 5400 E 172ND AVENUE, ANCHORAGE, AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 42 YO Waiver Fee $ Date of Payment 2/11/9 Date of Payment Receipt Number 103 9 5D Receipt Number COSA # 6=913(46 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4661 SHOSHONI DRIVE, ANCHORAGE, AK 99516 Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 8/3/2019 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by FW(5 and Anderson Construction & Engineering 6. DSD SIGNATURE 4 System #1 Approved for q bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms SOFA\� �.. 'S (� *.49 TH .MICHAEL N. ANDERSON r No. CE 9489 Af i �F'ESSIO��� bedrooms, with the following stipulations: .\�� "hPALITYA���i Original Certificate Date: � ^ « L c 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 Advisory Well Flow Advisory K Other COSA Checklist blue sheet Legal Description: PENNINGTON PARK BLOCK 1 LOT 1A Parcel ID: 020-181-37 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system _ A. WELL DATA ❑ Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date drilled PRE 1975 Well disinfected for coliform test? ❑ Yes ® Nc Total depth 106 ft ® Coliform bacteria is Negative Cased to 50+ ft Nitrate 2.28 mg/L EJNitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected WE Casing height (above ground) 12 in. Collected by `.` Date of flow test for COSA 7/24/2019 Date of Sample 7/24/2019 Static water level at beginning of test 48 ft. Well production at time of test 0.77 gpm Comments Well data per MOA record docs. Shallow well — may consider storage for peak use. B. TANK DATA —11/9/1994 - 1250 -gal C. LIFT STATION - NA Age of tank(s) 20 years ❑ Required maintenance completed Tank type/material SEPTIC / STEEL Age of lift station years Measured operating fluid level in septic tank 48" Lift station material ® Standpipes/foundation cleanout per record drawing Comments: Additional cleaning / pumping of tank at Date of pumping 6/6/2019 tank integrity inspection during field upgrade. D. ABSORPTION FIELD DATA — 60'L x 3'W x 7.5'ED — 0.8 GPD/SF = 900 SF Which system tested (date installed) 8/5/19 INSTALLED ® ALL standpipes present per record drawing Total measured depth from grade 11.1 ft (max) Measured depth to pipe invert from grade 3_6 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist copy 2.docx Adequacy test date NA - NEW SYSTEM Results ❑ Pass For _ bedrooms Fluid depth prior to test _ in Water added gal New depth _ in Elapsed time min Final fluid depth _ in Absorption rate _ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date WE E. SEPARATION DISTANCES — Per MOA record docs & observations 5117119. From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist copy 2.docx OF, ALS 4 9 TH $OFAU,60, Ap .0 MICHAEL N. ANDERSON - No. CE 9469 8/10/19.. o ft ft ft Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC191365 Subdivision: Pennington Park BLK 1 Lot1A Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 20 years old. 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 20 year old steel tank MAY look like. Well Water Advisory Certificate of On -Site Systems Approval # OSC191365 Subdivision: Pennington Park, Block: 1, Lot: 1A This well's productivity was determined to be .77 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 4 -bedroom residence is .42 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ED ji n p rnK M __- C -1- CD C:) t:r 9�.;ztz Q) 0 , 0 VD > CO (D CA 44 Cf) (D tri UJ c a Q co 0 0 F ---1 NJ m 0 00'9ZZ 1,00,Z0.00N > 0 Z CD CJI Frl ul Cn Q) Q) ss rte 0 >C)OZ mmo 0 0 M*M8 z= > 0 CD (D m f -D 6 C, � - " .0 to 0 tr CD O �,o MCD N o o CD tj 0 pu rrn- 0 CD t:"d d 0. 61 '0 oz m mP ID ' IJ 01— p 0 a p 00-gZZ 3,,00,00.00N I'm.051m, msaooticoo Aw po i:r Ar MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION r)IVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OI-- ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision section., township, range) / i -- / Location (address or directions) _. /~/~elephone: Home _ _ . ~-" Applicant Address ~4~ -¢~0 /~"~ / ?,? "~ '''~ A~¢i~/,.~¢c.~,,- _~?~ ?'¥?~'¢~./-~ (c) Applicant is (check one): Lending Institution []; Owner/builder.~ Buyer []; Other [] (explain); __~_~ (d) Lending Institution _ Address Telephone (e) Real Estate Company and Agent ..... /v/ I? , Address (f) Telephone Mail the HAA to tbe following address: TYPE OF FtESIDENCE Single-Family [~2~"~M ulti-Fa mily Number of Bedrooms Other WATER SUPPLY Individual Well ~/Community [] Public [] Note: Jf corn munity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsiter~I/ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status, Page 1 of 2 72-025n1~84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS; FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and es of the validation date shown below, I verify tbat my investigation of this Health Authority Approval shows that the omsite 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 aed from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm __ ~,:.'~7.'(~; "~ ..... ,.~ .x,. (' _ Telephone Address ~_(~P~ ~V,-':~':~ '/ ~,:' ~/""-~':/-( ~(" ~'?>"~) Engineer's Seal Approved for _J~/-//¢~-~ /-- bedrooms by~-/Y""~¢"/~¢_~'-'~ '~f~-- Date ;;;rm~V;~onc/itiYnal Ap[~v.( v a~isapprove'd Conditional CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The [:)HEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 ($1;84) ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) H£^ .TH AUTHORrrY ^PPROVAL (HAA) ' 0 g8B CHECKLIST - FEBRUARY lg84 264-4720 ~ ~ ~ ~ ~ ~ ~,~ WELL DATA Well Classification ~¢' I~ ~~Z If A, B, C, D.E.C. Approved (Y/N) Well Log Present (y/~_~ ('-E- /¢? 5' Date Completed ,/~ '~'~ Yield Total Depth /f.O¢.~ Cased t~) ~'~) - (~ Depth of Grouting Static Water Level "~'~:~- ('?~ Pump Set At ~ "~'~ Sanitary Seal on Casing (~1) Depression Around Wellhead (Y~__~? Casing Height Above Ground Electrical Wiring in ConduitS)N) Separation Distances from Well: To Septic/Holding Tank on Lot ( ¢. /~) ¥' ¢ ; On Adjoining Lots /¢)¢ '(' ; On Adjoining Lots To Nearest Public Sewer '~ r To Nearest Sewer Service Line on Lot ~-'~) To Nearest Edge of Absorption Field on Lpt To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by ~(~ , ; Date Water Sample Test Results '7-~*~r* (Q~c/~F?/ Comments ~ ~-& ~ /~C? ~-~Z-~;~- ~z~,~ '~ ' - / B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (~N) ,~ Air-tight Cap (~) Depression over Tank (YIN)/ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Size (~-~5-~) No. of Compartments ounda. on Date Last Pumped ~ -~'~/'"~' ~'¢'- '/(~,~ :for Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Hold?g Tank: To Water-Supply Well To Property Line To Water Main/Service Line ~. ~"'~ / Course ~,~'T' Comments To Stream, Pond, Lake, or Major Drainage Page 1 of 2 . 72 026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata -~'~'~ %-- -~ ~' ~..~./~¢.. Type of System Design Date Installed ~- ® - ~ :~ Length of Field Width of Field . r.?~' Depth of Field Gravel Bed Thickness Square Feet of Absorption Area '~?~,~/' .~¢-~,,'/'¢. Standpipes Present~_.N) Depression over Field (Y/¢ / f Results of Last Adequacy Test ¢~¢. Separation Distance from Absorption Field: To Water-Supply Well /fCC) ('6 To Building Foundation Lot ~.~--~0 To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area _ Date of Last Adequacy Test ¢r~'~.-~'~~ ~'"~' To Prope~y Line ~ ~ To Existing or Abandoned System on ; On Adjoining Lots ~¢ (~ To Cutbank (if present) ~ Comments LIFT STA'rlON Date Installed Dimensi~_ Size in Gallons [~: (Y/,N), __ "Pump On" Level at ,,~~mp Off" Level at Tii!ti~lifli~;~i;rsl;~iTM /'~' puVmep~::Y/c;:les during A quacy Test, Meets MOA Comments ~ ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checkc, d, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ L~E'~f' [)ate ~"~ ~"~ '¢~¢; j~ Company _~, '~'~'~-~ . Z'"~ ¢- MOA No. ~"~'~ ~;~,='""'~/ Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) Seal MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot lA Block I Pennington Park Subdivision Location (address or directions) 5740 East 172 (b) Applicant Name Jim Bumgardner Telephone: Home 345-1089 Business 345-1089 Applicant Address SPA Box 1718 Anchorage~ Alaska 99516 (c) Applicant is (check one): Lending Institution I-1; Owner/builder []; Buyer []; Other [] (explain); (d) Lending Institution Alaska Mutual Bank Address Pouch 4-9003 Anchorage (e) Real Estate Company and Agent Address % Mar~_.Sch,~hone Ak 99509 338-7890 Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family~]~ Multi-Family [] Number of Bedrooms four(4) Other WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status, SEWAGE DISPOSAL Onsite [[~x Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 0 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 Hea~th Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone Address Date Engineer's Seal This Department has received written confirmation that the conditional approval has been taken care of thru (A.E.C.S., Inc.), therefore, this property is now fully approved. DHEP APPROVAL Approved for ~ bedrooms by /~, , Approved xxx~ Disapproved Conditional June 27, 1985 Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 ALASKA PCI1UII O[/m [1TAL COIqTROL I[1C. ~n§ineerin§ $ ~nuironmenlol Stu~lics JIM BUMGARDNER SRA BOX 1718 ANCHORAGE ALASKA 99516 SELLER-SAME JUNE 20 1985 JIM BUMGARDNER ANCHORAGE ALASKA 99516 50289 LEGAL:PENNINGTON PARK BLOCK 1LOT IA ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-6/20/85 THE TYPE OF ABSORPTION SYSTEM IS A SEEPAGE PIT WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER P~R DAY. THE SURGE CAPACITY OF THE SYSTEM IS 1000 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 6/13/85 . ADDITIONAL COMMENTS : WELL WIRES IN CONDUIT JUNE 13 1985. REPAIRED LINE AND REPEATED ADEQUACY TEST. 1200 IJJesl 33:1 Auenue, Suite [3, Anchor~qe, Al~sk~ 99.503.[907) 561-50L40 ALASKA 'IIROFIm FITAL COFITF OL IFIC. JIM BUMGARDNER SRA BOX 1718 ANCHORAGE A!.~SK~ 99516 SELLER-SAME JIM BUMGARDNER SRA BOX 1718 ANCHORAGE ALASKA 99516 JUNE 20 1985 50289 LEGAL:PENNINGTON PARK BLOCK 1LOT iA ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-6/20/85 THE TYPE OF ABSORPTION SYSTEM IS A SEEPAGE PIT WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 1000 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 6/13/85 . ADDITIONAL COMMENTS : WELL WIRES IN CONDUIT JUNE 13 1985. SYSTEM PLUGGED BETWEEN TANK AND FIELD.' REPAIRED LINE AND REPEATED ADEQUACY TEST. MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date 3-7-85 (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 1A~ Bk. l, Pennington Park Subd. Sec. ll, TllN, R3W S.M. Location (address or directions) 5740 E 172 (b) Applicants Name Jim Bumgardner Telephone - Home34,SylOS~usiness 345-1089 Applicauts Address SRA Box 1718, Anchorage, AK 99516 (c) Applicant is (check oue) Lending !nstt~u~ion I ]; OWner/builder Buyer ~ ; Other ~-~ (explain); (d) Lending Institution Alaska Nutual J~ank, Att_n: Mary. ~5ghpbe~e. lephone 338~78.90 Address Pouch 4-9003~ Anchorage, Ali 99509 (e) Real Estate Co. & Agent __~__~__ Address (f) Telephone Mail the HAA to the following address: ttold for pickup 2. T~pe of Residence Single-Family ~ Multi-Family ~--~ Other (describe) ........ Note: If community well system, must have written confirmation from the Sta~e Department of Environmental Conservation attesting to the legality and s~atue. 4. Sewase Dispose.i. 0nsite ~ Public ~_~ Community ~ Holding Tank ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] As certified by my seal affixed hereto and as of the validation date shown below: verify that my investigation of this Health Authority Approval shows that the on-si water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and ~Ype of structure indicated herein.. I further verify th~< based on the information obtained from the M~nicipality of Anchorage files and from investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance ~th all Municipal and State codes, ordinances, and regula- tio~ in effect on the date of this inspection. Name of Firm Alaska Soil Testing and Engineering ST85-260 Telephone~.~61-7453 Address 6100 A Street, Anchorage, AK' 9c. 502 Date (Note upgrade recommendations.) (ENGINEER SEAL) DEEP Approval Approved for Approved Terms of Conditional bedrooms Disapproved CA~fION THE MONICIPALITY OF ANCHORAGE DEPA/{TMEN"f OF NEALTH AND ENVIRON!~ENTAiL PROTECTTON (DHEP) ISSUES NEALTH AUTHORI?f APPROVAL CERTIFICATES BA~ED SOLELY UPON THE RF~PP~ESEN~i'- ATIONS GIVEN IN PARAGI~ 5 ABOVE BY AN INDEPEN-DENT PROFESSIOM&L ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR A~NALYZE DATA BEFORE A CERTIFICATE IS ISSUED. T~ MIrNICiPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7-19-84 A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH ALPfHORITY APPROVAL (HAAi CHECKLIST - FEBRUARY 1984 mUNICIPALITY OF ANCHORAG~ DEPL OF HEALTH & I-=NVIRONMENTAL PROTECTION APR ? Legal Description: Pennington Park Subd.; Sec. 11~ TllN, R3W~ S.M. Well Classification Well Log P~esent (y/N)N (Pre 6/75) Date Completed Total Dapth106 ft(1978 Rpt)Cased to 50+ ft. Static Water Level 45 ft. Pump Set At Casing ~ight Above Grcund 12 inches Individual If A, B, c~ C, D.E.C. Approved(Y/N) 1973 Yield 600+ gp~ Depth of Grouting 90 ft. Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) N (See comments)Dap=ession A~ound Wellhead (Y/N) N Separation Distances f~.omWell: To Septic/Holding Tank on Lot 128 ft. To Nearest Edge of Absorption Field on Lot To Nearest Public Sewe~ Line 100+ ft. ; On Adjoining Lots 100+ ft. 134 ft. _; On Adjoining Lotslo0+ ft. To Nearest Public Sewer Cleanout/Manhole 100+ ft. To Nearest Sewe~ Service Li~e on LOt 50 ft. Wate~ Sample Collected By Mark Ho].~, P.E. ; Date 2-27-85 ~ Wate~ Sample Test Results Satisfactory C~t~nts Casing depth is unknown, but casing was observed at 50 ft. Well yield per 24 hour drawdown test. Well electrical wiring to be placed in conduit. fonwell conduit insta].lation~) Installation after ground thaw Funds to SEPTIC/HOLDING TANK DATA Date Installed 1973 Size 1250 gal. No. of Ccmpartments 1 Standpipes (Y/N) Y Ai~-tight Caps~ (Y/N)Y Foundation C].eanout (Y/N) Y Depression ove~ Tank~ (_Y/N) N Date Last Pumped~ 3-2-85 (Receipt attached) Pumping/Maintenance Contract on File (Y/N) N/A~ ; for Holding Tank High-Water Alarm (Y/N) N/~ Temporary Holding Tank Permit JY/N) N/A'~ Separation Distances f~omSeptic~ol~ing Tank: To Water-Supply Well 128 ft. To P~operty Line 50 ft. To Water Main/Service Line 47+ ft. Coup, se 100+ ft. Corfl~nts To Building Foundation 47 ,ft. To Disposal Field 6 ft. To Stream, Pond, Lake, ~ Major D~ainage Funds to be escrowed for two compartment tank replacement. Installation to occur after 6round thaw. Receipt $ Date Paid: Amc un t: [Page 1 of 2] 2-15-84 Ds C. ABSO~I~ FIELD DATA Soils Rating in Absorption Strata Date .Installed 1973 Width of Field }2 ft. Septic~ Tank & 225 ft2/bdrm(Ins,f~)Of System DesiGn Seepage Pit Length of Field 28f$inst. Rpt. ) · Depth of Field l0 ft. Gravel Bed Thick~ess 6 ~t.. Standpipes P=esent (Y/N) y ~ate of Last Adequacy Test 3-6-85 Squace Feet of Absc~ption A~ea 720 ft. Depression over Field (Y/N) N Results of Last Adequacy Test Unsatisfactory (See Comments) Separation Distance f~cm A~sc~ption Field: To Water-Supply Well 154 ft. To P~operty Line 50+ ft. To Building Foundation 53 ft. To Existing or Abandoned System cn Lot __ N/A ; On Adjoining Lots 100+ ft. To Water Main/Service Line 50+ ft. To Cutbank(if p=esent) N/A TO Stream/Pond/Lake/or Majo~ D~ainage Course 100+ ft. -~To D~iveway, Packing A~ea, or Vehicle Storage A~ea 22 ft. C(~lTr~nts The seepase ~it is unsatisfacto.r~r as ~er the attached adequacy test report of 3-6-85. The absorption system should be u~0$raded by incre~sin~.,~the capacity of the existing system or by installing a new system. Funds to LIFT STATION be escrowed for replacement of absorption field. Installation to occur after ground thaw.~__~ ~-, Date Installed N/A~ Dimsnsions Size in Gallons "Pump On" Level at High Water Alarm Level at Tested fo~ Manhole/Access ,! Y/N) "Pump Off" Level at Vent _(Y/N ) Electrical Codes(Y/N) Pumping Cycles du~ing Adequacy Test. Msets ~DA Cc~ments ** Check Permitted Bedrocm Rating Against HAA Request ** I certify that I have checked, verified, or eonfczn~sd to all MOA, H~ Gu on the date of this inspection. SiGned, _~~,~--/~ Date 3-6-85 Co~lpany Alaska Soil Testin~ and Ensr. MOA NO. ,ST8~-260 (Note upgrade recommendations.) KB1/d5/s [Page 2 of 2] 2-15-84 ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 April 22, 1985 Municipality of Anchorage Health and Environmental Protect~ion Environmental Health Division 825 L Street Anchorage, AK 99501 Attn: 14r. John [~ennedy Subject: Lot iA, Bk. l~ Pennington Park Subd. Adequacy Test Gentlemen: in response to our conversation of April ].8, 1985, I have reviewed the adequacy test which was submitted for your review on April 17, 1985. The adequacy test indicated that the existing s~epage pit was unsatisfactory for the four bedroom single family dwelling. The data indicate that the seepage pit rings allow very little flow into the surrounding gravel until, the l~quid level approaches the top of the rings which are four feet below grade. However, the absorption rste, at a ].iquid level of 5.~ feet below grade, is approximately ~00 gal/day. The surge capacity of the seepage pit is also approximate].y ~OO gal at a liquid level of ~.5 feet below grade. Therefore, the capacity of the existing septic system is approximately ~00 gal/day. No overflow or surface seepage was noted during the site inspection. The existing system is to be upgraded after the ground thaws as discussed in the previously submitted Health Authority certificate application. I trust that the additional analysis is sufficient for your review, but please call if 1 may provide additional assistance. Very truly yours, Mark Holum, P.E. Manager ALASKA SOIL TESTING AND ENGINEERING 6100 A Street, Anchorage, Alaska 99502 (907) 561-7453 Location: Type: Address: Client: Adeqaacy Test Lot ]A~ Bk. 1, Pennington Park Subd. Septic TanM and Seepage Pit, (See Installation Rpt., Attached) 5740 E. 172 st. Jial gumgardner~ SRA Box 1718, Anchorage, AK 99516 Date 2-26-85 2-27-85 3-2-85 3-4-85 3-5-85 3-6-85 Time ~uantity of Depth Below Depth Below Water Added to Grade of Water Grade of Water Seepage Pit Level in Level in Seepage Pit Septic Tank (Gal.) (Ft.) (Ft.) 2:41 pm 0 4.5 3:01 32 2.8 3:19 124 2.0 3:27 124 2.9 3:42 134 2.5 3:45 140 2.4 4:08 193 1.9 4:19 202 1.8 4:32 216 2.0 4:55 235 2.1 5:03 235 2.5 10:03 am " 4.2 10:09 255 2.8 10:34 347 2.3 11:14 442 2.1 12:57 pm 583 1.5 1:15 611 1.8 1:21 " 2.3 1:52 " 2.8 3:00 " 3.7 Septic Tank and Seepage Pit Pumped 4:00 pm 0 8.5 5:44 9:39 9:54 10:O0 10:06 10:.10 11:50 l:O1 2:32 4:52 9:17 11:50 am pm i38 8.0 452 7.0 0 7.2 ~oo 5.0 75o 4.4 5.3 5 · 4 5.7 5.8 6.46 6.52 6.2 6.2 6.2 6.2 6.2 6. ~L 6.2 7.1 7.1 6.8 6.8 1/2 Location: Comment; Conclusion: Performed by: Adequacy Test Lot lA, Bk. 1, Pennington Park Subd. Testing of the seepage pit during 2/26-27/85 resulted in system failure due to lack of surge capacity as evidenced by the rise in the seepage pit water level. Excess solids in the seepage pit were removed by pumping on 3/2/85, and the system was retested on 3/4-6/85. Seepage pit failure reoccurred as indicated by the feature of the ~ater level to return to the initial level over a 24 hour period. Depth of the seepage pit is 12 feet below ground surface. The ground level in the seepage pit are is approximately five feet below the ground level[ near the septic tank. The seepage pit absorption rate is unsatisfactory for U fo~ro.~!~single family dwelling. Mark tlolum, P.E. ST85-260 ~ .... -x DEPARTMEN 825 MUNICIPALITY OF ANCHORAGE OF ltEALTlt AND ENVIRONMENT, L Street, Anchorage. A].aska 264-4720 rROTECTION 99501 Date Received: April 6~ 1978 #2: Time #3: Time ~1: Time 9~.30 a.m. Date 4-10-78 Monday Date Date Insp Prat-c insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: First National Bank of Anchorage Mailing Address: Post Office Box 4-2090 99509 Phone: 274-152]. Proper%y Owner: Mailing Address: James/Esther Bumgardner Star Route A Box 474E 99507 Phone: 272-0571 3. Legal Description: Lot iA Block 1 Pennington Park Subdivisiom Single Family Residence: (x) Multiple Family Residence: ( ) Number of Bedrooms: Four Number of Bedrooms: Well System: Permit ~ (]on struction Individual We].]. (x) Con. unity/Public System ( ) Depth of Well%pprox. 106' Well Log on File Bacterial Analysis ( ) Sewage Disposal Permit = Septic Tank Size Absorption Area We].]. System: On-site System ~) Public Utility Installed 1973 Installer ~D Manufacturer Distances: to Sewer Line ~o Nearest Lot ( ) Soils Rate to Sept .o T nk Nearest Lot line L~ne Material to Absorption Area Absorption Area Department of Ilealth and Environmental Protection Request for Approval of Individual Sewer and Water FaciliLi. es Legal Description: Lot iA block 1 Pennington Park Subdivision COlRme~t s: Af fadavit Attached ~__ Approved: Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, A~aska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: 2. Property Owner: Mailing Address: 3. Name of Buyer' Mailing Address:_ Same 4. Name of Lending Institution:_ 201 Mailing Address:__ 36th 5. Name of Realtor or Agent' Mailing Address: ....... 6. Legal Description: T,ot lA Location' 172nd o£f CMRO_ VA James and Esther Bumgardner Box 474 :E. Star Route A James and Esther Bumgardnel _FHA CONV_ × ._ Beeper 265-7617 Day Phone:__.__2~-52! __Day Phone:__~.¢~-!933 First Nati~naJ~_B~ Sn,~h _Center Br~nch W. 36th and C Street __Phone:~3,TZp-_l_~ Es~her_Bumgardnmr Phone: .. Block l_~_,~on ~rk Golden Vie,w~,Jz~e_ off R~bbiL_C=:Rd. 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Residential - No. Bdrms .... 4 Public Utility_ Individual 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 19.13 Individual (on-site)_ 72-003(3/76)