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LAKE O THE HILLS BLK 4 LT 2
Lake O' The Hills Lot --2 Block 4 #015-331-10 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP151229 PID Number: 015 331 10 Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑■ Upgrade Name: GARY JONES ABSORPTION FIELD ❑ Deep Trench ❑Shallow Trench El Bed E] Mound Address 6700ROCK RIDGE ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 7 JTotal -- GPD/SF -- Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade -- Ft. Gravel depth beneath pipe -- Ft. Subdivision Block Lot LAKE O' THE HILLS 4 2 Fill added above original grade Ft. Gravel length -- Ft. Township Range Section Gravel width -- Ft. Beds: Number of Lines -- Distance between lines -- Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total absorption area __ Ft Number of trenches -- Dist. between trenches -- Ft. Well +100 -- __ __ __ TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE Capacity 12000 Gal. Surface Water +100 -- __ __ NA Material STEEL Number of compartments 2 Lot Line +5 -- -- -- Foundation +10 -- __ __ LIFT STATION Manufacturer __ Capacity __ Gal. Curtain Drain __ __ __ __ Remarks OLD TANK DISPOSED OF PER MOA Pump on level at -- in. Pump off level at -- in. High water alarm at -- in. REQUIREMENTS TANK REPLACEMENT ONLY Pump make and model Electrical Inspections performed by Installer GUARANTEED SERVICES PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Drainfield UNK CO/MT 3034 Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation) 100 ft Inspection 15' 9/3/15 dates: "d 2 3d 4th Location and description SW CORNER OF HOUSE COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Conditional Approval: Date Engineer's Stamp X11 C f A��lll ����'�`.•'''�'' .tQ,��) TH ..... _ Ir i;HARLES G BALZARIW . Z<IN •, CE-13854 .• !`�lF ' • .9'1818 • •�� w Aw FESSI` 1 Approved Date % X019 Inspection Repo rt_9-1-12.doc ALTERNATE SEPTIC RESERVE SITE, REQUIRES SOILS EXPLORATION. AND LIFT STATION. \1 �SWING TIES A| B -- -- i C 21.5' 50.1 FOUNDATION CLEANOUT LEANOUT SW HOUSE CORNER I APPROXCR|B LOCATION � OA 2000 GAL STEEL SEPTIC / WELL � CLEANOUT-,, OS.5/ NEW TANK -SCALE: 1^= FINISHED GRADE | � | EXISTING 2.5'X50' �\TRENCH VW5' EFFECTIVE DEPTH. _----_.i� SCHEMATIC ELEVATION - SCALE: NTS LEGAL DESCRIPTION: LAKE O'THE HILLS BLOCK 4 LOT 2 C&M ENGINEERING SERVICES OWNER:GARYJONES DATE:9/05/18 REV:O I DRAWN: CB REF: 907-854-5558 INSPECTION REPORT FIGURE IV y SCHEMATIC ELEVATION - SCALE: NTS LEGAL DESCRIPTION: LAKE O'THE HILLS BLOCK 4 LOT 2 C&M ENGINEERING SERVICES OWNER:GARYJONES DATE:9/05/18 REV:O I DRAWN: CB REF: 907-854-5558 INSPECTION REPORT FIGURE On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151229 Tax Code Number: 01533110000 Work Type: SepticTank Upgrade Permit Effective Dates: July 30, 2015 to July 29, 2016 Design Engineer: C&M ENGINEERING SERVICES Subdivision: LAKE O THE HILLS Site Legal Address: LAKE O THE HILLS BILK 4 LT 2 G:2639 Owner/Address: HILTWEIN WENDI J & FLAHERTY COLIN M 10175 N ELSIE LANE PRESCOTT VALLEY AZ 863150000 Site Mailing Address: 6700 ROCKRIDGE DR, Anchorage This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 63844 Total Bedrooms: 7 N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: MUNICIPALITY OF Community Development Department Development Services Division - On -Site Water & Wastewater Program r ON-SITE SEWERIWELL PERMIT APPLICA Parcel I.D. 015 331 10 Property owner( Mailing address Site address f Phone: 907-343-7904 F i,;--�3-7997 JUL 16 2015 Legal description (Sub'd., Block & Lot) G-AkE (9 ! 4 Legal description (Township, Range & Section) Lot Size 63, Q q Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) sa Septic Tank ® Upgrade ® (w/wo ADU) Tank ❑ Renewal ❑ Duplex (D) ElHolding Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: NOi✓,e Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. owner or authorized agent) .#VQ Permit/Rush Fees: $ 21 + `Waiver Fees: _ Date of Payment:Date of Payment: Receipt Number: 035:V4G 190633 Receipt Number: Permit No. 05Q 161 22A Waiver No. Permit App9-1-12.doc C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System Modification for Lake O' The Hills Block 4 Lot 2 Dear Reviewer, The above referenced property is currently served by a 4 bedroom septic system. With a diverter valve connecting an additional 4 bedroom system, and an older crib. The Home has recently been sold, and received a COSA in July 2015. The new owner would like to upgrade to a 7 bedroom system. We are requesting approval to upgrade to a 7 bedroom system. The proposed design for this upgrade includes a new septic tank sized for 7 bedrooms, and makes use of both of the existing trenches. The crib will be connected as well, however the capacity of the crib is not considered for the purpose of the design. In addition to the proposed upgrade, we are showing two reserve systems on the lot. The first reserve system, is the existing bed that would require the use of a category III AWWTS to be suitable for a 7 bedroom home. The second reserve site, shown in the Northwest of the property, is a double deep trench configuration that would likely require a lift station. This may be a better location for a reserve system, but a soils investigation has not been conducted at this location to support the design. The second reserve system is not a "designed" component of this submittal, but is included to identify a probable future reserve site. Installation of the proposed system will not negatively impact adjacent lots. Drainage is not a major consideration in this design due to the large size of the lots. Included with this letter is a permit application, plans, specifications, and calculations. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(o)gmail.com with any questions or concerns. Sincerely, Charle Balzarini, PE C&M ENGINEERING SERVICES Ph: 907-854-5558 SPECIFICATIONS FOR ONSITE SEPTIC SYSTEM - MOA CERT ff LEGAL: Lake O' The Hills Block 4 Lot 2 s= 4 T �0® July, 2015°' *o A. GENERAL.:." ...® 7faareni Q® 1. The septic design is for a 7 bedroom, residence only. �s¢�r®® 2. The site plan and drawings shall be a part of this specification. 3. The Wastewater system shall be installed by a certified installer in accordance with moa requirements. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environment of Conservation requirements. 5. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. A licensed surveyor should locate all nearby lot lines, easements, exact 100' radius from the existing and neighboring on- site wells, and any nearby surface water. 6. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 7. The contractor shall provide the engineer with adequate notice to perform inspections. 8. Sewer Pipe shall be ASTM 3034, pvc. Insulate the sewer line if it passes under the driveway or parking area, with a minimum of 2" extruded board insulation, rated for burial, and on the moa approved list. B. SEPTIC TANK 1. Septic tank shall be a fiberglass or steel, 2000 -gallon tank capacity of MOA approved construction. Installed to meet MOA requirements. 2. Install a foundation cleanout within 5' of the foundation. 3. Install 2 after tank cleanouts between the tank and drain field. 4. A combination of soil and 2" minimum of insulation shall be placed over the tank, to prevent ponding and promote drainage. The insulation shall be rated for burial and meet moa requirements. C&M ENGINEERING SERVICES 907-854-5558 11111600W Septic Design Calculations Residence: Lake O' The Hills Block 4 Lot 2 system type: Conventional type: Deep Trench Application Rate(1996 system) 0.8 gpd/sqft Application Rate(1984system) 125 sgft/br required absorption area 1093.75 sqft Tank:2000 gallon Existing 1984 Drainfield : 2.5'x50'x5' W'xL'xD' trench Existing 1996 Drainfield: 2'x57'x6.5' W'xL'xD' trench Total effective absorption area: 1241 sqft Calc By: CGB Date: 7/13/2015 +++( OF 441 +,gyp,.••....., q� 0� 9 i4 :• ass. ., number of bedrooms 7 br Water usage/bedroom 150 gpd/br Water Usage 1050 gpd Percolation Rate varies min/inch Test Hole Depth 18 ft bgs system type: Conventional type: Deep Trench Application Rate(1996 system) 0.8 gpd/sqft Application Rate(1984system) 125 sgft/br required absorption area 1093.75 sqft Tank:2000 gallon Existing 1984 Drainfield : 2.5'x50'x5' W'xL'xD' trench Existing 1996 Drainfield: 2'x57'x6.5' W'xL'xD' trench Total effective absorption area: 1241 sqft Calc By: CGB Date: 7/13/2015 +++( OF 441 +,gyp,.••....., q� 0� 9 i4 :• ass. ., C&M ENGINEERING SERVICES 907-854-5558 Reserve Septic Design Calculations Residence: Lake O' The Hills Block 4 Lot 2 Calc By: CGB Date: 7/29/2015 EXISTING 2'x57' — TRENCH W/6.5' EFFECTIVE DEPTH. 752 SOFT NEW 50/50 FLOW SPLITTER LOT 1 LEGEND 0 CLEANOUT rm IT, WzIN1101 tiumq ® TEST HOLE 0.5% SLOPE INDICATOR ROCKRIDGE ROAD j��P•' '9+) i *: 7H ALTERNATE SEPTIC RESERVE • •' •' SITE, REQUIRES SOILS EXPLORATION. AND LIFT �Z • • ARLES G BALZARINi STATION. �r PF'• C _13a. PLACE -6" FLL 5— TO PREVENT PONDING ,II;F�pROFESSIONA �� �\ NEAR CLEANOUT APPROX idR16-� EXISTING 2.5'x50' 2% LOCATION TRENCH W/ 5' EXISTINGt``. EFFECTIVE DEPTH. i2 l � DIVERTER'•. 10% 500 SOFT I \ r USE OLD BED AS RESERVE SITE. WILL REQUIRE USE \ OF CAT III AWWTS. BED IS \\ 12x47x3' EFF. PER 1974 INSP. \\\ a REPORT p ABANDON/DISPOSE TP1 yl° , \ f� OF EXIST. TANK PER PANONE, \ MOA REQUIREMENTS 19961 \\ I � � i NEW 2000 GAL SINGLE FAMILY I I / STEEL SEPTIC DWELLING TANK. j�rl `WAS+ RSG I - °. -.::_ •.' .' =L4 RADIUS I � - _ ; ::�•::;:' • I W LL F I ....'..:.': LU / 1 DRIVEWAY Lu U) I APP ROX TOP <:.,.. \ OF SLOPE F- LOT 2 +, . FENCE •�_` �:. ;. APPROX TOE \ OF SLOPE L---------------------- 10' UTILITY EASEMENT NOTES: LOT 3 LOT 3A 1. THE PROPOSED SEPTIC SYSTEM IS GREATER THAN: 100' FROM ANY PRIVATE WELLS 200' FROM ANY PUBLIC WELLS 100' FROM ANY SURFACE WATER C&M ENGINEERING SERVICES 907-854-5558 LEGAL DESCRIPTION: LAKE O' THE HILLS BLOCK 4, LOT 2 OWNER: GARY JONES DATE: 07/15/15 1 REV: 0 DRAWN: CB I REF: SITE PLAN ,-SAL LIAR 13 20 13 susifii'7 IdARid4.. Inspection Report_1-1-1 .d Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519.6650 • http:#www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSPI41442 PID Number: 015-331-10 ❑ New ❑✓ Upgrade Name: Wendi Hiltwein & Colin Flaherty ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 6700 Rockridge Drive ❑ Other Phone Number of Bedrooms Soil Rating. Total depth from original grade 4 GPD/SF - Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot LAKE O THE HILLS 4 2 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ftp I NAFt. Well 100+ 100+ N/A N/A NIA TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1250G,1. Surface Water 100+ 100+ NA N/A Matedal Steel Number of compartments 2 - Lot Line 88.4 11.4 NA N/A NA Foundation 17.6 27.3 NA N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain 50+ 50+ NA NIA Pump on level at Pump off level at High water alarm at Remarks Tank Install Only in. in. in. Pump make and model Electrical Inspections performed by to PIPE MATERIAL House to tank 3034 Tdrainfield n eld 3034 Installer A Plus Home Services Drainfield 3034 CorMT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Insp 15 10/13/14 Location and description 2nd dates: SW Corner of House 3r° 4M COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF, A(, -k'k, Conditional Approval: Date 'f'9r en f. �anr ome �r StevAW Approved Date 1.5r^�yqp Inspection Report_1-1-1 .d I SEPTIC AREA (E) ROCKRIDGE ROAD DRAIN FIELD (E) F� / SEPTIC AREA (E) RIB -7 I / FC3 A LOCH OF oco ABANDONED BED BV T2 TI M --M _M FC2 1 94.9 1 73.8 1 149.3 CRIB 70.3 49.9 129.4 DV 51.5 29.6 S6, 2 NOTES: PANNONE ENG SVC, LLC RECORD DRAWING P.O, BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 LAKE 0 THE HILLS, BLOCK 4, LOT 2 WENDI HELTWEIN & COLLIN FLAHERTY 6700 ROCKRIDGE DRIVE PLAN ANCHORAGE, AK 99516 WELL (E) w�— w� W/ I 3 1 3 SEPTIC AREA (E) NEW 12509 SEFBOTANK CE 8149 PROFILE 1"=50' P.I.D. NO 015-331-10 PERMIT NO $� OSP141442 Sheet 1 OF 1 MI� I • �/' % DRAIN FIELD (E) A 8 Fc l 12508 SEPTIC TANK ^\ 101 O1\ DECOMMISSIONED PER CODE INSTALLED NEW 12508 SEPTIC TANK 1I WITH DCO AND DV vc 4BR 4 (' HOUSE (E)�LL (E) WELL (E) / A B C FC 35.5 49.5 \ T1 45.9 19.8 T2 49.6. 26.2 \ DCO 50.7 28.1 FC1 58.3 29.1 92.3 \ M1 74.4 50.1 124.2 W� FC2 1 94.9 1 73.8 1 149.3 CRIB 70.3 49.9 129.4 DV 51.5 29.6 S6, 2 NOTES: PANNONE ENG SVC, LLC RECORD DRAWING P.O, BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 LAKE 0 THE HILLS, BLOCK 4, LOT 2 WENDI HELTWEIN & COLLIN FLAHERTY 6700 ROCKRIDGE DRIVE PLAN ANCHORAGE, AK 99516 WELL (E) w�— w� W/ I 3 1 3 SEPTIC AREA (E) NEW 12509 SEFBOTANK CE 8149 PROFILE 1"=50' P.I.D. NO 015-331-10 PERMIT NO $� OSP141442 Sheet 1 OF 1 Permit Number: Tax Code Number: On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 OSP141442 01533110000 Work Type: SepticTank Upgrade Permit Effective Dates: October 13, 2014 to October 13, 2015 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: LAKE O THE HILLS Site Legal Address: LAKE O THE HILLS BLK 4 LT 2 G:2639 Owner/Address: HILTWEIN WEND] J & FLAHERTY COLIN M 6700 ROCKRIDGE DR ANCHORAGE AK 995161898 Site Mailing Address: 6700 ROCKRIDGE DR, Anchorage This permit is for the construction of: Lot Size in Sq Ft: Total Bedrooms: 63844 N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. 1. The Inspection Report is to show all parts of the existing absorption systems. 2. The Inspection Report is to show the correct size of the (e) crib. Received Issued By By: 0/j�// Date: tV l Date: /D �: � MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division QD Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION 33l Parcel I.D. 0150-10 Property owner(s) Wendi Heltwein & Collin Flaherty Day phone Mailing address 6700 Rockridge Drive, Anchorage, AK 99516 Site address 6700 Rockridge Drive Legal description (Sub'd., Block & Lot) Lake O The Hills, Block 4, Lot 2 Legal description (Township, Range & Section) Lot Size 63,844 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field [ Septic Tank ❑x Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade ❑X TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Renewal ❑ V Multiple Dwellings f�T'Al (SF and/or D) OCT 0 1 2014 THIS APPLICATION INCLUDES A VARIANCE / 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 Permit/Rush Fees: 215. Waiver Fees: _ Date of Payment: to I 2 -fig _( Date of Payment: Receipt Number: 0 11 45L Receipt Number: Permit No. (%pIL{tL442- Waiver No. Permit App_;;- :- :'-._c IN e Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveraoanengak com October 1, 2014 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Lake O The Hills, Block 4, Lot 2 Emergency Septic Tank Replacement Permit Request Ladies and Gentlemen: I am writing to request that a permit to install a new 1250 gallon septic tank be issued for this lot. The proposed system will serve an existing four-bedroom house. Currently the lot is developed. The existing septic system was designed and installed for four bedrooms, and the existing drain field is operating adequately. The baffle in the existing 1250 gallon septic tank has failed, allowing solids to flow through to the outlet, blocking the pipe. The existing tank will be abandoned per code. This lot and the surrounding lots are served by private wells. There are no wells within 100' of this system. 1. Upgrade Tank Design. a. See Sheet 1 of 1 of the plan set 2. Surface Water: There is no surface water within 100 feet of the proposed system. The Proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: The area around lot 2 generally slopes from south to nouth. The proposed installation will be located in the central portion of the lot, behind the house, and next to the existing septic tank and absorption system. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 1/2 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 I SEPTIC AREA (E) ROCKRIDGE ROAD \ DRAIN FIELD (E) SEPTIC AREA (E) M 1q—iAte, DRAIN FIELD (E) 12SOg SEPTIC TANK (E) COLLAPSING ^ 1 00.3 DECOMMISSION PER CODE LJ INSTALL 125.0g SEPTIC TANK (P) WITH DCO AND DV 4BR 1� HOUSE (E) ELL (E) �� \ WELL N�—W—�w� \ WELL (E) oP W I WS \N NOTES. PANNONE ENG SVC, LLC TANK REPLACE P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 LAKE 0 THE HILLS, BLOCK 4, LOT 2 WENDI HELTWEIN & COLLIN FLAHERTY 6700 ROCKRIDGE DRIVE PLAN ANCHORAGE, AK 99516 10/1/14 "' P.LD. NO 015-331-10 Steven Rannone % PERMIT N0. P�•. CE 8149 .. `�% OSpXXXXXX sf,_r (`ll`�,Sheet OFESSIONP��" h�.� 1 of 1 Municipality of Anchorage Page of DEPARTMENTOF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number.gi (zZ4 PID Number: 015 -33 ! - / O Name:II Wastewater System: ❑ New Upgrade —190W r MS Address: ABSORPTION FIELD n a)cYT2t a Phone: No. of Bedrooms: Deep Trench ❑ Shallow Trench ❑ Bed O Mound ❑ Other Soil Rating: Total from original grade: LEGAL DESCRIPTION O•f3 GPD/Sq. Ft. /3.(.& a -"r77 19.1 Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Z Lf GAE& D D }{raS :7, -rb I1.$' Ft. 6 = Ft. Township: Range: —rac� Fill added above original grade: Gravel length: r — v — Ft. Ft. Gravel width: Number of lines: Distance`etween lines: WELLEl ❑Upgrade • 2 m Ft. I Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. I Ft. '�.SZ SO. Ft. -5®3 e4 FBSC Driller. Date Drilled: Static Water Level: Installer: Date installed: Ft. Millkis. A 6l--�ta2sar✓ Yield: Pump Set at:Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding ublic/Private manufacturer: Capacity In gallons: From Tank Field Station Tank Sewer Lines (i[".ST / 4` N((A �rA Material: Number of Compartments: Well' ),S /oo .Sv Surface LIFT STATION /ct�-r WateLot /00r Size in gallons: Manufacturer: Line R$' , So "Pump on" level at: "Pu evel at: High water alarm at: Foundation I'S 2 R Curtain� Pump Ma el Electrical Inspections performed by: Drain BENCH MARK Remarks: S—,st-L-rh �.yT [L L Location and Description: • '/ (5, AQA6, X "'Aoo2 STeP S.c.v• 5 E 2P L LL Sot ty sr r NT Scor `� Lall I c7t2t G7P�rR✓.��! t`G. Assumed Elevation: Ft EN S yp. yyCe .� `!SEAL 4� /,kq 9 �N / 6 Inspections performed by: �• .VONT` ta_Dates: 1s t 2nd . .,,.. R. Ponn®na - Heal h u ervices approval �5Stevan `n Department of and Reviewed and approved b . Dater_:. 72-013 (Rev. 9/91) MOA 25 V No well or septic systems within 200 feet. Undeveloped. C.O: A B T1 15,8' 44.7' T2 20.3' 46.6' By 21.1' 46.9' C1 22.1' 47.4' c2 22.6' 47.6" C3 29:1' 59.1' MT 50:2' 75.2' C4 73.8' 95.6' 49TH R. 49 AS -BUILT WASTEWATER ABSORPTION SYSTEM Lot 2, Block 4 Lake O'the Hills Rack Ridge Drive No well or septic systems within 200 feet: RECEIVED OCT 231996 Municipality of Anch Dept. Health & Human 7 DESIGN: Soils = 0,8 CBS sf/br) 4 Bedroom House 752 sf required /P.6' effective, 10' total depth (� Sq, 60 L.F. 2' wide WO sf total absorption Ms. Laverne Hodge 6700 Rock Ridge Anchorage, AK 99516 stic systems t of proper Welt 150 feet from exist, well on lot -2. i STEVEN R. PANNONE, P.E. P. 0, BOX 142025 ANCHORAGE, ALASKA 99514 AS -BUILT No well or septic systems within 200 feet. Undeveloped. CA. A B TS 15.8' 44.7' T2 20.3' 46.6' C2 21.1' 46,9' CS 22.1' 47.4' DV 22.6' 47.6' C3 29.1' 59.1' MT 502' 75.2' C4 73.8' 95.6' 11-19-96 R. Panni CE 8148 AS -BUILT WASTEWATER ABSORPTION SYSTEM Lot 2, Block 4 Lake O'the Hilts Rock Ridge Drive No weft or septic systems within 200 feet. Z/-3 ptlC systems !t of oronert% DESIGN: Solis = 0.8 C1B8 sflbr) Well 150 feet from exist. welt on tots 2. 4 Bedroom House 752 sf required ••-- 6,6' effective, 13' total depth 57 L.F. 2' wide �} 57 752 sf total absorptlon 2 .....f • • PREPARED FOR, STEVEN R. PANNONE, P.E. Ms. Laverne Hodge P. O, BOX 142025 1 At ;mss 6700 Rock Ridge ANCHORAGE, ALASKA 99514 Anchorage, AK 99516 „l„ �, 4 ^ AS-BUILTDETAILS WASTEWATER ABSORPTION SYSTEM Lot 2 Block 4 Lake ❑'the Hills S/D Z H U W 0 •�p. a a n ' +m'o u� e r#a m Imo Com x LS LO0 (m,p& LL Cpm �, y� ROjy C m �'LYtl RmpUy ILLM a fe m] m IO �uu' m9mo� cas .^.mvr mLL msvav lV Y Z H U W 0 •�p. a r ' +m'o ai e r#a m Imo Com x LS LO0 (m,p& L4 CxL Cpm H�GDO ROjy U-p� y m �'LYtl RmpUy maw LGE3 a fe m] m Qi't=L uma �uu' m9mo� cas .^.mvr mLL msvav .571 49R ils� n""; Revised 11-19-96 KEPREPARED FORS renR. Pannaner + « + Ms. Laverne Hodge No.CE 8149 6700 Rock Rldge �t,,..? lam` Anchorage, AK 99516 ti v 0 N inawno c 3Hn1 smiNew b O N inoNv3�a c 8AIDA MJ11rd 1nilw3l] Ino w3ln IrMNV3M ln@w31n NaUVQWMA RECHVED DEC o2 199G mulr C-pci-iy :jj At .Cnu'1 Dept. Health & Human Se m o M a m a .r N 0 a STEVEN R. PANNONE, P.E. P. O. BOX 142025 ANCHORAGE, ALASKA 99514 274-0308 272-8218 FAX %TQ 7-22-96 FIT Tn creic AS -BUILT PAGE 1 OF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW960129 DESIGN ENGINEER:STEVEN R. PANNONE OWNER NAME:WILLIAMS THOMAS H JR & NANCY B OWNER ADDRESS:6700 ROCK RIDGE DR ANCHORAGE, ALASKA 99516 PARCEL ID:01533110 LEGAL DESCRIPTION: LAKE O THE HILLS BLK 4 LT 2 LOT SIZE: 63844 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/20/96 EXPIRATION DATE: 6/20/97 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 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY DATE: &-?a- ¢b 1 Steven R. Pannone, P.E. Consulting Engineer June 5, 1996 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Block 4 Lake O' the Hills S/D Request for Septic System Up -grade Permit Attn: Mr. James Cross, P.E. Dear Mr. Cross: P.O. Box 142025 Anchorage, Alaska 99514 (907)272-8218 I reinvestigated the soil absorption system at the above referenced lot this spring. The system laterals were found to be installed level. Fluid levels in the existing crib and deep trench were also found to be higher. Therefore I request that a permit be issued to up -grade this system per the attached engineering design. A soils investigation was conducted on May 24, 1996. The soils were found to be poorly graded gravels to well graded sands. A peculation test was conducted and the soils percolated at 8 minutes per inch. See attached soils log and peculation test. No water was encountered during the test or after seven days. A deep trench system will be installed adjacent to the existing system, yet maintaining a separation of 10 feet from the existing crib. A Zabel Z2000D flow director will be installed just downstream from the tank. It will be used to divert the flow between the new drain field and the existing fields. The existing septic tank will be inspected. If the tank is found competent, it will be reused. It will be replaced if the tank is found incompetent. There are no wells within 200 feet of the proposed location on neighboring lots. The well serving lot 2 is located greater than 100 feet from the proposed location. Additionally, there are no septic systems within 100 feet of the proposed installation. The system will be placed greater than 50 feet from the bluff located on the east edge of the lot. The surrounding are will not be affected by this system. Please contact me if you have any questions. Sincerely, Y $� Aw even R. Pannone, P.E. Civil Engineer°"eY { N�'$� EiaveR R. Pain.na CE CAWORK\2-4LO11.003 f«� a )I No well morseptic systems .,thin 200 feet. Undeveloped. -ms's••- 3 49TH 12 8149 DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2, Block 4 Lake O'the Hills Rock Ridge Drive No well or septic systems within 200 feet. ,eptic systensl let. DESIGN DESIGN, Solis = 0.8 (188 sf/br) 4 Bedroom House Weil 130 feet from exist. wait on lois \ 752 sF required 6' effective, 10' total depth 65 L.F. 2' wide >} 2 ss , 780 sf total absorption i PREPARED FOR, STEVEN R. PANNONE, P.E. All Ms. Laverne HodgeAs P. ❑. BOX 142025 'Ar 6700AnchRockR ANCHORAGE, ALASKA 99514 Kg 99516 DESIGN DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2 Block 4 Lake O'the HIL(s S/D 1nwm3m Elm n s 6 g 1 u e�° & v m$ � y a L7 301 8MDUN UZb e°°ene°e MOORS Z W o°^° U R W W J W P• N IfMNtl3'M El D_ s L o YEb d" b �yb Et4 V] d Lim y ObO 4 MLytl tlbC14 sa3 o HOW= ma H y u o y 1nONtl319 scar hmki+ 3 1nmum .j d LrENV313 28 L `� � ,lei ♦��E 411C;G%ae�....... ...... ` �� JfMNV313 AV 9 4• �B NDI1YQNnEU s 492i ..mL..u..............................h....., ..................................may •"'?' (f R. Pannone.°7s PREPARED FOR STEVEN R. PANNONE, P.E. { cSteven { G) .• i ♦ •., No. CE 8149 �� Laverne Hodge P. ❑, BOX 142025 ,!j`,`'•QboboS.��' 67 6700 Rock Ridge Anchorage, AK 99516 ANCHORAGE, ALASKA 99514 :'�ps� 72-8218 A 74526 FAX 962DEi DESIGN T Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: DATE LEGAL DESCRIPTION: GOT ZZ 41 LA00 TBB h1fleS 5&TOWnsnip, Hange, Section: —DE —PT-HSLOPE SITE PLAN (FEET) OCL 2 3 St -1 4- 5 6 7 Cvp 8 sw 9- 1011 10- 11 12- 13- 14- 15- 16- 17 21314151617 18 "PP tf 19- 20 COMMENTS T� UJJo s -V-�Q t2SoA k LO WAS GROUND WATER ENCOUNTERED? NO S IF YES, AT WHAT O DEPTH? P E Depth to Water After Monitoring) Date: S -31-96 Reading Date Gross Time Net Time Depth to Water Net Drop -201-96 Qe 13LIvz 1/i 1?-/ q S/M 3/ 17,21 Z 3/ 1 ? Z3 z i/ t t?25 2 CV 1?z Z CPV PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER 6 r TEST RUN BETWEEN F7 AND _R FT PERFORMED BY: S`QQ1 A.vNoNC$ � CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) - 4 V • Munielpt 0. ty of Anehor ge Department of Health and Human Services 825 " L' Street Rick Nlystrom, 9 Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 December 9, 1996 Steven R. Pannone, P.E. PO Box 142025 Anchorage, Alaska 99514 Subject: Waiver Request for Lot 2 Block 4 Lake O' The Hills Subdivision Waiver Request #WR960047, PID #015-331-10, HA950539 Dear Mr. Pannone: Your request for a waiver of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance is 95 feet from a private well to the septic tank on property. This waiver approval applies to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any further questions or concerns regarding this waiver, please call our office at 343-4744. incerely, n 1 G'v1�i'ly� ames P. Williams 'l Civil Engineer On-site Services JPW/1jm;Williams * s .MUNICIPALITY OF ANCHORAGE• Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR960047 PID# 015-331-10 HA# HA950539 Permit # Date Received: September 4, 1996 Legal Description: Lot 2 Block 4 Lake O'The Hills Subdivision Engineer: Steven R. Pannone, P.E. PO Bos 142025 Anchorage, Alaska 99514 Applicant: Thomas Williams Waiver Requested: Private well to on-site septic tank of 95 feet Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: 6, jLc i.3 ly-Y Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: L", �c ��41 . Rec #: #02302/2135 Amount: $ 625.00 Date Paid: -Sept 4, 1996 L 7 -ME ll/LAS Uvf}Zfz� l•L; TAt3�c i�njP71 (J 10 � & wia(c Lot - 160 '410 �`Rt2�N�kt- �APdi7[aN;' Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska 99514 (907)272-8218 September 2, 1996 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Block 4 Lake O' the Hills S/D Request for well to Tank Waiver Attn: Mr. James Cross, P.E. Dear Mr. Cross: I am writing to request a waiver be granted between the well and septic tank at the above property. A waiver should be issued for the following reasons; - The distance from the tank to the well is measured to be 95 feet. - This tank was installed in 1984. Since that time, there has been no instances of bacteria in the drinking water. The nitrate count is measured at 3.8 mg/l on November 19, 1995. There was no bacteria present. - A new system was installed in June of 1996. The tank was inspected and found competent. - The depth from the bottom of the tank to the well static water is 30 feet. - The soils are silty sand to silty gravels. - The water table gradient from the tank to the well is approximately 10 to 20 percent uphill. The water table generally flows to the Northwest, and the tank is located Northwest of the well. Using the accepted method of scoring the above items as issued by ADEC, this well scores between 16 and 25, which indicated the well is almost sure to be free from any form of contamination from household sewage. Therefore, I would request that a waiver be granted. Please contact me if you have any questions. Sincerely, Steven R. Pannone, P.E. Civil Engineer C:\WORK�2-41,011.004 ' 8'� 'n R. Fannrnia jr,; k a,,.. �"VV i Steven R. Pannone, P.E. Consulting Engineer September 2, 1996 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Block 4 Lake O' the Hills S/D Request for well to Tank Waiver Attn: Mr. James Cross, P.E. Dear Mr. Cross: P.O. Box 142025 Anchorage, Alaska 99514 (907)272-8218 RECEIVE® SEP 6 1996 Municipallty 01 ABn Services Dept. Health & Hum I am writing to request a waiver be granted between the well and septic tank at the above property. A waiver should be issued for the following reasons; - The distance from the tank to the well is measured to be 97.7' feet. - This tank was installed in July of 1996. The existing task was located closer to the existing well. Moving this tank improved the situation. - The depth from the bottom of the tank to the well static water is 75 feet. - The soils are well graded sands and gravels with a rating of 125 sf/br.. - The water table gradient from the tank to the well is approximately 10 to 20 percent uphill. The water table generally flows to the West, and the tank is located Southeast of the well. Using the accepted method of scoring the above items as issued by ADEC, this well scores between 16 and 25, which indicated the well is almost sure to be free from any form of contamination from household sewage. Therefore, I would request that a waiver be granted. Please contact me if you have any questions. Sincerely, Steven R. Pannone, P.E. Civil Engineer C:kwORxu 1-2wn,rbtt.002 RECEIVED OCT 23 1996 u i ity of Anchorage .Steven R. Pannone, P.E. P � ���, &Human service Consulting Engineer Anchorage, Alaska, 99514 (907)272-8218 October 13, 1996 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Attn.: Mr. Jim Williams Subject: Lot 2, Block 4 Lake O' The Ilius Septic tank to well waiver Dear Mr. Williams; You requested additional information on how the points were derived requesting a waiver for the above property. Attached is a site plan showing the adjacent properties, general site topography and approximate location of wells and on-site soil absorption system on each lot. Lot 2 is approximately 1 '/2 acres. The lot slopes gradually from the north to the south, with the southwest corner dropping off to an undeveloped forest. The well is situated in front of the garage. It was located in a pit, but was extended to meet MOA Health Authority Guidelines. The seepage trench is located along the northwest boundary of the property, approximately fifty feet east of the western property line and located approximately 102 feet from the well serving this lot and approximately 250 feet from the neighboring well to the west and 200 feet from the neighboring well to the southeast. The soil absorption system was installed in June 1996. The original septic tank clean-out was measured to 97.76' from the existing well. The integrity of the tank was confirmed during the new soil absorption system installation in June of 1996. The sewer systems and well on the west side of Lot 2 is similarly situated, but with the well located on the west side of the lot and the septic on the eastern portion of the lot. The exact date of drilling the well is unknown; we found that it is cased to over 40 feet and that the static water level was 34.5 feet below ground level. Well logs for the adjacent lots cannot be found in the records maintained by your office. It is assumed that the wells were drilled by the same company during the same time frame. A well flow test showed the static water lowered eight feet while flowing at approximately 4.5 G.P.M. An adequacy Investigation conducted in December of 1995 indicated that there was no bacteria and minimal nitrates (3.8 mg/1) in the drinking water. Ground water flows generally from the east to the west. I conducted a soils investigation for a new system in May of 1996, The soils on Lot 2 were logged to be poorly graded gravels and sands to a depth of 18 feet. No water was encountered in this test hole. It can be assumed that the soils are similar on the adjacent lots. Mr. Jim Williams 0 C T 23 199G October 13, 1996 Page 2 Municipality of Anchorage Dept. Health & Human Services As outlined under 18 AAC 80.020 and 18 AAC 72.021(a), I have calculated the following points: Distance from sewer system bottom to groundwater 4.5 Soil absorption below sewage system 2.0 Soil permeability below the system 1.0 Water table gradient 6,0 Horizontal separation 2.8 Total Points 16.3 16-25 Almost sure to be free from any form of contamination from household sewage. In my opinion, this waiver request meets the above criteria for approval and does not constitute risk to health. The soil absorption system is located greater than 100 feet from the well, and the septic tank has been in continuous operation since 1974 without any contamination of the well. I hope the above information will assist you in determining that the waiver should be granted. If you have any questions or concerns, please contact me. Sincerely, CA)VORK 2 4LOn.005 Steven R. Pannone, P.E.6�Ce l h. Civil Engineer Attachments` CA)VORK 2 4LOn.005 Steven R. Pannone, P.E. P. O. Box 142025 Consulting Fngineer Anchorage, Alaska, 99514 (907)272-8218 November 19, 1996 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Attn.: Mr. Jim Williams Subject: Lot 2, Block 4 Lake O' The Hills Drain Field Separation Dear Mr. Williams; During the development of the as -built drawings for this lot, it was discovered that the new drain field was installed closer than the required "twice the effective depth" to the existing crib. From as -built information gathered from your files, field measurement and observations, I estimate the distance between the new and existing field to be approximately six feet. I request the distance requirement be waived to six feet for the following reasons: ► During the as -built survey, I took an elevation of the top of the crib clean-out to establish a relationship between the new and existing systems. The bottom of the new trench is 0.9 feet lower than the bottom of the existing crib. While the top of the new trench is 0.3 feet lower than to top of the crib. ► The soils encountered in the new system area were classified as poorly graded gravel to well graded sands that percolated at eight minutes per inch. The existing crib's soils report indicated the soils were rated for better than 125 square feet per bedroom (SW -GW). ► During construction of the new field, no moisture of any kind was encountered. The crib was still in operation and full serving the house which was occupied by six adults. This indicates that the liquid is being absorbed at a rate great enough that fluid will not affect the operation of the new system and vise -a -versa. ► The exact location of the crib walls in relation to the clean-out is not known. The location shown on the as -built drawing is a best guess relationship. The exact position can only be determined by excavating the crib. Steven R. Pannone, P.E. Consulting Engineer Mr. Jim Williams November 19, 1996 Page 2 P. O. Box 142025 Anchorage, Alaska, 99514 (907)272-8218 Liquid in sandy or gravely soils will tend to absorb at steep angle. Assuming an absorption angle of 45 degrees below horizontal, the six foot separation would be adequate for the estimated six foot distance. The area encroached by the new trench is limited to a fifteen foot length along the trench. All other areas of the trench and crib meet the separation requirements. In conclusion, the Department's granting a separation waiver between these two systems will not affect the operation of the systems, cause health dangers or in any way be detrimental to the overall function of the soil absorption systems. Please contact me if you have any questions. Sincerely, St— even R. Pannone, Civil Engineer CAWORK\2-4LOH.006 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION C ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 2644720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE EINE ����//�� J c•01•.�W�-L_L--��d IICE YZ AL,k L014 irLE co KUPGRADE MAILING ADDRESS 3/0)- C LEGAL DESCRIPTION t,o i 20 6 u �4 C> I—/ r�L� LOCATION NO. OF BEDROOMS Well Absorption area Dwelling PERMIT NO. O DISTANCE TO: ([Xj _Y i z Manufacturer /�' ( Material No. of compartments y Liq. �!acity in gallons I IF HOMEMADO Inside length Width Liquid depth 0 se DISTANCE TO: Well L'[ Dwelling t _ PERMIT NO. SFa- Manufacturer Material Liquid capacity in gallons d w= DISTANCE TO: Well / LL) l Foundation Ll0 Nearest lot line 1- PERM IT fsJ O. y O 30(6 J w z No. of lies Length of each line Total length of lines Trench width Distance between lines Zw —¢ �i7 30 inches � F Top of rile to finish grade Material beneath rile Total effective absorption area O % &0 inches � OU J Length Width Depth PERMIT NO. W 0 i I— Type of crib Crib diameter Crib depth Total effective absorption area wa W DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS _ SOI L TEST RATING INSTALLER REMARKS J6— 0 10 A L A L wti wt .. i aV 7 fit' %�e LS s e ca r 2225aE.•`.`®® MUNICU INP 7�1 C171 k EALT • ,•mil PT. OF �/� �`••. 4 & .°��: � ENVIRONMEN A• PRC TEQ ION APPROVED DATE LEGAL (RF L/i t'/ In U i -)-A� 72-013 (Rev. 3/78) APPLICANT: TOBB I N SPS �R.KLAND ADDRESS: : 203 W. 15TH ANCHORAGE: AK 99501 CONTACT PHONE: 279-3916 LEGAL DESCRIP: SUBDIVISION: LAKE O THE HILLS LOT: 2 BLOCK: 4 SECTION: 23 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 30000 (SQ. FT. OR ACRES) CERTIFY THAT: 1. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. 3. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL: WASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. IF A LIFT STATION IS INSTALLED IN AN,AREA COVERED BY MOA BUILDING CODES: THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED: (2) AS -GUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT: AND (3) THE ELECTRICAL WORE: MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE:/?/�L/ APPLICANT: TOBBIN URVLAND ISSUED BYDATE: --------- M?,1NICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 95501 264-4720 EDP-4-�S I -IF F= SEWER PERM I i" PERMIT NO: 240306 UPGRADE DATE ISSUED: 05/07/84 APPLICANT: TOBB I N SPS �R.KLAND ADDRESS: : 203 W. 15TH ANCHORAGE: AK 99501 CONTACT PHONE: 279-3916 LEGAL DESCRIP: SUBDIVISION: LAKE O THE HILLS LOT: 2 BLOCK: 4 SECTION: 23 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 30000 (SQ. FT. OR ACRES) CERTIFY THAT: 1. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. 3. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL: WASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. IF A LIFT STATION IS INSTALLED IN AN,AREA COVERED BY MOA BUILDING CODES: THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED: (2) AS -GUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT: AND (3) THE ELECTRICAL WORE: MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE:/?/�L/ APPLICANT: TOBBIN URVLAND ISSUED BYDATE: --------- G Q GRE*R ANCHORAGE AREA BOUGH t �� Department of Environmental Quality 3330 C Street ' Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME iaS PZy r0215f MAILING ADDRESS Sg� 72 ii7 PHONE!itf -' (161 LOCATION LEGAL DESCRIPTION 2 ke /A''REST ADDITIONAL ABSORPTION / 2 x 9-Z v✓uinu SEPTIC TANK: DISTANCE /��, J NUMBER OF FROM WELL/, MANUFACTURER- ✓-C-0 V- MATERIAL S��-e / COMPARTMENTS I INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY )�2-S O GALLONS. SEEPAGE PIT: / 9 X /LT K 91< 9n /7 K Z $ NUMBER OF PITS DIAMETER / OR WIDTH_, LENGTH_, DEPTH - LINING MATERIALZCQ-n_- �i nc: CRIB SIZE: DIAMETER —DEPTH k DISTANCE FROM: WELL TOTAL TIVE BUILDING FOUNDATION ZS NE LOT LINE ABSORPTION RPTIONC�A['REA (WALL AREA) "- n& SQ. FT. /A''REST ADDITIONAL ABSORPTION / 2 x 9-Z v✓uinu P a'✓ea tt' 3QUI �W P� %�l�S eL�ri q�S 3Q � SCJ � /7TG€'JSri✓fit-ion Gr/�cc !(7fRl �J'OI�fiE WELL: TYPE PVi0l fe CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION—,LOT LINE—,SEWER LINE TANK—,SYSTEM , CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS)9,41Q'l DISTANCES: 14✓ //��,, -J 4 DIAGRAM OF SYSTEM 2�fi :' t • INSTALLED BY: A2 Z LOCI TVGn$iif lei ,/ PIPE MATERIAL: Cu5 I✓0,4 qNc( ` rY2 n S; �P �` ecl/m S nJc%P Z, LOT SLOPE: WQ�i - ClVyin 4i Y)e REMARKS: `7/3 7o-fi ab -go otic 1. DATE 5-ZZ-'�/ APPROVE .A. A. B. Form No. EQ -031 GREATER ANCHORAGE AREA BOROUGH d` b DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. & 3330-C"STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 qa4 .A. SEWAGJE� DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT "" L� MAILING ADDRESS � `- ' 3 l PHONE INSTALLATION LOCATION % LEGAL DESCRIPTION '^ Z' rt kQ INSTALLATION OF: SEPTIC TANK SEEPAGE PT 4./ DRAINriFIELD OTHER _ TYPE AND SIZE OF FACILITY TO BE SERVED -5; /� (it--v'L FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED PO BE INSTALLED BY NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL 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, SEPTIC TANK SIZE / ?— ® TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT 2 0 , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. /^ WELL TO SEPTIC TANK .� SEEPAGE PIT Z e DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK, t�% SEEPAGE PIT �, DRAIN FIELD ` TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS, GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.S. OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE � - 7 � -TV- APPLICANT'S SIGNATURE FORM NO. EQ -016 SIZE TYPE DIAGRAM OF SYSTEM AREA �/�/BOROUGH ORDINANCE NO. 26-68 AND THAT THE ABOVE V %f-'� -. FJ- -_ - -�- -- IIIIII I-- _ _ - - -- 3 --T 17 . AREA �/�/BOROUGH ORDINANCE NO. 26-68 AND THAT THE ABOVE V %f-'� G'I�PER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 °C" Street { Anchorage, Alaska 9g5O3 Perf,-�ed for ;egg' :iescript'oa'n,- v T This 'arm reports: Soils logog Deptr. Feet 1 _ -- -- _//�� Date performed 5 NLe6Y — -- ercolatiT; ;Jas ground water encountered? X10 If yes, at what depth? treading Date Gross Time Net Time Depth co H2O Net Drof,j } I I I —77 ;Jas ground water encountered? X10 If yes, at what depth? treading Date Gross Time Net Time Depth co H2O Net Drof,j I I • �-' �•� , �. Y 1 411 I U LC Prcpn,;e� installation Perfc III 1 tll! t. t; See[,a�le P -ii: _ Drain Field ""ottom yf pito t,cr��, MUNICIPALITY OF ANCHORAGE Development Services Department=1 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel 1. D. 015 331 10 1. GENERAL INFORMATION Expiration Date: Complete legal description Lake O the Hills 134 L2 Location (site address) 6700 RockRidge Current property owner(s) Ones Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/ADU) F-_1 Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 7 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: NONE Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ J 50 Waiver Fee $ Date of Payment Date of Payment Receipt Number 060 G 3b Receipt Number COSA # OSC 211 5 50 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. Name of Firm C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 9/8/21 OF Al_g,�l ,*.-49TH* 6. DSD SIGNATURE •• ..••• •••••• System #1 Approved for bedrooms CHARLES G BALZARIUI j System #2 Approved for bedrooms ��F���. CE -13854 Disapproved ��l%PROFESSO���� Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: 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 Other COSA Checklist blue sheet Legal Description: LAKE O THE HILLS BLOCK 4 LOT 2 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA -i Well log is filed with Onsite (or attached) Date drilled LINK Total depth LINK ft Cased to UNK ft ❑ Sanitary seal is functioning correctly OR Wires are properly protected Casing height (above ground) +12 in. Date of flow test for COSA 9/14/21 Parcel ID: 015 331 10 Structure served by this system 1 Well production at time of test +5.4 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 3.89 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by C.Balzarini Date of Sample 9/20/21 Static water level at beginning of test 34 ft. Comments WELL DREW DOWN TO 56' BTC DURING SUSTAINED PUMPING AND STABILIZED B. TANK DATA Age of tank(s) 7 years Tank type/material SEPTIC STEEL Measured operating fluid level in septic tank 50 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 9/21/21 D. ABSORPTION FIELD DATA Trench Which system tested (date installed) 1990 ❑ ALL standpipes present per record drawing Total measured depth from grade 15.5 ft (max) Measured depth to pipe invert from grade 3 ft (min) ❑ N/A – pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 9/14/21 Results IDPass For 7 Fluid depth prior to test 3 Water added 1050 gal New depth 5 in Elapsed time 1440 min Final fluid depth 3 ❑ Code -required soil cover over field — rt F-1 System presoaked Absorption rate 1050 gpd bedrooms in (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NA date of test) Gallons introduced gallons If yes, enter date NA Comments/Deficiencies: DEBRIS AND ROCKS REMOVED FROM STANDPIPES. COSA Checklist yellow sheet E. SEPARATION DISTANCES 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 Community Sewer Manhole/Cleanout > 100' 17 Yes if No ft 2 Yes if No ft Neighboring Tank > 100' [✓ Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' E✓ Yes if No ft Holding Tank > 100' n✓ Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' ❑✓ Yes if No ft ✓� Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' MYes if No ft P/1 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No +5 ft Surface Water > 100' Yes if No ft Property Line > 5' ✓� Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0✓ Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10'✓� Yes if No ft Community Wells > 200'✓Q Yes if No ft 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' El Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0✓ Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓Q Yes if No ft Private Wells > 100' El Yes if No Water Service Line > 10' Yes if No ft Community Wells > 200' 0 Yes if No Surface Water > 100'✓71 Yes if No ft F. ENGINEER'S COMMENTS Pipes were full of debris and toys; removed. Verified no obstructions between tank/splitter. Engineer verified all standpipes shown on record drawings were present. East trench had 50" standing water, test run in west trench. G. ENGINEER'S CERTIFICATION I 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. 9/18/21 COSA Checklist yellow sheet of At TH ... _�.. ' • CHARLES G BALZ �'c`G' •. CE -13854 .• �`� �FOPROFESSIONP ���aaao�►- ft ft eiE?�BG Municipality of Anchorage- On -Site Water and Wastewater Program (907) 343-7904 s a r e r x Certificate of On -Site Systems Approval Parcel I.D. 015-331-10 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lake 0' the Hills, Block 4, Lot 2 Location (site address) 6700 ROckridge Rd. Current Property,owner(s) Wendi Hltwein & Colin Flaherty Day phone Mailing address 6700 Rockridge Rd. Anchorage, AK 99516 Real Estate Agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: individual Well Fx] Individual EJ IndlvidualWaterStorage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance COSA to be released to the engineer, unless otherwise requested by the engineer COSA Fee $ - lJ�') Waiver Fee $ Date of Payment tP �I l�j r� a, Date of Payment Receipt Number D II03G Receipt Number COSA # OSCIrJI3 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation dateshownbelow, I verify that my- investigation,: based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage. files .and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal .and State codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured toreadily identifiable features. The operational life of all wells .and septic systems depend an the local soil condition, ground water levels that may fluctuate during theyear, and the water usage ofthe family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future :performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 6/2/2015 6. DSD SI NATURE 77 System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Slsven' �`�`(�onnorie CE -8149 _• ; bedrooms, with the following stipulations: By: r r Original Certificate Date: The i l icipol' of An ge Development Services Division (DSD) issues :Certificates of On Site Systems Approval (COSA) based :only - upon the r resentations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska The Municipality Of Anchorage isnot 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 Other COSAbluesheet'f , c :, a If more than 1 septic system is on the lot: COSA Checklist # + of Structure served by this system i Certificate of On -Site Systems Approval Checklist Legal Description: Lake O' the Hills, Block 4, Lot 2 Parcel ID: 015-331-10 A. WELL DATA 4-1 Well type Private If A, B, or C provide PWSID # Well Log (Y/N) 1: U Date completed �� Sanitary seal (Y/Nf Y Wires properly protected (Y/N) Y Total depth ft. Cased to a✓ft. Casing height (above ground) 18+ in. FROM WELL LOG Date of test 4 Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform N colonies/100 mL Nitrate �,3� mg/L Arsenic N ug/L Date of sample: 6/2/2015 - B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,250 gal. Number of Compartments 2 Foundation cleanout (Y/N) Date of pumping New Y Depression over tank (Y/N) N Pumper N/A 5''AA(/9° C. ABSORPTION FIELD DA t�IA I f dt6q AT INSPECTION 8/29/2014 36 ft. 4.3+ g:p.m. Collected by: PES Date installed 10/13/2014 Cleanouts(Y/N) Y High water alarm (YM) N Date installe Soil rating (g.p.d./ft2 orft/z�/bdrm) 125 SF/BR System type Deep Trench Length 50/3 q ft. Width 2.5 �` i ft. Gravel below pipe 5 � ft. Total depth 12 ,� ft. • Eff. absorption area 500 fe Monitoring tube Y Depression over feld N Date of adequacy test 8/29/2014 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0/ b in. Water added 602 gal. New depth 30 3 min. Elapsed Time: 440 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 1.2 mo.) (Y/N & type) NO If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at in. High water alarm level at in: Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank . 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD_ ON LOT TO: Property line 10+. i Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. 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. Engineer's Printed Name Steven R. Pannone Date COSA canary sheet 2f-15.doc 6/2/2015 Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/,vehicle storage 10+ ROCKRIDGE DRIVE LO N �n N I hereby certify that an accurate survey of the following described property: LAKE 0' THE HILLS SUBDIVISION (72-236) LOT 2, BLOCK 4 was made on November 14. 2014 and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Easements other than those shown on the record plat may not appear on this drawing. Anchorage Alaska, this 19th day of June 2015. 3 SCALE : 1" = 30' 0' 15' 30' 60' o c5 MUNICIPALITY OF ANCHORAGE • ''° DEPARTMENT OF HEALTH & HUMAN SERVICES M Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907)343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel l.D.# 015-331-10 HAA# xl&zG og'12 1. GENERAL INFORMATION Complete legal description LAKE 0' THE HILLS SUBDIVISION: LOT 2. BLOCK 4 Location (site address or directions) 6700 ROCKRIDGE Property owner ANGEL FITHEN Day phone X907) 346-4255 Mailing address 6700 ROCKRIDGE, ANCHORAGE, AK 99516 Lending agency Mailing address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1191) Front MOA #21 Computer version 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. 1 further verify that basep?-d yn the information obtained from the Municipality of Anchorage files and from my investigation and instion, the on-site water supply and/or wastewater disposal system is in compliance with all Municip nd State codes, ordinances, and regulations in effect on the date of this inspection. _ ' ; Name of Firm Engineer's Phone (907) 337-6179 In conducting this evaluation, AWWC, ICO', '. ff ' pted tooprbvide a thorough, conscientious engineering analysis of the system in accordance with ADEC and O , D HS Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments.t�S���r AWWC, Inc. can therefore not provide any warranty for future estimate of how long the ��*� • 4 �* system will continue to meet the operational requirements of the ADEC or MOA DHHS. .......... > • • . • .. • .. • .. ; • . The content of this report is for the sole benefit of the owner listed above. Any ' reliance upon or use of this report by any other person or party is not authorized, . ... ... nor will it confer any legal right whatsoever.P .J ffr A. s's G QA " 7953 ' 6. DHHS SIGNATURE _Jef::�' Approved for L� bedrooms Disapproved Conditional approval for EXTROTeR J ed bedrooms, with the following stipulations: Date 15 " 0 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1191) Back MOA #21 Computer Version Municipality of Anchorage ,,te�tt L E I V t V DEPARTMENT OF HEALTH & HUMAN SERVICE Environments! Services Division 625 V Street, Rm 502 Anchorage, Alaska 99501 (907) 343.4AWG 03 2000 MUNICIPALITY OF ANCHORAGE --1"rNITALSERVICFS PIN Health Authority Approval Cheddist Legal Description: LAKE 0' THE HILLS S/D; LOT 2, BLOCK 4 Parcel I.D.: 015-331-10 A. WELL DATA Well Type PRIVATE If A. B, or C, attach ADEC leiter. ADEC Water system number N/A Log present (YM) N Date completed UNKNOWN Total depth 56'+ Cased to 40'+ Ging height (above ground) 180+ Sanitary seal (YIN) YES Wires properly protected (YM) YES FROM 1995 HEALTH AUTHORITY Data of tent 11-13-95 Stalk water level 34.5' Well production 4.5 g.p.m. AT INSPECTION 7/5/2000 40' 5.6 g.p.m. WATER SAMPLE RESULTS: Gt�(Ly eh(oren Coliform Nitrate q,01? mq ZL Other bacteria A - Date of sample: 7/a y 7�a7 Collected by: A.W.W.C., INC. B. SEPTICIHOLDING TD A �.ha227 Date installed — Tank size 1250 Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YM) YES Depression (YIN) NO High water alarm (YM) N/A Dade of Pumping 7/5/2000 Pumper OLD MCDONALD'S C. ABSORPTION FIELD DATA Deft Installed 6/29/96 Soil rating (g.p.dM orft2lbdrn) 0.8 System type DEEP TRENCH Length 57' Width 2' Gravel thickness below pipe 6.6' Total depth 13.6' — 18.1' Effective absorption area 752 SO FT Monitoring Tube present (YM) YES Depression over field (YM) NO Date of adequacy lest 7/5/2000 Rmb (PassfFall) PASS For 4 Bedrooms Fluid depth in absorption field before lest (tn.); 48.5" Immediately after 898 9nt, water added (in.): 68.5" Fluid depth 63" (iris) Minutes later: 30 Absorption rate = 600+ GPD Pem)dde treatment (past 12 morribe) (YIN) NONE KNOWN U yes, give date ----- 72.028 (Rev. 3196r Cw0uW Vardon D. LIFT STATION Date installed Size ManholafAcoess High water alarm *Datum at* E. SEPARATION INSTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: *WR#960047 F. "Pump ofP level at* Septic/holding tank on lot *95' On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main NSA Public sewer menhoWcleancut N/A Sewerlseptic service line 25'+ Uft station N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water mainlservica line 10'+ Surface wateddrainage 100'+ Wells on adjacent lots 100 �+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water malMservice line 10'+ Surface water 100'+ Driveway, paridngfvehicle storage area 10'+ /. Curtail drain NONE KNOWN Welk on Engineer's HAA Fee S 3 6'o r 0 Data of Payment 19-3' erD Receipt Number (eg7�} 72-028 (Rev. =r Computer Vemlon Waiver Fee Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE A • DEPARTMENT OF HEALTH & HUMAN SERVICES y- t Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D..# C;iS` - 33 -/b 1. GENERAL INFORMATION H A A # -\Q_A Complete legal description L 0'-C .Z ., i CC is t( 16A Ic4: c-' < Nc- IH, ti.S Location (site address or directions) & Fe c; -7 0Ck 1-2i-y,e- Property owner Day phone 3u6 -932 -1 - Mailing address L 7 cc- 'R c IL V_� t�-A'L , dl riaif 'k l ') X75/ C,. Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water q Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site }c Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA 021 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 furtherverifythat 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 ofFirm � ��� tic7�c 0-N(, Syc Phone -29"2-2 21 Address V�>c>K /u�o`'s 0"Ir14-j t`>16 :�D -,)S/el Engineer's signature— Date `�- `� Ql�-Q</L;,�,-c��L LhSL C�i=Co N�IT7vtJ iAL �:�-.�11�. .-.,: evva:'� L 6. DHHS SIGNATURE _ Approved for Buz bedrooms. Disapproved. Conditional approval for bedrooms, with the 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 purchasers of homes and their lending institutions in orderto 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. 7MZ (Re ,1/91) Back MOA q l Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES R F C F i V Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 0219966 DEC murs'G' pw'.' s .a:,t;norage Health Authority Approval Checklist Dept. Heaith & Human Services Legal Description: LZ , 13 4 L A Kt-- C "rjlra 0 r tis Parcel LD.: C) LS — 33 t — i o A. WELL DATA Well tvpe�R t JA—rrf If A. B. or C. attach ADEC letter. ADEC water system number Log present (YIN) tV Date completed 0N14,00u/ , Total depth u p)"uw vr.i Cased to �(o+ Casing height (above ground) 21 e Sanitary seal (Y/N) Wj FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Wires properly protected (Y/N) Y AT INSPECTION r1- t3-gs 3 u r(z g.p.m. `('S g.p.m. Coliform — c7 — Nitrate 3 Other bacteria —� tzczG�0 r Width Z` Gravel thickness below pipe • 6 Date of sample: I1 l r" -4S T- ;i, — At Collected by: 5� (2-J��1 v ✓aN B. SEPTIC/HOLDING TANK DATA Date installed -S-/-z z /-7 a Tank size 1'2,5u Number of Compartments Cleanouts (Y/N) '( Foundation cleanout (Y/N) `C Depression (Y/N) V High water alarm (Y/N) Date of Pumping 1 !- f L- FS Pumper N" t rA(l,, C. ABSORPTION FIELD DATA Date installed 6 - Z4-46 Soil rating (g.p.d./ft' or ftZ/bdrm)y . (3 Svstem type -L) --r- Length Sys Width Z` Gravel thickness below pipe • 6 Total depth Effective absorption area Monitoring Tube present(Y/N) Y Depression over field (Y/N) ✓" * S,.zca A--,rp.-rViaD os-c� rA Date of adequacy test 111? -'?116 Results (Pass/Fail) C�fa gS_ For 41 bedrooms Fluid depth in absorption field before test (in.); /6 " Immediately afterr gal, water added (in.): ! Y %4 Fluid depth 16 " (ins.) Minutes later: ' 4 u D Absorption rate = <- u.SD a.P d. Peroxide treatment (past 12 months) (Y/N) NO If yes, give date �—� D. LIFT STATION Date installed Maiiliole/Access (YM) High water ala�l at* tested E. SEPARATION DISTANCES Size on" level at* "Pump off' level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Se=C 1-r ,A( 0 'm Septic/holding tank on lo[ 2 `�(5n adjacent lots Absorption field on lot 1 D 2 ; On adjacent lots (BD T Public sewer main Public sewer manhole/cleanout / M Sewer /septic service line Lift station �( SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation lS Property line qS Absorption field Z S Water main/service line /001' . Surface water/drainage 100-t- Wells on adjacent lots /tr _r SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation c< < Water main/service lined /00+ Surface water /all f Driveway, parking/vehicle storage area �S Curtain drain N (CA Wells on adjacent lots 0o Property line F. ENGINEER'S CERTIFICATION I certify that 1 have determined thru field inspections and review of Municipal records Yhgt ihe;Ab$fte,• stems are in conformance with MOA HAA guidelines in effect on this date. Siguatum e Engineer's Name 5 i fat c� N re s 4 $ ,, Fzar noe Date l2 4 i� 41 CE �t1'p9 E '• T. �. HAA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number Rev. 8/95 OSS: haa.wk.doc 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 OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # HAA # 1. GENERAL INFORMATION Complete legal description Lo-- Z BLC, C1/- 44 c(A).ce o'-rJle1-f)Lcs 5/n Location (site address or directions) 67-c>o RaocK 2 ibc, p - Property owner ravee� e..)E K. 9 oho e. Day phone Mailing address I . o •7$oSc. A A) clt Q % 99 5' 416 S-3 Lending agency Mailing address. Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: AL Ll 3. TYPE OF WATER SUPPLY: . _:. 1ll4il YYtFitj i7E Individual well Community well Public water 1 _ NOTE: If community well system, provide written confirmation from State,!AP�C attest -1 ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site - k Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(11ev.1/91) Front MOA#21 5. 6. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Sv c Phone Address Engineer's DHHS SIGNATURE At Approved for bedrooms. Date //' 2-0' 4s stavrn R. Panncae CE -8149 ti 'IS// Z O '} r Disapproved. Conditional approval for bedrooms, with the following stipulations: sc�Gv✓L O eouER Tff� ��aF /�ccbntNT vti,—'e'_ r 7 I i'Ksoas Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHSdo not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M(Rw.1/91) Beck MOAM21 Municipality of Anchorage C F I�[ V E D DEPARTMENT OF HEALTH & HUMAN SERVIC Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343W44 1995 44 Municipality of Anchorage Dept. Health & Human Services Health Authority Approval Checklist Legal Description: L2,—B4 Parcel LD.: A. WELL DATA Well type— ,UA-Te—r If A, B. or C, attach ADEC letter. ADEC water system number Log present (Y/N) r( Date completed 01-4 kA.)c k V'J Total depth 0 /j Cased to G1 t7 *t Casing height (above ground) ..> Sanitary seal (Y/N) ( Wiresro erl p p y protected (Y/N) FROM WELL LOG AT INSPECTION _twx Date of test I _ 4 _ c? S Static water level 3 y ��2 .(Lr Wellroduction P g.p.m. �-I • S g.p.m. WATER SAMPLE RESULTS: Coliform —0— Nitrate 3.44 Other bacteria —0 — 14 Date of sample: Collected by: 5.IQCPA„)„0o„0e B. SEPTIC/HOLDING TANK DATA Date installed Cvl R y Tank size 12 Sa Number of Compartments 2 Cleanouts (Y/N) v Foundation cleanout (YIN) C Depression (Y/N) 1`E High water alarm (Y/N) ^ A DateofPumping_Pumper 1,0-7-igtAA;D C. ABSORPTION FIELD DATA ? &v-5 cmtv1( Date installed 6 /�3 y Soil rating (g.p.d./ft2 or fr'/bdrm) / ZS- System type "1� k - . CMIG gym, �, r83.7,rX- .* Length So Width 3o ` Gravel thickness below pipe S'04 Total depth / Effective absorption area Sop Monitoring Tube present(Y/N) Depression over field (Y/N) t4 Date of adequacy test /(— t qb Results (Pass/Fail) Wass Forbedrooms 53 3/a Fluid depth in absorption field before test (in.); &a33/q Immediately after boo gal. water added (in.): 5331y Fluid depth 63-Yq (ins.) Minutes later: 141140 Absorption rate 00 } g.p.d. Peroxide treatment (past 12 months) (Y/N) .N O If yes, give date 0 D. LIFT STATION N / Date installed r/ Manhole/Access (Y/N) High water alarm level E. SEPARATION DISTANCES Size in gallons *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: 0 "Pump off' level at* Septic/holding tank on lot / (� �/ (-rtANtr roSTAu POn ad ac nt lots /00 Absorption field on lot / 3 -7 ; On adjacent lots / 00 r Public sewer main ^�/A Public sewer matthole/cleanout N(A Sewer /septic service line ?S + Lift station N/fA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation / 4" Property line 25-t Absorption field 3 4 Water main/service line `TO ' Surface water/drainage /cvo T Wells on adjacent lots / U O f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: i Building foundation 3 q Water main/service line /c; 0 -k-- Surface Surface water /Do Driveway, parking/vehicle storage area 10 O tF T Curtain drain so Wells on adjacent lots / Oct Property line / b F. ENGINEER'S CERTIFICATION 4: I certiJv that I have determined thru field inspections and review of Municipal rec i(s t the above SjaS't�rt e in conformance with MDA NAA guidelines in effect on this date. lJ �OM im u..yina. iSrv9.'�Si Signature -s n, Engineer's Name 5 TSV e.r—) t tn. &z Date /I— zeo— 4,T HAA Fee $ ?nc, Date of Pavment i 1-a 1- q6 Receipt Number " C)�'A $M I rI1 Y , S Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ _ Date of Payment Receipt Number ph`OF� Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska 99514 (907)272-8218 December 14, 1995 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Block 4 Lake O' the Hills S/D Request for Conditional Health Authority Approval Attn: Mr. James Cross, P.E. Dear Mr. Cross: I am confidant that a replacement system for the above lot can be installed. The replacement system will be located west of the existing seepage crib approximately twelve feet away. I reviewed the design files for the original system. A test hole was excavated and soil rated in 1974. See the attached soils log. A portion of the new system will be installed within the 30 radius of this test hole. Furthermore, a test hole will be excavated and the soils verified if a new system need to be installed. Drainage is positive away from the proposed location to the east and south west. The new system will not affect surrounding properties. The nearest property that could be affected is to the northwest and it's septic system and well is located approximately 200 feet away. A new trench would be located in soils identified as SW (Well Graded Sands) that have an application rate of 125 SF/BR. The existing house is a four bedroom structure. The required area for absorption is (125 sf/br X 4 br) is 500 S.F. A deep trench is best suited for this property. It would have an effective depth of 5 feet (10 sf/11) and be a minimum of 50 feet long for a total of 500 sf of absorption area. The total depth will be eight to ten feet deep. See attached Preliminary Design Details. rr Fund have been escrowed to cover the cost of installation. Please contact me if you have any questions. Sincerely, teven R. Pannone, P.E. Civil Engineer t� M 0 • 0 r" AralJ. o© eAe•-BuIII " 1 hereby 0er►Ity that a survey of the followtnq deeorlbed property L r t e,4 e� c�'rNe tyros �• ) was made an. _and that the jmprovements situated thereon are - wlihln the properly lines and do'not overlap or enoreoah on 60 properly adjacent thereto0that no improvements 00 property lying adjacent thereto encroach on the premises In Question and that there ore no roadways, transmission lines or other visible easements on sold property except as Indicated hereon, Dated of Anchorage, Alaska, this day ofren CONTRACTING ENGINEERS @ ASSOC. 212 E, International Airport Rood Anchorap0, Alaska 99502 Phone: 2TO.3TT3 10 'd 0 i So, tE OF ( % �'• EE r....:.......9 t�.�f•.... . Donald O. Sourl'ar .NO, 2233.8 J f . pAOFESSIQIin SEAL SZIOI flH1 56 -tit -03Q Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska 99514 (907)272-8218 December 14, 1995 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Block 4 Lake O' the Hills SID Request for Conditional Health Authority Approval Attn: Mr. James P. Williams Dear Mr. Williams: I conducted a Health Authority inspection at the above property on November 18, 1995. The initial inspection showed that there was 63.75 inches of fluid in a deep trench with five feet of effective depth and 53 inches of fluid in a crib with six feet of effective depth. I added 600 gallons to the crib and monitored the fluid levels in the crib and deep trench for twenty four hours. Fluid levels rose with the addition of water and returned to the original levels by the end of the test period. It is my opinion that this system is performing adequately. During the MOA review process, you have indicated that this system is operating in a surcharges manor, I.E. the fluid is being absorbed above the distribution lateral. A Health Authority Approval will not be issued with the system operating in this manner. i Our discussions have focused on the point that this deep trench does not to be level. According to the approved as -built, it must be assumed that it is level. In addition, the fluid levels in the crib—did not exceed the as -built effective depth. A Health Authority Approval would be issued if the levelness of the deep trench lateral was verified or the adequacy of the crib was determined. On December 13, 1995 I hired a backhoe to excavate down to the distribution laterals to verify or disprove the levelness of the lateral and install a valve on the line to the deep trench so the crib could be tested for adequacy. Frost was encountered down to a depth of 2.5 to 3 feet. One of the teeth on the bucket was damaged trying to excavate into the frost. We terminated our attempt to verify the elevation of the laterals. Mr. Tim Williams December 14, 1995 Page 2 Therefore, I request a Conditional Health Authority Approval be issued for this property. An Unconditional Approval will be sought in the spring, May or June, when the ground thaws. The existing system will be verified and tested to be adequate at that time. Full documentation will be provided to your department showing adequacy of the system. Funds will be set aside in escrow to install a replacement system in the event that the existing system does not prove to be adequate. See attached Preliminary site plan for the replacement system. There should be no chance of health danger from effluent. There are three systems on this property, each one sized to handle four bedroom. The existing crib is roughly 28 by 17 by six feet deep, There is the fifty foot long by five foot deep trench, and there is a 42 by 12 by 3 foot deep bed. In addition, six hundred gallons of water was added to this system with no backing up into the septic tank or flowing over the ground. Please contact me if you have any questions. Sin Steven R. Pannone, P.E. Civil Engineer sso.a � a. Pa:.ncna CE . 81 ,19 t�$.�/ih.�.�•ti� V �f Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska 99514 (907)272-8218 SEPTIC SYSTEM ADEQUACY TEST Legal: Location: Owner: Septic System: Date of Pumping: Date of Test: Lot 2, Block 4 Lake o' the Hills Subdivision 6700 Rock Ridge Ms. Laverne Hodge From Municipal Records• Tank: 1250 gallon Absorption System: Absorption Area: Soil Rating: Installation Date: Deep Trench/crib 500 s.f. 125 sf/Bedroom June 2, 1984 November 17, 1995, Northland Pumping, November 18, 1995 FA �q Steven R. Pannone Icy c, y CE 8149m r w Test Procedure: System was inspected and measured. Liquid depth was measured to be 63.75 inches in the field monitor tube and 53.75 inches in the crib. The field total depth was measured to be 160 inches, and the crib total depth was 183.75 inches. Black gritty material was observed in the fluid of the field monitor tube. The owner mentioned she has used Isaacs Honey Wagon in the past to pump her tank. It appears that the system was installed with a deeper effective depth than was noted on the as -built inspection sheet, or not installed level. The as -built inspection indicates that there is 60 inches of effective depth. Fluid was measured to be 63.75 inches deep in the fields monitor tube. That indicates that the operating level is above the new systems perforated pipe at the monitor tube. Water was added to the system at a constant rate of 4.5 G.P.M. The water levels in the tank, field monitor tube and crib monitor tube were monitored. A total of 600 Gallons of water was added. During the test the fluid level rose 13 inches in the field, and seven inches in the crib. The fluid levels rose to the same level. No rise was noted in the tank. The infiltration rate was monitored for 24 hours. During this period, a total of 600 Gallons were absorbed. Fluid levels in the crib and trench system returned to the before test levels. By extending the observed infiltration rate a total absorption rate 600 Gallons per day was arrived at. TESTS RESULTS: This system meets the code requirements of the Municipality of Anchorage for a 4 bedroom single family residence. The well produces 4.5 G.P.M., and the soil absorption system accepted 600 G.P.D. of fluid. It appears that this system is not installed level and is operating in the last 15 to 25 percent of its life. The operational life of all septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. We can therefore not give any estimate of how long the system will continue to meet the operational requirements of the Municipality and State. Time APPLKVT FILLS OUT UPPER MA ONLY Time Property Owner John R. & Edie Creek Date ne ' Mailing Address SRA Box 7B Anchorage, AK Zip Code 99507 F349-8253 Buyer Field Notes: Address )DISAPPROVED The system must undergo normal occupancy use for at least Zip Code DATE .�2 that period (on or around the end of March). If it is Lending Institution BY: consider releasing approval of this system. 6Z, ��e;/L r --o ,.�'C. <_.614c Q.LrX :.74— Phone Address Soils Rating Zip Code Well To Absorption Area Realty Co. & Agent Coldwell Banker Jack Shite Company — Elliot Lawson Phone Address 3201 "C" Street Suite 100 Anchora a AK Zip Code 99503 277-1553 Legal Description Lot 2, Block 4, Lake O'the hills Subdivision Street Location 6700 Rockridge Drive Type of Residence IX Single Family ❑ Multiple Family No. of Bedrooms 3 ❑ Other Water Supply Ck Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal XD Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ( •.) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL )DISAPPROVED The system must undergo normal occupancy use for at least CONDITI NALAPPROVAL' six months and will need to have an adequacy test after DATE .�2 that period (on or around the end of March). If it is working satisfactory at that time then this department can BY: consider releasing approval of this system. 6Z, ��e;/L r --o ,.�'C. <_.614c Q.LrX :.74— Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic Tank Size 2-023131821 • 40 �a MANIAa oDO pato CONSULTING ENGINEER John Creek SRA Box 7B Anchorage, AK LEGAL: LOCATION: OWNER: RESIDENCE WATER: 99507 March 29, 1983 SEWER ADEQUACY TEST 0 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 2793916 Lot 2, Block 4, Lake O'The Hills On Rockridge John Creek Four-bedroom, single family Onsite well MUNICIPALITY OF ANCHORAGE DEPT. OF H`.�.LTN •: ENVIRONI�LNTAL P/�ROTECTION Mpg 3 0 ens +a RECEIV ED SEWER: From Municipal Records: Tank - 1250 gallon Greer Steel, one compartment Absorption System - 6 feet diameter, concrete ring, 6 feet deep and seepage bed 12 x 42 feet Absorption Area - Crib = 606 Bed = 307 Soil Rating - 125 Installation Date - May 1974 DATE OF TEST: March 28 and 29, 1983 TEST PROCEDURE: System was inspected on February 16, 1983, and found surcharged. On March 8 the tank was pumped and the crib treated with hydrogen peroxide. On March 28 the "Tobben Spurkland P.E. 0 • crib was filled with water at a steady rate of 5 gallons per minute. The following measurements of the liquid depths were as follows: Time Depth Volume 0 40 -- 10 4321 50 20 47 100 30 49 150 45 5321 225 60 57 300 75 61 375 90 64 450 105 68 525 120 71 600 (10.00 p.m.) Tank depth 52" 2.00 p.m. 60 225 9.00 a.m. 46 500+ TEST RESULTS: This system accepted 600 gallons in a time period of two hours without showing signs of overloading. During the next four hours 225 gallons were absorbed. Ex- tended to a 24 hour period, this is equivalent to 1350 gallons per day. After 23 hours, less than 100 gallons remained in the system. Based on the absorption rate of the first four hours this system meets the Municipal Code Requirements. *: A972 • 11 U O °° �a 60"A 3IAML7 PAA AN HORAGE,V ALASKAIT203 99501 1CONSULTING ENGINEER TELEPHONE: (907) 279-3916 Elliot Lawson MPNIcro(itry OF ANCHCRA36ptember 6, 1983 ENVIk;1r?��.�-'"•`,ctrl 2 Coldwell Banker Jack White Co. �� PkOT'C TION 3201 "C" Street Anchorage, Alaska 99503 kECEIVED Subject: Creek Property, Lot 2, Block 4 Lake Of The Hill Gentlemen: Per your request I performed a follow up adequacy test on the septic system on subject property. The residence has been vacant since May and the system has rested during this period. In order to saturate the soil around the system a surcharge of liquid, approximately 700 gal, was dumped in the crib on August 30, 1983. 24 hours later this water had been absorbed by the system. On September 2, 1983,-I again surcharged the system with approximately 750 gal. of liquid. Within 7 hours 450 gal had ben absorbed. After 22 hours ,nly 100 gal. remained in the crib. The s -y -stem had absorbed 650 jal. At this time this system meets the Municipal Requirements. During the test I noticed that the wellcap had been disconnected from the wellcaseing. The well extension installed previously was olnly attached with a clamp. This is not satisfactory. The extension must be welded to the casing. The present condition is a health hazard and must be rectified. Yours Spurkland PE. _ OAlaos '�p✓0` . • 1�. h: 9pt1 *:49?H ';* . ... .... .... 2225- a�• J NE25,1971 :4;r Wjp lft►L, e, �;310 RL- - .LlIs fo,• MUNICIPALITY OF ANCH RAGE - MUNICIPALITY OF ANCHORAGE DEPT. C .� DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTkWJRONPy,E . ON 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION 17• I L8 13 izyr(J Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL R C l/.�. E 1 � � D FACILITIES WATER AND SEWER SINGLE FAMILY DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ❑ Two ❑ Five PHONED Merrill Lynch Relocation Mgt. (Pratt) 7. WATER SUPPLY MAILING ADDRESS ❑ COMMUNITY A`�T PROPERTY RESIDENT Ilf different from above) ❑ PUBLIC UTILITY PHONE Vacant INDIVIDUAL/ON-SITE** 2. BUYER E-1 PHONE Not yet sold by this Department. MAILING ADDRESS NOTE: THE INSPECTIONEE NA U.ACCOMPANY 3. LENDING INSTITUTION PHONE N/A MAILING ADDRESS 4. REALTOR/AGENT PHONE Jack White Company.... Attn: Elliot Lawson D77-1553 MAILING ADDRESS 3201 C Street, Anchorage, AK 99503 5. LEGAL DESCRIPTION Lot 2, Block 4, Lake O'Hills Subdivision STREET LOCATION SRA Box 28.... Rockridge Road 6. TYPE OF RESIDENCE NUMBER Or BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY '� Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* P�IP� -j* ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY A`�T since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** **If individual/on-site, give installation dated, E-1 If system is over two (2) years old an adequacy test is required PUBLIC UTILITY by this Department. NOTE: THE INSPECTIONEE NA U.ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Co r i1 �L2�e rny0�r _.1 `r - THIS SIDE FOR OFFICIAL USE ONLY 4 INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ 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 INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS tl--APPROVEDFOR It BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompan certificate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) 41M CONSULTANTS. INC. 542-0 COHUOVA Y ¢OX 608] H .iNCHORgG `c. ALA.�'iKq 9954: 8 VH. 90] -2]9 -OE 83 • TLX. CAO -21360 u niE R S' T'A�YY = R.S�LRsApril 1, 1980 R&hI ��yyNCC6IEP,�Yj@bf4HORA(9 i NVIRON vi[ _LTION' Jack White 3201 "C" St. Anchorage, Alaska Attention: Elliott Lawson ANR 10 RECEIVLL) Re: Adequacy Test on Existing Sanitary Sewer System; Lot 2, Block 4, Lake of the Hills Subdivision, Anchorage, Alaska Dear Mr. Lawson: Per your request of March 14, 1980, we conducted a test of the sanitary sewer system on the above described property. During this test the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. ANCHORAGE �AINB AiY KS ]U NEgU VALUk2 Wg51L LA Liquid Level Below Top Total Gallons Time of Standpipe Added 2:45 5.60' 0 2:50 5.63' 30 3:06 5.57' 70 3:11 5.53' 120 3:21 5.45' 170 3:30 5.40' 220 3:36 5.64' 220 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. ANCHORAGE �AINB AiY KS ]U NEgU VALUk2 Wg51L LA April 1, 1980 • • Jack White Page -2- I£ the 4 bedroom residence on the property is to house 8 people, the average load on the system can be expected to be 600 gallons per day or 0.42 gallons per minute. During the test, the system accepted 220 gallons in 51 minutes. This indicates an average effluent acceptance rate of approximately 4.31 gallons per minute at the time of the test. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 4 bedroom residence. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. Janice Cecere Project Manager JC/dj/AT&SI-H =' �v1 i._.. �.—..�S Vi. J:�1J ice, INv. 0023 CJ ftOGVrI 3 FJOX aOHJ '.9 ANC'H Ofl AG G, TLASKA 9)562 y PH. 'JO7-219-01105 8 !LX. 0J025350 -NGIN EGtiS 1H`FYG April 1, 1980 R&M No. 051001-9 Jack White 3201 "C" St. Anchorage, Alaska Attention: Elliott Lawson Re: Adequacy Test on Existing Sanitary Sewer System; Lot 2, Block 4, Lake of the Hills Subdivision, Anchorage, Alaska. For Services Rendered through April 1, 1980. Dear Mr. Lawson: The following is our invoice for professional services rendered on the"above referenced project. Professional Services Fixed Fee Invoice No.051001-9 Total Invoice No. 9 $300.00 $300.00 Please note our invoice number on your remittance. Should you have any questions concerning this invoice, please contact me or the Project Manager, Ms. Janice Cecere. Thank you, R&M CONSULTANTS, INC. C. J. arisena Anchorage Office Manager CJP/dj/I5-Z 4 1,—."11 1111"1 '1PL'_J E'r —1511-1 L Time APPLIq&T FILLS OUT UPPER HAIMNLY Property owner John R. & Edie Creek Phone Mailing Address349 iftragia, AK 99507Zip Code _ 8292 Buyer Address Zip Code Lending Institution Phone Address Zip Code Date Realty Co.& Agent Coidwell Banker Jack White Company - Elliot Lawson Phone Address 3201 "C"St-. Suite 100, Anchl AK Zip Code 99503 277-1553 Legal Description Lot gs Blau a, Lake O'the Hi11s Sub. Street Location 6700 Rol Drive Type of Residence _ 0 Single Family ❑ Multiple Family No. of Bedrooms A- ❑ Other Water Supply `y RECEIVED Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility ( J jPI1jP:1V'D OMS )A0 ED Sewer Disposal APPROVAL'Ll [X Individual r� ��( ./,� Year Individual Installed: �f��Lf Gli uL ❑ Public Ulllit Y ❑ Holding Tank c�°CC°F ��When Connected to Public Utility: `kl<e 'f.<... NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST B FORE PROCESSING CAN BE INITIATED. L Time TimeTime Time Date Date Date Date � - l (�1-i- L S Inspector Inspector Inspector Inspector , \ Field Notes:—{�— — �..J ` DEPT. HFLTH i; ENVIRONf.1ENTHL PROTECTION Aa `y RECEIVED ( J jPI1jP:1V'D OMS )A0 ED 'CONDITIONS OF APPROVAL o.--NDITIONA APPROVAL'Ll C fn ..,`:1�1.�;�.� / i DATE —I _¢°53 `kl<e 'f.<... p,v•-;: !., BY: �- 'w.t C r Solis Rating Installed Well To Absorption Area Well Log Received LDatower Well to Tank Septic Tank Size 2 023 wi&2r 1 I I 4