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HomeMy WebLinkAboutLUND LT 2Lund Lot 2 #015-491-02 Municipality of Anchorage Page 1 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: .345-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW0001B2 PID Number: 015--491--02 Nome;ROBERT YAHARA Wastewater System: [] New · Upgrade Address: 6500 [. 112th AVENUE ABSORPTION FIELD No. of Bedrooms: Ph°ne:(907) 346--7888 4 BDeep Trench nSholrow Trench [3Bed DMound [3Other LEGAL DESCRIPTION 0.6 oPO/S.. 2 - LUND 1.9 - 2.2 - - - 0.4 - 0.9 WELL: [] New [] Upgrade/."'"'~'""''''~ ~r"v'' '~'~: 2.5 ~ A+ HOME SERVICES 7/11/2000 SEPARATION DISTANCES DSeptic [] Holding /.T.E.P. From Tank Reid Station Tank Sewer Unes ~ Well 100'+ 100'+ -- 25'+ Su~OCewoter ~00'+ ~oo'+ - - LIFT STATION Foundation5'+ 10'+ -- -- -- Drain NONE KNOWN I ~emarks: * LOT LINE WAIVER GRANTED WITH ISSUANCE OF P£RMff. BENCH MARK GARAGE FLOOR CONCRETE SLAB. IAaaumed Elevation: 105.92 Inspections performed by:. AWWC, INC. Dates: 1st 7/11/2000 Department of Health and Human Services approval (Jh,~,'['4../U ....."_e~,~ Reviewed and approved by: /~,~'..,..~ ~ ~/'- Dote: ~-~ ~Z .0o PERMIT NUklBER: AS BUIUT DI~/ING PARCEL ID NUMBER: SW000182 ' 015-491-02 A B / E. 112th AVENUE ST1 91.68 52.61 / ST2 100.11 59.41 / C01 1~9.25 138,86 / C02 106.06 136.95 NEW DRAINFIELD C05 102.85 62.17 / ~ / -- DBL1 101.03 61.~2- ~ ' 100.60 61.76 / ~_~ ~T2 101.86 61.45 -~~f / '-. DBL2 FD FS SUMP MT1 MT2 A B ST1 91.68 52.61 ST2 100.11 59.4-1 C01 1,39.25 1,38,86 C02 106.06 1,36.95 C05 102.85 62,17 DBL1 101.03 61.`32 DBL2 100.60 61.76 FD 101.86 61,45 FS 10`3.64- 62.76 SUMP 99,14 104..81 MT1 14-0.50 158.60 MT2 106.4-5 157.86 7/1 ~/~ooo ~ ~[.F '~ ~- ~S~ WATER & W~TEWATER K.D.W. ROBERT YAHARA ([907) 346-7888 2 OF LUND SUBDIVISION; LOT 2 AS-BUILT OF SEPTIC SYSTEM UPGRADE I P£RmF~ NU~BeR: BUII. D ING SWO00182 AS= PARCEL015__491__021D NUMBER: NEW DRAINFIELD (NOT TO SCALE) MrCO Poi'rOM O~ 1~N(24 / / 7/18/2000 PREPPED FOR: PHONE NUBBER: PA~E NUBBER: ROBERT YANARA (907) 346-78BB ~ OF ~ LUND SUBDIVISION; LOT 2 ~'e.%..., .... ;.."~ ~E OF WORK: AS-BUILT O~ SEPTIC SYSTEM UPGRADE MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L S/reef, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 20, 2000 Expiration Date: Jun 20, 2001 Permit Number: SW000182 Legal Description: LUND LT 2 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Robed Yahara Owner Address: 6500 E. 112th Ave. Total Bedrooms: 4 Anchorage, AK 99516- Parcel ID: 015-491-02 Site Address: 006500 112TH AVE E Lot Size: 49513 SQ. FT. Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage AI~ construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: //L~/~,, (~/.~ Date: Date: ALASIC WATER & WASTEWATER June 5, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Upgrade Design for Lurid Subdivision; Lot 2 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The exisitng drainfield is in a state of failure and needs to be upgraded. One test hole was excavated on the property. The proposed drainfield will be designed within the 30 foot radius this test hole. We are proposing to utilize the existing 1250 gallon septic tank and install a new deep trench type drainfield. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is a log which shows the soil classifications, groundwater monitoring, and the percolation test results. The soils below the organic layers are a SM material to a depth of 2.5 feet and then transisitons to a ML/SM to a depth of 13.5 and then transistions to a SP and SP/SM to a depth of 17 feet (bottom of test hole). No groundwater was encountered during the excavation of the test holes. A percolation test was performed between the depths of 7.5 feet to 8.0 feet which had a percolation rate of 16.6 minute/inch. It is our opinion that due to the overall appearance of the soils, a application rate of 0.6 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 16.6 minutes/inch b. Allowable Application Rate: 0.6 gallons/day/fi2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 ft2 f. Total Depth: 11 feet (max.) g. Effective Depth: 8 feet h. Width: 2.5 feet i. Reduction Factor: N/A ~ Minimum Length: 63 feet long · Effective absorption area = 1008 ft2 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 N Ph: (907)337-6179 N Fax: (907)338-3246 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography of this property is a 13 to 16 percent running fi'om approximately south to north; in short, there are no slope concerns. The trench is to be installed parallel to these slope contours. 5. LOT LINE WAIVER: We would like to request that your department issue a property line waiver on the subject property for separation between north and west property lines to the drainfield at two (2) feet. There are no wells, septics, or water lines that have been encroached upon. We do not anticipate any adverse effects by this waiver. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Pre i~e~t [~) NOTE: Attached ia' a site plan drawing, a design drawing, a topography site plan, a soil log, and a 7page construction specification letter which are allpart of the designpackagefor this septic system. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 - Ph: (907)337-6179 - Fax: (907)338-3246 SOUTH LAKE WOOD ~LLS S/DI LOT ?, BLOCK 6, SOUTH LAKEWOOD 6 ' ) \_ MACBETH S/D ] ~.OT SA, BLOCK 2 / \PROPOSED DRAINFIELD. SEE-~ _~JDESION PAGE 2 OF 2, LUND SUBDIVISION \ LOT 1, \ \ EXISTING / \ / .-* -~-~-x-. 112th AVENU[ 11361 MAEL STREET \ I / / / / LOT 3, LUND SUBDN SION \ \ \ HILLS PARK S/D LOT 26P, HILLS PARK S/D LOT 26G, HILLS PARK S/O LOT 26D, HILLS PARK S/D LOT 26D, HILLS PARK S/D LOT 26C, DATE: 6/5/2000 DRAWN BY: K.D.W. ALASKA WATER & WASTEXVATER ........ ,~ CONSULTANTS, lNG, 1" = 100' ~REPAREO FOR PHONE NUMBER: PAGE NUMBER: ROBERT YAHARA (907) 346-9888 1 OF 2 LUND SUBDIVISION; LOT 2, tYPE OF WORK: SITE PLAN FOR DESIGN OF SEPTIC SYSTEM UPGRADE NOTE: THE CONTRACTOR SHALL HAVE THE WELL RADII FROM LOT 7, BLOCK 6 OF SOUTH LAKEWOOD HILLS S/D AND THE REFERENCED LOT AS WELL AS THE NORTH AND WEST LOT LINES FOR THE REFERENCED PROPER~' FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. ~ ~ -- -- ~ / f E. 112th AVENUE '~- / -'----'-- /.- · // \--~... ~q,"' ...e- I ~ATE: ~~/ _Al ~&SI~ WATER & WASTEWATER ~: ~.~.w. . ~ ¢~ ~, [ ~..~ ROBERT YAHARA ~E OF WORK: ofess~O~ DESIGN FOR SEPTIC SYSTEM UPGRADE '~%~ ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUIT/ 2B * ANCHORAGE, AK. 99504 I SOIL LOG - PERCOLATION TEST I LEGAL DESORIPT[ON: LUND SOBDIVISION; LOT 2 ~t";': ..... 't "'~; ........ ?^ :l~Je re' A. '~f~rness: DATE PERFORMED: 5/23/2000 (/O~>/j/'.. ([-7953 .' ~h ~_' . ' I TEST HOLE #1 I ~ ~ ............. .... oo'~"~' DEPTH ~ (f $~.~ ORGANICS 2'--~.~, ; SM SOIL C~SSlFICATIONS / / x GM CL ~;.~~ ~,. SH OH IGC 7 DEPTH TO DATE V ~ ~ ~ / ML/SM GROUNDWATER ,, : DRY 5/23/00 ~ ---"'DRY 6/2/00 / ~ITE PL~N7 / [ r= ~o0 J 11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING (INCHES) 12 5/~ 25/0__ 0 PERC. HOLE WAS PRESOAKED 4_~ HOURS PRIOR TO TESTING 13 1 2:58 -- 6" -- - 2 3:08 30 4 1/4" 1 5/4" ~%~' 0~ - -- 4 3:38 3-'~ 4 1/8" 1 7/8"~ ~[~ SP - SP/SM - 6 4:09 30 4 ~/16" 1 15/16" 19~ PERCOLAIION R~TE 16.6 (~IN./INCH) PERC. HOLE DI~. 6 (INCHES) 20J TEST RUN BETWEEN 7.5 FT. AND 8.0 FT. COHHENTS: PERFORMED BY A~SKA WATER & WASIEWATER. I, dEFFR~ A. GARNESS, CERII~ THAT THIS WAS PE~O~ IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DEPTH TO DATE GROUNDWATER DRY 5/23/00 DRY 6/2/00 Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, AJaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 015-491-02 1. GENERAL INFORMATION Complete legal description LUND SUBDIVISION: LOT 2 Location (site address or directions) ,.~ 4'0 ~'~ ~ //,~ 7~-~ ,z~¢ , Property owner ROBERT YAHARA Day phone (907) 546-7888 Mailing address 6500 $. 112th AVENUE / Lending agency Mailing address Agent FOR SALE BY OWNER 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 X×X 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 wrfften confirmation from State ADEC lng to the/ega/ity and status of system. 72-025 (Rev. 1/91) Front MOA ¢Y21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $1250.00 at, or prior to, closing for the engineering services provided. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and in,specfion, 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.~ ///'/~' ~'~/I Name of Firm ALASKA WATER &~A~Yi'/I~VATER CONSULTANTS, INC. Phone (907)337-6179 Engineer's Signature ~._____.~/~J(y~'..~.__ Date '-7 ~ In conducting this evaluation, AWWO,In~. a~fe~ted "~O~oovide a thorough, conscientious eng,'~e;ring/analys,'s of the system in accordance with ADEC and MOA DH~IS 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. AWWC, Inc. can therefore not provide any warranly for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or pady is not authorized, nor will it confer any legal right whatsoever. 6, DHHS SIGNATURE ~ Approved for ~ Disapproved Conditional approval for bedrooms 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 order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91 ) Back MOA #21 Computer Version Legal Description: A. WELL DATA Well Type. PRIVATE RECEIVED MunicipalitY of Anchorage E AU(~ 1 DEPARTMENT OF HEALTH & HUMAN SERVIC S Environmental Services Division N~UNICIPALI] Y OF 825 ,L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343~DNMENi'AL SEP, VI~J~: ~ Health Authority Approval Checklist LUND SUBDIVISION; LOT 2 ParcelI.D.: 015-491-02 If A, B, or C, attach ADEC letter. ADEC water system number N/A LOg present (Y/N) Total depth Sanitary seal (Y/N) 189' YES Date completed Cased to 189' YES FROM WELL LOG Date of test 5/4/77 Static water level 132' Well production 16 g.p.m. 5/4/77 Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION 7/15/2000 12"+ YES 146' 5,2 WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: 7/13/2000 ' ~-' /~//--" Other bacteria ~'/ Collected by: A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date installed 9/23/96 Tank size Foundation cleanout (y/N) YES Date of Pumping 10/27/99 1250 Number of Compartments 2 Cleanouts (Y/N). Depression (Y/N) NO High water alarm (Y/N) N/A PumperA+ HOME SERVICES g.p.m. C. ABSORPTION FIELD DATA Date installed 7/11/2000 Length 56' Width. Soil rating (g.p.d./ff2 or fl2/bdrm), 0.6 2.5' Gravel thickness below pipe System type TRENCH 9' Total depth 11.24 (MAX.) Effective absorpfion area 1008 SQ FI' MonitofingTubepresent(y/N) YES Depressionoverfleld(Y/N) NO Date of adequacy test NEW Results (Pass/Fail)· For Fluid depth in absorption field before test (in~r added (in.): __ Flu~ Abs..orption .rate.--., P ' reatment (past 12 months) (Y/N) If yes, give dale 72-026 (Rev, 3/96)* Computer Vemion YES D. LIFT STATION Date installed_ _ Manhole/Access (Y/N) ~ at* "Pump off" level at* High wat~ *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main 8ewer/septic service line 100'+ On adjacent lots 100'+ 100'+ On adjacent lots 100'+ N/A Public sewer manhole/cleanout N/A 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Water main/service line 10'+ Surface water/drainage 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Absorption field 5'+ Wells on adjacent lots 100'+ __. Property line Surface water Curtain drain NONE KNOWN, F, ENGINEER'S CERTIFICATIO/N~ I ceRi~ that I ~et~in~¢~, field inspections and review of Municipal/ecor¢ t~ t~e~o~ systems am in confo~ance Signature ~ ~ Date *2'+ Building foundation 10'+ Water main/service line 10'+ 100'+ Driveway, parking/vehicle storage area 2'4- Walls on adjacent lots 100'+ Waiver Fee $. Date of Payment Receipt Number 07-18-00 l?:04 FROU-CT£ ENVIRONEEflTAL 5615301 T-568 P.03/03 F-083 Zt~ CT&E Environmental ServiGe6 lnG. 200 W. Porter Drive AocheroGe, AK 99618-1606 )rinking Water Analysis REport for Total Coliform Bacteria **~ ¢o7} ss2-2343 3£FO.RE coLLECTING XAMPL~x: (~07} fifll -$301 .... PUBLIC wATER SYSTEM I.D. PRIVATE wATER sYsTEM ~~ Alaska Wat~ Analysis shows th~s Water SAMPLE To be: rl''~ Cl ~atnpTe OVer 30 hours o1~ r~sulm m~y b~ anreh~ble Sa~l~ [oo tong m ~ansig s~mple shoald not be ov~ 48 hours ot~ To ~n~caTe Te iable ~ulm. new sample via special ~chve~t. Anal~l~al Mclh~: ~b~" Filt~ ~O MM~O Mnnth Day Year SAMPLE DATE: SAMPLE ~PE: ~ Re.aT 8ample (for routine sample with lab ref. no. '-' ) SAMPLE LOCATION Untreated Water ...n FbKs J,n [] Client notified of onsafiS~actory results: 12 _ Phoned Spok,~ ,with Time Colle~d Collected BY BACTERIOLOGICAL WATER ANALYSIS ---------- Cololl~/100 mi __ COLIFIRM _ I F~.al Coliform Cofltir.l~adou '~-~ _ ~,,~.f~n~lO0 mi Final Membrane F. I_L~I~ea'ulu Fax~t Memner ot me SG8 ~ro~p (socme Geparal" a° :'u~e'"anee! '- FLORIDA. ILE{NOI$. MARYLAN0. MICHIGAN. MlSSOURL N~N JERSEY. OHIO WEST VIRGINIA 07-18-00 17:04 FRO~CTE ENVIRONMENTAL ~l~t~ ' CT&E Environmental Services Inc. 5515301 T-558 P.OZ/03 F-083 CT&E Ref.~ 10031tll~001 Client Name AK Water & W~slewater Consolmn~s Inc. Project Nam~ L~dLot2 Cliea~ Sample ID L~d Lo~ 2 Matrix Dr~t Water Ordered By P~S~ 0 Sample Romarks' p~r~nclcr Results PQL LlmI~. Mc,dlod Client PO~ Printed Dar~/Time 07/18/2000 15:59 Collected Date/Timg 0WI3/20Q0 16.00 Received Date/Time 0W14/2000 10:50 Techlfieal Director ~tephe~ C.~,gde Released By ~~ Allowable Prep Analysis Limits Daxe Da~e Init Nirrate-N 0.300 U 0.500 rog/l- EPA BO0 0 10 max 0'//14100 SCL l,O. arob~.ol0iV/ Labo=a~:oz'y T0~al Cohfonn 0 coFlOOmL SMI8 9222B 07/14/00 KAP AK Water & Wastewater Consultants, ATTN: Jeffrey Garness, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504- Inc. August 24, 2000 Subject: Waiver Request forLUND LT 2 Waiver # WR000061 Lot Line Request for Parcel ID 015-491-02 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 2 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Engineering Technician III On-Site Water QCality Program WR#: WR000061 Date Received: June 21, 2000 Legal Description: Lurid, Lot 2 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On-Site Services Waiver Review Worksheet PID#: 015-491-02 HA#: HA000367 Engineer: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B, Anchorage, AK 99504 Applicant: Robert Yahara Waiver Requested: 2 foot lot-line waiver Permit: SW000182 Criteria: 1. Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation 2. Special Conditions: 3. Other: Points: Total: Waiver is Granted: List Conditions or Reasons for above: Waiver is not Granted: Date: ~'-.~,~ -00 Rec~: 06636 Amount: $tt5,00 Date Paid: 6120100 ,: Municipality of Anchorage page DEPARTMENT OF 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: ,.-~' q/cO :~o~ PID Number: 01~'-- ~¢1- ~o ~m~:Wastewater System: ~ New ~Upgrade Address: ABSORPTION FIELD Phone: No, of ~rooms: ~Deep Trench D Shallow Trench Q Bed Q Mound Q Other Total Depth from original grade: LEGAL DESCRIPTION Soil Rating: I,~ GPD/Sq. Fi, Lot: Block: Subdiv~ion: Depth to pipe bottom from origina~ grade: Gravel depth beneath p~pe Township: Range: Section: FiN added above original grade: Gravel length: Number of lines: Distance between lines: WELL: D New ~ Upgrade Gravet width: ~ Ft. J ~ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material:, Driller: Date Drilled: Static Water Level:Ft. Installer:~ ¢ ~¢ Date installed:~ Yield: Pump Set at: I Casing Height Above Ground:O TAN K GPM Ft.~ Ft. SEPARATION DISTANCES ~eptic m Holding m S.T.E.P. To Septic Absorption Lift Holding =ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~ TAN~ . Number of Compa~ments: Well- //7~ / i~¢ ~ ~ -- 7~' Material: ~ Surface LIFT STATION Water ~)~ ~ ~ ~ Lot ~ ~ Size in gallons: ~ Manufacturer; Line / ~ I. ~ -- I Foundation ~ ~J "Pump on" level at: "Pump off" level at: Cu~ain Pump Make & Model ~ Electrical Inspections performed by: Drain N ~ ~ ~ I Remarks: BENCH MARK  Assumed Elevation: -ENGINEER'S SEAL Inspections performed by: W S Dates: 1st ~3/~ ~ ~ ' : ".0 .... ~,'o"~" ', Department of Heal.nd Huma~rvices approval ' ............ ~,vieweO and approvoO b ~ Date ~__~ ..... ' · :""" 72-013 (Rev. 9/91) MOA 25 2S SWING TIES: AC 52 BC 55 FTTANK CO AD 65 TRENCH CO 55 AE 91 T£ENCH CO ] BE 95.5 AF 66 DIVERTER VALVEI BF 64 FEET OFF LOT LINE FEET DEEP J 50 FEET LONG FEET EFFECtiVE ROCK J 0 25 50 ~C~LD ~ TOBBEN SPURKLAND P.E. Il II 205 W 15TH, AVENUE ANCH. AK. 99501 (907/ 279-3916 LOT 2 LUND $/D 6500 E llRTH. AVE. LARRY BRANDI' I I SEPTIC SYSTEM AS BUILT DATE: SEPT. 26, 1996 SHEET: 2/5 GRID: 2658 Sfondord Trench: 2' Wide 50' Long 8' Deep 5' Sewer rock J' Cover 90.5 85, J 5 £t o£ Septic Rock Clean Our IWon#or ~tonitor Cleon Out SCALE '/v/on/ TO 1977 ?RENCH NO SCALE 1250 Ga/ Septk tank FLOW DIVE£TER ZD 200 90.5 85. J I D/VERSION VALVE ZD 200 ~ /E 92.89 1235 ,SOL septic tank BENCH IviA£1<, OARAO£ FLOOR ASSUMED ELEY, lO0, O0 TE]B]SEN SPURKLAND P,E, [[ II 203 W15~ch Ave Anchorage Ak 99501 779-3916 LARRY BRANDT SEPtiC SYSTEW SCHEWAtiC SEPTIC SYSTEM AS BUILT D^TE~ SEPT. 26, 1996 SHEET, 3/J GRID, ~38 Municipality of Anchorage Department of Health and Human Services $25 "L" Street RickMystrorn,P,O, Box 196650 Anchorage, Alaska 99519-6650 Mayor October 9, 1996 Tobben Spurkland, P.E. 203 West 15th Avenue #203 Anchorage, Alaska 99501 Subject: Waiver Request for Lot 2 Lund Subdivision Waiver Request #WR960054, PID #015-491-02, HA960432 Dear Mr. Spurkland: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and lot line has been approved. The waived distance is from the absorption trench to the property line of 5 feet. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there are further concerns or questions regarding this waiver, please call our office at 343-4744. / Robert W. Robinson Civil Engineer On-site Services RWR/lj.:Brandt ' MUNICIPALITY OF ANCHORAGE'~.. ' Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR960054 PID# 015-491-02 Date Received: September 30~ 1996 Legal Description: Lot 2 Lund Subdivision Engineer: Tobben Spurkland~ P.E. HA~ HA960432 Permit 203 West 15th Avenue, #203, Anchorage, Alaska 99501 Applicant: Lawrence Brandt -,~ Waiver Requested: Lot line waiver from the absorption trench to the property line of 5 feet. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver ,is NOT Granted: List Conditionsor Reasons for above: Date: ~ame of Reviewer Rec 9: #02340/2665 Amount: $ 115.00 Date Paid: Sept 30, 1996 T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 I~.INICIi~^I I'I~ OF ANCHOP, A~L~ ENVIRONMENTAL SERVICES DIVISION SEP 3 0 1996 RECEIVED Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 Subject: HAA and As Built Lot 2 Lund S/D September 29, 1996 Gentlemen; We are submitting an HAA and a set of As Builts for this property. The septic system was replaced on September 23, 1996. As shown on the permit the north end of the trench is less than 10 feet from the west property line. We are requesting a lot line waiver to 5 feet, and have enclosed a check to cover the lot line fee of $115.00 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 PAGE 1 OF PERMIT NUMBER:SW960303 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:BRANDT LAWRENCE D & BARBARA A OWNER ADDRESS:6500 E ll2TH AVE ANCHORAGE, ALASKA 99516 PARCEL ID:01549102 DATE ISSUED: 9/18/96 EXPIRATION DATE: 9/18/97 LEGAL DESCRIPTION: LUND LT 2 LOT SIZE: 49513 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 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: DATE: DATE: 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 2 LUND S/D Larry Brandt 6500 E ll2th. Ave Municipality of Anchorage Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 August 29, 1996 We are submitting an application for the installation of a septic system for this lot. The submittal consist of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The existing system was installed in 1977 and a visual inspection on August 20, 1996 revealed that the trench was surcharged and would not pass an adequacy test. On August 23 the three testholes were dug. In testhole #1 a silty sand with large boulders was found. This material perc'ed at 40 minutes per inch. Testholes 2 and 3 showed identical soilconditions, consisting of a relatively loose sandy silt to 8 feet and the same silty rocky sand as in testhole 1 below that. The material to 8 feet perc'd faster than 5 minutes per inch. The septic system design is based on utilizing this material. To obtain required separation between the existing system and the proposed, it is possible that a 5 foot waiver to lot line will be required. The lot line has been marked. The tank was also exposed and found corroded and leaking. We intend to replace the tank. The design is based on the following: No Ground Water or Impervious Layer to 19 ft. Locate trench between 3 and 8 feet. Use Standard Trench Soil Rating. <5 min/in = 1.2 gal per sq.fl/day No. of Bedrooms 4 Required Area per Bedroom: 150/1.2 = 125 sq.ft.. Total area required: 4 x 125 = 500 sq ft Outlet Existing Tank 3 feet below ground Rock Depth 5 feet . Total Trench Length 500 / 10 = 50 SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 50 FT TOTAL WIDTH 2 FT TOTAL DEPTH 8 FT ROCK DEPTH 5 FT COVER 3 FT SEPTIC TANK 1250 GAL. The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. Municipality of Anchorage DEPARTMENT OF HEAL'TH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ERFORMED FOR= LEGA' OESCR,PT,ON: LUND 2 6 8 Township, Range, Section: SLOPE SiTE PLAN WAS GROUND WATER ENCOUNTERED? L IF YES, AT WHAT O DEPTH? p Depth lo Waler Alter - 0 -- Monitoring7 Dale: 14- 15- 16' 17- 18- 1g--- 20 COMMENTS qeading Date Gross Net Depth to Net Time Time Water Drop .... '~/~/~,- '~ ~ z- - ~" ~: ~ ~ ~o ~ ~/~ '~//~ PERCOLATION RATE . "~TF~ (minutes/inch) PERC HOLE DIAMETER TESTRUNEETWEEN, ,~ FTA!.'Q ~?~"~ FT PERFORMED BY: ~'.. J'~ __ I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUiDELiNES iN EFFECT ON THiS DATE. DATE: 72-008 (Rev. 4/851 ::'/ 0 ' Municipality of Anchorage DEPARTMENT OF HEAL'TH & HUMAN SERVIC,2S 825 "L" Street, Anchorage. Alaska 99502-0660 SOILS LOG -- PERCOLATION TEST PERFORMED FOR= 1'3 P--.ANb LEG^ . DESCmPT,ON, / 4 7 8-- 10 - 12 16 17 ~8- 19- 20- COMMENTS L.o T Z.. DATE PERFORMED: Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Osplh to Water Alter Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop ..... ~,.2'3.q~, q ~ %Y , ~ 7" PERCOLATION RATE ~ JL~ (minutes/inchJ PERC HOLE DIAMETER TEST RUN BETWEEN ~ , FTAND , b /Z_ FT PERFORMED BY: '~ ~,O,O~ I ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WiTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATIE, DATE: 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEAL'TH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PER FORM E ~)~..,r Township, Range, Section: 10- 11 12 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? 13- 14- 15- 16 17 18 19 2O COMMENTS 0epth to Water Alter M0niloHng? Date: Reading Date Gross Net Oepth4e o,~ Net ~ 1LL. Time Time Water - Drop PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) PERCOLATION RATE (mint,les/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT Atto (~' ~ ET I , ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED FOR: LEGAL DESCRIPTION: Municipality of Anchorage DEPARTMENT OF HEAL.TH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502~0650 SOILS LOG -- PERCOLATION TEST 4 5 6 7 8 9 10 11 12: 13- 14- 15- 16- 17 18 19- 20- COMMENTS Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? p E 0eplh t0 Water Alter ~0niterino? Dale: __ SITE PLAN Gross Net Depth to Net C~eading Date Time Time Water Drop 'ES .UN T 'EEN (minutes/inch) PERC HOLE DIAMETER -- FT AND FT PERFORMED BY: I ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DA :~t' 72-008 (Rev. 4/85) __ CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~i~i~ $0 _ N SCALE; 1_~ -- 1_00 FT, £50 300~.. Well LOT 8 E A venue UNPE VEL [TPEP U5 & TELE / ? LDT 3 EXISTING IMP£OVEMENT$ TOBBEN SPURKLAND P.E. ~ II 20.3 W 15TH. AVENUE ANCH. AK. 99,'.501 (907) 27~-~16 LOT 2 LUND S/D 6500 £ fI2TH. AVE. LARRY BRAND[ II SEPTIC SYSTEM DESIGN DATE: AUG. 22, 1996 SHEET: 1/$ GRID: 2638 _1 PROPOSED 5 FEET OFF LOT $ FEET DEEP 50 FEET LONG 5 FEET EFFEC~VE GAS £5 0 25 50 EXISll, TRENCH U5 ELEC, & TELE PROPOSED IMPROVEMENTS TOBBEN SPURKLAND P.E. II 205 W 15TH. AVENUE ANCH. AK. 99501 (907) 279-9916 LOT ~ LUND S/D 6500 E 112TH. AVE. LA££Y B£~NDT SEPTIC SYSTEM DESIGN DATE: AUG. 22, 1996 SHEET: 2/$ GRID: 2658 S~andord Trench: 2' Wide 50' LonE 8' Deep 5' Sewer rock $' Cover C/eon Out ldonHor Cleon Ou! SCALE C(eonouts Mon/tom ~ 3' Covm~ 1250 Col Septic tonk 4' M/n Cover Tonk S Pt o£ Septla Rock SCALE 1250 9aL septic tonk BENCH MARK, ASSUMED EL£V, 100,00 TO~EN SPURKLAND P,E, 203 WlSth Ave Anchoroge Ak 99501 LARRY BRANDT SEPTIC SYSTEM SCHEMATIC SEPTIC SYSTEM DESIGN D~TE, AUG. 22, 1996 SHEET, GRID, ~38 oGRE ,,ER ANCHORAGE AREA BOR LIGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM lOCATION I/~;~'.'t/~ ~[-~ LEGAL DESCRIPTION L ~ i....C~/k)C,~/ ""~'/0 SEPTIC TANK: - , ~ DISTANCE NUMBER OF FROM WELL MANUFACTURER _.~ ~/'6¢~ MATERIAL _ COMPARTMENTS INSIDE LENGTH / INSIDE WIDTH / LIQUID DEPTH / LIQUID CAPACITYJ~"~-~2iALLON$. DISTANCE FROM WELL / NUMBER OF LINES ABSORPTION AREA DEPTH: WELL: .,'1 DEPTH OF FILTER TOP OF TILE TO FINISH GRADE ~;LT~. I~IATERIAL BENEATH TILE___¢~//~ IN. ABOVE TILE TYPE BUILDING FOUNDATION FOUNDATION ~__ ¢ /NEAREST_ LOT LINE_ ~'~-~ ! TOTALoF LINEsLENGTH {'~'//'~' ! DISTANCE BETWEEN LINES /("~/~ TRENCH WlDTH¢,~IN. TOT/~L EFFECTIVE CONSTRUCTION DEPTH NEAREST NEAREST SEPTIC SEEPAGE LOT LINE__, SEWER LINE__ TANK , SYSTEM DISTANCE FROM: CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: SEWER LINE DEPTH:~_____~*~"~~- PIPE MATERIAL: LOT SLOPE: & ~ REMARKS: Form EQ~032 170 ~ DATE // '//~?APPROVE PERM I T NO. ~:'. ??'.1. ~.0_,c.o ) FtPPL I CFINT LFIRR¥ 8RFtNDT LOCAT I ON :Z~2T--~ R. GCKR I D'3E) LEGRL L2 LUND =,IJE, D t}EF'RF.:TbIENT ...,E HERLTH RND EN',,,'IF."ZNMEN'TRL...'ROTECTION /._/-~-~- .Ao.~ ..' L. '" ._,TF..EE F., RNF:H -IF.'RGE AK. 995,'E'IJ. r - '--I ' ' I-I c' ,,~" - IS: I"'¢F'E OF SI-IlL. HB=,I_RE, TI.N ..~r_TE. fl TRENL-:tt MR::-IIMUPl FIUMBER OF BEDRD-MS = 4 SOIL. RRTINI_-i ';S;! FT,-."BR):'--- ::L71~3 1-HE REQUIRED SIZE OF THE SOIL RBSORPTION .=,-rz, TEM IS: E::,E"E_F'"T'i I-'", 2E-'Z".-,, L_Ei'~t ....~ ...=,'='-= ..-~-2: L~iF-:r~'..."EL. 842: WEST SI"RFIWE:ERR'¢ RD "~44-]:~9Ft LOT SIZE 503J..0 S'2_FIRE FEET THE LENGTH DIMENSION IS THE L. ENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF Fi TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SIJRFRCE OF THE GROUND 8ND THE BOTTOM OF THE ENCFI'v'RTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRR',,,'EL BETWEEN THE OUTFRLL.. PIPE AND THE BI]TTOM FJF THE EXI]:R'¢ATION (IN FEET). EITHER. R L. LH=,=, I CaR II NSF HFFF..,EE. F'LFiNT MR"r' BE: IN--.THI,..L.E[.. R C:ONTINUOIJS I',IFiINTENFiNCE HLiF. EEftENT IS REC!UIRED. IF' Fi MFilNTEI'.,IFiNCEF. ..... , :' - '- -'11-' ' - ""f ..... HIJREE_MENT I.--, NEaT KEPT L._F..RENF 'T'OLI MFi'¢ BE REC!LIIRE[:, TO ENLHF:._~E ]"HE SO'IL FiBSORPTION _~r_TEfl RNDdl]R YOU M8'¢ E:E SUB.J'EIZ:T TO PROSECIJTIOI"L IF R ]:LASS I S'¢STEM IS USED THE LENGTH IS 2:i. 0 FEET. IF A r' -,-,~ ,-'¢~= · __ _.LH:._ II _-,~_,'fEM IS I I~ED THE LENG'TH IS Z~9. O FEET. BFiCKFILLING OF FiN'¢ =,~.=,]EM WITHOI.JT FINFIL INSPECTION FIND FtF'F'F.'.O',,,'FIL B'¢ ]"HI'=' [:,EF'RRTMENT bi ILL BE S JB 3E ] T TO F F..u_,ELJ_ T I ON. MINIMUM DISTFINCE BETWEEN Fi WELL FiND FIN'¢ ON-SITE SEWFIGE DISPCISFIL. S'¢S]"EM tS iO0 FEET FOR Fi PRIVRTE WELL OR 200 FEET FOR R PL.IBL. IC WELL WELL LOGS RRE REQUIRE[:, RND MUST BE RETURNED TO THE [:,EPFIRTMENT WITHIN i.":E~ [:,R¥S OF THE WELL COMPLETION. SPECIFICFITIONS FIND, CONSTRUCTION DIFIGRFtMS FIRE FI'.,,'FIlLFIBLE '1'0 INSURE PROPER I NSTRLLFIT I ON. I CERTIFY THWF i: I RM FRMILIFIR WITH THE F..E.-.UIREMENT_.. FOR NN-'-~ITE SEWERS FIND WELI.__S FIS .:,El FOR. I'H BY THE HUNI[:IPFILITN' OF FINCHORRGE. 2: I WILL INSTRLL ~HE SYSTEM IN RCCORDRNCE 1,4ITH THE CODES, =: I '_INlEt:' TH~'HE '~ITE SEWER 5'¢$TEM MR'¢ REQ~IIRE ENLFIR3EMENT IF TFIE ~;EC:I[:,~:~I~HI-I~L~:' TID~LIJ[:'E ~I~:E TH~N 4 BEDROOMS. ' S~I.IE[:' 8'¢_.~~~~ ........ [:'RTE ..... PERMIT NO. ('??124) APPLIC8NT LSRRM BRSNDT LOCSTION ~2TH RYE OFF ROC:KRIDGE LEGRL. L2 LUND SUBD L. OT SIZE TYPE OF SOIL RBSORBTION SYSTEM IS: TRENCH .... ,Id :.:LC "+.;[.:!UI--iF.:E FEE'I" MFI',:':',IMUM NJMBER OF E:EE:,ROIDMS = 4 , SOIL RRTING (SI;! Fl,. BF...- 2'.tFi C~ ~ "-I-I '" '~1' THE REQUIRED _I.."E OF THE SOIL RB::,..F..PTILN SYSTEM I[~: THE LENGTH [;' I MENS I CIN I:.,'- THE THE DEPTH OF FI TRENC:H OR IS bROUl'i[;, FIND THE BOTTAM IE :P,,'RTIOI',I ,:' THERE IL--., NO .=,ET I,.II[:,TH :N_.HE_, THE GRFI',,"EL DEPTH IS THE 0 FIND THE EUTTUi'I OF THE EXC:FIVFITtON ET) 0t=' 'I"HE "FF.:E:NCH OR [:,RF-I I I'.,IF I EL..[:,. CE E:ET!.,.IEEN I:HE .SJRFFI::E OF THE: FEET). BETWEEN THE OU"t"FFII._L. F'IF'E F I-i ---I--.I-~iL-.E F"IL.I EITHEF.. FI -' ' I_.EH::,_-, -F..J,E[ PLFINT I',1F1'¢ E:E II".,IrS'I"FII_.I_.E[:,. FI COI'.,ITINU3_S MFIIi', FIGREEMENT IS NOT .3REEMENI' IS REQUIRE[:,. IF FI MRIN'FENF:tI'.,ICE ENT YOU MRY BE F.'.EC4UIRE[:, TO ENLFIR(.!iE THE '~:"lII. YOU MFIY BE SUE .l'ECl" TO PI;i'EIS;EC T I E I'.1 IF FI CI_FISS IF FI n -'-"' _.LH.':,z, '=YC'TE_, _., . IS IJ_,E[. "FHE L. ENGTH IS _.?f.::_. 0 FEEI'. IS '-~E[, THE; LENGTH IS 4o. 0 FEET. ]'"lb-I C, ,:'.,,=_'-:' ....... ":. F:' E:C:I- :[ rff ~.~ ~--; IF~ F:: E F: E,:~ k.l ]' IRE:E::. E,H_.KFII_LING OF FINY TEM WITHOUT FINFIL IN_-,FE_.]ION FIND FIPF'REF,,'FII_. BY THt. S-] [:,EPFIRTMENT WIL. L. BE SUBJEC:T TO F, Rn'--,ECIITIC~N. MINIMUM DISTRNCE BETWEEN FI WELL FIND FINY' ON-SI'TE SEWFIGE DISPOSFIL S"r'STE:M IS :1.£10 FEET FOR FI PRIVIRTE WELL. OR 20C4 FEET FOR FI PUBLIC WEL. L. WELL LOGS; FIRE REQUIRED FIND MUST BE RETL.IRNED TO I"HE DEPFIRTMENT. WITHIN ]:E; DFI"r'S OF THE WELL COMPLETION. SPECIFICFITIONS FIND CONSTRUCTION [:'IFIGRRMS FIRE FIVFIILFIBL..E TO INSURE PROPER I NSTRLLFIT I ON. I CERTIFY ]THAT' '--, .... ""- W Ei]I~.,S'; AS.; '1: I FIM FRM'ILIFIR WITH THE REP.~IREMENTS FOF.: ON-SITE .:,EHER::. RI",I[:' 'S;I.:!:T HNL. H ..... FORTH BY THE MUNICIPFILITY OF .... nRFIGE ,~: I WILL II'4=,THI.,L. THE .=,-r'_TEM IN FICCORDFINCE WITH THE t..UEE=,. ' .:.. ..................................................... ISSUE[:, B"r' ............. ~ ~ 'J~ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION /~L PERCOLATION TEST Pouch 6-650, Anchorage, Alaska 99502 276-222~ SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9- 10- 11 12 13 14 15 16 17 18 19 20 DATE.ER,ORMED:A? ' I 4, tsn'-/ SLOPE SI PLAN WAS GROUND WATER P~ ENCOUNTERED? 0 0L IF YES, AT WHAT -.------ DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop I 4-4-7-1 c~ o ~',~ ~ o 4 ~ :~ t I~ ii PERCOLATION RATE TEST RUN BETWEEN 72-008 (7/76) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6.650, Anchorage, Alaska 99502 276-2221 SOILS LOG - PERCOLATION TEST [] SOILS LOG PERCOLATION TEST PERFORMED FOR: Mr. Larry Brandt, Owner DATE PERFORMED: April Z-3, 1977 Lot Z, Lund Subdivision, Anchorage, Alaska LEGAL DESCRIPTION: SLOPE 1 2 3 4 § 6 7 8 9 10 11 12 13 14- 15- 16 17 18 19 20 SITE PLAN GROUND WATER WAS ENCOUNTERED? DEPTH? Gross Net Depth to Net Reading DateTimeTimeWaterDrop r, ~/ff~.~ ~o~.,~ ~o~;~ ~,.~,, ~,, ~ ~/~ ~o ~,, ,o ~,~ ~'~" ~" '7' PERCOLATION RATE ~0 ~! I ~C~, (minutes/inch) TEST RUN BETWEEN ~' . ET AND i,--22 I. ET · ' ~ ~o~0~. -. CERTIFIEDBY:H. I. Moening DATEAPFil 4, 19'/7 PERFORMED BY: ~nin~--~rRV ~ ASSOC.. Inc. ,% ' 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 Parcel I.D. # ~/~- 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY ^PPROVAL FOR A S NGLE FAMILY DWELUNG LOT' Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent ~/;~_~_ 'i~.~' ~'~,~ Address Day phone Day phone ~'~ ~'i~ ~'u~,?¢-~_~, Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: L~ ~ TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: 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 #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm -~ ~ ~-~ ~,/ ~, u ¢' ~ ~ Address ~o~ ~ I~ ~ ~o~ Engineer's signature ~ ~)~ / DHHS SIGNATURE /'~ Approved for Disapproved. 'Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments { -A.,Lc-. ---..... Date By: / 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 inspectid'ns 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. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage Alaska 99501. · (907)'343-4744 Health Authority Approval Checklist Legal Description: LOT ~-. Lo/q [3 ~//O Parcel I.D.: CIC- A. WELL DATA Well type Log present (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number. Date completed ~',/-/, 7'7 Total depth . Sanitary seal (Y/N) FROM WELL LOG g'. q.77 Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform ~ Cased to ]S~ Nitrate Cas ng he ght (above ground) Wires properly protected (Y/N) AT INSPECTION ?,7- Other bacteria Date of sample: Collected by: ~ '~ B. SEPTIC/HOLDING TANK DATA Date installed 4:~/~"5/~b Tanksize J~ ~JNumberofCompartments~Cleanouts(Y/N) Foundation cleanout (Y/N) ~/ Depression (Y/N) ~'~ High water alarm (Y/N) Date of Pumping )~"~/~ Pumper ABSORPTION FIELD DATA Date installed ~/2- ~=~/~J ~, Soil rating (g.p.d./ff= ~) [' ~' System_type Length ~'O ~-4~ Width ~-.~ Gravel thickness below ,i · - ~ r_ ' y Depression over field (Y/N) Effective absorption area ~'b~-) i~ Monitoring Tube present (Y/N) Date of adequacy test ~//,~ Results (Pass/Fail) '~ For Fluid depth in absorption field before test (in.); ~///~- Immediately ~after '~gal. water added (in.): Fluid depth u~' (ins) Minutes later: ~ g~p.d Peroxide treatment (past 12 months) (Y/N) ~ If yes, give date bedrooms 72-026 (Rev. 3/96)* LIFT STATION HO Date installed Manhole/Access (Y/N) High water alarm level Size in gallons "Pump on" level at* *Datum "Pump off" level at* Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot / Public sewer main ~/,/--~ Sewer/septic service line ~ ,,~ ,_5 On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~',,~-, / Property line /'D / Absorption field Water main/service line ~,~c5 ! Surface water/drainage /'J/o Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain Building foundation c5"~'/ Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots ~ ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records that'the above systems are in conformance with MOA HAA guidel~le~ effect on this date. Signature ~-~', ~/'2 ~' Engineer's Name Date HAA Fee $ 9 Date of Payment Receipt Number© 2~H~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number CT&E Environmental Services Inc. Laboratory Division ~~~~~-~e-,~-j~,~-JJ~,~e-J~,~'JJ~'~,~J,~'~ Laboratory AnalySis Report CT&E Ref.# 964858001 Client Name Tobben Spurkland P.E. Project Name/# Lot 2 LUND Client Sample ID Lot 2 LUND Matrix Drinking Water Ordered By PWSID 0 Sample Remarks: Client PO// Printed Date/Time 09/30/96 15:27 Collected Date/Time 09/23/96 14:30 Received Date/Time 09/23/96 15:15 Technical Director: Stephen C. Ede Parameter Results Nitrate-N 0.100U Total Coliform 0 PQL Units Method Allowable Prep Analysis Limits Date Date Init 0.100 mg/L SM18 4500-NO3F 0 co[/lOOmL SM18 9222B 09/28/96 EM8 09/23/96 TAV RECEIVED OCT 8 1996 ivlu~l~ctpahty ol' AncBorage Dept. Health & Human Services 200 W. Potter Drive, Anchorage, AK 9951 8-1605 -- Tel: (907) 562-2343 Fax: (907) 561-5301 3180 Peger Road, Fairbanks, AK 99709-5471 -- Tel: (907) 474-8656 Fax: (907) 474-9685 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA ~1: Time 825'- L Street,/Anchorag~ Ala~ka--__]~ --.~ ..... "~ - .~ ~ Date Received: July 22, 1977 .~, #2: Tim~ ~3: Time Date 7/~L7 7_ Date Date Insp -., m ~ ~ ~ ~,, Ins~ Insp REQUEST FOR APPROVAL OF~N~IVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request~ Alaska Bank of Commerce Mailing Address: Pouch 7-01~ 99510 Phone: 279-5641/350 2. Property Owner: _Lawrence l./Barbara Ann Brandt Phone: Mailing Address: 843 S~awberry Road 3. Legal Description: Lo~ Lund Subdivision 4: Single Family Residence: (x'"~... Nmtlber of Bedrooms: Four Number of Bedrooms: Multiple Family Residence: ( ) ~ 5. Well System: _ 34~3~9..0~ Individual well (x) Commu~h~ty/Public System ( ) Permit Construction Depth of Well ~ Well Log on File (~'/ Bacterial Analysis 6. Sewage Disposal System: On-site System ( ~x Publ~ic~ty Permit ~ ~ ~ Installed ~ Installer Septic Tank Size ~ ~ Manufacturer Absorption Area _.~___ Soils Rate ~ 70 ~ Material 7. Distances: Well to Septic Tank ~o~ 'to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~t~ ' .Pag~,~T~o Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 2 Lund Subdivision Comments: Affadavit Attached:(~/ Letter Approved: Date. Disapproved: Date: -Department Worksheet: GREATER ANCHORAGE AREI, BOROU'~~'':~ Department of Environmental Quali~y~ 3330 ."C" St., Anchorage, Alaska 99503 -'27414561 REQUEST FOR'APPROVAL OF INDIVIDUAL SEWER & WATER Mailing Address: Same 4. Name of Lending Institution.: Mailing Address: Pouch 7012 5. Name of Realtor or Agent: N/A. Mailing Address: Type of Inspection: CMRO VA FHA CONV X .: Property Owner: Lawrence ~. 'and Barbara Ann'Brandt Mailing Address: 843 Strawberry R6ad Da~ Phone- ~ Anc'horage, A±aska 99502 Name of Buyer: Lawrence D. and Barbara Ann Br.andt . ..~ ~ Day Phone .same Alask~ Bank o~ Commerce Phone 279-5641 Ext. 350 Owner/Build'er Phone 6. Legal Description: . - Location: .40t 2 Lurid · NHN ll2th Ave.. Anchora~e~ 'Ak. ~07 .Type of Facility to be inspected: SFD Water Supply Type of Supply: Public Utility If Individual, number of dwellings presently served If Individual, depth of.well Sewage Disposal' System Type .of S~stem: Public Utility If Individual, date of installation No. Bdrms. '.¢,~.~ Individual × , Individual (on-site) × DATE INDIVIDUAL ~ SEMI-PUBLIC [] ~LTH ANO SOCIAL:SI'~,~CES JBLIC flEALT ;' ),SEMI-PUBL!C- ~ ~W~AT::ER ANA LY SI s OFFICE "-to be: ZIP CODE '~"~ ',: ~ours old-ot.~brnination to ndcate reliable results. Piebse : send ne~v sbrhbJ~.'- ' ,! El Bottle,hF°kj~in f'~:°nsit, please'send new'sgrnple SAN TAR ANcS REMAR.KS -. Wo~d [] Concrele g MetaJ . ~, ~? ~].-'- -' ' ~ In Basement .~ Basement Offset ~ Under House] * ' . ~eld Feet. Pit Feet Pbol Feet. Privv .'?eet. ' .... ~ ' _ . . ~ATE~lAL~BuildingSewer- ~Costlron- ~Wooa ~.me ~ GENERAb Does Water-Become Muddv o~ Disco ored? - Mdt~a D a%eter ~¢pth L~ngth of ~ : - ' . ~ ¢~Water Depth ~, READ INSTR~UCTIO NS Date Receiv REVERSE SiDE FoRE COLLECTING SAMPLE EMB . AGAR- Lactose Broth 24 hrs. , . ~,?~-s, . 48 h~s. ~ ...Gram's stain " IMost orobableNo get 100cc) CoJiform Densttv - - ;l-. ~r This ora vs s nd ca es Co iform Org/onisms to be: ~ .... ?( Present '