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MCCABE WEST LT 3
McCab¢ West Lot 3 #018-231-29 0`• fv f i i Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 4 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221050 PID Number: 018-231-29 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name STEVE RICHMOND ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench 0 Bed ❑ Mound Site Address 13300 PEAKVIEW CIRCLE *ANCHORAGE, AK ❑ Other Phone of Bedrooms Soil Rating depth from original grade 907-350-7886 pNu�m�_I_er 0.7 GPD/SF JTotal SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot MCCABE WEST; LOT 3 Fill added above original grade SEE DWG. Ft. Gravel length 58 Ft. Township Range Section Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 5 Ft. SEPARATION DISTANCES To Septic Absorption S Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 870 Ft2 - -Ft. Well 1001+ rTANK 100 + 1100'+ .P. Holding E] Other S.T.E—_ g Manufacturer Capacity Surface Water 100'+ 1004 1004 GREER TANK 1500 Gal. Material B f Z 6 Number of compartments Lot Line 54 10'+ 54 NA PLASTIC 2 Foundation 104 *10'+ *10'+ L LIFT STATION Manufacturer Capacity I I I Remarks OLD TANK DECOMMISSIONED PER UPC PER CONTRACTOR GREER TANK 5500 Gal. *5'+ TO DECK POSTS Alarm location N HALF -BASEMENT Electrical installed by A & A PROFESSIONAL SERVICES Installer PIPE MATERIAL House to tank D3034 Tank to D1785 drainfield ANDERSON CONTRACTING AND ENVIRONMENTAL SEPTIC Drainfield D3034 CO/MT D3034 Inspector GEG AND MOA BENCH MARK (Assumed elevation) 100.00 ft Inspection 151 7/18/2022 2�a 7/19/2022 Location and description 3b 7/20/2C6 4th 7/25/206 TOP OF BOTTOM DECK STEP ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Qo6op � Conditional Approval: Date �...4 T 0� .. ........ ............� 0 p Septic Syste �f ey Gorn ss.- Q p Approved pp Date Z 0 CE -795 exp OODfP,P I��i3 2'��a�o ��%, Note: this approv/oes not include well permit requirements. I resslon°moo 40�Op0�d #AECC884 �I \GY VJ/VG/ 1 VJ /0/),3/2z, PERMNUMBER: OSP221050 RECORD D RA W I N G i i A B IMH1 38.4 27.2 MH2 41.4 30.9 I / C01 47.1 42.9 WELL RADIUS CO2 51.6 47.8 , / 100' _- NOTE: PIPE LOCATION PER I \ AS -BUILT SURVEY PROVIDED BY GARY M. GERVELIS. I I � MCCABE WEST; LOT 2 100' WELL RADIUS T.H.#2 EXISTING 4 \ IT.H.#3 BEDROOM HOUSE RTIT.� ' A E IGENERAL LOCATION OF TEST PIT #1 � \ I PARCEL ID NUMBER: 018-231-29 .'•`' •� DRIVEWAY ` •.•• / � / fCO cmnille, Aec. PftlQef G o MH1 \ O H2 � CONNECTED TO EXISTING T1 NT JA W SERVICE LINE PER CONTRACTOR �{I C 3 7 0 I \ \ I \ I N I t SCALE: I 1" = 40' 1 =.za ; d,_ml %-- GENERAL GENERAL LOCATION / OF TEST PIT #2 04 PD�VS I �� R C05 X00 C06 NEW DRAINFIELD GENERAL LOCATION OF EXISTING BED PER AS -BUILT SURVEY AND MOA RECORD DRAWINGS; EXACT ORIENTATION AND LOCATION IS UNKNOWN. ASSUMED TO BE 61+ IED MANMADE POND/ �u30-LI: 4>>Tp 0-7 C iIlGL/a ; 1anJ MCCABEWEST; LOT 4 L_ �A I Iw roNG EMN"Ars' GROUP9 Ltd ENGINEERING SALES =CONSULTING 3701 E TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507 -PHONE (907) 3376179 • FAX (907) 336.3246' WEBSITE: v ga ssenginccring.cam PREPARED FOR: PHONE NUMBER: PAGE NUMBER: STEVE RICHMOND 907-350-7886 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MCCABE WEST; LOT 3 D.J.G. TYPE OF WORK: DATE: ,,,_ SEPTIC SYSTEM RECORD DRAWING 9/29/2022 p�L e) , t 311�,IZ3 qo 'w '&vwl%%kk4 I iJK4 Ih ........ �.�....�............::..... 00 1.•r� 0 �Jel%ey A_.Gar ess.� ;c ♦ Y E-7 53 �Z LICENSE ®IIII®®ROPE ��0�®® / #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: OSP221050 RECORD DRAWING 018-231-29 WEST END OF BED EAST END OF BED HIGHEST POINT OF ORIGINAL (FILL) CO CO GRADE AT WEST SIDE OF BED = 96.94 MT FINAL GRADE= 97.45-97.90 MT HIGHEST POINT OF ORIGINAL (FILL) FILTER FABRIC ---x� � GRADE AT EAST SIDE OF BED = 96.52 2" INSULATION PER CONTRACTOR OF NEW SAND = 94.23 MOA FILTER SAND FOR {K�% ;a?�`` INVERT OF DISTRIBUTION LINE LEVELING COURSEy;:;f •: �;x+ " THROUGHOUT BED = 94.73 BOTTOM OF EXCAVATION = 93.4-93.94 MID LENGTH BOTTOM OF TRENCH EXCAVATION = 92.82-93.25 BOTTOM OF EXCAVATION = 91.99-92.53 SEE MOA RECORDS FOR TED MOORE, PE TESTHOLE INFORMATION AND ATTACHED "SOIL LOGS,- BY OGS"BY GEG. NEW DRAINFIELD MEETS MOA CODE REQUIRED SEPERATION DISTANCES TO GROUNDWATER (4'+ TO SEASONAL HIGH) AND IMPERMEABLE SOILS (6'+) F'.94 Jeyrey A. Garness I-Lj_ a -79 3 _ e m *i FQ •........ •,•�'� LICENSE ®®l�q®S®® ®�® #AECC884 OWT ENGINEERING c SALES �i CONSULTING 3701 E. TUDOR ROAD. SUITE 101 -ANCHORAGE. AK 99507 • PHONE (907) 337.6179. FAX (907) 338.32-06' WEBSITE: vmw.gamessmg:neering eam PREPARED FOR: PHONE NUMBER: PAGE NUMBER: STEVE RICHMOND 907-350-7886 4 OF 4 LEGAL DESCRIPTION: DRAWN BY: MCCABE WEST; LOT 3 D.J.G. TYPE OF WORK: DATE: DRAINFIELD PROFILE DRAWING 3/16/2023 F'.94 Jeyrey A. Garness I-Lj_ a -79 3 _ e m *i FQ •........ •,•�'� LICENSE ®®l�q®S®® ®�® #AECC884 PERMIT NQMpER: PARCEL ID NUMBER: .OSP221050 RECORD DRAWING 018-231-29 MH1�FINAL GRADE = 97.72-97.90 MH2 TOP OF TANK AT INTLET = 94.21 INVERT OF BUNG AT INLET = NEW 1500 GREER TANK WITH ANCHORAGE TANK COMPONENTS TO BE USED AS STEP TANK TANK HOLE WAS DRY DURING EXCAVATION -GROUNDWATER WAS NOT ENCOUNTERED 2" INSULATION PER CONTRACTOR -_- - = olr Tp ENGINEERING SALESa CONSULTING Al701E TUDOR ROAD SUITE 101 . ANCHORAGE. AK 99507 • PHONE (907) 337-6179' FAX (907) 33&3246. MBSIT2 vrawm� .�.,��..",,,.,-,m µ l PREPARED FOR: STEVE RICHMOND LEGAL DESCRIPTION: MCCABE WEST; LOT 3 TYPE OF WORK: STEP TANK PROFILE PHONE NUMBER: 907-350-7886 PAGE NUMBER: 30F4 DRAWN BY: D.J.G. DATE: 8/4/2022 OF TANK AT OUTLET = 94.17 Aw AV } • • .... .....:.E\....•.................� a 0 Jeffrearness rAN m -7913 AV LICENSE®®fig®S®®�_®®®® #AECC884 K��� �Q�� ����� GAR1�E�� �l���}�������� ������ ��� ~~ ��= 9 ����� mn,��rv��mmE0G0&�BUNG°8ALES-OON8ULT|NG ~~.".".""^""""°�^�°=',nowsnono�mm'vEamre �m LEGAL DESCRIPTION: WEST; LOT 3 PERFORMED FOR: STEVE RICHMOND DATE: 7/18/2022 DEPTH I EAST CONFIRMATION Ho -L -El ' EE: ORGANICS ~_ r'ILLJLV/AIVl SOIL CLASSIFICATIONS u_}����� 51 10 11 12 13 14 15 16 17 18 SM OR ML DEPTH TO GROUNDWATER DATE DRY 7/18/2022 | / SITE rLrxv / DATE READING NET TIME WATER LEVEL NET DROP READING (INCHES) (INCHES) 18 PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. TEST RUN BETWEEN - FT. AND - FT. aO_-L_____/ 4FOUR HOUR PRESOAK WAS PERFORMED: [—1 YES NO SOILS LOGGED BY: D/YV|DGARNEB8 PE PERCOLATION TEST PERFORMED BY: N/A COMMENTS: GM ORMLLAYER VISUALLY PERMEABLE PER 6EGINSPECTION PERFORMED 8YGEG.Ltd. |. JEFFREY &GARNESS.CERTIFY THAT THIS WAS PERCORDANCE (INCHES) go 0 00 Mum DEPTH TO GROUNDWATER DATE DRY 7/18/2022 | / SITE rLrxv / DATE READING NET TIME WATER LEVEL NET DROP READING (INCHES) (INCHES) 18 PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. TEST RUN BETWEEN - FT. AND - FT. aO_-L_____/ 4FOUR HOUR PRESOAK WAS PERFORMED: [—1 YES NO SOILS LOGGED BY: D/YV|DGARNEB8 PE PERCOLATION TEST PERFORMED BY: N/A COMMENTS: GM ORMLLAYER VISUALLY PERMEABLE PER 6EGINSPECTION PERFORMED 8YGEG.Ltd. |. JEFFREY &GARNESS.CERTIFY THAT THIS WAS PERCORDANCE (INCHES) 9 Ltd ikff n ENGINEERING -SALES CONSULTING - 3701 EAST TUDOE ROAD, SUITE 101 'ANCHORAGE, ALASKA' PHONE (907) 337-6179' WEBSITE: www.gamessenginee6ng.com SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: MCCABE WEST; LOT 3 PERFORMED FOR: STEVE RICHMOND DEPTH (feet) ORGANICS 1 FILULOAM 2 3 ORGANICS 4 5 x`y^ GW -GM 6 7- 8- 9— 9B.O.H. B.O.H. 10 11 12 13 14 15 16 17 18 DATE: 7/15/2022 WEST CONFIRMATION HOLE SOIL CLASSIFICATIONS DEPTH TO DATE GROUNDWATER DRY 7/15/2022 SITE DATE READING NET TIME WATER LEVEL NET DROP READING (INCHES) (INCHES) 19 PERCOLATION RATE - (MIN./INCH) PERC. HOLE DIA. (INCHES) TEST RUN BETWEEN - FT. AND - FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES IM NO SOILS LOGGED BY: DAVID GARNESS, PE PERCOLATION TEST PERFORMED BY: N/A COMMENTS: THE ML OR SM LAYER BY TED MOORE, PE WAS NOT ENCOUNTERED DURING EXCAVATION PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS P jRF RMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: It /! 6 �2 Z �n m En N Cll 0c 0 40 'z 4 d> 6� I— z O , O t 0 t 0 11 N 00 �t - 1 m J � C5 2 J W Z __jO O i < E- C < W (/��ry ,6'LE - �► ZZE . O N Ln r\ 1p W 00 I �-, L—t 0QzLn ul Q ,8"OL xx= LE c0 0 =-•v a o m F- � Z I p W r Q Z J I WSJ ! Z Z ! - u / L'.! / S ! O Q t W W Ln fLLJ LJ �.� � � • os �j� a W /� �• CV 6 y�ff UJ i� • Ill 00 M Q. zI : �� Q Ow ,so*o LE ft,Zz ! ,Eo .oas IN3Nsd3 t -nu n t Lam•• ••Q� < J -" W �S cr < _ � J < : tT LL Q0 J O zTZD o-0 w 0c 0 40 'z 4 d> 6� I— z O , O 00 a��/�� - m Q 2 f 2 J W Z __jO O i < E- C < W O ti U F- I�- Lf) T= 3v� Z O < Ln o ,so*o LE ft,Zz ! ,Eo .oas IN3Nsd3 t -nu n t Lam•• ••Q� < J -" W �S cr < _ � J < : tT LL Q0 J O zTZD o-0 w 0c 0 40 H X -0 C) m n CO r��w N> T= 3v� Ln o ,m, mrn m' ,r>4 v _ N va<zZ�a c2YNO = r �C "O 000 "11 w 2' c c v <I-.0 G<cZ w Q. !Ln G<z w~z o3u= O. °O i-QzO Of Cc? �^cOc lit. a�7 GW'S N U%" < t1 OC -2 1, -- -Y, - J ? ....._.._- a v < y N< Z c Z0 0 Z Z GN= c .> z < zN>� - 12 G r c <_z < zap o COG. �ul=c < < < w �o`T 7)c_ >G�� yz_<° LL G c = < v Ncso «G�s Q Q v o o O CJ Ln C) Q fG M C N U E r Cl 00 co Q o (U 10 u ro J tlt N Q L.`1 O N tiJ L11 = 0 y LL C N Q0 U V3 J_- C -- Q V) 0 LU U r U r -i LLJ m o U) CD V 06 cca Q � N 0 w ,s Q o <<U` 0 � Wockenfuss, Deborah M. From: Walters, Michael S. Sent: Wednesday, January 25, 2023 8:52 AM To: Kayli Thompson Cc: Wockenfuss, Deborah M. Subject: RE: 13300 Peakview Circle Encroachment/Well + Septic Permit Close-out Kayli, Right of Way has no objection to the existing leach field bed remaining in the undeveloped 20' drainage easement. Thank you, i Michael S Walters Senior Plan Reviewer (0)907-343-8226 From: Kayli Thompson <scopepne.kayli@gmail.com> Sent: Tuesday, January 24, 2023 5:01 PM To: Walters, Michael S. <michael.walters@anchorageak.gov> Cc: Wockenfuss, Deborah M. <deborah.wockenfuss@anchorageak.gov> Subject: 13300 Peakview Circle Encroachment/Well + Septic Permit Close-out [EXTERNAL EMAIL] Mike, Thank you for meeting me today, I appreciate the time. I am following up with conversation we had on 13300 Peakview Circle. You had mentioned that they had an old encroachment permit from 2010, but it had never got issued. I wanted to verify if you are fine with the placement of the Pond/Paver Patio/Retaining wall in the 20' drainage easement? And if so, can we cancel the old permit since it was never issued, and will you be fine allowing for On-site to issue the well/septic permit? Thank you, Kayli Thompson Scope Permitting & Engineering, LLC Cell: 907-223-4315 (CALL OR TEXT) Office: 907-375-2041 scopepne.kayli(a�gmail.com 8301 Schoon Street Suite 200 Anchorage, AK 99518 1 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program poBox 1eseuo 47ooElmore Road Anchorage, Alaska yms1e'asso Pxm, 904 Fax: (nor)uwz-7oS7 Permit Number: DSP221058 Work Type: Septic Upgrade Tax Code Number: 01823129000 Site Legal Address: K4CCABEWEST LT 3 G:2936 Site Mailing Address: 1330UPEAKVIEVVCIR.Anchorage Owner: RICHMOND STEVEN J&DIANE KX Design Engineer: GARNESSENGINEERING GROUP LTD This permit imfor the construction of: Disposal Field 2 Septic Tank El Holding Tank El Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 5/4/2U22 5/4/2023 ' 19Private Well Water Storage All construction shall beinaccordance with: 1. The attached approved design. 2. All requirements specified inAnchorage Municipal de Chapters 1555 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water �` '3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.G5.Provide notification bycalling (QO7)343-7A04(24/7). 4. From October 15UnApril 15. uaubou�ooesoi|aboo�dionsyabemunder freezing weather shall baeither: a. Opened and Closed onthe same day, or b.Covered, sealed, and heated hoprevent freezing Special Provisions: 1. prior to construction, confirm visumlly that the MLlayer is permiable. If it cannot be confirmed visually,a perk test will required. Note the results onthe IR. u. Show the pond onthe RD. Note that itislined with noinlet oroutlet. 3' Prior to IR approval, a ROW review regarding the existing field in the drainage easement is required. ' ---_ Received By: .........Issued By: - - � ~~— ----- El UMICIP UTYNCHOR G Development Services Department" Phone: 907-343-7904 On-Site Water &. Wastewater Section - Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 018-231-29 Property owner(s) Steve Richmond Day phone 907-350-7886 Mailing address 13300 Peak View Circle *Anchorage, AK 99516 Site address 13300 Peak View Circle *Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) McCabe West; Lot 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION 1S FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Fxj Initial ❑ Single Family (SF) [X (w/wo AD U) Septic Tank El Upgrade Q (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 5,75 Date of Payment: 3 -q -Z 0 2 - Receipt Receipt Number: n 3 %-/ec Permit No. 03/'22/050 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221050, Deb Wockenfuss, 05/04/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221050, Deb Wockenfuss, 05/04/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221050, Deb Wockenfuss, 05/04/22 MuniciPality of Anchorage Page J of 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: _~lt/ ~1102 $3 PID Number: 0 I ~l 2 $ 12cl Name: SHERYL + 5TEP~eN SYVERSON Wastewater System: ~New ~ Upgrade Address: Phone: ~ No. of Bedrooms: ~S- ~O~2J ~, ~ Deep Trench ~ Shallow Trench ~Bed ~ Mound ~Other Total Depth f~om original erade: Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township:~ [~ Rang~ ~~ Section: ~ Fill added above] ~ original~ ,~grade: Ft. Gravel length: '~ Ft. WELL: ~New ~ Upgrade GraveJ ~p,,,:~ DTN Number of lines: Distance between lines: ) E Ft. 3 ~ Ft. Classification (Private, A,B,C): Total Depth: I Cased To: Total absorption area: ./ Pipe material: ~- ~10 PRIV~TE ~l~ Et. 8~ Ft. ~70-- Se. Ft. ~' PYC D-3o~q Driller: R~~ Date Drilled: Static Water Level: ~nstaller: Date ins~l~ / Yield: ~ GPM,I Pump~Set ~oat: ~ Ft. Jl Casing Height Above Ground:Ft. TANK SEPARATION DISTANCES ~s~.~ic ~ Ho~.~ ~ TO Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank S .... Lines ~C~O ~ T~K Surfaco Lot ~ ~ ~ Size in gallon~: Manufaoturer; Foundation I ~ ~ ~ ~ ~ ~ O "Pump on" level at: "Pump off" level at: H~gh water alarm at: CurtainDrain ~ ...... Pump Make &Modei Electrical Inspections performed by: Remarks: 5~ I~ ~[~ ~ ~p~o~ _ BENCH MARK Location and Description: }nX~ ~b~ , ~ Assumed Elevation: ] ~]~/op Technical Services ENGINEER'.s'SEAL Inspections performed by: F~A~oP ~EcH EYc~ Dates: lst_.7/Jo/~ ~* ~, ~== ~ Department of Health and Human Services approval c..3 s Reviewed and approved by _ Date' ~ '~ *~" ""*'"' (1/91) MOA25 . Permit No. 5[~ 9102 ~'~ Page 2 of 3 Municipality of Anchorage 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 LegalDescription: LoT 3 H¢CAiSE' V/&~;7 PIDNo.: OI82312¢t / C~F~CLE SEPTIC. TANK ¢o. C.o.¢~ 5o1~ '0 A~s. ENGINEER'S SEAL : 14530~ Echo A~aska Street 99516 ~ ~.'~".... cu. s~8~'. ~ ;;.' -~ Ar:chora=e, 72-0~3 A (Rev. 9/91) MOA 25 Permit No. E l,,./c~ 10'2. S3 Page ~ of 3 Municipality of Anchorage 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 Legal Description: ]_O'T ~ ~¢ CA~,E '~'E'$7- PID No.: O1,~ 2312°/ IOO S~PTIC--,ANk 1NVERT ELEV; OUTLET °13 8f~ T.t-I. bP.,( :F!att6i5 Technical Service 14530 Echo Street Anchorage, Alaska 9951 ENGINEER'S SEAL 72-013 A (Rev 9/91) MOA 25 1EOI ~ .,.ona St. 99~15 ANCHORAGE~ /~.LAI~KA ~44-~'14 SIX INCH WATER WELL DRILLED DRILLED AT THE RATE OF !121 PROPERTY OWNER '~]; . Steve LOCATION OF WELL SITE Et. 3 ]:lk,. -- DRILLER ~jjoi'i~ie OUT TO THE DEPTH OF 21 2 Feet. PER FOOT. Steel casing seated to 212' WELL LOG: o - lb' Silty sandy gravel. Lt.O~':; clay material. 52 - I I~) ?a~dpan. A cemented gravel. A sandy silty wat~ bearing area between 72-74 feet proved a poor quality of water. 'lO1' ~, wet clay with 4~,.. coarse gravel. Eld' Fl. ue clay. 307' coarse gragel. Dry. 210 - 212' A good coarse water bearing gravel aquifer. Water production shows lZl gpm pumping ten feet off bottom. Water recovery is back up 110 leet of surface. 3/4 horse submersible pump should ."i~stalled about ten feet orf bottom. The, 2T2 footage is from ground level. ~otal casing is Eltt' T::}'bal cost o:f drilling: ~21.00 x 212 feet: $1t.,452.00 ~'2,0'00.00 paid on this account initially. RECEIVED AUG 11 199: Municipality of Anchorage Dept. Health & Human Serwces COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PaYaBLE TO RAMPART DRILLING WORKS FOR THE SUM OF ~i~ 452.0U THANK YOU VERY MUCH. ~'~-~- ~ BERNIE CLAUS OF RAMPART DRILLING WORKS DATE ,r !:}e ,5'{;ii ~ I r,)92 SERVICE CHARGE OF 1~% PER MONTH WILL Be ASSESSED ON PASt DUE ACCOUNT$. 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 WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW910283 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:SYVERSON SHERYL OWNER ADDRESS:13300 MC CABE CIR ANCHORAGE, ALASKA 99516 DATE ISSUED: 9/11/91 EXPIRATION DATE: 9/11/92 PARCEL ID:01823129 LEGAL DESCRIPTION: MCCABE WEST LT 3 LOT SIZE: 40323 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE' CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 September 3, 1991 Robert Robinson M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 14530 ECHO ST. ANCHORAGE, ALASKA 99516 Dear Mr. Robinson: The purpose of this letter is to proxqide the required design narrative in support of our application for a permit to construct wastewater disposal facilities on Lot 3, McCabe West S/D, located at 13300 McCabe West Circle. Soils logs, perc test results, a site plan, design drawings and specifications are encloged for your review. The proposed system vdill be constructed in the vicinity of test hole 4/4. As can be seen from the soil log, the native material between 1.5' and 4.0' is a clean sandy gravel with a measured pere rate of less than .1 minute per inch (see perc test conducted in same stratum in test hole//2). The proposed design does not incorporate a sand filter because the GW stratum ~s underlain by tighter ML and SM soils (see enclosed sample) which can be expected to provide adequate filtration of the effluent prior to encountering any groundwater table. Nevertheless, the design is conservatively based on a soil application rate of 0.7 gpd per sq. ft. specified in the wastewater ordinance for filter sand. Thus, the proposed 4 bedroom residence will require a total absorption area of (4 x 150)/0.7 = 858 square feet. The proposed 15' by 58' bed design has a total absorption area of 870.square feet. The proposed sites for both the original and replacement systems are within 100 feet of a designated drainage easement, however based on extensive soils testing and groundwater monitoring conducted by our fu'm through breakup of this year, you concured on 5/15/91 that this would not pose a problem in issuance of septic system permit (copy of letter enclosed). The ~pograPhy of the lot in the vicinity of test hole//4 slopes to the southwest at approximately 5%. The proposed project will have no impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. LOT ~£LL Hou$~ ~ YVELL LOT B <£P. TANK y.. .LOT / IVl¢ CASE CIRCLE WEST. ~ '~ I00 ~ IVELL Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 LOT 3 McCABE WEST FRoPOSE'b Vv'~LL 4- .%EPT/C SITE PLAN SCALE DATg NOTE: Tilts ~s No' ~LL LoCATfON$ T 15~ PLAN V ~ EVv' SCA/.-~'.1" -- ID~ SECTION A-A $CAL~. : I"= 5' ~attop Technical Services .... 14530 Echo Street Anchorage, Alaska 9951~ LOT 3 VicCABE WEsT SOiL ABSORB-FioN PLAN ~ CROSS SCALI~: As l>AT~ : q/fl~ b~v~ ,fly: Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345.1355 Lot 3, McCabe West S/D 13300 McCabe West Circle Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of the installation of a 1250 gallon septic tank followed by a 15' wide by 58' long soil absorption bed. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.4 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 2.0 Septic Tank: 2.1 The septic tank shall be a 1250 gallon Municipally approved tank with a minimum of two compartments, and shall be set level on undisturbed soil. Each compartment shah be. equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation and covered with at least 2 feet of soil. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Soil absOrption system: 4.1 The soil absorption system shall be constructed by stripping the peat and surface loam material from the proposed 15' x 58' bed area to expose the top of a clean sandy gravel stratum at a depth of approximately 1.5'. Once this sandy gravel stratum is exposed, a level bottom for the bed shall be created at a depth of 2' below original ground level on the high side of the bed by removing excess material from the high side and placing it on the low side as needed. Due to the fact that the gravel stratum is relatively ~thin, special care shall be taken to avoid over-excavation of the native gravel. If needed sand complying With Municipal specifications for filter sand may be used as leveling material. 4.2 A total of 1.0 feet of approved sewer gravel shah be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 6 inches above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 4.3 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings: The portion of the monitor tube extending ttu'ough the sewer gravel shall be perforated. 4.4 Approved triter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 4.5 The top surface of the cover material shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. Topsoil and seeding over the disturbed areas will be an'anged separately by the owner. 4.0 Inspections: 4.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sand leveling material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up .to the septic tank, but prior to placement of insulation or filter fabric, and (5) after final backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. PERFORMED FOR: I Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST q',~, ¢~ ST'EVE ~yVERSoN LEGAL DESCRIPTION: I 2 3 GP 4 B 7 8 9 10, Hc('AB£ WE 'T PT Sh/t F~EbDISH $~Nb',/ Lo/iH 5~LT¥ G~AvEL 11 Township, Range, Section: ..S£~. 27~ TI2 SLOPE SITE PLAN ~;LO PE 12 13 14 15 16 17 18- 19- 20- COMMENTS 'T'~.~t DUG IN Lok/ WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Oeplh lo Water AFter $~'~r /3'~'/,o~, Monitoring? Ilale: · Date Gross Net Depth to Net ~/~ITE R Time Time Water Drop frs" ~/2,~ DRy ~-/3 PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN __ FTAND FT 'PoI~'T' oF _S.h/ A L E . ~.'r'mO.M£~DV: _F_LA_TTOP TE¢~/ SE_cS I. ~_~'"'~ ~'~,.A~"'~_. (¢LIIIIIY'II'IAI'IHIS~ES~WASPERFORMEDiN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; ~'~.~, 72-008 (Rev, 4/85) PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG- PERCOLATION TEST STEVE ~YVERSoN LEGALDE$CRIPTION: L~,d HcCAESE W'E<,,'"F Township, Range, Section: 5£~. 27~ TI2/~ SLOPE SITE PLAN 2, 3 C~W CLEAN SAND',[ GRAVEL 4 5 ML GEA~ C o HE~ I yE 8 9- ~ F~NE SILTY pOCk'ETS oF WAS GROUND WATER 10 ' ~ P/,~ ~'1 ENCOUNTERED? NO IF YES, AT WHAT 12 ~) ~ Y DEPTH? 13 Depth to Water ADer ~/2~( -- B,I-J, Monilorino?,, DRY Date: ~/2"/ Reading Date Gross Net Depth to Net Time Time Water Drop out oF ~re~ 3:1~: ~o ~o S~c 2~ 7ff 2 14 15 16- 17- 18- 19 20 PERCOLATION RATE "~ ~,--..~- (minutes/inch) PERC HOLE DIAMETER , ,,~" ~ TEST RUN BETWEEN ~2 ~z. FT AND ~ FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES iN EFFECT ON THIS DATE. DATE; I~ ~/ [~ 72-008 (Rev. 4/85) ...... PERFORMED FOR= Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ~.H. #3 ST'EVE 5yVERSo~ LEGAL DESCRIPTION: PT' 1 5M 2 3 4 5 6 ~laO 7 8- 10 11 12 HcCAISE WES7' REDDISH SANI>'{ Township, Range, Section: .~EC. ~7, TI2 SLOPE SITE'PLAN .~Nb¥ LoAM GRAVEL ~ILT~I GPAVEL S~L 0 PE WAS GROUND WATER I ENCOUNTERED? · l,~S 8 IF YES, AT WHAT ~.4LL _~F_.EP L O DEPTH? f~T ~.~" P 13 14 15- 16- 17 18 19 2O COMMENTS Depth to Waler Alter Monitoring? Dale: bepTli TO ~ Date Gross Net Depth to Net WATE't~ Time Time Water Drop I~. ~;. L. PERCOLATION RATE .. TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER . FTAND ~.FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES tN EFFECT ON THIS DATE. DATE: ~'/~? & /~ ~t/ 72-008 (Rev. 4/85) ...... Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: ~.-,.~ p~ SLOPE 1 2 3 4 5 6 7 8 9 Township, Range, Section: 10- ~ i~ee Sd~/~-~Z WAs GROUND WATER ~OC~ 0~ ~ ENCOUNTERED? S L 11 - Poc ~ ~1~ IF YES, AT WHAT O 12 - DEPTH? p E 1 ~- ,eplh to Water After M0nil0rin0? ~ Dale: 14- Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER 16- 17 18 19 '7~, h~. ~J["y TEST RUN BETWEEN __. FTAND COMMENTS .~.~O.U~Oev',, F~rro~ 7~C~. ~ ( i ~~ CERTIFY THAT THIS TEST WAS PERFORMED iN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE: 72-008 (Rev. 4/85) I CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 May 9, 1991 ANCHORAGE, ALAS KA 99516 P.O. Box 19-6650 ,,,~ c CtJ,~ Anchorage, AK 99519 . 0f~..3 By means of this letter~e requesting your concurrence in our determination that the di'ainage easement reserved on L~6t 4 of McCabe West S/D does not constitute a surface water source requiring a 100 foot setback from on-site wastewater disposal systems. A site plan and test hole logs are enclosed. To arrive at this determination we had three test holes dug on April 12 at the locations shown, and then monitored the groundwater levels in each of them through breakup. We also checked for surface flow, both in the designated easement and in the roadside ditch beside Bragaw St. At no time during breakup was there any surface flow in the drainage easement. In fact, test hole #1, which was dug to a depth of 9 feet at the low point of the swale only showed evidence of groundwater between April 17 and 29, and the highest level was over 5 feet below ground surface. The observed absence of surface flow is understandable, considering the fact that there is no readily discemable swale further to the east, and the construction of McCabe Circle West incorporates no provisions for surface di'ainage. On April 17, during the height of breakup, we observed a trickle of water in the ditch beside Bragaw which flowed through the culvert to the west. By April 24 this trickle beside the road had dried up, and by~ April 29 there was no water in the culvert. Based on our understanding of the wastewater disposal regulations, it :is our opinion that the short term trickle described above does not require a 100 foot setback ~. x'~ from on-site wastewater disposal systems. The soils logs, particularly test hole #2 indicate suitable soils for construction of on-site wastewater disposal systems. The site plan illustrates a feasible configuration of an original and a replacement system for this lot, however we are not applying for a permit at this time. Since the best soils in test hole #2 are quite shallow, it is possible that the owner will wish to do additional percolation testing of deeper strata in an attempt to avoid the necessity of a lift station. The new owner of the lot is in the process of consumating his purchase, and the issue at hand is whether the presence of the drainage easement will be an obstacle to future issuance of a sewer permit byx[ your department. Based on our monitoring program through breakup, it is our opinion that the drainage easement should not be an obstacle, however we recognize that you have the final say in this matter. Accordingly, we are requesting your evaluation of our data and your concurrence in our findings. Please give me a call if you have any question on this report. Thank you for your assistance in this matter. Sincerely, RECEIVED MAY 1 0 19[}1 Ted Moore, P.E. cc: Steve Syverson Municipality of Anchorage Dept, Health & Human SerVices LOT 2 ~cCABE CtRCLE WE ST. LOT 3 k.'£ LL LOT LOT .3 NcCABE WEST PROPOG/b Vv'ELL ¢ ~EPTIC_ ..SITE PLAN SCALE t't=5o~ NOTE: TCtS is A gul~VEY£'b ALL .LocATIoNs ARE APP I~OYIHATs PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST -['. Fi, VI $'FEVE yVER$o q LEGAL DESCRIPTION: 9 10, 11 12 13 14 15' 16 17 18 19 20- L'& HcCABE WEST pT SIVt ~EbblSH S/~Nb'~ Lo/IH GM COMMENTS 'T'H.~1 D(JG IN LOW Township, Range, Section: ,~E'(~ 27~ T/2/~ SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ~;LO~E S L IF YES, AT WHAT O DEPTH? p E Depth to Water Alter $~'~ ~,~/,~/ Monitoring? Dale: DEFTH To ~ Date Gross Net Depth to Net [~'~TE R Time Time Water Drop 71" DRY ~/3 PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND __ FT 'POINT oF r'Em'O.MEOaV: FLATTOPT,c::C~ SUcS i ._°7'--/-~ ~ cLIrIllYIHAI'IHISIES3WASPERFORMEDiN ACCORDANCE ITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /"Z~ /~ /~ ~/ 72-008 (Rev. 4/85) PERFORMED FOR: .... I Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST T. fl.~z ST'EVE :~YVERSoN LEGAL DESCRIPTION= H¢CAE, E WEST Township, Range, Section: .~E~ 27. TI2N, SITE'PLAN ~'E bbtSH SH GJ/V CLEAN £ANb"J DAr-IP ~rT iNTERF,~CE S~ FINE .SILTY SANb pOCKETS oF WAS GROUND WATER 5p/,~M ENCOUNTERED? 5OME COBBLE5 IF YES, AT WHAT DRY DEPTH? SLOPE 1 2 3 4 5 6 7 8 9. 10 11 12 13 14 15. 16- 17 18 19 20 ~;LO PE No Depth lo Water AfterL¢/2/'( Monitoring? Dilly Date: ~/2"/ RR I,v I'ERt'ORMEDDy: FLAT'tOP TEcfl 5~S _, ~~ UL'{"'J Y lJ'{A' 'I h181ES3 WAS PERFORMED IN ACCORDANCE WITH ALL ST~E AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:iii 72-008 (Rev. 4/85) ' TEST RUN BETWEEN PERCOLATION RATE ~' ! (minutes/inch) PERC HOLE DIAMETER ~" ~2 ~2- FT AND '-~ FT Reading Date Gross Net Depth to Net Time Time Water Drop R~E~o~ q/m/q/ 3:o,~: qs- 2 q ~:o~: &o 2'/ r/a out of W/~v~R 3:17: ~o HO Sgc 27 Yq 2 PERFORMED FOR: LEGAL DESCRIPTION: PT' 2 3 5 ~L. 6, 0 7 8 g B.H, 10 11 12 13 14- 15- 16 17 18 19 , 20 COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST "EH. #3 ST'EVE I ~,,'~),',. C~-3o89 .. ,~... DATE PERFORMED: ff/12/~l L'& HcCABE WEC~T REbb~SH 5ANbY LoAN Township, Range, Section: .5E¢_ ~7.. TI2 I~, [~3W' SLOPE LAN S :L o PE WAS GROUND WATER DEPTH? Depth le Water Alter See Monitoring? bePT~ TO ~ Date Gross Net Depth to Net IMATE~ Time Time Water Drop ~3 " t.t /i7 8s" ql~q Ioo" q/2~t PERCOLATION RATE TEST RUN BETWEEN (minutes/inch) PERC HOLE DIAMETER FT AND FT FLATTOP PEnt-ORMED By; _, q'--o-C~-~ CU,',.VmAt',.,S~ES~WASPEUFO.MED~H Sc/cs CCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ ~/ I¢¢/ 72-~8 (Rev. 4/85) rom Fink. Mayor Mun ,cipality ol Anclxorag¢ Department of Health and Huma, Services 825 "L" Street P.O Box 196650 Anchorage, Alaska 99519--6650 March 15, 1991 Subject: Lot 3, McCabe S/D TO WHOM IT MAY CONCERN: The official plat of McCabe Subdivision shows a twenty (20) foot drainage easement which crosses a portion of Lot 3. This drainage easement is present to accommodate anticipated surface water running through the subdivision. Both State and Municipal laws require that an on-site sewer system be installed a minimum of 100 feet horizontally from surface water. For purposes of issuing a permit for an on-site sewer installation, and in the absence of information to the contrary, we will require that this separation distance be met. In order for that separation not to apply, the civil engineer preparing a permit request and site plan must demonstrate that the drainage easement does not carry surface water as defined by State and Municipal laws. To do this, the engineer may rely on personal knowledge, historical information in our files, personal observation and possibly observation through a thawing period. = ~ Please contact this office at 343-3744 if you have further questions. Sincerely, Susan Oswalt On-Site Services Parcel I.D. # 'MUNICIPALI'r~ OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services Om,Site Services Sec~on P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 1. GENERAL INFORMATION Complete legal description McCABE WEST SUBDIVISION: LOT 3 Location (site address or directions) 133oo McCABE CIRCLE WEST Pmperty owner Mailing address Lending agency Mailing address Agent CLAIR RAMSEY Address DAVE GARDNER 13300 McCABE CIR WEST Day phone Day phone (907~ 564-5518 Day phone (907) 281-7552 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4- 3. TYPE OF WATER SUPPLY: Individual well xx Community well Public water NOTE: /f communib/ well system, provide wdtten confirmation from State ADEC a~test- lng to the legali~ and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xx Holding Tank Community on-site Public sewer NOTE: /f community wastewater system, provide written confirmation from State ADEC lng to the legality and status of system. 72~)25 (Rev. 1/91 ) Front MOA #21 Computa' Vemion Note: Alaska Water and Wastewater Consu,.Itants, /nc. shaft be paid iF 4-C©'~ a~ t~ or prior to, closing for the engineering serwces #rovfded. 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 wasiewater disposal system is safe, functional and adequate for the number of bedrooms and type of s~uctura indicated herein. I further verify that based on the inform~on obtained from the Municipality of Anchorage files and from my investigation and insp~cfJon, the on-sita water supply and/or wastewater disposal system is in compliance with all MunirJpa~,~nd State codes, ordinances, and regulations in effect on the date of this inspection. /~/7/'/~'~ '/ Name of Firm ALASKA ~ &/~ASTfE,~VA~ER CONSULTANTS, INC. Phone (907) 337:617~_ Engineer's Signature %"'--~/~Y/~/~ Date ~ J Z~,//~ ..... system in accordance ~ ADEC and MOAIDflH$ Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and eepera#on distances measured to readily Ideoti~able features. The opera#onal life of all walls and septic systems depend on the local so/is canditlan, ground water levels that may fluctuate during the year, and the water usage of the family being se~acl by the system. These condl~ans are outside the control of ~ the evaluator of the system. Sa#sfacto~y test results do not guarantee futura performance of the system, nor do they guarantee that there are no hidden defee~s or encroachments. AWWC, Inc. ran therafora not proWde any warranty for future ee#mafa of how long the system will continue to meet the opera#anal requiremente of the ADEC or MOA DHHS. The content of this report is for the sole benefit of the owner listed abeve. Any reliance upon or use of this report by any other person or par~y is not autho#zed, nor will it confer any legal right whatsoever. 6. DHHS SIGNATURE b-,'"" Approved for L~ Disapproved Conditional approval for bedrooms bedrooms, with the following stipulations: Additional Comments By: ~)~///'//"~ ~/ //(-/, ?<:~2d~-~-/-'"~- Date ..... The Municipali~ of An~omge Depa~ent of Heal~ and Human Se~i~ (DHHS) Approval Centres based only upon ~e mpm~n~ons given in pamg~ph 5 above by an independent pmf~ional engineer ~iste~ in ~e S~te of Nasl~. ~e DHHS do~ ~is as a muK~y to pu~asers of hom~ and their lending ins~ons in o~er to sa~s~ ~in f~eml and s~te ~uimmen~. Employees of DHHS do not mndu~ insp~ons or ana~ da~ ~m a ~fi~te is issue. The Municipal~ of ~omge is not ~ponsible fcr e~m or omi~ions in ~e professional engin~fs wed(. 72-025 (Rev, 1/§1) B,sck MOA #21 C~rnputef Version Legal Description: A. WELL DATA RECEIVED Municipality of Anchorage AUG DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUNICIPALITYOFANCHORAGE 825 "L" Street, Rm 502 Anchorage, Alaska 995~I~II~J~4~-At.7~I~VICES Health Authority Approval Checklist McCABE WEST SUBDIVISION; LOT 3 Parcel I.D.: 018-251-29 Well Type PRIVATE Log present (Y/N) Total depth ' Sanitary seal (Y/N) Date of test Static water level 11 O' Well production 14 WATER SAMPLE RESULTS: Coliform 0 Date of sample: 8/2/2000 B. SEPTIC/HOLDING TANK DATA Date installed 7/10/92 Tank size Foundation cleanout (Y/N) Date of Pumping 2/2000 C. ABSORPTION FIELD DATA Date installed 7/10/92 Length 58' Width ifA, B, or Ci attach ADEC letter. ADEC water system number Y Date completed 6/5/92 212~ Cased to 212' Casing height (above ground) 40" YES Wires preperiy protected (Y/N) YES AT INSPECTION 6/26/2000 FROM WELL LOG 6/5/92 165' g.p.m. 5.5 g.p.m. Nitrate 1.73 mg/L Other bacteria. 0 Collected by: A.W.W.C., INC. 1250 YES Depression (Y/N) NO pumper OLD McDONALD Number of Compartments 2 Cleanouts (Y/N) YES High water alarm (Y/N) N/A WEsT*DRAINPIPEMT = INVERT9.5. TO BOTTOM OF MT, EAST MT = 8 Soil rating (g.p.d./ft2. or ft2/bdrm) 0.7 System type BED 15' Gravel thickness below pipe 0.5' Total depth 54" Effective absorption area 870 SQ FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test 2/26/2000 Results (Pass/Fail) PASS For 4 Bedrooms Fluid depth in absorption field before test (in.); *6 Immediately after 1341 gal. water added (in.): '11 Fluid depth 7.5 (ins) Minutes later: 447 Absorption rate = 600+ GPD Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* Computer Version NONE KNOWN yes, give date Date installed ~ Manhole/Access (Y/N)~t* "Pump off' level at* High wa~ *Datum_ 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 100'+ On adjacent lots 100'+ __ t 0o'+ 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: Property line 10'+ Surface water 1 oo'+ Curtain drain NONE KNOWN Building foundation Absorption field 5.'.' + Wells on adjacent lots !00'+ 10'+ Water main/service line_ 10'-l- Driveway, parking/vehicle storage area 10'-I- F. ENGINEER'S CERTIFI(~ATIO~[4// of Municipal/rec ~sjti~at/fh~/~/bov{~ systems are in conformance with MOA/~AA, li~eI~ct ovn this date. Signature t__.~ [ Engineer's Na JEFFREY A. OARNESS Date Wells on adjacent lots ~+._ HAA Fee $ Receipt Number 72-026 (Rev. 3/96)* Computer Verslo. Waiver Fee $ Date of Payment Receipt Number 55.0 35,0 LOT 2 25,0 25.0 '" ~ ~"' ~ ~T 'o8. ',, ~ ~,~¢.~.'-. ~.,,.,. 3 ~ I ,~% LS-8202 .,' , a ~ ~ LO~ i " .............. "~ ~ ~TS DIRECT VEHICULAR ACCESS TO BRAGRAW, LOT 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 19665(3 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 1. -~ GENERAL. INFORMATION Complete legal description NOV 19 1997 RECEIVED Location (site address or directions) Property owner ,~-~ Mailing addres's ?,~ L:ending agency Mailing address ~//~-~O,-7 Day phone Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: ~ ~ TYPE OF WATER SUPPLY: Individual well Community well Public water X NOTE: lng to the legality and status of system. 4. ' TYPE OF WASTEWATER DISPOSAL: , If community well system;' provide written confirmation from State ADEC attest~ Individual on-site ~7 ~ -- Community on-~ite,-i~; ,:' ~.~'~ r" ~ · pu ,cr NOTE! If communitY~ wa~tewate~ system, prO~,ide written'confirmation from State ADEC ' attesting tO ti~e legality and statu~ of gystem. - . , ~ 72-025 (Rev. 1/91) Front MOA~21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 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 ~s in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm ' r,11~(n¢-~-(' '[~., /~J~r~,~ Phone "'~H~-~',~z Address ~H *zS'~ ~~~~. ~ ~ ~ Engineer's signature~~' Date DHHS SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date /.2.- i/..5"-'77 '"The MUniciPality of A~dh0rage Department of Healt'h'and Human Services-(D~'HS) issues.Health Authority Approval C~rtificates based only upon the representations given in paragraph 5 ~ab0¥e by an independent professional engine~ registered in the State of Alaska. The DHHS doesthisasa, courtesy ~o purchasersef 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 ~v~UN~a~FALITY 01: ANG~'~,,~~ Municipality of AnChorage _NviRoNiV~EF,q'AL SERV DEPARTME.T OF HE/,'T. & HUM4h SERVICES Environmental Services Division I~UV .! 825 L Street, Room 502 · Anchorage, Alaska 99501 · Health Authority Approval checklist ParCel I.D.: If A, B, or C, attach ADECletter. ADEC water system number Date completed ~ ~ ';~-~ ~'7~ Legal Description: A. WELL DATA Well type .~'-/4. Log present (Y/N) \/ Total depth Z! ~-~! Sanitary seal (Y/N) Cas ng height (above ground) Wires properly protected (Y/N) AT INSPECTION Cased to FROM WELL LOG Date of test Static-water level / / Well production / ~-' g.p.m. ~' ~ g.p.m. Nitrate /' ~ ~ Other bacteria Collected by: ~,~;. WATER SAMPLE RESULTS: Coliform Date ofsample: ~'/ B. SEPTIC/HOLDING TANK DATA Date installed '~ / ~- ,Fp, Tank size Foundation cleanout (Y/N) _~/ Date of Pumping //~-~' ~- c~-~ C. ABSORPTION-FIELD DATA Date installed Length' -~-~' / Width Effective absorptionarea Date of adequacy test /~. ~-c> Number of Compartments ~ Cleanouts (Y/N) Depression (Y/N) Jt~ High water alarm (Y/N) Pumper /1~ ,,~..~ L~ Fluid depth in absorption field before test (in.); Fluid depth ~-4'~-~'~ (ins) Minutes later: ~c~ ~ Absorption rate = ' ~- d~ ~)' ''~ ~ g~p.d. Peroxide treatment (past 12 months)(Y/N) ~ If yes, give date ~ ' ' Soil rating (g.p.dl/ft2 or fF/bdrm) ~- ~' System type" /~-/ Gravel thickness below pipe ~ ~/ Total depth '~ ,o~ · Mon tot ng Tube present (Y/N) ~// Depression over field (Y/N) /'~ Results (Pass/Fail) ,~'~ ~ For ~...2..-~' Immediately after '~ ~gal, Water added 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (~.~ High water ~r~evel at* SEPARATION DISTANCES ~ Size in gallons ~ "Pump on" level at*~~'''''~ "Pump off" level at* ~ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station F. HAA Fee $. ~ ' ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~-O / ~ C. c~. Property line / D / ~ Absorption field 2-~/Y' Surface water/drainage / D~ / ~ells on adjacent lots / Water main/sewice line SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Prope~y line ]~ It- Building foundation ~ I Water main/se~ice line Sudace water ] ~ ~/y- Driveway, parking/vehicle storage area Cu~ain drain ~ ~ ~ Wells on adjacent lots 1 OD ENGINEER'S CERTIFICATION ce~ify that I have datelined thru field inspections and review of Municipal records ~o~ms are I in conformance with MOA H~ guidelines in effect on this date ~. .~ ~ ~ ' ~" Signature F~ ~~ ,;~ k~::::~ O ~H~ ~ Enoin** ' N me / / Date ,,lit (R~ ~'. c~ 0469 .~ Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Date of Payment Receipt Number