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Home My WebLink AboutCONIFER HEIGHTS BLK 2 LT 6Conifer Heights Lot 6 Block 2 #015-093-35 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Pa - ON-SITE WASTEWATER INSPECTION REPORT S�p� OSP201251 015-093-35 Permit Number: PID Number: Dwelling: Al Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name John Hutchinson ABSORPTION FIELD Existin drain 9 ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 8041 Downhill Circle *Anchorage, AK 99507 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-947-9402 3 - GPD/SF - Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel dept neath pipe - Ft. - Ft. Subdivision Block Lot Conifer Heights 2 6 Fill added above original grade Gravel length _ Ft. - Ft. Township Range Section - Gravel width - Ft. Beds: Number of Lines - Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total abs ion area Number of trenches Dist. between trenches From Tank Field Tank Line - FP - - Ft. Well 100'+ Existing _ _ 25'+ TANK p Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity GREER TANK 1000 Gal. Surface water 100'+ Existing _ _ Material Number of compartments Lot Line 5'+ Existing - - NA HDPE 2 Foundation *10'+ Existing - _ LIFT STATION Manufacturer Capacity Remarks Existing septic tank decommissoned per UPC, Gal. Per contractor. '5'+ to deck supports Alarm location Electrical installed by � PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Installer A+ Home Services Drainrield Existing Co/MT D3034 Inspector Garness Engineering Group, Ltd. BENCH MARK (Assumed elevation) 96.02 ft Inspection V 9/1/20 - Location and description dates: 2°° TOP OF MANHOLE 3rd - 4'" - ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's .Stamp 00600�,p�4 06 OF,� 4p Conditional Approval: Date r. ��'""' n .i "ASN p....:...._.� .........�........� .............: .:....0 carne. Septic System " Approved H,4-1a Date 16 6 hO�U ret c� op U00 " 33' :coo Note: this approval does not include well permit requirements. 00 #AEccesav�DOppo (Mev oowu io) PERMIT NUMBER: PARCEL ID NUMBER: OSP201251 RECORD DRAWING 015-093-35 A B DBL1 19.3 43.9 DBL2 19.2 44.8 MH 18.6 47.3 ST 18.9 51.3 DBL3 19.8 52.0 DBL4 20.7 51.9 I NEW 1000 GALLON HDPE GREER SEPTIC TANK DBL1&2 CONIFER HEIGHTS; BLOCK 2, LOT 7 \ EXISTING DRAINFIELD CONIFER HEIGHTS; BLOCK 2, LOT 5 10 U11UTY EASEMENT DBL1&2 / ST 100 tV�4 L o A EXISTING 3 ' BEDROOM HOUSE .. t. g'`,t�- DRIVEWAY :r'..• �..•�� :.�• \ 10' SLOPE EASEM�i , / DOWNHILL CIRCLE / / / N / / SCALE: ..�^\\c 11,1 Ir Tp GARNESS ENGINEERING GROU Ltd M..... ...... ....m. .... . ................ - ENGINEERING -SALES,, CONSULTING / / 3701E TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 ' PHONE (907) 3378179' FAX (907) 338.3246' WEDSITE: w .gamessmgmeemg <om 0. * ............... ........ 0 PREPARED FOR PHONE NUMBER: PAGE NUMBER: John Hutchinson 907-947-9402 2 OF 3 �j �'c 'Garrs:'AV i LEGAL DESCRIPTION: DRAWN BY: �0♦t�J •• SCE -79 �.` �� Conifer Heights; Block 2, Lot 6 PNB ♦ j •.•.{� ... �W TYPE OF WORK: DATE: LICENSE'f ESS` Record Drawing 9/10/20 #AECC884 ,NVATA%I%L �� VL99100OZ :d38 9911 L8 :9d18d .OE _ „ L :31VDS OtrtrZMS :Glb9 JS :A8 03A73H7 061 -LL :Ivld SO'd A9 idMdaO 6E00Z :aGMJO XdOM OZOZIb U6 ILEO NAAV-80 a]ai�uo� p' 1�aQ poann 'M --X— 3DN33 @ I13M 831vM 13Atlii9 SueylanO 0 3dIdONViS 311d35 ❑ 31OHNVN :ON393I 'S350dNnd NVId•101d HO -A 80 153N Ald3dOiNd 9NIHSIl8V1S3 NOA'N0117nNiSNO] HOA 035x1 38 NO3N9H VIVO ANY alnOHS 533NV15Wn7Lil7 ON uaNn 'lVld NOISIA1010nS OWN OD3ii 3 H NO dV3ddV ION OO H31HM SDN INVk AVM -30-1.H9121 NO SNOLDIil1S3N 'S1NVNMOD 'S1N3VUSV3 ANV d0 DN315DC3 3H13NIINN313O Ol A11IIt31SNOd53N .SV 3N MO 3 R 5111 310N I,UVNOi5nlZ)7(3 -O3ioN NVH1 a3H10 1SDG SIN AINHDVO}:)N3 ON ONV S3NI1 Al2HdOttd 3H1 NIHiIM 3VV NO3N3H1 ❑31Vn11S SIN IW3AOUVOl 9H11VH1 SaHllll33 ONV 9NIMV-40 SI Hl NO NMOHS SV Al2I3dONd 3HAd0 A3Amn5 IV]ISAHd V O317nONOD SVH DNI'H331NVi 971 :NQ11V7IdIiM A3Aun5 4 �pU01SS7;<6�v� a •��OZL-51 . NVH VIIVO NAA31S .... ...........H16 -V 899 :)D3V S868-EPZ auoyd aullulph L6Z5-Z95 auoyd luau.I�jedan AaA.1nS LOS66 PN selV 'a2ea0y:)uy laaJ1S H OSZ S1H913H H331NO] 'Z }1]018 `9101 bins-sd �Ndildi805 `IO 1'd`J3l 000-90-060-SLO # 130wd NOSIHOInH NHor Aa 09aA0a0 310H10IIIHNMOO etrOe :SSAa(3ad 'HDUN'v-1 T)l dO 1N-9SNOD N3LLMM ❑3SS32ddX3 3H1lnOH11M NVId 101d •d Sb' 3Sn 60d 031d10OW 38 ION ll'dHS DNIAAV80 SIHI *310 N 3I7�117 IIIHNMO❑ w o u, .00'961. M-.00 ,179 o69S W ----------------------------------- 1N3V43SV3 A1n1In ,ot 00'S66 R,00, -V9 o68N 5 lol 81❑l MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite I ?Parti ient On - Site Wastewater Disposal System Permit Permit Number: OSP201251 Effective Date: 7/21/2020 Work Type: SepticTank Upgrade Expiration Date: 7/21/2021 Tax Code Number: 01509335000 Site Legal Address: CONIFER HEIGHTS BLK 2 LT 6 G:2440 Site Mailing Address: 8041 DOWNHILL CIR, Anchorage Owner: HUTCHINSON JOHN W& Lot Size in Sq Ft: 30225 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3 0 Disposal Field 21 Septic Tank 11 Holding Tank 0 Privy n Private Well 171 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3, The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing I Special Provisions: Septic tank shall be located at least 5 ft from deck supports and 10 ft from foundation (or outside the soil bearing prism of the foundation). Received By: 4// Issued By: La'l-Zl'to-C Date: Date: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201251, Rebecca Carroll, 07/21/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201251, Rebecca Carroll, 07/21/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201251, Rebecca Carroll, 07/21/20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT --IPHONE I [~NEW NAME DISTANCE TO: X & ~ 'o NO. of compartments Manufacturer ~ ~ Material ~ ~ Liq. capaciW in gallons, 0~0 IF .O~: ,.~i~,~.¢I~ ~ Width ~ I~ Liquid depth ~ DISTANCE TO: Well ~ [ ~ Dwelling PERMITNO. ~ ~ ~ Manufacturer Material Liquid capacity in gallons Well Foundation Nearest lot line ~ PERMIT NO. ~ DISTANCE TO: ~ ~ ~ ~ 5 ~ No. of lines ~ Length of each Iff ~ Total length of linq ~ Trench ~d~ inches Distance between lines ~ Top of tile to finish grade 4[ O ,, Material beneathtile ~' O " inches Total effective abso~t~n~ea Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area a Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Depth Driller Distance to lot line PERMIT NO. ~ Class : Buildin~ foundation Se~er line Septic tank Absorption OTHER REMARKS 72-013 (Rev. 3/78) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0 0 0 CD o 0 PERMIT NO. RPPLICBNT DESIGNS IN WOOD CONST. LOCBTION DOWNHILL CIRCLE LEGBL L6 82 CONIFER HTS DEPRRTMENT Or HERLTFt 8ND ENVIRONMENTRL F' 'ITECTION 825 'L STREET, RNCHORBGE, RK. 264.-4728 ( 7805D1 ) SRR BOX 72-'H D9507 LOT SIZE TYPE OF SOIl. RBSORBTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = ~ SOIL RRTING (SQ FT?BR)= THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: £:, E: F' l' F.t == :1. E'~. I_ E f'-.I ,:-i T H = :.i: .".~: r3 F.: R '-..' E L .... [::, E F' 'T l-.I == ~=3 ~..J~"'- THE LENGTH DIMENSION IS THE LENGTH ,.':IN FEET::, OF THE TRENCH OR DRRINFIEL..D. THE DEPTH OF R TRENCH OR PIT IS THE D ISTRNCE BETNEE:N THE SURFRCE OF TFIE GROUND RND THE BOTTOM OF THE E',:':',CRVRTION ,::IN FEET;,. THERE IS NO SE'T' WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRR'v'EL BETWEEN THE OUTFRL. L PIPE: RND THE BOTTOM OF THE EXCRVRTION ,:.'IN FEET::,. F'ERMIT FtPPLICRNT HRS THE RESPONSIE:ILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRL.LRTION INSPECTIONS OF' RNY WELLS AD..TRCENT TO THIS PROPERTY AN[::, THE NUMBER OF RESIDENCES THRT THE WELL 14ILL SERVE. BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THZ$ DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNC:E BETWEEN R WELL RND FtNY ON-SITE SEWRGE DISPOSRL SYSTEM IS :1. R0 FEET FOR R PRIVRTE WELL.; OR ~L5~'-~ TO 200 FEET FROM R PUBLIC WELL. DEPENDING UPON THE T'¢PE OF PUBL. IC NEL. L. WELL LOGS RRE REL:.!UIRE[:, RND MUST BE RETURNE[:' TO 'THE DEPRRTMENT I.,.IITHIN :..i':F~ [:,RS'S OF THE WELL COMPLETION. OTHER REQUIREMENTS MRY FtPPLY. SPECI F I CRT IONS RND CONSTRUCT I ON D I FIGRF4MS FIRE; R'v'RILRBLE l'O INSURE PROPER INSTRLLRTION. F' E F-." r,1 I "f' E :=-=: F' I F-: E :E; E:, b-: C: E I"'1 B E F.: ]-: t.., 1 :.'.-.:~ 7 I CERTIF"r' THRT 1: I RM F'RMIL. IRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS F:IS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL. INSTRLL THE S'¢STEM IN RCCORDFtNCE WITH THE CODES. '":'. ' 'm- "- - ' - ,'~- ,- , ,-,m,- , , -'' ' "Ill ' · ... I UI'.,I[.ER-'-,THf/4f~%THHT THE uN-$,ITE -,EWEF.. =,~_-,TEM I'IHT F..E[~.._IRE RESIDENCE IS ~:Ef"JO[:'ELED TO INCLLI[iE Mm~THRN 7: E:EDROOMS. S I GNE[:. - .......................................... RF'F'L ICANT [:,ESIGNS IN WOOD CONST. I :-":;S:;'_'E[)BY ...... __~." ~'~¢C.~ ~_ .............. E:,FiT E__~_~_ Z~__~_ ..... ENLARGEMENT IF TFIE Y2:. 2 PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99602 276,2224 SOILS LOG - PERCOLATION TEST ,- ,~ SOl LS LOG [] PERCOLATION TEST DATE PERFORMED: SITE PLAN L i 10 11 WAS GROUND WATER ENCOUNTERED? 12 13 14 15 16 17 18 19 20 IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT ANCHORAGE, ALASKA 9~504, kJ._...-" / 72 008 (~/7~) ~ ./ �E B • Municipality of Anchorage w a st`o On -Site Water and Wastewater Program f (907) 343-7904 s ,FET Y Certificate of On -Site Systems Approval Parcel I.D. 015-093-35 Expiration Date: Jo -n 1. GENERAL INFORMATION: Complete legal description CONIFER HEIGHTS; BLOCK 2 LOT 6 Location (site address) 8041 Downhill Circle *Anchorage 99507 Current Property owner(s) John Hutchinson Day phone 947-9402 Mailing address Real Estate Agent 2. TYPE OF DWELLING: Single Family (w/wo ADU) Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class—Well Public Water System Day phone 3 TYPE OF WASTEWATER DISPOSAL: ® Individual M ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ y 12. _ 150 ro 01i Waiver Fee $ Date of Payment % 3040 2"-2 Date of Payment Receipt Number �'� 2 0 (o G Receipt Number COSA # 05C20/930 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 ho Engineer's Printed Name: Jeffrey A. Garness Date: I� i o In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and the the date/s of the Qovoo��p� industry practices. The reported results describe the condition of system/s on Separation distances were measured to readily identifiable features. Hidden defects or ��.• ' , •. Q evaluation. encroachments may exist that were not identified during the evaluation. The operational life of all wells 4 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, (materials and T L� 1� groundwater levels (that may fluctuate during the year), quality of construction /f� workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and % r are outside the control of GEG. Satisfactory test results do not guarantee future performance of the j 1' system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of (/� ;'1;/ reyAGayness. s.: the well or septic system. GEG makes no representation whether an alternative well or septic system G�l can be installed on the property in the event either of the current systems fail to perform adequately in for benefit the that retained GEG to 9CF-795 (�' •. p the future. The content of this report is the sole of person/party the evaluation. Reliance upon the information provided in this report by any other person orl��e • e�Pro,, perform V00 rofesso�Q party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stiptL By: `�Q�A (� Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: CONIFER HEIGHTS; BLOCK 2, LOT 6 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA IM Well log is filed with Onsite (or attached) Date drilled 7/17/76 Total depth 330 ft Cased to UNKNOWN ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 6/16/20 Static water level at beginning of test 159 ft. Comments B. TANK DATA Age of tank($) NEW years Tank type/material SE111CM01E Measured operating fluid level in septic tank N/A ❑ Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA DEEP TRENCH Parcel ID: 015-093-35 Structure served by this system 1 Well production at time of test 2.9+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Al Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 6/16/20 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Which system tested (date installed) 7/14/78 Adequacy test date 6/16/20 ❑ ALL standpipes present per record drawing Results QPass For 3 bedrooms Total measured depth from grade *8.75 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 5+ ft (min) Water added **860 gal ❑ N/A — pressurized field New depth 26 in ❑ Monitor tubes go to bottom of effective. If not, state Ela sed time 1010 min p depth into effective 3.66' ONCode-requiredsoil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced N/A gallons If yes, enter date N/A Comments/Deficiencies: "AT MONITORING TUBE "FIRST 214 GALLONS INTRODUCED RESULTED IN A LIQUID DEPTH OF 20" IN THE MT COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' F71 Yes Community Sewer Manhole/Cleanout > 100' Per 6FG-Q Yes fmc if No ft Q Yes if No ft Neighboring Tank > 100' Yes if No ft Private Sewer/Septic Line > 25' F71 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' []✓ Yes if No ; A Neighboring Absorption Fields > 100' F71 Yes if No ft *** Animal Containment > 50' r7l Yes if No ft F/71 Yes if No ft ✓Q Yes if No ft Water Service Line > 10' F71 Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' F71 Yes if No ft FV -1 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F71 Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: 1771 Absorption Field > 5' M Yes if No ft Private Wells > 100' F71 Yes if No ft Water Main > 10' F71 Yes if No ft Community Wells > 200' ✓Q Yes if No ft Water Service Line > 10' F71 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 12]✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *1 ft Wells on Adjacent Lots: Water Main > 10' 1771 Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' M Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100'F71 Yes if No ft . F. ENGINEER'S COMMENTS *WR#000052 **10'+ TO BUILDING FOUNDATION AND 5'+ TO DECK SUPPORTS ***WITH CAVEAT - UNABLE TO LOCATE C/O AND MT AT WEST END OF 2017 TRENCH ON CONIFER HTS, 62, L1. STANDPIPE AT NORTH END OF TRENCH APEARS TO BE F-810 PIPE. t- � �► � z, t., t� t G. ENGINEER'S CERTIFICATION / certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECC884 Parcel i.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 015-093-35 1. GENERAL INFORMATION Completelegaldescription CONIFER HEIGHTS SUBDIVISION: LOT 6. BLOCK 2. Location (site address or directions) 8041 DOWNHILL CIRCLE ANCHORAGE. AK 99516 Property owner JOE &: MARTHA CHAPLIN Day phone Mailing address 8041 DOWNHILL CIRCLE ANCHORAGE. AK 99516 Lending agency Day phone Mailing address (907) 546-1696 Agent BETH SIMPSON W/ DYNAMIC PROPERTIES Day phone (907) 261-7658 Address 3111 "c" STREET ANCHORAGE. AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide wdtten confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding Tank Community on-site Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC lng to the legality and status of system. 72q)25 (Rev. 1/91 ) Front MOA ¢Y21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shaft be paid $1~'~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 verity 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.~ ~ection, the on-site water supply and/or wastewater disposal system is in compliance with all Munici~ ti and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ALASKA WA'T-ER / Address 6901 DEBARR/ROAI~, Engineer's Signature In conducting this evaluation, AWWC, In~. ~tt~ system in accordance with ADEC and MOA D~ performance of the system under the conditior measured to readily identifiable features. The c ~AST~W~TER CONSULTANTS, INC. Phone (907} 337-_6_179 / ~/ , '~2B AF CHORAGE. ALASKA 99504 pted to provide a thorough, conscientious engineeridg analysis of the -IS Guidelines & Regulations. The reported results described the encountered at the time of the test, and separation distances ~erational 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 ~ 0 F /~"~'<~-~%%~/~ 1, ........... ¢1 ~ ~ ~e~:0~ss..' ~ CE 7953 ~ 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 parly is not authorized, nor will it confer any legal right whatsoever. 6. DHHS SIGNATURE P~' 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 satisty certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate i.% 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 Vemion Municipality of Anchorage ..... DEPARTMENT OF flEALTH & HUMAN E VlOE Environmen~l Se~i~s Division . . ' I~ALliY OF ANC 825 t Street, Rm 502 ~chorage, Naska 9950.1 (907) 34~ENTALSE~ViC;E~ Legal Description: A. WELL DATA Well Type PRIVATE Log present (Y/N) Total depth 350' Health Authority Approval Checklist CONIFER HEIGHTS S/D; LOT 6, BLOCK 2, Parcel I,D.: 015-095-35 IfA, B, or C, attach ADEC letter. ADEC water system number YES Date completed 7/17/78 Cased to155' (TO BEDROCK) Casing height (above ground). N/A 12"+ YES SanitapJ seal (Y/N) YES Date of test Static water level Well production WATER SAMPLE RESULTS: FROM WELL LOG 7/17/78 NOT GIVEN Wires properly protected (Y/N) AT INSPECTION 5/30/00 170' 1.5 g.p.m. 2.7 g.p.m. "'~ Nitrate ~ ~"-'' m ,q/Z~ Other bacteria ~'~ ~ Coliform Date of sample: 7/10/00 Collected by: A;W.W.C., INC. B. SEPTIC/HOLDING TANK DATA * INSIDE CRAWLSPACE Date installed 8/14/78 Tank size 1000 Number of Compartments Foundation cleanout (Y/N). Date of Pumping 5/30/00 C. ABSORPTION FIELD DATA Date installed 8/14/78 Length 42' Width Effective absorption area *504 SQ. FI'. Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test 5/30/00 Results (Pass/Fail) PASSED For Fluid depth in absorption field before test (in.); . 0" Immediately after 513 2 cleanouts (Y/N) YES *YES Depression (Y/N) NO High water alarm (Y/N) N/A Pumper A+ HOME SERVICES * INSPECTION REPORT SHOWS 384 SQ. FT, Soil rating (g.p.dJff2 o~ 150 System type DEEP TRENCH 32" Gravel thickness below pipe 6' Total depth 9'- 1 O' 7 Absorption rate = NONE KNOWN If yes, give date Bedrooms gal. water added (in.): 10.5" 450+ Fluid dePth 0" (ins) Minutes later: Peroxide treatment (past 12 months) (y/N) 72-026 (Rev. 3/96)* Computer Yersion D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons ~ . "Pump on" leve ~bats~~'Pump off" level at 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'+ 100'+ N/A 25'+ On adjacent lots. 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A __ I_iff station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Water main/service line 10'+ Surface watefldrainage 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line '1 '+ Building foundation Surface water 100'+ Curtain drain F. ENGINEER'S C/,E~IFI~'STIO/I~/~ I certify that I I~ve ~lete~n~n~d/~lfu of Municipal ~co~ th~t/fhp ~ve Signature EngineecsNa~ ~0[ QJEFFR~ NONE KNOWN Id inspections and review stems are in conformance this..~date. A, GARNESS Absorption field 5'+__ Wells on adjacent lots 100'+ *SEE LOT LINE WAVER REQUEST. 10% __ Water main/service line 10% Driveway, parking/vehicle storage area 10'+ Wells on adjacent lots 100'-I- t/O;?~.".,j ~-7953 ,,.'" ~.' HA,& Fee $ "-'~(~) ' '~' o Date of Payment "'7'" r:_) 72-026 (Rev. 3/96)* Computer Veto[on Waiver Fee $ Date of Payment Receipt Number ALASKA WATER WASTEWATER July 12, 2000 Municipality of Anchorage Department of Health and Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 6, Block 2, Conifer Heights Subdivision To whom it may concern: We request that your department issue a 1 foot lot line waiver from the west property line to the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic sy.s} ~ms. If you have any questions, please contact us at 337-6179. Thank you for your assistant/ Jeff~r~ ~ Garness, P.E., M.S. Preiideril 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 - Ph: (907)337-6179 N Fax: (907)338-3246 AK Water & Wastewater Consultams, Inc. ATTN: Jeffrey Garness, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504- July 19, 2000 Subject: Waiver Request for CONI~ER HEIGHTS BLK 2 LT 6 Waiver # WR000052 Lot Line Request for Parcel ID 015-093-35 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 1 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, jeffPo~//~~ Engineering Technician III On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On-Site Services Waiver Review Worksheet WR#: WR000052 PID#: 015-093-35 HA#: HA000307 Date Received: July 18, 2000 Legal Description: Conifer Heights, Lot 6, Block 2 Engineer: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B, Anchorage, AK 99504 Applicant: Joe & Martha Chaplin Waiver Requested: I foot Iot-linewaiver Permit: Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation 2. Special Conditions: 3, Other: Total: Waiver is Granted: List Conditions or Reasons for above: Waiver is not Granted: Date: 7- /~- ~ 0 Rec#: 06552 Amount: $115.00 By: ......... ,,~,~Nc, c~e of R~wer Date Paid: 7/18/00 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # ~ ~c~ GENERAL INFORMATION Complete legal description L~T C~ Location (site address or directions) Property owner Mailing address Day phone Lending agency Mailing address Day phone Agent Address '~Z~O ~I." ~ ~.~."~ Day phone 5~,~- l~.z.. Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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 · >po~ speeu!Bue leUO!SSeto~d eq1 u! suo!ss!~uo ~o sJo~Je ~o~ elq!suodse~ ~,ou s! e§e~oqouv ~o ~i!led!o!unlAI eq.L 'penss! s! eleo!J!~Jeo e e~ojeq e~ep eZ~l~Ue ~o suo!loedsu! ~,onpuoo iou op SHHQ ~o see~old ~u~ 's~ue~ue~!nbe~ ele~s pu~ I~epeJ u!e~eo/~s!~es ol Jep~o u! suo!~n1!~su! Bu!puel ~!eq~ pue SeLUOq ~O s~eseqo~nd ol ~se~noo e se s!ql seop SHHa eqj. 'mtSel¥ ~o eleIs eq~ u! pe~els!§e~ ~eeu!§ue leUO!SSejoJd luepuedepu! ue ~q e^oqe cj qde~§e~d u! ue^!§ suop, elueseJde~ eq~, uodn ~lUO pes~q sm,~o!I!~JeO le^o~ddv ~1poqinv qlleeH senss! (SHHa) se9!/ueS ueLunH pue q~leeH Jo 3ueLu~edeo e§e~oqouv jo ~!led!o!uni~l eq.L s3uewwoo leUOpJppv :suop,~lnd!:~s DU!MOIIOJ eq), q),!M 'SLUOOJpeq Jo~ IeAoJdde leUOp,!puoo .-- 'peAoJdd~s!a .; 'SLUOOJP@q ~ JOJ peAoJddv ~ '9 I:EI3NIIDN3 A~ NOI10~dSNI dO J.N'qiN~IIYIS 'S Legal Description: Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST lot ~:~_ ~_.ov~,4.'LCv, ~,Parcel I.D. A. WELL DATA Well type ~--.5 Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number y Date completed "//,.~/7~ Driller ~)/ ~ ~g::> Cased to VD 1~' Casing height Wires properly protected (Y/N) y FROM WELL LOG Da~e of test Static water level Pump level g.p.m. AT~ -- I NS PE CTIO,J~NiOPAL,TY OF ANCHORAOE t O/I ¥/~ ENVIRONMENTAL SERVICES DIVISION Rt EIVED SEPARATION DISTANCES FROM WELL TO: Septic/hel~14~ tank on lot Absorption field on lot Public sewer main Sewer service line 15ot- WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: Other bacteria B. SEPTIC/I-I~L-INN~ TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size I U'"'o <3 Compartments Foundation cleanout (Y/N) J'~ Depression (Y/N) Alarm tested (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot t, ~¢¢(..3 'f" To proPerty line !_~ Surface water/drainage. On adjacent lots Absorption field ,.IA Foundation Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots ' Surface water D. ABSORPTION FIELD DATA Date installed ~'.~ ~///7 Length Li//q' Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating / ~'~'~ , ,. System type "~"~ Gravel thickness /-~ ' Total depth Cleanouts present (Y/N) ~/' Date of adequacy test I!/1~//7 for --~ bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: To building foundation .J df On adjacent lots ~' ~--t..D Surface water 1-///~ On adjacent lots ~ ~ 'f' Property line To existing or abaqdoned system on lot Cutbank J'4//.~ Water main/service line "~ ~--.~ Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines i,~ eff_.e.~,_.~q the date of this inspection. Engineers N~me ~ ~W ~v~& Date O. / ,,':,.~ ~ HAA Fee $ /? Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING ~ ~- ~')Ot ,Oh ---%,~b HAA # ~_~ ~ C~(-..f..~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lOt, block, subdivision, section, township, range) Location (address or (b) Property owner /~r 1'"1L ~(". Telephone · (home) Business Mailing Address (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Address ~ ~.,'%..-O Telephone (e) Mail the HAA to the following address: (or check here'S, if hold for pick up.) List contact person and day phone number below:.A_ 2. TYPE OF RESIDENCE Single-Family ~, Number of bedrooms __ 3. WATER SUPPLY individual Well ~ Community [] Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev, 7/88) Page I of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm ."7'~.-/~.~-~ ,~',j¢[/,.~c~..¢_~ ~ ~ Telephone ~F'-~OqS- I Address ~ 7~ ~ ~- '~,' ~ ~ Engineer's Seal 6. DHHS APPROVAL Approved for ~ Approved X __ bedrooms by Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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. ?/88) Back Page 2 of 2 ~ MUNICIPALITY OF ANCHORAGE (MOA) (,.ai~,~ He.,8,I.tJl.~uthority Approval (HAA) ~" "'" '~"~~$T - FEBRUARY 1984 ENV"Jl~IJJ~llI~NTAL SERVICES Dlvl~lul~ A. WELL DATA 343-4744 Nov 20 1990 R£C£1V£D Well Classification~'~ ~-~ Well Log Present (Y/N) y Date Completed Total Depth :5_AC) Cased to Z/c) ~ Depth of Grouting Static Water Level ?-'.'.'~ ~' Casing Height Above Ground ,,2~// Electrical Wiring in Conduit (Y/N) 7 SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot / .~4) f To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line - To Nearest Sewer Service Line on Lot Water Sample Collected by ~ '~ Water Sample Test Results ~ ~'Co ~ Comments ~e ~',.,,,,~ ~'c&/ l'-~ Legal Description: LC)~'~ If A, B, C, D.E.C. Approved (Y/N) __ Yield /.5~/~ Pump Set At Sanitary Seal on Casing (Y/N) ')/ Depression Around Wellhead (Y/N) ; On Adjoining Lots /,5o¥ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole /,~ 5:, -~--- ;Date 11// ~ B. SEPTIC/HOLDING TANK DATA Date Installed ~9//'7~, Size Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) '"-"' Air-tight Caps (Y/N) No. of Compartments ~' Foundation Cleanout (Y/N) ~'x[ DateLastPumped li/I 7/40 I~c.~ ; for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments To Building Foundation To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~'//'P Width of Field Type of System Design Length of Field Depth of Field Gravel Bed Thickness Square Feet of Absortion Area ~o 5/~ StatndPipes Present (Y/N) ,'¢-. Depression over Field (Y/N) ~ Date of Last Adequacy Test Results of Last Adequacy Test ~ ¢_~ ~ ¢' -~'~¢.z~_ SEPARATION DISTANCE FROM ABSORPTION FIELD: TO Water-Supply Well ! ~o 4- To Property Line To Building Foundation I ~ To Existing or Abandoned System on Lot h/'j/~ ; On Adjoining Lots To Water Main/Service Line /%,l.~ To Cutback (if present) - To Stream, Pond, Lake, or Major Drainage Course .~o To Driveway, Parking Area, or Vehicle Storage Area ~,o ff' Comments ~/,~/~ = ,.5-0 ¥/ /5[ f~l~,;~<.~ t./ .~o.~.~ D. LIFT STATION ~O~- Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA. guid~e~ges in effect on the date of this inspection. ~ ~ ~, ..................... ~ ....... z.. ~ ,.~Engineer's Seal Date MOA NO. Receipt No. _ _ ._ ~ Receipt No. Date of Payment / (" ~/~) ~ " Waiver Fee: $ Amount: $ '~'~//'7_') ~ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 99502-3904 LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM ADEQUACY TEST SEPTIC SYSTEM: FROM MUNI C I PAL. RECORDS: 3 Bedroom Syst em TANK: Greet Steel 1000 Gal. Two Comparts. ABSORPTION SYS'T'EM: Trench ABSORPTION AREA: 504 Sq. Ft. SOIL RATING: 150 INSTALLATION DAI"E: August 1978 DATE OF LAST PUMPING: Isaac:s November 1'7, 1990 DATE OF TEST: November 14, 1990 TEST PROCEDURE: System was i r"~spec:'t:.ed and measured, 'l"ank was ~ound with 4.5 ~eet o.~ c:over ar'id with a liquid level of 45 inch ..... es. C;:l. ear~ out to tr'enc:h was br"c:)ker'~ at gr'ound level. 'T'r'er",c:h sump was 10 .Feet: deep and dry. On Nov. 1:).!; :1.0()() gallons c:)+ clean water" was added 'L'.o t:he tr'er'lc:h ~h:i. le the ~ater lew:.:~].s in th~ tank and the monitor t. ubes were mor'~:i,'h(::)r'ec:l,, "fhis c:aused a water dept;h o+ 6C) inches to be melasur'ed in the monitor 'l:.ube~ 'L:l'le war. er level i/"J the tank did rise 2 J. nc:l"les. 'T'he rle).(t day the rilonitor tt.Jbes W~s dry, il'ldiEa~ing that a].]. ].()CiC) giallorls (:)~ wa'her" had beel"l absorbed. On the i4th. 600 g~].lc)ns wer'B added ~o ~h~ '[rench. 'T'h~ water :[evBl robe 'l:.a 54 ir'ic:hE.~ b{..l'~: d~c].ined r'al~:Ldly a~ soon as the ~" ~a~ ~hut o.F~. Hit:bin 20 minL.(t~:(~B the morlitor' wa~ dry. TEST RESULT: This system meets 'hhe c:ode r'equir'emerr~is (::)¥ the Health and Soc:ia:l. Set'vic:es Depar't-- ment o.F the Mun:ic:ipa:t. ity of Anc:hor'age for' a THREE BEDROOM SYSTEM NOTE The operat'.:Lonal life of all septic systems depends (::)r'l t:he local soi:L c:onditions, groundwater' levels that may +luct. uate dur"ing 't:he year', and 't:he war. er' usage c:).~ the +am:i. ly being set'red by the system,, T'hese (::ond:i'~:ior'~s are outs:i, de the contr'c~l of the evalua't:.of o.F this s~ptic: system. We can t:her'e,~ore not give any estimate (:)~; ho~ .I. ong this system ~ill function s~t. isfac:'hor'y for' 6751N. O[HDND BLVD. RNCHORAGE, ALRSKA 99502-3904 (907) 248-5095 RESIDENTIAL WELL' INSPECTION LEGAL: LOCATION: OWNER: TYPE OF WELL: INSTALLATION REQUIREMENTS MET WELL YIELD FROM WELL LOG: 1.5 Gal lor;,..~ per PUMP YIELD FROM TEST: 3.5 Gallon.~s per- Minute DATE OF INSPECTION: Nov. 14, i990 TEST PROCEDURE: Well was pumped at a cor')s'bant rate while iihe dr" awctown was mort i t or'ed wi t.h an acoust i c pr'oDe. Ai: the beginning c:)~ the test water level was four'id ai: 157 feet belm~ top of casing. At a pumping rata o'f 6.5 gallont~ per' minute 'l:.J"l(,:~ wa't:er" level dropped to 326 fee[ after 105 mir'lutes of pumping. A total o{ gallons were pumped 60() gallons were pumped. 'T'he r'ec:overy was ~x~nitored ~or 20 minLltes. The recovery was a tln:i~ol'"ln 12 feet per 5 mJ. nt.l~es. I'EST FOR E.COLI AND TOTAL NITROGEN: Water- was tested for' E.Coli and total nitrogen on November 14, 1990 E.Coli O. l"o~.al Nitr'oqen NI} (0. 1)rog/1. Max. allowable Total Nitr'ogen 10 rog/1. TEST RESULTS: 'This well meets the r'equirements Hunicipality of Ar~c::hor'age. o f i:: h e THIS WELL WILL PRODUCE MORE THAN ! GALLONS PER MINUTE FOR MORE THAN FOUR HOURS "t'he ML.m:i. cipal r"equir'emer~i': for' well. flow it~ 150 gallons of water' per bedroom par' day. This wel 1 exceed t. his r'equi r'emer/t. The ai~;~i~a~/l~er'~t':, c}f i:.he condi ti on of t:he we:l. 1 appl i e~ only to 't'.he c:ondii:ions as of U'te day 'kc!ri:ed. 'T'l'~ flow fate may c:hange due ko sl. tb~ur'face I:or'ld:J. tior'l~ that may not be obsBer'ved from the surface, ar'id c::l"tangas irt ti'la land use and oi:her' factors '[hat may impact the aqui f er feed:i, r'~c] 'Izhe wel 1. January 1~, 19~3 Franklin Wayne & Phyllis Jensen c/o Elliot C. Lawson, Jack White Co. 3201 C Street, Suite 100 Anchorage, AK 9503 Subject: Lot 6, Block 2, Conifer Heights Subd. Approval for the individual sewer and water facilities cannot be granted until the follo%~ing items have been completed: o %'he water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. r£he septic tank pumped with a receipt submitted to this department. An adequacy test needs to be performed on the existing leaching area. ~his test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. ~his report needs to be submitted to this office for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, ploas~ call this office at 264-4720. Sincerely, Ji'<36/p/EH Enclosure Jim ~oberts ONSULTING ENGINEER TELEPHONE: (907) 279-3916 SEWER AND WATER SYSTEM INSPECTION LEGAL: Lot 6, Block 2, Conifer Heights LOCATION: On Downhill Circle OWNER: Wayne Jensen On March 2, system was flushed and pumped again. Drain field was_then treated with Tysol WWS0. On March 9, water was introduced into the sump at a steady rate of 7.5 gallons per minute. The sump was TObben Spurkland P.E. dry prior to charging. During charging, the water depth in the sump rose to 25 inches and remained TEST RESULT: steady during the fill process. Added to the system was 625 gallons. Sixteen (16) hours later the sump was dry, This system absorbed in excess of 600 gallons of water in an 18-hour period, It meets the municipal require- ments. 25. I971 .. -2 - , INSPECTION APPOINTMENTS TIME ~ I TIME' DATE " DATE I DIRECTIONal- THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED TIME DATE 1. TYPE OFLRESIDENCE [] SI~ LE FAMILY [] M~TIPLE FAMILY 2. WATER ~UPPLY [] INDIVIDUAL [] CO!MMUNIT~Y [] PUBLIC UTI LITY ConnectiOn Verifiec 3. S EWAGE:Ol 8POSAL SYSTEM [] INDIVIDUAL/ON -SITE' []PURL cUT LITY ConnectiOn Verified []Septic Ta~0~ or [] Holding Tank Size: ~:)~){~ If Tank is homemade give dimensions: TYPE QF TANK - : TOTAL ABSORPTION AREA 4, DISTANCES WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS INSPECTOR [] ONE [] TWO INSPECTOR NUMBER OF BEDROOMS PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED [] THREE [] FIVE [] FOUR [] SlX PERMIT NUMBER DATE INSTALLED OTHER INSTALLER SOILS'RATING MANU~ INearest Lot Line ,~pAtlT2~Absorptlon [Sewer ' ' " * I ' Area Line [] CONDITIONAL AppROVAL (letter must accompany certificate) [] DISAPPROVED DATE .-- i BY (Tit e) ~ ILEGAL dEscRIPTiON ~ 72-010 (Rev. 3/78) APPLIC FILLS OUT UPPER HAL ONLY Propert. yOwnur Franklin Wayne and Phyllis Jensen Phone Malllng Address Zip Code 344-0982 Buyer Unknown at this time, Address Zip Code Lending Institution Unknown at this tlme, Phone Address Zip Code Realty Co. & Agent E11 '~ et C, Lawson, Jack White Company Phone Address 3201 "C" St.. Suite 180. Ancheraee. AK mpCode ~)5[r'j3 277-1553 Legal Descriptlon Lot 6, Block 2, Conifer Heights Subdivision Street Location NHN Downhill Circle Type of Residence Single Family Multiple Family No. of Bedrooms 3 [] Other Water Supply [~ Individual ATTACH WELL LOG, A well log is required for all wells drilled since June 1975, [] Community For wells drilled prior to that date, give well deplh (attach log If available), [] Public Utility Sewer Disposal [X Individual Year Individual Installed: 1. C~78 [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: (,~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( )DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE - ~--"'~/~ ~ ~ SoUs Rating Date ~wer Installed Well To Absorption Area /~ ~ Well Log Received /-~ ~-- /~--7~- WelltoTank t ~'~ SopticT~kSize 72-023 (3182)