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Home My WebLink AboutGREAT LAND ESTATES #3 BLK 5 LT 1Greatiand Estates #3 Block 5 Lot 1 #051-133-10 if JLV 11,1 elAli-LIZ Vr hlv l_11%J\ i3L Head ✓;i and Environmental Prote(. ,)n Fourth Floor West 825 L Street \ Anchorage, Alaska 99501 279-2511, x 224, 225 - ( INSPECTION REPORT Off! -SITE SEWAGE DISPOSAL SYSTEM NAME 1 1Cs11---I----1i�"-` MAILING ADDRESS & �tt2! �� )j� PFIONE� I LOCATION �J-LL�'-s�1-- LEGAL DESCRIPTION LIE SEPTIC TANK: DISTANCE ( NUMBER OF FROM WELL_%_ MANUFACTURER 5e�e C- MATERIAL �PARTMENTS 5 -- INSIDE LENGTH_ INSIDE -WIDTH LIQUID DEPTH LIQUID CAPACITYI�v-6GALLONS. �T I I E_D.RA1N__F 11=W. TOTAL LENGTH i DISTANCE FROM WELL FOUNDATION ��//�� —NEAREST LOT LINE__ ,2l) J OF LINE # of Lines— DISTANCE BETWEEN LINES TRENCH WIDTHIN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE 1-0 FINISH GRADE -q---MATERIAL BENEATH TILE -6 © IN. ABOVE TILE �._IN. SEEPAGE PIT: DIAMETER OR WIDTH—, LENGTH—, DEPTH _ Log Crib _Rings_ Crib Size: DIAMETER_—_DEPTH DISTANCE FROM: WELL . TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LIINg� — ABSORPTION AREA (WALL AREA) SQ. FT. Well Class: 49-C111- Depth: Well Distance To: Lot Line _ Bldg:(�;� _ Sewer Line: Pipe Ma erJ.als: # o_� Bedrooms: Installer: Remarks: G' K.� DATE -1�--��APPROVED _ I I LA A 1 -__"r..�-._i.-�.__— � - T- G' K.� DATE -1�--��APPROVED _ ` ^ w�rnn/nq,/ "� .-.11111 .",' ^','^.`~,..-.,...- 1 '� HK. 99``__/ 825 ,'TREET, HNCH8RHGE/ SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL . ~ 279-2511 SUBJECT TO PROSECUTION. ^ LA FE� � �� ^ P-4 -S-. �� n PERMIT NO. 7�674 ( ) �� APPLICANT -'--� BX� 267 CHUGIHK �� -*�� 44 5554 LOCATION HF�1��OCK DK LEGAL L1 B5 GREAT LAND EST LOT SIZE 60000 SQUARE FEET TYPE OF SOIL. HBSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTHN[:E BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). �o2o 17-H 1:Z-1 C -a F:l ll.- I_- c.j�� i ^ � ApHCKHGE PLANT MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE � � FOLLOWING CONDITIONS: 1. EITHER H CLASS I OR II NSF APPROVE[) PLANT MAY BE INSTALLED. 2. H CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF H MAINTENANCE RGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM HMD/OR YOU MAY BE SUBJECT TO PROSECUTION. ------------------------------------------- MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE' AVAILABLE TO INSURE PROPER INSTALLATION. ��Irl X I - EE F::" 1: F?lEE*"H. ��[E. F -.'-a I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL IN' THLL THE SYSTEM IN ACCORDANCE WITH THE CODES. I: I UNDERSTAND THAI' THE ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENCE IS, REMODEL -El.", TG INCLUDE MORE THAN ] BEDROOMS. SIGNED ISSUED --JL.��.7 AND WELLS AS SET ENLARGEMENT IF THE V 0 ��. �� "F--k=_�� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE' AVAILABLE TO INSURE PROPER INSTALLATION. ��Irl X I - EE F::" 1: F?lEE*"H. ��[E. F -.'-a I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL IN' THLL THE SYSTEM IN ACCORDANCE WITH THE CODES. I: I UNDERSTAND THAI' THE ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENCE IS, REMODEL -El.", TG INCLUDE MORE THAN ] BEDROOMS. SIGNED ISSUED --JL.��.7 AND WELLS AS SET ENLARGEMENT IF THE V 0 MUNICIPALITY OF ANCHORAGE ` DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATIONTEST Pouch 6.650, Anchorage, Alaska 99502 276-2221 SOILS LOG — PERCOLATION TEST PERFORMED FOR: nen//EL Q-.l,kf / 66X V622 6bV'e'!f7/C DATE PERFORMED: —11 L -V 2'?, 77 LEGAL DESCRIPTION: LOT ZgAIO Z�7-i9TEb SU/3,p/Y/�//7/✓ SLOPE SITE PLAN 1 2 {FEET)-, '• ' " --iii//*/ ,SW>r-/ CSNI� Zed- brawn ✓�6/dlLa'/ .�O// LO12;1�1/J//21 .JO/770 /70f5 D. 3- 0' 0 SGndy G/rltve/ (6W) Qo _ o Gt/ei/ yrz2ded !��/th /ii7`/e ;=o •-0- O 2GinPJ . 5 5 �/•�j 12 12 J` r 6oa/�irr ,�i2ed irafr/vli/6 - 6 Gid c160v�- 13 .:l/. o a ° ale /3oTi ort O.c 14 8 0- Gross Time Net Time 0 Net Drop 9 Qo 10- 0 I 12 12 J` r Gid c160v�- 13 .:l/. /3oTi ort O.c 14 Tizant h 15 16 17 18 19 20 N WAS GROUND WATER S ( I I1,p ENCOUNTERED? AIO 0j P �O IF YES, AT WHAT E I 30 DEPTH? I I - -I -- I I Reading Date Gross Time Net Time Depth to Water Net Drop I J` r I m c� � I II I T' a I / F-1 I I N WAS GROUND WATER S ( I I1,p ENCOUNTERED? AIO 0j P �O IF YES, AT WHAT E I 30 DEPTH? I I - -I -- I I Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS / ^� �rOrn -f/if fkf,21/ ��/Qt�/,r/' r10 home le,171er C�-sf �JG>er///.Es /ter/Jed �iom Q/��i�7/I � Cha/7ne/ !/��r,5i15 ��/Pi�/in0 i/o/Z�/ the h/G%7 %✓P,nr%i O!r<r/lf;.l�//moi L.:rf/� /�e?rerJ �,�. PERFORMED BY: N/YAk;trCf -.- 6eeft CERTIFIED BY: MID C- r(Iee -1 vlZCV A� DATE: /,77 72-008 (7/76) �'Wf' '.'_�M-W DRILLING, INC. DRILLING LOG Well Owner Use of Well Location (address of: Township, Range, Section, if known; or distance main Size of casing Depth of Hole J.feet Cased to feet Static water level I t. (above) (below) land surface. Finish of well (check one) open end ('% Screen ( Perforated ( Describe screen or perforation Well pumping test at �'gallons per (Jib&) (minute) for hours with of drawdown from static level. Date of completion WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness TO To— TO T 0 T V TO c. TO T 0 A, 0 T TO —2"o-' I TO TO --TO T 0 2 — STATE TO j,mai TO I 'Pn V(3 2 — STATE Well Owner >-.-•M-W DRILLING, INC.,,/, DRILLING LOG Location (address of: Township, Range, Section, if known; or distance main of Well Size of casing Depth of Hole feet Cased to feet Static water level ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated Describe screen or perforatio Well pumping test at gallons per (hour) (minute) for hours with ft. of drawdown from static level. Date of completion WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness OTOTO TO- TO- TOTO TO- TO NWV A Certi ie 'a corltrd&M rrP,tsricate No's. 814 & 973 TO- 3 TO3 — CONTRACTOR TO TO ... f =%f c i TO- TO- TO- TO- TO- TOTO TO- TO NWV A Certi ie 'a corltrd&M rrP,tsricate No's. 814 & 973 TO- 3 TO3 — CONTRACTOR Municipality of Anchorage 'tel Development Services Department Building Safety Division 7U' On -Site Water & Wastewater Program 4700 Bragaw, Street P.O. Box 196650 Anchorage. AK 9951"650 /onsit / !„/J�✓ �// www.muni.org/onsite 343-7 onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING n Parcell.D. 0,15I-I33—I() COSA# (JBoI)-to 1. GENERAL INFORMATION Expiration Date: R — R —08 Complete legal description GREAT LAND ESTATES #3. LOT 1. BLOCK 5 Location (site address) 19744 HARDROCK DRIVE . CHUGIAK. AK 99567 Current Property owner(s) LAURA FABBRI Day phone 264-1977 Mailing address P.O. BOX 671916_* CHUGIAK, AK 99567 Lending agency Day phone Mailing address Real Estate Agent RANNA FEKRAT w/PRUDENTIAL JACK WHITE Day phone 441-5815 Mailing address 3801 CENTERPOINT DR. #200 * ANCHORAGE. AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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. 1 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. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 " ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date L o Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the lost, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory lost results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confor any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory L/ Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Nitrate Advisory Other By: 14 A (Rev IVM) A. `Go4SS... -9;,i(rrrr Y OFA'! Irj ' • cyo ' ON-SITE WATER AND ; R+= WASTEWATER PROGRAM ' Original Certificate Date:5--2-0-9 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: GREAT LAND ESTATES #3, LOT 1, BLOCK 5 Parcel ID: 06-/- /3 3—/0 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 2/4/1977 Sanitary seal (YIN) YES Total depth 193 ft. Cased to 193 ft. FROM WELL LOG Date of test 2/4/1977 Static water level 183 ft, Well production 4.0 g,p,m. WATER SAMPLE RESULTS: Well Log (YIN) YES Wires property protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 2/8/2008 174 5.16 g.p.m. Coliform 0 colonies/100 ml. Nitrate r' o i mg./L. Other bacteria © colonies/100 ml. Arsenic: NDug./L. Date of sample: 2/11/2008 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material _ SEPTIC/FIBERGLASS Date Installed 9/8/1977 Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (YIN) YES Depression over tank (YIN) NO Cleanouts (YIN) YES High water alarm (YIN) N/A Date of pumping 4/26/2007 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA BE ew EXISTING GRADE Date installed 9/8/1977 Soil rating (g.p.d./ft'o /bd 85 System type TRENCH Length 27 ft. Width 3 ft. Gravel below pipe 5 ft. Total depth •8.6 ft. Eff. absorption area 270 ft' Monitoring tube YES Depression over field NO Date of adequacy test 2/8/2008 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test DRY in, Water added 672 gal. New depth 8 In. Elapsed Time: 180 min. Final fluid depth DRY in. Absorption rate >= 600+ g.p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date — D. LIFT STATION Date Installed "Pump on" level at in. E. SEPARATION DISTANCES Size in gallons Manhole/Access "Pump off" leveat �i .High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5' Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line P 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through held inspections and review of Municipal records that the above systems are In conformance with MOA COSA guidelines in effect on this 0 „ , „ „ „ , • • , date. Je 7r y Gar ess: Engineer's Printed Name JEFFREY A. GARNESS QQO+ • CE— `FQ Date 5 p 0Od„e''J. r' L 8 IDOnP�re�gw�^oa 0 COSA Fee 5 y ay. v U Date of Paymentcc1U,/ J 0 Receipt Number V Cl I 5 (Rev. 11ro5) Waiver Fee $ Date of Payment Receipt Number tt ' .�� s r. s t •` 4 O W11 1 \ D w � � I 0 1 R /�- So 4SBUIL7 � •� 9�0 - Iil��A� HEREBY CERTIFY THAT 1 HAVE• SWARD 6 ASSOCIAmme I IM SUR 'DL WINO DESCRIBED PROPERTY: THE SCALEt iINC 6 6=0d rc►1�y0/1N/tJ?�s.•' ERTY: •p",, mICArp ° TNorafa+wlENrs ls`�r air as DarEt is OF At'4% NNER TO _ls THE RESPONSIBILITY OF THE •r//yam �P : 94p, THE "5, COMAWS p IXTENCE OF ANY 'Gl:' 'f 1 HICK 00 NOT R RESTRICTIONS GRID, s" l /�T" '9 BION PLAL UPPEap THE RECORDED SUBW_ yK/,d6o N DATA HCREDN 8C UyD�CIMMISTANCES SHOLIZ FB+ �► .• •..e. �- l FENCE LIN FOR MNSTRI1CT10 /7 /� ••• •+.n. rw.n �.. i . t w ....�� OR FDR E17ea•au..w ..._N C /• A �3+e91E �. i MUNICIPALITY OF ANCHORAGE d ° s � DEPARTMENT OF HEALTH &HUMAN SERVICES_ Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-665&NN- rALITY OF ANCriji A -_,L 343-4744 ,.IVIRONMENTALSERVICES DIVISION CERTIFICATE OF HEALTH AUTHORITY NOV lei 1997 APPROVAL FOR A SINGLE FAMILY DWELLING `Q Parcel I.D.# 051-133-10 �' HAA# �COC)Sa, 1. GENERAL INFORMATION Complete legal description Lor 1, Block 5, Greatland Estates #3 Location (site address or directions) 19744 Hardrock Dr., Chugiak Property owner Dave and MaryAnn Paul Day phone 688-4211 Mailing address Box 671032, Chugiak, Ak 99567 Lending agency Day phone Mailing'address Agent Larry Zamber, Vista, Eagle River Day phone 689-6482 Address 16.635 Centerfield Drive, Eagle River. Ak 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well X Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Anderson Engineering Phone 563-7155 1 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's signature EaDate _ 1 1 / 14 /97 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments 411TIC �Z'OF,Q< �a i* • T*_ I 49 r;�� ;. MICHAEL E. ANDERSON 0 4381-E s bedrooms, with the following stipulations: Date _ 10 0. E7 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M (Rev. 1/91) Back MOA #21 Municipality of Anchorage vL DEPARTMENT OF HEALTH & HUMAN SERWIE'S'"t1tYOaAN�nuwIS �..E ,JVIROWENTAL SERVICES IaIVIS Environmental Services Division I CA 825"L" Street, Room 502 • Anchorage, Alaska 995010 (907) 343-4�7441 1997 Health Authority Approval Checklist RECEIVED Legal Description: Lot 1, Block 5, Greatland E?grcelI.D.: 051-133-10 Addition #,3 A. WELL DATA Well type Private Log present (YIN) Y Total depth 193 ' Sanitary seal (Y/N) If A, B, or C. attach ADEC letter. ADEC water system number Date completed February 4, 1977 y N/A Cased to 193 ' Casing height (above ground) 20 " FROM WELL LOG Date of test February 4, 1977 Static water level 183 ' Well production 4 WATER SAMPLE RESULTS: 9— p.m- Wires properly protected (YIN) AT INSPECTION November 7, 1997 175.1' 5.75 Coliform 0 Nitrate ND Other bacteria Date of sample: 11/10/97 Collected by: S t u a r t Gilbert B. SEPTIC/HOLDING TANK DATA 0 9 -p -111 - Date installed 9 / 8 / 7 7 Tank size 1 , 2 5 0 Number of Compartments 2 Cleanouts (Y/1) y (1 ) Foundation cleanout (Y/N) y Depression (Y/N) N High water alarm (Y/N) N/A Date of Pumping 1117197 Pumper JR C. ABSORPTION FIELD DATA Date installed 9/ 8/ 7 7 Soil rating (g:putjft� or fi& dg2) 85 System type deep t r e n c h Length 2 7 Width 36 Gravel thickness below pipe 6 0 Total depth 105 " Effective absorption area 27 0 Monitoring Tube present(Y/N) y Depression over field (Y/M N Date of adequacy test 11 / 7/ 9 7 Results (Pass/Fail) PI -51 For 3 b r bedrooms p absorption dry Immediately 71g ) 10. 2 5 " Fluid depth in abso tion field before test (in.); y after_ �1. water added (in. Fluid depth dry (ins.) Minutes later: 110 Absorption rate = 9 , 2 9 4 g.p.d. Peroxide treatment (past 12 months) (Y/N) N If yes, give date N/A D. LIFT STATION Date installed N/A Manhole/Access (YM) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main N/A 108 ' : On adjacent lots GT 110 ' ; On adjacent lots lex /septic service line 63 "Pump off' level at* GT120' GT120' Public sewer manhole/cleanout Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 49 15 " Property line CT10' N/A Absorption field �� t M C --Ar WaYetfMffi/service line GT 5 0 'Surface water/drainage NONEWe11S on adjacent lots _ GTI 2 0 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation GT55' Surfacewater none observed Curtain drain WA64iWservice line GT 5 0 ' Driveway, parking/vehicle storage area_ GT.5 0 ' no eved once Wells on adjacent lots F. ENGINEER'S CERTIFICATION GT120' Property line I certi/v that I have determined thru field inspections and review oflvfunicipal recgsd�v ents are in coif/brmmnce with MOA HAA guidelines in effect on this date. '` Signature y,�.4� .. . Thl Engineer's Name A -e a ,0_�1 j ice:. . �� F,_� Date _ <I / l g I /��M,,ICHAEL E. PNGCflSGN HAA Fee $ J:�4', rii% Date of Payment // Receipt Number T Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number \KR;10' SGTECHNICAL P.O. Box 771747 • Eagle River, Alaska 99577 • (907) 694-7112 11/7/97 Lot 1, Block 5, Greatland Estates, Addn. #3 T15NR1 W,Sec 10 Well Test A four hour test was conducted, during which 1,394 gallons were pumped. Total depth of the well was indicated by the well log to be 193'. Static was found to be 175.1'. Drawdown was 1.2' to 176.3' after 50 gallons. Level remained stable at 176.3' for the remainder of the 4 hour test at a stable flow rate of 5.75 gpm. Conclusion: Well yield is in excess of 5.75 gpm and satisfies the requirements for a 3 bedroom home. Septic Test 710 gallons were pumped into the after tank cleanout (ATCO) at a flow rate of 5.75 gpm during a 2 hour period. Monitor tube was dry when the test was begun. Tube remained dry during the first 100 gallons and showed a level of 4" after a total of 150 gallons. Total rise was 10.25" with an effective depth of 60'. Recovery was 100% after 2 hours. Septic tank was a Sunset 1,250 gallon tank which was reported on a previous adequacy test as a 1,000 gallon tank. Capacity was verified by the pump truck Which pumped 1,200 gallons from the tank during the recovery period on the day of the test. The end of the trench was found to be 20' from a slope greater than 25%. No effluent was seen leaking from through the bank during the test and no indication of past leaking was noted. System was installed in 1977 with no record of upgrades. Conclusion: Septic System satisfies the requirements for a 3 BR home. DEPT. OF HEALTH c< M -W DRILLING, INC. U0,NLMENTAL P;ZOJZCTIw �. JUN 31V77 RECEIVED DRILLING LOG 1.c72in.-ems Well Owner Jan ' Use of Well nnm . Location (address of: Township, Range, Section, if known; or distance main road_ Lot 1 Block 5 Greatland Estates Size of casing 6epth of Hole -12 -3 --feet Cased to l o3 - "' feet Static water level 183 ft. 01563e) _ (below) land surface. Finish of well (check one) open end (>a' ); Screen ( ) ; Perforated Describe screen or perforation Well pumping test at t gallons per (lids) (minute) for 1 hours with 100;` ft. of drawdown from static level. Date of completion February 41 1977 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 TO—2— Casino stickup 2 TO____7 Ornanics S TO 21 Siltv gravel. crc:as?-nnal c -*n -hl, -c 21 TO 2.6 Boulder 24 TO 38 Silty caravel ar-1 cohb i o ; 38 TO_. 00 Gravenv hardnAn and cobbl os 60 TO ae Gravelly hardpan and cobbles 80 TO 82 Boulder 32 TO 9L- Grav,21ly har:i nan and robbiRs 95 Tp 96 Boulder 96 TO 100 Gravel l y har. dnan -And r nhhl os 100 TO 120 C pment�A hardpan 120 Tp 140 tlrayol 140 TQ 160 C- nlrnl ."q +1- h160 160TO 170 Loose shall gravel 2 — STATE -'M-W DRILLING, INC. DRILLING LOG Well Owner DAN LOVIRY PAGE 2: Use of Well Location (address of: Township, Range, Section, if known; or distance main road_ Size of casing T)epth of Hole feet Cased to feet Static water level ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ) ; Perforated Describe screen or perforation Well pumping test at gallons per (hour) (minute) for hours with ft. of drawdown from static level. Date of completion WELL LOG Depth in feet from ground surface Give. details of formations penetrated, size of material, color and hardness 170 TO 187 Loose gkavcl, wet 187 TO—L'9-02— Sandy gravel, wet 190 TO 193 Water gravel TO TO TO TO TO TO TO TO -TO- 3—CONTRACTOR O 3—CONTRACTOR MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date June 5,1986 t. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) T,nt 1, Block 5, Greatland Estates #3 T15N R1W Sec. 10 Location (address or directions) Hardrock Drive,Chugiak (b) Applicant Name David Paul Telephone: Home 688-4211 Business _ N/A Applicant Address POB 671032, Chugiak , Alaska 99567 (c) Applicant is (check one): Lending Institution D ; Owner/builder ® ; Buyer D ; Other D (explain); (d) Lending Institution City Mortgage—Dawn Telephone 263-2379 Address POB 2117 Plaza 7 #532, Anchorage AFC 99577 (e) Real Estate Company and Agent N/A Address Telephone (f) Mail the HAA to the following address: pickup b..v engineer 2. TYPE OF RESIDENCE Single -Family D Multi -Family D Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well ® Community D Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ® Public D Community D 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 (1 1184) Page 1 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. Name of Firm Address EAGLE RIVER ENGINEERING SERVICES EAGLE RIVER, AK 99577 Date 6 1'4 IP6 p-0: BOX 7-73294 694-5195 Telephone �A13��°eoe °o � Acm L�ho J C-' i"� �•{r .i cod r..r C, OOO(:''CCL��1I%%%LCCJG::G 31J5•r./O ; a� Epgineer's Seal t.� c oaomoe �m eeen..n e.a. =•o • :yr Louis A. &Opra y It. ��'� fA00 CE -6736 :��'.�,-� DHEP APPROVA Approved for bedrooms by r% Date Approved _— Disapproved Conditional Terms of Conditional Approval dhep CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 10_M1II I IRA% wcri. yr ncry-un be r _ _ MUNICIPALITY OF ANCHORAGE (MOi ENVIRONMENTAL PROTECTION • HEALTH AUTHORITY APPROVAL (HAA) J IJ iN 0 5 CHECKLIST - FEBRUARY 1984 264.420 E V E Legal Description: �� t / IZE C A. WELL DATA e'ok / UGF y If A, B, C, D.E.C. Approved Y/N) /y�4 Well Classification PP Well Log Present (Y/N) Y Date Completed T� 6 7J Yield t I`' K Total Depth (i 3 Cased to / /s/ Depth of Grouting Static Water Level 7 y / Pump Set At Casing Height Above Ground �� Sanitary Seal on Casing (Y/N) Y Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot On Adjoining Lots /zy r To Nearest Edge of Absorption Field on Lot �a� On Adjoining Lots To Nearest Public Sewer Line Ja/4 To Nearest Public Sewer Cleanout/Manhole AIA To Nearest Sewer Service Line on Lot fa ` Water Sample Collected by 64_r 4e Date Water Sample Test Results s—.1 Comments B. SEPTIC/HOLDING TANK DATA Date Installed �� Size lora 54 /- No. of Compartments 2 Standpipes (Y/N) i Air -tight Caps (Y/N) i Foundation Cleanout (Y/N) Depression over Tank (Y/N) ti Date Last Pumped 2fz*� Pumping/Maintenance Contract on File (Y/N) IV14 ; for �11,4 Holding Tank High -Water Alarm (Y/N) fZ-1161 Temporary Holding Tank Permit (Y/N) y�A Separation Distances from Septic/Holding Tank: To Water -Supply Well /d To Building Foundation SU To Property Line ty, I To Disposal Field ` To Water Main/Service Line rfu ` To Stream, Pond, Lake, or Major Drainage Course ti �4 Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design Trewc� Date Installed i Length of Field Width of Field 3 Depth of Field i Gravel Bed Thickness SV Square Feet of Absorption Area •:2 6 0 Standpipes Present (Y/N) y Depression over Field (Y/N) Date of Last Adequacy Test 6ZArG Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well �� r To Property Line SAD � i To Building Foundation S G To Existing or Abandoned System on Lot On Adjoining Lots --:?0 To Water Main/Service Line �/& To Cutbank (if present) /y/A To Stream/Pond/Lake/or Major Drainage Course 6)&;? 11 To Driveway, Parking Area, or Vehicle Storage Area Y/6 Comments D. LIFT STATION ,v //4 Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for — Electrical Codes (Y/N) — Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that II have checked, verified, or conformed to/all MOA and HAA guidelines in effect on the date of this inspection. Signed �/ Date 44!y O� Company MOA No. Receipt No.1 S Date of Payment y Amount: $ — l o, °v `; �U' o'Engineer's Seal Eagle River Engineering Services R 0. Box 773294 Page 2 of 2 Eagle River, AK 99577 694-5195 72-026 (11/84) _JJ 14 �<•.> (;' Louis A. Nu4erp ` j%' CE -6236 I (LA I1 \'iii /-, L\on y Time APPLE AT FILLS OUT UPPER HA" Time .'ONLY Properly Owner .�s.%j/�'� �% t% 9�y _ - Phone Mailing Address Date �-ri /ll7 -� 'U Zip Code Inspector Buyer i %'% %i[ Al �f Address Field Notes: Zip Code Lending Institution / /-� ;� ;�% 'j j!1-fj' - _ Phone Address - Zip Code tx �i- -[7 "W�rQ Realty Co. & Agent 6 K- �( lIddX4-t jiAMU Phone RECEIVED Address 'CONDITIONS OF APPROVAL Zip Code Legal Description / (U-( ..� .r/ Street Location- DATE .AA Type of Rgsidence BY: Lk"S'ingle Family .� Soils Rating ❑ Multiple Family No. of Bedrooms ❑ Other Septic Tank Size �J Water Su y' dividual Well to Tank ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. El CommunityC. Lt, - For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal p•Tndividual Year Individual Installed: '/ e � ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. I (LA I1 \'iii /-, L\on y Time Time Time Time Date Date Date Date �-ri /ll7 -� 'U Inspector Inspector Inspector Inspector Field Notes: AjA- C-0 toA MUNICIPALITY OF ANCHORAGE W DEPT. OF HEALTH is ENVIRONMENTAL PROTECTION at 16 tx �i- -[7 "W�rQ ti a c r 6 K- �( lIddX4-t jiAMU RECEIVED 3 )APPROVED BEDRO 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE .AA BY: Soils Rating Date Sewer Installed Well To Absorption Area Ito, Well Log Received Septic Tank Size �J ^ ; ? Well to Tank 72023 (3182) j L ALASKA �11UIRMVTAL COnTnOL SekViCCS, IN. ` engineerinq & 6nuironmental Studies AUGUST 23 1983 DAN LOWERY 1207 E 76TH ANCHORAGE AK 99502 SELLER — DAN LOWERY BUYER — SUBDIVISION — GREATLAND ESTATES BLOCK — 5 LOT — 1 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 255 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 900 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. OF A144 1� TW Poo ••io •: a• • w•® C. Reid, Jr. "4c �� C9 °• o. 2251E ow •� PROFESSIO ..� 1200 West 33rd Auenue, Suite B 9 Anchorage, Alaska 99503 • 907) 276-1361