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TUXEDNI PARK BLK 1 LT 10
Tuxedni Park Block 1 Lot 10 #041 -022-12 Municipality of Anchorage Community Development Department JUL 0 92019 Page 1 of 3 On-Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650• http://www.muni.org/onsite • (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number. OSP181415 PID Number. 041-022-12 ❑ New N Upgrade Name: ANDY NESLUND ABSORPTION FIELD EASTMIEST ❑ Deep Trench ® Shallow Trench ❑ Bed ❑ Mound Address: 9651 COPPER DRIVE "ANCHORAGE, AK 99507 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 338-3382 ***5 1.2 GPD/Sq. Ft 11:5/11.23 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: Gravel depth beneath pipe: SEE DWG. Ft **3.97/4.02 Ft Subdivision: Block: Lot: Fill added above original grade: Gravel length: TUXEDNI PARK 1 10 SEE DWG. 33/33 Ft Ft Owns Ip: anger eC Ion: - - - Gravel width: Beds Number of lines: Distance between lines: 5/5 Ft - - Ft. SEPARATION DISTANCES Total absorption area: 660+ Number offrenches: 2 Dist. between trenches: *10' To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SQ. Ft Ft. well 100'+ 100'+ - 25'+ TANK ■ Septic ❑ S.T.E.P. ❑Holding ❑ Other Manufacturer. Capacity. Surface water 100'+ 100'+ - - ANCHORAGE TANK 1500 N/A Gal. Lot Line 51+ *01+ - Material: Number of compartments: STEEL 2 LIFT STATION Foundation 10'+ 10'+ - Manufacturer. C Curtain Drain NONE KNOWN Gal. Remarks: OLD TANK DECOMMISSIONED PER UPC PER CONTRACTOR. "Pump on" level at:17� High water alarm at: *WR#OSV181095 **VERBALLY APPROVED BY REBECCA CARROLL ON 12/4/2018 ***PER MOA RECORD THE 1974 SEEPAGE PIT IS Pump Make & Model Electrical Inspections performed by: SIZED FOR 3+ BEDROOMS AND THE 1984 TRENCH EXTENTION IS SIZED FOR 3 BEDROOM. IN SHORT, THE OLD SYSTEM WILL BE THE PIPE MATERIAL House to tank EXISTING/D3034 Tank to D3034 drainfield RESERVE SITE ONCE IT IS ALLOWED TO RECOVER. Installer ARM SERVICES, LLC. Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 101.85 Ff. Inspection Location and Description: Dates: 1st 11/29/2018 2nd 12/3/2018 3rd 12/5/2018 4th 12/6/2018 BOTTOM OF TRIM ON SOUTHWEST CORNER OF HOME ENGINEER'S SL Community Development Department Approval 00600��0 Conditional approval: Date: 00 OF A o00 �.......... .. ................0� tj f A. Garness: /�� L I ZCI �� / CE 79 3 oQ� O�I`��1s`'e ' • Z 1.. A�c�� Approved. L L� Date. U�/�, P o LICENSE rofessto1' eco #AECC884 � Inspection Report _1-1-12.doc PERMIT NUMBER: OSP181415 I I � I I /--lool wF`C 1 A I B I C ST1 48.8 41.3 43.0 ST2 46.0 40.1 40.3 PTC01 53.5 1 41.4 45.0 DBL1 45.3 1 41.0 40.1 DBI -2 45.0 1 41.3 40.2 FD 43.6 42.7 41.4 FS 43.8 48.2 50.0 C01 38.7 53.0 54.3 MT1 39.7 53.4 54.9 CO2 30.7 83.3 84.7 MT2 32.4 82.8 84.5 CO3 54.4 46.3 50.7 MT3 54.8 47.2 51.9 C04 45.8 77.5 81.0 MT4 44.6 76.7 1 80.2 RECORD DRAWING .y \ y MT3 DOG PEN SHED LEANTO GARAG EXISTING 5 BEDROOM HOME B NEW PARCEL ID NUMBER: 041-022-12 E 1 \ I \ I ` \ r I ` \ tPy 1 \ EXISTING FCO \ o NG C// ` �;PEW P56 GALLON STEEL SEPTIC TANK; MAX BURIAL DEPTH OF 10 FET DBL1 \ DBL2 EXISTING CRIB \ / \ EXSISTING TRENCH \ o \ \ \ A \ SHED \ \ GARNESSENGINEEENGINEERING G GR-_ OUP, L_t_d S___ERG SALES 3CONSULTING 3701 E.TUDOR ROAD, SUITE 10 , AK 99507 - PHONE (907) 337-6179 I29ineenng.c- PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ANDY NESLUND 907-301-4140 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: TUXEDNI PARK; BLOCK 1, LOT 10 E.D.W. TYPE OF WORK: DATE: �, SEPTIC SYSTEM RECORD DRAWINGS 1/21/19 pili ♦...'\O\ X111, Ar AV .. 1. ............., J r4l - Garn s �= ## 1 CE -79 _AW AV LICENSE 11 R�FES ��♦♦ #AECC884 11 � 11L Is / =RSMMBER:PARCEL ID NUMBER: 1415 RECORD DRAWING 041-022-12 FINAL GRADE = 97.73-97.81 TOP OF TANK AT ST1 ST2 TOP OF TANK AT INLET = 90.66 OUTLET = 90.64 INVERT OF BUNG NEW 1!DEPTH AT INLET = 90.09 SEPINVERT OF BUNG 10' BURAT OUTLET = 89.86 WEST EAST MT CO FINAL GRADE = 94.96-96.86 MT CO FINAL GRADE = 96.49-98.24 TH#1 ORIGINAL GRADE @ ORIGINAL GRADE @ TH#1 HIGHEST POINT = 95.72 HIGHEST POINT = 96.01 FILTER FABRIC FILTER FABRIC 0 0 0 o o oa T� T . . e e . . . . °0 4.02' o INVERT OF PIPE = 88.51 `3.97°o INVERT OF PIPE = o 88.48 o e e o o o 'g I� 5' BOTTOM OF TRENCH = 84.49 I�_ 5' I BOTTOM OF TRENCH = 0 84.51 8 'VERBALLY APPROVED BY REBECCA CARROL o WITH MOA ONSITE ON 12/4/2018 0 0 RELATIVE ELEVATION OF RELATIVE ELEVATION OF BOTTOM OF T.H. = 77.72 1 BOTTOM OF T.H. = 78.01 (TH#1 DRY ON 11/27/2018) 10'+ (T.H. DRY ON 11/27/2018) 4W 1�1 - ------------ - - —AV# 4L 1 49 GARNESS ENGINEERING GROUP, Ltd ; ........ .�.............I.............. -----_ -- ENGINEERING o SALES o CONSULTING ---- — - - � .... //II11// ,� 0 3701 E TUDOR ROAD. SUITE 101 'ANCHORAGE, AK 99507' PHONE (907) 337L779' FAX (907) 338-3246' WEBSITE: wxw.gamessengineering.cam ;, �, L... .... ......... ,, PREPARED FOR: PHONE NUMBER: PAGE NUMBER: o 1� , finee\\ A. GarnjsS �u i Q AF ANDY NESLUND 907-338-3382 3 OF 3 �j�i ':1 CE-7 3 , S � ' 11 =i LEGAL DESCRIPTION: DRAWN BY: #. 0111r, �� •. �ZD TUXEDNY PARK; BLOCK 1, LOT 10 E.D.W �s♦ FO ppL��•�r:• '1. �4W TYPE OF WORK: DATE: )?6FE \QN SEPTIC TANK PROFILE 1/21/2018 #ACEccs6a,,1,►iIskIL MINIIIIM II/21 /18 QoH ao("""""� MUNICIPALITY OF ANCHORAGE mens � ' On-Site Water&Wastewater Program \.° s'�r a..� PO Box 196650 4700 Elmore Road . t. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,� � .. / httpalwww.muni.orglonsite roN epartmen i H�.CnppnVE On-Site Wastewater Disposal System Permit Permit Number: OSP181415 Effective Date: 11/21/2018 Work Type: Septic Upgrade Expiration Date: 11/21/2019 Tax Code Number: 04102212000 Site Legal Address: TUXEDNI PARK BLK 1 LT 10 G:2042 Site Mailing Address: 9651 COPPER DR, Anchorage Owner: NESLUND REBECCA V&ANDREW J Lot Size in Sq Ft: 59050 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: 0 Disposal Field ❑ Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 11f2 /1 & Co# 1 : Rte ace -4-0.;-)k - Yv`ov� lr 8,,cui,. ,p„2/ Lock:upe,t Ases-A-1. Received By: / Date: I,zi. I i Issued By: i .. ' ; autei, Date: lira ie Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.orq/Onsite Development Services Department On-Site Water and Wastewater Section **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV181095 COSA#: Permit#: OSP181415 PID#: 041-022-12 Legal Description:Tuxedni Park Block 1 Lot 10 Engineer: Garness Engineering Group Applicant: Andy& Becky Neslund Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 0.0 feet. , Add i+i a a) jour rewues.1 -f r W n . -..w.1 4 -44w r'es i re of IyuLti 4-6 6.6 2t./ SQpc oe, co (ypra Ved. 9.,(p c This waiver approval applies to the proposed absorption field only. Any future upgrade to the 11/2.81i8 on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 1 la! a 0 l Approved by: Q�/`�i Name of Reviewer **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE , 89 _ Community Development Department ,, 1_ Phone: 907-34 -79I Development Services I ax: 907- 343-79• On-Site Water & Wastewater Program Mayor Dan Sullivan e q �� On-Site Sewer/Well Permit Application 6 B 9 5 n For A Single Family Dwelling Parcel I.D. 041-022-12 Property owner(s) ANDY& BECKY NESLUND Day phone 907-301-4140 Mailing address 9651 COPPER DRIVE "ANCHORAGE,AK 99507 Site address 9651 COPPER DRIVE *ANCHORAGE,AK 99507 Legal description (Sub'd, Block& Lot ) TUXEDNI PARK; BLOCK 1, LOT 10 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ® Upgrade ® (w/wo ADU) Septic Tank ❑ Duplex (D) ❑ Renewal Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: di-a_.(.4-44:32,(0'0 It DRAINFIELD TO LOT LINE / Orc,,,\_,&Qi -I'0 C� Distance: 0 FEET /10 p- I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: 5 4s9 Waiver Fees: r lS• Date of Payment: 11Iltol ig Date of Payment: t lino 113 Receipt Number: 661445'G Receipt Number: 051(4% Permit No. OSP 1?1 15- Waiver No. 05 V I2 S (Rev.01/11) Qua GARNESS ENGINEERING GROUP, Ltd TlL17CMC„t Sy�ICYl1 ENGINEERING SALES CONSULTING 3 I. S -rte November 13th, 2018 � 4°4S /1/6.v � b Municipality of Anchorage a 1 a 20/8 Development Service Department a On-Site Water &Wastewater Program 4700 Elmore Road Anchorage, AK 99507 9 Z 9 91 Ref: Proposed Septic System Upgrade for Tuxedni Park; Block 1, Lot 10 To whom it may concern: The existing 4-bedroom house is served by a private well and septic system. The drainfield is in a state of failure and needs to be upgraded. We are proposing to utilize the existing 1250-gallon steel septic tank and install a new deep trench type drainfield. One testhole was excavated on the property and the drainfield is design within in the 30-foot radius. Comments regarding the design are summarized as follows: 1. SOILS: See attached 2018 soil log which shows, soil classification, percolation test and groundwater monitoring. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached design drawing, there are no topography concerns. 5. WAIVER: As can be seen on the attached design drawing, the proposed drainfield will be approximately 1-2 feet from the west lot line. Therefore, we are requesting that your department issue a variance of zero feet. The proposed drainfield will not encroach on an adjacent well/or septic system. In short, we do not foresee any issue with granting this waiver. We are unaware of any adverse impacts this installation and/or waivers would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistanc-` Sincerely, Jffrey • e- - '.E., M.S. Presid' 3701 East Tudor Road, Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com �r� • • / \ --- 7p0'wEL 1 //'� I C�OIUs I // \\ 11 I QQ\ \ \ / �i� / \ Q Q / \ / oo'we1 \\ CGP <<RAO/us I 1 1 • TUXEDNI PARK; \ / / TUXEDNI PARK; BLOCK 1,LOT 11 \ / BLOCK 3,LOT 3 \\ // \� —/ / ....•• / / \ ❑riT \ /Q� /0,,..F \I TUXEDNI PARK; �„v 1 Rq L.Y i BLOCK 1,LOT 5 �Q 1 I / Q 1 / .sJ� 11 ! ,, i i \ / \ Q / 1 \ // I \ TUXEDNI PARK; BLOCK 2,LOT 800 E I I \\\ VACANT LAND PER 0 / / \\ MOA RECORDS \ (n /11 / \a / TUXEDNI PARK; 700'wet. BLOCK 1,LOT 6 1 RAID/US I 1 I _ _ 1 TUXEDNI PARK; //�' \\ `\\\ / BLOCK 1,LOT 9 / \\ \\\ /� `U / \\\\ V„ j 7po ',vett ---; Q �� ; I ALE: 1 \ "=100' TUXEDNI PARK; \ / BLOCK 2,LOT 3 • • INN . ,.. .:.nor.; ..x+raaaav,. :��[�'-r •a-. a,'. ___. —._. • GARNESS ENGINEERING GROUP, Ltd : *�. 4..106, 3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE,AK 99507•PHONE(907)337-6179'FAX(907)338-3246•WEBSITE:www.gamessergineering.com yr.• .irimia •; PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • ' /J, '- A. -11.-' . 4/- ANDY AND BECKY NESLUND 907-301-4140 1 OF 2 0� *, ,.. C 79 ' PROJECT/LEGAL DESCRIPTION: DRAVVN BY: 'i ' +I f ` : TUXEDNI PARK; BLOCK 1, LOT 10 D.J.G. .FQ�'•p'�'��'l•,J.. .. • '•P., .• TYPE OF WORK: DATE: LICENSE 4h 1 „S"U"•• SEPTIC SYSTEM DESIGN UPGRADE 11/13/2018 LICENSE 64 J Co 1 ii I / 1 DESIGN CRITERIA: GEG.Ltd.HAS A 8 PAGE SPECIFICATION NUMBER OF BEDROOMS:5 LETTER THAT PERTAINS TO THIS DESIGN.TO \ NOTE:THE CONTRACTOR SHALL HAVE THE WEST LOT OBTAIN A COPY OF THE LETTER CONTACT LINE AND ALL WELL RADAII FLAGGED BY A REGISTERED GALLONS PER DAY(GPD):750 GPO • GEG.BY PROCEEDING FORWARD WITH THIS \ LAND SURVEYOR PRIOR TO CONSTRUCTION PERCOLATION RATE'S:1.9 MIN/INCH INSTALLATION,THE ENGINEER.WELL DRILLER. PROPOSED APPLICATION RATE:12 GPD/BEDROOM • CONTRACTOR AND PROPERTY OWNER AGREE \ ' / MINIMUM DRAINFIELD SQ.FT.:625 FT' ., THAT THEY HAVE READ THESE t DRAINFIELD DESIGN: •, SPECIFICATIONS AND AGREE TO ACCEPT THE ` \-.\ TERMS AND CONDITIONS OUTLINED. I MAXIMUM DEPTH:11.5 FEET .« '� I PER MOA ONSITE MEMORANDUM,THE IWIDTH:5 FEET '` •••"'� J I LENGTH:2 @ 33 FEET(66 TOTAL) 7777 SEPTIC TANK SHALL BE INSPECTED 4-'�tT:N6''T'v.,�;A DURING THE INSTALLATION EFFECTIVE:4 FEET .•�s' N,=maw'' REDUCTION FACTOR:0.5 I \ F ACTUAL SQ.FT.:660 P '100'IAA-, I \ \ I 1 \ A• \o i - EXISTING 4 1 / \\A \ BEDROOM HOUSE / \ m _ \ 9N / \ m-* V \\ / vvo / \ i' / \ \ l / INS ALL NEW 1500 GALLON STEEL SEPTIC TANK;INSTALL` PROPOSED DRAINFIELDS / DOUBLE CLEANOUTS AFTER TANK \ \ \ k 425°10 5'+ / INSTALL DOUBLE CLEANOUTS AND \ FLOW DIVERTER AFTER TANK _ h� XISTING SEEPAGE PIT AND DRAINFIELD \N JO lit M T \ H. \ \ +-40 \ e \ SHED 0'WAIVER REQUEST 1 �_ 1 / / 0-10' AVER REQUEST \ ' 1 OX26010 1 .13 \\ .13 \ 1 011,1 L. Ill SCALE: 11 1"=40' I .�1�\\11 II,1 1••C�• ��• , ,•♦A '� 1 'q ♦.. graJO GARNESS ENGINEERING GROUP, Ltd • ° 49'h4t I k �`�* •• • . k • c • 3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE.AK 99507'PHONE(907)337-6179'FAX(907)338-3246•WEBSITE:www.gamsssengYrosiing.com !• •• • • 11`PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • J- "' •. - ESS a ANDY NESLUND 907-338-3382 2 OF 2 •���•• CI-7913 • '' � PROJECT/LEGAL DESCRIPTION: DRAWN BY: ..C�_•.• �1z.e ,.•'.• TUXEDNI PARK; BLOCK 1, LOT 10 D.J.G. *It,;' lio ... P,.. TYPE OF WORK: SEPTIC SYSTEM DESIGN UPGRADE DATE: 44 #AECC884 ,1��%%s��* } r _.......„44 t - ' GARNESS ENGINEERING GROUP Ltd( ; *i 4'% 4' ' %\ .% ENGINEERING SAI ES CONSULTING O i r ., �� • 370,E TUDOR ROAD.SLATE 101'ANCHORAGE AK 99507'PHONE(907)337-6'79'FAX(907)138.3246'WEBSITE s).5,.494-es..•9-e.,3,-,, . SOIL LOG - PERCOLATION TEST �♦.c, =yre7_ .: y Gayness'; TUXEDNI PARK,BLOCK 1.LOT 10 ♦ S � ,•••� .. .., LEGAL DESCRIPTION: ♦ • PERFORMED FOR: ANDY&BECKY NESLUND DATE: 11/6/2018 .. �U PR " .....• DEPTH LICENSE 'II%%saws** #AECC884 (feet) ;)�(; TEST HOLE #1 • • • IPSOIL CLASSIFICATIONS SITE PLAN 2 • — • : 11,'''..7.1..8-::5" GW ORG • ±> 4.l_t 4 _ • ML fr GM J� j CL l/ 4 • • GC 1 OL �P� • • oboo o� SW MH Q 5 ! • ':6'•:. SP CH 5�4� • • : t • SM ,' ,,/ OH O 6 • • p SC ��li •S . PG 7 ik • • DEPTH TO DATE ‹l/.- • � • GROUNDWATER � n S . 5 8 — • • DRY 11/6/2018 • S . DRY 11/13/2018 SCALE: 9 • I • 1`=100 • • GM 10 — • • • • • DA i f READING CLOCK NET TIME WATER LEVEL NET DROP 11 • • TIME (MINUTES) READING (INCHES) • • 11/6/2018 1 1:30 - 6" - 12 — • • 2 1:40 10 5/8" 5-3/8" • • - 13 — • 3 1:40 6" • • 4 1:50 10 3/4" 5-1/4" 14 • 5 1:50 - 6" - • • • • 6 2:00 10 3/4" 5-1/4" 15 • r 7 2:00 - 6" - • • 8 2:10 10 3/4" 5- 1/4" 16 — • • 9 2:10 - 6" - • 17 — • 10 2:20 10 3/4" 5- 1/4" • • • 11 2:20 - 6" - 18 • 12 2:30 10 3/4" 5-1/4" B.O.H. PERCOLATION RATE 1.9 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 — TEST RUN BETWEEN 5 FT. AND 6 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES . ^.::; SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: ERIK WIDGER COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PERF RM D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ii /i 2 i 6 Carroll, Rebecca M. From: David Garness <David@garnessengineering.com> Sent: Wednesday, November 21, 2018 9:15 AM To: Carroll, Rebecca M. Subject: FW: MOA Comment Becca, Please see email below from the homeowner regarding Tuxedni Park; Block 1, Lot 10. Sincerely, David Garness, E.I.T. Consultant Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Phone: (907) 337-6179 Fax: (907) 338-3246 Mobile: (907) 632-4528 Website: www.garnessengineering.com uanics G.aR\ISS E\(:INEE',RIN(, (Amp, Ltd ....°a.,. aea e �✓' (:I 4'11 R/N'.IHQNMI NTAL I.417.IN(lR;: From:Andy Neslund <ajneslund@gmail.com> Sent:Wednesday, November 21, 2018 9:05 AM To: David Garness<David@garnessengineering.com> Subject: Re: MOA Comment Hi David, Thanks for the quick heads up, as we're anxious to get the new system in. There is no active HOA in our area at present, and we pay no fees to any such organization. Further, our current septic system is already inside the minimums referenced for our subdivision, so I'm assuming we're good to go, and I thank you for making me aware. Best, Andy Neslund On Wed, Nov 21, 2018 at 8:41 AM David Garness<David@garnessengineering.com>wrote: Andy, Please see the attached comment from the MOA onsite department. I will need you to respond to this email addressing the comment.To my knowledge, this is the only item holding up the permit. In short, once this is resolved the MOA will issue the permit. Please let me know if you have any questions. 1 ~ MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 2644720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAI LING ADD"~'Ess LEGAL DESCRIPTION I LOCATI ON Well Manufacturer DISTANCE TO' I Well I Dwelling IAbsOrptiOn area IMaterial Inside length I Width PHONE I I--INEW Z 91o- '?oq I UPGR^OE No. of compartments Liquid depth Dwelling PERMIT NO. Manufacturer Liquid capacity in gallons Foundation ~)q Total length of lines~.~5~ Material beneath tile Material Nearest lot line Trench widt~ inche hq inches DISTANCE TO: [Well ] Length of each line.~ Top of tile to finish grade Length Width Depth Distance between lines Total effective .bsorpt~fea,~ PERMIT NO Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Building foundation Driller Sewer line DISTANCE TO: Distance to lot line Septic tank PERMIT NO. Absorption area(s) OTHER PIPE MATERIALS ASTM SOl L TEST R A_~.I N~. INSTALLER E'y REMARKS ~U XED N'~ APPROVED 72-013 (Rev. 3/78) DATE LEGAL i~lLil~i '.T. ~ _:r F .~L I TY ,3F RNCHt._,RR,~E DEPARTMENT OF HERLTH .RND .ENVIRONMENTAL PROTECTION 825 L. STREET, ANCHORAGE, 'A~5~50£' ~ C~N--~ ~TE SE~ER P~ki.] i 'I- PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: 8403:76 JOE MERRILL ' C/O LEE HOUSTON 507 N.' LT~. BLVD. LEGAL DESCRIP: SUBDIVISION:: TUXEDNI PARK LOT': 10 'BLOCK SECTION: 6 ' TOHNSHIP' 12N RANGE: 2H LoT SIZE- 5e050 (SQ. FT.'. OR ACRES)" BEDROOHs: HAX LISTED BELOI4 ARE THE OPTIONs AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEI'I. CHOOSE'.THE OPTION THAT BEST FITS YOUR SI_TE./. DEPTH TO PIPE BOTTOM (FT.> GRAVEL DEPTH'.(FT.'> TOTAL DEPTH (FT.) GRAVEL NIDTH (FT.) GRAVEL LENGTH <FT.> GRAVEL VOLLIME (CU.~S~> TANK.SIZE (GALS) SCIL RATING TREI'-.IOH 8.0' 2.5, 22. 8 TANK IdUST HR(~E RT LERS~: TMO COMPRRT'MENTS !-~. DAR I t-I 4.0 3:.5 7.5 5.0 4~. 0 3:6. 2 150 I CERTIFY THAT: '. · 1. I AM FAMILIAR HITH THE,REQUIREHENTS FOR ON-SITE SEI4ERS AND 14ELLS AS.SET. FORTH BY THE MUNICIPALITY OF.ANCHORAGE (MOA> AND THE STATE OF ALASKA. 2. I MILL INSTALL THE SYSTEM IN.ACCORDANCE IdITH ALL HOA CODES AND REGULATIOt4S," AND IN COMPLIANCE 14ITH THE DESIGN CRITERIA'OF THIS:PERMIT. 3. I %4ILL ADHERE TO.ALL MOA!AND;STATE'OF' ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING'HELL, WASTEI4RTER DISPOSAL SYSTEM OR PUBLIC SEMERAGE SYSTEM'ON,THIS:OR ANY. ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS'PERMIT :IS'VALID'FOR R HAXIMUM OF 3: BEDROOMS AND 'ANY ENLARGEMEN~ 14ILL' :REQUIRE AN:ADDITIONAL PERMIT. IF A LIFT STATION IS ,INSTALLED IN AN AREA COVERED'BY MOA.BUILDING CODES, THEN (~> RN ELECTRICAL PERMIT AND INSPECTION'HUST BE'OBTAINED~ ~2) AS-BUILTS'~ ELECTRICAL INSPECTION REPORT~ AND (3:) THE A LICENSED ELECTRICIAN. DRTE: DATE: 14ILL NOT BE ~PPROVED WITHOUT AN ELECTRICAL I4~UST BE DONE BY GRt:-' ER ANCHORAGE AREA BO, UGH Department of Environmental Quality ~ ' 3330 CStreet Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS~/~ LEGAL DESCRIPTION PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH. MANUFACTURER - '-'- INSIDE WIDTH --' MATERIAL /~/~'~2_. / NUMBER OF COMPARTMENTS / LIQUID DEPTH -'"- LIQUID CAPACITY./~,-~z"O GALLONS. SEEPAGE PIT: NUMBER OF PITS f LINING MAT E R I A L~'//Y~"~ BUILDING FOUNDATION ADDITIONAL ABSORPTION DIAMETER OR WIDTH/~ LENGTH/~;'O' , , DEPTH ~ I ) CRIB SIZE: DIAMETER /7f DEPTHS' ! DISTANCE FROM: WELL//~<' ! , NEAREST LOT LINE~I~<:~''/- TOTAL F--1FFECTIVE /3' · ABSORP'I~ON AREA (WALL AREA) (~,..5' ?~P~. FT. WELL: TYPE BUILDING FOUNDATION __ CESSPOOL CONSTRUCTION NEAREST , LOT LINE , OTHER SOURCES DISAPPROVED APPROVED ? ~', DEPTH ¢ DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE. , TANK ~, SYSTEM. REMARKS DISTANCES: INSTALLED BY: PIPE M ATE R I A L:~/)J;~'~/ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM Form No. EQ4~31 DATE/~Z~ /,5//?')'¥ APPROVED ,~/~-,'~-~/'~ HAME OF APPLICANT GREATEr ANCHORAGE Area Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "*C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT '-EG AL D E SCR' PT,ON - Z/ INSTALLATION OF: SEPTIC TANK SEEPAGE PIT ~ DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE sERvED/ FINANCEO THROUGH TO BE INSTALLEB BY FINAL INSPECTION: ~'4 HOUR NOT'CEr REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK ~..~t~) DRAIN FIELD /~"~ /' WATER MAIN TO SEPTIC T~NK DRAIN FIELD /~ ' SEPTIC TANK, /~ / , SEEPAGE PiT AREA SIZE : ./7. _~/~' .~-_.t"~__z~./~ TYPE I ~ DIAGRAM OF SYSTEM DRAIN FIELD ,DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PIT /~ ~/ TO RIVER. LAKE, STREAM. /~/ DRAIN FIELD CAST IRON INTO AND OUT OF' SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO uNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B.: OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. FORM NO. EQ-0! 6 Performed For Legal Descrintion: Lot .lO Block 1 .This Korm Renorts Soils Log 7es "O,e test is ~,orlh a t):o~s~,c~ oBi,io,s" · ~82~ TUDOR ROAD. ANCHORAGE, ALASKA ggS(~7 ~ TCI. IPHON[ 333-847~. Fred Kenley Date Performed 4-23-74 Subdivision Tuxedni Park' Subdivision Percolation Test fleoth Feet Soil Characteristics Overburden Sandy Gravel, GW-G~'.. 85 Silty G~'a. vely Sand.S~-SM' 130 Grave. ly Silt'below 16 fb~ Bottom of Test Hole -17. ft. was. G:ound Water Encountered?'.No If Yes, At what Depth? Readin.q Date Gross Time Net Time Depth to H20 Net D. rop 'Percolation Rate ltinute Pronosed Installation: Seeoaee. Pit .yes Drain Field Deoth of Inlet Depth To.Bottom Of .Pit Or lrench Cn.HFENTS: .8~ so..ft, drainaMe area roquired_per .bedroom No bed~ne.~ op wnh~.~ ~,~hln .bO mint-is 17..ft. , l=r~t Pt,'fermed Bv'Jim Mack 'Data Certified By:Construcb~.~.q,~. /- ],OT 10, BLOCK 1, TUXEDNI PARK SUBDIVISION ' ~U~ ~ed~ Sub, ~ot .10~ BlOck.~l . ' · . - '. ................... F"7':' ........................ ..... ........ . Date ~mPle~ ..... ~:-J~..:.1.~,....1.9.74:.:..'.: ...... ;:...;::..:.~J...j~..~;~' '-* '. ~'.. ·., . · .* ~ , ,",. . . ... . · .,. ,.. --~ ........... ? ....... .... · ' ' 6 ;'. '~S~ Of ~ ' . Inch - i~:.' :" '.. .... ," ."'-:'"' C ! ' "." ' *' ~.' '.,..: :;, :~ ' ~-'..' ':'. . -' · " '.", '.o~ ..... 600 ....... ""'-' ..... '' -' ......... - -.,'- · I ce fly the aboge ~ue and c~l,~',~l~i:~lp^Lrr'v' oF ^NCH~)RAOE ,..~: ·; .... . .. '' ' ' - _-' ..; , ; , ..', " ' DEPT. OF HEALTH&. ~' '- . ...... . .~ -j. · ._ :.- ~ E~IRONMENTAL P~¢TE~ON "' , ' -":"" " .... - ' ' .... Driner . 'OEO 2 9 1986'"' ~. ,:.., , ',., .',,.".:,'.; .' .","'~ :,.: .:.' .. . .". ... ,¢. : , .. .~ . , . i-. " -... .~':' <'.:'. .... ' .' /.".' ,:''.:; 2 · ,, ~ ~ .... :, :.....,- .'t..~.. '.:...' .. , ':" ' ':::' :' ." '! -,...:../,:'.: .'~'.An~horage,'Alaska "~. "". '.:We aitvise you to 'attach this certificate'to ~tour deed, " ':".ii -~, .,~..._ · ,~ .., : · ; ; . · .,, .'., .... '. ~.. ,.,, - . . --,.;. -,, ~ .... .. , · ',..',' ' '~.. ;' ,. - .~' ' . ' '" t.' . ';~ '.- ' ,'. ' ';, 1' .... '.,, .~~.-' .~ .,~.',','-.-~..~ .---./~ .,..a, '&~...~.'.'~.._~,......,'~..~_,--.'.'~..~'. ~ ?~,.~:..~, ;~.~..I/~'-~, 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 Engineer's Printed Name: Jeffrey A. Garness Date: 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 industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s., These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s: therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE J System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, #AECC884 01 014 - with the following saiLllat�ER AND o ASV-V\lNTER o 4� ;)t) By: Original Certificate Date: J urge �o , aha d The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10.12.doc 1 -LTi COSA Checklist Legal Description: TUXEDN|PARK; BLOCK 1.LOT 1U If more than I septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA AlWell log kufiled with Onsite (or attached) Date drilled 6113/74 Total depth 89 ft Cased to owxwoww ft XSanitary seal ksfunctioning correctly FE-1Wires are properly protected Casing height (above ground) 12+ in. Date o[flow test for COSA m«mm Static water level at beginning of test 465 ft. Comments B.TANK DATA 1 5 `Y-~ Age oftank(e) ��_yeare � Tanktype/maharia| 6— ��Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) NEW FE-1ALL standpipes present per record drawing Total measured depth from grade 1O4+ (max) Measured depth hopipe invert from grade 04+ ft (min) F] NA\—pneoaurized field �� Monitor tubes go to bottom ofdnainfie|d. If not, state depth into effective _______ Code -required soil cover over field F-1System presoaked (Required ifvacant for greater than 3Odays prior bo date of test) Gallons introduced NEW gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: O41 -O22'12 Structure served by this system 1 Well production attime oftest 4]]+ npm Water storage tank volume N/A go|!ons Well disinfected for coliform test? El Yes 501 No �� Coliform bacteria is Negative Nitrate mg/L Fl Nitrate less than MRL (ND) Arsenic rJO u0/L ElArsenic less than MRL (NO) Collected by GEG. LTD. Date of Sample 5/29/20 C. LIFT STATION [� ��Requiredmainbenonmaconnp|ebed Age uflift station years Lift station material N/A Adequacy test NEW��do�e Results [/�Pass For 4 bedrooms Fluid depth prior to test N/A in Water added _ga| New depth N/A in Elapsed time N/A min Final fluid N/Auiddep�h in Absorption750+rob* gpd Any rejuvenation treatment (past 12months) N.A If yes, enter date - 94 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' Community Sewer Manhole/Clea rout> 100'_ Yes if No ft Ryes if No ft Neighboring Tank > 100' ZYes if No ft Private Sewer/Septic Line > 25' [Z] Yes if No ft Absorption Field on Lot > 100' [7 Yes if No ft Holding Tank > 100' RV if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No ft Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft QYes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ] Yes if No ft Surface Water > 100' ✓Q Yes if No ft Property Line > 5' FV-] Yes if No ft Driveway/Parking > 0' Yes if No, comment Absorption Field > 5' QYes if No ft Wells on Adjacent Lots: Water Main > 10' FV� Yes if No ft Private Wells > 100' [-,-/]Yes if No ft Water Service Line > 10' ✓❑ Yes if No ft Community Wells > 200' Q Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' [✓ Yes if No ft Driveway/Parking > 0' r,-/] Yes if No, comment Property Line > 10' F-1 Yes if No *0 ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100'✓Q Yes if No ft Water Service Line > 10' ✓❑ Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' r✓ Yes if No ft F. ENGINEER'S COMMENTS *WR#OSV181095 ao�O��O G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with TH �0 MOA COSA guidelines in effect on this date. J f y A. n ss.* �O 9, �' CE -179)3 '• ��Deo ,'ro f essio0o©O COSA Checklist yellow sheet #AECC884 M, Jeff Garness From: David Harper <dlharper2@gmail.com> Sent: Wednesday, January 2, 2019 12:04 PM To: Jeff Garness Subject: 9651 Copper Drive Jeff, the well cap and conduit at the above location has been repaired to meet MOA requirements. David Harper Aarow Pump & Well Service Sent from my iPhone 1 N, O L j�� - WF- -X F -F F- 'F-� O��o p W ui �< L Jp F�- 'dI 00 W U W= U=W h W U 1, f- J Co >0 < �©tn {0,. Q F -p d 0 ZHZ LIJ ig� -CLL wU)zrt W d cr-o Q- LLZQ- 0 ����w wwwo U) W W U mow- WJZ r. UWp0 0 p <C U.Q m O W W F- O W D M F-- >- SA• wi� V) Z W W 2 W J F-© H ry ca F w W U Q w J 0 a z Z 0 W 0 W {!1 u' W F- � (L o 0 ro F- uj a z 3 J W W ty Ca ca ¢ F- v F- Cz CL CLz o W zo ry oQ © z z W W U3 W 0U) n � wZ cy c0 CL a CL � <t 0 W 0 W W -j }W- WW J !- © W © F- ry Q Z © W F- 0 Z Z Z w` W © LL'fn() - W Z D W D U- W Q U r U fl F- w to LL W 4OD ZZq W (J zpu W HQ ._ tY_ U7 p L1 F- U3 W Z 0 MUNICIPALITY OF ANCHORAGE ,. DEPARTMENT OF HEALTH AND, ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~.J~'~_ I~/~ OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date /~' -/ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (a.ddre.ss o.'r'dir.ections) , (b) (c) (d) Appiican~ ~la~ne:~E'. ApPliCant Add?ess .:~'~'/" Applicant is (check one): Len. d!.qg.lnstitution I-I; Owner/builder~'; Buyer []; Other [] (explain); Lendin~l' institution /~'~'tAf~77,/'~/''E-' ,~,,¢~v'x' ~,,~ /~ Telephone Address fi, o. ~ ?~,,.~2o /4~*~.t /~'. ~'O?- (e) Real Estate Company and Agent /-)/// Address Telephone (f) I~~AA to the following address: % TYPE OF RESIDENCE Single-Family~ Multi-Farnjly [] Number of Bedrooms ,.,,'x\\..'.. ' :'" 3. WATER SUPPLY : Other attesting to-'th'~ legality.and status. 4. · SEWAGE DISPOSAL · Onsite~[~ Public [] Community [] 'Holding Tank [] Individual Well~' Community~l Public[] : ' ' ' Note: If community well system, must have written confirmation from the State Department ~f Enviror~mental Conservation " /{11't1~ '~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-o25 ENG'INEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, [~A rA AND INFORMATION , As certified by my seal affixed hereto and as of the vj~lidatior~ 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 /'~"~5, Telephone ~"~'/' Address _L~~ JJ ~ ~'~ ~/~ ~ ~/d~ Date DHEP APPROVAL ' Approved for ~ ~ C"~) bedrooms by ~/~' ~J'~~ Approved /'"'"'" "Disapproved Conditional Terms of Conditional Approval Date 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 72-025 (11/84) WELL DATA !.: Well Classification Well Log Present N) Date Com/pleted Total Depth ~'~ / h: .~ Cased to Static Water Level . t-t~) /'//~'~' ' Casing Height Above Ground ~' Electrical Wiring in Cor~duit~) Separation Distances from Well:; To Septic/Holding Tank on Lot:: (~ ~' Comments MUNICIPALITY OF ANCHORAGE (MO~.,) HEALTH AUTHORITY APPROVAL (NAA) cHECkLIST- FEBRUARY 1984.. 264-4720 Legal Description: MUNICIPAUTY OF ANCHOP. AGE DEPT. OF HF. ALTH & ENVIRONMENTAL PROTECTION 1 g 19t . If A, B, C, D.E.C. Approved (Y/N) To Nearest Edge of Absorption Field on Lot ~ I10 To Nearest Public Sewer Line ii To Nearest Public Sewer Cleanout/Manhole .:i ! /~/'//~ To Nearest Sewer Service'Line on Lot Water Sample Collected by '/~'~'~ /~' ~d/~-'~l ; Date i'/,~..-//-~ Water Sample Test Results .~""f9'75'/~"7~'~/ : zJ _z- .: 7-/~--~ :: Yield Depth of Grouting Pump Set At i Sanitary Seal on Casing{~) Depression Around Wellhead (Y~ ; On Adjoining Lots ~ ; On Adjoining Lots /~2 ! ,~' SEPTIC/HOLDING TANK DATA Date Installed ~,.,.~-/~'- 7z/ i!iSize /~..~'O No. of Compartments 'Standpipes~)'N} ' Depression over Tank (Y~ Pumping/Maintenance ContraCi~on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from SepiiC/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course ,' "' ¢'.L Comments ~)/~'~" Foundation Cleanout {~N) Date Last p~mped ;for Temporary Holding Tank Permit (Y/N) To BUilding Foundation To Disposal Field :~ To ;Stream, Pond, Lake, or Major Drainage Page I of 2 72-026(11/84) ABSORPTION FIELD DATA', ': : : ,, , Soils Rating in Abs°~)tio~r~ Strata ~-~i~....~.~¢~'" T/'~/~~/ /:~o Type of System Design ~/~ Date Installed ~/~ [~-/¢'~¢ ~'~ :¢'~¢~¢( Length of Field ~/~ ~)~/ ~ ~// ~5" ' :' Depth of Field d~/~:::/~ ~ ~. GraVel,; Bed~ Thickness ~'/~:;', "::~ I ' Square Feet of Absorpton Area': :;I ~ c~/~ ~%=~11 ~E~ Standpipes PreSent:~N) Depression over Field (~ : = : . Date of Last Adequacy Test Results of Last Adequacy,Test : ~[~'/~¢ - ~ ~ ~"~ ' ' Separation DistanCe from Absorption Fie d: ' ~ ' To Water-Supply Well ~ IlO '~/ /~o F~ To Prope~y Line , ~ i'l ~ To Building Foundation ~ ~ ~/~ ¢~/~¢ r. ' TO Existing or Abandoned System on Lot /~t~~ ~/~ ¥ ~.~/ ; On AdjoiningLots :, TO Water Main/Ca.ice Line To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course /~¢ ~ : ' ' 'ri i : ;' ,, I I ~ ' To Driveway, Parking Area, or Vehicle Storage Area /o / W r~ Comments ~ ~ ' ': LIFT STATION '' Date Installe~ Dimensions Size in Gallons ~_ ~/~. Manhole/Access (Y/N) ;~__ "Pump On" Level at ~ { ~ ~ ~ "Pump Off" kevel a~ }_} High Water Alarm kevel ~t : ~~ Vent {Y/~) ~_ 2 Comments ~ . : : ~ ~ ** Check Permitted Bedroom Rating Against HAA Request ** ', ; I t ; ' ,~ ': '! i': ~i I~ I ce~ify that I have,hacked, verified, or conformed to all MOA and HAA guidelines in effect on,the date of this inspection. Signed ~'([ ~' Date : /~-/¢'~ ~ ' ~: Company ~l : : MOA NO. t ' Receipt No. L~ Date of Payment : ~ Amount: $ Page 2 of 2 72-026 (11/84) · LLABORATORIES,-.INC;': .... OLD' :S£w^.D . · ANCHORAGE, ALASKA. 99518 ' .,, . ' ~CTERIOL~ICAL' ~TER ANALYSIS - ' m m .. ' 'TO BEc ~TE COLLECTED I ll~ 'COLLECTED ' I · '-'TYPE ~F'SYSTEH '; ' FOR ~B USE ~LY '"" I I.D. NO. (PUBLIC'SYSTEMS) m* t t I ' I I. l' CIRCLE CLASS A SYSTEM ADDRESS .. CITY STATE ZIP CODE LOCATION WHERE SAMPLE WAS COLLECTED '~/,/~ ._7~-.~ , . ".COLLECTED BY:(SIGNATURE) ~. /~2~' ' ' TYPE OF SAMPLE (CHECK ONLY ONE THIS COLUMN) ~. DRINKING WATER ~'CHECK TREATMENT _r-i RAW SOURCE WATER [] NEW CONSTRUCTION OR REPAIRS [] OTHER(Specify) []CHLORINATED [:]FILTERED ~UNTREATED OR OTHER IS THIS SAMPLE A'CHECK SAMPLE TO:A PREVIOUS NON-CONFORMING SAMPLE? [:]YES ~J~.flo PREVIOUS COLLECTION DATE ANALYSIS REQUESTED (IF OTHER THAN TOTAL COLIFORM) SEND REPORT TO:(PRINT FULL NAME,ADDRESS AND ZIP CODE NAME /X~ ADDRESS ,,/~-'~ tJ ~3~y? y4~,',ZF' ,..,~,?~' ,~ CITY /~u/e'//. STATE ,,~x". ZIP []3 RESUBMIT SAMPLE Sample rejected because: CHECK ONE OR MORE [] Sample too long in transit. Sample should notbe over 30 hours. [-) Sample received too late in.week []Not in proper container []Leaked out r'l Insufficient informatio~ provided. Please read instructions on form. []Other (Specify) RECEIVED FROM/,~.?&,J RECEIVED RY , ¢/~ ~,~.~ DATE /~/,,/~ ~ TIME AN~Y~L .ETHOD: ~EMBRANE FILTER D FERHENTATIO,( TUBE Date & Time Started. Date & Time Completed LABORATORY RESULTS [] Other Bacteria [] Test unsuitable because: [] Confluent Growth [] THTC SATISFACTORY E~ UNSATISFACTORY [] BACTERIOLOGICAL WATER ANALYSIS RECORD FOR LAB USE ONLY TOTAL COLIFORMS FECAL-COLIFOP. MS OTHER READ SAMPLE COLLECTION Membr)ne Filter: Direct Count Verification: LTB Final Membrane Filter Results Reported By,., INSTRUCTIONS ON BACK. OF FORM BGB Date Coliform/10Dml Coltform/lOOml Time , ,dlROnmenTAL CONTROL ALASKA II1C. [~ncjincerincj F,, ~uironm~nlol Slu~i~s DR RICHARD GARNER PO BOX 92090 ANCHORAGEALASKA 99509-9986 SELLER- ~2/17/86 DR RICHARD GARNER PO BOX 92090 ANCHORAGE ALASKA 99509-9986 60643 · LEGAL:TUXEDNI PARK LOT 10 BLOCK I ADEQUACY TEST.FOR SEWER SYSTEM ADEQUACY TEST DATE-12/12/86 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH AND CRIB WITH AN AREA OF 750 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 859 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. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 9/10/86 . THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE-12/12/86 A FLOW TEST WAS PERFORMED ON TIlE WELL. 859 PUMPED AT A RATE OF 3.4 GPM OVER A DURATION OF THE DRAWDOWN WAS 21.1 ' WITH A RECOVERY TIME OF AND THE STATIC WATER LEVEL WAS 43.2 FEET. TIIE WELL IS ADEQUATE FOR THIS 4 BEDROOM HOME. 1200 ~¢st 33r~ ~u~nu¢. Suite B. Anchorage. ~las~o 99,503-[907) 561-5040 GALLONS OF WATER WAS 4.1 HOURS. 30 MINUTES ALASKA ENVIRONMENTAL CONTROL SERVIr"~.~, INC. · 1200 West 33rd Avenue. Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO OF. c~cu~,,~.~. ~. ~ ~-/~ DATE _. CHECKED BY DATE J ; - i i J MUNICIPALITY OF ANCHORAGE DMSION OF ENVIR(ANMENTAL HEALTH DEPARTMENT OF HEALTH AND ~N'v-IRONMENTAL PROTECTION APPLICATION FOR HEALTH ALrfHORITY APPROVAL CERTIFICATE 1 . General Information Application Date ~/~//~/ (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicants Name ~/~/~ Applicants Address Telephone ,v.Y;~ --5~" (c) Applicant is (check one) Lending Institution [--~; Owner/builder ~ Buyer ~--~'; Other ~ (explain); /~~-~7~ /¢ .,~Cl~.'Z~-~ (d) Lendir~ Institution Telephone Address (e) R~al Estate Co. & A~ent Address Telephone 2. Type of R~sidence Single-Family Number of Bedrooms 3..Water Supply Multi-Family Othe~ (describe) Note: If CO~Tunity ~11 system, must have written eonfirmation from the State Department of Environn~ntal ConserVation attesting to the legality and status. Is the ~11 adequate for the number of bedrooms specified in this HAA~) 4. Sewage Disposal Onsite ~ PUblic ~-~ Comn]nity ~-~ Holding Tark ~ Is the wastewater disposal system adequate for the number of bedrOcras (Y~ Z~.~ [Page 1 of 2] 2-15-84 5. Engineerin~ Firm Providinq Inspections, Tests, Data and Infc~mation I ~ertify that I have checked, verified, c~ conformed to all MgA HAA ~uidelines in effect on the date of this inspection. Signed _~/~,L/~ ~9~:~-~~ Signed by Date ,~7~ }~//~ ~/~ 6. DHEP ADDroval Approved for Approved ~ (ENGINEER SEAL) ~ bedrccms Disapproved ~--~ Date Telephone . ~~ ~te itio l Terms of Conditional Approval The Municipality of Anchorage Dapa~tment of Health and Environmental Protection dces not guarantee the continued satisfactory perfc~manoe of the wate~ supply and/or the wastewater disposal system. This approval indicates that, as of the validation date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe ar~ func- tional for the number of bedrccms and type of structure indicated. (D EP SEAS) 7. ~mil the HAA to the following address: KB2/d5/s [Page 2 of 2] 2-15-84 ae Be , 'MUNICIPALITY OF AN ,~. ~ · DEPT. OF HEALTH ~ [~gNICIPALITY OF ~NC, BOR&GE (MOA) ENVIRONMENTAL PROTECTION .; Well Log P~esent~) ~ Total Depth F~//! Cased to S~atic Water Level i:~// Casing Height Above G~OUnd Electrical Wiring in Conduit {'~) separation Distanms f~,'on Wall: To Septic/Holding Tank'.i c~ Lot HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Legal Description: Date Completed Pump Set. At If A, B, ar C, D.E.C. Approved(Y/N) Depth of G~outing ~/~ ; on;~ Adjoining Lots To Nearest Edge of Abs~ption 'Field ~n Lot To ~est ~blic ~ Line Clean~t~a~ole ~-~/~ Wate~ S~le ~lle~dBy ' Wate~ S~le ~st ~sults ~ ..~~~~~ ~ ' ' S~IC~OLDI~ T~ met Installed ~/~ Sim /~ ~I " Standpipe ) t ~: Ai~-tight ~ps ~ession o~ Ta~ (Y~ ~te ~st P~d p~ing~in~n~ ~h~a~ ~ File (Y~),~/~ ; f~ Holding Ta~ High-Wate~ ~am (Y~) ~~ ~oldi~ Tank ~t (Y~!) ~p~ation Distan~s ~m ~ptic~oldin~ Tank: : NO~ cf Cc~pa=tments / Foundation Cleanout ~I) To Building Foundatio~ To Disposal Field ~'~ To Stream, Po~,d, Lake; ar ~,t~jor D~ainage 2-15-84 To Water-Supply Well ~ ~, ¢6~ TO Property Line ,~..~/-,"~"'" TO Water Main~Servi~e ¥.ine .A3/~ Cou=se +/p~ / [Page 1 o~' 21 C. ABSORPTION ,FIELD DATA11 ~Soils Rating in Absc~ptiOn St~ata~ ~Date Installed ~ ~/~ ~ Type of System Length of Field : Gravel Bed Thickness ~i, <D ~ I Square Feet of Absorption A~ea : i~ , Standpipes P~esent ~N) i . Depression ove~ Field ~(Y~ , ~ , [~ Date-of _Last. Adequacy Test ,, b--/~; ',,!,'i. ', , ,g~.: L ' ',: ::1~: i . .~¢* ~ ~6~ To Water-Supply Wall To P~ope~ty Line (-/~'..~ Ti!! 'To Building Foundation, ~.~' '~ :: To Existing OrAbandoned '' 'System ._'~/~_.~ Lot p/,~- ,: , On Adjoining Lots ~- ~9' [i:~. : To Wate~ Main/Service Line i A//~- : To Cutbank(if p~esent) I ' To St~eam/Pond/Lake/c~' Majo~ Drainage Course ~//~ To D~iveway, Pa~kin~ Area,' c~ Vehicle Storage Area /~O ' ~- D~ LIFT STATION --- : :, Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at: "Pump Off" Leveluat High Water Alarm Level at Vent ~(Y/N) ~:'. Tested fo~ ~ t Pumpigg"'Cycles du~ing A~equacy Test. MeetsI~,MOA Electrical Codes (Y~N) : CCmT~nts I certify that I have checked, verified, c~ eonformed to ~all MOA HAA Guidelines in 'effect on the dat~ of this, inspe~ti~. '. !/ / ..~3 ;OF ' (' 4._:..i: Iix ,,~¢,~.;............%;~ si~ed ~ ~ ' ,Date. 5/~.~/~ .MOA: No~, ~r'~.~ - 02 q ~ :is Z~i 'xB~/d~/s, · ~ · ~ B'" "' ;~ ~ ,, No. 2251.15 .o [Page 2 of 2] 2-15-84 ALASKA e dlROFImer]TAL COIqTROL SeRulCe$, IIqC. ~nqincerin~ $ ~nui~onm~nlol $lu~i~s MAY 22 1984 JOE & YVOUNE MERRILL 9601 COPPER DRIVE ANCHORAGE AK 99507 SELLER - BARBARA CARDENER BUYER - SUBDIVISION- TUXEDNI BLOCK- 1 LOT- 10 ADEQUACY TEST FOR SEWER SYSTEM / ~ ,qf"t.'~.~ THE TYPE O~ ABsORpTION SYST~ IS A .~C!U:S W_~TH AN ARm OF 864 Sq~T. THE SYSTEM IS CAPABLE OF ACCEPTI~~)NS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 23 GALLONS. THE SYSTEM IS UNACCEPTABLE w~.CAUSE THE SURGE CAPACITY IS LESS THAN 75 GALLONS. THE SYSTEM IS NDT CAPABLE OF ACCEPTING 600 CALLONS OF WATER PER DAY. THE SEPTIC TANK WAS PEMPED ON 1/28/84 . FLOW TEST ON WELL THE WELL FLOW RATE WAS 4.2 GPM FOR 4 HOURS. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK %I)LUME OF 1250 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. 1200 UJest 33rd/~uenu¢, Suite B · Anchoraqe,/~laska 99,503 · {907) 276-1361 i DEPT. OF ENVIRONMENTAL CONSERVATION / SOUTHCENTRAL REGIONAL OFFICE / 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR Telephone: (907) Address: 274-2533 June 5, 1984 Ms. Gwen Turner Alaska Environmental Control Services, Inc. 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 Dear Ms. Turner: Subject: Lot 10, Block 1, Tuxedni Subdivision, Anchorage, Alaska · .Thank you for providing the background information on the water and waste- . water systems on the subject lot. Based on the information contained in "-your.June 1, 1984 letter and our phone tonversation on June 5, it appears that the 95 ft separation distance between the well and.the septic tank is ad~4uate to prevent contamination of the well. As you pointed'out in your letter, the'well log indicates that layers of hardpan'and clay would provide protection of the water source, should con- tamination enter the vicinity of the well. Also, you indicated verbally that a visual inspection of the property and adjacent-properties revealed no source of potential contamination within 100 feet of the Well, other than the septic tank on the existing property (95 ft separation). Based on the above information, and on the recent upgrade of the waste- water disposal field by construction of a trench, the request for waiver of the 100 feet separation distance to 95 feet is hereby approved. Richard M. Farnell Environmental Engineer RMF/msm cc: Municipality of'Anchorage (Robbi Robinson)