HomeMy WebLinkAboutSOUTHPARK #2 BLK 3 LT 31 -- ' MuniciPality of Anch'0rage ' Page i of?=.
~ . . DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION . · . ,:. _ ,,
: ' P~O. Box 196650 · Anchorage, Alaska 99519-6650 · Teleph0nei 34:~:4:~;~4 · :'"
On-Site Wastewater Disposal System and/or Well Inspection RePort
Permit Number: ~'o(:31~ PIDNumber:'~ O~
Name: Wastewater System: D New ~U.~rade
Address: t~lfii ~~ ~[~C~ ~ ~.- ABSORPTION FIELD
Phone~ ~'~O~ IN°'°'~dr°°ms: DDee~ DShallowTrench DBed ~Other
Soil Rating: Total Depth f original grade:
LEGAL DESCRIPTION '~"~' ~,~s~.~L -'~'~" '
Depth to pipe ~ott0m from origin ada: ~_ . -,' :' . , '. ~.
LO ~ Block: Subdivision: ~,. Gra depth beneath pipe ·
Fill added ~bove original grade:rade~ ravel length:'~ - ~, . · -
Township: , Range: Section:
~~NGw ~ Upgrade.Gravel width: ~ Ft.Number nee: Dlstan~ betw~n ll~:
Ft.
Classification (Pri~ Tota~ ~ased To: Total absorptio~orpt~rea:
Pi~ matriX:,
Driller: te Drilled: ~tatic Water Level:
,.~,S~a~: C.~n,,. : TANK
GPM Ft. .
SEPARATION DISTANCES ~s.pti. a Holding ~ S.T.~.P.
To Septic Absorption LIf[ Holding Public/Private Manufacturer: Capacity in gallons:
From Tank Field Station Tank SewerLi.es ~ , ~ lO~
Well ,/~ .f~ ,/, ~/, ~/~ Materia~ Number of ~padments:
SarfaCewater ~/* ~/~ ~ LIFT STATION
Lot
.~ Line
Drain ' ' '
Remarks: ' BENCH MARK
, Location and Description:
5/%.
Assumed Elevation: ,~
ENGINEER'S SEAL
Inspections performed by: (~~ Dstes: 1st ~/~e/~ ~*~41 ~ ~
Department'of Heal~ and Human Services approval '~Z~;.../ c,.7,~
Reviewed and approved by:~~ te: ~- 2/-~ ~
72-013 (Rev. 9/91 ) MOA 2.=
Permii No. 5v'-tcl~'O0 18
Page 3 of -~ '
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
' P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report ....
Legal Description: ,~./1::3 .,'l~'~, PID No.:
c/o . c/~
MUNICIPALITY OF ANCHORAGE
DEPAR~TMENT OF HEALTH AND HUMAN SERVICES
P.0. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
0N-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE)
PAGE 1 OF 1
PERMIT
PE~4IT ~U%~BER:SW950018
DESIGN ENGINEER:ALASKAWATER & WASTEWATER SERVICES
OWNER NAME:KRYWANIO MICHAEL J & MARY L
OWNER ADDRESS:15741 STANWOOD CIR
ANCHORAGE, ALASKA 99516
DATE ISSUED: 2/17/95
EXPIRATION DATE: 2/17/96
PARCEL ID:02005244
LEGAL DESCRIPTION:
SOUTHPARK ADDN 2 BLK 3 LT 31
LOT SIZE: 31397 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
SEPTIC TANK SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
THE FOLLOWING SPECIAL.PROVISIONS.
SPECIAL PROVI
RECEIVED BY:
DATE: ''~- /7~-Y~
Alaska Water & Wastewater Services
"Preserving The Last FrOntier''
MEMO
PHONE: 337-6179
FAX: 338-3246
DATE:
TO:
COMPANY:
SUBJECT:
MESSAGE:
NUMBER OF PAGES:
(Including Cover)
/~'7~1 _q~cooOJ9
Sincerely, 1/
~wne ,~,n~ultant~a~_o_e_~s, P.E.,
c
,7.
Telephone: (907) 337-6179 · Fax: (907) 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska 99504
Alaska Water & Wastewater Services
"Preserving The Last Frontier"
February 5, 1995
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Conditional HAA, Lot 31, Bk 5, South Park fi2
To whom it may concern:
The subject property is served by community water, and an
individual onsite septic system. The septic system was
initially inspected on 1/16/95 (see attached report) and it
appeared to be operating in a surcharged condition.
Following that letter (1/24/95), we decided to try jetting
the trench with hopes of rejuvenating it, unfortunately, the
Contractor (Old McDonald's Pumping) could not get his jet
into the trench because blockages were encountered. Carl's
Excavating was retained (2/2/95) to identify what was wrong
with the clean-outs, and repair them. Attached is a diagram
which shows the problems found, and the repairs made. Give~
what we had found, I am surprised the system operated as
well as it did. Based upon the visual condition of the
drainrock (noted when the repairs were made) it was decided
that we would forego the jetting, and run another adequacy
test immediately. /he septic tank was pumped on 1/24/95,
and 1/51/95. The sump was not pumped on either occasion,
and was dry when inspected on 2/2/95. In short, the trench
received only minimal (or none) wastewater in the 11 days
prior to running the adequacy test on 2/4/95. During that
period, any water that was in the trench was completely
absorbed. The trench was not oresoaked prior to the
adequacy test because the inactive period was not long
enough to dry out the Diomat, or the soil.
I introduced water into the c/o, at the beginning of the
trench, at a rate of 7.55 gpm for a total of 125 minutes
(904 gallons). The liquid level rose only 8.875". The
system recovery was monitored for 100 minutes, and plotted
on log vs. log paperi According to the graph, the system is
currently absorbing more than 1000 gpd. I inspected the
sump 24 hours after the Mater was introduced and found it to
be completely dry. Based upon this data the system was
deemed to be adequate for a 5 bedroom house (450 gpd).
Telephone: (907) 337-6179 · Fax: (907) 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska 99504
The tank was exposed, inspected, and found to be
structurally unsound (holes); therefore, it must be
replaced. At this time we would like to obtain a
conditional HAA. Plans for the tank replacement will be
submitted within the next several weeks/days. The tank eill
go in the same location as the existing one. There are no
nearby wells, surface eaters, septic systems, property
lines, etc. of concern. In short, no problems are
anticipated.
If you have any question, please call me a $37-6179.
Sincerely, ' ./
OuS~/2/q nsultant
NOTE: The adequacy of a septic system is influenced by
numerous factors, including, but not limited to, seasonal
surface water infiltration, groundwater variations, septic
system maintenance (frequency of septic tank pumping, usage
of biological additives), condition of drain pipe and pipe
joints (which can be damaged by seismic activity and
deteriorate with age3, type of substances deposited in
septic system (cigarette butts, sanitary napkins, miso
ob3ects), and the amount of water being introduced on a
continual basis. Consequently, the results of this adequacy
test are only valid for the specific day of the test.
Kelly3.eps
Lo'r' ~ I
~ ' · ' "' MUF~ICIPALITY OF ANCHORAGE
, , L .{TMENT OF HEALTH AND HUMAN SE.
Environmental Health Division
.. 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name DISTANCES
~ SEPTIC ABSORPTION WELL
Address TANK FIELD
Permmt No. No. ct Be ms ~ELL ~o 0
LEGAL DESCRIPTION LOT LINE ~'T
Townshig, Range, Section
driveway, w~ter bodies, 8tc)
TANKS
~tecl
TYPE OF SYSTEM
~ TRENCH ~ BED ~ W. DRAIN ~ OTHER
~ ~ FT ~, 5 FT
FT 5 FT
WELLS ,
~ PRIVATE ~ OTHER fldentifv) ~
Inspections Performed by:
Municipal and State guidelines in eflect on Ihis date: ~ - g8 --~S-
Health Depadmen, Approva,: ~) Date: ~ ~ 1 b
72~013 (3/85)
DERARTMENT OF HEALTFI AND ENVIRONMENf'AL PROTECTION
G25 .. STREET, ANCHORAGE AK 99',501
264.-..4720
PERN I 'l- ",10: 8,~t..~.~6
DATE IGSGED: 09/03/85
ARPLICANT: SCHRECK CG BUILDERS
ADBZ~ESS: 7640 IVORY DRIVE
ANCHORAGE:~ Al< 99516
CONTACT PHONE: 345-'5415
LEGAL DESCRIP: GUBDIVISION: SOUTH PARI<
SECT
L_OT SIZE: :51397 (SQ.F:T. OR ACRES)
MAX BEDROOMS:
Lo-r: .:, 1. E LOC, f:.,
11N RANGE: 3W
your septic
L.isted belew are th~. ~ptions available ~e you :~m designimg
svs'~em. Choose the option Lhat best Fits youP site,,
DER'I-H TO PIPE BOTTOM (F'I'.) 9.0
GRAVEL DEPTH (FT.) 3.
TOTAL DE:F'TH (FT.) I2.0
FRPVEL WIDTH. (F-f'.) 2,,'5
GRAVEL LENGTH (FT,,
GRAVEl.,. VOLUME (CU. YDG. ) 16..3
TANK SIZE (GALS) t,.000.0
~10]:1._ RATING (SQ.F"]-. /BR)
~.~, 'I"ANK MUS] ,LIAVE A"I' L.EAST TWO COMPARTMENTS
certify that.:
1. I am familia~ with the requiremen'Ls fo~ en-site seweps and wells as set
for'th by {he Municipality of Anclnorage (MOA) and the State o~ Alaska.
I wilI inst. all the syst. em ~n accoi"danc:e with all MOA c:odes ~nd pegulatio~s,
and in compIianc:e wi'Lb the design criteria o~ thi~ per'mit,,
3. I wii1 adhepe t.o all MOA and State el Alaska recluipements ~cm the set. back
die'Lances fr'om any exzs~ing well, wastewater' disposal systen~ or" public
eeweraDe system on this oP any adjacen{ eP meapby iot,,
4. I undepstand that {his pePmit is valid ~ep a maximum oF 3 bedpooms and
any enlapgement will pequire an additional, pePmit.
L I'F"¥' S'l-A'l" I ON .[ ,:~
IF A tNS'TALLED
THEN ('I) AN EL.E:CTRICAL PERMI'T AND INSF'ECTION MUST BE: OBTAINED;
WILL NOT BE APF'ROVED WITHOLIT AN E:L. ECTRICAL INSF'ECTION REPORT;
IEL.,IECTRICAL WORK MOS'I" BE DOhlE BY A LICENSED EL.E:CTRICIAN.
IN AN AREA COVERED BY MOA B.J[[ DIN['~ CODE. c>,
(2?) ¢~S'""BLI I LTS
Al'ID (3) THE
S I GNED
APF:'L I CAN'F:
1S~,SOED BY
DEF ART MEIII OF HEAI..TN AND :-'NVIRONMENTAL PROTEC'TION
825 L STREET, ANCHORAGE, AP:: 99,501
264.-4720
PERMIT Nih
OATE [SSUED:
APF'L. I CANT:
ADDF;ESS:
CONTA[]T PHONE:
LEthAl.. DESCRIP:
850556
09/£)3/85
SCHRECK CG BUILDERS
'764.0 IVORY DRIVE
ANCHORAGE, AK 99516
345-5415
SUBDIVISION: SOUTH PARK ~$2 LOT: 31 BLOCK: 3
SECTION: 3 TOWNSHIP: 11N RANGE: 3W
LOT SIZE: 3139'7 (SQ.FT. OR ACRES)
M. AX BEDROOMS: 3 '
Listed below are the c~ptions avaiIable t.o you in igning yoLIP sep~c'
syst~m. Choo~e the option that b~. tits your sit
SR. AVEL. VOLUME (CO.YDS.) ~ / 34. ~.lJ ~ .' ~- ~ ~ ~ ·
t am ~'amiliar with the requirements for on-site sewers and wells as set
Eof'th by the Municipality or Anchorage (MOA) and the State ot Alaska.
2. I w:i. ll install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this ~ermit.
:3. I will adhere 'L~2 ail MOA and State of Alaska requirements t'or the set back
distances from any existing well, wastewater' disposal system or public
sewerage system on this or any adjacent or ~nearby lot.
4.. I understand that this permit is valid fop a max.imum of 3 bedrooms and
any enlargement will r'equi~e an additional permit.
IF A L. IF'T STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN EI_..ECTRICAL PERMIT AND INSPECTB]N MUST BE OBTAINED; (2) AS-BUII/TS
WILl._ NOT BE AF'F'ROVED WITHOUT AN ELECTRICAl_ II'4SPE:CTION REPORT; AND (3) THE
EL. ECTI'~ICAL WORK MUST BE DONE BY A LICENSED. ELECTRICIAN.
APF'L. ICAN"r: SCHREECK CO BUILDERS '
![ SSUED BY
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
DATE PERFORMED:
(ENGINEER'~EAL)
q-.Il-8 ~"
6
7
8
- 9
10
11
'-- 12
13
14
15
16
17
18
19
20
/'31
COMMENTS
Township, Range, Section:
SLOPE
SITE PLAN
Oeplh to Water After
Monitoring? Date:
Gross Net Depth to Net
Reading Date Time Time Water Drop
300
PERCOLATION RATE ~'~S {minutes/inch) PERCHOLEDIAMI~TER [2'n ~& -i'~E)¢¢~j11
TEST RUN BETWEEN ~/~' FTAND ID FT
PERFORMED BY: ~- ~'<:L ~ ~'l" ~' ~.'~C) ~/' , ~'~-~y / ,~'~'~ CERTIFY THAT "1 HIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85) .
•
PGE
�• @ U
Municipality of Anchorag P tY 8 1 5 9 70
On-Site Water and Wastewater Progra u5 77 2 Lida 2-
(907) 343-7904 ,. �_. ff s FET Y
ti
F in
15 2018
Certificate of On-Site Systems A p a
Parcel l.D. 020-502-29 Expira cf 2 q
a 691, d J
1. GENERAL INFORMATION:
Complete legal description SOUTHPARK#2; BLOCK 3, LOT A'3`
Location (site address) 15741 Stanwood Circle *Anchorage 99516
Current Property owner(s) Alfred &Ruth Lonser Day phone 907-227-1986
Mailing address
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ❑ Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class Well ❑ Community ❑
Public Water System ® Public Sewer ❑
WaiverNariance request for: Distance:
Received by: _ _ Date: 77// 3 / /
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 5 9-G Waiver Fee $
Date of Payment 7 ''vl—1d Date of Payment
Receipt Number 6 91'7 Receipt Number
COSA# 0 SC 1 $'`3Z 1 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
Engineer's Printed Name: Jeffrey A. Garness Date: -1/5- / 43
. 000Op;.,
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system ole OF
in accordance with the guidelines and regulations established by the Municipality of Anchorage and 0 C, .....� .industry practices. The reported results describe the condition of the system/s on the date/s of the b .• � • •v/r.-VO
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 0* .• ., 9 f' .•.'*OQ
and septic systems depend upon a variety of variables, including but not limited to, soil conditions, 0"""" "'
groundwater levels (that may fluctuate during the year), quality of construction (materials and 4 ,
workmanship),and the water usage of the family utilizing the system/s. These conditions can vary,and 7. 0
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the / ••_J; 'f e f. Corn e.s; �0
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of �n f —7• 4,"
the well or septic system. GEG makes no representation whether an alternative well or septic system U�s f • •�ceO
can be installed on the property in the event either of the current systems fail to perform adequately in �� ' e " -`S 16 F,o°o
the future. The content of this report is for the sole benefit of the person/party that retained GEG to %4a Pro f es sl01'6'='''perform the evaluation. Reliance upon the information provided in this report by any other person or %OOOOo�
party (including subsequent property purchasers) is not authorized, nor will it confer any leggalgpt3F-A/Vc,hG
whatsoever.
V Gt
#AECC884
6. DSD SIGNATURE
01111 S\ P D •
.✓ System #1 Approved for 8 bedrooms wPS EWP�
CGRP
O Nf-r7
System #2 Approved for bedrooms �� pR c
�G
Disapproved 14) r<'•
(.,,-0\1`-
Conditional approval for bedrooms, with the following stipulations:
•
X- vee eciq i neer 1S exyr)rne(t+ - e ard1 r Oor) oil' 'ort
Cl
a-P dr-a.L.i fe/d a -ftle hoffon o-f *he cheek 1 s f a.bsol-p `of,
4'e/d tufa sec-4oy)).
J
By: /31t(ii(V4' ( e) Original Certificate Date: I 13 .3018
,
O
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 Tc.a k e. X
t\ c vtso-ea,
COSA blue sheet_10-10-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: SOUTHPARK#2;BLOCK 3, LOT 31 Parcel ID: 020-502-29
A. WELL DATA PUBLIC WATER
Well type If A, B, or C provide PWSID# Well Log (Y/N)
Date completed Sanitary seal (Y/N) Wires properly protected (Y/N
Total depth ft. Cased to ft. Casing height(abo - •round) in. _.
FROM WELL LOG AT I - ` CTION
Date of test
Static water level ft. ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RES •
Coliform colonies/100 ml. Nitrate mg./L. Collected by:
enic: ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA 23 YEAR OLD STEEL SEPTIC TANK MAY BE APPROACHING THE END
OF IT'S USEFUL LIFE.50 INCES OF LIQUID IN TANK AT TIME OF INSPECTION
Tank Type/Material SEPTIC/STEEL Date installed 2/20/95
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout(Y/N) YES Depression over tank(Y/N) NO High water alarm (Y/N) N/A
Date of pumping 5/3/18 Pumper ISAAC'S PUMPING SERVICE
C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MONITORING TUBE
Date installed 9/13/85 Soil rating (g.p.d./ft2o2/bdrrr) 100 System type TRENCH
Length 40 ft. Width '�5 ft. Gravel below pipe 2.5 ft.
Total depth *11.9+ ft. Eff. absorption area 312 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 6/20/18 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 6 in. Water added 489 gal. New depth **31 in.
Elapsed Time: 120 min. Final fluid depth 22 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) NO If yes, give date -
**SYSTEM 100%FULL
SYSTEM WAS TESTED A 2ND TIME ON 7/3/18 WITH 714 GALLONS,6"FLUID DEPTH BEFORE TEST,31"AFTER TEST,
AFTER A RECOVER TIME OF 315 MINUTES THE FLUID DEPTH WAS 17".
PER AGENT,THE HOME WAS VACATED AT THE END OF MAY.
BASED UPON LIMITED SURGE CAPACITY OF DRAINFIELD,THE FACT THAT THE SEPTIC TANK WAS PUMPED ON
MAY 3RD,AND THE FACT THAT THE HOUSE WAS VACATED AT THE END OF MAY, IT IS REASONABLE TO BELIEVE
THE DRAINFIELD MAY BE APPROACHING THE END OF IT'S USEFUL LIFE.
D. LIFT STATION
Date installed Size in gallons Manhole/Access(Y/N)
"Pump on" level at in. "Pump off'level at wa er alarm level at in.
a - - Cycles tested Meets alarm&circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO: PUBLIC WATER
Septic tank/lift station on lot On adjacent lots
Absorption field on lot On adjacent lots
Public sewer main '.• ' sewer manhole/cleanout
Sewer/septic service line Holding tank
- - containment areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation *5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+PVT&200'+PUBLIC
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+PVT&200'+PUBLIC
F. COMMENTS
*MET CODE AT TIME OF INSTALLATION
4 OFA 4b�
G. ENGINEER'S CERTIFICATION : ,.•••" '
....Pli,
49 r• I� ` -0
I certify that/have determined through field inspections and • �` •. 7.
•
review of Municipal records that the above systems are in • 0
conformance with MOA COSA guidelines in effect on this 0 ;••• •• ••ff ' ' •:
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT I • F r.--\, 907-343-7904
On Site Water and Wastewater Section \ ,(1" Fax: 343-7997
www.muni.org/onsite
Septic Tank Advisory
Certificate of On-Site Systems Approval # OSC181321
Subdivision: Southpark #2 Block:3, Lot: 31
The septic tank for this property is 23 years old. The average life for a steel septic
tank is 20 years. Typical replacement costs range from $6,000 to $9,000.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
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41.i' 77c� A/ 1
Mailing Address: P.O. Box 196650 *Anchorage,Alaska 99519-6650 *www.muni.org
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NOTE:
:•-:::•.•'t 1) THIS DRAWING SHALL NOT BE
MODIFIED FOR USE AS A PLOT PLAN
WITHOUT THE EXPRESSED WRITTEN
CONSENT OF LCG LANTECH.
\•.•.-::-:-- 2) THIS LOT IS SUBJECT TO A CEA
BLANKET EASEMENT PER BK 97,
PAGE 201.
3) 30'SEWER EASEMENT PER BK 1051,
PAGE 635 IS SHOWN HEREON.
O.
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30'SEWER EASEMENT(SEE NOTE 3) a
SHED LOT 14
/
S89° 50' 14"E 170.00'
O•
GBT(GREEN BELT TRACT) �Q�PS�
LOT 29 LOT 15
_,,,P1'*.
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G
ORDERED BY: ALLISON LONSER PARCEL#: 020-502-29-000 SURVEY CERTIFICATION:LCG LANTECH•INC HAS CONDUCTED A PHYSICAL SURVEY OF
THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE
LEGAL DESCRIPTION: ADDRESS: 15741 STANWOOD CIRCLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO
ENCROACHMENTS EXIST OTHER THAN NOTED.
AS-13 U I LT EXCLUSIONARY NOTE:IT IS THE OWNERS'RESPONSIBILITY TO DETERMINE THE
LOT 31, BLOCK 3, EXISTENCE OF ANY EASEMENTS.COVENANTS.RESTRICTIONS OR RIGHT-OF-WAY
TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO
SOUTHPARK SUBDIVISION ADD. NO. 2 CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION.FOR
ESTABLISHING PROPERTY LINES.OR FOR PLOT-PLAN PURPOSES.
250 H Street LEGEND:
:::::: °'
SEPE S ?`;� 61 .WAp,_ 64ia ., FENCE —X—X- wood Deck f concrete..
Phone 562-5291 DRAWN DATE: 6/27/2018 WORK ORDER: 17108
antMainline Phone 85 DRAWN BY: ADS/SC PLAT: 83-213
c. Inc Mainli e
eack t. eecfun . e"9"'' "t9'.du,'iue grt . Corporate Registration CHECKED BY: SC GRID: SW 3236
No.AECC688 SCALE: 1'=30' FB/PG:77/71 REF:96-L-317A
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel l.D. 020-052-44 "AA~ ~l-~¢~..~)~q~
1. GENERAL INFORMATION Expiration Date: ' ~ - '~ O ~
Complete legaldescription SOUTHPARK SUBDIVISION #2; LOT 31, BLOCK 3,
Location (site address or directions) 15741 STANWOOD CIRCLE * ANCHORAGE, AK 99516
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
RAYMOND EASTWOOD Dayphone 348-8985
15741 STANWOOD CIRCLE * ANCHORAGE~ AK 99516
Day phone
MIKE MESSICK w/ REMAX PROPERTIES Dayphone
2600 CORDOVA STREET * ANCHORAGE, AK 99503
257-0110
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ~]
Individual Holding tank
Community On-site ~
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority
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.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $.~J-~ at, or pdor
to closing for the engineering services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
Aa certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my
investigation, based on procedures outlined in the Health Authority 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 ve~fy 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 ALASKA WATER & WASTEWATER CONSULTANTS. INC. Phone
Address 6901 DEBARR ROAD. SU['I'E 2B * ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Date
337-6179
Engineer's Comments:
In conduc§ng this evaluation, AWWC, Inc. affempted to provide a thorough,
conscientious engineering analysis of the system in accordance v~th ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate dudng the year, and the water ~sage of the family being served by the system.
These conditions ara outside the control of the evaluator of the system. Satisfactoq/ test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. A WWC, Inc. 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 peraon or party is not autho#zed, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
~ Approved for ,~
bedrooms.
Disapproved.
Conditional approval for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms, with the fllowing stipulations:
i54"
_,, SITE , ~_
~ WATERAND :
~ tWA ........... : :
Manitenance Agreements
Supplemental Engineers ReoA
Other
(Rev. 12JQ1)
OriginalCertificateDate: ~-~ ' 7° ~g)~
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Slfe Water & Wasfewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Legal Description:
A. WELL DATA
HEALTH .AUTHORITY .APPROVAL CHECKLIST
SOUTHPARK SUBDMSION ~2i LOT 31, BLOCK 5, Parcel ID: 020-052-44
Well type Pu~uc If A, B, or C provide PWS~
Date c=~pl~ Wires properly protected (Y/N)
ft. Cased to ft. Casing height (above ground) 'in.
FROM WELL LOG
Date of test ./
Static water level J ft.
Well pmcioction ~J g.p.m.
WATER SAMPLE RESULTS:
Coliform - coloniesJl00 mi. NIIzate - mg./L.
Arsenic: - mg.lL Date of sample: -
SEPTIC/HOLDING TANK DATA
Tank Type/Material Sl~EL (DEEP BURIN.)
Tanksize 1000 gal. Number of Compartmenta 2
Foundation deanout (Y/N) YES Depression over tank (Y/N) NO
Date of pumping 5/20/2002 Pumper.
Soil rating (g.p.d./ff~or~
1
Width 5 ft.
ABSORPTION FIELD OATA
Date installed 9/15/lg85
Length 40 lt.
ATINSPECTION
g.p.m.
Other bacteria
Collected by:
- colonies/100 mi.
Date installed 2/20/1995
Cleanouta (Y/N) YES
High water alarm (Y/N) N/A
CHUGACH PUMPING
Totaldepth '12.2 ft. Eff. absorptlonarea 312 fi= Monltodngtube YES
Date of adequacy test 5/20/2002 Results (Pass/Fall) PASS
Fluid dep~ in absorption field before test 10 in. Water added 675 gal.
Elapsed Time: 20 min. Final fluid depth 16 in. Absorption rote >=
Any mjuvenaUon treatment (past 12 mo,) (Y/N & type) NONE KNOWN
System type TRENCH
Gravel below pipe. 2.5 .ft.
Depression over field NO
For ,3 bedrooms
Newdeplh 18 in.
450+ . g.p.d.
If yes, give date. -
D. LIFT STATION
Date installed Size in gallons ~
jn.
"Pump on' level at .in. "Pu~_~.J~. High water alarm level at '
~ ~Cyclee tested. Meets alarm & circuit requirements?.
E. SEPARATION DISTANCES
PUBLIC WATER
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic lank/lift station on lot On adjacent lots ~----~
Absorption field on lot ~
Public sewer main ~~Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water service line 10°+
Curtain drain. NONE KNOWN
Building foundation 10'+
Surface water 100'+
Wells on adjacent lots 200'+
Water main 10'+
.Driveway, paddng/vehide storage 10'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems ere in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Pdnte~ Nam,~
D,t,
dEFt'KEY A. GARNESS
Receipt Number
(Rev. 12~01 )
Waiver Fee $
Date of Payment
Receipt Number
LOT 30
LOT 32
LEGEND'
$
S SE~/EE VEh
N 89'50'14'%/ 170.00'
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
Parcel I.D.# ~F-~)- (~)~- L\t--/ HAA#
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
£~'~ /~'~'~f'/- Day phone
N- A. Day phone
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
Day phone
MUNtCIPALI~'t OF ,qNc~OgAG":
ENVIRONMENTAL 58RVICES DIVISION
JUN 5 1996
RECEIVED
NOTE: If community well system, provide written c~nfirmation 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: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) F~ont MOA ~1
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.
NameofFirm ~/~/-/~? ?-~/~ ,~;~f _¢~'~,',c~',z Phone ~5'.¢- /3 ,~-~
Address /~/~"_7~ ~c/,~ ..¢/] /¢~4o~,~, /¢-~
Engineer's signature ']~ d~' ~ Date
DHHS SIGNATURE
Approved for
bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments
By: Date
/
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 D H HS does th is as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025(Rev. 1/91) Back MOA#21
~UN~¢~PALiTr OF .
Municipality of Anchorage ~/WtR-o~g~r, qL s~ 'q~c~°~e ,~
RECEIVED
Health Authority Approval Checklist
Legal Description:
A. WELL DATA
Well type
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform
Date of sample:
~lke'.~., ~o~[~oc£~c p# ~ ParcelI.D.:
IfA, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to
FROM WELL LOG
Casing height (above ground)
Wires properly protected (Y/N)
AT INSPECTION
. g.p.m, g.p.m.
Nitrate
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date installed '~ / E0 / 9 bt Tank s!ze/~ Number of Compartments __
Foundation cleanout (Y/N)
Date of Pumping ,5-/Z9 /~ 6'
C. ABSORPTION FIELD DATA
Date installed ~[Uff/
Length q O ' Width
Effective absorption area ~l ~
Date of adequacy test ~(/Z Y /
Fluid depth in absorption field before test (in.);
Fluid depth I ~ ~/l~ (ins.) Minutes later: /
Pemxida treatment (past 12 months) (Y/N)
Other bacteria
Depression (Y/N)
Pumper .~_cc~e~ c_f
E Cleanouts (Y/lq)
High water alarm (Y/N) IV,/~
Soil rating (g.p.d./ft2 or t~2/bdrm) Icc ~.~ System type -7
Gravel thickness below pipe ~O" Total depth
Monitoring Tube present(Yfixl) 'r' Depression over field (Y/N)
Results (Pass/Fall) ?ea-c f For ~ bedrooms
Immediately alter 7t~ gal. writer added (in.): ~o
AbsorPti0hrate ~ '~ qo'-V g.p.d.
If yes, give date N, A.
D. LIFt STATION
Date installed
Size in gallons
Manhole/Access (YfN)
"Pump on" level at*
"Pump off" level at*
High water alarm level at*
*Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO: 14. ,4,
Septic/holding tank on lot
; On adjacent lots
Absorption field on lot
.; On adjacent lots
Public sewer main
Public sewer mmfltole/cleanout
Sewer/septic service line
Lift station
SEPARATION DISTANCES FROM SEPTIC,q-IOLDING TANK ON LOT TO:
Building foundation ! O ' Property line ~ o t Absorption field
Water main/service line .'~10~ Surfacewater/dralnage '>lOOJ Wells on adjacent lots 2- tO'o'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building fomldation I ~ '
Property Line 13" .Water main/service line
Surface water
Driveway, parking/velficle storage area
Curtalndrain ~one See~ Wells on adjacent lots ~ leo~
Fo
Signature ~.,~.e~
Engineer's Name
Date
ENGINEER'S CERTIFICATION
I certify that I have determined thrufield inspections and review ' '
of Mumctpal records th, at the above systems,~are
in conformance with MOA IfAA guidelines in effect on this date.
~:, , E~neofing,SeM Here
ItAA Fee $ ~ 0(~ o.~.o
Date of Payment ~/,,.~/,~,~
Receipt Number/ f/q~) _((~c~
Waiver Fee $
Date of Payment
Receipt Number
Rev. 8/95 OSS: haa.wk.doc
Parcel I.D. #
.1. GENERAL INFORMATION
~gal description
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. B~ 196~§0 '~'A~chora~'e,'Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
'' ~ HAA# HA ffoOq-I
Location (site address or directions), I~-' ~ ~ I
Property owner
Mailing address
Lending agency
Mailing address '
Agent
Day phone
' .- Unless otherwise'requested,. HAA ~ill~be he~dfor~ickup, i-..?-;-. ....
2.. NUMBEROF BEDROOMS: ' '-~ ' ' : ~-'-'~-~---
~--E. ct_~-~ - ~-~O-T'u~E_ "Pr?-o{~. .Dayphone -~-/o2-7~5.~
3.. TYPE OF WATER SUPPLY: ' -' '
Community well ' · ' ~, ~
: .. Public water .............
NOTE: . If community well system, provide written confirmation from State ADEO attest-
--. lng to the legality and status of"S~ern~ "::'..-'-
4. TY"E OFWASTE~ATER DISPOSAL:''
Individual on-site .- -~-~ ..... - ~..
Holding tank
Community on-site ...... '~
Public sewer .
NOTE: If community wastewate~?ystem, provide written confirmation from ~tate ADEC
attesting to the legality and status of system.
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 wate[s,'upply
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 inves.t~ation and inspection, the on-site wate:~i? .ii
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. ' ... · ·
Nameof Firm' ,/~c~-~K.~ .~J~-'t,~-~{~ ~.~.]A-?.-r~J~-~/~ £~-~.,~;'u~-,~ Ph~n~ ,, ~?:~G/~?. ·
Address a--ll ~~ ~~~~' 97--~ ,'- ~:''~ '? .' '~
Engi,~,s'signatur~ 'r'~ : /' ff~~~~ Date_
'".-'>Approved for'?; '~ bedrooms.'-
Conditional approval for "-: '-: b~lrooms, with .the following stipulations:
Ad;ditional Comments
The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority
Approval Certificates based only upon the representations g~ven in paragraph 5 aoove by an independent
~)rofessional 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. -
Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalDescription: LOT ~lj ~--'~ ~o,~,"~
A. Well Data
( pe C..~m,A If~B, or C, attach ADEC letter. ADEC water system number
Y/N) _ . __ Date completed Driller
Cased to __ .Casing height
Sanitary seal ~,,.,. Wires properly protected
. ~FROM WELL LOG AT I~
Date of test ~.
Static water level ~
Well flow ~ g.p.m,
Pump level1 ~
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
WATER SAMF
B. SEPTIC/HOLDING TANK DATA
Date installed cf /l~/8 ~--
Cleanouts (Y/N) '"/
High water alarm (Y/N)
Date of pumping
; On ad
Public sewer
lots
72-026 (3/93)* Front
Foundation
Water main/service line
CONTINUED ON BACK PAGE
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot I~/~,- On adjacent lots ~/~4
To property line -~O/~ (~ Absorption field c:~ /
Surface water/drainage ~o,.r~-- O~5~-P-',.."~D ~ ~t~..~ o,J
Petroleum tank.
Other bacter~~,,,,,/~,/Jz'/{//
Nitrate
Collected by' , /'~ ,/)'~'/"~ ~
Tank size IOOO Compartments
Foundation cleanout (Y/N) "'./-~----~ Depression (Y/N)
~ /A~ , Alarm tested (Y/N)
//?_~y?~-~ ~ ,/2,/G-~' Pumper OL-~
C. LIFT STATION
Manufacturer /
Manhole/Access (Y/N) ~
'~ Vent(Y/N) ~level at ~at
High water alarm level "'----.._ ...GycTes tested
Meets MOA electrical codes (Y/N) ~
WeJ~ On adjacent lots Surface wateT'"----~
A.SORPTION .E'D DATA
~[ Date installed ~f /l~ ~' Soil rating (GPD/FF) ~ System type
~o ~ Length A-O' d~) Width ~/ O Gravelthickness ~'.~'(~ Totaldepth [~ '~)
~ Total absorption area ~ 12_ ® Cleanout present (Y/N) ~ ~_..~ Depression over field (Y/N)
Date of adequacy test ~ .*i?/q.¢ Results (pass/fail) '~/~-5.~ for .~ Bedrooms
L.~ Water level in absorption field before test '~ <Jump ~¢¢5 I:,P-'¢ Aftertest ~-~'/~
Peroxide treatment (past 12 months) (Y/N)
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot h~ IA, On adjacent lots
To building foundation
On adjacent lots
~o~--
Surface water
Cudain drain
If yes, give date
Properly line
I(¢ / t To existing or abandoned system on lot
Cutbank .~--O/~' Water main/service line
Driveway, parking/vehicle storage area ~:)
E, ENGINEER'S CERTIFICATION %~
I cedi~ that I have checked, verified, or conl ~rmed to all MOA and H~
guidefines in effect ~p~. ?f thisbspection.
Engineer's Na~
H~ Fee $ ¢(~(~. ~ Waiver Fee $
Date of Payment ~ ~-- ¢ ~ Date of Payment
Receipt Number ¢~ ~--¢-¢.~ Receipt Number
72-026 (3/93)* Back
-Alaska water.& Wastewater ServiC !
· ' "Preserving The Last Frontier"
'y 16~ [995
Fortune Properties
'2525 C Street
Anchorage, Alaska 99503
Ref:.:'.Septic system evaluation at 1574[ Stanwood Circl~}:~'Lot
31,:..Bk 3, South Park S/D
Dear~ike:
I made a site visit to the subject property, on 1/16/95~ It
:~tO&A,~Aroundi.$O minu~e~ ?~? locate~::al.1 of the 'clean~O~:~:-.(2
~"['h~'~:~O~":Wa$ measd~'~?~o be 29~5"' deep, and'
(th~'Jseptic. system a$-~O~'lt drawings (9/15/85,
~dra~h'Fock' is $0" deep: ': Consequently, the liqu~d?:~eVel
shobl~r have been just below the: lnvert of the drainplp ,
'howeger, ~ ~ound thag the clean-sug at ghe beginnin~'6~'..ghe
t~ench had approximately 7.75" of standing ~ater An it,
indicating that the drainpipe ~as full of water. The only
explanation for this would be that the sump does not extend
to .the bottom of the drainrock, or that the drainrook is
only 22 inches deep. Regardless, the trench is currently
operating in a surcharged mode (liquid level is above the
invert of the drainpipe), which, technically, is deemed to
be.a-f~ailed condition. ' 7'q!;~?~.7..~
The'options at this point are either to upgrade the .~stem
with a new trench, or attempt to rejuvenate the existing one
by treating it with hydrogen peroxide. The eu¢cessfolness
of.peroxide rejuvenation is about 50~ according to the.:.~:taff
at~:~he M O:A, DepartmeDt .of Healg9 and Human ServiceS~ii~JS~.
";~.~X~ ~-;;2~- ~ ~"',':+A~,"hoinn rate .I know Issac-s
do~};this type of work,'::but I'm not aware of any others
wouid, need to check aeound.
If(:~'he decision is to upgrade the system, it would
necessary to do a percolation test, and a design.:~:~ The
installation should be' done next spring when conditi~p<~;,:are.
Telephone (907)337-6179 · Fax: (907} 338-3246 · 8471 Brookridge Drive · Anchorage, Alaska99504
"-'?'-~- depth' to whzch the system ~s,,.=znstalled, zt. wO.,,,,a.; b
neCeSsary go geg a ~racked backhoe ~i~h a considerabl'o~ ~each
~. c; Design: $450.00 .,~ .....
d. SeNer permit fee, payabie to the M.O.~.: $520.00
- ('"~;. i~rested in getting a second op!B.~op; I would be more,~than
'~ wil'iing to recommend nether engineer
tant
.E,, M.S.
92.97
/
/
~o
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
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include 10t, block, subdivision, section, township, range)
Location (address or directions)
(b) Property owne~¢, ~%%~A~ ~ ~' ~ Telephone: (home)
Business.
Mailing Address 't ~-'~ k.[ \ ~ L% ~ ~ "~'~'~,~
(C) Lending Institution
Telephone
Mailing Address
(d) Real Estate Company and Agent
Address ~ ~/'/~" ~ '~'c'L'EL¢~'"'~"[/' ' ~ ~ b '¢"'
Telephone
(e) Mail the HAA to the following address: (or check here~if hold for pick up.)
List contact person and day phone number below:
TYPE OF RESIDENCE
Single-Family~ Number of bedrooms
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.
SEWAGE DISPOSAL
On-site~, Public [] Community [] Holding Tank []
Note:/ '1~ 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 1 of 2
ENGINEERING FIRM PROVIDING INSPECTIONS1 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 th is
Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe,
functional end 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 ~'-~ I~ /~'"'--/~"~1
Date
6. DHHS APPROVAL . .
ed for'~/M~-(5)bedrooms by
Approv .
Approved ~ Disapproved
Terms of Conditional Approval
Conditional
Engineer's Seal
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 insp~ct!ons
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.
72~25 (Rev. 7/88) Back Page 2 of 2
· O~\~1~ MUNICIPALITY OF ANCHORAGE (MOA)
~h~.~'t'~ [~"~1~,~\ Health Authority Approval (HAA)
~k~'~ ~'~ CHECKLIST- FEBRUARY 1984
~.~ ,_~ 343-4744
'.'~" ~" ~ Legal Description: ~.
A. WELL DATA ~ / ~ ?7~
Well Classification ~ II~' [ If A, B, C, D.E.C. Approved (Y/~)~
Date Completed Yield
Well Log Present (Y/N)
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Depth of Grouting
SEPARATION DISTANCES FROM WELL: ' '
To Septic/Holding Tank on Lot
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
Comments
Pump set At
Sanitary Seal on Casing (Y/N) ·
Depression Around Wellhead. (Y/N)
; On Adjoining Lots
; On Adjoining Lots
TO Nearest Public Sewer Cleanout/Manhole
; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed ~//¢~-'~ Size_/~ No. of Compartments
Standpipes (Y/N) ~-- Air-tight Caps (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contact on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Foundation Cleanout (Y/N) .
;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
To Building Foundation
To Disposal Field
I0
Comments
72-026 (Rev. 7/88) Front Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~ J ~'~
Width of Field ,t~'
Square Feet of Absortion Area
Depression over Field (Y/N)
Results of Last Adequacy Test
Type of System Design
Length of Field t/~,~
Depth of Field ~'
Gravel Bed Thickness r~,. ~
Statndpipes Present (Y/N)
Date of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments ~; /r.*//,/,
To Property Line ,~ /
To Existing or Abandoned System on
; On Adjoining Lots ~
To Cutback (if present)
D. LIFT STATION ~"1 ~'~ t~[~_-~
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 guidelines in effect on the date of this
inspection.
Signed
Company
Date
MOA No.
Receipt No.
Date of Payment
Amount: $
72 026 (Rev. 7/88) Back
Receipt No. "
Waiver Fee: $
Engineer's Seal
Date of Payment
Page 2 of 2
ANCHORAGE. ALASKA 99503
STEVE COWPER, GOVERNOR
563-6775
Tobben Spurkland, PE
203 W. 15th Avenue "C"
Suite 203
Anchorage, AK 99501
BATE: December 20, 1988
PUSIB: 213475
To Uhom It May Concern:
According to the records on file in this office, the
TERRACE SUBDIVISION Water System is in compliance ~ith
of Alaska Orinking Water Regulations.
SOUTH PARK
the State
MPL:pkk
Sincerely,
Michael P. Lewis, PE
Environmental Engineer
IVIUNICIPALITY 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
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, toweship, range)
Location (address or directions)
(b) Applicant Name ~:~-~r/"(c~_ ~(/Z~£:> Telephone: Home . Business
(c) Applicant is (check one): Lending Institution []; Owner/builder,~; Buyer []; Other [] (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Company and Agent
Address
(f)
Telephone
Mail the HAA to the following address:
TYPE OF RESIDENCE
Si ngle-Family~ M ulti-Family [] Other
Number of Bedrooms 4;~ ~ ~,~
WATER SUPPLY
Individual Well [] Community/~ Public []
Note: If corn m unity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWA~/SPOSAL
Onsite.~ Public [] Community [] Holding Tank []
Note:( ~lf community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
72-025 (11/84)
Page 1 of 2
,
As cedified by my seal affixed hereto and as of the validation date shown be ow, verify that my mveshgat on of th s Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional end adequate
for the number of bedrooms and type of structure indicated herein. I fudher verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation end inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, ~nd regulations in effect on
the date of th~s inspection.
Name of Firm ~ ~z C , Telephone ~' ~/~ ~
Address (~¢~ ~ ~ ~c ~ ~'c~ ~'~
Date ?
Engineer's Seal
Approved ~:~'/ Disapproved Conditional
Terms of Conditional Approval
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
institu[ions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
a~elyze 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 (i 1/84)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
M&JNICIPALITY OF ANCHORAGE
DEFT. OF HEALTH &
ENVIRONMENfAL PROTECTION
ubC 05 lg85,
WELL DATA
Well Classification ~'O~Y~t If~A, B. C, D.E.C. Approve N)
Well Log Present (Y/N) Date Completed Yield ~/"'
Total Depth Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well;
To Septic/Holding Tank on Lot
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line //" To Nearest Public Sewer
Cleanout/Manhole ,/ To Nearest Sewer Service Line on Lot
/
Water Sample Collected by ,// ; Date
Water Sample Test ~o~
Comments
Depth of Grouting
Pump Set At J
Sanitary S~g (Y/N)
; On Adjoining Lots
B. SEPTIC/HOLDING TANK DATA
Date Installed ~¢f~,--~,~- Size /0<::20 No. of Compartments '=~
Standpipes~) Air-tight Caps') Foundation Cleanot~ .N~)
Depression over Tank (Y~) Date Last Pumped
; for A/,4
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:(
To Water-Supply Well ('~T-
To Property Line ,d~ 7~ /(2
£
To Water Main/Service Line ~'-
/
Course (~'~
Temporary Holding Tank Permit (Y/N)
To Building Foundation -~- /¢
To Disposal Field
To Stream, Pond, Lake, or Major Drainage
Comments
Page t of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/~L~,~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well ~,~27
To Building Foundation
Lot
To Water Main/Service Line C'~'/¢''/'¢ /
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Type of System Design
Length of Field
Depth of Field
Gravel Bed Thickness
Standpipes Presen~Y~N)
Date of Last Adequacy Test
To Property Line /¢ /'~.r
To Existing or Abandoned System on
; On Adjoining Lots ~
To Cutbank (if present)
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
Dimensions ~/-~'
Man hole/Acc~ss'~N'~
"P- p Off" Level at
Vent (Y/N) .
Pumping Cycles during Adequacy Test. Meets MOA
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checke¢, verified, or conformed to all M ~OA and HAA guidelines in effect on the date of this inspection,
Signed //)~ /~----'¢ '~¢ Date
Company /'~"~ ~, ~ ¢ MOA No.
Receipt No. ~(O q g ~
Date of Payment ! ~'%
Amount: $ ~, ~
Page 2 of 2
72-026 (11/84)
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA 99501
BILL SHEFFIELD, GOVERNOR
Telephone: (~07)
Address:
274-2533
DATE: December 2, 1985
PWS I.D.# 213475
To Whom it May Concern:
According to records on file in this office the
Subdivision
Water Regulations
South Park Terrace
Water System is in compliance with the State Drinking
Sincerely,
Environmental Engineer
duly 20~ 1981
W.O. ~A19889
Grid ~3236
Bounty Development
SRA Box 470-B
Anchorage, Alaska
99507
Attention: Hr. John Berggren
Subject:
Subsurface Investigation for Suitability of
On-Site Sewage Disposal;. NE~ of the NW~, Sec. 3~
T11N, R3W, S.H., Southpark Subdivision Addition
No. Ill
Dear Mr. Berggren:
This report transmits results of percolation tests performed
on the subject property for evaluation of the site for on-site
sewage disposal. Also included are the soils logs and a loca-
tion sketch for the test borings.
The subsurface investigation consisted of
holes on July 7-14, 1981, at the locations
Epps, and Potts Surveyors, and illustrated
Figure 1.
drilling 13 test
staked by Besse,
schematically on
The test holes of this investigation were drilled to about 15
feet using a Nodwell mounted, Mobile B-50 drill fitted with a'
solid flight auger, owned and operated by Denali Drilling,
Inc. The drilling was supervised and the test holes were
logged by Mr. O. M. Hatch and Mr. doe Millhouse, geologists,
with Alaska Testlab. Representatives grab samples were
obtained, visually classified, and sealed in plastic bags
before returning them to the laboratory. A ~/~_p~E~orated
~~s--I>t-aeed~n-~~ Lo i~a"~ope-~ h~le~
~-or running the ~pe~coJ_ation test and for monitoring the water
t~F~'~/~vation.
The percolation test was performed by filling the test hole
with water and allowing it to soak.' The following day the
hole was refilled with water, and the drop in the water level
was measured at 10 minute intervals for a i hour period. The
percolation r~tes reported herein were calculated from the
slowest 20 minute absorption period of these tests.
Bounty Development
Mr. John Berggren
July 20, 1981
Page 2
Percolation tests were not performed in test holes 5 and 13,
since the water level in the test holes were too high for con-
ventional systems (5.0' and 7.0', respectively). However,
these lots may accomodate on-site sewer systems if other, more
favorable locations are found on these lots, or if mounded
systems are used. No ground water was encountered in any
other test hole.
The following percolation
rates were measured:
Percolation Rate
Test Hole [minutes/inch)
i 5.0
2 10.0
3 5.O
4 5.7
5 No test
6 10.0
7 53.3
8 26.7
9 8.9
10 10.0
11 16.0
12 16.0
13 No Test
The disposal systems should be located near the test holes to
ensure favorable ground water conditions, and should be placed
between 5 and 12 feet below the surface.
lye any questions regarding this investigation, please
to call.
Very truly yours,
ALASKA TESTLAB
Carl A. Bassler
Geotechnical Engineer
Approved by:
Melvin .R. Nichols, P.E.
Manager
CAB/tfSh
Test Hole ~10
TABLE J
W.O. ffA19889
Date: 7/14/81
Logged by: J.M.
Depth in Feet
From To Soil Description
0.0 15.0 F-l, Brown Silty Sandy Gravel, (GM), occasional cobbles,
damp, medium dense, poorly graded, 6"+. Hard drilling,
rocky, below 12'. ._
S¢~et_3/4" perforated PVC pipe to run per
~-..monitor water table elevation. ~
Perc rate = 10.0 minutes/inch.
Bottom of Test Hole:
Frost Line:
Free Water Level:
15.0 Feet
None Observed
None Observed
Sa.
No. Depth
1 5'
2 10I
3 15"
Remarks: 1.
3.
4.
5.
6.
Type of Dry
Blows/6" M% Sample Strength Group Unified
G GM
G GM
.
Type of Sample, G=Grab, SPT = ~P~'~tion,
U = Undisturbed. -~
Dry Strength~ N=None, L=Low~ M=Medium, H=High.
Group refers to similar material, this study only.
General information, see Sheet 1.
Frost and Textural Classification, see Sheet 2.
Unified Classification, see Sheet 3.
Temp.
oF
5B - 10 -
3'87 °~Z'I$"~
~ 57 AC.
81-12
~3-50
0~ $~
$
81-11
v89oKo'lq,,yy
I$17. 0l'
77Z 2'1'
UN $ U~O/V!D£D
-A t~AO/U~ rENtal4
' $0" $?~. O0 ' 11 ~. Ol'
'$1" $~.~0' .95.91'
00" ~00. 00' ~Z. 5~' 1~. ~'
VO" ~OE. gO' ZJ~. ~5' ~9~.
'OO" 175.00' 14B. l~'
-'30' ~O0. OE' lOl.~e'
'~3" 5?5.00' 55.~0'
O0' 175.00' Z~. ~0' 1~.~'
00' 571.91' ~q.8~' q~.50'
T~NGENT
(Mms ) (~ ·/8°11'~0'' tt-'3?~..OO' L --I1~. /0 ' To 6 ~ ~0' Rec. P80-~6)
fMens. & Rec.
LENGTH
~1. I$'
$~. la'
TANGENT
ZS. 38 '