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Home My WebLink AboutMOUNTAIN PARK ESTATES BLK 1 LT 5BMountain Park Estates Block 1 Lot 5B #017-061-36 MEMO Municipality of Anchorage Community Development Department 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: OSP 141131 PID Number: 017-061-36 ❑ New ® Upgrade Name: TODD & KATHY SMOLNIK ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 5535 KALGIN DRIVE, ANCHORAGE, AK, 99516 ® Other (111 F) Phone: No. of Bedrooms: soil Rating: Total Depth from original grade: (907) 3442992 3 2.0 GPD/Sq. Ft. SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe Inert from original grade: Gravel depth beneath pipe: SEE DWG. Ft. 0.25 FL Subdivision: Block: Lot: Fill added above original grade: Gravel length: MOUNTAIN PARK ESTATES 1 5B SEE DWG. 30+ Ft. Ft. Township: Range: Section: Grovel width: 3eds Number of lines: Distance between lines: — — —1 12+ Ft. 5 2.5 Ft. SEPARATION DISTANCES Total absorption area: 360+ Number of trenches: — Dist. between trenches: — To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SO. Ft. FL Well too'+ too'+ too'+ — 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑Holdin 00 r Manufacturer: Capacity: Surface Water 100'+ 1 DOS+ 100'+ — Col. Lot Line 5'+ 10'+ 5'+ — N /A Material: Number of ramp menta: G LIFT STATION Manufacturer: / Capacity. (`CV• Foundation 5'+ 10'+ 5'+ — Curtain Drain NONE KNOWN Gal. "Pump on level at: Pump offA level at: High water alarm at: Remarks: NEW COMPRESSOR, GAUGE AND LOW PRESSURE Pump M & Model: Electrical Inspections performed by: ALARM INSTALLED. PRESSURE ® 3.0 PSI ON 7/7/14 PIPE MATERIAL House to tank — Tank to D2665 drainfield Installer Droinfield D2665 CO/MT D3034 A+ HOME SERVICES Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Ft. Inspection101.14 oaaion and Description: TOP OF S.T.E.P. TANK MANHOLE LID Dates: 1St 6/5/14 2nd 6/5/14 3rd 6/6/14 4th — (CONFIRMED WITH THE BOTTOM OF TANK ELEVATION) ENGINEER'S SEAL Community Development Department Approval opp04 ooOF o��.........gS, Conditional approval: Date: ��Q 4v0 .............. ........... QO .J r y CE-79f 3 vp Approved: /� Date: '•� _/ �4 aprofessiona, 4000�`��6 MEMO (` OSPI41131 AS -BUILT DRAWING NOTE: AIR LINE TO THE ISF WAS FOUND TO BE INTACT AND FUNCTIONAL. NO REPAIRS WERE REQUIRED. EXISTING 3 BEDROOM HOUSE r 1 00'WELL RADIUS f ,• a I SHED / / —EXISTINGFCO i COMPRESSORr' AIR LINE (APPROXIMATE LOCATION) EXISTING 1250 GALLON S.T.E.P. TANK RE -BUILT BOTTOMLESS IDSF (12'x30') Y FL2 MT3 FL1 PIPES FOR OLD ABANDONED TRENCH 10 U7QTY EgSEMENT GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS PREPARED FOR: TODD & KATHY SMOLNIK PHONE NUMBER: ( 907) 344-2992 PAGE NUMBER: 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MOUNTAIN PARK ESTATES S/D; BLOCK 1, LOT 5B A.J.G. TYPE OF WORK: DATE: AS -BUILT DRAWING OF SEPTIC UPGRADE 6/6/2014 PARCEL ID NUMBER: 017-061-36 A 8 MTi 87.39 71.03 MT2 94.06 77.75 MT3 104.59 77.59 MT4 97.22 69.47 FL7 106.37 79.77 FL5 96.91 fi8.59 ( VACANT I �', PERMIT NUMBER: AS -BUILT D 1 AWING PARCEL ID NUMBER: ` OSP141131 017-061-36 I EXISTING GRADE PRIOR TO EXCAVATION WAS 103.40 AT HIGHEST POINT. ORIGINAL GRADE = 102.7 AT HIGHEST POINT PER JULY 2000 INSPECTION TOP OF NEW SAND =100.96 BOTTOM OF EXCAVATION - (REMOVAL OFCONTAMINATED SAND) = 99.90 BOTTOM OF IDSF = 98.17 BOTTOM OF MONITORING TUBES WERE SHOT PRIOR TO EXCAVATION TO CONFIRM ELEVATIONS FROM PREVIOUS INSTALL. THE AVERAGE DEPTH WAS WITHIN 0.05' OF EXPECTED ELEVATION. FINAL GRADE 103.96-104.12 3" BLUEBOARD INSULATION LATERAL LINES ARE 3/4" PVC W/ 1/8" ORIFICES SPACED 24" O.C. GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 97%E. WW MAD. SUITE 101'ANCHORAGE. AK B 7 -PHONE (8]7)396119• F (Wt13363306•NE&411E: wvm'ga"eewyrcaieq.Mm (PARED FOR: PHONE NUMBER: PAGE NUMBER: TODD & KATHY SMOLNIK ( 907) 344-2992 3 OF 3 AL DESCRIPTION: DRAWN BY: MOUNTAIN PARK ESTATES S/D; BLOCK 1, LOT 513 A.J.G. E OF WORK: DATE: DETAIL DRAWING OF PROPOSED SEPTIC UPGRADE 6/6/2014 FILTER FABRIC PEA GRAVEL INVERT OF DRAINPIPE = 101.21 EXISTING AIR LINE F'/'10FESSI�Pi a EXISTING AIRLINE COIL SPACED AT ALL NEW 314" DIA. SCH. 40 PVC 12'z30' BOTTOMLESS ISF, NO LINER APPROX. 2 FEET. ORENCO "WASTEFLOW" LATERALS WITH 1/8" ORIFICES ON BOTTOM. PRESSURE PIPING TYPE PROVIDED BY ANCHORAGE TANK.SPACED 24" O.C. FACING UP WITH DESIGNED AND ORIFICE SHIELDS (CONTRACTOR SHALL PROVIDE ORIFICE SHIELDS) SUPPLIED ByANCHORAGE TANK. --------------------- _------- _______ ! ---- 1 ; 6' I � 2.6' I 1 1 I I � 2..5' I+ N I i 12 5' I+ I I I I 12.5' • I 1' 30 FLUSHING VALVES WITH 4" DIA. MONITORING TUBE AT EACH PROTECTIVE COVERS EXISTING 1.25" DIA SCH 40 CORNER. PERFORATED BETWEEN (EXTEND ABOVE HDPE DISCHARGE LINE FROM TOP OF SAND AND DISTRIBUTION GRADE) STEP TANK AND MANIFOLD. PIPE INVERT. (DRILL 114 INCH DIA HOLES) IDSF DRAINFIELD TO BE PLAN VIEW REBUILT PER ORENCO SPEC 3/4' PVC LATERALS (TYP4) 2" INSULATION FILTER FABRIC OVER MT MT PEA GRAVEL FINAL GRADE ORIGINAL GRADE 2' MIN. OF COVER OVER TOP OF INSULATION 6" LAVER OF 3/8" PEA GRAVEL WITH THE PVC LATERALS BURIED m T}III MIDWAY IN THE STRATUM. - :. .c•t• os• a,r,�i)y ��` GRAVEL BELOW PIPE=3"+) ;:i�;us-•+:<%'9e°"<<%^�•'". .-'„`':'x try:-'.:'. ., _i�r'.. 2'MINIMUMLu ~ •ht.L. r .-...itt. mO 2 FEET MIN. OF M.O.A. APPROVED 12' mZ e p ISF SAND. TOP OF SAND SHALL BE EQUAL IN ELEVATION OR HIGHER OF THAN THE EXISTING IDSF C EXISTING AIR LINE 18" PROFILE VIEW �0 BELOW TOP OF SAND ♦ OF ff "�y ♦ EEO=.:' #i '� `• GARNE55 ENGINEERING GROUP, Ltd .` 4 CIVIL & ENVIRONMENTAL ENGINEERS =1 E.TUMRR D.WITE 101•ANpp E.AH99 7-• NE (WTI M7] 179-F (907) 338a20 BBITE'xwu.8�^�.^pNexnpmm ; • "e 1• •. •..I.." ....... ..y3.. f fin " B , Game `47Ca � PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TODD & KATHY SMOLNAK (90n 344-2992 3 OF 3 CE- J� . I F •Cv � LEGAL DESCRIPTION: DRAWN BY: MOUNTAIN PARK ESTATES SID; BLOCK 1, LOT 5B A.J.G. }1 J f ff 0 t' •...•.. P� ffOSSI� FE ffit\\\�� TYPE OF WORK: DATE: DETAIL DRAWING OF PROPOSED SEPTIC UPGRADE 5/13/2014 S.2t 1 b Septic Products Inc. 50B135 Series Outdoor Compressor Alarm Features & Benefits • NEMA 4x Thermoplastic Enclosure • Large Alarm Condition Indicating Light • Audible Horn rated 85db @ 10' • Alarm Run -Mute -Test Switch • Air Sensing Valve • Large & Easy To wire To Terminal Block • Suitable for Indoor or Outdoor Use • Two Year Limited Warranty • Small Compact Design • UL Listed and Labeled Dimensions a3on : .rl 'Note: Consult the factory for other available options. ALARM SYSTEMS 13C Septic Products, Inc. 1378 Twp Rd Ashland, Ohio 44805 Ph: (419)282-5933 Fax: (419)282-5943 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141131 Tax Code Number: 01706136000 Work Type: Septic Upgrade Permit Effective Dates: June 02, 2014 to June 02, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: MOUNTAIN PARK ESTATES Site Legal Address: MOUNTAIN PARK ESTATES BILK 1 LT 5B G:2938 Owner/Address: SMOLNIK TODD R & KATHLEEN R 5835 KALGIN DRIVE ANCHORAGE AK 995163115 Site Mailing Address: 5835 KALGIN DR, Anchorage Lot Size in Sq Ft: 25600 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N private Well N Water Storage 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By:�� t✓ Issued By: Date: Z �� MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 017-061-36 " Date of Payment: Property owner(s) TODD & KATHY SMOLNAK Day phone 344-2992 6�1'll2 rn Mailing address 5835 KALGIN DRIVE, ANCHORAGE, AK, 99516 Site address 5835 KALGIN DRIVE, ANCHORAGE, AK, 99516 Legal description (Sub'd, Block & Lot ) MOUNTAIN PARK ESTATES S/D; BLOCK 1, LOT 5B Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ® ® (w/wo ADU) Upgrade Septic Tank ❑Renewal Duplex (D) ❑ ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ j"� r "Y ; (SF and/or D) Private Well El (\% M Water Storage ❑ MAY 2 1 2014 THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: — Distance: — 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: " Date of Payment: Receipt Number: Permit No. 6�1'll2 rn Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd CIVIL& ENVIRONMENTAL. ENGINEERS - '1' - May 13, 2014 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road, P.O. Box 196650, Anchorage, Ak 99519-6650 Ref: Septic Design for Mountain Park Estates S/D; Block 1, Lot 5B To whom it may concern: MOWER% The existing 3 bedroom house is served by a private well and septic system consisting of a bottomless intermittent sand filter. The IDSF drainfield is surcharged and in a state of failure. We are proposing to excavate the IDSF, remove all contaminated sand, repair the air supply line and re -build the IDSF to MOA standards. During construction, the integrity of the air line and proper panel/timer/alarm components shall be verified or fixed as necessary. 1. SOILS: See the 5/4/2000 log which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The average topography around the IDSF is relatively flat. In short, there are no slope concerns. 1 am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com NUMBER OF BEDROOMS: 3 GALLONS PER DAY (GPD): 450 PERCOLATION RATES: <1,24 MINJINCH PROPOSED APPLICATION RATE: 2.0 MINIMUM DRAINFIELD SO.FT.: 225 MAXIMUM DEPTH: REMOVAL OF CONTAMINATED MATERIAL WIDTH: 12 FEET LENGTH: 30 FEET M.O.A. APPROVED SAND FILTER: 2+ FEET EFFECTIVE: 0.25 FEET REDUCTION FACTOR: N/A ACTUAL SOFT.: 360 NOTE: THE PRESSURE SERVICE LINE FROM THE S.T.E.P. TANK TO THE IDSF SHALL BE GRADED AND PLUMBED SO THAT IT DRAINS COMPLETELY AFTER EACH PUMP CYCLE CONTRACTOR SHALL CONFIRM THE INTEGRITY OF THE AIR LINE FROM THE HOUSE TO THE IDSF. IF THE AIR LINE IS COMPROMISED, CONTRACTOR SHALL REPLACE IT AS SPECIFIED BY THE INSPECTING ENGINEER. a GEE, Ltd. HAS AN B PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. EXISTING 3 BEDROOM HOUSE 0 yOFO SHED Ji ANE E 10' UFlury EgSEMENT 1250 GALLON S.T.E.P. TANK EXISTING 12'x30' IDSFTO BE REBUILT IN PLACE 100' WELL PIPING, ORIFICE SHIELDS AND FLUSHING VALVES. FLUSHING VALVES SHALL BE EXTENDED TO GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS ....,n...... 3701 E,] DORNOAO.SUNE 101'ANCHOHA E.AKE807-PHONE(80])39ib1]8'f0.C(BW)9]83IOfi'WEBSIIE: wm,.gmesaeiglireelmq.wm AND SPI MODEL 5OB135 COMPRESSOR ALARM, IF THEY DO NOT EXIST CONTRACTOR SHALL VERIFY CORRECT PANEL CONFIGURATION AND SETTINGS AFTER CONSTRUCTION (VACAA� El CE -79531 OFESS\��i�� PREPARED FOR: PHONE NUMBER: PAGE NUMBER: TODD & KATHY SMOLNAK (907) 344-2992 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MOUNTAIN PARK ESTATES S/D; BLOCK 1, LOT 5B A.J.G. TYPE OF WORK: DATE: DESIGN OF PROPOSED SEPTIC UPGRADE 5/13/2014 AND SPI MODEL 5OB135 COMPRESSOR ALARM, IF THEY DO NOT EXIST CONTRACTOR SHALL VERIFY CORRECT PANEL CONFIGURATION AND SETTINGS AFTER CONSTRUCTION (VACAA� El CE -79531 OFESS\��i�� Municipality of Anchorage Page 1 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW000153 PID Number: 017-061-36 Name: DAVID PORE' & MARY CRAUMER Wastewater System: ❑ New ■ Upgrade Address: 5835 KALGIN DR. ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 345-8780 3 ❑ Deep Trench ❑ Shallow Trench ■ Bed O Mound ■ Others LEGAL DESCRIPTION Sall "° "° 2 Total Depth from original GPD/Sq. Ft. — 4.53 Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Grew] depth beneath pipe: 513 1 MOUNTAIN PARK EST. 0.55 — 1.65 Ft. 0.25 Pt. Township: Range: Section: FlII added above original grade: Gravel -lo gth: _ _ 0.5 — 1.6 Ft. 30 Ft. WELL: ❑ New ❑ Upgrade croute width: 12 Number 51inw: D2n4 between/lines: Fl. Classification (Private, Ae,C): Total DeCased To: Total absorpllan area: Pipe material: Ft. Ft. 360 s0, Ft. 0 3034/ SCH-40 Driller Date Drilled: Static Water level: Inetalbr. Dale installed: DENALI S&D 7/17/00 — 7/18/00 Ybld: Pump Set At: Casing Height Above Ground: TANK GPM Fu Ft. SEPARATION DISTANCES 13 Septic ❑ Holding ■ S.T.EP. To Septic Absorption Lift Holding Public/Private Manufacturer. Capacity in gallons: From Tank Feld Station Tank Sewer Ones ANCHORAGE TANK 1250 Well 100'+ 100'+ 100'+ — 25'+ Material: STEEL Number of oompartmentr. 2 Surface Water 100,+ 100,+ 100,+ - - LIFT STATION 10'+ 5'+ — — See in gallons: Manufacture r. Line 1250 ANCHORAGE TANK Foundation 5'+ 10'+ 5'+ — — *Pump on level at:Pump a ewl at' H]9h water alarm at, TIMER TIMER 1 46" Curtain I NO KNOWN Pump Make & Model: Ilaactnical Inspections performed by: Drain #20 051 05 HHF I M.O.A. Remarks: BENCH MARK location and Description: • THIS IS A BOTTOMLESS INTERMITTENT SAND FILTER TOP OF FOUNDATION CLEANOUT. — Z)" L.� BOTTM OF S.T.E.P. TANK = 90.82 ��f,DOvfi� P��2 VPC Assumed Elevation: 101.94 0, ENGINEEICB SEAL. 004 o� F ap Inspections performed by: AWWC, INC.Dates: 1st 7/17/00 2nd 7/17/00 ... Q 3rd 7/18/00 ..".• 0 4th 7/18/00 O e re A. ss,'•. Q Department of Health and Human Services approval y •, C 7953 i; O� ere^ cG�FaO 2 _ Reviewed and approved by /1�//%A/�iJ. Date: ! X2'00 •pr/1�100'(/ Qa'orofesslon000 p 0000000 72-013 . 9/91) MCA 25 PERMITNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SWO SW000153 017-061-36 IR I I 1 l r^ I MHGs� AIR COMPRESSOR � FCO INSULATED / � AIR LINE / NEW 1250 GALLON 1 STEP TANK NOTE: THIS AREA WAS COMPLETELY DRY ON 7/13/2000 NEW DRAINFIELD (BOTTOMLESS ISF) see, p 4PTv S THff2 _=LI7Y EASEMENT MT4 1 111.4 1104.8 1 r. a ALASKA WATER &WASTEWATER K.D.W. CONSULTANTS, INC. SCALE: 6901 DEBARR ROAD. SUITE 28 • ANCHORAGE AK 99504' PHONE (907)337-6179 • FAX (907)338-3246 1 n = 30� PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DAVID PORTE AND MARY CRAUMER (907) 348-8780 2 of 3 LEGAL DESCRIPTION: MOUNTAIN PARK EST; LOT 513, BLOCK 1 TYPE OF WORK: AS—BUILT OF SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF) A. `F'Arn ess,� -7953 .... 140 A B ST1 64.9 80.9 ST2 69.8 85.7 MH 72.0 87.2 MT1 90.9 104.2 MT2 102.4 95.5 MT3 100.2 112.9 MT4 1 111.4 1104.8 1 r. a ALASKA WATER &WASTEWATER K.D.W. CONSULTANTS, INC. SCALE: 6901 DEBARR ROAD. SUITE 28 • ANCHORAGE AK 99504' PHONE (907)337-6179 • FAX (907)338-3246 1 n = 30� PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DAVID PORTE AND MARY CRAUMER (907) 348-8780 2 of 3 LEGAL DESCRIPTION: MOUNTAIN PARK EST; LOT 513, BLOCK 1 TYPE OF WORK: AS—BUILT OF SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF) A. `F'Arn ess,� -7953 .... 140 INUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SWO SW000153 017-061-36 f0P OF fANK - Af INW - 9510 INWk' OF PUNG- Af IWf - 95,18 0916INAL Gt?ADE - 101h -102,7 AlalK a 99,19 DOff0M OF 5Y51EM - 98.19 (AVG.) FINN. 6 99.9-101.0 511 5f2 w NSW 1250 6&LON 5,f, f', TANK FINN. GP.AOE 103,2+ ALASKA WATER &WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B •ANCHORAGE, AX 99504 •PHONE (907)557-6179 • FA% (907)538324 IREPARED FOR: PHONE NUMBER: DAVID PORTE AND MARY CRAUMER (907) 348-8780 .EGAL DESCRIPTION: MOUNTAIN PARK EST; LOT 58, BLOCK 1 YPE OF WORK: PROFILE AS -BUILT OF SEPTIC SYSTEM UPGRADE (BOT' IN5LLA110N �fOP 9 fANK Af OALEf - 95.69 INV k;rOFP NG Af ani f - 95,09 INVEKf GF PIPE 101.05 OP OF 5AN9 - 100.8 (AVG.) K.D.W. .LE: 1" - 30' ........ .. ............. 'E NUMBER: 3 of 3 G nesse QO�m -7953 LESS ISF) 4 �40op> sto SEP. 12. 2000 2:25PM^`ALCAN ELECTRIC-" " . •.• _.....fig � � � •�� Pop Is of is NNIPPCC1'ONREPnDr 30 MUNICIPALITYOF ANCHORAGE.- BUILDENG SAFETY DMSION 4700 SOUTH MUQGA STREET, ANCHOPAGE, ALASKA f INSPECTIONS Y4xce (907)343 -MOO Fme (90;�3�,�j g13S INFOAt (i70� 343-82i1 i NAW., ALLAN ELEC W �G ADD1E: rI p�e-at ,Ni�PFJuurN'r z �. DATE: 7i�1/(lo�-lz90 PROEM' 1NOMN2. LQT S BLOCS 11 3UBDIVLS10N.` MrN PARK EST I COMMENTSMo AM COLLEEN HA3 PETaIlT NUMBED, ' I TYPE OF M1: 42: AL EC770N. Elcgdcat Rough _ - i. 6 Nonon.compliarceobaerved. ,',.�..- ❑ Cametions essaitial as mcPlained below. ❑ C,O. appround. �, '': , 1,. , ,.;• ❑ w;n m-0remine atawa inspeetian ❑ Do not comceal unbl re inspected . ❑ 'c.c o. approved (comments bdoR). COMMENTS: ' i;�LE•C.7Rl,Gh-l� .uND�.,.FLL^��ovNl�, 1.•.;':T..,• ,:..� .l w��':� .. �.,.6•• ,.i F �'•.� FP.y.fl C.P .: ... r �' G.rY�• n�• f�: �V lam• L1� .'PElti�►iT°�' h11��1•,1,:':''°'.:;'<'u.:,)iJCa:':DfR�':f7�.�Z.��iJYY �t'�:.':i.:;��hw CE r r I �•,, .:� 3 200 ;;;� . .W"•4':1 � V. (/ ISL i. ., .. �''�,.'t' :°'' ..i i' � • (t;r'jz: J.�:CQi:•�i<\��i{,.:�G,'fY�''�dL, �.'••��L ., , .. ,1'y, .1, '� 1 •r' . � P,a(�,Fpje:�l .� • � '.: ; k.; •; a•. P. DWPECTIOR• 1. "A.�,_ DATE: l'E C44 FOR MARMON :. 4490 NQTTCE, MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade 7/11 /tt 7/ 160 @ al( dam 7/l 9Ieo Date Issued: Jun 08, 2000 Expiration Date: Jun 08, 2001 Anchorage , AK 99516-3115 This permit is for the construction of: L� Disposal Field K Septic Tank F] Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. El Private Well ❑ Water Storage 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 (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: %- 8 -4-->0 Date: el 8-�%� i aalKbD�" Permit Number: SW000153 Parcel ID: 017-061-36 �— Legal Description: ,MOUNTAIN PARK ESTATES BLK 1 LT 5B Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 005831 KALGIN DR Owner Name: David Poret & Mary Craumer Lot Size: 25600 SQ. FT. Owner Address: 5835 Kalgin Dr. Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99516-3115 This permit is for the construction of: L� Disposal Field K Septic Tank F] Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. El Private Well ❑ Water Storage 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 (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: %- 8 -4-->0 Date: el 8-�%� ALASKA WATER �& WASTEWATER CONSULTANTS, INC. May 18, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Mountain Park Est; Lot 5B, Block 1 (Bottomless Intermittent Sand Filter - ISF) To whom it may concern: RECEIVED MAY 22 2000 ,...+.% I V I yr I` ANCHORAGE %'WNRALSERVICES DIVtSt,- The existing 3 bedroom house is served by a private well and septic system. The existing septic system consists of a 1000 gallon septic tank and a trench type drainfield that is surcharged and appears to be encroaching groundwater. We are proposing that a 1250 gallon S.T.E.P. tank and a Bottomless Intermittent Sand Filter (ISF) system be installed. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: Two test holes were excavated on the south end of the property to determine a suitable area for the septic system upgrade. Given the limited area around the test hole, the groundwater concerns, and the setbacks from the existing septic system, it is our opinion that a Bottomless ISF system is the most viable option. 2. SOILS: Attached are the logs which show the soil classifications, groundwater monitoring, and the percolation test results. In TH#1, the soils below the organic layers are a GM material to a depth of 4.0 feet and then transitions to a ML material to a depth of 7 feet. At 7 feet, the soils transitions to a SM/GM material to a depth of 11 feet (bottom of test hole). In T 142, the soils below the organic layers are a GM material to a depth of 12.0 feet (bottom of test hole). Groundwater was encountered during the excavation of the TH#1 at 9 feet and heavy seeping existed during the excavation of TH#2. The monitoring tubes were checked on 5/10/2000 and groundwater was found to be at 9 feet in THA and at 6.6 feet in TH#2. The monitoring tubes were again checked on 5/15/2000 and groundwater was found to be at 9.5 in TH#1 and at 8 feet in TH#2. Two percolation tests were perfomed in TH#1. The first was performed, between the depths of 3.0 feet to 3.5 feet which had a percolation rate of <1 minute/inch. The lower bench in TH# 1 was performed between the depths of 4.5 feet and 5.0 feet which had a percolation rate of 24 minute/inch. One percolation test was performed in TH#2 between the depths of 2.0 feet to 2.5 feet which had a percolation rate of 14.1 minute/inch. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 - Ph: (907)337-6179 - Fax: (907)338-3246 3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: <1, 24, and 14.1 minutes/inch b. Allowable Application Rate for ISF: 2 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 225 ft2 f. Effective Depth below pressure pipes: 2.5+ inches g. Width: 12 feet h. Length: 30 feet. i. Effective absorption area= 360 ft2 j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: In accordance with M.O.A. latest standards m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than I% passing the 48 sieve. We are proposing to excavate down to a depth of 4.5 feet (maximum), place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. 4. SURFACE WATERS: There is seasonal pond/lake located on Lot 5C, Block 1, near Kalgin Drive. 5. TOPOGRAPHY: The area where the existing drainfield and proposed ISF are is generally flat. There are no slopes greater than 25% within 50 feet. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (5th floor, 9th & L St.). 7. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact meat 337-6179. Thank yo4or your assistance. P.E., M.S. 6901 Debarr Road, Suite 2B -- Anchorage, AK 99504 — Ph: (907)337-6179— Fax: (907)338-3246 m 07 I 4 I 1 I — _ _ '� LOT 5, BLOCK 6 ' MOUNTAIN PARK EST. y t I \ LOT 10, BLOCK 6 _ `"¢` �. ``•S S \� .tOUNTAIN PARK EST. / LOT 9, BLOCK 6 I \ I MOUNTAIN PARK EST. LOT 6, BLOCK 6 \ LOT 6, BLOCK 6 i MOUNTAIN PARK EST. \\ \\MOUNTAIN PARK EST. DRIVES LOT 7, BLOCK 6 MOUNTAIN PARK EST. I I e LOT 5A. BLOCK 1 JOU IN PARK EST. I C�� PROPOSED SEPTIC - UPGRADE. SEE PAGE 1 2 O 3. -EXISTING THREE BEDROOM HOUSE EXISTING SEPTIC SYSTEM ,H +TH#2 LOT 5C, BLOCK 1 MOUNTAIN PARK EST. '/ WACA TD '�;ACANTD LOT 4. BLOCK 1 MOUNTAIN PARK EST. I LOT 3, BLOCK 1 1 MOUNTAIN PARK EST. I I' ALASKA WATER & WASTEWATER , CONSULTANTS, INC. 6901 DEBAHIi ROAD SUITE 28' ANCHORAGE. AK 99504 •PHONE (907)337-6179 • FAX 907)335-5246 PREPARED FOR PHONE NUMBER: 1 DAVID PORTE AND MARY CRAUMER (907) 348-8780 LEGAL DESCRIPTION: MOUNTAIN PARK EST; LOT 5B, BLOCK 1 TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE (BOTTOMLESS K.D.W. 1 " = 100' 1 OF 3 LOT 5, BLOCK 4 MOUNTAIN PARK EST. r'1 T 4,NBLOCK JTAIPARK EST.1 1 I 1 I 1 { I 1 I 1 MN F .•.911, �.............../ A. ess,- —7953 "*'/ INSULATED AIR — UNE (SEE NOTES) S NOTES: THE AIR COMPRESSOR SHALL BE LOCATED WITHIN THE BASEMENT OR THE GARAGE. THE CONTRACTOR SHALL PROVIDE A 0-10 PSI PRESSURE GAUGE AT A LOCATION WHICH IS READILY ACCESSIBLE FROM WITHIN THE HOUSE . NOTE A 30 PSI GAUGE WILL NOT WORK. THE AIR COMPRESSOR SHALL BE A THOMAS INDUSTRIES MODEL 5070, AS SUPPUED BY ANCHORAGE TANK. THE AIR UNE SHALL BE 1/2 INCH DIA. HOPE (1 PIECE), INSIDE A 2 INCH SCHAD PVC JACKET. THE UNE SHALL BE BURIED TO A MINIMUM DEPTH OF 3 FEET. THE CONTROL PANEL FOR THE STEP TANK S/Wl BE INSTALLED OUTSIDE THE RESIDENCE WITH AN AUDIBLE/VISUAL INDICATOR INSIDE THE HOUSE. B�Fx/sy> F � AIR COMPRESSOR / (SEE NOTES) / FCO / /PROPOSED 1 1250 GALLON S.T.E.P. TANK PROPOSED BOTTOMLESS INTERMTTENT SAND FILTER. EXCAVATE A BED THAT IS 4.5 FEET DEEP MAXIMUM BY 12 FEET WIDE BY 30 FEET LONG. SEE ATTACHED EXISTING SEPTIC DETAIL AND PROFILE (PAGE 3 OF 3) SYSTEM TO BEFOR CONSTRUCTION DETAILS AND ABANDONED 14REQUIREMENTS. WT R —�UTY EASEMENT NOTE: THE CONTRACTOR MUST HAVE THE 100 FOOT WELL RADIUS, THE SOUTH AND WEST LOT LINES FOR THE REFERENCED PROPERTY FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 5/18/2000 OF A op �= (C' 4 fi DRAWN BY: ALASKA WATER & WASTEWATER SCALE: K.D.W. o �y*apo CONSULTANTS, INC. 1 = 30 0 6901 DEBARR ROAD SUITE 2B • ANCHORAGE. AK 99504 • PHONE (907),357.6179 • FAX (907)336-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DAVID PORTE AND MARY CRAUMER (907) 348-8780 2 of 3 Q e r A. ar ss; D0 LEGAL DESCRIPTION: OQ�� 7953 MOUNTAIN PARK EST; LOT 5B, BLOCK 1 „ ,,,.• TYPE OF WORK:QQ4oO pro fesSioO�vooG DESIGN OF SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF) DOpppp000 LINE 514" DIA, 5CH. 40 PVC (HOLE5, 5HIELD5, AND I VALVE5 PER ORENCO C I / 4" DIA, 5CN 40 NDPE 4" DIA, MONITORING WE AT EACH DI CHARGE LINE FROM CORNER, PERFORATED PETWE; N TOP STEP TANK AND MANIFOLD OF 5MI? AND D15TRIP00N PIPE INVERT, (DRILL I/ 4 INCH DIA HOLE5) PLAN VIEW ORIGINAL 6" LAYER OF 518" PEA GRAVEL WITH THE PVC LATERAL5 XRIED MIDWAY IN TI& 51RATUM.L�" (GRAVEL. KLOW PIPE - 3"+ ) 2 FEET MIN, OF FILTER A1R UNE 18" TOP of 3/ 4" PVC LATERAL5 (TVP �9 2' MIN. OF COVER PROFILE VIEW 1 MT ALASKA WATER & WASTEWATER SCALE. J.L.M. CONSULTANTS, INC. 1 „ = 20' 6901 DEBARR ROAD SUITE 28 ` ANCHORAGE. AK 99504 `PHONE (907)557-6179 `FAX 907)358-5246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DAVID PORTE AND MARY CRAUMER (907) 348-8780 3 OF 3 LEGAL DESCRIPTION: MOUNTAIN PARK EST; LOT 5B, BLOCK 1 TYPE OF WORK: DETAIL OF BOTTOMLESS INTERMITTENT SANF FILTER (ISF) 12'x30' 60TTOMLE5515F. NO LINER ON DOTTOM, P551 PIPING DESIGNED DY OWNCO AND 5Ltl'PLIED DYANCNORAGE LANK. 0. I I I N I I • I (NTH PRO (EXTEND T v z3 e re A. Garness,.. �d e C 7953 ..... ower •� '��4c0OQ ALASKA WATER & WASTEWATER CONSULTANTS, INC. 690PHONEARR (0 )0337561 9 *UrTE FAX (907) 338-3246 32469504 SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: MOUNTAIN PARK EST; LOT 58, BLOCK 1 PERFORMED FOR: DAVID PORTE AND MARY CRAUMER DATE PERFORMED: 5/4/2000 (t et�� TEST HOLE #1 1 I (WEST HOLE, PAGE 2 OF 2) 2 5 7 a 8 z 0 9 � 0 10 = F uj N 112z11- 12— z 0 13 14—N 5 U 15 0 16 w V) 17- 18 19 20 ' COMMENTS: OIL CLASSIFICATIONS DATE SITE PLAN I 1" = 100' AREA •TH#1 TH# DATE READING tif !1 S I NET TIME (MINUTES) I WATER LEVEL READING ilii!mw 5/5/2000 uE PERCOLATION DATA ON THIS PAGE FOR �� BENCH PERC. HOLE ONLY. DATE SITE PLAN I 1" = 100' AREA •TH#1 TH# DATE READING CLOCK TIME I NET TIME (MINUTES) I WATER LEVEL READING NET DROP (INCHES) 5/5/2000 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING PERCOLATION DATA ON THIS PAGE FOR LOWER BENCH PERC. HOLE ONLY. 1 3:15 — 6" — 2 3:45 30 4 7/8" 1 1/8" 3 3:45 — 6" — 4 4:15 30 4 3/4" 1 1/4"_ 5 415 — 6" — 6 4:45 30 4 3/4" 1 1/4" PERCOLATION RATE 24 (MINdINCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. PERCOLATION DATA ON THIS PAGE FOR LOWER BENCH PERC. HOLE ONLY. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF RM D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE ev ALASKA WATER & WASTEWATER CONSULTANTS, INC. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: MOUNTAIN PARK EST, LOT 58, BLOCK 1 PERFORMED FOR: DAVID PORTE AND MARY CRAUMER DATE PERFORMED: 5/4/2000 DEPT TEST HOLE #1 (feet ��-� ORGANICS 1 Y _ (WEST HOLE, PAGE 1 OF 2) 2 3 4 8 9 10 11 12 15 16 17 18 SM DEPTH TO GROUNDWATER SOIL CLASSIFICATIONS 5/4/00 9- GW 9.5' GM • - �I II�111"11�ML%CIL • �t�MH IIN11SPCH \NPS P i I �y� PS • !<�SC �SOR��O EE SM DEPTH TO GROUNDWATER DATE 9. 5/4/00 9- 5/10/00 9.5' 5/15/00 SITE PLAN I 1" = 100' C AEREA C ACANTT * TH#1 TH# DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 5/5/00 F PSS PS \NPS P PS �SOR��O EE 19� PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 3.0 FT. AND 3.5 FT. COMMENTS: PERCOLATION DATA ON THIS PAGE FOR UPPER BENCH PERC. HOLE ONLY. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFO)RME;b IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON ALASKA WATER & WASTEWATER CONSULTANTS, INC. 59011H0 EdA(0) 337561 9 2B FAX ANCHOR G 2499504 SOIL LOG PERCOLATION TEST LEGAL DESCRIPTION: MOUNTAIN PARK EST; LOT 5B, BLOCK 1 PERFORMED FOR: DAVID PORTE AND MARY CRAUMER DATE PERFORMED: 5/4/2000 DEPT TEST HOLE #2 (feet E ORGANICS 1 (EAST HOLE) 2 5- 6- 7— 67 GM 8- 9101t9- 10- 11 12 B.OlL 13- 14- 15- 16- 17- 18- 19 3141516171819 20 COMMENTS: SOIL CLASSIFICATIONS GW k w 1 ORG DEPTH TO GROUNDWATER DATE Illlllill • • AWN 5/10/00 8' N/'/��N 111111111 .'�3'd 111tH Q -N �i� � DEPTH TO GROUNDWATER DATE SEEPING 5/4/2000 6.5' 5/10/00 8' 5/15/00 SITE PLAN I I" = 100' ,y Br (TE � C �ACpRT� STH#1 + DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL I READING NET DROP (INCHES) 5/5/2000 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING 1 3:16 — 6" — 2 3:46 30 3 3/4" 2 1/4" 3 3:47 — 6" — 4 4:17 30 3 7/8" 2 1/8" 5 4:17 — 6" — 6 4:47 30 3 7/8" 2 1/8" PERCOLATION RATE 14.1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) I TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON If 60ti- LO BLOCK 6 MOUNTAI ARK EST. D TTAI KEST. 0 PAR \ = LOT 9, BLACK UNTAIN PAR LOT BLOCK 6 T 6, B CK 6 m MOUNT PARK EST. MOU P RK EST. ALGIN D VE LOT 7 OCK 6 N PARK ST. 2335 \ e. 8,0 LOT 5C, BLOCK T , BLO K 1 MOUNTAIN PARK 0 IN PAR �P C GACAN LOT 5, B OCK 4 ♦ . MOUN IN ARK EST. LO 7, BLOC OU N PAR 4, BLOCK L T 4, BLOCK 1LOT MOUNTAIN PARK E MOU IN PARK EST. O T 3, B 1 U M UNTAI P K DATE: /2000 DRAWN B ! .D.W. SCALE: 1 " — 100, 6901 OE ARR ROA , UITE 213 AN( ORAGE,99504' PHONE 7) 7-61 9 • AK 7)558-32 PR AIRED E MBER: DRY UPH CRA 48-8780PA 1 OF LEGAL DESCR ION: MOUNTA N P R E T; LOT 5 CK 1 TYP OF WORK: j POGRA HIC A IN) E EXISTING F GUTTER EXISTING WELL WIRES ON GROUND. BURY WIRES TO A MINIMUM DEPTH OF 24'. PROVIDE DRAINAGE SWALE AROUND HOUSE AS REQUIRED TO PROVIDE POSITIVE DRAINAGE (5X \ WELL MINIMUM SLOPE). 10' MINIMUM FROM HOUSE. Q/ SIDEWALK / 'REGRADE THIS WHOLE AREA SO THAT GROUND SLOPES AT A - MINIMUM GRADE OF 5X AWAY FROM THE HOUSE. (SEE DETAILED DRAWING) _U77 L'Ty FASEMENT� DETAIL DRAWING EXISTING RAIN GUTTER IRECT BURIAL CHROMALOX �I. HEAT TRACE INSTALL 4- PVC (D3034) AND - EXTENDED IT 6' ABOVE GRADE. CONNECT TO EXISTING RAIN GUTTER ON SOUTHWEST CORNER OF HOUSE. REGRADE THIS AREA SO THAT GROUND SLOPES AT A MINIMUM GRADE OF 5X FROM THE HOUSE. TOPSOIL AND RESEED. 90 DEGREE ELI NEW 4' PVC D3034 TO DAYLIGHT, 15'+ FROM HOUSE BLUEBOARD INSULATION, 2' WIDE r.1 ;t .—I - ALASKA WATER & WASTEWATER K.D.W. CONSULTANTS, INC. SCALE: c 30� 6901 DEBARR ROAD SUITE 2B • ANCHORAGE. AK 99504 • PHONE (907)337-6179 • FAX (907 33"246 REPAIRED FOR: PHONE NUMBER: PAGE NUMBER: DAVID PORTE AND MARY CRAUMER (907) 348-8780 1 of 1 EGAL DESCRIPTION: MOUNTAIN PARK EST; LOT 5B, BLOCK 1 (PE OF WORK: SURFACE WATER DIVERSION HOUSE INTERIOR T1 0' TO BASEMENT A. Garness; —7953 \ ..•c�Ao MUNICIPALITY OF ANCHORAGE - DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION *0 ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME - PHONE ANEW Nick Z, vnd Y VeL4r 3411- 0(029 UPGRADE MAILING ADDRESS Ia23 cimle gg502 LEGAL DESCRIPTION �a,-k L.o4 5b aica r M+• E5+V,+er, LOCATION- l 1 1� Corner kal NO. OF BEDROOMS on avj irr-7 7j Vy DISTANCE TO: Well I IpZ Absorption area I �� Dwelling V104 'tVl PERMIT NO. 83oL1ge a 2Q W H r� Manufacturer 1.+1 rte" Material �, !� 1 Tr No, of compartment Uq. capacity in gallons 1000 IF HOMEMADE: Inside length Width Liquid depth Z DISTANCE TO: Well Dwelling PERMIT NO. _ F Manufacturer Material Liquid capacity in gallons OJ W = DISTANCE TO: Well iO� I Foundation in Nearest lot—line 1 PERMIT NO. S3O 4gB Z m 1=—pr No. of lines - 1 Length of each line i Total length of lines SO Trench width �/Z. inches Distance between lines 2 F Top of the to finish grade I �' `'J Material beneath tile Total effective absorption area O 5 — Z inches 2- W Length Width Depth PERMIT NO. i F Wa Type of crib Crib diameter Crib depth Total effective absorption area - y DISTANCE 70: Well Building foundation Nearest lot line J Class Depth Driller 4&. Distance to lot line PERMIT NO. J W 3. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS �.a54 Spon I? VC SOILTEST RATING 135 F+2 be -Amore D WC I •V INSTALLER Uene�I,i' EXS3 D - Ofo4 0 REMARKS `.coils a� enk of-ktench •' Yllo� re resevll kye , As W .%r l5 move - c,,A of -4Y mc. \, I ©b V 'o 1-010, Zr I( c 0 oocx nv on ue'•�C LEGAL 5 BI k , Mt. Taa k EsUu Plr- WATER WELL RECORD ' STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologicol 8 GeophysicolSurveys either lb lc.} la. Il DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 5. OWNER OF WELL: Streel Addres, and Arco of Well Locoflon Feet Belo~ ~. WELL DEPTH: (final) 5. OATE OF COMPLETION 2. WELL LOG Surface 9. FINISH OF WELL: Slot/Math Size: Length: Set belween ft. and ft. Backfilling Gravel pack ~c~O~O~ 12.GROUTING Well Grouted: ~ Ye~ ~ No ~N~C~A~~ Ur 9~1 ~, Material: ~Nea~ Cement ~Olher: Date Drilledl5'31-83 WELL LOG Static Water Level 270 feet Draw Down N/A feet T~pe Material Drilled: 0 feet to ~5 Crave1 Gallons Per Minute 4 Total Feet of Cksing ~03 feet to ~0 Send 8Q feet I?Q to 110 Clay and Rnck to 170 Gravel rqpd gq.lder~ to140 Send lZ, O f~et to 175 Clay 175 to 200 Gravel .200 to 203 Sand and Water Hefty Drilling S.R.A. Box 1553 H Anchorage,Alaska -99507 � �� u�r��/��N| �� MEHLTH AND ENVIRONMENTHL �nTECTIQN 825 /L/ STREET, HNCHORHGE, HK. 99501 264-4720 �o=om ^ WEE�r^"m ,=�^'� °^. �� N—�� _ ��E= _-�� r�nn^/ nv k 83m��u , APPLICANT NICK I YHNDER YEUR. LOCATION I LEGAL TYPE OF SOIL ABSORPTION SYSTEM IS: MAXIMUM NUMBER OF BEDROOMS = 3 1923 STONEGATE CIRCLE 99502 344-0629 LOT SIZE 999999 SQUARE FEET TRENCH SOIL RATING (SQ FT/BR)= 135 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: L�l E= `F� -ir " -1 :2 L_ F_= PA IC3 -r "= _3:�t (1-F;�'FIVE:L- EDR:F:l'7r"= � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) |F THE CH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE D ° //��n � GROUND AND THE BOTTOM OF THE EXCAVATION BETWEEN THE SURFACE OF THE (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES. - � THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FRl=Ql_l31FZErE> _'GErF�-rlj-_ :1_lDe)C3 C3F=fL_L_iDr4n3 ` PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERYE. / --- _rWID <.2> F=IV<F= BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL RE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TOH COMMUNITY SEWER LINE IS 7` FEET. I WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F�E:FRMI_r F=>4F=�lF;?E=.E; L-�E:C::eME3aF;� �11, :iLE31:H�2: I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY ' ANCHORAGE. 2: I WILLINSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. SIGNED: ISSUED BY V4.0 � �m Cq= ��C.: F-F:l�-~ EZ ` DEPARTMENT HEHLTH AND ENVIRONMENTAL ^ . �� AOTECTIQN ^ 825 '�� STREET, ANCHORAGE, 8K, 9lit1 264-4720 PERMIT NO L4�� 1�—�X�� 'x� n �� t 820287 ) ' x`.r, 'APPLICANT MICHAEL N FRHZAR PO BO'` 703 ' LOCHTIOLOCATIONKHLGI@ DR 688~3480 LEGAL LOT SIZE 241G8 SQUARE FEET ^ TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS � Z SOIL RATING (SQ FT/8R)� ` 1]5 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ' E!!EF='_T0-K= 1L:2 �w| C3KFA%AE=L_ E>E=F"-rfA== yEF THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELDI , THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THEBOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES - THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT. INQ THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- --- --- hj I-) c. ;zN 1 14 'n F" EE CT -T- X C-) 1"A On FA FZ E= FT E=/ -- LJ ^ - � EH: E:� — — — BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BYTHIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION, . MINIMUM DISTANCE BETWEEN A WELL- AND ANY ON --SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPONTHE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. ` WELL LOGSARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS� OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ' �EnE Fw: 01 14 -r- ERT 1-1 K 1|F;Z EE On EA EE CT EE P1 ED E= FQ �1 K^ :1L 09 E32" I CERTIFY THAT 1 I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE � � - SEWERS AND WB -LS AS SFT FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ?: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS, \ SIGNED:_^_-�` _ _-_-____-~__---_--- APPLICANT MICHHEf[ N FRHZHR ' ISSUED BY PERFORMED F LEGAL DESCRI • • J� SOILS LOG MUNICIPALITY OF ANCHORAGE ,` DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST S-, // (M ) 2 0 3 r 4 S,/ Gr2n/• 5 Date Gross Time Net Time Depth to Water Ai- Net Drop --6 o 9'8' 7 'z, qs— g J(9w /o e 0.6o s 2 0 D .3 B• �f6 10 1 Z Z 77 x,12 ZZ 1 13- 314151617 3Y I o r 3 14- 15- 16- 17 18 19 opn COMMENTS PERFORMED 72-000 (6/79) DATE PERFORMED: C:: Sl SLOPE WAS GROUND WATER S ENCOUNTERED? L T O P IF YES, AT WHAT E DEPTH? SITE Reading Date Gross Time Net Time Depth to Water Ai- Net Drop o 9'8' & 'z, qs— g J(9w /o cr 0.6o 0 D .3 B• �f6 1 Z Z 77 ZZ 1 3Y I o r 3 PERCOLATION RATE _(minutes/inch) q• TEST RUN BETWEEN FT AND � FT DATE: Z --//"T/ Time APPLIqDNT FILLS OUT UPPER HAIM ONLY Property Owner n��r- �., )/1� Phone Time. - Date - Mailing Address - Zip Code '— Buyer Address _ - t Zip Code Lending Institution ALA3 A)K- ir-i't S� r�-IL),Ta AL ` l Phone Address/ Zip Code j — Q Realty Co. & Agent - Phone Address - - Zip Code Legal Description.�D� Street Location - Type of Residence - Single Family - KMultiple Family No. of Bedrooms_ ❑ Other Water Supply _ C1a-1ll—a-rJ7�• idwi Kndiv�`' ATTACH WELL LOG. A well log is required for. all wells drilled since June 1975.. Community For wells drilled prior to that date, give well depth (attach, log if available). ❑. Public Utility - �' -'` .:. { Sewer Disposal XIndividual Year Individual Installed: �(O� ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank - - - - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time- Time. - Date - Date Date - - Date -aa-83 Inspector - Inspector Inspector - Inspector Field Notes: f'fY 8 C1a-1ll—a-rJ7�• APPROVED BEDROOMS - - 'CONDITIONS OF APPROVAL. ( 1. DISAPPROVED - - P OVAL' ( ) CONDITIONAL Af - DATE BY: - Soils Rating Date Sewer Installed - Well To Absorption Area /0 1 ' Well Log Race!! ad /Z+ t 04r Well to Tank Septic Tank Size �4 cv LOBATION OF WELL (Please complete lo, Soraagh Suboivisloa Lot Black }AVVNTJkA N 3S, I Igcfi uxra,r le.111BOTANCE AND DIRECTION FROM ROAD IN Street Address and Area of Wolf Location WATER WELL RECORD STATE OF ALASKA l V 1 1 DEPARTMENT OF NATURAL RESOURES ��01 Qv *Division of Geological & Geophysical Surveys WAskil.4ii Drilling Permit No. er la, IO or IC.)'A.D.L. Na.d%4 R trsnnehill N0 Ranee E0M4N4ion _at_ofspW❑(SECTIONSOWNER Of }WELcL: t- q- ? 3S . TUc742 120. sulrf_ G ,id`•' 2. WELL LOO Feat Belo. 4t Surface 4. WELLDEPTH! (Nnall S. DATE OF COMPLETION Z \ Material Type TOO 6otto `r - D "+r -.-eft. - O 2Slow, e. Ocala* tool gRotary �Drlvs —+ /1 C]Auger []Jetted [28arad t--fQ other: ' , use: q, -Damoetlx O Public Supply Q Industry r/ K irrigation O fleshateo 0 commerical Toot Well Other: S. CAS G: C) his C3 C3 Welded yLy SOL 104,M. In. to i tt Depth Weight t" IbtV 1 410m, , to i}, Oupf StickaP ft. S. FINISH OF ELL; Typer Olometor+ 8f ail Meeh size: Longfh: dJ 8s€ but.an ff. and ft. �i 8ovkt7Ning eI Peak -�' _ 11`• V� 10, STATIC WATER LEVEL T Ft. O Q C] Above at B Eel and urtccs Dale ' EvaiPment Used: .5011NO 17 Qt� II, PUMPING LEVEL Auto. land sutfaae and YIELD y64 -m after L his. Pump€ne-raj yh. g.p•m. ft, afhr bre, pumpfng_�g.Rm. RASE 12.OROUTJNO Wolf Orated: n You Q No 1M _` C lCIP k Material : ©Neatdila Cement C] Other: � 3 Vel• krL fV •.t , �ciji(+L Y� 1='� 13. PUMP (it ovafiablaS HR 3 r j Length of Orae Pies ft, capacity q -p In. Q subm_ O Jet C) CebtriHcal Q other IF 14, REMARNS� Am fZ LI irr wm PI1vo 18. WATER WELL CONTRACTOR'S CERTIFICATION: ' Is. Water Tom Deratuto —0 M F M C I Thio wail .4s dri rl.d onder my jurisdiction and this report to flee to the best of my knowledge and belief; Registw..d Business Name Can tract License Number Form 02•WWR (fl/Sl) COPY Distribution; WHITE-SfaN DOGS, PiNh'Dnaer, CANARY-Custooror t T fnot.3nf7'dyrJ ��2� t=om J Q 1 / L•'SQ Date Drilledc5'31-93 Static Dater Leve(_?' Drax DownNPA WELL LOG feet Gallons Per Minute feet Total Feet of CAsi iS6 0A Type Material Drilled: vU�/�7A 3 0 feet to Cravcl 75 frnt t0 80 3and 91) f ani to 17flF—I t0 iIders 1711 fo-a3. t0140 SAT16 140 fnwt to 171 CIAv 175 to 200 r.rtavei 200 to 203 Sand and VItor Hefty Drilling 703 S.R.A. Box 1553 H 6 SSA / Anchorage,Alaska 99507 7 J_ CoS/k , . s-rte%'`?3 00 �� a°►� casa / IVAf 16 S Municipality of Anchorage_ On -Site Water & Wastewater Program.:. (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-061-36 Expiration Date: �� O �°� 1. GENERAL INFORMATION Complete legal description MOUNTAIN PARK ESTATES SID; BLOCK 1, LOT 56 Location (site address) 5835 KALGIN DRIVE, ANCHORAGE, AK, 99516 Current Property owner(s) TODD & KATHY SMOLNIK Day phone Mailing address Real Estate Agent 5835 KALGIN DRIVE, ANCHORAGE, AK, 99516 BETH SIMPSON W/ KELLER WILLIAMS Day phone 344-2992 865-6557 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex JUL ��(� ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual On-site Individual Water Storaqe ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WatverNananoe request for N/A rr I Distance: - Received by: COSA to be released to the COSA Fee $ 52-(o-7 Date of Payment Receipt Number!rA®Dcp? « 1 Cpl COSA # V - N,3� U by the engineer. Date: ! ,! tjhy Waiver Fee $ Date of Payment Receipt Number. Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. Address 3701 E. TUDOR ROAD, SUITE 101 `ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, LfD, attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSO 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 during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this mport is for the sole benelf of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for 3 bedrooms. System #2 Approved for Disapproved, Conditional approval for bedrooms. Phone 337-6179 Date 7 A f Lf bedrooms, with the following stipulations: `p�� OF Iq�C�i�r�r ON-SITE �, r WATER AND 1NASTEV]ATER �r v �m uLM o v/ rU/C 1�'J NT SEF N1 By: fr Original Certificate Date: -� The mci ity rAnc orage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: ! COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other rR— Imr?mi If more than I septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: MOUNTAIN PARK ESTATES S/D; BLOCK 1, LOT 5B Parcel ID: 017-061-36 *THE 10/6/83 WELL LOG CANNOT BE FOR THIS LOT A. WELL DATA **PER AAROW PUMP & WELL INSPECTION REPORT 7/18/14 (ATTACHED) Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) *YES Date completed •513111983 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *203 ft. Cased to **10 + ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test *5/31/83 Static water level 170 L?) ft. Well production 4 g,p,m. WATER SAMPLE RESULTS: AT INSPECTION 5/7/2014 165 ft 4.04+ g, p. m. Coliform 0 colonies/100 ml. Nitrate 10.6 mg./L. Collected by: GEG, Ltd. Arsenic: ND ug./L. Date of sample: 5/7/2014 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 7/18/2000 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping SEE INSP REPORT Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA 6ELow P NAL GRADE Date installed 615-6/2014 Soil rating .p.d./ r ft2/bdrm) 2_0 System type BOTTOMLESS IDSF Length 30+ ft. Width 12 ft. Gravel below pipe 0.25 ft. Total depth *3.0-3.2 ft. Eff. absorption area 360+ ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 450+ g.p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - NOTE: DRAINFIELD WAS INSULATED W/ 3" INSULATION. 24"+ SOIL COVER SATISFIED. D. LIFT STATION 'SEE ATTACHED MAINTENANCE REPORT. Date installed 7/18/2000 Size in gallons 1250 Manhole/Access (Y/N) YES '75 BELOW "Pump on" level at TIMER in. "Pump ofr level atTIMER in. High water alarm level at MH LID in, Datum 'TOP OF MH LID Cycles tested Meets alarm & circuit requirements? 'YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankA'rft station on lot Absorption field on Public sewer main Sewer /septic service line 100'+ 100'+ N/A 25'+ On adjacent lots 109+ On adjacent lots 1001+ Public sewer manholetcleanout NIA Holding tank NIA Animal containment areas 504Manure/animal excrete storage areas 109+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Properly line 5'+ Absorption field 51+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 101+ Water main WA Water service line 101+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 7.11 I'll,q Municipality of Anchorage Community Development Department Development Services Division ` On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 141351 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1, Lot 5B of Mountain Park Estates subdivision. This inspection revealed a nitrate concentration of 10.6 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. SGS Ref.# 1141772001 Client Name Garness Engineering Group, Ltd Project Name/4 MPE B1 L5B Client Sample ID MPE Bl L5B Matrix Drinking Water PWSID 0 Printed Date/Time Collected Date/Time Received Date/Time Technical Director 05/14/2014 11:33 05/07/2014 14:10 05/07/2014 14:49 Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOD Units Method Container ID Limits Date Date Ina Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 05/08/14 05/12/14 EAB Waters Department Total Nitrate/Nitrite-N 10.6 0.100 mg/L SM21 4500NO3-F B (<10) 05/13/14 AYC Microbiology Laboratory E. Coli Negative 1 10OmL SM21 9223B A 05/07/14 KC'P 'Total Coliform Negative 1 100mL SM21 9223B A 05/07/14 KCT ■f 03/30/2014 02:42 907-345-0202 ■rte■■ ALPINE DRILLING f AAROIU PUMP & WEU SERVICE, LLC P.O. Box 110490 Anchorage, AK 99511 Office: (907) 346-9355 • Fax (907) 345-0202 Eagle Rlver: (907) 622-9335 ,n ^ VdOj SITE PAGE 01/01 MWNCE No. 10200 Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree t0 Allow Aarow Pump & Well Service. L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. b G� x$35 01Yl1 q 1YlYr1e�5 I ' iV IU(1q LuiJ N 1 g� WELLDEPTH SWL cI1LONNgT2D PUMP DEPTH. SALESPERSON I,.eCQWA TITY ?;;:: „�:?,, .; :-, :r:DE CRIPTfON .., ,: ;.. :.. - .�,. PRICE'. . ...AMOUNT ylS "D CO fn�%25 a� Ya65 � IL/) 67Q i camf v,' a ve l,Y 5 fDY,S Dr ��i5• P� too LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR WORK ORDERED BY TOTAL LABOR PAY THIS AMOUNT Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree t0 Allow Aarow Pump & Well Service. L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. ƒ r � ®§a 7& dd� z © (. .q -j- "a ;�•a�. ?% : £+ � � � ��• �%� &� ƒ r � ®§a 7& dd� z © (. .q -j- "a ;�•a�. ?% : £+ � � � &� I ƒ r � ®§a 7& dd� z © (. .q -j- "a ;�•a�. ?% : £+ � � � &� ƒ r � ®§a 7& dd� z © (. .q -j- "a ;�•a�. ?% : £+ � � � 07/07/2014 20:46 8686770 APLUS PAGE 01 W tin a ogam MLNjC.L1Or ANrMOxnoa • Community pevlopmatfepmtTnftt • On -Sia Water & IBTFOAnchorege, AK 99519-6650 •htp: v 967-34-7P:7-3 Q3 -790Y4 3 Intermittent Dosing Sand Filter Maintenance Log owner 'K- Street Address_ a35 1_ ^ PID — Phone --,2L Legal Dose. 5 > �1 m{ ��K F� _PI Se t'c 7 ,a no no -Sludge level ^inches *pumping: required e- •Pumping completed pso 'on ield: •Liquid level inches -Flushing valves per approved design es o -All flushing valves oper,�ad, distribution lines flushed, and flushing valves closed L- s tta_f_o_ t� -Pump basket clean e„ yes no •Biotube effluent filter cleaned e no!/ .Timor float setting^inches -High level float settingf�lnc eference point !� -pump on _Seconds -Pump off - -cumulative run time C7S hours -cumulative lifetime cycles, -operation satisfactory el no AirS Ste -Air pump filter cleaned (vena -Air pressure 3 psi vs�71-/ •Airs stem operation sa 'sfac o says c o .Data of latest install or rebuild _ y Alarm SvSterr; -Dedicated electrical circuit e o -Audible and visual alarm inside dwelling a no -Float setting _�- i , inches •Alarm system operation tis act not ati actor eltWK. r V1Aa ntenCa P o ider: Date of maintenance Technician Company Date. Signature � 05/05/2014 14:12 8686770 NORTHLAND PUMPING SERVICE, INC. Your Professional Septic Pumping service Company 7501 E-14WAvenue ANCHORAGE, ALASKA 99516 1 (907)344-7146 • FAX (907) 868-6770 TO Kat11Y Smoinik 5$35 Kalgin Drive Anchorage, AK 99515 TERNS: 1 Pump Septic & lift 6 note that A APLUS PAGE 01 INVOICE • DATE 04-23-14 N AK Rooter — 04/1400 gallons, 2 standpipes, 5.5 bases Tank I cated in middle of and 35' from back of house t �1J "be ; n;n Jan. 1', 2014 /e�' 0( 1ve If Gallons _ Holding Tank ❑LEM AREA - CALL FOR MORE INFORMATION !!�� EDS TO BE DONE ADAM IN 6 MONTHS �ptic ,,—Standpipes Good Shape ❑ Sludge buildup on bottom ❑ Floater on top %%�� ;; "}� ❑ Jim cap missing or ❑ out standpipe to V above ground [:] Needs Sep'tictrine Leach Area /j(3 rhe needs replacing r y}•��Oopm �3� Q 9M ,Z mm S7m?z�°�o X03 Ul ^ 71 Zm�OZD =mem°mm .'r D `�pNiV'i fml T0fmi1Z a(I, . 6 Z •�r Zv-I ZOnZS Qfll 6 m 1 0 D mH-IaO.Na"m Z O 3 V z<-mozH 9 yH�m OV ❑ Wom Z,u aAp zac-� yn2 n'L vZZ So,iC �� ey F OOONO�mN MZOO amp m m o m ^7 0c a z N yv z mmAZ MZ ZZ G�n�Z Ozo 080. 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HOLT,Li[ Jf LS -6914, °O 4 THE INFORMATION HEREON IS FOR THE USE OF LENDINOINSTITITION5 SPECTKULLY TO SHOW ANY CONFLTCTS BETWEEN EXISTIN65TRVCTIRES AND PLATTED LOT LINES ANO/OR EASEMENTS AND I5 NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES,IMPROVEMENTS, OR FENCELllJES, EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING p THE RECORD PIAT, ARE NON SHOWN HEREON (.UESS ENDSATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO OETERMNE PRCPEAWLINE50RPOSITIONAODITIONALIMPROYEMENTi ANY PAVIN6 WDWN HEREON MAY BE APPROXIMATE DUE TO EXCESSTVE SNOW AND/OR ICE. A&BUILT SURVEY 1"=20' NOCOHNERSSETTHSEATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 5 B , BLOCK 1, MOUNTAIN PARK ESTATES( PLAT P-501) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS -20TH _ DAY OF _JUNE , 2014. 12512, FS 16411,73 HOLT LAND MURYYWNS 6W HIGHVIEW DRNE ANCHORAGEAK 95515 3955513 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE ppp�1 AND at -Y t Sr7It/rie _ phncnn THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this a � Day of of 20 ( q by and between �r4Tj Sd1,�: a A , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (A W WTS), described as located at (legal description). y� r) t ./t I u. n 1�U 2. Definitions. Alteration. Any change to the design or function of an A W WTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an A W WTS that were included in the original design which would allow the A W WTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AW WTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Eauioment. Prior to performing any alterations to an AW WTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AW WTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AW WTS service and maintenance provider approved by the municipality and the manufacturer of the A W WTS for the entire term of the AW WTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the A W WTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an A W WTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the A W WTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the A W WTS installation and maintenance requirements as provided by the AW WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's A W W TS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: Gid l So�JC/4 J D 4s;vn b. Municipality: Director, Community Development or desienated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. wOWNE - q /p (/ By: FRJi (signature) Date: 20 ! .fay"E/b 7aN>\50(�rint name) ( I STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument yeas acknoatedged before me thisIda) of 20_1q, by SONIvJQN_77)4VcfE.FJOfW5,M) -`J— Notary Public _ FREDDY fERA-VALENCIA bYPbTARY PUBLIC F A A State ofAlaaka My Commission ex s: S L(A 16 . Z/4 My COmmINIOn Expiry July 16, 2016 MUNICIPALITY: By: (signature) Date: name) Title: Parcel I.D. # 017-061-36 _ HAA #_ HA0006.1___ _ 1. GENERAL INFORMATION Complete legal descriptionMOUNTAIN PARK ESTATES LOT 56 Bl OCK 1--_,— _ Location (site address or directions) 5835 KA IN DRIVE ANCHORAGE AIS 99516 Property owner DAVID PORET &MARY CRAUMER Day phone (9071 276-276 Mailing address c/o REMAX PROPERTIES Lending agency Day phone Mailing address Agent MARY DEE FOX yr/REMAX PROPERTIES Day phone (907) 27 ---2-Z5. Address_ 2600 CORDOVA STREET, ANCHORAGE AK 99503 Unless otherwise requested, NAA will be held for pickup. 2. NUiv1BER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: if community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF w.ASTEWATER DISPOSAL: Individual on-site XXX Holding Tank Community on-site Public sewer NOTE: if community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Computer Version N;UNICIPALITY OF ANCHORAGE �` C 1 DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services`C/ � p� � On -Site Services Section P.O. Boa 196650 Anchorage, Alaska 99519-6650 (907) 343-4744�- CERTIFICATE OF HEALTH AUTHORITY 1®� APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D. # 017-061-36 _ HAA #_ HA0006.1___ _ 1. GENERAL INFORMATION Complete legal descriptionMOUNTAIN PARK ESTATES LOT 56 Bl OCK 1--_,— _ Location (site address or directions) 5835 KA IN DRIVE ANCHORAGE AIS 99516 Property owner DAVID PORET &MARY CRAUMER Day phone (9071 276-276 Mailing address c/o REMAX PROPERTIES Lending agency Day phone Mailing address Agent MARY DEE FOX yr/REMAX PROPERTIES Day phone (907) 27 ---2-Z5. Address_ 2600 CORDOVA STREET, ANCHORAGE AK 99503 Unless otherwise requested, NAA will be held for pickup. 2. NUiv1BER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: if community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF w.ASTEWATER DISPOSAL: Individual on-site XXX Holding Tank Community on-site Public sewer NOTE: if community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Computer Version Note., Alaska Water and Wastewater Consultants, Inc. shall be paid $1400.00 at, or prior to, closing for the engineering services provided. S. 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 inspec n, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal State codes, ordinances, and regulations in effect on the date of this inspection. Ik..rFTii *19fMN Engineer's Signature Phone (907)337-6179 in conducting this evaluation, AWWC, Inc. m ed td prnvW a thorough, conscientious engineering analysis of the system in accordance with ADEC and M A H Guidelines & Regulations. The reported results described the performance of the system under the cb ? ditions ncountered 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, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance P of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, inc. can therefore not provide any warranty for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. * , „ , ; , ....... The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, ....... nor Wit it confer any legal right whatsoever. Je re A. G nes; 6. DHHS SIGNATURE � Approved for 3 bedrooms Disapproved Conditional approval for 7953 bedrooms, with the following stipulations: Note: The vvell fat this pi opei ty njects existing State and Municipal Codes. There at e nittates Present. It is suggested that perinflip testing he i erfnrmerl to insure the wellc enntinnarl gnitahility. Current nitrate concentration is 5.72 mg/1. EPA maximum concentration is 10.0 mg/l. More information on Additional 13 Date l a- z 2,- o 0 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to 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. 1191) Back MOA #21 Computer Version Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 Health Authority Approval Checklist 6 Legal Description: MOUNTAIN PARK ESTATES; LOT 51, BLOCK 1 Parcel I.D.: 017-061-36 A. WELL DATA * ROTE CONFLICTING WELL LOGS IN MOA MICROFICHE RECORDS. Well Type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) YES Date completed * 5/31/83 OR 10/6/83 l6• b Total depth *203'+ Cased to kt L •S Casing height (above ground) 12"+ Sanitary seal (YIN) YES Wires properly protected (Y/N) YES FROM WELL LOG Date of test *5/31/83 OR 10/6/83 Static water level UNKNOWN Well production * 2.5 OR 4 9.p -m. WATER SAMPLE RESULTS: 1 Date of sample: B. SEPTICIHOLDING TANK DATA AT INSPECTION 4/13/2000 3.9 g.p.m. • 7cq� Other bacteria .t9' Collected by: A.W.W.C., INC. Date installed 7/18/2000 Tank size 1250 Number of Compartments 2 Cleanouts (YM) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (YIN) YES Date of Pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 7/18/2000 Soil rating (g o d./82 orft2/bdrm) 2 System type BED (ISF) Length 30' Width 12' Gravel thickness below pipe 0.25' Total depth 2.5' Effective absorption area 360 SQ FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test NEW Results (Pass/Fail) For Fluid depth in absorption field before test (in.); Imm 'ately r gal. water added (in.): Fluid depth (ins) Mirwtse fat r: Absorption rate = (past 12 months) (YIN) 72-026 (Rev. 3/96r Computer Version If yes, give date D. LIFT STATION Date installed 7/18/2000 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at* TIMER "pump ofr' level at* TIMER High water alarm level at* 46" *Datum BOTTOM OF TANK Cycles tested NEW E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septictholding tank on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer/septic service line 25'+ Lift station 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water maintservice line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation Water main/service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage area 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. ENGINEER'S FtAV t !certify that ! h F field inspections and review of Municipal co systems are in conformance with MOA H cui e on thisdate. Engineer's Name ' ° JEFFREY A. GARNESS Date l2/IS HAA Fee Date of Payment Receipt Number 72-026 (Rev. 3/96)• Computer Version Waiver Fee Date of Payment Receipt Number z MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services Isom 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. # O 61-3 6 HAA # 1-1'7\'1! r. ( `iI r( 1. GENERAL INFORMATION Complete legal description L a= s`� ,Loc k t 1"�7—_7ARK c r Location (site address or directions) .563 S k A L 4 ,v —b D%uz= Propertyowner T-�lz- N�cic VAn,TFycVcsc2 Dayphone Mailing address s kAL4.-, , Aiv cit ,fir cf9 ci Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- I.ng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site k 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. V91) FrOnf MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER !k 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 .dwater disposal system is safe, functional and adequate for the number of bedrooms d type of anructure 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 Firrn—_]�/A NNO'a. (,J v Phone / i3' Address o A/vrN /A IL g �/d/ Engineer's signature- Date G-96 6. DHHS SIGNATURE —)L Approved for �\� bedrooms. Disapproved. Conditional approval for '-.r. ;Z. N=A C� 8140 bedrooms, with the following stipulations: See attached septic system advisory. Additional Comments Note: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is Date >C,7E The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DH HS 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 n21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division r,p[ //^ 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 3431$.7(641. E I V E, AUG 19 1996 Health Authority Approval Checklist Municipality of Anchorage Dept. Health & Human Services Legal Description: LSBr-E�I M7`-p�rx214rST Parcel I.D.: A. WELL DATA Well type P2t uATc- If A, B, or C, attach ADEC letter. ADEC water system number Log present (YIN) }/g 3 Date completed /0- G -R3 Total depth 3AD Cased to /q,S Casing height (above ground) /B n Sanitary seal (Y/N) FROM WELL LOG Date of test / o - G - E33 Static water level ZS+ Well production 2'�z g,p.m. WATER SAMPLE RESULTS: Coliform Nitrate S- 41 Wires properly protected (YIN) AT INSPECTION 8-Z-96 0 Other bacteria Date of sample: IF -&-9 6 Collected by: LLA 4 -rr= B. SEPTIC/HOLDING TANK DATA g.p.m. Date installed -A9- 83 Tank size 1000 Number of Compartments Z Cleanouts (Y/N) 7' Foundation cleanout (Y/N) Y Depression (Y/N) t- High water alarm (YIN) ✓ -/I eq Date of Pumping 19/-P-/96 Pumper A t C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d.1ftz o ft2/bd /3 S System y type -b T Length SO Width N2 Gravel thickness below pipe -7 Z n Total depth / O Effective absorption area boo Monitoring Tube present(Y/N)�' _ Depression over field (Y/N) t l Date of adequacy test 6-2-914 Results (Pass/Faill- Ass For bedrooms Fluid depth in absorption field before test (in.); 40" Immediately after4So gal, water added (in.): 71 -Yq ?2" Fluid depth ,3O'" (ins.)Minutes later: /y4o Absorption rate = 4S0+ g.p.d. Peroxide treatment (past 12 months) (Y/N) _,t/% If yes, give date _ D. LIFT STATION Date installed ^ Manhole/Access (Y/N) _ ✓ v High water alar at* es tested E. SEPARATION DISTANCES " €ump on" level at* "Pump off' level at* A *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 14>-9-. i ; On adjacent lots / C70 1' Absorption field on lot /cc) ; On adjacent lots / o 0+- Public +Public sewer main /C9 p T Public sewer manhole/cleanout ✓t11A Sewer /septic service line SZ7 r Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 2? Z Property line 3 O r Absorption field /0 -7 - Water O.2 Water main/service line Se Surface water/drainage / Mf Wells on adjacent lots /coo t SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water /CUC7+' Water main/service line / VO t Driveway, parking/vehicle storage area Zv�f Curtain drain ./Op + Wells on adjacent lots /C�^J � Property line 1 St F. ENGINEER'S 1 certify that 1 have determined thru field inspections and review of Municipal reco P - are in conformance with MOA HAA guidelines in effect on this date. SlgnatnC _ ---� oaaxfea; Engineer's Name e- n-) w nN!er C+eird Date CE - 8149 �.. � /6 l 9 � °a'"t� HAA Fee $ W(D- C�U Waiver Fee $ Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Date of Payment Receipt Number