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MOUNTAIN PARK ESTATES BLK 8 LT 18
Mountain Park Estates Block 8 Lot 18 #017-3D1-24 EPuig& MUNICIPALITY OF ANCHORAGE Development Services Department ; Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 017-391-24 Expiration Date: g 1 !D 1. GENERAL INFORMATION Complete legal description MOUNTAIN PARK ESTATES BLOCK 8, LOT 18 Location (site address) 13021 RIDGEVIEW DRIVE,ANCHORAGE,AK 99516 Current property owner(s) TIMOTHY RYHERD&AMY JOHNSON Day phone Mailing address 13021 RIDGEVIEW DRIVE,ANCHORAGE,AK 99516 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: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ ,-J) Waiver Fee $ Date of Payment 51* I Date of Payment Receipt Number G'i9Q6/7D Receipt Number COSA# £ SC/q Il SL 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. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm ANDERSON CONSTRUCTION &ENGINEERING Phone 345-3377 Address 4640 SHOSHONI DRIVE,ANCHORAGE,AK 99516 Engineer's Printed Name MICHAEL N.ANDERSON,PE Date 5/7/2019 A SOF� \ .s 1 / * 49 * A 6. DSD IGNATURE System #1 Approved for 1 bedrooms MICHAEL N. ANDERSON. 1� / No. CE 9489 vA System #2 Approved for bedrooms 1 • 5/7/19..•/ Disapproved AFDFEssloo. Conditional approval for bedrooms, with the following stipulations: ` 04 QTY OF41/01ii ON-3fl- 1'v WATER AND m r�r� WASTEWATER z r PROGRAM .�%SERV‘G� ANN Original Certificate Date: Sof ! 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 X Nitrate Advisory Septic System Advisory Arsenic Advis y Well Flow Advisory Other et - COSA Checklist blue sheet COSA Checklist Legal Description: MOUNTAIN PARK ESTATES BLOCK 8, LOT 18 Parcel ID: 017-391-24 If more than 1 septic system on lot: COSA Checklist#_of_ Structure served by this system A. WELL DATA ® Well log is filed with Onsite (or attached) Well production at time of test 4+ gpm Date drilled 8/15/1976 Water storage tank volume NA gallons Total depth 305 ft Well disinfected for coliform test? ❑ Yes ® No Cased to 220 ft ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate 3.77 mg/L ❑ Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height(above ground) 18+ in. Collected by FWCS Date of flow test for COSA 4/23/2019 Date of Sample 4/24/2019 Static water level at beginning of test 184 ft. Comments B. TANK DATA—9/27/1994—1500 GAL C. LIFT STATION - NA Age of tank(s) 25 years ❑ Required maintenance completed Tank type/material STEEL Age of lift station years Measured operating fluid level in septic tank 49.5" Lift station material ® Standpipes/foundation cleanout per record drawing Comments: Date of pumping 4/23/2019 D. ABSORPTION FIELD DATA—72'L x 2.5'W x 7'ED—0.6 GPD/SF = 1008 SF Which system tested (date installed) 9/27/1994 Adequacy test date 4/23/2019 ® *ALL standpipes present per record drawing Results lZ1 Pass For 4 bedrooms Total measured depth from grade 14.25 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 7 ft(min) Water added 800 gal ❑ N/A—pressurized field New depth 20 in Monitor tubes go to bottom of effective. If not, state Elapsed time 1420 min depth into effective ® Code-required soil cover over field Final fluid depth 0 in System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100' ® Yes if No ft ® Yes if No ft Neighboring Tank> 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot> 100' ® Yes if No ft Holding Tank> 100' ® Yes if No _ ft Neighboring Absorption Fields> 100' Animal Containment> 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Wells on Adjacent Lots: Property Line > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Absorption Field > 5' ® Yes if No ft Community Wells> 200' ® Yes if No ft Water Main > 10' ® Yes if No ft If septic tank is under driveway comment below Water Service Line > 10' ® Yes if No ft Surface Water> 100' ® Yes if No ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ft Wells on Adjacent Lots: Water Main > 10' Z Yes if No ft Private Wells> 100' ® Yes if No _ft Water Service Line> 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Surface Water> 100' ® Yes if No ft F. ENGINEER'S COMMENTS �Qr c�9 (iv - A(( S4-, p c e� 4. isid-,d, . Kyovt,Ir..... _ � O•F ‘\ G. ENGINEER'S CERTIFICATION `� 6 1 I certify that l have determined through field inspections and review �* 49TH TN *TA of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. / .MICHAEL N. ANDERSON. a i No. CE 9489 .4wj 1 ••••...5/8/19..• '/ COSA Checklist.docx \• "OpESS10 O MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ` 907-343-7904 On-Site Water and Wastewater Section ` /� Fax: 343 7997 www.muni.org/onsite -- Septic Tank Advisory Certificate of On-Site Systems Approval #0SC191156 Subdivision: Mountain Park Estates BI 8 Lot 18 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 25 years old. 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 20 year old steel tank MAY look like. K f IIn"r� "" d. Y J k Air,, -,ham '.t -91i- £ AIf e „ ,. fir. W f j .. :` n. f ,,-,- 4,43 7 / ....-ir .,_ �'1�.��i - ,a} 1 46.E R / i F. .£ I ttiW, Mailing Address: P. 0. Box 196650 * Anchorage,Alaska 99519-6650 - www.muni.org PLAT NO. P-501 MOUNTAIN PARK ESTATES SUBD. LOT 18, BLOCK 8 21,914 S.F. i \ \ S \ 1. O \ y I \ 'O. °:4: 1 59 \ Gl! �`, \ si�> ,LO \ i. O. oho 1 " = 30' \ \ \ •1 \ , o q,s. 4r,,,`•a , ` , ,' SEPTIC SYSTEM • J. ? / •O. • • WELL Ig oo G i o Ora V �• J�� i 04\• c)ii. ?o 1b6 '' • / V 4.348 .�0 \ '6. / lJ c�F 436 p \ � N4 •- #J0. GOs. / ,p/ iF 0, AS — BUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ,♦���1 GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. ♦* SURVEYING. LLC IT IS THE RESPONSIBILITY OF THE OWNER TO ♦4 F,•OF.•q, •4 .. JEFF A GASTALDI, R.L.S. ♦ P .•• . S . DETERMINE THE EXISTENCE OF ANY EASEMENTS, • P ; 2000 E. DOWUNC RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT i' 0)'• TH 9 * .� ANCHORAGE. ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. *• 49 * Jo PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA 0.:1- 114-9;A_ �at��� GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR t •• A. G raid : o lis ESTABLISHING BOUNDARY OR FENCE LINES. LS �- SW2838 4/18/2019 P •• 4/18/2019 §� • ANCHORAGE RECORDING DISTRICT, ALASKA ..P ........• o� �' F.B. JOB NO. a h. °Jess ono , NOTE: NO CORNERS SET THIS DATE �11 �,11�♦ 01-11 MPES188 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and 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 I.D. Of 7 - 59/ -~-¥ 1. GENERAL INFORMATION Complete legal description L~,/' Location (site address or directions) Expiration Date: I ! --/.5'-o O Current Property owner(s) ,,~'Ma { ,.T'e."; Po,got~. Day phone Mailing address Lending agency Mailing address /.~,,~ /~,~,~ ~"to"'~q'o~ ¢ Day phone Real Estate Agent Day phone ..Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: ~ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Public Water System Well [] [] [] 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 (HA,A) based only upon the representat!ons given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificstes of He,*lth Authority Approval are required for the t~nsfer of title (except behveen spouses) for properties se.wed 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 App'roval are valid for 90 days from the date of issue for properties served by a private or Class C we.I and may be remsued w~th new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one ~/ear with valid water samples.) Certificates are valid for one year fcr properties served by Class A or B we!Is oq a public water system. The Municipality of Anchorage is not responsible i'or e.'Tors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the 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 verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspect[on, 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 ~'/~/~c,~ 7"z¢~ n;~'(-,/ ~¢'"/}¢~/ Phone Address 1~_4"~ ,~c['c, ..,C/, ,, /}-~c4or,~?/~/ .)~-cc ~g)..C/ d'' Engineer's Printed Name '"~(~oc~o,.-c- ~.. /'-'~c~,-'C, Date 5. DSD SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulatio'n~: ' Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Legal Description: A. WELL DATA Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bmgaw SL P.O. Box 196650 Anchorage, AK 99519-6650 w~w.ct.enchorage.ak.us (907) 343-79O4 HEALTH AUTHORITY APPROVAL CHECKLIST ifA, B, otC provtde PWSID #__ · Sanitary eeal (Y/N) ~ Cased to '~ ~.o ft. FROM WELL LOG p / /,r'[ · ~ - ~/ g.p.m. Well type Date completed Total depth 3~=c~" fl. Well Log (Y/N) Y Wires propedy protected (Y/N) Casing height (above ground) Date of test Static water level Well production WATER SAMPLE RESULTS: Date of sample: ~'/~'/O I B. SEPTIC/HOLDING TANK DATA AT INSPECTION Parcel ID: ~P¢ T ' ~'~)/-7. ~ in. It. g.p.m. Nitrate I,o) mg./I. Other bacteria ~:~ colonias/100ml. Tank Type/Material ~.~/';c / ...</.~,/ Tank size I,rO~ gal. Number of Compartments_.T.,_ Foundation cteanout (Y/N) Y Date of pumping 8/~'/?.~O I C. ABSORFTION FIELD DATA Date installed 9/2.?/'~Y Soilraflng (g.p.d./l~or~/bdrm) ~:7, ~I~ Length '7 Z fl. Width '~,~' fl. Total depth t~. ,t' It. Eft. absorption area 1 ~lo,gi ~ Monitoring tube __ Date of adequacy test 4~'/~'/ ~::~/ Results (Pass/Fell) Fluid depth in absorption field before test ~ in. Water addedTZ~ gal. Elapsed Time: 12.~ min. Final fluid depth:~.~in. Any rejuvenation treelmont (past 12 mo.) (YIN & type) Date installed ~ / 2.'7 / ~ y Cleanouts (Y/N) Y Depression over tank (Y/N) ~ High water alarm (Y/N) System type Gravel below pipe '~ It. Y' . Depression over field For ~' bedrooms New depth4fZ, l~in. Absorption rate >= tf<::)c2 g.p.d. ~a~'~ If yes, give date J/. D. UFT STATION /~' ~. Date instalied 'Pump on" level at in. Datum Size in gallons. 'Pump off' level at Cycles tested Manhale/Access (Y/N) High water alarm level at Meets alarm & cimult requlmmento? in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Sepac tenRfl~ station on lot Absorption field on lot Public s~wer main Sewer/septic sewtco line SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation .~" Pmpert~ line ~-& ' Absorption field Water main .~ ~,, Water service line ~, fe ' Surfac~. water · . On adjacent lots On adjacent lots Public sewer manhote/cieanout Holding tank Wells on adjacent lots ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ! ~, ' Building foundation ~ ¢2' Water Service line '~, J,~' Sudacewater ~ Joo' Curtain drain ~ Wells on adjacent lots .~. ,',=q:~ ' Water main ~,, I~' ~ Driveway. parktng~ehide storage F. COMMENTS Go ENGINEER'S CERTIFICATION I cerlify that I have determined thmuglHle/d inspect~ns end review of Municipal recon~ls that the above systems are conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Date ~q~uqi-~ /¢~ '200; HAA Fee $ Date of Payment Receipt Number (~ev. t 2~00) Waiver Fee $ Date of Payment Receipt Number FROI~'CT&E E~VIRO~I,~NTAL SRV CT&E EnvIronm~nlBI S~rvlc88 Inc. 90r5615~01 T-468 P.OI/OZ F-141 CT&lC Ref.# Client Name ProJect Name/# Client Sample ID Matrla Ordered By PWSID Sumple R. emorks: I 015091001 Client PO~ Pre-Paid Coli~O3 Flatlop Technical Sty. Printed Dele/Time 08/10/2001 16:01 Lot 18 B[k 8 Mm Park Est Collected Date/Time 08/06/2001 12:30 Lot ] 8 UIk 8 Mtn Park Est Received l~te/l'lme 08/06/2001 15:00 Drinking Water Technical D&ectore .Stephen C. Irde 0 Released ~ EP300 Nih'ate: CCV recovered outside con~'ol limit (86.6%). All other QC recovered withi~ limits, results not significantly affected. Allowable Prep Analysis Parameter Rcsult~ PQL Units Mchhod limits Date Da~e Init Nilnde-N 1.09 0.500 mg/L EPA 300.0 (<10) 08/06/01 SCL Mie~obiolo=v Labor&~ ot~,_ Tout Coliform 0 0 col/100mL SMIS 9222B (<,1) 08/06~01 ILAP Municipality of Anchorage Page I of 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: -SWgL~d3S'~' PID Number: O/7.¢?/2. z/ . Name: , Wastewater System: [] New ~ Upgrade Address: ABSORPTION FIELD No, o~ Bedrooms: ~Deep Trenoh ~ ~h2llow Trenoh ~ Bed ~ ~ound ~ LEGAL DESCRIPTION sog.~,~.~: Total Depth from original grade: ~. ~ GPO/Sq. Ft. /~ I Lot: Block: Subdivmion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: ~ Range: ~ Section: Fill added above original grade: Grsvel length: ~ · ¢ Ft. ~ Ft. Gravel width: Number of lines: Bistanc~ween lines: WEI L: ~ New ~ Upgrade ~.~ Ft. / ~ Ft. Classification (Private, A,B,C): ~X/~ Total Depth: Cased To: Total absorption area: Pipe material: ~¢2~ ~V~ ~ Ft. Ft. l/~ SQ. Ft. Date installed: Driller: Date Drilled: Static Water Level: Installer'. Yield: Pump Se' at: Ca,ing Height Above Ground: TAN K GPM FL Ft, SEPARATION DISTANCES ~s~p~ a Holding ~ S.T,E.P, To Septic Absorpgon L~a Holding Public/PrivateManufacturer: CapaciW in gaflons: ~rom ~ ~d s~*~o~ ~.~ S~U~ ~CqO~ ~ ~ Material: Number of Compa~men1~: su~ ~, ~ LI~T STATION~ Water /~ /~ --~ Lot / ~ Size in gallon~: ~ Manufacturer: Line ~ ~ / O Foundation ~ / /~ ] ~ "Pump on" level a~off" level at: High water alarm at: Cudain - ~O~ t ~ ~O ~ ~1 Electrical Inspections pedormed by: Drain _ .~- / BENCH MARK Remarks: ~ ~/~/~/¢~ /~/~¢~ /¢~ ' Location and Description: [ Assumed Elevation: ~" ~:~','~" ~/z~- ', '/ S & S EN~INEEEING 9' ":// /~'~ ~/ 17034 Eagle River Loop Eoa~, No. 204 ,, ................................ Inspections performed by: [~,~, mw..~l,.b, ~7~ Bates: 1st ¢/~./¢9. .~:. ~ ices approv, al., *~,'~'~,:'* ....... ~ Department of Health an~/Ruman,Se¢-v .~,'~ .; ......... :.,~.~ -:~ C--5~ ~t ' Date. / Reviewed and approved by:., :- -- ~ --/ .~-,:- .... Permit No.5W940355 Page 2 of 2 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 Legai Description,.M. OUNTAIN PARK ESTATES; BLOCK 8, LOT 18piDNo,: 01739124 COl C02 95.C FINAL )4.8' (¢o4& MTi) MTco (CO3& C04) ~ELL A % B C ?CO 19.0i 7.0 _ ~01 16.0i 13.0 _ Z02 16.0i 20.0, _ ZO3' 52:'0! 57:5- ' ~" C04 26.0i - 11.5 MT1 26.5:: 11.5 LQT 1 8 · 79.8' NO WATER FOUND ) 600...G A.t~.- · SEPT.I G.. r¢ AN K SCALE t" = 40' TRENCHi ROB R'I' C. COWAN CE-8801 72-013 A (1/93) * PAGE OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHOP~AGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940355 DATE ISSUED: 9/21/94 DESIGN ENGINEER:S & S ENGINEERING EXPIP~ATION DATE: 9/21/95 OWNER NAME:PORHOLA STANLEY T JR & JERI L OWNER ADDRESS:13021 RIDGEVIEW DR ANCHORAGE, ALASKA 99516 PARCEL ID:01739124 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES BLK LT 18 LOT SIZE: 22125 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PER_MIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE NIUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAACS0). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 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 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ~ DATE: ROBERTSHAFER, P.E. September 8, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 18; Block 8; Mountain Park Estat~ R~st you i~a~ a p~Lt to up~ra~ th~ aep~e aya~ a~ ~e fo~ b~oom ho~ on ~ ref~6ne~ prop~y. A t~t hole ~s excavated and a percola~on test p~fo~ed in th6 ar~ of the proposed upgrade. The approx~ate loca~on of the test hole ~ lo,ted on the a~ached s~e p~n. The motoring tube witch th6 t~t hol~ has been checked and found to be ~y. Attached ~ the proposed upsrade design. We do not a~pate any advise effe~s on n~ghborin~ proper~ by the ins~a~on of the proposed sepia syst~. Th~ ~ 6~t~ ~ ~ a s~ of ~ ~ bae~ ~ ~ A test hole w~ be ex~v~ed at the ~e of co~tru~on to verify depth to bedrock. If you hay6 any qu~ons, or req~r6 ad~o~ informa~on for your rcvi~~~ us. ~S/ja/g~ ./ 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA99577 o om~O o © 2](]'¢;d Od NI ,0c5 = Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVtCES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: DATE Township, Range, Section: SLOPE 1 2 3 4 5 6 7 8 9 10 6"V~AS GROUND WATER ENCOUNTERED? 11 IF YES, AT WHAT DEPTH? 12 Depth lo Water Alter 1 3 Monitoring? ~'~/~ Dote: 14 15 16 17 18 19- 2O $ &$ ENGINEERING PERFORMED B~'~034 Eagle Rivet' Loop Road No. 204 ACCORDANCE~O,I-}~ ~IjtI~q~,C~i~['~CtJ~[~ClPAL GUIDELINE 72-008 (Rev. 4/85) SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop '/2 PERCOLATION RATE ¢~' ~ mnutes/~nch) PERC HOLE DIAMETER ~:~ ' ' TEST RUN BETWEEN ~' FT CERTIFY THAT THIS TEST WAS PERFORMED IN CT ON THIS DATE. DATE: ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 18; Block 8; Mountain Park Estates GENERAL: I. The scope of this project includes the installation of a leachfield trench to serve the four bedroom residence located on the referenced property and excavation of the existing septic tank to verify its integrity. If the integrity of the existing septic tank is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1250 gallon septic tank installed. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Reg~ations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4~ Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil s~ttling. 5. Contractors installing wastewater disposal systems mu~t be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SE~FIC TANK INSTALLATION: I. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping 2. The septic tank shall be sufficiently bedded to prevent settling or shiftin~ of the tank. 3. All standpipes on the septic tank shall extend a mi~um of 12 inches above final grade. Page Two Lot 18; Block 8; Mountain Park Estates September 8, 1994 Septic tanks installed with l~ss than 4' of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (u~l~ss an effluent pumping system exists within the septic tank)· Th~se cleanouts shall be located on undisturbed soil not more than 10' from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a posilive slope exist~ away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shatl be within 2 inches of level. If the sid~wall~ of the excavation become smeared, they must be raked or s~atched (roughed-up) before gravel (sewer rock) placement. o Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. o Monitor tubes shall be of four (4) inch diameter and installed approximately in the locatio~ shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe· This is equivalent to the effective depth of the gravel as noted on the design· Backfill over the finial gravel layer must not be less than twenty-four (24) inches. Ins~ation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: I. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. Page Three Lot 18; Block 8; Mountain Park Estates September 8, 1994 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type ox Pipe Perforated Solid Cast Iron Yes Yes ASTM D3054 (PVC) Yes yes ASTM F810 (HDPE) Y~s No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and out~et~ shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal) must be inst~ed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is b~ing used as a filter material, it~ gradation specifications must conform to current M.0.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewat~ disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfd~led before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. Page Four Lot 18; Block 8; Mountain Park Estates September 8, 1994 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of constru~ion. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.0.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.0.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering 's inspecting engineer will not be responsible for the construction means, m~thods, techniques, sequence, procedures or the safety preca~ions incident to this project. CONTRACTOR/INSTALLER P.O. ~:,J'X 6650 !907) ~.6-.-'-,-, 11 DEPARTMENT OF HEALTH & HUMAN SERVICES January 10, 1986 TO: Permit Applicant Subject: Permit # 850364 Lot 18 Block .8 Mountain Park Estates Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance~ A new permit must be obtained from this Department for any well and/or on-site sewer syst'em not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit° If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan Eo Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit .,ONI AL, F'HONE: DEPARTMI.:::N]" L,,. I"IIEAI...]}.I AND IENVIROI~I'dI~i:N'I"AL , ~d]TECT 825 L, STRIEE'I'~, ]N(,,,H/]RAEd=, Al.i:: 9950:1, '2', 64 "-' 472? () 850364 ~'3'l'AIq T,, F:'ORHOLA I='. 0,, )30X J.:l. 1243 ANCH[IRAGIE, AK 995~ 1 ::!!;4,5'"..2;:':? 1:5 SUBDIVISI[)N: MT. PARk: ESTATES SECT I ON: ;;~6 "FOWNSH IF': :L2N 2',0 )48 (SD,, I:::']". OR 4 LOT." '18 [L[][.~l-.'.:,., [] I.~NGE: ,, 3W I....is'Led be:l. ow ape 'Ll]e 6)ptJ.¢::)l"ls ava:i, lable 1, o you in des:i, gr'~:i, ng y~ur', sept:Lc :~ys'!:.em,, Choose the optior'l tha'L best f'its your' sit. e. DEPTH TO F' I I:::'l!~ B[)]']"[II~I (F:'T ,, ) GRAVIi,:,'.L DI::~:I=']'I"{ (l::"l".) "I'[H'AL. DEI=']"H (F']',,) GRhVEL NIDTI'"{ (F'T.) GRAVEL. LE:NGTH (FT.) GRAVli,:::L, VOLIJME (CU,, YD[;,, ) ']"~NI':,'.' S I ZI:Z (GALS) SI]It.,. RA]"IIq['] (SQ,, FI',, 6., 0 5.5 6 ,, 0 3.0 0,, 5 2.0 9.0 6 ,, 0 [iii. () 2.5 ~0. () 5 ,, 0 190.0 ~.~. 3;8 ,, 0 250.0 .~..~. 6 :L ,, 6 2[~ ,, 2 115 ,, 8 1,250 ,, () ~..x~ 1,250.0 .~.~. 1,250. () .~..~. 285 :[ 25 445 '~."'~' :~ld.~Vl=.l LI:i;NG'I]...I> 75 I:::"1",, RE.I~.LJIRES IdI.JLTIPLE RUNS (hi(:)]" E ................... ...... ' ' ""~ :::XCI:=E. DING 75 I:::'T,, E'.A(..,H) '?(")~ 'TAIqK MUST HAVE AT I..EA[~'I" 'I'WO :1: c e r' t :i. r y t h at'l:: 1. I am Camiliar' w:Lth 'Lhe r, eClLiiremen,l:.s for' on..-.si'l.e sewer,s and wells as f'or"l'.h by 'Lhe Municipalit,.y o¢' Anc:l-kor'age (MOA) and 'Lhe State of Alaska,, 2. :1: ~.,,:i. ll:i. ns'Lall the system in accoPdanc~ ~,i'Lh all M[IA Codes and r',:~guJ, at:i. ons~ and :i.n compliarlce with the. (JE¢~(~]I"I c~'iteria of this per'mit. 3,, Z w:i.].l adher, e 'Lo all MOA and State of Alaska i',ecluir, emer~Cs ('ol- 'Lh~;¢ set back d:i.s'l:ar'{ce~;~ From any ex:i. stin9 well, wastewateP disposal system c)r' I:)Ubl:i,c .4.,, ]: Lu]f;~eP~5'[.ar'H:J tha'L 'l'.h:i.~ per'mit :i.s va].~.d ~'oi', ~ ~{>iiiflLtin C:)~' 4, beclPooms ar'id any er'~:l, argement will r'equ:i.r'e an aclcliLional per'mi-I:.. IF' A LIF"T STATZ[)N ZS ZNS]"ALL. ED ZN AN AREA COVERED BY Id[:)~ BIJ]'I.DZNG THEN (1) AN EL. IECTI&ICAL. PERMI]" AND IIxlSF:'ECTION HUST DE OB"I'A~NIED~ (2) AS-..BUIL. TS N:I:IJ... NOT BE AFFROVE:D WITHOUT AN EI..ECTRZCAL. INSPECTIOIq RE. FORT; hND (:5) 'f'HE EI..IECTR I CAI... N(:)RK HUST BE DONE DY A L :I:CENSED [:.l...E(., ] I.~l C I ~lxl. .. ~.. ~ bATE, AF:'PL..[ L. AN I = :I:SSI.IED BI/ ~I:~DFU"IOLA ~ January 4, 1982 Stan T. Porhola P.O. Box 10-1243 Anchorage, AK 99511 Permit # 81_0534 Subject: L18 B8 MOUNTAIN PARK EST A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz.//R.~. Program Hanager~ Sewer and Water Program Enclosure: Copy of Permit J'"ll:l;:':; :[ !"!1...11'"1 '., I.I ','ii:: lj:rf;;' OF' E~F.:[::,l::h':'t ~: i'"l'.:~ :..': ,:l. :"~;O :1: L F;:F! ?".[ big ':: '~ :.'. Fr"f',.-"E:I:;;: ::, :: ']"HIZ [;;:E:(;:!U :[ I;:ED E; ]: Z.::: OF' THE: SJ;O 3: L :::IE', F:;I [;'F"I" Z: *'1 ?'r'E;'I"EI"I Z '~: ' ...... *..:.,~ ~ ........ :E~t* L.. EE: ~'..,.~ ~r::~ ""F' ~......~ ......... :~;;~ "=~. C}'~ ~:: ~::::~! ~,,,,." E~,: ~ ...... E::, ~ E F::" '1- ~'-.. = .... ~:,~:~; THE: LENGTH DZ'"EI'.,I:~;Z:I'. ~':~: "I"HE .JZN(3TFI ,:::I;N FE:ET::, CF' -FHIE 'Ir'I:;:IEI'.,IE:H CF: DFi:F:i:!:hlF:':I:IELD. "r'HE DEF'TH E.::' !:::1 ?':;%H:I-.. r%~ F:'ZT :[~}; 'THE r', E;TFINr':E E~E'TI,.IEEN THF' :E;I.J~;~:F'F!CE Ol::: 'I"HE GF;:OLII'.,!I;::, FIND TI.F:' ~F'TTr'd,'l OF' THE; ....... '* '" .... ,: ,', ...H I-Z ON ,' ~'.'.4 FEET ::,. "I'I-IEf;:E ]::5 NC SET H]:I;:,"Ftl F'OF: TRENCHE~E;. THE ' ~" .al.,:.~. ,b:.._ I:)E:F'TH :1::5 THE I"I:[N]:I"ILIH DEF'TFI CI::' I.}iF.l-,EL. E=E:TF.IEEN THE I=II'.,ID 'r'l...IE: E',OT']"l:lpI OF' 7'FIE: ~:,',...H -- ..ON ,:: Z P.4 F'ETIf;'!"). F'EI:~tH .[ "1" Fff::'F'L ]' ': FINT H~:E~; 'T'HE F E :~SF'ON':: :1: D :[ L. :[ 'T'.r' 'T'r" .[ I'.,ll:'l:lF~:f,'l "r'H X t5 DE:F'FIF;;:TPIEI',FI" [;:,I...IF;;: ]: NG THE '[ N~;'TFIL. L.I:::I"r' ]: ON ] ", ~;F'[~Z':"I" Z I:~l'.,l:~; F F' !::IN'¢ i.,.!EL.L.~; RD..J'f:1C~EN"I" "f'O TH :[ :~}; F'F:OF'ER'i"-r' RP.,ID THE l'.~l...If','li~',l~i;;: i:': F' F:E:5 :[ E:,IENCE~:; I"HF:IT THE: I,.IEL. L H :[ L.L .......... !,.:::..-';="::; % ~'=':;: E: ~::::' E::, If!E:: F"': F' !!'"'I IE~: E:-':: II::~: :::~:: ::iL .... ::%. ~;;~ ','E~ ~._. ]: CEF:T 3: F'"/ THF:IT ::L' ]: FIH F.:::I.'"I]:L.~FiF: I.,I:[TH TH[F: REQLI]: :;Ef"IEI'.~T': F:'OFi: ON-/5]:TE ::SEHEFi% FIN[::, I'.IE:LL:E; FIIF}; ~}:[~:"1" F'r" F"]"I-I., THE HUN :[ C '1/F:'F:tL 1[ 'T'.¢ Eft::' I:~NE:HOFi:FtGIZ. ;;;~: · T H ):I ]: I",~:/;'I'I;::!LL. TI.,IF ,'" ,"-"-c~, .... -. :,*:, .::~/ .'[l",l FIE:CE~/4:DFINE:E I.'.IZ"I"H TH[E r::C[':,E':; ::~:' ]: UI',I!:::,EF;:~;TF:iND TFIFFi" T!...I~: r"I'....-':;'I'TE :SEHEF:" ...... ....... · :, =,~=. HFI"r' F]:E:6!I...I];F~% EI",IL. RF;GE~.IE'H"r ZI:::' THE ~;~:[;~;~; ~ I:)IXI',!Ct;~: :[ :5 1:; E:I"'~ r )EL Fr':, "r'o :[ NCL. I. JDE: HC :;% "J"HFIN 4 (~ ~ ,' ........................... 5 ~; GI'.,!E D ... .~.....~ ......... FIF'F'I....~CFINT ?FFIh,I T. F'OF~OL. Fi ................. / ~ SSi i~=' ", E,q'~.~,.....~Z~z ..................................................... E:, :: "'E:...~ -~ ~' ~' ' ~ .. [3 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LO(? - PERCOLATION TEST PERPORMEDPOR: q~'TAI"~ ""'~O~OLA O^TEPERFOR~EO: LEG^L DESOR,PT,ON: L ~ LOCK ~Oo O~A~~ SLOPE SITE PLAN 2 SOILS LOG PERCOLATION TEST Io ESTATE 6 7 8 10 11 12 13 14 15 16 17 18 19, 20 WAS GROUND WATER ENCOUNTERED? Date Gross Net Time Time '~o ~o IF YES, AT WHAT DEPTH? Reading ~0 Depth to Water 1 R Net Drop , ~/'~. ,/,. (minutes/inch) I t/~ ! TEST RUN BETWE~EN ~~ FT AND ~ FT I 72-008 (6/79) oGREA~ ER ANCHORAGE AREA BORudGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ~ILNSPECTiON REPORT ON-SITE SEWAGE DISPn¢~,I ~ ~"~ -.~ ~ ............ ~ ........ ,,, NAME~ ~ __ MAILING ADDRESS~ R~, ~ ~ ~' , ~ ~--~ __ SEPTIC TANK: DISTANCE ~/N ..J. FROM WELLU~- INSIDE LENGTH MANUFACTIJRER ~ INSIDE WIDTH MAT E RIAL _.~-~ _ NUMBER OF . COMPARTMENTS "~---~ LIQUID DEPTH .LIQUID CAPACITY /~,',',',',',',',',~l,~ GALLONS. NUMBER OF PITS __ LINING MATERIAL BUILDING FOUNDATION. ADDITIONAL ABSORPTION DIAMETER __ OR WIDTH LENGTH__ DEPTH _ CRIB SIZE: DIAMETER ___DEPTH__ DISTANCE FROM: WELL TOTAL EFFECTIVE -, NEAREST LOT LINE_ --. ABSORPTION AREA iWALL AREA) ~ SQ. FT. WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES · DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK __ SYSTEM REMARKS DISTANCES: INSTALLED BY.' _~ PiPE MATERIAL:_~~' LOT SLOPE; __ REMARKS: DIAGRAM OF SYSTEM G.A.A.B. "i'FIEi [)J:iCI='TFI ~'. I.:: 'i'I;~:I:~]'.,P::::H CIF: F=' ): '1' ]i iiii; 'l'l'.l[i!: E:, :11 Ei;'I'FII'.,IC:t~!: ..... li~::lii~'i'J"~'i'"l r'F: Tl"lliil &:,. ...... f- .~ E. ! I,t,~:: I: ,, 'i'J"lEi G!:~;l:.iILli'.,l[:, ;LiI%'I::-'I::I: I::' FIN[:, l....l~':NJ:~i'l'l~ OF 'l'l.!~ TF~:I~]'-,IC:I..i., Ol:;~: I:)~;~:F:I:[NF:[E~:L.I'/:,. ' THE: I;~:[[.):;:~1..I :t: F~:E:]) '_:~;E:F.' I :[ ~:.': !'!;:11',11< :~; ;1: ;,~::E~: :1: :E:; 'i ;:::' '; :4 Cfl:':ll...I.,Ol'.,l~:; ::::::::::::::::::::::: :i: L,I,. I H ':i r"~F' l::lj'.,l~.r' ' .....~ ,' ....... .:' :: ~:. !.,,t :[ 'I'HC¢I...I I F l' HI:':Ii.. N:SF'I::: 'i' :i: O1",1 !::i'.,.' 'F!4 :t :~; E:'E:F;:'F:II:~:TI"tI~]'.,IT H :[ L..I .... P' hlJH I"'. ')J ~;":::IN';.~F F:I:~'rH f,.!1~],.I,, I'O FII"~"P :~5[:~];;:"l :i:C 'FI=II",IK,,'"F'I:ZlCK:I::~('~iI~; F:'L. FIh,I'i" IS'f;' t~:;;('lL. I'.IE:L.!.. I...C"::~i:E; I"it..1::::-I !:~1:~: ;~ '_1;;'1'.~:f" TO 'FHI~: [.:'I:~:F:'F~I:;;:THE]'.,FI' HITI'"III'.,I ::i:~;;:l [::,l::l~r'~; I:)t: "i'HI~: I.,.IE:L.L I::;:Oi'"iF"l..l~:'! :I: LiN. , :~;I:'t~;~:C :[ F;' :[ CFI'I' ]. O1",!:~:~, I::~h,!l') COF,~?I'F~I I~ :'i" :[ Cfl",~ :' ) I;;~:~l:;~:l:::ll"i:~ I:::IF~:~:: ...... SANDY SILT (ML) SILTY SAND W/ TRACE GRAVEL (SM) SAND W/SOME GRAVEL LSW) SANDY SILT SANDY GRAVEL W/TRACE SILT (G~4) Q.0I ~.5t &0.5' ~1.5' I~g R~presents Location of Test Hole ko~_ 18 Block 8 ~lountain Park Estates No Water Table Consultants lng Joyce Construction co. ANCOt)RAGE FAIReAN.S ALASKA JUN[~ Log of Test Hole ~~y ~ ~chorage, Alaska Oepartment of Environmental Quality 3330 "C" Street Anchorage, A1 aska 99503 , ,~ ~ . SOIL~?J~()G - PEROLATION Th;ST Performed for ~/A l_ '~-tor IgC,t It° ~I Date PerfomeO 3n.n,, This form ren Depth Feet ~ ~~p]~.,o ................ 12- 14- Was ground water encountered? .L~_~:~_.. If yes, at what depth? Reading Date Gross Time .01.~ Y &/ , . Net Time Depth to Water Net Drop .Proposed ins~alla-~ion-: '%ou~¢(~ge Pit brain Field ',)c'pth of Inlet . Depth t~'~l~--I)it or Lrench .............. ] .....--~ GREA'FER ANCHOR/NGE ARiA BOROU, l)epa rtnlent of Env i ronnlen ~al (/ua ] i ty 333(] "C" SLreet Anci~orage, Al aska 99503 Feet 13- Was ground water~encountered? ___~_._~ .... IF yes .I)ate Performed _~///~/?,~ Percolation Les~ , at what depth? ............ F ............. T ................ ~ ................. , .................................... Reading Date Gross l'ime Net Time Depth to Water Net Drop Proposed Installation. ~ecpaue Pi~ ~5 Drain Field :;,:i,tn of Inlet . I,:(~ 04~ (6/74) SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF DRILLED AT THE RATE OF ,,Ii178Q0 PER FOOT, PROPERTY OWNER J~le8 ,J'~ Jo~voe 3/4/~-888_3 DRILLER Bernie Clams of Rampart Drilling Works, ~ 0 .....35' Sandy gravel with 40% clay_binder. ' 35 ....90' Clay with several cobbles. 305 recto 90---145' Gravel. 1'45--198' Hardpan. 198--212t Gravel and small boulders. ''~ 212--215' Small amount of watero 1/2 GPM in a sandy gravel material. 21~--2g0' Clay. '! 220--305' Bedrack. Sedimentary rock. The area from 302 to 305 is a gran~.lar porous rock producing three to four GPM with a very fast recovery en full draw down.' ,.- . '...: 95 feet of water recoverye Submersible pump should bo lnstal~ive to ten feet' Charge only for 300 feet of drilling: $5100,00 COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF THANK YOU VERY MUCH, DATE BERjNI, -E---~LAUS OF" RAMPART DRILLING WORKS SERVICE CHARGEOF 1F~% PER MONTH WILL BE ASSESSED ON PAST DUEACGOUNTS, DA~ RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME ! DATE DATE DATE DEPT, OF I:ALTH MUNICIPALITY OF ANCHORAGE ENVIRONM~NI'i,,L ;,.._"r~CTION DEPARTMENT OF HEALTH ~ ENVIRONMENTAL PROTECTION 825 L Stre., - Anchorage, Alaska 99501 /~i} R 2 2 1980 ENVIRONMENTAL SANITATION DIVISION ~EOUEST FO~ APPROVAL OF INDIVIDUAL WATE~ AND 8EWE~ FACILITIES DIRECTIONS: Complete ail parts on page 1. Incomplete requests will not be processed. Please allow ten (10) davs for processing. 1. P~OPE~TY OW~E~, PHONE MAILINGADD~ESS PROPERTY RESIDENT (If different from above) PHONE PHONE MAILING ADD'ESS I ' ' STREET LOCATION 6. TYPE O~: RESIDENCE / ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF ~B EDROO.[vlS [] One ~ Four [Z] Two ~'~ [] Five [] Three [] Six [] Other 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM ,/~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED •PUBLIC UTILITY Connection Verified INSTALLER [~]Septic Tank or [] Holding Tank Size: ] ~L~-'7'~ If Tank ishomemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER ,~,~ ,~ ~ ~, TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank Absorption Area ISewer Line I Nearest Lot Line WELL TO: I Absorption Area to nearest Lot Line 5, COMMENTS ~ APPROVED FOR '~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTALPRO-rECTION April 28, 1980 Sherrill J. Wells Star Route A Box 377-J Anchorage, Alaska 99507 Subject: Lot 18 Block 8 Mountain Park Estates Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: well log submitted to this department for our view. (2)v The water analysis report be delivered to this office from Chem Lab, 5633 B Street, for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw CC: Alaska Statebank % Mary Hillier 310 East Northern Lights Boulevard 99503 Nell Clayton/Carla Warner % Landmark Realty 833 Gambell Street 99501 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 21, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 2:30 p.m. 9-22-76 Wednesday Buchholz 1. Approval requested by: Mailing Address: 2. Property Owner: Joyce Builders Mailing Address: Star Route A Box 377B 4. 5. 6. Phone: Phone: 344-8883 Legal Description: Lot 18 Block 8 Mountain Park Estates Location: Ridgeview at Holden '~ ~ Type of facility to be inspected Wel 1 Data: Tndividual A. Type ~)~' C. Construction ~-~~ Sewage Disposal System: On-site system C. Septic Tank: 1. D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line Size 1. Absorption Area Total length of lines Single Family No. of bedrooms 4 B. Depth 305' D. Bacterial Analysis ~, ~' B. Installer 2. Manufacturer 2. Material , Sewer Lines , Absorption area , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line__ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re st for Approval of Individual 'er & Water Facilities Legal Description Lot 18 Block 8 Mountain Park Estates Comments App~val :,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO VA Mailing Address: ~<~. 3. Name of Buyer: .~,~'~ Mailing Address: 4. Name of Lending Institution: ~'~' ¢/ , Mailing Address: 5. Name of Realtor or Agent: 5/ · J~ - FHA .CONV Day Phone: Day Phone:. Phone: Mailing Address: Phone: 7. Type of Facility to be Inspected: ~\ ,~ (,~ ~- ~-O v-~ ,~, \1 No. Bdrms.. 8. Water Supply Type of Supply: Public Utility Individual If Individual, depth of well Sewage Disposal System Type of System: If Individual, date of installation If Individual, number of dwellings presently served Public Utility Individual (on-site). tq 72 003(3/76)