Loading...
HomeMy WebLinkAboutMCMAHON BLK 1 LT 1McMahon Block 1 Lot 1 #017-041-42 b.� --1 \ MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE UPGRADE MAILING ADDRESS �3 Z:, �� �7. �// o Ilei LEGAL DESCRIPTION LOCATION AV NO. OF BEDROOMS U Y DISTANCE TO: Well Absorption area leeftiol-- Dwelling PERMIT NO. wManufacturer yU �/ Materiar No. of compartments / N Liqcapacity in gallogs TSV jFJ14 IF HOMEMADE: Inside length Width Liquid depth 0 = JC7Z DISTANCE TO: Well Dwelling PERMIT NO. O z Q Manufacturer Material Liquid capacity in gallons w= DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. J W z Z w No. of lines Length of each line Total length of lines Trench width inches Distance between lines ccF in Top of tile to finish grade Material beneath tile - inches Total effective absorption area w Length Width Depth PERMIT NO. 0 11,- wa Type of crib Crib diameter Crib depth Total effective absorption area N DISTANCE TO: Well Building foundation Nearest lot line J J Class' _ L Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER —ILL--± PIPE MATERIALS C %—�/`4N SOIL TEST RATING / �O it INSTALLER REMARKS Akl. - fn- !a lw.- IY .2/ Al .Z;to 96Z iL APPROVED DATE �LEGAL p� 61 72-013 (Rev. 3/78) -- �/7 �11 r-4 I c: 1`���I�� �� 1��� ���� 2'd ~ ' DEPARTMENT' \ HEALTH AND ENyIRONMENTHL/|TECTI0N / 825 /.� STREET/ ANCHORAGE.,AK ( / � ' ~ ' 264~4720 ^co r-4 -r F= �E--- L. -i F-- r-� u F�- c� F;;.- n r. F= F=:- a Fe r -i T -r PERMIT' NO. < 80Q��4 ) APPLICANT SCHHCHLE EXCAVATING 6]] E 815T FIVE. 344-2911 LOCATION HUFFMHN/FURROW LEGHL LOT 1. S 1 MGMAHAM SUB LOT SIZE 10890 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: +PE+�H MAXIMUM NUMBER OF BEDROOMS = 6 SOIL RATING (SO FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ����0-1 �m ����-IF |��n V a I ���-T H= JULP- THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH DR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE 13R8UND HND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). �E:F:o-rllZ� �F=dP-JK 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 SERVE. -r L-A CA < -2 > I P-4 _�­ F=� a f_� -IF I ID " _�, n F;-:-* I--- F? FE Q U I FZ EE C -m — — — BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN 8 WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ��F? M I -F E- X F::" I �FEE ��M E� E- F-:.' =-;c -1 -1 ED C-1 I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS AS SET 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 6 BEDROOMS. w IS w GRU-1 R ANCHORAGE AREA BORA _,411 Department of Environmental Quality � 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME hJ��1/i1�0 MAILING ADDRESS �l` ?UPjHO�N,E �,�//� LOCATION / +�% ' U LEGAL DESCRIPTION SEPTIC TANK: 7ffy — DISTANCE _ I NUMBER OF FROM WELL MANUFACTURER MATERIAL COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL /©U r FOUNDATION (� /� NEAREST LOT LINE 142 T OF LINES yo NUMBER OF LINES DISTANCE BETWEEN LINES // A TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION AREA '/00 SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER / DEPTH: TOP OF TILE TO FINISH GRADE ` MATERIAL BENEATH TILE &.JABOVE TILE IN. WELL: TYPE— CONSTRUCTION �7G/L�J i C2Y� DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE , SEWER LINE , TANK , SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS -- Q DIAGRAM OF SYSTEM DISTANCES: r It Jk INSTALLED BY: �4 v p� 0� jL�L—` Cit SEWER LINE DEPTH: S�F� y(e' A I Ire SIS �� r� ® Q� PIPE MATERIAL: t[ LOT SLOPE: rueJ?0w CoeF k e REMARKS: DATE 6 �'S - 7'6 APPROVED G.A.A.B. Form EQ -032 -r0-0 clF= o-3FRoF403E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 510 E. TUDOR RD., ANCHORAGE, AF-'•.. 99507 276-2221 PERMIT NO. 76:137 1 APPLICANT HARRY OL.S.EN SRA BOX 1553 344-0479 LOCATION FURROW CREEK LEGAL L1 B1 MCMAHON SUBD LOT SIZE 134306 SQUARE FEET. TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING; (SQ FT,'BR)= 115 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C, F= F:- -r --F = - £S L E P Ci -r"= -# r ` 13 FR"V E L F> E F= -I-"- THE LENGTH DIMENSION I= THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE. DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN 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 CIN FEET). F-10 F= "D _e I F=' E C> FE F-:> -T- I I -r:: -r F=j K :E; I -" E = - -�=` 15 C-71 f3 n L.. l._ C-J"!EE; BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 2OO FEET FOR A PUBLIC WELL.. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=' FE: F : t'1 I -r l%Jl t=7 L I C- F=' Q F;;� I i r-4 Fr V F= 1=I F c F= F? 31r-1 I E- 4--- 13 F= I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS, AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE 15 REMODELED TO INCLUDE MORE THAN 4 BEDROOMS, APDLI NT HFIR OLSE _ 7 , i `* __DATE_.�e__='__ /_V---- ISSUED Br_{ �%- _d _____ FURROW CREEK RD. Log Represents location of Test Hole Lot 1 Block 1 McMahon Subdivision ° DY/N: VRZ . r � a" CKD: PJ s S Zj FURROW CREEK RD. Log Represents location of Test Hole Lot 1 Block 1 McMahon Subdivision T. H.1 e . ° DY/N: VRZ . TRACE GRAVEL (ML) a" CKD: PJ � rn i, 1 �' S Zj W/SOME SILT (SM) DRT�= 5-3-76 GRAVELLY SAND - SCALE- 1"=3' SANDY GRAVEL R S M CONSULTANTS, I NC. T. H.1 e . ° SANDY SILT W/ TRACE GRAVEL (ML) a" 6' GRAVELLY SAND S Zj W/SOME SILT (SM) GRAVELLY SAND - SANDY GRAVEL (SP GM) (115) a y . . SILT W/SOME SAND (ML) GRAVELLY SAND - m, : SANDY GRAVEL J e;.e. (SPI GM) a' . a a .o V . c.. (105) No Water Table 16.0' T. D. Harry H. Olson Log Of Test Hale Anchorage, Alaska F. B. GRID: PROJ.NO. 656229 DWG. NO. A-01 Municipality of Anchorage... • Development Services Department' •' Building Safety Division , , ." _ : • , / On -Site Water and Wastewater Pro -9 ram ,. 4700 South Bragaw St " s " "• P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchbrage.ak.us (907)343-7904.,:, CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY D"WELLNG i.. . �d Parcel I.D. 017-041-Y2 HAAO / ,74 . Expiration Date: 1. GENERAL INFORMATION 1 Complete legal description L A bled. I t -t t- "ahem S/0 Location (site address or direciions) Cc-tC I,r Roe, 4 Current Property owner(s) i`M& Y -L ti Mg &e s Day phone 3 LAA - 614 Ll Mailing address 12 Nd/ 1= u ✓roar . Com' c 1� tZ Q s. Alois" Lending agency A l ois F2.. l/S A Cur ks. Day phone'_" ti6 3- 3033 Mailing address W71 (e/ 36 LCr Real Estate Agent Mailing Address Unless otherwise requested, HAA will he held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [r Individual On-site [y� Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined in the 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 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 A" Phone ;-7f'39 Address W I U4 Date Engineers Printed Name t col�b "r �•r / ; � .. ; ., n.�y •`�', ENGINEER'S ....,....... <....:�TAhIP 31 5. DSD SIGNATURE 6`.'" •' c. '':'"' _J,-' Approved for _� bedrooms. Disapproved.w��tt�,\�Yf OP/ iq/% Conditional approval for bedrooms, with the following stipular:•'' ° •., AND 1.1Trr) PROGRAM Additional Comments Note: The well for this property meets existing State and Municipal Codes. There are nitrates present, QO a rr. Current nitrate concentration is 9.89 mg/1. EPA maximum concentration is 10.0 m-,/1. more info Attachments: HAA Checklist x Septic System Advisory Well Flow Advisory at Maintenance Agreements Supplemental Engineers Report Other By: Original Certificate Date: (Ha., MCO) Municipality of Anchorage • Development Services Department Building Safety Division ' On -She Water & Wastewater Program " 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-79W HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L riT I B k I W L W 0 A a r1 9/p Parcel ID: O /7 - O 4 I- y Z - A. WELL DATA Well type g Date completed ru qks If A, B, or C provide PWSID # NIA Sanitary seal (Y/N) 4 Total depth -A —1ft. Cased to -SA—ft. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: ft. 9 -P.M. Well Log (Y/N) %,..1 Wires properly protected (Y/N) V Casing height (above ground) I A n. AT INSPECTION ylt4 to I -54 ft. -9 g.p.m. Coliform -0-- colonies/100 ml. Nitrate Tt mg.A. Other bacteria _� colonies/100 ml. Date of sample: y1Za%( Collected by: T' S B. SEPTICIHOLDING TANK DATA Tank Type/Material 5 *oq..I4 ae IWO "n 6. -,- Date installed _I qA'O Tank size ,� al. Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) JSL_ Depression over tank (YIN) _hL High water alar (Y/N) P1 Date of pumping a/ot2plot Pumper _ A &%tL # rtit Ce:,9 D'/� C. ABSORPTION FIELD DATA Date installed 14stc /9 ib Soil rating (g.p.d./ftp or ft=/bdrm)jL5 System type /�rar e� Length 4 o ft. Width 3 ft. Gravel below pipe S ft. Total depth _L5_ ft. Eft. absorption area jt!�.ft` Monitoring lube T \/ Depression over field NJ Date of adequacy test "AI Results (Pass/Fail) For t bedrooms Fluid depth in absotion field before test _a in. Water added 7Ogal. New depth in. J " 4 Elapsed Time: �-�rtrhr.-- Final fluid depth � � in. Absorption rate >= '6 S.� w+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) 1.1 If yes give date D. UFT STATION Date installed Size in gatlons 'Pump on" level at _ In. 'Pump otf I _ in. Datum Co ted E. SEPARATION DISTANCES Manhole/Access (Y/N) High water alarm level at In. Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ,LOT TO: Septic tank/lift station on lot ^ I L Tai On adjacent lots j Absorption field on lot l 0"o N On adjacent lots Public sewer main µ�A Public sewer manhole/deanout V4 Public Sewer /septic service line 7 .2 Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation _f SProperty line. i O Absorption field 40 Water main NIA Water service line 2%— Surface water N) O Weiss on adjacent lots ? 1 O O SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: N Property line � ®f Building foundation u D Water main /A J _ Surface water �Q_ _ Driveway, parking/vehicle storage o,,4t v - Water Service line Curtain drain *1 , Wells on adjacent lots F. COMMENTS 4 G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field Inspections and *TAAMP;s review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. R S Engineer's Printed Name ! 0 6t11t N �a✓ r V. F'AN �. . Date HAA Fee $ V Waiver Fee $ Date of Payment 0) Date of Payment Receipt Number Receipt Number (Rev. 12/00) LEGAL: LOCATION: OWNER: RESIDENCE: WELL: SEPTIC SYSTEM: 203 WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99502-390.1 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM ADEQUACY TEST Lot 1, Block 1 McMahon 12401 Furrow Creek Road Philip Platt Single Family, Four Bedrooms On Site Single Family FROM MUNICIPAL RECORDS: TANK: 500 gal Greer Tank 4 Bedroom System and 1250 Unknown Construction ABSORPTION SYSTEM: Trench, Crib ABSORPTION AREA: 400 Sq. Ft. SOIL RATING: 115 INSTALLt%TION DATE: Pre 1968. 1976, and 1980 WAIVERS GRANTED: Well to 500 gal tank 84 feet, 1/21/86 DATE OF LAST PUMPING: Isaacs May 8, 1998 DATE OF TEST: May 4, 1998 TEST PROCEDURE: System was inspected and measured. Tanks were found with 3.5 feet of cover and with liquid levels of 55 and 36 inches respectively for the 1250 and the 500 gallon tank. The crib was 11.5 feet deep with 60 inches of water. Trench clean out was 10 feet deep and dry. Trench monitor was 17.5 feet deep and with 34 inches of liquid. 800 gallons of clean water were added to the trench while the liquid levels in the tank and the trench were monitored. The water level in the tank did not change and while the water level rose immediately to 67 inches in the trench monitor. The water level in the monitor dropped 4 inches over night. These observations are similar to the measurements made in 1992. TEST RESULT: - This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. This assessment is made on the fact that the system did accept 800 gallons of water wi'r.out any sign of distress and that similar observations were made in 1992. NOTE The operational life of all •;eptic systems depends on the local soil conditions, groundwater levels that may fluctuate during -.he year, and the water usage of the family being served by the system. These conditions are out side the control of the eval iator of this septic system. We can therefore not give any estimate of how long this system will function satisfactorily for current or future occupants. All septic systems ultimately fail. Some systems last 15-20 years, others fail after less than five years. OLHL-MaLAND P.E. 203 WEST 15TIL AVENUE SUITE 203 ANCHORAGE, ALASKA 99502-3904 (907)279-3916 Fax (907)-276.6013 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 1 Block 1 McMahon S/D LOCATION: 12401 Furrow Creek Road OWNER: Martin Meags RESIDENCE: Single Family, Four Bedrooms WELL: On Site Single Family SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 3 Bedroom System TANK: 500 gal Greer and 1250 Gal tank of unknown construction ABSORPTION SYSTEM: Crib Standard Trench ABSORPTION AREA: 400 Sq. Ft. SOIL RATING: 115 INSTALLATION DATE: Pre 1968, 1976, and 1980 WAIVERS GRANTED: Well to 500 gal tank. 84 feet, 1/21/86 DATE OF LAST PUMPING: Anchorage Cesspool April 20, 2001 DATE OF TEST: April 19, 2001 TEST PROCEDURE: System was inspected and measured. 1000 gal tank was found with 3.5 feet ofcover and with a liquid level of 55 inches. 500 gal tank was found with 37.5 inches of liquid, crib 60 inches and trench sump 62 inches. Trench clean outs were ten feet deep and dry. 780 gallons of clean water were added to the system while the liquid levels in the tank and the trench were monitored. The water level did not change in anny of the pipes. The next day the water level in the trench monitor had dropped two inches. These observations are similar to the observations made in 1992 and 1998. TEST RESULT: This system meets the code requirements of the Ilealth and Social Services Department of the Municipality of Anchorage. NOTE The operational life of all septic systems depends on the local soil conditions, 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 this septic system. We can therefore not give any estimate of how long this system will function satisfactorily for current or future occupants. All septic systems ultimately fail. Some systems last 15-20 years, others fail after less than five years. P• 04-26-01 03:54FROtI-CTE EN91R RENTAL CUE Environmental Services Inc. V�r.��rit�.rrrrrrrr�wrvrr (-I'&E Ref.# 1011952001 Client Name Tobben SpurMand P.E. Project Namelk 111 hi.blalton Client Sample ID 1/1 IV1CNIallan 111atria Drinking Wath Ordered By PWSID p - s21.11ple Retratks Punmcta Waters Department N.trxe-N Microbiology Laboratory Tom! Coltfotm Rest -hs 9.89 1011. No Colt 5615301 T -i08 P.02/03 F-926 ` Client POH Printed Darr: time Collected DatcTime Recessed Date/Time 'technical Director Releasra� PQL Unit, Alrthxl 0.500 r g/L EPA NO 0 co!/100mL SM1892220 Pre -Paid ColiS:'i�03 04/24/2001 19:24 04/20.'2001 6.30 04;20;2001 8-40 Stephen C. Ede t -td Alluwablc Prep Anal)sii Limns _ Date tkee Inn 10 rntx 04'2U'01 SCI, 04/2!)'01 SKN 64 -cc ui G8:55 FROV-CT: ENVIPUNLENTAL 5615301 ME Environmental Services Inc. ■ Laboratory Division r.��i►Ir►�►•so-'rmviore*rssi rm ing Water Analysis Report for Total Coliform I READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE runLIC VIAL ER SYS rEM J03 K PRIVATE V+ATER SYSTEM Sona Reruns S N Sem Invc cs >A-t`t v r:dto Syf�rT Nwn•eA.Jr•ianr hamp Conlan N2n'e 'i 1Y/ —_ -.{}•q NJ:IWk' I fal NJi�4k' 1.11•-T.I .MMfv .I k Untreated Water 1'.cy I S:z'r l.0 �_:r SAIMPLE DATE i) q. Samp:e st;ou,d not be owe, 44.1" OzY 1rY SAMPLE TYPE: I x Rout)ne Treated Water / Repeat Sample .I k Untreated Water (refer to lab Special Purpose Ki^m9ia'.0 FBc T-708 PAV03 F-928 200W. Potter RriV'? Anchorage/ AK 99518.1605 Tol:(907)602.2343 Fax: (907) 561-5301 COMPLETED BY LABORP snows this wafer SAMPLE to be: Gnsatisfancry . Sarrple too Inng in transit. Samp:e st;ou,d not be owe, 3®nrs o:d for ana:y5is to indicate leaab!e results Please se]o a new sample gra spec al delivery Iran'. Date Received: Time Received.(�I1�/�� Anclysis Degan_ 1 -7o2V Analytical Method Ki^m9ia'.0 FBc .ab Ret he 1011952 SeM to AUti. Date 5uW X013 •iLci Client notified of unsatisfactory results: .Time Collected Locajioa Collected from: Collected: oy i sum... N. r Date.'. Time BACTERIOLOGICAL WATER ANAYSIS RECORD MMO•MUG Resu!e Total Culiform E. Coli _ Membrane Filter. Direct Count`__OC3W Cotcnieslt00ml TNTC.tooN..n- :,--'>.:: Verlbearon: L10 BGB 4COLIFORM - os •Omer aaa.,.J Fecal Coliform Confirmation: HY Final Membrane Filter Results: Reported By: Com:aents- Collformit0om! r f ' U 1 Time: iba l rb 0 MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES < Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# HAA # 1. GENERAL INFORMATION , Complete legal description Location (site address or directions) Uqo I rum au- Property ownerQ..euu.cA I rin Day phone 3V5_ 3a'7J— Mailingaddress ?A1/0f t"urro(u'Gr-��`= 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 x Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 IZH Vow Nogg (l6/l'ABU)5Zo-ZL •>laoM s jeaul6uo Ieuoissajoid aql ui suoisslwo ao saoaaa ao; alglsuodsaa IOU sl a6eaogouy jo AllledlolunW a41 'panssl sl aleol;llrao a aao;aq elep azAleue ao suolloodsul lonpuoo IOU op SHHQ jo saaAoldw3 'sluawaalnbaa olels pue leaapol ule}jeo i(lslles olaapao ui suollnlllsul bulpual alayl pue sa(.uoq to siesegoand olAselrnoo a se s141 saop SHHQ ayl •s�sely{o alelS aql ul paaalsl69a aaaul6ua leuoisseloid luapuadapul ue Aq anoge g ydeAvied ui uan16 suoileluaseidaa agl uodn Aluo paseq saleollllJaC) lenoaddy Al!ao41nV LllleaH sonssi (SHHQ) saolAJaS uewnH pus WE01-1 ;o luawliedap ebeaogouy jo Allledlolunn eql VdH 'T/buz �•g sz uozgeaquaouoo aq.eagTN 'AgTTTgeqTns panuzquoo S sz q.= 'quasaad sageagtu aaP aaaul •sopoD TpdTDTunw pue aq.pq.s uzq stxa sq.aaui sluawwo:D leuolllppy molleindlls bulmollod agl glinn 'swooapaq Z .�`2 y �A 'c ' Pua;v.:nog r er �iS'"`�JJ1�� • �� r� r u' � � alep Z aol Ienoadde leuolllpuoo •panoaddesla •swooapaq —7 aol panoaddy 3unIVNJIS SHHa '9 ainleubis s,aaauibu3 ssaappy bL2� auogd �� /0"ha7� ,4 H e�cuUaiJ }o auaeN •uolloadsul slgl to olep aql uo loaga ul suollelnbai pue 'saoueulpao 'sopoo alelS pue ledioiunW Ile gl m eouelldwoo ui si welsAs Iesodslp aaleMalsem ao/pue AIddns aamm ails-uo aql 'uolloadsul pue u01le611s9nu1 AW woa; pue salll a6eaogouy to Allledlolunw agl woa; paulelgo uollewaolul eql uo paseq legl AJjJ@A aaglanl I 'ulaaaq paleolpul a.(nlonals to ads l pue swooapaq }o aagwnu aql ao; alenbape pue leuollounl 'a;es sl walsAs lesodslp aaleMalseM ao/pue /xIddns aaleM olls-uo aql legl smogs uolleolldde Ienoaddy Aluoglny glleaH slgl }o uo1le611sanu1 AW legl A}laan l 'nnolaq umogs alep uollep!leA aql to se pus olaaag paxlllu leas Aui Aq pailpao sy a33NION3 AS N01103dSNI d0 LNaW31V.LS 'S alep Z aol Ienoadde leuolllpuoo •panoaddesla •swooapaq —7 aol panoaddy 3unIVNJIS SHHa '9 ainleubis s,aaauibu3 ssaappy bL2� auogd �� /0"ha7� ,4 H e�cuUaiJ }o auaeN •uolloadsul slgl to olep aql uo loaga ul suollelnbai pue 'saoueulpao 'sopoo alelS pue ledioiunW Ile gl m eouelldwoo ui si welsAs Iesodslp aaleMalsem ao/pue AIddns aamm ails-uo aql 'uolloadsul pue u01le611s9nu1 AW woa; pue salll a6eaogouy to Allledlolunw agl woa; paulelgo uollewaolul eql uo paseq legl AJjJ@A aaglanl I 'ulaaaq paleolpul a.(nlonals to ads l pue swooapaq }o aagwnu aql ao; alenbape pue leuollounl 'a;es sl walsAs lesodslp aaleMalseM ao/pue /xIddns aaleM olls-uo aql legl smogs uolleolldde Ienoaddy Aluoglny glleaH slgl }o uo1le611sanu1 AW legl A}laan l 'nnolaq umogs alep uollep!leA aql to se pus olaaag paxlllu leas Aui Aq pailpao sy a33NION3 AS N01103dSNI d0 LNaW31V.LS 'S Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: f , f �fWa-4o vi Parcel I.D. A. WELL DATA Well type i�, If A, B, or C, attach ADEC letter Log present (Y/N) Date completed _ ADEC water system number NIX Driller Total depth 7 lZe - Cased to -71+ ,' Casing height f/ Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION o z / �a' on Date of test '_`�/ m m y Static water level `a�' 1 o o T �' A Well flowg.p.m. g•p• M400 n � Pump level 76. cn M O SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot C2 -7 Cyleav-,"� ; On adjacent lots Absorption field on lot ; On adjacent lots Public sewer main +4/� Public sewer manhole/cleanout Sewer service line G Petroleum tank N WATER SAMPLE RESULTS: Coliform Nitrate , (10 1 �Z Other bacteria Date of sample: / /Z712 � Collected by: ST eL� r B. SEPTIC/HOLDING TANK DATA Date installed 64 ME C' NSO Tank size /OZJ V -i' Compartments Cleanouts (Y/N) _ Foundation cleanout (Y/N) N Depression (Y/N) N High water alarm (Y/N)% Alarm tested (Y/N) / NIA Date of pumping / �/ ,— ` / I l Pumper PO Y 0 - Roo �-ev' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Wei I(s) on lot 0 On adjacent lots f Foundation /Z To property line —> 3ej Absorption field Water main/service line > Z 0 Surface water/drainage A114 72-026 (Rev. 7/91) Front - - - CONTINUED ON BACK PAGE C. LIFT STATION tZ� Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Surface water _ Date installed L `169 B ! J'7& Soil rating 1I System type Length AI© -Width Gravel thickness Total depth Total absorption area Cr—; Cleanouts present (Y/N) %" 1 2 Depression over field (Y/N) N Date of adequacy fest `l ` Results (pass/fail) F?for '7/" bedrooms Peroxide treatment (past 12 months) (Y/N) N If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 11a On adjacent lots -> y (9-e-) Property line > 3 C) To building foundation �ZTo existing or abandoned system on lot AN, On adjacent lots > "3 0 -Cutbank t'4 `A Water main/service line 7 i7 Surface water ��/� Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the -date of this inspection. Signature ( I Engineer's Name Date { . i HAA Fee $ 12b Waiver Fee: $ Date of Payment / Date of Payment Receipt Number_'�L.3 �%Z5� ( S�'J� Receipt Number 72-026 (Rev. 3/91) Back MOA 21 �~~ L.p Fz," I— .- L... e,.* �,Q :F_.� F- 203 WEST 15TH. AVENUE SUITE 206 »D0W[ST15TH.AV[NU[SUlT[2V6 ANCHORAGE, ALASKA Y9502`3904 (907) 2719-3716 RESIDENTIAL WELL INSPECTION LEGAL: Lot 1, Block 1 McMahon LOCATION: 12401 Furrow Creek Roa6 OWNER: Dennis Hall TYPE OF WELL: Private, Single Family WELL LOS AVAILABLE: No INSTALLATION REQUIREMENTS MET:Yes WELL YIELD FROM WELL LOS: Gallaw-is per Mint..tte PUMP YIELD FROM TEST: DATE OF INSPECTION: 5.6 Gallons per Minute January 24, 1992 TEST : Well was pumped at a constant rate while the drawdown was monitored with an acoustic probe. At the beginning of the test water level was found at 52 feet below top of casing. At a pumping rate of 5"6 gallons per minute the water level dropped to 67°5 feet after 2^5 hr" of pumping" During the next 1.5 hour the water level did not change" A total of 1410 gallons were pumped. Pump intake is at 76.6 feet. TEST FOR E.00LI AND TOTAL NITROGEN: Water was tested for E.Col i and total nitrogen on Jan. 27, 1992 E.Coli 0° Total Nitrogen 6.4 mg/l. Max. allowable Total Nitrogen 10 mg/l. TEST RESULTS: This well meets the requirements of the Municipality of Anchorage. THIS WELL WILL PRODUCE MORE TH6AN'3 GALLONS PER MINUTE FOR� MORE THAN FOUR HOURS T�-te Municipal requiremont for well flow is 150 gallons of water per bedroom per day" This well exceed this requirement. The assessment of the condition of the well applies only to the con6itions as of the day tested., The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well. ���-P 0-,^jr,!A H%J r� F'= 1E.".� 203WEST 15YH,AVENUE SUITE 20b ANCHUkAG[,ALASKA Y9502~3904 (9V7)279 -3Y16 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 1, Block 1 McMahon LOCATION: 12401 Furrow Creek Road y OWNER: Dennis Hall RESIDENCE: Single Family, 4 Bedrooms WELL: Private; On Site SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 4 Bedroom System TANK: 1250 Gal" + 500 gal ABSORPTION SYSTEM: Concrete Crib + Trench ABSORPTION AREA: Crib + 400 Sq" Ft. SOIL RATING: 115 INSTALLATION DATE: Pre 1968, 1976 and 1980 DATE OF LAST PUMPING: Roto Rooter 12/02/91 DATE OF TEST: January 24, 1992 TEST : System was inspected and measured. Tanks were found with 5 feet of cover and with a liquid levels of 54 and 38 inches" Concrete crib was 11 feet deep with 58 inches of water. Trench clean outs were between 10 and 11 feet deep and dry. Trench sump was 17 feet with 13 inches of water. With the exception of the cleanouts after the crib, all stand~ pipes were cut of at ground level or below. These pipes should be extended for ease of location and maintenance. 850 gallons of clean water was added to the crib while the water levels were monitored" The water levels in the tank did not change, while the level in the crib roes 3/4 inch, The water level in the sump rose 59 inches with the first 60 gallons and did not change any more. 50 minutes after the water had been added, the water level in the sump had dropped 5 inches. The next day the water level in the sump was found at 70 inches" 1'11ese indicates that the well casing acting as sump is not perforated, The perforated pipe in the trench is 6 feet higher than the bottom of the sump. Monitoring of the actual water level of the trench is not possible. Based on the fact that 850 gallons were added without backup, and that pumping of the trench is not the trench is considered adequate. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage, ` DATE OF LAST PUMPING: Roto Rooter 12/02/91 DATE OF TEST: January 24, 1992 TEST : System was inspected and measured. Tanks were found with 5 feet of cover and with a liquid levels of 54 and 38 inches" Concrete crib was 11 feet deep with 58 inches of water. Trench clean outs were between 10 and 11 feet deep and dry. Trench sump was 17 feet with 13 inches of water. With the exception of the cleanouts after the crib, all stand~ pipes were cut of at ground level or below. These pipes should be extended for ease of location and maintenance. 850 gallons of clean water was added to the crib while the water levels were monitored" The water levels in the tank did not change, while the level in the crib roes 3/4 inch, The water level in the sump rose 59 inches with the first 60 gallons and did not change any more. 50 minutes after the water had been added, the water level in the sump had dropped 5 inches. The next day the water level in the sump was found at 70 inches" 1'11ese indicates that the well casing acting as sump is not perforated, The perforated pipe in the trench is 6 feet higher than the bottom of the sump. Monitoring of the actual water level of the trench is not possible. Based on the fact that 850 gallons were added without backup, and that pumping of the trench is not the trench is considered adequate. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage, ` 1'11ese indicates that the well casing acting as sump is not perforated, The perforated pipe in the trench is 6 feet higher than the bottom of the sump. Monitoring of the actual water level of the trench is not possible. Based on the fact that 850 gallons were added without backup, and that pumping of the trench is not the trench is considered adequate. TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage, ` NOTE The operational life of al)' septic systems depends on the local soil conditions, groundwater levels that may fIuctuate 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 this septic system. We can therefore not give any estimate of how long this system will function satisfactory for current or future occupants. CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 8 STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS for INVOICE # 50638 Chemlab Ref.# 92.0323 Sample # 1 Matrix: WATER Client Sample ID 1/1 MCMAHON Client Name :TOBBEN SPURRLAND, P.E. PWSID UA Client Acct :TOBBENS Collected JAN 27 92 @ 15:56 hrs. BPO# : PO# :NONE RECEIVED Received : JAN 27 92 @ 16:30 hrs. Req# : Preserved with AS REQUIRED Ordered By Analysis Completed JAN 29 92 Send Reports to: Laboratory Supervis r STEPHEN C. EDE 1)TOBBEN SPURRLAND, P.E. Releasod.By : L ../ C' V'✓ 2) Parameter Results Units Method Allowable Limits ---------------------------------------------------------- NITRATE-N 6.4 mg/l EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: STUART. Remarks: .....................................................:................a.....................................,................. 1 Tests Performed See Special Instructions Above UA -Unavailable ND. None Detected See Sampla Remarks Above NA- Not Analyzed LT -Less Than, GT -Greater Than 1f*6,? SE3S Member of the SGS Group (Societe Gdn6rale de Surveillance) CHEMICAL I GEOLOGICAL L,4BORATORY r °Poi A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. wBORAWRY TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D. # ❑ PRIVATE WATER SYSTEM SAMPLE DATE: Mo. SAMPLE TYPE: Day Year Routine ❑ Check Sample (for routine sample with lab ref. no. ❑ Special Purpose TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send Zip Code new sample via special delivery mail. Date Received Time Received Analytical Method: Membrane Filter ❑ Treated Water ❑ Untreated Water No. of colonies/100 mi. SAMPLE Time Collected� - y Result' Analyst No. OCATION Collected yf 92.o-23 7ATION Collected� G �/ 1 I ��Mc- 2 m 3 1 m 4 I 1 1` m 5 ET COLLECTING SAMPLE Final Membrane Fitter sults Coliform/100 ml Reported By < �- �� Date l'z , "' "? 2- - TNTC = Too Numerous To Count ,imt3. (S�3o a.m. p.m. OB = Other Bacteria i -� - DATE RECEIVED INSPECTION APPOINTMENTS bY�eY Uir TT LP TIME 6. TYPE OF RESIDENCE TIME TIME DATE -14 SINGLE FAMILY DATE DATE INSPECTOR 7. WATER SUPPLY INSPECTOR INSPECTOR NR "9 F ANCHORAGE * ATTACH WELL LOG. A well log is required for all wells drilled MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 JUN 2 7 99$4 depth (attach log if available.) ENVIRONMENTAL 264-4720 N DIVISION Telephone RECEIVED i�51 INDIVIDUAL/ON-SITE** REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER �6 PHONE 3 V- �/ 7 h r YI%1 MAILING ADDRESS 9 l 5—S — /qw c q k - n? -;7 PROPERTY RESIDENT (If different from above) PHONE 2. BUY e3^%I'`e PW r,C ui. av PHONE LI_ MAILING ADDRESS---, 9 d D 6 3. LENDING INSTITUTIPHONE X76--/933 �r c MAILING ADDRESS 4. REALTOR/AGENT �/ ` / ) / PHONE c .351 MAILING AD RESS/� / / Mi 5. LEGAL DESCR))PTION 'Lb r 13 4�. STREET OCATION j� / r 17 bY�eY Uir TT LP 71 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One F?9 Four ❑ Other -14 SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY EQ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM i�51 INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 0 (-b-') aO�� (:� A/ /''`FYI"{!/ "� "✓6,'i•�L/ OCZ(k/" THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL nn-- 4. DISTANCES WELL T0: Septic/Holding Tank Abso0pti4Area C3 0 Sewer Lie Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ❑/PPROVED FOR _BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) Time r-. APPLIC AT FILLS OUT UPPER HAL ONLY Property Owner;. _ ' Patrick Bunce Phone Mailing Address Zip Code Buyer Mr. and Mrs. YjJXinnle Address - Zip Code Lending Institution Iiome Federal Savings and Loan: Attn: Donna Phone Address 535 "D". Stimet, Anchorage, Ak Zip Code 99503 272-3 Realty Co. & Agent Rhodi Karella Phone n TO Realty, Inc. Inspector Address 724 E 1 Zip Code272-0571 Legal Description Lot 1, Block 1, McMahon Subdivision Street Location F]uffman and Plan= Creed Rnad Type of Residence EXSingle Family DEPT. OF ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply - CXIndividual FNVIRONV1cNTAL ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community JUL 2 0 9" For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility RECEIVED Sewer Disposal ❑xlndividual Year Individual Installed: - - ❑ Public Utility When Connected to Public Uti ity: ❑ Holding Tank ( ) CONDITIONAL APPROVAL' S NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time P� y Date Date Date Date /1 ' l n Inspector Inspector Inspector Inspector 11-- ANC,NnaAGE DEPT. OF Field Notes: PRO7rCIlON FNVIRONV1cNTAL JUL 2 0 9" RECEIVED (J)APPROVED BEDROOMS - - `CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' S - - �! DATE BY: Solis Rating Date Sewer Installed Well To Absorption Area r/ B�-Cl - Well Log Received Septic Tank Size '7 Well to Tank 72-023 (3/U) / r / /� �I MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 .. Application Date No 15.. ( q65 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, sectio/n, township, range) Location (address or directions) 2 q 0 / (b) Applicant Name TO L4. -t Me.. K-f_CW ,0_ Telephone: Home. 390- y96 7 Business Applicant Address (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); - E (e) (f) Lending Institution Telephone Address Real Estate Company and Agent -Rr i tFaJtt l7oIrwL ® � � Qrra Address o20 % fii N ORi4_JRr(?—N 1—ICatS B4�/l7 Telephone - Mail the HAA to the following address: H0L1-) -- ' 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 5 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11/84) Page 1 of 2 5. ENGINEERING FIRM PROVIDIN, JSPECTIONS, TESTS, FILE SEARCH, DA. AND INFORMATION.• As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this in'spec ,on. Name of Firm ' o b b e� SSU rk La inC! Telephone %L7q" 3q fb Address Date f ► �► 5 85 S ,A* •ni9T Ham,,, A �, ..Ops • • Y •'f� Engineer's Seal o. 2225-E �o 0 JUN 25, 1971••�4�s .o I r, 6. DHEP APPROVAL K. Approved forbedrooms by 2� '4 Date Approved Disapproved Conditional Terms of Conditional Approval - i"L. t s. s� h"c b ySta,.ti , ✓a s cQGSi9(.. ,P- 4,- c�_ ro &4w� CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: LoT SK 1 S aL 44 A. WELL DATA Well Classification �eS If A, B, C, D.E.C. Approved (Y/N) WlA Well Log Present (Y/N) Date Completed Yield J�gpW4 Total Depth >155 Cased to >,6S Depth of Grouting air{ Static Water Level 55 Pump Set At rt Casing Height Above Ground Sanitary Seal on Casing (Y/N) X Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) N Separation Distances from Well: _k To Septic/mak on Lot e I/ ; On Adjoining Lots 71 CPO To Nearest Edge of Absorption Field on Lot 3 ; On Adjoining Lots 7 t& To Nearest Public Sewer Line N O N C To Nearest Public Sewer Cleanout/Manhole NONE To Nearest Sewer Service Line on Lot 7 to Water Sample Collected by or S � – ; Date Water Sample Test Results — Comments * ?nom t B. SEPTIC/HOLDING TANK DATA Date Installed l9 Size t250 f'SOP No. of Compartments / Standpipes (Y/N) Air -tight Caps (Y/N) T Foundation Cleanout (Y/N) Depression over Tank (Y/N) 11 Date Last Pumped Pumping/Maintenance Contract on File (Y/N) NIA ; for NIA Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Well 84x To Building Foundation To Property Line ) 3a To Disposal Field To Water Main/Service Line Course N O Comments Page 1 of 2 72-026(11/84) To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 11 Type of System Design (-P-I l3 t, 184�NC Date Installed R76 Length of Field Awbw go Width of Field Depth of Field 16 Gravel Bed Thickness Square Feet of Absorption Area y0O c elh+ Standpipes Present (Y/N) Depression over Field (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test Sa-� c, vPwti Separation Distance from Absorption Field: To Water -Supply Well 1 1,'.5 To Property Line > 30 To Building Foundation To Existing or Abandoned System on Lot N ON ; On Adjoining Lots > -.3 O To Water Main/Service Line f Q To Cutbank (if present) NON 1E, To Stream/Pond/Lake/or Major Drainage Course i`l ON tEF To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION i y O Iy Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments — Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA " Check Permitted Bedroom Rating Against HAA Request " I certify that I have checked, verified, or onformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date If�fs�BS Company 7— MOA No. 85ST'OI l Receipt No. Date of Payment l `- g �'`ev�'� (IV' :.; o n Amount:$ ��� ��°.4riTEngineer's Seal __. g A 77 �•e 4 eT.. .,. .y. J iid` Page 2 of 2 _ 1971 72-026 (11/84) _ Vf =N C) M O"-1 :r�Do03 71 O D s N m cr w w ' CT r ADS ro �1 r+ >� O (/) �0 Op (D r7l O <V M �I J`,.1 OO a1A M J.7 ND y J A N �H F'O OSMN W O W p NIp IAM,p r -....` OOw y. O'er' V w J.) 0 0 `ZA NWa+N J N 2 ' W Vf =N C) M O"-1 :r�Do03 71 O D s N m cr w w ' CT r ADS ro �1 r+ >� O (/) �0 Op (D r7l O <V M �I J`,.1 OO a1A M J.7 ND y J A N �H F'O OSMN W O W p NIp IAM,p r -....` OOw y. O'er' O D w J.) 0 0 `ZA NWa+N J N 2 1 / n Nra „in D af. �*t7 O. iijk F Ny nw NO z _ �o0 MMM I todi WB ~Mr ~� w P",n y ° <Hr N� p, cn \f�"rt r x G)r~D m0W �y 2rt yp0 tj pr a.Y Vf =N C) M O"-1 :r�Do03 71 O D s N m cr w w ' CT r ADS ro �1 r+ >� O (/) �0 Op (D r7l O <V M �I J`,.1 OO a1A M J.7 ND y J A N �H F'O OSMN W O W p NIp IAM,p Nryy . �4.0 O'er' w Arn Cr rr r.q io J.) 0 0 `ZA NWa+N J N 2 / mq+ Nra „in af. �*t7 O. Hy PA 3.'Z Ny nw NO N(P A. o0a~S� �o0 MMM I todi WB ~Mr ~� w P",n <Hr N� p, cn \f�"rt p WO P. y? JQ COe fnw G)r~D m0W �y 2rt yp0 tj pr a.Y `q Q M CW rt 4+ W(QED }+pi A. P' i'- H 09 ��y t O [� w y n 7' N [y*1 P) � 9 y of x�ro I-� w w ox FY- X P nS�y+FhH 0 �ppn N. N L nw wGzlM W Otr mcn a: 3 yy N@ In ��„ 0. p ID M H o JH X00 o o .o rt In fzi My W W tip `n r M x n o In m rt ID y m X a N r rr N W ri % N 1 rt 0 w" W r1 o a z LO rn _ , m t. e ,^ CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. °rte �4 TELEPHONE (907) 562-2343 ANCHORAGE INDUSTRIAL CENTER usow.rowae 5633 B Street Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BYWATER SUPPLIER WATER SYSTEM: (`) See h on back I.D. NO. 'y �✓JJ�I� ur,!/vl' �� �•�``�SC�✓�iclaS Water System Name / Phone No. 1.200W Mailing Address Ami �K 9CIsT8 city - _ State zip Code SAMPLE DATE: O 3 Mo. Day Year SAMPLE TYPE: ErR'outine O Check Sample (for routine sample0 Treated Water with lab ref_ no.—! - O Special Purpose O Untreated Wates` SAMPLE Time Collected NO. LOCATION Collected By 1 1 u tai �c- rte, I Fav 2 1 �� 44.,.Ei�/,1 6.0 3 4 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: Katisfactory Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received Analytical Method: O Fermentation Tube 9 Membrane Filter Lab Ref. No. Result' Analyst �s' 7-111 as I � m I I m u m u m .Noof colonies/100 ml. or No of Pos.lrve portions. 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Data Colfactad Source a.m. Lab. NO. Multiple Tuba RePOrtt Membrane FUtar: Direct Counf Varlflcatlof Final Memt Reported 8 Broth 24 hour: tirotn •o nwo: 20ml Tubas Posltive/Tolal 10ml Portion Collform/looml CHEMICAL & GL- LOGICAL LABORATORIES ' ALASKA, INC. TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER q. 274-3364 5633 B Street ^�roR1e8 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: I.D. NO. Water System Name Mailing Address - r`i Phone No. City - State" Zip Code.. SAMPLE DATE: M0. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Date Collected Source Time Collected NO. LOCATION Collected By Time Received p.m. Lab. No. Presumptive loml loml 10ml loml 10ml 1.0m1 I O.lml 24 Hours BEFORE 4e ars 3 24 Hours 4 5 Analysis shows this Water SAMPLE to be: El Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit: sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received Time Received Analytical Method: O Fermentation Tube Membrane Filter Lab Ref. No. Result' Analyst I I m m *No. of colonies/ 100 ml. or No. of Positive portions. 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 p.m. Date Collected Source READ INSTRUCTIONS a.m. Date Received Time Received p.m. Lab. No. Presumptive loml loml 10ml loml 10ml 1.0m1 I O.lml 24 Hours BEFORE 4e ars Confirmatory 24 Hours 48 Hours EMB Broth 24 hours: Broth 48 hours: COLLECTING SAMPLE Multiple Tube Report: 20ml Tubes Positive/Total 10ml Portions Membrane Filter: Direct Count Collform/200ml Verification: LTB BGB Final Membrane Filter Results Coliform/100ml Reported BY -. ....:.. _ .. ;. - - Date .' I Time- ' a.m. p.m. " CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. % TELEPHONE (907) 562.2343 5633 B Street Anchorage, Alaska 99518 ur �^^ro^•• Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.# I I I I II A 1h ws this Water SAMPLE to be: PRIVATE WATER SYSTEM �. o a t � � >� 1 Kc. iQ-la�dr •ter Name Phone No. t 2'f o 1 r L) 2✓Lo,y/ Mailing Address City State Zip Code SAMPLE DATE: 1 S Mo. Day Year SAMPLE TYPE: Rc itine `❑ Cineck Sample (for routine sample r ith lab ref. no. ) El Treated Water ❑ Special Purpose /K Untreated Water SAMPLE Time Collected NO. LOCATION Collected By 1 I yoT S 6D� T -AP / zz ?'S. 2 3 4 5 na ysls s o Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received -3Z—/— Time Received Analytical Method: Membrane Filter No. of colonies/100 mi. Lab Ref. No. Result" Analyst U m U m U m U m BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter: Direct Count Coilform1100m1 BEFORE Verification: LTB BGB Final Membrane Filter,Results Coliforml100ml COLLECTING SAMPLE ; Reported By �%' ' � Date � Time:") a.m. p.m. TNTC = Too Numberous To Count OB = Other Bacteria Municipality of Anchorage January 31, 1986 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Tobben Spurkland, P.E. 203 west 15th Avenue, C Suite Anchorage, Alaska 99501 Subject: Lot 1 Block 1 McMahon S/D Health Authority Approval Request Dear Mr. Spurkland: This letter is intended to clarify the Department's policy on Health Authority Approvals as it relates to the septic system onrK subject property. You have requested that the subject property be approved as a five bedroom dwelling. The Department can only approve the subject property as a four bedroom dwelling because our records show that.drainfield is sized for a maximum of four bedrooms. 1NE As you know, the required absorption area is a function of the number of bedrooms in the house. In this case our records show that the septic system on this lot has an effective absorption area of 470 square feet. The absorption area should contain a minimum 575 square feet to support a five bedroom system. Despite this apparent underdesign, the septic system has been shown to adequately absorb a wastewater volume equal to or greater than that required for a five bedroom dwelling. Three separate adequacy tests performed in August 1980, June 1983 and November 1985 have demonstrated that the system is capable of serving a five bedroom dwelling over the long term. Furthermore, the septic tank is correctly sized for a six bedroom dwelling, exceeding the requirements for a five bedroom system. Despite the apparent adequate performance of the septic system over several years it remains the policy of this Department to grant approval only to systems that have been shown to meet both the adequacy test requirements as well as absorption area design requirements. The Department acknowledges that the existing system is currently functioning adequately as a five bedroom system. I Mr. Tobben Spurkland January 31, 1986 Page 2 It is highly possible that this system could continue to function adequately for some time to come. The fact remains, however, that the absorption area of this septic system is undersized in rela- tion to the number of bedrooms in the dwelling. Our disapproval of the subject property as a five (5) bedroom If dwelling should not be construed as a condemnation of the system. However, the Department cannot knowingly give its approval to a system that does not meet minimum design requirements. Sincerely, Bill Mans, Acting Manager Environmental Quality Services BM/r/dEH7 r' i Municipality ®E -Anchorage January 2, 1986 P.O. bOX 6650 ANCHORAGE, ALASKA 99502-0650 (907)264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Tobben Spurkland, P.E. 203 West 15th Avenue, C Suite Anchroage, Alaska 99501 Subject: Lot 1 Blcok 1 Mc Mahon Subdivision Health Authority Approval Request Dear Mr. Spurkland: This letter is written in response to your request for reconsideration of a denial of a Health Authority Approval for the subject lot. We cannot grant Health Authority Approval to septic systems that do not meet adequacy test requirements or absorption area design requirements. This has been the consistent policy of the Department. An exception will not be made in this case. Please be reminded that a conditional Health Authority Approval can be granted pending an upgrade of the septic system to serve a five bedroom dwelling. This upgrade shall be completed prior to June 15, 1986. Sincerely, a ,,. /,6 Stephen S. Morris Civil Engineer On-site Services SSM/ljw Municipality / P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 ®f � i (907) 264-4111 Anchorage TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 21, 1986 Tobben Spurkland, P.E. 203 West 15th Avenue, C Suite Anchorage, Alaska 99501 Subject: Lot 1 Block 1 Mc Mahon Subdivision Waiver Request, WR85-057 Dear Mr. Spurkland: Please consider this letter approval of your waiver request for the subject property. The required 100 foot separation between a septic tank and well has been waived to 84 feet in this case. A risk analysis indicated that the well is adequately protected against contamination from the septic tank. This waiver is valid for the existing septic system only. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw ul niclpallty ®f Anchorage December 11, 1985 r1 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907)264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH 8 HUMAN SERVICES Tobben Spurkland, P.E. 203 West 15Lh Avenue, C Suite Anchorage, Alaska 99501 Subject: Lot 1 Block 1 Mc Mahon Subdivision Health Authority Approval Request Dear Mr. Spurkland: MUNICIPALITY OF gNCHORAG> ENVIR� PT. OF HEALTH & NMENTAL PROTECTION DEC 2 % 1965 RECEIVED A review of our files for the subject property indicates that the septic system was designed for a four bedroom dwelling. The permit and inspection reportfora May 1976 upgrade of the system clearly indicate that the absorption field was intended to serve a maximum of four bedrooms. (See file: Permit to Upgrade, Inspection Report, signed by Les Buchholz on May 3 and May 5, 1976.) For this reason a Health Authority Approval for the subject property as a five bedroom dwelling was not granted. Satisfactory performance on an adequacy test in itself is not sufficient reason to grant a Health Authority Approval. The absorption field must also be sized in accordance with design requirements. The intention of this policy is to insure that the septic system can perform satisfactorily at the time of the adequacy test and to insure in some measure, a reasonable lifetime for the system. In order to gain Health Authority Approval, the trench must be extended to accomodate five bedrooms. This work can be postponed until summer. A conditional Health Authority Approval can be issued in the interim. The upgrade must be completed prior to June 15, 1986, however. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw 03 W. 15th AVE "C" SUITE 203 p A U n2 ANCHORAGE, ALASKA 99501 I$ULTING ENGINEER TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE NOVEMBER 20, 1985 DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 6-6650 ANCHORAGE, ALASKA 99501 SUBJECT: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR PRIVATE WELL. LOT 1, BLOCK 1, MCMAHON Gentlemen; We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code Chapter 80.020 The separation distance between the septic tank and the well is 88 feet, the required distance is 100 feet. The distance to the absorption system is 113 feet. This house, well and septic system was constructed prior to 1968. No records exist of the original construction. However, the house was built as a four bedroom house and the septic system was sized accordingly. In 1980 a health authority inspection was conducted of the system. It was discovered that the house had been upgraded to a six bedroom house with no addition to the septic system. A permit was obtained for the installation of an additional tank. It was shown on the inspection report that the distance to the well was 50 feet plus, not 100 feet plus as required by the Municipal regulations atithat time. Both the permit and the as built was approved by the Municipality. The installation inspection was performed by Municipal inspectors. However, no formal waiver was issued. This is a request to formalize a waiver that was in fact given in 1980. t urs Tobb Spurkland E. 3 W. 15th AVE "C" SUITE 203 IN J ����G°3adlaaD9 O�o �!20ANCHORAGE, ALASKA 99501 IEER TELEPHONE_ (907) 279-3916 R E S I D E N T I A L W E L L I N S P E C T I O N LEGAL: LOT 1, BLOCK 1, MCMAHON LOCATION: 12401 FURROW CREEK OWNER: ROBERT MCKEENIE TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: NO INSTALLATION REQUIREMENTS MET: YES PUMP YIELD: 5 GALLONS PER MINUTE DATE OF INSPECTION: NOVEMBER 15, 1985 TEST PROCEDURE: TEST FOR COLIFORMS: TEST RESULT: 4^y 4 T Vii, ;:� • - .�: o. 2225-E ^cr r JUN`_" 25. 1971 I�0 •, P WELL WAS PUMPED AT A CONSTANT RATE OF 5 GALLONS PER MINUTE WHILE THE PRESURE WAS MONITORED. THE STATIC LEVEL OF THE WELL WAS FOUND TO BE 55 FEET BELOW TOP OF CASING. AN OBSTRUCTION AT THE 68 FOOT LEVEL PREVENTED WATER SURFACE MONITORING. A TOTAL OF 800 GALLONS WAS PUMPED FROM THE WELL WITH NO DECREASE IN WATER PRESURE. WATER WAS TESTED FOR COLIFORM BACTERIA ON OCTOBER 31, 1985. TEST WAS NEGATIVE. THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. 3 W. 15th AVE "C" SUITE 203 J Cil �p !G°3adQ�lD� pv�U ^20A CHORAGE,ALASKA99501 COKSULTING ENGINEER TELEPHONE: (907) 279-3916 S E P T - - - - I C S Y S T E M A D E Q U A C Y T E - - - - - - - - - - - - - - - - - - S T - - LEGAL: LOT 1, BLOCK 1, MCMAHON LOCATION: 12401 FURROW CREEK OWNER: ROBERT MCKEENIE RESIDENCE: SINGLE FAMILY, FIVE BEDROOMS WATER SYSTEM: ON SITE WELL SYSTEM: FROM MUNICIPAL RECORDS: �S._FtP,T,;.0 r ii ' � 1 �` -: 4� TANK: TWO TANKS OF UNSPECIFIED ^' �`�•''••'' j; CONSTRUCTION. 1250 GAL AND 500 GAL. e *:49TH - ABSORPTION SYSTEM: CONCRETE CRIB AND TRENCH �•• ""' ABSORPTION AREA: CONCRETE PIT OF UNKNOWN AREA, TRENCH 400 SQ. FT. N z22�71 _- SOIL RATING: 115 (� r IUiV 26, 19 :;F INSTALLATION DATE: ORIGINAL SYSTEM PRE 1968, y UPGRADE IN 1976 AND 1980? DATA OF PUMPING: NOVEMBER 15, 1985 DATE OF TEST: NOVEMBER 15, 1985 TEST PROCEDURE: SYSTEM WAS INSPECTED AND FOUND TO BE 13 FEET DEEP. THE MONITORING TUBE AT THE END OF THE TRENCH WAS AN 8 INCH WELL CASING NOT PERFORATED BELOW THE HORIZONTAL DRAINPIPE. 800 GALLONS WAS ADDED TO THE CRIB. NO INCREASE IN WATER LEVEL WAS OBSERVED IN THE CRIB OR THE MONITORING TUBE. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, 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 this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. January 2, 1986 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907)264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH S HUMAN SERVICES Tobben Spurkland, P.E. 203 West 15th Avenue, C Suite Anchroage, Alaska 99501 Subject: Lot 1 Blcok 1 Mc Mahon Subdivision Health Authority Approval Request Dear Mr. Spurkland: This letter is written in response to your request for reconsideration of a denial of a Health Authority Approval for the subject lot. We cannot grant Health Authority Approval to septic systems that do not meet adequacy test requirements or absorption area design requirements. This has been the consistent policy of the Department. An exception will not be made in this case. Please be reminded that a conditional Health Authority Approval can be granted pending an upgrade of the septic system to serve a five bedroom dwelling. This upgrade shall be completed prior to June 15, 1986. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/ljw Municipafity of December 11, 1985 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Tobben Spurkland, P.E. 203 West 15th Avenue, C Suite Anchorage, Alaska 99501 Subject: Lot 1 Block 1 Mc Mahon Subdivision Health Authority Approval Request Dear Mr. Spurkland: A review of our files for the subject property indicates that the septic system was designed for a four bedroom dwelling. The permit and inspection reportfora May 1976 upgrade of the system clearly indicate that the absorption field was intended to serve a maximum of four bedrooms. (See file: Permit to Upgrade, Inspection Report, signed by Les Buchholz on May 3 and May 5, 1976.) For this reason a Health Authority Approval for the subject property as a five bedroom dwelling was not granted. Satisfactory performance on an adequacy test in itself is not sufficient reason to grant a Health Authority Approval. The absorption field must also be sized in accordance with design requirements. The intention of this policy is to insure that the septic system can perform satisfactorily at the time of the adequacy test and to insure in some measure, a reasonable lifetime for the system. In order to gain Health Authority Approval, the to accomodate five bedrooms. This work can be A conditional Health Authority Approval can be The upgrade must be completed prior to June 155 Sincerely, Stephen S. Morris Civil Engineer On—site Services SSM/ljw trench must be extended postponed until summer. issued in the interim. 1986, however. A 7 b inn e 18A wpvnmuhl)v pv2o 2 ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE DECF.�F2AN,CHQ1ad� ALTH & DIVISION OF ENVIRONMENTAL HEALTH ENVIRONMENTAL EP,QpTE(pN DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 6-6650 2 r 1965 ANCHORAGE, ALASKA 99501 RE: Lot 1, Block 1, McMahon RECEIVED Health Authority Approval Application Gentlemen; An application for an HAA was submitted to your office on November 15, 1985. This application was denied per the attached letter. This is a request for a reconsideration. According to the files at your office this property was inspected by a Municipal Inspector on July 21, 1983. Based on this inspection and on a file search done by your office, a Health Authority Approval for a 5 bedroom residence was issued on July 26. In 1980 the then existing system was upgraded by the addition of a 500 gallon tank. The Municipal inspection report shows that the Municipality at that time approved the upgraded system as sufficient to serve a 6 bedroom house. I tested the system on November 15, 1985, and found the system more than adequate to serve a 5 bedroom house. I did not find any conditions of the system to be contrary to the information in your files, nor did I find that any conditions pertaining to the septic system were not included in your files. It perturbs me that a system that has been approved twice by your Department during the last five years suddenly is not approved when there are no indication that the system is failing, or is causing a public nuisance, or is contaminating the waters, land or air of the State. Your action in denying this request indicates to me that your inspections and installation approvals can not be relied upon and that your office is lacking guidelines and competence in these matters. If this application is not approved and public health or contamination of furnished, my client will be forced to protect his interests. Yours Tobben Spurk and P.E. 1 no reason pertaining to the environment can be seek legal assistance to CONTROL SERVICES THINKING mTHE FUTURE se4(xx 6'i �osost 1�,198O �r Harry 8l� �nchorase AK 99567 Isaac� PomP t�� S�pti� tank tG detorn�ne thm sizm n� the�alcn�ations e3'1 thm oVJltity k.f watmr i� t�� tznk show the tank t� b� � 1�5� s��lon tank, � Tank of thiu �ize �s cnpo��e o� servins � � bGdr�om ho��In order �or u��� h��e to b� sold �s � � bedroom home a tank of ��t �ess than 5O� sallons most be 1nstallGd in series W: J, the exi�t1�� tank �r � ;ew 1750 sallon tan� mo5t be installed. The tmst of the sni� �bsCrptio: system cade �y me on �oly 2 1�8U shnk4 S allons of water, At that t1�e I told t!`e hoose �as to be sol� as a 4 bcofl! hom�, �� letter stat�d that the �g�tem �as ademoate YDr a home oY this si��, As � 6 bedroom home 7emvires adsorpt�o of 900this syste� �s ate fC,r o 6 hedrooe home, �incerely, Leroy [J/Rei�, Jr��PhJ,PE '' �-- +1^�L cG� r„mac �fc-' e� !�/ � •��-- %��`"�., vz�;.�,`� t�- %E'9 �.t�vt-f i� (`i Edi �% /'j'0.' P � f C 4 j ���7 •�- (�Q/1-`�g F�i'Y� •E:� YJ l.� r >�-G��/� �F' f G� ���7� i -J �cli_L_`f• 1!�-(.•C�a1-.f ��' �r'!� C � ka•E�c�✓rt>f�a„� GL€> rpt � o 6�0<-O vLerrN G�- n _rlil&--e:/-f ca �T (t e ;�t�-C_ f- / �% � f� � /'f f -f � • S �.F` �o�c. �- r �i'� � E.J LJ AGE' i E =F.� �riL- (yG>"+'� c U �. pew-,(�6z -=%e✓.c>,.�_.t. �'i��•-r3 �t.,_.� t cs q rJ�ir`. UF...�AALI i�✓a�'te a�. u'f' f'a,"f"�-- /,�2T?Cc2-�@�P..�si f'i�r/"J�a_J/'t�—ram .'� '7��� e;- Ge�-rJC�(f Ta s- A. c.t_C:s+..c� t L` � R-e_G-!3vl Si 69e-� z 7 a7 E'1, C-!/ ! r ��f elf C?' 14� E� '°Few r��✓%c�c.-z-�; G2cIL��! C2.��c�uE� A4CI10RAGE FAIRBANKS T >l v CONSULTANTS, INC. Jt11(EAU 249 EAST 51ST AVENUE P.O. BOX 8087 . - ANCHORAGE. ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 May 3,1976 R & M No. 656229 Mr. Harry H. Olsen SRA Box 1555 Anchorage, Alaska 99507 RE: Test Hole and Soil Log Report for Sanitary System Lot 1 Block 1 McMahon Subdivision Dear Mr. Olsen: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This. investigation was performed in accordance with your request of May 3, 1976 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was put down within the Lot 1 area for the purpose of defining general subsurface soil conditions for the proposed sani- tary system. Excavation was accomplished with a bachoe and the test hole was extended to a total depth of 16 feet below the ground surface The final log prepated for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity of be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Rooney Vice President JWR/WED/pe xc: Municipality of Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SOLLIVAN, MAYOR OFPAR FrOFNT Oh Hf-/1LT H AND ENVIRONMENTAL PROTECTION August 1, 1980 Harry H./Donna L. Olsen Star Route A Box 1558 Anchorage, Alaska 99507 Subject: Lot 1 Block 1 Mc Mahon Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. (2 The septic tank pumped with a receipt submitted to this department. The total number of gallons pumped need to be on the receipt to verify the size of the tank. This will need to be verified by a registered engineer prior to submittal. 3) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Security Pacific Mortgage 1011 East Tudor Road - Suite 190 99507 Margaret Stanley - o Totem Realty ALASKA NONMETAL COnTROL SMICCJ, InC. engineerinq & Enuironmental Studies July 27, 1983 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Attention: Robbie Robinson Re: Lot 1, Block 1, McMahon Subdivision Dear Mr. Robinson: On July 26, 1983, I visited the above mentioned lot and noted the wires to the well were enclosed with a conduit and a silicone sealant was used to seal the surface from the well to the conduit. I recommend approval of the Health Authority. Sincerel eroy C Reid JI PhD PE Presi nt 1200 West 33rd Auenue, Suite 6 • Anchoraqe, Alaska 99503 • 907) 276-1361 ALASKA uUIROnmC11TAL COUROL 6ngineerinq & 6ironmental Studies JUNE 22 1983 HOME FEDERAL SAVINGS AND LOAN/ATTN DONNA 535 D STREET ANCHORAGE AK 99501 SELLER — MR. BURKE BUYER—MCKINNIE SUBDIVISION—MCMAHON BLOCK -1 LOT -1 ADEQUACY TEST FOR SEWER SYSTEM SNUICCS, Inc. MUNICIPALITY OF ANCHORAGE DEPT. OF H�pH "I 0TH TION ENV IRON;,A1NTA RECEIVED THE TYPE OF ABSORPTION SYSTEM IS A PIT/TRENCH WITH AN AREA OF 400 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 750 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 1125 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 5 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 5 BEDROOM HOUSE. t J .a °foo: �t f �'a r°4 ' ,' �® s a. a a..uasa a.a s. Le y C. Reid, Jr. No. 2251 •E ° sd F go, 0'.04 .a°° F :d PROFESS��N,,,� 1750 IS ADEQUATE FOR 1200 West 33rd Auenue, Suite 13 • Anchorage, Alaska 99503 • (907) 276-1361 ALASKA OI dR011 RTAL COWROL RUINS, IX Engineering & 6nuironmental Studies MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH 0 ENVIRON MENTAL PROTECTION July 6, 1983 JUL 9, C A` Municipality of Anchorage RECEIVED Department of Health & Environmental Protection 825 L. Street Anchorage, Ak. 99501 Re: Health Authority On June 30, 1983 our company collected a water sample from the house located on Lot 1, Block 1 McMahon Subdivision. The water analysis was satisfactory. The well has a seal and the casing stands approximately .3 feet above the ground and need conduit on wiring. All of the standpipes are not capped. The well is located approximately 88.5 feet from the septic tank and >100 feet to the leach field. The results of the bacterial test for the water is attached. The septic tanks need caps on both standpipes, the broken standpipe on pit needs to be repaired and fitted with a cap. Conduit needs to be put on the wiring on the well & recommend that conduit be placed on wiring where enters house. And replace the well monitor plug. _® tt of Ak �tl or to 00 j 1%YS CC! if r•e• •• eaestl• •y �G, • L r C. Reid, Jr. 1.% 2251E0.0 aff Q®F�pROFE85t�� 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • 907) 276-1361