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HomeMy WebLinkAboutELMORE #2 BLK 10 LT 6Elmore #2 Block 10 Lot 6 #018-173-12 - Municipality of Anchorage Page I of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: $V 940229 PID Number: 01817312. Name:Wastewater STEVEr4 4- DEBORAH WH IT1415ki System: ❑ New. ErUpgrade Address: 49oo EAST 14E fl, AVE ANCH ABSORPTION FIELD Phone: :3 4 -T - 6255 No. or Bedrooms - adrooms:345-5255 3 O Deep Trench O Shallow Trench );(tied O Mound O Other LEGAL DESCRIPTION Soil Rating: O. Total Depth from original grade: S GPD/Sq FI. 51 Lot: Block: Subdivision:_\ /1 Depth to pipe bottom tram Original grade: Gravel depth beneath pipe ID EL Mo E d- 2. FL 0.9 Ft. Township: 12 N Range: �j W Section: Fill added above original fade: P Gravel length: J 34 0.5 t Ft. 60 Ff WELL•E)CIsr ❑ New ❑ Upgrade Gravel width: Number or lines: DistencebeMeenlines: 1e J Ft. 3 5 Ft. Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. 9 OO SO. Ft. V/4"SCHED. 40 PVC. Driller: Dale Drilled: Static Water Level: installer: Date Inslalled: Ft. CARTS EXCAVATIN �/IyI9 yield: Pump Set et: I Casing Height Above Ground'. TANK GPM Ft. Ff. F_XIST1l`4G SEPARATION DISTANCES ❑septic ❑Holding ❑S.T.E.P. To Septic Absaplion Lin Holding blic/Private Manufacturer. Capacity In gallons: From Tank Field Station Tank Sewer Linea Well107 1 1 1 40 12% r 1 80 Material: Number of Compartments: Surface Water >I�1 7100' yroor — >100r LIFT STATION EXISTIN(s Lot6D Line r 4D1 (oD1 lO�r Size in gallons: Manufacturer: Foundation 23 a 501 45 1 ..� 0 r 'Pump on" level at: "Pump off- level at: High water alarm at: Curtain Pump Make 8 Model Electrical Inspections performed by: Drain — ` The new tort ubroi/OhoA bio( Remarks: BENCH MARK war ,title//t_eoC gee a ,,,..� anti;% Pewor /o cont h';uchon j,-%faf pit We, c(ra9 Location and Description: n Orr ( E enc! ei /slia bew eb (an rrk. BOTTOM OF SIDING $0l)T W cool muehr o Sor11 n 7. H. W. T e. nhre bea 11- uo 411(1- iQ iw 6 2', oJr Q CORNERF SOL IN Co corse OnL✓�f S71a f1-/ (! �pw y4( AssumedElavation: "4a/te OV AV' Teuo ,Gte valve/ 1gio; F, Wfr( IAS /4 /1(-< In }yl( 1-.f cis 41-' a Irn( h tAe IrF/ S /7Ln ENGINEER'S SEAL /a!: yq rSroo �f la n/ b or 0, err rA41 Act! `��.•A�d�\fie#. ��qtE 4F Ae<� is *rAh`•�•' ••.}�� Q Il(v R 4 Inspections performed by: TECH- SVCS. Dates: 1st 714/94 ' r 0* : 49T" 4"1 : _FLATTOP 2nd -711'41'114 ,> �...:...........J�.....:... Department of Health uma vices a ro al pP I THEODORE F. MOORE-� Reviewed •ate: B, %.••''••CE•3539 •- �d/�P and approved by: ••••'� �h� 1t �P1i4"w:2C!�`F�� T2-m]In-. aNn un•x .. Permit No. S u/ 910 Z Z 9 Page 2 of 3 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 a Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description:- 1-0h64 atoe k 10 E/.nore SID EAST 145th AVENUE , , , PRE-EXISTING 763 SO. FT. SOIL ABS. BED 0 LOT 6 BLOCK 10 GATE TIES: BLDG. COR. "A" COR. "B" T. "E" 73.5' 69' PID NO.: OIB/ 23/Z E i:DRIVE;:' WELL EXISTING 3 BDRM HOUSE T.B.M. O VE 0 M.T. O "F.. O M.T. 'E' 60. Al - 21.25' DIA SCHED 40 PVC T. "F" 53.3' 82.5' DIST. PIPES SPACED 5' O.C. ------ --- --- - - - W_5/32* HOLES IN BOT. 3' O.C. --- ----- -------- ... FL. - _. _ _-I 72-013A(F v. SM) MOA 25 SfTE PL-/�N t" = 30' EXISTING —1000 GAL. / SEPTIC TANK EXISTING 500 GAL. LIFT. STN. NEW 900 SO. FT. SOIL ABS. BED ENGINEER'S SEAL Permit No. 5t✓ 9 4 0 2 29 Page 9 o1 3 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 Uescrlptlon: -Lot toy oa-r� Iu cAa wnc ammo. F'ID No.: u 121 I I o I TBM: BOTTOM OF S)DrNG SOUTHWEST CoRNER of BLDG ORIGIWAL 4ELEV > 100.0' GRoumD 99.2 ��,"RIGID '"vLATtoN INrEICT OF DISTIef 8urION PIPC 96.9 FROM EXIgTINC•- LEFTi STATION Tip of SAND 96.4' BOTTOM OF BED 9y,ll I PliOFI L15 view Ncrl- 7b SCALE T.M. V2 WATER AT 8ra.3' -ter ENGINEER'S SEAL rA,�4 �A rQ gnt , • : yt 10. �THEOD07E F. MOORS CE -3589 3589 Y ` 4 1 72-013 A (R". 951) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940229 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:WHITNEY STEVEN T & DEBORAH L OWNER ADDRESS:4900 E 145TH AVE ANCHORAGE, AK 99516 PARCEL ID:01817312 LEGAL DESCRIPTION: ELMORE #2 BLK 10 LT 6 LOT SIZE: 41832 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 4/11/94 EXPIRATION DATE: 4/11/95 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 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: THE PROPOSED BED SHALL BE INSTALLED TO THE SOUTH OF THE" 'i EXISTING BED SO THAT THE EXISTING BED MAY BE UTILIZED AT A FUTURE DATE. A DIVERTER VALVE SHALL BE INSTALLED IF FEASABLE.' RECEIVED BY: DATE: 7//(/g ISSUED BY: 4&wm cDATE: I ( 1 r z;A TOP "TEGHNI '^�•e�@tv'�Ubu. MM S ENVatONMENTAL ENGIYEERLNG • ENERGY CONSERVA710N & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 June 17, 1994 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 6, Block 10, Elmore S/D, located at 4900 East 145th Avenue. The existing soil absorption bed which was installed in 1989 was found to be operating in a surcharged condition. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed upgrade will involve rebuilding the bed in a new configuration partially overlying its original location. It will be slightly larger and shaped differently to conform with current Health Department guidelines. The proposed location is between test holes #1 and #3, which were dug and perc'ed in 1989. The original monitor tube for test hole #2 is still in place, and using it we were able to verify that the groundwater table was IF- 10" below ground surface on June 7, 1994. As can beseen from the soil log for test holes #1 and #3, there is a silty sandy gravel stratum starting at 2.5 - 4' below ground surface and extending to 6' below the original ground level. This stratum has a measured perc rate of 8 minutes per inch. We propose to utilize this stratum as the receiving soil, but will overlay it with 2+ feet of filter sand having less than 4% passing the #100 sieve. Using the soil application rate of 0.5 gpd/sq. ft. specified in the wastewater ordinance for receiving soils with measured perc rates of 6 - 15 minutes per inch, a 3 bedroom residence currently requires a total absorption area of (3 x 150)/0.5 = 900 square feet. The proposed 15 foot wide by 60 foot long soil absorption bed has a total absorption area of 900 square feet. The topography of the lot slopes gently towards the west at approximately 2%. The proposed project will have no impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space/surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, '� Ted Moore, P.E. WELL II, LOT 7, BLOCK 8 I I _ I .I I --------------- """ EAST 145th AVENUE ' I •• �.I - �—ROADSIDE DITCH WITH INTERMITTENT DRAINAGE FLOW—��--- -- --- - - ---, ------ -------- LOT 5 HOUSE LOT WELL --------------- fC EXISTING 763 SO. FT. SOIL ABS. BED T.H. 82 T.H. #3 , , , ;i DRIVE;' ' WELL EXISTING 3 BDRM OUSE -., T.H. ° 'EXISTING _ 1000 GAL. ` SEPTIC TANK PROPOSED 15' W x 60'L EXISTING LOT 6 REPLACEMENT 500 GAL. BLOCK 10 SOIL ABS. BED LIFT. STN. ! T LOT 49 ................ THEODORE P. MOORE CE -3589 PlJtdC:�'� SEPTIC SYST. �!\ o , I IW r� "A.. , ' 60 , -- ---------------- N '*—M.T. 1.25" SCHED. 40 PVC LATERALS W. 5/32" DIA HOLES IN BOTTOM SPACED 3' ON CENTER "A,. 2' SOIL COVER 2" RIGID INSUL 125' DIA SCHED 40 PVC DIST. PIPE 0.75' SEWER GRAVEL SEWER GVL. IN OLD BED FILTER SAN[ IN OLD BED 3 1� OUTLINE OF EXISTING SOIL ABS. BED e —WHICH IS TO BE PARTIALLY EXCAVATED IN THE COURSE OF THIS UPGRADE ------=a=aa. eveeev=ee aaee.. avec , M.T'--w-° PLAN VIEW SCALE: 1" =10' - 0" 125' DIA SCHED 40 PVC EDGES OF EXCAVATION, FILTER SAND, SEWER GVL: EXISTING 125" DIA. PVC DISCHARGE UNE FROM LIFT STATION MONITOR TUBE ORIGINAL GROUND TER FABRIC OF A4 lthP4 NATIVE SILTY SANDY GRAVEL �� •..,,•% • THEODORE F. WORE 15 �8+ :�•.a 3589 • pro1'ess�, SECTION "A - A" LOT 6, BLOCK.10, ELMORE S/D SCALE: 1" = 5'- 0" SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES I SCALE:ASSHOWN 14530 ECHO STREET DRAWN BY: TFM ANCHORAGE, AY. 99516 DATE: JUNE, 1994 flattop Technical Services 14530 Echo Street, Anchorage, RX99516 Phone (90 7) 345-1355 Lot 6, Block 10, Elmore S/D 4900 East 145th Avenue Wastewater disposal system upgrade Specifications 1.0 General: 1.1 The scope of the project consists of rebuilding a 15' wide by 60' long soil absorption bed in a location partially overlying its original location. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing 1000 gallon steel septic tank is to be retained in service. 3.0 Lift station: 3.1 The existing "Orenco" lift station in a separate 500 gallon steel tank is to be retained in service. The contractor shall verify that the pump and float controls, including the high level alarm, continue to function as designed, however no new electrical permit or inspection is needed. 3.2 The discharge line from the lift station to the existing soil absorption system is 1.25" dia. Sched 40 PVC. The contractor shall tie into the existing discharge line at an appropriate location for connection to the rebuilt soil absorption bed. 4.0 Soil absorption system: 4.1 The soil absorption system shall be re -constructed as follows: (a) The septic tank, lift station and existing soil absorption bed are to be thoroughly pumped to remove all possible effluent. (b) Next, the contractor shall excavate a small pit in the northern portion of the existing soil absorption bed to allow additional effluent to drain out of the bottom of the bed; this effluent shall also be pumped out as necessary. (c) After the existing bed has thoroughly drained, the contractor shall dig a 15' wide by 60 foot long excavation extending down to the native silty sandy gravel material at a depth of approximately 4 feet below ground surface. In the area where this excavation encounters the original bed and imported sand filter, this material shall also be removed to expose native soil. The sewer rock from the original bed and visibly contaminated portions of the sand shall be buried on site in an area separate from the new construction. 4.2 The bottom of the excavation need not be exactly level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. A minimum of 2 feet of approved filter sand shall be placed in the excavation, to create a level surface approximately 2 inches higher than the level of the sand in the original bed. The average filter sand thickness is expected to be less than 2.5 feet. Filter sand shall be from an approved source, and the excavator shall provide the engineer with copies of the sand supplier's scale tickets identifying the material supplied and a copy of a sieve analysis demonstrating that less than 4% of the material passes the #100 sieve. "Lake Otis Gravel" is acceptable and encouraged, provided a current sieve analysis demonstrates that it is sand with less than 4% passing the #100 sieve. 4.3 A total of 0.75 feet of washed sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 0.5 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, as supplied by Anchorage Sand and Gravel, with no visible silt particles clinging to individual rocks. To minimize the silt content of the sewer gravel, the truck hauling it should be rinsed out prior to transporting the gravel. 4.4 The distribution pipes shall consist of 1.25" diameter Schedule 40 PVC with 5/32" diameter holes drilled in the bottoms, two feet on center. The distribution pipe network shall be configured as shown on the design drawings. Monitor tubes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 4.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 4.6 The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 5.0 Inspections: 5.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction.procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sand filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and grading is complete. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. Flattop Technical Services i Vc •"••"'•R 4116 �. 14530 Echo Street Depth to Water p (� EIfGINEE L) • ; r* T" 9, 49 Anchorage, Alaska 99516 ro : 09 r......•.•.••...�.......:::. ." Municipality of Anchorage e �•rl�" 'G "–•• DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, ••!r' THEODORE F. MOORE; 1 Alaska 99502-0650 'a o CE - 3589 F mt- • Od mss/ ••'•.......•••� SOILS LOG PERCOLATION TEST 2 2 VS FAV +4 T. H. #:1 !0 : 3s Pmtess1wa PERFORMED FOR:_A H F6 /ReaQl C{r Pau/ 49jlifOr7 DATE PERFORMED: ����89•"'�"' �'' LEGAL DESCRIPTION:_ DEPTH Pt. A 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 .5tf (?e"trh Self Lown ttl Cray S.7f Soeni C. 14 IV 15-1`16:17 SanGravel IlAdy ct99ty s,.tf N;o Seer F 6t"4'e Mt. C-tvy G•rwverly SWI 6:rl i, Range, Section: T 12 N, R3 W S SLOPE SITE PLAN � Graty S.11/• Grave/ I I I I I i feel" at•ry WAS GROUND WATER Gtt'aA 1 ENCOUNTERED? Y S IFVES,ATWHAT Sey@ 6Lo• o Ht O DEPTH? P C_ P DeptE D. H, Monitoring? to Water Mar MoNlorinp7 _!Ot —f0't Ont: 17/ Reading Date Gross Time Net Time (R In) Depth to Water Net Drop Cln) n oa Ir S'/6/B ro : 09 6'/a *nLo Io:2Y: 23'rz 10 : 3Y:Jo IO.S 2 2 VS t !0 : 3s '03 '/a. H.O IO: K6 23 a lit I10: sr !O 22 vY 1 r 14,o 10 :57 23.rg It :07 f0 22 �6 1'rN Naa efr 11:06 a •. 27 va ALL ti N • 9'7 PERCOLATION RATE .�•_ (minute:Vinch) PERC HOLE DIAMETER R 1 TEST RUN BETWEEN _� FT AND ... rX FT COMMENTS —r.sf t Ie✓el �ne%r fe,,b•»rie?/eeC Pi.- k 8 nttn /rnc/i a Sor/ 40t goeItem As, A rn!SI!]t/(jel.tn•• SatroL6r. 5ioC Ser Tbatrn.ltoa.rCregvt�rl�Sl�CI.S�C3�=�gOt PERFORMED BY: F'/_ TeSivn tr.! f�rvir� I V --4C THIS ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 61ST WAS PERFORMED IN lY. THAT /e 9 72.008 (Rev, 4/85) 6•/ 17 /9 y Flattop Technical 5ervlc'es ` ��/�,"'•••''•q • 14530 Echo Streetc..eq.INEE TH Anchorage, Alaska 99516 "r. * • 49 g — . ................ v Munlclpality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES �' : iHE000RE F. MooRE 825 "L" Street, Anchorage, Alaska 99502-0650 �� �: CE - 3589 SOILS LOG — PERCOLATION TEST �Q,siP/ �c ^ 70 i.H. #2 '4 P U\ • PERFORMED FOR: .4 NFC ` Reath. Cfr' - Pita/ Wi&0'7 ,`� + .. '•:••:�• DATE PERFORMED: LEGAL DESCRIPTION: L6, Q la, EirtatO/e. Township, Range, Section: 712 N, R3 tv Sec 3 y r SLOPE SITE PLAN fys-Hs .ereDEPTH r . t 1 �.�� 1 2 S M St 1t Loam 3- 4- P 4 P 6 7 - ML ML. 8 917 10 11 -1 I4!;OP '12 13 14 15 16 17 18 19 20 L7roa.., saAA Semi-conro/.ofa/r-t Many Cob61a Y (3ou/o/crY N.s Q H. WAS GROUND WATER ENCOUNTERED? Y IF YES, AT WHAT DEPTH? 13-5 t Depth to Wafer After t� p Monitoring? /2 ( Date:/S 7/89 N■■■■N■"WrAHUMMMM-1 Gross Time Net Time (m,.) Depth to Water Net Drop (7n) r"Soork I 11: Zr- 122: MMENINE fi MORANIN!C ft: 30 ■N■ OMIr ■MIMF a■EPEE NON.; ■0000 j� AM M ENNEEMMON MINIM I EMENNO ■■NEW Reading Date Gross Time Net Time (m,.) Depth to Water Net Drop (7n) r"Soork I 11: Zr- 27 8 t0a.0 I ft: 30 Of /I: 3T S 20 fly 2 Y H o t: JS:.b Iftz : r OF it :v/ N it: Vic S 21 s/B 1 css cow - PERCOLATION RATE V (minutes/inch) PERC HOLE DIAMETER T. N• Z TEST RUN BETWEEN _510 FT AND r2�5' FT COMMENTS- t-sf it level . M.T. sn rlwNeCX • n AloiC t ry, At MSC Mta1KKe: PERFORMED BY: F•Ia i%je 7-e[4rs tea 1 movie r C� ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. OATERTIFY��THIS 89ST WAS PERFORMED IN 72-008 (Rev. 4/85) 4 to - Flattop Technical Services' .<<c,......••qS�� 14530 Echo Street _ FAM M. �•* a��Ff{I'3'ORO.) Anchorage, Alaska 99516 Munlclpallly of Anchorage M�'9* +*1l%%Zou e .r 11t1€ ........... MOOR..a DEPARTMENT OF HEALTH &HUMAN SERVICES "L" � tgo. THEODOREF. MOORE . 825 Street, Anchorage, Alaska 99502-0650 FAI!mmm© 1 ., CE -3589 ••'••••••• SOILS LOG - PERCOLATION TEST mom ■mEfi R••o�: 1 �P ,� � dprofenlona��• ~ T. N. #3 � I1 PERFORMED FOR: A HrC e%o Reatbt Cf/' Paul wiGo,7 DATE PERFORMED: LEGAL DESCRIPTION: I—Irl 910, E1In01-C Township, Range. Section: T 12 H, R3 w See- 3 y DEPTH ,ae�• Pt- SLOPE SITE PLAN F_ m7tS 2 sr, srlt soar 2.r 3 4 GP/xrt 5 ML 7 S.19. 8 9 10 11 12 13 14 15 16 17 184 19 20 WAS GROUNDWATER ENCOUNTERED? y IF YES. AT WHAT DEPTH?see Ac @ C*ee Depth to Water After Monitorinp? AA - Oele: LE immmm a 0— FAM M. 9IMW —won' EIMl .. ON ■m■ ummr��No mm.w1rorE� mm ■ FAI!mmm© mmmord1immis mom ■mEfi wommom m"Em■ .1I 4i I J PERCOLATION RATE (mm"tes/imh) PERC HOLE DIAMETER %!q. 1#3 TEST RUN BETWEEN FT AND FT COMMENTS �.sf Is✓t/ illi Ile/r .Cees• % gyrrn. Q7n i•enu,��. o� S�ra l(w f'A rtt -PromuleiC bid it rroL Ute Darr sKfe {+o,•, 7'/! ttl Ne rn f anti" PERFORMED BY: F'/w f1e/. Te[!+w •�_ r [•--•• I �,� v - •�i CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPACGUIDELINES IN EFFECT ON THIS DATE. DATE: —THA C Ii989 72-005 (Rev. U85) 4 IL S to MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Flattop Technical Service - Environmental Health Division 14530 Echo Street 625 ••L" Street, Anchorage, Alaska 99502, Telephone 264-4720 Anchorage, Alaska 9951 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name AH FC DISTANCES oiF_173-12 FROM TO TANK SEPTIC ABSFIELDION WELL hoar` s BYOo liLtri-tell R /o Really Ur AAcAe, P At- WT,97 WELL i 07 1 l 2 7 ' phonet5) permit No. No. 01 beorooms 3yH- aSol 109-0099 3 LOT LINE 601 601 12' LEGAL OF SCRIP TION Lot 6 block Subaiws.on aJ TJa O ElmorC FOUNDATION 2Sr zr 3s' townsMp. Range. Section SCC 31Y7'12/y, i 3 tem AS-BUILT DIAGRAM Ishow location of well. orrvewaywater bodies. etc) septic system. property uses, lounamion. TANKS IK SEPTIC ❑ HOLDING S l n os oe U EtManutacturer Ac"trf/oraz a Tank Capacity m ganons (000 ewhony p cu Material No. of Compartments 1 SiLfl 2 tl TYPE OF SYSTEM RI C- ❑ TRENCH Y, BED ❑ W. DRAIN ❑ OTHER 0 Depm to pope Toffolon from Total depth from Original Rowe original grace a FT Tom e7<s'Ano( l•O FT Fill cooed aWvu ong.nal grade Gravel acptn beneam pipe e O FT o.S FT x7 f 71 so Glavel teng:n Glavin so 35"'S FT 2I.S FT y. Riy Total absorption area I Distance between lines 763 SO FT S Fr NumOer of ion's Son rating pipe material CSoS tr �C�rt• 5,7: y / SO FT .CcAed YO tow afftr S.T. SI Installer `wnq f Date mslaueo ni Armours I C--xc. to-&Y - 10/15-/69 n. ws WELLS X PRIVATE ❑ OTHER (identifv) Llassbutron tgb.Cf Total Depen Dared to A. r f0 L N.A. 89. S Fr 69.5 FT IriStanel Date writanw. fll one Doo-orl/iny Deepenea 1019/8,9 REMARKS: S rftye r&rlQtf,,e acrenfraN a� door- '?eos(. cower �laFtria/ ttilc(rners rrauce< — 3' anoC 2" rnr.tak-e IurrPC owoe ked. Eras iT n tt htr fan I,- be rr .cc [ !n 5 ✓ scale: trf _ YO' n e(tfrcvE Qq�i C. U, Ir.J fQ ((eG� Ort TI?t 2'un Qr{wr cwt - t ENGINEERS SEAL Inspe[bOns Pf!AOomedb 170 rdJ7 ar o(r fch crow C. sro(e o too /1-v i EELa '-reel sa G, ftwaxr b Act , •CF 4 � � 0+ Carrel! r7ocfrt rano oG.t Date CE�-1 -/ti'i0 ¢ W U In rw,y Qw nu tJ-.a ilii/ ON �.�Q�`...... ••,.9ir�r' J or be ulrtoC lortt/larwhnn o(uk.wre laSupArC hei 10/30li FlyTHy =rye .......................... tertly that this inspection was according to _1 „ performed all • ai 10130 �g9 Municip and Slate guidelines in dlect d/o This date: � �Q ,,,, p . THEODORE F. l.100RE Aoi Aii �•,� PC QfT CE - 3539Ar Health Department Approval:Date. 'z 'P 9 ,4a apro.ass't40% O:® 72-013 j s 85) i P , INSPECTION REPORT�7 MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD INSPECTIONS (907) 583-3461 INFORMATION (907) 788-8211 NAME ( .k.)/�f • �vG'" J �.�- • / PERMIT N07Z?-�G ^ STREET IADDRESS "/�' �• l• / PHONE - LOT / J� BLOCK Y='{� SUBDIV. /DATE FOOTING ❑ ELEC. TEMP. ❑ PLBG. UNDGR. _ ❑ FOUNDATION ❑ ELEC. SERVICE ❑ PLBG. ROUGH _ ❑ BOND BEAM ❑ ELEC. ROUGH •❑GAS TEMP. 0 FRAMING ❑ ELEC. FINAL /`r GAS INSULATION ❑ OTHER ❑�' MECHMECHANICAL. FINAL 11SHEETROCK 11 STRUCT. FINAL _ ❑ FIRE FINAL ❑ PLBG. FINAL ❑ OTHER ❑ ZONING ❑ OTHER ❑ O NONCOMPLIANCE OBSERVED EXPLAINED BELOW ESSENTIAL AS ❑ WILL REEXAMINE AT NEXT INSPECTION ❑ DO NOT CONCEAL UNTIL REINSPECTED COMMENTS �'•1-{_i-�L//Z�-�"-" / L�� ... _. � �. INSPECTOR DAT / ! WHEN CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION DO NOT REMOVE THIS NOTICE 81.=(Rw. 11/87) NOTES TO FILE: � r b 16,12— /0 9,�A-� o i,P- /73—i7-- 11/24/89 Spoke with Ed Bosco, LRSD representative re stream. He was instrumental in establishment of this ditch and is very familiar with water patterns in this area. According to Bosco, this ditch carries runoff only; it runs about 6-8 months of the year, but during the summer does dry up. N, R,.plc.- f o GtJ. «S CLL J, .c... io - I i pAzL Ac- o UW. -'e, 11/27/89 Spoke with Mikle LewiaA Per recent letter from Bill Lamauroux, the strict interpretation of a stream has been modified such that the stream must run year round to qualify as a designated stream. In this case, it is Mike's opinion that we should NOT treat this water as a stream. This opinion is subject to change should groundwater conditions be altered in this area. FLATTOP TECI L SERV,ICES_' CM & ENVIRO\MENTAL ENGINEERING • ENERGY CONSERVATION 6 ANALYS LS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 November 7, 1989 ANCHORAGE, ALASKA 99516 John Smith M.O.A. Dep't of Health and Human Services P.O. Boz 19-6650 Anchorage, AK 99519 Dear Mr. Smith: MUNICIPALITY Of ANDIORMN GEPT. OF HEALTH S Er NORCNMkNTAL PROTECTION *0 131989 RECEIVED The purpose of this letter Is to clarify the status of the status of the roadside drainage ditch which periodically carries runoff water along the south side of E 145th Ave, approximately 80 feet north of the recently constructed soil absorption mound on Lot 6, Block 10, Elmore S/D #2, located at 4900 E 145th Ave. The as -built drawing and HAA documents are enclosed for your review and approval. This ditch originates a few hundred feet east of the subject lot as a manmade cut between two lots of Birch Tree Estates, and continues to the west for several blocks as a roadside drainage ditch until it reaches Elmore Street. There the ditch Is routed to the south and connects with a larger natural drainage course which eventually flows into Rabbit Geek. This ditch was dry during the soils testing and design phases of this septic upgrade project early in the summer. Actual construction was delayed until the very end of the summer during an extended period of unseasonably high rainfall and subsequent snowfall. At this time a small, but steady flow was observed in the ditch as accumulated rainwater gradually leached out of the shallow soils on lots in Birch Tree Estates. As you will note from the soil logs which were submitted along with the design drawings, the construction site Is underlain by 2 to 3.5 feet of sandy gravel and sand to a depth of 6 feet which overlies tighter silts and silty gravels. Monitor tubes indicated a stabilized groundwater depth of over 10 feet in the spring, and I reconfirmed this condition during the heavy rainfall period immediately prior to the start of construction. The overall lot is rather flat, with a very slight slope down towards the west, causing a surface flow path from the mound to the ditch to be significantly longer than 100 feet. The bottom of the sandy/gravelly receiving stratum under the soil absorption bed is lower than the bottom of the roadside ditch, ensuring that there is no possibility of effluent being carried from an underlying water table into the roadside ditch. During periods when the ditch does carry runoff water, the volume of flow appears to decrease as one follows It downstream, indicating that the ditch is gradually losing water as it encounters more permeable soils. It is my opinion, based on past observations of this roadside ditch, that it should be classified as a seasonal runoff channel which carries water only in conjunction with specific rainfall and snowmelt events. Thus. I feel it should not be subjected to the same separation distance requirements from wastewater disposal facilities as would be the case with a continuously flowing stream or other surface waters. Certainty, numerous other pieces of property in this subdivision are similarly impacted by this ditch. Unfortunately, there is no easy way to draw an unequivocal distinction between temporary runoff channels and true surface water. The decision is necessarily influenced by the conditions encountered on the date of inspection. I have sought guidance from DHHS on this Issue at several locations during this past summer, and have received opinions that comparable ditches and even larger drainages should not be classified as surface waters. Please call me if you have any questions on the above analysis. Sincerely, WA* 1r Ted Moore, P.E. cc: AHFC c/0 Realty Center Z" 11 U N I C I P A L I T Y O F A N C H O R A G E Department of Health & Human Services. 825 L Street, Anchorage, Alaska 99501 343-4720 O N- S I T E S E W E R P E R M I T Permit Number: 890099 Upgrade Date Issued: 06/21/89 Engineer Designed Owner Name: ALASKA HOUSING FINANCE CORPORATION Day Phone: Owner Address: P.O. BOX 101020 344-0501 ANCHORAGE, AK 99510-1020 Parcel Id: 018-173-12 Lot Legal: Subdivision: ELMORE'#2 Lot: 6 Block: 10 Section: 34 Township: 12N Range: 3W Lot Size 41800 (sq.ft. or acres) Max Bedrooms: This Permit: 3 Total Capacity: 3 SEPTIC TANK: Minimum total septic tank capacity: 1.000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). INFORM D.H.H.S. PRIOR TO 1ST « 2ND INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS, CONTACT 343-4681 AND LEAVE A MESSAGE. CONSTRUCT PER ENGINEERS ATTACHED APPROVED DESIGN. THIS PERMIT EXPIRES 12/31/89 AND VALID FOR A SINGLE FAMILY HOME. I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit. Signed: DATE: %2 (Owner) ALASKA HOUSING FINANCE CORPORATION Issued By: . "'___�_-:�•-r�/`�---------- DATE: /�'��••��%' /UpA Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99518 Lot 6, Block -10. Elmore S/D Septic System Upgrade 4900 East 145 (at Buffalo St) Specifications and Design Notes 1. The design of the soil absorption bed is based on a measured perc rate of 8 minutes per inch, which yields 151 square feet per bedroom. Thus, for a three bedroom system the required area is 051)x(3)%(1.5) - 680 square feet, which is accomplished by a 20'1 34'bed. 2. All material specifications and construction practices shall be in conformance with M.O.A. regulations. 3. The configuration of the system shall be as shown on the plans, except that minor modifications may be allowed or required by the engineer doing the inspections. 4. The contractor shall uncover the top of each end of the existing septic "tank for the engineer's examination, shall arrange to have the tank thoroughly pumped, and shall install a cleanout pipe on the first compartment of the tank. If relocation or replacement of the tank is deemed necessary by the engineer, the cost for the additional work shall be negotiated at that time. 5. The existing soil absorption trenches shall be abandoned in place and the cleanout pipes removed. 6. �A new 500 gallon steel septic tank, equipped with an "Orenco" lift station . assembly (or equal), shall be installed after the existing septic tank. 7. The raised soil absorption bed shall be created by excavating the surface soils down to the top of a sandy gravel stratum located approximately 3-4 feet below the ground surface. Approximately 2 feet of sand shall then be placed in the bed excavation to achieve a level surface 1.5 feet below the original ground elevation. 8. A total of 1 foot of approved sewer gravel shall then be placed on top of the sand with the bottom of the manifold and the 4 runs of lateral pipes located 8 inches above the bottom of the gravel. 9. The manifold shail'be 2" dia schedule 40 PVC pipe, and the pressure distribution laterals shall be 1.25" dia schedule 40 PVC pipe with 3/16" holes drilled in the bottom on a 30 inch spacing. The hole spacing in adjacent rows shall be staggered. 10. The line running from the lift station to the distribution manifold shall be 1.25" dia schedule 40 PVC. The first 10 feet of this line shall be enclosed inside a piece of 4" dia ABS pipe connected with a Calder coupling to a 5" OD s 4" long piece of 12 ga, tubing welded to the end of the tank. Special care shall be taken to thoroughly compact the soil under the pipes leading into and out of the lift station. 11. The ends of the laterals shall be capped, and all pipe connections in the pressurized distribution system shall be glued. 12. Monitor tubes shall be installed as shown to the bottom of the sewer gravel. Filter fabric shall be placed over the top of the sewer gravel. The unclassified soil cover shall have a minimum depth of 3 feet over the filter fabric, and the sides shall be sloped down at no steeper than 3:1. 13.,Four inspections will be required during construction: ,(1) Initial stakeout, (2) After the excavation is complete, but before placement of sand, (3) After the sand is placed, but before the gravel is placed, and (4) After the gravel is placed, the pipes are laid, the lift station is installed, and all the piping is connected. 14. The contractor is responsible for arranging for the necessary utility ;locates and electrical permits and inspections. The on, off and alarm float settings 'shall be as specified by the lift station supplier. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 u;EE; El-1'IORE SID LOT 7I 131-kB eIRCN I -0r8 ' %% TREE 'oo (mcANr) CST LOT $ • SEPrIC SYSr a� HSE LoT6 T. H. PRopoSFD to'X7y� $OIL was, M o w ra S)WIrINdr- W FELL Nouse LOT 8 T.H. . y ►Y7 TN t"A 11 C,,7. T.M. EXIIT INL 1000 eA 1. SEPTIC TANK PRo/bleo SVO 6A L,7ANM w. EXKriW SOII- ABS. oReN/o ucr ST,{rpN ITRN+CML To ae OEfCONNKTGO ANO 8O'! ADANOOHCO IN PACE O; �O O 1-07- -7 Flattop Technical Services 14530'Echo Street Anchorage, Alaska 99519 1-%, 621 61RCN TREE EST , LOT 6, S L It 10, E L MO RE SA OF• N %is� SITE PLAN '49TH ••':9*�� NOTE: TNEs is Kc' THEODORE E. MOORE / '.• CE - 3589 .00 � a %'••••-••••.0 A DATE ; S/dYi A SURVEYED o"7 ���`�••� OwN.IaY; TFh Ac•t !-OCAT/ONJ ARE APPROXIMATE I X 'G OF A( i ............... )DORE F. MOORE j / CE - 3589 : o& AV Pmtmloaak����• _ 11.T,3 EOSE. of SEWEq 6RA✓@4 ,/ II I Y D!A SCHEp YO Pvc 4hrC--rtAst, 32.5 toN6 DRILL 21/Q" D/A MOLES ON S orr0PI SIDE, SPACCO E✓CITY Jo, STA 66L -ft HOL.0 POSIr/ONS ON A07AC6Nr $-AT6RArj EwsrrNs SEPTI c TANK 300 CAL. STfEtTAlyk O w• Oli ENCo "L/Pr STA( I" S, h0 �V[ MAMI L C.O. O Q I V-10 SCN6D YO P✓e- 6001A %Io' LONF h6S StCC✓e WELD S.O•D.r<Y" LONG M"T46C 7D *"rr I oc o/ TANK N!{ ACa SLBlv6On NM COTTON Lo'r6, 9Lk 10, EI.MCaE SID 501I. AGSoR PTION MOUND Pi -AN yr Ew S"4e 1I'= SI -o° PAM 6499 VWN 0k rr^ It I Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 I{" moNITUR fNQCJ PERP. IM C -RA -el 3 UNC4Au1FlED F(I•!• 3�ryM� I�/y"P✓CMTERAu.� �2"PvCFIANIF0D NRTlvE 6P/FR STRATUM LOT E, BLOCtf 10, EI_tic a S/D SOi 1- AGSORPTION MouND SECTION rA-A" P = S'-011 0� OF 'A • 84 TH� • �•9*etl THEODORE F. MOORE i CE • 3589 Ar HANHOFE 'RESER C.O. 500 6rAI. STEEL TANK w. 'oRento` WFT STN :rrl. •• •.• •• • .• LO` LSA •Sew eR • • • v • • FACR C NRTlvE 6P/FR STRATUM LOT E, BLOCtf 10, EI_tic a S/D SOi 1- AGSORPTION MouND SECTION rA-A" P = S'-011 0� OF 'A • 84 TH� • �•9*etl THEODORE F. MOORE i CE • 3589 Ar HANHOFE 'RESER C.O. 500 6rAI. STEEL TANK w. 'oRento` WFT STN Flattop Technical Sezvic'es `�`•'"".**.- 14530 Echo Streetp of GINEE , SLI • ,9 OF * .• 49T/i GV .1 Anchorage, Alaska 99516 0.0............._.......:.� �. Municipality of Anchorage 51 OF HEALTH 8 HUMAN SERVICES .THEO ORE F. MOOR •••'• 825 "L" Street. Anchorage, Alaska 99502-0650 �+ ` THEODORE f. MOORE.� � r SOILS LOG — PERCOLATION TEST 1�G?•',,.,• %3589.0 •�r�r 7- N.°�� . PERFORMED FOR: A FiFC Really Cir - Pau/ &IilOr1 DATE PERFORMED: ��6•/t99 •• "-'"=�'' A LsnL'LL LEGAL 1 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Pt. lrf+o/'e Township, Range, Section: T12(y R3 S¢e T SLOPE SITE PLAN � sUtm Sty R epteete16 Self Loan f1 t G•ra r.7f Sema ro wej GP16:rl Sandy Gravel M 1- Grar �retavetl, Gr7 6:rtty Sel/y 6:ravt/ I I I I� 1 teem' WAS GROUND WATER Gtertn C ENCOUNTERED? Y w e:ss ort/ /s. 5 IFYES.ATWHAT Seygp 6'L0e o Hto DEPTH? P GP E Depth N Water Atter o• M. Monitoring? _W —10" gale /7/ Reading Date Gross Time Net Time CAin� Depth to Water Net f Drop In reso.k r N> 0 to, ti:ro : 7y:Jo ro.s 2 2 pis t �g r#so :3r 23 4i * /D: Nr !o P2 r,< rf/r! H>o !o: 16 2J vz 10: Sr to 22 vy 1'�Y rH�o 10:57 23 r8 If :07 to __2_z 6 ('�V f t� 0 etr it :0S u•. 27 uz D_ ac -7 M e-7 PERCOLATION RATE .Lt_ (minutes/inch) PERC HOLE DIAMETER _K_ .. ' • ' TEST RUN BETWEEN -'T'20 FT AND —+' -.—FT COMMENTS Lerf it leve/ _ MIT s%r A"e irtr/wlj4c , re -C ros(Y �,�' Qns�n /rnGli � Sor/ �ihra/-ow rnfr o+f IT//�'/(3e1...- SOtf�pebrA 5eot •dor 3lasfin, hoe,.rert�u•r1lIS►�CIS'�C3�=�pq� PERFORMED BY: EIeS i/O/s TCCi7N lea t S r•virl I �!_.e _ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: - 0611 /a % 72-008 (Rev. 4185) Flattop Technical ServlFees "�� � ...... 14530 Echo Street :'C; phiINEE L1 Anchorage, Alaska 99516 ' �' 49T" r.................de 0*7 Munlclpallty of Anchorage /�/ D _. !j DEPARTMENT OF HEALTH & HUMAN SERVICES •• THEODORE f...T;. 825 "L" Street, Anchorage, Alaska 99502-0650 �� N '•, CE -3589 SOILS LOG — PERCOLATION TEST d PERFORMED FOR: A iiFC `/ Reath• C{� - Paul Wt'&0'7 DATE PERFORMED: S/d 9 •• =� I.vtl LL LEGAL DESCRIPTION:_ DEPTHI Pt 1 f 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17, 18. 19. 20- 10 E SM .5111 Loam S P arosun SQAA Sem 1—Co" ro 1 e clafrw( ML. Gr'oy solk tusty 6,66fa soulderl -414..f SLOPE WAS GROUND WATER ENCOUNTERED? _ Y IF YES, AT WHAT DEPTH? /•S,S Section: T12F/r R3 k! Sec 3 SITE PLAN R ,yteh 8elitb to water Ater , I Monitoring? 12 - 1 Oar. &'/17 MENEM ERNE �iM1ffj Net Time (M..) VA M, M, 49 FA ■ONE 0-1� W&RI 2 7 B11:30 NIMME%■IIM!go ■omor's��riii��■ ��r�rrFlF�� ■IzzOMEN MEMO ME MMMMUMEN IM■ ■ mo Reading Date Gross Time Net Time (M..) Depth toWDrop Water I r:-er 2 7 B11:30 2Jeh11: SS' 67 e o /ya Isla I. o It :Y12J VB ave - JPERCOLATION RATE '2 (minutes/inch) PERC HOLE DIAMETER 77H- #Z TEST RUN BETWEEN 5'0 FT AND FT COMMENTS Lef it Isvirt H.77 •" Ao(t 4<f herr rCs Af me"acreat _'A '129. Of Sem Sea e1Ctio,4 _- PERFORMED BY: Ffa II&A e04" ma I Selv;e f I — !� /i oO CERTIFYTHAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 IF". 4185) — N k N k IL d to 01- ACR Flattop Technical Sezvic'ee 14530 Echo Street * •' L)• • ;9* Anchorage, Alaska 99516 �••• ••••••—•••••••••••�•• Municipality of Anchorage DEPARTMENT OF HEALTH &HUMAN SERVICES••••HE•ODORE F. MO •••••• •••••••• I :ORE ; 825 "L" Street, Anchorage, Alaska 99502-0650 #16% CE -3589 SOILS LOG — PERCOLATION TEST ••••••••• OV -44" ^ .• PERFORMED FOR:A l4rC `L Ready C{r — PUut Wit[On DATE PERFORMED: LEGAL DESCRIPTION: L DEPTH Pt- 2- 2-S, t•22.t 3 SF/l- ADAH 4 6•P /X/7 5 6 -- -- H10 Seerr@ 6=0" ML 7 a• y 8 9 10 11 12 13 14 15 16 17 18 19 20 P. Range, Section: T 12 K R3 pv S e e 3 SLOPE I SITE PLAN r— jWrM WAS GROUND WATER ENCOUNTERED? _ Y IF YES, AT WHAT DEPTH? Seytc & C-011 Depth to Water After Monitoring? /u1' • Date: PERCOLATION RATE (minuteslinch) PERC HOLE DIAMETER T" N. 1 3 TEST RUN BETWEEN FT AND FT COMMENTS 120f IS levet %ff hole euq �q�tin.. (Zfn/'anNr�y o! sfraah TE+1 r.a n�®algid bed area Use dere rwf-e {;row• r1! &1 Na pa f ZASAOII/ < PERFORMED BY: F'1a �/O/s T C1lr1 a[.a l .fP/•YIC l ) !r 2?j4 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: J.n a /. 1969 72-008 (Rev. 4/85) ONE so 'M■./ LVAMHur, NION1210I KNEW WNW ff R®gloom WOMEN 9=01 mmmofjmivmm oil ■0100111101.100■ WAS GROUND WATER ENCOUNTERED? _ Y IF YES, AT WHAT DEPTH? Seytc & C-011 Depth to Water After Monitoring? /u1' • Date: PERCOLATION RATE (minuteslinch) PERC HOLE DIAMETER T" N. 1 3 TEST RUN BETWEEN FT AND FT COMMENTS 120f IS levet %ff hole euq �q�tin.. (Zfn/'anNr�y o! sfraah TE+1 r.a n�®algid bed area Use dere rwf-e {;row• r1! &1 Na pa f ZASAOII/ < PERFORMED BY: F'1a �/O/s T C1lr1 a[.a l .fP/•YIC l ) !r 2?j4 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: J.n a /. 1969 72-008 (Rev. 4/85) LOCATION OF WELL (plsoae complete either Is. 1► or is.) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological 8 Geophysical Surveys Drilling Permit No. A.D.L. Ne. le. Borough ,,..B//u��edivi•loo�n t� alt Lot Block O U. 1/4dlre. —of—ef_er_ Section No. TownshipN❑ S❑ Range E❑ W❑ Meridian ' Ic. I DISTANCrE' AND DIRECTION FROM ROAD INTERSECTIONS —254%. `� �. Strut Address and Ana of Welt Lecafla. S. OWNER OF WELL: Address: A#r- c. E. WELL LOG Foot Solo. Surface Material Type Too Bellem a, W L EPTN: (timet) 6. DATE Of COM►L[TIO h 49S s. ❑Cabletool )QReto,y ❑Driven ❑Dag ❑Avg•, ❑.letled ❑Bond. 00u•r1 T. ug[l Rv'Tlemesnc ❑ Public Supply ❑ Industry ❑ Irrigation ❑ Mcherge ❑ Commerical ❑ Tau Wen ❑ other: S. CAS NG- ❑ Thread. Welded dle..�ln, to r u. o.ptn Weight lbs./ft. dram. In. to ft. Depth BUckup3� it. B. FINISH OF WELL: I/ Type: Olameter, / ales/ ,h Slae: Length: Set bet.u. if. and fl. 1149ef1111n0 Gravel pack a pALfTY ,Ir 4 • ,Cl 10. STATIC WATER LEVEL:_A 9 fl. do ❑ Above or PS Below lend surface Data Eaulonent used: il I a T L 11. PUMPI g LEVEL belew lend surface and YIEL�Dt I aner�Ihrs. pumpl"IS21C—g•P••. ft. aft•, hrs. pvmping_g.p.m. IE.GROUTING Well Grouted: ❑ Yee ❑ No Material: ❑ Nut Comsat ❑ Other: 13. PUMP: (If available) HIS Length of Drop Pipe ft. capacity g.P.m. ❑ Subm. ❑ dot ❑ Centrifical ❑ Other Ie.REMARKS: 16. WATER WELL CONTRACTORS CERTIFICATION: • W. Water TO.perOlure -• ❑ F ❑ C Tale 11 was drilled u er ymy rll tictlo end tri repo,$ Is tree to the et f my knowledge and Ballet. R glw,•d But m... Nom Contra 1 onto Number Address: Ar Lt<1 Signed: Date• Aunorlud Rep ah,enve Form OE•WWR (11/61) COPY Dislribelien: WHITE•S,ale DGGS, PINK•Or111eq CANA AT-Carlem0 WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological la Geophyslcol Surveys Drilling Permit No. LOCATION OF WELL (Please Complete either Is, to or Ie.) A.D.L. No. la. Borough Subdivision Let Black te. y4 qIr.. Section No. Township NO Range EC] Meridian A)vc►( ccrr�nEn to _ar_af_al_ BO WO Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS S. OWNER OF WELL: 145 7L 49t/1_iAlO. Address: CHRIS Ft'J£5 5 -at- COl;NER 641 01P 6CWAP17 Nwy Street Address and Area of Well Location f 2. WELL LOG Feel Below Sa.fae. Material Type Top Bottom d. WELL DEPTH: (final) �_fI. S. DATE OF COMPLETION A)7/ Ahll/ f'f)' Q fy, 0Cable tool ©Rotary []Driven ❑Dug 11Auger[]Jetted 0Bored [3Other: f`p1;'AVr It Y elf f ( (A yx y 617 1/ (. ((>L- y 71 ?.USE: © Domestic O Public Supply O Industry O Irrigation O Recharge 0 Commatleal O Tnt Welt ❑ Other: < T 1,4117fl /,OA 111"r212- M/ 1 I n v 1 V / / s. CASING: C] Threaded [B Welded diem._(. In. to')q It. Depth Weight (`% lbs./11. dlam. In. to fl. Depth Sllckup fl. 1AIAT B. FINISH OF WELL: Type: Dlometer: Slot/Mesh 81Ce-. Length: Set between ft. and ft. Bookfllling Gravel pace 10. STATIC WATER LEVEL: ft. It Al r/jo7 O Abovo or ® Below land surface Date Equipment used: 1 't -k TK Pr 11. PUMPING LEVEL below land surface and YIELD ft. after s_fire. pumping ) 1, g.p.m. It. after hrs. pamping_g.p.m. 12.GROUTING Well Grouted: C] Yee 0 -No Material. p Neat Cement p other: IS. PUMP: (If available) His Length of Drop Pipe ft. capacity g.P.m. '0 Subm. O Jet O Conlriflcal O Other Id.REMARKS: IB. WATER WELL CONTRACTORS CERTIFICATION: IS. Water Temperature .• 0 F C This well was drilled under my jurisdiction and this report Is true to the beat of my knowledge and belief; Vl/fd, V.1PfI T' 1>rn11 I Itf CT A-109An Registered Business Name Contract License Number Address: 1 9 D Signed: �/ % Dale: '➢ Authorized Representative Form 02-WWR (II/81) Copy Distribution: WHITE' State DGGS, PINK -Driller, CANARY -Customer ro n �' ;y ro ro ro ro ro ro e .. g o c7 aC N Y to ? �• Y Y �' �+• a ts trL rir.' r m •• ry ti m �c ti m ti ti n I n n Ln c? C1 1O •C C �• .0 D q 7�J E L 7 N Irk n N m R eJ DO 0 cn A `I 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 NEW UPGRADE MAILING ADDRESS K'1�4-7 LEGAL DESCRIPTION �L/4lDrE Sl `3 IO L- l LOCATION SW nC /ys�vQ A Qv�(a(� NO. OF BEDROOMS Cnv-tit?..v �r,. J DISTANCE TO: Well ( Absorptionarea Diwte/llOngT PEs 1J NQ O Y EZ Manufacturer Ar,IC I.(, Material -fir, No. of compartments N~ e,r0. A V. �M PIr Liq, capacity in gallons IF HOMEMADE: Inside length 9 Width �- Liquid depth d Z DISTANCE TO: Well Dwelling PERMIT NO. O _ f- Manufacturer Material Liquid capacity in gallons LUX DISTANCE TO: Well 12—�` Foundation ^ 7 �N Nearest lo[ tine IS PEfjg11I I45 iL Z8 w W No. of lines ,,., Length of each line �' Total length of lines Trench witlth �� Distance between lines a W F- Top of tile to finish grade 14 inches Material beneath file 10, Total effective absorption area O¢ �D inches / ry W Length Width Depth PERMIT NO. o F Wd Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J J W FO Depth Driller Distance to lot fine PERMIT NO. ISTANCE TO: Building foundation Sewer line Septic tank Absorption area (s) OTHER _ vc PIPE MATERIALS P UC SOIL TEST RATING 2_7 O INSTALLER TOT i �. YU Lob r REMARKS A A(,— r- T- ("Att"IT r IV ' '"-741'11! - n. L.ItiIE 18' t� ! T_ C' .Ir L I /rt/l P_ i r /I(l - 7o FAfZ7 i 3) S r ntl IC[' u — r..� fj APPHOVED DATE LEGAL Y-7-82. E )MLYC SA BIO L( 71in11 ssa-,, nnm 1.11_1 t -d I C I F=' FAI L_ I T''r 1D F H l' -a r H 0 F' n13 E DEPARTMENT '51HEALTH AND ENVIRONMENTAL PIOTECTIO14 825 'L ?STREET, ANCHORAGE, AK. 99--1 • 264-4720 THE REQUIRED SIZE OF THE SOIL ABSORPTItV SYSTEM IS: ISOGEF•TH= =' L_Et-aiC,TH= FQ FA 91EL. E>EFyTH= L THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DP.AINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND 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 CIN FEET). FRECAU I F<ELti :E:EF='T I 1-- TR r-4 F< _• I `E= 1CE, IDID CinL_L_Qt-a5= 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. --- TWO C 2? I t4SF7ECT I C7t403 F4 Ft E &E=C?U I F?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 150 TO 200 FEET FROM A PUBLIC WELL DEFENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER: LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER, REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER. INSTALLATION. F"EF_VlIT E?{F"IFRES= L'mE0El-1F1EF= I CERTIFY THAT 1: I AM FAMILIAR. WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I !JILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED APPLICANTIIFEJES DEL INC. AND WELLS AS SET ENLARGEMENT IF THE ISSUED S&OF-_A22?--_!--DATE- ------ V4. 0 tJELL Fit40 C?r4-r ITE T PERMIT NO. ( 820728 ) APPLICANT FEJES DEL INC. 6917 OLD SEWARD HWY 349-66991 LOCATION LEGAL , LOT 6 ELK 10 ELMQCtE SUB #!2 LOT SIZE 222222 SQUARE FEET TYPE OF SOIL ABSORPTION! SYSTEM IS: TRENCH �t r� Ott' MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SO FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTItV SYSTEM IS: ISOGEF•TH= =' L_Et-aiC,TH= FQ FA 91EL. E>EFyTH= L THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DP.AINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND 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 CIN FEET). FRECAU I F<ELti :E:EF='T I 1-- TR r-4 F< _• I `E= 1CE, IDID CinL_L_Qt-a5= 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. --- TWO C 2? I t4SF7ECT I C7t403 F4 Ft E &E=C?U I F?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 150 TO 200 FEET FROM A PUBLIC WELL DEFENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER: LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER, REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER. INSTALLATION. F"EF_VlIT E?{F"IFRES= L'mE0El-1F1EF= I CERTIFY THAT 1: I AM FAMILIAR. WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I !JILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED APPLICANTIIFEJES DEL INC. AND WELLS AS SET ENLARGEMENT IF THE ISSUED S&OF-_A22?--_!--DATE- ------ V4. 0 •' AwAR rrrF}1 r rtF PtRrl t r M4. { =v23 ;4 L- L T•V, ID T-- t�C-= N£r p- rY1 Htlr+ Frl :r [F.r3rih(`11 r; iL t'Fo rcc r i oN 5 rR £ r. Ht H't i�? r • tit< ??5:) L � �r•J-- T. 1'E �[=''4.3EF: I�Lf1r1 i T 8L�>/2P A?PLtCriNr FE.r£•: on- Irp_. h:at? r%n SE!•rM Mrs, i r�_artort 3d9 --S'; LEu{1L LOT 6 Lir-1: W £U -P .Q`_ _7J.^. IT LOT 5 I z'>_ SQU; ihZE F;- rdt'£ 11c SOIL 11.0•57R.PTIO11 5'r:TEM I5: T,�•- KH l4;i::I11Yi MM S2 OF PIECt?04rr= - ? 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RFF--C!I J I F:EC• _ FEE f�-T I r= FF-P11rr NPP[.tc;irlr Ht7= rti- To au -11,n1 r1!(: omirrr•1"-.rlr ou. mi r Fri rFp-t-FiT r 4N I li _D'I:r; T I %r: rK nwe 1.x7 1-5 uID 1;1i�1 r ro THIS (:• FF.o £P r,• N110 r.`iE 1 rvjme : tx-RESIOErP s! noir Me,i-it-LL !•!ILL- ---- -T-WID •: I r�•,:n>`t_ T = t_lr i - t-tr--: r: cr�,� z r-�:=c• srir�cf'ru-(Ni; ca- s,r`5rem t•,Ir:101jr Ft1t:iL IN Er:r(Utl MID C7 MIS -7. I c+ RRrr!> t)r urL[ 5-UoJ£r,r To > nY-:Z87JTIOX [•I [r(rt•111ii v [ S TA) b`c $c rt•h:Erl A M -1-L At 1Q awl, tm -S r r:: s: r -03C G r Srr151-1L svt`5 rui 15 113a FEET F02 A PRr'rAr} 1.1x1 t_ 6:z tsa TO 103 i•ez r FRi5m A fUig(r: rNP•:Lt- 6cPrrlurnti ,, ,1J^r3t1 TII` Prt"c IV PUGLIC WELD `—"1-101UPIM GISrAr '- FROM A PRIVArc li=•LL TO f! PRtvArz .Zi!•1 ,F LIfVZ 11 2-. EE:Sf tIM0 TO A com A Ri i ry sF1- rP UN-- N .`tt t•t:3Ll_ U31?i ri: >>rrur><.G tirr)G Fntsr Rt )tr2;) G ru rta u�YH�rrrt)r tJirN(N zy {v.yY: QF r. -C rlt'C..1_ comm[ r (on r?r)i`k fzzzourr,,a-ruinmi,e wPLY. •iPEr:IFtt:Hr[rt)fi; N)in cm-rirPurr(oN C+(ti+mirr3 flYn[t.liSLE TO tri tnL r-R*:� [rr;nv.t.rirtot, F•Er=_r•1I T f=:••{t-• L:-�e-,�-_: [_.•fir=t_r•1�Ef? '.:1_r 1.•�:s:- I IM'ZTIF•r' THAT t: I Ari hA)1It_(AR 41lrN 171E F.EaumEPI:_Nr5 Fox UN-';riE 9NG LfL--U_5 A,; SFr FORTH 611 T14>: MIJUu:LPALCrr rV tirp:HoG:i+;F 2: I HILL w; TALL rHE s,, 3 rFm tri t•I I TH r1ic COC, . 2 : I UPIMERS rAND mi r rH1: ON-SITE _= £!i£F '.'r`? l:ll MAY f t Ou tw- }?p-Rcnx)4t%! r IF rw-. ' Rfi5[[+srr:� I. RE I ru t!lr�.l t+t 3`'E TH.9H SIZORor31•ri. -------------- RPM- r� :irl :=tJt 5 t>n_ Irrr. t3tilJE[+t --- • 1 1 �! SOILS LOG MUNICIPALITY OF ANCHORAGE \, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 925 L. Street, Anchorage, Alaska 99501 264-4720 \ - r –N C}S–OILS LOG — PERCOLATION TEST PERFORMED FOR:�RIs rS DATE PERFORMED: SI►Zl�� LEGAL tD�ESCRIPTION:_ EL MDE S %DI tl ISOOKI �K I C) LOT 1(J 05� SLOPE SITE PLAN ,,4,r -f ptMr GT 2- 346 3- 4- 6- 7-1 8- lo - ll ,oll 12- 13- 14- 15- 16- 17- 18- 19, 213 ,a15 16171819 20 -PEAT ML GMIAAL tic�y solt—y WASGROUND WATERS L ENCOUNTERED? �J L 0 P IF YES, AT WHATE G P ve,-y,w&-Ndy 3,J55:N? I3t v N,Qt -er 9 / o. COMMENTS_ TCAW tL1NE Reading Date Gross Time Net Time 4A In Depth tNet y. Water Oct Drop �l -g 3 /, V 2 3:53 JO 1.37 ,07 rl Li3 S4 -a- /, Vol .4a- :Oy IO J 37 p / O z O j' t O y:/Y J, S q: z q /0 /. 3Y .041 6 4/: 3S // /.31 .03 PERCOLATION RATE se (minutes/inch) s TEST RUN BETWEEN k 22_ 'FT AND _ K FT PERFORMED BY:IAAG PARLALt Ey F1.EISCNM41✓ CERTIFIED I 72-006 (6/79) DATE: S'_-1 57_g=;2 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Aft Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D.q \�-\1�-1'� HAA#- RA figO390 1. GENERAL INFORMATION Complete legal description L o t 6. 8/oc tc 10V E/room sig A ?_ Location (site address or directions) H900 E ryS r" i4tle Property owner Sf euen a DeLoraA I.t/%„ fo ey Day phone 3Vy- 983/ Mailing address H900 E /YS "I hve f3^�P A k 99S/j�' Lending agency Norwesf Mor!az!� a Dayphone 276- yeSO Mailing address 25:70 De4erh' S"lle IYOO' A^c6_ Ak 92503 Agent iLV n^ M1llS. eenf. 2f , pcle',Ac North Day phone 3yS- /4y5' Address 1120 H19,"02 Rcf.. AnC/'0n;gP All 99S/S Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: T"3 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site tl� 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. rI.M (Ft«.1/Y1) From MOA n1 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm F/aH,,g _,cAniccz f Seivir cr Phone Address /yS3o Echo 5f../4ctio�4t f}k 995 !e Engineer's signature Date 7/ 29 / 9 y P 6*� OF,AZ, %,I. 6. . DHHS SIGNATURE 0...........• ••""'••'�'� THEODORE F. MOORE ; CE-s5e4 •. Approved for bedrooms. ; •`�i Disapproved. ♦l;tt++ Conditional approval for bedrooms, with the following stipulations: By: Additional Comments ly&o f U lTI C The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 72.W m•+. usi> Bat MOA m ® Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Laf 6 B/ock /U C—/nhoreS;G Parcell.D. A. Well Data Well type Pr'i vaFG If A, B, or C. attach ADEC tetter. ADEC water system number ottpCncd Log present (Y/N) Y Date completed 9/t� to/1116?—Driller N w w/tk y Ate -%c Total depth 8 9. S' Cased to B 9. S' Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) Y WATER SAMPLE RESULTS: Coliform O FROM WELL LOG AT INSPECTION Otherbacteria Ocot/roo^-C Date of sample: 7 / tH / 9 y Date of test to /N /69 5 /tB /9y T Static water level r oz Well flow 20 9.p -m. g.p.m.rn Pump levell 1 > r'7 �� C CO to m 0 rn n z Ma SEPARATION DISTANCES FROM WELL TO: p -9-. Septiclholding tank on lot 107' ; On adjacent lots > too' u. O Absorption field on lot 136*' r ; On adjacent lots Public sewer main N• A. Public sewer manhole/cleanout N. A. Sewer service line > 2S' Petroleum tank None seen WATER SAMPLE RESULTS: Coliform O CO///aom Q Nitrate O• IS' Otherbacteria Ocot/roo^-C Date of sample: 7 / tH / 9 y Collected by: F/pt`/op Tcc% n1c B. SEPTIC/HOLDING TANK DATA Date installed 9 / 7 / 8 2 Tank size 1000 Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) N • A. Alarm tested (Y/N) N-4 Date of pumping -7/ It/ /9N Pumper Dfnali SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Wells) on lot 10-7 On adjacent lots > too Foundation 23' To property line 60 Absorption field If Water main/service line > 2S' Surface water/drainage > loo' rt-026(3W)'Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed 10 /is' /69 Manufacturer Anc!' Tank / Orenco Size In gallons 5*00 Manhole/Access (YM) 'r Vent (Y/N) Y "Pump on" level at 3s„ Ftu.a "Pump off" Level at 3o " FIu )�'f High water alarm level Yo" FtuT cf Cycles tested I,/ Meets MOA electrical codes (Y/N) Y SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot I zs On adjacent lots > 100 Surface water > too' D. ABSORPTION FIELD DATA Date installed 7 / F N / 9 `i Soil rating (GPD/F12) 61-S" System type 6ea1, Length j�o Width tS Gravel thickness o• 7S' Total depth s' r) -i Total absorption area 90b oCleanout present (Y/N) 2 M.T. '' Depression over field (Y/N) N r r: Date of adequacy test N.A. (nfw) Results(pass/fa1) — for 3 Bedrooms , Water level in absorption field before test O After test o Peroxide treatment (past 12 months) (YM) H It yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: II Well on lot 13S + On adjacent lots > 100 ' Property line Ho To building foundation so' To existing or abandoned system on lot to, On adjacent lots '> 30' Cutbank N. A. Water main/service line '> 2s' Surface water � 100' Driveway, parkingNehicle storage area > 5V, Curtain drain Non! see^ E. ENGINEER'S CERTIFICATION I cer* that 1 have checked, verified or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name Theodore F. Nacre Date Tuw 29r /99'1 HAA Fee $ Date of Payment Receipt Number OSS 72.026 (999)• Back Waiver Fee $ Date of Payment Receipt Number L" 11 )DORE F. MOORC CE -3509 ` 3LL 25 194 03125PM NTL ANCHORAGE P.2%2 NORTHERN TESTING LABORATORIES, INC. ia 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456.9118• FAX 458.3125 i1 2503 FAIRBANKS STREET ANCMORAOE. ALASKA 99503 (907) 277-9379 • FAX 274-AS45 PRELIMINARY RESULTS REPORT July 22. 1994 Customer Name lab# customer IO Method Parameter Unite Result flattop Technical Service A132061 6110 Elmore EPA 353.3 Nitrate•N WS/1 0.15 MUNICIPALITY OF ANCHORAGE Department of Health 6 Human Services O DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D.# tz HAA# Wn9,gy1-lL49 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lo f• 6 6 /o e k lO 6 /.r+o• a -C/JD Location (address or directions) `190o E MT �' (b) Property owner A If F C iii R `rte Telephone: (home) Business 7 y"OS'0/ Mailing Address 8 yao ffa'-f7e-U RX��! /)-k 995 o 7 (c) Lending Institution NSA. Telephone Mailing Address (d) Real Estate Company and Agent Rem Cfr- — Paccf &/f4r0'^ Address 8 yoo hk%rf-uf/ Re,< , An ckora7e , hk 99S -o7 Telephone J761— (e)761— (e) Mail the HAA to the following address: (or check here W, if hold for pick up.) List contact person and day phone number below: Ted f`tocIr 2. TYPE OF RESIDENCE Single -Family CK Number of bedrooms 9 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 th legality and status. 4. SEWAGE DISPOSAL On-site IN Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-M(R«. 7/W) Pagel of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ' As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm Flaf%r %cAAirp./ S'e✓✓t-Ey' Telephone 3Y6'-fzs'r Address I`/S'30 ECA, SA.- Anchoeyi i¢I-z 99,s /„ Date Nov 7, I $W o�P��tOF.A4-4s110' e ?:49TH�•y o ......................: t.g A Engineer's Seal p...................�... l! : THEOLORF i. MOORE - CE. 3539 t► .:.® r?ar•••.....•' �pQa �kk. PrC:fi :;;::oI w 6. DHHS APPROVAL Approved forled rooms by Date ApprovedDisapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections oranalyze data before acertificate is issued. The Municipality of Anchorage is not responsible forerrors or omissions in the professional engineer's work. 72A25 (Rev. 7188( Back Page 2 of 2 1'r A�1t� OF Pj CEO AGO^� MUNICIPALITY OF ANCHORAGE (MOA) s JgJ• ^- Health Authorlty Approval (HAA) CHECKLIST - FEBRUARY 1984 +l 1 343-4744 Legal Description: Lo>< Qlacl� 10 RECE1v �� ��mo•� s /P A. WELL DATA Well Classification ;°rrVer If A. B. C, D.E.C. Approved (Y/N) MA, Well Log Present (Y/N) — Y Date Completed 9/1/82.,:dnc". i 10/11 /09 Yield -Pap � Per 1969 /v✓ Total DepthM-S' Cased to 89, S Depth of Grouting 11,11. Static Water Level gg , Pump Set At Un h, Casing Height Above Ground Sanitary Seal on Casing (Y/N) Y Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: . M To Septic/Holding Tank on Lot 10"I ; On Adjoining Lots > 100 To Nearest Edge of Absorption Field on Lot 12 7 ,; On Adjoining Lots > t o0 To Nearest Public Sewer Line NSA • To Nearest Public Sewer Cleanout/Manhole N•A To Nearest Sewer Service Line on Lot Water Sample Collected by R 1 pl^e DA M4 ;Date 10116'1,99. 10/70/99-2 Water Sample Test Results 5ecbf.Pc�v - O c011/01- /100mC`./�my/e 1114NFe-N Comments B. SEPTIC/HOLDING TANK DATA to /1S/89 6,00 1 1 1 Date Installed 9LZ LA2 Size loon- No. of Compartments '?- Standpipes (Y/N) 'r Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) N Date Last Pumped 10 / ty /09 t•Y r0 ee, Pumping/Maintenance Contact on File (Y/,N) - -N,4, ; for N•�• Holding Tank High -Water Alarm (Y/N) k•A. Temporary Holding Tank Permit (Y/N) At. 14, SEPARATIONDISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 10 y' To Building Foundation 2S' To Property Line 6o r To Disposal Field 3s'' To Water Main/Service Line z s To Stream, Pond, Lake or Major Drainage Course > r ao Comments 72-M (R.. 7/88) Pmol Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata I Z - G7' /6 dcr+ Type of System Design Huun.lcd rStoT Date Installed /a/ 15,1499 'Length of Field 3S. 5 Width of Field Z/ S' Depth of Field /, as % A.,s of Senn( Gravel Bed Thickness Square Feet of Absortion Area 763 Statndpipes Present (Y/N) Y (2 1".A",6e k;le) Depression over Field (Y/N) N Date of Last Adequacy Test 1Y -A. Cnec•;)_ Results of Last Adequacy Test N.A. C new) SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 127, To Property Line 60 ' To Building Foundation 2S To Existing or Abandoned System on Lot ? Too ; On Adjoining Lots > ?d ' To Water Main/Service Line > To Cutback (if present) N A• To Stream, Pond, Lake, or Major Drainage Courset _> too' To Driveway, Parking Area, or Vehicle Storage Area Sa Comments N roadfide d% alonq , fac So.. N" c,We of 6 Ir/SN`Aue� le ea %Yd $O north vi So•1 'E'[+'+f l4 rri Gf Seet(ane/ /'/7t�Yocr�e /..ne cJ", S7..cc A(.w if D. LIFT STATION " Se1v`=re`f'on arvfaoce wet Date Installed ' to / 7S / 69 Dimensions 500get I Sire( /4,74 Size in Gallons S'oo Manhole/Access (Y/N) Y "Pump On" Level at cord .o 3IS" "Pump Off' Level at G^•( ea ?/•S" High Water Alarm Level at Co,d 6; 39 Vent (Y/N) Y Tested for N"A• (^w'-) Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) rerm.F d}' c99 - 1866 Comments S74.rle oeer'oxfrt 09 - of"f sw"Y "Check Permitted Bedroom Rating Against HAA Request" certify that I have checked, verified, or conformed to all MOA and HAA guekWin effect on the date of this inspection.4E OF A4q t ,+ Signed �rP•.••' sk Company F(uA4/ %CG/7nrc,4f .%o-vrcfi A"O) • I' „*. 49TLH •'9*'� Engineer's Seal It / 7 / B9 % ............... Date Date off/ dd MOA No. # .07NEODORE F Moo Receipt No. 9 / � Zr aa / Q Date of Payment ? Amount: $ 470 /Iy 72-M8 (Rw. 7M) Beck CE • 3539 RE ; Q ,0/4 Receipt No. - Waiver Fee: $ Date of Payment Page 2 of 2 HEMICAL & GEOLOGICAL LABORATORIES OFALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562.2343 FEDERAL TAX ID N 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Cider t 17563 Date Report Printed: OCT 25 89 B 19:05 Client Sample ID:LOT 6, BLE 10 ELNORE Client Name ALPINE DRILLING PWSID :UA Client Acct ALPINET Collected OCT 16 89 4 07:00 hrs. P.O.t NONE RECEIVED Receited OCT 17 89 0 09:00 hrs. Req t Pxeserved with :13 REQUIRED Ordered By Analysis Completed :OCT 20 89 Send Reports to: Laboratory Supervisor :S2 ..N C. EOE 1)ALPINE DRILLING Released By.02) ........... ............................................................................ Special Instruct: Chemlab Ref t: 8085 Lab Smpl ID: 1 Natrlx: WATER Parameter Tested Result/Units Y.ethod ------------------------------------------------------------------------------------ NITRATE-N 0.10 mq/l EPA 353.2 Sample ROUTINE SAMPLE. SWLE COLLECIED BI D.L.N. Remarks: ........................... 1 Tests Pe xf or mad NO- None Detected NA- Not Analy.ed ................................. See Special Instructions Above " See Sample Remarks Above LT -Less Than, GT -Greater Than Allowable Limits 10 .............................:... Uk-Unavailable APPLIt'll FILLS OUT.UPPER HA. ONLY Property Qwner F6Ta S jx vCc oPmLN % P"°"° Ma:ling Address Zip Coda 9 95,0 -Q -13"/9-e447/ Time 191 Buyer G- Rodd e7- aJ14Pir1pAJ = Address �f� T_H - Zip Code C Lending Institution /lLiI SKA r4arwiL /n141A*se,7,1-&CA/SoA/ /r�'C�• Phone, ,(�/JNK Inspector Address _ AIr A/ Zip Code O 9 37P-7290 Realty Co.&Agent kc^t7y INC. — 11CL4.011 MRC-�.44 Phone - Address 6,912 O. 1 tr. Zip Code Legal Description r-L/✓JORC X/D /70C/7,,C,-/ dZ -107-6 BLOCK /D Field Notes: O �Y Street Location Type of Residence �l Single Family jJ Multiple Family No. of Bedrooms r O Other Water Supply 17 1983 Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. Community For wells trilled prior to that date• give well depth (attach log If available). O Public Utility Sewer Disposal Sv] Individual Year Individual Installed: �.Q2 O Public Utility When Connected to Public Utility: O Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. /f �ilC1 r e52, Time Time Time Time Date Date Date Date LvLF - /elf Inspector Inspector Inspector Inspector -� i•S`/J Field Notes: O �Y /�� MUNICIPALITY OF ANCHORAGE DF°T. C'I':'!T'I P• ENVIRJt B.:ch:A_ I ..O.`_LTION 17 1983 RECEIVED ( ) APPROVED BEDROOMS �'✓t,ikLG�s�e�C. �f*CONDITIONS APPROVAL ( )DISAPPROVED ( -14�,CONDIT NAL APPROVAL' DATE pryert„9:6 rack -sit! �.iw".n1� Soils Rating Date Sewer Installed Well To Absorption Area I -)-Tl Well Log Received X70 r -%- J' Y Well to Tank / D r Septic Tank Size 12c OM r January 20, 1963 Pejes Development 6917 Old Seward ❑ighway Anchorage, Ate 99502 Subject: Llmore SID Addition $2 Lot 6 [clock 10 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: ° A well log suly.'tSeco this office for our Liles and review. ✓✓dd ° The water analysis report needs to lie sub:iitted to this office from the Chem Lab, 5633 h Street, for our reviewo ° The depression over the sewer system will need to be filled so that surface water drains away from the sewer system. �� have engineer certify the size of the septic tank. A clean out is required for each tank compartment - only one e;V- installed. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. JR36/p/E:I Sincerely, Jim Roberts Associate Environmental Specialist ALASKA c iUIROf1 nTRL COnTROL SEMIRS, InC. enginterinq & enuironmenial Studies MUNICIPALITY OF ANCHORAGE rrPT C. I•-. r -n P. EWIR.:4 It..t..A- :..1.)-_ PION t 2 1 January 20, 1983 Department of Health b Environmental Protection RECEIVED 825 L. Street Anchorage, Ak. 99501 Dear Sir: On 9/3/82 and 9/7/82 I performed the required inspections for the installation of an on—site sewer system for Elmore Subdivision, block 10, lot 6. The report was written up and sent to the D.H.E.P. On this report I neglected to record the size of the septic tank. On 1/20/83 I was informed of this. Upon checking my field note I determined that the tank capacity is 1000 gallons. If you have any questions please give me a call. Sincerely, 0 °~'mho.. Dan MacFarlane Approved, Leroy Reid Jr., PhD, PE Presi ent 00 West 334 Auenoe, Suitt B • Anchoragt, Alaska 99503 • (907) 276-1361