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HomeMy WebLinkAboutSTONERIDGE LT 1Stone,id Lot ! #015-163-73 k e VJIVG/ IUB Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221402 PID Number: 015-637-30 Dwelling: Al Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 9 Upgrade Name Nevin & Debora Summers ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11240 Trails End Rd, Anchorage, AK 99507 ❑ Other Phone Number of Bedrooms ating Total depth from original grade 5 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe inv from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Stoneridge Block Lot 1 Fill added above original grade Gravel length Township Range Section F . Ft. Gravel width Ft. Beds: Number of Line Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. betwe renches From Tank Field Tank Line Ft2 Well >100' >100' N/A N/A >25' TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ other Manufacturer Greer Capacity 1500 Gal. Surface Water >100' >1 00' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >1 0' >10' N/A N/A L TATION Manufacturer Capacity Remarks Gal. Alarm location Electn tailed by Installer PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield A.C.E.S Drainfield D3034 Co/MTD3034 Inspector L.Tidwell BENCH MARK (Assumed elevation) 100 ft Inspection 15` 10/20/22 Location and description nd 3m 4m ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp oF�°poi Conditional Approval: Date • qlF,�� ,sQ �* '9TM r- / �•.. Ben)arri0r Schiller •:� <`� CE 12592 • �`� ��'sl9• Septic System Approved �-- pp , Date 2 2©-2 11/9/22 �G Aw AMW ltlF� PROFESSION Note: this approval does not include well permit requirements. k e VJIVG/ IUB ---i C) / / i I --i r- > x m Z —.► z cn z C0 > o U) C=) m C) cl) < m 0 P20 --J rnrnrncr -4 -4 -4 O co:- Cf) --i ( I yl M cn -0 8 z --40 G7 N> ---i C) / / i I --i r- > x m Z —.► z cn z > o U) C=) m C) cl) < m 0 --J rnrnrncr -4 -4 -4 ( I yl CY) co CA) TRAILS END ROAD CIO -i cn -n"o C-) 0 mc) M 0 0 G) m i m C/) m cf) -0 0 > 0 :,� -c- A : * , -- m- s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -r - - - mo8pg6pz� 0 < - - r- m m < > m m Z M --j 0 --i 10 -i M Z M > C_- ;;a C-) > co Z m § r- m m 0 m r- > < 2-1 z I M m 0 STONERIDGE, LOT 1 PERMIT # OSP221402 PID #015-163-73 ' .J 0 • . PROFILE AS -BUILT / •• BenC Schiller �)o�F�j�.• CE 12592 •.���` ENGINEENING (NO SCALE) `,�lF'�FOP'•�•�•'NP��`�.®. ®®, ROFESSlO M 0 Lo _(D Lu cV O N 0 O IJ N 89055'45"E 299.52' THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. a OvP��G.OF �A Zq�;p� '*cP49 TH **' ........................... > u SHANE A. HOLT 04 LS -6914 4pvOn�°fesSi0na� AS -BUILT SURVEY SCALE -1 " = 30' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 1, STONERIDGE SUB. ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS 3 RD_ DAY OF NOVEMBER 2022 HOLT LAND SURVEYING 10879, FB 133-37,136-71 229-12 TEL. 223.8615 375@GCI.NET MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221402 Work Type: SepticTank Upgrade Tax Code Number: 01516373000 Site Legal Address: STONERIDGE LT 1 G:2640 Site Mailing Address: 11240 TRAIL'S END RD, Anchorage Owner: SUMMERS NEVIN G & DEBORA M Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date: nlcnr off„ � r 1I1 l)ehar-tin ent Lot Size in Sq Ft: Total Bedrooms: 10/13/2022 10/13/2023 49426 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Veronica Pope GE 2022.10 - Received By: :06 -08'00' Issued By: Date: / Date: 5 MMG MPP A UTY OF AHC HO L OC C , , Community Development Department ` - Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-163-73 Property owner(s) Nevin & Debora Summers Day phone Mailing address 11240 Trails End Rd, Anchorage, AK 99507 Site address 11240 Trails End Rd Legal description (Sub'd., Block & Lot) Stoneridge, Lot 1 Legal description (Township, Range & Section) Lot Size 49,426 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑X (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. �J (Signature of property owner or authorized agent) Permit/Rush Fees: a -S Waiver Fees: Date of Payment: �i�3��2 a C�'� Date of Payment: Receipt Number: CJ 3�J Receipt Number: Permit No. os? 19- �{OoZ Waiver No. Permit App_::- ::-.,:c September 30, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Stoneridge L1 - 11240 Trails End Rd Septic system design Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, so we are submitting this permit application for its replacement. The attached site plan identifies the location of the 5-bedroom home as well as the wells and septic location. No conflicts exist between this proposed system and any other wells or septic system, whether on this lot or adjacent lots. We are replacing the septic tank with the same size. The new septic tank will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the absorption field. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221402, Curtis Townsend, 10/13/22 , Municipality of Anchorage page ( of ,.5' DEPARTMENT OF HEALTH AND HUMAN SERVICES ENV-RONMENTAL 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: .?)&, o / E~ c~ PID Number: 'Name: Wastewater System: ~New ~ upgrade Address: ABSORPTION FIELD Phone: No. of~B~r°°ms: ' ~DeepTrench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION /,~ ~,o~sq.~. e-/F Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: ~ Range: ~ Section: Fill added above original grade: Gravel length: I ~ Upgrad~ Gravel width:~ ~ Ft. Number of lines;~ Distance bergen lines:~ ~ ~ Ft. WELL: New Classification (Private, A,B,C): T~ Cased To: Total absorption area: Pipe materiah Ft. Ft. SQ. Ft. ~ q Driller: ~ ~ Date Drilled: Static Water Level; Installer: Date installed: Y~ GPM PumpSetat: Ft. CasingHeightAboveGrou;~: TANK SEPARATION DISTANCES ~.ptic ~ Holding To Septic Absorption Lift Holding Public/Private ~anufActurer: ~~~ ~city in gallons: From Tank Field St6tion Tank Sewer Lines WelF [~ · /~ ( ~/~ ~ ~ ~ Number of Compa~ments: S.,a~e LIFT STATION Water /~o~ /~ Line ~O ' ~ ~ "Pump on" level at: ~el at: High water alarm at: Foundation BENCH MARK Location and Description: Assumed Elevation; ENGINEER'S SEAL Department of Health and Human Se~ices approval '~'~?z~ Reviewed and approved by: Date: ~-2~-F~ ..... ~ .... ' 72-013 (Rev. 9/gl) MOA 25 AS-BUILT WASTEWATER ABSORPTIDN SYSTEM Lo~ 1S~omepldge Nelbop ?rom Lo~ 1S`cone Ridge S/D weLL Is Loc~%ed `ch~n 100 Fee`c he proposed sys`ce~. \ 5Y. 25% sea;bo, ok Nelloors weLL Is iocoted gre~',`cer 'Chon 100 ?ee't From `che proposed systeM, 25% Nelbors welt Is tool"ced :Dr0,wlng C~\~,/ork\tS:TDNERG.I)~,/G FrOM ~he proposed sys~e~. ['~j,... PREPARED FOR' Ms Bobble Stork 11240 TrolLs End Rood Anchorage, AK 99516 (907) 346-8805 SoILs= 125s?/br 5 Bedroom House ~ 625 SF Rqd ~ AS-BUILT~ 6' E??ective 9' Toto. l Depth: 2' Wide, 54~. Long ' To~t Absorption = 648 P~nnone E~Q, Svc, P, D, BOX 148Q25/ ' ANCHORAGE, ALASKA 99514 278-8818, 872-8818 FAX QATE~ 7-87-96 I AS-BUILT SCALE~ 1'=50~ I AS-ttUILT DETAILS ~/ASTE~/ATE:R A:BSORPTIFIN SYSTEM Lot~ 1 S~comepldge - I Z n W b_ [] PREPARED FOR, Ms Bobble Stark 11240 Traits End Ro~d Amchor~e, AK 99516 <907) 346-~805 P, 0, BDX~142025 ANCHORAGe, ALASKA 99514 274-0308, 272-8218 FAX ~ATD 7-27-96 NOT TO SCALE AS-BUILT 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 PERMIT NUMBER:SW960189 DESIGN ENGINEER:STEVEN R. PANNONE OWNER NAME:STARK BOBBIES OWNER ADDRESS:il240 TRAILSEND ANCHORAGE, AK 99516 PARCEL ID:01516373 LEGAL DESCRIPTION: STONERIDGE LT 1 (UPGRADE) PERMIT ~ DATE ISSUED.' 71~196 EXPIRATION DATE: 7/11/97 LOT SIZE: 49426 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: SteYen R. Pannone, P.E. Consulting Engineer July 8, 1996 P.O. Box 142025 Anehorage, Alaska 99514 (907) 272-8218 Municipality of Anchorage Dept. ofHeaith & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 1 Stoneridge S/D Request for Septic System Up-grade Permit & Conditional Health Authority Approval Attn: Mr. James Cross, P.E. Dear Mr. Cross: I was contacted to install a replacement system at Lot 1 Stoneridge Subdivision (11240 Trails End Road). A Health Authority Approval inspection was conducted by FlatTop Technical Services on June 19, 1996. Mr. Moore determined that the system was in failure and operating in a surcharged manner. See the attached report. I confirmed his determination on July 1, 1996. I was contacted to design and install a replacement system, and obtain a Health Authority Approval form your offices. Normally this is a relatively routine process, taking approximately four to six weeks to achieve. However, this real estate deal must close on or before July 30, 1996. The new owner is arriving from Europe on July 30. As you can see this puts a crimp in the time frame. Therefore, I am requesting a Conditional Health Authority be granted while the new septic system is installed. The current owner of the property was not willing to pay for the installation of the new system. The new owner and the real estate agents involved pooled their resources to fund this project. A contractor was selected and retained, A+ Home Services, to install the new system. All work will be completed on or before August 31, 1996. Granting a Conditional Health Authority will not pose a health risks to the new owners or the surrounding property. The existing 1500 gallon septic tank will De pumped before the new owner moves in. He will be living in the house alone for approximately fifteen days, while his family moves up from the lower 48. A new drain field will be installed before the family arrives. In addition, the existing drain field will accept a minimal amount of effluent with-out causing health risks. A deep trench system willbe installed adjacent to the existing system, yet maintaining a separation of 12 feet from the drain fidd. A Zabel Z2000D flow director will be installed just downstream from the tank. It will ~be used to divert the fl0w between the new drain field and the existing field. The existing septic tank will be qnspected. If/he tank is found competent, it will be reused. It will be replaced if the tank is found incompetent. Mr James Cross, P.E. July 8, 1996 Page 2 The new drain field will be installed along, yet out-side, the 100' well radius. A two to one cut slope is located approximately 35 feet from the proposed and existing drain fields. Looking at the absorption angle of the effluent as it leaves the perforated pipe (at approximately a 25% slope from the pipe), no effluent will intersect with the ground surface. See the trench section on sheet two of the design. There are no wells within 100 feet of the proposed location on neighboring lots. The well serving lot 1 is located greater than 100 feet from the proposed location. Additionally, there are no septic systems within 100 feet of the proposed installation. The system will be placed approximately 35 feet from the blufflocated on the west edge of the lot. The surrounding wells and septic systems will not be affected by this system. Please contact me if you have any questions. Sincerely, -"~even R. Pannone, P.E. Civil Engineer Attachments: C:\WORK\I -STONER.LTR DESIGN ~/ASTE~/ATER ABSORPTIBN SYSTEM Lo~ 1 S~onerlct§e S/D Lot 1 Stone Ridge S/D well Is Located great than 100 Feet From proposed syste~, Lot 8 Stone Ridge % Nelbors well [s Located greater than 100 Feet From the proposed system. ~ '~25% Drawing C,\Work\ISTDNERGJ)VG 85% Nelbors well Is Located greater than 100 Feet From the proposed systeM, PREPARED FDR~ Ms Bobbie St~rk 11840 Trails End Rood Anchor~ge~ AK 99516 (907) 346-2805 Soils= 125s?/br 5 Bedroom House 625 SF Rqd DESIGN: 6' EFFective 9' Total Depth 2' Wide, 53' Long Total Absorption = 636 sF P~nnone Eng, Svc, P, D, BOX 142025 ANCHORAGE, ALASKA 99514 878-8818, 878-8818 FAX DATE, 7-7-96 IDESIGN $CALE, I'=50' DESIGN DETAILS ~ASTE~/ATER ABSORPTION SYSTEM / ? Z w W PREPARED FOR, Ns 3obble Stark 11240 Traits End Road Anchorc§e, AK 99516 (907) 346-2805 Pannone Eng, Svc, P, D, BDX 142025 ANCHORAGE, ALASKA 99514 274-0308, 272-8218 FAX DATE~ 7-7-96 NOT ~--~ALE DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~,~' ~t~ ~'-qf~cV~, LEGAL DESCRIPTION: ~.~T~ 1 2 10- 11 12 13 14 15 16 17 18 19 2O Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? SITE PLAN COMMENTS S IF YES. AT WHAT .-..---" ~ DEPTH? P E Depth Lo Water IVIonit~ri,g? -,-.w------ Dele: ".".".".".".'~z-~.~/~; J Gross Net Depth -t~~ Net Reading Date Time Time Water Drop · ~t ~ q [ ~'/~ ~/~ ~ ~ ~ [ ~ 'Iff PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~ FT PERFORMED BY: -~, ~ ,~-~-v~ ~4J ~Jc~J ~-~ . ~,/~ ]~ ~.~'~RTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) crVll, ds iL'~V~O.~I~4~?AL tNGI~G + IIWERG¥ Co~F..R¥&'IION & ANALI~I$ Tltl~ODORE F. MOORE, P.E. PI,l: ~07) 34~-L{{~ Juno ~0, 1996 t4~30 ECHO ANCHORAGE, AI.A..qKA 99516 Bobbie Stork 112~0 Trails P. ad Ro~t Anehotafe, AK 99516 Dear Ms, Stark: , Pet your request on June 19, 1996 we conduoted ad~u~c.y te~ of the v.,~,,r supply ~nd waatewaler disposal systems serving your residence on Lot I of Stone Rid~,$/D: l.re .g~et to informyo, thai ,while. thc well yield is a _ae_Ruatc, tho wastcw~r disposal sys~'.m la nut iu~cuom~.. $ m a maflncr mat wo~U.~ l~,,~t Luuaace of Il Municipal He~th Authorl~, Approval (HAA.) ~ until it is upgraded. The f0uowi.ng is a sport of our test procexture and ~udin{s, Ar, coniiug to the driller's log, the well was oo ,mplote~.. J~ ~eptember of 1970 and has,a, tota~. ~ of 75 feet and a yield of 2 ~pm/ On the date of o~r mst ~ stauc water level stood at between g~ aaa Z~ teet b~low tho Wpof the c~mg. During th~ cour~ of our test we pump..~d a total of 30.8 gallons of water tl~ well at aa aveta$o pump rai~ of 2.9 gl~.m. Perhaps d~ ~o oa~..~mg _wast: our lnSt:ume, nt wu to measure ~he waet level drawdown dU~ng tho c?ur~ of the wes ~t: uas~ o_n o. ur?.~L .~ we.. _ ce~iuc~ that ~ total yield of me well is ai~m~rnaml~ 2.9 ~m, whi~,h ox¢?~s, me. M,U.A:¢ri~t~.~. approval of a gn~lo fam~¥ r~idenCe. Be, oauso tho .s.sgt., system w~ a.etcmu.ne~ ~ described below, w~ did not collect w'-,ter sample~ at this tirno to test t~' oacto~a a. cl mlrat~s. Aecotdint to thc a~-b~il~ insi~ec~ion ttpon on fde at ~ Munictp~ He~ ~p~nL ~c w~a~ d~po~ sy~m w~ ~ ~t of ~il ~n ~n~h con~s 6 f~t ut ~ ~vel,.'lO a~ss ~c ~uacy o~ ~ _ .. ~e~ ~ ~ ~vgc ~ ~d in ~c soil ab~on sys~ a~pt~s, ~fore, o~g ~o m~ me sow et w~t~ w~ sm~ ~ ~ fl~ d~ ~ ae ~nch ~ni~r m~ was appro~ly~s a~ve ~y slow ~e, Mum~ ~ ~ sys~ ~ not ~ ap~ ~ it is up~, ' Thc Fu~t stop ~ up~tadlng a septic system is m bring in a ~e~ ~g t~}t h~e~ ~det~,,-~e a ~ ~d for 2 t~t ho~s + ~ua~a~r ~n. ~ az~ pl~) ~ ~.O.A. f~ ~r ~ up~ ~t . S3~ , ~ Cons~on ~ by ex~at~ - un~n, ~t ~c~y ~.' $80~ . ,., ~ Wa~ ~ ~ll~on ~ ~g + M.O.A f~ f~ ~ ~ma~ $39~ /~ 75218~8 JAN PENNIN~TON ~L~TTO~TEC~, ~k~C¢, PaGE In conducting an adequacy tesl we ~t~mpt ~ provide a thorough, conscientious engia ...e:~.' g ~lysls o~ ~he syslo'n. Th~ xt'ported results describe th~ p~'t'ornmnce of th~ sysiern under ~ conditio,,s e~counmrecl at the ~nc of lhe mst, lad the separagon dLstanc~ are meamivt to fca .tl~,.,s, Sali.sfa~tory test result~ do not guarante~ fliP,re performance of th~.,~ystcm uncler clirl'erent conditions, nor do they guarantee that thcr~ are no hidden defects or c~roaollrncn'.~, Please feel free ~o ~iv¢ me a call if y, ou have amy questions On this report, or to let mc know if you wish furd~r aaaiataac~ in connection w~fl~ up~.a!n~ ~e syucm. SLeekly, T~:l Moo~, P.E. Bill Rr~..Iack Whim Co. (by ~x) MUNICIPALITY OF ANCHORAGE C~ '7 (-! ? "/_ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SFFE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~AILING ADDRESS A~C}10,~A 'P, O, bO,t 10-1~L~'9, ' ,- pla ALA~KA 99511 LEGAL DESCRIPTION LOCATION 'iF~AILS l:2iD g[:BDIVlSION ~ ~ Manufacturer DISTANCE TO: DISTANCE TO: Depth Building foundation OTHER PIPE MATERIALS ~\rC/CAST SOIL TEST RATING i25 INSTALLER l.,{d~' C;;', !,?,AL, REMARKS NO, OF BEDROOMS ~BR MI'i' NO, (d (¢,o? ..... No, of compartments Liquid depth PERMI'F NO, fective absgr;~}~o~ ,~re,~,~, i Ip ER Ml~-~, ~' DATE LEGAL APPROVED PERM ¢IF'PLICFiNT D & B GENERRL INC. P.O. BOX 10-1~49 L. OCRTIC~H TRFIILS END; RD. LE,]RL PFIR.',~9 SEC. 24 T%2N R]:~4 ~H LOT SIZE T'r'PE OF SOIL RBSORPTIOH SYSTEM IS: TRENCt4 ~49-6965 ~O89~O S~URRE FEET ?IFI.%'IHUM NUIdDER OF~,,EDROOHS = 5 SOIL RRTING (=.Q FT/BR)=' :L25 THE REC!UIRED _.I,-E OF THE SOIL RBSORPTION S%'STEM IS: TI-IS LENGTFI DIHENS~D~-)\IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRIIIFIELD. THE DEF"IH OF R TRENCH*,""-- OR 'PIT ZS THE DIS'FRNCE BETHEEN TI4E SURFRCE OF THE GF:OUND FINr) TIlE E_TTOfl OF THE E×CRYRTION (IN FEET). THERE IS NO SET HIDTH FOR TRENCHES. TI-hE C¢?F4'¢[:..L DEPTH I.S TIlE HINIP1UM DEPTH OF ORRVEL BETHEEN THE OUTFRLL PIPE FhND THE BOTTOH OF THE EXCRVRTION {':II~[RM),JT FIF'PL:fCRNT FIBS THE RESf:'ONSIBILIT'¢ TO II'i.IFORi"I THIS DEPFIRTHENT DUR.INO THE ZNSTFd_LFITZCIH INSF'ESTZOt',!S OF FIN"/ !.4E'LLS RDJRCENT TO THIS PRLc~NTY bi~(l.!)'['il.J~'l DIS'i'Fff-.!CE BETHEEN FI: HELL RiND FINN' ON-SITE SEHRGE DISF'OS~L-SYszEr'L~.S · ~ ': '~ F:FET F"Fc FI f-:'RIVFtTE HELL DR '150 TO 209 FEE" FFOH F PUBLIC ~tqELI.~, DEF'EHE~NG ~.rr.~ THE q~-,-c~ OF PLDLZb HELL H).N:[HUH DIS'IFF¢4CE FROH R PR~'¢RTE HELL TO FI PRIVRTE SEHER LIf.~E IS ~5 ,FEB"~ RNO i'O ?1 .... , ....... cE[4ER LIHE IS 75 FEET. I C[SR'FIF":-' TI-IRT !; I FiH FI~IIll!LIFIR lql'FH THE REQUIREMENTS FOR ON-SI'FE SEHERS RND HELLS RS SET F'OW!'H E:'-,' TME HLIN[CIF'FILIT'¢ OF RHC:HORRGE. :k: I HIL. I~ Ii.4STFiI..L THE S'¢STEH IN RC:CORE:,RNCE klITH Tt4E CODES. 2: ): LINDEIRS-FFiND THRT THE ON-S~TE SEIqER SVSTEM HRV REQLIIRE ENLRRGEMENT IF THE i:dES}ZDENCE ]::S REMODELED, ]'0 IHCLUDE HORE THRN 5 BEDROOHS. ~ · ~_,~>/~ ,- ,--/~¢~- Fh:'PI..iCRNT D & B GEH~RFiL INC. ~ ~5/ ~.~ ~'~ ~ PERFORMED FOR: LEGAl; DESCRIPTION; t¢IUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 "SOILS LOG - PERCOLATION TEST 30 Sec. 24 T12N, R3W, S.M. ' Parcel SOILS LOG ~ PERCOLATION TEST 1 2 3 4 5- 6- 7 8 9 2ot COMMENTS PERFORMED BY: 72-0~8 ~6/79t Overb~den Silt ML Well graded gravel SP ELOPE SITE PLAN WAS GROUND WATEt~-- ~' ENCOUNTERED? ~ . -Yes IF YES, AT WHAT DEPTH? 14 ' Reading Date Gross Net Depth to Net Time Time Water Drop TEST RUN BETWEEN Large spruce, alder under.~ro:~%h Reccomend 125 ~ sq. ft./bedroom DRB ~ · PERCOLATION RATE .(min~b). ·..~ ~ ?'.., No. 2z00 ~J,k~. OCT. EFF CERTIFIED BY: S 74 9 2 MAR 1 2 1984 ,~, $ 7~92. :'1 ~'/~d,",J (?/'2_i /2 ~ ' ~ . SOILS LOG . - . MUNICIPALITY'OF ANCNORAGE DEPARTMENT OF NEALTH AND ENVIRONMENTAL PROTECTION ~ PERCOLATION TEST 825 L. Street, Anchorage, Ala~k~ 9950~ 2~720 SOILS LOG-. PERCOLATION TEST PERFORMED FOR: ~~; ~TO,V~-~'.~ DA'£E PERFORMED: L'EGAL DESCRIPTION:...--.-/~/?- SLOPE SITE PLAN 1 2 4- 5 6 :7 8 9 10 WASGROUNDWATER ENCOUNTERED? IF YES, AT WHAT DEPTH? '~ Roadlng Not Time ~ !::'"" ' ' PERCOLATION RATE : ,. ', :. ':' '~ :'," ' .' TES~>RUN BE~I:WEEN- ~ pT--AND. Drop 'k,. 49T2 , -, ..;// (mi~ .... .......... 4',~ .... ~/.~ No. 2]00- E ~)0 ,'.~...~ I hereby certify that I have surveyed the following property: NE¼,NE¼,SE¼,NW¼,Sec.24, T12N,R3W,S.M., Anchorage Recording Precinct, Ataska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises in question and that there are no road- ways, transmission lines or other visible ease- ments on said property except as indicated hereon. Dated at Anchorage, Alaska this 4th day of June 1976. .... ~v~-VV DRILLING, Inc. [. 4-1~24 · 13~0C International Airport (907) 274~461 ] ANCHORAGE, ALASKA 99509 Well Owner Jim 5tone DRILLING LOG .Use of Well Dom Location (address of: Township, Range, Section, if known; or distance main road Upper O'Mal]ey--Trails End area Size of casing 6 Depth of Hole Static water level 22 ft. (~1~) Screen ( ); Perforated ( 75 feet Cased to 35 feet (below) land surface. Finish of well (check one) open end ~ x ); Describe gUf~e~ or perforation 2 slots Der foot 30 to 35 foot depth level, Well pumping test at ' 2 'gallons per (h~~c (mfiuute) for ~ hours with lOOT of drawdown from static level. Date of completion 26 SeD 1970 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material color and hardness 0 .TO. 25 ~.ou. lde_~s & cobbles 25 .TO 28 Clay 28 TO 32 ~qa.ndy Gravel to fractured be~r'ock s, urface: wet e,lrock, gray aroillite TO_ 7 5 TO_ T0_ TO TO_ ~UNICIPALI1¥ O1: ANCHORAGE DEPT. OF HEALTH & .FNVIRONMhN IAL rKU u:Ci iON. BEC, 2 6 ig85 .RECEIVED TO_ TO__ TO. TO TO_ .TO TO S--CONTRACTOR (907) 243-2282 KEN JOHNSON 'C O[,' PANY WATER WELL DRILLING PUMP SALES & SERVICE $0 YEARS ALASKA DRILLING 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99502 AUGUST 22, 1985 STOKE $ O 0h ZR_~.O :'iNS BOX !1'2864 RE: Water well upgrade to k.9.A. CODE ( Trails End Rd. Res. ) We!! depth 77 fi. 6 in. S,atic ]Jater level 34 £t 8 in. Yum? set at 7~ ft. 6 in. ( ~/3 hp Red JackEt ) Tes~ pumped at ~ GPN.. Could not e~eck draw8o~r~ due to cascsdin~ ~'~ ~,er. , Naveria! ~ f~ six in 'well casing $ 60.00 one ir, ah ~2a!v drop pipe 82.50 cng -"~-:'~in~ che~'~ ~.00 1" }: 2" nipple 2.00 6 X !" }lar~inson pitless ad~p~er six Lickens sanitary well seal with ven~ 40.00 12/11 iV ~ '~'" ~.00 ~,~_~ cable !2~ --~:'- ~ ~ b~ e cable ~.00 ~ ......... .~. p'~mp ~,~. Cii ~o¥,'er. · 2~v,p out¥,e~' ~ : ..shut ~ . . ~axe~ o~ well seal.. Pull puzp..cut six in. casing ,;,'eld on ~ ~t. 6 in, cssing., install pitless.. ?lumb up to service llne.., inso=ll pump... Flow test well to=~:..~r~s~.e~e...~ Set pump in pit~ess ~' l? ' ... in=+, ~ a,,_lce in ~o ~,,'ir6 .... !~ well seal and conduit,., z~"~ v, ell_ on service ..... $ 52o. o0 Load and haul 3 yards of fill and hand shovel in well ~+ to ' ' · p~, {raoe.. ( Three men ) $ 300 O0 : ' ',,'C= .... $ 962 50 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box'196650 Anchorage, AK 99519-6650 www.d.anchorage.alcus (907) 343-79O4 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING ParcelI.D. (-~.~- GENERAL INFORMATION Expiration Date: Complete legal descflptlon ' STONERIDGE SUBDM$1ON; LOT 1 Location (site address or directions) 11240 TRAILS END RD. Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MICHEL CEVAERT Day phone 346-4811 11240 TRAILS END RD. * ANCHORAGE~ AK 99516 Day phone BONNIE MEHINER Day phone PRUDENTIAL JACK WHITE, 3201 C ST. SUrTE 200 762-3110 Un~sso~erwiserequested, HAAwillbeheMbyDSD ~rp~p. 2. NUMBER OFBEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Ctsss Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-sita 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. CerUficetes of Health Authority Approval are required for the transfer of title (except between spouses) for properties sewed by a single family on-site wastawatar 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 cf 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 mey be reissued for a pedod 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. Nota: Alaska Water and Wastawater Consultants, Inc. shall be paid $1000.O0 a~ or pdor to dosing for the engineering services provided. I 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation data shown below, I ve#fy that my Investigation, based on procedures outlined In the Hesith Authority,aoproval Guidelines for this application, shows that the on-site water supp~' and/or wastawatar 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-sita water supp¥ and/or wastawatar disposal system Is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations In effect at the time of installation. Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS. INC. Address 6901 DEBAER ROAD.' SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JE~I~I~EY A. GARNESS. P.E. Phone 3,37-6179 5. DSD SIGNATURE ~ Approved for - Engineer's Comments: In conducing lhls evalualtotl, AWWC, Inc. attempted to provide a Iholough, onsc~mifous ec~glneecing anaJysls of ff~ system In accoedance with ADEC and MOA DSD Guidelines & Reg~lailens. The reported results described the petl~mance of distances measured to readily Idanlffiable features. The operaltonal lif~ of all wells and fluclzzate during ff;e year, and the wa~rc usage of Ihe family being sen~d by the R/stem. results do not guarantee ftrl!Jre petl~manoe of ~ ~, ~ ~ ~ ~ ~t Inece are no bidden defects or encroachments. AWWC, Inc. can ff~refoce not pmWde any watranty or fu!um estfmafe of how long ff~e system wtll contfnue to nteet lhe ogecatlonal mqulremants of ihe ADEC or MOA DSD. The contant of thia report ls foc oiher persen ~' party ls not au~odzed, noc will lt confec any legal right whatsoever. WATER AND · Disapproved. ~ :. WASTEWATER : : Conditional approval for bedrooms, with the ~owing stipulations: · . . . .... ... ,.,- - the wells cont::Laued suil:abf_lSc¥. Curreat nitrate coaceat:rat:Loa Ss ma×:Lmum coacentral:ioa Ss [0.0 m~/Lo Hore Sa£o~mal::Lon oa aitra~:es Ss ava~'lable ~ro~ the On-Site Serv:Lces t)rosram, ac 3~,3-790~,. Attachments: HAA Checldlst Manitenanca Agreements Septc System AdviS°r~ Supplemen?al Engineer's Reort Well Flow Advisor, Other Odginal Certificate Date: Municipality of Anchorage Development Services Department co.$fle Water & W~tewater Program ,4700 ~ot~h 8ragaw Bt. P.O. Box t 96650 Anchof'~, AK 09519-66,50 Legal Oesorlpt]on: A. WELL DATA HEALTH AUTHORITY APPROVAL CHECKLIST STONERIDGE:, LOT 1 Parcel ID: Welltypa PmVAT~ IfA. B, orCprovldePWSlD# N/A ~mple~ 9/26/70 ~n~al~)~ T~lde~ 75 ~ ~ 35 ~ ~OM ~ LOG Da~ ~ ~t 9/26/70 S=~c ~r ~1 ~' .~ We~ p~n 2 g.p.m. WA~R ~P~ ~SUL~: 015-163-73 wen Log (Y/N) Wires properly protected (Y/N) YES Casing height (above ground) 16" in. Coliform 0 colonies/100 mL Nllmte 6.5 mgJl.. Dateofsample: .~ Collectedly. SEPTIC/HOlDING TANK DATA Tank Typa/Materlal STEEL Tank size ,1500 gal. Number of Compartments 2 Foundatloncleanout(Y/N)YES Oepresslonovertenk(Y/N) NO Date of pumping ATINSPECTiON 7/24/01 27 2.8 Other becterla AWWC, INC. .ft. g.p.m. 0 cotonle~lOOml. Dateinstelled Qeanoute(Y/N) Hlghwateralarm(Y/N) 8/18/2000 Pumper NORTHI,.~,ND pVMPIN~ ABSORPTION REID DATA <lb Date Installed 10/81 .Soil ralJng {~or ~Fodrm) 1.2 System type DEEP TRENCH Length 54. It. Width 2 lt. Gravel below pipe 6 ~. Toteldeplh g-ll It. Eff. absorpUonarea 648 ft* Monlterlngtube YES Depresslonoverfleld NO Oateofadequacytest 7/24/01 Results(Pass/Fall) PASS For 5 bedrooms Flulddeplhinab~orpflonfleldbeforetest 12 In. Wateradded1550gal. Newdepth 36' In. Elapsed Time: *0 min. Final fluid depltt 36 In. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE: KNOWN If yes. give date - · UQUID ~ REMNNED STABLE FOR THE LAST 813 GALLONS INTRODUCED. D. UFT STATION Oate installed Size in gallons "Pump on' level a~ ~ ~ Cycles tested Meets alarm & circuit requirements?. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: High water alarm level at On adjacent lots 100'+ On adjacent lots 100'+ Publlc sewer rnanhola/cleaneut N/^ Abso~tion field, 5'+ Surface water. 100'+ Septic tenkailt station on lot 100'+ ~tption field on lot. 100'+ Public sewer main N/A Sewer Iseptio service ilne 25'+ Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water esrvlce line, 10% Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main N/A Water estvtce line 10'+ Curtain drain NONE KNOWN F. COMMENTS Surface water 100'+ Driveway, partdng/Vehlcte storage Wells on adjacent lots. 100'+ G. ENGINEER'S CERTIFICATION I cerffy flint I have determined through lield Inspections and review of Municipal reconfs that the above systems are In conformance with MOA HAA guidelines In effect on this date. Engineer's Printed Name Date JEFFREY A. GARNESS HAA Fee Date of Payment Receipt Number {Rev. 12/00) Waiver Fee $ Date of Payment Receipt Number ~ JGL-3O-01 15:15 FROg-CTIE EHVIR~NTXC SRV 6075615301 T-T?2 P.0Z/8{ F-281 ~t~__' CT&E Environmental Services Inc. CT&£ Ref.# Client Name Project Name~f Client Sample ID Mitrlz Ordered By PWSID 1014662001 AK Water & Wastcwatet Conaultant~ Inc. Stone Ridge, Lot 1 Stone Ridge, l~t I Drinking Watcr 0 Client PO# Printed Date~fime 07/30/2001 14:09 Collected Date/Time 07/25/2001 14:40 Received DateFTlme 07/25/2001 16:38 Sample Remarks: {t~uhs PQL Unila Method Allowable Pte~ An~l~is Limiu ~ate l~te Init Nitratc-N 6.50 0.500 mg/L EPA 300.0 I<10) 07/'26/01 SCL Total Coliform 0 0 col/100mL SMI 8 92221] (<11 07/25/01 KAP 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.# 1, GENERAL INFORMATION Complete legal description _~(='-~ I Location (site address or directions) Property owner b,~..%. %-~c&-~iP-=- .%~'-~¢-. Day phone Mailing address II'~c-~A,tA ~ ~ ~ ~.~c~ l ~i~ Lending agency~c~c ~AskA ~,~A~ Qo Day phone Mailing address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: ~ 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water If community well system, provide written confirmation from State AOEC attest- ing to the legality and status of system. 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 5., 'STATEMENT OF INSPECTION BY ENGINEER ~ · A~ 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 o{str'ucture indicated herein. I further vedfythat 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, '~rdi'i~arice§;:ar~ ~egulations in effect on the date of this inspe~:tion. Name of Firm :~'(~'¢~'J,",~,'~ ~'-~,- Address ~ c~ ,-~,o y- Engineer's signature -- Phone '-~- ':7'-'~-,~:''~ I~' Date 6. DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. cont~ed suitability. bedrooms, with the following stipulations: The MunicipalitY, (~f Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval ~ertificates 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. ~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ~r~IVED 825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 34~,4-74'4 ~- JUL 1 1 1996 Health Authority Approval Checklist Legal Description: A. WELL DATA Well Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production ~- WATER SAMPLE RESULTS: Coliform -- Date of sample: B. SEPTIC/HOLDING TANK DATA Date installed [C~- Foundation cleanout (YfN) Date of Pumping. C. ABSORPTION FIELD DATA Date installed Length ~ ~ Width Effective absorption area Municipality of Anchorage Dept. Health & Human Services IfA, B, or C, attach ADEC letter. ADEC water system number Date completed e~ ~ z6 - ~ Cased to ~ ~ Casing height (above grotmd) Wires properly p[otected (y/N) AT INSPECTION FROM WELL LOG -"~6-:7 D Nitrate g.p.m. 2- . cf g.p.m. ~ Oc~ Other bacteria Collected by: ~ -- ~ ,~'~f~,x~o ~ Tank size 1,_.g'oO Number of Compartments ~2.-- Cleanouts (Y/N) Depression (YfN) 1'-40 High water alarm (YfN) Soil rating (gJp.d./fl2 o~ I'~ ~ System type "13 Gravel thickness below pipe ~ t ' Total depth Monitoring Tube present(y/N) ~ Depression over field (YfN) Dateofadequacytest ~--Iq~q& Re.s~ts(Pass/Fail) ~Coal.- For ~ bedrooms Fluid depth in absorption field before test (in.); ~ 6 ~ Immediately after~ gal. water added (in.): c/~. I~ Fluid depth .(ins.) Minutes later: Peroxide ireatment (past 12 months) (Y/N) Absorption rate = If yes, give date ~.p.d. D. LII?F STATION Date installed e/~///~ Size in gallons /~ "Pump off" level at* Manhole/Access (Yin) (A 'Datnm .~y~'~-tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ./'C~ ~v t Absorption field on lot //~ t Public sewer main .~'[oq Sewer/septic service line ~o t ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~qt Property line ~Ot Absorption field Water main/service line Fc>Ot Surface water/drainage /oo+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water e' ~ Curtain drain ! e.~4r Wells on adjacent lots F.ENGINEER'S CERTIlelCATION I certify that I have determined thru field inspections and review in conformance with MOA HAM guidelines in effect on this date. Signature~..~~ Engineer's Name ~'-~(~k/~ ~_~.~o~Ja~'~ .~.~ Date ~- 7- ~ Property Line. ! O ~ Water main/service line Driveway, parking/velficle storage area W Fee $ AC . Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number Rev. 8/95 eSS: haa.wk.doc 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 ParcelI.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING (~ 1~'~ /~"~ - ~ NAA# 1. GENERAL INFORMATION Complete legal description Location (site address or directions) I[~ ~/o -r-~c~_~ r2cTx% Property owner Mailing address Lending agency Mailing address Agent Y-.~V~ Address Unless otherwise requested, HAA will be held for pickup. Day phone Day phone '~ ~-~ - Day phone 2. NUMBER OF BEDROOMS: 3, TYPE OF WATER SUPPLY: NOTE: Individual well )c Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 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 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%--~''~/¢~-~'~'~ ¢-~¢~. Address E~, co ~ o,,~ ,,~ ~. ~.~.~ Engineer's signature ~ Phone Date DHHS SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Cortificates 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. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERV'R~C E IV E D Environmental services Division 825"L" Street, Room 502, Anchorage, Alaska 99501-(90'/)3,~)~4~9 1996 Legal Description: ~ m'T I A. WELL DATA Well type Log present (Y/N) 'la Total depth Sauitaty seal (Y/N) Municipality of Anchorage Dept. Health & Human Servioee Health Authority ApprovatChecklist Parcel I.D.: IfA, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to ~ ~- t Casing height (above ground) x( Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform ~- C> ~' Date of sample: xiz - ~'-- ? :7- B. SEPTIC/HOLDING TANK DATA Date installed / O - ~ I Foundation cleanout (Y/N) Date of Pumping q_ojf~ C. ABSORPTION FIELD DATA Date installed ~ - ?- (v - cj ~ Length -~ ~ Width Effective absorption area & q ~ Date of adequacy test Y.{.¢t. AY Fluid depth in absorption field before test On.); Fluid depth (ins.) Minutes later: Peroxide treatment (past 12 months) (Y/N) '~ ' g.p.m. 9_, ~t. g.p.m. ' Nitrate , / Other bacteria. Collected by: Tank size /,5"oO Number of Compartments 2- Cleanouts (Y/N) "( Depression (YfN) A Jo High water alarm (Y/N) '~'~/A Pumper ~ OP-~-r//LA r~I;;) Soil rating ~r flZ/bdrm) / · 7__ System type q23 -t- ~: ~Gravel thickness below pipe (~ ~ Total depth q' - // Monitoring Tube present(Y/N) 'VDepression over field (YfN) :420 Results (Pass/Fail)'--F'~,,s % For ~ bedrooms Immediately after gal. water added (in.): Absorption rate = g.p.d. ifye~, give date D. LII~T STATION Date installed _ / ~'~-'-"~,, ~ Size in gal~ ~Manh°le/Access (Y/N) o//~"~ "Pump off' level at* High water alarm lev~a-ff~ ] r ~*Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line ; On adjacent lots .; On adjacent lots Public sewer manhole/cleanout Lffi station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building fomldation ~._ c~ ~ Property line a/t> Absorption field Water main/service line ! o o °c Surface water/drainage /exg'F Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: t Building foundation ~ O ~ Surface water '/O0 -T Curtain drain / oo ~- ENGINEER'S CERTIFICATION Property Line Driveway, parking/vehicle storage area / ¢;~c~ ~'- Wells old. adjacent lots l I certify that I have determined thrufield inspections and review in conformance with MOA HAA guidelines in effect on this date. Signatur e.e.e.e.e.e.e.e.e.~_ ~ ~ Engineer's Name ~'r~ ~ g>--~>~O,wo~ t~' ~ Date ~ - ~ ~ ~b HAA Fee $ Date of Payment Receipt Number Rev, 8/95 eSS: haa,wk,doc Waiver Fee $ Date of Payment Receipt Number 07/10796 15:37 CT&E ESI RNCHORPSE ~ 90? 2?2 8218 CT&E Environmental Services Inc. Laboratory Division ~m~:a~J,.~~ ~'~ Laboratory Analysis Report CT&E Rsf,# Clt~nt Sample fl) Matrix Seanple R~arks: 962737,962737001 Kitchen Tap Ddnking Water Collated Date 07/07/96 Technical Dir~tor: ~ephen C. Ede Released By._.~ ,,~ .... ,~~ Re~ulta QC POL Unite Method 0,100 u O.iO0 mg/L ~PA ~$,~ 0 0 ¢ol/lOOmL GM18 92228 Allowablo Prep Analysis Init Limits Date Date ~ 07/09/95 EM)) 0?/09/96 SMa 07/00/96 TAV U - Undetected LT - Le~s than GT - Greater than O · Secondary Dilution J - Betow the cel)bretion range 200 W. Potter Drive, Anohorage, AK 99518-1605 -- Tel: (907) 562-2943 Fax: (907) 561 .,5301 NiUNICIPALITY OF ANCHORAGE DEPART[VIENT OF HEALTH AND ENV[RONtVIENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date t~ GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name .'~h.., ¢¢,¢4~ ,~-.?r¢~ Applicant Address ~ ~ (c) Telephone: Home Business z¢~<~ ~. b,',..,,~,~z.~ d~/7 ~ /o/ Applicant is (check one): Lending Institution []; Owner/builder,~]~; Buyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the NAA to the following address: TYPE OF RESIDENCE Single-Family.j~ Multi-Family [] Number of Bedrooms ~J Other WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system must have written confirmat on from the State Department of Environmental Conservation attesting to the legality and status. 4, SEWAGE DISPOSAL ~ Public [] Community [] Holding Tank [] Onsite Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) EN(~INEERING 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. [ 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 ce the date of this inspection. NameofFirm //~-'~-'~ .T'~ Telephone Address [~'E2 L</.. ~'7~ ~'''¢¢ /~¢'~/~,//'~-¢-~' ~.~d) Date Approved for ~ ,~'~-~-bedrooms by . Approved Z Disapproved Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP doss 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 WELL DATA MUNICIPALITY OF ANCHORAGE (MO~-i HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4729 Legal Description: ~('/ Well Classification Well Log PresentQN) KA, B, C, D.E.C. Approved (Y/N') Total Depth ¢',¢--,~-- Cased to Static Water Level ~¢~(/- ~'- ' Casing Height Above Ground Electrical Wiring in Con:~uit~N) Separation Distances from Well: Date Completed ~,0¢-o25, /,t~-~ Yield Depth of Grouting Pump Set At Sanitary Seal on Casing~4) Depression Around Wellhead (Y(~ To Septic/Holding Tank on Lot ~-~' IlO ~(o %-~¢ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ~( [(0 ..~',~ On Adjoining Lots ¢~' To Nearest Public Sewer Line /¢~ To Nearest Public Sewer Cleanout/Manhole ,/(/~¢¢ To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ; Date SEPTIC/HOLDING TANK DATA Date Installed /C~-~d2-¢ / Size lo"'~'d) No. of Compartments Air-tight Caps~N) Standpipes ~) Depression over Tank (Y/~,). Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: TO Water-Supply Well ~'T Iio' To Property Line ¢7 To Water Main/Service Line Course ~_~- Foundation Cleanout{~_~/~~'~ Date Last Pumped //%-Z ;for Temporary Holding Tank Permit (Y/N) / To Building Foundation To Disposal Field ~ To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed f'O~ 2o · ¢~' { Width of Field ,~5z Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~*T TO Building Foundation ~-~ Lot Fz,~ ~ ,~ ~, To Water Main/Service Line ~¢~"7~ /¢ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes PresenG)N) Date of Last Adequacy Test / TO Property Line ~,77, r~ To Existing or Abandoned System on ; On Adjoining Lots ~'7' ~'~O / TO Cutbank (if present) cz,~ ~-~o ~ ~ Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Commenls Dimensions ~ Manhole/Ac~ "P~ff" Level at _/'"/ Vent (Y/N) _ Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify thatr~have cl~cke~d, verified, Signed ~/,.L__... Company Receipt No. ',.~[~:2 Date of Payment Amount: $ ."-¢:~'~.. or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Date ]/-'~ ~- '~ ~" MOA No. Page 2 of 2 72 026 01/84) -02 ¢ ALASKA elqUIROrlmerITAL COI1TROL SeRUIC $, JEANINE ERHART c/o RENAX 1000 E DI~OND BLVD #101 ANCHORAGE ALASKA 99515 SELLER-STONE 11/25/85 JEANINE ERHART c/o REMAX 1000 E DIMOND BLVD #101 ANCHORAGE ALASKA 99515 50789 LEGAL:STONERIDGE LOT 1 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-ii/20/85 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 720 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 750 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 623 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 5 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1500 IS ADEQUATE FOR THIS 5 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 11/22/85 . 1200 U~est 33rd Aoenue, Suite ~ · finchornqe, Alnskn 90503 °[907) 561-50z~0 M 0 ori T_ W N O N O PAI N 89°55'45"E 299.52' 0 OF At I 49 TH ............................... s SHANE A. HOLT 0 LS -6914 G PaA • - • ra o ssiona� AS -BUILT SURVEY SCALE: 1" = 30' I HEREBY CERTIFY THAT 1 HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 1, STONERIDGE SUB. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT STRUCTURES OR FENCELINES. THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. OTHER THAN NOTED. NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES DATED AT ANCHORAGE, ALASKA THIS _6TH_ OR LOCATE STRUCTURES. DAY OF _JULY 2009 HOLT LAND SURVEYING 10879, FB 133-37,136-71 TEL. 345-5513