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Home My WebLink AboutSUMMIT ESTATES BLK 3 LT 11Summit Estates Block 3 Lot 11 #015-071-21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES ALA, SKA H~u.sm/6 FJ~ANCE co~P. ~ SEPTIC ABSORPTION ~ddre~ TANK FIELD WELL Ro, ~ox IOjO~O Phone(s) Permit No. No. of rooms WELL ~62-1~22 LEGAL OESCRiPTiON LOT LINE Township, Range, Section SEC 15 TI2~ ~ AS-BUILTDAGRAM(Showocationofweil. septic system, prope~y]ines, foundagon, driveway, wa[er bodies, etc.) TANKS ~ SEPTIC ~ HOLDING Manufacturer Capacily in gaRons Material NO. of Compa~ments STEEL TYPE OF SYSTEM EXIST~N ~ geplh to pipe bottom f,om ,oral depth from origmal grade ~/ //~-- original grade FT F] N.1 ~ ~/ O Fill added above original grade Gravel ~pth ~ne.th pip~ ' ~ Gravel length Gravel width FT FT / 31.~ Total absorption area Distance between lines / S~ FT F~ Number of lines Soil rating Pipe material / SO FT / WELLS EXISTIN~ ~OU~ . L ~ PRIVATE ~ OTHER ildentifv) / Clarification (A,B,C) Total Depth FT Cased to / FT/ P~ ~V~ ~A~ Installer Date Instal[ed: / / REMARKS: SEPTIC TANK ~E~LAcEb AMD Scale: I ~ = ~0 ' Municipal and Slate guidelin~ in elle~ on this date: 10.[~/~ Hearth Depa~ment Approval: Dine: ~ 72-013 {3/85J O(spar't. me:,nt, o'r Fk.~a.[th :~ Hd. man b~ar, v:uz,~s~ Ek:x:::'t. i Jn ~ :1.5 '[ o~,,)ihsh i [I :; !,?.N t:Range [ ::!;i,~J I ..o'[ !~ :i x e :1 6,'..:.'.O O (~s c:i~ ~ i.. o t" .:~c: i' ~,!~ ) ! HE].::' I ! C i'Ahll< [i l"[ :[ i'1 i ~tLi[¥i '~:.i::)'[:.~':'~ .,I. !a(.]!j::Yt. :i. 1::: t. aF1 D~.~p'Lh 'Lc,, t. op of s~,)t::)t, ic tank hs) < 4..,0 l NF'OFd4 D ,, t"l,~ [I~ S ,, F:'R ! [::fi::'. '['E) ! IqBPECT ! (Z)NE~ BY ENE~ I NEEB: ~ Z F:' AFTER ::::::::::::::::::::: l"!!::Ji..l[:R!i~, C;AI...I.. :::.!;zl.:3"'z!-Cqil:[ AI',II) LE:AVE- A !F!:iE~ Ffl. ii:[.:,'MIT E:XI::':i:FR[~:!i3 :H.c'./:31/9() AND VAL. ii:) F:Cff:~ A DIN~31...E I'::AMII_Y Ct~]:;'.'I' I F:¥ ]'HAl I at!il ~ am:i. 1 iai!" ~/~':i.'Lh t. he!] (..'.,'.]L~ ~ t TM =,nn~,..,-rL'~:'.~ f .:H"; ............. ~" ..... " *'"' · I ......... , ~i t.. Iol ~g~.~ (,,.3P) ~nd the ~3t.~d'.(e of h]a~fi-::a,, ..... r .. by t. hc~ l~h.inic:t'~:'l~'v a~i'~(:] in cC)ml:~:l, ianc:~:~ ~):it.h t.!'J(a de:~:i, gn c:r'.it, ePia o~ Chis i:)~:~.r"n~it.,. Eic~t~..H"age ~iry'st. em C)l't 'l:.hi'~s c:)P ~'~i'/y a(::ljac(ant, ol' neai"l:;)y lo'L,, any t0n].a.F'gemer'rL ~,~i].l ,,) A [ rs, ','~ Tom Fink, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 10, 1990 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 11 Block 3 Summit Estates S/D Waiver Request ~WR900023, PID ~015-071-21, SW900235 Dear Mr. Moore: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 90 feet from well to absorption field. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services Concur: ~ On-site Services ljm:~6 /?74. T~ Tic /~F~o ~ f ~ ) ~-~z) ~. 5- = 2.77 X~ 17, gz TT .HNICAL SER?v IC CIVIL & ENVIRONMENTAL ENGINEERING · ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E..,-~IuIv_,,2~, 1990 ~4s30 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 M,0.A. Dep't of Health and Human Services P,0. Box 19-6650 Anchorage, AK 99519 Dear Sirs: By means of this letter we are requesting waivers of the required separation distance between the well and septic system components down from 100 feet to 90 feet for the residence on Lot 11, Block 3, Summit Estates, located at 5501 East 99th Avenue. We are also requesting that the required separation distance between the septic tank and the soil absorption system be reduced from 5 feet to 3 feet on this property. Finally, we are requesting your confirmation that the size of the existing soil absorption bed is adequate for reapproval as a 3 bedroom residence. A site plan and proposed upgrade specifications as well as copies of relevant documents from your files are enclosed for your review. There is no well log on file, however the sewage disposal permit issued in 1974 indicates that it has a total depth of 75 feet. On October 20, 1989 the static water level stood at 19 feet below the top of the casing. For the well How test we pumped a total of 1128 gallons of water from the well, and measured the sustainable yield to be 6.5 gpm when the water level was drawn down to the pump intake at 66 feet below the top of the casing. Water samples taken on the date of the flow test were satisfactory, showing 0 coliform or other bacteria per 100 mi., and 1.2 mg/l of nitrate-N. In the absence of a well log for the subject lot, we feel that the enclosed well log for L6, B4, Summit Estates, located approximately 80 feet to the south, depicts similar conditions. The original wastewater disposal system was installed in 1974 and consisted of a 1000 gallon steel septic tank followed by a 434 square foot seepage pit. This seepage pit apparently failed in 1981 and was replaced by a soil absorption bed. The as-built drawing indicates the soil rating to be 179 square feet per bedroom and the total effective absorption area to be 1080 square feet, although it is not clear how this total was calculated. On October 20, 1989 we tested the adequacy of the soil absorption bed by adding 1128 gallons of water to it through the monitor tube while monitoring the Huid level there in the bed as well as in the septic tank cleanout. This amount of water caused Huid to pond in the bed to a depth of 10 inches, and once the flow of water was stopped the Huid level receded at an adequate rate for a three bedroom residence. The ground surface over the septic tank had a significant depression, leading me to suspect that the tank might be partially collapsed. On June 28 after A+ Services exposed the tank, we were able to observe that the tank was in fact collapsed and obviously needs to be replaced. In the course of excavating along the west side of the tank, portions of the drainfield situated within 3 feet of the tank were damaged by the excavation. The well is located 97 feet from the absorption bed monitor tube and 95 feet from the septic tank cleanout. Since the location of the soil absorption bed precludes siting the new tank outside the 1 O0 foot radius from the well, we will need to obtain appropriate separation distance waivers in conjunction with an upgrade permit. These waivers are to allow the new tank and the existing soil absorption bed to be within 90 feet of the well, and the new tank to be within 3 feet of the bed. We will also need your concurrence that the existing bed is appropriately sized for a 3 bedroom residence, in light of the information shown on the as-built inspection report, coupled with the fact that it passed an adequacy test on 10/20/89. I believe that the following information supports the granting of the waivers. The topography of the lot slopes downwards at 6% towards the northwest, which is from the well towards the septic system. This means that should the septic system fail, causing effluent to daylight, it would How directly away from the well. On July 18 we measured the relative static water elevations in the wells on Lots 11 and 12, Block 3 and Lot 6, Block 4, in order to assess the water table gradient. There is also no driller's log for the well on lot 12, however the owner informed us that the total depth is approximately 80 feet, which is consistent with the other two. Based on these measurements we determined that the aquifer slopes downwards to the west at 4.7% and downwards towards the north at 2.7%. This is consistent with the surface topography, and further guarantees that no contaminants entering the aquifer from the subject septic system directly above could be transported to the well intake. The soil rating of 179 square feet per bedroom used in the design of the system indicates the shallow soils under the bed are probably a somewhat silty sandy gravel, an assumption supported by field observation of the disturbed soil surrounding the collapsed septic tank. Such soils can be expected to provide good filtration of the effluent as it migrates downward from the bed. It is assumed that the 8.5 foot depth to water referenced in the 1981 soil log originated from the nearby seepage pit. The representative well log for L6, B4 indicates a clay stratum between 19' and 47', overlying the aquifer at 78 feet. The static water level is reported to be 45 feet above the bottom of the well, indicating that the aquifer is confined by the overlying strata. When there is a confining stratum overlying a pressurized aquifer, there is almost no possibility of contamination from a septic system located above the confining stratum entering the aquifer. Due to the presence of the confining stratum, I have used 73 feet as the effective depth to the water table in working through the following point analysis using the D.E.C.S.C.R.O. criteria. Category Points Distance to water table (73' - 4'= 69') Soil sorbtion (15' x 2.5)+(28' x 6)+(26' x 3.5)/69 Permeability (15'x 1.5)+(28'x 2)+(26'x 1}/69 Water table gradient 5% slope away from well Horizontal separation 90' Total 5.6 4.3 1.5 4.5 2.6 18.5 Please give me a call if you have any questions on this analysis. Sincerely, Ted Moore, P.E. AVE L~,Bu LII, I33, SUMMIT SEPTIC SITE PLAN ESTATES uPGRADE SCALE: I":SO~ DATE: ?/rio DWN BY: ~ NOTE: TI41S 15 NOT A SURVEY EO PLAT~ ALL LOCATIONS ~RE APP~OXl MATE Flattop Technical Services :--'" 14530 Echo Street ~nchorc~ge, Alaskc~ 99518 Lot 11, Block 3 Summit Estates 5501 East 99th Ave. Septic System Upgrade Specifications 1. The scope of the project is the replacement of the existing collapsed septic tank with a new 1000 gallon septic tank in the same location and the reconstruction of the portion of the existing soil absorption system which must be disturbed in the course of the replacement of the septic tank. 2. All material specifications and construction practices shall be in conformance with M.O.A. requirements. No work shall be done on this project until the necessary waivers nnd upgrade permit are issued by the Municipal Health Department. 3. The existing collapsed septic tank shall be pumped, crushed and buried on site at an approved location outside a 100 foot radius from all private wells. 4. The new septic-tank shall be installed in approximately the same location, and shall be equipped with cleanouts accessing each compartment, as well as a cleanout being installed in the line between the tank and the absorption bed. The tank shall be set level on well compacted soil, and the soil used for backfill within 3 feet of the tank shall be predominantly silt of low permeability. Special care shall be taken to ensure that the inlet and outlet lines rest on well compacted soil. 5. It is anticipated that approximately 50 to 75 square fe~t of the existing soil absorption bed will have been disturbed in the process of removing and replacing the septic tank. All portions of the soil absorption bed that are disturbed in the course of this work are to be reconstructed by first placing well compacted sand in the excavation to bring the elevation up to that of the adjacent sewer gravel, second placing one foot of sewer gravel :on top of the sand, third reinstalling appropriate perforated and non- perforated pipes to replumb the soil absorption bed in it's original configuration, fourth installing a new monitor tube in the reconstructed area with the perforated portion extending to the bottom of the sewer gravel, fifth placing 2 inches of rigid burial type insulation over all portions of the septic tank and reconstructed field where the soil cover will be less than 3 feet, and sixth backfilling over the tank and reconstructed Held with unclassified soil and grading to ensure that surface drainage is directed away from the system. 6. Three engineering inspections will be required during the course of the work: ( 1 ) after the existing tank has been removed and the disturbed portion of the bed identified along with the pipes to be connected, and (2) after the new tank is installed and the bed reconstructed with all plumbing reconnected, but prior to backfill, and (3) after final backHll. DEPARTMENT OF HEALTH & ENVIRONMENTAL. PROTECTION ~' ENVIRONMENTAl.. ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-479..0 ON-SITE SEWAGE DISPOSAl. SYSTEM AND/OR WELL INSPECTION REPORT l Well Absorption area Dwelling PERMIT NO. ~ ~ Manufacturer Material No. of compartments ~ Liq. capacity in gallons IF HOMEMADE: inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. - N of lines kength of each line Total length of ~ines Trench width Distance between lines . Top of tile to finish grade Material beneath tile ' Total effective absorption area OTHER REMARKS ~ 72-013 (Rev~ ~' DEPARTMENT OF HERLTH FtND ENVZRONMENTF!L PROTEOT:GN $O~X I~ ' ' ' 'P MEADE AFFt_: _.ANT JOHN B. uocm'zON LEGAL L ii B < ;,L~1HIT E_,TRTE_, LOT =,Z~E 2~R¢t :,MIJ TRE~_.H TYPE OF SOIL ABSOF..'PTION SYSTEM IS: MAXIMUM NUMBER'OF BEDROOMS = i! SOIL RATING (SQ FT?BR)= 179 THE REQUIRED SIZE OF THE SOIL. ABSORPTION SYSTEM IS: [:,'rEP l-~-~== :iL ~.:l L_ E t'-,l n.]~ TFJTM ~:0 G F: R %,,' E [_ DJ-iF' ]'"H== THE LENGTH DIMENSION IS THE LENGTFI ','IN FEET) OF THE TRENCN OR DRAINF:IELD. THE DEPTH OF Fl TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFFICE OF THE GROUND FIND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTFt OF GRR","EL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCA',,,'ATION '::IN FEET). F:EL---."U ~ ,.r4-:E[:, '-- ~ "" " ,-' :.":- PERMIT F~PPLICRNT HFIS THE RE'::PONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY FIND THE NUMBER OF RESIDENCES THRT THE WELL WILL SER',/E. BFICKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND RPPROYAL BY THIS [:,EPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS ±00 FEET FOR A PRIVATE WELL OR ±50 TO 200 FEET FROM B PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIYRTE WELL TO A PRIVATE SEWER LINE IS 25 FEET RND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ].: IRM F'RMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTN BY TFIE MUNICIPRLITY OF RNCHORAGE. 2: ! bJILL INSTBL. L TNE SYSTEM IN ACCORDANCE WITH THE CODES. Z. -' · q"q "- MA'¢ ,REQUIRE ENLARGEMENT IF THE, : I LINDERz, FRN[. THRT TFIE ON-SITE SEWER _~_IEM RESIDENCE IS REMGDELE[:, T0 INCLUDE MORE THBN ::~ E:EDR0'~;. 0¢~.~: ~¢~ ~ Cr)~ 4¢ ~'~ SIGNED: .... ~ ......................................... ISSUED BY_ .................................... [:'ATE_.I~EI~&~ .... .. ,,0~. O - ~ .~ D~partment o~Health and Environmental ~£otection ~ 825 L Street, Anchorage, AK. 99501 ~ 264-4720 * * * HANDWRITTEN PERMIT * * * WELL AND/OR ON-SITE SEWER PERMIT Applicant:~ ~ ,~ Mailing Address: O~/~O~C ~//~ -- Location: Phone Number: Legal Description: a! / ~ ~ ~.Lot Size: Type of Soil Absorption System Is: Trench: / Drainfield: Seepage Bed~ Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) / The Required Size of the Soil Absorption System Is: DEPTH ~ LENGTH ~ ~ GRAVEL DEPTH ~ WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = ~-Zd/[~-/--'~'~_,GALLONS * * 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(2) INSPECTIONS ARE REQUIRED 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 depending 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 this department within 30 days Of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 1 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Mun%cipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand tha~ the on-site sewer system may require enlargement if th~/S.~re~led to include more that~ bedrooms. . SWP/024 (1/81) CONSTg CTION TEST LAB PERFORMED FOR, John Meade LEGAL DESCRIPTION: Lot 1I Block THIS FORM REPORTS: rmVisuol Soils Examination DEPTH SOIL FEET DESCRIPTION NOTES 8.5f Poorly Graded Gravelly Sand -GP- Dry BOTTOM OF HOLE WAS GROUND WATER ENCOUNTERED IF YES, WHAT DEPTH LEGEND ® -- Parc zone ®S - Sample token · -- Frozen zone V--Water table YES 8.5' 180(,~,/W. 48TH AVE. STE. 'C' ANCHORAGE, ALASKA 99503 248-1333 DATE PERFORME~)~ Subdivision Summit Estate~ [] Percolation Test 81-1577 GENERAL SITE SLOPE READING DATE GROSS TIME NET TIME DEPTH TO H20 NET DRAINAGE , PERCOLATION RATE: DRAINAGE REQUIREMENTS: 150 sf/bedroom PROPOSED INSTALLATION: O SEEPAGE PIT ~ DRAIN FIELD [3 OTHER COMMENTS: Water encountered in trench bottom is questionable as whether it is ground water or seepage from existing crib lying to the north of the trench. TEST PERFORMED BY: Kevin Braun DATA CERTIFIED BY: Kinney R. Ba~ter, P.E. DATE: 6-25-81 Anchorage, Alaska 99503 7~,,,q,e~ /~L-O,,a.S INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~O,~/~' /. ,.,~--/V'SE,4,/ MAILING ADDRESS '~/'~/) /~/. /'7'~'- ~, PHONE LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE / FROM WELL ~ INSIDE LENGTH MANUFACTURER ST/) ~ . INSIDE WIDTH ~"~ATE RIAL .LIQUID DEPTH NUMBER OF COMPARTMENTS ~?~ LIQUID CAPACITY / g g~g) GALLONS. SEEPAGE PIT: ~]z/. /~, / 'x~// ~/b ~ NUMBER OF PItS / DIAMETER OR WIDTH LENGTH DEPTH // / LINING MATERIAL~)6j /~RIB SIZE: DIAMETER DEPTH ~ /DISTANCE FROM: WELL BUILDING FOUNDATION ~ ~ /? NEAREST LOT LINE ~ / TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)_ ~/3~ SQ. FT, ADDITIONAL ABSORPTION WELL: TYPE ~Z'~//~ / o, CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED / DISAPPROVED DEPTH ~- ~ DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK ~-/ SYSTEM REMARKS. DISTANCES: DIAGRAM Of SYSTEM PIPE MATERIAL: LOT SLOPE: REMARKS: DATE DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STreet ANCHORAGE, ALASKA 99503 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PHON~ INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS ~ TO BE INSTALLED BY /7~/~1 X~/-- // / NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WiLL BE SUBJECT TO PROSECUTION, SEPTIC TANK $JZE TYPE FOUNDATION TO SEPTIC TANK ~= FOUNDATION TO SEEPAGE Pit ~ ~ ~ , DRAIN FIELD SEPTIC TANK TO SEEPAGE P'T WALL / ~/ SEPTIC TANK . SEEPAGE Pit ~ / , DRAIN FIELD WELL TO SEPTIC TANK ,/~ SEEPAGE PIT , DRAIN FIELD ALSO CONS[DER AREA WELLS. SIZE TYPE DIAGRAM OF SYSTEM WATER MAIN TO SEPTIC TANK , SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPT]C TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEeTINTO UNDISTURBED 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. 28.68 AND THAT THE ABOVE R&M E ERING & GEOLOGIC:AL CONSULTANTS 229 EAST 51st. AVE. - P.O. BOX 6087 -- ANCHORAGE, ALASKA 99503 TELEPHONE 907--279-0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyors JAMES W. ROONEY, P.E. RALPH R. MIGLIACCIO MALCOLM A. MENZIES, P.E., L.S. Engineering Geologist. JAMES H. WELLMAN, P.E. August 6, 1976 . ~.¢~¢'~ . R ~ ~ No, ~62053 Rappe Excavation 8001 Arctic Blvd. Anchorage, Alaska 99502 Re: Test Hole and Soil Log Report for Sanitary System Lot 11 Block 3 Summit Estates Dear Mr. Rappe: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of July 29, 1974, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Log 11 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor-mounted backhoe and the test hole was extended to a total depth of 15.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciane being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact ns. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS, INC. JWR:kd xc: GAAB ANCHORAGE FAIRBANKS JUNEAU TH-1 7-29-74 ORGANICS O.OI 0.5' SANDY GRAVEL -TRACE SILT (GW) 6.5~ GRAVELLY SAND SOME SILT (SP-SM) 10.5' SILTY SANDY GRAVEL (GM) 14.0' NOTE: Test hole excavated with tractor ~]ounted backhoe. 15.0' Engineering 8~ Geological Consultants Inc. ANCHORAGE FAIRBANX$ ALASKA ,~UNEAU RAPPE EXCAVATING LOG OF TEST HOLE ANCHORAGE,ALASKA DATE $--6--74 1''=2 ' OWN ~YI3H CHKO mY ~VED PROJ. NO. ~,621 OWm NO. Municipality of Anchorage -�1 Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street r 1 P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onshe �14 (907) 343-7904 V CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING �� Parcel I.D. �J 5 _o, i' � i COSH# �lfD4"��y l� 1. GENERAL INFORMATION Expiration Date: 10 — L " (2 G Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address SUMMIT ESTATES SUBDIVISION' BLOCK 3 LOT 11 5501 E. 99th AVE. ' ANCHORAGE AK 99507 SHAWNESSY HUGHES Day phone 242-3109 8101 UPPER DeARMOUN • ANCHORAGE AK 99516 FBI Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 ❑ Individual Water Storage El Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent aeprequiredndprofessional civil transfer engineer registered In the State of Alaska. Certificates of On -Site Systems App of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory lost results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will It confer any legal right whatsoever. Phone 337-6179 Date 6/Ze/c6 5. DSD SIGNATURE Approved for _ bedrooms. Disapproved. Conditional approval for bedrooms, with the Glowing stipulations: 1 0Ff ••Z a : ON-SITE WASTEWATER Attachments: J��i D •CS�\ COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Reort Nitrate Advisory Other By: Original Certificate Date: IRr ItM1 Municipality of Anchorage • Development Services Department , Building Safety Dtvtsion OnSlte Water 8 Wastewater Program 4700 Bragaw Street P.O. Bac 1966M Anchorage, AK 99519.6650 www.muni.orglonske (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Demotion: SUMMrt ESTATES SUBDNISION: LOT 11. BLACK 3 Parcel ID: 0 6 " 0 71 --2 A. WELL DATA Well type pgwa if A, S. or C provide PWSID# N/A We9 Log (YM) NO Date completed PRE 1974 Sanitary seal (YM)YES Wires property protected (YM) YES Total depth 75 ft. Cased to 40+ ft. FROM WELL LOG Date of test Static water level ft Woo production 9 -P.M. WATER SAMPLE RESULTS: Coliform O colonies/100 rot. Nitrate S.13-m9A. Casing height (above ground) 12+ in. AT INSPECTION 6/27/2005 25 ft. 3.0 9.p -m. Other bacteria O c010nies/100 `�� ml - Arsenic: �..u9JL. Date of sample: 6 27 2006 Collected by: GEG. Ltd. B. SEpnc(HOLDING TANK DATA Tank TypelMaterlal STEL Date installed 10/5/ 1890 Tank size_ 1 000 981• Number of Compartments 2 Cleano is (YIN) YES Foundation deanout (YM) YES Depression over tank (YIN) NO High water alarm (YM) N/A Data of pumping 6/27/2006 Pumper. Me00NALD'S PUMPING C. ABSORPTION FIELD DATA Data installed 7/21/1951 Soll raft (9•P•d• ftW 179 system pipe BED Length 34 ft. Width 27 ft. Gravel below pipe ----1 ft. Total depth --L-5—ft. Eff. absorption area 1080 fe Mo KOMg tube YES Depression over field NO Data of adequacy test 6/27/2006 Results (Pasa/Fall) PASS For 3 bedrooms Fluid depth in absorption field before test DRY in. Water added 630 981. New depth 1 In. Elapsed Time: 22 min. Final fluid depth DRY In. Absorption rate 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YM 3 type) NONE KNOWN it yes, give date D. UFT STATION Date Installed "Pump on" level at _In. E. SEPARATION DISTANCES Size in gallons Manhole/Access "PSP High water alenn level at in. Cycles tested Masts alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tenMM station on lot •901+ Absorption field on lot •90'+ Public sewer main — N/A Sewer /septic service line - 25'+ On adjacent lots 1001+ On adjacent lots 100'+ Public sewer manhole/deenout — N/A Holding tank N/A Animal containment areas 50'+ Manurs/enkWI excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water_ 100'+ Wells on adjacent lots - 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main— N/A Water service Ane 10'+ Surface water __J00.:+ Driveway, parking/veNde storage 10'+ Curtain drain —92UL KNOWN Wells on adjacent lots 100'+ F. COMMENTS *MOA WAIVERS IN PLACE G. ENGINEER'S CERTIFICATION I certify that /have determined through field fnspect/ons and review of Muni*sl records that the above systems are in conformance wRh MOW COSI gu/depnes in effect on M!s date. Engineer's Printed Name JEFFREY A GARNESS Date 4-to/tz COSA Fee S '-/ ?Q, 0 Waiver Fee $— Date of Payment/ /2 /0(, Date of Payment Receipt Number _ (3-7 % �-3 ( �ygCJ Receipt Number, (Rev. tiros) �o- h M . r •i 7:'�•i _.. E59' -7' 30"C dy /2o•oa ' g 9 7H A u G"d It is the responsibility of the owner to determine 44 All the existence of any easements, covenants.,or re- strictions which do•not appear on the recorded St' division Pitt. Under no circunstences should any Ts OFBEco OTHSw TNA" T"OSE date hereon be used for construction or for esttb- SHOWN ON TN[11ECOwOEO PtAT� Awe Nor 1lshtng boundary or fence 11nts. The surveyor takes SOWN MION, mons{b11ii at 9.r the {-trensection only. �eocNe LOT BLOCK ,3___ Q MSH aM M.M.Mt�f f n�AT NO• % ' v M MOROM.fMO 13 mot T -101t ANCHORAGE RECORDING DISTRICT 1426 HYOER STREET ANCHORAGE ALASKA 99301 SCALE: /flracjr vow lay. A! SCS RCEN 1063420001 Games Engineering Group, Ltd. Client Name Project Name/b Summit Est. LOU l Block 3 Client Sample ID Summit Est. Lot 11 Block 3 Matrix Drinking Water Sample Rcmarks: Parameter Metals by ICP/MS Arsenic Waters Department Nitrate -N Microbiology Laboratory Total Coliform Results POL All Dates/fimes are Alaska Standard Time Printed Date/fime 07/07/2006 15:28 Collected Date/rime 06/272006 13:40 Received Date/time 06272006 14:10 Technical Director Stephen C. Ede Allowable Prep Analysis Units Medtod Conminer ID Limits Date Date ]nit ND 5.00 ug/L EP200.8 C (<I0) 0628/06 06/30/06 hit 3.13 0.100 mg/L EPA 353.2 D (<I0) 0 col/100mL Sh1209222B A (<I) 0628.106 ALR 0627/06 TLF Municipality of Anchorage Development Services Department Building Safety Divlslon On-SEe Water & Wastewater Program 4700 South Bragaw St. . p.o. B~x 196650 A~chorage, AK 99519-6650 www.ct.anchorage.ak.us (9O7) 343-7~4 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING 'Parcel I.D. 015-071-21 1. GENERAL INFORMATION Complete'legal description HA OtoY- 7 " E. xpirationDate: Il-IL -o I "SU~IMff ESTATES LOT 11 BLOCK 3 5501 E. 99TH AVE Location (site address or directions) Current Property owner(e) Mailing address Lending agency" Mailing address Real Estate Agent Mailing address JOHN & JANET AMOR 5501 E. ggTH AVE 'ANCHORAGE AK Day phone 224-0073 Day phone MARY COX W/REMAX PROPERTIES Day phone 2600 CORDOVA ANCHORAGE, AK. 99503 257-0118 Unless otherwise requested, HAA wfll be held by DSD for plckup. 2. NUMBERoF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well ~E] Individual Water Storage Communlty Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Munldpality of Anchorage Development Sen, lc. es 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 ofAJaska. Certficetes of Health Authority Approval are required for the transfer of time (except between spouses) for properties served by a single family on-sita wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a pdvate or Class C well and may be reissued, with new water sample results less than 30 days old. (Certficates may be reissued for a pedod of up to one year wtth valid water samples.) Certficatas 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 omisslons In the professlonal engineer's work. toN~te : A~aska ~ator and ~astewater c~nsu~tants~ ~nc~ sha~~ be paId $1~11~~~~ at~ or pr~~rclosIng for the engineering services provided. 4. STATEMENT OF INSPECTION BYENGINEER As ce dEfi. ed by my Seal affixed hereto and as of the validation date shown below, I varify that my Investigation, based on procedures. O~dined In'thb Health Authority Approval Guidelines for this application, shows that the on-sito water supply and/or wastewatar d'~xxsal system Is(are) safe, functional and adequate for the number of bedrooms and ~ of struCtUre'Indicated herein. I further varify that based on the Information obtained from the Munidpality of Anchorage files and from my Invastigation and inspection, the on-site water supply and/or wastewatar dis~ system Is(am) In compliance v/~h all applicable Municipal and State codes, ordinances, and regutaffons in effect at the time of installation. Name of Firm ALASKA WATER &: WASTE'WATER CONSULTANTS. INC. Phone Address, 6901 D£BARR ROAD, SUITE 2B * ANCHORAGE. AK 99504 Engineer's Printed Name' JEFFREY A. GARNESS, P.E. Engineer's Comments: '. In. conducting this evaluaffo~, AWWC, Inc~ atlempted to prcwlde a thoreugh, consdanffous engineering analysis of the system In accordance with ADEC and MOA DSD Gu!defines & Ro~uisffons. The reported results described tho Fortormance of the system under the condi~ons encountered at the ~'me of the test, and separaffon distenoes measured to readi~' ldentifiable features. 77~ operaffonal tile of all wells and sepffc systems depend m the Iocal sofs condi~o groundv, ator levels that may I~uctuate during the year, and the waisr usage office famlly belng earved by ~he system. results do not guarantee future pedon~ance of the system, nor do ~ey guarantee that there are no hidden defects or encn~chn~mts. AWWCo In~ can the~'efore not any warran~, or ful~re estimate of bew long the system will continue to meet the opecaff~al requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the ov,~'~er listed above. Any reSance upon or use of this mport by any othor person or par~ ts not authodzed, nor will it coofer any legal tfght wha~soever. 5. DSD SIGNATURE J~ Approved for Disapproved. CondRional approval for __ Date 337-6179 Attachments: NAA Checklist Septic System Advisory Well Flow Advisory Manltenance Agreements Supplemental Englneer's Reort Other Original Certificate Date: Municipality of Anchorage Development Services Department Or-,SM Water & Wastewatsr Program P.O. Box 196650 Anchorage, AK 99519-6650 Legal t~pUo~ A. WELL DATA Well ty~N~ ~RIVATI[ HEALTH AUTHORITY APPROVAL CHECKLIST SUMMIT ESTAi't:~ LOT 11 BLOCK 3 PamellD: 015-071-21 If A, B, or C provide PWSID~ N/A Log (Y~) NO Oatecompleted PRE 1974 Total depth 75' lt. Casedto 45+ lt. FROM ~ LOG Oate of test UNK 81atlo water level UNK Wag i:)mducl~3n UNK g.p.m. WAI'ER SA~. ~J~ RESUL'rS: 2 B. SEPTIG/ItOLDINO TANK DATA Tank l~/pe/M~terlal ~ ' ~-=" · T. ankslze 1oeo,gaL Number of ~nte Foundat]m cleanout (Y/N) YES ofpump e/2/Ol c. ABSOmmON mELD OATA Depression overtenk (Y/N) NO Pumper A+ HOME SERVICES AT INSPECTION e/6/Ol , ,, 23 ,. ft. 6.0 g.p.m. Other tmcteda, (~ AWWC~ INC. YES 13 In. Date mta~ed lO/e/g0 Cleanoute (Y/N)~;S High water alarm (YIN) N/A 0ate ~,mlal~ed 7~'~/8~ Soa rating (g.pzl~t'or ~ Langlh 34 , ft. ~ 27 ft. Totaldepth e.~ ft. Eff. absoq:~:xta~a 1080 ft~ Monlte~l~tube YES Date of adequany test 8-8-Ol Resulls (Pass/FM) PASS Ruld depthln abso~tleld beforetest DRY In. WateraddedlO12gal. E]apeed l~me: 170 min. Flrl81 tlukl depth 4.75 in. .4U:z~ofl ~ >= Any reJuvana~ treatment Coast 12 mo.) (Y/g & t3;e) b'~r~m type BED Grovel below pipe 1 lt. Depmssldn over field NO For 3.bedrooms Newdepth 1 In. 450+ g.p~L NONE KNOWN If yes, gN8 ~ate -- D. UFT 81'ATION ate Installed Size In gallons ~ Pump on' level at In. 'Pu . High water alarm level et In. ~ Cycle~ tested Meets alarm & drcult requlremente? SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO:. Sepfie tenk/lilt stetlon on Int 90'* Absorpfien field on lot. 90'* Pul~c ~ewer main N/A Sewer/sepfie ~ewlce line 25'+ On adjacent lots, 100'+ On adjacent lots, 100'+ Public sewer manhole/cteaneut Holding tellk N,/A Property line 10'+ Water ~ewlce line 10'+ Curteln drain NONE KNOWN F. COMMENTS SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Bulidlng foundafien 10'+ Property line 10% Water main N,/A Water ~ ilne 10'+ Welis on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 8ulidlng foundafien lO'+ Sun'ace water 100'+ Wells on adjacent Iote 100'+ *DHNS WAIVER IN PLACE Ab~on field 5' Sur[ace water. 1 o0'+ Water main N,/A Oltveway. INlddngfvehld8 ~orago 25°+ O. ENGINEER~ CERTIFICATION I cerUfy that I have determined through field InspecUons and m14ew of Municipal records that the above ~ms em In conformance with MOA HAlt gufdeline~ In efJ~ct on thl~ date. Waiver Fee $ Receipt Number 9075515361 T-454 P.02/03 F-137 cr&£ Ref.# Client Sample ID Matrix Ordered By PWSID 1015122001 AK Wate~ & Wastcwater Conaultanta Inc. Summit Esl, L1 I. 133 Sumner '~t, LI I B3 Dr~n]dng Water Client Printed Date/Time 08/10/2001 15:21 Collected Date/Time 08/07/2001 10:45 R~elved Date/Tlme 08/07/2001 11:51 Technical Director Stephen C. Ede Releaaed By Sample Remnxks: EP300 Nitxatc: CCV recovered oW. aide control liner (88.2%). All o~er quali~ con~ls ~covercd wi~n libra, ~le ~s not signific~tly affected. A~owab~ P~ Pa~ R~ul~ PQL ~i~ M~ L~ ~te Init Waters Department Nit~te-N 2.50 0.500 mg/L EPA 300.0 (<10) 08/07/Ol SCL Microbiology Laboratory Total Coliform 0 coYlOOn,l SMI8 9222B f<l) 08/07/01 gAP 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Lending agency Mailing address Property owner ~'~¢"~' ~ ¢X/,l~,,t £/o~,~r/~ Day phone Mailingaddress P.¢. ~ox 11178( ~ /k^~f~o~',r?,.~) ,4-~ ~,, 3~'~ Day phone Agent M'~ f U--'~-,M~', Address 1~¢~ ~ D~ ~ ~'/'°/'- Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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. 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~)35 (Rev, 1/91} Front MOA#21 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 verifythat 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. Address /~',,¢-?~' ~c4o ~'~,.~ ,,4-~cA ~,~,~,.~, Engineer's signature w'~"~.,.~ ~ ,,~ Phone Date 11/8.7/9/ /H~SIGNATURE Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 courtesyto 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~)25 (Rev, 1/91} Back MOA ¢r21 Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lit., /~ :~ _C~,~' ~--~ ~/~ Parcel I.D. If A, B, or C, attach ADEC letter. Date completed Cased to 7~-' A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) ADEC water system number ~ I~ '~' Driller N Y FROM WELL LOG Casing height Date of test Static water level Well flow Pump level ' ' SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Pbblic sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: It I gl /91 Wires properly protected (Y/N) g.p.m. Y AT INSPECTION II / ~'/~1 ; On adjacent lots ~. loc, ' ; On adjacent lots · 'Pbbiic sewer manhole/cleanout Al, ~-. rtl Petroleum tank Nitrate I. g "~,~' /-~ Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed I0 /..4"/ ¢'~ Tank size /&'c'~ ,~/ Compartments Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y' Depression (Y/N) High water alarm (Y/N) H, A. Alarm tested (Y/N) /~/' ~-, SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Surface water/drainage On adjacent lots ;=,. tc'o' Absorption field 5' ~ ~,, ioo' Foundation Water main/service line $$ ' 72-0~6 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Manhole/Access (Y/N) "Pump off" level at Cycles tested _ Well on lot On adjacent lots Surface. water D. ABSORPTION FIELD DATA Date installed '7 / 8,/' ,~/ Soil rating 1"/2 ¢3¢ / G~,',,, System type Length 5"~ Width ~-? Gravel thickness ~2," Total depth Total absorption area Io~O ~r ~- ~,b,,lt' Cleanouts present (Y/N) Depression over field (Y/N) f~ Date of adequacy test Results (pass/fail) ¢'~..(.r for __ bedrooms Peroxide treatment (past 12 months) (Y/N) h/ if yes, give date f~, ~'. SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water Curtain drain Cf On adjacent lots ~' l¢¢' P(opertyline ~ ~,~" To existing or abandoned System on lot /~,J', Cutbank I~1, ,4, .Water main/service line ,5',5-' Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature "~'~¢~'~-~ ~, ~ Engineer's Name -'r/~¢o. cE'¢,,,~, /¢. ~o~ Date II ~ ~ 7 /~1 Date of Payment /,/'~ ~'7-'~.,/ Receipt Number &¢~ ~-5'- ~'7 ~'~-7c'~/~ 72~026 (Rev, 3/91 ) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number . CHEMICAL & GEOLOGICAL LABORATORY. A DIVI~SION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA90518 TELEPHONE (90~ 562-2343 FAX:(90~ 561-5301 AHALI3IS REPORT BY TA)(PLE iot wOgKordett 40462 Date Report Printed: gOV 25 91 I 06:S7 Client 8ample ID:Lll ~3 3~T ~$~. PWSlD Collected ~OV 2L 91 t 08:20 Received ~OV 21 91 ! Il:iS hrs. Preserved with ~A~ Ib~QUIRgU SSOI E 99TH SO ' Client Name =FLATTOP TEC~ICAL' HRV Client Acer :PLATTOT BPO ! PO t H0~[ RECEIVED Req t Ordered By :T.P, EOORB Analysis Completed :XOV 22 91 Send Reports to: Laborator7 Supervisor :$TEPI~N C, EDE I)FLATTOP TECHNICAL HRV Relealed )y : ~ ~ 2) Cha~leb Ref t: 916272 Lab ~pl ID: 3 Matrix: WATER Allowable Parameter Tested ~e~ult Units Method ' Limits ~ITRAT[-! 1.B mE/1 EPA 35].2 10 8~mple RO~I~ ~AMPLE COLLEC~[D RI: T.F.~RE. ' HOSE BIB. I Testo Periormed HD- ~one 'Detected NA- Mot AnalT~ed See 3peclal Instructions Above "Res Sample Remarks Abo~e iT-Less Than, GT-Greatet Than UA-Unavailable ~SGS Member Of the SGS Group (Soc,~,d G,ndrale dO Surveillance) MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Location (address or directions) (b) Property owner /~' H F~- Mailing Address p.O./~c,A (c) Lending Institution (d) Telephone: (home) .,~c~., ~ Telephone Business Mailing Address Real Estate Company and Agent Address ~ ~ ~0 Telephone (e) Mail the HAA to the following address: (or check here B~, if hold for pick up.) List contact person and day phone number below: -I-o-z~ or' 2. TYPE OF RESIDENCE Single-Family [] Number of bedrooms ~ 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 ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72*025 (Rev. 7/88) Page I 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 th is 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. Name of Firm Address Date 6. DHHS APPROVAL Approved for ..5 bedrooms by Approved ~k. Disapproved Terms of Conditional Approval ~Y~ r'~.-:/- Date Conditional The Municipality of Anchorage Department of H'ealth and Human Services (DHHS) issues Health Authority Approval cedficated 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 Mu nicipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELLDAT/~ %%C Well Classification Well Log Present (Y/N) Total Depth '75'' Cased to Static Water Level I Casing Height Above Ground. 16~" Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~" To Nearest Edge of Absorbtio~ Field on' Lot To Nearest Public Sewer Line ^h~. To Nearest Sewer Service Line on Lot WaterSample Collected by ,~'(~/'/-o/~ Water Sample Test Results ,.('~/-/a::,~c~o~-~y Comments /Z,x~,,~r ,~:x((oc~'~ ~' MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984' ' 343-4744 r Legal Description: J-.~ IfA, B, C, D.E.C. Approved (Y/N) Date Completed ~ ~9 ?5' Yield E,,.,¢ ~'/~m '/$' Depth of Grouting Pump Set At ' fid" Sanitary Sea! on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots '~, too ' ;'On Adjbining Lots ~, toO' To Nearest Public Sewer Cleanout/Manhole Al, · -,C' u' r-x' ; Date B. SEPTIC/HOLDING TANK DATA Date Installed ~Size (00o Standpipes (Y/N) )'" Air-tight Caps (Y/N) Depression over Tank (Y/N) IV Pum ping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) N,~, No. of Corn partments '( Foundation Cleanout (Y/N) Date Last Pumped N,;4, ~ ~.'~.~ ; for N,,,L Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDiNG TANK: To Water-Su pply Wel To Property Line frO' To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course ~, Comments /,/./~ ~ ~¢r ~ / (o c,., ;.,~,¢ To Building Foundation To Disposal Field 72-026 (Rev, 7/88) Front Page 1 of 2 C, ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed '~ / ~ / ,¢'/ Width of Field '~ '? ~ Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test ~'~(¢¢~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation ~" To Water Main/Service Line ~ 5-5'j To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments UL/rxf~,.~/' ,~((ocu'~ c~' /~oO",~ Type of System Design Length of Field Depth of Field Gravel Bed Thickness ?~f' ~4'-/"~-~'~1~ Statndpipes Present (Y/N) Date of Last Adequacy Test To Property Line ';> 15'' To Existing or Abandoned System on ; On Adjoining Lots ~ ~¢ ' To Cutback (if present) D, LIFT STATION AI~, Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump' Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company Date MOA No. Receipt No. Date of Payment Amount: $ Receipt No. __ Waiver Fee: $ Date of Payment 72~026 (Rev. 7188) 88ck Page 2 of 2 Engineer's Seal CHEMICAL & GEOLOGICAL LABORATORIES OF AL.4SKA~ INC. §633B STREET -ANCHORAGE, ALASKA99518 , TELEPHONE (907)562-2343 FEDERAL TAX .D. #92-0040440 ANALYSIS REPORT BY SA~LE fo~ Work Ozdex ~ 29686 Date ~oport Pril~ted: OC~ 29 90 @ 15:41 Collected OCT 26 90 0 09:15 Received OCT 26 90 ff 09:30 ?recexved with :AS REQUIRED Clien~ Name FLATTOP TECHNICAL Client Acct· FLAITOT P~O.~ ~IONE RECEIVED Req ~ Analysxs Completed :OCT 26 90 ~nd Reports Laboratozy Supe~vzsor STEPHEN C EDE I)FLATTOP TECHNICAL SRV / Special Instruct: Chemlab RuE ~: 904508 Lab Smpl ID: i Matrix: WATER Allowable Pa~amete~ re,ted Result Ul~te Method Limits NITRATE-N 1.7 i.~g/1 EPA 353.2 10 Saz~pl~ ROUTII~E SAMPLE. RemarH~ SAF~LE COLLECTED BY CHRIS. 1 Te~t~ Performed See Special In~truction~ Above UA~Unavailabl~ . ND~ llone Detected "See Sample R~marks Above NA- Not A~:alyzed LT~Le~ Than, GT~Gxeat~x Than APPLlC FILLS OUT UPPER HAl., r NLY Proper~y Owne~r Andrew Nemeth MadingAddress 5501 E. 99th st. Zip Code 99507 rPhone Address none as yet Zip Code Lending Institution Address none as yet Zip Code Realty Co, &Agent Coldwell Banker Jackk?~hite Co. / Clair J. Ramsey Address 3201 -C St.: ~ , i ~! :! ~ ~ ~ ~ - Zip:Code, 9,950~ LegalDescription LO~C ll, Block 3# S[~r[LITIi~. ~.sta~ces Phone Phone 277-1553 Street Location 5501 E. 99th st. Type of Residence [~Single Family [] Multiple Family NO. of Bedroon~ 3 [~ Other Water Supply [] Community ~] Public Utility Sewer Disposal ~ Individual [] Public Utility [] Holding Tank ATTACH WELL LOG. A well log is required,for all wells drilled since June 1975. For wells drilled prior to that date, give well d'~p~h~Jattach log if available). Year Individual Installed: "~ . When Connected to Public Utility: /"" :~.%~ NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING~CAN B i'NITIATED. Time Date Inspector Field Notes: Time Date Date Inspect0r Inspec~ ~,qs Time · . MUNICIPALITY OF ANCHORAGE .~ APPROVED BEDROOMS ) DISAPPROVED (~.) CONDITIONAL APPROVAL* DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION. JUL 1. g g83 R[C[IV[D *CONDITIONS OF APPROVAL · Soil~ Rating 72-023 Date Sewe[ Installed Well To Absorption Area Well to Tank Well Log Received SepBc Tank Size ALASKA e/ i I:IROFImeFITAL COF1TROL seg 'ces, IF1C. ~ngineerin9 $ EnuironmenM $1u~ies JULY 21 1983 JACK WHITE COMPANY/ATTN 3201C STREET ANCHORAGE AK 99503 CLAIRE RAMSEY SELLER - BUYER- SUBDIVISION-SUMMIT ESTATES BLOCK-3 LOT-ii ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A PIT/LOG CRIB WITH AN AREA OF 434 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 900 GALLONS OF WATER PER DAY, THE SURGE CAPACITY OF THE SYSTEM IS 900 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 7/21/83 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF THIS 3 BEDROOM HOUSE. ~oF[ss~ 1000 IS ADEQUATE FOR 1200 LUcsl 33rtl Aucnu6, Suite [~ · Anc~ora9¢, Alaska 99503 · (907) 275-1361 1983 Andrew Nemeth 5501 E. 99th Street Anchorage ~ AK 99507 Subject: Lot 1t~ ]l!ock 3~ Snn~,~it Estates Approval for the individual se~er and water facilities cannot be granted until the following items have beea co~pleted: ~ scheduled inspection. ~he septic tank pu~ped ~ith a receipt sub~itted to this Please notify this Pepart~ent for a reinspection ~,~hen the further questions ~ please call this office at 264-4720. Si~cerely~ riobert C. Pratt Associate Environ'meatal Specialist RP28/ej/E2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTJlv~ICIPALITY OF ANCHORAGE 825 L Street - Anchorage, Alaska 99501 DEPT. OF HEALTH & ENVIRONMENTAL P2OTECTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 JUN 1_ I981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW~:~-~IilT? ~F?D DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. :1. PRDPE.TYOWNSR MAILING ADDRESS PROPER'~Y RESIDENT (If different from above) PHONE PHONE VIAl LING ADDRESS LENDING INSTITUTION ~ PHONE MAILIN~DDRESS PHONE 4. RE~OR/AGENT ~AILING AbDRE S 5. LEGAL DESCRIPTION STREET LOCATION NUMBER OF BEDROOMS 6. TYPE OF RESIDENCE ~ ~ [~ One [] Four [] Other__ j~ SINGLE FAMILY [] Five Two [] MULTIPLE FAMILY ,,~ Three [] Six 7, WATER SUPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTi LITY * ATTACH WELL LoG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if availab[e.) S, SEWAGE DISPOSAL SYSTEM ~_~ ** f individual/on-s~te, give installation date I~17¢ INDIVIDUAL/ON-SITE~ --l.f~ys~em is over two (2) years old an adequ,ecy test [s required [] PUBLIC UTILITY by thls Department, NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, THIS SIDE FOR OFFICIAL USE ONLY -- DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS; I. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY E~ ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] POUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE L~PUBLIC UTILITY Conn0ction Verifi0d []Septic Tank or (~]Hold ng Ta ~k Size:~O~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTIQN AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Lino DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER ~,. ~.~) Sewer Line MATERIAL Absorption Area Line Seplic/Holdi~g Tank ! Nearest Lot 1 -~. COMMENT~' DATE [-~/~PPROVED FOR __"~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [~ DISAPPROVED 72-010 (Rev, 3/78) ALASKA el UlRO menTAL CONTROL SeRUICeS, Inc. ~nc]Jnee~'inq $ ~nuironmontal Studios MUNICIPALITY OF ANCHORA. G~ DEPT. OF t4EAL'fH & E~IVIRONMENTAL pRoTECTiON RECEIVED 6/18/81 HOME FEDERAL SAVINGS AND LOAN /DONNA NARO 535 D STREET ANCHORAGE AK 99501 SELLER - JOHN MEADE SUBDIVISION-SUMMIT ESTATES BLOCK-3 LOT-ii THE TYPE OF ABSORPTION SYSTEM IS A PIT/CRIB WITH AN AREA OF 434 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 150 GALLONS OF WATER PER DAY. THE SOILS RATING OF THE SYSTEM AT CONSTRUCTION WAS 179 AND NOW IS >300 SQFT PER BEDROOM. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 3 BEDROOMS. THE SEPTIC TANK WAS PUMPED ON 12/23/81 1220 LUes1251h Aucnue · Anchorage, Alaska 99503 "(907) 276-1361 825 .... ANCHORAGE, ALASKA 99501 (907} 264-4111 GEORGEM. SULLIVAN, MAYOR DEPARi'MENT OF HEALTH AND ENVIRO¢.JMENTAL PROTECilON June 16, 198]. John R. Meade Star Route A Box 81X Anchorage} Alaska 99507 Subject: Lot il'Block 3 Summit Esta.tes Subdivision Approval fop the individual sewer s.n{I, water facilities cannot be granted until the followingS'items have been complete(]: (1) The water analysis report needs to be submitted to this office froml the Chem Lab, 5633 B Street~ for our review. Effective June 1, ].981, the lab fee is $20°00° (2) The septic ,tank pumped with a receipt submitted to this office. (3) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is ~enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, James S. Roberts Environmental Specialist JSR/ljw cc: Home Federal Savings and Loan 535 D Street 99501 Carolyn Fowler % Century 21 - Heritage Homes 207 East Northern Lights Blvd. 99503 #1: Time 9:30 a.m. Date Insp Pratt MUNICIPALITY OF ANCHORAGE D~ARTME~OF HEALTH AND ENVIRONMEN'~_~J PROTECTION 825 L street, Anchoraa~. Alas~ 99501 264-4720 Date Received: March 22, 1978 #2: Time ~3: Time 3-28-78 Tuesday Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Teamster's Federal Credit Union Mailing Address: 1200 Airport Heights Road #430 Phone: 276-8180 2. Property Owner: John R/Patricia Meade Mailing Address: Star Route A Box 81x 99507 Phone: 344-5484 Legal Description: Lot ]1 B]o~k 3 .qnmmi~ R~ ~nh~i~n 7th lot in on East 99th Avenue on the right Single Family Residence: (x) Number of Bedrooms: Tbr~ Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit # Construction Individual well (c) Community/Public System ( ) ? Depth of Well ~ Well Log on File ~ ~ ~0 Bacterial Analysis ( ) Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility Installed ] 974 Installer /~ - Manufacturer ~/~ Soils Rate ~7~' Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Page Two .- Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 11 Block 3 Summit Estates Subdivision Comments: Affadavit Attached:.~ Approved: ~_~. ~~ Disapproved: Letter Attached: ( ) Date: Department Worksheet: Department of Health and Environmental Protection 825 L Street, Anchorage, Alaska 99501 '~equest for Approval of Individual Sewer and Water.Faci!~ties "~MUNICIPALITY OF ANCHORAG 2 1. Property Owner: John R. & Patricia A. Meade Mailing Address: SRA Box 81X Anch., Ak. 99507 Phone: 344-5484 Name of Buyer: Mailing Address: same Phone: Lending Institution: Alaska Teamsters Federal Credit Union 1200 Airport Hts. Rd. #430 Mailing Address: Anchoraqe, Alaska 99504 Phone: 276-g] g0 o Realtor/Agent: None Mailing Address: Phone: Legal Description: Lot 11. Block 3. S~m~ R~s~ Street Location: East 99th Avenue Anchorage, Alaska Single Family Residence: ~) Number of Bedrooms: 3 Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (X) Public/Community System ( ) If Individual Well, well depth If Community System, name of system Sewage Disposal System: **On-site System ~ ) Public System ( ) If On-site System, date of installation: /~'~ ? *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated.