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Home My WebLink AboutSUSITNA SUNSET LT 3usletna Sunset Lot 3 #015-242-30 Development Services Department Building Safety Division On -Site Water & Wastewater Program b �r 4700 Bragaw Street P.O. Box 196650 Mark Begich Anchorage, AK 99519-6650 Mayor waw mqm 0"JI"pTe (907) 343.7904 Pump Installation Log Well Drilling Permit Number: SR_ Date of Issue: _ Parcel Identification Number/52g0'2-3Q Legal Description 7 � Property Ow r Na & A re s• -�z1c�' &T-3 I aC I CC't�'�r T ►^�r' Pump Installation Date: Q - /_ -Q Pump Intake Depth Below Top of Well Casing:W feet Pump blanufacturer's Name: 1,,'j NdCke-�- Pump hlodel: IffF3// (!V 9 /!/a Pump Size I hp a 't/ Pitless Adapter Burial Depth: %3 feet � Pitless Adapter Manufacturer's Name: /vA Pitless Adapter Installer: /M4 Well Disinfected Upon pletion? Yes N Method of Disinfection: Co�,t1,i ! CYi/s �d Comments: ��/!!!��/ Pump Installer Na ANCHORAGE WELL & PUMP SERVICE, INC "0 EAST 76TH AVE. ANCHORAGE, ALASKA 99518 (907)243-0740 - FAX:(907)243-0742 E-MAIL: pumpmanjim@att.net Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. r --3r Municipality of Anchorage Page I of 2 _ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S Lk/ 93 03 Se PID Number: D IS e H 2 3 O Name: Wastewater System: ❑ New ❑ Upgrade FRITZ PEtTY To µN Address: 12201 cattanfail ABSORPTION FIELD Phone: 31y- 200s, No. of Bedrooms: ly 9 Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound O Other LEGAL DESCRIPTION Soil Rating: O 8 Total Depth from original grade: J? GPD/Sq. . Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade. Gravel depth beneath pipe 3 — S"S,fna .Scfn.(e } F. 8 Ft. 6.2 Ft. Township: Range: Section: Fill added above original grade: Gravel length: I? N 3 w 2• 1 Ft. Ito' -hl7' - 6S Ft. WELL: X+51 ❑New ❑ Upgrade Gravel width —�'J— Numberdf lines: 2 Distance 1;cen lines: s C•s- Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: F—SIO Ft. Ft. 1906 SD. Ft. .Per'f ct-3o 39 Non- erf Driller: Date Drilled: Static Water Level. Installer Date installed: Ft, Carl's EX�Qvaf,^ 9/fy-9I/s/93 Yield: Pump Set at: Casing Height Above Ground, TANK GPM Ft. Ft, SEPARATION DISTANCES MSeptic OHolding ❑S.T.E.P. To Septic AbsorPlain Liu Holding Public/Privale Manufacturer:Capacity in gallons: From Tank Field Station Tank Sewer Lines Aii ch c reY e Tank 1 260 Well 110, 2201 Material: Number of Compartments: Surface — LIFT STATION N• A. Water 7 foo' 7 100' _ — Lot Size in gallons. Manufacturer: Line 501 12 — — — "Pump on" level at: "Pump off' level at High water alarm at: Foundation 4S I yS - - - Curtain _ Pump Make & Model Electrical Inspections performed by: Drain RemarkS: T. H. # 3 ex�evdea la 15' ana< BENCH MARK ver,, teolf no L,edrock. Desr o F,eteC Location and Description: Sa fb^ of S'ro(,n of nvrih madti!fro( /o u/;Iize 6'+ Corner 0� /701,le Assumed Elevation:YA -. r� ukee,al 7Yiuno( c G&,e /2, Ceeer boffai. /00. 0, Ft ENGINEER'S SEAL olf y -Tenches Or, ,nal SgeiiC k.1k f sa o fievi6eriv }�}_d9s..,++lit otianalonea� Lt rr7m in maven % r E backF11,n yyYyy��'P-ye.°•feV$�1 Inspections performed by: Flarf-T,�eh —S -LIC __ Dates: 1st 9111193 Tli '• 2nd 9 /IH /93 p ...............•.........' .:.... . Department of Healt and Human Services approval .......... ° THEODORE F. MOORE; �1 CE - 3589 Reviewed and approved by: --- ate: 72-013 (Rev. 9/91) MOA 25 x O c U) m PERMIT NO: SIW930358 rL ------------------- 17' LONG SOIL M.T. ABS. TRENCH ;48' LONG SOIL W. 6.2' GRAVEL ;ABS. TRENCH PID NO: 01524230 CO ,W.6.2'GRAVEL PAGE 2 OF 2 C.O. .,F., SWING TIES I, L FROM: COR. "A" COR. "B" TO: C.O. "C" 70' 38' NEW 1250 GAL: C.O. "D" 77.5' 43.5' „D„ SEPTIC C.O. " TANK 179' 146' 1 TBM C.O. .1., 202' 166' , 0�r` O p 4 BDRM \\ - f�? �� HOUSE „A„ 4 9TH o .v •....... a..... ...... e- WELL 'I , c. e......... • de iNE000RE F. MOORE.- 'I ll. ��., ° CE - 3589 ;o: 9 %Op- 1 el ------------------ / TBM 100.00 PLAN VIEW GROUND SCALE: 1" = 50' INV 1250 GAL S.T. 93.39 INV 93.17 INV INV 8zas 8a �4 LOT 3, SUSITNA SUNSET S/D BOT BOT r'"""/" CROSS - SECTION 81.2 80.5 NO SCALE NOTE: T.H. a3 M.T. DRY TO 19, DG.L.9/14/93 (ELEV 76.5) PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 ."L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930358 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:PETTYJOHN PATRICIA OWNER ADDRESS:12201 COTTONTAIL TR ANCHORAGE, AK 99516 PARCEL ID:01524230 LEGAL DESCRIPTION: SUSITNA SUNSET LT 3 LOT SIZE: 52481 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 9/13/93 EXPIRATION DATE: 9/13/94 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 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: IT MUST BE CONFI ROCK IS PRESENT RECEIVED BY: ISSUED BY: CONSTRUCTION THAT NO BED - F_18 FEET. DATE: �� DATE: ✓ �5/ GRE'''EK ANCHORAGE AREA BVAIM Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME MAILING ADDRESS NONE LOCATION LEGAL DESCRIPTION $P c 2N 43W T/1f /✓ �� SEPTIC TANK: DISTANCE / /� NUMBER OF FROM WELL MANUFACTURERIC�OLtsC�dL—MATERIA' -COMPARTMENTS INSIDE LENGTH INSIDE WIDTH �� VV LIQUID DEPTH --= --LIQUID IQUID CAPACITY /aIsO GALLONS. SEEPAGE PIT: a9zqq�� r7 , , / / 1 NUMBER OF PITS DTA11rETLR ' OR WIDTHI. LENGTH -9--? DEPTH 3F' CQi Ntt St�AT %�/ LINING MATERIAL 914w)c RIB SIZE: DIAMETER H DEPTH 46 DISTANCE FROM: WELL 36 YYd'•//_��I �/ i TOTAL EFFECTIVE /,.,� BUILDING FOUNDATION 3'. NEAREST LOT LINE/ � �. ABSORPTION AREA (WALL AREA) SC's' 1—SQ. FT. ADDITIONAL ABSORPTION Nll WELL: V44..A% C&t4.4 O-1-7'c«C TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED DISTANCES: J •' K' INSTALLED BY: �7•'� -� FC PIPE MATERIAL:I./r�b2'�- LOT SLOPE: N w• REMARKS: Form No. EQ -031 DEPTH ? DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE . TANK SYSTEM_ REMARKS DIAGRAM OF SYSTEM 110 DATE APPROV [�.D;T�s,.c1-�-_ G.A.A.B. P t;t//� GREATER ANCHORAGE AREA BOROUGH PERMIT NOl lA1 DEPARTMENT OF ENVIRONMENTAL QUALITY �/p• ��n`j! 3330 "C" STREET ANCHORAGE, ALASKA 99503 ts4q TELEPHONE 274.4361 \\\i,ti„+ •f SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT NAME OF APPLICANT 4�t .1['!t�(ilE MAILING INSTALLATION LOCAKION LEGAL DESCRIPTION ,!,712 INSTALLATION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT �/ DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED n FINANCED THROUGH TO BE INSTALLED BY so1L 7E57 RESULTS �-5-5 �` NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED / / �7 / 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. p „� S� ,� W�Cn+�E�• SEPTIC TANK SIZE /”/% SV TYPE �Q�1� SEEPAGE AREA SIZE TYPE �_.. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ' . A FOUNDATION TO SEEPAGE PIT �Q DRAIN FIELD �0 SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK S / . SEEPAGE PIT. DRAIN FIELD �D TO NEAREST LOT LINE. I WELL TO SEPTIC TANK /00 . SEEPAGE PIT /VU DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK �() SEEPAGE PIT 1O DRAIN FIELD 14' x�//7�0/� �0, SEPTIC TANK. 11GI�. SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 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. G.A.A.B. OR LICCNSED DESIGN R 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DAT A6PLICANT'S SIGNATURE i Fon No.E /a DIAGRAM OF SYSTEM REA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE EON� ME ON NONE • ■. E. �■■.�� _■■■■■■mom SEEN■ ®■E �■■■.■.. ■�mi■■■■: REA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE r: IAM GREAUR ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMFU AL OCA.I.tTY 3330 "C" Street ANCHORAGE, ALASKA 99503 Case 11' Cvew•+ ` C' 'k (� Dated Performed -3-7 Performed For JAS Legal Description: Lot Dloc_5ubdivisionWr�E1�,Sw' % Z TMP w This Form Reports Soils Log p Percolation Test SVA - Soil Test Must Be Logged To 4' Below Proposed Seepage System - Dep th Soil Characterist 1— "t"otssol� 2- 3- 4- 5— S % Cr0.Yb\(-tl-) C\.11 -CK 6— �/ s�/f- C ISS s'• 7- 8- 13- 14— Was Ground Water Encountered? S4 r OpF If Yes, At What Depth? •11[99R I Reading Date Gross Time Net Time Depth to H2O Net Drop 1 1 I 1 I I Percolation Pate Minul.e Proposed Installation: Seepage Pit Drain Field Depth of Inlet _Depth to Bottom o Pit or Trench_ COt•L'4ENTS: _ D Test Performed BY= ate Certified 6 : Date: GRE ';R ANCHORAGE AREA BO"%- I,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME I <"'' / MAILING ADDRESSrHONE .i - i i < LOCATION ,,,,r tib.' %fi/stn iJ _ _LEGAL DESCRIPTION 1LI �� •�-__=� '' `�:.J <' �y SEPTIC TANK: (�iaqullA_U9LY �> DISTANCE / NUMBER OF / FROM WELL MANUFACTURERr .:+.'-; " MATERIAL <`"" '-:7 COMPARTMENTS 1_ INSIDE LENGTH INSIDE WIDTH LIQUID DEPTIi LIQUID CAPACITY /? GALLONS. SEEPAGE PIT: NUMBER OF PITS DtAWr TLit _ OR WIDTH �,/ LENGTH J / DEPTH LINING MATERIALLYiit,1S.C:7G_/�.RIB SIZE: DIAMETER 0 DEPTH -L DISTANCE FROM: WELL / •' ✓✓,"//_ ��.. ,�<,� BUILDING FOUNDATION ("- •, NEAREST LOT LINE%'n(- TOTAL EFFECTIVE ��"" ABSORPTION AREA (WALL AREA),yc_� SO. FT. ADDITIONAL ABSORPTION WELL: ((I n/� f' TYPE .Q iLtl co CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURC APPROVED DISAPPROVED DISTANCES: (?, K, INSTALLED BY: �7•.lfu a Ir. PIPE MATERIAL: aW afd fb LOT SLOPE: Y GU - REMARKS: /�L Form No. E0-031 REMA DIAGRAM OF SYSTEM DATE ML- Z/%7y APPROVED%et/1- 67 G.A.A.B. CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. September 2, 1993 14530 ECHO ST. PH: (907) 345-1355 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 3, Susitna Sunset S/D, located at 12201 Cottontail Trail. The present seepage pit is no longer able to accept the wastewater flow from the residence. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 3. As can be seen from the soil log, the native material between 6 feet and 16.5 feet below ground level in this area is a slightly silty gravely sand with pockets of sandy gravel. The material has a measured perc rate of 3 minutes per inch. Using a slightly conservative soil application rate of 0.8 gpd/sq. ft., this 4 bedroom residence requires a total absorption area of 750 square feet. The proposed design consisting of two parallel 38' long trenches with 5 feet of sewer gravel beneath the horizontal distribution pipes has a total absorption area of 760 square feet. As can be seen from the soils logs, the soil conditions and water table on this lot are quite variable. The site of the proposed upgrade was selected to optimize the soil conditions encountered. It will be necessary to construct the drainfields as deep as possible to allow gravity flow from the residence. The proposed design has the bottom of the trench set 4.5 feet shallower than the bottom of test hole #3. This test hole showed no groundwater, or other indication of the presence of a confining layer immediately beneath the bottom of the test hole. The enclosed well log from Lot 4 indicates that bedrock is at 21 - 27 feet below ground level in this area. The topography of the lot slopes generally down towards the NNW at 12%. The proposed project will have no impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, J -lek 7� Ted Moore, P.E. PARCEL 24, SECTION 24 1 TOO WELL -- - ----- - - - - -- F - - - - - - - - - - - - -- ------------------ T.H._10 #4 LOT 3 0 JEM S/D 0 12% PROPOSED 38' LONG ------SOIL ABS. TRENCHES T.H. W. 5.5' SEWER GRAVEL LOT2 #5 SUISITNA SUNSET T.H. #3- T.H. LOT 1 12/ #1 COLD, WINDY T.H. �� „� DESOLATE #2 HEIGHTS ; � 1 ° EXISTING SEEPAGE PIT NEW 1250 GALLON SEPTIC TANK EXISTING SEPTIC TANK 4 BDRM LOT 2, COLD, WINDY HOUSE DESOLATE HEIGHTS WELL1V 100, q }8. sr sre e..••.rr a°rr u u •e>a , , rii..•rse. ao ar THEODORC F. MOORE D,• . •z r „ CE - 3589 - --------------------- 20 0 20 40 60 80 100 FEET z 0_ LOT 3, SUISITNA SUNSET S/D LOT 1 O LOT 4 WELL AND SEPTIC SYSTEM SUISITNA SUISITNA SITE PLAN SUNSET SUNSET c 2 vrpn 38- L6 10 4" 'BUMP" ----/ASTM D-3034--l'TRENCHES F-810 SOIL ABSORPTION C.O. M.T.—I vvAry PLAN VIEW 1"=10'-0" �(odI ASTM 12.5' 4" 3 1 SECTION "A -A" 1 " = 5'-0" C.O. DOUBLE C.G. ASTM -U70 O !1 �]l10A 1250 GALLON SEPTIC TANK OF A44 6. .................. ..................... �i.+f.�i THEODORE ; MOORE. i 0,% �. CE -3589 -+' ,� A vv - FINAL GRADE \--ORIGINAL GROUND — BACKFILL CLEANOUT — FILTER FABRIC HORIZONTAL DIST. PIPE (F-810) MONITOR TUBE — PERF PORTION THRU SEWER GRAVEL SEWER GRAVEL (5.0' BELOW DIST. PIPE LOT 3, SUSITNA SUNSET S/D SEPTIC SYSTEM UPGRADE PLAN & CROSS-SECTION FLATTOPTECHNICALSERVICES - SCALE: AS SHOWN 14530 ECHO STREET - DRAWN BY TFM ANCHORAGE, ALASKA 99516 SEPTEMBER, 1993 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. L6 2.5' ASTM 12.5' 4" 3 1 SECTION "A -A" 1 " = 5'-0" C.O. DOUBLE C.G. ASTM -U70 O !1 �]l10A 1250 GALLON SEPTIC TANK OF A44 6. .................. ..................... �i.+f.�i THEODORE ; MOORE. i 0,% �. CE -3589 -+' ,� A vv - FINAL GRADE \--ORIGINAL GROUND — BACKFILL CLEANOUT — FILTER FABRIC HORIZONTAL DIST. PIPE (F-810) MONITOR TUBE — PERF PORTION THRU SEWER GRAVEL SEWER GRAVEL (5.0' BELOW DIST. PIPE LOT 3, SUSITNA SUNSET S/D SEPTIC SYSTEM UPGRADE PLAN & CROSS-SECTION FLATTOPTECHNICALSERVICES - SCALE: AS SHOWN 14530 ECHO STREET - DRAWN BY TFM ANCHORAGE, ALASKA 99516 SEPTEMBER, 1993 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. Flattop 7echnicaCServices 14530 Echo Street, Anchorage, AK99516 Phone (90 7) 345-1355 Lot 3, Susitna Sunset S/D 12201 Cottontail Trail Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandonment of an existing septic tank and seepage pit and installation of a new 1250 gallon septic tank followed by 2 parallel 38 foot long soil absorption trenches with a total of 5.5 feet of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design, drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank and seepage pit are to be properly abandoned by thoroughly pumping, removing their tops and backfilling with soil. 2.2 The new 1250 gallon Municipally approved shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. 2.4 Special care shall be taken to minimize the elevation loss in the waste lines before and after the septic tank so as to allow gravity flow into the soil absorption system. 3.0 . Soil 'absorption system: 3.1 The soil absorption system shall be constructed by excavating two parallel trenches to a depth of 12 feet below the original ground surface. 3.2 The bottom of each excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 3.3 A total of 5.5 feet of approved sewer gravel shall be placed in the bottom of the excavations with the perforated distribution pipes laid level such that the pipe inverts are no less than 5.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. A 4" high "bump" shall be constructed in the line connecting the two trenches to ensure that effluent flows into the upper trench first. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 2 feet of soil cover is to be placed over the filter fabric. If the soil cover thickness is less than 3 feet, two inches of rigid, burial type insulation is to be placed over the entire top surface of the gravel, in addition to the filter fabric. 3.7 The top surface of the cover material shall be. raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.8 Unless otherwise specified, the homeowner shall be responsible for finish grading, placement of topsoil and seeding the disturbed areas after the backfill has stabilized. , 4.0 Inspections: 4.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after final backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. FLATTOP TECHNICAL SERVICES _ 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: LOT 3 SUISITNA SUNSET DATE PERFORMED: AUGUST 19, 1993 PERFORMED FOR: FRITZ PETTYJOHN DEPTH SLOPE (feet) � Pt COMMENTS: SM Reddish sandy loam ( ML Gray gravelly silt GM Somewhat silty sandy gravel ML Gray gravelly silt SM Gravelly silty sand danm, dark brown Water seep Harder digging B.H. •�d,.....,,;hga,T FA 4. 93 Ili 7"k ...................... ...... a�......./.. a ... a ....:,(o, y. e. ate ' a<.ua..Le er — •>a. e THE000'FE F. MOORE M• CE 3589 x� SITE PLAN Depth to Groundwater I Date W 0 u1 Date Reading g Clock Time Net Time (minutes) Percometer Reading Net Drop (inches) PERCOLATION RATE (minuteslnch) PERC HOLE DIAMETER TEST RUN BETWEEN FTAND FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I %1�..�.L. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9/Z/473 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 2 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: LOT 3 SUISITNA SUNSET DATE PERFORMED: AUGUST 19, 1993 PERFORMED FOR: FRITZ PETTYJOHN DEPTH I SLOPE (feet) Pt 1 SM Reddish sandy loam 2 3 ML Gray gravelly silt t 4 hard digging 5 rA $ SM Gravelly silty sand 9 Water seep 10 B.H. It- 12- 13- 14- 15- 16- 17- 18— COMMENTS: 112131415161718 COMMENTS: Depth to Groundwater I Date 120/6 .---------..:..... Date Reading ClockI Net Time Percometer Net Drop Time (minutes) Reading (inches) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FTAND FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I T CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: i / Z 193 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 3 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: LOT 3, SUISITNA SUNSET S/D DATE PERFORMED: AUGUST 19, 1993 PERFORMED FOR: FRITZ PETTYJOHN DEPTH P[ W(te SM Reddish sandy loam COMMENTS: ML Gravelly silt SM Gravelly, silty sand .1 1 SP/SM Slightly silty gravelly sand gray, pockets of sandy gravel ".9 SLOPE Depth to Groundwater Date None 8119/93 M.T. dr 8/30/93 a- O � qTH ..................... • ... - .cs a THEODORE F. 6l -CORE s' CE -350? :' , a /°• car ° '.° oe a`•4• �+� SITE PLAN 50 Time -----_ --7 --- - b Percometer Reading Net Dro (inches 8 19 12" Presoak T.H. #4 q6- 1:13 223/4 I T.H. T.H. Add water #5 T.H. # 273/8 Start 1:20 233/8 T.H. #1 T.H.#2 5 #1 2 ....................................... :120/p .-- ... Date ReadingClock Time Net Time (minutes) Percometer Reading Net Dro (inches 8 19 12" Presoak 1:07:30 273/8 1:13 223/4 Add water 1:13:30 273/8 Start 1:20 233/8 #1 1:25 5 213/8 2 Add water 1:25:30 23 1L2 #2 1:30:30 5 2112 2 Add Water 1:31 23 5L8 #3 1:36 5 215/8 2 Add Water 1:36:30 231/2 #4 1:41:30 - 5 21 1 2 2 PERCOLATION RATE 3 (minuteslnch) PERC HOLE DIAMETER 7" TEST RUN BETWEEN 7p FT AND 7.5 FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I '2L�y_>,.� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9 /Z /97 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 4 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: LOT 31 SUSITNA SUNSET SN DATE PERFORMED: AUGUST 19, 1993 PERFORMED FOR: FRITZ PETTYJOHN _ DEPTH (feet) ff'-:M Pt COMMENTS: .eddish sandy loam SLOPE K Gravelly silty sand Similar to H.#3 - Pockets of NIL and GP . Silt (on south of test hole, only) TER SEEPS 06k _.. THEODORE F. MOORE e• • CE -3589 r,• kA.�� SITE PLAN Clock Date Reading Time Net Time Percomstar Net Drop (minutes) Reading (inches) PERCOLATION RATE 1 (minutesfinch) PERC HOLE DIAMETER 8" TEST RUN BETWEEN 6.0 FT AND 6.5 FT "'( �ji(�y8u-. CERTIFY THAT THIS TEST WAS PERFORMED IN PERFORMED BY FLATTOP TECHNICAL SERVICES. I� ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9 121 � T (feet) 1 Pt 1 SM Reddish sandy loam SM Silty sand Pockets of ML Pockets of SP B.H. Depth to Groundwater I Date W O rn ()F A- milk °aP •............. I.......... If .. �......... I ....... ..*too' .THEODORE F. A40ORE;0 a `��.��•., CL- 3589 JI SITE PLAN 50 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 T.H. TEST HOLE # 5 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: LOT 3, SUSITNA SUNSET S/D #5 T.H. # DATE PERFORMED: AUGUST 19, 1993 PERFORMED FOR: FRITZ PETTYJOHN nru SLOPE (feet) 1 Pt 1 SM Reddish sandy loam SM Silty sand Pockets of ML Pockets of SP B.H. Depth to Groundwater I Date W O rn ()F A- milk °aP •............. I.......... If .. �......... I ....... ..*too' .THEODORE F. A40ORE;0 a `��.��•., CL- 3589 JI SITE PLAN 50 T.H. #4 T.H._ #5 T.H. # T.H. #2 #1 ................... 12% Date Reading Clock Net Time Percometer Net Drop 9 Time (minutes) Reading (inches) PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FTAND FT COMMENTS: PERFORMED BY FLATTOP TECHNICAL SERVICES. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 9 / Z /9_3 Municipality of Anchorage • -- Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O f5- - ZY 2 - 30 HAA # Expiration Date: 1. GENERAL INFORMATION Complete legal description 1-o f 3 , Sus. f»a Sunse f -C/-D Location (site address or directions) f Z Zo r Cc, /fin kA -1 7"i t l/ Current Propertyowner(s) 13Iakc (fcrl/ Dayphone 229 -0X47X Mailing address Lending agency Mailing address Real Estate Agent Mailing Address )L2o/ Co bio c,V 7"�a. . AA A� 99syrf Individual Well ® Individual On-site Day phone Individual Water Storage ❑ Individual Holding tank FS EG Day phone Unless otherwise requested, HAA will be held by DSD for pickup. P lecu t p 4 owe C{/u I*e Coll e 229 ^oS'oS wAIn /J*h rivdY 2. NUMBER OF BEDROOMS: Al f�p,c k _ ..12, 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Fluf/-0e Tlclh/1 .ca/ S"frIv/ Phone 3 ys- +3S',f- Address 1.1530 Echo Sf� r}ilctio. a9p, /}ic 995-/ Engineer's Printed Name t Aeo --Fc-e F. Nc"I Date tle,>; 3/, Ze-'O.f' 5. DSD SIGNATURE `�• :T"CO00ti P. 140088 yR a,'•. CC -3589 A` Approved for bedrooms.. i,. `','y '••.M,..•le^ Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By; Original Certificate Date: (Rev 12*01 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: _ (.o t 3 + Sw r f-� Sun Se f S Parcel ID: r5 - 2 Y 2 - 36 A. WELL DATA Well typePV r If A, B, or C provide PWSID #_ Date completed —19 l y Sanitary seal (YIN) 1 Total depth a 300 t p ft. Cased to f3e'%^°�t. FROM WELL LOG Date of test Static water level ft. Well production WATER SAMPLE RESULTS: Well Log (Y/N) N Wires properly protected (YIN) Y Casing height (above ground) To in. AT INSPECTION S / 2y /OS 20 ft. f. / g.p.m. Coliform O colonies/100 ml. Nitrate mgA. 3` Other bacteria O colonies/100 ml. Arsenic: — mg./l. Date of sample: S/ a /ot Collected by: F/a Ffo p i �c�i Sc c B. SEPTICfHOLDING TANK DATA * A14 0f' rOl.t/fj 0Ftte yo e ame_ 4a leis S6s wal fan r*falFr wAln cr...i.tab/c. Tank Type/Material Sf,/ he ASA- of Date installed 9 / IV /93 Tank size 1 Zre/ gal. Number of Compartments 2 Cleanouts (Y/N) v Foundation cleanout (Y/N) 'r Depression over tank (Y/N) _✓P High water alarm (YIN) ". 4 Date of pumping _ S' /16; / oS Pumper An ctiorV a e;w g c,o/ C. ABSORPTION FIELD DATA Date installed 9 / tY/93 Soil rating (g.p.d./ft2 or ft2/bdrm) a -R7 rs System type TetAcA Length ES ft. Width Z.S' ft. Gravel below pipe 6. 2 ft. Total depth 12 ft. Eff. absorption area &.d—ft2 Monitoring tube Y Depression over field Date of adequacy test X" 2Y /Gf Results (Pass/Fail) Pow., For I/ bedrooms 2.n -TS �.yr.-) 93 Fluid depth in absorption field before test a in. (/,,,,,.)Water added_ gfjk gal. New depth_ in. Ela sed Time:2/ / p � min. Final fluid depth _Q_ in. Absorption rate >= 6610 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) _ N If yes, give date _ N• A. 7reAGA .0 1/:. T�4// Grttr;n/ iWf D. LIFT STATION N• A. Date installed 'Pump on" level at _ in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump off" level at _ in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 110' Absorption field on lot 2Z90, Public sewe? main N •.A• Sewer /septic service fine > 2�f, Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots > raao' On adjacent lots > ruo• Public sewer manhole/cleanout 1J. A. Holding tank N..4. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 3S ' Property line So' Absorption field /00, Water main M. A. Water service line 7 ro ' Surface water > moo' Wells on adjacent lots > Iuo' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 17-1 Building foundation 1 yS' 1nr�+nr �nin Water Service line > to + Surface water > Curtain drain Mo'Air $'t -*A Wells on adjacent lots > rte' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name �/A a -e -&,r F. /f C,0 Dates 3/, Z&OS' HAA Fee $ '!60 `� Date of Payment _ _ � - / - b� Receipt Number co (Rev. 12/01) AJ -A. in. Driveway. parking/vehicle storage > ruo Waiver Fee $ Date of Payment Receipt Number 6- 9-05: 3:47PMt :907 5615301 w 3/ 5 CS Refp 1052885001 :cent Name Flattop Technical Srv. lrolect Namellf Lot 3. Susima Sunset S/D Tient Sample ID Lot 3, Susima Sunset S/D Istria Drinking Water All Dates/Timea are Alaska Standard Time Printed Date/1`ime 06/098005 12:08 Collected Date?Ime 05/24/2005 11:00 Received Date/1`1me 05/24/2005 16:48 Technical Director Stephen C. Ede tmple Remarks: EP 300.0 - Sample was run past hold time for nitrate. ramcter Results PQLthin Metbod Allowable Prep Analysis CoataiaerID Limits Date Date fait Mars Department Nitrate -N crobiolpAy Laboratory 1`0121 Coliform 5.97 0.100 mg/L EPA 300.0 0 coVI00mL SM20 9222D B (<-t0) 06/08/05 JJB A (<-I) 05124/05 TLF 6— 9-05: 3:470M; :907 5615301 0 4/ 6 . • 200 W. POTTER DRIVE ANCHORAGE, ALASKA $0515 II SGSICT8EEWRONMENTAL SERVICES 7el:I)07 -M-2343 . fmc:807,-961b30t Drinking WaterAnalysis Report for TotalColiform Bactena 1052885—(A- MUST 52885 lMUST BECOMPLETED BY WATER SUPPLIER I�I� .a PRIVATE NATER anum 12' fSaed Raub 0 :d M"a'Is' tj 6eM Rewlb : .J3 6erM Mrdoe . ,. . ..rrr. s.vr-IJ6� W s':Te . FG40 Xk N . Anc6ow asr � 905 16 SAMPLE -COLLECTION: Daae O r' 2Y w. w.. Tmm: WOO. 0"" PM 4 s Loce6»c�O%3, Sell.l xr 9a^S-ei S' rnmpoAM as Lab k 13Same as collector , alher. SAMPLE TYPE: Routine. 0 Treated.Water Repeat Sample Untreated Water (rater to lab ;= � Spacial Purpu" BE COMPLETED BY LABORATORY Sample Receivine: Dale: i r -t6 Q Sri pis ew ao h.w old , `0 "RUSH SAMPLE. :;one Rerah ware• we%W Temp: 0 48 Haevvakw Phone R: . . Delivery Methal: F Ra.6m to-" Fax: Received BY: —ri1� ..............:»...............................................................:........................:...... ,Baeterlolocical WaterAnalysis Reeord: ua6(bADEC UM04AM (PIA) RESULTS: ANO AK JUN Anslyw B.9an:• S�H�oS— /730 Taal C400:rc De1sRYne: Analyst •%F. .E. Cor .. .. .. . Senn in tart Amlyacal►Wrot MEe1BRANE FILTER RESULTSPhoned .O Faxed ED n' , Cant •CabniWloo't DsWrlly r•— Membrane Filter veARcatlaC Ispoke wor. MMO-MUG (PIA) : acs• atisfactory •p,Unsatisfactory 1:Jo Trrtc:r»Y.rw»rc..4 ported By: Irl � /«e.-•7 i)a4/Time: $'-' at' -di i Municipality of Anchorage �• Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South 8ragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.cl.snchorage.ak.us (907) 343.7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. O,3' -2Y2- 3t9 1. GENERAL INFORMATION HAA ;_l i /, 0 1 D/( f Expiration Date: 6 -2 9- O 1 Complete legal description l -o f- 3 5"se fn.r Sun r e f s iA Location (site address or directions) r 2 zol fo f%n /u1 / -77w'd Current Property owner(s) Fel/-c. PeEfrdcAn Dayphone-3ys-s-i7'l Mailing address 12.2c t Ce iyn+ ie -ll Tru•./ A.r^t�o�� 4 22 I4 Lending agency.71r Pfeckeew Dayphone 4nB2-2rE/ Mailing address Real Estate Agent Mailing Address H60 L&. 46e ; MM� hrc 99.s"o7 _No- a Day phone Unless othenvise requested, HAA w,r to held by DSD for plckup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Wel ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Deve!opment Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In pzragrzph 5 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of We (except between spouses) for properties served by a single famly on-site wastewater disposal andlor water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for EO days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for ere year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not re<_pons:ble for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affoced hereto and as of the validation date shown below. I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply andlor wastewater disposal system Is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. l further verify that based on the Information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with an applicable Municipal end State codes, ordinances, and regulations In effect at the time of Installation. Name of Firm Flee f ofd Phone 3 vs- r s ss - Address III -C.70 CeJeSf442c OL4F70 ! k Engineer's Printed Name 'iAbcicee F• hfoo�G �- ..,,Dane_ 5. DSD SIGNATURE _1� Approved for t bedrooms. Disapproved. Conditional approval for bedrooms, vdth the fogaMng stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By. W 11r✓ Original Certificate Date: 3' 2 9 - O f Ile 0' m«.rzcar Municipality of Anchorage • Development Services Department BuCd m Safety DMsion : OtrSlte Water s Wastewater Program 4700 South Bmgaw St. P.O. Box 198650 Anchorage. AK 89519.6850 www.d.anrhorege.ak.us (907) 343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST LeODescription: 4=r Y Swi'Ano San -ref SIP Parcel 10:_0/S-2'/2-20 A. WELL DATA Wed type �✓ f NA, B. or C provide PWSID 0 Date completed'M' 19 7g/ , Sanitary seat (YIN) Y Total depth nQ9eO IL Cased to _ FROM WELL LOG Date or best ' Static water level ft. Well production "AL WATER SAMPLE RESULTS: Coliform ___Q_coIonfes/100 ml. Nitrate y. -7 S mg.A. Wen Log (YM) N Wires property protected (YIN) Y Casing height (above grand) --2Q_in. AT INSPECTION ?/2z/200/ 30 TM 0.7s g.p.m. Odher bacteria O colonies/100 ml. .. Dele of sample: ;I / 2 z /o / Collected by: F lar tLcD4 Te cAA i to / S. r -r B. SEPnCMOLDINO TANK DATA TankTypeNaterial1,Crl,'c /SAWel Dateinstatled 9//J//9-7 Tank size t2S0 gel. Number of Compartments -e Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YAV) N High water alarm (YIN) /✓• 4 Date of pumping 8/7/ 00 Pwrgw C. ABSORPTION FIELD DATA Date Installed 9 /,yros So nft (g.p.dJl? or felbdrm) � System type TiVncA Length ss, ft. Width ?.S ft. Gravel below pipe 6.2 ft. Total depth 12 fL ER. absorption ova eft: MmAoft tube _r Depression over NW N Date of adequacy test . *3 /t 2 / 2m/ Results (Pass/Fad) FaLcr For Y bedrooms ap/ate' iy'►-`��t ucw• f►rv/+ __1�_ Flub depth k absorption fWd before test Gln. TimWater adde$SE'VZ 1. New depth�in. r YI � Elapsed e:,j,rnin. Find fluid depth Absorption rate >■ 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N b type) Wong kno rvn If yea, give date N.A. N.fe: ""-3 (rill VP-O("cAL/,is,%YwC 40e r{aAv/ olCieimA;; e4./ Co. (a Ce p". wiAP 0WT404.". AIs. Wtw- 04.0 10►ynr4 e/ .u«r < 4 VL {a.// a..( A.Pt "rva .4 a/' an-cWersrc./' el -le. D. LIFT STATION N• A Date Installed Size in gallons Manhole/Access (YIN) 'Pump on' level at _ in. 'Pump W live! at _ In. High water alarm level at In. Datum Cycles tested Moab darn S chap rv*elmnenb9 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanidlUl station on lot Ifo, On adjacent lots "�P, Iyo Absorption held on lit 2 2 G' On adjacent kris , �P- r o a ' Public sewer main N. A Public sewer manhde/dewxxA N. A. Sewer /septic service Ikm � ZS' Holdbq tank N. 04-- SEPARATION •.SEPARATION DISTANCES FROM SEPTICIHOLDINO TANK ON LOT TO: Buildang foundation _4S' Property am SD ,, Absorption field too, Water main �> Std • Wow service line SaSurface water toe), wells on ad)scent bb > I oo ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 12' Building foundation INS' Water main 7> tAa ' Water Service Une rua • Surface water / uo • Driveway. perkingl%W ide storage -P 1cr� . Curtain drain *> ICO' Wells on adlaeent krisFA- F. COMMENTS. �.I.'►. O. ENGINEER'S CERTIFICATION v.•••••••••••••••••••••:•..' 1loi1 �i-✓ _ { ..Kt •ii •. 1 csANy that 1 have defemdned through field inapecUons and Q. ,, *.t"t000xe ►. mom review of A4ffWc al records that the above systerns aro In a • 35Cg ' conforrnence with MOA HAA gukWms In effect on fhb date. n .f Herne .. Engineer's Printed Nae -rAeo d1'ort F• � Z' P.• Date HAA Fee S 3 00 —7& Date of Payment 712-9/of Receipt Number 2 ; ► Y (Rev. 12(DO) Waiver Fee S Data of Payment Receipt Number MUNICIPALITY OF ANCHORAGE MEMORANDUM WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO. 14A oro111 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot __ Block — of ,Stysitnot Subdivision, the well's productivity was determined to be _0,:ZS-gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a bedroom residence is Q_R1 gallons per minute. Although the subject well currently exceeds thi's minimum requirement, all parties concerned are advised that -the . production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies bf the subject Health Authority Approval. 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 Parcell.D.#1�—�t�-) HAA# 1. GENERAL INFORMATION Complete legal description l u t a Scor/fn. S14nse f SID Location (site address or directions) 12201 CbFlo4h-,'1f T`m'd Property owner Fr11,z Pe 4y 0A,) Day phone 3`1S - zaos_ Mailing address P.O. Box Ilo5ti1 z� .' A-Aehorg4' jk 995-11 Lending agency E,r-rf NeXI Sunk oj� 4Ach Day phone 276-0300 Mailing address P-0- 130"1 1 oo7 2c.;, A-AcAoroT Ak 99S 10 Agent N - A ( Re 1!;9al) ( e_ ) Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: `/ 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site ✓ 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. 72-0251Ray. 1/91) Pmol 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 furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm F(aF><oo? Techs 1co ! seryitPl PhoneyS- 3s Address l`1S30 macho Sf. A�chu�aVe f}k 9eSib� Engineer's signature ^ `�� ^d�� Date Derr_ 65 1993 6. DHHS SIGNATURE M Approved for 4 bedrooms. Disapproved. Conditional approval for 3 bedrooms, with the following stipulations: Additional Comments SEE d' !FAC 14 Fe Ad✓rloi4 >' 411TIC Date /2 - 23 -93 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto 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. 72-026 (R.v. 1/91) Beck MOA k21 ® Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: h o f 3, S S IfAo f Ul)Se f Parcel 1.D. A. Well Data Well type PrrrIla Fe If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) N Date completed 197`/ Driller G(n�' Total depth > (30' Cased to 13edr0ck- Casing height Sanitary seal (Y/N) V FROM WELL LOG Wires properly protected (Y/N) Y ( rnsrde GC va Pin endo t �� AT INSPECTION Date of test 1 2/ 7/ 9 3 z G_ 7, Static water level 6,5-,0 `g c z Well flow g.p.m. 0.76 3 ro z a Pump levell 129' c:, > m c > SEPARATION DISTANCES FROM WELL TO: M" Septic/holding tank on lot 110' ; On adjacent lots > too' G S ti Absorption field on lot 220, ; On adjacent lots > 16V z Public sewer main N. A. Public sewer manhole/cleanout Sewer service line > 2s' Petroleum tank None seen WATER SAMPLE RESULTS: Coliform O cot /too m e Nitrate `1. 2 mc, /-e Other bacteria col Date of sample: 12/ 7 / 93 Collected by: Flat- r Tech SrrG B. SEPTIC/HOLDING TANK DATA Date installed 9 / 1H / 93 Tank size (Zo arcrl Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) r Depression (Y/N) N High water alarm (Y/N) N. A. Alarm tested (Y/N) Date of pumping NI. A. New rest.) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot /W a' On adjacent lots > 100' Foundation 3S To property line 50' Absorption field 100' Water main/service line > 2s' Surface water/drainage 72-026(9/93)• Front CONTINUED ON BACK PAGE C. LIFT STATION lel' A. Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent(Y/N) High water alarm level "Pump on" level at "Pump off" Level at tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed 9 / t Y /9 3 Soil rating (GPD/Ft') 0.8 System type 7r eA e/ Length E5 Width 2.5' Gravel thickness 6.2 Total depth 12' Total absorption area 806 & Cleanout present (Y/N) Y Depression over field (Y/N) N Date of adequacy test N -A. C Now) Results (pass/fail) hi. B- for / Bedrooms Water level in absorption field before test N• A. After test N A. Peroxide treatment (past 12 months) (Y/N) N If yes, give date N• A SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1220, On adjacent lots > ( aa' Property line /2' To building foundation t�/S, To existing or abandoned system on lot > 30 On adjacent lots 7 30' Cutbank N • A. Water main/service line > ZS' Surface water > too, Driveway, parking/vehicle storage area > ( ao Curtain drain Nana E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. rr Signature Engineer's NameI h eo�a� �. /—too�e [.:_ono;:.: J. 'u:o,E ; Cl-JJUJ .- Date Dzlv' t99 Z c ,. tiat, HAA Fee $ -f?00 Date of Payment /,V —/�O %3 Receipt Number ;2•5 �%% 72-026 (3193)' Back Waiver Fee $ Date of Payment Receipt Number WATER WELL ADVISORY HEALTH AUTHORITY APPROVAL NO. k1A / 3077 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot 3 Block of 5U41597- Subdivision, the well's productivity was determined to be t1b gallons per minute. The minimum well productivity required by this department (AMC 15.55) for a 4 bedroom residence is .42 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of noncritical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. FLATTOP TECHNICAL SERVICES 14530 Echo St., Anchorage, AK 99516 Ph. (907) 345-1355 ADEQUACY TEST DATA SHEET Wet( Flr,w 0114' Legal Description: �_af3 I(S.fna_ SunSef Street Address: /22o( Coffran%(1 Trrt'( Client Name FrI-'Z Pet'l, 'An Test Date: IZ/ 7/93 Tested By: 7- F. t-toare Initial Conditions: Float #1 in set____" b.t.o. " pipe w. " fluid Float #2 in_ set " b.t.o. " pipe w. " fluid Float #3 in set " b.t.o. it pipe w. ".fluid Float #4 in set_ " b.t.o, " pipe fluid Water added through. _W. ACTION TIME H2O METER NFT. GAL WL'LL I1iD V TAKEN LEVEL 5%arf It:oS ' 3!d 63S 11:og &2 I: IH 719&Y----- 2 than e in um it: 1& (26 11:22 1Z-7 it :32 ---- t17 Re farf It : H( 31 o -7 I t 2 $11701, It :'i7 310 77/ 136 ¢SL 129 -(30 eh e f,er lac fc fef_ /I : S -O _ ;9 ---- 12 : Iy — - 12-8 _ 2:17 126 Res rf 12:23 3(077/ ----- --1 Z.3 .S 12:3( ?106'/0 20S t69 (Z9 Yntefer wu ..( AoF bcee to 1:30 1Z6 1:36 ---------- --�ZS- (:'f3 37 min 12/ 19, t : S3 --- ----- - It 6 . 2:07 109 Hesibrf o 2:10 31BYa—-------- _-�o19_ 2:17 3(os7`/ 239 --129 z: 2Z 12 7 Measured Well Yield = 19'xl_N6_ya(lR=O-769p," Adequate for t/ $drms 37mi� Unit Absorption Capacity = Average Absorption Rate = Surge Capacity = Adequate for Bdrms 7Cr/� n 1 GREp.7RANCHORAGE AREA BO`IGH bbDepartment of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INS ECTIOPI REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME _ r^< MAILING ADDRESShHONE LOCATIONl,l'Fi/IBJ. LEGAL DESCRIPTIONS SEPTIC TANK: Sr K s<<..` i /�.(Al (.1nu 9kJ1V q - z<1uiJ DISTANCE_/// / - NUMBER OF / FROM WELL/Z:` MANUFACTURER yA .t_s-,.c':�'� MATERIAL ' `- -T_ < COMPARTMENTS 1 INSIDE LENGTH INSIDE WIDTH_ " LIQUID DEPTH_ LIQUID CAPACITY_L -5 � GALLONS. SEEPAGE PIT: Cis, NUMBER OF PITS _L_ DIAMETER 4iy OR WIDTH �'i_11 LENGTH -J DEPTH 7 r i LINING MATERIAL )CRIB SIZE: DIAMETER �� DEPTH DISTANCE FROM: WELL / r TOTAL EFFECTIVE BUILDING FOUNDATION C6 , NEAREST LOT LINE✓' O ¢. ABSORPTION AREA (WALL AREA) C<'C_ _XSQ. FT. ADDITIONAL ABSORPTION IVIS WELL: TYPE /rLlfU cy CONSTRUCTION _ DEPTH_ r DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE -,SEWER LINE TANK SYSTEM_ CESSPOOL OTHER SOURCES _. APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: LGr'(" 0F11 �/ZA-+ti LOT SLOPE: N, W.. REMARKS: --yy Form No. EQ -031 DIAGRAM OF SYSTEM :tyl SIO I �rl/1Y1� /,rblf fprti, f I r DATE APPROVED - : �- G.A-A.B. �7 ISS,, ,t , rf #1: Time Date Insp _�`%NICIPALITY OF ANCHORAGE � G DEMEN=!�JF HEALTH AND ENVIRONMENT&,,1ROTECTION 825 L Street, Anchoraan. Alaska 99501 �/ 264-4720 Date Received: November 1, 1977 cA.4 � 1 #2 : Time #3: Time Date�1n�_�-�� (� Date Insp / n l l l/^l n Insp LY i ur_Lo. REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: First National Bank of Anchorage % Florence Wagner Mailing Address: Post Office Box 4-2090 99509 Phone: 274-1521 2. Property Owner: James Schultz Phone: 272-3531 Mailing Address: NHN Cottontail Trail 3. Legal Description: Lot 3 Susitna Sunset Subdivision fi 4: Single Family Residence: (x Number of Bedrooms: Four Multiple Family Residence: ( ) Number of Bedrooms: 5. Well System: Individual Well kx) Community/Public System ( ) Permit # Depth of Well Well Log on File,( ) Construction Bacterial Analysis ( 6. Sewage Disposal System: On-site System 4cx) Public Utility ( ) ( Permit # Installed c7 "I / Installer �j tQNt�rt, Septic Tank Size / t7 Manufacturer �jLp&A r„Q, i Absorption Area 690 Soils Rate Material C 6xY6� 7. Distances: Well to Septic Tank / /0 to Absorption Area 1,36 to Sewer Line /n� 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 3 Susitna Sunset Subdivision comments: Affadavit Attached: ( ) Letter Attached: ( ) Date: Z2— Disapproved: ��_ Date: Department Worksheet: 72-010 (11/76) a/ <, % c 6,'C �. //9X/_/ >'� LC%n/E•C /?,/,7ii f,l To < ,Jn'n 13)