The URL can be used to link to this page

Home My WebLink AboutT12N R3W SEC 15 LT 44T12N, R3W, Section 15 Lot 44 #015-052-48 Municipality of Anchorage Page 1 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 543-4744 On-Site Wast,water Disposal System and/or Well Inspection Report Permit Number:. SWO00 ~ PID Number:. 050--791--06 Name: THE THOMAS COMPANY Wast,water System: i New [] Upgrade P.O. BOX 770110 * EAGLE RIVER, AK 99577 ABSORPTION FIELD Ph°"*:(907) 522-5204 No. af LEGAL DESCRIPTION ~' "~ '"" ~"~ ~ "~ '"~ 0.6 em/~. r~ 9.0'-9.5' 44 - - 5.0'-5.5' r~ 4.0' ~'a,ngh~p: 12 N~ 3'~V' 15 SEE DRAWING ,~ 75' WELL: · New [] Upgrade 5' r~ I - PRIVATE 225 r~ 225 ~ 750 sa. r~ ASTM D-3054/F-810 ALPINE DRIM.ING 11/20/01 155 n. CATS EYE 11/15-29/00 SEPARATION DISTANCES . s..~c a.oUng rt S.T.E P. ~o s~puc ~.~Uan utt Ho~,g ~,,~ ANCHORAGE TANK 1000 Well 100'+ 100'+ - - 25% STEEL 2 SurfaC.water 100'+ 1oo.. - - - LIFT STATION / Un* 5'+ IO'.-F -- -- -- ~ ~ ' Foundation 5'+ 10'+ - - - ~ ee' ~ e~ · Curtain ~ ~ :~1~'~ ~ ~ I~. Drain N(~NE KNO~ jl ~e~o~: BENCH MARK BOTTOM OF SIDING ~ POINT I"'"'~ ~ 103.20 AWWC. .a es: s ~ ,/~,/~ooo ~.t:~.........~ , _ ",4effl alv~ A. Oarness.: Department of Health.end Hum'an_ Services approval ~'~. '... Reviewed and approved by Date: '~ -~O -O/'~,[~o ~o,eto~.~.~.~ AS-BUILT DRAWING SW000446 015-052-48 I/ ?1{/ EOT / ~' I I ~.~,'"" NDV '. -.' ,'"': "-* ~.';'','' ' ' ~'*' ~ ~.11'112 3 BEDRO0~ ' '.. ;;," '° :: ..... :~ '~i'~' HOUSr .. f.-:. ,,.... I I . , :...;.'~.. ,.; ,~ .~. I I - --- '"". :,V' ~:"/~/ , I FCO.* I ~. :"; ~.. ~ '.; ',~ ~ - :,.,..,..~ ~ 4*/ ~NDV 1000 GAU. ON ~ ~ AX. r~ .r~. Sa~CTA. K / - A B ¢ ~ O~..At~ A 8 C FCO 12.5 19.2 5-1'1 29.3 19,7 69.5 ST2 39.1 23.1 72.1 DBL1 45.0 25.9 73.3 DBL2 46.0 26,7 73.7 ALASKA WATER & WASTEWATER c.J.o. CONSULTANTS, lNG. SCALE.: 6901DEBAR~ RO~. $*J~'rl~ n ' ANC/~'CRAGE. AK e950~ · PHO~IE ~907)357-6179 · FAX ~[907~358-32~.6 1 ' -- 40' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: THE THOMAS COMPANY (907) 522-5204 2 OF' LEGAL OESCR[P~ON: Tf2N, RSW, SEC. 15, LOT 44 ~'PE OF WORK: AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE pER k, lIT NUMBER: swooo,.6 AS-BUILT DRAWING ,,.,c..,o ,u,,,ER:o,~_o~2_,,8 I~W I000 Al' I, Lg1' - 9429 Af CMI,.~- 94J0 Mf CO FF 'I'~L ~ * 98.19-99 5 ~ 12/21/2000 ALASKA WATERcoNsuiT^N.i.$, & WASTEWATER,,c. ~'~ !E.'.'.. ~-.9~ .~.. .... THE THOMAS COMPANY (907) 522-5204 3 OF 3 I ;Jlfffieurl~ ~T~f-ness.. T12N, R3W, SEC. 15, LOT 44, PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE ..Ma~-OB-01 09110A THE THOMAS CO. ZNC. Munrcipality of Anchorage Department of Health and Human Services ~25 'L" Street P.O. I~ox lgB6~O Anchorage, Alaska g9519-8B$0 /rrJC/( My~rO~ h~p'/lww~ .¢l.a~ch et ego R~r~h~l¢ Data: Soil Type, Thi¢~ess & ~'n{ec S:rat~ slick-up ~anic gravely ~vetly cobbty ~lt S;lt sandy siff-wet w~r ~ & ~1 Parcel Identification Number: 015-052-4F1 Is welt luca'.~d at appruved perm{t location? [] Y~ [] No Yf 261 R3W SEC 15 Lt 44 The Tt?ome$ Co. PO Box 770110 Eagle River Ak. 995?7 Depth (fl) Method of Drilling [~ a{r rotary [] cable tool From To Casing ~ype: steel 0 2 Wall Thickness: ,025 h~ches 2 6 Diamct~.x: ~ inches Depth: 223 t~el ~ 19 Liner Type: I~ 95 D~tcr: ~hes ~p[~ feet Casing nflckup abose ground: ~ feet ~5 105 105 150 Static water level (~om grt~d Evel): 135 feet Pumping level: 223 f~ f~ 165 ~ ~mrs p~p~ng ~ gpm 1~5 198 Reeove~ Rate: ~ gpm 198 221 Mgt~ of Testing: ~(rti 221 223 Well Intake Openin~ Type: ~ O~n End ~ O~n Hole ~ S~ned S{un fc~ Stopp~ ~ f~t ~ ~f~tbm Sla~ ~ f~ Stopp~ f~ Groat Type: Bentonite II 8 Volume: I ,hX, Dcp~: Pump: I~ke Deptk Pu~ s~c hp Br~d Name Well D~nf~r~ U~n Complelioa? ~ Y~ ~ No Method of Disinfection: Ctodne Comments: Well Driller: Alpine Drl#ing & Enterprises P 0 Bet 110496 Anchorage AK 9951 f Atte~tJoll: The ~'ell drillc? shall I~rovido s well In~ to the proper~o, owner within 30 days nf ceanpletion a~ thc property MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Oct 19, 2000 Expiration Date: Oct 19, 2001 Permit Number: SW000446 Legal Description: T12N R3W SEC 15 LT 44 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: The Thomas Company Owner Address: PO Box 770110 Eagle River, AK 99577- Parcel ID: 015-052-48 Site Address: 009300 JUPITER DR Lot Size: 54450 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be In accordance with: 1. The attached approved design. 2. Ail 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 (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: October 2, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed well and septic system for Lot 44; TI2N, R3W, See. 15, To whom it may concern: A previous well and septic permit was issued for this property for a five bedroom residence. The following is a request to a re-issue the permit for a three bedroom residence.The proposed 3 bedroom house will be served by a private well and septic system. Test holes were excavated on the property in the area for the proposed septic system. The proposed septic system will be designed around the 30 foot radii ofTH#2 & TH#3. We are proposing that a 1000 gallon septic tank and a five foot wide drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: A soil log which shows the soil classifications, groundwater monitoring, and the pe.r. colation test results are attached. It is ow opinion that due to the overall appearance of the soils, an application rate of 0.6 gallons/day/ftz should be used. 2. TRENCII DESIGN: a. Percolation Rate: <1, 21.8, & 12.3 minutes/inch b. Allowable Application Rate: 0.6 gallons/day/ft2 c. NumberofBedrooms: 3 'd. Design Flow: 450 gallons per day e. Minimum Absorption Area: 750ft2 f. Total Depth: 9 feet (max.) g. Effective Depth: 4 feet h. Width: 5 feet i. Minimum Length: 75 feet long j Effective absorption area-- 750 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 4. TOPOGRAPIIY: The area for the proposed septic system has a g~dual slope fom east/northeast to west/southwest that is less than 10 percent; in short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179, or 244-9612. Thank you for your assistance. Sincer 1I ~ Pres~d , P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, two soils logs, and a 7 page construction specification letter ,vhich are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com I LOT 33A ---- T12N, R3W, :SEC. 15 ~ I I P~E 2 OF 2) I I ~ /~-- --~R~ HO~ I '// I ,'",,~,.~.~' ,,~. ,, "~"' ,~. ~ · ~,......_.. -. : ;;;~;'"" U~ON ~RE~ / " Il II ~ I I i , ~T 51 I ~ 52 , I .:. . ,o / ooo A~S~ ~rATER & ~ASTE~TER ~o.s~.~..~, ,.c ................ ~...,~ ,,,~.~,.~,.~,,~.~,o,,,,,~,,,.,~,.,,,~,,, ~"= ~oo' THE THOMAS COMPANY (907) 522-3204 1 OF 2 T12N, RSW, SEC. 15, LOT 44, SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM T12N, R3W, SrC. 15o c~o~ (O~L)~ I ~!~ /~~, ;':~ '..::. '~' ,~ X __ ~': ..... .~.-. . ..... ~ ~- ~ .o~, ,.-..- ;.... :......~ ~ / _ ~ _ _ ~ %¥, ~ % ~ .... ' t' .~....-,. ~. / XM, ~ ~ ~,, ~ / PRO~ D~N~. ~VA~~ ~D 4 f~T OF ~, 1~; ~ ~R A ~0~ W~H~ S~ [N~ ~CH p~l I Fl 5~C ~ ~ -~ ~ ~T 45, ~SI~ WATERcousu[,~,s. & WASTE~VATER~uc. ~ - = ao' . · ...... "~ :: ~ .......... THE THOMAS COMPANY (907) 522-3204 2 OF 2 ~ ,~o~: ~?~.....~ ~ ........... ..f~ T12N, RSW, SEC. 15, LOT 44 ~[ OF WOR~ DESIGN OF PROPOSED WELL AND SEPTIC SYSTEM '~~ Rick Mystrorn. Mayor Mmficipality of Anchorage Department of Health and Human Services 825 'L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 httl3://www.ci.a nchorage.ak.us June 7, 2000 Cecil Barnett 607 West 12th Ave. Anchorage, AK 99501 Subject: T12N, R3W, Section 15, Lot 44 Permit # SW990282 PIX) # 015-052-48 The subject permit #SW990282 issued by this office for a single family well and/or on- site wastewater system, is due to expire 365 days after it's issuance on August 16, 1999. If this is a well permit and you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If this is an on-site wastewater system and a licensed Professional Engineer has inspected the installation, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. However a new permit can be issued.free of charge for a second year if the application for the renewal is received on or before the date of expiration of the original permit for whic. h a ?ee was paid. When applying for a new permit after the original permit has expired or for more than a second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-4744. Program Manager On-site Services eno: Copy of Permit Alaska Water & Wastewater Consultants, Inc. 6901 DeBarr Road, Suite 2B ~Anchorage, AK ~99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers July 8, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Well and Sewer Design for Lot 44; TI2N, R3W, Sec 44. To whom it may concern: The referenced property is currently undeveloped. The oxvner wishes to build a 5 bedroom house with an on-site septic system and well. Three test holes were performed on the property. The soils were logged by Steven C. Henslee, P.E., and the percolation tests were performed by A.W.W.C., Inc. See attached soil logs by Henslee for details. Comments regarding the proposed design are as follows: 1. SOILS: See attached soil logs by Steven C. Henslee, P.E. for soils classifications A percolation test in test hole #1 was performed between the depth of 7.0 to 7.5 feet and found the rate to be 60 minutes/inch. Two percolation tests in test hole #2 were performed between the depth of 5.5 to 6.0 feet for the upper bench, and between the depth of 10.0 to 10.5, for the lower bench. We found the rate to be <1 minutes/inch in the upper bench and 21.8 minutes/inch in the lower bench. A percolation test in test hole #3 was performed between the depth of 6.5 to 7.0 feet and found the rate to be 12.3 minutes/inch. 2. TRENCII DESIGN: a. Percolation Rate: <1, 21.8, & 12.3 minute/inch b. Application Rate: 0.6 gallons/day/fl2 c. Number of Bedrooms: 5. 'd. Design Flow: 750 gallons per day e. Minimum Absorption Area: 1250 ft2 fi Maximum total depth: 9 feet g. Effective Depth: 4 feet h. Reduction Factor -- 0.50 i. Width: 5 feet j. Length: 125 feet k. Effective absorption area-- 1250 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPIIY: The entire lot has a gradual slope from east to west that is less than 10 percent. In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance}/} Jeff ;/l '3amess,--P.E.,M.S. Presiden LOT / i~ ' LOT ,35 TI2No R3W. S£C. 1,5 \ I -- PROPOSED S~PTIC PA~£ 2 OF' 2) \ '~ / /~ J /--PROPOSED FNT: I I ULLESTON STREET LOT 51 LOT 52 ALASKA WATER. AND WASTEW^TER CONSULTANTS, INC. ~ ............... :...~ JEREMY HERMAN (907) 522-5204/727-5205 ~.~ ............. K.D.W. I = 100' 1 OF 2 PHONE (907) .~57-6179 · FAX (907) ~38-~246 = SOIL LOG-- PERCOLATION TEST I LEGAL DESCRIPTION: T12N, R3W, SEC. 15; LOT 44 PERFORMED FOR:_ JEREMY HERMAN .... DATE PERFORMED: 7/2/99 ITEST HOLE #1I I I N ~GW ~ ORG :~ GP ~ ML GM CL GC OL SW HH ~ SP CH ;~SM OH SC DEPTH TO DATE G ROUNDWATEI~ DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 7/14/99 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING 1 3:00 6' 2 3:30 30 5 9/16' 7/16" 3 3:30 t 6" 4 4:00 30 5 1/2" 1/2" 5 4:00 ~ 6" ~ 6 4:30 30 5 1/2" 1/2" PERCOLATION RATE 60.0 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 7.5 FT. AND. 8.0 FT. COMMENTS: PERFORMED BY ALASKA WATER & WASTE-WATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFQRM£D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON 6901 OEBA. RR ROAD, SUrgE 2B * ANCHORAGE. AK. 99504 PHONE (907) ;337-6179 * FAX (907) 358-3246 ISOIL LOG - PERCO~TION TESTJ ' ~,~. , PERFORMED FOR: JERE~ HERM~ ~ ~~j ..... ~ Pr-. 1-- (PAGE 1 OF 2) ~ 1SITE PL~ ' ~RO~Sm ~ GW ==:=: ORG I; I": I00' I lsat. HO~[ ' ~ GH CL 4-- ~ ~ GC OL SW HH ", sP 'CH ~' ~ I s- a SC ~X~[~ ~ 7 -- ~ GROUNDWATER g-- ~ T12N. R~, SEC. 15 ~o- d 11-- ~ DATE RE. lNG CLOCK NET TIME WATER LEVEL NET DROP TIME (MIN~ES) RE.lNG (INCHES) 12-- ~ :7/14/99 P~C. HO~ W~ PRESO~ED 4+ HOURS PRIOR TO 14~ ~-~-~,-- ~ ~ 16-- 18-- 19-- PERCO~TION ~TE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20----- TEST RUN BETWEEN 5.5 FT. ~D 6.0 COMMENTS: PERCO~ON DATA ON ~IS PACE FOR UPPER BENCH PERC. HO~ ONLY. PERFORMED BY A~S~ WATER · WA~A~R. I. JEFFR~ A. GARNESS. CERTI~ ~T THIS W~ PERFORMED IN ACCORD~CE W~ ~ ~ATE ~D MUNIClP~ GUIDEENES IN EF~ ON DATD R I~1~ DEPTH TO DATE GROUNDWATER ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~"~'~"~ PHONE (907) 357-6179 · FAX (907) ,~58-x248 ISOIL LOG - PERCOLATION T£STI , LEGAL DESCRIPTION: T12N, R3W, SEC 15; LOT 44 L'~'"" "7' "~I' ..... ~'" PERFORMED FOR: JEREMY HERMAN ~ "'~'~'t'J ~ ~i~''~'~'*''~*' ...... DATE PERFORMED: 7/2/99 "".. .oc[ "/ 1-- (PAGE 2 OF 2) ~ SITE PL~ ~P~o~ GM CL 4-- ~ / GC OL ~, ,, SW HH I SM OH m~2 . GROUNDWATERDEPTH TO ~ 7-I: DATE lo- d m ll- ~ DATE RE~mNG CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HmN~ES) RE.lNG (INCHES) 12-- ~ 7/14/99 P~O. HO~ W~ PRESO~[D 4+ HOURS PRIOR TO 13-- ~ 1 3:02 -- 6' __ m 2 5:52 ~0 5.0" 1.0' 14-- ~ 5:52 -- 6' 4 4:02 50 4 9/16' I 7/16' 15-- 5 4:02 -- 6' 16-- 6 4:52 50 4 1/8' 1 17-- 18-- / 19 ~ PERCO~TION ~TE 21.8 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20--- TEST R~ BETWEEN 10.0 FT. ~D 10.5 FT. COHMENTS: PERCO~ON DATA ON ~IS PAGE FOR LOW~ BENCH PERC. HO~ ONLY. PERFORMED ~ A~ WATER ~ W~A~R. I, JEFFR~ A. GARNESS, CERTI~ ~T W~ PERF~D .IN ACCORDANCE W~ ~ ~ATE ~D MUNIClP~ GUIDEUNES IN EF~CT ON DATE: ~1~1 ~ DEPTH TO GROUNDWATER DATE ALASKA WATER & WASTEWATER CONSULTANTS, INC. PHONE (907) 3,37-6179 * FAX (907) ~38-3246 [SOIL LOG - PERCOLATION TEST I LEGAL DESCRIPTION: T12N, R3W, SEC. 15; LOT 44 / ~ ITEST HOLE #31 '"" ~ 1SITE PLAN[ ,--PROPOSa) 3-- ~ GP rT]Tr~ HL / 4-- / IGC OL ~°0 I SW ~ MH w\~ B-- O, 0 ~. $ ROUNDWATER 0- ~, LOT 45 T12N, RSWo 1~- ~ D~TE RE~mN~ CLOC~ NET ~E W~E~ LEVEL NET ~OP T~E (~N~ES) RE~N~ ONCHES) 12-- ~ 7/14/99 PERC. HO~ W~ PEESO~ED 4+ HOURS PRIOE TO ~NG ~ 2 3:33 30 3 5/8' 2 3/8" 14-- 3 3:34 -- 6- 4 4:04 30 3 1/2' 2 1/2' 15 -- 5 4:04 -- 6' 16-- 6 4:34 30 3 9/16' 2 7/16" 19-- PERCO~TION ~TE 12.3 .(HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20-- -- TEST R~ BETWEEN 6.5 ~. ~D 7.0 FT. COHHENTS: PERFORMED BY A~ WATER ~ W~A~R. I, JEFFR~ A. GARNESS, CERTI~ ~T W~ PERF~R~EO IN ACCORD~CE W~ ~ ~ATE ~D MUNIClP~ CUIDEUNES IN EF~CT ON DEPTH TO DATE ROUNDWATER Municipality of Anchorage [ ' DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED POR= · EG^. DESCR,PT,O.= 4-4/ SLOPE 4- 5- 6 7- g- 13. DATE PERFORMED: Township, Range, Section: T/£At £J SITE PLAN 0 P E 14. 15- 16- 17 18 19 20 Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN IrT AND FT COMMENTS Perco/~4i~n PERFORMED BY: I CERTIFY IHAI ~HIS ~EST WAS PERFORMED IN ACCORDANCE WI~H ALL S~A~E AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; PERFORMED FOR: Municipality of Anchorage [7'/']'21 DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAl. DESCRIPTION: 1 2 3 4 5 6- 7- 8 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20. Township, Range, Section: 7'/~/v/ /~,~J4/~ ,~ ~ SLOPE S,T~P~AN I N WAS GROUNO WATER ,I ENCOUNTERED? . /vo IF YES, AT WHAT pO :2' Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ (minutes/tach) PERC HOLE DIAMETER PERFORMED BY: /I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72~ (R~. Municipality o! Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG .-- PERCOLATION TEST LEGAL DESCR,PT,ON= 9- 10- 11 13- 14- 15- 16 17- 18- 19- 20- WAS GROUND WATER ENCOUNTERED?. IF YES. AT WHAT DEPTH? DATE PERFORME~.~~ Township. Range. Section: T/2t~ SLOPE :b~TE PLAN I)epth to Water ,il,~erj I. ^ Reading Date Dross Net Depth to Net Time Time Water Drop PERCOLATION RATE (m,nutes,'~nch) PERC HOLE DIAMETER TEST RUN BETWEEN __ FTAND FT · PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4t85) Municipality of Anchorage Development Services Department Rutlding Sat'cry Division On-Site Water & Wastewater Pmcjram 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519--6650 www.cLancherage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH ,~UTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 050-791-06 t. GENERAL INFORMATION /-I 01o//3 Date: -30 - O l CompletelegaldescriptJon T12N, R3W, SECTION 15, LOT 44 Location (site address or directJons) 'JUPITER STREET * ANCHORAGEw AK 99515 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address THOMAS COMPANY Dayphone 522-3204 P.O. BOX 770110 * EAGLE RNER~ AK 99577 Day phone Day phone Unless otherwise requested, HAA will be heid by DSD for pickup. 2. NUMBEROF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAl.: · Individual On-site Individual Holding tank Community On-site 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 AJaska. Certificates of HeaIth Authority Approval are required for the transfer of title (except between spouses) for properties served by a single famiIy on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeownem. Certificates of Health Authority Approval are valid for g0 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 pedod of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions In the professional engineer's work. Note:Alaska Watar and Wastewater Consultants, Inc. shall be pald $ .OO at, or prlor to closing for the engineering eervfces provided. 4. STATEMENT OF INSPECTION BY ENGINEER As cerb'fied by my seal affixed hereto and as of the velida§on date shown below, I vedA/that my Investigab'on, based on procedures outlined In the Health Authodly Approval Guidelines for this application, shows that the on-site water supp~/ and/or wastewater disposal system Is(are) safe, funcfonal and adequate for the number of bedrooms and type of structure indicated herein. I futlher verify that based on the information obtained from the Municipali(y of Anchorage files and from my Investigation and Inspec~on, the on-site water supp~' and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and r~cjulations in effect at the time of installation. Name of Firm ALASKA WATER &: WASTE'WATER CONSULTANTS. INC. Address' 6901 DEBARR ROAD. SUITE 2B * ANCHORAGE, AK 99504 Engineer's Pdnted Name JEFFREY A. GARNESS, P.E. Engineer's Comments: Phone 3,37-6179 DSD SIGNATURE Approved for Disapproved. Conditional approval for __ In conducting this evaluation, AWWC, Inc. attempted to provide a thc~ough, DSD Guidelines & R~u/at~one, The reported results descfibed the performance of the a'ystem under the condYJons encountered at the time of the test, and sepa~aEon distancos reeasured to readi~f ldentitiable featores. The operationaHife of all wells and septic systems depend on the loc, at soils cond~on, groundwater levels that may fluctlJate d. fing the year, and the waler usage of the family belng served by the ~'ystom. results do not guarantse future i~fiormance of the system, ~or do they guarantoe that there are no hldden defocts or encroachmen~. Ar/WC, Inc. can therefero not provlde any warranb' or fufure estfmate of how long the system wfll continue to meot the '{J~w,. "'.V.. ...*'"_ ~, ~ the sole benefit of the owner I/sled above. Any reliance upon or use of this other person or party is not authofized, nor ~fll It confer any I~Jal fight ~ bedrooms. ~'' '"" '""~ ' .. : WATERAND ~rn~ ~ :. WASTEWATER ..... ~ : PROGRAM bedrooms, with the fllowlng sapumuons: ?. ~ oo .. . ..... Attachments: HAA CheckJist Septic System Advisory Well Flow Advisory Manitenanca Agreements Supplemental Engineer's Reort Other Odgthal Certificate Date: Municipality of Anchorage Development Services Department Or.~te Water & Wastawater Program 4700 South Bragaw 8L P.O. Box 1~6850 Anc~mmge, AK ~g519-6850 A. WELL DATA Well ~ PeVA~ HEALTH AUTHORITY APPROVAL CHECKLIST T12N, RSW, SECTION 15f LOT 44, ParcellD: IfA. B, otc pm~de PWSlO# N/A wen Log (Y/N) Oatecof~lpleted 11/20/'00 ~linltafyleal(y/N)YES Total depth 223 It, Cased t~ 223 It, FROM VVWt ! LOG Date of test 11/'20/'00 Static water level 155 Well production 15 .g.p.m. WATER SAMPLE RESULTS: TarOt Ty;x~la~r~ lOO0 STOL Number of Compartments 2 Date of pumping NEW ABSORPTION REID DATA AT INSPECTION Depression over tank (Y/N) NO Pumper PBELOW FINN. GRADEI 050-791.06 YES YES 18+ In. A.W.W.C.f INC. Date Instelled 11/15-29/00 Cteanoute (Y/N) Y~S High water alarm (Y/N) N/A Dateinstelled ~/~-2~/oo Sollrating(i~lor~redrm)O.6 Length 75 lt. Wldth 5 lt. Toteldepth "~.~'-l~..~lt. Eff. absoq~onarua 750 ft~ Monltoringtube YES Date of adequacy test NEW Results (Pos,~ell) Fluid depth in absoq~ion field before test - In. Water added - gal. Elepeed 11me: - min. Final fiuld depl~ - In. Any mJuvenaUon treatment (past 12 mo.) (Y/N & type) b~tam~ S-WIDE DRNNFIELD C.~avel below pipe 4 fi. Depresslen over field NO Newdeplh - In. rate )- - g.p.d. D. UFT STATION Date Insta]ted, Size In gallons 'Pump on' level at In. "Pump n. High water alm~t level et ~ In. Da.~.~------------~ Cycles tested Mon~ alarm & circuit requirements? E. SEPARATION DISTAHCF.~ SEPARATION DISTANCES FROM ~ I ON LOT TO: Sep~c tank/l~ steUon on lot 100'+ Abonrpflon f~eld on lot 100'+ Public ~ewar main Sewer/septlo ~ervtce line ' 25'+ On adjacent lots lOO'+ On adjacent lots 1 oo'+ Public sewer manhole/cleanout Hold]rig tank N,/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Bulldlno foundation 5'+ Property line 5'+ Water main N/A Water service line. 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Abon~don l[eld Surface wa~r. 100'+ Properly line 10'+ Water sendce ,ne 10'+ Curtain drain NONE KNOWN COMMENT6 Building foundation lO'+ Surface water 100'+ · Wells on adjacent Io~ 100'+ Water maln N/A Driveway, pa~ngNeldde abxage 50% O. ENGINEER'S CERTIFICATION I cerUfy that I hsve determined through field inspecUons end mtdew of Munlclpe] records that the above ays~ms are In conformance with MOA HAA guidelines In eff~f on INs date. Engineer's Print~ Na/l;he JEFFREY A. GARNESS Date of Payment Recelpt Number ~ 8 ~i~ p~. ~o) Waiver Fee $ Date of Payment. Receipt Number, · ' Ha~-08-O1 09:20A THE THOMAS CO. INCo 694-5202 Po03 JUPITER DRIVE 8 O0~O~'O0°E 1~.07' PLOT PLAN ~ ASBUILT 'A SCALE; I' - eo GRID ze~e., Project No.. I ~na ~ &tRneler~ml I~ 11500 Da~ Avenue. Anchorage, Na~ka 99515 Kegm~ema ~na ~u~eyom (go7)522-48~ Fax