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HomeMy WebLinkAboutFISCHER BLK 1 LT 3A1Fischer Block 1 Lot 3A1 #015-292-18 • • JH`�SVAL!/`OF. MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program ,�, oent S�'. `, PO Box 196650 4700 Elmore Road ` Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997 ,� http://www.muni.orglonsite `"' r. Department 4,;-<:;;0;;-0. On-Site Water System Permit Permit Number: OSP191419 Effective Date: 9/19/2019 Work Type: Well Upgrade Expiration Date: 9/18/2020 Tax Code Number: 01529218000 Site Legal Address: FISCHER BLK 1 LT 3A1 G:2537 Site Mailing Address: 5140 SELDON CIR, Anchorage Owner: FORBES GLENN & STEPHANIE M Lot Size in Sq Ft: 11606 Design Engineer: Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: To close this permit please submit: 1. Well Log 2. Pump Install Log 3. Water sample results 4. Well Decommissioning Log Received By: Date: 91i / I Issued By: / / �C� Date: 007 MUNICIPALITY OF ANCHORAGE r �.e Development Services Department Phone: 907- -7904 On-Site Water & Wastewater Section Fax: 90 43-7997 • ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 0715 -o2ga- t�S Property owner(s) Henn QS Day phone 90 7 02,93-71-70 Mailing address 51yo selLko, CI( AnaV,, NA g5SD7 Site address Sgw�Q Legal description (Sub'd., Block & Lot) F'c i er ,A-j � "Bk c K 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms '14 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) [S (w/wo ADU) Septic Tank ❑ Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: `PM) -� Waiver Fees: Date of Payment: p� i011 Date of Payment: Receipt Number: 021 (g 2. 01) Receipt Number: Permit No. 05P 11 14) Waiver No. G:1Development Services\Building SafetylOn Site Water and Wastewater\FormslClient Forms\Permit Application.doc . . . • 5eldon Circle 'Av ty �e\I W;\c k N 89°53'10"E 68. 14' < Co��S ( f ''^^ t t a O\\\\\NS 1, 00 O • aiC'et,\-i on RccAs.)1(12 n-Ift"\-5 1 , I I ZFiI2,L71-1B 1 1e 1 � q�jq1aol1 CRAVE!. 1 DRIVEWAY 1 S 1 x 1 1 1C...).1 I I Is s t` `` 1 rl ss \\ N ^ O imiragiaria \ Ill' I `Kt-- LI N 1 1 a' I .-1. , o o in cK O 4ap0000k0 z illN �� (]Fqk�4d4� ,tict , .. X1'1. 49TN ab0 An . OO c SHANE A. HOLT: DO —0,—...) O ! • LS-69 1 4 • �yQ ON.'' ' J v pyo .•••' o 4pq 57 ' ' I I 444Oo�aO• .� E.4 UUIii" a�� Y. AS•BUILT SURVEY(NO CORNERS SET THIS DATE) SCALE 1'•20 ►d unu7Y uscwcwr VE r A N 89°55'10"W 8 9.5 91 MORTWGEE'I HERESY S INSPECT1pT I N OF THE FOLLOw1NG �p I' LOT 3A BED PROPERTY LOT 3M.BLOCK 1,FISCHER SUE 7CaPoSe 1 OCA*i O 0 ANCHORAGE RECORDING DISTRICT.ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN NIYHIN THE PROPERTY UNES AS NOTED AND NO VISIBLE EXISTING STRUCTURES AND PLATTED LOT UNE5 OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL ENCROACHMENTS EXIST EXCEPT AS NOTED. STRUCTURES OR FENCEUNES. DATED AT ANCHORAGE.ALASKA THIS_22ND_ EASEMENTS OF RECORD,OTHER THAN THOSE SHONN ON THE RECORDED PLAT,ARE NOT SHOWN HEREON.(UNLESS tNOICATE0) DAY OF AUGUST 2007_ HOLT LANG SURVEYING 165�S.F8 126.61 NOTE ANY FENCEUNES SHOWN ARE LOCATED APPROXIMATELY AHD ARE NOT TO SE USED TO DETERMINE PROPERTY LINES TEL 315.5513 OR LOCATE STRUCTURES ANY PAVING SHOWN MAY SE APPROXIMATE DUE TO SNOW CONDITIONS. GARNESS ENGINEERING ENGINEERING SALES - CONSULT January 25, 2023 Municipality of Anchorage -r� e- ���� Development Service Department I ,ro On -Site Water & Wastewater Prog (OV 4700 Elmore Rd. P.O. Box 196650, j g 00 Anchorage, AK 99519-6650 G A'` (907) 343-7904 a Ref: Fischer S/D; Block 1, Lot 35 0 Seldon Circle, converting CAT III AWWTS to CAT II AMTS TS septig s To whom it may concern: quanics 6P, Lai— � m Memo concerning The permitted septic system was installed on the referenced property and started up in 2007. ARM Septic Services, LLC has checked the monitoring tubes in the drainfield on 5/10/2022 and found them to be dry. In order to simplify the operation and maintenance of the system, we are proposing that this unit be permanently configured as a Cat II system. Our justifications are as fo I lows: The receiving soil had percolation rate of <1 minute per inch. Given this percolation rate, a 4.0 gpd/sq.ft. application rate is allowable for a Cat II system. The home has 4 bedrooms, so 150 sq./ft. of absorption area is required for a Cat II system (600 gpd / 4.0). The existing 2007 drainfield has 225 sq./ft. of absorption area. The Inspection Report shows the soil rating to be 3.0 gpd/sq.ft. and does not need to be amended. At this time, we request that your department approve a CAT II configuration to be used at the referenced property Upon your concurrence, ARM Septic Service, LLC., will remove the actuator from the ball valve, leave the valve in the open position, and place a CAT II sticker on the control panel. /) n Sin Gc!Mess j P.E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage Development Services Department Building Safety Division ✓ On -Site Water & Wastewater Program, 4700 Bragaw St. ; a -; }. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW070123 PID Number: 015-292-18 Name: PAUL JOBE Wastewater System: ❑ New ■ Upgrade Address: 5140 SELDON CIRCLE * ANCHORAGE, AK ABSORPTION FIELD Phone: No. of Bedrooms: (907) 253-1667 4 ❑ Deep Trench ❑ Shallow Trench ■ Bed ❑ Mound ■ "Other LEGAL DESCRIPTION Soil Rating: 3 O Total Depth from original grade: 4.5 TO TOP OF SAND GPD/sg. Ft. Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 1 3A1 FISCHER 3.89 Ft. 0.61 Ft. Township: Range: Section: Fill added above original grade: Gravel length: — SEE DWG. Ft. 15 Ft. WELL: ❑ New \ Gravel width: 15 Number of lines: 3 Distance between lines: 5 \ Ft. Ft. t Classification (Private, A,B,C): \1\I ✓Cased To:(BEDRDCK) Total absorption area: Pipe material: Ft. \ 225 so. Ft. D 3034/ F-810 Date Drilled: Static Water Level: Driller: �\ / \S� Installer. GEG, Ltd. Date installed: 7/5-9/2007 Ft_ Yield: Pump Set At: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ■ Septic ❑ Holding ❑ S.T.E.P. ❑ Other TO Septic Absorption Pump Holding Public/Private Manufacturer. GREER Capacity in gallons: 1500 From Tank Field Vault Tank Sewer Lines Well 100'+ 100'+ 100'+ — 25'+ Material: 10 GAUGE STEEL Number of compartments: 2 Surface Water 100'+ 100'+ 100'+ - - PUMP VAULT Lot Line 5'+ *2 5'+ — — Size in gallons: 211 Manufacturer. QUANICS Foundation 5'+ 10'+ 5'+ "Pump on" level at: "Pump off' level at: High water alarm at: — — TIMERTIMER 36" Curtain Drain __+_ NONE KNOWN I I Pump Make do Model: P—SE-12T Electrical Inspections performed by: MOA Remarks: OLD SEPTIC TANK AND CRIB PUMPED AND BENCH MARK Location and Description: FILLED WITH CONCRETE. TOP OF CONCRETE SLAB 9) NORTHEAST CORNER *2 FOOT LOT LINE WAIVER GRANTED. OF GARAGE DOOR **THIS IS A QUANICS AEROCELL SYSTEM Assumed Elevation: 100.00 Ft. } GEG Ltd. . Inspections performed by: Dates: 1st 7/5/2007 2nd 7/6/2007 ENGINEER'S SEAL 000 Op 0 OFi 3rd 7/9/2007 r sr��o Development Services Department Approval Qap T �� D ............................0� �Q' � Conditional approval: Date: ...... • • • • • • • • • • • • • • • • • • • • •� QO J y . arness: Q 9/. CE —795 (�, .. Reviewed and approved by: ��� ;� �'%' �'"tDate: �Deapoe o (Rev. 4/06) O 40��00�0 0 PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: SW070123 015-292-18 SELDON CIRCLE QUANICS 650 GPD NEW DRAINFIELD AEROCELL UNIT 15 X 15 •. * '. MT1 603 f '.. •d. ,� 2I F � ••C0I I ••° ..�• ?.. 1� a . • MT2 ALTERNATE SITE a 1 TH#1 L- J�. CONFIRMATION TEST a HOLE DUG DURING CONSTRUCTION ° DBL2 \ FOUNDATION CLEANOUT DBC1 A B ' ST1 72.96 50.26 ST2 78.52 58.61 DBL1 18.93 17.78 DBL2 21.01 17.30 MH 81.25 61.93 EXISTING 4 C01 60.25 49.53 ❑ BEDROOM HOUSE CO2 64.79 54.42 \ CO3 69.95 60.08 C04 69.47 52.25 MT1 72.11 62.43 MT2 66.97 49.53 I JV 68.04 51.82 FISCHER S/D \ LOT 3136, BK 1 1 NEW 36" PUMP VAULT w/QUANICS PUMP AND FLOATS IEW 1500 GALLON SEPTIC TANK INSULLATED JANDY VALVE BASIN (JV) N SCALE: 5 N GARNESS ENGINEERING GROUP, Ltd. H CONSULTANTS & GENERAL CONTRACTORS �....:.....�.. t! 3701 E. TUDOR ROAD, SUITE 101 •ANCHORAGE, AK 99507 •PHONE (907)337-6179 •FAX (907)338-3246 • WEBSITE-. www.gomeeeengineering.com I PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �, , , ..• • • '• • • • • • • • • • • • • • • • PAUL JOBE 303-253-1667 2 OF 3 OV '.�efry . Garne LEGAL DESCRIPTION: DRAWN BY: O09�s C 7953 c�G FISCHER SUBDIVISION, LOT 3A1, BLOCK 1 K.D.M. TYPE OF WORK: DATE: 40 oo'Profess�00000 AS—BUILT DRAWING 8/23/2007 �40000�� (Rev. 01/05) 10'001 /rou —) ir•oa = »naiad 0l3lJNIVNO Ol L L'OO L = 31OHNVW d0 d01 Ob'£6 = Aim 1V NNVl d0 d01 — L976 = 13ano 1V ONne 30 183AN1 Zls NNV1 OIld3S NO-11VO 009L M3N 0 L'00 L-68'66 = 30VaO 3VNI3 L676 = 131N1 1V ON19 30 1N3ANI LIS 6£'£6 = AIM 1V ANVl 30 d01 – m m D v N m -q 00 m C I O .. m r o Co C� n o =N N W o m n �� \ o O �" _ m go I— Z o M o o rl M L'l F m W D m 0 co � O Z C7 O 0 D r 0Z 10'001 /rou —) ir•oa = »naiad 0l3lJNIVNO Ol L L'OO L = 31OHNVW d0 d01 Ob'£6 = Aim 1V NNVl d0 d01 — L976 = 13ano 1V ONne 30 183AN1 Zls NNV1 OIld3S NO-11VO 009L M3N 0 L'00 L-68'66 = 30VaO 3VNI3 L676 = 131N1 1V ON19 30 1N3ANI LIS 6£'£6 = AIM 1V ANVl 30 d01 – m v p 0 go C z Z M L'l m r 10'001 /rou —) ir•oa = »naiad 0l3lJNIVNO Ol L L'OO L = 31OHNVW d0 d01 Ob'£6 = Aim 1V NNVl d0 d01 — L976 = 13ano 1V ONne 30 183AN1 Zls NNV1 OIld3S NO-11VO 009L M3N 0 L'00 L-68'66 = 30VaO 3VNI3 L676 = 131N1 1V ON19 30 1N3ANI LIS 6£'£6 = AIM 1V ANVl 30 d01 – GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 01 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK. 99507 • PHONE. (907)337-6179 • FAX: (907)336-3246 • WEBSRE: gameeeengineering.eom VA SOIL LOG - PERCOLATION TEST VA LEGAL DESCRIPTION: FISCHER, LOT 3A1, BLOCK 1 PERFORMED FOR: PAUL JOBE DATE:- 7/10/2007 DEPTH FILL NO ORGANICS (feet) �.���,•. CONFIRMATION TEST HOLE 1 7 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 7/10/2007 DATE READING CLOCK TIME NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) MSO S P C S 19 PERCOLATION RATE — (MIN./INCH) PERC. HOLE DIA. — (INCHES) TEST RUN BETWEEN — FT. AND — FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: — COMMENTS: TEST HOLE PIPE WAS CUT TO GRADE AND CAPPED FOR FUTURE MONITORING PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE �-3 WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: /o q- SOIL CLASSIFICATIONS GW •- II■Illyll i/,%CL GCNNII • •. .�yyY MH SP CH also .glow, GW top vols, • SC 7 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 7/10/2007 DATE READING CLOCK TIME NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) MSO S P C S 19 PERCOLATION RATE — (MIN./INCH) PERC. HOLE DIA. — (INCHES) TEST RUN BETWEEN — FT. AND — FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: — COMMENTS: TEST HOLE PIPE WAS CUT TO GRADE AND CAPPED FOR FUTURE MONITORING PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE �-3 WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: /o q- Rising Son FLectric, Inc. 14916 Voodl.and Prive Lacgle (liver, AIC. 99577 (907) 622-6777 rt, i°t t o/ July 20, 2007 Garness Engineering Group Attn: Jens 3701 E. Tudor Road, Ste. #101 Anchorage, AK 99507 Re: Lot 3A1 Block 1 Fischer - 5140 Seldon Circle - Anchorage, AK Dear Jens: The lift station at the above referenced property has been wired in accordance with NEC and State/Local codes. Thank you. Sincerely, Kevin S. Hornbuckle, Owner Administrator License Number 1284 Specialty Contractor License Number 27285 cc: file Aug 20 2007 10:20RM Rising Son Electric, Inc. 622-6777 p.2 From AppliedMlcrosystems -Wed 19 Jul 2007 06:32:04 PM AKDT Page I of I MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW - INSPECT -ION INFORMATION& HELP: 343-7962 INSPECTION; VOICE 343-3300 INSPECTION: FAX (907)249-7777 %�-u ,mun.i.orcj/.BSD/Inspections.cfm NAME: Kevin Hornbuckle PERMIT #. 07-8401 COMPANY: Rising Son Electrir, INSPECT DATE. 7/1912007 AM PHONE 9: 250-1 . 100 PHbNE#: 907 6226777 P HdNE 9076228777 ADDRESS: 5140 SELDOM CIR LOT 3A1 BLOCK I SUBDIVISION; FISCHER GRID SW2537 COMMENTS or DIRECTIONS Lift station electrical, worker there to let you in People are moving. Semi occupied. Thanks TYPE OF INSPECTION: Retro Electrical COMMENTS: (FOR INSPECTOR USE ONLY) PRINTED NAME - -2- DATE. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water b Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jun 25, 2007 Expiration Date: Jun 24, 2008 Permit Number: SW070123 Parcel ID: 015-292-18 Legal Description: FISCHER BLK 1 LT 3A1 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 005140 SELDON CIR Owner Name: PAUL JOBE Lot Size: 11606 SO. FT. Owner Address: 5140 SELDON CIRCLE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99507 - This permit is for the construction of. ❑✓ Disposal Field E Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by catling (907) 343-7904 ( 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, seated, and heated to prevent freezing. 5. The following special provisions. -NEED TO SUBMIT MAINTENANCE AGREEMENT WITH INSPECTION REPORT. Received By. Issued By Date: Date: — 0 Municipality of Anchorage -tel Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. n15- Aga 18 Property owner(s) PAUL JOBE Day phone 250-8348 Mailing address 5140 SFEDON CR, * ANCHORAGF- AK Site address Legal description (Sub'd, Block & Lot) FISCHER LOT 3A1 BLOCK 1 Legal description (Township, Section & Range) N/A Lot Size W IoD(O Sq.Ft. THIS APPLICATION IS FOR (Nall that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Zip Code 99507 Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP Ltd. Permit/Rush Fees: _!/(�r7 . o O Date of Payment: 4// Q o Receipt Number: K n VC7 ;;L 29 (Rev. 11/05) Waiver Fees: 175.00 LOQ- 1i Date of Payment: G It 8! O 7 Receipt Number: O yO.z- GARNESS ENGINEERING GROUP, Ltd. t, ,., - -: -- _- CONSULTANTS & GENERAL CONTRACTORS - ------,­­ T*- _._7Z May 29,2007 Municipality of Anchorage Development Service Department On -Site Water& Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic System for Fischer; Lot 3A1 Block 1, To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgrade. We arc proposing to install a 1500 gallon septic tank, a 36" Quanics pump vault, an Aerocell unit, and a 15' x 15' drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: Comments regarding the design arc summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAT\FIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There arc no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the topography in the area of the proposed drainfield is flat. 5. LOT LINE NVAIYER: We request that your department issue a 2 -foot lot line waiver from the north property line to the new drainfield. There are no water mains in the road closest to the north property line, nor any septic systems within 50 feet of the north lot line. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. We arc unaware of y adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, pie ekontact us at 337-6179. Thank you for your assistance. M.S. NOTE. Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamesscngincering.com / II II II II N / II / II / II / FISCAER S/D LOT/4C2, BK 1 I / I I FISHER S/1 LOT 3A4 I I I S/D BK 1 II l FISHER 9'/l \ LOT 3A6, I\ FISCHER \LOT 385. BK 1 Q\ // FISCHER S/D LOT 384, BK ; AREA I SELDON CIRCLE PR(5PMLD— _ _ _ — SEPTIC SYSTEM i' I LLJ I LLJ 0 Z 1 /BEDROOM HOUSE /. ` FISCHER S/D`` LOT 3A2, S K,/ \• \ 0 I ' ----1 r---17 --- I FISCHER S/D\ / LOT 3B6, SK 1 / ' \FISCHER I S/D LOT 313. BK 1 \ ARS_ rfp�-c�� \ \ LW _ SPRUCE COURT --------y'------- I / / I I 1 FA CSEPTIC E TI EA o- Ln I FISCHER S/D I \ I LOT 383• SK 1 / I Z LOT 382. B D7 IJ 5 E: IY E. 104 AVENUE OF GARNLSS ENGINEERING GROUP, Ltd. p;?: .�._.... �..- .-.«--• CONSULTANTS 3 GENERAL CONTRACTORS Q••••••• • •• • '••"' ...... iMt L TAM INaD. MMiC 101 � NKl10MCL. W N50) � hIC.[ -SIT . IAY 001�W-�]N � Y(t511[: mow. O PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• ..... " PAUL JOBE 301-253-1667 1 OF 4 oOd a ';J r y A. Gayness; LECAL DESCRIPTION: DRAWN BY: O . E-7953 FISCHER, LOT 3A1, BLOCK 1 K.D.M. ���e^e. 'SIZ.fi/��Foo� TYPE OF WORK: 0o4pO�OpO000 DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 5/29/2007 0 (R".01105) NUMBER OF BEDROOMS:4 LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER GALLONS PER DAY (CPD•OS E L D 0 N CIRCLE CONTACT EG. BPROCEEDING FORWARDPERCOLATION RATE MN/INCH CTHIS IN. ENGINEER, PROPOSED APPLICATION RATE: 3.0 — — WELL DRILLER, CONTRACTOR AND MINIMUM DRAINFIELD SO.FT.: 200 PROPERTY OWNER AGREE THAT THEY OUANICS 650 HAVE READ THESE SPECIFICATIONS AND DRAINFIELD DESIGN: TRICKLING FILTER AGREE TO ACCEPT THE TERMS AND PROPOSED CONDITIONS OUTLINED. MAXIMUM DEPTH:5 FEET p'� DRAINFIELD WIDTH: 15 FEET GF" 15 Xis LENGTH:15 FEET M.OA APPROVED SAND FILTER:2 FEET EFFECTIVE: 0.5 FEET ••' REDUCTION FACTOR: N/A ti - %,J O ACTUAL SO.FT.: 225 �'•. Ta'•'. C`1 ST2 F �°7 — _l 36' OUANICS PUMP VAULT ..i ••�'.��.. STI ALTERNATE SITE I I 1 .rY' 1' TM11 PROPt \ L J GALLON OSEPTIC STANK CONFI10 RMATION TEST HOLE TO BE -- DUG DURING CONSTRUCTION INSTALL FOUNDATION CLEANOUT EXISTING CRIB PUMP AND FILL WITH CONCRETE \ OLD SEPTIC TANK PUMP AND \ FISCHER S/D \ FILL WITH CONCRETE LOT 3A2, BK 1 \ EXSISTING 4 / I ❑ BEDROOM HOUSE NOTE: THE CONTRACTOR SHALL HAVE THE NORTH & FS/D 1 \ EAST LOT LINES, AND ALL s E: LOT 3 386. 86, BK 1 / WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 10 4� GARNGSS ENGINEERING GROUP, Ltd. ­---->s=CONSULTANTS 8 GENERAL CONTRACTORS�"""" """"' ....... 3701 L TCM 10.0, *l 101 • MIOCMCL M I 7 (001)WT 111 • FM (,07).13ll-73N - �OSIIL w-.ys ye,in PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• •••••• ••••; •• J r A. ness: PAUL JOSE 301-253-1667 2 OF 4 QO; •. LEGAL DESCRIPTION: DRAW K D.M. Q�4� ��3 �. t`Ap FISCHER, LOT 3A1, BLOCK 1 TWE OF WORK: DATE. 4ppppO�esglo o DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 5/29/2007 III". 01105) FROM TRICKLING FILTER 5' MAX A f T 0- I A L_ PLAN 15' WIDE INSULATION —FILTER FABRIC GARNESS ENGINEERING GROUP, Ltd. per?' 4 fy •--.•---.--�__— CONSULTANTS & GENERAL CONTRACTORS ���—i+ Q""" ••• •• •.. BER: PREPARED FOR: PHONE NUMBER: PAGE NUM • • •••• ......••••• PAUL JOBE 301-253-1667 3 OF4 e r arness: LEGAL DESCRIPTION; DRAWN BY: ooOo v CE -7953 �F`a FISCHER. LOT3A1, BLOCK 1 K.D.M. TYPE OF WORK: DATE: 4oe'sVProfeas5otloo DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 5/29/2007 �40p0000 (Rev. 01M) 0 411 . .. .....s pop pppb • £ ;' au O L�3J (aA al :'ss QO.................. .......^.. > 30 9 L991—£SZ-10£ 380f inVd :30tld :838Nf1N 3NOHd :1103 038Yd38 +a�+uvr •..a .T um amu 1 wt 30V219dn W31SAS OI1d3S 03SOd021d 2103 NOIS30 S9OJOVlLNO31V83N304 S1NY1111SNOD :)BOM !O UA 'Pi7 `dfloug KI2I:-I:-INIJN9 SS3-NUVO NOoie a1v£ log '83HOSI3 :NOudINMa TFJ3 W'O'N LOOZ/6Z/9 :A8 NMN :31V I �o I _ _ . . -. I -.. GARNESS ENGINEERING GROUP, Ltd. ..........,..�......, .,a_., ,�. CONSULTANTS 3 GENERAL CONTRACTORS. SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: M&NL t, wJ .v.,, own , PERFORMED FOR: PAUL JOBE DEPTH (feet) ORGANICS ITEST HOLE 1 2 WEEPS 0 13' 5/22/2007 rpt', O'. .f;fir 3:40 CW—GM 3 - WELL GRADED RUN111111111 •:.�:r GRAVEL W/ NO GRAVEL = `O' `^ SILTS 6- W/BOULDERS 4' t' 1 FROM 6"-12" 6- 5 3:44 - 5 - 6 SMALL 4" LENSE 1 o 6" OF POORLY 6 ' GRADED FINE b s., LOOSE SAND B �Y iw WEEPS 0 13' 5/22/2007 rpt', s ao 3:40 111!11O/% GW - 2 WELL GRADED RUN111111111 •:.�:r GRAVEL W/ NO 10 = `O' `^ SILTS 6- My�WyWI%Orr, W/BOULDERS 3:43 1 FROM 6"-12" .:p. 13 ''•'i::o� 14 B.O.H. 15 16 17 16 SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DATE WEEPS 0 13' 5/22/2007 "VI'I'I s ao 3:40 111!11O/% 6" - 2 3:41 RUN111111111 0" 6- ll�l 3:42 - 6- My�WyWI%Orr, 4 3:43 1 0" 6- 5 3:44 DEPTH TO GROUNDWATER DATE WEEPS 0 13' 5/22/2007 o s ao 3:40 - 6" - DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 5/22/2007 1 3:40 - 6" - 2 3:41 1 0" 6- 3 3:42 - 6- 4 3:43 1 0" 6- 5 3:44 - 6" - 6 3:45 1 0" 6" 19 I I PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) - I�—JII TEST RUN BETWEEN 6 FT. AND 7 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES N NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: JORDAN TROISI COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS MSIPERYORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: D o - _ D19 (7,85) '-- MUNICIPALITY OF ANCHORAGE eiii-, W I� LL 0N1_`)`$` DE RTMENT OF HEALTH AND HUMAN SER ES J Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON -SI E SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NameDISTANCES r arr�EE NR►G TQ SEPTIC ABSORPTION WELL Q Address S 0i'e;;No. AOM TANK FIELD v r WELL 1 Pnonetsl No. of bedreoms5 - / 3 LOT LINE LEGAL DESCRIPTION LD1 tjlppa SUDdlvo$ocO -fSG!^ita FOUNDATION lownsntp, Range. Section PIS , _/ � w r AS - BUILT DIAGRAM ISnow location of well. septic system, properly ones. lounaauon, / LV J F /� ouveway water codes. etc) w TANKS ❑ SEPTIC ❑ HOLDING • / V Manutactmer Capacity in gallons � t Material No. of Companmenb C TYPE OF SYSTEM ❑ TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER \ �1i, p (<l�o Vp111 Depm to pipe Oottom nom ong,ral grade Ictal depth Iron, original grace FT FT ON Fill added above original graoe Gravel depth De math pope 1^ \a all Gravel length FT FT Gravel w,dtn FT FT e � local absorption area IDistance between ones 32_ Numoer of tinea SQ FTI FT Sal ral,ng pipe material O /O _ N X \ N y SQ FT Date Instaueo 1 A 231 ,nslal,er o y 8 n /95 WELLS C PRIVATE ❑ OTHER (Identitvl 9= N to Gass,l,caoun lA.U.CI Iolar Depth Cased to RES z FT 36.0 FT Ui mataurl Date lnstaneo, /,Z/6 1 LF 121/ l<_2 - 89' S3/O"E ^- . 59' REMARKS: — -- — — - - – I��l L /S NOE QZ v SE /C .✓" W- OS _ Scale: (: V! InspectiR s F unitea by. t: ,!r ENGINEER'SSEAL ri '�•.•'� '� ' BF 7`u rvrGo v JI a/ Date � • y: :y°I TH - �..::'` eMily that this inspection was performed according to all V N 2225-E '?•• Ju 25 1911 Municipal and State uidehnes In effect o ie date: • I:E --8� //9 ice• ., �� .: ISE �.::.".I_ •�� Health Department Approval: Dale. D19 (7,85) _wv 1/4 Rl ra. Section No. Township Np Range EO Meridian , ,4" her 3Ai i —of_or_ef— ap W 0 la DISTANCE ANO DIRECTION FROM ROAD INTERSECTION,9, `� k w • �)1Uy Address: Paul and Ramona Jobe Seldon Circle and Klingler LOCATION OF WELL WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES _ Division of Geological a Geophysical Surveys Drilling Permit No. (places complete either la, Its or Ic.) A.D.L. No. la. Borough:!Subdivision `i Lot 61oek 1b. 1/4 Rl ra. Section No. Township Np Range EO Meridian , ,4" her 3Ai i —of_or_ef— ap W 0 la DISTANCE ANO DIRECTION FROM ROAD INTERSECTION,9, S. OWNER OF WELL: �)1Uy Address: Paul and Ramona Jobe Seldon Circle and Klingler 2 � . Anchorage, Alaska. Strati Address and Area of Wed Location 2. WELL LOG Feel Salo. Sur tae• d, WELL DEPTH: (final) 3. DATE OF COMPLETION . 00 ft. moi_ — 12 — 198 Material Type Top' Bottom Sticku G. ❑Cable tool ®Rolory 0Driven QDug .11 Auger QJstlod Bored (j Other I Silty CraveCravel Cobbles & Boulders0 Cravelly silt 29 44 7. USE: ® Domestic Q Public Supply Q Industry Q Irrigation Q Recharge Q commerical Q Test Well Q Other: Silty sandy water 44 46 Nater sand & gravel cl 46 40' Sandy silty gravel -� 66 S. CASINf: Q Threaded ® Welded mam._b In. w 237 n. Depth wagnt_Ib../n. dlom. 4 'in. to 294 ft. Depth Stickup 2 ft. WAter sand &Travel 66 6 Gravelly -silt 6 160 .Silt 160 175 9. FINISH OF WELL: ' Type: oven end Diameter: 4" Silt narity gravel 175 212 clay 212 215 Stol/Mesh Slzs: Length: Set bet.sen ft. and ft. Socbfnung Grovel pock Silty gravelly cobbly boulders 11`0 215 1 248 Silty gravel 248 268 Sandy silty 268 279 gravel 10. STATIC WATER LEVEL! ?AQ ft. Op Water sand Mravel 279 300 Date Q Above or ® solo. lana surface Equipment used: sounder ' II. PUMPING LEVEL below lona surface and YIELD 280 It. after I It,& pumping 10 g.p... ft. offer-bro. pumping_9.9.m. 4.. Starts at . be ox rasing level and has a 4" threaded couple with threads facing up. 12.GROUTING Well Grouted: ❑ vee ©Na Material: Q Neat Cement Q Other. 1147 sat at 2 0' UW TH 06 13. PUMPI (If available) His 1 HP of Drop Pips ft. capacity g.p.m. Q Sub.. Q Jet Q Csntritical Q other fi'f�IR M1 NTAL pRoTELnOmenith I4.REMARK3: D 16. WATER WELL CONTRACTORS CERTIFICATION: 13. Water Temperature Q F Q C This well was drilled under my jurisdiction and this report Is true to the best of my knowledge and belief; A1ntn� e AA -0108 Registered Business Name Contract License Number Address: P.O. Box 110490' Anchorage, Alaska 99511 signed: Dau: 1-12-83 Authorized Representative For. 02•WWR (11/611 Copy Distribution: WHITE -Stale OGGS, PINK -Driller, CANARY-Cuslamor - WATER WELL RECORD STATE OF ALASKA DEPARTMENTOF NATURAL RESOURES Division of Geologieol a Geoonysicol Surveys M WIPALITY OF ANCHORAGE DEPT. OF HEALTH 80,11Iinp P...It Ne. LOCATION OF WELL (Plead* te.pl.te either to, to e. IFIiVIRONMENTAL PROTECTION A.D. L. No. Bere.ph sued+men Let Blec. lel 1/441 t.. Section NoTe.n.mpN0 Rang. Eo Y•.la.an P68,00"' P68,00"' F/s'q6') 3,?1 / P.f_ef_.f_ APR 81986 So Wo 1e I 017TANf,E AND DIRECTION FROM ROAD INTER3ECTIoN3 CrPZLL' Mr. Chris Cooper REC til b, SRA Box1d716CKrcle St...l Add,... and A.•4 at well L•tallea I Anchorage, Ak. 9951 2. WELL LOG material Type f..t Bele. Surfaee Tae Botle. d WELL OEPTN; (11-01) S. DATE Of COMPLETION C� Cemented gravel 260 280 s. 0Cable tool X}ORole.T 00.1.4. 00.9 OA•ge, OJ•tted 080,04 ❑Oth.,I Gravel, sand,water 280 285 T.USE)Woffl•.Ne 0►ubhe 3.0011 0164.e1vr ❑ Irrigation O Recharge ❑ Co..er.ael ❑ Teel well ❑ other B. CASING: ❑ Threaded ❑ We14.e ole.. In. to -It. Depth w•+pnl_leyu die. In. to -ft. Depth suceuo fl. We II Win 1VE'1 W4 AIWOSE4 se G. 15. T 1 ZN R 3 W s l)^ 9. FINISH Of WELL: Type: Dlo.ety: slot/Meeh 31se: Length: 3.1 b•1..e. n and ft. Baebinnap Dra..t peep N 29 — 061071t1.1 W V1 — 149 111701. 1 10. STATIC WATER LEVEL: ilii) ft. 6 ❑ Ape.. or XpX08.10. land surtau Date Eau+p.•nl used: ---- II.PUMPING LEVEL belew land surface end YIELD ff. anu_b... ou.pi-p_p.p... 5 r� I QCi r11ANl � Asicko.rod I 12.OROUTING Well Gla..•d: 0 Yoe ❑ No M,I,,141: ❑Neat C..•et C-) Other: CG' DGvS Z. 13. PUMP: (1f e.ailable) NP Length of Drop Pipe ft, 60969+1. g.p... X)ER Sub.. ❑ Jet ❑ C•atnllcol ❑ Oth.r 14.REMARK3Production of 7 GPM 40 ft, of 5t1 liner from 245-28 Perforations of liner 260-285 IB. WATER WELL CONTRACTOR'3 CERTIFICATION: IS. Wal•r T•. pew tur4 �• ❑ f ❑ C This ..It .e. d,ltled .ad., .r )v,1.d:eua. end this ..part 1s true to the bed o1 .1 h.a.l•dge and belief, Maenuson Drillinv AA 5385 R•s..wred 3wu•n No.. CanVacl Lice-%- NQ.t-I Add....: P.O. Box 770504 Ea¢le River. Ak Q9C`77 A.tharlua Ravo�auNo t... DT-wwR fN/811 C... v.R.T.-a.... DGes_ Dat.: June 10 1984 PINK - CANARY-C.Va-ar e n M LI N I C I P A I. I T Y O F A N C H O R A G E Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 34Z-4700 O N- S I T E W E L L P E R M I T Permit Number: 870313 Upgrade Date Issued: 12/16/87 owner Name: CHRISTOPHER/DEVERLY COOPER Day Phone: Owner Address: 5160 DEL CIRCLE 279-3916 ANCHORAGE, AK 99507 Parcel Id: 015-292-18 Lot. Legal: VIVisian:-41SCHER--trot-:-SWI Section: 15 Township: 12N Range: IW Lot. Size 11606 (sq.ft. or acres) Max Bedrooms: This Permit: 0 Total Capacity: WELL: Log must be submitted to Municipality of Anchorage Department of Health and Human Services within 30 days of well completion. IFY A MINIMUM OF 200 FEET OF CASING DEPTH WITHOUT PERFORATION I CERTIFY 061 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 0. I will adhere to all MOA and State of Alaska requirements for the set back: diUances from any existing well, wastewater dispose.l system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 0 bedrooms. I also understand that the capacity of the total system is 2 bedrooms apd any enlargement will require an additional. permit. Z Signed: DATE: (Owner) CHRISTOPHLR/DEVERLY COOPEii Issued Dy:or DATE: 2 - 161 _t9�- -- ------ -------- PLAC( 0 0 f. • Municipality of Anchorage January 21, 1988 n P.O. BUA 196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Tobben Spurkland, P.E. 203 West 15th Avenue, Suite 203 Anchorage, Alaska 99501 Subject: Conversion of the Conditional Waiver Approval to a Full Approval for Lot 3A1 Fischer Subdivision Waiver Request Number WR87-078A Dear Mr. Spurkland: The conditional waiver approval for the separation distance of a well to septic tank of 85 feet has been given a full approval at this time. The conditions for drilling the new well have been fulfilled for the subject lot. You verified that the new well was drilled 300 feet deep and cased to the bottom with no perforations. This should assure no contamination from the surface will enter the well. This waiver applies to the existing well to septic tank 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 cc: Gus Andress, P.E. Manager, On -Site Services/Water Quality Programs 203 W 1 51h AVE -C- STE 203 ` �IIII p C UA �p� Urn AMR pot, 1 ANCHORAGE, ALASKA 99501 rnucw nur, FNC.INEER TELEPHONE: 19071 279-3916 MjWpAI iTY OF A404ORF"' DEPT. of HEALTH 8 ENVIRONMENTAL PROTECTION DEC L A;67 RECEIVED Municipality of Anchorage December 9, 1987 Division of Environmental Health Department of Health and Social Services 820 L Street Anchorage, Alaska 99501 Subject: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR PRIVATE WELL TO SEPTIC TANK LOT 3A1 FISCHER SUBDIVISION SEC 15, T12N, R3W 5160 SELDON CIRCLE Gentlemen; We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code, Chapter 80.020. An As Built survey of subject property revealed that the well was located on the north line of the 10 -foot utility easement along the south lot line. This property is in the process of changing ownership and the underwriters of the financing institution will not accept the property as long as the well is encroaching onto the easement. The distances between the well and the septic tank and the log crib are 85 feet and 105 respectively. The well must be moved not more than 12 inches to be completely outside the easement. By moving the well to the east as well as north, the distances to the tank and crib will be unchanged. The present well is 285 feet deep, is was originally installed in 1974 and deepened in 1986. No well log is on file. A copy of the surveyed As Built is enclosed. Yours MUNICIPALITY OF ANCHORAGE TObben Spurkland P. ENVIRONMENTaEpy1C(SDIVISION DEC ,1987 RECEIVED ,7�glg� °°1uo� Municipa ity P.O. BC ,196650 ANCHORAGE, ALASKA 99519-6650 December 14, 1987 Tobben Spurkland, P.E. 203 West 15th Avenue, Suite 203 Anchorage, Alaska 99501 Subject: Waiver Request For Lot 3A1 Fischer Subdivision Waiver Request Number WR87-078 Dear Mr. Spurkland: Your request for waiver of the required separation of a residential septic tank to_a_private 6reZ17has been -granted -a7 'Vonditional approval at this time., This waiver will apply -to' the separation distance from well to septic tank of 85 feet. To obtain final approval you must check the integrity of the existing septic tank and verify that water tight couplings are in place on the inlet and outlet. If these conditions do not exist then the septic tank and/or connections will have to be upgraded to get final approval from this department. In addition, at the time the well is drilled you must verify that casing with no perforations is extended a minimum of 200 feet deep. A permit must be obtained to accomplish this. If you have questions regarding this matter, please direct them to me by calling 343-4744. Sincerely, � Daniel J. Roth civil Engineer On -Site Services cc: Gus Andress, P.E. Manager, On -Site Services/Water Quality Programs (907) 343-4200 Anchorage 1 _ TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH 8 HUMAN SERVICES December 14, 1987 Tobben Spurkland, P.E. 203 West 15th Avenue, Suite 203 Anchorage, Alaska 99501 Subject: Waiver Request For Lot 3A1 Fischer Subdivision Waiver Request Number WR87-078 Dear Mr. Spurkland: Your request for waiver of the required separation of a residential septic tank to_a_private 6reZ17has been -granted -a7 'Vonditional approval at this time., This waiver will apply -to' the separation distance from well to septic tank of 85 feet. To obtain final approval you must check the integrity of the existing septic tank and verify that water tight couplings are in place on the inlet and outlet. If these conditions do not exist then the septic tank and/or connections will have to be upgraded to get final approval from this department. In addition, at the time the well is drilled you must verify that casing with no perforations is extended a minimum of 200 feet deep. A permit must be obtained to accomplish this. If you have questions regarding this matter, please direct them to me by calling 343-4744. Sincerely, � Daniel J. Roth civil Engineer On -Site Services cc: Gus Andress, P.E. Manager, On -Site Services/Water Quality Programs LOT 3AZ n SEL DON CIR.- 1\1(53053 11011E . °n N ro8. /D' UT/L.' E5M7.. Lot 3A1 , Block Fischer- .5ubd %V%S%On Anchorage Recording Precinct, Alaska v Ypf .•� 1'...neee..aooeoe .........1 LOT SURVEY CERTIFICATION LEGEND IherebyrenitythatIhavesurveyedthepropertyshownanddescribed ®sBraescappedmonument recovered r'l ( Mfr`–• LetlTT N hereon,and that the Improvements silualed thereon are within the prop- o =Iron pipe and/or rebar recovered /.!.' a9s •.� 1192 �! r erty lines ord do rot overlap orenaoath on adjacent property and that no a = 2x2 hub 0 tack recovered (l' <4 �N�a .,�.,.%ae�J Ar no imprrvemeres on odjacent property overlap or encroach on the premises •='aR3��te 3cJ�rebar sat this survey x,14 pro( `a0 in r;xsticn and that there are ra rcadways, utility lines or other visible 00`� �Il3000 easements on said property except as indicated hereon. Scale //� ^0 Date f� R Prepared by: R.L.BUTTON .J0 Ov—ZO r`� Rejgtth. 0. Al? Surveyor (9071279-6200 5/9 W.Elgr,rAgve. Anchaoge,Alaska 9950/ Ref. F.B. No. 2557 37--/3 1 Property of: Home E�/ulf (Rjn_ GRE•""ER ANCHORAGE AREA BOr•`I1GH CII�� Department of Environmental Quality I II t 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ss/L/—AJ-7q n NAME Tn `-EP</ ei-/A/61F2 MAILING ADDRESS S'C"9 Ae)X /7/0/<' PHONE !!:! J -f LOCATION 16/AM CF,c OFF Vre 10o0a -LEGAL DESCRIPTION ZEE 34 /- 121e r SEPTIC TANK: / Uz 44 16. to 73 3 NUMBER OF DISTANCESTt-Z2. COMPARTMENTS I FROM WELL MANUFACTURER JTLJCJ� MATERIAL INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY / 0­1� GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER OR WIDTH -L2LENGTH � 1 DEPTH /n / LINING MATERIAL6'SS / J CRIB SIZE: DIAMETER —DEPTH S DISTANCE FROM: WELL / TOTAL EFFECTIVE .2 BUILDING FOUNDATION 91 Ft NEAREST LOT LINE �� . ABSORPTION AREA (WALL AREA) u Q. FT. ADDITIONAL ABSORPTION WELL: /1-1uST Ne. -L=7- C,..4. Xr .6. a,177).1c'E �E'rNurrr�nr.n/7s TYPE-./a/L/' CONSTRUCTION /2P-'0/1SFo DEPTH SEPTIC TANK BUILDING NEAREST NEAREST FOUNDATION LOT LINE , SEWER LINE . CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: /Uf,-L- w siw lers %)A'/'A•e:/frl AS SMOUTA/ A130I/17 INSTALLED BY: Sl-z.- PIPE eZF PIPE MATERIAL: (*2 AST T!'t•A/ LOT SLOPE: REMARKS: -1Q'8--4r61E11 A"" /'r,✓<n+�ccr nrerx ra S.i R-4sr- p7ryr c'1917rt aleuti) ZPA.A/ • Al 7V /Y. CA.- CLCVA/ouTV. Form No. EO -031 DISTANCE FROM: SEEPAGE SYSTEM DIAGRAM OF SYSTEM re V-1 ;t �Anr- A. K .r aF c Y aj Y Q � ApE Fr�Flt lk y a o r- Isla ? s 11� I lol / DATE APPROVED /"w c/'..t.£or.✓ G.A.A.B. . --fl U0le /yCI�"1y I ply G/ REATER ANCHORAGE AREA BOROUGH n�(rmrm DEPARTMENT OF ENVIRONMENTAL QUALITYPERMIT NO.3330"C"STREET ANCHORAGE, ALASKA 99303 TELEPHONE 274-4!81 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT 'eiw NAME OF APPLICANT MAILING ADDRESS'�" -� PHONE3�3 INSTALLATION LOCATION ep LEGAL DESCRIPTION G'4 T -3' �tr INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED TO BE INSTALLED BY 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 SIZE TYPE MINIMUM DISTANCES. REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD DRAIN FIELD SEEPAGE AREA SIZE TYPE TO NEAREST LOT LINE. WELL TO SEPTIC TANK So SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK. SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 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. C - z G.A.A.9. OR LICENSED DESIGNER DIAGRAM OF SYSTEM 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.88 AND THAT THE ABOVE DESCRIBED SYSTEIS IN ACCORDANCE WITH SAID CODE. DATE / � APPLICANT'S SIGNATURE , l ' FORM NO. EO -014 GIRLMATER ANCHORAGE AREA EIOROV�H HEALTH DEPARTMENT ( T NQ 692 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM LIQUID CAPACITY /Gro GALLONS. SEEPAGE SYSTEM: SEEPAGE PIT: MAILING NUMBER OF / COMPARTMENTS 57HeK 5 ye -el- u4 x` f a7 Tc / 3s DOUID INSIDE LENGTH INSIDE WIDTH—DEPTH- NUMBER IDTH DEPTH NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH � % , LENGTHDEPTH LINING MATERIAL �On�• DISTANCE FROM WELL 14400 - , BUILDING FOUNDATION C1/k1 NEAREST LOT LINE 7 / ly TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) `/aO 50. FT. TILE DRAIN FIELD: DISTANCE FROM NUMBER OF ABSORPTION BETWEEN FT. LENGTH OF EACH TOTAL LENGTH NEAREST LOT LINE , OF LINES WIDTH EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELLI 1�/�T DISTANCE FROM WATER �J1/ TYPE _ DEPTH , BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST - SEPTIC S^SEEPAGE ^� CESSPOOL , SOURCES— OTHER DISTANCES: LINE ,SEWER LINE TANK SYSTEM DISTANCES: OF SYSTEM DATE 719,171 APPROVE LAlE.It `u",Op"- -„Y } i - � L 4 DATE 719,171 APPROVE LAlE.It `u",Op"- -„Y �GAAB-nD-2 ►'� GREATEh'AN CHO RAGE AREA ('ROUGH caseNo. oda'IIEALTII DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION 81 PERMIT NAME OF APPLICANT �� 1/ LG� ltl?44v MAILING ADDRESS / w PHONE NO2>2 L3771 zp RESIDENCE ADORES LOCATION OF INSTALL/-ATION LEGAL DESCRIPTION ��fi M/ & 14 P;;C 3 APPLICATION TO INSTALL: SEPTIC TANK _, SEEPAGE PITA /_ , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY ,ZLJC asctr �� dwe611 FINANCED THROUGH TO BEI STALLED BY f- - PERCOLATION TEST RESULTS /�L2� LL t i� ANTICIPATED DATE OF COMPLETION ';yluf N�< ,� BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS lD,PERMIT TO INSTALL AAS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE %SO TYPE 4(ex t` _ SEEPAGE AREA �'¢'IL Er TYPE `4 4! OT 'dZFc-i DIAGRAM OF SYSTEM 114 r DISTANCES: Ltxt.Q To Iuer- ICO •�.►.�tft,f�,. 40 ltt/ut L �'uli�z``F q.�lr C HEALTH AUTHORITY OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage . above described system is in accordance with said code. -x-r C--W-by, {TE�r�'' L ` �n APPLICANTS SIGNATURE 1 Ordinance No. 28-68 and that the O tel• . ..-, • r r'GREATER ANCHORAGE .AREA BOROUGP.�i HEALTH DEPARTMENT 327 EAGLE STREET ANCHORAGE, ALASKA 99501 Performed For^ -Inf Legal Description: L This Form Re;orts a: Depth Feet Soil Characteristics The Gw is /ouu ly Comrodedw,W) a kto ilz O crud eery l r 11 P re Ore SOn,e errG�/( S4, 6edier. Gw CASE 0 Date Performed 26, / 17L__ .,A4 - r- - 4P Was Ground Water Encountered? Jj, °oe If Yes, At What Depth Location Sketch Reading Date Gross Time Net Time Depth To 1120 Net Drop erco a ion e Proposed Instal atm ion. Seepage Pit Zi Drain Field Depth Of Inlet _ Depth To Bottom Of Pit Or Trench COMMENTS: /, /' • / • '1... ,.1 ri<-c• i.... Test Performed Bg:_joerer Data Certified By: �/ '?AL -7-7%z, Datey- _?/. ,,� /97_ Municipality of Anchorage Ift Development Services Department :` It Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. nIS'agd�" I� COSA# OgoLl_ 1. GENERAL INFORMATION Expiration Date: Z / Complete legal description FISCHER SUBDIVISION, LOT 3A1, BLOCK 1 Community Class Well ❑ Location (site address) 5140 SELDON CIRCLE • ANCJORAGE. AK 99507 Current Property owner(s) PAUL JOBE Day phone 253-1667 Mailing address 5140 SELDON CIRCLE • ANCJORAGE. AK 99507 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well E Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ I 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 professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 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 engineers 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. l 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, SURE 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 moasured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwaterlevels 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 test 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. 5. DSDSIGNATURE �t/Approved for _4— bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Phone 337-6179 Date Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other _ .. ........ .. A. me c tttO F �ql GHQ •••• �'• ���� WASTEWATER : E —f'R96RAN4—: By. Original Certificate Date: �( (Rw. 11N5) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.org/onslte (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: FISCHER SUBDIVISION, LOT 3A1. BLOCK 1 Parcel ID: O 15- 2.9 X - I A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N A Data completed 1/12/1988 Sanitary seal (YIN) YES Total depth 300 ft. Cased to 294 ft. FROM WELL LOG Date of test 1/12/1988 Static water level 260 ft. Well Log (Y/N) YES Wires properly protected (YIN) YES Casing height (above ground) 72 in. AT INSPECTION 5/17/2007 248 ft. Well production 10 9.p -m. 5.94 g.p.m. WATERSAMP E RESULTS: Coliform colonies/100 ml. Nitrate �' $� mg./L. Other bacteria ooionies/100 ml. Arsenic:N 0 ug./L. Date of sample: 8/23/2007 Collected by: GEG Ltd. iK S1uF/2oe'+ B. SEPTIC/HOLDING TANK DATA DEEP BURIAL TANK Tank Type/Material SEPTIC/10 GAUGE STEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 7/5-9/2007 Soil rating (g.p.d.meor� 3.0 Date installed 7/5-9/2007 Cleanouts (Y/N) YES High water alarm (YIN) YES QUANICS AEROCELE System type BED Length 15 ft. Width 15 ft. Gravel below pipe 0.61 it. Total depth +4.94 ft. Eff. absorption area225 ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test = In. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = In. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - D. LIFT STATION Date installed?/5-9—/2007 Size in gallons 211 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump ofr level at TIMER in. High water alarm level at 36 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAiR station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/deanout N/A Holding tank N/A Animal containment areas 50'+ Manureianimal 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 '2 Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS •2 FOOT LOT LINE WAIVER GRANTED 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 COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A GARNESS Date Q1it107 COSA Fee S YS 0 . C70 Waiver Fee $ Date of Payment�5.IJ o % Date of Payment Receipt Number :77 3 7O Receipt Number (Rev. 11105) THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONINGZ TIONAI STRUCTURES OR FENCEUNES. EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PUT. ARE NOT SHOWN HEREON.NNLESS INDICATED) NOTE ANY FENCELINES SHOVdI ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPEF LANES OR LOCATE STRUCTURES ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. U! 4 `3 ............................... s� 4", //A&/- " SHANE A. HOLT. %�p r LS -6914 i All, AS -BUILT SURVEY (NO CORNERS SET THIS DATE) SCALE 1`-217 I HEREBY CERTIFY THAT I HAVE PERFORMED MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY LOT Mi. BLOCK 1. FISCHER SUB. ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AS NOTED AND NO VISIBLE ENCROACHMENTS EXIST EXCEPT AS NOTED. DATED AT ANCHORAGE. ALASHA THIS _22ND_ DAY OP AUGUST 2001 HOLT LAND SURVEYING I0 SJB 12661 TEL. NS5510 o Municipality of Anchorage P.O. Ma WNW) • Anclroragc, MaAn 99751996CM • 7700 Elmorc Read / 011icc: (107) 373.4:301 • Pax: (!X)7137&4200 Lltp://%mNv.num org Mayor Mark Begich Developrnent Scr oces Department November 8, 2007 Jeffrey Garness, P.E. Garncss Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Waiver Request for Fischer Block 1 Lot 3A1 Waiver Request WR#: 070060 Parcel ID # 015-292-18 IIA070434 Dear Jeffrey Garness, P.E.: Ment �ex2v Se �n Department Your request for a waiver of the required 10 feet horizontal separation from the absorption field and septic tank to the property line has been approved. The approved separation distance is 2.0 feet. This waiver approval applies to the existing absorption field and septic tank to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Joe GMdall Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343.7904 Waiver Review Worksheet WR#:070060 PID#:015-292-18 HAIPennit# 1IA070434 Date Received: November 8, 2007 Legal Description: Fischer Block 1 Lot 3A1 Engineer. Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Applicant: Paulo Jobe Waiver Requested: 2 foot horizontal separation from septic system to lot line Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Waiver Is Granted: X Ust Conditions or Reasons for above: Total: Waiver is not Granted. Date: 1115107 By: Joe Goodall Name of Reviewer Rec#: 77370 Amount: $M Date Paid: 11/8/2007 SCS ReLN 1072121001 All Dates/rimes are Alaska Standard Time Client Name Gamcss Engineering Group, Ltd. Printed Date/Time 05/252007 13:27 Project Name/p Lt3AlDIklFischer CollectedDate/Iime 05/142007 12:50 Client Sample ID Lt 3A1 Dkl Fischer Received Dale/rime 05/142007 13:55 Matrix Drinking Watcr Technical Director Stephen C. Ede P)N'SID 0 Waters Department Samplc Remarks: Parameter Results PQL Units Mcthod Contxmer ID Allowable Limits Prep Analysis Date Date Ing Metals by ICY/MS Arsenic ND 5.00 ug/L MKS C (<10) 05/17/07 05/18/07 TK Waters Department Total Nitratc/Nitrite-N 0.716 0.100 mg/L SM204500NO3-F D (<10) 05/15/07 JDS Microbiology Laboratory Total Coliform 0 col/l00mL SM2092226 A (<l) 05/14/07 DLC SGS Refa 1074323001 Client Name Gamess Engineering Group, Ltd. Project Name/N Lot 3AI Bk 1 Fischer SD Client Sample 11) Lot 3A1 Bk 1 Fischer SD Matrix Drinking Nater P16% SID 0 All Dates/T[mes are Alaska Standard Time Printed Date/time 08/31/2007 13:26 Collected Date/Time 08/232007 10:44 Received natefrime 08232007 11:15 Technical Director Stephen C. Ede Sample Remarks: 4500-NO3 - Total Nitrate Nitrite - The matrix spike recovered below the QC criteria. The batch LCS is within QC limits. Allo%abic Prep Analysis Parameter Results PQI. Units Method Container ID Limits Date Date ]nit Waters Department Total Nitratc Nitritc-N 0.826 0.100 Microbiology Laboratory Total Coliform 0 mg/L S%1204500NO3-F (Q0) 0828/07 1DS coV100mL SM209222B A (<I) 0823/07 SDP ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND��n^^ THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 1 Day of 1J0VCM/rr of 20,2, by and between 0-91 On herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Ar re cef l located at PSI U O fDP \Ao ,(\ 0,rcsiz Anchorage, Alaska. Fsc1,e� 41 L3p1 2. Definitions. A. Alteration. Any change to the design or function of an AWWTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AW WTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of Fro ($4.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, installation and Removal of Additional Equipment, Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustmcnt(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Loon 'Enc-�)a Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. Date: ) / —1 -4i—.2Q2:7 MUNICIPALITY: By: Title: G 6 Date: STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 1.3 day of I)Loyelyllyr, 20LI. by E°i I e n nf�' b -'S �1 s; 7ARy-�o= "a P(JBL1G n i1 Numc fNVl7,p,Vy,NrA MUNICIPALITY OF ANCHORAGE 1 So;✓; --y AGf DEPARTMENT OF HEALTH & HUMAN SERVICES n'•J � 9 "':ICY DIVISION OF ENVIRONMENTAL SERVICES " 1 ; *nn CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APP L u OF ON-SITE SEWER AND WATER FACILITY�, [,�D 264-4744 ki X 2S Vy Application Date (� &O 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 5;16 y 551 (b) Property Owner 140� IE'9Q-V tT`j Telephone: Home Business Mailing Address C!o `"f X%AleeEW; D,104 NM L (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone Q7 4 Z (o (e) Mail anday phone number below. the HAA to the ld Checkere - it hold r pick up. Listcontact person 2. TYPE OF RESIDENCE Single -Family - Number of Bedrooms 3 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 the legality and status. 4. SEWAGE DISPOSAL Onsite Public El Community ❑ Holding Tank 13Note: community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-075 M" 81861 F,001 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verily 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 j- y Telephone - Addre Date �1. :• ... .. .. . 'r Engineer's Seal i' 1` 2225-E • .'.yr r. l NNE :S, 1971 tri .•.�'.: 6. DHHS APPROVAL J_ Approved for 3 bedrooms by I/W_ et- Date Z — 9' FF Approved Disapproved Conditional Terms of Conditional Approval Cil CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. Page 2 of 2 77.025 (Aft 8W) BMk MWaPAUTY OF A45WMALITY OF ANCHORAGE (MOA) DEPT. OF HEAL111 ALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECrCMCKLIST - FEBRUARY 1984 264-4744 ijAO 4198`3 Legal Description: RECEIVED SEGtsT TISLMt 3 A. WELL DATA Well Classification ` If A. B. C, D.E.C. Approved (Y/N) N/A Well Log Present .(Y/N-)_ Date Completed �' 2' 8 Yield %Oa�►+� Total Depth 30.p Cased to Depth of Grouting 1YCN� Static Water Level � sZ & D Pump Set At ' 90 Casing Height Above Ground AW Sanitary Seal on Casing (Y/N) y Electrical Wiring in Conduit (YIN) Y01 Depression Around Wellhead (Y/N)' Separation Distances from Well: -. To Septic/Holding Tank on Lot tg� + - ' : On Adjoining Lots i OC To Nearest Edge of Absorption Field on Lot 2 1010 ; On Adjoining Lots 7 To Nearest Public Sewer Line NON E To Dearest Public Sewer' Cleanout/Manhole NG N To Nearest Sewer Service Line on Lot Water Sample Collected by ALPINE 29 LlJRL ; Date I lit 18 r Water Sample Test Results of E r t pL,L, 0,35' N 1T AA•TE 5 Comments B. SEPTIC/HOLDING TANK DATA Date Installed Size �oflo No. of Compartments D N� Standpipes (Y/N) QN t Air -tight Caps (YIN) Foundation Cleano I(/Y/N) Depression over Tank (Y/N) � Date Last Pumped 6L(& % S C 4 CS Pumping/Maintenance Contract on File (Y/N) N6& ; for NhAr Holding Tank High -Water Alarm (Y/N) 14/4. Temporary Holding Tank Permit (Y/N)�B— Separation Distances from Septic/Holding Tank: To Water -Supply Well _>19To Building Foundation. 10 To Property Line +�� + To Disposal Field t To Water Main/Service Line D To Stream, Pond, Lake, or Major Drainage Course NONFE Comments Page 1 of 2 72 M (S" 8 861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorptio2147!/ , Strata 19 Type of System Design' Date Installed r 1' % y Length of Field tg X 17 Ve As Width of Field ��0► Depth of Field N�L4 Gravel Bed Thickness Square Feet of Absorption Area eZ y O Standpipes Present (Y/N) O 01 AZ - Depression over,Field (Y/N) N Date of Last Adequacy Test s Results of Last Adequacy Test TH4AEJE:, aAr1>400/C/f Separation Distance from Absorption Field: To Water -Supply Well Icie% MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH d HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES .1 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL 1121 — D911 OF ON-SITE SEWER AND WATER FACILITY 264-4744 b� 9 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) bl(eo SELDoII C-IRX_ LE (b) Property Owner 44044 L 'Gau 0:j Telephone: Home Business Mailing Address_ (c) Lending Institution Mailing Address_ Telephone (d) Real Estate Company and Agent - - " Address JFmi W_ N LT a L Telephone V-10-76 // (e) Mail the HAA to the following address: or: Check here �C if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms 3. WATER SUPPLY Individual Well x Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL OnsiteX Public ❑ Community ❑ Holding Tank ❑ Note: II community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 77-07501" 8/881 Front n n 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. 4 Name of Firm d`�� Telephone •2-12C[-3?%l Addre Date 4 = ` Z cFA141 ; . ......... �t • Engineer's Seal ! •�• N. •2225-E o-� JUNE 25, J971 .��Vj 6. DHHS APPROVAL Approved for 7411 3 bedrooms by Date a—a—RZ Approved !� Disapproved Conditional Terms of Conditional Approval CAUTION 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 th is as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 , 72.025 ra.,, W861 e,Kw MUNICIPALITY OF ANCHORAGE n /'1 ENVIRO, '.JENTAL SERVICES DIVISION MUNICIPALITY OF ANCHORAGE (MOA) JUN 51987 HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 RECEIVED 264-4720 Legal Description: Lo T 3A1 F Is LVEF 1Z SEL l.i, j I9-MIR3ll�/ A. WELL DATA Well Classification Fl. If A. B. C, D.E.C. Approved (Y/N) N/A Well Log Present (Y/N) _Y Date Completed '-gyro /,(,y 4 Yield -7 *m Total Depth c2R5 Cased to Depth of Grouting No N L Static Water Level V "1. +. Pump Set At > P-1, 1, Casing Height Above Ground I Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) N Separation Distances from Well: To Septic/Holding Tank on Lot 85 ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot Ie 5 ; On Adjoining Lots 7 / To Nearest Public Sewer Line N ou 15 To Nearest Public Sewer Cleanout/Manhole t40 N To Nearest Sewer Service Line on Lot Water Sample Collected by T7 S ; Date b/2-47 Water Samp Comments B. SEPTIC/HOLDING TANK DATA Date Installed 'y Size I 017f7 No. of Compartments O Standpipes (Y/N) O N 1-= Air -tight Caps (Y/N) Foundation Cleanout (Y/N) N Depression over Tank (YIN) N Date Last Pumped (0/t /s 7 1SaAc s Pumping/Maintenance Contract on File (Y/N) N��° ; for WIA Holding Tank High -Water Alarm (Y/N) MJF- Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Well /oX; To Building Foundation I U To Property Line "2D To Disposal Field To Water Main/Service Line > to To Stream, Pond, Lake, or Major Drainage Course No"t5 Comments Page 1 of 2 72-026(11/64) X11 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata $ Type of System Design LOC C, 12 1 P! Date Installed M 2:4 11 7 Length of Field PZCF3 )r F, Width of Field q/A�_ Depth of Field NIA Gravel Bed Thickness Square Feet of Absorption Area tly Standpipes Present (Y/N) C> WF_- Depression over Field (Y/N) Date of Last Adequacy Test LI f/R 7 Results of Last Adequacy Test r /L"— Separation u" Separation Distance from Absorption Field To Water -Supply Well I O �i To Property Line .2 C) t - To Building Foundation IS o To Existing or Abandoned System on Lot /JO ; On Adjoining Lots 3U -f To Water Main/Service Line � f CJ To Cutbank (if present) KUNE To Stream/Pond/Lake/or Major Drainage Course NO (fit To Driveway, Parking Area, or Vehicle Storage Area Comments F�o D. LIFT STATION N01`15 - Date OI15- Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access(Y/N) "Pump Off" Level at .. Check Permitted Bedroom Rating Against HAA Request •. Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verilie or conformed to al MOA and HAA guidelines in effect on the date of this inspection. Signed Date Company MOA No. Receipt No. !{ 0Q 1 - tY> 1! Date of Payment to- S'S, Amount: $ 1 b�"= Page 2 of 2 72-026 (11,8/1 l OF A1 .1 111 1 * '449 49TH .. ........ .. • t`.. 2225-E (f•' P,':iE 25, 1971 Engineer's Seal TE 203 • U O r' r' C.aU� � ��U�IU W'J V'�� Porto �2 A CHORAGE.ALAS AI 99501 CONSULTING ENGINEER TELEPHONE: 19071279-3916 R E S I D E N T — — — — — — — — I — A L W E — — — — L L I N S P E C T I O N — — — — — — — — — — — — LEGAL: LOT 3A1 FISCHER S/D LOCATION: 5160 SELDON CIRCLE OWNER: HOME EQUITY RELOCATION CO. :+ +^~•�� {! *: e:S�H.YI�.. *r TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: YES � � o.222G11 ^t 1+ ,o• JUNE 2S, 19 INSTALLATION REQUIREMENTS MET: YES �it� 1• WELL YIELD FROM WELL LOG: PUMP YIELD: DATE OF INSPECTION: 7 GALLONS PER MINUTE 6.5 GALLONS PER MINUTE JUNE 2, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6.5 GALLONS PER MINUTE FOR 3 HOURS. A TOTAL OF 1150 GALLONS WERE DRAWN. WATER LEVEL COULD NOT BE MONITORED DUE TO INSTALLATION OF 5" LINER AND PERFORATIONS IN 1984. TOTAL WELL DEPTH 285 FEET. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA AND NITRATES ON JUNE 3, 1987. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. MUNICIPAUTY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION JUN 51987 RECEIVED 03 W 15th AV"C" SUITE 203 Qfj`JDfl'IPO�O Z A ELEPHONEEALASKA 907 27939016 S E P T I C S Y S T E M A D E Q U A C Y T E S T LEGAL: LOT 3A1 FISCHER S/D � ;��•�?F A LOCATION: 5160 SELDON CIRCLE OWNER: HOME EQUITY RELOCATION CEJ:'���jy....A('L'A •� RESIDENCE: SINGLE FAMILY, THREE BED(j60MSJju �E :5?1971 WELL: PRIVATE ON SITE SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: STACK STEEL, ONE COMP. 1000 GAL. ABSORPTION SYSTEM: LOG CRIB ABSORPTION AREA: 240 SQ. FT. SOIL RATING: 85 INSTALLATION DATE: 1971 UPGRADE 1974 DATE OF PUMPING: JUNE 2, 1987, ISAACS PUMPING SERVICE DATE OF TEST: JUNE 2, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 5 FEET OF COVER AND 67 INCHES OF LIQUID. CRIB WAS 12 FEET DEEP AND CONTAINED 8 INCHES OF LIQUID. CLEAN OUT BETWEEN TANK AND CRIB WAS 6.5 FEET DEEP AND DRY. 2000 GALLONS OF WATER WAS DUMPED INTO THE CRIB THROUGH CLEAN OUT BETWEEN TANK AND CRIB. WATER LEVEL IN TANK ROSE 1 INCH, LEVEL IN CRIB 22 INCHES FOR THE FIRST 1000 GALLON, THEN 18 INCHES FOR THE NEXT 1000 GAL. AFTER 5 HOURS LEVEL WAS DOWN 18 INCHES. 1000 GALLONS OF WATER HAD BEEN ABSORBED IN 5 HOURS. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, 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 this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION JUN 51987 RECEIVED n n CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 8 STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562.2343 FEDERAL TAX ID N 920040440 IINALYSISREPORT BY SAMPLE Cl lent POI : VERBAL Req 1: Work Order No. : 845 Client Smpl 1D: LT 3 Al FISCHER Cl lent Account : TOBBENP Date Report Printed: JUN 4 87 9 12:57 Sample Recd : JUN 2 87 Released By : SCE )�Cfj Ordered By : UNKNOWN REPORTS ADDRESS t2 REPORTS ADDRESS it TOBBEN SPURKLANDPE 203 W 15TH AVE, tC-203 ANCHORAGE, AK. 99501 Special ROUTINE SAMPLE COLLECTED BY T. SPURKLAND6/2/67 1320 NRS Instruct: ChemlaD Ref t: 6435 ParameterTested NITRATE -N TOTAL COLIFORM Sample Remarks: Lab SmpI ID: 1 Matrix: Water Result/Units 0.44 mg/i 0 col/100ml ------------------------------------ 2 Tests Performed + See Special InstructlonsAbove ND= None Detected NN See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=GreaterThan Method Allowable Limits 10 MUNICIPALITY OF ANCHORAGt ENVIRONMENTAL SERVICES DIVISICN JUN 51987 RECEIVED 6 LEGAL OESCRI ION �1SC�A— A� LUCK A MUNICIPALITY OF ANCHORAGE NT OF HEALTH & ENVIRONMENTAL PROTEC"ICIPALITY OF ANCHORAGE CL I 926 LSaw t- Anelm"es, AWke 99601 DEPT. OF HEALTH & t0 - • ENVIRONMENTAL ENGINEERING DIVISION 2644720 ENVIRONMENTAL r.,OTEC6t;kl4 MAY 18 1981 Of SINGIX FAMILY Telephone ❑ MULTIPLE FAMILY REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWRffflVrep DIRECTIONS: Complete all Parte on pace 1. Incomplete requests, will not be prose necL "ex" allow tan (10) lova for pro sirm. 1. PR. TrOWNS TP L E. LtNG��fL since June 1976. For wells drilled prior to that 11ta g wgl� �• /I PH - IG r� S. SEWAGE DISPOSAL SYSTEM la INDIVIDUAL/ON-SITE' Mau c - ���_K If system is over two (2) Years old an adequacy test is required PROPERTY RESIDENT (If different from aboral by this Department PHONE 2 U ER io `� ea �- Cao of - PHONE �7�-$q-3 MAI 1 ADDERS L� , er ur LOA k p NSTITUTI N ! Q5TOL- . e-11lNac�y� PHONE 2 0 71 MAI ING34 r , �. R LTOR/AGENT MA(,CWkN r �C1YlrlC1� E�� tlt 3 yabbr� MAILING ADJiES3 r�r 7!/ C'/ ^ 11�iC 6 LEGAL OESCRI ION �1SC�A— A� LUCK k� STR T LOCATI CL I fL TYPE OF RESIDE CE NUMBEA r ❑ Other Of SINGIX FAMILY TWO ❑ Five 1:10 ❑ MULTIPLE FAMILY ¢Q Three ❑ Six 7. WATER SUPPLY INDIVIDUAL' ' ATTACH WELL LOG. A well lag is required for all wells drilled ❑ COMMUNITY since June 1976. For wells drilled prior to that 11ta g wgl� �• /I ❑ PUBLIC UTILITY:: depth (attach log if available.) _� S. SEWAGE DISPOSAL SYSTEM la INDIVIDUAL/ON-SITE' aclf individual/on-site, give Installation date_. If system is over two (2) Years old an adequacy test is required ❑ PUBLIC UTILITY by this Department NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-0100/791 THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY E]PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED - 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER ICATE INSTALLED ., U �1 INSTALLER SOILS RATING ❑Septic Tank or ❑Holding Tank Size: I(r 0 d If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic Holdin® Tank Absorption rea r Line rest of Eine Absorption Aree to nprest Lot Line S. COMMENTS (Z7—APPROVED FOR _ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) • - • Tobben Spurkland P.E. y • 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 J.W. Klingler SRA 1716-K Anchorage, Alaska 99502 S EWER ADE(,,UAC Y TEST May 30-1981 Legal Lot 3A1 Block 1, Fischer SID Location Corner of Klingler and Del Circle Owner J.W. Klingler Residence Two Storey, Three Bedrooms Water On Site Well Sewer From Municipal Regords Tank 1000 gal/ steel , one cor.partment Absorption System 8x8x6 Log crib Absorption Area 240 sq. ft. Soil Rating 85 Installation Date 1971, Upgrade 1974 Dater of Test Flay 28-29 1981• Test Procedure System was inspected on May 26. Both tank and crib are located in driveway with top of pipes being 3 inches above and 6 inches below gr, OF .� ground respectively. Tgnk. is 12 feet deep with 6G inches liquid �p�.••"•'•�qS,ill++ depth,crib is 10}i feet below ground with 28 inches of liquid. y' .y > Tank was pumped on May 27. 00 W.*..4910.00 . 0000 . On Hay 28 water was introduced to the crib in 500 gal. increments. 00 ?.'A; 0 2225.E The following readings of the liqid depth were taken. T'. UNE �: �,"�j O •. 25. 1971 � � Water Volume Depth . NAL �ty" 500 gal }zinches 1000 41 May 29 24 Test Result The system absorbed the 1000 gal of water in less than 24 hours. The F:unicipal Code requires an absorption rate of 150 gal per bedroom. This System exceeds the requirement for a three bedroom house.