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RAMPART #1 LT 1
Rampart Lot I #015-071-14 Municipality of Anchorage Development Services Department.--"". Building Safety Division ~'..~= ' On-Site Water & Wastewater Program. 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 Page I of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW020041 PID Number:. O15--071--14 (;IL SAUER Wastewater System: n New · Upgrade 5741 E99th AVENUE * ANCHORAGE. AK 99515 ABSORPTION FIELD (907) 346-1542 .3 ~3 ~,,, Tr,,ch · Sh~llo, Tr,,ch n ~,d C~Uo,od LEGAL DESCRIPTION ~' '~ '~ "'~ '""" '~ 1.2 ~o/~. n 8.77 (MAX.) 1 RAMPART #1 4.61 (MAX.) ,~ 4.16 - - - SEE DWG. ,. 45+ WELL: D New r-I Upgrade 5 ~ 1 ....-~- ~ ~ 450+ ~.. D 3034/ F-810 . n. BEEK CONTRACTING 4-5/2002 ~, ,, ExlsmN0 TANK SEPARATION DISTANCES ·s..~ -.~,~.g =S.T.~,. Tank F'~eld Sb3tJon T(ank ~ U~, ANCHORAGE TANK 1000 we~[ 100'+ 100'+ - - 25'+ ~ STEEL "'"'""'" ~ 2 S..ac. Wato, ~00'* 100'* - - - LIFT STATION FoundaUon 5'+ 10% - - - ~ 0''' k,d ~ IT.,..~...~.~ .~, ~ ,~,.,,, Curtain Dmln Ni~N£ KNOWi ~.~-'~-I ~ernarks: *RECr'IVED VERBAL APPROVAL FROM DAN ROTH ON BENCH MARK 4/i/2002 FOR LOT UNE WAIVER AND REVISION TO DESIGN. BOTTOM OF WINDOW SILL ON NORTHEAST (SE:/ ATTACHED I.~IILR FOR WANER REQUEST) CORNER OF HOUSE CLOSE TO POINT "B" I/--'~'~ 100,00 ~.~._~,~...,.'/'"'/. Inspections performed by: AKWWC, INC. Dates: 1st 4/4/2002 2nd 4/5/2002 3rd 4/8/2002 L~-;/~el r~] ,~,. Oarness.: Development S~ n/ices Department Approval ~ ,~o, .. q ... R~viewed and approved by: f Dote: -- ABC 56.1 7.3.8~ --7 DBL1 24.5 25.6 - DBL2 25.3 26.6 - ST1 27,0 26.1 - ST2 31,1 24.2 - '-SEPTIC DBL3 32,3 2`3.7 - AR..~ DBL4 33.0 23.3 - C01 33,7 68.7 -- EXISTING 1000 ~I. LON SAC MT1 -- 62,2 65.0 TANK INSTNJZD IN 12/1999 C02 DB~B~ 10' ~ / ~ ,l Ul ~ / I / ~ / ~ST 99th AVENUE / / / / / CONSULTANTS, INC. PR~ FOR: PHONE NUaS~: ~ NU~am: GIL SAUER (907) 546-1542 = OF 3 RAMPART SUBDIVISION ~1; LOT 1, BLOCK 1, '"' AS-BUILT OF DRAIN~IELD UPGRADE ~---BOTTOM OF' TRENCH - 87.97 (AVG.:) ALASKA WATER & WASTEWATER CONSULTANTS, INC., P~ ~0~: P~ON[ ~UU,~: GIL SAUER (907) 546-1542 2 OF RAMPART SUBDIVISION ~I= LOT 1, BLOCK I, PROFILE AS-BUILT OF DRAINFIELD UPGRADE ALASI WATER & WASTEWATER ,~ ............ -'- ..... CONSULTANTS, INC. '"' ................................. June 19,2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Lot Line Waiver for Lot 3, Block 1, Rampart Subdivision To whom it may concern: We request that your department issue a 2 foot lot line waiver from the east property line to the existing dminfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. 'ss, P.E., M.S. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com MUNICIPALITY OF ANCHORAGE Development Sen/ices Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTE~NATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Mar 19, 2002 Expiration Date: Mar 19, 2003 Permit Number: SW020041 t Legal Description: RAMPART #1 LT 1 Design Engineer:. 0041 AK Water & Wastewater Consultan' Owner Name: GIL SAUER Owner Address: 5741 E 99TH ST ANCHORAGE, AK 99515-0000 Parcel ID: 015-071-14 Site Address: 005741 99TH AVE E Lot Size: 16200 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 ~/ith: 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 calling (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, sealed, and heated to prevent freezing. Ii AT THE TIME OF CONSTRUCTION OF THE NEW WASTEWATER SYSTEM THE EXISTING CRIB ABSORPTIO~ ,t ~ FIELD SHALL BE PERMANENTLY DECOMMISSIONED IN ACCORDANC~E WITH THE UNIFORM PLUMBING Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY .DWELLING Parcel I.D. 015-071-14 Permit Number ..,,<'[x~O 2004/ Property owner(s) Mailing address (1) Mailing address (2) Legal description (Lot, Block & Sub'd.) tOT 1. Legal description (Section. Township & Range) LotSize ,///~/ ~ Acre~ THIS APPLICATION IS FOR: Sewer Only ~ Sewer and Well Sewer Upgrade · GIL SAUER 5741 EAST 99TH AVENUE * ANCHORAGE. AK Day phone 346-1542 Zip Code 99516 RAMPART SUBD~ISION ~1. Number of Bedrooms Well Only Water Storage THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Jacuzzi ~E] Water softening unit 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. ALASKA WATER &: WASTE'WATER CONSULTANTS~ INC. Permit Fees: Date of Payment: Receipt Number:. Waiver Fees; Date of Payment: Receipt Number:., ALASKA WATER & WASTEWATER CONSULTANTS, INC. March 12, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed and Well Septic System Design for Lot 1, Block 1, Rampart Subdivision #1 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. A test hole was excavated to the east of the septic system. The new septic system will be designed around the 30 foot radius of this test hole. The existing septic system consists of a 1000 gallon septic tank installed in 12/1999 and a crib type drainfield. We are proposing that a five foot wide drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitorin~gi and the percolation test results. It is our opinion that an application rate of 1.2 gallons/day/ti should be used. 2. TRENCII DESIGN: a. Percolation Rate: 3.33 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/ii: ¢. NumberofBedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 f. Total Depth: 10 feet (max.) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 45 feet long k Effective absorption area = 450 ft: 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed 6901 Dcbarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com upgrade. 4. TOPOGRAPItY: The area for the proposed septic system is mostly fiat; 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. Thank you for your assistance.~~/~ Je-ffre' M.S. Presi~ NOTE: dttached is a site plan drawing, a design drawing, a soils log, and a 7page construction specification letter which 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 ~ 16, BLOCK 2 LOT 17, BLOCK 2 LOT 18, BLOCK 2 SUU~ff ESTATES $UMMff ESTATES $UMb,T F. STAT~S LOT $. BL~K 3 ~T 2, B~K J ~ 1, B~ $ I/ ~ [ ~ ~ 99 A~NUE ~ ~~ I // B~R~ HOmE / ~ 9. B~K I ~ ~P~ s/o~ ~ ~lwP~ s/o i I" i t I I j ......... ~ ...... ~ ......... ~------~ ......... ~ / / ~ II ~ / Al & W TEWATER ............. GIL SAUER 346-1542 1 OF 2 RAMPART SUBDIVISION ~ll LOT 1, ~LOCK 1, SITE P~N FOR PROPOSED SEPTIC SYSTEM UPGRADE ~S~SEPTIC AR..~ ~ ~x~-'nu~ · " GALLON $[I~C TANK 12/1ggg 10' ~ ~ ~ ~ ~ ~ P~lM~ ~ CRIB / I / / / NOTE: THE O0~OR ~ ~ ~E 100' / WE~ ~IU$. ~E NO~ ~D ~ LOT UNE ~GGED PRIOR TO CON~U~ON. ~ 99~ ~NU[ / / / / ~ ~/15/2002 OIL SAUER (907) 546-1542 2 OF 2 RAMPART SUBDIVISION ~I= LOT 1 BLOCK 1, DESIGN O~ PROPOSED DRAINFIELO UPGRADE ALASI~ V~rATER & WASTEWATER 4 CONSULTANTS, INC. : · t~901 ~ iKOn4). S~iTE 28 · ~i~:~K)~.C. AK. ,504, I)~4X~ t007)557~ 17, ' lr/bx~ (007}~5a'%~244 . lj~s~TT~ ~m~.- 1 .......... Y~""~' ...... ISmL LOG - PERCO~TION TESTI ].~ ~E~..:... ~ D~CRI~ON: ~P~ SUBD~SION ~1~ L~ 1~ BL~K 1t PERFORMED FOR: OIL ~ DA~: 3~8~2~2 ~'~-~[~[[ORGANIC TEST HOLE 1 --s I w/ FILL I I A ~ 2. SLiK ~ ~ 1. B~K ~ ~ J ~ %..., GP/SP ..... ~ ~C SW HH SP CH SM OH SE~C ~i~ DEPTH TO DATE GROUNDWATER ~Ji~ q, D~ ~/8/2002 ~ I ~I~NG ~ e~o~oo~ .ous~ 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP j jj,, TIHE (HINUTES) READING (INCHES) ~. ,,~,., ~/~ ~/=oo2 ~ ~:.5 - ~' - 2 2:55 10 2 1/4' 3 _ _ /1 1{ 4 3:05 10 2 I/2' 3 3./4' 14'~1 ~ I~ 5 3:05 - 6- - 6 3:15 15 7 3:15 - 6- - . 8 3:25 10 1 9 3:25 - 6- - 1 '~ 10 3:35 1 11 3:35 - 6- - 18 12 3:45 10 PERCOLATION RATE 3.33 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST R~ BETWEEN 6.0 FT. ~D 6.5 FT. 2 A FO~ HOUR PRESO~ WAS PERFORHED: ~ YES ~ NO SOILS LOGGED BY: JODY MAUS PERCO~TION TEST PERFORHED BY: ~EB GALL COHHENTS: ~ 1'-2' OF ~ HO~ ~ INDI~ON OF S~AGE (SM~/G~SH SOIL). PERFORMED BY ~W.W.C., INC. I, JE~K~ ~ G~NESS, CE~ ~T ~IS W~ ~RFORMED IN ACCORD~CE W~ ~ ~A~ ~D MUNICIPAL GUIDEUNES IN E~ ON THIS DATE: LOT 16, BLOCK 2 ,~T 17 BLOC LOT 18. BLQ~I(: '~, / _ ~ K 3 T 2 BL~K RA~PA ~ IVlSIO~ ill LOT 1, 0~ Municipality of Anchorage Page 1 af 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 543-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permlt Numbe~. SW990426 PID Numben 015--071--14 N°me:GIL SAUER Wastewater System: [] New · Upgrade 5741 E. 99TH. ANCH. AK. 99515 ABSORPTION FIELD P~°"e:(907) 546-1542/230-3524 No. of Bedrooms: EIDeep Trench nSh~llow Trench ~eed 1 - RAMPART ~1 Tovflshlp: -- Ronge: -- Sectlon:~_ ~ ~ Upgrade~ ~ ~ ~ WELL: D N~w c~(P~c): ~ ~ _ T~~ ~ / ~1 ~1 ~ TANK SEPA~TION DISTANCES sb,u~= ~l~ng From Tank ~ stroh T~n~ ~CHO~GE TANK 1000 Well 100'+ 100% -- -- 2S'+ ~EEL 2 Woter Foundo~on 5'+ 10'+ -- -- ~emorks: EXCAVATOR IN~ALLED DOUBLE CL~NO~S BENCH MARK FOUNDATION PReEnED INhALaTION OF ~o~o~v: ~c. ~c. ~to~:~,t ,~/~/~ ~.~.~.p¢ ,...,t .............. R~vlowod and appmv~ by:~ Date: ¢ -!1 -~ '""'"""""~ AS-BUILT DRAWING SW990426 015-071-14 ¢¢PflC lANK /~NEW 1000 -- ! ¢,¢4.LON DBL1 24.5 25.6 \ DBL2 25.5 26.6 'XX\ /-~'~ff'7 %%XX ST1 27.0 26.1 ST2 ,31,1 24.2 DBL3 32.3 23.7 "" \\ ) t \\ DBL4 33.0 i 23.3 CRIB 46.6 I 24.0 I ~.~ ,! ! ALASKA WATER. AND WASTEW^TER CONSI. ILTANTS, INC. _~o O.F...~ R,,.,',.,',' 5,.,,,,:,,v,,IO, ~,,, .o? ,. ,.oc,,, !P" ,,,-,,,,,., o, _.,-,.-,lC ,¥.,-,-. 4 OIL SAUER (907) .7,46-1542/230-5524 vo~e.~,ff"':. ~:- '"' %?.... ........... ~Tr'12_15_99// ~:K.D.W. I - 40' 2 OF 2 '~.-~ Ore,, DRAWN A B DBL1 24.5 25.6 DBL2 25.,3 26.6 ST1 27.0 26.1 ST2 ,31.1 24.2 DBL3 32.3 23.7 DBL4 33.0 23.3 CRIB 46.6 24.0 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 (g07) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Dec 02, 1999 Expiration Date: Dec 01, 2000 Permit Number: SW990426 Legal Description: RAMPART #1 LT 1 Design Engineer:. 0041 AK Water & Wastewater Consulta Owner Name: Gil Sauer Owner Address: 5741 E 99TH ST ANCHORAGE, AK 99515-0000 Parcel ID: 015-071-14 Site Address: 005741 99TH AVE E Lot Size: 16200 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. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (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: ~~'~ Date: Date: /2- 2 -?? Alaska Water & Wastewater Consultants, Inc. 6901 DeBarr Road, Suite 2B ~ Anchorage, AK ~ 99504 (907) 337-6179 ~ Fax (907) 338-3246 Consulting Englneers November 26, 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 Septic Tank Replacement for Lot 1, Block 1, Rampart #I. 5741 East 99 Avenue, Anchorage, Alaska. To whom it may concern: The existing 3 bedroom house is served by private well and septic system. The existing 1000 gallon septic tank is collapsing and must be replaced. All neighboring wells are greater than 100 feet from the proposed tank location. Attached is a 1" = 30' scale drawing which show the location of the new septic tank. There are no surface waters within 100 feet of the proposed upgrade. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. It' you have any questions, please contact me at 31 ~7-6179. Thank you for your assistance. amess, P.E., M.S. Pregi~nt LOT 16, BLOCK 2 LOT 17. BLOCK 2 LOT 18, BLOCK 2 SUIJU~T ESTATES SUUMIT ESTA'rES SUIdiAIT E~TATES EAST 98 AVENUE: ~'~ ......~.~.s. · cS~'~c c~"~c ~ ~ ~PROP~ / T~K UP~[ ~ 99 A~NUE ~---- - / X t,,I / ~S~ WA~R RAMPART SUBDIVISION ~I; LOT 1, BLOCK I ........... S~T[ P~ ~ ~ ( .~..-/ ........ ., 11/26/99 K.D.W. 1- - 100' 1 OF 1 PRO~S~ 1~ N S~C T~K FOUN~ON ~ ~ ~ / / ALAS~ WAlK ~ WAS~WA~R CONS~T~S, ~C. 6901 D~R R~. S~ 2B. ~CHO~ ~. 99504 PHON~ (907) ~57-6179/F~: (907) ~-3246 DESIGN OF SEPTIC TANK UPGRADE (907) 546-1542/250-5524 I'..'. ~-7953 GIL SAUER ., 'ER ANCHORAGE AREA BOROI, I ' D~rARTI~IElYT OF ENVIRONME~TAL QUALIT~ 3500 TUDOF{ ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME__. LOCAIlON MAILING ADDRESS___ LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL LIQUID C A PAC ITY ___/~/~'~;' ........ GALLONS. NLJMBER OF MATERIAL_~7~:~ ',~ "~' -/'L,'4/'~/d'~"~' COMPARTMENTS__ ~ ~/~ .~e- ~ ~~ LIQUID INSIDE LENGTH ............... INSIDE WIDTH_ DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: ' NUMBER OF PIFS / ....... OUISIDE DIAMETER OR WIDTH_ NEAREST LOF [.INE_. ~2 ~ TOTALZEFFECTIVE ABSORPTION AREA (WALL AREA) ~ SQ. FT, ~N_~FIELD: DISTANCE FROM WELL .... NUMBER OF LINES_ ABSORPTION AREA__ FOUNDATION_ , NEAREST LOT LINE_ DISTANCE BETWEEN ~i-I'TE~S:-~-,--~ TRENCEI WIDTH SQ. FT. LENGTH OF EACH LINE ....... -- DEPTH: TOP OF TILE TO FINISH GRADE_ TOTAL LENGTH , OF LINES IN, TOTAL EFFECTIVE DEPIH OF FILTER MA1ERIAL BENEATH TILE_ < ..... INTAB©-VB TILE ___ _ WELL: TYPE NEAREST LOT LINE , SEWER LINE SEPTIC ,TANK_ DISTANCE FROM WATER , BUILDING FOUNDATION ...... SAMPLE NEAREST SEEPAGE OTHER , SYS1EM CESSPOOL SOURCES Gr~: ER ANCHORAGE AREA BC UGH DEPARTMENT O[~ E:NVIRON~BNTAL ~JAL~"~ SEWAGE DISPOSAl. SYSTEM ~ APP~iCaT~O~ AND ~T INSTALLATION LOCATION PHONE · i~. ::.x:-. :/,: ,,4' (,', >.:.i:,,.~,.) ,' ,x/::::-,: ~'~>>_/:_.:,2~_:_ ' H~TH DEPAR~ENT AUTHORI~ WILL BE ~UBJECT TO PROSECUTION. FOUNDATION TO SEEPAGE PIT ~EP~IC TANK TO SEEPAGE PIT WALL DRAIN FIELD ~!tEPTIC TANK * SEEPAGE PIT ~, ; DRAIN FIELD TO NEAREST LOT LINE. ' /,: :! ,' WATER MAIN TO SEPTIC TANK / ~ ' ' SEEPAGE PiT ' ' ' DRAIN ~IELJD_ CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF 4 INCN=DIAMETSR-C4~T IRON "IPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT CoNFO~N BOROU~3N I CE~IF~ ?HA7 t AM FAMILIAN WITH ~HE REQUIREMENTS OF ~REATER ANCHORAGE AREA ~OROUGH ORDINANCE NO. ~8-~8 AND ~HAT THE ABOVE ENG, EERING & GEOLOGIC,-,,_ CONSULTANTS 229 EAST 515t. AVE. - P.O. BOX 6087- ANCHORAGE, ALASKA 99503 TELEPHONE 907 279-0483 TELEX 090--35419 G~ologists Land Surveyors RALPH R. MIGLIACCIO Engineering G~ologisl july 31, 1972 No. 26540-13 1VLr. Donald Combs 4915 West 84th Avenue Anchorage, Alaska 99502 RE: Tes~ Hole and Soil Log !Repoz~ for Sanitary System Lot 1, Rampark No. 1 Dear Mr. Combs: We are submitting herewith the tes~ boring results and our comments regarding soil conditions encountered at ~he subject site. This investigation was performed in accordance wi~h yottr request o~ July 27, 1972 and those procedures outlined in a lehter dated September 13, 1971 by Mr. Roll Strickland oE -the Greater Anchorage Area Borough Department o~ Environmental Quali~Ty. A single tes~ hole was put down within the Lot 1 area ~or the purpose o~ de£inlng general substtr~ace so'~ conditions for the proposed sanitary system. Excavation was accomplished with a tractor-moun~ed backhoe and the Cest hole was extended to a total depth o~ 14 f. eet below ground surface. The ~inal log prepared ~or -the test hole has been included in Drawing A-01. Ground water was no~ encountered in-the test hole. We apprecia'te beiztg given this opportunity 4~o be o~ service to you. Should you have any questions with regard to the above, please do not hesitate to contack us. Very ~z~ly yours, iR & ~/[ ENGINEEIRING & GEOLOGICAL CONSULTAI~TS JW IR: wb Enclosure xc: Grea'~er Anchorage Area Borough T.H.-I ORGANICS W/SOME SiLT SOME GRAVEL SANDY GRAVEL (GW) SILTY SANDY GRAVEL (GM) W/SOME COBBLES Med. Danse SAND (SP) 8.0' SILTY SANDY GRAVEL (GM) SAI*ID COARSE GRAIN (S P) t4.O' No water table Note: Hole excavated with tractor mounted backhoe. Donc~ld DATE T'-2:~-72 SCALE I" : 2' DWN ~Y GA',¥ C:HKD ~Y JYVR Combs Property OF TEST BORING Alclsko Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.a nchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-071-14 t. GENERAL INFORMATION Completelegaldescription RAMPART SUBDIVISION #1; LOT 1, BLOCK 1 Location (site address or directions) 5741 E. ggth AVENUE * ANCHORAGEI AK 99515 Current Property owner(s) GIL SAUER Day phone 346-1542 Mailing address 574.1 £. 99th AVENUE · ANCHORAGE, AK 99515 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well ~r~ 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 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. PA~D .,. Note:Alaska Waterand WastewaterConsultants, Inc. shall be paid $ ~ at, orpdor to closing for the engineering sen/ices provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal afr'/xed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate forthe number of bedrooms and type of strocture indicated herein. I fur~her verify that based on the information obtained from the Municipality of Anchorage fi/es and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with ali applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B "' ANCHORAGE, AK 99504- Engineer's Printed Name JE£1-'h~EY A. GARNESS. P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AWWC, Inc. attempted to provide s thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported msults de$c#bed the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and · septicsystemsdependonthelocalsoilscondition, gmundwaterlevelsthatmay fluctuate during the year, and the water usage of the family being served by the system. These conditions ara 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. AWWC, Inc. 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. DSD SIGNATURE $~ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowmg stipul .a,t(~ ...... ~:' ON-S~E Attachments: HAA Checklist Septic System Advisory Well Flow Advisory ~ : WASTEWATER ,-' - "' '"'?,OGR.~M · Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: Municipality of Anchorage Development Services Department Bulldlng Safety Division On-Sits Water & Wasfewater Program 4700 South Bmgaw SL P.O. Box 196650 Anchorage, AK g9519-6650 w~w~.cLancttorage.ak.ua (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: WELL DATA Well type PmVATE; IfA, B, or C provide PWSID# N/A Date completed PRE 1976 Sanitary seal (Y/N) YES Total depth 40'+ fl. Cased to 40'+ ft. RAMPART SUBDMSION ~tl; LOT 1, BLOCK I ParcellO: *TESTED BY TED MOORE, P.E. 015-071-14 Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform colonies/100 mi. Arsenic: N/A mg.lL. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Well Log (Y/N) NO Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION 5/12/1977 2/26/2002 35 fl. 39 15 .g.p.m. '6.0+ ~g.p.m. Nitrate mg./L. Other bacteria .__ Data of sample: 6/15/2002 Collected by: *reDOUBLE c/o's PRIOR TO SEPTIC TANK Data installed Cleanouts (Y/N) High water alarm (Y/N) CHUGACH SEWER Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) *"YES Depression over tank (Y/N) NO Date of pumping 4/4./2002 Pumper C. ABSORPTION FIELD OATA Date installed 4/~,-5/2002 Length 4.5+ ft. Total depth O..lO ff. Eft. absorption area 4.50+ ff~ Monitoring tube YES Data of adequacy test NEW Results (Pass/Fail) - Fluid depth in absorption field before test - in. Water added - gal. Elapsed Time: - min. Final fluid depth - in. Any rejuvenation treatment (pest 12 mo.) (Y/N & type) - colonies/100 mi. AKWWC, INC. 12/1999 YES N/A *'*BELOW FINAL GRADE Soil rating ~]or ft~'oclrm) 1.2 System type SHALLOW TRENCH Width 5 .ft. Gravel below pipe 4.16 ff. Depression over field NO For 3 bedrooms New depth - in. Absorption rate >= - g.p.d. If yes, give date - D. LIFT STATION Date installed Size in gallons "Pump on' I~igh ~r alarm level at ~_ .in. ~ Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absoq)tion field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ On adjacent lots **98' On adjacent lots 100'+ Public sewer manholeldeanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation §'+ Property line Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field Sudace water. Building foundation 10'+ Water main Property line '2'+ Water service line 10'+ Curtain drain NONE KNOWN F. COMMENTS *WNVER REQUESTED 5'+ 100'+ Surface water 100'+ Wells on adjacent lots 100'+ N/A Driveway, parkingNehicle storage **SEE DHHS RECORDS FOR LOT 2, RAMPART 10'+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Prin}edTme Date v-! JEFFREY A. GARNESS HAA Fee ! Date of Payment Receipt Number (R~v. 12/01) Waiver Fee $ Date of Payment Receipt Number ,~I~K ~&E Environmental Se~ices Inc. cr&E Re£# CHent ~zme Project ~imd# L'~en t Scruple lID ~trlx Ordered By PWSID Sample Remarks: 1023588001 AK Watcr& Wastewater Consultants Inc. Rampart LI BI P, ampart LIB 1 Dri~klng Watcr 0 All DAtes/Times are Alaska Standard Time Printed Date/Time 06/21/'2002 12:32 Collected Dote/Time 0~/18/2002 12:26 P.e~eived Date/Flme 0~/18/2002 13:00 Allowable l~cp Ana]ys~ Llmi~ D~te Dzte Init Nitrate-N To~al Coliform 3.89 0.200 m~/~ EPA 300.0 (<10) col/100mL 5MI8 ~222B (<1) 0//18/02 KAP Municipality of Anchorage -- = George P. B uerch, or ~wr,,-~.t ~ ~ Public Works Building Safe~' Dx~slon P.O. Box 196650 · 4700 S. Bragaw Strcct Anchorage, Alaska 99519-6C~50 * (907) 343-8801 6/26/2002 Engineer Company Name & Address Subject: Waiver Request for Lot line Waiver Request #WR020032 Parcel ID #015-071-14 Dear Jeff Gamess: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 2.0 feet. This waiver approval applies to the existing absorption field 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 depa~h.ent. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Civil Engineer On-Site Water & Wastewater Program Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewaler Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6~50 www.cLanchorage.ak.us (9~7) 343-7904 Waiver Review Worksheet WRY: 020032 PID~: 015-071-14 HA~: 020273 P~ni~: !.a'020041 Date Received: 6124/02 Legal Description: Ramoa~t Subdivision #1: Block 1. Lot I Engineer. Alaska Water and Waste Water. Inc. Applicant: Jeff Gameea Waiver Requested:~ Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver is Granted: ~ Waiver Is not Granted: Llst Condi§ons or Reasons for above: ~"et- ~,.~.:n,.,e-,,. [,,* ~...,,., ~,,,,,,.....~ Na3 21 20 08:19a Lori Uhi~temore ~?]-6450 TI~O~RE F. MOO~, P.E. 14530 ECIIO PH: ~07) 345-135~ ~CtlO~GE, ~KA 99516 Fcb~ 27, 2002 Gilbert and Deborah Sauer 5741 East 99t~ Avenue Anchorage, AK 99516 Dear Ma'. and Mrs. Sauer. Per your r~xtucst on February 26, 20021 conducted adequacy tests otth~ watex supply and waste~ter dispo~l s~tems se~g your residence on Lot I olympia ~1 S~. ~k~ile ~e v~ll yield ~s mom tMn adeq~te, 1 ~et to m~fl ~at ~e 30ffe~ old seepage pit is no longer able ~ at,pt ~t~ at an adeq~te ~te for i~ cfa M~cipfl Hefl~ Au~ofity Approv~ ~AA) ~nificate. The foffo~g is a m~ of o~ ~st pmced~e m~d timings. I was unable to locate a driller's Icg for the ~ll, but other documents on file at the Municipality indicate that the well was probably drilled in 1972 and bas a total depth nfS0 feet. On the date of my test the stalio water level stood at 39 feet below the top oft,ho oozing. During the com~e of our test 1 p,-,mped a to'al of 724 gallons of v,:ater from the well at the maximum pump output of 6.13 gpm, which caused the water level inside the casing to be dra~ down to 40 feet, but no further. Based on the test data I determined that the total yield of the well is in excess of 6.1 gpm, wMch exceeds the Municipal criteria for approval cfa single family residence; this yield also meets the FHA lending eriterla thai a well be able to supply 720 gallons of water within a 4 hour period. I did not collect',~-ter samples to test for bacteria and nitrates at this time because the testing must be done within 30 days of filing for :t HAA certificate. According to the as-built inspection reports on file at the Municipal tlealth Department, the wastewater disposal system begins with. a telativaly new 1000-gallo-.- sapac lank L~t was L".stalled in December of 1999. Effluent from the tank fio~ into a Icg crib seepagc pit wi',h 594 square feet of effective absorption area that ,,;.as inzmll~ in August of 1972. To assess the adequacy of the system 1 ran ~tcr into the system through the eleanout downstream of thc new septic lank, ',x~le monitoring fluid levels in the septic tank and in the seepage pit standpipes, before, during and oiler the flow of xvater v-as stopped. The inttial fluid depth in the seepage pit was 67.5 inches and the addition of 208 gaUons of water caused the fluid depth to increase 24 inches m the point where it was backed up into the septic tank. I then carefully monilorcd the reabsorption rate and dete~£ued that tke p:,t is able to ~sorb water at a rate ol'276 gaI!ons per day when completely t~'~II. Unfortunately, this is less tha.n the ,$50 gallons per day requL~d for issuance ora IIAA certificate, so the system will need to be upgraded in order to qualifi:' for a tIAA certificate. As we discussed, it is possible that the performance of the system could be improved by treatment with hydrogen peroxide, TerraliP., or other method. But cxl:~fience b~_s fl~own L~.~t ~ese treatment options ate fairly ex~.-nslve, may or may not have any beneficial effect and any beneficial effect would probably be only g,l.o~-term. Fu,~.rmore the system would have to be forested at least 30 da.vs after the treatment ~as done to reassess the adequacy. I do not recommend this approach for your system. Na3 21 20 08:19a Lori Uhitte~ore ~71-6450 There does appear to be a suitable site for constructing a replacement soil a'osorplion system/n the northeast comer of your lot. The tirst slep in doing this wotdd be to bring in a back hole to dig test hole(s) to assess the soil conditions pertinent to the design. The following is a breakdown of estimated engineering and relaled costs associated with up~radin§ the system. Backhoe for test holes (actual amount determined by time needed) $400-$500 $800 SOilS 81~.i~.~.~S~.S (visual and. ~C test. s~ 1,vier IIlO~tODn~, site Illan) $~00 D~sign drawings and specifi~tions IF~X)O MOA lee for septic upgrade permit Contractor construction cost unknown until design complete, but probably $4000 - $6000 ' $700 Construction engineering inspections and as-built inspection report Once the construction work is complete, there will also be the fees for water sample collection and · ' if still needed) and MOA. HA,S, certificate that I deducted from my adequac~ testing, septic pu. mpmg( . . . _,,,.-_Au .. ,.,,,. bone plans and would be happy · . · ,. r_A o~.:~ ~'-~"s ail Im..exDecteu $.tu;iu=, i:: a ..... e sale. ! iLS to do anyllqh,.g I can to v;ork with ltou and your Realtor to make the proces~ proceed as smooth y possible· Please feel free to give mt a call if you have any qu~tlons on this report and/or to let me know if you would like me to start the soils analysis and design angineering work. Sincerely, Ted Moore, P.E. LOT I ~ LOT 1 EAST g~th AV~NU~ ~.... .................. 440 ~ST BEN~ BL~. ~ 103 (fo=) ~61-6626 ~AGE. ALASKA 99503 (907) 562-5291 LOT 1, BLOCK 1, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O/,~- O'71~ t~/ "4 HAA# 1. GENERAL INFORMATION Complete legal description ~.~ ! ~.~4 ~¢~,-r-~-~' Location (site address or directions) Pre perty owner Mailing address Lending agency Mailing address Agent Ad d tess Day phone Day phone Day pho:ne:'~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~5' "~ TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev. 1/91) Front MOA#21 '~pOM S)OOU!6Ue leUO!SSetoJd oq~ u! suolss!Luo JO ~JOJJe JoJ elq!suodsaJ ~ou s! a6eJoqouv ~o /q!led!mtm~ ~q± ':'~ ~uss! s! a~eo!,t!lJao e eJojaq u]ep @z,qeu~ Jo suogo~dsu! ],onpuoo leu op SHHCI ~o s~e~old~U~l ','quatu~J!nbaJ ,~s pue imape~ u!~l~ao ~sp,~s o~ JapJo u! suo!lnlp, su! 13u!pu~l J!eq~, PU~ ,~atuoq jo sJas~qoJnd o]/~sa]J nee ~ s~ s!ql seep SHHQ eqz '8NSel¥ lo e]e~,S ~q~, u! paJa~s!B~J JaaU!6U~ leUO!SSa,toJd ]uepuadapu! ue Aq a^oqe 9 qdeJ~eJed u! ua^!l~ suoF,9]uasaJd~ ~q~ uodn ,quo poseq s@lBo!j!IJaO IB^oJddv /q!Joq]nv q~lOaH sanss! 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ONIQIOH/OIJ.d3S '8 (:?-~;' ~, sial luaoe[pe ua: 'uJ'd'6' NOIJ.O~IdSNI J.~ (N/A) poloaloJd ~lJadoJd sa JIM ]q§!aq §u!seo (~) ~ Jell!JO eU!l eo!/ues JaMeS U!eUJ JaMeS o!lqnd ]Ol ua PleU uo!ldJosqv ]Ol ua ~tue] BU!PlOq/op, das :01 TFIM ~Ol~:t S:IONV.LSIO NOIJ.Vt:IVdaS He^el dLund MOll IlaM Ia^el JOiaM O!leJS ISa1 lO a]eO 901 ll]M INOEI=I / o] paseo palalduJOO oleo Jeqwnu uJets/~s JO)eM OaQV 'Jeilal o:lav qoe)te '0 Jo 'ia 'V Jl /$n)K)3H3 1VAOl:lddV AIIMOH/.I'IV HI'iV3H seoFues ueuJnH pue q)leeH ~o )UeLU~Jedaa e§eJoqouv ~o ~l!led!oiunR JaqLunN ~,dlaoel:t lUeLU/~ed 1o elea 'uofloadsu! Still,to al~P aql uo loal]a u! sauflap!nt~ WH pue VOI,¥ fie ol pa~u~o/uoo ~o 'pa!]paA 'pa)loaq2 aAeq I ~Bql ,Q!I~ao I NOIJ.VOI=IIII:F:IO S,Et33NIDN3 'B 'sex SlOl lueoe[pe uo uo{lepuno10U!pl{nq ol 2}/' / lOl uo IleM :O1 0931:1 NOIJ_dHOS~tV IAIOHzi ~ONVISla NOIIV~VdqS -;~= ~ ~,7~:-- (~,=l/OdD) I~ul|eJ pos (/,Cz ' ' V.ILV(] Q-EIH NOIJ. dEIOSI]V 'a SlOl iuooe[pe uo lOl uo IIOM :O1 NOIIVIS 1=1l] l/~OH:J ~IONV.LSIO NOIIV~Vd:tS paisei SelO,~O la^el ,JlO dUJnd,, (N/A) ssaooV/eloquelAI JeJnJgelnuelAI (N/A,) sapo~ leOlJiOela VOIAI sleel/~ ie la^el ,,uo dLUnd,, laAel tlLll~ll~ JeIBM q§!H (N/A) lUeA SUOllel~ u! ez!s PallelSu! ale(] NOIJ.VJ.S J.=lll 'O MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMEN~fAL HEALTH DEPAR%~ENT OF ~RtALTH AND ENV!RO~R~ENTAL PROTECTION APPLICATION FOR HEALTH ADTIIORITY APPROVAL CERTIFICATE General Information Application Date ~._~.~_~ (a) Legal Description (include lot~ block~ subdivision~ section~ towmship~ range) Location (address or directions) (b) Applicants Name ~,~i~ ~g~ Tele h~ne - Home Business Applicants Address (c) A,~plicant is (check one) Lending Institution (d)Lending Institution ~~JX Address ' ~ (e) Real. Estate Coo & Agent Telephone ~g~ ~ ~ ~ ~ ~ J~ Mail the ItAA to the following address: 2~ ~y~e of Residence Single-Family~ Number of Bedrooms 3o Water Su_u~!~ Individual Well~ Multi~Family~ Other (describe) Community ['~'-]~ Public ~--~ Note: If community well system~ must have %~'itten confimnation from the State Department of Environmental Conservation attesting to the legality and status° 4. Sewage Disposal 0nsi e Pu l e 711 Community Holding LULl Note: If community well system, must have w£itten confirmation from the State Department of Environmental Conservation attesting to the iegality and status~ [Page 1 of 2] Engineeri~ Firm Providinm~_~ions~ Tests~_ File Search,_ Data and Information As certified by my seal affixed hereto and as of the validation date sho~m 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 ~equate for the numbar of bedrooms and type of structure indicated herein, i further verify that~ based on ~he info~ation obtain~ from the b~nlcipality of ~chorag~ files and from my investigation and inspection, the on-site wa~er supply and/or %msCewater disposal system is in compliance ~th ~1 b~nicipal and State codes~ ordinances, and regula- tions in effecg on the dage of this inspection. o Approved ~ Disapproved ' Condition~l .... ~e~s of Conditional Approval CAUTION THE I~JNICIPALITY OF ANCHORAGE DEPARTMENT OF !LEALTtt AND EN-VIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOIJZLY UPON THE REPRESENT- ATION$ GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERKD IN THE STATE OF ALASKA° TttE DHEP DOES THIS AS A COi/RTESY TO PLrRCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE HEQULRE- MENTSo EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED° TItE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN %lie PROFESSIONAL ENGI~IEER~S WORK° (DHEP SF~Aj~) RR4/ej/D18 [Page 2 of 2] 7-19-84 A. WELL DATA Well Classification MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Well I~g Present (Y/N) Total Depth ~;O __ Cased to Static Water Le~l Casing Height AbDve Ground Electrical Wiring in Conduit (Y/N) )/ Separation Distan(~s from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~O~[ Legal Description: If A, B, or C, D.E.C. App~oved(Y~) ~/~ Date Co~leted Yiel~ Pump Set At Depth of Grouting ~O~J __ Sanitary Seal on Casing (Y/N))/ Depression Auound Wellhead (Y/N) ~ Cleancut/Manhole 610 6J~ To Nearest Sewer Service Line on Lot Water Sample Collected By ~[-, ~ ; Date ~ I~l ~ Water Sample Test Results ~~~ ; On Adjoining Lots I~O ; On Adjoining Lots lDO To Neauest Public Sewer SEPTIC/HOLDING TANK DATA Date Installed t'~u=L~ ~_~7~ Size I~ Standpipes (y/N)~_~r Air-tight Caps (Y/N) ~ Depression over Tank (Y/N) ~ Date Last Pumped No. of Compartments ~ Foundation Cleanout (Y/N) NI Pumping/Maintenanoe Contract on File (Y/N) ~/~ ; for ~//~ Holding Tank High-Water Alarm (Y/N) R~/A _ Temporary Holding Tank Permit (Y/N) tf//~ Separation Distancms from Septic/Holding Tank: To Water-Supply Well I~ To Building Foundation ~ ! To Property Line To Water Main/Servic9 Line Course /kt~ I"~ 1.~ Conments To Disposal Field ~ ~_D_ To Stream, Pond, Lake, or Major Drainage Receipt ~ '~:?~ i~? :5'/ Date Paid: ~"i_/ '/' Amount: _. 47,5 [Page 1 of 2] 2-15-8~ C. ABSOPd~rION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) . l~ Type of System Design Length of Field ~ Depth of Field q Gravel Bed Thickness q Standpipes Present (Y/N) Date of Last Adequacy Test &/~;/ Results of Last Adequacy Test ~-~ Separation Distance from Absorption Field: To Water-Supply V~tl To Building Foundation Lot I~ 0 ~ ~ TO Water Main/Service Line To Stream/Pond/take/or Major DrainaGe Course To Driveway~ Parking Area, or Vehicle Storage Area Comments ; On Adjoining Lots ~%69 P · ~0~ To Cutbar~(if present) To Property Line ~O To Existing or Abandoned System LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water AlarmLevel at Tested for Electrical Codes(Y/N) Di~ ns ions Manhole/Access (Y/N) "Pump Off" Level at' Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Pern~tted Bedroom Rating Against ~qA Request ** I certify that I have checked, verified, or conformed to all MOA HAAC~idelines in effect on the date of this inspection. KB1/d5/s [Page 2 of 2] Date 2-15-84 .... [~ (~J' F~U,'-'~(t~ ANCHOFIAGE, ALASKA 99501 CONSULTING ENGINEER 'I-ELEPI lONE: (90?) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM: SEPTIC SYSTEM: DATE OF PUMPING: DATE OF TEST: TEST PROCEDURE: TEST RESULT: LOT 1, BLOCK 1, RAMPART 5741 E 99TH. AVENUE EUGENE STARR SINGLE FAMILY, THREE BEDROOMS ON SITE WELL FROM MUNICIPAL RECORDS: TANK: STACK STEEL, TWO COMPARTMENTS ABSORPTION SYSTEM: LOG CRIB, 8XSX9 ABSORPTION AREA: 594 SQ.FT. SOIL RATING: 212 INSTALLATION DATE: AUGUST 1972 JUNE 11, 1985 JUNE 11, 1985 CRIB WAS FILLED WITH WATER AT A CONSTANT RATE OF 7 GALLONS PER MINUTE. THE WATER LEVEL IN THE CRIB WAS MONITORED UNTILL 480 GALLONS HAD BEEN ADDED. THE TANK WAS THEN PUMPED. THE WATER LEVEL IN THE CRIB WAS CHECKED AFTER 24 HOURS. ALL ADDED WATER HAD BEEN ABSORBED. THE WATER DEPTH IN THE CRIB WAS 60 INCHES AT THE BEGINNING OF THE TEST. AFTER ADDING 480 GALLONS THE WATER DEPTH WAS 66 INCHES. THE TOTAL DEPTH OF THE CRIB IS 9 FEET. THIS SYSTEM MEETS THE REQUIREMENTS OF THE MUNICIPAL CODE. 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 RESIDENTIAL WELL INSPECTION LEGAL: LOCATION: OWNER: LOT 1, BLOCK 1, RAMPART 5741 E 99THo AVENUE EUGENE STARR TYPE OF WELL: RESIDENTIAL WELL LOG AVAILABLE: NO INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: NOT AVAILABLE PUMP YIELD: 7 GALLONS PER MINUTE DATE OF INSPECTION: JUNE 11, 1985 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 7 GPM FOR 70 MINUTES. THE WATER LEVEL WAS MONITORED EVERY 15 MINUTE. THE STATIC WATER LEVEL WAS FOUND TO BE 34 FEET BELOW THE SURFACE. AFTER 60 MINUTES OF PUMPING THE WATER SURFACE WAS 35 FEET BELOW THE SURFACE. THE TOTAL DEPTH OF TE WELL IS 50 FEET. TEST FOR COLIFORMS: NEGATIVE TEST RESULT: 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. APPiL (: F .LIL OUT UPPER Buyer Address Zip Code Lending Institution Phone Address Zip Code _ Address ! :; .'.. _~ '\.l.. .) , i'~,i Street Location Type oCResidence [~ingle FamJJy ~ Multiple Family No. of Bedrooms ~ O~her Phone :,.) Water~upply ~ Individual [] Community E] Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give weJl depth (attach log if available}. Sew~e~/Oi~posal t-F Individual [] Public Utility [~ Holding Tank Year Individual Installed: When Connected to Public Utility: NOTE: TIlE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Date Date Inspector Inspector Field Notes: ) APPROVED BEDROC)MS *CONDITIONS OF APPFtOVAL ~ '~) DISAPPROVED ) CONDIi'IONAL APPROVAL* BY: Time Time , Date Date Inspector Inspector MUNICIPALIIY OF ANCHORAGE DEPT. OF tIEALTH ENVIRONMENI'AL PROTECFION , ECEIVED Soils Rating I Date Sewer Installed Well To Absorption Area Well I,og Fleceived / ; Well to Tank Septic Tank Size :q ' ) ' ,' ~ GREATER ANCHORAGE AREA BOROUGH. Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503' 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: ~ii,'~ ~= r' ,ii/,~, ~ <,~, Mai'ling Address: o o o VA FHA __ Phone Name of Realtor or Agent: Mailing Address: j~/~ Name of Buyer; Mailing Address: Name of Lending Institution: Mailing Address: / 6. Legal Description: , >.~( / Location: ~ ~,~ Type off Facility to be ~nspected: 8. ~ater ~upply g o Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) EQ-037 (~/74) ,I. ,. i~, .,.,,.,,~'~ ;~.,?/ ,J ,'-'¢~ ~,~x ' .,.~,. ], G<C~ATER ANCHORAGE AREA BOROUGH ; ~,~li ,,:~¢/-~J~partment of Environmental Quality 3~],2~:~x~i' Street~ Anchorage, Alaska 99503 274-4561 ~?1/-4~7¢~¢~¥' ~.~-" Date Received March ¢~p,.~,4:,-~)~::'*-~,,,.~., ~'/'2''''~'~ ~ Time of Inspection 3'W '¢- '~ . ' -'- - Date of Inspection ~:~¢5 ,~¢,¢C/' REQUEST FOR APPROVAL OF '";j~¢'~?' I~DIVJ~UAL SEWER & WATER FACILITIES Co~ ~ ~a~ling Addxess: ~os~ o~&ce Box &=2090, ~50~ Phone: 2~ Propexty 0~neT: :8e==~=8 G~ & Sbaro~ J~ Bet~ Phone: 3&4-53~7 Mailing Address: 3o Legal Description: 4, Location: 5o Type of facility to be inspected 6, Well Data: Individual A. Type C, Construction 7~ Sewage Disposal System: Ao Installed C~ Septic 'rank: D. Seepage Pit: Lot i Block 1 Rampar-h Subdivision ~1 9880 Birch Roadr on corner of 91st and Birch Road Single Family No. of bedrooms 3 Bo Depth D. Bacterial Analysis On~-si-te system : 1972 B~ Installer lo Size lo Absorption Area Eo Disposal Field: Total length of lines Distances: Ao Well to: Septic tank Nearest lot line Bo Foundation to septic tank C. Absorption area to nearest lot line 2, Manufacturer 2. Material , Sewer Lines , Absorption area Other contamination Absorption area E0-034 (1/74) Paoe 1 of two Daces ~Page ~2 of two pages ~ Req L for Approval of Individual S ~' & Water Facilities · 'Legal Description l,o-t 1 Block Rampar't Subdivision '~ Comments Appro~i ~Valid for one year from date signed Greater Anchorage Area Boroughs Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained 'in this request 'For approval to be a true and accurate representation of the subject sewer and water facilities and these 'Facilities are opera/~'i~ satisfactorily~ EQ~034 (1/74)