HomeMy WebLinkAboutTRAILS END BLK 5 LT 1Trails End Block 5 Lot 1 #015-192-30 Cot 3C 18 1 11:`>4Ei Ar ca g z:4 1,11 p- I ; el Pu, n q) 6 of -t0 2 4-'- Cr4'21 Oevefownent Sel-vices bepartme�rt Building Safety Division On—Site WOtSr & WaSieWater Program P 7 fv Anchr,race, Ak995:07 343-7904 Purnp Installation Log Well DrilfinV i , Ptrunt Number- of Issue: Parcel Tdcatificaw)n Nurnber:.015-1 19 Z - so Attention: Ybe puIjAp A. P COY'& zL �'�uqp 1� g �O th-, DED 0, 1"'urnr, 'Istallation. Municipality of Anchorage , I _ Department of Health and Human Services i� It r* - = Building Safety Division' OD -Site Water and Wastewater Program. 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.d.anchorage.ak.us (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWSW020253 PID Number: 015-192-30 Harps: Mark R rinminigkip R1lrlinrgar Wastewater System: ❑ New ® Upgrade Addrese. 89n0 Shphannf r)rive, 99516 ABSORPTION FIELD Phone: numb« or Bed„oms: ° Deep"" p ""®sn.Ior. Tr.ncn ° Bea ° Moother.❑ Cnn, 346-8340 3 Soo Rating: TCYI Depth Ron a" grad.: LEGAL DESCRIPTION 0.6 GPDrFe 4 Fl. Block: La subdirieien; Depth to poll bodoen ban ongonel pada: Gmal dean be "d reps: 5 1 Trails End 3 Fl. 1.0 Fl TownMp: Ranpe: sect oh: FII addw above original Red: Gre,al Length: 1 Fl. 2@03.20)40 Fl. Well: [I New El Upgrade GmnleAan: Monb.alMe: twank.bal Ill es: 5 Ft. 4 10 Fl QusanEon (Puna. A B. c): Told Depth: C MW b: Tobi abwrpeon Mw: p" Mekrrw.. Existing Fl. Fl 730 F? F81013034 Dnl,r Dan, Dntied: Sake Waer lent: RMatier Dae, R"btisd: Fl Beek Excavating 8/3/2002 Yold (Pump sal M: I Gaming H"M Above Gmrnd: TANK GPM Fl. FL SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding puhbc/Privste Mraxacaaer: cap"; rom FTank Field Station Tank saeerunel Aneh Tank 1000Gal. WON 111 102 So meteNL ra» afConpMen.fa. Steel 2 a..be.w.. 100+ 100+ LIFT STATION S. Meohckno: Lawn, 27 0.5 Fond~ 37 22 -pump on -kr la IN" air n,w M: IHrphw vannaL In ti h. Crum Dmin 100+ 100+ Puna Mete a Mow ek cRlw Inspections perbm"d bre Remarks: LotBENCH MARK Lot Line Waiver approved 7!29102. West 10' of each L.cakor and Dnerpbon: filed is Insulated with 2" R.I. Rear Door Threshhold Aewpsd Ebvakon: 100.0 FL Engineer's Stamp ................q � �y Inspections performed by: Pannone Encl. Svc Dates: 1618/2/2002 : Jr 49TH /\ ............. s... 2"608/04/2002 i Department of Health and Hu an Services approval ; �isteven R. Ponnon +ICS No. CE 8149 Reviewed and approved b Date: �� b o > �+ CE 81 1e �'ESSKT��� MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW020253 Legal Description: TRAILS END BLK 5 LT 1 Design Engineer: 0062 Pannone Engineering Services Owner Name: Mark & Dominique Budinger Owner Address: 8900 SHEBANOF AVE ANCHORAGE. AK 99516-1284 $/a/o� 'Zpm V/-'f/oa yPro Date Issued: Jul 29, 2002 Expiration Date: Jul 29, 2003 Parcel ID: 015-192-30 Site Address: 008900 SHEBANOF AVE Lot Size: 22781 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑✓ Disposal Field Q Septic Tank Holding Tank E] 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 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. 5. The following special provisions. Received By: t l(/t�(/l�l!/`�C Issued By: �%iLt,ff,/ �• Date: A//0:'L Date: 7/2 `J/Oz � Municipality of Anchorage --1 Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. ,y P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.akus (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. p15492.30 Property owner(s) Mark & Dominique Burlinqer Mailing address (1) 8900 Shebenof Ave Mailing address (2) Anchoraqe, AK Legal description (Lot, Block & Sub'd.) Lot 1, Block 5 Trails End Legal description (Section, Township & Range) LotSize-H= 7:27g/ THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade Acres/ q.Ft THIS PROPERTY CONTAINS: I Hot Tub ❑ Swimming Pool ❑ Therapy Pool ❑ Permit Number SWO20253 Day phone Zip Code 99516 Number of Bedrooms 3 Well Only Water Storage Jacuzzi Water Softening Unit certify that the above information is correct. I further certify that this application Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: y6�� 1:57 � 1?tJ51) — Date of Payment: 1 /Z 1 / v` Receipt Number. a 3 x -I o d C: ` (Rev. 12t00) Waiver Fees: L7 ✓n ot7 Date of Payment: 7/2 `/CJ2� Receipt Number. 03H (C) wsDaoosN e is being made for a $i Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax July 29, 2002 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 1, Block 5 Trails End S/D Septic System Replacement Permit Request Failed Septic System — PLEASE RUSH Gentlemen: My firm was contacted to a Health Authority Approval of the septic system serving this lot. The existing trench and bed were inundated with liquid when I arrived. The system is in failure. Two test holes were excavated on June 22, 2002 on the lot. The soils report and a percolation test result is attached. Ground water was monitored for seven days. No bedrock or ground water was encountered in the test hole. IIowever, past experience has shown that ground water is present in this subdivision at a depth of approximately eight feet. This will be used for the ground water design depth. Four trenches will be installed to obtain the required length. A two foot step will need to occur between the east and west trenches to maintain the four foot separation to ground water. Three Row splitters will be installed to evenly distribute the effluent between the four trenches. The Contractor is required to stake the well radiuses to ensure separation distances. The new system will need to be installed approximately 0.5 feet off of the south property lone. I request a separation waiver to lot lines to accomplish this installation. The neighboring lot is undeveloped and will not be adversely affected. The lot is approximately 22,253 square feet in size. Lot 1 slopes to the west at approximately 5 percent in the area of the test holes. The existing septic tank will be abandoned. The proposed installation will be located on the northern portion of the lot. The lot is served by a private well. The proposed location is greater than 100 feet away from existing & neighboring wells and 25 feet from the water service lines. The surrounding wells are located greater than 100 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, �VenP P.E. Civil Engineer Attachments: C:\Work\Letters\1-5 Trails End.001.doc PERMIT NO, DESIGN WASTEWATER DISP❑SAL SYSTEM LOT 1, BLOCK 6 TRAILS END S/D i NO WELLS ' W/IN 100' _ _ _ _ __UPGR_ADE. _ EXIST'G BED INFAILURE FREMAIN1 S H E By EX'ST'G AENCH 1 _ - - - - N FAILURE: EMAIN � BA11L Tl`R� DI'✓ERTERI VALV REPLACE VALVWITH N:W BALLTYPE EXIST'G DIVERTER ,VALVE � WELL., I EL=9 190' 'BELL R��1 DIUSy CONTRACTOR SHALL HAVE RADIUS STAKED PRIOR TO C7NSTRU�TI%., > LCTU6E � n C,\ ork\DRAWING\1-5TRAI4END.DWG i OR OF NOF P.I.D. NO: 015-192-30 _---� r -i-----1071 PR❑POS 10008 I r-AIST'G SEPTIC TANK ,/^i✓ELL ./'I II I 'r NO S G S TANK- AN N I 1 1 W OF M=120 EX ST'G I � 'BR Li USE i l I o 0. H1 100' WELL IftADIUS. 2 EL=95.ICONTRACT�R' SHALL HAVE RADIU STAKED --- PRIOR TO C NSTRU�.TK LCTr5-WIDE TRENCHrS-,'i EFF'V. 2 @ 40 LF, 2 @ 33 LF. I I INSTALL 0.5 INSIDE PROP! -fNE. IY/ INST9L� 3 FLOW SPLITTERS -i BETWEEN THE N & S TRENCFES, 2 BETWEEN THE E @ W TRENCHES ! i i t I i I I tt 1------------------T' ' ------- L--------- DESIGN-----}-1---- 911Itil Fcrot PERC RATE= 16 MIN)INCH 250 SF/BR, 3 BR HOUSE 750 SF REQUIRED 5 -WIDE DRAINFIELD SYS, 1.0' EFF. 146 LFz 5', 4' TOTAL DEPTH REDUCTION FACTOR = 0.87 TOTAL AREA=730 SF 1000g SEPTIC TANK flREPARED FOR, Mark 6 Dominique Burlinger 8900 Shehenof Ave, Anchorage, AK 99516 PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P, 272-8218 Fax DATET 6-9-02I DESIGN SCALE, 1'=50' mc= Loa - pmmc=2= Tmm PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORAGE, AX 99510 (907) 272-8219 PERFORIM FOR Marc Budbwer LEGAL DEBCRIPIION: tat 1. B1odc S 7lmft End S/D TABT HOLE 1 ■OM OA lbotmalml I — 2- 3- 4- 5- 6- 7— a — a- 4- 5- 6 - 7— a 9- 10- 11 — 10- 11 — 12- 13- 24- 13 2- 13- 14- 35 16 — 17 — 16 — 19 — 20 — am/sm to eas 0 BmwNmw BAND X TM HMZ DATE PERFORMED: 7-22-02 CH RE N I ---- 4, EL=9 ,! .- _. !.. htv:....I W YES, AT WHAT DEPTH? -0- DEPTH TO WATER AFM MONIPORRIO? -DRY- DATE: 7-29-02 o —f-15% M=100 _EX ST'( USE =95.0 QtAV= t1Mt ONO" For Mmol wtr TM TOR WAUM DaOP 7-22-02 19,36 6' --- 2006 30 4 1/8' 1 7/8' 2606 --- 6 3/8' -- 20,36 30 4 1/2' t 7/8' 209,6 -- 6 1/4' -- 2106 30 4 3/8' 1 7/8' PEROLATION RATE 16 (min/i=W PERC H0I2 DLUMM 6 hbcbes TEST RUN BEWIBffif 4 Pr and 5 FT COMIUNM: Tat hole emva66d by Dan Beeks. Tett hale was presoaked bdmc pert✓ test PERFORMED BY: Btevm R. Ramon, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WPIH ALL STATE AND MUNICIPAL OUIDLINEB IN EFFECT ON THE DATE OF THIS TEST. PERMIT NO, DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 1, BLOCK 5 TRAILS END S/D NOTE, 1) ALLWORK SHALL BE PERFORMED IN ACCORDANCE WITH, & ALL METERIALS SHALL CONFORM TO AMC15.65. 2) SEE GENERAL NOTES ON SHEET 1. 3) ADD A MINIMUM OF V OF FILL OVER ENTIRE TRENCH. 4) INSULATE DRAINFIELD WITH 2' RIGID INSULATION. O Q N J J W Q r �W \ SI' f Z ARIES 1' ' y o ti a o. c ~ E: t9 �- c a` W aJq r L J y6 V Y FW ZQ T P, o. CU S to (7 �I 0 f, fU a ` 2 Z r Cl O r ARIES — 1' -- m m a N S = o s = '-3 fn m In 1 Drawing Ci\Work\2-2SBV.DWG PRWARF&DDonOR, a Burlinger 8900 ShebenoF Ave, Anchorage, AK 99516 00 NV313 P.I.D. NO, 015-192-30 3Hn1 wittm , LR i.t'.FiF7 00 NY313 in0 Ntl313 ln0 NV313 NOIlVaNnOJ V,x 'j Q F yay W H 1 FW G NrOr a' �WJ�ZZa� x�t�JJJ WH�S00^ Pannone Eng. Svc., LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218, PHONE L FAX DATE, 6-9-02 DESIGN NOT TO SCALE Darle Lee - waarAWi7.6�u`uu�tT o -r PANNONE ENOINEERINO SERVICES P.O. HOX 102954 ANCHORAGE.AK99510 (907) 272-8218 PERFORMED FOR: Kul B11rH3aer LSOAL DESCRWnON: Int 1. Block 5 Trane Fad 8/D Tsar NOLs 2 awes OR RomM 2- 3— am 4- 3- 6- 7— a — a- 6 - 7— a 9— In. lo— ll — 12 BOH 13 — 14 — 15 — 16 — 17 — Sa — 19 — 20 — Brown W&W BAND I R=MAIN. SHL U� CH ZE.—--- ----- -------- IN a. Tsar If= anwaLT EL OJ / WYES, AT WHAT DEPTH? -O. DEPTH TO WATER AF18R MONMRMO? -Dry- DATB: 7-29-02 1 M=100 -- --_-� �pE %© %� EL=95.0 . 5% aaADD10 CATS CaOY Per Corn O/ wr r= rum WATER DROP 4-13-02 1%40 6- -- 2010 30 2 1/4' 3 3/4' 2010 -- 6 1/8' ---- 2040 30 2 3/8' 3 3/4' M40 -- 61/4' -- 21-10 30 2 1/2' 3 3/4' FFROIATION RATE 8 Imfn/fnrbl PEW HOLE DLMWMR 6 inr]Ies TEST RM BEW TEN 5 FP and 6 FT COMMENTS: Tat hole eaxvated by Dan Beet. Teat Hoe was presoaked be6lce pane tat PERFORMED BY: Steven R. Pannone, P.S. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WM AIL STATE AND WUNICIPAL GUMLINES IN EFFECT ON THE DATE OF THIS TEST. 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.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR020054 PID#:015-192-30 HA#: Permit#: Date Received: 7/29102 Legal Description: Trails End Block 5 Lot 1 Engineer. Steve Pannone. P.E. Applicant: Mark & Dominfoue Budlnaer Waiver Requested: .5 feet from the absorotion field to the south arooerty line Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: Waiver is not Granted: List Conditions or Reasons for above: SEE FV CP PAI RER 1$ 1 E 'rS R or J u A7/At y FV O97-4-0 Date: 7/:2 9102 By: DAiv Name of Reviewer .........................................................................Mason, Rec#: 23400 Amount: $160.00 Date Paid: 7/29/2002 7/29/2002 Municipality of Anchorage George P. IVucrch, Mayor Building Stifcty Di-tision P.O. Box 196650 • 4700 S. Bmgaa- Street Anchorage, Alaska 99519.6650 • (907) 343.5301 h ltp://ai%iv.ci.anc liomgc.ak.us Steve Pannone, P.E. PO Box 102954 Anchorage, AK 99510 Subject: Waiver Request for Trails End Block 5 Lot 1 Waiver Request #WR020054 Parcel ID 4015-192-30 Dear Mr. Pannone: 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 0.5 foot. 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 department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, p .G� I Dantel J. Roth Civil Engineer On -Site Water &; Wastewater Program 0 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ry Parcel I.D. 015-192-30 HAA # 4Ab�Z7�7 )S Expiration Date: !//b (nZ 1. GENERAL INFORMATION Complete legal description Lot 1, Block 5 Trails End Location (site address or directions) 8900 Shebanof Drive Current Property owner(s) Mark & Dominique Burlinqer Day phone 346-8340 Mailing address 8900 Shebanof Drive, 99516 Lending agency Mailing address ri Day phone Real Estate Agent Shari Bovd Day phone 762-5863 Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: kRP Municipality of Anchorage o -� Development Services Department '. Building Safety Division On -Site Water and Wastewater Program ® 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519650 ❑ www.ci.enchorage.ak.us ❑ (907)343-7904 ❑ CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ry Parcel I.D. 015-192-30 HAA # 4Ab�Z7�7 )S Expiration Date: !//b (nZ 1. GENERAL INFORMATION Complete legal description Lot 1, Block 5 Trails End Location (site address or directions) 8900 Shebanof Drive Current Property owner(s) Mark & Dominique Burlinqer Day phone 346-8340 Mailing address 8900 Shebanof Drive, 99516 Lending agency Mailing address ri Day phone Real Estate Agent Shari Bovd Day phone 762-5863 Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates 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. A. S T ATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Encl. Svc. Phone 272-8218 Address P.O. Box 102954, Anch, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 8/4/2002 Engineers Comments: In conducting an adequacy test, l attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DHHS Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable fcatures. The operational life of all wells and septic systems depend on the local soil condition, ground water Icvcls that may fluctuate during the year, and the water usage of the family being served by the system. These conditions arc outside the control of the evaluator orthis system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. The content of this report is for the solo 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. DHHS SIGNATURE Approved for �_ bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory By: ! o c Expiration Date: l t 40' 'tom No. CE 8149 bedrooms, with the following stipulations: ON-SITE • 9cs `NATER AND : n' WASTEWATER FROCRA`1 ' Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: 516 Reissue Date: Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.sk.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT 1, BLOCK 5 TRAILS END Parcel I.D.: 015-192-30 A. WELL DATA Well type PRIVATE Date completed Total depth UNKNOWN ft Date of test Static water level If A. B, or C provide PWSID # Sanitary seal YES Cased to 40+ ft FROM WELL LOG UNKNOWN ft Well production UNKNOWN g. p.m WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml Nitrate 4.28 mgn Date of sample:; 7/1612002 Collected by: LRP B. SEPTIC/HOLDING TANK DATA Well Log hQ Wires properly protected YES Casing height (above ground) 12 in. AT INSPECTION 7/16/2002 40 ft 2.0+ g.p.M Other bacteria 0 colonies/100 ml Arsenic mgll Tank Type/Material STEEL Date installed 8/4/2002 Tank size 1000 gal Number of Compartments 2 Cleanouts YES Foundation cleanout YES Depression over tank NO High water alarm Date of pumping Pumper NEW C. ABSORPTION FIELD DATA Date installed 8/4/2002 Soil rating (g.p.d.t t2 or 0bdrm) 0_6 System type 5 -WIDE Length 143 ft Width 5 ft Gravel below pipe 1.0 ft Total depth 4 It Effective absorption area 730 ft2 Monitoring tube YF 3 Depression over field NO Date of adequacy test Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test NEW in Water added gal New depth in. Elapsed Time: min Final fluid depth in Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) If yes, give date (Rev. 11199) S D. LIFT STATION Dale installed Size in gallons Manhole/Access 'Pump on' level at in'Pump off level at in High water alarm level at _ in Datum Cycles tested Meets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ' Septic tank/lift station on lot 111 On adjacent lots 100+ Absorption field on lot 102 On adjacent lots 100+ Public sewer main N/A Public sewer manhole/cleanout NIA Sewer /septic service line 85 Holding tank 75+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 37 Property line 27 Absorption field 7 Water main N/A Water service line 50+ Surfacewater 100+ Drainage 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 0.5 Building foundation 22 Water main NIA Water Service line 50+ Surface water 100+ Driveway, parking/vehicle storage 25+ Curtain drain 100+ Wells on adjacent lots 102 F. COMMENTS G. ENGINEER'S CERTIFICATION ••• \�, �. AV V+ I certify that I have determined through field inspections and i review of Municipal records that the above systems are in ._= 49 conformance with MOA HAA guidelines in effect on this date.___ _ 777 Engineer's Printed Name Steven R. Pannone. P.E.++ ., r ce 8149 Date 8-402 �� DtL •• +ea4i::�Q ••. HAA Fee $ .375 `J Waiver Fee $ Date of Payment S/s/ U Z Date of Payment �Receipt Number 1 v j / Receipt Number (Rev. 11/99) JUL-22-02 10:06AV FRp1-CUE ENY{1)004WNTAL SRV 1 G ME Environmental Bervioes Inc. ir�� �'�rriprr�rrrrirrrrr� 9075615301 ^ T-035 P.01/01 F-156 CMERais 1024403001 All Dataa/rlmso are Alaska Standard Time CllentNane Pannone Eng. Srv. /noted DNalTlms 07/222002 9:18 Project Neme/N Lt 1 Bk S Trails End Collected Datemme 07/16/2002 14:00 Client Sample D) Lt I Bk S Trolls End Received Date/rlrae 07/16/2002 15:20 'Matrix Driaking Water Technical Direrm Stje�fM1,, q G Ede Ordered by rwsm o agile. Br Sample Prmarks: Allowable Prep Anonyms Paranetcr Remlu PQL Units Ms$od Unite Dao Due 1n:t Vater■ Dtyart+naat Total WitrateNitri:e 4.23 1.00 rr.9/L EPA 300.0 (< 10) 07/20102 JDT fetarobielogy '.Innratary To:el Colifarm 0 coVl00mL MIS 9222B (<1) 07/1&102 KAP JUL-22-02 09:48Att FR04-CTtE ENV(R"v+ENTAI. SRV 9015615301 ^ T-033 P.0L02 F -I11 ME Environmental Services Inc. AZAL Laboratory Division ruisersrvs�rnvri�ma w,s.��,,N�,o�� 200 W. Potter Drive Drinking Water Analysis Report for Total Coliform Bacteria Anchorage, AK 89518.1605 READ INSTRUCTIONSONREVERSE SIDE BEFORE COLLECTINCSAMM Tel: (907)562.2343 Fax: (907)561-6301 MUST BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY C PUBLIC WATER SYSTEM I.D. p I i I AnAlysiS Showa this Water SAMPLE to be: PRIVATE WATER SYSTEM V� Satisfa:tory C Unsatisfactory 11d Se /Routs Send Mrotrt .T I C Sample ove-. 30 bouts old, rmits may � 1 j iji�Ctilt.C;f 1;.�,\ft� �1.%c i.�11i�1 baunrchable u!/� •-' J�� 1 �. r C Srlople i:.o Ir..:b I;, k.n131 ; Sw:nple shcclS ra, na. •. ' rz. n.me.• not be oveSOfiouts old at examination �?/, to indicate reliable results. Please Send w. t -' new sample via special delivery mail. ii11'c �rn2e� 1.9 9��%) Date Received ?�/Lfcz 71me Reeelred ISZLJ O Send sahs 3endinrater Analyst Collected Collect ad c�r�co �er, 11.0244104 . 1A- rrrr h W CoryW uwv Sentto MD.B.C. Aoeh Fbtu Cs....ur Mwn 46M. J Fazed Dam: ego - Lee ser em SAMPLEDATE: ® /- Z Spohn with Month Day Year SAMPLE TYPE: O Routine C Repeat Sample (for routine sample � 7wlth lab ref, no. ) Special Purpose„(I v q kalYl SAMPLE LOCATIO Comments: D Tritiated Water �! Untreated Water /Time Analyst Collected Collect ad c�r�co By ,•3� 11.0244104 . 1A- rrrr h W Analysis Began U Analytical Method: X Membrane Filter (3 MMO-MUG r Number of eolonies/100 ml Lab Ref. No. Result* Analyst 11.0244104 . 1A- ) EU d Sentto MD.B.C. Aoeh Fbtu Jun ❑ Fazed Dam: Time - Client notified of unsatisfactory results: id Pho Spohn with Fazed Dem: Time: BACTERIOLOGICAL WATER ANALYSIS RECORD MMM-MUCResult: Total Coliform Membrane Hier.. DlrcctCauat Verification: LTB CCB _ Fecal Coliform Confirmation Final Membrane Alter Results Reported By to E GU . 1 Colonlesnali ml (l COLIFIRM - ) Coliform/100 ml (61U --Time Y” hrs r. J. e.-- i�Ai��g LA --k.. tie the 903 Group(SociMi G6-ikwa de Surrelllencel nvrC- Tw N.n•mr D C... Dd -arAN pass C SHEBANOF AVENUE q 30' S 89'59'W W 190' -- 10' UTILITY EASEMENT Lal W �m >I a w •0 LOT 1 O O r K z z Lj 30' S 8959'30' W w 0 • 1 w v N j I 1 N 1 • 1 1 I = 28.2' o ' 4 .. :. 29.6 . 25.0' ! ►� EXISTING io HOUSE Ic .- 250' Ic ii co 26Y 190' LOT 10 49Itl* Gid ............... .tl111f(II E. �(! LS -8202 LOT 2 LOT 9 LEGEND: SET FWD _ sn'"W"o s/r!90 AS—BUILT OF: IEGK OESCRIPTIOI! DONNA STEPH3000m/KNS Atrna 011oNIN(AI® ��������������11�1y6 r ■ LOT 1 BLOCK 5 "A" CULT tATlhl. LAKWQI "Dasa « • " ° -^^ w f+l o !f ANc- LANO r CONSTRUCTION SVRVEYORS-PLANti ENGINEERS !....w ..! w.l .» f•r...wab r.N« ul.la .. rfr 6» r.v�ls r ar ro ..v.lr w .sll ew IM .a.n +om aus- 440 WEST BENSON Ulw. 1103 TRAIL'S END SUBDIVISION w°'�,9°"�"•„�"•„A s; k;••�,�"� Ei_ ANCNORAGE, ALASKA 99503 582-5291 (fav)51 w68I6 � WO# ��JAH I � i1 �d.f ,rare, ,IfL. Nolo Irr le elawlNaa� r..« q!q! QyK slu4ff[s- 96-L-027AJ I'- 0' 23. 1996 TAE I KEN- I �eo"w 2f I fr.sl f..f.e b «nfMaua b atmrLy IMIv bw ru Ru- � ops- iaa -3o e'r'nLr (7 0 1 ti a � o O S yo ij 0 v r o LA W.&THALITHMrY APPROVALS SEWERS WATER MAIN EXTENSIONS SEWERS WATER INSPECTION ENG.NEER1%GSTUCXES AAO nEPORTS WELLNSPEMON S FLOW TEST SITE PLANS ROAODESGN SOILTEST PERCOLATION TEST STRUCTURALS MECHANICAL 1SPECTIOIS ONSITE WASTEWATER DISPOSALSKTEM VSIGN i, ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CMLENGINEERS ADEQUACY TEST FORM FAX(907)6941211 CLIENT: E i1,:,t L- dCwNA )r(P.44- 1 DATE: (IIS'I 7C LEGAL DESCRIPTION: Lo r- I h Lo1 K f' 1-4141L 7 C" A 0 OF BEDROOMS: 3 SEPTIC TANK/FIELD SEPERATION TO WELL: /u , 4— N.rM„d:...F .I TYPE OF ABSORPTION SYSTEM: is t,) r9i„ SEPTIC TANK SIZE: ABSORPTION FIELD DATA: Depression over field (Y/�l : Na' SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Driveway, parking/vehicle storage area: ,70 l Curtain drain: KYyWM Foundation: l u '-4- SEPTIC DATA: Date of pumping: z,l /4.5' Pumper- A,i-CT7NL,1, ,I Foundation cleanout (Y6: L1Z S Depression (Y(N): n, 4, LIFT STATION! "PUMP ON" level at: High w IerTTTieVSi "PUMP OFF" level at: TIME METER READING GALLONS ADDED (TOTAL) LIQUID LEVEL Cl_ 1) J..'•LH S.T. M.T. M.T.91 COMMENTS 'C -1.3p; 0 ,) I I a 7U 4'/ S/74-.[.714.1 T 31' u.2rrYli 17.-3 3' [Psi.µ c,.n S: IV o A llr0 i 10 33 -( 7/24., C ,./, Sa,"t -,2CP '.. 6 .RL IN j•7.E li ) L L.. 1.1 )f `I •SOA. )'DRoP )N )5.8N . L" r)u m :ti , p:TOlt I1 '. S"% '•b oO /V'/ �Ga�r", � 80G^v T,u w. 3 {' �r\at z')•ir.,P. )� r'., -s Z006-ALPlrco °.. IbIA( , 10: 7S'), 17.2CimI 8'ivw /C RESULTS: PASSIFAIL: rl; i 1 �T EXPLANATION: SL•u L;.m 1N •){p i.,,. - Itil f Coo lu"fl ' TESTED BY: �•� c. . THIS SYSTEM IS NOT GUARANTEED AGAINST SUBSEQUENT FAI URE �g �• .4' KA _ ILP / oo UL T" F1cC, 17 4'f•!0rWEAGLE ERLOOP • SURE 204 • EAGLE RIVER, AIASKA 99577 T HEALTHAVTHMrY APPROVALS SEWER& WATER AWNEXTENSIONS SEWER & WATER INSPECTION LN:ITSERINGSTUDES NIDRLPORTS WELL MPECTION & FLOW TEST SITE PUNS ROADOES:GN SOIL TEST PERCOLATION TEST &TRXn f1K & /AECHAN CAL NSPECTION& ONSITE WASTEWATER 0 POSALSYSTEM CrSIGN ADEQUACY TEST FORM ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CMLENGINEERS (907)694.2979 FAX(907)694-1211 CLIENT: `il..s ,L nc,.A,4 ) rE'a T i DATE: I / I S LEGAL DESCRIPTION: Lo r- r I's Loc r T- J .l,iTC i A 0 OF BEDROOMS: 3 SEPTIC TANKIFIELD SEPERATION TO WELL: /u 4 r - TYPE OF ABSORPTION SYSTEM: i <o PT.rN"''""'t.r • r�4., �,. SEPTIC TANK SIZE: '1 LI J p ABSORPTION FIELD DATA: Depression over field (YIN)! 1 cy SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Driveway, parkinglvehicle storage area: Curtain drain: Foundation: lu •1 SEPTIC DATA' Date of pumping: Zy/4.5 Pumper: JVC-1?HL,I,"T) Foundation cleanout (YLI; S Depression (Y(N): H r, LIFT STATION: "PUMP ON" level at: "PUMP OFF" level at: High w farmievLf-- .T6- TIME METER READING GALLONS ADDED (TOTAL) a L .4t, LIQUID LEVEL E'T- n )"s `N S.T. M.T. M.T.01 COMMENTS 'L Y.iT• GT,311,J7U Dr2i fie" FLr"i SJa.t.FT2.7 7: �1 u .?nY77 ie} 3" rFs7.w rJ.n Su i I IR /,it 0 x11rC i 10 r33 J7 •c A: J E G,r4>l ,•JUA_ xOcls— r)v m :y IA L3 -J fj u0 IU /r •1 I0CrU 14 I /)I,/q( 10: RESULTS: PASS/FAIL: /•llt ! EXPLANATION• 3L•u z n I J14 L.I„ - 1111 fif L:. rT T) TESTED BY: • A •> c. . THIS SYSTEM IS NOT GUARANTEED AGAINST SUBSEQUENT FAILURE 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 Municipality of Anchorage Page of 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wast water Disposal System and/or Well Inspection Report Permit Number: 4�PID Number: d7_>%'5191'5CD, Name: S Wastewater System: ❑ New pgrade Address: ciao tlo ABSORPTION FIELD Phone CSO No. of B�arooms: •7 ❑ Deep Trench ❑ Shallow Trench ed O Mound O Other LEGAL DESCRIPTION Soil Rating: Total Depth from original gr de: GPD/S FI. _ eio ' L t Block:SubdiviW_Ztn Depth to pipe bottom from on inel proee: Gravel depth beneath pipe k4 Township: Range: Section: Fill added above original grade: O Greve] length: �y Ft 26 Ft. WELL: 13 New ❑Upgrade Gf8Ye1 deptrr Numbs of lines: Distance between fares: Ff Ft Classification (Private, A.B,C): f�x(� Total Depth: Ft. I Cased To: Ft. Total absorption area: SD. FIAorl" Pipe material: 10 A4. Driller. VDate Drilled: Static Water Lava l: Ft. I er Date fgll I Yield:Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES Septic ❑Holding OS.T.E.P. TO tiaplk Aaaorplion un Holding blkJPdvala ManulactUreC G gallOne: From Tank Field Station Tank S.U.��epacify1 Well I /Ik Mate lel: Number of Companments: / .� `� we re �k Ct'Jt� LIFT STATION Line / / / Size gallons: Manufacturer. Foundation— / / / "Pump on' level at: vel at: High water alarm at: Curtain( ' \ Pump Make 6 Model Electrical Inspections performed by: Drain ON 1"" BENCH MARK Remarks: G Locefi n end Description: cvf Assumed Elevation: k Ft ENrilNeER'8'$i Of • 1'„(�X 11 jP _ r �%� •• r''y-• '� Inspections performed by. S a S ENGINEERING DSe :1s gt—L ••• 17034 age River LOOP KOIld NO. Eagle River, Alaska 99577 2nd 4:9,11 RI z �•h 3ERd. HAFERP.E 4 Department of Healt d an Se es it ao�lofESs�I��P."�~~ aapproval D Reviewed and approved by: 44/f, 72-013 (1N1) MOA 25 Permit No. 6W91014)6 Legai r— Page 2 of -7— Municipality Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report t II t 1ooaGAl� -- _rAQ s✓ 50AI"g 1"- 5' mi�lw D t05�= . 72M3 (K1) MOA 25 'RAV ( LLS gP>D�M IdOt15>✓ Fi�CI� :1000 GAI..' i Sf�t�'rIG?A►Jk. � Me *•.49111 {% 9 R _qAB :FER,P.a i•..rs PROFESS- —.4-e C01 Co3 C-04 1061 Mf1 I W A59 j-,-5sO (W-0GS% 1 &o 11 3�6 -:f�; 43- :19` 50 V48; (d5$ mi�lw D t05�= . 72M3 (K1) MOA 25 'RAV ( LLS gP>D�M IdOt15>✓ Fi�CI� :1000 GAI..' i Sf�t�'rIG?A►Jk. � Me *•.49111 {% 9 R _qAB :FER,P.a i•..rs PROFESS- —.4-e PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910198 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:STEPHENS CHRISTOPHER A & OWNER ADDRESS:8900 SHEBANOF AV PARCEL ID:01519230 LEGAL DESCRIPTION: TRAILS END BLK LOT SIZE: 22781 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 5 LT 3 1 DATE ISSUED: 7/16/91 EXPIRATION DATE: 7/16/92 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PRO' RECEIVED BY ISSUED BY: L, DATE • 711-1 DATE • 7/� /C� HEALTH AUTHORITY APPROVALS July 1, 1991 ROBERT SHAFER, P.E. ROGERSHAFER CIVILENGINEEH5 (907) 694-2979 FAX 694-1211 PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN r Ji't%JY17J �(S r JL .e) .7 17034 EAGLE RIVER LOOP, SUITE 204. EAGLE RIVER, ALASKA 99577 Mun.ici.pati.ty o6 Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street SEWER&WATER P.O. BOJ( 196650 MAIN EXTENSIONS Anchortage, Ata.aha 99519-6650 REFERENCE: Lot 1; Block 5; Trails End Subdiv.i.a.ion; SEWER&WATER Requeat you lasue a pewit to upgrtade .the Aepti.c Ayatem on the INSPECTION re6erenced pnopet-ty ,in accordance with our attached deaxgn June 26, 1991. The existing aystem .ca in a atate o6 6aUwAe with aek age pe)Uod.icaUy ENGINEERING STUDIES ENGINEERING dQ �itin neat the extatin mon(,torcn tube at the end the y 9 9 9 6 PORTS teach6ield. The property .ca .located on the cortner o6 Shebano6 Avenue and Doggie Avenue. The proposed ayatem 4.6 out6ide all protective well rta&U. We WELL INSPECTION 6ortebee no negative .unpaet on adjacent propertti.es 6y the $natafla.tcon B FLOW TEST o6 .the proposed aeptic system. 16 you have any question or requiem additional ,in6owa.tion 6or your SITE PLANSrJS-ERT review, pteaae contact ua. ROAD DESIGN AFER, P.E. SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN r Ji't%JY17J �(S r JL .e) .7 17034 EAGLE RIVER LOOP, SUITE 204. EAGLE RIVER, ALASKA 99577 LEGAL f (�. DRAWN l%r/ FC—KD. Ak; A // R �j}}�jDm10r m "M ,6,;a00%l cv-cv�. / 4 5�v5 I I � a1 • I JOcGa►-1i I-�r —�,, O - OF Al. •'� 1 SHT. I •(E. ... " � yTti tis` T Rof»t1 A. SA.fa• ,r IL ,6,;a00%l cv-cv�. / 4 5�v5 I I � a1 • I JOcGa►-1i I-�r —�,, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Gaw=:j �i Yft�S DATE LEGAL DESCRIPTION: �� \7 �7 �1�1711ie7OWRShIp, Range, Section: SlnPF •tI�EF� O2� 2- 3- 4-R 34 p 5 ✓�l . i ! 7 K ' 8 f♦ S < 0 to 0 12- 13 2 13 14 15- 16- 17- 18- 19. 5-16•17•18•19• WAS GROUND WATER 00 ENCOUNTERED] 5 IF VES, AT WHAT L O DEPTH? P E DepthtoWrier Montt X21 �i Monilorinpt Orin • ,ITt rLAN ....y Y ,KA A. SNafe' No. 1137-E .i ®®MMME LZRrL���- 20 -� I V lul PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER I_ TEST RUN BETWEEN T AND _L—FT -' - COMMENTS S & S ENGINEERING PERFORMED BYit : F17034 Eagle Rive. ,7� ACCORDANCE WIT!€11(tLA'FkI MI'lIJIGtf Al 72-008 (Rev. 4/85) N ' Y-\ CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: 72443 -Mev. 3/78) �•MUNICIPALITY OFANCHORAGE \ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 2644720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE /� ❑NEW I 2717 z�ass���11 wt EfUPGRADE a PS MAILING ADORESS Belkeg4L RKc6 LEGAL DESCRIPTION 5 LOCATION. NO. OF BEDROOMS ' 3 Well Absorption area DwellingP RMIT NO. u DISTANCE TO: _ it Y H 2 Manufacturer M •' I No. of Compartments 6 Q WF W Liy, capacity In gallons Inside length Width Liquid depth A � IF HOMEMADE: d Y JD DISTANCE T0: Well Dwelling PERMIT NO. 0?2 Manufacturer el Material r Liquid capacity in gallons O Well Foundation Nearest lot line 41Tad— W = DISTANCE TO: Q t ti Z No. of lines , _ Length o/ ach line Total;aqth of lines Trench idth I Distance between lines H 2 W inches M H _ Top o ti to finish grade Material beneat vile Total effective abso�tion area O +_ 1 inches Length Width Depth PERMIT NO. W L I— Type of crib Crib diameter Crib depth Total effective absorption area Wd W Well Building foundation Nearest lot line w DISTANCE TO: Class Depth Driller Distance to lot line MIT NO. J J = W Building foundation Sewer line Septic tank Absorption area(s) DISTANCE T0: OTHER WE MATERIALS a SOIL TEST RATING S (• M S' INSTALLER se ,t REMARKS t OT ' i� y r APPROVE DATE LEGAL I 72443 -Mev. 3/78) r•11_1 r'l 11= I F'I _.Jr Y F A r-1 r_- H 1_m r-. FF f.3 E J Lu 15n (e -7 -1 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION A r -h I1 1 825 'L' STREET, ANCHOF.AGE. AK. 99501 1:60 264-47t0 r7F1—S I TE S EF.IEF FJEF= r'1 I T I /1[t1 -SAO- 7"7!`` PERM I T NO. C 79026.5 ) udl IlIJ7z . APPLICANT J. BATES/ELLSWORTH E SPA BOX 2094L 34 Grlr LOCATION STROGANOFF/5HEBANOF 3`ry•3"1?b LEGAL L1 65 TRAILS END LOT.SIZE 20000 SQUARE FEET .TYPE OF SOIL ABSORBTION SYSTEM IS: DRAINFIELD •, MA'X.IMUM FU NBER OF BEDROOMS = = SOIL RATING (c? FT/BF:)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: L�EF'TI 1= 4 L_ErJ��TH= c_:3: 1:3F' -Fl%.- EL C -EFT"= X27 1 THE LEFU3TH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR-DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IFJ FEET). THE TREr11�CH 14 I C _r" I!F; I !f;. Fy C-11=1 F • THE GRAVEL DEPTH IS THE M ;F'TH OF GRHVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IFJ FEET). F=:EC?Lr I F='EC• EFT I rC TFir+I4=-1t_-10 GRL_Lr_�rdL. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TIA1iD < � ] I F=,ECT I Crr•.1_ F1FZE: F:EC-1U I Fz EC• U -- BACKFILLING OF OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. FIEF= -r•1 I T Ers(=' I F=.ES; =fl . 1_=I 7 'g I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS- FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I I•JILL INSTALL THE SYSTEM IFJ ACCORDANCE WITH THE CODES. I UNDERSTFiND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMFENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. ------------------------- APPLIC T J. •ATES/ELLSWORTH E ISSUED BY _ .�--j------- -�----DRTE�!�����----� `� V?. 2 ryur4l C I r', i -r r_iF= Hr4CHC --iG , DEPARTMENT OF HEALTH AND ENVIRONMEFJTIL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 .1N,� 264-4720 " to c;V4—= I TE - EWEF .* UF='GFRA RE PEPS rl I T PERMIT NO. ( 740231 ) APPLICANT J.BATES Ct0 ELLSW13RTH E SRR PDX 2094L LOCATION STROGANOFF E: SHEBANOF LEGAL L1 E5 TRAILS END LOT SIZE TYPE OF SOIL ABSORETION SYSTEM IS: 40 j K 344 2717 20000 SQUARE FEET MAXIMUM NUMBER OF BEDROOMS = 3 SOIL ATING <50. FTtBF:)= 0 THE REQUIRED SI OF THE SOIL ABSOR TION S'i5T_M IS: LN r__ TH=ri ' LEr4�TH= �F< 1': EL L`•EF THE LENGTH DIMENSION ISRT LENGTH C� THE DEPTH OF R TRENCH OR PITLgHGROUND AND THE BOTTOM OF THETHEF.E IS FJC SET t•JIDTH FOP: TR'THE GRAVEL DEPTH IS THE MINI ND� . ., v PERMIT APPLICANT HAS THE SPONSIBILIN INSTALLATION IN_,PEC I t OF NY WELLS c i NUMBER OF RES IDENCE�HAT THE ELL WILL N F .ET) OF THE TF:Et �H OF. DF.tlINFIELD. AhJCE EETt•JEEN T SUF,FACE OF THE XnrF(IN FEET). GRAVEL BETI EN THE OUTFALL PIPE TO INFORM TWS DEPARTMENT DURING THE �ACENT TO rIS PROPERTY AND THE SERVE. _r" � r :"I r4=.F' CT I Or•J AF?E F?EID_U I F� I__- L- ANJ --- BACKFILLING OF SYS _M WITHOUT FINAL INSPECT ON AND APPROVAL BY THIS DEPARTMENT WILL BE SUE",D-CT TO FRO'ELUTION. ' MINIMUM DIS 100 FEET F 150 TO 200 OTHER REOUI AVAILABLE I R PRIVATE •lE ET FROM Fl MENTS MAY A INSURE PROPE WELL R JD ANY ON U L DEPENDI ECIFICATI INSTALLATION. / F�EFZ_M I T EXF=• I F- E _5= LtiEC I CERTIFY THAT 1: I AM FAMILIA' WITH THE RE!UIREMENT� FORTH BY THE MUN CIF'RLITY OF RPJCHOFRG 2: I WILL INSTALL THE SYSTEM IN ACCO .D 3: I UNDERSTAND THr T THE ON- ITE SEI F.. RESIDENCE IS REMODEL TO IN ;LUDE t IRE E SEWAGE DISPOSAL SYSTEM IS UPON THE TYPE OF PUBLIC IJELL. AND CONSTRUCTION DIAGRAMS ARE E E F<: ^:1. 1 S? FOR ON-SITE SEWERS AND WELLS AS SET NCE WITH THE CODES. SYSTEM MAY REQUIRE ENLARGEMENT IF THE THAN 3 BEDROOMS. A1C`------------ RF'FLICAFJT J. BATES ELLSI•IOF:TH EXC ISSUED BY__---------DFITE --- ��� V3. 2 YaC .,� • r•iDEPAlI L! 825 'L' CAtJ—` • I PERMIT NO. C 790254 ) APPLICANT LOCATION LEGAL J. BATES C/O ELLSWC STROGANOFF/SHESANOF L1 65 TRAILS END TYPE OF SOIL ABSORSTION MAXIMUM NUMBER. OF BEDR THE REQUIRED SIZE OF THE = 3 vEF•TH= -t ILEt`JGT on TV CAF Fir-jr'HL•r-_FtGE _TH AND ENVIRONMENTAL PROTECTION -ET. ANCHORAGE. AK. 99501 264-4720 E S~EL4EF;: F'EF7 Pi I T SRA BOX 2094L IS: DRA ABSORPTI LOT SIZE ELD 3442717 20000 SQUARE FEET IL\ P.ATING CSO FT/BR)= 125 IS: Rr�'•:'EL C•EFTH= THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OFR TR NCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND RND THE BOT M OF THE EXCAVATION CIN FEET). THE TREt4CF tJ I C•TH I S~ S. GlC3Cy F=EET THE GRAVEL DEPTH IS THE INIMUt•I DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCA, IOW CIN FEET). F?E=CAL1 I F.EC• SEPT I c TH - I „F== ALC CDC3 C3Fi1LLCAt-Jl PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS EPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER.. OF RESIDENCES THAT THE WELL WILL SERVE. TL.1CA C 2 ] I r -J= F'EGT I C-1 t=iF?E FSEG!U I F�EL� --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSP .ZION AND APPROVAL BY THIS• DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND RN' N -SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOP.. A PRIVATE WELL; OF: 150 TO 200 FEET FROM A PUBLIC WELL EPEHDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F}EF-'t'1 I T E:2:F� I FRE- C•EC:EMBEF? -:7-7 S:" I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE OH -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED: ---------------------------------------- APPLICANT J. BATES C/O ELLSWORTH E. ISSUED BY------------------------------DATE----- -r oe ---- V3 2 • BORING NUMBER 1 Dote Completed: 6/4/79 C:o z 1'< a SOIL DESCRIPTION G- SAMPLE NUMBER SANDY ORGANIC MATERIAL 1' �Ss,72,571%,85.9pcf GENS/TY s.; SILTY GRAVEL w/SOME SAND, o''• TRACE ORGANIC MATERIAL, GM SAMPLER TYPE 'cil'•. scattered cobbles, gray -brown —LAPPROX STRA/A CHANGE _4.5' s SILTY GRAVEL w/SOME SAND, GM p% b: k" �d a:.. scattered cobbles, gray �4 6 ;o: SILT, ML gray 9.5' 10 SILT w/SOME SAND, ML '= r numerous nibbles and boulders ' increase in water at 13' 4' T.D. IS -20- No No R House Test Q Pit Shebanof Drive NOTE: DISTANCES SHOWN ARE APPROXIMATE AND HAVE NOT BEEN MEASURED BY SURVEYING METHODS. EXPLANATION —UNFRV:CN ✓R UN �AROZFN GROUND WD.-WH2£A%LUNG TYPICAL SOILS LOG AB-AFTfR BOR/NG S, LI'SPLIT SPOON WITH /1018 HAMMER S, 11'SPL?SPOONWITHJtOLB. HAMMER Sh 25' SPL? SPOON W/TN JAO LB. HAMMER SP E.? SPL? SPOON, PUSHED A AUGER SAMPLE T, SHELBY TWE ' Tin MOD/FLED SHELBY TUBE Bs BULK SAMPLE SAMPLER TYPE SYMBOLS ©ORGANIC oe 0 GRA WL •... MATERIAL o 0 ® CLAY ® COBBLES B BOULDERS ® SILT ® BEDROCK ElSAND ® /CE, MASSIVE SOIL SYMBOLS o° ORGANIC MATERIAL Linle Visible Ice 0-10 V, ° �/L£DESLR/PT/ON A.B. G- SAMPLE NUMBER �Ss,72,571%,85.9pcf GENS/TY �1CORY `WATER GONTEMT BLOWS/FOOT 140', SAMPLER TYPE W0. WATER TABLE —LAPPROX STRA/A CHANGE BEDROCK DWN C� p Lot 1, Block 5 E8. CKa RSM CONSULTANTS, INC. Trails End Subdivision GRID OAT E. 6/5/79 .«m..... ... ...««.w. .u.v.w.. Anchorage, Alaska PnoaNafA-01 scaLE. SOILS LOG OWG.NO GREW ANCHORAGE AREA BOF' IH yI ll'� Department of Environmental Quality III' 3330 C Street t Anchorage, Alaska 99503 INSPECTION. REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME :ti ? If"MAILING ADDRESS /'/U &WL12 PHONE LOCATION LEGAL DESCRIPTION t T / R �'h Y /, y,/ i ' ..10 SEPTIC TANK: DISTANCE./ /1 NUMBER OF / FROM WELL//27 Nl MANUFACTURER MATERIALZ .✓ COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY FOOD GALLONS. SEEPAGE PIT: kit MADCO nP PITC __ DIAMETER OR WIDTH L_t_, LENGTHS! DEPTHg LINING MATERIA�8%e&4�1 CRIB SIZE: DIAMETER —DEPTH— DISTANCE FROM: WELL / nn TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINEO`. ABSORPTION AREA (WALL AREA) ,2 , SQ. FT. ADDITIONAL ABSORPTION WELL: ti,14- ' TYPE BUILDING FOUNDATION CESSPOOL APPROVED DISTANCES: _CONST•RLIL�ION\DEPTH NEAREST �+- REST SEPTIC LOT LINE , SEW INE TANK OTHER SOURCES DISAPPROVED REMA DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM INSTALLED BY: PIPE MATERIAL: aI '� ��'• j� 31 Ij /E1 LOT SLOPE: r1SLPIj11, . p p}t '27, V REMARKS: DATE APPROVED' Form No. EQ -031 NAME OF APPLICANT el� GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 ••C•• STREET ANCHORAGE. ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APP MAILING ADDRESS /1¢cJ Ce�'r• PERM IT NO. PHONE INSTALLATION LOCATION '�'L' � =�- LEGAL DESCRIPTION /cr l `"N' 7 INSTALLATION OF: SEPTIC TANK ^ SEEPAGE PIT J� DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED « 1'r -cm FINANCED THROUGH TO BE INSTALLED BY 1 SOIL TEST RESULTS SANOTE1 THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED „"fin/ f /q 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 /oO TYPED/Q` B� w' w� SEEPAGE AREA SIZE h'r I7 X �O TyPE e• &X Su��rrid MINIMUM DISTANCES. REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK 51 I FOUNDATION TO SEEPAGE PIT a0 DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK_ SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. 1' WELL TO SEPTIC TANK �QO . SEEPAGE PIT /00111, a L/ C DRAIN FIELD ALSO CONSIDER AREA WELLS. Lp I I WATER MAIN TO SEPTIC TANK DRAIN FIELD SEEPAGE PIT SEPTIC TANK. /O6 SEEPAGE PIT It' Q DRAIN FIELD /A n , TO RIVER. LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. / DATEQ-0145� • ' 7 APPLICANT'S FORM NO. EO -014 E AREA BOROUGH ORDINANCE NO. 28-60 AND THAT THE ABOVE donsEzuCHW2 ETe!,t -avr "One test is worth a thousand opinions" 0020 TUDOR ROAD. ANCHORAGE. ALASKA 00007 0 T9L9F"0K9333•0472 Performed For John C. Bates Date Performed 5-28-74 Lecal nescrintion: Lot 1 Block 5 Subdivision nd7est This Form Reports Soils Lon yes — peoth Feet 2 — aracte 3 — Glacial Till 4 — f — 7 t k — Silty sandy Gravel G,i-225 1� — 14 feet Bottom of Test Hole was Ground Water Encountered? No If Yes, At what Depth? w 1•A':--!�� Readinq Date Gross Time Net Time Depth to H2O Net Oro n' t SEEMS w 1•A':--!�� Readinq Date Gross Time Net Time Depth to H2O Net Oro n' t Percolation Rate Minute Proposed Insta atton: Seenaoe Pit yes Drain Field — neoth of Inlet Depth To Bottom Of Pit Or rench r'fl Ml�CNTC 225 sq ft. draiange area required per bedroor No bedrock or water table to 1!! feet BY Jim Aincic _ Data Certified By -Const. Te T- P6M CONSULTANTS. INC. 0914 CORDOVA • BOA 9091 B ANCHORAGE. ALASNA 91502 B IN. 907-275.0592 • TLA. 000-IS590 ENOINSERR PLANNMRS B.,R„E..RBJune 5, 1979 R&M No. 951181 Hylen Realty 4060 'B' Street Anchorage, Alaska 99503 Attention: Allen Kirschbaum Subject: Soil Investigation for Sanitary Sewer System, Lot 1, Block 5, Trails End Subdivision, Anchorage, Alaska Dear Mr. Kirschbaum : At your request of May 31, 1979, we conducted a subsurface soils investi- gation at the proposed location of the sanitary sewer system on the subject lot. The investigation complied with those procedures required by the Municipality of Anchorage Department of Health and Environmental Protection. This investigation, which was accomplished on June 4, 1979, consisted of a test hole excavated to a depth of 14 feet below the existing ground surface. The test hole was sited at the proposed location of the additional drainfield as shown in attached Drawing A-01. Excavation was accomplished with a backhoe. All material - excavated was continuously monitored by an experienced engineering geologist. The soils encountered in the excavation are shown in the test hole log in Drawing A-01. This log displays specific conditions encountered at the test location. However, subsurface conditions may vary in other parts of the lot without any apparent surficial evidence of the change. Groundwater was encountered in the test hole at a depth of 8 feet. Bedrock was not ANCHORAGE FAIRBANKS JUNEAU VALOEZ WASILLA June 5, 1979 Hylen Realty Page -2- encountered. At the time the hole was excavated seasonal frost was not present. Permafrost was not encountered. A percolation test was performed in a 2 -foot hole at a depth of 3 to 5 feet in an adjoining test pit. The data in Table 1 show average infiltration from the depths indicated to the bottom of the hole. The measured percolation rate was 5.7 minutes per inch. We appreciated this opportunity to be of service to you. Please contact us if you have any questions concerning this letter or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. P �2 Mate Ernest R. Rah Staff Geologis ERR:GS/rm/AT&SI-C /144i �( Gar mith Proj t Manager • n n PERCOLATION TEST TABLE 1 R&M NO. 951181 TIME ELAPSED TIME (MINUTES) WATER LEVEL (INCHES) INCREMENTAL DROP (INCHES) 3:00 0 38 0 3:01 1 40.5 2.5 3:03 3 42.5 1.5 3:05 5 43.5 1.5 3:10 10 45.0 1.5 3:20 20 47 2 :- 3:30 30 49.25 2.25 3:40 40 51.75 2.5 3:50 50 53.0 1.25 4:00 60 54.5 1.50 5.25 inches 5.7 minutes per inch MUNICIPALITY OF ANCHORAGE ' DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services .r On -Site Services Section p' P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # C 15- - 1 `I 2- 7 u HAA # I. GENERAL INFORMATION Complete legal description to • Btoeh So T' -L Location (site address or directions) 8900 She.banor( r Property owner Chair and Donna Steahens Day phone 346-1779 Mailing address 8000 Shebano, Ancho2a e. AK 99510 Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 `� 3- TYPE OF WATER SUPPLY: Individual well XXX Community well Public water Day phone Day phone NOTE: It community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site aXx 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-M(R v.1/ip From MOA121 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm 5& S ENGINEERING Phone G y y— y 7 C/ Address Eagle River,)AIaaka 99577 -, Engineer's signature 6. DHHS SIGNATURE Approved for By: Disapproved. Conditional approval for Date / /a / E ;i•L RWERT C. bedrooms. 3 bedrooms, with the following stipulations: EScww MoNiFC In it.ACt✓ ' ADO(TIONAC. klu_ COUI_2 OF 3 MIN. Ck7EnlD a M• (. IN. Additional Comments I%NIES r,,f4AC,.. 2EMarr-j Iru CSGQow M ITIC 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 engineer's work. Tsaam.•.+An 8Kk LOwm —� Municipality of Anchorage • DEPARTMENT OF HEALTH & HUMAN SERVICES F,iy Environmental Services Division 825°L" Street, Room 502 0 Anchorage, Alaska 99501• (907) 343-4744 A � P Health Authority Approval Checklist FjG 9� Legal Description: LOT 1 44-C9 TRA.tJ CnD SID Parcel ID:OIS'—Ig}'3� A. WELL DATA -. Well type If A. B. or C. attach ADEC letter. ADEC water system number Log present (YO N o Dale completed V /A< Total depth N 1 f Cased to 4a ,; Casing !might (above ground) ) '/ Sanitary seal &N) Y 6- S Wires properly pied &N) YF.5 Date of test FROM WELL LOG U/k Static water level v I K Well production WATER SAMPLE RESULTS: '-/K Coliform O Nitrate Date of sample: I l /(./ 9ti AT INSPECTION 4a 9— p.m- g.p.m. a • �% Other bacteria O S i S ENGINEERING Collected by: 204 No. Eagle Rlnr, Alaska "m eIn! OLDING TANK DATA Dam imualled 6 fit 17 y Tank sive 16 0 0 Number of Compartments ;- Cleauouts iM/N) Ye -P Foundation cleanout &/N) v f 3- Depression (Y®) A'' High water alarm (YA f' 0 Date of Pumping 1/AT/ 014 Pumper ), oR r tJ t 4P n P -m r, a C. ABSORPTION F'MLD DATA Dateinstalled chi bf 4- 0%7,�g = df i ru,"•w RED 1 Soil rating (g.p.d./ft= or ft /bdrm)< System tvpe r.4e..c.. Lengths't ' 3 u Width S- 1 Ay Gravel thickness below pipe �' f • - S' Total depth 4 { % Etiecuve absorption area 37 i 4- 1 a Monitoring Tube presentl(S)M Y ? 7 Depression over field (YQ "O = - o +E Date of adequacy test j' Resutts�a Fad) P'} s S For 3 bedrooms Fluid depth in absorption field before test (in.); t7 Immediately atter f F"'gal. water added (in.): Fluid depth is I (ins.) Minutes later: °Z' o Absorption rate - a 0 r' 7 I .p.d. Peroxide treatment (past 12 months) (Y" `0" Ar qw W If yes, give date — 49ItfD S,4rwA4740, Tl)r} 0 CAA -Low 7-It—CM . D1Vttrfg JM.vt raN'c O(jrcLT f/xs/gd, 3844�ow yR(-6'9 RCCO.NLQTt.D. )mlrRI'irO Ar 4L� D. LSP STATION Date installed Manhole/Access (YM) High water alarm level at* Cycles tested Size in gallons / ..Pump on .11 *Datum "Pump off' level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ti olding tank on lot 100 { ; On adjacent lots loo t Absorption field on lot ° o ; On adjacent lots 100 Public sewer main rV /a Public sewer manhole/cleanont N /A Sewer /septic service fine 10 r 4` Lift station SEPARATION DISTANCES FRO SEPTI OLDINO TANK ON LOT TO: Building foundation 3 0 !4-- Property line /0 r{ Absorption field r !+ Water maintservice line S C { Surface water/drainage / o o �t Wells on adjacent lots / o 0 1-0 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ! r Building foundation 13 t) * Wats mai /service line ° Surface water / o v t Driveway, parking/vehicle storage area SO t+ Curtaindrain N0,& le..aw.J Wells on adjacent lots too tf Property line /e t+(ileo) W a.�sR atorte F. ENGIN`=1SCERTIFICATION 51, ..asrNKN✓ rAe.c.i, I certify that i have determined thru field inspections and review ofMunicipal records tha t are in conformance with A104 M44 guideimes m eet on this date. Signature t `cam '•.9 �d ! l 0/i ER r CC),9",i��,;� ^• •• Engineer's Name :n���^'P.....'. • ' ji , p Date / �a S` °i (� t7a„4 aoaen C. COWAN fy •. CE -8801 HAA Fee S NO -iOb Waiver Fee S _ Date of Payment V,?414K- Date of Payment Receipt Number ZZ J�.Z % Receipt Number Rev. 8/95 OSS: haa.wk.doc mun7,-iPa itv of And iraa Department of Health and Human Services �{ 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor February 21, 1996 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 1 Block 5 Trails End S/D Waiver Request #WR960002, PID #015-192-30, HA960031 Dear Mr. Cowan: Your request for a waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 5 feet from the drainfield trench and the west property line. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. 0 11 Lyr J mes P. Williams ivil Engineer On-site Services JPW/ljm eo"N, r", MUNICIPALITY OF ANCHORAGE ` Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR960002 PID# #015-192-30 HA# HA960031 Permit # Date Received: February 16, 1996 Legal Description: Lot 1 Block 5 Trails End Engineer: Robert c. Cowan, P.E., S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River, Alaska Applicant: Christopher Stevens Waiver Requested: Ra_,Ercy LoW17 LoaR RE- ANI) REANI) W S7 y4oprL 1�• C7 Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation �s TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: y Waiver is NOT Granted: List Conditions or Reasons for above: FNGrNadt S7a7ES T Date: By: ewer Rec #: 01661/5761 Amount: $ 115.00 Date Paid: Feb 16, 1996 99577 HEALTH AUTHORITY APPROVALS SEWER 6 WATER MAMEMNSIONS SEWER & WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELL INSPECTION 9 FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURALS MECHANICAL INSPECTIONS CNSITE WASTEWATER 09SPOSALSYSTEM DESIGN S& February 15, 1996 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 ROBERT C. COWAN, P.E. ROBERTA. SHAFER P.E. CML ENGINEERS (901) 694.2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION (REFERENCE: Lot 1 Block 5 Trails End Subdivision FEB 16 1996 RECEIVED (Request you issue a conditional Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance between the leachfield and the property line at 5 ft. There is a minor depression around the monitoring tube which will need a minimum of 2 ft. of additional fill in order to provide 36 inches of cover over the end of the shallow trench. The property line is adjacent to Doggie Avenue and we do not anticipate any adverse affects. JIf we may be of further service please contact us. Sincerely, >� 4 Robert C. Cowan, P.E. MOr1toR�.0 Taac #r BILI LvA 7 /QCAAttJ0 4 C x>S,.n Ed .4.90✓E �r/T 90t .l ITS I9G. 594""u 'rpe"CN new.>iR.+C TwBC hLAI.At r I N 7 p01)'014 1/ To rpRarL 7f oa VCA r,ceL t7,P..e wA[ .!r' g/(•, 7 0 01st_ Pte VNvt,e 7- APP[A/ti 79 Nov[ $ " 10 D[ BA11 Q/( OOIl 4pT [A7iwQ ALL THE � RC( L.AY T• BOTTOM CX TREr C>/. _ 17034 NO9TH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 ��� L A116196 !1.4/ ('$710/) Grn.t E° V A r s --t E,Fi 0 d Z- IS—rt V $.1 FR -,,I, P/L- SHEBANOF AVENUE -7 I c o 30' S 89 59'!0" W 190' 10' VTIUTY EASEMENT I V � LLI Q m.. g W ® 26.7 A 29.6 V •• (7 •250' w :r LOT 1EMSrN0 tot 10 Q "' HOUSE IC p r '• 250' O o � _ 26.7 .r V A j 30' S 89'59'30" W 190' 1• -30•I -JAN 21 1996 M VY. N gnMhc0.1 r N �W.w. rrrV �� LOT 2 LOT 9 tECENO: SEr rMn �/wA e/r1+0 7S ALaaE O`® AS—BUILT OF: LEG& OESCbPTM "r ^ •' DONNA STEPH.ANS MOM Iu � Vat O a LOT 1, BLOCK S. %AMY aenF" d. LmrE b w•dWN . Mw.. v EMw NG- ;e IANO k CONSTRUCTION SURKvORS-PLANNERS-CNOINEERS rae.rt,"0 «04....,.,...E».�....I....u..... • ...w » r « w w...-.s.+.I. awl .rr uw M.a ..,�, w,oQQ- N � to %ESr WMON e0w. i 103_ TRAILS END SUBDIVISION �•� �N �,-�•�'x,��« ^•w w "- 1• -30•I -JAN 21 1996 M VY. N gnMhc0.1 r N �W.w. rrrV �� 01/24/96 11:45 CTE.E ESI AN04DRAGE + 9076941211 NO. 160 903 Ltd ME Environmental Services Inc. laboratory Division Drinking Water Analysis Report for Total Coliform Bacteria 200 a� o. Pottrage. r Drive 99518.1605 R&tDINSTRUCTIONS ONREVERSE SIDE BEFORE COLLECTING SAMPLE Tel: (907)$62.2343 Fax: 19071561.5301 MUST BE COMPLETED BY WATER SUPPLIER O PUBLIC WATER SYSTEM I.D. R X PRIVATE WATER SYSTEM >S SrnJ Rernln Srndfnrdrr O Send Raults O Send Invoice SAMPLE DATE: 0 6 FM Month Day Year SAMPLE TYPE Jim Rattling O Treated Water O Repeat Sample (for routine sample ;K Untrented Water with lab ref. no. ) O Special Purpose Time Collected SAMPLE LOCATION Collected By I.or l 81.K S TXAIL1 Ewa %/o is Rc/ �3ur5C, Maw Pew Comments: TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: e Satisfactory O Unsatisfactory D Sample over 30 hours old, results may be unreliable D Sample too long in transit; sample should not be over 43 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received t'i1 Time Received Q12s Analysis Began If. 07 Analytical Method: a -Membrane Filter O MMO•MUG • Number oreolonies/IOOml. 1 •ti ee.r Nn Result* Analyst 96.0177` / -2- J ® 7Y Aneh Sent loA.n•E.C. FDW Jun ❑ DatcaI_ Time: Foxcd Client notified or unsatisfactory results: ❑ ❑ rhoned Spoke with Foxed Date; Time: BACTERIOLOGICAL WATER ANALYSIS RECORD ,N010"MUG Result: Total Coliform E. Can Membrane Filter: Direct Count 0 Colonits/10(I ml Verification: LTB Fecal Coliform Confirmation BGB COLIFIRM r%7C-11 A1o.tr.a. T. C...r Final hlembreee Filter Rels'uly Coli orm/100 ml Reported By e-110 ` "' ' Daq �- / r` i c Time & brs Un . tkk. a.,w(v v1SM_Member or the SGS Group ISociete Generole de Surve;lIonce) _ ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA. FLORIDA. ILLINOIS, MARYLAND. MICHIGAN. MISSOURI. NeW JERSEY, OHIO. WEST VIRGINIA 01/24/96 11`45 CTSE ESI ANO -MAGE + 9076941211 NO. 160 pO2 ME Environmental Services Inc. Laboratory Division Cr6E Rsf.# 96.0177.1 Laboratory Analysis Report Matrix WATER Client Sample ID L1 BLRS TRAILS tND S/D Client llama s 6 S MMINEERINO NORK Order 20711 Ordered By R. COWAN Printed Date 01/24/96 a 07:56 bra. project Nems Collected Date 01/16/96 a 09s1S bra. Project# Received Date 01/17/96 a 09125 bra. PN$ID UA Technical Director STEPHEN C. EDE Released $ample Remarks SAMPLE COLLECTED BYs BOB C. OC Allowable Ext. Anal parameter Results Qua Units Method Limits Date Date Init "'....."' __••___..._•................................................................................"""..."" Nitrate -N 2.9 D og/L EDA 353.2 10. 01/19/96 EMH v.....................................«u.....................................oa...............—.. v o.........: • See Spevial Instructions Above UA . Unavallable •• See Sample Remarxs Above NA • Not Analyzed . Undetected, Reported value is the practical quantification limit. IT . Leo Than s Secondary dilution. CT • Creator Than dt 200W. Potter Drive. Anchorage, AK 99519.1005 —Tel: (907) 562.2343 Fax: (907) 661.6301 — ENVIRONMENTAL FACIMIE9 IN ALASKA. CAUFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO. WEST VIRGINIA MUNICIPALITY OF ANCHORAGE DEPT. OF I _ALTii & 't DEPARTMENT OF HEALTH O ENVIRONMENTAL PROTECTIJIRONJBN .-._ i :..: TXTION e, Alaska 391 75 L Street - Anwe50 6dre STREET LOCATION • 0* FEB 7 19rt Pa• a ENVIRONMENTAL ENGINEERING DIVISION 6. TYPE OFF RESIDENCE Telephone 2644720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Ir" vpiap requests will not be process*& Flap allow tan (10) drys for praasin3. 1. PROPERTYOWNERPHONE ❑ MULTIPLE FAMILY Ka' Three ❑ Six tT�l v 13Arr 7 Hy -7717 MAILING ADDRESS ❑ COMMUNITY PROPERTY RESIDENT (If different from above) ❑ PUBLIC UTILITY PHONE 2 BUYER self individual/on-site, installation date �7 PHONE CHRIS STrYCNS If system is over two (2) years old an adequacy test is required MAILING ADDRESS by this Department. hIA5d-x Awe cF 4,,erH - Cozem-s B[�� 3. LENDING INSTITUTION PHONE AO -A AA'6- cA &, ,PW MAILING ADDRESS eA[[grs 1SllI/- 4. REALTOR/AGENT Al1rA, /jCSCN/3mxt — 5/c Il✓LEx/ -mac, PHONE Z7,9-95�'/ ,CEALTc•�Y MAILING ADDRESS Nc6c b sqt-c-,- S. LEGAL DESCRIPTION Lr / Btk- S- Ti('A,cs rrmo See STREET LOCATION S,N/ C��d�r ST,(•C6AsJFF .,y/ StGAd✓F 6. TYPE OFF RESIDENCE NUMB R OF E OOMS GT SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Ka' Three ❑ Six 7. WATER SUPPLY Ef INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM self individual/on-site, installation date �7 0' INDIVIDUAL/ON-SITE" give 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. 72-01013/731 jV (�ja I 41 + THIS SIDE FOR OFFICIAL USE ONL. INSPECTION APPOINTMENTS DATE RECEIVED .. TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY -Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAUON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Sizer If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area r Line Ngreet Lot Line Absorption Area to nearest Lot Line 5. COMMENTS C9 APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must a pony certificate) [--DISAPPROVED C DATE BY Title LEGAL DESCRIPTION 72-010 (Rev. 3/78) r. ' INC C,tENICAL.8 GEOLOGICAL LABORATORES OF ALASKA* TELEPHONE �i (007) 279-4014 P.O. BOX 4-1276 ANCHORAGE, ALASKA 99509 4649 BUSINESS PARK BLVD. Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER PUBLIC WATER SYSTEM: r n un SAMPLE DATE: ® E I3 I Mo. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. I ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE NO. LOCATION 2 3 4 5 READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Form No. 18-310 (3.78) Time Collected Collected By �II; TO BE COMPLETED BY LABORATORY LABORATORY: (DAME ADDRESS Date Received2-3- 79 Time Received 11712-0 Analytical Method: ❑ Fermentation Tube p'Membrane Filter Lab Ref. No. Result' Analyst 19689-ydl "'� +� I I � I I m I I m r k * a I I m e ae. of ae a1lee: 1. a N. M►eehM►arllara 06.1220 tbl BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1916 Date Collected Source A.M. Data R—elved Time Recelved Pm. Lab. No. Presumptive Ioml 20.1 10.1 lomI_ _1.0.1 1.0ml 0.1.1 24 NPU'{ it 48 Hour{ EMB Broth 24 hour{: Brolh 46 hourt: Multiple Tube R4001t: 10ml Tube$ P0s111W/T0t8l 10ml Portions Membrane Fllter: Direct Count Colllonn/looms Val/kation: LTB - BGB Final Membrane Fllt (%r1�Jy��1rc %CollJorm/100MI Reported By f/ o-1 Date �jY P.M. I tAlunicipality ®1g Anchorage March 9, 1979 POUCh It, 'J50 ANCHORAGE, ALASKA 99502 (907) 2792511 GEORGE A!. SULLIVAN, AIA YOR DEPARTMENT OF 14EALTH AND ENVIRONAIENTAL PROTECTION 18.'5 "L" Street) Allen Kirschbaum % Hylen Company Realtors 4060 B Street Anchorage, Alaska 99503 Subject: c Trai d Subdivision John Bates Property On March 9, 1979 R & M Engineering performed an adequacy test on the existing sewer system serving the subject property. The adequacy test shows the sewer system is inadequate for a three(3) bedroom single family residence. Therefore, before approval may be granted, an upgrade of the system will be required. The upgrade will include the following: (1) A fifty-six(56) foot of trench backfilled with six(6) of gravel. (2) The width of the trench shall be the same as the bucket size of the backhoe. Prior to the upgrade a permit must be issued by this department. Conditional approval may be granted if monies are escrowed for the upgrade of the system at a later date. The upgrade shall be completed before July 1, 1979. Monies should also be escrowed for any interim pumping cost that may be incured.. If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Bank of the North E R&M CONSULTANTS, INC.' S014 CORDOVA • •ox 4047 E ANCHORAGE, ALASKA SSSS! E IN. 907.279`0483 • TLK. SSS-SSJSS ENGINEER! OE OLOOIETE PLANNER• EURVEYOOE !larch 7, 1979 R&M No. 951044 Hylen Co. Realtors 4060 B Street Anchorage, Alaska 99503 Attention: Allen Kirschbaum Re: Adequacy Test on Existing Sanitary Sewer System; Lot 1, Block 5, Trails End Subdivision, Anchorage, Alaska Dear Allen: Per your request of February 8, 1979, we conducted a test of the sanitary sewer system on the above described property. 1000 gallons were pumped from the septic tank prior to the performance of the test on the seepage pit. During the test the liquid level in the seepage pit was monitored as 500 gallons were removed and 500 gallons were pumped back into the seepage pit to the inlet level. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Liquid Second r Reading Removed Reading Added Reading Reading Drop (gallons) (gallons) 2.55' 500 7.90' 500 2.80' 3.10' 0.30' E R&M CONSULTANTS, INC.' S014 CORDOVA • •ox 4047 E ANCHORAGE, ALASKA SSSS! E IN. 907.279`0483 • TLK. SSS-SSJSS ENGINEER! OE OLOOIETE PLANNER• EURVEYOOE !larch 7, 1979 R&M No. 951044 Hylen Co. Realtors 4060 B Street Anchorage, Alaska 99503 Attention: Allen Kirschbaum Re: Adequacy Test on Existing Sanitary Sewer System; Lot 1, Block 5, Trails End Subdivision, Anchorage, Alaska Dear Allen: Per your request of February 8, 1979, we conducted a test of the sanitary sewer system on the above described property. 1000 gallons were pumped from the septic tank prior to the performance of the test on the seepage pit. During the test the liquid level in the seepage pit was monitored as 500 gallons were removed and 500 gallons were pumped back into the seepage pit to the inlet level. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Liquid Second Water Third 24 -Hour Total Reading Removed Reading Added Reading Reading Drop (gallons) (gallons) 2.55' 500 7.90' 500 2.80' 3.10' 0.30' The average specific capacity is 7.98 gallons per inch based on two sets of readings showing 7.79 and 8.17 gallons per inch. After twenty four hours the liquid level was measured again at 3.10' feet. It had dropped 0.30 feet or 3.6 inches. This indicates an average effluent acceptance rate of 28.7 gallons per day for the surrounding soils. If the 2 bedroom residence on the property is to house 4 people, the average load on the system can be expected to be 300 gallons per day. We can therefore conclude that the system is not disposing of effluent at an adequate rate for a 2 bedroom residence. ANCHORAGE FAIR ..RR! JUNEAU VALDEZ WASRLA March 7, 1979 Hylen Co. Realtors Page -2- We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M NS� §, INC. "/Z Ga Smith Pro, ct Manager CAS/djb/I .'Municipality of e Anchorage March 5, 1979 POUCH b-650 ANCHORAGE, ALASKA 99502 (907) 2792511 GEORGE M. SULLIVAN, MAYOR O EPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (825 "L" Street) Allen Kirschbaum— 1Zkru:S P�aPGr-t'� % Hylen Company Realtors 4060 B Street Anchorage, Alaska 99503 Subject: Lot 1 Block 5 Trails End Subdivision John Bates Property Approval for the individual sewer and water facilities will not beigranted until the following items have been completed: (1) We have not received the water analysis in this office for our review. They must be picked up from Chem Lab,,5633 B Street and delivered to this office: ' If there are any further questions, please contact this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw i cc: Alaska'Bank of the North Mortgage Loan Department 1 3301 C Street, Calais II 99503 i