No preview available
HomeMy WebLinkAboutWILLIAMSON #2 BLK 3 LT 7William on Block 3 Lot 7 #OZ 5-074-07 Permit Number:. SW020227 Name: BRYAN &: PENNY LEACH 5031 EAST 98TH AVE. * ANCHORAGE. AK 99516 (907) 346-1302 3 LEGAL DESCRIPTION 3 7 WILUAMSON #2 Towneh¥: Range: Section: WELL: [] New [] Upgrade~ Municipality of Anchorage o 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 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report PID Number:. 015--074--07 Wastewater System: [] New m Upgrade ABSORPTION FIELD I"t Deep Trench "Sba"a, Trench 13 Bed I'1 Mound 3.0 ~,o/s~ ~. 1.96-2.4 r~ SEE DWG 5 185+/- ~. ~ ElOthJr 4.01-4.45 2.05 n. JASON WOOD ~., ,~ ,. TANK SEPARATION DISTANCES as..~a n.o,ding a$.T.~P. ?....~To Septic Ab.orption Uft Holding Put~/PtSvate Uaaefac~m~. C-~'-~--~, I~ ~ Tank Reid Station Tank s..*, u~ ANCHORAGE TANK 1500 Wall 100'+ 100'+ 100'+ -- 25'+ FIBERGLASS Suflace Water 100'+ 100'+ 100'+ -- Lot Une 5'+ '*'2'+ 5'+ -- Foundation 5'+ e**8' Curtain Draln NOiNE KNOW~I Remarks: 26 3034/ F-810 ~'"~/29 -31/2002 *THIS IS AN ADVANTEX TREATMENT SYSTEM 2 LIFT STATION 1500 IANCHORAGE TANK/ORENCO SYSTEMS TIMER TIMER 46" 12o osl s M.O.A. BENCH MARK BO'rFOM OF BACK DOOR THRESHHOLD **WAIVER GRANTED ***VERBAL WAIVER FROM DAN ROTH ON 7/29/2002 EXISTING SEPTIC TANK WAS COMPLETELY ABANDONED PER MPC Inspections performed by: Development S e r~i.,~ Rm~e.v}e~w~d and approved by:F (~' -' by AKWWC, INC. Dates: 1st 7/29/2002 2nd 7/30/2002 3rd 7/31/2002 Department Approval , Date: ~[~/u~ SW020227 AS-BUILT DRAWING / / [--'EXISTING SEPTIC SYSTEM LEFT \ IN PLACE FOR POSSIBLE L \ FUTURE CONNECTION \ / ~ 1500 GALLON ~ / / ADVANTEX TREATMENT---- I I I EX~S~NC BEDROOM HOUSE PARCD_ ID NUMBER: 015-074-07 / / t / INSTALLED: ..owDq.~ - ~ x A B c I -- "~ N Fcc 26.47 ~5.575 - ,I II DBL1 55.39 18.32 - I Il c03 57.70 18.465 - ,~ ~,~i~T co, ~o.,o ,~.~o~ _ MT1 61.315 10.50 - -18.73 29.97 ~~1 I c02 _19.105 ~0.9~ BRYAN * PENNY LEACN (907) ~48 1302 2 OF WILLIAMSON SU.DIVISlON ~2; LOT 7. BLOCK 5 ~ Or WORK: AS-BUILT OF SEPTIC SYSTEM UPORADE pERUff NUUBER: $W020227 AS-BUILT DRAWING PARC~. ID NUUBER: 01.5-074-07 FINAL GRADE -99.50 TOP OF TANK - 95.58- TOP OF ADVANTEX POD -98,6,I MATOP OF HOLE 00.28 - g5~,8 ~ OF' PIPE 94.62 HOLE 99.11-99.43 / INSULA~ON 94.4;S (~VO.) , ~ 8/7/2002 ALASKA WATRR & WAST~WAT~R ~ Z.T.O. BRYAN · PENNY LEACH (go7) ~4~-1~02 ~ OF W~LU..SO, su,o~v~s~o, ~=; LOT 7. CLOCK ~ PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEU UPGRADE / $ II ) ~ AS;-BC~I.T SURV£Y $$ 4" NB CnRN~RS SET THZ$ DATE SCALEd' A. HOLT LS-6914 ..,' EA'S~L'3,1TS 0~' RECORD, OTHE:R TI.qAN THOSE: SHOWN ON THE: RE:CORDE:D PLAT, ARE: NOT SHOW I.{£R£ON.(UNUES$ FROM : BR I CKLIELL FAM I LY FP, X NO. : 345-2923 ;~ug. g? 2~2 1~5:3~c~1 P1 O/O/200~ 0:06 PAOE 1/1 RightFAX Inspection Report Huniclpallty of Anchorage, Building Safety Division 4700 South Bragaw · %NSPECT%ON: VOZCE 343-~300 INSPECTION: FAX (907)249-7777 INFO: 'Name · .address Legal Subdivision Comments or Directions Brick's Electric: Bill 5031 E 98TH AVE BK3 LT7 W~LLTAHS ON #2 Permit 02-8394 440-g351 Phone 34S-2923 %nspe~ion Date S/7/2002AH Septic System Final tnspecU0n' Retro Electrical '~ NO NON¢OHpI-T]qNC~ OBSERVED [] CORrOSIonS ESS~ ~ ~X~E~ ~LOW ~LL Rff-E~HINE AT NE~ ~ DO NOT CONCEAL UN~L ~NSPE~ON ~ ..ms~m~. . COMME~S: (for insp~or use on~y) I~in.pectlon N %nspeetor Date: Well Owner 09:41 FROH ~K--DNR/DOW 90? 696-0098 TO M-W DRILLING, P,O, BOX 1t0'3'/8'. 10330 Old Seward Highway (907) 349.8035 ANCHORAGE, ALASKA 9951 DRILLING LOG ~44995G P. 01 Location (address o/: Township, R~ulge, Section, ii known; or d/stance main road Lot 7 Olk 3 WJ. llie-~so~ Sub~ Ae~ct~2 Size of casing 6" Depth, of,Hole 2~_p_0 ieet Cased to 2 38 _feet 't e',l~ ' I; ¢,.],~.~' ~,~,"'-,} ,;, Screen ( ); Per/orated ( :~:).. , Deserlbe screen er per£ora~ion.: Well ptunptng test at ~) (minute) /or__J_-,. __hours with_ 1.00~ 'rt. o! ~awdewn from static ~, 1....,,:. ' _!/s/ap ......, Date of compleX;ion. : ,,,. ' r', . WEU- 1,0~ th'in feet £rom ' ~ · ground su.t~ace Gig~i:de~$~Is of formations penetrated, size of material, color m~d ha~cdnes~ o 200 · :~,, ~-::,,' 200TO 2/40 ........... TO __ TO TO TO_ TO____ fl?O NWWA Certified Contractor -TO- Municipali of Anchorage George P. Wuerch, Mayor Buildh~g S,'ffcty Dirision P.O. Ih)x 106650 · 4700 $. Bragaw $trcct a~mchomgc, Alaska 90519-6C~50 · (907) 343-8301 h t tp://www,¢t.anc borage.ak, us 8/8/2002 Jeffrey A. Garness, P.E. Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Rd. Suite 2B Anchorage, AK 99504 Sl~bject.' Waiver Request for Williamson #2 Block 3 Lot 7 Waiver Request #WR020061 Parcel ID #015-074-07 Health Authority Approval #HA020390 Dear Mr. 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 department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On-Site Water & Wastewater Program Municipality of Anchorage Development Services Department Building Safcty Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 1966:50 Anchorage, AK 99~19-6650 www.cLanchorage.ak.us (907) 343-7904 Waiver Review Worksheet WRY: WR020062 PID~: 0t5.074-07 Date Received: 8/8/02 Legal Description: Wllllarnson #2 Block 3 Lot 7 Engineo~. Jeffrey A. Oarness, P.E. ~Alaska Water & Waetewater Applicant: Bryan & Penny Leach Waiver Requested: 2 feet from ab~orotlon field to lot line Criteria: Geology A. Water Table B, Soil Sorpfion C. Permeability D. Water Table Gradient E. Horizontal Separation HA#: HA020390 Permit#: Total: Points: ,O Waiver is Granted: L-'"/ Waiver is not Granted: List Conditions or Reasons for above: Rec~: ..v~"~c~z~) Amount: $150.00 Date Paid: 81812002 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK gg519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade ~: OD ~.~.. Date Issued: Jul 16, 2002 Expiration Date: Jul 16, 2003 Permit Number: SW020227 Legal Description: WILLIAMSON #2 BLK 3 LT 7 Design Engineer:. 0041 AK Water & Wastewater Consultan' Owner Name: Bryan & Penny Leach Owner Address: 5031 E 98TH AVENUE ANCHORAGE, AK 99516-6402 Parcel ID: 015-074-07 Site Address: 005031 98TH AVE E Lot Size: 13350 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 Ail 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 pdor 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 dudng freezing weather must be either:. A. Open and closed on the same day. B,[~ Covered, sealed, and heated to prevent freezing. Date: 7-'/~,- fluSH Parcel I.D. 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 015-074-07 Permit Number Property owner(s) Mailing address (1) Mailing address (2) BRYAN &: PENNY LFACH 5031 FAST 98TH AVENUE * ANCHORAGE. AK Day phone 346-1302 Zip Code 99516 Legal description (Lot, Block & Sub'd.) LOT 7. BLOCK 3: WlLUAMSON SUBDIVISION ~2 Legal description (Section, Township & Range) Lot Size / ~ ~'~ ~ Acre~______._ THIS APPLICATION IS FOR: Sewer Only ~ Sewer and Well Sewer Upgrade [] N,,/A Number of Bedrooms 3 THIS PROPERTY CONTAINS: Hot Tub ~r~ Swimming Pool Therapy Pool [] Well Only Water Storage Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify that this application is being made far a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER &: WASTE'WATER CONSULTANTS, INC, (Signoturc 0¢ propcdy ownor or authorized agent) Permit Fees: ~0~) ~ [~''O=""'-"~ ~ Waiver Fees: Date of Payment: '?-- I J~ -0~-- Date of Payment: Receipt Number:, ,~'~'70~---.- Receipt Number:, ALASIC WATER & WASTEWATER -- CONSULTANTS, INC. July 8, 2002 Municipality of Anchomge Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Proposed Septic Upgrade for Lot 7, Block 3; Williamson Subdivision//2 ADVANTEXTM TREATMENT SYSTEM To whom it may concern: 1. GENERAL: The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. A test hole was excavated on the property. We are proposing to design the septic around the 30 foot radius ofthis test hole. Due to the limited area available we are proposing to use an Advantex treatment system which will allow for a reduced sized drainfleld. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD APPLICATION RATE: A percolation test was performed in the test hole between the depths of 2.0 to 3.0 feet and the rate was determined to be <1 minute/inch. The allowable application rate for the Advantex system effluent is 6.0 GPD/FT2' Regardless, we are going to conservatively assume an application rate of 3.0 GPD/FT2. 4. TRENCII DESIGN: a. Percolation Rate: <1 minutes/inch b. Proposed Application Rate: 3.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 150 ft2 f. Total Depth: 4.5 feet (max.) g. Effective Depth: 2.0 feet h. Width: $ feet j. Minimum Length: 26 feet long k. Effective absorption area: 186 ft2 6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 5. ORENCO PACKAGE SYSTEM: The Advantex Treatment System will utilize an Orenco Systems fiberglass tank. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 6. SURFACE WATER: There is no surface water within 100 feet of the proposed septic system upgrade. 7. TOPOGRAPHY: As can be seen on the topography site plan the average topography in the area of the proposed drainfield is fairly flat. In short, there are no slope concerns. 8. LOT LINE WAIVER: We request a 0 foot lot line waiver to the proposed drainfield. We are unaware of any negative impacts on adjacent wells or septic systems with the issuance of this waiver. 9. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at PJ'~r ef~bdYe~m s~, .E., M.S. NOTE: ~lttached is a site plan drawing, a design drawing, an ,~dvantex detail, a trench detail, two soil logs, and a 7 page 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 SPRING HILL ESTATES $~'D ,~' I I LOT go BLOCK ,,i'~ ~' I I II ~qLUAMSON $/0 LOT 11o BLOCK / / LO~' 8, BLOCK ~LOT I I I HOUSE WILLIM~SON $ LOT O, ~ VaLI. I~aSON s/o JJ2 WILLIAMSON S/O t2 LOT 4, BLOCK LOT x, BLOCK AI~SKA ~VATER & WASTEWATER CONSULTANTS, INC. PREPARED FOR PHONE NUMBER: BYRAN &: PENNY LEACH (907) :546-1:502 WILLIAUSON SUBDIVISION ~2 LOT 7o BLOCK $, SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPORADE 7/8/2002 C.J.G. SCAL~ 1' = 100' 1 OF4 II UN£ TO BE CAPPED FOR~ I FLr/URr US~' OF EXlS~NGI I II NOTE: THE CONTRACTOR SHALL HAVE THE 100 FOOT WELL[ RADIUS AND 'rile SOUTH LOT UNE FLAGGED BY A I - . / / ~(~~r~) _ , ----__. / -INSTALL DOUBt.~ CLF. A~OUTS INSTRL EOW DMR'~R REOU~..'~t LO PR( POSED DRNNRELD. E~CCAVATE A TR~CH '11~AT IS 4.5 ~'t..t.I DEEP MAXIMUM BY 5 ~ / F~ W1D£ BY 26 FEET LONG. ADD 2.0 ~ ~ ~ AI~X. SIiA WATER & WASTEWATER .~,~c.,~.o. · CONSULTANT~, INC. · 1 BRYAN · PENNY LEACH (gO7) 346-1302 2 OF 4 WILLIA~SON SUBDIVISION t2 LOT 7, BLOCK 5 DESIGN OF PROPOSED SEPTIC SYSTEM UPGRADE AdYanTe×' Treatment stem ..,,. ,.~,~E 40x94Pod -'- NOTC: 'air BOARD INSULA110N 10 BE INSTA~ i rn OVeR 11-1£ SEP11C TANK ac 4' 8L-YOND ON ALL SID~ ~3(CEPT UNDER THE AOVANTEX RL'n~R. TH~S WILL ALLOW FOR HEAT TO [SCAPE FROu TANX & RI.S~ ~ THE RL1~R AI~ I1. ALASI~ WATER & WASTEWATER 7/8/2002 C.J.G. CONSULTANTS, INC. BRYAN & PENNY LEACH 346-1302 $ OF 4 WILLIAMSON SUBDIVISION 1112; LOT 7, BLOCK DETAIL DRAWINO OF FIBERGLASS S.T.E.P. TANK AND ADVANTEX SYSTEM RL'E3~ INSU~'nON--'~ /.-- 1~4AL GR=NN' O~ ALASKA WATER & WASTEWATER CONSULTANTS, INC. PREPARED FOR: PHONE NUMBER: BRYAN & PENNY LEACH (907) 346-1502 WILUAUSON SUBDIVISION ~2; LOT 7, BLOCK DETAIL DRAWING OF PROPOSED DRAINF'IELD 7/8/2002 C.J.G. 5C, AL~ 1" = 20' PAGE NUMBER: 40F4 AI_.,ASIC, . % rA'I'ER & % rASTE VATI R CONSULTANTS, INC. ~SOIL LOG - PERCO~TION ~ES~I LE~ DESCRIPTION: LO~. BL~K 3. ~SON $UBD~SION PERFORMED FOR: M~. ~ MRS. L~CH DA~: 6/19/2002 I~EPTH ORGANICS ITEST HOLE #11 -~',~ ~: SOIL CLASSIFICATIONS ,~o*~..', ~.'~:i'b-:.- GW ::::: ORG o ~.,SWTOSP %~...', ~ GM ~ CL ' 4~ GC OL Ill IlllISP : ....... SW MH ,~o~ ~' ~, SM OH ~o~ ~'.', '~ SC :'~ ~'"" DEPTH TO 7 ~ %~ ,.. DATE ~,~..,. SW TO SP GROUNDWATER 8 ~,%~.... lO' (WEEPS) g ~%o..., D~ 6/27/2002  GM TO ML CLOCK ~ 1 -- DATE READING TIME ~.OJL ~/~2/~002 1 - ~ - 13I 14-- 15-- 4 -- 5 -- 6 -- NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) 2 O' 6' 2 0" 6" 2 0' 6' 16-- 18-- 19-- 20 SOILS LOGGED BY: COMMENTS: PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. . 6 (INCHES) TEST RUN BETWEEN 2.0 FT. AND 3.0 FT. A PRESOAK WAS PERFORMED: [] YES · NO SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ZACHARIAH CALL PERFORMED BY AKWWC, INC. I, JEFFREY A. CARNESS, CERTIFY THAT THIS ~/AS jPERFORMED WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: IN ACCORDANCE / / SPPJNG HILL LOT g. BLOCK .OT 31. LOT 11. ~2 GREI iR ANCHORAGE AREA B0R Department of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 /N/~q INSPECTION REPOR'r ON-SITE SEWAGE DISPOSAl, SYSTEM NAME '~'P~I ~{~ ~ '~'- MAILING ADDRESS PHONE LOCATION 5E"'PTIC DISTANCE/~-<:~2 , / .) ~ / ./ NUMBER OF FROM WE~i~hA/NUFACTUREE~Z"C/~,X~ATERIAL _~/ INSIDE LENGTH INSIDE WIDTH LIQUID DEPTN . LIQUID CAPACITY/~ GALLONS. TILE [:)RAIN FIELD~-~--'~~--'--~'''-. ~ z , / '~ , ./, TOTAL LENGTH ~/ DISTANCE FROM W(LL/~';~F~DATION /~2 ~ NEAREST LOT LINE / ~) ' OF LINES '2~- NUMBER OF LINES , . DISTANCE BETWEEN LINES ~ .TRENCH WIDTH ' TOTAL EFFECTIVE ABSORPTION AREA Z/-.:~ SQ. FT. LENGTH OF EACl, LINE ~'~ ) ~.O ) ~_) DEPTH: TOP OF T~ETO HN~SH GRAUE -~ ~ MATErnAL BENEATH TiLE~'~'~(~ABOVE TH_E IN. TYPE_ _CONSTRUCTION DEPTFI DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION____ LO]- LINE__ SEWER LINE __, TANK__ , SYSTEM. CESSPOOL -, OTFIER SOURCES APPROVED - DISAPPROVE[) REMARKS DISTANCES: /IT C .2.. ! (~' ~" ,~' ---- Zl' 7'~ SEWER LINE: DEPTH: PIPE MATERIAL: C'~ i~/-))'l LOT SLOPE: REMARKS: DIAGR/~/M OF SYSTEM DATE~ APPROVED_~ ~ · G.A.A.B. Form PW~O27 GREATER ANCHORAGE AREA BORuUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE, ALASKA 99502 SEWAGE DISF'OSAL SYS'T'EM -- APPLICATION AND PERMIT pERMIT NO. SOIL TEST RESULTS . ~:~~ NOTE~ THIS PERMIT I~ NOT VALID WITHOUT SOIL TEST DIAGRAM O1" SYSTEM FOUNDATION TO SEPTIC TANK __, DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT W~EL WELL TO SEPTIC TANK" ~: : ., SEEPAGE PIT WATER MAIN TO SEPTIC TANK .~ ~ __., SEEPAGE PIT EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER A./~RAG~/~_/'~}RO~,G-i:~/Bd~ RDINANCE NO. 28-68 AND THAT The ABOVE DATE ~ ~/~ ~ APPLICANT'S SIGNATURE ~~/~//~/ CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRiB CROSSING GAP OF GR~TER ANCHORAGE AREA BOROUGH DEPAR ENT OF ENVIRONMENTAL QUALi 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For Jim Best Date Performed 6/1/72 Legal Descrip%ion: Lot 7 Block__~_3~Subdl~ion Williamsonl~O-i'~---~- This Form Reports Sol 1 s-~g. x )~e-~-~o--1-~-t-~-T-~ Depth .... Feet 4~-- lO Soil Characteristics Gray-Brown Sandy Silt Gray Sandy Gravel (GW) Gray Sand with Gravel with Silt~ Sand Seams Gray~Blue Sandy Silt (ML) Was Ground Water Encountered? If Yes, At What Depth? Reading Date Gross Time Net Time Depth 'to H20 ~r-~-6'l a ti on Rate ~-~-6 Proposed InstaTl~al~-on: Seepage Pit Drain Field Depth O( Inlet COMMENTS: 110~s-uare 'f~'t-~--~ '- Dep~' B,~-~-to~m Of Pi t ~_~ ..... o~: 9ra~nage area is r~qu~rea pe, r Dearoom set in the gravel zone.--~if a see a e p~ ~s desired > ° ..... P g' : ' ~ then 1.8~iSCluare~e~6r bearoom~l~l~-- required set 1-1/2' ~-T_l-7~-~de~'. ~ .----r------ ~. Data C ~ r--~-l~?d-~a t~na--~l-~-E er v i c e 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 w~vw.ci.anchorage.ak.us(907) 343-7g04 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-074-07 1. GENERAL INFORMATION Expiration Date: /f/,.¢/c-z... Completelegaldescription WILLIAMSON SUBDIVISION #2; LOT 7, BLOCK Location (site address or directions) 5031 EAST 98TH AVE. '~ ANCHORAGE, AK 99516 Current Property owner(s) BRYAN & PENNY LEACH Day phone 346-1302 Mailing address 5031 EAST 98TH AVE, * ANCHORAOE, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Mailing address CODY ClBSON w/ PRUDENTIAL VISTA Day phone 4241 "B' STREET · ANCHORAGE, AK 99503 273-7272 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual Well ~ Individual Water Storage Community Class Well [--~ Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 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. Note: Alaska Water and Wastewater Consultants, Inc, shall be paid to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER at, orpdor I As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER &: WASTE'WATER CONSULTANTS, INC. Phone 537-6179 Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504- Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engfneer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineerfng analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported resulls described the pedotmance of the system under the conditions encountered at the time of the test, and separation distances measured to readily idontif'~able features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the .year, end 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 futura performance of the system, nor do they guarantee that there ara no hidden defects or encroachments. AKWWC, 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 Disapproved. Conditional approval for __ Attachments: HAA Checklist Septic System Advisory Well FLow Advisory bedrooms. = . WhSTEWATER: Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South 8ragaw St. P.O. I~x 196650 Anc~rage, AK 99519-6650 w~w~.anchorage~k, us ~07) ~43-7904 O Legal D~np~on: WELL DATA Co HEALTH AUTHORITY APPROVAL CHECKLIST WlLUAMSON S/D ~12; LOT 7, BLOCK 3 Parcel ID: 015-074-07 Welt type PRNAT~ If A, B, or C provide PWSID~ N*/A Date completed 5/8/1980 Sanitary seal (Y/N) YES Total depth 240 ft. Cased to 238 ft. FROM WELL LOG Data of test 5/8/1980 Static water level 185 fl. Welt pn:x:luctlon 30 g.p.m. WATER SAMPLE RESULTS: Colifon~ ,0 colonies/100 mi. Amenic: N*/A mg.lL. SEPTICIHOLDING TANK OATA Tank Type/Material **FIBERGLASS Tanksize 1500 gal. Number of Compartments 2 Foundation deano~t (Y/N) YES Date of pumping NEW ABSORPTION FIELD DATA Depression over tank (Y/N) NO Pumper I*eD.~)w fiNAL GRADEI welt Log (y/N) VVIree properly protected (Y/N) Casing height (above ground) AT INSPECTION 6/5/2002 180 ft. 5.7 g.p.m. YES YES 24+ Nitrate 1.37 rog.IL. Otherbacterta 10 colonies/100ml. Date of sample: 7,/29/2002 Collected by: AKWWC, INC. **THIS IS AN ADVANTEX TREATMENT UNn' Date installed 7/29-51/2002 Claanouts (Y/N) YES High water alarm (Y/N) YES Date installed 7/2~-31/2002 Soil rating ~or ftYedrm) 3.0 Length 26 ft. Width 5 ft. Totaldepth .4.ss-5.ofl. Eff. absorptionaraa 185 ft= Monltoringtube YES Date of adequacy test NEW Results (Pass/Fail) - Fluid depffi in absorption field before test - in. Water added - gal. Elapsed T'~e: - min. Final fluid depth - in. Absorption rate Any rejuvenation treatment (past 12 mo.) (Y/N & type) - System type SHALLOW TRENCH Gravel below pipe 2.05 It. Depressinn over field NO For 3 bedrooms New depth - in. - g.p,d. If yes, give date - D. UFT STATION Date installed 7/29-31/2002 SiZe tngallons .1500 "Pump on" level at TIMER in. "Pump off' level atTIIdERin. Datum 80Tr0M OF TANK Cycles tasted . NEW E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Holding tank Manhole/Access (Y/N) YES High water alarm level at 46 in. Meets alarm & circuit requirements? YES On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cieanout N/A N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundaUon 5'+ Property line 5'+ Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION OISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '2'+ Water service line 10'+ Curtain drain NONE KNOWN COMMENTS ~ANER GRANTED Absorption field Sudace water 100'+ Building foundation **8' Surtace water 100'+ Wells on adjacent lots 100'+ Water main N/A Driveway, parldng/vehlcle storage ','*VERBAL WANER FROM DAN ROTH ON 7/29 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspec~ons and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineers Pdnted Nan~e Date ~/~/0~- JEFFREY A, GARNESS 10'+ Date of Payment Receipt Number (R~v. 12~Ol) Date of Payment Receipt Number uo I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Divisien 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. # J~i~/~ - ['}'-I L~ - {~)'-~ UAA # --~P'~ ~;;:~ GENERAL INFORMATION Complete legal description Lot 7yBlock'5; Williamson Subdivision Location (site address or directions) 5031E. 98th Avenue Anchorage, AK Property owner Mailing address _ Lending agency Brian F. Leach ~031E. 98th Avenue Anchorage, Day phone AK 263-4860 (w) 346-1302 (h) Day phone Mailing address_ Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: 3 ~ Individual well XXX Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and ,status of system. TYPE OF WASTEWATI--'R DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXX 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 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 _ Add ress Engineer's signature 17034 Eagle River Loop Road Eagle Rlvar, Alaska ~Y571 Phone .D~,SIGNATURE L~) Approved for ~/¢¢?~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments · By: 7.~-'""-'--~ ~'¢"c't~--~ Date_ 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. 724)25 (Rev. 1/91) Back MOA~21 Municipality of Anchorage /,~ Department of Health and Human Services HEALTH AU'rHORITY APPROVAL CHECKLIST Legal Description: A, Well Data Well Log present, Total depth Sanitary seal(~N) Parcel 1.1:3, ~ / ~ ~ © __If A, B, or C, attach ADEC lette.h..ADEC water system number Date completecJ --~'¢/-~'-~-- Driller Cased to ~ ~ ~ height Wires ,rotected~N) ~ ~M WELL LOG AT INSPECTI ~ ; On adjacent lots /¢ ~ ; On adjacent lots /~ O r~ Public sewer manhole/cleanout ~o~ Petroleum tank ~0~O~ ~¢~ ~,,~[e of test Static water level Well flow Pump~c~1 S~PA~ATION DISTANGES F~OM WELL TO: Septic/~tank on lot Absorption field on lot Public sewer main ~0 ~(¢ Sewer se~ice line ~ '~ WATER SAMPLE RESULTS: Dato of Nitrate _ ~). 2¢_~ ,'¢'.z.~//,~ Other bacteria Collected~''by: ~=~% 4' ~J'~/,~/O¢' ~"~/'~/~ B. SEPTIC/HOLDING TANK DATA Date installed "~/~/'~ Cleanouts Y~) High water alarm Date of pumping Tank size /OOO Compartments Foundation cleanou~N) _'-f~J' Depression Alarm tested (Y/N) SEPARATION DISTANCES FROM SE-.'PTIC/I :=L~:.~.'C TANK TO: Well(s) on lot c~ / On adjacent lots /00 lC- To property line ~--0 r.¢._ Absorption field /0 r~ Sudace wateddrainage ~ Foundation /O r~ Water main/service line 72-026(3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Manufacturer Size in gallons ~ Manhole/Access (Y/N) Vent (Y/N) "Pump on~ ~' Level at High water alarm level ~sted Meets MOA electrical codes (Y/N) ~ ' SEPA~LIFT STATION TO: W~n lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed (~¢/~' / ? ~- Soil rating (GPD/FF) Length ~'~ / Width S / Gravel thickness Total absorption area ~',~O ~ Cleanout present ~_~'4) 'T'~:~ Date of adequacy test ~--¢/~'"~/¢' } Results(pass/fail) Water level in absorption field before test ~'~ Peroxide treatment (past 12 months) (Y/N) .System type ~' Total depth Depression over field (Y/~L~ ,.',Jo for "~ Bedrooms After test If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation //(~ On adjacent lots //© Surface water ,z../b,/~(~"-' Curtain drain ...-'C/b ~ On adjacent lots /'O~ '¢- Property line To existing or abandoned system on Cutbank /~o~-"¢/¢.'c~.V_:,cJ/-Water main/service line Driveway, parking/vehicle storage area ~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA Signatur~ ,~'N~ ~IN.E.E "IN. O _ Engineers I~l~l//Ea_ale Elvr~- ~ ~~ HAA FeeS//~Z)¢ d- Date of Payment Receipt N.mber 72-026 (3/93)* Back guidelines in effect, qn t Waiver Fee $ Date of Payment Receipt Number Legal Description:~--~'¢ A, Well Data Well type Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAl. CHECKLIST Log present (YI~ Total depth Sanitary seal ~'4) If A, B. or C, attach ADEC letter. ADEC water system number ~',~ Date completed ,,-,., ~c~ ---[,-~ Driller ~L_ Cased to 'z¥'o ~ '~- Casing height Wires properly protectedL'~N) V FROM WELL LOG Date of test Static water level Well flow Pump level1 AT INSPECTION SEPARATION DISTANCES FROM WELL TO; Septic/holding tank on lot ~" o~ --~..\ Absorption field on lot Public sewer main ~ ~,~- ..~Sewer service line WATER SAMPLE RESULTS: g.p.m. U,,o g.p.m, ; On adjac~t!/''FI \4- ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Coliform ~) Nitrate 0. [5 o Date of sample: ~ ~/¢ - '~ ¢ Collected by: B, SEPTIC/HOLDING TANK DATA Other bacteria S & S ENGINEERING 17034 Eagle I,[iver Loop ~oad Eagle River, Alaska 99577 Date installed Tank size Compartments Cleanouts (Y/N) High water alarm (Y/N) Date of pumping SEPARATION DISTANCES FROM S~.~DING TANK TO: Well(s) on lot ,.---~ On adjacent lots To property~ Absorption field Su,~dace'water/drainage Foundation cleanout (Y/N) .Depression .N)------'--- Alarm tested ~Y--IN)'~_~) n'L~CY/' Foundation Water main/service line 72-026(3/93)° Front CONTINUED ON BACK PAGE C, LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed Soil rating ( Gravel thickness Cl, )resent (Y/N) __Results (pass/fail) (Y/N) Length Width Total absorption area Date of adequacy test Water level in absorption field Peroxide treatment (past 12 SEPARATION FROM ABSORPTION FIELD TO: Well on lot On adjacent lots Surface water To buildin tion System type Total depth Depression over field (Y/N) for After test If yes, give date On lots Cutbank Property line To existing or abandoned system on lot Cudain drain E, ENGINEER'S CERTIFICATION Water main/service line Driveway, parking/vehicle storage area I certify that I have checked, verified, or conformed to all MOA and HAA Signature Date '/ Bedrooms HAA Fee $ Date of Payment Receipt Number 72-026 (3~93)' Back Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SiTE SEWER AND WATER FACILITY 264-4720 / Application Date __-~/~.'~) 1. GENI=RAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ~¢~'~,"¢,'¢~-- Telephone: Home 7. Y'4-, ~' ~ ,~ / Business (b) Applicant Name '7'~,%.-~'~ Applicant Address . (c) Applicant is (check one): Lending Institution []; Owner/b~r I~ Buyer []; Other ['] (explain); (d) Lending Institution Telephone Address Address _ __ ~0'7 ~ ~,-~ /-;,, ~ Telephone __ ~ 7_~ -'/~ :5 ~ / (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-FamilYt~ Multi-Family__s. [~] Number of Bedrooms _~."~- _ Other WATI= R SUPPLY Individual Well/~' Community [] Public E] Note: If corn m unity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL Oasite,~' Public [] Commueity [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-075 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION '~ As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtaiaed from the Municipality of Anchorage files and from my investigation and inspection, the de-site water supply and/or wastewater disposal system is in compliance with all Municipal and State (;odes, ordiaances, and reglJlations in effect on the date of this inspection. Name of Firm ' /~ H~'~u',~L;~ ~ Telephone ___ ~'7~ - .~q I & Address ~'~ ~ / ~ ~ Date ~ ~ / ~¢~ Engineer's Seal D.,:PAPP.OVA"¢ /2--. .7_ . ._. ------ A roved '"~"* [}IS r /'~/ ' '" (' ~ PP ~ ' app ove~ Condition~ Terms of Conditional Approval CAUTION The Muncipaiity of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 MUNICIPAUTY OP AN(".::", DEPT OF H~AL ENVIRONMENTAL p,<~ ...... 1985 WELL DATA Cased to f.:2 If A, B, C. D.E.C. ADorovea (Y/N) Deoth of Grouting _ ./',~.,u~. ~_ Sanitary Seal on Casing (Y/N) _ __"~_ Depresmon Around Wellhead (Y/N) Wel Classification Well Log Present (Y/N) Total Depth ,-~ Static Water Level Casing Height Above Ground Electrical Wiring q Conduit (Y/N) _ Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorpeon Field on Lot On Adjoining Lots _ On Adjoining Lots To Neares[ Public Sewer Line I\Jo~-- To Nearest Public Sewer Cleanout/Manhole. N OI~/L~ To Nearest Sewer Service Line on Lot Water Sarnolo Collected by T~,.~ Date Water Sample Test Results ¢ Comments B SEPTIC/HOLDING TANK DATA Date Installed ~,'-~,~_~- Standpipes (Y/N) __/--P ~ L~ DePression over Tank (Y/N) Size / O¢.EP No. of Corn 2artments (,~/~ &44¢'H,,~ Air-t ght Caps (Y/N) _ /~' Foundation Cleanout (Y/N} ~'~ Date Last Pumped ~;~/~o/~'~ Purr ping/Maintenance Contract on File (Y/N) idolamg Tank High-Water Alarm fY/Nt Separation Distances from Sepec/h~o~amg Tank: To Water-St pply Well ~",~ To Property Line '~ To Water Main/Service Line _ : for ~ _ Temporary Holding Tank Permit TO Building Foundation To Disposal Field /12 Course To Stream, Pond. Lake. or Major Drainage Comments Page ' of 2 C. ABSORPTION FIELD DATA Soils Rating. in Absorption Strata Date Installed ~/(]...//'? ',,2_. Width of Field Square Feet of Absorption Area Depression over Field (Y/N) /%/ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot NONE To Water Main/Service Line To Stream/PondlLake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line I O To Existing or Abandoned System on ; On Adjoining Lots ~ ~ O To Cutbank (if present) N O ~ ~- Comments D. LIFT STATION ~'"~ 0 ~N/~-- Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, ~erified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed'C~- '~¢,'~'~''~'/ ~ _Date /~/?/~ Company ~/'~"--~.~&"'~ MOANo. °¢~-'~"F-Olf / Receipt No. Date of Payment _lO "~' ¢-6 ~-~ Amount: $ L~.~' Page 2 of 2 72-026 (H/84) Engineer's Seal CONSULTING ENGINEER ~ ~ ~ ANCHORAGE. ALASKA 99501 rI:.LEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 7, BLOCK 3, WILL lAMSON LOCATION: 5031 E 98TH. AVENUE OWNER: THOMAS MOORE TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: NO INSTALLATION REQUIREMENTS MET~ YES WELL YIELD FROM WELL LOG: NOT AVAILABLE PUMP YIELD: 6 GALLONS PER MINUTE DATE OF INSPECTION: OCTOBER 7, 1985 TEST PROCEDURE .' WELL WAS PUMPED AT A CONSTANT RATE OF 6 GALLONS PER MINUTE FOR 80 MINUTES. THE STATIC WATER LEVEL WAS FOUND TO BE 194 FEET BELOW FOP OF CASING. THE ACCOSTIC PROBE COULD NOT READ THE WATER LEVEL BELOW 198 FEET, WHICH MAY BE THE END OF CASING, THE WELL GOING INTO ROCK. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON OCTOBER 2, 1985. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The Municipal requirement for well flow is 150 gallons of wa~er per bedroom per 24 hours.This well surpasses this requirement. Fhe assessment of the conditiom of this well mpplies 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 ~n land use and other factors that may ~mpact 'the conditions of the aquifer feeding the well. CONSULTING ENGINEER ~ ~ r~ ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 SEPTI LEGAL: LOT 7, BLOCK 3, WILLIAMSON LOCAT ION: 5031 E 98TH. AVENUE OWNER: THOMAS MOORE RESIDENCE: SINGLE FAMILY, THREE BEDROOMS WATER SYSTEM: ON SITE WELL SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: STACK STEEL, STEEL, 1000 GAL. ABSORPTION SYSTEM: WIDE TRENCH ABSORPTION AREA: 430 SQ. FT. SOIL RATING: 110 INSTALLATION DATE: AUGUST 1972 DATE OF PUMPING: JUNE 10, 1985, A-1 PUMPING DATE OF TEST: OCTOBER 7, 1985 WATER WAS ADDED TO THE TRENCH AT A CONSTANT RATE OF 6 GALLONS PER MINUTE, THE WATER LEVELS IN THE TRENCH AND IN THE TANK WERE MONITORED WHILE A TOTAL OF 450 GALLONS WERE ADDED. THE WATER LEVEL IN THE TRENCH ROSE FROM 9.5 INCHES TO 22 INCHES. THE WATER LEVEL IN THE TANK ROSE 2 INCHES. AFTER FIVE HOURS THE WATER LEVELS WERE CHECKED. THE LEVEL IN THE TANK WAS BACK TO NORMAL AND THE LEVEL IN THE TRENCH WAS 1~ INCHES. THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE FOR A THREE BEDROOM HOUSE. 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 o~ how long the syssem will continue to meet the operational requm- rements of the Municipality and State. APPLIf 'NT FILLS OUT UPPER HA! ONLY Mailing Addre~ Buyer Address Zip Code Lending Institution Address Zip Code Realty Co. & Agent Address Zip Code Phone Legal Description (.i.,): (( i' ,~' ", ~ ~ .:,~ ~ ~1( '( (( Type of ~esldence [~-'~1 gle Family [] Multiple Family No. of Bedrooms -.~ [] Other Water Supply I~"r~dlvldual _ .,,,--I ATTACH WELL LOG, A w¢l Icg is required for all wells drilled since June 1975. b~ Community ~, · ' ~ For wells drilled prior to that date, give well depth (attach Icg available). Sewer Disposal [~-'lndlvldual Year Individual Installed: , ~] Public Utility When Connected to Public Utility: [] Holding Tanh NOTE: THE INSPECTION trEE MBST ACCOMPANY EACH REQUEST BEFORE IN;~OOESSING CAN BE INITIATED. Time Time Date Date Date Inspector Inspector Inspector Time Field Notes: MUNICIPALITY OF ANCHORAGE DEPt. OF HEALTH & ENVIRONMENTAL pROTECTION RECEIV_ED. '~c~-~ APPROVED BEDROOMS ( ) DISAPPROVEr) ) CONDITIONAL APPRQVAL* DATE *CONDITIONS OF APPROVAL Soils Rating 72.023 (3y82) Date Sewer Installed Well To Absorption Area Well to Tank ..,~._~ Well Log Received Septic Tank Size August 10~ 19~3 Karla Forsythe & James .rant SRA Box 76W Anchoi:age, AK 99516 Subject: Lot 7 Block 3 Wi].tiantson ~Ii2 Ap~)roval f_'or.' tho~,~,n]lvldual se%,/er ~md ~ater facilities cmlnot be gray, ted unt~l/the follo~ing ' -, .' il. cmo have bec~% completed~ ~n~ septic ta~lk pumped. %,~i. th h reC,eipt subl~littedl to this I]epar ti/lent. ~ o An adequacy test needs to be performed oil the oxisting adequate accordin<. ~ to _National i;tandards. A listing of privat:o firms p{~rforming the tes~. is enclosed. ']3his report needs to be submitted to this office }for our roviei~. Please notify this Department for a ~2ainspection i{hen the note(] discrepancies have been corrected. Iii there are any further questions, please call thi~l office at 264-4720, ~lncerely, RP26/p/E STANLEY BRUST & ASSOCIATES Englneera ~ Planners - Surveyors 1317 Eas~ 74th Avenue Anchorage, Alaska 99507 (907) 349-6577 ,..PTIC SYSTE54 ADEOUACY REPORT LEGAL_ DESCRIPTION OR__ SEC'IION q ..... N , R____W , S M. ~ ALASKA PERFORMED FOR: TYPE OF SYSTEM' NUMBER OF BEDROOMS SEPTIC TANK SIZE ..~_~.~')-g') G~i! LONS CRIB OR SEEPAGE pIT2 / ' ~-~-~--- / LEACH FIELD ,. SEP'[IC TANK WAS PUMPED t-~YES (TI NO g'2~:-~',-'~,-,~r-- _~.7~_/,&,~/ _TZ/,W.,.~./d. [/~,~: /~z..;~,/Or..o/ /:4 STANLEY BRUST & ASSOCIATES Frojeet No. Engineer.*. Planner~ - Sttrve.ror.~ Adequacy Test Lo[ No of Bedrooms Date Time Level septic tank Readings Remarks ~ti, Jtm :tOi',VUlEN'~AI. ENCH')Et~qINC:' [)JVISIOI\I _ , -~-~.F~:r)c:L~i'o'~Y--,~ ...................................................................................... "'I '" '- FAM~I..Y [__J NI~JL'I-IPL[ FAM .Y ~ Thre~ t-'1 ;ix  !ND!VIDUAL COMMUNi I'Y sine .h.mu 1U75, For w(:lls d]ilJed pl'lOl t~ tll~]t (Jab:, ]JV3 well ~ INDIV!DUAI./ON'SITE'" ' I I ,re,it J~,uol,un-si~u. aNe iHstaJlaiio, J u~]m _ tUB_ _,Uti I~ ,.~ , "':.~ ......... 272 ..................................................... TIIISSI[)F FOP, O :Fl(J;!.t U~;E OFI[.Y Ii~SPI~C. TION APPOINTME~x! FS 1. TYPE O, I~I:SIDcN,~I; I,~UI\qI:~EFI f)F BEDROOI~¢S SINGLE FAr,,'11 LN' MULTIPLE FAMII.Y LT_t INDIVIDUAL ~_] COMIk~ U [',lIT Y I_-1 PUBLIC UTILITY Connection V~rified ....... ONE bi TIIREE IL3 FIVE TWO ~] FOUR I~ SIX [~ OI'HER i [2]PU[;I_IC d'FILITY Conm:ctiop Verified ~JSepd¢'Fa,~k or I~llolding Tank ,>ize: ....... If Tank is hombre]ado ~o~'r¢)~:l:l~i~O .......................... ................................ _ ............................. i .-_] CONDITION/:\I APPRf.)VAI. (ie/b!r mu';t ~;0t'.(113~[,:;1'¥ cei'tHicato) L: '~,?,! r,:~:::.~ ['~ic)~C .................................................. W llll / Departl,lent of Environmental Quality j<'3330 "C" Street, Anchorage, Alaska 99503 274-4561 ~'~' Date Received Februar_y,. 10, 1977 · \~3u \ Time of Inspection ~% n f~ '~ Date of Inspection 2-/A- ~ C~ INDIVIDUAL. SEWER & WATER FACILITIES -- ~ FOR Cony. l. Approval requested by: First National Bnk of Anchorage Mailing Address: Post Office Box 720 2. Property Owner: Brad/Mary Sinex Mailing Address: 5031 East 90th Avenue 3. Legal Description: Lot 7 Block 3 Williamson 4. Location: 5031 East 90th Avenue Phone: 276-6300 Phone: 344-6736 #2 5. Type of facility to be inspected Single Family 6. Well Data: A. Type No. of bedrooms 3 Individual B. Depth 180 ' C. Construction ,,,~~0% D. Bacterial Analysis Sewage Disposal System: On-site system~t~,~ ~ ~,I~, 1972 B. Installer A. Installed C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot 'line B. Foundation to septic tank 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area C. Absorption area to nearest lot line , Sewer Lines __, EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re, st for Approval of Individual ~ er & Water Facilities Legal Description Lot 7 Block 3 Williamson ~2 Comments A p p r o v e d r.~.~¥')./~.~_~ ~.~/~-~9 Disapproved Date ~-~,-~ '- 7 Appro~3~ Valid for one year from date signed Greater Anchorage Area Borough, 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 operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO 2. Property Owner: Brad & Mary S±ne× VA_ .FHA. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION FEB 9 1977 RECEIVED .CONV × Mailing Address:--5031 ]3. 90th Name of Buyer: James ~. Clay & Laur±e Ac C:La~- Mailing Address: 940 2;, 40th Day Phone:_344-6736 Day Phone:_279-7965 4. Name of Lending Institution: First: National Bank o£ Anchora~;e Mailing Address: P.O. Bo× 720 5. Name of Realtor or Agent: Advance Realt:¥ Mailing Address:_ 6. Legal Description: Lot 7 Blk 3 Willlamson Sub tl2 Phone: ._~tT~ Phone:_ 274-1680 Location: 5031 E. 90th Type of Facility to be Inspected: Water Supply Type of Supply: Public Utility. If Individual, number of dwellings presently served 180~ If Individual, depth of well Sewage Disposal System Type of System: If Individual, date of installation Single Family Residence No. Bdrms. 3 Individual one X Public Utility 1972 Individual (on-site) MUNICIPALITY OF ANCHORAGI~ DEFT. OF IH!AI.T~I & I~NVIRONMENI'AL PROT~iCTIQN' FEB 1. 0 t9'(7 RECEIVED 72-OO3(3/76) February 18, 1977 R & M No. 751503 Mr. Bradford Sinex SRA Box 76-W Anchorage, Alaska 99507 Re: Percolation Test on Existing Disposal System; Lot 7, Block 3, Williamson Subdivision Addition ~2, Anchorage, Alaska. Dear Mr. Sinex: On February 17, 1977, at your request, our office conducted a percolation test on the existing sewage disposal system located on the above described lot. The following table represents the level of the liquid in the tank. The depth of liquid in the tank was initially 3.8 feet below the top of the stand pipe. The tank was assumed to be full or at the outlet level. For the test, the liquid level was measured from the top of the stand pipe. Summary of Measurements Level of Liquid Meter Reading Time In Septic Tank In Gallons Remarks 0:00 3.82' 2,631.0 (Initial) 2:18 3.80' 2,946.4 3:00 3.82' 2,946.4 (Final) AS Arrived 315.4 gallons in 138 minute (2.29 gpm) The meter used during the test was a Rockwell 5/8" standard water meter. The meter had previously been calibrated by R & M Consultants, Inc. The septic tank had not been pumped prior to the percolation test. Since the house on the lot concerned was occupied, it can be assumed that the leach field in question was at its normal degree of saturation. Mr. Bradford Si February 18, 1977 Page 2 If it is assu/ued that the existing proposed three bedroom house will house six people, the average daily load on the disposal system can be expected to be 450 gallons per day, or 0.31 gpm. Since the existing disposal system accepted 2.3 gpm in 2.3 hours without a level rise, I would conclude that the leach field is presently perform- ing in a satisfactory manner for a private residence. If you have any questions concerning this test or this letter, please do not hesitate to callo Very truly yours, R & M CONSULTANTS, INC. · Ed Yarmak Geotechnical Engineer EY:mh