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Home My WebLink AboutTROLL KNOLL BLK 2 LT 2Troll Knoll Lot 2 Block 2 #051-521-23 -- MUNICIPALITY OF ANCHORAGE DE"-~TMENT OF HEALTH AND HUMAN SER/"~.S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES · SEPTIC ABSORHION ~.o,e~s TANK FIELD a,,,ewav wa~er ~,es. etc ) ~r~ TANKS ~ SEPTIC [] HOLDING TYPE OF SYSTEM TRENCH [] BED [] W. DRAIN [] OTHER ' D PRIVATE ~ OTHER {Identify1 ~ WELL REMARKS: ~ ~~ cedzfy Ihal Ibis inspection was pedormed ac~erding Io Da~e Eagle River, AK 99577 III ' M UNICI~'~'ALITY O1= A IgC,I~IRAGE DEPARTMENT' ,z HEALTH AND ENVIRONMENTAL !ROTECTION 825 L STREET, ANCHORAGE, AK 99501 ~&4-47~0 Of~l--SI-rE SEWER I~ERMI T PERMIT NO: 860425 UPGRADE DATE ISSUED: 11/19/86 APF'LICANT:. ADDRESS: CONTACT F'NONE: RICK RODRIGUEZ 5500 EIDE STREET ANCNORAGE, AK 99503 563-5766 LEGAL DESCRIP: LOT SIZE: SUBDIVISION: TROLL KNOLL LOT: 2 BLOCK: SECTION: ION TOWNSHIP: 15N RANGE: 1W ~1500 (SD.FT. OR ACRES) certily that: 1. I am ~amiliar with the requirements 2. 5. on-site sewers and wells as set ~orth by the Municipality of Anchorage (MOA) and the State o[ Alaska. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria o~ this permit. I will adhere to all MOA and State o~ Alaska requirements for the set back distances ~rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1> AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NO[ BE APF'ROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND ¢3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. APPLICANT: RICK RODRIGUEZ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST CEOA' DESCmPT'O.; 7-. 8 - , ~S,~ '~.~ 10- 11 - ', ;.;: ~. · 12- O' ~*' 14 ~ (~; ,~ -..~ 19- 20 - SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? /Z,I~ s L 0 ~ r,~,,.~( E Gro$1 Net Reading Date Time Time COMMENTS PERCOLATION RATE TEST RUN BETWEEN SITE PLAN Depth to Net Water Drop (minutel/inch) FT AND FT PERFORMED BY: 72-008 (6/79) Eagle River Engineering Ser',,Icre P. O. Box 773294 Eagle River, AK 99577 694-$195 CERTIFIED BY: DATE: ~LE RIVER ENGINEERING SERVES P.O. BOX 775294 EAGLE RIVER, ALASKA 99577 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Lot 2, Block 2 Troll Knoll' A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. All materials and workmanship shall meet the requirements of the Anchorage Department of Health and State D.E.C. 4. All soil tests are advisory to the design and are to be verified or modified i'n the field by the engineer. 5. Ali excavations and depths are advisory and are to'be verified or modified in the field by the contractor to meet MOA, D.E.C require- ments. 6. It is th~responsibility of the owner to obtain ail necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. 8. DRAINFIELD 1. The dralnfield is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 5. The total depth of the trench excavation is not to exceed 10' at any point. 4. This trench is to be an extension of the original trench with a separation of 10' to the original trench as shown on the scaled site plan. 5. The trench gravel is to be covered with typar or fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the. drainfield. ?. The area over the trench is to be finish graded to prevent ~onding of surface water runoff. 8. The septic tank and leaehfield must not be closer than 100 feet to any existing private Well, 150' to any Class "C" well, or 200 feet to any community well. C. SF_~TIC TANK 1. A 500 gallon septic tank is to be added in series with the existing septic tank between the existing tank and leaehfield. 2. Grade must be checked between the existing tank and trench levels to determine if sufficient drop is available to allow the 500 gallon tank. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH= 10' GRAVEL DEPTH= 4' TRENCH LENGTH= 17.5 TRENCH WIDTH= 50" . Bedroom Capacity = 4 Septic tank size= 1000 existing + 500 added .~' 6~.1' 1 · I ~ ~ ~ .. *septic plan only. ..... _ ~ . .~~ ~X-,.-~. . ' '1 %~~_- :~.. , ; ' ' ' L~~' I ~ ~-~ .. ' · %.~..~ .TI ' % _ 3 ;~(~ :':.' .' ' ' '," · //' r~t/~,/~ ,,~, -~ - ~,': '~*[49~ ,t.~X" '%.~'~;.'..// · ~~-~ aec' ' ~{:-t~~~.-// . . ~~=~~ . . . ~-. ~~~_~. ~ ' · ... >~,~' .-..' : - .' d.. ~.~ :~" . .. ,~ · . . · :.. .... ~ ~_ ~~ · 7~'~*;'~ :~'~"r'~'.-~~._.. . .-... ~ .. .':"' .. ~=~.~ ' ~~.~. ~.~:~ ~r ...~ - ..... · · ~ (~t) ~ · '~.~ . ,- . . . ,$~'....:... , . - .. .. . GREA.,...,r ANCHORAGE AREA BOR.,...,H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /I£ 77 /~'J6OZ'V.f~' MA,L,NG ADDRESS-~'~a ~'~Y /~ ~ ~.O~E ~--~' SEPTIC TANK: DISTANCE ~-~ ' ,4~ MATERIAL NUMBER OF FROM WELL MANUFACTURER K'flZ/~ ~"/"/':/~/~" COMPARTMENTS INSIDE WIDTH LIQUID DEPTH INSIDE LENGTH LIQUID CAPACITY/'~3~) GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL FOUNDATION NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA , SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE .MATERIAL BENEATH TILE .- ~ IN. ABOVE TILE WELL: ~ ~J [~ TYP~ CONSTRUCTION DEPTH TOTAL LENGTH NEAREST LOT LINE OF LINES TRENCH WIDTH;''~Z/ · IN. TOTAL EFFECTIVE IN. DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION__, LOT LINE , SEWER LINE TANK SYSTEM CESSPOOL OTHER SOURCES APPROVED DISTANCES: DISAPPROVED INSTALLED BY= SEWER LINE DEPTH: PIPE MATERIAL: ~ST' '~--','~/{-~ LOT SLOPE: ~/~ ~S T' REMARKS DIAGRAM OF SYSTEM _/ APPROVED G.A.A.B. Form EQ-O32 GRE/~ ANCHOragE ArEA BOf~H. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMI'r NO. 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. m I (YS t'.) ' DIAGRAM OF SY$'r~M GREATEr ANCHORAGE ArEA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C'° STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION J0~J~ ~ S C'/~/~ LEOALOES¢.,PT,O. L,r '/. 't_ INSTALLATION OF: SEPTIC 'TANK TYPE AND SIZE OF FACILITY TO BE SERVED SOIL TEST RESULTS COMPLETION DATE ANTICIPATED PHONE OTHER FINAL INSPECTION: Z4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /~)~ TYPE POUNDATION TO SEEPAGE PIT ~ I' SEPTIC TANK TO SEEPAGE PIT WALL / ,~' I TO NEAREST LDT LINE. WELL TD SEPTIC TANK SEPTIC TANK ~/~O~' SEEPAGE PIT TO RIVER. LAKE. STREAM. SEEPAGE AREA SIZE ~/~/*/~ ~/~ ~e TYPE //- · DIAGRAM OF SYSTEM DRAIN FIELD ALSO CONSIDER AREA WELLS. GRAVEl. BACKFILL. GEOTECHNICAL DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska ~ 99577 694-2774 or 688.2280 Russell Oyster Earl EII/$ 6.94-2774 688-2280 Soils ~ Foundations Land Development SOIL LOG Perfomed for: Name: ~",,-~'~ '~. ~111ng Address: 'Legal Description:' ~ Depth (feet) Sot1 Characteristics 0 1 Ground Water Encountered:, Yes No ~ If yes, what depth Proposed Installation: Seepage Pit ~, Drain Field Comments: ~'". - '--,~-',~'<~- ,~' ,~' ":'. '""~ "' ' ~ ' -~ .. --,, ..... ~ ~,~ --'-~ /~.~ ~ ~ -. ~ Pe~fomed by: ~ ~ ,,~, ~ Date: ~ . ~ ~, ~ Parcel I.D. On-Site Water & Wastewater Program , · ,, , GENERAL INFORMATION Explration'Date: '",~-' ~ompletelegaldescription TROLL ~NOLL SUBDM$1ON; LOT 2, BLOCK 2 Location (site address or directions) *.., ' 20434 L£PRECHAN -DR~VE * CHUGIAK. AK 99567 - Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent ROSS STEELMAN Day'phone'' 203 SOUTH POST.ROAD *'ANCHORAGE, AK 99501 222E2495 Day phone - Day phone Malling address Un/ess otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-sits Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Cer'dficates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an Independent prefesslonal civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the bansfer of tiile (except between spouses) for prepe~es served by a slngte family on-site wastewater disposal end/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 prepe~es served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (CertJficates may be reissued for a period of up to one year with valid water samples.) CertJficates are valid for one year for properties served by Class A or B wells or a public water system, The Munldpal[ty of Anchorage Is not responsible for errors or omlsslons In the professional engineer's wo~;. Note: Alaska Water and Wastewatar Consultants, Inc. shall be paid $450.00 at, or prior I to closing for the engineering seMces provided. I 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown be/ow, I verfly that my Invesb'gation, based on procedures ouEined in the Health Authority Approval Guidelines for this application, sho~ that the on-site water supply and/or wastewator disposal s~tam Is(are) safe, fun~'onal and adequate for the number of bedrooms and ty~e of structure Indicated herein. I further verily that based on the Infon~atlon obtained from the Munldpality of A~chorage files and from my Investigation and Inspection, the on-site water supply and/or wastawater disposal system Is(are) In compliance ~th all applicable Municipal and State codes, ordinances, and regulations In effect at the time of Installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS. INC. Phone Address 6901 DEBARE' ROAD. SUITE 2B * ANCHORA(~E. AK 99504 Engineer's Printed Name JEFFREY ,~. (~ARNESS. P.E. Date 337-6179 Engineer's Comments: In conducting this eva/ua~/~, A~WC, Inc. attempted to p~fde a tho~'ough, conscientious engineering analysis of the system In accordance ~th ADEC and MOA DSD Guidelines & Rngulations. The reported results described the pedoueance of the system under the conditiona encountered at the time of the test, and seporati~n distances measured to readi~, Identifiabte features. The operational life of ail wel~s and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the ~/ear, and the water usage of the lamir, being sert~ed by the system. Those cc~clitions ere outside the con~'cl of the evaluator of the s~stsm. Satisfactory test results do not ~uarantee future pen'ocnance of the system, no~ do they guarantee that there are no hidden defects or encn3achments. AWWC, Inc. can therefore not I:~,ovfde any warranty or future estimate of how I~ng the system wfll continue to meat the operational requirements of the ADEC or MOA DSD. The content of this report Is for tho sole benefit of the owner listed above. A~ reiTance upon ~r use of this re;:~'~ by any other person or party Is not authodzedo nor wfll It confer any I~jal right wha tsaever. 5. DSD SIGNATURE ~'~ AppreYed for ~ bedrooms. Disapproved. Conditional approval for O -S TE ~..' WATERAND : ~ '. WASTEWATER : bedrooms with the fllowIng stipulations: ~_, ~,.. PROGRAM .°-- ~ .. ...... .. Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Englr~eer's Reort Other Original Certificate Date: Municipality of Anchorage .~,~ Development Services Department ~ : Bu~ng Salty D~mm ' ' On.~te Water & Wastewat~ Program ~ Legal DescdpUon: A. WELL DATA Ce HEALTH AUTHORITY APPROVAL CHECKLIST TROLL KNOLL SUBDMSION; LOT 2, BLOCK 2 Parcel ID: Well type (~.ASS Date completed Total dap~ ifA, B, ore provide PWSID# Sanitary imal (YIN) Cased to __.ft. FROM WELL LOG Date of test 6tet~c water level Well WATER SAMPLE RESULTS: Date of ~ample: SEPTIC/HOLDING TANK DATA g.p.m, Tallk Type/Matelta] STEEL Tank ~lze ~om+~oo gal. Number of Compmlmente 2 FotmdaUo~ deanout (Y/N) Y~S Depression over tank (Y/N) NO Datoofpumplng "11/17/2000 Pumper ABSORPTION FlU DATA Date Installed Length 47' + 20' ft. 'WE51~) 8/l~/gg ~Y LOU aLtl~A, pr rating (g.p.d~ 140 Width 3 ft. 051-521-23 wen Log (Y/H) w~es prope~y m~tected Casing height (~ g~) AT INSPE~ON g.p.m. Toteldeplh lO [ E~al~orpUonarea704 fl' Monl~od~Wbe YES Dateofadequacytest 8/13/99 Resutts(Pass/F~l) PASS*., Flu~deptttinabsorpUonfl~dbofomtest**~ In. WatereddedlOOOgal. BapsedTIme: 30 m~. Rnalflu~deplhN/Ain. Absorpl~rate~- Date Installed 1975/1986 Cmmoute (Y/N) YES High water alarm (Y/N) N/A SANFrAR~ PUMPERS Grovel below pipe 5'/3,5' lt. Depmsslmtover field NO Fo~ 4 bedrooms Newdepm 0 In. 8OO+ g.p.d. Any reJuwnaUon trealnlent (Mist 12 mo.) (Y/N & type) NONE KNOWN If y~. glv~ date - **LEVEL IN ~2 TRENCH, WATER ADDED IN 1976 TRENCH WITH NO CHANGE IN WATER LEVEL. D. LIFT STATION Date Inst~l · Pump on' level et in. Datum - E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO.' Septic tank/lilt elation on lot A~otplion field on lot Publio sewer main .~.,eev~ r lauptic eervlce line Size In gallons "Pump off" level at _ Manhole/Ae~'~*~o (Y/II) In. High water alarm level et In. Meets alarm & ctrcult requirements? COMMUNITY WATER On adjacent A~. edJ~;ent lots Public eewer manhole/cteonout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundalion 5'+ Properly llne 5'+ Abeorplion field 5'+ Surface water 1 oo'+ Property line 10'+ Water eendce line 10'+ Curlaln drain NONE KNOWN F. COMMENT8 Water main Water main 10'+ Water eendce line 10'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 10'+ Surface water 100'+ We~ on adjacent lots. 200'+ 10'+ Odveway, paddng/vehlde stye G. ENGINEERS CERTIRCATION . I cerSfy that I have determined through field InspecOone end review of Munldpal reco~a that the above ~ysfema are In conformance with MOA HAA guidelines In effect on this date. Enginee~Pflnted/Naj~e JEFR<EY A. OARNESS l/ o,te HAA Fee S' " OO. Date of Payment Recelpt Number Waiver Fee $ Date of Payment Receipt Number SYSTEM 10'+ · ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~:~_.z",-.5-.~, - ~-2 : '",' .;,;i", ;..HAA.~,.;~J ~(:~b~ ;..'.....'. .;:. ,-.,:~; -.,., , .;:~' ~ :, 1. GENERAL INFORMATION Complete legal description ~,~- .~ ,~,/~,~,4- ...~ ~"~-,,?? ,,~',.,o// Location (site. address or directions) ~ '~ ~-? ~' Property owner Mailing address Lending ~gency Mailing address Day phone E.,~'-, ~- ,' ,~ ..~- ,,~,~- Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-siie Public sewer If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. · 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 l~.a~]e ]~.v~.~ l~.:l~ee~n~d Set'~ces Phone Address Engineer's signature ~ Date DHHS SIGNATURE Approved for Z~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date I:Z - 2 7-- ?? 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 p rofessio nal engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes an d 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. RECEIVED DEC; 1 Municipality of Anchorage DEPARTMENT OF HEALTH & HU_,M~,N, SERVli3~o~ur~ Environmental Services Diwsmn 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907} 343-4744 Health Authority Approval Checklist Legal Description: ~/~'f '"~l Z~/~r '~ ~// Ar'~// Parcel I.D.: ~-f-/- 5' ~.! - '~ WELl. DATA Lag pmsem (Y/N) Total depth ff A, B, or C, attach ADEC letter. ADEC water system number ~'~°//~""°/! ~-10778 g.p.m. Date completed Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION FROM WELL LOG Nitrate Other bacte~ta Date of test Static water level Well pnxtuctlon WATER SAMPLE RESULTS: /i,//~ Date of sample: B. SEF11CA-IOLDING TANK DATA Date instelled ~?5- Foundation deanout (Y/N) Date of Pumping ~'/9' ? ~ ABSORPTION FIELD DATA Collected by: TankNze D-sa ~,b,~ Number of Comparlments :3 Cleanouts(Y/N) . Depression (y/N) ~/ High water alarm (y/N) ~ Pumper ~'~e ~- g.p.m. D. UFT STATION Date installed Manhole/Access (Y/N) High water alanm level at* Cycles tested Size in gallons 'Pump on' level at' *Datum 'Pump off' level et* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/balding tank on lot ,,~ ~,~-/,' Al:=orption field on lot Public sewer h~aln /v/.~ On adjacent lots On adjacent lots Public sewer manhole/clsenout Sewer/septic service line ~'/,~ SEPARATION DISTANCES FROM SEPTIC/NOLDING TANK ON LOTTO: Foundation '/,~- / Property line ~''/-/'.f' Absorption field ~' / Water maln/sendce line .. ~'/o ' Surface w~ter/dralnege Y/'~'~ ~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line z~-C- / Building foundation --? ~ / Water maln/senn~ce line Surface water Dr'nmwey, parking/vehicle storage area ~,~ ' Curtain drain ~/;.,~ Wells on adjacem lots +~" F. ENGINEER'S CERTIFICATION HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-o26 (Rev. ams)* Eagle River Engineering Services Louis Butcra, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SEPTIC ADEQUACY TEST REPORT TEST DATE: LEGAL: LOCATION: RESIDENCE: WATER SYSTEM: WATER SAMPLES: SEPT/C SYSTEM: 8-13-99 Lot 2, BIk 2, Troll Knoll Leprechaun Drive Single Family, 4 Bedrooms Community Well Not needed - checked by ADEC compliance From Municipal Records Tank: 1500 Gallons Absorption System: trench Type INSTALLATION DATE: Original 1975, one bedroom upgrade 1986 INSTALLED ABSORPTION AREA: 704 Square Feet ORIGINAL SOIL RATING: 140 From Original Soil Log TEST PROCEDURE ,SEPTIC The leachfield'~g ~harged with water from the on-site spigot at an a~;erageYate of 6 GPM for a total of 1000 gallons. ' The septic tank and leaehfield liquid levels were monitored referencing a measurement below the top of the standpipes on each leachfield. During the test, water was added through the trench cleanout tube and the leachfield water level was monitored as water was added and then absorbed into the surrounding soil. The water level in the septic tank did not rise during the addition of 1000 gallons'of water showing that the leachfleld had accepted the entire amount. A total rise in liquid level in the leachfield was recorded as 00~. Measurements were taken ofthe leachfield level, after 24 hours a satisfactory reduction in liquid level. The monitoring indicates the septic system will accept the required 150 gallons per day of effluent, per bedroom, which is the required absorption rate for Municipal approval. TEST RESULTS The septic system soil absorption rate meets the requirements of the Municipality of Anchorage for a 4 gI999\99-O32-RPT bedroom single family residence as of the day the system was tested. Assessment of existing subsurface conditions by the inspecting engineer is limited to information obtained from the available monitoring tubes and Municipal record search. We do not guarantee the validity or quality of subsurface tests and inspections performed by the original inspecting engineer or authority. This report is limited to absorption rate testing and surface separation measurements as currently required by the Municipality of Anchorage and does not verify the integrity of the piping for the water supply or integrity of the piping leading into and out of the septic tanks. The operational life and the mat~er of compliance with State and Municipal codes, for all water and septic systems depends on the local soil conditions, groundwater levels that may not be observed from the surface without additional testing, water usage of the homes being served by the system, and the detail of required testing procedure. Septic systems expire with use and future environmental concerns may require more extensive testing, which could render the leachfield unusable. This is true ofall septic systems. There is no guarantee that the well and septic system tested will meet the requirements for approval in the future. The test data and investigation ofexisting conditions is provided to our client for submittal to the Municipality Health Department for their review and approval. Any concerns with this test report should be discussed with the testing engineer. If it is requested we will submit the report directly to the Municipality. \I999\99-032-RPT 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 GENERAL INFORMATION (a) (b) (c) Application Date NovembeP 10, 1986 Legal Description (include lot, block, subdivision, section, township, range) Lot 2, Block 2 Troll Knoll T15N RlW Sec.10 Location (address or directions) Chugiak Applicant Name Rick Rodriguez Telephone: Home 56~-q766 Business Applicant Address ~r~00 E:tde St. Anchorage; Alaska qqr~0q Applicant is (check one): Lending Institution.Et; Owner/builder r'l; Buyer []; Other [] (explain); (d) LendinglnstitutiontqmmP as c. lJent Address (e) Real Estate Company and Agent N/A Address N/A Telephone N/A (f) Mail the HAP, to the following address: D~ckuD bY engineer Telephone TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms /4 Other WATER SUPPLY Individual Well I-I Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite[] Public[] Community[] 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 I of 2 72-025 (11,84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DA I A AND INFORMATION 1' As certified by my sea affixed hereto and as of the validation date shown below, I verify that my investigation of this Health A'ut hority 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 Ihe information obtained from the MunicipaIity 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 Address Date /~'~ EAGLE RIV~PEN31NEERI~G S~RVICES EAGLE RIVER, AK 99577 hO. BOX 77329J 694-5195 Telephone Approved ,.~' PisapprovecT Conditional Terms of Conditional Approval CAUTION The Muncipality 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 72-025 (11/84) /~NICIPALITY OF AI','O~ORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MO~IRCNNMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 ~"~OV 2 5 "~' 264-4720 Legal De~ription: ~ 'I E EI'¥ED If A, B, C, D.F-C. Approved (WN) Date Completed Yield Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) WELL DATA Well Log Present [Y/N} Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Tesl Results Commenls ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/HOLDING TANK DATA Date Installed /~ 7.fl/2,'&, Size /~-c~, ~"",,~"~No. of Compartments Standpipes (Y/N) ~' Air-tight Caps (Y/N) .'P" Foundation Cleanout (Y/N) Depression over Tank (Y/N) ~ Date Last Pumped ' .,,'"-./.~,x./. Pumping/Maintenance Contract on File (Y/N)/v/? ; for Holding Tank High-Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from septic/Holding Tank: To Water-Supply Well ~'~ ~'~ To Property Line ~ Z/j- / To Water Main/Service Line Comments To Building Foundation / ''~ r To Disposal Field ~ To Stream, Pond, Lake. or Major Drainage Page 1 of 2 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata / ,~/~ Date Installed /~ ?.s'"'//~, .~. ~ ,.,.~.~ ,.~ ~ Width of Field ~>'~' Square Feet of Absorption Area Depression over Field (Y/N) /4/ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well '/"~' To Building Foundation 3.~-~r Lot ~'~" To Water Main/Service Line /'/~ To Stream/Pond/Lake/or Major Drainage Course To Driveway. Parking Area, or Vehicle Storage Area Comments -~'"'~' "" ~ ~-,~ 5 ''''< '~''*~/ 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 To Existing or Abandoned System on ; On Adjoining Lots ~.~c~ To Cutbank (if present) ~"/'~ LIFT STATION Date Installed Size in Gallons '*Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (WN) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request *' I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Company ~ ~ MOA No. Receipt No. ~)~ ! ~) ~ O' 'V Date of Payment Amount:$ ~'~"' ~ Page 2 of 2 ~ Engineer's Seal DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT DFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL SHEFFIELD, GOVERNOR Telephone: 1907) Address: 274-2533 DATE: November 24, 1986 PWS I.D.4 210778 To Whom it May Concern: According to records on file in this office the Troll Knoll Subdivision Water System is in compliance with the State Drinking Water Regulations Sincerely, Buyer Address Really CO. & Address Type of Re$1~nce / ~ Multiple Family No. of APPLI('-'NT'FILLS OU'I= UPPER HA["~ ONLY Water Supply ~] Individual _..~mc~lty rl Public Utility Sewer Disposal [~ Holding Tank Zip Code Zip Code Zip Code ../< Phone Phone Phone IATrACH WELL LOG. A wail log Is required for ell wells drilled elnce June 1975. For wells ~'llled prior to that date, give well depth (attach log l! available). Year Individual Installed: '~ ~ ~ When COnnected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Dale Date Dale Inspector Inspector Inspector ' Field Notes: ~PPROVEDBEDROOMS DISAPPROVED CO.D~T~.^L ^PPROVAL' 'CONDITIONS OF APPROVAL Time Date MUNICIPALITY OF ANCHORAGE ["FPT. C~ I'T".T ' .~. FNVIR.), it..t,. A.: .0. ~.t. TION ~ EB 2 8 RECEIVED Date Sewer Installed ~-/~-7.~*' Well To Absorption Area Well to Tank JWell Log Received Septic Ta~k Size