HomeMy WebLinkAboutKASILOF HILLS BLK 7 LT 5KasI*Iof Hills
Block 7
Lot 5
#015-132-10
�nnF�
Municipality of Anchorage O
. +sa 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
Permit Number. SW020267 PID Number. 015-132-10
Name:CLARK&THERESA BOSTON Wastewater System: ❑ New ■ Upgrade
Address:
10741 STROGANOF DR. ANCH, AK. 99507
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 346-3134 4
■ Deep Trench 0 Shallow Trench O Bed O Mound 0 other
LEGAL DESCRIPTION
Sol Ruling: Total Depth from origind grade:
1.2 10.58
GPD/Se. lt. Ft.
Block: Lot: Subdivision:
Depth to pipe bottom from orlgirwl grade Gr" depth beneath pips:
7 5 KASILOF HILLS
SEE DWG R 6.8 MAX n
Township: Range: Section:
Fill added oboew arVirwi grade: Grw.l length:
— — —
SEE DWG R 40 FL
WELL: ❑ New ❑ Upgrade
Gravel vi the Number of Siwe:
2'+ 1
Distance between line:
—
pz
FL
aanif cation (Prlvale. A,B.C): Total Cand To:
Total obnrption ane: Pipe material:
``y`r Fi. ft
Dnikr: 'C\N�7 Date Drilled: Stack water I.":
544 So. R D 3034/ F-810
ImRalen Dob in akd:
EX�S
BOB DEAN 8/21/2002
R
n«d:
Pump Set At
Height Abse. Ground:
I
loosing
TANK
GPM
P:
SEPARATION DISTANCES
■Septic E3 Holding OS.T.E.P. bather
To Septic Absorption Lift Holding Publie/Prtt'
From Tank Field Station Tank sewer unn
Manufaebrar:
ORENCO SYSTEMS
Capacry in galone:
1500
Well 100'+ too'+ — — 25'+
Material:
FIBERGLASS
Number of winparbrwrde:
1 2
Surface water 100'+ 100'+ — — —
LIFT STATION /
Lot Line 5'+ 1'+ — — —
Size in gallon:
I Manufaeturar.
'Pump on, bv« al:'Pump
ofl' ab
water alone as
Foundation 5'+ 1o'+ — — —
(Nigh
Curtain Drain NONE KNOWN
Pump
Ioacateol Inspections performed M:
Remarks:
BENCH MARK
SEPTIC TANK ABANDONED PER U.P.C.
Location and o..anpH
TOP OF HOSE BIB ON WEST SIDE OF HOUSE
Anamed elevation;
112.705 re
ENGINEER'S SEAL
Inspections performed by: AKWWC, INC. Dates: 1st 8/21/2002gTM'[`�`
2nd 8/21/2002 u4cff.-.
3rd 8/21/2002 d ern
-Qqt,, V. CE-'i795Y
Development Services Department Approval ,•
D�e� .,
(Rev Z/0ted and approved by Date: q -J 8'02 �04Qooess0000
PERMIT NUMBER:
SW020267
AS -BUILT DRAWING P015� 1132-10
I
CSEPTIIC-1s
ARS
� � I
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/ � I
/ / 13 cARAI
LOT UNEWANER
IN EFFECT
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NEW 1500 GALLON \
FIBERGLASS SEPTIC TANK \
1 I
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E I I
t
" A B I
4 BEDROOM ST1 57.14 36.29 /
HOUSE ST2 56.07 43.07 /
ST2 DBLI 57.30 46.49
^- 1 DBL2 57.81 47.39 /
DV 58.04 47.80 /
9 C01 67.27 59.67
TGO MT1 68.20 59.45
002 89.47 61.79
MT2 89.33 61.50
\ — — 10' UTILITY EASMENT — —
EXISTING CRIB; RESERVE SITE
ADEQUATELY EQUIPPED FOR 4 FOR
BEDROOMS; EXACT LOCATION OF
PERIMETER UNKNOWN.
NEW DEEP TRENCH TYPE DRAINFIELD.
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DATE:
9/12/2002
DRAWN BY:
B.S.G.
AlA6901 SRA WATER ROAD, SUITE 28 - ANCHORAGE, AK 9& a" """ WASTEWATER SCALE:
1 " = 40'
337-6179 • FAX (907)338-3246
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
CLARK & THERESA BOSTON 346-3134 2 OF 3
LEGAL DESCRIPTION:
KASILOF HILLS SUBDIVISION; LOT 5, BLOCK 7,
TYPE OF WORK:
AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE
��,``-,.... .... - 5 00
effr.Ey � am ss.
F
4
`
04 79 G
opo -✓� �,
P NUMBER: AS—BUILT DRAWING PARCEL INUMBER:
SW0
SW020267 015-11 32-10
FINA. ORWE - 10Ea2 - loax
TOP OF TANK AT INLET - 1003 ! — OF TNN( AT OLI7IET - 10034
viiiiiiiiiii iii iiiiiuiiii/iiiiviiiiiiiiiiiiiiiiiio% iiiiiii iiiiiiiio•��
NBUNION
NEW 1500 GALLON
"VERT Of TILING AT INLET - 993 FIBERGLASS
SEPTIC TANK ervmr OF MM AT oLrrLEr - °°'"
ORIGINAL GRADE - 98.21
U
- a9.S/ - T00.44
FABRIC
9411IM'hib7
TENCH - 89.7
RELETNE ELEVATION OF
�—BOTTOM OF TESTHOLE - 83.28
DATE: oo60�p0
;3EiSlta,b,a, 9/12/2002 0
" OF
DRAWN BY:
ALASKA WATER & WASTEWATER SCALE B.S.G.
,.. ,, CONSULTANTS, INC.._._,
6901 DEBARK ROAD, SUITE 2B •ANCHORAGE. AN 99504' PHONE (907)337-6179 • FAX (907)358-3246
N.T.S. ................. ..........
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
CLARK & THERESA BOSTON (907) 346-3134 3 OF 3.,
of ey G Hess:
LEGAL DESCRIPTION: QO m C 7953 o`G
KASILOF HILLS SUBDIVISION; LOT 5, BLOCK 7 �Ost ti�a
TYPE OF WORK: ��o^aO♦Pr°fesa70�°o�O
PROFILE AS—BUILT DRAWING OF SEPTIC SYSTEM llgOo.O� �o�
MUNICIPALITY OFANCHOR4GE
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
Initial
Permit Number: SW020267
Legal Description: KASILOF HILLS BLK 7 LT 5
Design Engineer. 0041 AK Water & Wastewater Consultan-
Owner Name: Clark & Theresa Boston
Owner Address: 10741 STROGANOF DR
ANCHORAGE. AK 99516-1253
Date Issued: Aug 01, 2002
Expiration Date: Aug 01, 2003
Parcel ID: 015-132-10
Site Address: 010741 STROGANOF DR
Lot Size: 31291 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of.
❑- Disposal Field ❑? Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify 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.
Received By:
Issued By:
Date: O f l oz,
Date: &l( (CT-
Municipality of Anchorage
Development Services Department
• Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage. AK 99519.6650
www.ci.anchorage.ak.us
(907)343-7904
Waiver Review Worksheet
WR#: WR020055 PID#:015-132-10 HAM Permit#:
Date Received: 7130102
Legal Description: Kasilof Hills Block 7 Lot 5
Engineer. Jeffrev A. Garneas. P.E.
Alaska Water & Wastewater Consultants Inc.
Applicant: Clark & Theresa Boston
Waiver Requested: 1 foot from west lot tine to drainfield
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:
Date: Vot, UBy: --rcQ/^t(
Name of heviewer
....................................................... ............ ...........r
Rec#: 2M Amount: $150.00 Date Paid:l7 3112002
8/1/2002
Municipality of Anchorage
George. P. ll'uerch. Mayor
Buildingr Safety DINIsion
P.O. Box 19(3(')50 • X700 S. Braga,e Strect
i"cl,om'ge, Maslat 99719.6670 • (907) 343.8301
h U p: //„i%ic.ci.anchoragc.alc.0 ti
Jeff Gamess
Alaska Water & Waste Water Consultants, Inc
Subject: Waiver Request for Kasilof Hills S/D
Waiver Request #WR020055
Parcel ID #015-132-10
S W020267
Dear Mr Gayness:
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
1.0 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,
#11-1i
Fo: dall
ivil Engineer
i,-Site Water & Wastewater Program
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
Parcell.D. 015-132-10 PennitNumber Sw0Z0z0}
Property owner(s) CLARK do THERESA BOSTON Day phone 346-3134
Mailing address (1) 10741 STROGANOF DRIVE • ANCHORAGE. AK
Mailing address (2) Zip Code 99516
Legal description (Lot, Block & Sub'd.) LOT 5. BLOCK 7: KASILOF HILLS SUBDMSION
Legal description (Section, Township & Range) N/A
Lot Size Wj 19 Iq I Acres/Sq.Ft. Number of Bedrooms 4
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade 0
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
ALASKA WATER do WASTEWATER CONSULTANTS, INC.
(Eignoturc of property owncr or outhorizcd agcnt)
Permit Fees: 4 q 0 f
Date of Payment: / ��7-30,9102-
Q
Receipt Number. LLISQ.� `
Waiver Fees:) 150
Date of Payment: 7-30V2
rQ2
Receipt Number: 2--55a:; t-) �
weoaoosS_
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
July 29, 2002
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Septic Upgrade for Lot 5, Block 7; Kasilof Hills Subdivision
To whom it may concern:
The existing 4 bedroom house is served by a private well and septic system. The existing septic
system is in a state of failure and needs to be upgraded. A test hole was excavated in the area of
the proposed septic system. The septic system will be designed around the 30 foot radius of this
test hole. We are proposing that a 1250 gallon septic tank and a five foot wide drainfield be
installed. Comments regarding the design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results.
2. TRENCH DESIGN:
a. Percolation Rate: <1 minutes/inch
b. Proposed Application Rate: 1.2 gallons/day/R2
c. Number of Bedrooms: 4
d. Design Flow: 600 gallons per day
e. Minimum Absorption Area: 500 RZ
f. Total Depth: 10.5 feet (max.)
g. Effective Depth: 7 feet
h. Width: 2'+ feet
i. Reduction Factor: N/A
j. Minimum Length: 40 feet long each
k Effective absorption area = 560 RZ each
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed design.
6901 Debarr Road, Suite 213 • Anchorage, AK 99504
Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.cotn
4. TOPOGRAPHY: The area for the proposed septic system is a 15% to 20% slope running
approximately east to west. In short, there are no slope concerns.
5. LOT LINE WAIVER REQUEST: We request that a I foot lot line waiver from the west
lot line to the drainfield be issued.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
q
l ,
Jam , P.E., M.S.
J
NOTE: Attached is a site plan drawing, a design drawing, one soil log, a topographical drawing,
and a 7 page construction specification letter which are all part of the design package for this
septic system.
6901 Debarr Road, Suite 2D • Anchorage, AK 99504
Ph: (907) 337-6179 0 Fax: (907) 338-3246 . Website: akwwc.com
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LOTS BLOCK
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LOT 8, BLOCK 8 , �� _ — -` I
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//WHILLS
LOT 7 7 '
/ LOT 7, BLOCK 7 \\\ I
1'
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KASILOF HILLS S/D; , \\ \\ j I
LOT 7, BLOCK 8 \ \
(C
ARiEA
'�.D I )M' WFI I RMIIIC AR!p�\\ I
i 7' j
I PROPOSED SEPTIC
SYSTEM UPGRADE (SEE
DESIGN PAGE 2 OF 2) I \ I
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I KASILOF HILLS S/D: / ,;p inn' wrll RMnIS t 1 �
LOT 8, BLOCK 8 ••�'t • I I
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/
L-------
r— --- -- ,
/ T}I11 EXISTING SEPTIC, I
SYSTEM Tom\
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LOTKASITB, BILOCK LLS 8 O I / �EY • LOKASITO4. HBLOCK ILLS 7D; I \\\\
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KASILOF HILLS S/D; \
LOT 4, BLOCK 8 1
I / 1
' 1100' WELL RADIUS _IFS
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IJOD' WFII RAnIUS I
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KASILOF HILLS S/D;
LOT 3, BLOCK 7
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DATE:
7/29/2002
Q
CD
U
DRAWN BY: w.•' I: j yv�
ALASKA «'ATER & NNIASTEWNTER C.J.G.
CONSULTANTS, INC. SCALE. 4- li
600i DFRARR ROAD. SUITE TR • eNCMOReGf. OK Oo50e • PeONF (0e7A37.ep0 • FAX (9071SF3)L6
1 " = 100, ..........................
PREPARED FOR PHONE NUMBER: PAGE NUMBER:
CLARK dL THERESA BOSTON 346-3134 1 OF 2 of A. oreaa:•
LEGAL DESCRIPnoN:4�4 a� 79 ; \F +'
KASILOF HILLS SUBDIVISION; LOT 5, BLOCK 7 �, �,^ «q
TYPE OF WORK:
SITE PLAN FOR SEPTIC SYSTEM UPGRADE
\ NOTE: THE CONTRACTOR SHALL HAVE THE
100 FOOT WELL RADII SHOWN, THE WEST I
\ LOT UNE, THE SOUTH 10 FOOT UTILTY
EASMENT FLAGGED BY A REGISTERED LAND I
SURVEYOR PRIOR TO CONSTRUCTION.
CSEPTIC
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INSTALL FLOW
DIVIRT
NTLRT \
/ I INSTALL DOUBLE
CLEANOIns 1 I
ST A I � _
WAVM \
1
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PROPOSED 1250 GALLON
SEPTIC TANK I
EXISTING
WELL I
EXISTING I I
3 BEDROOM
HOUSE
� I
/ I
INST CLLL EANOUT.noN
EXISTING SEPTIC TANK TO BE
ABANDONED PER UPC. J
10' UTILITY EASMENT
i
i
EXISTING CRIB TO BE
USED AS A RESERVE
SITE. EXACT LOCATION
\ OF PERIMETER UNKNOWN
`PROPOSED DRNNFIELD. EXCAVATE A TRENCH I
THAT IS 10.5 FEET DEEP MAXIMUM BY 2t FEET
WIDE BY 40 FEET LONG. ADD 7 FEET OF
CLEAN. WASHED SEWER DRAINROCK. INSTALL
TRENCH PARALLEL TO SLOPE CONTOURS.
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DATE:
7/29/2002
DRAWN BY:
ALASKA WATL'R & WASTE, Sc. t.c.
CONSULTANTS, INC.
6001 DFRARR ROAD. SUITF 7R • ANCNORACF AK 00506 • P ONF (007)337-0110 • FAX
(001733R•S7C6 1 ~ — 40F
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
CLARK & THERESA BOSTON 346-3134 2 OF 2
LEGAL DESCRIPTION:
KASILOF HILLS SUBDIVISION; LOT 5. BLOCK 7.
TYPE OF WORK:
DESIGN DRAWING OF PROPOSED SEPTIC UPGRADE
�. 4 9
......
.... ..... ...C-53
tf`ss.:
o
olp
,G
ALASKA WATER & WASTEWATER
CONSULTANTS. INC.
WI 0EPM RAD, SUITE ie • AW-HORAM AK 0 N4 + PdONL (907WI-4170 •ilii. (907)335-1244 4 �' L- OL�
SOIL LOG — PERCOLATION TESTI
LEGAL DESCRIPTION: KASILOF HILLS SUBDIVISION; LOT 5. BLOCK 7,
PERFORMED FOR: CLARK & THERESA BOSTON DATE: 346-3134
DEPT
ORGANICS
1-
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
B.O.H.
SW &
SW—SM
TEST HOLE # 11
SOIL CLASSIFICA710NS
GW
: ORG
-' GP
ML
CL
XGM
GC
OL
-s.SW
MH
CH
SP
SM
OH
SC
I
DEPTH TO DATE
GROUNDWATER
DRY 7/20/2002
DRY 7/29/2002
DATE READING CLOCK
TIME
7/23/2002 1
2 —
3 —
4
5 —
6
NET TIME WATER LEVEL NET DROP
(MINUTES) READING (INCHES)
6'
<1 0' 6-
6-
<1 0. 6-
6-
<1 0' 6-
18—
19—
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 7.0 FT. AND 8.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ROB CAMPBELL
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS Wy PIE FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 3o C
sy�ol
.... 43-
( /
3 BEDROOM
y A. Ganess.
s 79
I
NET TIME WATER LEVEL NET DROP
(MINUTES) READING (INCHES)
6'
<1 0' 6-
6-
<1 0. 6-
6-
<1 0' 6-
18—
19—
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 7.0 FT. AND 8.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ROB CAMPBELL
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS Wy PIE FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 3o C
( /
3 BEDROOM
I /
HOUSE
I
1
inn' wF o RAnitm I
i
NET TIME WATER LEVEL NET DROP
(MINUTES) READING (INCHES)
6'
<1 0' 6-
6-
<1 0. 6-
6-
<1 0' 6-
18—
19—
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 7.0 FT. AND 8.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ENO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ROB CAMPBELL
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS Wy PIE FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 3o C
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—'tc oaage,iUcwka 994USPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
—ADDRESS '41/1 A/
PHONE
LOCATION f✓"� /�/% � /`7I✓✓�1�z!�' LEGAL DESCRIPTION e- t
SEPTIC TANK:
DISTANCE FROM WELL �� / MATERIAL �`� i5/h�� NUMBER OF
_COMPARTMENTS
LIQUID CAPACITY /egC-jz�) GALLONS. INSIDE LENGTH INSIDE WIDTH '-- LDEPTHIQUID a
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS OUTSIDE DIAMETER Ll. �' OR WIDTH LENGTH v DEPTH
LINING MATERIAL .DISTANCE FROM WELL ,BUILDING FOUNDATION��i;
NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) % �/6'" SQ. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE OF LINES ,
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH IN. TOTAL EFFECTIVE
ABSORB AREA SQ. FT. LENGTH OF EACH LINE — — �--�.
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE_ IN. ABOVE TILE
WELL: /yaie/%o���.�,=.vim
DISTANCE FROM WATER
TYPE DEPTH G�l� _ BUILDING FOUNDATION 1'/'z,_SAMPLE NG'/�� , NEAREST
NEAREST _ SEPTIC / SEEPAGE /r9 i OTHER �//�e_
LOT LINE �l� SEWER LINE `' TANK- SYSTEM_CESSPOOL��ay�, SOURCE5r�Z4y
DISTANCES:
l';'7V Nvl,90 /
DIAGRAM OF SYSTEM
DATE L / %G /�f APPROVED
HEALTH AUTHORITY
`�
1,
`9
S
Owp
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R\I,
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P
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Nuri'
•4
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DATE L / %G /�f APPROVED
HEALTH AUTHORITY
GREj,+CER ANCHORAGE AREA BoRoUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. �'7 /`7
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279-8686
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
NAME OF APPLICANT
���^✓�� '�"�'' �� �-l%fO i-ING ADDRESS ✓J��/ _- /✓V�PHONE '�/�`�
INSTALLATION LOCATION / v / ���-� �� 1� �j/ �.f�/�i��� /sFG>0✓C�
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK SyE�EPAGE PIT / ��/f"D�R^AI Nc FIELD OTHER ,
TYPE AND SIZE OF FACILITY TO BE SERVED �5---+fs/�✓�i�%��� /`/j� % /i'"'���`
FINANCED THROUGH
TO BE INSTALLED BY
SOIL TEST RESULTS ��Jj��/ t�/J NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED / z �T
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE / TYPE f""4--�--� SEEPAGE AREA SIZEe�� /160 TYPE
��"✓�fC 6 ��"� B✓�
—G�� �
�i✓L4��` i ��` fir✓/"' ��//Eft✓
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK
} / �® Q f
FOUNDATION TO SEEPAGE PIT `""�'� DRAIN FIELD Z..
SEPTIC TANK TO SEEPAGE PIT WALL /% /
SEPTIC TANK , SEEPAGE PIT, DRAIN FIELD
TO NEAREST LOT LINE. n
WELL TO SEPTIC TANK 1 r//) SEEPAGE PIT /�G' f
DRAIN FIELD _��� /
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK ` SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK, .2;45-'
SEEPAGE PIT . ZQ 9 DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
H EALT AUTHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE ///����" APPLICANT'S SIGNATURE
-ATER ANCHORAGE AREA BOROI
DEPARTMENT OF ENVIRONMENTAL QUALITY CASE #
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
Performed For ^-�- 1-,4?,44cn __Date Performed
Legal Descrir.tion: Lot 5 Block. '7 Subdivision Ka.si_lof. Halls _
This Form Renorts Soils Loc x Percolation Test
Denth
Feet Soil Characteristics
1 ---
2 _ topsoil
3
A
5 --
31� poorly -,raded sands
F. �. (150(
9
10
Was Ground Water Encountered? no
If Yes, At what Denth?
. ., lublkin na VC ,.Il rlu Le
Proposed Installation: Seepage Pit x Drain Field
Depth of Inlet _ Depth To Bottom Of Pit Or Trench
C n M M E N T S: �0 s ]> � � r or I or l ��edroorn zT r --
��,f�o�i', }�ol e: vias re�nded_.
Test Performed B_y��2C71c� Data Certified By: _
Date:
_F
Reading
DateGrnss
I
Net Time
Denth to H2O I Net Dron
i
i
LJ
SII
-------—
— —
---
I
i
I
_-r
I
I
i
1
i J
i - -
i-
F- --
--
I
I
I
. ., lublkin na VC ,.Il rlu Le
Proposed Installation: Seepage Pit x Drain Field
Depth of Inlet _ Depth To Bottom Of Pit Or Trench
C n M M E N T S: �0 s ]> � � r or I or l ��edroorn zT r --
��,f�o�i', }�ol e: vias re�nded_.
Test Performed B_y��2C71c� Data Certified By: _
Date:
_F
Reading
DateGrnss
Time
Net Time
Denth to H2O I Net Dron
-------—
— —
---
. ., lublkin na VC ,.Il rlu Le
Proposed Installation: Seepage Pit x Drain Field
Depth of Inlet _ Depth To Bottom Of Pit Or Trench
C n M M E N T S: �0 s ]> � � r or I or l ��edroorn zT r --
��,f�o�i', }�ol e: vias re�nded_.
Test Performed B_y��2C71c� Data Certified By: _
Date:
a`
x
r^ DAILY DRILLING LOG
PEND JERSEY DRILLING CO.
2833 East 72nd Avenue Anchorage, Alaska 99502 344-2612
i
OWNER OF LAND..--- � � Allen Patto.n.............................................. DEPTH OF WELL------- .-.................__
t.. __ AZDDRESS'..L C 5� LG_. c L� 1
- j.. %r%rZ.iL -` ..t..l.!rL ...�i{ Z.✓V�._._... = STATIC LEVEL OF WATER FT.............0 .........
Upper O'Zlalle --
;.. w�
ELLITE - -� ...- ........................
... DRAW DOWN FT.._... -
--
DATE--STARTED.....-�9-................. ..---------------------........... ---------------.......... GALS. FER ITR .... .................
lOGP21-------------
- ................. KIND JF CASING... - - - -
DATE—ENDED__10.-.5-.7.1.. 6" Welded
.............-
KIND OF FORMATION:
FT. TO ......
.................... FT...........................
FROM.............
......... ..-FT. TO --------------------------
O-
`
�ax}�
& Gravel
FROM..... --
........FT. TO _ ................
FT.-----� - -
.......
.................... FT............................. .........
FROM..... 12- ----------------
FT. TO ...... ���...
--- ...... FT._....Bed...Rock.
-
FROM..........................FT.
TO......................FT......................
.................................
i
FT..................
LLJ
FROM..........................
FT. TO..,. .......... ............
FT ....... .........
0 Z
......FT......... - -- .................
FROM....... ....
--------------- FT. TO .........
.. ........ FT.......................
FROM............:..........FT.
TO...
....------ .....FT.. ...............
FROM...................._....FT.
TO.. .....--............FT.........................................
FROM- - ................FT.
TO ..........................
FT.._..............
z J O
FROM--- .... - ----.....FT.
TO........................FT.......................
a
0
O
FROM... .. ............-
...FT. A 0 ..........................
FT ........ --.........
.:;1- .
}—
FROM .............-
.......FT. TO. -
FT
_
J CZ
U
---- .. --........f–
Q..
FROM----------- --
----FT. TO..................FT....._....------.......
- 2... Z
2 ua
FROM........ -.....------FT.
TO ..............
.....FT.............._.....---
FROM..........................
F
FT. TO..........................
FT ......... ......
......... ..._.... ...
FROM..........................
FT. TO ......
.................... FT...........................
FROM.............
......... ..-FT. TO --------------------------
FT. ........... .......-
FROM................
-- --..FT. TO ------------------------
-FT .. . - ......... .. ... .....
�UM .........................FT.
TO ......
.................... FT............................. .........
FRT(DM-- -----------------
------ FT. TO....
- ............_..FT....... ............... ..........._
a
FiFdUM..........................FT.
TO ..........................
i
FT..................
LLJ
- .... .........
M---- --------------------
FT. TO.. -----------------
......FT......... - -- .................
FROM....... ....
--------------- FT. TO .........
.. ........ FT.......................
FROM............:..........FT.
TO...
....------ .....FT.. ...............
FROM...................._....FT.
TO.. .....--............FT.........................................
ROM--------- ------- -------FT. TO...................FT........_..........-..----- ........... FROM. ...................FT. TO-------- ....... ......... FT.........................................
MISCL.INFORMATION: Ii] C5610 7.24. Z 44S IS7Z cc:z)
Seepage to 397 �% l `72`t'76 ?3f�,,✓ �'
397 to ).;00 Fractured Rock 2c Water 7l;ZAl 23tv.r SwJ
DRTLI,ER'3 NAME...,. ..__...... .Grey
Municipality of Anchorage O
�;4 w
• "', Development Services Department
f ; 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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL Z%/2
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 015-132-10 HAA# F`Z^4(K/b
1. GENERAL INFORMATION Expiration Date: / / — 2
Complete legal description KASILOF HILLS S/D: LOT 5, BLOCK 7
Location (site address or directions) 10741 STROGANOF DRIVE, ANCH, AK. 99507
Current Property owner(s) CLARK & THERESA BOSTON Day phone 346-3134
Mailing address 10741 STROGANOF DRIVE, ANCH, AK. 99507
Lending agency Day phone
Mailing address
Real Estate Agent KEN CURRY W/ COLDWELL BANKER Day phone 884-1090
Mailing address 2525 "C" ST. ANCHORAGE, AK. 99503
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
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 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 engineers work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the 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. /further verify that based on the
information obtained from the Municipality of Anchorage tiles 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 & WASTEWATER CONSULTANTS, INC. Phone 337-6179
Address 6901 DESARR ROAD, SUITE 28 ' ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date
Engineer's Comments:
In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
000� 0
o! QF
DSD Guidelines & Regulations. The described the
tt4Q
reported results performance ofthe
system under the conditions encountered at the time of the test, and separation
. ' �-
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, 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 the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
. .. .... .......
OQ Je r A. Gor ss:
there are no hidden defects or encroachments. AKW WC, Inc. can therefore not provide
Q '•, --7
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSO. The content of this report is for
�� ar '( •. Q�Foo
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
Opti .. �ooc
other person or party is not authorized, nor will It confer any legal tight whatsoever
5. DSD SIGNATURE
_(L Approved for L .N
bedrooms. \`�v�l�P��t(Yf OFr�
i
Disapproved.
��S: ON-SITE •• ���
Conditional approval for bedrooms, with the fllowing stipulations:; - • WATER AND • Me
WASTEWATER
PROGRAM
Attachments:
HAA Checklist _1� Manitenance Agreements
Septic System Advisory Supplemental Engineer's Reort
Well Flow Advisory Other
By: (4 L I[ I , / Original Certificate Date: S ' ;Z 4-7 — 'O �2_
(Rev. 12J91)
I
A
Legal Description:
A. WELL DATA
Municipality of Anchorage
Development Services Department
Building Safety Division
onsite water & Wastewater Program
4700 South Bragew SL
P.O. Box 198850 Anchorage, AK 99519-6650
www.dAndwrage.ak.us
(907)343-7904
�o
HEALTH AUTHORITY APPROVAL CHECKLIST�� Rr�m��pq,D
KASILOF HILLS S/D; LOT 5, BLOCK 7 Parcel 10: 015-132-10
Well typeRP NATE If A. B, or C provide PWSID# N/A Well Log (YM) Y
Date completed 9/29/71 Sanitary seal (YIN) YES Wires properly protected (YIN) YES
Total depth 400 ft. Cased to BEDROCK ft. Casing height (above ground) 12+ in.
Date of test
Static water level
FROM WELL LOG
10/5/71
50 ft,
AT INSPECTION
8/26/02
56
Well production 10.0 g.p,m. 2.72
WATER SAMPLE RESULTS:
Conform 0 cotonies/1DO mi. Nitrate 3.18 mgJL.
Arsenic: N/A mg./L. Date of sample: 8/23/02
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material FIBERGLASS
Tank size 1500 gal. Number of Compartments E
Foundation deanout (YIN) YES Depression over tank (Y/N) NO
Date of pumping NEW Pumper
ft.
9—
p.m-
Other bacteria 0 colonies/100 ml.
Collected by: AKWWC. INC.
Date installed
8/21/02
Cleanouts (Y/N) YES
High water alarm (YIN)
N/A
C. ABSORPTION FIELD DATA 1•eEtOW FINAL CPADEi
Date Installed 8/21/02 Soil rating Cq.p.d ft1bdrm) 1_2 System type DEEP TRENCH
a
Length 40 ft. Width 2.5 ft. Gravel below pipe 6.8 ft.
i
1 Total depth 10.58 ft. Eff. absorption area 544 ft' Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) For < bedrooms
Fluid depth in absorption field before test = in. Water added =gal. New depth =in.
i
Elapsed Time: = min. Final fluid depth = in. Absorption rete x — g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date —
I
+ D. UFT STATION
Date installed Size in gallons
Manhole/Accp�T (YIN)
u'Pump on* level at _in. "Pump off" Ipwgl at _in.
High water alar level at in.
Datum Cycles tested
Meets alar & circuit requirements?
I- SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAifi station on lot 100'+
On adjacent lots 100'+
Absorption Held on lot 100'+
On adjacent lots •100'+
Public sewer main. N/A
Public sewer manhole/deanout N/A
Sewer. /septic service line 25'+
a
Holding tank N/A
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation 5'+ Property line
5'+ Absorption field 5'+
Water main N/A Water service line
101+ Surface water 100'+
Wells on adjacent lots 100'+
! SEPARATION DISTANCE FROM ABSORPTION FIELD
ON LOT TO:
Property line •'1'+ Building foundation
10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 5'+
Curtain drain NONE KNOWN Wells on adjacent lots
100'+
F. COMMENTS
•DRAINFIELD BOUNDERIES ON LOT 6. BLOCK 5 ARE UNKNOWN. 001' LOT UNE WAIVER IN EFFECT.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field Inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printe
Date -71,7-;
HAA Fee $
Date of Payment
Receipt Number
(Rsv. 12101) •
JEFFREY A GARNESS
Waiver Fee $
Date of Payment
Receipt Number
I
N g0000-CO'E
30,00,
Co
O
C:) K
GARAOC
EXISTING HOUSE
DECK
C)
z
24.3,9
ScPyIC rIELD
RETAINING WALL
O 33L7'
30 N 90000'09'W
.00
9 SHED
00,
wmysac
13 7.5 0 7.5 13 30 4
VERTICAL DATUM IS ASSUMED
W08-4
Ed WdU:60 ZOOZ 6Z oKpZgS : .ON RNOM
s
222.29 I I
I
I 1
I �
p 1� � LsnMark � '
I v v
I p � p
o
I D 4
ISI_ D a
z� aIz�j
LLJ
LOT I ! b
I o
I o
I �
I
I !
I
I_
224.73
I
I
(FOR: Coldwell Banker Date Scale Le�al Ue9cri_ption
a-28-02 le = 30• Lot 5 Bock 7w�b
rid As -BUILT
nreeOU�3nG
2541 2208102 KASILOF HILLS
9330 Vanguard Drive, Suits 203 Dranft D Field Book SUBDIVISION
Anchorage, Alaska 99507 S
(907) 662-6050 C.E.F. 189
•������
1 hereby oertlfy that the property described hereon has been surveyed 4 1
by Inc. or .t m7 dlreetion, and that the impro.emen4 situated thereon ..F..... 1pI
era within the property line@ and do not overlap or encroach on the r
property tying adjacent thereto unless otherwise shown. That no ��: •• I,
improvements an the propertyg adj•ceat thereto encroach an the '
premises in question and that there are no roadways, transmission w * 49M '��p.S%
'os or other easements on said property except as shown. /•••rte•••••• ••••••••••Jl
It is the responsibility of the owner or builder. prior to construction.
to verily proposed building grade relative to tideh grade and utility
conneouone end to determine the existence of any easements, caven•nts.
or restrictions which do not appear on the recorded subdivision plot.
Listod distume• prevail over Peeling.
Reproduction may cause distortion.
........................
CHNIIIS E. rows : o o
LS—)326 w�
Zd W =:60 Z00Z 6Z
•6riy 0KrZ9S . 'ON 3NOHd �d
4 MUNICIPALITY OF ANCHORAGE
w DIVISION OF ENVIRONMENTAL HEAL'T'H
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRO'T'ECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE,
1. General Information Application Date�etrl�cr 27, J�984�
(a) Legal Description (include lot, block, subdivision, section, township, range)
14,. P. 3 W.
Location (address or. directions)
346-18.B F
(b) Applicants Name A:lLn and Qi.ane Patten Telephone - Home Business NSA a�
Applicants Address 1.074.1 Stroganof ]fir.i�ve, Anchorage, Alaska 9951.6P^�
(c) Applicant is (check one) Lending Institution Owner/builder
Buyer Other X
(explain); Takingout second a second mortgage
(d) Lending Institution _ First Federal. Savincis_`e___.___.� Telephone 274-6565 ..._
Address 813 West Northern Lights Boulevard
(e) Real. Estate Co. & Agent
Address
Telephone
(f) Mail the HAA to the .following address;
Allen and Diane Patten
�.� t1Z__41 �troc�anof
Dri-ve
__. Anchorage AIC_ 99516 a rr� ......
2.. ape of Residence
Single -Family } Multi -Family
Number of Bedrooms 3
3. ;Dater Supply
Individual Well. Xm� Community
Other (describe
Public--
Note:
ublic
Note: If community well system, must have written confi.rmatiou from the SCat
Department of Environmental. Conservation ttiresting to the legality and stratus.
4. Sewage Disposal
Onsite�� Public �� Community l— Holding 'Tank r
Note: If community well system, must have written confirmation from the State
Department of. Environmental Conservation attesting; to the legality and statius,
[Page I of 2]
S. Engineering Firm Providing Inspections, Tests File Search, Data and Information r
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 onsite
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 ghat,
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 regula-
tions in effect on the date of this inspection.
Name of Firm A.W. I1urf .tL. Con�any� Telephone --349-7531
Address
Date�� Stember 28, 1984
6. DHEP Approval
4L1
Approved for,.f,�_C.ci___bedrooms
hlaska 99502
(ENGINEER
Approved V_ Disapproved
Terms of Conditional Approval
By
CAUTION
uouaiuionoi
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMEN'T'AL PRO'T'ECTION
(DHEP) ISSUES HEALTH AU'T'HORITY APPROVAL CERTIFICATES BASED SOLELY_ UPON '.CITE REPRESENT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATP; OF ALASKA. THE DHEP DOES 'T110 AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. 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.
(DHEP STEAL)
RR4/ej/DI8
[Page 2 of 2]
1
NAUNICH'Al-17Y OI' ANCHORAGE;
EN41h[_ii<';�I: i�il•.L 6F_Oi6cfI0I�'
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
%,
A. WELL DATA Legal Description: Lot 5, Block 7, Kasilof
Ili11a.Subdivision, Section 13, T.12N., R. 13W. _
Well Classification.Sancile Farml�4 If A, B. or C. D.E.C. Approved(Y/N) Id/A
Well Log Present (Y/N) Yes Date Completed 10-5-71 Yield4.73 al min
Total Depth 400 feet Cased to 12 feet Depth of Grouting no grouting present
Static Water Level. 75 feet Pump Set At 195 feet _
Casing Height Above Ground 2.08 feet Sanitary Seal on Casing (Y )Iio
Electrical Wiring in Conduit (Y/N) Yes Depression Around Wellhead (YIN)NO
Separation Distances from Well:
To Septic/Holding Tank' on Lot approx. 75 feet On Adjoining Lots 103.0 feet
To Nearest Edge of Absorption Field on Lot 1 55 feet; On Adjoining Lots 103.0 feet_
To Nearest Public Sewer Line N/A k To Nearest Public Sewer
Cleanout/Manhole N/A To Nearest Sewer Service Line on Lot N/A
Water Sample Collected By Keven K. Kleweno Date 9-17-•84
Water Sample Test Results Uatisfac=
CcnTmnts The well yield test resLllts are excellent and indicates that production
measurement between well and septic tank.
B. SEPTIC/HOLDING TANK DATA
Date Installed jl,ne 197L Size 10' x'10' No. of Compartments 1
Standpipes (Y/N) Ps Air -tight Caps (Y/N) No Foundation Cleanout (Y/N) Yes
Depression over Tank (Y/N) No Date Last Pumped 8-17-84
Pumping/Maintenance Contract on File (Y/N) No ; for
Holding Tank High -Water Alarm (Y/N) N/A _ Temporary Holding Tank Permit (Y/N) N/A
Separation Distances from Septic/Holding Tank:
To Water -Supply Well _ approx. 75 feet To Building Foundation 10.83 feet
To Property Line _ 28.0 feet To Disposal Field 39.0 feet (between cleanouts)
To Water Main/Service Line N/p To Stream, Pond, Lake, or Major Drainage
Course Runoff is predominant sheet flow which is controlled by the present vegetation.
Comments Could not et a straight line iTeasurement between well and septic tank.
No evidence of any past problems on this lot or the surrounding lots
[Page 1 of 21�
L6: -,'z_ K
z -15®S4
C. ABSORPTION FIELD LUTA
Soils Rating in Absorption Strata 150 sq, ft. Type of System Design Seepage Pit
Date Installed June 1972 Length of Field 39.0 feet
Width of Field see attached forms Depth of Field 12-0 feat
Gravel Bed Thickness See attached forms
Square Feet of Absorption Area 516 sq. ft. Standpipes Present (YM) Yes
Depression over Field (YM) No Date of Last Adequacy Test 9-17-84 & 9-18-84
Results of Last Adequacy Test See attached tables
Separation Distance from Absorption Field:
To Water -Supply 'Abll 1000 feet To Property Line 26.0 feet
To Building Foundation 11,5_feet To Existing or Abandoned System on
Lot IV/A ; On Adjoining Lots 172 feet, only existing system is North
To Water Main/Service Line LI/A To Cutbank(if present)52 ft to Stroganof
To Stream/Pond/Lake/or Major Drainage Course No major Drainage Course, sheet flow
To Driveway, Parking Area, or Vehicle Storage Area predominant 52.0 feet
Comments The present system is working and from the results of the adequacy test the
house could be up qraded to a_4_bedroorn house with no additional work to the waste
water system.
D. LIFT STATION
Date Installed N/A Dimensions N/A
Size in Gallons N/A Manhole/Access MIN) N/A
"Pump On" Level at N/A "Pump Off" Level at Ii/A
High Water Alarm Level at N/A Vent (Y/N) II/A
Tested for N/A Pumping Cycles during Adequacy Test. Meets MOA
Electrical Codes(Y/N) N/A
Comments System does not have a lift station
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect
on the date of this inspection.
Signed Date OF ht,
.
yph MOA No. ST84-015 trgp� ELVc T> 9�
Company A.W.A W Murfitt Co °
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(Page 2 of 21
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2-15-84
ADEQUACY TEST RESULTS
Depth In
Overflow
Date And
Depth In
(Seepage)
Water Added
Time
Septic Tank Tank
( act 1_)�
Neter
Readings
9/17/84
15.00'
12.08'
50
0.0
- 0050
1:30 p.m.
15.00'
12.08'
50
72.5
- 0122.5
14.25'
12.08'
178.5
122.5
- 0301.0
14.00'
12.08'
166.5
835.5
- 0520.0
13.00'
12.08'
50
551.0
- 0601,0
13.00'
12.08'
50
643.0
- 0693.0
12.50'
12.08'
61
719.0
- 0780,0
12.29'
12.08'
76
804,0
- 0880.0
12.00'
12.08'
52.5
905.0
- 0958.0
11.92'
12.08'
50
961.0
- 1011.0
11.71'
12.08'
50
1033.0
- 1083.0
5:30 p.m.
11.50'
12.08'
38
1096.0
- 1134.0
TOTAL 872.5 gallons
9/18/84
11.50'
12.08'
0
1:40 p.m.
11.38'
12.00'
50
1134.0
- 1184.0
11.29'
11.96'
50
1204.0
- 1254.0
11.13'
11.96'
60
1278.5
- 1338.5
2:15 p.m.
11.08'
11.71'
97
1368.0
- 1465,0
11.02'
11.75'
62
1488.0
- 1550.0
11.02'
11.75'
50
1578.0
- 1628.0
11.06'
11,67'
50
1652.0
- 1702.0
11.08'
11.58'
50
1725.0
- 1775.0
11.21'
11.58'
50
1788.0
- 1838.0
11.21'
11.58'
50
1852.0
- 1902,0
11.21'
11.58'
50
1913.0
- 1963.0
TOTAL
619 gallons
9/20/84
17..50'
12.08'
N/A
N/A
N/A
3:30 p.m.
A.W.
Muriitt
Company
�OEQUACY TEST RESULT
PLATE
Arctic Civil and Geotechnical
Engineering
Consultants
Lot 5, Block 7, Kasilof
Anchorage
Hills Sub.
Alaska
Job no. 84-113.01 Appr.-HIRr _ Date 9/25/84
WELL YIELD TEST' RESULTS
TIME METER READINGS TOTAL ELLISPE
DATE START FINISH START FINISH GALLONS TIME (141N) GALS/MIN
9/17/84 1:30p 5:30p 0.0 1134.0 1134.0 240 4.73
9/18/84 1:40p 4:40p 1134.0 1963.0 829.0 180 4.61
A.W. Murfitt Company
Arctic Civil and Geotechnical Engineering Consultant!
Job no. 84-113.01 Appr_KKK Dote 9-25-84
WELL YIELD TEST RESULTS PLATE
Lot 5, Block 7, Kasilof Hills Sub
e
Alaska
s�
