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HomeMy WebLinkAboutTALUS WEST #2 BLK 6 LT 1Talus West #2 Block 6 Lot 1 #015=w202-58 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211054 PID Number: 015-202-58 Page 1 of 3 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Q Upgrade Name Tanya Marie Reed A ORPTION FIELD Site Address E01D Trench F1 Wide Trench ❑Bed El Mound 4210 Passage Way, Anchorage, AK 99516 Other Phone Number of Bedrooms Soil Rating Total depth from original grade 317-7451 4 Existing r.lc= 11 LEGAL DESCRIPTION Subdivision Block Lot Talus West Sub #2 6 1 Township Range Section SEPARATION DISTANCES To Septic Absorption Holding Sewer From Tank Field Lift Station Tank Line Depth to pipe invert from origina Fill added above original grade Gravel width JBeds: Ft. Total absorption area (Numb de Gravel depth beneath pipe Ft. G el length Ft. Ft. Number of Lines Dist ce between lines Ft. of trenches (Dist. between Well >1 QQ' N//'1 N/A N/A >25' TANK El ll S.T.E.P. [:]Holding El Manufacturer Capacity Surface Water >1 N/A N/A N/A Greer 1500 Gal. Material Plastic Number of compartments 2 Lot Line >5' N/A N/A N/A NA Foundation > 10, . N/A N/A N/A LIFT STATION Manufacturer Greer Capacity 250 Gal. Remarks Tank is ballasted by 2 concrete barriers and 2" nylon straps. Alarm location Inside Garage Electrical installed by Endeavor Electric Installer AK Underground PIPE MATERIAL House to tank D3034 Tank to D1785 drainfield Drainfield Existing CO/MTD3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspection t 2 nd 15 10/19/21 Location and description aro 4m Bottom of siding (cu point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ,ie� co .'..i°fir . ...... ja Septic Systemv���C/'BenCE 12592i11er Approved f Date 1 `j' moa ��sl • . , 2/10/22 , . •'�� FESSION��'�� Note: this approval does not include well permit requirements. �� pROESS100 tmev uZ)i uu 10) 1"=40'4-BDRM HOME CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND PERMIT # OSP211054 PID # 015-202-58 TALUS WEST SUB #2, BLOCK 6 LOT 1 A B MH1 47.2 MH2 50.7 MT 45.2 A B 2CO 42.7 50.2 51.0 48.7 49.6ELMORE ROADFEET 0 40 8020' ELECTRICAL EASEMENT10' GAS EASEMENTP A S S A G E W A Y WILDERNESS DRIVEEXISTING WELLS 100' WELL RADII 2CO NEW 1500-GAL S.T.E.P. TANK w/ 20" MANWAY OLD TANK REMOVED & DISPOSED OF EXISTING ABANDONED ABSORPTION BED EXISTING ABSORPTION BED TO REMAIN IN SERVICE MTMH1 MH2 DECKSHED SHED Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A LENGINEER2/10/2022 PLAN AS-BUILT PROFILE AS-BUILT (NO SCALE) 87.8 82.1 88.4 94.22COMH MH1500 GAL STEP TANK PERMIT # OSP211054 PID # 015-202-58 TALUS WEST SUB #2, BLOCK 6 LOT 1 Benjamin Schiller CE 12592 R E G ISTEREDPROFE S S I O N A LENGINEER2/10/2022MTGROUNDWATER ENCOUNTERED DURING INSTALLATION. SEE ATTACHED BALLAST DETAIL FOR BALLAST CALCULATIONS PERMIT # OSP211054 PID # 015-202-58 TALUS WEST SUB #2, BLOCK 6 LOT 1 Benjamin Schiller CE 12592 R E G ISTEREDPROFE S S I O N A LENGINEER2/10/2022 SEPTIC TANK BALLAST (NO SCALE) BOUYANCY CALCULATIONS: (NEGLECTING WEIGHT OF TANK) BOUYANCY FORCE ON EMPTY TANK: 1,500 GAL CAPACITY x 8.35 LB/GAL = 12,525 LBS WEIGHT OF CONCRETE BALLASTS: 4'x2'x2' x 150 LB/FT3 x 2 = 4,800 LBS WEIGHT OF SOIL ABOVE TANK: 5.8'x8'x6' x 130 LB/FT3 = 36,192 LBS SAFETY FACTOR: 3.27 EYE BOLTS w/ 2" NYLON RATCHET STRAPS USED FOR ANCHORING 4' L X 2' W x 2' D CONCRETE BALLAST 1,500 GALLON S.T.E.P. TANK 5.8' 35 U-) C:) cyi 00 Irl, R 5.0 35 SCALE: 1 "= 40' C:) IV7,0 026'091 RECERTIFIED 12-06-21W`144,/ is EASEMENTS OF RECORD, OTHER THAN '% X X -% 1 FRED WALATKA & ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED FB 21-7, pg 36 tc) ?, ( Engineers and Surveyors PLAT ARE NOT SHOWN HEREON JKD BE 907-248-1666 UNLESS OTHERWISE NOTED. This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection A in accordance with ASPLS Standards of the following LOT I, BLOCK 6, 0 a 0 a 0 , # described property: TALUS WEST SUBDIVISION ADDITION No. 2 VT- * �-V 3 Anchorage Recording Precinct, Alaska, and that the 49th *# 00 .4• improvements situated thereon are within the property lines • �• • • •�y ••••00 and do not overlap or encroach on the property lying 00 adjacent thereto, that no improvements on the property lying •16 46 4L Elizabeth Walatka . adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other a 0 4�1 JOW LS• 8036 AM visible easements on said property except as indicated AW IOROFJ�SS hereon. Dated at Anchorage, Alaska 1 I ot*%- this 15th day of JUNE 12013. EASEMENTS OF RECORD, OTHER THAN '% X X -% 1 FRED WALATKA & ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED FB 21-7, pg 36 tc) ?, ( Engineers and Surveyors PLAT ARE NOT SHOWN HEREON JKD BE 907-248-1666 UNLESS OTHERWISE NOTED. This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211054 Work Type: SepticTank Upgrade Tax Code Number: 01520258000 Site Legal Address: TALUS WEST #2 BLK 6 LT 1 G:2736 Site Mailing Address: 4210 PASSAGEWAY, Anchorage Owner: REED TANYA MARIE Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft en `p V r' Department Total Bedrooms: 3/4/2021 3/4/2022 40894 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing 4 Veronica Digitally signed by Veronica Pope DN: cn=Veronica Pope, c=US, o=Forge Engineering, ,maPope Received By: Date: 2021 03.046135: 6.09'00' Date: Issued By: Date: 3 / a0a 4 MUNICIPALITY OF L Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-202-58 Property owner(s) Tanya Marie Reed Mailing address 4210 Passage Way, Anchorage, AK 99516 Site address Same Day phone 317-7451 Legal description (Sub'd., Block & Lot) Talus West Sub #2, Block 6 Lot 1 Legal description (Township, Range & Section) Lot Size 40,894 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade ❑X Duplex ElHolding (D) Tank F-1Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with appl icable Municciir)all Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: $225 Date of Payment: 3-3-2_( Receipt Number: 0S'2_1 f' Permit No. OSP211054 Permit App_ -:• ,_..:c Waiver Fees: Date of Payment: Receipt Number: Waiver No. February 26, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 2/26/21 Subject: Talus West Sub #2, Block 6 Lot 1 – Passage Way Septic tank replacement Dear On-Site Services Engineer: The owner of the above lot has an existing 4-bedroom S.T.E.P. tank that is nearing the end of its 30-year life expectancy. Therefore, we are submitting this permit application for its replacement. Wells on this lot and adjacent lots are shown on the design. No septic system on this lot or adjacent lots will have any effect on the proposed S.T.E.P. tank location. The tank will be greater than 10’ away from the building’s foundation and 5’ away from the existing septic bed. The existing tank will be pumped and decommissioned per U.P.C. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211054, Rebecca Carroll, 03/03/21 1"=40'4-BDRM HOMENOTE: ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND TALUS WEST SUB #2, BLOCK 6 LOT 1 ELMORE ROADFEET 0 40 80 2/26/21 20' ELECTRICAL EASEMENT10' GAS EASEMENTP A S S A G E W AY WILDERNESS DRIVEEXISTING WELLS 100' WELL RADII DECOMMISSION EXISTING S.T.E.P. TANK PER U.P.C. 2CO NEW 1500-GAL S.T.E.P. TANK w/ 20" MANWAY ON EACH SIDE. INSTALL DOUBLE CLEANOUT PRE-TANK. EXISTING ABANDONED ABSORPTION BED EXISTING ABSORPTION BED TO REMAIN IN SERVICE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211054, Rebecca Carroll, 03/03/21 _QUBLITTAI Municipality of Anchorage APR 27 2Q15 Community Development Department Page 1 of 3 Onsite Water & Wastewater Program 4700 Elmore St, a P.O. Box 196650 Anchorage, AK 99519-6650 a http:Uwww.muni.org/onsite • (907)343-7904 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSP151026 PID Number: 015-202-58 ❑ New ■Upgrade Name: BRAIN & TANYA HAYDEN ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ■ Bed ❑ Mound Address: 4210 PASSAGE WAY *ANCHORAGE, AK 99516 ❑ Other Phone: No. of Bedrooms: 907 317-7449 4LIMITED Soil Ratlng: 0.7 GPO/Sg. Ft. Total Depth from original grads TO REMOVAL OF CONTAMINATED SAND Ft. LEGAL DESCRIPTION Depth to pipe invert from original grads Gravel depth beneath pipe: SEE DWG. Ft 0.66 Ft. Subdivision: Block: Lot: TALUS WEST #2 6 1 FII added above original grade: SEE DWG. Ft. Grovel length: 46 & 41(APPROX.) Ft. owns ip: _Range: — ec ion: — Gravel Mrift Bede number of linea. Distance between linea: 10 & 41 e, 9 5(APPROX.)FL SEPARATION DISTANCES Total absorption area: 1018 SQ. Ft umber of trenches — Dist. between trenches: — Ft. TO Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Linea Well EXISTING 100'+ EXISTING — 25'+ TANK ❑ Septic ■ S.T. E.P. ❑Holdin ❑Other Surface Water EXISTING 100'+ EXISTING — Manufacturer: EXISTING Capacity: cal. Lot Line EXISTING 10'+ EXISTING _ N/A Material: Number of compoitrumts: Foundation EXISTING 10'+ EXISTING — LIFT STATION Curtain Drain NONE KNOWN Manufacturer: capacity: EXISTING Gal Remarks: BED WAS RE—BUILT 'Pump on level at:'pump off" level at: High water alarm at: Pump Make & Model: Electrical Inspections performed by: PIPE MATERIAL House to tank EXISTING Tank to EXISTING drainfield Installer WILCO CONTRACTORS Droinfield SCH4002665) CO MT D3034 CO/MT GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Dates: 1st 3/11/1 2nd 3/12/1 Location and Description: 3rd 3/12/15 4th — BOTTOM OF TRIM @ NW CORNER OF HOUSE Community Development Department Approval Conditional approval: Date: ENGINEER'ISooboo o� OF op *. .... ....... ....' * �� ................Al QO •.J f y A. Hess: J Approved: Date: P a CE -7 53 rap 4poaFr°fessiotOa� fe 61 v V d PERMIT NUMBER: A S —BUILT DRAWING P015L 1202- OSP 151026 58 A B MT1 45.63 18.05 1 MT2 66.05 54.81 \ �� / BTALUS LOCK 4E 0# 10 MT3 37.32 40.85 \ 100 / N SCALE: 1"=40' REBUILT BED PPROXIMATE 100' RADIO \ \ (\ / MT2 LOT LINES AND WELL APPROXIMATE LOCATION RADII WERE FLAGGED I I OF 1992 TEST HOLE BY SURVEYOR RETAINED ROGER J. SHAPER, P.E. BY WILCO CONTRACTORS �A EXISTING 1.25" MT1 / PRESSURIZED LINE MH \ \ ST STI / EXISTING 4 BEDROOM FCO OUSE EXISTING 1500 CO1 TANK ALLON S.T.E.P. / APPROXIMATE 100' WELL RADIUS \ \ ID v a TALUS WET #2; BLOCK 6, LOT Ir \\\ APPROXIMATE 100' WELL RADIUS I APPROXIMATE 100' RADIUS GARNESS ENGINEERING GROUP, Ltd 3]01 E 3UWR R , SURE 101 • NMMORWE, N( 9956 PHONE (W]) 33]-8178 • FAM* W]) 338— " • MEBSOE wrm.SamMNn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRIAN & TANYA HAYDEN 317-7449 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: TALUS WEST 2; BLOCK 6, LOT 1 PNB TYPE OF WORK: DATE: AS -BUILT DRAWING 3/18/15 fROFESS� Pi PERMIT NUMBER: AS—BUILTOSP151O26 FINAL GRADE = 100.10 TOP OF SAND = 96.89 BOTTOM OF BED = 94.29 BASED UPON EXPLORATION EXCAVATION AT ONE LOCATION - u DRAWING IS A BEST EFFORT REPRESENTATION OF LATERAL LINE INSTALLATION. TOTAL AREA OF ABSORPTION IS 1018 r 41' DRAWING 2" INSULADON -FILTER FABRIC PARCEL ID NUMBER: 015-202-58 REMOVED ALL CONTAMINATED SAND AND IMPORTED NEW MOA FILTER SAND. -----------1 TOP OF ORIGINAL _ SAND 0 HIGHEST POINT = 96.79 -INVERT OF DISTRIBUTION LINE = 97.55 (AVG.) THE DISTRIBUTION LINE IS 1.25 INCH PVC WITH 3/16 INCH HOLES (SEE BELOW FOR SPACING) ALL ORIFICE SPACING ARE 6 FEET ON CENTER UNLESS OTHERWISE NOTED. 29 TOTAL ORIFICES DRILLED 1 .5" 6 PVC HEADLR. CONNECTION WAS GARNESS ENGINEERING GROUP, Ltd g -- ^" CIVIL& ENVIRONMENTAL ENGINEERS 0 3701 E MDM R . SUDS 101. INOHO E, A 99507 • PHONE (907) 337-61)9 • FM (907) 536-3216 • NE M- wnr.gamaeserpineerlriq.com �..... .... .. .... .......... . J f y A. es ♦���/�.••• 22C —7 53 �•',:' PREPARED FOR: BRIAN & TANYA HAYDEN PHONE NUMBER: 317-7449 PAGE NUMBER:' 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: TALUS WEST 2; BLOCK 6, LOT 1 PNB ��,F�'••? .. P� 4'ROFESSI� ��R%%,L**�� TYPE OF WORK: DATE:, PROFILE AS -BUILT DRAWING 3/18/15 U r� On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151026 Tax Code Number: 01520258000 Work Type: Septic Upgrade Permit Effective Dates: February 18, 2015 to February 18, 2016 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: TALUS WEST#2 Site Legal Address: TALUS WEST #2 BILK 6 LT 1 G:2736 Owner/Address: HAYDEN TANYA MARIE & BRIAN KEITH 4210 PASSAGE WAY ANCHORAGE AK 995162217 Site Mailing Address: 4210 PASSAGEWAY, Anchorage This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank Lot Size in Sq Ft: 40894 Total Bedrooms: 4 N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: Date: �S SUBMIT -1TAL FEB U 12015 MUNICIPALITY OF ANCHORAGE aretc,on stoker Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-202-58 Property owner(s) BRIAN HAYDEN Day phone 907-317-7449 Mailing address 4210 PASSAGE WAY ANCHORAGE, AK 99516 Site address 4210 PASSAGE WAY ANCHORAGE, AK 99516 Legal description (Sub'd, Block & Lot) TALUS WEST #2• BLOCK 6, LOT 1 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (Mall that apply) Absorption Field ® Initial ❑ Single Family (SF) Upgrade ® (w/wo ADU) Septic Tank ❑ Renewal Duplex (D) El❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: — I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: _ 5 L q • Waiver Fees: Date of Payment: A/3116 Date of Payment: Receipt Number: a _� d 9. Receipt Receipt Number: Permit No. Q 5 p1 J,V� Waiver No. (Rev. 01/11) ...... GARNESS ENGINEERING GROUP, Ltd 1 _-- -- _- CIVIL& ENVIRONMENTAL ENGINEERS - O&L-OW"� January 29, 2015 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Talus West #2; Block 6, Lot 1 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The drainfield (serving 7 people) is surcharged and needs to be upgraded. We are proposing to utilize the existing 1500 gallon S.T.E.P. tank and re-build the existing drainfield. We are proposing to excavate out all contaminated material, import/place MOA approved sand, and re-build the drainfield to an elevation 0.1 feet higher than it currently is. Two inch insulation over the drainfield will be required. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 1992 soil log by Roger Shafer, P.E., which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: After the house was purchased in 2012 a shed and parking area was constructed over the drainfield. The shed will be moved and drainfield site will be blocked off so that cars will not be able to park over it. The drainfield will be constructed to the dimensions as shown on the 1993 inspection report by Robert A. Schaffer, P.E. The only change will be pipe sizing. The header will be 1.5" SCH-40 (ASTM D2665) PVC, and laterals shall be 1.25" PVC. All orifices shall be 3 1/16". 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography around the proposed drainfield is flat, and the slope below is roughly 15%. 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 S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com --v � �, � 1�� ��' �„ �-- All Q( i�i�eS I C Perrrift No. Sur `7x0°`!12 Page Z of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: %'f 1, &x6, 7Atyt WEn 1/D PID No.: 01SA02SE C'In�rlC�. 0• 660 j � 1 14S 46 , oF 7; M1 t i i _(T7P� iVMT' Ior It I*P)! SC RI E Oil AMWLOnS AS SODWO. _. I it I RL - I `a`: 9 MT g tu�E UDR T � r I m t N 17, E?kQ1NEEq'S SEAL I 1 � •, f�� y���QF s FuM Fb'aE -i ISc &1K M". ST.E.?. 6YS ?M13 A fAe . great MOA P5 .. 4e. biAA. Shcfa!' No._.I457-E * 1-1 Prb 900:5 LAA'e2,lk(. L5�t6T+F r) p (A.-PAasTea 1 op,7 f ;a <­i-kei/sfLLZjv. . I\ I --�--------I 1111 APPROXIMATE 100' I I I WELL RADIUS I III \ I I kl I \"--I CSEPTIC ARS I I I I I SHEPARD OF THE I III HILLS LOT 1 I I III I I I III I I I III I --------� I III I --------- I I III I I III I I I III I I I WOODHAVEN #2; I I I TR -D-1 B -A � I III I II I I III I II I I III I I III I I III I II I I I i II TALUS WEST #2; BLOCK 4, LOT 11 - TALUS WEST #2; / BLOCK 4, LOT 10 CSEPTIC AREAD WELL RADIUS / I\ I t I APPROXIMATE i0O' WELL RADIUS EU TALUS WEST #2; - BLOCK 6, LOT 2 II I [SEPTIC ARS I I II I II I II I nl 3 II I [SEPTIC ARS TALUS WEST #21- BLOCK 2;BLOCK 5, LOT 21 I I --_ I / I I // I I IJ ---, ' I I IIz TALUS WEST #1; Try BLOCK 5, LOT 20 I ----I III GARNESS ENGINEERING GROUP, Ltd -" CIVIL& ENVIRONMENTAL ENGINEERS 3)01 E. NOOR R . SURE 101 • 9 HORAGE, M 98507 • NWE (9 307-6179 • FM 907) 335-3246 WEBSITE: w9r;. amwmpnaerin8.wm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BRAIN HAYDEN (907)317-7449 1 OF 4 LEGAL DESCRIPTION: DRAWN BY: TALUS WEST 2; BLOCK 6, LOT 1 D.J.G. TYPE OF WORK: DATE: �,, SITE PLAN 1/27/2015 19 r • OF BEDROOMS: 4 PER DAY (GPD): 600 ,TION RATE/S: <1 MIN/INCH :D APPLICATION RATE: '0.7 GPD/FT° DRAINFIELD SO.FT.: 857 FT' SHAFER, P.E. 1992 T.H. LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND IMAM DEPTH EXCAVATION: LIMITED TO \ (OVAL OF CONTAMINATED SAND FH: 41-46 FT GTH: 7-31 FT .A.: APPROVED SAND FILTER: BUILD BOTTOM NEW BED TO AN ELEVATION 0.1' HIGHER \ N EXISTING DRAINFIELD CTIVE: 0.5 FT PROPOSED UCTION FACTOR: N/A REBUILT BED / UAL SQ.FT.: 973.5 NOTE: THE CONTRACTOR IOF 1992 TEST HOLE SHALL HAVE THE NORTH LOT ROGER J. SHAFER, P.E. LINE, AND ALL WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. W ry cEl L W EXISTING 1.25" — PRESSURIZED LINE I EXISTING 1500 GALLON S.T.E.P TANK / TALUS WEST J2; / BLOCK 4, LOT 10 / / Yp0 \N '! CALE: PPROXIMATE 100LL RAf)IU MT3 410 10.00 \ EXISTING 4 BEDROOM FCO OUSE APPROXIMATE 100' WELL RADIUS TALUS WEST #2; BLOCK 6, LOT 2 \ APPROXIMATE 100' 'HELL RADIUS I \ GARNESS ENGINEERING GROUP, Ltd " => - CIVIL & ENVIRONMENTAL ENGINEERS 3/Ot E TIWR RWD. SURE 101 • I HORI6E. M 99501 • PHONE (90» M7 -61M • 1. Mn iw_{)aa • W[nc ........ PREPARED FOR: PHONE NBER: PAGE NUMBER: BRIAN HAYDEN (907)3UM17-7449 2 OF 4 LEGAL DESCRIPTION: DRAWN BY: TALUS WEST #2; BLOCK 6, LOT i D.J.G. TYPE OF WORK: DATE: � SEPTIC SYSTEM DESIGN UPGRADE 2/11/2015 It U OF Permit No. &A.4cfanY13 Page Z of 3 - Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: PO�5 42, PO) f5.% oi2lFr 961 F APPi6,4 7v Laq4FQAf_ SFa-ec J(r . / APPROXIMA 100' WELL RADIUS � I � I ` I \ I \ I -SEP C ARtD I EPARD OF THE ILLS LOT 1 I I I I I I I I WOODHAVEN #2; TR—D—IB—A I I I GAR] 3701E 1U RI 'REPARED FOR: BRAIN H EGAL DESCRIPI TALUS N L4 ----- -- ----- — --- -- ------- ii I I I I TALUS W #2; BLOCK LOT 11— _ TALUS WEST #2; � BLOC 4, LOT 1 II / I / CSE IC AREA i T I APP TE 00' / 1' = 100' � I \ � / 1 I III \ PP E T00' 1 I \ I I I III — I \ I CSEPTIC ARS TE 100 j \ ELLOXIMI TALUS WEST #2; BLOCK 5, LOT 21 t i 00,ELL PROMATE W pIADIUSJIMA I IIi_ 'F — ----- � I 11 LJ/ 1----� u I \ I 18 III I T S WEST B OCK 6, T 2 TALUS WEST #1; 7 1 1 1 BLOCK 5, LOT 20 l i i EIPT ARS -- i I I I 1 II I I I 3 I E �i I ERING OUP, Ltd 9 4E VIRON ENTALENGINEE ,.;::.,., .... ........... .............. , I FHONE (90 337-8110 • FAX (807) 338-32 ... ........ ......... ., PHONE NUMBER: (907)317- GE NUMBER: 49 3 OF 4 ♦ J0 f GOffIC `�1.��%c_•..1dig s. 47 < i LL DRPjr. 15 Municipality of Anchorage Page of�_ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: Sw 9AOSIs PID Number: asaoa15S Name: F Wastewater System: ❑ New , upgrade g �� �- Address: O A WR ABSORPTION FIELD Phone:�� _ u No. o rooms: p Deep Trench Q Shallow Trench Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from ori net grade: SIS .� GPD/Sq Ft. Lot: Block: L Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe I V S ovs Ft. O's, Ft. Township: Range: Section: Fill added above original grade: Gravel length: C)- 6,&' Ft.E P Ft. WELL: New ❑Upgrade ' Gravelea/sll: 0 E�• 2 Number of Distance /bgtweenlines: FL V 6 Ft. Classification IP ' te, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: I1 IUAf E Ft. Ft. SO, Ft. S Driller. Date Drilled: Static Water level: Installer:_.. Date installed: Ft. , -LI Yield:Pump Set at; Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES O Septic ❑ Holding YS.T.E.P. To Septic Absorption Lift Holding Public/Private Man facturer: Capacity in gallons: ^ ' SQO From Tank Field Station Tank Sewea Sewer Linh. 6}N Well 6 104- IIs i — ( a�� Material: STER- Number of Compartments: CR Surfac Water 100 100 '4 _ LIFT STATION Lot_ ` _ Size in gallons: Manufacturer: SlEr Line 8014-! gOf 4 E X Foundation r� _... Pump on" level ��: "Pump off"3 el at: High water alarm at: *4 o' Curtain1�(f N Pump Make & Model lectrical In ections performed by: Drain 1= M> (7s lSob N Remarks: p FKjg7jrja- -P?ic Z_wz BENCH MARK NSD N f & /C Location and Description: — DoqL 7I.r c `1 t- NC6NA16G7FP. E— it -7 C T Assumed Elevation: Ft EC=G�1(�E€Q�S%EAL OF +` �a�,.. Inspections performed S ENGINEERING Dates: 1st 3 F 1 034 Eag • River Loop Road No. 204 2nd •• s •••• ....... ..».�... Eagle River, Alaska 99577 afx '' • Sh0. Department of Health Hum rvices approval �i'F,",•� r • .•••'.;,� Reviewed and approved by: Date:�,`Z s k�k:���g'�- 72-013 (1/91) MOA 25 Permit No.SV��oyt3 Page of 3- Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 o Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: La I j &x 4, 7hu,4& W? S�y � a PID No.: 01GA02SR FRcrn 1560 6K 3.. SonoMAmRiLp_ s:r.e.F. 46 ` t 13 Tr0 ) ro cri 1. v I i. P I = 10 �OF rtO SCRt.E O T MetQOPs AS s►bwN. I a11RWD IN K ) • L oi' 1 AT 911 15'1RtNJEV N �I`tx ENGR EER'S.SEAL o y'} CD3 Co3 w ' . ^Ch i- �Y M.H. ISoo &AL MkH.To BW � .. ...........».y.» � 4 c.n A Shcla- ST.E.?. Sys j %'. No:.1d57•F ,•' [.t 4or kF PQOFF.S51� •�"r 72-019 A (Rev. 9/91) MOA 25 Permit No. SWIAOU13 Page � of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LZ &-k 61 TAWS WES7 71) � a` PID No.: 01r&,1=.SR ri t� t U 8 Oa.etar INN ,1= ' CoSf 'IgoVt SBOPM I C. Weccc) S m& Tom. Off' 72.019 A (Rev. 9191) MOA 25 tIr.-1 �i —�■r. -:7� E#CI F('3 SAL_.` MOM '1"(E ,....• X' �� p m©m T'LaM; Top. cor-. t�oa r• ..= »t r 6 .... MMM r' ... •..tJ I. �nAee• � 1 ®mm <'D •........•• �E� , PA <'D -. ®mm� ®®®® ®MM 72.019 A (Rev. 9191) MOA 25 E#CI F('3 SAL_.` f '1"(E ,....• X' �� p T'LaM; Top. cor-. t�oa r• ..= »t r 6 .... S RAn G R�+a o f r' ... •..tJ I. �nAee• .. • :b•A A. Shefu..�...� W i J : No. 1457-E -".• a` i <'D •........•• �E� , PA <'D fit, PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920413 DATE ISSUED:12/09/92 DESIGN ENGINEER:S & S ENGINEERING EXPIRATION DATE:12/09/93 OWNER NAME:WALKER ELEANORE F & HARTMAN OWNER ADDRESS : 4210 PASSAGE WAY ANCHORAGE, ALASKA 99515 PARCEL ID:01520258 LEGAL DESCRIPTION: TALUS WEST #2 BLK 6 LT 1 LOT SIZE: 40894 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: pa_ az�.-ems DATE: 3- zf-93 DATE • a- ' 5 3 INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD Irvorcw I wry a lau i J ow-AVOa I IYr V AMM 1 1 V IV t`JV 7 J i oo-oc i � 7r / :. ` r ✓✓� '+C NAME - .. _ . ) /PERMIT NO. STREET ADDRESS �J� ` -� %PHONE ��' LOT / —eL BLOCK / l SUBDIV. / DATE FOOTING ❑ ELEC. TEMP. ❑ PLBG. UNDGR. ❑ FOUNDATION ❑ ELEC. SERVICE ❑ PLBG. ROUGH ❑ BOND BEAM ❑ ELEC. ROUGH ❑ GAS TEMP. ❑ FRAMING ❑ ELEC. FINAL ❑ GAS ❑ . INSULATION ❑ OTHER, / /� -❑_ MECHANICAL 13SHEETROCK ❑ r' r��f� MECH. FINAL ❑ STRUCT. FINAL _ ❑ FIRE FINAL ❑ PLBG. FINAL ❑ OTHER ❑ ZONING ❑ OTHER ❑ 0 NO NONCOMPLIANCE OBSERVED ❑ CORRECTIONS ESSENTIAL AS EXPLAINED BELOW COMMENTS INSPECTOR DATE WHEN CORRECTIONS ARE MADE. PLEASE CALL FOR INSPECTION DO NOT REMOVE THIS NOTICE 64-002 (Rw. 11/97) r N i rn ,MMir UPGRADE 1k rn n$C\ o �1 yyN 2 14 9 rn ' D �` 4r. ~• L r 0 C R \ ow 0 T WILDERNESS r 0 0 O n arc '� fi p ti rn v \ y � ro S ro O 0 m c m ¢E -- t Q a� / Joe rrl 50' ° 0 SCALE n 6RAGAW r N i rn ,MMir UPGRADE 1k rn n$C\ o �1 yyN 2 14 9 rn ' D �` 4r. ~• L r 0 C R \ ow 0 T WILDERNESS r 0 0 O n arc '� fi p ti rn v \ y � ro S ro O 0 m c m ¢E -- t Q a� / Joe rrl a T 1 e,- JOIN6, L.) rn-,a ;mss A-LL,y 1kS V ; i2 rjL '�72 i g _D �Q1 tf,32� q5 677.•x, .._. . . :� - � .i •. �js� ✓C =i�'GG ., 1p": �" .Q�f%�. �r.�l S�ry n •. 1 ,1, .lar r'r.�: �r' .., �:. ++"'.•�� i�!-,v "... �h I ... 1 .. - .•L.i .'t -. •... �." p - K' •. 1'• 'W wry.. 11 :SII r ti•.!i., it t, 1 1 .} ,.r'1A: v i. �».i A ' t ��� ',•r �7....'1a�.FJ_1-�.!AiI C�.J4:.1.. �.at .r...�....:laL.....i.- ' .i_«i.-:tai..:.'�'.....-.:...A.�....r✓7�.i.:�L.�.}�.ra.i.,.J.:.'L....Ilt'!1.,�. S:.d_...,...1:..1..r... ..�—.. _ • ._....__ ;_-_ y (-,i`y e.) f } ■� - ' ..i .-.....-..ren..... -.• � ��..•- r �1 CtiD G I�b'•�,4 E- - • 174-P, e (a�' d. C.. y (-,i`y e.) ■� PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) P MIT PERMIT NUMBER:SW920413 DESIGN ENGINEERS & S ENGINEERING OWNER NAME:WALKER ELEANORE F & HART14AN OWNER ADDRESS:4210 PASSAGE WAY ANCHORAGE, ALASKA 99515 PARCEL ID:01520258 LEGAL DESCRIPTION: TALUS WEST #2 BLK 6 LT 1 LOT SIZE: 40894 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WI H: DATE ISSVED:12/09/92 EXPIRATXON DATE:12/09/93 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN APG RAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OLASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINK WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISION SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: / Z / ! / � Z DATE: Q.t/I SL2-,- CL 9-3 ROBERT SHAFER. P.E ROGER SHAFER. P.E. November 25, 1992 CIVILENGINEERS (907)694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street SEWER 6 WATER Anchorage, AK 99519-6650 MAIN EXTENSIONS ^^ O� REFERENCE: Talus West Subdivision, Block 6, Lot 1 SEWER 6 WATER INSPECTION We request you issue a permit to upgrade the septic system serving the referenced property. ENGINEERING STUDIES During an inspection for a Health Authority Approval the ANDREPORTS septic system serving the referenced property appeared to be in a state of failure. A test hole was excavated and a percolation test performed. WELLINSPECTION The approximate location of the test hole is located on the &FLOW TEST attached site plan. SITE PLANS do not anticipate any adverse effects on neighboring )erties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. ROAD DESIGN Sincerely, SOIL TEST Roger J. Shafer, P.E. LSU/lsu PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 y _ rn c l" = 50' UPGRADE i a SCALE r 7J STR. BRAGAR t:W / ZZ N rn a 0 om n ~°p r,3m a y r rn r IR, r- ~ x O 0 to Irls D 0 o o c'ci y O roo � arc A DO ai m O WILDERNESS k s m � r M r o O r = N • S N �10. U=• i �a�/ 'i i T .• nj o �� / � �r9�•; m �ld + < rvl 'd .ew IJ � � / �°ego :.�•`' . . �� SCALE I, (� « § & � w \ � k �wI k §` \4 § 7 � E 1 ( • , « § & � w \ � k �wI on PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: (fiGUS FILL 1 -74// 2 a�•�1_ 3 • ` 4- 1 b-00 6W 5 6 0 o s IA„L 9 10 11 12 13 14 15 1s 17 1s 19 L!/Ly� DATE PERF i, Range, Section: SLOPE WAS GROUND WATER • • • L ■.■■■■■■■■ P ■■■■■■■■■■ E ■■■■..■.■■ 11 jz ■mmmmmmmm■ SITE PLAN IF YES, AT WHAT DEPTH? . Depth to Water After Monitoring? Date: 20 G ' n PERCOLATION RATE (minutes inch) PERC HOLE DIAMETER C TEST RUN BETWEEN FT AND FT L COMMENT %C� L00%.F UNyf–r9PA aV 4 n P _ ►tet r, . I M57rr? Oitj "n s FIs7Foo7 -� PERFORMED BY: "–" I __i—]� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:�- 72-008 (Rev. 4/15) MUNICIPALITY OF ANCHORAGE DE TTMENT OF HEALTH AND HUMAN SER. ES Environmental Health Division 825'•L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES S Address FROM TO TANK FIELD SEPTIC ABSORPTION WELL I,t/i Phonets) Per mit No. No. of Bedroom WELL 112 3 9� -X057 186o9jSG LEGAL DESCRIPTION LOT LINE p� 0 I p Lot Block Subdivision I TAO� FOUNDATION n Township, Range, Section & `7 92 AS -BUILT DIAGRAM (Show location of well. septic system, property lines, foundation, T IA N C c, driveway, water bodies, etc.) TANKS SEPTIC ❑ HOLDING , Manufacturer Capacity in gallons JFx7 .4- j Material No. of Compartments , 57A tFLO TYPE OF SYSTEM ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade onginal grace p 4_ _5 FT % FT • Fill added above original grade Gravel depth beneath pipe • a FT Ole� FT � 12 09 Gravel length Gravel width b1 FT A FT Total absorption area Distance between lines /•7 r2 Jr SOFT g , FT Number of lines Soil rating Pipe material ! • .. lr L��/ i 150 SQ FT,,l 36 FEs! D mstauer Date mstau c I: ccu B (o WELLS PRIVATE ❑ OTHER (Identifv) Classification tA.B,C) Total Depth Cased to FT f FT Instauei Date installed. REMARKS: Inspections Performed by: Date. ! j I certify that this Inspection was performed according to all Municipal and SIA guidelines In effect on this date: 1. 17 X 1 Health Department Approval: ,.. 21e / Date:�9��9_6_ 72-013 (3,'85) ENGINEER'S SEAL 01A,_ .'mac`: '� •�"' - ••••'9 t� `.grit r r..: 2225-, - r• t � 2225-E �( JUA11 2S, 1371 In, d 1" 1 I...f 114 1. c r. ("•r'a L- x -11- -Y- v F- 04 IV e .- rz c E- _ DEPARTMENT HEALTH AND ENVIRONMENTAL ROTECT I OPJ 825 L STREET. ANCHORAGEa AK 99501 'A 264-4720 PERMIT NO: 860265 - DATE ISSUED: 08/06/86 APPLICANT: LARRY DISBROW ADDRESS: 4210 PASSAGE WAY ANCHORAGEAY. AK 99516 CONTACT PHONE: Z45-3057 LEGAL DESCRIP: SUBDIVISION: TALUS WEST #2 SECTION: 28 TOWNSHIP: 12N LOT SIZE: ,47000 (SQ.FT. OR ACRES) MAX BEDROOMS: 5 LOT: 1 BLOCF;: 6 RANGE: 3W Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -F- Fr E VA c F-1 :0 I= - ID W.F _ n F=:: 0::!k a Fq DEPTH TO PIPE BOTTOM (FT.) :.0 4.0 4.0 GRAVEL DEPTH (FT.) 4.5 0.5 3.5 TOTAL DEPTH (F=T. > 7.5 4.5 7.5 GRAVEL WIDTH (FT.) 2.5 24.0 5.0 GRAVEL LENGTH (FT.)' 8.0 48.0 82.0 GRAVEL VOLUME (CU.YDS.) 39.4 42.7 60.8 TANK SIZE (GALS) 1.500.0 #* 1,500.0 # 1.500.0 SOIL RATING (S(-,1..FT./BR) 152 152 152 # DEPTH TO PIPE DOTTQM t -:...5 FT. REQUIRES INSULATION # DEPTH TO PIPE BOTTOM < 4.i-, FT. MAY REQUIRE A LIFT STATION * GRAVEL LENGTH ; 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) # TANI. MUST HAVE AT LEAST TWO COMPARTMENTS -.4-.. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerago system on this or any adjacent or nearby .lot. 4. I understand that this permit is valid for a maximum of 5 bedrooms and any enlargement will require an additional permit. 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-DUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORT: MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: - -------------------- -------- AP PL I CAN' LAE; I D I SBROW ISSUED BDATE: a gr,5 RP /E A95A /I 60' -ro -fki s Pl f{ I N5"(A 124'x5' TN . IN` lNer N6 Vf 111 loo' n I' Mo p9S� ISTa�� 4:,�7A1,` �� �i J� 451 ICA f)V7> U dwv� Y Aq 2pxs7x� N5W 500C,AI. K C,oti��TAT�o�tso '. vk OW >%X�1'IN� `rtiuKO•r(�-=T I�v�fit �i G IIJ''Oo O 6.41 Pjtji 22.�J /� . JUNE 25. HYPE sY5'(�M 150,E 1.5) ���'��•. •\•`G�!n-ow 2 1;ISIoNS_ 20'157X1' ( 1140 1125 REQD) 70r22o' (�x15oo 7)�500rf n) Lor 1 0i.bcK 6, fAL05 wE5`r�U�D�Yi�I<^1,J 49, S. >yIC SYsT�ra 2b� w 151-" .C� a ' bl ' 5g 28) T2N, P\:5W, 7 E90 J • f SOILS LOG • MUNICIPALITY OF ANCHORAGE p� \� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION / PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 c �= SOILS LOG — PERCOLATION TEST PERFORMED FOR: STI SRfI� DATE PERFORMED: LEGAL DESCRIPTION: �RG�� J" H] Nam b od 2 Oft G"vatY S,L-7_ C7M 3 r s +rlr 4 t„ ' • SILry SIND_ Sly 6 • ' w/ SnNc IxAlres 7 • r ' EEP b y /3Cr�/VUAR%91JY 8 S74AM &rW 9- 10- 11 1011 12131415161718 19 SLOPE WAS GROUND WATER S ENCOUNTERED? 'S OL S I I T' N) otA�i�fP P ? IF YES, AT WHAT E ?N E DEPTH? J^Nn Low-a4U� r.vo1jM...0T1'? Al // 11rf '71*Aha/_ Reading Date Gross Time Net Time Depth to Water Net Drop d 4 d M •� xn v /n M M �' �, // 4 M n4 4 it 20 IL_ JI PERCOLATION RATE $,/1nlC0 (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS" RlrL?LL PERFORMED BY: / So -z60 I"P Za 1%64k;4d CERTIFIED BY: DATE: 72.008 (6/79) L / / 01UNICIPALITY OF ANCHORAGE r" • $e�- and Environmental Proter- �n • Fourth Floor West 825 L Street Anchorage, Alaska 99501 279-2511, x 2241 225 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME '•�G ESS MAILING ADDR�QSPHONE IJ s� 7 � LOCATION Leib""- - LEGAL DESCRIPTION SEPTIC TANK: p� � NUMBER OF DISTNCEFROA WELL SOD MANUFACTURER�151�COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS. -I E)RAIH D: � TOTAL LENGTH DISTANCE FRO'I WELL �' III FOUNDATION 7a NEAREST LOT LINE C26 OF LINE # of Lines DISTANCE BETWEEN LINES —X-/4—TRENCH WIDTH�IN. TOTAL EFFECTIVE ABSORPT;0N AREA SQ. FT. LENGTH OF EACH LINE y� DEPTH OF FILTER qq DEPTH: TOP OF TILE TO FINISH GRADE _.S—MATERIAL BENEATH TILE) ABOVE TILE 6 IN. SEEPAGE PIT: DIAMETER OR WIDTH—.. LENGTH_. DEPTH r;L Log Crib Rings_ Crib Size:' DIAMETER^DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION _ . NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT. Well Class Depth: Well Distance To: Lot Line _ Bldg: Sewer Line: Pipe Materials:Aft # of Bedrooms: Installer:�It�t, xG� Remarks: 1_I— ,� L4 J-1 -1A_ _ __ f-ir i� lll�i�f+Il i I�r7� r 0 ADA WELL CONSTRUCTION LOG Drilling Co. ADA /Yr/4`-All USGS no. A Driller ' 6V el Type of rig 158 TA r )t ate well completed Well owner 4 )r %S Nearest community MP5/GNs7- SUS Well location: (address 6 legal description)_ l a7— /Ale ['Ir" e, Location sketch or remarks Ile, s GUe . T # Depth of well 7 2 ft. Casing: depth2 79 ft. diam. in. Static water level z y % ft. (above, below) land surface. Date 7 Finish of well: ( pen -end a screen, perforated, open -hole, other) Describe Intervals and size: Well yield tested by (pumping, bailing(air at gal/min. for 3 hours with ft. of drawdown from static level. DRILLER'S MATERIAL LOG Depth below land Give description of strata penetrated surface In feet (size of material, color, hardness of drilling, and water content) r to , N ! tO r tO �LtO 'Y L � � 5" t o 0 ` ' ,/ r r A V V r/04 V 4 0 '/Azf% eG),A v av / oto 1106 05 t, o eta .�qLeN _Lq1fa 166 _J 00to g2 x5 4✓ O✓d X40 � o� iu0 !� to o ,a✓ev� s N eV r c7, •/� % to to to to 1 = ry LJ t}J I r I L_ I T •-e 13 F` FI r -F 0 H 't H f -i E •r. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 99561 I .3 :3U Pat% J 9-31-11 U_W I jiI 279-2511 S., DD P nll- WELL nrAF? i=1N S~ I TE ELelEFZ F='EFRUl I PERMIT NO. C 77739 ) /� �TLu/S APPLICANT CHARLES HIGHT BX 158E -C SPA' s 9- : j'` LOCATION WILDE MESS - LEGAL LT. 1BK. 6 TALUS WEST LOT SIZE' 47000 SQUARE FEET TYPE OF SOIL ABSOP.BTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3;" SOIL RATING (SG! FT/BP.)= 200 THE REQUIRED SIZE OF THE SOIL'ABSORPTION SYSTEM IS: CsEF=•TH= 2;2 -42� r3F;;"n •EL E>EF•TH= ' r THE LENGTH DIMENSION IS`THE LENGTH',(IN FEET) OF.THE TRENCH OR DRAIN�IELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION•'(IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. j THE GRAVEL DEPTH IS THE MINIMUM DEPTH'OF GRAVEL BETWEEN THE OUTFALL PIPE j AND THE BOTTOM OF THE EXCAVATION CIN FEET,). F --z E iD LJ I F Z E G zf-- 9E..- P�� P/I�nr716` ------ F:='f=iGKfR13FEE F=' L_ nr-4 - --------- A PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE FOLLOWING CONDITIONS: 1. EITHER. A CLASS I OR II NSF APPROVED -PLANT MAY BE INSTALLED. 2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION. ------------------------------- <;2 > I F=' E r1 -F- 10 t-4:. H F_ E .. F-!'[-= r! ILL I F.-- E F> — — — BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION: MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER, REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAM'= ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=•EF= M I T E:XFJ I FRE�. GE!IEME:FEE F? _ :JLs 1:E;l 7� r I CERTIFY THAT 1: I AM FAMILIAR, WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I 41ILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO-jINCLUDE MORE THAN 3 BEDROOMS. SIGNED: ------ APPLI I tiSl_IF_ CHARLES HIGHT Municipality of Anchorage On -Site Water &Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-202-58 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: Expiration Date: TALUS WEST S/D #2; BLOCK 6 LOT 1 4210 PASSAGE WAY ANCHORAGE AK 99516 DAVID & TRACEY ARTHUR Day phone C/O AGENT 4210 PASSAGE WAY ANCHORAGE, AK, 99516 DONNA ORR W/ REMAX/DYNAMIC Day phone 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: 240-7493 TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: COSA to be released to the engineer, unless othemse requested by the engineer. COSA Fee $ Lk% Date of Payment Receipt Number p33�3G COSA# ©SC %312-'1`5 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 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, based on procedures outlined in the Certificate of On -Site Systems 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineei's Comments: In conducting this evaluation, GEG, UD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Gulderines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and 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 there are no hidden defects or encroachments. GEG, LTD. 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 orpany is not authorized, nor will it confer any legal fight whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Phone 337-6179 Date 0z'11t.7 ON-SITE WATER AND WASTEWATER Original Certificate Date: The Whicip l(o�A cho�Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon therepresen tions given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11/05) Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: TALUS WEST S/D #2; BLOCK 6, LOT 1 Parcel ID: 015-202-58 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 10/11/1977 Sanitary seal (YIN) YES Total depth 272 ft. Date of test Static water level Cased to 272 ft. FROM WELL LOG lillYAflLE'i/I Well Log (YIN) YLt) Wires properly protected (YIN)1 Casing height (above ground) 12+ in. AT INSPECTION 6/13/2013 232 ft, Well production 7.5 g,p,m, 4.05+ g.p.m, WATER SAMPLE RESULTS: Coliform Q0 colonies/100 ml. Nitrate mg./L. Collected by: GEG, Ltd. Arsenic: TYOug./L. Date of sample: 6/13/2013 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 3/3-4/1993 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 8/31/2012 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 3/3-4/1993 Soil rating .p.d./ rftlbdrm) 0_7 System type BED Length VARIES ft. Width VARIES ft. Gravel below pipe 0.5 ft. Total depth *3.2 ft. Eff. absorption area ***978 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 6/14/2013 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 2.75 in. Water added 760 gal. New depth ***7 in. Elapsed Time: 1 154 min. Final fluid depth 2_5 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date **PER 1993 ROBERT SCHAFER P.E. HAA DOCUMENTS. ***1" ABOVE INVERT. NOTE: BED WAS INSULATED PER INSPECTION REPORT. 24+" SOIL COVER ACHIEVED. D. LIFT STATION Date installed 3/3-4/1993 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at 43 in. "Pump off' level at 43 in. High water alarm level at 45 Datum BOTTOM OF BASKET Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO I, Septic tank/lift station on lot O° + On adjacent lots 100'+ Absorption field on lot 100 + On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/? Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Id i Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION i certify that i have determined through field inspections and *-'. 4 review of Municipal records that the above systems are in Q .... conformance with MOA COSA guidelines in effect on this ' date. 0 .e� 's Printed Engineer's Name JEFFREY A. GARNESS g 6�Zt�f3 a4��4�� Date (Rev. 11/05) C93 �7 3 M 8383C O O Rc1� 0 � 0. 35 I I l 4 II i 9S I i i syc� la i I I I I 8 \Y I I `rSO° O ( I eptic vent • Septic vent m o `1 72 �— I ( Septic vent • "�`��,:•.�a\�eN �+ 77 \ Q UJ 0 Np >:.'i :t:�•: O Ch ' I E onc. block I a L1J p I m I Septic tank Q. ° w Q N ret. wall `\\ X\ O y( c I Septic vent , a °� NCIP I wI W GO � I I m o 0 = I - I LOT 1 `"� 00 10 3 zI a Ao o I N I d�K •: 2 36 �n3 C(/ Wood fencco es fie\ po 35 moo' �2 N7 5 °26' 09 W 189.69 Lot 2 30 AS -BUILT NO CORNERS SET THIS DATE ��C. OF • A�q 1' I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 1, BLOCK 6. � t TALUS WEST SUBDIVISION ADDITION No 2 49h �00* / Anchorage Recording District, Alaska, and that the (r; ; /(.. , Y . improvements situated thereon are within the property lines c'. Elizabeth L Walotka o and do not overlap or encroach on the property lying s . Aw adjacent thereto, that no improvements on the property lying �. 8036 — LS adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other I • ' J� visible easements on said property except as indicated SCALE: 1 "= 40' >! \����` hereon. Dated at Anchorage, Alaska EASEMENTS OF RECORD, OTHER THAN this 15th day of JUNE 12013. THOSE SHOWN ON THE RECORDED FRED WALATKA & ASSOCIATES PLAT ARE NOT SHOWN HEREON. JKD BE (907-248-1666) Engineers and Surveyors AAROW PUM , & WER SERVICE, LLC P.O. Box 110496 Anchorage, AK 99511 Office: (907) 346-9355 • Fax (907) 345-0202 Eagle River: (907) 622-9335 I— CUSTOMER 2<Z7 L QC 02� J L JOB E MUM No. 9832 INVOICE T / WELL DEPTH SWL CHLORINATFA PumpP PSH SALESPERSON,/ QLAANTrry DESCRIPTION PRICE AMOUNT LABOR HOURS RATE AMOUNT TOTAL MATERIAL Z�'2s rz- /Z 5; 0 TOTAL LABOR WORK ORDERED BY DATE COMP. TOTAL LABOR PAY THIS AMOUNT Thank You Gni SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to allow Aarow Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. 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. # Q1 4-i - Q 0!a- �A 1. GENERAL INFORMATION Complete legal description Lot 1; Stock 6: Tatu6 beat 'Na Location (site address or directions) 4210 Pa66age. Property owner ha-i•bu•ton Relocation Day phone Mailing address Lending agency Mailing add Day phone Agent 'Donna Gunn / V.i.6.ta Rea.0 Estate. Day phone 562-6464 Address /ll "C" Stget- Suite 101 Anchalaoe.&k "l Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 4 XXXX NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOAN21 5. STATEMENT OF INSPtk:TION 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 furtherverify 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. S & S ENGINEERING _ Name of Firm 170E Address Eagle Engineer's signature ,.22 6. DHHS SIGNATURE Approved for Disapproved. Conditional approval for Additional Comments By: bedrooms. _ Phone Dater • ���•••• rEC. tai i �'\•R: " •r bedrooms, with the following stipulations: Date L 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. 72-025 (Rev, 1/91) Beck MOA 121 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lo7 , ar, 6 , Z4t" & kkms ';;Lel I.D. 615-O2_SCA A. WELL DATA Well type RX"i=?F_ If A, B, or C, attach ADEC letter. ADEC water system numbe//r�� Log present &N) \ YES Date completed 16-16-39' Driller.l7D- laZ/G(A/t)r, Total depth ��� f Cased to Aid- t Casing height /,2 Sanitary seal (9/N) W:s Wires properly protected (9/N) ktE� Date of test . Static water level Well flow Pump level FROM WELL LOG 10--16-7�,� e9 Y: 7rS g.p.m. (d K SEPARATION DISTANCES FROM WELL TO: AT INSPECTION l/ In�u1,rlt'�a!JTYnF.4D! PORAGE F5MM u\T/J L'cR', I�cS AVISION ��A30 '10 19 1993 g.p.m. a�9'4 RECEIVED f r Septic/holding tank on lot II S f' ; On adjacent lots 1ao 4- �- Absorption field on lot �0� r{ ; On adjacent lots !00 ' f Public sewer main tj,f Public sewer manhole/cleanout Sewer service line 0 S Petroleum tank AJ61Vra kfv6tJN WATER SAMPLE RESULTS: Coliform D Nitrate r U/"F� < Other bacteria d �� Date of sample: 3-�-�3 / Collected by: S*S EA)&fMFeP_"G B. SEPTIC/HOLDING TANK DATA s�P Date installed Z H-9 3 Tank size 1S136 GFl(- Compartments Cleanoutsl&N) 49- f M. I4• Foundation cleanout &/NI YES Depression (Y/O High water alarm 65�4) yds Alarm tested (Y/!� Date of pumping AJ/� NEW 7�Nk Pumper SEPARATION DISTANCES FROM SEPTIC/H6G TANK TO: 'fLJ r Well (s)onlot j) 5 4 -On adjacent lots /DO' 'f Foundation � To property line S0' f Absorption field Surface water/drainage I60 fi . 35' Water main/service tine 72•026(Rev.7191)Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Z_Lf-'q3 Manufacturer &8a60_r,_ K,�( Size in gallons iia GPrL Manhole/Access Y�1) �� Vent O)N) , V "Pump on" level at ¢30 "Pump off' level at 43 r N High water alarm level 4S Cycles tested 4 — Meets MOA electrical codes &IN) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot j I Ig t 4- On adjacent lots lbs Cc- Surface water leo (� D. ABSORPTION FIELD DATA Date installed C1 3 Soil ratin O•�i GPA/.Sr- "" g'uIiaED g System type A2a2f5�+a+'� ' Length Width tln4ES Gravel thickness Total depth S,5 Total absorption.area Cleanouts present (t(N) 3 M� 1.T. S Depression.over field (Y/(13) Date of adequacy test Results (pass/fail) N/A Eco SjL for bedrooms Peroxide treatment (Past 12 months) (Y/ID o If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 10,:�_ +4- On adjacent lots 160'4- Property line I! ' To building foundation �� / To existing or abandoned system on lot a� On adjacent lots 100++` Cutbank ✓J/14 Water main/service line a5+� Surface water /00 r f Driveway, parking/vehicle storage area Curtain drain NONE Kr,3OWr- �f6� E. ENGINEER'S CERTIFICATION N+ 39r I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. f 40 .j dW� •• �• Signature 5 & 5 ENGINEERING i •, y+ 17034 Eagle River Loop Road No. 204 Engineers Na �H•l.•.. H..^nN.a.MMi.. Date 3 L/C/3 9.•.•....... ::».i.a 4obart A. Shafv.• No. 1457-E a . t rt S �i •.:"/ .......... �� � • 0� HAA Fee $ /70 Waiver Fee: $ — Date of Payment J-/7-_93 Date of Payment Receipt Number 5 6p�8 Receipt Number 72-026(Rev. 3/ 91) Back MOA 21 17034 Eagle River Loop Road ROBERT A. SHAFER Eagle River, Alaska 99577 CIVIL ENGIN EER 694-2979 PROJECT: /ONNA �uwN /DATE OF TEST: 9 LOCATION OF WELL (Legal Description): ��GUS �NES7 S� �}1 oL WELL DEPTH: �� 2 FT. CASING: XL 2 [ FT. SCREEN: DATE DRILLING COMPLETED: lD-IO-DRILLER: - IgDA l/BICC //VG STATIC WATER LEVEL (Top of Casing): - SO r FT. DATE:- �l &q ba CLOCK TIME ELAPSED TIME SINCE -PUMPING STARTED/ STOPPED, MIN. DEPTH TO WATER, FT. DRAWDOWNf RECOVERY PUMPING RATE,OPM REMARKS 0 (SWI) 0 0 Start AnKEO-GI -tlf t S• U lDr N ON Fau. 10 15 o F1, 3 RJAAP (7-yamrT., 20 25 W c.TIZIUEQ 1710 30 - S, ,t/l MRr 35 40 45 50 55 p 60 (11 hour) 90 3 120 (2 hours) 150 180 (3 hours) A 21D :00 240 (4 hours) 39' —`) 5.3 2 t& -ow? RECOVERY It 0 0 5 10 15 20 25 30 35 Comments: ;� fit_ jzrj0UcE0 i4 Ol IN/NUTA R-8co Flow is not Guaranteed Subsequent Variations &p/Vl OUE2 A FOUR, Hdua Can Occur. (0 0. CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Chemlab Ref.1 :93.0926-1 REPORT of ANALYSIS Client Sample ID :L1 56 TALUS WEST S/D Matrix : WATER Client Name :S & S ENGINEERING Ordered By :J.W. Project Name Prod ectt PWSID :UA Sample ROUTINE SAMPLE COLLECTED BY: J.W. Remarks: QC Parameter Results Qual. Units Method --- ----------------------------------------------------------------------------- NITRATT-N 0.10 U mg/1 EPA 353.2/300.0 Collected :03/07/93 ! 15:00 hrs. Received :03/08/93 ! 17:00 hrs. WORE Order :63826 Report Completed :03/09/93 Technical Director TE HE C. IDE Released By : j 7 Allowable Extract Analysis Limits Date Date Init ------------------------------------------ 10 03/09/93 LLH ........................................................................................................ See Special Instructions Above UA - Unavailable -' See Sample Remarks Above NA - Not Analyzed 0 . Undetected, Reported value is the practical quantification limit. LT - Less Than D - Secondary dilution. 7�+�+ CT - Greater Than %i f,.'fS Member of the SGS Group (Soci6t6 GAndrale de Surveillance) ........... ("1 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 &I -s 2o, l Qt -r 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) 1,07-11 T.NKLe TAL✓S LYiE't i 2. �Skz 6?& %_12AI 43W Location (address or directions) yX10 7?ASSA ,I//14y (b) Applicant Name pias B 0yW MWelephone: Home ?I5-10 7 Business Applicant Address (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ; Buyer ❑ ; Other ❑ (explain); 7 (d) Lending Institution f"��r�� << �.�J[{ G� Telephone i Address (e) Real Estate Company and Agent t ^' ��� }� ��–Q ^t' •�^� Address Telephone (f) Mail the HAA to the following address: �vL`D 2. TYPE OF RESIDENCE Single -Family Multi -Fit ❑_ Other Number of Bedrooms —��•� 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAKEISPOSAL OnsitePublic❑ Community❑ HoldingTank❑ Note: lmunity well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/54) I11 t L_ 5. ENGINEERING FIRM PROVIDI. a INSPECTIONS, TESTS, FILE SEARCH, A 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 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 �� Tele/phhone ?� 3 ?11:0Address A0 3 I.& Z S Date N.: Seal 6. D �H 'EP��PQ�PROVAL App ove%d r 6rooms by e Approved . Disapproved Conditional Terms of Conditional A I pproval + j 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. i Page 2 of 2 72-025 (11/84) "C'�r!'•`q, '-,,,MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) �o� CHECKLIST - FEBRUARY 1984 l99 264-4720 �C/ iS Legal Description: A. WELL DATA Well Classification f I? If A. B. C, D.E.C. Approved (Y/N) /V//) Well Log Present (Y/N) — Date Completed _,,II Yield 042 Total Depth %? Cased to 1.a Depth of Grouting Static Water Level �/ r Pump Set At y8�nnl Casing Height Above Ground ,�Z Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ,L�� —_ ; On Adjoining Lots f� To Nearest Edge of Absorption Field on Lot On Adjoining Lots X40 To Nearest Public Sewer Line _LiA To Nearest Public Sewer y� Cleanout/ManholeMA To Nearest Sewer Service Line on Lot Water Sample Collected by – •S ; Dateu-4+ j Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 9` eu► Size «016SOO No. of Compartments 3 'f'/ Standpipes (Y/N) __ Air -tight Caps (Y/N)_ Foundation Cleanout (Y/N) Depression over Tank (Y/N) N Date Last Pumped 6 - 7--&,6 Pumping/Maintenance Contract on File (Y/N) • for WA& Holding Tank High -Water Alarm (Y/N) N ACA Temporary Holding Tank Permit (Y/N) &lam Separation Distances from Septic/Holding Tank: To Water -Supply Well ! I` To Building Foundation __dho 3 To Property Line 80 To Disposal Field 444p/ To Water Main/Service Line > To Stream, Pond, Lake, or Major Drainage Course NSE - Comments Page 1 of 2 72.026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata �✓�� Type of System Design $�D Date Installed 8�%�6 Length of Field 6� Width of Field Depth of Field 7 Gravel Bed Thickness 0. ¢r Square Feet of Absorption Area %S.Z s Standpipes Present (Y/N) Depression over Field (Y/N) / Date of Last Adequacy Test �i4 N �liAr Results of Last Adequacy Test N E tlleo'l- Separation Distance from Absorption Field: To Water -Supply Well > lix © To Property Line To Building Foundation 14D 7 To Existing or Abandoned System on Lot -'3 110 ; On Adjoining Lots > To Water Main/Service Line To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course Nnh1 4F=7 To Driveway, Parking Area, or Vehicle Storage Area > f4'41P Comments D. 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 (Y/N) _ "Pump Off" Level at •• Check Permitted Bedroom Rating Against HAA Request •• Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have decked, verified, or nformed to all A an HAA guidelines in effect on the date of this inspection. Signed r7 Date ffl ZD J 6 Company MOA No. Receipt No. O b l7 D Date of Payment 8 to Amount: $ l6!-, Page 2 of 2 72-M (I 1i84) .4w ' OFA, !!� ee* :9TH • • T� ��-r-o. 2225-E:NE 25. 1971 r Engineer's Seal 4® � Cha �Cr�G�3G3dGJaD� PoCv 203 W. 15th AVE "C" SUITE 203 ANCHORAGE. ALASKA 9501 CONSULTING ENGINEER TELEPHONE: 19071279.3916 SEPTIC SYSTEM A D E g 0 A C Y TEST LEGAL: LOT 1, BLOCK 6, TALUS WEqtu'o2 LOCATION: 4210 PASSAGE WAY OWNER: LARRY DISBROW RESIDENCE: SINGLE FAMILY, FIVE BEDROOMS WELL: PRIVATE, ON SITE SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: JET AERATION TANK, 1000 GAL ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 600 SQ.FT. SOIL RATING: 200 INSTALLATION DATE: SEPT. 1977 DATE OF PUMPING: JUNE 7, 1986, NORTHLAND PUMPING DATE OF TEST: JULY 14, 1986 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH 4 FEET OF COVER AND A LIQUID DEPTH OF 58 INCHES. CLEAN OUT TO TRENCH WAS 53 INCHES DEEP AND HAD 31 INCHES OF WATER. SUMP WAS 9 FEET DEEP WITH 87 INCHES OF LIQUID. 180 GALLONS OF WATER WAS ADDED TO THE CLEANOUT AT A CONSTANT RATE OF 5 GALLONS PER MINUTE WHILE THE WATER LEVELS IN TANK AND SUMP WERE MONITORED. THE LEVEL IN THE SUMP ROSE 35.5 INCHES. TEST RESULT: THE INSPECTION PRIOR TO TEST REVEALED THAT THE SYSTEM WAS SURCHARGED AND NOT ABLE TO ACCEPT THE DESIGN FLOW. ALSO THE SYSTEM IS DESIGNED FOR THREE BEDROOMS, WHILE THE RESIDENCE HAS FIVE. THE SYSTEM MUST BE UPGRADED. 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. iyNo..., 00 '•9 ,i * •49� �r N . 2225-E { 1 NE 25, 1911 •: y,�,� j`„ •.......• .. CONSULTING ENGINEER �IJ� V�W�7{l�IYV DDv PoC�o 203 W. 1 stn AVE "C" SUITE 203 ANCHORAGE, ALASKA 88501 TELEPHONE: (907) 279-3916 R E S I D E N T I A L W E L L I N S P E C T I O N LEGAL: LOCATION: OWNER: TYPE OF WELL:' WELL LOG AVAILABLE: LOT 1, BLOCK 6, TALUS WEST oZ 42i0 PASSAGE WAY LARRY DISBROW SINGLE FAMILY YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 7.5 GALLONS PER MINUTE PUMP YIELD: DATE OF INSPECTION: 5 GALLONS PER MINUTE JULY 14, 1986 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. STATIC WATER LEVEL WAS FOUND AT 260 FEET BELOW TOP OF CASING. AFTER 8 MINUTES OF PUMPING AT 5 GALLONS PER MINUTE THE LEVEL WAS AT 268 FEET AND REMAINED AT THAT LEVEL FOR THE REST OF THE TEST. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON "Cl tell ufo 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 water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. ��.tt1.1 t- i P�k•�F•ht !t * • 49TH p^ r �. o. 2225-E h;`� •• UNE 25, 1971 •,oma'' t�ti�lz�i r-" MUNICIPALITY OF ANCHORAGP.,1 ��• 'DEPARTME OF HEALTH AND ENVIRONMEN _ PROTECTION • /f 825 "L Street, Anchorava. Alaska 99501 % 264-4720 Date Received: February 27, 1978 #1: Time 1:30 p.m. #2: Time #3: Time Date 2-28-78 Tuesday Date Date Insp Pratt Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Mailing Address: Phone: 2. Property Owner: Charles E. Hight, Sr. Phone: 349-5669 Mailing Address: Star Route A Box 1687W 99507 3. Legal Description: Lot 1 Block 6 Talus West Subdivision 4�Q- 4: Single Family Residence: (x)q Multiple Family Residence: ( ) Number of Bedrooms: Number of Bedrooms: Five 5. Well System: Individual Well (x) Community/Public System ( ) Permit # 77739 Depth of Well 225' Well Log on File ( ) no Construction Bacterial Analysis 6. Sewage Disposal System: On-site System Public Utility ( ) Permit # 77739 Installed 1977 Installer Septic Tank Size Xa1" Manufacturer Absorption Area C� 00 Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Cq Page Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 1 Block 6 Talus West Subdivision Comments : Affadavit Attached: ( ) Letter Attached: ( ) Approved: Disappro� Department Worksheet: f MUNICIPALITY OF ANCHORAGE ? O� • �)Department of Health and Environmental Protection' C-- 825 L Street, Anchorage, Alaska 99501 264-4720 --.„ bequest for Approval of Individual Sewer and Water Facilities*, p i 1. Property Owner: L Mailing Address: �� �fi i� Phone: 34 L5 611 '*' 2. 3. 4. 5. Name of Buyer: _ Mailing Address: Lending Institution: Mailing Address: Realtor/Agent: _ Mailing Address: Legal Description: Street Location: Phone: Phone: Phone: 402 6. Single Family Residence:) Number of Bedrooms:_ Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply:_ *Individual Well ( ) Public/Community System ( ) If Individual Well, well depth_ If Community System, name of system S. Sewage Disposal System: *tn-site System Public S If On-site System, date of installation: tem ( ) *NOTE: A well log is required on ALL wells drilled since 6/75. **If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77