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Home My WebLink AboutMOUNTAIN PARK ESTATES BLK 13 LT 8Mountain Pa k states lock I Lot 8 017-391 -56 · .MuniciPality of Anchorage Page. 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' ~bJ'~O~°~t PID Number: ol'7.5'~ I Name: ~w,. '~U~'~t.~t..tD WastewaterSystem:O New ~Upgrade Address: I~O[ A~,~ ~. A~CH.A~. ~IG ABSORPTIONFIELD Phone: ~_ ~~ IN°'°faedr°°ms:~ ~eepTrench D Shallow Trench D Bed D Mound D Other LEGAL DESCRIPTION ' Soil Rating: ~. = GPD/Sq. Ft. Total Depth from~ I original, grade: Lot: Block: Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: J Range: J Secti°n: Fill added above original grade: Gravel length: ~O t Gravel width: Number of lines: J Distance be~n lines: WELL:~x,~.uO New D Upgrade / 2.E' ~t. I Classification (Private. A.B.C): Total Depth: ~ ~d To: Total absorption area: Pipe material: Driller: ~/ ~ate Drilled: Static Water Level: Installer: Date installed: '~GPM J Pump Set at: Ft. J~sing Height Above Ground:Ft. TANK SEPARATION DISTANCES:. ~Septic ~ Holding D S.T.E.P. To Septic Abso~tion Li~ Holding =ubli~Private' Manufacturer: Capaci~ in gallons: From Tank Field Station Tank Sewer Lines ~ Ho~ ~ Material: Number of Compa~ments: SudaCewater I~+~o~'+ ~ ~ - LIFT STATION , - - - I. Line ~ ~ [~ / Sizeln gallons: Manufacturer: Cu~ain -- ~ .~~ ~ Pump~ctrical Inspections pedormed by: Drain Remarks: ,.,- BENCH MARK Location and Description: I Assumed Elevation: Department of Health a~ Huma~~ices approval '~-,. ~'-~.,. ,. . ... Reviewed and approved by: Date:. 72-013 (Rev. 9/91) MOA 25 Pe['mit No. SW950209 Page 2. of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · T.elephone: 343-4744 On-Site Wastewater Disposal ~System and/or Well Inspection Report LOT 8, BLOCK 15, MOUNTAIN PAEK EST. 01759156 Legal Description: PID No.: cc i Co~ FINAL GPJLD] ~--100.4' B EW ' ~ A B 5T1 60' 6Z 5,T2 66' (:01 69' Yl ~ ~ . ~i[XISTING SEPTIC TANK (:02 70' ~EXISTING SY~;TEM (;05 124' 122 NEW TREF CH 72-013 A (Rev. 9/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PERMIT NUMBER:SW950209 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SUTHERLAND JAMES E OWNER ADDRESS:13115 ALPINE DR ANCHORAGE, ALASKA 99516 PARCEL ID:01739156 PAGE 1 OF 1 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT DATE ISSUED: 'q'/10/95 EXPIRATION DATE:'9'/10/96 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES BLK 13 LT LOT SIZE: 23490 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 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 PROVISI/~] ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE, July 28, 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 E~'~VER & WATER MAZN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SZTE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& IV~CHANrCAL INSPECTIONS ON SITE WASTEWATER DIS POS.AL SYST EM D~SIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 8; Block 13; Mountain Park Estates Request you issue a permit to upgrade the septic system serving the three bedroom house on the referenced property. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered and after seven day ground water monitoring, the monitoring tube was found to be dry. Attached is the proposed upgrade design We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE204 · EAGLE RIVER, ALASKA 99577 SITE PLAN UPGRADE 10' UTILITY I-IEASEI~IENT X Z n- Municipality ol Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~'! LEGAL DESCRIPTION: I~1 ~, DATE PERFORIV Township, Range. Section: 1 2 3 4 5 6 7 8 9 10 1! 12 13- 14- 15- 16 17 18 19 2O COMMENTS SLOPE WAS GROUND WATER ~V O ENCOUNTERED.'? S L IF YES. AT WHAT ~ O DEPTH? p E MoAitoring7 Date: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop 'H%/'~- ~-:'~ ~ '" ~7 ~ :Z- , ~,,~ ~" I" ~:v~ Y~ I '/~ ~'~ ~.~" I.~" PERCOLATION RATE I (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN H ~/~' I ~ ' FT AND FT PERFORMED BY; S & S ENGINEERING i .~,~- CERTIFY THAT THIS TES,T WAS PERFORMED 17034 Eagle River Loe~Road N~ ~ ACCORDANCEWITI~,~~L~i~IN EFFECT ON THIS DATE. DAT~' 72~8 (Rev. IN ROBERTC. COWAN, RE. ROBERTA. SHAFER, P.E. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SEWER & WATER I~aN EXTENSIONS SEWER&WATER INSPECTION ENC~NEERING STUDIES AND REPORTS INSPECTION & FLOWTEST SITE Pt. ANS I:~OAD D~SIGN $OILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ~ SITE WA~TEWATER DISPOSAL SYSTEM DF. SIGN REFERENCE: Lot 8, Block 13, Mountain Park Estates July 28, 1995 GENERAL: 1. The scope of this project includes the installation of a 1000 gallon septic tank and leachfield trench to serve the three bedroom residence located on the referenced property. The existing septic tank is to be excavated, pumped, crushed, and abandoned in place. The existing leachfield trench is to abandoned such that it may be used in the future. Construction shall be in accordance with the approved site plan and design drawings, Municipal pe~t with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INST~T.?.ATION: me A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP * SUITE 204 · EAGLE RIVER. ALASKA 99577 Page Two Lot 8, Block 13, Mountain Park Estates July 28, 1995 e Se e Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION T~ENCH/DRAINFIELD INST~?~,%TION: me Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. ® Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. e A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. ® Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 8, Block 13, Mountain Park Estates July 28, 1995 Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: me Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal)· Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Se Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 8, Block 13, Mountain Park Estates July 28, 1995 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. me The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perfozm the work outlined in these specifications and plans and in accordance with the attached M.O.A. pe£mit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 8, Block 13, Mountain Park Estates July 28, 1995 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER GRE,~ :R ANCHORAGE AREA B0k ,,GH Q Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MA,L,NG AOORESS ,Z:~'X."/ 7'/£,Z~ ,~..~? P,ONE .-,~/,~'-~'?,-~ LEGAL OESCR,PT,ON '<'/ ,~.Z~'/.? ////~.~Z Z~.~/~ SEPTIC TANK: DISTANCE /~ FROM WELL /~ INSIDE LENGTH '"- MANUFACTURER ,,.f.'~,~ ,-~'"~ g'~' MATERIAL NUMBER Of COMPARTMENTS INSIDE WIDTH LIQUID DEPTH '"-- IIQUID CAPACITY /'~') GALLONS. SEEPAGE PIT: NUMBER OF PITS // DIAMETER OR W.DTH /7.. LENGTH ~ °EPT. DIAMETERLDEPTH ~ DISTANCE FROM: WELL '~/,~'~-'~ ~ TOTAL EFFECTIVE D.,~/ . BUILDING FOUNDATION ~ If NEAREST LOT LINE__ ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION WELL: TYPE ~'~U.X~ 2'~ CONSTRUCTION BUILDING NEAREST ,~,,~,,~4~,.~ NEAREST FOUNDATION,~,~'?~, LOT LINE ~. 5" / . SEWER LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH /-'~"~'/! DISTANCE FROM: SEPTIC .p SEEPAGE DISTANCES: ,NSTALLEO B v: ,/',~,/~,~v/-~ PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM GrEaTEr ANCHOragE ArEa Borough DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C'* STREET ANCHORAGE. ALASKA 99503 TELEPHONE 274-456! PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT "AMEOFAPPL'CANT * INSTALLATION LOCATION Z~,~'/~-' ~/'~' INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PIT ~ DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED %'~ ~~ >~, ~'/X., ! ~OIL TEST RESULTS /// /~>~ ~/~/~ ~ O~' THIS PERMIT IS NOT VALID WITHOUT BOIL FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION, SEPTIC TA.K SIZE / ~,~ [~e TYPE ~7"~'~"~C~%~ AREA SIZE TYPE MINIMUM DISTANCES. REQUIREMENTS DIAGRAM OF BYBTEM FOUNDATION TO SEPTIC TANK ~ CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PiT WALL SEPTIC TANK SEEPAGE PITi . DRAIN FIELD TO NEAREST LOT LINE. , SEEPAGE PiT DRAIN FIELD, /~ ~ ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /~/ SEEPAGE PIT / ~ DRAIN FIELD //j ~/ / SEEPAGE PIT TO RIVER, LAKE. STREAM. ~CAVATION 5 FEET INTO U~DISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FI~ED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO ~OROUGH REGU~TION5 REGARDING INSTALLATION. I CERTIFY THAT ! AM FAMILIAR WITH THE REQUIREMENTS OF GRE~ATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE ~-~ 2: //// APPLICANT'' SIGNATURE . FORM NO, ~,'r ~' 4-22-74 D04227~ T.tI. 1 4-18-74 ORGANICS GRAVELLY SAND, Trace Silt (SP) SILTY SAND w/Some Gravel (SM) SAND, Some Silt, Trace Gravel (SP) SILTY SANDS, Trace Gravel w/layers of Fine Grain Sand (SM) NO WATER TABLE · 0.0' 0.5' 2.0' NOTE: Test hole extended with auger type drilling. Engineering E~ Geological Consultants Inc. ANCHORAGE rAIRS~RX$ ALASKA JUNEAU 20.0' ~ ~'. . IscAuz 1" ~ 5' Iow~ aY JRS DON DAHL PROPERTY LOG OF TEST BORING Anchorage Alaska . WED JP,c~. ,o. /,62n1.~ Jov~ ,o. A-O1 . 'R&M ENG" ',lEERING & GEOLOGIC :L CONSULTANTS 229 EAST 51st. AVE. -- P.O. BOX 6087 - ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 Civil Engineers Geologlst$ Land Surveyor= JAMES W. ROONEY, P. E. MALCOLM A. MENZIES, P.E., L~. JAMES H. WELLMAN, P.E. April 24, 1974 Mr. Don Dahl Box 78, Star Rt. A Anchorage, Alaska RECEIVED : APR 20 i974 /l~'l R & M No. ,~62OlS RALPH R. MIGUACCIO Engineering Geologist. Re: Test Hole and Soil Log Report for Sanitary System Lot 8, Block 13 Mountain Park Estates Dear Mr. Dahl:. We are submit~ing h&rewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of. April 18, 1974 and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down~ithin the Lot 8 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 20.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS rb xc: GAAB ANCHORAGE FAIRBANKS JUNEAU ~'ebruary 24~ Beth Franc~s SelectAve Realty 1515 Fast Tudo~ Road XnrJ~o~age, AXanka ~$03 Lot 8, Block 13, Hr. P~rk Estates IX Deaf HZ'B. F~ano~8: Xt As economically un£eas~ble £oz t.~e s~bJec~. ~o be ccmneot~d ~o public sever or-water. Tho sewo~ and water system now aexving '.hAs lot is approved by ~his Department. :you have any £urther questions, please £eel £ree s~noe~ely', C. S. ldc~echnXe, l~.S., SenitazAan csa/]co cc, Veteran' s Adminis~ration Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D: GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) _. ~._~_~ .~.,,~ COSA #. ~~---~ t ) / ~',~ Expiration Date: ~ ,/_~0/11 Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Un/ess othem, ise requested, COSA will b¢ held by DSD for pickup. NUMBER OF BEDROOMS: ,~ TYPE OF WATER SUPPLY: Individual Well [-~ Individual Water Storage [] Community Class ~ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer [] [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAS upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 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 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 Address ')-.03 ~, Engineer's Printed Name DSD SIGNATURE '/' Approved for Disapproved. Phone bedrooms. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11105) X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK. 99519-6650 www.muni.org/onsite (907) 343'7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: (~t~l[;)qnJ(~r~ [~P~lZ~,, ~}fA~$ ' I~IK 15 LOT ~ Parcel ID: Ol'~-3ql-~(~ A. WELL DATA Well type Pl~t. Date completed un kv~o~r~ Total depth Y?-~0 ft. Cased to . FROM WELL LOG Date of test UI3t(t30~ Static water level -" ft. Well prodUction --" g.p.m. If A, B, or C provide PWSID # "- Well Log (Y/N) Sanitary seal (Y/N) "/~=5 Wires properly protected (Y/N) '7/'/0 ft. Casing height (above ground) -hi?, in. AT INSPECTION "~/ ~17.c, ,, ~o":t ft. I0 ~ g.p.m. WATER SAMPLE RESULTS: '?Coliform /~.~' colonies/10OmL' Nitrate ~'.O~ mg/L Arsenic: /~/0 ug/L date of sample: J/~/8o¢~ B, SEPTIC/HOLDiNG TANK DATA Tank Type/Material A~14J~OC.~.. 'r~.~/ Tank size [0OO gat, Number of Compartments FoundatiOn deanout (Y/N) ~ ~" Date of pumping 3/10/¢.OII C. ABSORPTION, FIELD DATA Date installed ~/iG/I=IclS Soil rating (g.p.d./ff= or ~/bdrm)~ Length Total depth Collected by: Depression over tank (Y/N) Pumper A+ LAa~ Date installed ~/1~/1~?$ Cleanouts (Y/N) '7' High water alarm (Y/N) Eft. absorption area ~ ft2 Monitoring tube Date of adequacy test ~//o/Zo// Results (Pass/Fail) Fluid depth in absorption field before test /'/G in. Water added/2Z:~gal. Elapsed Time: /~c,.~ min. Final fluid depth ~ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type)/~1~ ~/~llO~di~ If yes, give date Depression over field ~ For 'z~ bedrooms New depth c/Z in. ~f-~ g.p.d. J,Z system type ~-.~P ft. Gravel below pipe ~ ft. D. UFT ST^TIO. Date installed J Size in gallons JManhole/Access (Y/N) ~ "Pump on" level at~/in. "Pump off" level at ~. High water alarm level at .~'''~ in. Datum / Cycles tested/~' Meets alarm & cimui~quirements?~ E. SEP^R~TION DIST^NCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ~001't' Absorption field on lot ~00~'¥' Public sewer main Sewer/septic service line Animal containment areas On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank /V//~ Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation S ~ ' Property line 5~ Water main /V'/~t, Water service line JO I+ WellS on adjacent lots fO0 I+ Absorption field Surface water SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Water Service line Curtain drain .~)~ .F. COMMENTS Building foundation Surface water / O0 Wells on adjacent lots Water main Driveway, parking/vehicle storage G. ENGINEER'S CERTIFICATION --' .%?... ......:-w.e, ~ I certify that I have determined through field inspectionS' and review of Municipal records that the above systems are in Engineer's P, rinted Name Date ~]J~O I, I COSA Fee $ ~ 0 -- Waiver Fee $ Date of Payment 5 ) ~ ~[ t ) Date of Payment Re~ipt Number O'~~ Receipt Number (Rev. 4/10) Municipality of Anchorage Community Development Department Development Services Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On-Site Systems Approval # OSC 111083 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 13, Lot 8 of Mountain Park Estates subdivision. This inspection revealed a nitrate concentration of 5.07 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On- Site Systems Approval. 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.muni.org/onsite (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Mountain Park Estates, Block 13, Lot 8 Parcel ID: 017-391-56 A. WELL DATA Well type Pd Date completed, unk Total depth >254 ft. Date of test IfA, B, or C provide PWSID # - Sanitary seal (Y/N) y Cased to"a~ ft. FROM WELL LOG Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 19 AT INSPECTION 4-20.:o4 in. Static water level - Well production - WATER SAMPLE RESULTS: ft. g.p.m. 254 ft. 3.4* g.p.m. Coliform 0 colonies/100 mi. Arsenic: - mg./1. B. SEPTIC/HOLDING TANK DATA Nitrate 3.05 mg./i. Date of sample: Other bacteria 0 colonies/100 mi. Collected by:. Cindy Ellis Tank Type/Material steel Tank size 1000 gal. Foundation cleanout (Y/N).Y* Number of Compartments 2 . Depression over tank (Y/N) ~ Date installed 8/16/95 Cleanouts (Y/N) Y High water alarm (Y/N) NA Date of pumping 4-22-04 Pumper Northland C. ABSORPTION FIELD DATA Date installed '8-16-95 Soil rating (g.p.d./ft2 or ft2/bdrm). 1~2 Length 50 ft. Width 2.5 ft. Total depth 12.2 ft. Eft. absorption area 800 ft~ Monitoring tube ,Y Date of adequacy test 4-21-04 Results (Pass/Fail) PASS Fluid depth in absorption field before test 30.5 in. Water added 513' gal. Elapsed Time: 120 mln. Final fluid depth 45.5 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) none known System type deep trench Gravel below pipe 8 ft. Depression over field n For 3 bedrooms New depth 48.78 in. Absorption rate >= 450 If yes, give date - g.p.d. · D. LiFT STATION 'Pump on" level at ~ Datum in, Size in gallons "Pump o-~J~fl-~-----~ Cycles tested Manhole~,ccess (Y/N) High water alarm level at in. Meets alarm & circ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 101.2. Absorption field on lot 113 .... Public sewer main 100+ Sewer/septic service line 40+ ......... On adjacent lots 100+ On adjacent lots lOO+ Public sewer manhole/cleanout 100+ -.Holding tank NA SEPARATION DISTANCES FROM SEPTICiHOLDING TANK ON LOT TO: Building foundation 53 Property line 25 Absorption field 11 Water main 100+ Water service line 80+ Surface water 100+ Wells on adjacent lots 100+ -~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 16 Building'fot~ndation 64 Water main 100+ Water Service line 9o+ Surfa'ce water' 100+ Driveway, parking/vehicle storage 100+ Curtain drain None k~own Wells on adjacent lots 100+ COMMENTS Presoak of 1017 gal on 4120/04. Double cleanout installed before tank ~or FCO. [~\ C' W. Ellis " %%...... G. ENGINEER'S CERTIFICATION I certify that i have determined through field insp~cti°ns and~ review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Cindy W, Ellis Date Date of Payment "t..)-~-/(.~ ///,~ ~ Receipt Number ~/'-/ '_~_~ ~ ~ (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number 04/20/2004 16:29 2728758 HILD01EN PAGE ~ i.l'..~' '~.;' .~_.,_: ....... , ... "'. :,... , · L--~.cr:~ : } . . , ; ':""~-r~.?" I"": '.': . ......... · . ~:. :~ ....... -.-7....i ...... ?.: ...... -.:.~.-...--: .... "7 ............ "~'.~x'[:":'. . i''; ' ;. .. ' ............ i"~ .... ~" ..... · , .~ · .-' · · "$~ILE !"=.~-0' : ' I · ~ ' ' "" .. ' · \ ~ ' o ' ' ..... i'.:' · i:~'\ \ ·.'--~.: ..' . ';'. " ·=.. :' I~/~ ' \~' ;-\ / - ~/ .... ~ ..~ .... .-,; /,~. ~ -:_\ / fl · ,.,~.. · ,~. , ~ I~- · · \~ '~"\'"-'"'~"; '-.. . ~/~.¢'t / '""' '-' . '" ~,,~i~'~, ~~ · ..:.. \, .... ............................ ~ '.~ .. ,,...... ' . , .,[. '~_ ~ ,· '~:'"'~.~". '.. . . .,I .... ... ..\ \... .s.... 't'.. · I '~ \ . - . .. :j;:.:.j.;;.:~ .'.' . PLAT. ARE NOr SHOWN HEREON. · A~'*Eu;It ~ No Cofhe~l S~! This Q~e 8ook ~. ,f~ ~. , 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 8: 8lock 1~: Locati'on '(site address or directions) Property owner Mailing address Lending agency ' M..a. iling address 13201 Alpin¢o Dr~v~ 13 115'A~Fin~ Driv~ Day phone Anchoraqe, AK 99516 Day phone 345-8583 Agent' Address Day phone 3. Unless otherwise requested, HA/& will be held for pickup. NUMBER OF BEDROOMS: $ TYPE OF WATER SUPPLY: Individual well Y, XX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site 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. ~2-02~ {R~v. 1/91) Front MOAI21 e STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my in~/estigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my inves.ti_,qation 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 & $ ENGINEERING Phone ~''~/ Name of Firm :;C~4 I~a.c, le K~ver Loop Road NO. 204 Eagle River, Alaska 9577 Address , Engineer's signature '//~ .. ~,""~-~' Date DHHS SIGNATURE ,~", Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501· (907) 343-4'/44 Health Authority Approval Checklist Legal Description: Lo-r ~,, ~h.oc~c I~ I'Ao,., urr~,~a "~ ~:$'r. Parccl I.D.: A. WELL DATA Well bge Log present (Y/~ Total depth ~.. '9 0 Sanitary. seal Date of test Static water level Well production WATER SAMPLE RESULTS: 01'7 5q IfA. B, or C, attach ADEC letter. ADEC water system number Date completed Cased to Casing height (above ground) Wires properly protected ~ FROM WELL LOG AT INSPECTION g.p.m. /..3 ;iL. Coliform ~ Nitrate /. q'ff ~.,,ff/~ Otber bacteria Dateofsamplc: ~/34~'~" $ b'hq/mf Collcctedby: m3 ~voa~y Bo Ce SEPTIC/HOLDING TANK DATA Date installed ~3-l/~'9q' Tank size /tJexPe~ Number of Compartmcnts ~- Clcanouts (~rN) F0undatio~ e~.out 6~0, Ve~ · Depression Cr~ /q,, ~igh water ~la~m (V~?. fro A~.SO~PTIO'~ nE~D DATA L D.4te installed ~-/b-eq~,.-.-, i...I~ Soil ratin r ft2/bdnn) I,~ System t31~e ~e-e'~' Length: '~': ' ''' ~ 'Width' ',9.~' Gravel thickness below pipe Total depth Effcctive'ab~rPtion fi~a 7.~0o Monitoring Tube preSentC~/N) ~/a,'S Depression over field (Y~P Date of adequacy test/,a//~-~a'ua 5Y~,ra'~esults (Pass/Fail) For ~- bedrooms Fluid depth in absorption field before test (in.); '--- Immediately after gal. water added (in.):. '--"- Fluid dcpth '"--' . Minutes later: -"'-- (in.) Absorption rate = · g.p.d. Pcro.,dde trcatmen, t (past 12 months).~l~p. ~ If yes. give date -- D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. · SEPARATION DISTANCES Size in gallons "Pump on" level at* ~* Septictliiiii]i~ tank on lot Absorption field on lot Public'scwer main Sewer/septic service line SEPARATION DISTANCES FROM WELL ON LOT TO: /o~ ' 117 t SEPARATION DISTANCES FROM SEPTIC/tl.Gi~Si:;:~ TANK ON LOT TO: t ! Foundation ~ ~ Property line ~q Absorption field Water main/service line /a ¢ Surface water/drainage /oo ~- ; On adjacent lots /°° ''/- ; On adjacent lots IoO '4- Public sewer manhole/cleanout I OO ' ~- Lift station ~,o lA "7 Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO; Building foundation '7 q t Surface water Ioo ' ~' Curtain drain ~o/,.,~- K~oc~,~-' Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots /oo "~ F. ENGLNEER'S CERTIFICATION I certify that I have determined thrufield inspections inc°nf°rmancewi~th~7~l ~i~esineffect°nthisdate' Signature '~ /'~ t ~ Engineer's Name ~{~A~ C. 'O0~SW HAA Fee $ Date or Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc md review of Municipa~ are Waiver Fee :L,. " Date of Payment ' Receipt Number · ' DATE RECEIVED .-'* " .; INSPECTION APPOINTMENTS TIME~' TIME TIME DATE DATE DATE INSPECTOR. INSPECTOR I NSP E,~,~R MUNICIPALITY OF ANCHORAGE DEPT. OF U.~ALTH DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI~NVjRONMENTAL FF, OTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 ..RECEi. Y. ED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be proeas~ed. Please allow ten (10) dav$ for processing. t. PROPERTYOWNER I PHONE MA~LING ADDRES~ PROPERTY RESIDENT (If different from above) ~.~g~,,,j~,,,~__ /~ PHONE MAILING ADDRESS -- ~. L.E~ItDINGINSTITUTION ~ ' ,~ ./q ./ j '~ PHONE · / ~ . · , PHONE MAILING ADDRESS 6. TYPE OF RESII~)ENCE [~'~SlNG LE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] - One [] Four . [~ T~ [] Five l_~-'~Three [] Six [] Other 7. WATER SUPP~J~Y ~ INDIVIDUAL* I"'1 COMMUNITY [] PUBLIC UTILITY · ATTACH WELL LOG. A well log is required for all wells drilled · since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) SEWAGE DISR3SAL SYSTEM [~INDIVIDUAL/ON-SITE*° [] PUBLIC UTI LITY t '~'~ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. . .. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOM~ [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY , [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED •PUBLIC UTILITY ~-- '-) ~ Connection Verified INSTALLER Size: )0~ IfTank is homemade $OILS RATING give dimensions: TYPE OF TANK MANUFACTURER ~.v~. ~ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/H°lding Tank I Abs°~t'w~)n Area Isewer Line INeare" Lot L'ne WELLTO: / ~ 4) Absorption Area to nearest Lot Line 5. COMMENTS _. PPROVED FOR _'7. BEDRO O, · [~ iOsNADpIpT;OoNv EADL APP R OVA L (let,,~ re, m ~t a~:o, / ~pany certificate) 72-010 (Rev. 6/79} , ,, I D., tRECEIVED .,, , INSPECTION APPOINTMENTS ,L~z TIME TIME TIME DATE DATE ; DATE MUNICIPALITY OF ANCHORAGE MUNIctPAUTY OF ANCHORAGE DEPAR~E~ OF H~LTH & ENVIRONME~AL PR~ECTION DE~. ~ H~ALTH E,W O M;,TAL SA,*TAT O, mW=O. AUG 1 8 1981 Tela~one 2~72D REOUE~ FOR ~PROVAL OF INDIVIDUAL WATER AND OlRE~ON~ Co~lme all Mrts o, ~ 1. I~pll. ~ will nm ~p~. ~eme ~l~ ten (10) d~l for i, PROPERTY ~NER MAILING AOD~E~ / ~ROPERTY RESIDENT (If ~iffer~t fr~ a~) / PHONE ~1UNG AODR~ ......... "~NO~T'~'~ '' ' ' I PHONE ~ILING ADDRESS { R~LTO~AOE~ ] PHONE 5. LEGAL DESCRIPTION 6. TYI~E OF RESIDENCE ~/ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER/~IPP~' V INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY ~. SEWAGE OISIN)SAL SYSTEM ~[r/ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY NUMBER OF BEDROOMS [] One [] Four [] Two [] Five Three [] Six [] Other NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE. StR~'%=~'TI~3-CAI~'-B~E- IN'~TIATEn 72-0~O (~ev. 8/Tgi * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE I-'l FIVE [] OTHER [] MULTIPLE FAMILY I--I TWO [] FOUR [] SlX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/H°icling Tan k IAbs°rPfi°n Area ISewer Line INearest L°t Line Absorption Area to neerest Lot Line 5, COMMENTS [] APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev. 6/79) ' r&unicipalitYo{ Anchorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE I',,I. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION June 13, 1980 Consuelo Cullor % Heritage Homes & Investments, Inc. 207 East Northern Lights Boulevard Anchorage, Alaska 99503 Subject: Lot 8 Block 13 Mountain Park Estates Subdivision Larry/Barbara Walker Property Approval for the individual sewer and water facilities can not be granted until the following items have been completed: (1) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. The septic tank pumped with a receipt submitted ~"to this department. (3) An adequacy test be performed on the existing leaching area. This test will determine if the system is -adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: National Bank of Alaska Mortgage Loan Department Pouch 7-025 99510 July 2, 1980 R&M No. 051001-43 Mr. Larry Walker SRABox 374-D Anchorage, Alaska 99507 Re: Adequacy Test on Existing Sanitary, Sewer System; Parks Estates Subdivision, Anchorage, Alaska Lot 8, Block 13, Mt. Dear Mr. Walker: Per your request of June 18, 1980, Mr. Dan Cooper of R&M Consultants, Inc. conducted a test of the sanitary sewer system at the above described prop- erty. The septic tank was pumped prior to the performance of the test on the seep- age pit. During the test the liquid level in the seepage pit was monitored as 290 gallons were removed and 700 gallons were pumped back into the seepage pit to the inlet level. All liquid levels were measured below the top of the standpipe and are shown in the following table: Initial Liquid Second Water Third 24-Hour Total Reading Removed Reading Added Reading Reading Drop (~allons) (~allons) 13.2' 290 15.95' 700 9.35 13.80' 4.45' The water level rose 79.2 inches with the addition of 700 gallons of water, indicating a average capacity of 8.8 gallons per inch. After twenty four hours the liquid level was measured again at 13.80 feet. It had dropped 4.45 feet or 53.4 inches. This indicates an average effluent acceptance rate of 470 gallons per day for the surrounding soils. If the 3 bedroom residence on the property is to house 6 people, typical user demand can be estimated to be 450 gallons per day based on data published by the Department of Health, Education and Welfare. We can therefore conclude that the system is presently disposing of effluent at rates greater than the average anticipated demand for a 3 bedroom residence. The test was performed on June 24, 1980 and indicated conditions at the time tested. Actual system performance over long periods of time depend on factors which cannot be evaluated by this test. These factors include: Actual extent of use demanded of the system Flucuations in groundwater levels Physical conditions of the septic tanks, seepage pits and soil July 2, 1980 Mr. Larry Walker Page -2- Since these items cannot be predicted by this test method, our office cannot warrant the suitability or fitness of the system to meet your individual needs. We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M CONSULTANTS, INC. Pro~ct Manager JMC/RFB/kad/AT-C Ronald F. Black Senior Engineer Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska ggS03 274-¢561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval'requested by: ~-~(~-) ' Mailing Address: /~t~/ ?~ ~ 2. Property Owner: /~-'~-~ Phone: Phone: Mailing Address: 3. Legal Description: :~ J~' 4. Location: ~]~ ~. 5. Type of facility to be inspected 6. Well Data: A. Type .~Y~- C. Construction Sewage Disposal System: A. Installed ~- ?~ C. Septic Tank: 1. D. Seepage Pit: 1. J~-~-~ ' No. of bedrooms <B. Depth .~ B. Installer Size /'/~?~'?' 2. Manufacturer Absorption Area ~-~ c~ 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank. /(~ "~m'.' Absorption area , Sewer Lines , Nearest lot line ' , Other contamination B. Foundation to septic tank _~ x , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages · Page 2' of two 'pages~ - Re~"~,3t for Approval of Individual ~'~er & Water Facilities C~ents Approval ~Valid for:one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the' information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED ....... Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGtt_.: Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES e Type of Inspection: CMRO VA .~, FHA CONV Property Owner: "~O~l~q[~ A. -- Mai.lin9 Address: ~2~-~- ~ ~>-l~ Name of Buyer: Day Phone Mailing Address': Name of Lending Institution: Mailing Address: /--~/~/ ... Day Phone Phone- Name of Realtor or.Agent: Location: .~ ~/-~.~_[I[~ /'~C9~')"'/-'/~-S Type of Facility to be inspected: Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well .~ 9. Sewage Disposal System Type of System: ,Public Utility If Individual, date of installation Individual (on-site) EQ-037 ()/74)