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HomeMy WebLinkAboutCONTOUR ACRES #3 BLK 3 LT 3Contour Acres #3 Block 3 Lot 3 #017-381-01 Municipality of Anchorage o Development Services Department �` Building Safety Division _ On -Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020470 PID Number. 017-381-01 Name` MARK COPELAND Wastewater System: ❑ New ■ Upgrade Y P9 Address: 5101 VAQUERO ROAD * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 222-6850 4 t ■ Deep Trench ❑ Shallow Trench ❑ Bed MMound ❑Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grads: 0.8 GPD/Sq. Ft. 9 MAX Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 3 3 CONTOUR ACRES 3 SEE DWG Ft. 6.0 Ft Township: Range: Section: Fill added above original grads: Grovel length: — — SEE DWG Ft. 64 (2 ® 32) Ft. WELL: Gravel width: Number of lines: Distance between lines: I ❑ New ❑ Upgrade 2.5 Ft 2 15+ FL Classification (Private, A,e,0: Total De Cased To: Total absorption area: Pips material: Ft Ft 768 so. FL D 3034/ F-810 Orllier. �/� Date Drilled: Static Water Level: Installer. Dots Installed: AKWWC 11/26-29/2002 Fl. Ylsld: Pump Set At: Casing Height Above Ground: I TANK .///, GPM Ft Ft SEPARATION DISTANCES ■Septic 0Holding ❑S.T.E.P. OOther To Septic Absorption Lift Holding Public/Private Manufacturer. Capacity in gallons: ANCHORAGE TANK 1250 From Tank Feld Station Tank Sewer Lines — — Well 100'+ 100'+ 25'+ Material: STEEL Number of compartments: 1) Surface Water 100'+ 100'+ - - - LIFT STATION Lot Line 5'+ 10'+ Size in gallons: I Manufacturen. — — — 'Pump on' level at: 'Pump off' sv6r aC IHigh water alamr al; Foundation 5'+ 10'+ — — — Curtain Drain NONE KNOWN Pump Moks del: lVectriml Inspections performed by.. Remarks: I BENCH MARK Location and Description: EXISTING SEPTIC SEPTIC TANK COMPLETELY TOP OF HOSE BIB NEAR POINT "A" ABANDONED PER UPC. Assumed Elevation. 110.33 Ft ENGINEER'S SEAL Inspections performed by: AKWWC, INC. Dates: 1st 11/26/2002 TI �* 2nd 11/26/2002 3rd 11/29/2002 Ga a s: Development ices partm nt Approval �aoe - -7953 �G Reviewed and approved by: L/ /� Date: 119/03©rafessoa©000 �OOoo PERMIT NUMBER; SW020470 AS -BUILT DRAWING SW0 EXISTING DRAINFlELD TO BE USED AS A RESERVE SITE (THE LOCATION ON THE DESIGN DRAWING WAS INCORRECT. THE LOC11ON WAS SWUNG TIED IN AND THE LOCATION IS CORRECT ON THIS AS -BUILT DRAWING.) ! 7 NEW 1250 GALLON ! 1 INSTALLED FLOW SEPTIC TANK ( ( DIVERTER 1 � if ! 1 0 �__ NEW DRAINFlELDS101 \\\\\\\\\\\\ I d MT1 C�D3 Bu I / DBL2 MT3 f l I I / A B ST2 I I CO2LNS7rALLED FLOW ST1 86.82 93.19 — II A 2 SPUTTER ST2 92.22 95.85 — !I DBL1 95.73 98.76 _ C DBL2 96.51 99.42 — FD — 132.89 50.88 FS — 155.48 93.71 TOP OF CUTBACK C01 — 159.93 92.28 MT1 — 157.87 93.86 ` CO2 — 156.00 106.62 1 MT2 — 156.79 105.45 CO3 — 172.99 110.95 MT3 — 173.49 112.83 C04 �Q Rn \ — 170.00 124.66 CO — 131.26 48.85 PARCEL ID NUMBER: 017-381-01 ¢HOUR oM DATE: -„ 12/4/2002 DRAWN BY: ALASKA WATER & WASTEWATERS C.J.G. Fes; CONSULTANTS, INC. Ste: 6901 DEBARR ROAD. SUITE 26 `ANCHORAGE, AK 9950E •PHONE (907)337-6179 ' FAX (907)388-3246 1" = 40' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MARK COPELAND (907) 222-6850 2 OF 3 LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 3, BLOCK 3, TYPE OF WORK: AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE .. .. TIS PF '7* of ray P. Gayness. 09� CE 7953 �G t PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SW020470 017-381-01 TOP OF TANK AT c INLET - 95.27 �1 FINAL GRADE =99,27+ TOP OF TANK AT OUTLET 9 NEW 1250 GALLON INVERT OF BUNG SEPTIC TANK AT INLET- 94.68 INVERT OF BUNG AT OUTLET - 94.45 U U FINAL GRADE - 93.01-93.18 B ¢ ORIGINAL GRADE FINAL GRADE - - ORIGINAL GRADE _ - 91.57-92.67 NAL G ADE - � 90.87-91.12 — la RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 75.12 (TESTHOLE DRY) FABRIC FABRIC INVERT OF PIPE - 89.67 (AVG.) INVERT OF PIPE - 88.14 (AVG.) 12'+ BOTTOM OFTRENCH -m BOTTOM ;. �4,• TRENCH - ...x RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 76.67 (TESTHOLE DRY) $_ t DATE: 12/4/2002 DRAWN BY. ALASKA. WATER & WASTEWATER C.J.G. �CONSULTANTS, INC. Ste` 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504 ` PHONE (907)337-6179 - FAX (907)338-3246 N.T.S. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MARK COPELAND (907) 222-6850 3 OF 3 LEGAL DESCRIPTION: CONTOUR ACRES SUBDIVISION; LOT 3, BLOCK 3, TYPE OF WORK: AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE a`=� C F • ,e�ap . ......... .... f e A. me s.. —7953 0`� MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW020470 Legal Description: CONTOUR ACRES #3 BLK 3 LT 3 Design Engineer: 0041 AK Water & Wastewater Consultarr Owner Name: Mark Copeland Owner Address: 5101 VAQUERO ANCHORAGE, AK 99516-3015 Date Issued: Nov 26, 2002 Expiration Date: Nov 26, 2003 Parcel ID: 017-381-01 Site Address: 005101 VAQUERO RD Lot Size: 92783 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy [] Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: 1 Date: Date: Municipality of Anchorage ° ��: a a Plt}i itf zJ.! • ''` Development Services Department Building Safety Division SFf ETY On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 017-381-01 Permit Number -5tA O20¢7(0 Property owner(s) MARK COPELAND Day phone 222-6850 Mailing address (1) 5101 VAQUERO ROAD * ANCHORAGE. AK Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd.) LOT 3. BLOCK 3: CONTOUR ACRES ** --3 Legal description (Section, Township & Range) N/A Lot Size cla%g 5 Acre q.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. (Eignaturc of property owncr or authorizcd agcnt) Permit Fees: Date of Payment: Lt''LS/DZ Waiver Fees: Date of Payment: Receipt Number: I7_� ='L Receipt Number: ALASKA WAXER & WASYEWATER CONSULTANTS, INC_ November 13, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 s3 Ref: Proposed Septic System for Lot 3, Block 3; Contour Acres Subdivision To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. Two test holes were excavated south of the existing drainfield. The drainfield will be designed around the 30 foot radii of these test holes. We are proposing that a 1250 gallon septic tank and dual 5 -wide type drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 0.8 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 7.9 & 12.6 minutes/inch b. Proposed Application Rate: 0.8 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 ft2 f. Total Depth: 7 feet (max.) g. Effective Depth: 4 h. Width: 5 feet i. Reduction Factor: 0.5 j. Minimum Length: 40 feet long each (80 feet total length) k Effective absorption area = 800 ft2 6901 Debars Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed design. 4. TOPOGRAPHY: The area for the proposed septic system is a 10%-15% slope running approximately east to west. There is a cutbank that runs along the south/ southwest property line that ranges from 4 to 10 feet. We request a 35 feet waiver from the cutbank to the proposed drainfield. Given the porosity of the soils, there should be little risk with the granting of this waiver. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, 0i (y .arness, P.E., M.S. •; Presikei t v NOTE: A design drawing, two soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com I t i f i I I I ( ' \ I \I I� i J I� I/ i /I CONTOUR ACRES S/D; / I \ LOT 2, BLOCK 3, / I I I I I t I \ I I TH#1 0 ~ R0�iO CONTOUR ACRES S/D; LOT 3, BLOCK 4, I�I I { I I i I I I I EXISTING SEPTIC SYSTEM, CONTOUR ACRES S/D; LOT 4, BLOCK 3, [SEPTIC aR D _ CONTOUR ACRES S/D; — \ LOT 4, BLOCK 2, c \ Q I W \ I i I CONTOUR ACRES S/D; LOT 5, BLOCK 2, �____-_---u r I I EXISTING 1 4 BEDROOM I HOUSE ' � 1 k r f __ _ _,__ _ _,•_ _ — --- 3 CONTOUR ACRES S/D; i LOT 6, BLOCK 2, f I I I 1 1 I I I I , l `�a I PROPOSED SEPTIC UPGRADE I (SEE DESIGN PAGE 2 OF 2) i I CONTOUR ACRES S/D; LOT 2, BLOCK 4, CONTOUR ACRES S/D; — LOT 1, BLOCK 4, 1 S RPC \\ I / \ I DATE: ALASKA WATER & WASTEWATER P„01� ft CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B ' ANCHORAGE, AK 99504 ' PHONE (907)637-6179 ' FAX (907)338-3246 PREPARED FOR MARK COPELAND 11/19/2002 DRAWN BY- Z.T.G. SCALE. 1” = 100' PHONE NUMBER: PAGE NUMBER: 222-6850 1 OF 2 LEGAL DESCRIPTION: A'5 CONTOUR ACRES SUBDIVISION; LOT 3, BLOCK 3, TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE y � W I r ' 7ST.lih i �....' i ......... i am :ss. 9�CTF. �r-7 1A / _ CONTOUR ACRES S/D; — \ LOT 4, BLOCK 2, c \ Q I W \ I i I CONTOUR ACRES S/D; LOT 5, BLOCK 2, �____-_---u r I I EXISTING 1 4 BEDROOM I HOUSE ' � 1 k r f __ _ _,__ _ _,•_ _ — --- 3 CONTOUR ACRES S/D; i LOT 6, BLOCK 2, f I I I 1 1 I I I I , l `�a I PROPOSED SEPTIC UPGRADE I (SEE DESIGN PAGE 2 OF 2) i I CONTOUR ACRES S/D; LOT 2, BLOCK 4, CONTOUR ACRES S/D; — LOT 1, BLOCK 4, 1 S RPC \\ I / \ I DATE: ALASKA WATER & WASTEWATER P„01� ft CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B ' ANCHORAGE, AK 99504 ' PHONE (907)637-6179 ' FAX (907)338-3246 PREPARED FOR MARK COPELAND 11/19/2002 DRAWN BY- Z.T.G. SCALE. 1” = 100' PHONE NUMBER: PAGE NUMBER: 222-6850 1 OF 2 LEGAL DESCRIPTION: A'5 CONTOUR ACRES SUBDIVISION; LOT 3, BLOCK 3, TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE y � W I r ' 7ST.lih ' �....' ......... fJafsy am :ss. 9�CTF. �r-7 1A �\z19� a EXISTING DRAINFlELD TO BE USED AS A RESERVE SITE f INSTALL FLOW / DIVERTER 1 / J / 1 J 1 0 INSTALL FLOW L INSTALL DOUBLE SPLITTER Jf TH#2 / CLEANOUTS —� EXISTING SEPTIC TANK TO BE COMPLETELY ELY ABANDONED\ !! 1 I INSTALL FOUNDATION J CLEANOUT---" CO 'L— PROPOSED DRAINFlELD. EXCAVATE TWO TRENCHES THAT ARE 7 FEET DEEP MAXIMUM B7 5 FEET WIDE � \ ` BY 40 FEET LONG EACH SH FEET LONG TOTAL). ^I ADD 4 FEET OF CLEAN, WASHED SEWER DRAINROCK. \ INSTALL TRENCHES PARALLEL TO SLOPE CONTOURS. ALASKA WATER & WASTEWATER K CONSULTANTS, INC. 6901 DESARR ROAD, SUITE 213 ' ANCHORAGE, AK 99504 " PHONE (907)337-6179 ' FAX (907)3383246 PREPARED FOR: PHONE NUMBER: MARK COPELAND 222-6850 LEGAL DESCRIPTION: #i CONTOUR ACRES SUBDIVISION; LOT 3, BLOCK 3, TYPE OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE DATE: 11/19/2002 DRAWN BY- Z.T.G. SCALE: 1 " = 40' PAGE NUMBER: 2 OF 2 NEW 1250 SEPTIC ,. &arn ass. professl AI ASKA WATER & WASTEWATER ATER CONSULTANTS, INC. " 6901 DEBARR ROAD, SURE 28 * ANCHORAGE, AK. 99504 •PHONE (907)337-8179 \ FAX: (907)336-3246 * WEBSITE: akwwc.wm ISOIL LOG . PERCOLATION TESTI LEGAL DESCRIPTION: CONTOUR ACRES: LOT 3, BLOCK 3 MARK COPELAND DATE: 10/26/2002 PERFORMED FOR: DEPTH (feet) ;_ ORGANICS b•\s•°s • •'•••• s .•.•,.bs SP b°e •••`° •• •••`•• 9 �a-ti'•s+b�• \hh h O q w q q h n a Baa®+q M1 11 —ghhnq 4 a a q q Y tl tl"a•h ; a a .n 12 qtl\tla,• A aa\`a tl \ s q 13—"a\ tl• \ • n a h\a aa\h♦ a a q tlah h " •q r h a 15 —\•"tlh q h q e \ \s\\h htl a ^ \ a \ q 16 a B.O.H. SM � A►A 4 eff-e A. r ess: o9r C —7953 c°G O s ......... • '�cAoo 4V�Qdp�otessiOv ° TEST HOLE #11 0000go�� SOIL CLASSIFICATIONS d GW ORG GP ML r. GM CL �r GC OL 1 l c SW MH #2°ootlc THx°0, SP '006i SM / : OH THt1 SC 1 1 DEPTH TO DATE t a GROUNDWATER 1 DRY 10/26/02 1 DRY 11/15/02 SITE PLANT 1"=100' CLOCK NET TIME WATER LEVEL NET DROP DATE READING TIME (MINUTES) READING (INCHES) 10/28/02 1 4:10 — 6" — ,1 2 4:40 30 2 1/2" 3 1 /2 3 4:44 — 6" 4 5:14 30 3 1/4- „ 2 3/4 5 5:18 — 6„ 6 5:48 30 3 5/8" 2 3/8- 7 5:52 — 6„ 8 6:22 30 , 3 5/8' n 2 3/B 17- 18— PERCOLATION RATE 12.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19— TEST RUN BETWEEN 7.0 FT. AND 8.0 FT, 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: MATT FISHER COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W/S PVRFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: !J ! i r�b. A.I.AS KA WATER & WASTEWATER r CONSULTANTS, INC. 6901 DEBARR ROAD, SURE 2B • ANCHORAGE, AK. 99504 • PHONE (907)337-6179 "FAX: (907)338-3246 W WEBSITE: ckwwc.wm SOIL LOG3PERCOLATION TESTI LEGAL DESCRIPTION: CONTOUR ACRES; LOT 3, BLOCK 3 PERFORMED FOR: MARK COPELAND DATE: 10/26/2002 DEPTH_ (feet) ~�~�= ORGANICS 2 3 4 5 6 7 8 9 10 11 12 (TEST HOLE #2 SOIL CLASSIFICATIONS NET TIME GW ORG ff •ey A. C--79 ... 0 G ness: 3 m� A\moo • W • ° ••• ' SM READING a • b•n GM CL - GC OL Oq •°q oC SW MH 1 1/2/2;_._.____ SP CH 4:45 SM ; OH — SC 5:15 SP DEPTH TO GROUNDWATER DRY DRY 13 Y W 0W••• "Y NET TIME 49 NET DROP ff •ey A. C--79 ... 0 G ness: 3 m� A\moo • W • ° ••• ' SM READING a • b•n 15—; :: • - `a 4•••s " - 2 16 WW"WA••E 1 1/2/2;_._.____ B.O.H. 17- 18- 19 — DATE 10/26/02 11/15/02 1 L�1 TH#2 f• THi1 \�\ i t t � i SITE PLANT i 1"=100' DATE READING CLOCK NET TIME 49 NET DROP ff •ey A. C--79 ... 0 G ness: 3 m� A\moo ......... �naproasslon° o" 1 L�1 TH#2 f• THi1 \�\ i t t � i SITE PLANT i 1"=100' DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 10/28/02 1 4:07 - 6" - 2 4:37 30 1 1/2/2;_._.____ 4_1/2: 3 4:45 — 6" — 4 5:15 30 2 3/16" 3 13/16" 5 5:19 — 6" — 6 5:49 30 2 3/16" 3 13/16" PERCOLATION RATE 7.9 (MIN./INCH) PERC. HOLE DIA. TEST RUN BETWEEN 7.0 FT. AND 8.0 FT. 6 (INCHES) 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED By MATT FISHER COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS Wj S F)`ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Il l �j 04 J )T 3, BLOCK- 4. NO CONCERN CONTOUR ACRES --- LOT 2, BLOCK ti C;i SIC \ 690 DEBARR ROAD, 5 " �NfHORAQF AK Q50/, ` NF 07)� \ EP ED P OI \J M K PE D 223 LEGAL E RI ON: WI T ACR SUB IVIS IO LOT 31 TYP ORK: S E d? NT UR ACRES S/D; LO 6, LOCK 2, CO \ M, ACRES S/); j-�`�----- 1, LOCK 4, J` \ C NCERN/ jr i i 10/ / 02 DRAWN 4q? i SCAL it 1 0' ,.... _... " F X (907)3383246 y R: AGE NUMBER: .. 1 OF 1 y A. Gar CEO- aco4�0 e rofessio��oo ODOoo'�oa 11t / I MUNICIPALITY OF ANCHORAGE "A DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑ NEW 1 _ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION G,, 4,- A t�-- LOCATION NO. OF BEDROOMS Well Absorption area Dwelling PERMIT NO. UY DISTANCE TO: CL Q Manufacturer at l % /1 i' 7 No. of compartments W F y Liq. capacity in gallons IF HOMEMADE: Inside xgth Width Liquid depth Y DISTANCE TO: Well Dwelling PERMIT NO. juz O z < Manufacturer Material Liquid capacity in gallons J DISTANCE TO: Well / , 6 Foundation p - �7 Nearest lot line � PERMIT NO.� w = J u. Z z No. of lines c� Len9t -of each I' a Total length of lines Trench width Distance betty er? lines H o y- �l�i %- inches I.- Top of tile to finish grade' !. �. ', Material beneath tile Total effective absorptign area p inches 1 Length Width Depth PERMIT NO. LU C7 Q H Type of crib Crib diameter Crib depth Total effective absorption area wa W DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J LU DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ?� 7 - SOIL TEST RATING SOIL '� " I.33 02 L` 'fnrt C//_ ! i INSTALLER , 13 REMARKS P,+ �v�� a6a,,,t: �,�•L ; s , I An aLit - 4 1 APPROVED DATE LEGAL -�Odo Ac k !_1 R j TI j� 72-013 (Rev. 3/78) `M U P4 I C::� I F=�' OCN L_ I -r V M F:- #!:�i P4 (-_1-1(3 FR in� 0 tE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 . 264-4720 PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: 850420 07/18/85 MARK COpELAND 5101 VAQUERO 'ANCHORA8E, AK 99516 276-5152 LEGAL DESCRIP: SUBDIVISION: CONTOUR ACRES LOT: 3 SECTION: 27 TOWNSHIP: 12N RANAn 3W LOT gIZEi 2.5A (SQ.FT. OR ACRES) v MAX BEDROOMS: 4 BLOCK: �3 . Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. ** GRAVELLENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ' ______________________~_______-._____--- __ % 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 sewerage system on this or any adjacent or nearby lot~ 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit� IFA LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, 'THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTG WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED ------~------------------------------ APPLICANT: MARK COPELAND ISSUED BY ' DATE: __-_____________ ---- __ ' ��K-U~ ��K�tooM][8�U DEPTH TO PIPE BOTTOM (FT.) � 5°A'/ 5.0' GRAVEL DEPTH (FT.) 0�5 1.0 TOTAL DEPTH (FT.) 6.0 ' GRAVEL WIDTH (FT.) ^ 5.0 GRAVEL LENGTH (FT.) "45.0 124.0 ** GRAVEL VOLUME (CU.YD8.) 40.0 34.5 TANK SIZE (GALS) 1,250.0 ** 1"250,0 ** SOIL RATING (SQ.FT./BR) 177 177 ** GRAVELLENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ' ______________________~_______-._____--- __ % 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 sewerage system on this or any adjacent or nearby lot~ 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit� IFA LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, 'THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTG WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED ------~------------------------------ APPLICANT: MARK COPELAND ISSUED BY ' DATE: _____________ DATE: ' PERMIT' NO: DATE ISSUED: APPLICANT: ADDRESS: M 1._J P4 I C:. I F=* 0 L-- I -r Ne C) F= � P4 C3 F -C ink C-3 E: DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. STREET, ANCHORAGE, AK 99501 264-4720 C) P4 — t-= 1 -f I -E E3 E: t$J F-= � F=:FEE F;t M 3: "T'"' 850\420 07 / tB /85 MARK CPELAND 5101 A UERO ANCHORA a V% 13 , AK CONTACT PHONE: 276-5152 0 LEGAL DESCRIP: SUBDIVISION 2'7SECTIONi 7 LOT SIZE-. 2.5A (SQ. F' MAX.BEDRO10MS: 4 r 99516 q- )NTOUR ACRES LOT: 3 BLOCK: 3 JOWNSHIP: 12N RANGE: 3W R ACRES) Listed below are the optlo av able to you in designing your septic system. Choose the optic 't b t fits your site. - - - - - - - - - - - - - - - - - - - - - -- - - --- -r F::Z E: 1"\ E91 E: ID W nF:Z04 I M DEPTH TO PIPE BOTTOM (FT.) 7— 6.5 7.0 GRAVEL. DEPTH (FT. 6.0 0.5 1.0 TOTAL. DEPTH (FT.) 13." 7.0 8.0 GRAVEL WIDTH (FT.) -.5 32.0 -21;�4 5.0 GRAVEL. LENGTH (FT.) 14 . 0 61.0 299.0 GRAVEL. VOLUME (CU. YDS. 8 .1 72.3 83.1 'TANK SIZE (GALS) . 11,250. 1,250.0 1,250.0 SOIL RATING (SQ.FT. /BR) 427 322 427 GRAVEL LENGTH 75 FT. REQUIRES MULTIME RUNS (NOT EXCEEDING 75 FT. EACH) 'TANK MUST HAVE AT LEAST TWO COMPARTMEN11V - - - - - - - - - - - - - - -- - - - - - - - - -- - - I certify that: 1. 1 am familiar with the requirements for onsite sewers, nd wells as set forth by the Municipality of Anchor ag (MOA and the St to of Alaska. r (M n 0 A o te sewers n and the St t 2. 1 will install the system in accordanc with\'all MOA d s and regulations, er a o t p i and in compliance with the design criter a of\ -t permi , 'a r , 3. 1 will adhere to all MOA and State of Ala ea qUirement for the set. back _ at_ i o _ I distances from any existing well, wastewat 9 di4posal sy tem or public or a �\ I ot r a �\ , sewerage system on this or any adjacent o ne lot. 4. 1 understand that this permit is valid for a maxi 4 bedrooms'and .any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA 9NILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAI144D; (2) AS---BUILTS WILL NOT BE APPROVED WITHOUT AN EL ' ECTRICAL INSPECTION REPORT'O\AND (3) THE: ELECTRICAL WO MUST BE DONE BY A LICENSEE) ELECTRICIAN. SIGNED M 'T DATE: ----- ---------- ------ APPI-ICANT .- MARK C ELAND ISSUED BY DATE: ( T SOILS LOG - MUNICIPALITY OF ANCHORAGE �r—' DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST PERCOLATION � TEST 825 L. Straot, Anchorage. Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST r (� T t� PERI:OPMED FOR: P�� 'D 1L_ -"_ BATE PERFORMED; LEGAL DESCRIPTION;+ U B' 2— SA C o� kouc, Aues_T-12M & w—LS-�Z / .�a�� SLOPE SITE PLAN 1 2 3- 4- 7 47 a 9 i 10- 11 12 13 14- 15- 16- 17 4151617 18- 19- 20 8192d N COMM15NTS iVtC� �► c�'� F�1 u1r� t�.. WAS GROUND WATEf3S ENCOUNTERED? L P IF YES, AT WHAT E DEPTH? /,/1 Reacting Date Gross Time Net Tima Depth to Water Net Drop 1067 t `b 7S' . PX� 1/07 •'7 / 1 40>7 ..,._._., PERCOLATION RATE �>e06 (minutes/inch) TEST RUN BETWEEN 2//1� FT AND A FT PERFORMED BY: Nem t 6w, _ CERTI FI ED BY: G1 72.008 (6/79) DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST lM1 SOILS LOG Gross Time Net Time Depth to Water PERCOLATION TEST PERFORMED FOR: MCLrK C44e2(411 4 DATE PERFORMED: 7"(6— 8-S LEGAL DESCRIPTION: (�;.)+otir A"r S O `ocI -3 Lot -3 T H Z Eq.T SLOPE SITE PLAN (FEET O twt(� Sbi I ° PC. 4 U4* 2 Cal' v-1+1 sit -Ay Inc.ef 3 C � ��i ✓L11.j / X 3 i I'iti �dcY1��,��i�r ✓�.tG�, y�eI _fQhe- s�ndl= joU(G5 ��� itl- i+t Sf�lwal(.� t WAS GROUND WATER ENCOUNTERED? nC IF YES, AT WHAT DEPTH? r 0. De,,- 1.c f -r Reading j -> -1 Date Gross Time Net Time Depth to Water Net Drop -2 Y q — 2,040 —, a i y to 1, ? 9 .2-) z 2PL1 -- 2 3t>j to I.? %- ./ 9 -3C'y 203 _ 1A 11 .17 1 - 20*f -- 5- 3-31 1 to I q 1 /4 ./4- 3s7 d.vo PERCOLATION RATE ��/ fJa27 t (minutesIII) TEST RUN BETWEEN 5 FT AND S. __ FT COMMENTS PERFORMED BY: r)l i)4 5,7- _CERTIFIED BY: 72-008 (6/79) I/r �" /DATE: ALASKA Enuffi11WTAL COOTROL SCRUOS, IiIC. 6nginecrinq 6 Enuironmenta) Studies 5-- ,e z'�- 3 PERCOLATION TEST DATA SHEET CLIENT md-r/C cofela,7d-- DATE �-;;?,r6 •-S`�'" ADDRESS ZIP CODE LEGAL LOCATION eon7a- /4c- --' ►3 3 L 3 r t2,j e-3 w .Ac- 7 ;Z - TOTAL DEPTH OF HOLE f- ft. ZONE TESTED ft TO 2 lfz, ft TH # READING # FINAL CLOCK TIME NET TIME DEPTH TO DATUM NET DROP RATE (min/in) 14 po ..... 3, `13 0 �- 12L 5 PZ 3 p 2 /o 3, q Jr D r-...... 31 -4 /0 3.R .63 312 9,00 " 3 22, to 315— 5— FINAL PERCOLATION RATE 6�Ylfz. (min/in) PERFORMED BY )-, c &AQ 3 2�- 3;t 1 �03 3 3'L— 10 'y 0c) 3 63 332- 10 :5 �(IL- VM best 33rd Aucnue, Sub,,,o >• Anchorage, Alaska 99503 • (907) 276-1361 V� } SOILS LOG MUNICIPALITY OF ANCHORAGE I DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99507 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: ft.r < Cone (a -IC DATE PERFORMED: LEGAL DESCRIPTION: C®fl`f011.r ACre-S .aloe .3 4-1--3 i12-NP-�•�1 1 FTIE) SLOPE SITE PLANOL or9 4d c- S - 'l 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 i ` -r4L -' P'- ( * s � 6µf A h� srna(( C4 -4/C3 GS �Yo WAS GROUND WATER S ENCOUNTERED? No L O P IF YES, AT WHAT E DEPTH? A ,-deo Reading Date Gross Time Net Time Depth to Water Net Drop -16 (2.00 t2ta .. (0 2-06 1"et 9 -- ,ol 2 -L -L-0 Iv IAS o 20 PERCOLATION RATE > 6 o (minutes/inch) TEST RUN BETWEEN 6 FT AND 6 FT COMMENTS Jbi 1 hee— L-3 unarc<zoi&61e aet Sik nerh� s�.ciu�._� PERFORMED BY: rrtaST 8 S tet`{ CERTIFIED BY: / DATE: 71 2 1/ 72-008 (6/79),x"" -r sw 4 14 S7 I 3 C.. t— 3 Wvc k-- 3 6v't T 1^7 Q 6 -el ��� ir—.n, .d'- IV, 3 a'/,d GREI F° ANCHORAGE AREA BOF 1.1"4 Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME 2t/,- Z140T MAILING ADDRESS �'� � PHONE a -77 LOCATION &—Aele&a �/10 105"I"!OLGAL DESCRIPTION SEPTIC TANK: DISTANCE NUMBER OF FROM WELL MANUFACTURER MATERIAL MATERIAL Chi COMPARTMENTS INSIDE LENGTH _ INSIDE WIDTH LIQUID DEPTH — LIQUID CAPACITY Ia rd GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER "` OR WIDTH " LENGTH L� DEPTH 3 Ge+vai LINING MATERIAL��RIB SIZE: DIAMETER 9SDEPTH-L� DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATIONg � , NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) ZOW,— SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE 721e I-iJ CONSTRUCTION G 'Ia110 � DEPTH .3f� 00 DISTANCE FROM: BUILDING J NEAREST 1} NEAREST � SEPTIC'ap�y SEEPAGE / FOUNDATION 3� LOT LINE to SEWER LINE %U TANK SYSTEM CESSPOOL J OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: .r11441A INSTALLED BY: f!/kG Qy/�sY a PIPE MATERIAL: G/r�iCG� LOT SLOPE: lb REMARKS: eeler/6.0r G'O!3' �dW Form No. EQ -031 DIAGRAM OF SYSTEM - Je-rrlc� 0•v1V,1 ,eC.Or�' DATE /7/7 APPROVED sE�,�,ac� per G.A.A.B. 100 /0' GREATER ANCHORAGE AREA BOROUGH ~4'1� DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 i TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT dee-p1" /y�rF MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT L� DRAIN FIELD OTHER , TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY . 24 4�2 SOIL TEST RESULTS "p�F/li �6�NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED 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 TANK SIZE L�`/ v TYPE•' -,01193" SEEPAGE AREA SIZE -41" �Z 'TYPE G MINIMUM DISTANCES, REQUIREMENTS DIAGRAM, OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PITS DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT ' DRAIN FIELD �r TO NEAREST LOT LINE. WELL TO SEPTIC TANK /Ov SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK —,�� / SEEPAGE PIT DRAIN FIELD ��j� SEPTIC TANK, SEEPAGE PIT �GDRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. C G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER AN DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. G DATE --Z APPLICANT'S SIGNATURE / FORM NO. EQ -016 VV.. TTiN09A0t ALFA U IANUMy ,. "REATER ANCHORAGE AREA BOROUr .._,)artment of Environmental Qua,ity 3330 "C" Street Anchorage, Alaska 99503 /J SOILS LOG - PEROLATION TI;S'l' Performed for_G_Gu� Date Performed_ Legal Desc ri pts on: 1a f,3_ s3�3�d ��/ ,�o,;, �"ou cry This form reports:i Soils log y Percolation test Depth Feet .� 2 _ 3- 4- 5 6- 7- $- 9 —9-10 - SI �pP _ 11 - -- 12 - 13- 14 Was ground water encountered? Oc,__ _ _ If yes, at what depth? Reading Date --T-Gross Time _TNet Time l Depth to Water -1 --_-Net Dr Percolation rate minute. Proposed installation:' Seepage Pit Drain Field 'Depth of Inlet _ Depth to 'bottom of pit or trench C01,111ENTS : Performed Qy :� G __ Certified By LQ -040 (6/74) TO WHOM IT MAY CONCERN: AFFIDAVIT OF BOB HOBSON STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) Bob Hobson, being first duly sworn, deposes and says: 1. As President of Hobson Trucking and Excavating, I certify that on May 15, 1984, I installed a 1,250 gallon septic tank on Lot 3, Block 3, Contour Acres in replacement of an existing tank. I certify that except that no insulation was placed over the tank since the top of the tank was installed at a depth of more than ten (10) feet, the tank was installed in compliance with all Anchorage Municipal codes and regulations, including that the installation was level and Caulder water -tight couplings were used both on the inlet and outlet of the tank. 2. I further state that I thought no permit was required because this was replacement of an existing tank. Bob Hobson, President Hobson Trucking and Excavating SUBSCRIBED and SWORN TO before me this a3' day of 1985. t Q . • Notary Public for Alaska My commission expires: Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1G � $ u� Parcel I.D. 017-381-01 HAA# 0� Q 140 0 1. GENERAL INFORMATION Expiration Date: _ 3 " — �- #* 3 Complete legal description CONTOUR ACRES SUBDIVISION: LOT 3. BLOCK 3. Location (site address or directions) 5101 VAQUERO ROAD • ANCHORAGE. AK 99516 Current Property owner(s) MARK COPELAND Mailing address Lending agency Mailing address Real Estate Agent Mailing address Day phone 222-6850 5101 VAQUERO ROAD • ANCHORAGE, AK 99516 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the . on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 3701 E. TUDOR ROAD SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name Engineers Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & 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 Nuctuate 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 lest results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKW WC, inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE 337-6179 Date Z 3 03 QF �• �5��0 ooP��. �...... .. . . .. ...... ......... Qom'• f Q' Go ss� 9 —7 eG 44�O��Professton� E��o Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: M 'j .• •• O, WATER AND PROGRAM Attachments: HAA Checklist Manitenance Agreements Septic System Advisory Supplemental Engineers Reort Well Flow Advisory Other By: �%d'C� Original Certificate Date: �� 3 (Rev.12/01) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 I HEALTH AUTHORITY APPROVAL CHECKLIST #3 Legal Description: CONTOUR ACRES; LOT 3, BLOCK 3, Parcel ID: 017-381-01 I A. WELL DATA Well type PRNATE If A. B, or C provide PWSID# N/A Well Log (Y/N) NO 4 Date completed PRE 8/1974 Sanitaryseal (Y/N) YES Wires properly protected (Y/N) YES Total depth 276+ ft. Cased to 40+ ft. Casing height (above ground) 12+ in. I i' FROM WELL LOG AT INSPECTION i Date of test 8/6/2002 OG i Static water level �� ft. 184 ft, Well production NO g.p.m. 2.89 g.p,m, I. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 1.85 mg./L. Other bacteria 0 colonies/100 ml. b Arsenic: N/A mg./L. Date of sample: 11 /4/2003 Collected by: AKWWC, INC. i B. SEPTIC/HOLDING TANK DATA I TankType/Material STEEL Date installed 11/26-29/2002 Tank size 1250 gal. Number of Compartments E Cleanouts! (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping NEW Pumper — { i C. ABSORPTION FIELD DATA BELOW FINAL GRADE bate installed 11/26-29/2002 Soil rating p.d.l r ftlbdrm) 0_8 - - System type DEEP TRENCH Length'' 2 0 32 ft. Width 2.5 ft. Gravel below pipe 6.02/6.0 ft, Total depth L5 9.34ft. Eff. absorption area 768 ft2 Monitoring tube YES Depression over field NO i Date of adequacy test NEW Results (Pass/Fail) — i ',' For 4 bedrooms Fluid depth in absorption field before test in. Water added 'gal. ! New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= — g.p.d. i If yes, give date Any rejuvenation treatment (past 12 mo.) (Y/N & type) — — { D. LIFT STATION Date installed Size in gallons Manhole/Ac "Pump on" level at in. E. SEPARATION DISTANCES High water alarm level at in. Cycles tested Meets alarm & circuit requirements?, SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer/septic service line 25'+ Holding tank N/A 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 10'+ 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 o,�� -: I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed fume JEFFREY A. GARNESS "Q49, I —7933 .• Date 12 03 4��p��'�ofeaeio��ec i HAA Fee $ Date of Payment Receipt Number. . (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number 1 :GS Ref.# 1037182001 :tient Name AK Water & Wastewater Consultants Inc. ?roject NameN Contour Acres S/D Lot 3, Blk 3 tient Sample ID Contour Acres SID Lot 3 Blk 3 Satriz Drinking Water ample Remarks: :907 5615301 # 2/ 4 All Dates/Times are Alaska Standard Time Printed Date/Time 11/19/2003 15:30 Collected Daterrime 11/04/2003 13:50 Received Date/I'ime 11/04/4003 15:25 Technical Director Q Ste C. Ede Releasedycw✓�. ammeter Results PQL Units Method ona Container ID Allowable Limits Date �Dalte a Init Selenium 5.00U 5.00 ug/L EP200.8 D 11/13/0311/13/03 SCL Nickel 2.00 U 2.00 ug/L EP200.8 D 11/13/03 11/13/03 SCL Antimony 1.00 U 1.00 ug/L EP200.8 D 11/13/03 11/13/03 SCL Thallium 1.00U 1.00 ug/L EP200.8 D 1l/13/0311/13/03 SCL letals Departnent Hardness as CaCO3 116 5.00 mg/L SM172340C D 11/13/0311/13/03 SCL 'rivate Individual Analysis r Aluminum 20.0 U 20.0 ug/L EP200.8 D 11/13/03 11/13/03 SCL r Arsenic 5.00 U 5.00 ug/L EP200.8 D (<=50) 11/13/03 11/13/03 SCL Barium 20.8 3.00 ug/L EP200.8 D (<=200011/13/0311/13/03 SCL Cadmium 0.270 0.100 ug/L EP200.8 D (<=5) 11/13/03 11/13/03 SCL Calcium 35400 500 ug/L EP200.8 D 11/13/0311/13/03 SCL Chromium 3.64 1.00 ug/L EP200.8 D (<=100) 11/13/03 11/13/03 SCL Copper 32.2 1.00 ug/L EP200.8 D (<=130011/13/03 11/13/03 SCL Iron 100 U 100 ug/L EP200.8 D (<= 00) 11/13/03 11/13/03 SCL Lead 56. * 0200 ug/L EP200.8 D (<=15) 11/13/03 11/13/03 SCL Magnesium 6630 50.0 ug/L. EP200.8 D 11/13/03 11/13/03 SCL Manganese 1.00 U 1.00 ug/L EP200.8 D (<=50) 11/13/03 11/13/03 SCL Phosphorus 30.0 U 30.0 ug/L EP200.8 D 11/13/03 11/13/03 SCL Potassium 728 500 ug/L EP200.8 D 11/13/0311/13/03 SCL Sodium 2910 500 ug/L EP200.8 D («250011/13/03 11/13/03 SCL Silicon 4050 200 ug/L EP200.8 D 11/13/0311/13/03 SCL Silver 1.00U 1.00 ug/L EP200.8 D (<=100) 11/13/03 11/13/03 SCL Zinc 380 2.00 ug/L EP200.8 D (<=500011/13/03 11/13/03 SCL Chloride 8.12 0.100 mg/L EPA 300.0 B (<=250) 11/04/03 J113 Fluoride 0.100 U 0.100 mg/L EPA 300.0 B (<=2) 11/04/03 J1B Nitrate -N 1.85 0.100 mg/L EPA 300.0 B (<-10) 11/04/03 J1B Nitrite -N 0.100 U 0.100 mg/L EPA 300.0 B (<=1) 11/04/03 JIB Sulfate 17.6 0.100 mg/L EPA 300.0 B (<=250) 11/04/03 J1B Total Dissolved Solids 166 50.0 mg/L SM202540C C (<=500) 11/07/03 JYC - I .moi I�Vi•11.VCMM. ;907 5615301 # 3/ 4 J ;GS Ref.# 1037182001 :tient Name 'AK Water & Wastewater Consultants Inc. ?roject Name/# Contour Acres S/D Lot 3, Blk 3 ;tient Sample ID Contour Acres S/D Lot 3 Blk 3 datrlx Dunking Water All Dales/Times are Alaska Standard Time Printed Dete/T[me 11/19/2003 15:30 Collected Date/Time 11/04/2003 13:50 Received DatelTime 11/04/2003 15:25 Technical Director Stephen C. Ede arameter Results PQL Units Method ContainerlD Allowable Prep Limits Date Analysis Date Intt Irivate Individual Analysis HCO3 Alkalinity 108 20.0 mg/L SM20 2320E C 11/10/03 JYC CO3 Alkalinity 20.0 U 20.0 mg/L SM20 2320E C 11/10/03 JYC OH Alkaliniry 20.0 U 20.0 :nA SM20 2320B C 11/10/03 .JYC Conductivity 240 1.00 umhos/crn SM 2510B C 11/04/03 JYC P11 7.60 0.100 pH units EPA 150.1 C (6.5-8.5) 11/04/03 JYC Alkalinity 108 20.0 mg/L SM20 2320B C 11/10/03 JYC Total Coliform 0 coV100mL SMI8 9222B A (<_]) 11/04/03 DKC .i�G I�VJi 11:VLMM; ;907 5615301 w 4/ 4 .200 W. potter Drive /$aCterla Anchorage, AK.99518-1605 )rinhing Water: Analysis Report for. Total Coliform, : - Tei: (907) 562-2343 READINSTRUCTIONSONREYERSESMEBEFORECOLLEG'77NGS.4MPLE Fax: (90 561-5301 . MUST BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: . D• PUBLIC WATER SYSTEM I D. # Satisfactory t, PRIVATE WATER SYSTEM jj : Unsatisfactory t] Snrd Rewln ' • t] SeptiLnoice !...T Sample quer 30 hours oldres , ults may be unreliable Sample too long in tnmsit sample sbodd e: ' not be over.AlDhours old at examination 31((1 E Tudot Road, Suite 101 - to indicate reliable results. Please send itevi sample via special delivery mail Date Receivedcow' - , Tlme 7elved S— _ O Send Rem G Sexd InyoJce ' Analysis Began 31.01 E Tudor Road, Suite 101 SAMPLE DATE: r Month Day Year ' SAMPLE TYPE: 1% Routine O Repeat Sample (for routine sample„ with lab reL no. ) . p SpeclalPnrpose SAMPLE LOCATIOlY ` Le,.��cJf A�tss/�• l-o3.�3k3 Comments: D Treated Water Untreated Water. , Analytical Method: pG Membrane Filter - o MMO-MUG 1037182-C&—. . e'•. 11Lillipli Septto Aoea Fbks Time Collected Collected By • t'kase mut Date, Time Analyst : tun ❑. Faxed :Client notified of unsatisfactory results: D. 0 Phoned Spoke With• Fastd Date Timec BACTERIOLOGICAL WATER ANALYSIS RECORD ' MMO-MUG Result: Total Coliform E. Coffer_ - r` Colonlesa Do ml' Membrane Filter- Direct Count _y VeriOeationi LTB BGB COLIFIRM. Fecid Coliform Confirmation . Final Membrane F11terResults Conform/100 ml ReportedSy �� Date _IJ 'G —03 Time I : hrs TNTC -Ta Nuwnnr re Cw r ON -ouhoadrrrrr CT&E ErMronmrntal Services Inc. 12co West Potter Drive. Anchorage. AK 99018.1605 It 1907) 562.2343 t J9M 561.5301 ww sgsenvirormentaltom ' • Member of the SGS Smup 1Sooti66inhole de' Sur"Mmei Municipality of Anchorage Development Services Department _ �M '.-k / Building Safety Division 9• [T• n On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 017-381-01 HAA# l��i�0i'y� 1. GENERAL INFORMATION Expiration Date: __7 - i 1;,,- - d 3 #3 Complete legal description _ CONTOUR ACRES; LOT 3, BLOCK 3, Location (site address or directions) 5101 VAQUERO ROAD •_ANCHORAGE, AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MARK COPELAND - Dayphone 222-6850 5101 VAQUERO ROAD • ANCHORAGE, AK 99516 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class -Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUiTE 28 • ANCHORAGE, AK 99504 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, AKWWC, lnc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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, groundwaterlevels 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. AKW WC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the - operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the ownerlisted above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Phone 337-6179 Date 4-114103 o�Qppp� SrDOO o*9-• 1 T p4 �Tfe,A. Garr s;B-79.... c�0 0�4��pro f e s sSon°4�� Approved for i" bedrooms. Disapproved. Conditional approval for bedrooms, with the filowing stipulations: wrtfir, Jam: • ON-SITE ri t , r%i 4 Ld: ITL WASTEWATER Attachments: l�'��., •.••&�� HAA Checklist L/ Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other Ey: /'/ f / c i i `�� Original Certificate Date: Ll I L" G' 7 (Rev. 12 -Vi Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program ' ' 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.d.onchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: CONTOUR ACRES OT 3, BLOCK 3, Parcel ID: 017-381-01 A. WELL DATA Well type PRIVATE If A, B. or C provide PWSID# N/A Well Log (YM) NO Date completed PRE 8/1974 Sanitary seal (Y/N) YES Wires properly protected (WN) YES Total depth 776+ ft. Cased to 40+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 8/6/2002 Static water level ft. 184 ft. Well production N g.p.m. 2.89 g.p,m, WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 1.63 mg./L. Other bacteria 0 colonies/100 ml. Arsenic: N/A mg./L. Date of sample: 4/712003 Collected by: AKWWC, INC. 8. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date Installed 11/26-29/2002 Tank size 1250..gal. Number of Compartments E Cleanouts (YM) YES Foundation cleanout (YM) —YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 11/26-29/2002 Soh rating.p.d r ftlbdrm) 0^8 System type DEEP TRENCH Length' 2 0 32 ft. Width 2.5 ft. Gravel below pipe 6.02/6.0 ft. 09.43-0.62 Total depth 9.'51-9 eft Eff. absorption area 768 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) - For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth - in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= - g.p.d. y Any rejuvenation treatment (past 12 mo.) (YM & type) - If yes, give date - r� D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES Size in gallons High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 1000+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A 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 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are inPAI( ... ... """ """"' VAconformance with MOA HAA guidelines in effect on this date. Engineers Print d Name JEFFREY A. GARNESS 'IVA j f IM-7452fDate 4 p 0fee910&� HAA Fee $ 375. —t Date of Payment 4 ' 14 ' 03 Receipt Number 33155 (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number P QQ 410 Y ►$] g,28� Y �m 8i€ A ;j � 4A m � S O'01'00'W 276.64' S O'03'16'E 160.03' -----•-----•-------------- DRIVE --------------------------- Z co N 8 m Y 0 0 b 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. # C30-351 '--OJ 1. GENERAL INFORMATION Complete legal description 1-01 31, 31-11 3, CAr(TOVR AcRi s #3 Location (site address or directions) -5101 VA Qu E Ro A NCN A K 995r(o Property owner MARk CoPELAKt[ Day phone 276 - 515-2- Mailing 152Mailing address Rom, AA c A Laq A'k 9951K Lending agency N 13A Day phone 2s �- 3300 Mailing address P 0. 13ax to 70 2 An c,4 0''u9P A -k 99s to Agent _ - A ( Re J'-60u^c9) Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 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 ✓ 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 INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. well- seolic funk �,c.aew/ m-vl-f Name of Firm FLATTOP TECN Svcs Phone 34 S- 1355' Address 14530 ECHO ST ANCH . AK gRSlb Engineer's signature 971e '`- Date 8111193 ki. r ......., r... r. ..... '. THT A M P EODORE E. MOORE .• r• i 1 • CE - 3589 h, 6. DHHS SIGNATURE''' Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: Ltt� ,a Date M IT1C', 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. 1/81) Back MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LoT 3 BLK 30 CQt.lToyR ACRES 03 Parcel I.D. A. Well Data Well type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number R,A Log present (YIN) N Date completed 817'f op, BEFoRE Driller UNK Total depth > 3 1:Z' Cased to U NK Casing height 12 " Sanitary seal (YIN) Wires properly protected (YIN) Y m FROM WELL LOG AT INSPECTION z / i Date of test 7lz8193 'r" Static water level 178`x'1 -� Well flow g.p.m. 3.5 9.P.m.;•C Imm" W m O < Pump levels > 312 ' w SEPARATION DISTANCES FROM WELL TO: z Septic/holding tank on lot 97' To C.o. ; On adjacent lots Absorption field on lot 18(,,` PER IµsP. RE r ; On adjacent lots Public sewer main > coo' Public sewer manhole/cleanout > loo Sewer service line -- 8D' Petroleum tank >/oo' WATER SAMPLE RESULTS: Coliform n cocoNifs /100 phi Nitrate 0..514 LL Other bacteria n Date of sample: 7128/43 Collected by: FLATTOP TECH Svcs B. SEPTIC/HOLDING TANK DATA Date installed 511s184 Tank size 12 50 641 Compartments 2 Cleanouts (YIN) y Foundation cleanout (YIN) Y Depression (YIN) High water alarm (YIN) N. A. Alarm tested (YIN) N. A, Date of pumping R 111 19 3 Pumper I NC S SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: N Well(s) on lot 97 FkDm C.o. On adjacent lots > /oo' Foundation 12 ' r --Rom C.o. To property line - 9S' Absorption field 14o Water main/service line 60' Surface water/drainage 7 100' 72-026(3t93)•Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) High water alarm level "Pump on" level at "Pump off" Level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Cycles tested Surface water D. ABSORPTION FIELD DATA 322 FtZ/BORN Date installed - 7'85- Soil rating (GPD/Ft2) .46 GPD/ft' System type 136 b Length Ll' Width 32 Gravel thickness (, Total depth `i - 9 Total absorption area 19 52 Ft' Cleanout present (Y/N) Y Depression over field (Y/N) N Date of adequacy test `7/28/93 Results (pass/fail) D ss for 4 Bedrooms Water level in absorption field before test 7 ti After test 8 Peroxide treatment (past 12 months) (Y/N) No N E K N o wN If yes, give date N, A , SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot No On adjacent lots > / oo I Property line 45 To building foundation 19(,'PER o4sP REP. To existing or abandoned system on lot - 60 On adjacent lots > 5o' Cutbank N, A, Water main/service line Surface water > loo' Driveway, parking/vehicle storage area > /oo Curtain drain No N e o Rs ER vt D E. ENGINEER'S CERTIFICATION >160 1 certify that l have checked, verified, or conformed to all MOA and HAA guidelines irn the date of this inspection. At q Signature ... ,. � �►........ •,,,.,. r,.� ..: ,, Engineer's Name �heoolm✓2° A. :..... THEODOR[ F. AACOREr R Date 4��U-S / N4 1993 CE . 35139 01 " $�`�" 'e• •"' 4F .... n HAA Fee $ 170 = Waiver Fee $ 10 Date of Payment 7 - / � — l� Receipt Number o2& -O Z�? C S3 72-026 (3/93)' Back Date of Payment -1 ?, -01 Receipt Numberg�n4l Municipality of Anchurage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 28, 1993 Ted Moore, P.D. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 3 Block 3 Contour Acres #3 Waiver Request #WR930051, PID #017-381-01, HA930490 Dear Mr. Moore: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are a private well to the existing septic tank of 94 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, I; -4-V Daniel J. Roth Civil Engineer On-site Services ljm:#6 Concur: JA ;hn Smi h, P.E. gram Manager On-site Services MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR930051 PID# 017-381-01 HA# HA930490 Permit # Date Received: August 13, 1993 Legal Description: Lot 3 BLock 3 Contour Acres #3 Engineer: Ted Moore, P.E., Flattop Technical Services 14530 Echo street, Anchorage, Alaska 99516 Applicant: Mark Copeland Waiver Requested: Private well to existing septic tank 94 feet Criteria: 1 Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: S L"g A ZZA C/4ED Date: q-29-" By Name iewer Rec # 25047 Amount: $410.00 Date Paid: 8-13-93 wlql t T FOR JOT 3 Ql ock 6e7RfX 6vfilvE'R RfiquEsr NOAIVIFR 1./17? y3D0,,5-/ W RI UER RE V u6ST FaR ow -L or wEL L ro SEPTIC rp,vlv pF Mfr-rr SrPr/c Pv/ 7-4 — rl,(F S0 7-1C sFpt/c S)"srEtiJ /ti n -ell 44&9 /1/-7saRM IA-ra olRE 0 s 7-kp-r !N SoAcE r,+5F PSR C. 916 11F 7-k14v �o © M/Alli AO. T 144 OR1G l Nflj. S yS r E tLf wrg S /u AUG, /974. TRE ESP/ z v CaNCI?£TF T�'IVX w>4'S /A/STRGt�'p �� � FRaM T/lE EX/Sr/iv6 wEGt pr r,�l,ar t 1`9 E. rA/ MR y % 91 4 TRE SEPT/G TVmv I -A5 REPT AC ED _8Y #OOSO/Vme*lN� N=N 000 EXCALI gr"/NG Wl rH ND APp19RE.vr RE/9Soov OR PERI`+/r /N OUR ra. S, -mm ��. N TULY 1985 TRIE A-ell110Tioa f1r-'LP REPG/g£Ep b -17H A /3E '-' srysrEm S �,QE�vEft7K rHE 6Rau ivv rui9f,,oCE. wilt AFFIQV/TDM 11OQSoN STN T6S TitE D/4l'F HE Tiq[ LE,✓J E a e w S E Prt c TI}iv X R A p THE X en -t OP Tit E jy*Nk /$' /D PEE T. 7 -Her /Aw ee.:r 1� 1904 lNx u 7-1- I3s SEPT/c r)9N& U-rrS CdN.rrRu c7 -Fp 1.0 w•95 A /2 GAUGE S rE46L r6p)r. llovxom f RFFiDKWiT pofS NOT S Oec,,.Py THE STEF_L rONAf tl/voE R SAF 77FACT ar2i of 2 IN rv,,e L ann/iv(, TKus TH/S TIgR)< U -Ws SPECizlEp To 8E gaRI&P (0 fFET PE',Ep hy,D SH oL.c d RE IrAFF 4T 12 FEET *AO Ir A7- /D FBF . S/vCE Tk /PE ffiqS poi BFEAI (v1-19PJ€ BIND 1y04 Jr StlouLn Of O/C I -RA -RE 17- rSITS. r I rs.HGd Soti'5 4ff1O,9vlr Do E'3 TNgT IA-14TER T'/GHr leu.P I -LS t -r -Kc u5jEp T/ik-f 7-11F 76AY< E u. /4 TE i? 7-101-1 T . rl,(F S0 7-1C sFpt/c S)"srEtiJ /ti n -ell 44&9 /1/-7saRM IA-ra olRE 0 s 7-kp-r !N SoAcE r,+5F PSR C. 916 11F 7-k14v �o © M/Alli AO. CIVIL, & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 August 12, 1993 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: By means of this letter we are requesting issuance of a separation distance waiver allowing the existing septic tank on Lot 3, Block 3, Contour Acres #3, located at 5101 Vaquero Road, to remain 94 feet away from the private well on the same lot, instead of the normally required 100 feet. A site plan and copies of other relevant backup documents are enclosed to assist you in your review of this waiver request. We were unable to locate a driller's log for this well, but other documents on file at DHHS indicate that the well was completed prior to August of 1974 and that it has a total depth of 346 feet. Logs of three nearby wells with similar characteristics are enclosed. The log for Lot 4, Block 3, located immediately to the north of the subject lot was used for our waiver analysis purposes. On July 28 we conducted a yield test of the well. At the start of our test the static water level stood at 178 feet below ground level. Steady pumping of 743 gallons of water from the well at an average pump output of 4.6 gpm caused the water level to be gradually drawn down to 312 feet. After the pump was turned off the water level inside the well recovered 28 feet in 12 minutes; this translates into a recovery rate of 3.5 gpm which is more than adequate for any single family residence. Water samples collected on July 28 were satisfactory, showing 0 colonies of coliform or other bacteria per 100 ml., and 0.54 mg/l of nitrate -N. The original wastewater disposal system was installed in August of 1974 and consisted of a 1250 gallon concrete septic tank followed by a concrete ring seepage pit with 1026 square feet of absorption area. According to an affidavit on file at DHHS, a new 1250 gallon septic tank was installed in May of 1984 (apparently in conjunction with a driveway expansion project). The affidavit states that Caulder couplings were used on the inlet and outlet of the tank. Our measurements show the cleanout for this tank to be approximately 97 feet from the well. This waiver request of 94 feet is to allow for underground projection of the tank closer to the well. In July of 1985 the original seepage pit was abandoned and replaced with a 32' wide x 61' long soil absorption bed with 1952 square feet of absorption area. To assess the adequacy of the system, on July 28 we added measured quantities of water through the cleanout downstream of the septic tank while monitoring fluid levels in the septic tank and absorption bed standpipes before, during and after the flow of water was stopped. The initial fluid depths in the bed monitor tubes were 7" and 9", and the addition of 743 gallons of water to the system caused these fluid depths to increase by another 13/4". After the flow of water was stopped the fluid level receded 3/16" in 130 minutes, which corresponds to an average rate of 750 gallons per day. Based on this performance, we concluded that the system continues to accept water at an adequate rate for a 4 bedroom residence. As with any adequacy test, this test quantified the performance on the date it was done, and satisfactory test results do not guarantee future performance under different conditions. As indicated on the site plan, the house is situated on a low knoll, with the topography sloping gently downwards, primarily towards the north and west. Should the septic tank leak, effluent would not flow towards the well. According to the 5/23/85 and 7/16/85 AECS soil logs located in the vicinity of the septic tank, the soil down to 20 feet below ground level is a tan silt with a measured percolation rate of slower than 60 minutes per inch. The presence of this type of soil will provide an effective barrier preventing effluent from a leaking septic tank from making its way down through the soil column to contaminate the well. The well log for Lot 4, Block 3, shows 64 feet of sandy material and 97 feet of silty material for the zone between the bottom of the septic tank at 17 feet below ground level and the static water level at 178 feet below ground level. In addition to the significant vertical distance through which effluent must pass, these will provide an effective barrier to downwards migration of contaminants. The following is a breakdown of how waiver analysis points could be assigned in accordance with DEC's 1985 "Separation Distance Waiver Guidelines for SCRO". Category Points Vertical distance to water table (178' - 17' =161') 7.32 Soil Sorption ((64' x 1.5) + (97' x 3.5))/161 = 2.70 Permeability ((64' x 1.5) + (97' x 3))/161 = 2.40 Water table gradient (assume 0%, parallel to surface) 2.9 Total 18.0 Based on this point assignment it appears that the waiver can be granted without undue concern as to contamination of the well from the septic tank in its present location. The enclosed water sample test results indicate that there is not a problem with contamination at the present time. Please feel free to give me a call if you have any questions with this waiver analysis. Sincerely, Ted Moore, P.E. cc: Mark Copeland sz 000*** 4 .•+++sees+++++`:..•o+ • I I. THEODORE F. MOORE ; �`•.� CE - 3589 +`_� w Vo�` IA 2-77' (; RERTA DRIVE 32'Xlal' SOIL ABSORPT/0M 8ED LOT 4 $Lk 3 NO WELLS WITHIN lob' OF SEPTIC, EXCEPT A S SHOWN 1250 GAL 5Ep7IC TANk LoT 3, BLK 3, CoNTovR ACRES WELL AND SEPTIC- PLA EPTIC PLA N SCAI-E : I" 4o' NOTE: THIS Is No A SURVE` eb R, DATE 8'Q3 ALL LOCAT ION S D►✓N 8y : ARE APPROX i mA-, 'AU rY " GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-45h" ,More► `'� C�� REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA _ FHA CONV xxx 2. Property Owner: Ben Agee Mailing Address: contact agent Day Phone 3. Name of Buyer: Mark Copeland Mailing Address: contact agent Day Phone 4. Name of Lending Institution: National Bank of Alaska Mailing Address: contact agent Phone 5. Name of Realtor or Agent: Toni Brown, Jack White Co. Mailing Address: 3201 "C" Street Phone 277-1553 6. Legal Description: Lot 3, Block 3, Contour Acres #3 Location: Vaquero Drive (see attached) 7. Type of Facility to be inspected: residence No. Bdrms. 4 8. Water Supply Type of Supply: Public Utility Individual xx If Individual, number of dwellings presently served one If Individual, depth of well 9. Sewage Disposal System Type..of System: Public Utility If Individual, date of installation Individual (on-site) xx 1975 Request date: May 11, 1977 Please mail results to Toni Brown, Jack White Co., 3201 "C" St., Anch. 99503 To inspect property please contact agent -;,-A 4Ns4 dwe N G.Los.,N C► �'/3/ — NC -&b kas' O s PAIVA ZA4eAU . e�Q g4NORAGF Ptd u9`w gOo c u Y GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality �GPPp JAfIWRy •"" 30 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received March 30, 1976 190 4 Time of Inspection /,n; k46 ,q/fl Date of Inspection %-/- �� �ho jjS611-11 REQUEST FOR APPROVAL OF OIf�J INDIVIDUAL SEWER & WATER FACILITIES FOR w �1 - Approval requested by: Conv. Mailing Address: Phone: 2. Property Owner: Ben Agee Phone: 272-8411 Mailing Address: % RCA Alaska 3. Legal Description: Lot 3 Block 3 Contour Acres #3 4.. Location: Off of Huffman Road 5. Type of facility to be inspected Single Family No. of bedrooms 4 6. Well Data: ) Individual A. Type _Dy 01 ultatlal C. Construction afl D B. Depth approx. 150' D. Bacterial Analysis 7. Sewage Disposal System: on-site system. ara C M so F at...' l A. Installed 1973-74 B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area , Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHOP.AGE MUNICIPALITY OF ANCHORAGE DEPT OF HEtITH &. DEPARTMENT OF ENVIRONMENTAL QUALITY ENVIRONMENTAL F.,iCTECTION 3330 "C" Street, Anchorage, Alaska 99503 — 274-4561 MARS 0 1976 RECEIVED. 1. Type of Inspection 2. Property Owner: Mailing Address: 3. Name of Buyer: REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES CM RO _ d� VA FHA le L /D: V_; 14 � �- , �seAy Day Phone CONY Mailing Address: D LI�-�%` /TDay Phone 4. Name of Lending Institution: Mailing Address: Phone Uri 5. Name of Realtor or Agent: C a, �AreR� R&LN Mailing Address: Ile o ( 0 5 %TAA/J0_ it. Phone 277—/55 3 C� CV iq e- A J4 ) Legal Description: Location: 7. Type of Facility to be inspected: h e 4W !E No. Bdrms. e 8. Water Supply Type of Supply: Public Utility Individual X If Individual, number of dwellings presently served If Individual, depth of well &"Aa 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) A If Individual, date of installation �72 ^ ;76/ EQ -037 (1/74) Page 2 of two pages - Re, st for Approval of Individual : ar & Water Facilities Legal Description Lot 3 Block 3 Contour Acres #3 Comments Approved ' + Disapproved Date Ap val;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true ana accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) ��� *glCN0RA0E AgEA s b ��PE9 JR4UARy � GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ,f --- 5 - % -5- Time Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: 3. Legal Description: .S. .'e ""R' 4. Location: ' 5. Type of facility to be ins LWA a �zo Phone: Phone: 3119-1�;Z41 ted S•/- 6. io. of bedrooms 6. Well Data: A. Typ C. Construction 7. Sewage Disposal System: B. Depth 3 V (I D. Bacterial Analysis Q/ A. Installed eF - S - 7 7` B. Installer C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: 1. Size /a2 -0 2. Manufacturer --� -, 1. Absorption Area / Oa C tr 2. Material 3 Total length of lines i A. Well to: Septic tank 2_, Absorption area / n Sewer Lines , Nearest lot line / O , Other contamination B. Foundation to septic tank / �� Absorption area a © 14 _ C. Absorption area to nearest lot line O �� EQ -034 (1/74) Page 1 of two pages GREATER ANCHORAGE AkLi1 BOROUGH Department of Environ(ii�2nta1 Qua Iit,y '�.�'.�'`'.• 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 ,n,•n REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA — CONV X 2. Property Owner: Ron Pagenkope Mailing Address: Star Route A Box 1596 —T-99507 Day Phone 277-4409 . 3. Name of Buyer: Same as above Mailing Address: Same as above Day Phone 4. Name of Lending Institution: First National Bank of Anchorage Mailing Address: P.O. Box 720 Phone 279-4481 Ext. 288 5. Name of Real for or Agent: Refinance - None Mailing Address: Phone 6 . Legal Description: _ Lot -3, Blk. 3 Contour Acres Location: 7. Type of Facility to be inspected: single family No. Bdrms . 4 8. Water Supply Type of Supply: Public Utility Individual X If Individual, number .of dwellings presently served If Individual, depth of well 9. Sewage Disposal -System Type .of System: Public Utility Individual (on-site) X If Individual, dace of installation Judy in Real Estate Loans Page 2 o two pages - Ret., .s 'or Approval of Individual 1, a Water Facilities Legal Description Approved2/ Disapproved Date Ap o a1;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I 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) June 2, 1977 Jack White Company 3201 C Street Anchoraege, Alaska 99543 Attention: Toni Brown Subject: Lot 3 Block 3 Contour Acres Subdivision 03 our records show that the on-site newer system located on the subject property was approved in August of 1974. On May 17, 1977, a water sample was taken by this department. The results came back negative, thus the water appears to be gam• For future reference any loan requests in the future for the subject property will require a percolation test before this department can approve th on-site sewer system. if there areaany further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, William M. Dixson Principal Code Rnforcement Officer u/ljh