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T12N R3W SEC 15 LT 48
T12N R3W Section 15 Lot 48 #015-052-16 Municipality of Anchorage o y Development Services Department o 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: SW020061 PID Number: 015-052-16 Name: Wastewater System: ■ New ❑ Upgrade SYLVIA SHIMMEL Y p9 Address: 9411 ABBOTT LOOP ROAD * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 346-3094 4 LEGAL DESCRIPTION Block: Lot: Subdivision: 48 — Township: T1 2N Range: R3W Section: 15 ■ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other Soil Rating: Total Depth from original grade: 0.6 GPD/Sq. Ft. 11.01 MAX Ft. Depth to pipe bottom from original grode: Gravel depth beneath pipe: SEE DWG Ft. 6.03/7.04 Ft. Fill added above original grode; Gravel length: SEE DWG Ft. 43/37.5 (80.5 TOTAL) Ft Grovel width: Number of lines: Distance between linea: WELL: ■ New ❑ Upgrade 2.5 2 I 16.5+ Ft Ft Classification (Private, A.B,C): Total Depth: Cased To: Total absorption area: Pipe material: PRIVATE 204 ' Ft 202 Ft 1046 so. Ft. D 3034/ F-810 Driller. Date Drilled: Static Water Level: Installer. Date installed: SONSHINE 4/22-23/02 ALPINE DRILLING 4/18-19/02 142 Ft Yield: Pump Set At: casing Height Above Ground: TANK 30 (;PM UNKNOWN Ft 2 It SEPARATION DISTANCES ■ Septic ❑ Holding ❑ S.T.E.P. ❑ Other To Septic Absorption Lift Holding From Tank Field Station Tank Public/Private Manufacturer. Capacity In gallons: Sewer Lines ANCHORAGE TANK 1250 Well 100'+ 100'+ — — 25'+ Material: Number of compartmentx STEEL 2 Surface Water 100'+ 100'+ — — — LIFT STATION Lot Line 5'+ 10'+ — — — Sift In gallons: I Manufacturor. "Pump on level at: `Pump off` at: water alarm at: Foundation 5'+ 10'+ — — — IHigh Curtain Drain NONE KNOWN Pump Make odal: (Electrical Inspections performed by: BENCH MARK Remarks: Location and Description: BOTTOM OF SEPTIC TANK Inspections performed by: AKWWC, INC. Dates: 1st 4/22/2002 2nd 4/22/2002 3rd 4/23/2002 Development Servicjj Department Approval Reviewed and approved by: Date: �f q 103 (Rev. 12/01) J Assumed Elevation: PERMITNUMBER: SW0 AS -BUILT SW020061 ALTERNATE SITE WILL REQUIRE A LOT UNE WAIVER AND THE USE INSTALLED FLOW SPLITTER OF AN ALTERNATIVE (SPLITTER TO SERVE AS TYPE TECHNOLOGY CLEANOUTS FOR BOTH SYSTEM TRENCHES) �_._-- -•---- A —TH#1 / —DBL2 BL1 TH#2 \\\ r 1 NEW DRAINFIELDS LILLESTON STREET — DRAWING NEW 4 BEDROOM HOUSE B PARCEL ID NUMBER: 015-052-16 I NEW 1250 GALLON j SEPTIC TANK DATE: ao6Opp 11/4/2002 DRAWN BY: c> ().F►.'�4 ��.. C.J.G. �P�-•' �rOO ....0 ALASKA. WATER & WASTEtVATER q SCALE: i 9 H �O CONSULTANTS, INC — * . " - . 6901 DEBARR ROAD, SUITE 2B 'ANCHORAGE, AK 9950E - PHONE (907)337-6179 •FAX (907)338-324 1 40' .......... ..... .....6 -' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SYLVIA SHIMMEL 346-1804 2 OF 3 Q •fr y A. rness LEGAL DESCRIPTION: PQ 9r - C 795 LOT 48; T12N, R3W, SECTION 15 TYPE OF WORK: 44�@aProfessio�ob� AS—BUILT OF WELL LOCATION AND SEPTIC SYSTEM 04�11_ �o A B ST1 63.17 71.06 ST2 69.15 79.47 DBL1 70.71 81.69 DBL2 71.60 82.53 FS 79.84 90.19 C01 79.06 113.97 MT1 79.98 114.69 MT2 80.91 92.77 CO2 102.33 135.20 MT3 103.25 135.24 MT4 99.29 114.75 NEW 1250 GALLON j SEPTIC TANK DATE: ao6Opp 11/4/2002 DRAWN BY: c> ().F►.'�4 ��.. C.J.G. �P�-•' �rOO ....0 ALASKA. WATER & WASTEtVATER q SCALE: i 9 H �O CONSULTANTS, INC — * . " - . 6901 DEBARR ROAD, SUITE 2B 'ANCHORAGE, AK 9950E - PHONE (907)337-6179 •FAX (907)338-324 1 40' .......... ..... .....6 -' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SYLVIA SHIMMEL 346-1804 2 OF 3 Q •fr y A. rness LEGAL DESCRIPTION: PQ 9r - C 795 LOT 48; T12N, R3W, SECTION 15 TYPE OF WORK: 44�@aProfessio�ob� AS—BUILT OF WELL LOCATION AND SEPTIC SYSTEM 04�11_ �o PERMIT NUMBER: SW020061 AS -BUILT DRAWING TOP OF TANK INLET - 89.4 INVERT OF BU.._ AT INLET - 88.90 xFINAL GRADE >c 95.46-96.16 _ EW 1250 GALLON SEPTIC TANK U OF TANK AT LET - 89.42 INVERT OF BUNG AT OUTLET — 88.65 FINAL GRADE - 94.47 (AVG.) B B FINAL GRADE�Tq� - ORIGINAL GRADE 91.80+ (AVG. B E3 -- ORIGINAL GRADE 93.54-93.72 a 91.03-92.08 �FILTERFABRIC 'FILTER FABRIC INVERT OF PIPE 88.29 (AVG.) INVERT OF PIPE 8&11 (AVG.) 14'+ TRENCH BOTTOM OF 52.26TRENCH PARCEL ID NUMBER: 015-052-16 --�— OF RELATIVE ELEVATION OF BOTTOM OF TESTHOLE RELATIVE TESTHOLE 7822 (TETE BOTTOM OF = 74.58 (TESTHOLE DRY) BASED ON TH#1 STHOLE DRY)—�—�' DATE: 11/4/2002 0 0 QQ�P SOP DRAWN BY: C.J.G. ALASKA WATER & WASTE WATER SCALE: CONSULTANTS, INC. z � 1 ,_ 40, .... i 5 . �* 6901 DESARR ROAD, SUITE 2B - ANCHORAGE, AK 99501. - PHONE (907)337-6179 • FAX (907)338-3246 - PREPARED FOR: PHONE NUMBER: PAGE NUMBER: s SYLVIA SHIMMEL (907) 346-1804 3 OF 3'•efire A. Ga ess: LEGAL DESCRIPTION: f LOT 48; T12N, R3W, SECTION 15 �C —7953 TYPE OF WORKt PROFILE AS—BUILT DRAWING OF NEW SEPTIC SYSTEM©�p r fessloaa" Oo��oo 10/19/2002 09:51 9073458002 ras-a, Abbott Loop Road o 3 .> I 0 I 30 I I DEL NORTE SURVEYING PAGE 02 Typical Edge of Traveled Way 0 � F r1 oo•or'ao0° A ao 0 6 50 • SEP11C SYSTEM 0 100• WELL RAOlU� 115.02• , Lot 48 32,220 s. f. Pole Barn N 36.4' 0 0 0 0 LEGEND o Fnd Iron Pipe o Fnd Rebar w/ Plastic Cap • Fnd #5 Rebar — — Record Utility Easement • Septic Standpipe L " t , log OF *:AO •j *, 9 . .. ..... . GREER .....'.. o ��• LS -5033 10' Electric and Q---- Telephone Easement N00'05'.00"W 115.02' 50 °3 X50 I I 42 C=0 ! 0IJ FINAL STRUCTURE AS—BUILT of BLM LOT 48, SECTION 15, T. 12 N., R. 3 W., SEWARD MERIDIAN, ALASKA Del Norte Surveying, Inc. I hereby certify that i have performed an As—Built survey of the foundation on this lot and all the dimensions and information as shown hereon are true and no encroachments exist unless shown otherwise. Under no circumstances should any F.0.flow 110553 Alrc ma(9 7) U 95511 data hereon be used for construction or for establishin boundary or fence lines. (907J 315-9aW Phone - (907J 345-6092 FAX 9 Y Drawn G. Greer I Grid 2436 1 Scale 1`50' 1 Date Oct. 15, 20021 File No. WESCOfnlAB.DWG s � '--• 1J0~-'- 19,0 40.3' —► it N 6 N FF 112,00' t z z , Lot 48 32,220 s. f. Pole Barn N 36.4' 0 0 0 0 LEGEND o Fnd Iron Pipe o Fnd Rebar w/ Plastic Cap • Fnd #5 Rebar — — Record Utility Easement • Septic Standpipe L " t , log OF *:AO •j *, 9 . .. ..... . GREER .....'.. o ��• LS -5033 10' Electric and Q---- Telephone Easement N00'05'.00"W 115.02' 50 °3 X50 I I 42 C=0 ! 0IJ FINAL STRUCTURE AS—BUILT of BLM LOT 48, SECTION 15, T. 12 N., R. 3 W., SEWARD MERIDIAN, ALASKA Del Norte Surveying, Inc. I hereby certify that i have performed an As—Built survey of the foundation on this lot and all the dimensions and information as shown hereon are true and no encroachments exist unless shown otherwise. Under no circumstances should any F.0.flow 110553 Alrc ma(9 7) U 95511 data hereon be used for construction or for establishin boundary or fence lines. (907J 315-9aW Phone - (907J 345-6092 FAX 9 Y Drawn G. Greer I Grid 2436 1 Scale 1`50' 1 Date Oct. 15, 20021 File No. WESCOfnlAB.DWG 0 Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom http://www.ci.anchorage.ak.us Mayor Permit Number: #SW 020061 Date of Issue: 4-11-02 Parcel Identification Number: 015-052-16 Date Started: 4-18-02 Date Completed: 4-19-02 Is well located at approved permit location? ® Yes ❑ No Legal Description: T 12N R3W SEC 15 Lt 48 Property Owner Name & Address: Mark & Sylvia Shimmel PO Box 110789 - Anchorage, Alaska 9951 Borehole Data: Depth (ft) Method of Drilling ®' air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property Casing type: steel stick-up 0 2 Wall Thickness: .250 inches Siff 2 19 Diameter: 6 inches Depth: 202 feet gravelly silt 19 62 Liner Type: cobbly gravel 62 137 Diameter: inches Depth: feet Casing stickup above ground: 2 feet gravely silt moist 137 195 Static water level (from ground level): 142 feet silty gravel wet 195 199 Pumping level: 200 feet after water sand & gravel 199 204 2 hoursum in m P P g 30 —gP Recovery Rate: 30 gpm Method of Testing: airlift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: Bentonite granules Volume: 1 bQ Depth: Start 0 feet Stopped:: feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: chlorine tablets Comments: Well Driller: Alpine Drilling & Enterprises PO Box 110496 Anchorage Alaska 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property MUNICIPALITY OF ANCHORAGE y�Z Z16 2 -,/or 01 Development Services Department/�Z 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 1 WATER SUPPLY PERMIT Initial Permit Number: SW020061 Legal Description: T12N R3W SEC 15 LT 48 Design Engineer: 0041 AK Water & Wastewater Consultan* Owner Name: Sylvia Shimmel Owner Address: PO Box 110789 Anchorage , AK 99511-0789 Date Issued: Apr 11, 2002 Expiration Date: Apr 11, 2003 Parcel ID: 015-052-16 Site Address: Lot Size: 32229 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: Disposal Field E 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: Liy9Z Issued By: Date: -0110a Date: 4111lo Municipality of Anchorage ° • "� Development Services Department' s° i Mill s Building Safety Division On -Site Water & Wastewater Program a F r r r 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 'Di S tv -/ 10 Permit Number Swot 0061 Property owner(s) SYLVIA SHIMMEL Day phone 346-3094 Mailing address (1) P.O. BOX 110789 * ANCHORAGE. AK Mailing address (2) Zip Code 99511-0789 Legal description (Lot, Block & Sub'd.) LOT 48 Legal description (Section, Township & Range) SECTION 15. T12N. R3W Lot Size 173a 22 41 Acres/ Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well 0 Water Storage ❑ Sewer Upgrade ❑ 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. (Signaturc of property owncr or outhorizcd agcnt) Permit Fees: c% 15540 - Date of Payment: /-/-/V -0 0? Waiver Fees: Date of Payment: Receipt Number: 61C?165 Receipt Number: ALASKA WAVER & WASTEWATER CONSULTANTS, 1NC. ea.;�o�W�rrcm �,ss�a.m �,�a_�,•�s April 10, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 S. Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Well and Septic System for Lot 48; T12N, R3W, Section 15, To whom it may concern: The proposed 3 bedroom house will be served by a private well and septic system. The proposed well is to be drilled in the location shown on the site plan and design drawing. Two test holes were excavated in the area of the proposed septic system. The septic system will be designed around the 30 foot radius of these test holes. We are proposing that a 1250 gallon septic tank and also a deep trench type drainfield be installed. The homeowners requested a 4 bedroom septic system. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 0.6 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 20 & 6.67 minutes/inch b. Allowable Application Rate: 0.6 gallons/day/ft2 c. Number of Bedrooms: 3, but designed for 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 ft2 f. Total Depth: 11 feet (max.) g. Effective Depth: 7 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 72 feet total length (2 @ 36 feet long each) k. Effective absorption area = 1008 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-1246 * Website: akwwc.com 4. TOPOGRAPHY: As can be seen on the attached plot plan with topography information, the average topography in the area for the proposed septic system is a 10 to 15 percent running from approximately south/southeast to north/northwest. In short, there are no slope concerns. The trenches are to be installed parallel to slope contours. I am 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. E., M.S. NOTE: Attached is a site plan drawing, a design drawing, two soils logs, a plot plan with topography information 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 BOILING S/D .': T12N, R3W, SEC 15 T12N, R3W, SECTION 15 LOT 1A € r LOT 40 LOT 39 I — 1 I .......... ..... _, _.. S E (ZE 1 SEPTIC ARS � I j 4 100' WEu- 1 BOILING S/D € i ' I T12N, R3W, SECTION 15 LOT 2 1 1\ // j LOT 41,,,,, PROPOSED SEPTIC SYSTEM ��`•.�� _��i�� �.I i (SEE DESIGN PAGE 2 OF 2) \ ---- JPROPOSED 3 BEDROOM HOUSE BOILING S/D LOT 3 i( ! n j imPRO LOSRADIUS z I W10 v I I I I I \ / TH#1 7 #2 PROPOSED .. —�• � .r�.: i ._,_. _ � _ .—.,_... ......... _ _......... \�-- - ._ ...._. _WELL..... _ .,�......\..� .... ... ...... ..................------- ---- ---------- -------------------- 4 — —._ -----_._._ _---- I ALTERNATE SITE I a T12N, R3W,SC IONLOT 15 F<< l �i RUTH ARCAND PARK t cy � I 'I I 3 T12N, R3W, SECTION 15 LOT 56 mi m Q t ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DESARR.ROAD, SUITE 2B' ANCHORAGE, AK 99504' PHONE (907)337-6179 * FAX (907)338-3246 PREPARED FOR PHONE NUMBER: SYLVIA SHIMMEL 346-3094 DATE: 4/10/2002 DRAWN BY: J.L.M. SCALE: 1 " = 100, PAGE NUMBER: 1 OF 2 LEGAL DESCRIPTION: T12N, R3W, SECTION 15; LOT 48 TYPE OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM T12N, R3W, SECTION 15 LOT 38 T12N, R3W, SECTION 15 LOT 50 T12N, R3W, SECTION 15 LOT 55 CSEPTIC ARES <, T12N, R3W, SECTION 15//� t. LOT 2 / .. ... ...... J ffr y A. I j rj 9. CE 7953 ,' eG 1 I sio0o .�-,� t j 4 I 1 150' CLASS "C" I WELL RADIUS I U t= T12N, R3W, SECTION 15 tLOT 47 �- �W \i LILLESTON STREET (UNDEVELOPED) X�� -- T12N, R3W, SECTION 15 LOT 50 T12N, R3W, SECTION 15 LOT 55 <, t. .. ... ...... J ffr y A. GO rj 9. CE 7953 ,' eG \�\a\s,pro f es sio0o .�-,� FINSTALL DOUBLE -" CLEANOUT INSTALL FLOW PROPOSED SPLITTER GALLON SEPTI ._... ... ...... - G A' co 1. nU I 1 �^ `i r a _ �........... :.. c.... }I tt II FCO a Iting�l11 1 }1 IT M� TH1 U 0 0\ /ALTERNATE SITE WILL REQUIRE AN ADVANTEX SYSTEM OR EXCAVATION OF ADDITIONAL TEST HOLES LILLESTON„. STREET_ ..... ... .... _. TE: THE CONTRACTOR SHALL HAVE THE SOUTH JD WEST LOT LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. 6- WO oo S J° 4> ss� 50 TANK I SEPTIC SYTEM WAS DESIGNE FOR A 4 BEDROOM HOUSE PROPOSED 3 BEDROOM EXISTING BARN \ HOUSE TO BE REMOVED \ PROPOSED 100' WELL RADIUS PROPOSED WELL PROPOSED DRAINFIELDS. EXCAVATE TWO TRENCHES THAT ARE 11 MAXIMUMFEET DEEP BY 36 FEET EACH (72 FEET TOTAL2EO LENGTH). FEETOFF CLEAN WASHED \ DRAINROCK. INSTALL TRENCHES PARALLEL TO SLOPE CONTOURS. i DATE: Q�p6�Op�O 2 4/10/2000� �F s o� = DRAWN BY: op ASKA WXrER 1& `�VA.S'I�'�,Ti�4'MER J.L.M. AI SCALE: O p * �49 - � � CONSULTANTS,INC ' ” ' ' " - "�" ` � 1 » — 40' ....... ..... . ...... ....... 6901 8 RR ROAD, SUITE 2B " ANCHORAGE, GE, AK 99504 " PHONE (907)337-6179 ' FAX (907)338-3246 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: C SYLVIA SHIMMEL346-1804 2 OF 2 0 J fre 1 Gar\nsS/ LEGAL DESCRIPTION: 7953 LOT LOT 48; T12N, R3W, SECTION 15 oaf P� TYPE OF WORK: 40QaprOfessl0����`� DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM ��0400��66 alz OF A 0 ' . q d� ALASKA WATER & WASTEWATER CONSULTANTS, INC, 6907 DEBARR ROAD, SURE 28 +ANCHORAGE, AK. 99504 +PHONE (907)337-6179 +FAX: (907)338-3248 + WEBSRE: akwwc.com ............ SOIL LOG - PERCOLATION TESTI LEGAL DESCRIPTION: T12N, R3W, SECTION 15; LOT 48 Je re A. Gayness:' PERFORMED FOR: SYLVIA SHIMMEL DATE: 3/13/2002 PQO� C —7953 (frff eet) ? ORGANICS 4Q�QOOOffeeesss*%0O � (TEST HOLE #11 1 �`''''•':GP/SP W/ SILT ""°•�•SOIL CLASSIFICATIONS 2GW ORG - — / PROPOSED SEPTIC SYSTEM 3— GP ML CL CL _•°°""`°" GC OL 'O /�~ PROPOSED ° " n / 4 BEDROOM 4 a"o"a°;" R "oo�� SW MH J �HOUSE SM ��� OH man \ g—"®a"�"<•wp SC S P PO ED 100' WELL RADIUS 7—• DEPTH TO, TH#1 DATE GROUNDWATER TH#2 PROPOSED��� /f DRY 3/13/2002 - —-- \',---- WELL ---/ <• ALTERNATE SITE /LILLESTON STREET n"••<°•° SM TO DRY 3/15/2002 / ��, SM/GM DRY 4/5/2002 �______________ S1TE PLAN 4 " " 1"=100' I 10 8 ° DATE READING CLOCK NET TIME WATER LEVEL NET DROP 11 —:•q< 0 TIME (MINUTES) READING (INCHES) 12— °<• - 3/15/02 1 1:55 - 6" - < 2 2:25 30 4 1/2" 1 1/2" " 3 2:25 - 6 n 13 —qWa ° - "� 4 2:55 30 4 1/2- 1 1/2" 14—�•<< ° 5 2:55 - 6" - 6 3:25 30 4 1/2". 1 1/2- 15—:*:. /2"15—; < 16 17—• a a B.O.H. 18— 19— PERCOLATION RATE 20 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT. AND 7.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: E YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL COMMENTS: PERFORMED BY A.W.W.C., INC. I, JEFFREY A. GARNESS, CERTIFY THAT THISAS% PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Ay Z" 89oA�REA AWA � i `'1.�►.N 4. x.T�``Y 7.L�S. ■'•A- ■ R 28 0 a°°m SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: T12N, R3W PERFORMED FOR: SYLVIA SHIM DEPTH ;�� GPML (feet) - - ORGANICS TIME 9. h«iYi 1 GM CL GC OL SW MH GP/SP W/ SILT CH SM i OH SC 4 1/2" 3 2:24 - 6" - 4 2:54 3 1 1/2" 4 1/2" 5 ♦ - 6" ♦ Y ♦ \" \♦♦ 6 4—a \ \ R 1 1/2" 4 1/2" \ s n w M aM1aYy a° Po R n a ♦aP\♦ \® 5—y.,♦ ♦♦a,a ,n \ \ ♦ R e y • n \ b+ —♦ a w y \ \YM1 7 \a bye n\ PY n ♦ y♦P e P , 0. \♦,♦ a yY \ ♦ R e P♦®y♦ ♦♦ '♦'• SM TO 9—��:♦�♦:♦ SM/GM M Rb\yy y♦ 10—R R Y♦y R O YP\y R P♦�y R n Re♦y 4 12 —n \ \eY♦ R 1,3 —; \ Yqy R 14 —a \e, R R \byy R 15- " i Pn, fl wPwy R 16'—n♦\ • B.O.H. 17— IFS , SECTION 15; LOT 48 MEL DATE: 3/13/2002 TEST HOLE #21 SOIL CLASSIFICATIONS ',�.. GW ORG GPML HOUSE TIME (MINUTES) GM CL GC OL SW MH SP CH SM i OH SC 4 1/2" DEPTH TO DATE GROUNDWATER DRY 3/13/2002 DRY 3/15/2002 DRY 4/5/2002 r� C .•.� E � .v�vul e A. & As.- C -7953 ' rofesslo'�GoQ � r I / f oa - / 0 �/ PROPOSED SEPTIC SYSTEM D_ / -- — —PROPOSED OO—_ —^ CLOCK /— 4 BEDROOM WATER LEVEL HOUSE TIME (MINUTES) READING (INCHES) 3/15/02 1 1:54 CO 6" - 2 a n n I PRP D 1 0' u I WELL RADIUS z `TH#1 #2 PROPOSED /',�,.- PROPOSED��� /f WELL ALTERNATE SITE / �,ILILLESTON STREET , ----------L-------------- SITE PLAN -- I DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 3/15/02 1 1:54 - 6" - 2 2:24 30 1 1/2" 4 1/2" 3 2:24 - 6" - 4 2:54 30 1 1/2" 4 1/2" 5 2:54 - 6" - 6 3:24 30 1 1/2" 4 1/2" 19— PERCOLATION RATE 6.67 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.5 FT, AND 7.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL COMMENTS: PERFORMED BY A.W.W.C., INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS v/AS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 415 J02 FROM WESCO PRODUCTS INC PHONE NO. : 907 346 3209 Apr. 08 2002 08:45AM P1 res-ef i Typical Edge of Traveled Way O Abbott Loop Rood _ _ in 7 In NN p` ;A \ I! / / •p9�^� 00 5.00" w 115.07 1, LEGEND 30 I' 50 • \ \ I i / . ,'� \\ .`' \i I I liii 0 Fnd Iron Pipe ' / /// / ' %' ~-• /' ���� ,'\ 1r11 I 'hY O Fnd Rebor w/ Plastic Cop I tIt it 1 l 1[1 • Fnd #5 Rebar If -. \\ �\ \ \ I I II .\\\\\ \\, „l I ll \ \ II I --- Record Utility Easement ,= + IIJ / , \�O\`h� / i/! / \Ili It I If 111/� ta60'-12.J3' �, ( / r / r1 l l l 11 m ,' / I ///,///✓/' , o .�_ 8 .011 1 I' o FF 112.00%, \ '\ it I � I \°•y../ �r//iii /i i m � m ` l \ t li i r 11 /! /1 .. m ������N���tI��I �� 1� ,III 1 , I z 1►•,[�, OF A� yi \\,IIII I., �� P•.......... 25.0 a2' I I \l I I I I 1 r! ? 0�A. • �i \,. —� J \\ I l i 1 1 1 1 1 r a ii (+111 ,.,/ , r• �( 111'(11111 !'11 ••*i irfl I\ /R. , 1 •. \ II I{II I Ill r *• 'n If \ `... \ I 11111 I it it o, r \ a I I \1 it iIIIit GUY GREER of A� LS -8033 0 pole Born C4/ \ I � a� f / a.3'.. 58.° - i /,� . % ./ rlr `,,1 e8810081 ft ���` ' 06� \ J�, � 1 l' \ l+ f l /' / /\ 10' Electric and --^•"__ ! I o� � I• - f ---L. ..----1�.11_i.. !_ ��� ,�' --t. -Lt-'-_'------------.,..-------'"--- __- `'___ -• �` - l -- •,♦ 1 \ Telephone Easement �� N00'05.00"w 115.02' 1 l 50 50 SURVEY GATE: FEBRUARY 7. 2002 Plot PIOn: of BLM LOT 48, SECTION 15, T. 12 N., R. 3 W., SEWARD MERIDIAN. ALASKA I Guy Greer, hereby certify that I have performed a physical survey of this lot and I hove found or set the lot corners as shown hereon and to the best of my Del Norte Surveying, Inc. knowledge and abilities, all dimensions have been measured true and correct. It is the responsibility of the .owner to determine the existence of any easements, PA see 110557 Mavoge. NOW 00511 covenoeito, or restrictions which do not appeor on the recorded subdivision plat, (907) 345-8003 Phame - (807) 745-2002 RX Under no circumstonces should any data hereon be used for establishing boundary or fence lines. Drawn G. Greer 1 Grid 2436 1 Scale 1 "=50' 1 Dote Apr. 4, 2002 1 File No. WESCO—PP.DWG Municipality of Anchorage ' Development Services Department r � Building Safely Division � e= On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.sk.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 61-5- X151 ' 4� HAA#1)5n :KA 1. GENERAL INFORMATION Expiration Dater t Is(, Complete legal description T12N. R3W. SEC 15, L48 Location (site address or directions) 9351 ABBOTT LOOP ROAD • ANCHORAGE. AK 99507 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MARK do SYLVIA SHIMMEL Day phone 346-1804 9351 ABBOTT LOOP ROAD • ANCHORAGE AK 99507 Day phone JANELLE PFLEIGER W/ REMAX PR. Day phone 2600 CORDOVA • ANCHORAGE, AK 99503 Unless otherwise requested, NAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 242-0076 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 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 files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any otherperson orparty is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE r/ Approved for ___q_ bedrooms. Phone 337-6179 Date I los- Disapproved. ``kk '\11 UI- gN�;r,�� i Conditional approval for bedrooms, with the following stip ' ' • ' . yp ��_ � • ON-SITE ••��� ATERAND ; rn= WASTFWAT i PROGRAM 1/111)1)))1 Attachments: HAA Checklist Maintenance Agreements ' Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: Original Certificate Date: (' S (Rent 1) Municipality of Anchorage Development Servlces Department Sullding Safety Division On -She Water d Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 www.ci.anchorage.akus (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: T12N R3W SEC 15 LT 48 Parcel ID: A. WELL DATA Well type . L_._ If A, B, or C provide PWSID# N/A Date completed 4/19/02 Sanitary seal (Y/N) YES Total depth 204 ft, Cased to 202 ft. FROM WELL LOG Date of test 4/19/02 Static water level 142 ft. Well production 30 g,p,m, WATER SAMPLE RESULTS: Coliform 'C�S, colonies/100 mi. Arsenic: mg./L. B. SEPTIC/HOLDING TANK DATA Nitrate Q,hmgA. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 9/8/05 156 ft. 4.92 — 9 -p.m - Other bacteria colonies/100 ml. Date of sample: 9/8/05 Collected by: GEG, Ltd. Tank TypeNaterial STEEL SEPTIC Date installed 4/23/02 Tank size 1250 gal, Number of Compartments 2 Cleanouts (Y/N) YES Foundation deanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping _ 9/8/05 Pumper DENALI C. ABSORPTION FIELD DATA Date installed 4/23/02 Soll rating .p.d. ft%drm) 0_6 System type DEEP TRENCHES Length 43 do 37.5 ft. Width 2.5 ft. Gravel below pipe 6.03/7.04 ft. 12.5-14.5 Totai deptht0.9-11.08 ft. Eft. absorption area 1046 ft' Monitoring tube YES Depression over field NO Date of adequacy test 9/8/05 Results (Pass/Fall) PASS For 4 bedrooms 26.5 385 40 Fluid depth in absorption field before test 9 in. Water added 362 gal. New depth 28.5 in. 149 23 Elapsed Time: _ min. Final fluid depth 24 in. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) NONE KNOWN If yes, give date D. LIFT STATION Date installed 'Pump on" level at _in. 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 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout 100+ Holding tank 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property rt line 10'+ Building foundation 50'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 5' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and +': at P � review of Municipal records that the above systems are in conformance with MOA HIAA guidelines in effect on this date. ..... ...... .... q. ss.- Engineer's Printed Name JEFFREY A GARNESS 4 .. —79 3 Date ro hzac pror„swo HAA Fee $ Date of Payment l Receipt Number (Rev. 12101) Waiver Fee $ Date of Payment Receipt Number 10/19/2002 09:51 9073458002 DEL NORTE SLIRVEYING PAGE 02 Typleal Ed a of Troveled Way Abbott Loop Road c •� II 0 1 1 30 50 I I I Lal 1,59E I I I I I I e.Y c 0 0 Lot 50 I 50 .°d 350 I Cj I 12 0 i c$ e' •61 RApys � 0 t•o -u.v ar r F 112.00'yt Ft pole Lot 48 }� 32,220 s.f. 0 O i 40 0 a Fnd Iron Pipe o Fnd Rebar w/ Plastic Cap • Fnd p5 Rebar Record Utility Easement • Septic Standpipe Lot 41 •��` OF �r�f11 S '1k: T►f� :* A. .. .... ..CK. ER.....:.a �i LS -8033 : v %ems'•. !e+_14..p2,•'go��� 10' iphw o ••e —_ _— — — — — — — — NApnme Emanmt — — nooros'oo'w 11 i Lot 47 I Lot 42 FINAL STRUCTURE AS—BUILT of BLM LOT 48, SECTION 15, T. 12 N., R. 3 W., SEWARO MERIDIAN, ALASKA Del Norte Surve ng, Inc. 1 hereby certify that I have performed an As—Built survey of the foundation on this lot and all the dimensions and information as shown hereon are true and no ra k limaencroachments exist unless shown otherwise. Under no circumstances should any Aid W", AW" data hereon be used for construction or for establishing boundary or fence lines. Pq Aa -soot h•" - Drawn G. Greer I Crid 2436 Scale 1"=50' Date Oct. 15, 2002 File No. WESCOfnIAB.DWG 09-21-05:08:26 ; SCS Refl1 1055866001 Client Name Gatnns Engineering Group, Ltd. ProjectNamels T12N R3W See 15 Lt 48 CllentSamplelD T12N R3W Sec 15 Lt48 Matrix Drinking Water PWSID 0 Sample Remarks: ;907 561 5301 tt 2/ 4 All Datelf Imes are Alaska Standard Time Printed Date/Time 09/192005 8:15 Collected Dwernene 09/082005 8:33 Received Date/time 09/082005 13:29 Technical Director Stcoben C. Ede Paramety Resalu Allowable Prep Analysis PQL Unita Medrod Container lD Urnits Dale Date Wt Nivatc•N 0.201 0.100 MOIL EPA 353.2 B (<-10) 09/08/05 PLW tdicrobiology Laborwtory Total Coliform 52OB. NoColi wVIOOML SM209222B A (<-1) 09/08/05 TLF SGSSGS/CT&E ENVIRONMENTAL SERVICES Drinking Water Analysis Report for Total Coliform Bacteria READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE MUST BE COMPLETED BY WATER SUPPLIER [] PUBLIC WATER SYSTEM ID# 4PRIVATE WATER SYSTEM Send Results ]�send Mda G ❑ Send Results SAMPLE COLLECTION: h.a.r n.h •.r.a. �w.. rd..ea� s w a �.i. �..w Date: O Y Time: " /-" I AM Pt Location: A) SCU collector, 09N l j- . ( 200 W. POTTER DRIVE ANCHORAGE. ALASKA 90518 Tel: 907562-2343 Fax: 907.5615301 Lab Rel No. r 1056230 [) Send Irtwta .pr Fa►nHwK.p.plryNw. Frn. MWnp.r F/ Ny.eO su .zip C.O. SAMPLE TYPE 10 Routine d Treated Water Repaat Sample P Untreated Water (refer to lab no. 1 ❑ Special Purpose Transpodod to Lab By: Ift Same as collector Other. TO BE COMPLETED BY LABORATORY Sample Recetvina: Date: "i a� S ❑Samplgweraehoursold; ❑ RUSH SAMPLE Time: / 3 r� Results maybe unWIable J Temp: ❑ ee Hots Walmr Phone #: Delivery Method: per/— – arRemdeLoanans Fax#: Received BY Y�+Qa -- --- - �J(t��o Qje1S� Corrtrnerds' .............................................................................................................................................. Bacteriological Water Analysts Record: Sent to ADEC: MMO•MUG (PIA) RESULTS: ANC FBK JIMI Analysis Began: !7/j /� -5— Total Cdlbrm' Datomme Analyst 77:'— E. Coll Analytical Method: Membrane Filter 1 MMO-MUG (P/A) Reported By: --,C tae — Sent to Client Datdrime. { MEMBRANE FILTER RESULTS: Phoned [::] Faxed Q Dlrect CoL d. Colonles/100rnL VerMaeon Spoke Withrra w+ LTB BGO:$atlSfaC[Ory F..d... { EC ❑ Unsatisfactory DatelTlme:�,2T–r/i />Z`c� tNTC•tw M.n..warsw a•oxn.e..n.r Form # FW 0053 /2/17103 FEE -1 10/10'd E00-1 IOESISS106 S331ASM AN3 SIS 'IS3 371371"081IIYSS�60 SO -SO -01