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HomeMy WebLinkAboutSCIMITAR #1 BLK 3 LT 3Onsite File .......... Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171365 PID Number: 051-132-37 Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: 0 New ❑ Upgrade Name: Mary E. Turner ABSORPTION FIELD ❑ Deep Trench 9 Shallow Trench ❑ Bed ❑ Mound Address 19782 Tulwar Drive Chugiak AK 99567 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 10.5-13.2 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 6.6-9.3 Ft. Gravel depth beneath pipe 3.9 Ft. Subdivision Block Lot Scimitar #1 3 3 Fill added above original grade 0 Ft. Gravel length 54 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 526.5 Ft' 1 Ft. Well >100' >100' N/A N/A >25' TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 11,250 Gal. Surface Water >100' >100' N/A N/A Material Number of compartments Lot Line >5' >10' N/A N/A Steel 2 NA Foundation >10' >10' N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. Remarks Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Northern Excavating Drainfield D3034 CO/Mr Inspector J. Mlllette BENCHMARK (Assumed elevation) 100 ft Inspection �5` 4/24/18 5/14/18 Location and description 2nd 3`d 4t' Bottom of Siding SW Corner. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ,;e9e!A%VV OFAW q���1 Conditional Approval: Date AW •'9J. , 0 ®�,`P.• 49TH - .v � - i............. .. .......... 0 $410 , .MICHAEL E. ANDERSON Jf•. CE - 4381; ,: 00�,Fo ,?� �i• •c,. Approved °,t4�'Lu, Date 44kp?DFESS10Na'®® inspection Keport_9-1-1z.00c SCIMITAR #1 BLOCK 3 LOT 3 PERMIT # OSP 171365 LOT PID # 051-132-37 \ / / ' LOT 2 l WELL I �_L6T19 EXIySTIrTGSEPTICTANK- /HfCOMMISSIONED IN / ACCORDANCE WITH MUNICIPAL CODE. 5vz TH2 f- 1250 GALLON SEPTIC TANK 2C0 MT3 i H1 01 I / NrW TRENCH: 541 / Yy5'W X 3.9' EFF. EXISTING WELL / I11 LOC 18 10' UTILITY EASEMENTS- \ A\ B C / X I / EXISTING WELL ..l.l.NdminlFwpe / / / /LOT 17 \ \ NOTES: \ \. FCO 24.61 19.2 SV1 18.9 48.0 SV2 19.7 53.1 2C0 26.27 55.0 C01 40.9 64.6 MT1 40.0 63.8 CO2 61.0 49.3 MT2 62.5 49. 1. NO SURFACE WATER WITHIN 1 00'OF THE PROPOSED SEPTIC SYSTEM. 2. MEETS 16.55.210.B.1.d & e FOR SLOPES WITHIN 20' AND 50'. 3. ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. 0 50 100 FEET SLOPES > 25% SLOPES > 46% 1 "=50' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE SCIMITAR #1 BLOCK 3 LOT 3 PERMIT # OSP171365 0ev, PID # 051-132-37 O 98.9 ORIGINAL & FINAL GRADE I O /— 96.2 ORIGINAL & FINAL GRADE U 85.7 54' NO GROUNDWATER 12/8/17 PROFILE AS -BUILT (NO SCALE) 77.9 0 . 49 TH W., ..... ........... . Michael E. Anderson 4381 -E ,,s�pROFESSIONP � a-. o ®-oo1n -- O C C 3 O ,;7 S �., 0 33�A0® C S rt m 0,0 rt I S 3, W T rt N C StG CA H N C m ®m CDN I'aO m 7 a ®p A O 7 N ? ® O 0 -1 rt p� C'rt0 7 w O �O OSS®C0 N 0 'O <D w N N S rt m < n 0 x 7 m 0 8 C S O Q O p N C. 7 rt m s y C fl O A m rt0 7C'�m 13":S..Oi.0 —d .0 O 300 C m 0.0 CL O O Z v o rtC C =C 0 c 3 —0 o= 5 z o 7 CL 7 N O -+ rt S ' 3— O m Z IC (A _ CD m m N m rt 3 O N 7 0 0��fNI 0-0 Q -N+ a 3 7 0cr 0 p CD iO3--1C. om C_ omni O C O V� O C N m QC =r 0. �. d� 'C�• m rt O 0 u� N N 7 N m: C. 7 N S FC? S •o3 0 o:2mm m 9 y K +O N @ CLO 7 D rtC C m N 'y' C 1 0 r oma' w x r \� oaw ,N�0PA,s_r MUNICIPALITY OF ANCHORAGE �, mens On-Site Water&Wastewater Program 0 5�� r PO Box 196650 4700 Elmore Road �. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,; ,q http://www.muni.org/onsite ,, epartm�nt 4NCHORpE On-Site Wastewater Disposal System Permit `f 7214e I4A L Permit Number: OSP171365 Effective Date: 4/23/2018 Work Type: Septic Initial Expiration Date: 4/23/2019 Tax Code Number: 05113237000 Site Legal Address: SCIMITAR#1 BLK 3 LT 3 G:1261 Site Mailing Address: 19782 TULWAR DR, Chugiak Owner: TURNER MARY E Lot Size in Sq Ft: 42953 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: 0 Disposal Field E Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: (,4!1.11 �Z.!����- Date: -6/g/i Issued By: r (/�/� ✓ Date: g/.70,0 MUNICIPALITY OF ANCHORAGE Community Development Department \ .; Phone: 907-343-7 Development Services Division Fax: 907-343-7997u 4, On-Site Water & Wastewater Program �I,V \O� V 7 ON-SITE SEWER/WELL PERMIT APPLICATION DEL U O2u11 051-132-37 �d ti Parcell.D. �i c,� Property owner(s) Troy Davis Homes, Inc. Day phone 310-2501 j s Mailing address 1689 Goose Bay Road #400 Wasilla, AK 99654 Site address 19782 Tulwar Drive Chugiak, AK 99657 Legal description (Sub'd., Block & Lot) SCIMITAR #1, BLOCK 3, LOT 3 Legal description (Township, Range & Section) Lot Size 42,953 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field Initial Single Family (SF) X (w/wo ADU) Septic Tank IX] Upgrade ❑ Duplex (D) [� Holding Tank I I Renewal ❑ Multiple Dwellings n Privy [] (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 514 Waiver Fees: Date of Payment: a MA- Date of Payment: Receipt Number: 00910$0 Receipt Number: Permit No. CaWaiver No. Permit App__-: ,_..:c CDl GE 6NGINIIERING PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) 4/26/2018 Municipality of Anchorage Development Services Dept- On-Site Water& Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: SCIMITAR SUBDIVISION#1, BLOCK 3, LOT 3 Septic system design and permit application Dear On-Site Services Engineer: The owner of the above lot intends to build a 4-bedroom home on the property, so we are submitting this permit application for the construction of a new septic system. A well is currently in place on the lot. A house was previously on the lot, but was completely demolished in the past. The existing septic system has been determined to be unusable. The attached site plan identifies the location of the new home as well as the existing well and proposed septic location and alternate site.No conflicts exist between this proposed system and any wells, whether on this lot or adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction of flow. The drainage pattern in general will not be changed by the construction. The new trench will be constructed parallel to the slope as much as possible. The wells on this and neighboring lots are shown. The new system will be a minimum of 100' from all wells and surface water, and more than 5' away from the septic tank. The alternate site is located more than 16' away. Please refer to the attached test hole logs, soils lab analysis, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, OF At \ 11 ' • Michael E. Anderson, PE -*�49 TH Ay /� Michael E.Anderson tz 4126%018*��C��,=/ 1l rD°40FESSO'\ii.. SCIMITAR #1 BLOCK 3 LOT 3 6_0 --( S' PERMIT # OSP171365 PID #L7051-132-37 /1 AI 'o o / / o ♦ 1 / ���� �o �ogo / )/ �O Op IST FSG W L / / / A d ocb 40 rn � coo`o N o SSG to Egi,(___/ \N ____ ____ ____ . )74* o o �/ M:'RMH• coy _ ` FCO /18T1 G SEPTIC TANK- / � :' '• , % COM ISSION IN PLACE iiiiiiii I r \ g 3'IG PERKK3 44\ 15T� lin \ I ( ' \ •8 2Co.. / 12.r LON E TIC TANK T ALTERN E SITt: G'G • 16 �'x 8'EFF 3'WI PUM STATION 1.3 ""' � le 71//// • // i 15.4 /T I • ` V le. �j CC �.. y 17.17,-3 _______________/, `* ! EXISTING WELL filigli __.------ \ LOT 18 - � �/�p.'"----.-- ; NEW TRENCH: 50'x 4'EFF\x 5' ../. 4. .-d -' / / \ / ���i �/ 10' UTILITY EASEMENTS,. f l 1 / \ < I ® I 7/// /\ \\ \ ` EXISTING WELL I *WGE' \ \SLOT 17 l J ENGINElEING/ \ \ 1\ / / Z ,/ z NOTES: \ \ \ �` ����� 1. NO SURFACE WATER WITHIN 100'OF THE PROPOSED SEPTIC LEGEND OF A .1 k, SYSTEM. CO-CLEANOUT *.491H ')� %I 3. ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2CO DOUBLE CLEANOUT • // PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR FCO-FOUNDATION CLEANOUT 0,/. , FS-FLOW SPLITTER VALVE .. � ..a ••• SEPTIC SYSTEMS. MH-MANHOLE Benja Schiller ' #+/F •.• CE-12592 ��% 0 50 100 SLOPES>25% MT-MONITORING TUBE •EY.°I;:ie • / = = FEET �IiF�F�PROFESSION•,.;<. ��� SLOPES>46% SV-SEPTIC VENT \�‘\"``' 1'-50 TH-TEST HOLE SCIMITAR #1 , BLOCK 3 LOT 3 DESIGN FACTORS: SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW 5' WIDE SHALLOW TRENCH SYSTEM PERK RATE: 0.38-1.0 MIN/IN 1250-GAL SEPTIC TANK APPLICATION RATE: 1.2 GPD/SF 600 GPD/ 1.2 GPD/SF/5' WIDE '' 0.5 REDUCTION = 50.0 LF TRENCH REQUIRED (50 LF SPECIFIED) BOTTOM OF TRENCH: 12.0' -15.0' BELOW GRADE FLOW LINE ELEVATION: 8.0' BELOW GRADE TOP OF TRENCH: 0.5'ABOVE GRADE 6" I j=111=111=1 I I—I 1- 1=1 11= 46I I Tf I—I i 111=1: 111=11E 11-1 I 1=111-1 -1 IiI I -11 --111.E1 I -H-111] 1=1 I I-III-I 11—I 1 I-111-1 -111-11 I 11—I I E111-1_I I5 E I 11_1=111= =11.WWI I II I II11 I] 1=1 I 1=111=111=11 EI 11=1 -I 11-11 E 11--11 EI 11-11 IE 1-111-111-1_I 1-11 I 1-1 =_l I I-I TTi_1 1 I IU I-I I EI I-111-11 --111-1 -111-11 EI 11-11 I 1 I-11 I] 1=111=111-111=1 I EI I 1-1 EI I I-TET11=1 I f=11=1-11] 7'-s" 1-111- =f 1.= I I-1 =-1T(=1 I Tff I 1=1 I IE El I II1111 I E1 I11 I I-I I I I I E1 I I] 1=111=111=111E-7.1117--111=1_ _ =1 I 1=1 I 1TI= TR-TRETE I-III-III-III-I 11=1 I I-I -I 11=1 I EI 11=1 I �-I 1I- II I I-I 11=III=1 =1 I�I TI1=11- I11 I I EITI-1 I r I-III-III-III-III-I I 1-I -IIEIIEIIEII -1I1=1Ik NOTE LOCATION OF SILTY SAND l 11IL LAYER DURING INSTALLATION. I_ 111111=111= 1 IIE111=11 CONSULT WITH ENGINEER WHEN 1=11 TTI=1 —1 1=1-11-1 TRENCH IS EXPOSED. 6" DETERMINE TOTAL DEPTH BASED ON 4' OF SP/SM SOIL . : : : : :::• :; :: AS TttE AccEp-rin1Za Sa«LAYER : : • • • • • •• • • •_• : - • • •`• • • •! t ' • !-• • ' 4" PERFORATED PVC (HOLES DOWN) . . . . . . .c. . . . . . 4' MIN . . .. . . .:. . • • :.• • ! DRAINFIELD ROCK • - GE 5' ENGEa,NG 5-WIDE TRENCH SECTION (NO SCALE) AQ • •' f- NOTES: . GRADE AREA OVER TRENCH TO DRAIN AWAY .. 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' / • Benja Schiller 6 WITH 2" OF INSULATION 74 1F�•. CE-12592May 01 2018 •.•��/� 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER ,,k`F9Fo.';** SlO� �� THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY \\�ESO MUNICIPALITY OF ANCHORAGE �........„.106.\\‘‘‘,.. ���s\l�1 DEVELOPMENT SERVICES DEPARTMENT i�P•••. IA— i S , 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 *.STM *+4 SOILS LOG AND PERCOLATION TEST . .... Benja Schiller : j It lF••.• C 2592 .•``,/ LEGAL DESCRIPTION: SCIMITAR #1 B3 L3 - 19782 TULWAR DR I. ••• P'"a'01.2018Np.••,. PERFORMED FOR: it\\��"=��` DATE: 11/07/17 PROJECT No.: PARCEL ID#: 051-132-37 TECHNICIAN: J. M I L LE T T E Professional Engineers Stamp: DEPTH TEST HOLE 1 (feet) 1 lIS/���fj I' OB SLOPE SITE PLAN /./j! I' CLAY 4 '�}' _` 5 :.!.:-!.r. .!....% .....1:':', SEE SITE PLAN 6 ;',;f.:;::: .' POORLY-GRADED SAND 1 •a;;i•fY`:, ` W/ SILT AND GRAVEL 7 : . ,...„ ,: (SP-SM) •4 10 •; WAS GROUND WATER ENCOUNTERED? NO "•`'•� IF YES C WHAT DEPTH? - • ;i'l .'� DEPTH OF WATER AFTER MONITORING: NONE 11 j • DATE OF MONITORING: 12/8/17 12 1.5' SILTY SAND (SM) ' ` '= `/ DATE READING GROSS TIME NET TIME WATER NET DROP 13 °,.?.. ;: :: i (MINUTES) (MINUTES) (INCHES) ,..•...,.,._;.,: (INCHES) 14 '�•' `;.: 11/07 TEST HOLE PRESOAKED PRIOR TO TESTING: y:-,.:!04-,.::, I 8:30 0 15 �••,.;';';';a POORLY-GRADED SAND ;3:'iY"::! W/ SILT AND GRAVEL 2 8:36 6:00 6.00" 6.00" 16 ::;,'� (SP-SM) 17 ,4,'..,2.' 9 8:58 0 18 .z ;:: :,•, ,,;,;; •''; 10 9:04 6:09 6.00" 6.00" 19 -''• ; II 9:05 20—.';':;:.-;',2:?:..':: :``': 12 9:1I 6:09 6.00" 6.00" ,7.,...f....!:•.:7;',1 21 '''-`':,,~:2 PERCOLATION RATE: 1.0 (MIN/INCH) PERC.HOLE DIA. 6 (INCHES) DEEPENED FROM 18.5'TO TEST RUN BETWEEN: 3 FT. and 4 FT. 21.0' ON 4/27/18 COMMENTS: PERK TEST WAS RUN 6 TIMES. INTERMEDIATE RESULTS ARE NOT SHOWN BUT WERE VERY SIMILAR. • MUNICIPALITY OF ANCHORAGE .�.,, A: DEVELOPMENT SERVICES DEPARTMENT OF ��Q '''• '�tS�,�l�, 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 �, :; 9TH /\��•%IS, SOILS LOG AND PERCOLATION TESTit 0-434(4T.r_ . Benjchiller :LEGAL DESCRIPTION: SCIMITAR #1 B3 L3 - 19782 TULWAR DR 0,,,-'F•.o� 292•••ay .A/ PERFORMED FOR: t kk PROFESS10NaU DATE: 11/07/17 PROJECT No.: PARCEL ID#: 051-132-37 TECHNICIAN: J. MILLETTE Professional Engineers Stamp: DEPTH TEST HOLE 2 (feet) 1 I' OB SLOPE SITE PLAN j / I' CLAY s:: .f 4 .:: �.i 4 • POORLY-GRADED SAND 5 ••;r'._`Y+.•'�:? W/ SILT AND GRAVEL SEE SITE PLAN ;;_ ti;'y;.! (SP-SM) 7 �,,. 4 9 /7•-•• 2' SILTY SAND (SM) WAS GROUND WATER ENCOUNTERED? NO 10 _ S 11 :.� IF YES L WHAT DEPTH'? DEPTH OF WATER AFTER MONITORING: NONE L ,..,.:..,) DATE OF MONITORING: 12_/8/1/ p 12 y I.'Y'+:,:,, E ::i.. : :.:;;; DEPTH TO DATE READING GROSS TIME NET TIME WATER NET DROP 13 °;•: (MINUTES) (MINUTES) (INCHES) (INCHES) . 14 ' :'.'•••: 11/07 TEST HOLE PRESOAKED PRIOR TO TESTING: *..-'...:!:: -..::..P. I 9:15 0 15 !+:''',`' .,-~;; POORLY-GRADED SAND ::::?4...i:::-:,.:.,:::-,, W/ SILT AND GRAVEL u `.;~:' 2 9:17 2:20 6.00" 6.00" 16 ::t;: (SP-SM) 17 ,:,.::,.:-..,..::,:..1, ^`'�� 1, .. 'r'" 9 9:28 0 10 9:30 2:17 6.00" 6.00" 19 II 9:31 0 20 12 9:33 2:20 6.00" 6.00" PERCOLATION RATE: .38 (MIN/INCH) PERC.HOLE DIA. EINCHES) TEST RUN BETWEEN: 3 FT. and 4 FT. COMMENTS: PERK TEST WAS RUN 6 TIMES. INTERMEDIATE RESULTS ARE NOT SHOWN BUT WERE VERY SIMILAR. • r , , NORTHERN GEOTECHNICAL ENGINEERING, INC./ TERRA FIRMA TESTING Laboratory Testing Geotechnical Engineering Instrumentation Construction Monitoring Services Thermal Analysis PROJECT CLIENT: Forge Engineering %GRAVEL 12.8 USCS SM PROJECT NAME: Scimitar#1 %SAND 46.4 USACOE FC N/A PROJECT NO.: 4899-17 %SILT/CLAY 40.8 %PASS.0.02 mm N/A SAMPLE LOC.: Block 3 Lot 3 %MOIST.CONTENT 43.0 %PASS.0.002 mm N/A NUMBER/DEPTH: UNIFORMITY COEFFICIENT(Ce) UNKNOWN DESCRIPTION: Silty sand COEFFICIENT OF GRADATION(Cc) UNKNOWN DATE RECEIVED: 12/12/2017 ASTM D1557(uncorrected) N/A TESTED BY: JA ASTM D4718(corrected) N/A REVIEWED BY: RJPC OPTIMUM MOIST.CONTENT.(corrected) N/A us.sIE PARTICLE SIZE ANALYSIS ASTM D422/C136 OPENING HI MODS I US.SIM MAIM I HYDROMETER 100 ' 3 I.s va iI :in ,w or am i o rho onio w:.• SIEVE ANALYSIS RESULT SIEVE SIEVE TOTAL% SPECIFICATION - 90 4• 40-40-4, ♦ • . SIZE(mm) SIZE(U.S.) PASSING (%PASSING) 80 _._..-_._. ♦ – 152.40 6" 70 I 76.20 3" 100 38.10 1.5" 90 vl 60 4— II III 1111 19.00 3/4" 89 50 • : — 12.70 1/2" 89 --- — 9.50 3/8" 88 CO 400 1111 4.75 #4 87 c4 —— 2.00 #10 86 30 0.85 #20 85 4, 20 . 0.43 #40 83 Illi 0.25 #60 77 10 0.15 #100 61 o 0.075 #200 40.8 100 10 1 0.1 0.01 0.001 (TRAIN SIZE(mm) HYDROMETER RESULT ELAPSED DIAMETER TOTAL% (COBBLES f GRAVEL SAND SILT or CLAY TIME(MIN) (mm) PASSING fCoarse Fine Coarse Medium Fine 0.5 1 MOISTURE-DENSITY RELATIONSHIP ASTM D 1557 2 4 145 ._ g —._.._ . 15 140 -----— --.._. .-- ------ 30 -- —-- _' - 60 135 — 250 -- 1440 Z 130 HYDRAULIC COND. (ASTM D2434) N/A 125 A DEGRADATION N/A 12 0 _ — (ATM T-313) _`._ —_— PLASTICITY INDEX N/A 115 - - ASTM 4318 0 2 4 6 8 10 12 14 16 MOISTURE CONTENT(%) The testing services reported herein have been performed to recognized industry standards,unless otherwise noted. No other warranty is made. Should engineering interpretation or opinion be required,NGE-TFT will provide upon written request. 11301 Olive Lane • Anchorage,Alaska 99515 • Phone:907-344-5934 • fax:907-344-5993 • uww.nge-1f.com 0 NORTHERN GEOTECHNICAL ENGINEERING, INC./ TERRA FIRMA TESTING ffi Illk, / Laboratory Testing Geotechnical Engineering Instrumentation Construction Monitoring Services Thermal Analysis PROJECT CLIENT: Forge Engineering %GRAVEL 43.5 USCS SP-SM PROJECT NAME: Scimitar#1 L3 B3 %SAND 44.7 USACOE FC N/A PROJECT NO.: 4887-17 %SILT/CLAY 11.8 %PASS.0.02 mm N/A SAMPLE LOC.: TH#2 %MOIST.CONTENT 6.1 %PASS.0.002 mm N/A NUMBER/DEPTH: UNIFORMITY COEFFICIENT(Co) UNKNOWN DESCRIPTION: Poorly-graded sand ed silt and gravel COEFFICIENT OF GRADATION(Cc) UNKNOWN DATE RECEIVED: 11/10/2017 ASTM DI557(uncorrected) N/A TESTED BY: JA ASTM D4718(corrected) N/A REVIEWED BY: RJPC OPTIMUM MOIST.CONTENT.(corrected) N/A PARTICLE SIZE ANALYSIS ASTM D422/C136 u3.3IEVC OPENING IN INCHES r U.S.SIEVE NUMBERS r 1nnaocW.IFR SIEVE ANALYSIS RESULT 100 6 i Ha II2>m N no 420 1. 10 nvo r SIEVE SIEVE TOTAL% SPECIFICATION 90 SIZE(mm) SIZE(U.S.) PASSING (° PASSING) 80 ♦ • 152.40 6" 70 . . 76.20 3" . -_..-- 38.10 1.5" 100 rn 60 19.00 3/4" 95 • 50 .. 12.70 1/2" 84 9.50 3/8" 75 m40 • 4.75 #4 57 2.00 #10 39 30 —_---_-_-- 0.85 #20 28 20 ♦ • - 0.43 #40 22 -- --- .— + 0.25 #60 19 10 0.15 #100 16 0 -— , 0.075 #200 11.8 100 10 I GRAIN SIZE(nun) 0.1 0.01 0.001 HYDROMETER RESULT I GRAVEL I SAND I ELAPSED DIAMETER TOTAL% COBBLES JI SILT or CLAY TIME WIN) (mm) PASSING Cause Fine Come Medium Fine U 0.5 l MOISTURE-DENSITY RELATIONSHIP ASTM D1557 2 4 145 - - ..__.__.- 8 . _ 15 140 _— __ 30 �. .� 60 3 135 _ _— 250 1440 y 130 AlHYDRAULIC COND. N/A A - • - (AST'M D2434) > 125 Q DEGRADATION N/A 120 —---— (ATM T-313) PLASTICITY INDEX N/A 115 —--- ____•"—_-- ASTM 4318 0 2 4 6 8 10 12 14 16 MOISTURE CONTENT(%) The testing services reported herein have been performed to recognized industry standards,unless otherwise noted. No other warranty is made. Should engineering interpretation or opinion be required,NGE-TFT will provide upon written request. 11301 Olive Lane • Anchorage,Alaska 995/5 • Phone:907-344-5934 • Fax:907-344-5993 • Ivrvw.nge-{JI.coni MUNICIPALITY OF ANCHORAGE .�.0."‘.\\NAN DEVELOPMENT SERVICES DEPARTMENT i-At. k;.kkit 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 j g•' ��' �*9 +A 0* TH i\ . *, SOILS LOG AND PERCOLATION TEST Benja •Schiller � ��c/ CE 12592 .4 i LEGAL DESCRIPTION: SCIMITAR #1 B3 L3 - 19782 TULWAR DR fk, ,4..•pFOP".19.20i8 ..: � PERFORMED FOR: ll\�X��`���' DATE: 1/10/18 PROJECT No.: PARCEL ID#: 051-132-37 TECHNICIAN: J. M I LLETTE Professional Engineers Stamp: DEPTH PERK 3 (feet) 1 I' OB SLOPE SITE PLAN 2 .s.. 3 .. SANDY GRAVEL W/ SILT 4 5 SEE SITE PLAN 6 7 8 9 WAS GROUND WATER ENCOUNTERED? NO 1 O IF YES®WHAT DEPTH? S DEPTH OF WATER AFTER MONITORING: l(� 1 1 DATE OF MONITORING: ��SS E 12 GROSS TIME NET TIME DEPTH TO NET DROP 13 DATE READING (MINUTES) (MINUTES) WATER (INCHES) (INCHES) 14 1/10 TEST HOLE PRESOAKED PRIOR TO TESTING: 15— 1 4:02 0 16 2 4:11 8:30 6.00" 6.00" 17 9 4:41 0 18 10 4:50 8:45 6.00" 6.00" 19 II 4:51 0 20 12 5:00 8:45 6.00" 6.00" PERCOLATION RATE: 1.5 (MIN/INCH) PERC.HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 4 FT. and 5 FT. COMMENTS: PERK TEST ONLY MUNICIPALITY OF ANCHORAGE 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)) �� ��/Lt` liLC /✓t,LlOi✓ I ��CbG ❑ j/VL UPGRADE MAILING ADDRESS y 2c� 1.7<D I< l� LEGAL DESCRIPTION �) / �. �� � -� \ •� �, �l �3 � / f %'� !moi LOCATION NO. OF BEDROOMS T DISTANCE TO: Well > % z Absorption area Tf Dwelling / PERMIT NO. • U y 7R,104 a _- wZQ Manufacturer Material No. of comgtments f- T G� h Liq. cape in gallons IF HOMEMADE: Inside length Width Liquid depth 6 Y DISTANCE TO: Well Dwelling PERMIT NO. JAZ = Z F Manufacturer Material Liquid capacity in gallons w= DISTANCE TO: Well a Foundation y Nearest to line PERMIT NO. . �0 J LL Z No. of lines Length of-eaglline Total length of Ines Trench Distance between lines H z ¢ / ..+ _width inches I.. Top�of tile to finish grade Material beneath tile Total effective absorption area ,t ql inches Length Width Depth PERMIT NO. w 0 a F w ° Type of crib Crib diameter Crib depth Total effective absorption area uj DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J Lu DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIP�{T/ERIALS SOIL TEST RATING INSTALLER ='s REMARKS °°° 3 2 ,rr✓ Sw moo''' F1 .C�na�G°40� OG OQ 00 Q.0 e — F fj / 1! e-0ee�66eeD°eo0Oa0eeooCOO eoo oa ®� P.ussell s L. Oyster oe ��Fa 'TQC °ooe ea oa®e° ��g 5 Q> APPROVED DATE LEGAL 72-013 (Rev. 3/78) r.' rq 11 P-4 I cz :1 1 _Z4 IL.- I -y"o-e ow a F`7 F-4 PA c1`1_4 R fq C."A F71. DEPARTMENT HEALTH AND ENV TRONIIIENTAI... . -.014"CTION 825 'L.' STREET.. ANCHORAGE, f1K. 99�101 264-4 ?20 PERMIT NO. 780422 OC AFT-1,1CANT F,� � ffll�,, GENERAL DEL-IVERY RIVER 9 694-9056' . LEGAL L_,` 133 SCIMITAR SUBDIVISION LOT SIZE 4295.2' SQUARE FE17 TYI--'E OF '-::;OIL ABSORPTION 51?!E-.TEr9 IS: TRENCH MAX,IMUM NUMBER OF BEDROOMS = 2: SOIL.. RATIr-,IG F--T,,'F:R:)= 21"0 THE RFQUIREf,`, SIZE OF THE SOIL. AORPTION SYSTEM IS: 1. K.D. F�_, F�81- 1-1 n) - ;R L_ EE 914 r3m -ir V IBSI C3 F:;? F-1, .."FE, V., FE --. F -T" 0 -I THE LENGTH DIMENS IC.'IN IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINF' IELD. THE' DEPTH OF n TRENCH OR PIT IS THE DISTANCE RETWEE"N THE. SURFACE OF TFIE 13ROUND FIND '('HE BOTTOM OF THE ExenvATION (IN FEET), THERE 15 NO sur WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEF-J-4 THF.' OUTf:7AL1 P I F,F AND THE BOTTOM OF 'THE EXCAVATION <IN FEET"[. W;? Ez 0:-7e 9_J :1 F� FE r:11 E_ F." -11'" 1 0- 1- IR rA !�5 1 2!3. F_- -�- J_ C-) IRI 1-_�A L.- L_ CA PERMIT APPLICANT HA'---. THE RESPONSIBILITY TO INFORM THIS f,.AjF,,.INj-J T[IF I NS -TAI -1. ATION INSPECTIONS OF ANY WELLS ADJACEN'r TO THIi.'-,' PROPERTY ANE) THF; NUMBER OF RESIDENCES THAI' THE WEL.L, WILL SERVE. "I..- l-& C) W'." "R > 1 IF> F-7 C.-. -Ir T ft_ l IrA f3 971 FPl F -E, FRO FE 0--D., 1L.J 1. fc,r" F:_ E.n Rf+,*".F'IL.LING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND AF'PR.OVAL BY THJ Df4J'-'4HR'TMENT 1411-1. BE S1_IBJFC-:T TO PROSE-CUTION. HININUM DISTANCE BETWEEN A WELL.. AND ANY ON- SITE SEWAM3 DISPOS.FIL SY'-3TEN IS J.00 FTEET FOR A PRIVATE WELL; OR 150 'TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON 'THE TYPE OF PUBLYC WELL. WET -.L L.OQ5 FIRE REQUIRED AND MUST BE RETURNED TO THE I)EPARTMEtIT' WITHIN DfTrl'-1 OF' THE WELL COMPLETION. OTHER REPUIR.EMENTS MAY APPI.-Y. SPECIFICATIONS AND COt-4,.:5'TRUCTIOt-,I DIAGRANS"; ARE AVAILABLE. TO INS. -URE PROPER IN'S.TALLATION. F==" L:,-:, F-'-, II -+`N I -I- FI Fe EK V -u F_E'C: EK tl R3 F7-7. F:" 1L.... I C[_-'RTIF%` THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS- FOR ON-SITE SE HERS FC'.IRTH BY 'THE MUNICIPAL IT'i' OF ANCHORAGE-. 2: I. W I I L INSTALL THE '.:.iYSTEIII IN ACCORDANCE WITH THE CODES. -_]': I LJNDE`R.'-_-JAND THAT THE ON-SITE 'SEWER SYSTEM MAY RE(..*!LIIRE RES,ILENGE: IS REMODELED TC,', INCLUDE MORE THAN 3 BEDROOMS,. S I APPLICANT P.ft-L Ii,' -SUED BY ; , nprr-r.-z,--- /, AND WELL."', F6 SET E,NL_.ARGEtff:T4T '.(F THE 0 €f E OEC' HCHNI CAL 8- ®EVEL F'MENT CO. Box 90, Davis 5t., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 68e-2280 S oils Et Foundations "`�' Land Development Performed for: Name: ' N Tel . No. Mailing Address:___®_ Legal Description; /61` i7 -19//Z Depthfeet N 2 : ic-r '7-ZI-�oI( Soil Characteristics 3 -� 6044/,-� c., e 5 6 7 9 - ]] , Tzsi" 10a 12m�. 13 11L- 15 / i .7r I Ah---N-J 17: us" 6 `/k. '7: a-3 7 '/; 7 Ground Water Encountered: Yes _ No r/f If yes, what depth �� Proposed Installation: Seepage Pit Drain Field 7 ie 7 Comments:--- ?Comments:---��. �� ..� Performed by: � ,��9 F'-:� Dater.. /.., �.� �r, Dritting fag by A & L, DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 694-2588 OWNER OF LAND /�/CCJ'4"- ADDRESS LEGAL DESCRIPTION Cu 3 1",K .3 DATE - Startedp _ Ended PERMIT NUMBER 7Z 2J'Qk KIND OF FORMATION DEPTH OF WELL i STATIC LEVEL. OF WATER FT. DRAW DOWN FT. GALS. PER HR KIND OF CASING --t/4--rO From Ft. to Ft. to Ft. From _Ft. to— _Ft. From Ft. to � Ft. to ' Ft._�f�+�r� From GK'A' it C -ClFrom 3'- /�C=' "�'ero Ft. to Ft. to Ft._ OFA F1CN AOS From —Ft. to Ft. to _Ft. From Ft. to_ Ft. From FL to % L• Ft._9.�. Ft. E;�'r,' n �_{ /3„i;. �roni to _Ft, From __2�_,Ft. to �� Ft.. r� �� ,o � C i9�,> +` �' "/ Fro r Ft. to— _Ft. FromFt. to Ft._ 171 r, •"F/ From Ft. to Ft. From From__"�Ft. to Ft._ Li O�2,: � From Fl. to Ft. From _Ft. to Ft. _ _ From Ft. to—Ft. From Ft. to Ft._ From Ft. to__Ft. From —Ft. to Ft._ OFA F1CN AOS From_Ft. to _Ft. Prom Ft. to FL IyIUNICIPALII'Y —t3EPT. CIF HEALTO & From Ft. to— Ft. NVIRONMENTAI PRQiEC1T@P� From—Ft. to Pt._ � From Ft. to __Pt. From 6 1997 Ft. to Ft. Froin—Ft. to— Ft. Prom Ft. to—Ft.-- 1 From—Ft. to Ft. From Ft. to Ft._ From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft._ From Ft. to— Ft_ MISCL.INFORMATION: / k b' DRILLER'S NAME . • � �r 8 9 i0 t[.� 6]_ Municipality of Anchors 7 •-_/[r] ,2 P' On-Site Water and Wastewater Progr- ,;, �5��,�°i ' (907) 343-7904 ��,#'�v i� 0�' pi 44 SAFETY 201 1" NPR 2, s6 Certificate of On-Site Systems As a.oval w Parcel I.D. 051-132-37 Expiration*/."-*6 8 9 (AA-9 / Q0 I 1. GENERAL INFORMATION Complete legal description Scimitar #1 Lot 3 Block 3 Location (site address) 19782 Tulwar Dr Current Property owner(s) Mary E. Turner Day phone Mailing address 19782 Tulwar Drive Chugiak AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: •- ---:� `� Date: S1�( 1 l SCOSA to be released to the enginee ,,finless otherwise requested by the engineer. COSA Fee $ (O' .51) Waiver Fee $ Date of Payment Li/Agit? Date of Payment Receipt Number OCyncit Receipt Number COSA# OC19///0 Waiver* 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Forge Engineering Phone (907) 522-7773 Address PO Box 240773, Anchorage, AK 99524 Engineer's Printed Name Michael Anderson, P.E. Date 4/23/18 .. OF•..,‘kk '.-v�I 0*, 49 TH i1 *rig 6. DSD SIGNATURE .�1 System #1 Approved for Li bedrooms Michael E.Anderson 4381-E • System#2 Approved for bedrooms lil�44 Ro Essi `� Disapproved i>>NIV\��`4 Conditional approval for bedrooms, with the following stipulations: • •41 ON-SITE �,�, WAT AWA ER z 1.c PROGRAM `c,•., By: Plite,6(191 � Original Certificate Date: 5/2/ itf The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Scimitar #1 Lot 3 Block 3 Parcel ID: 051-132-37 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 8/02/78 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 124 ft. Cased to 80.5 ft. Casing height (above ground) 20 in. FROM WELL LOG AT INSPECTION Date of test 8/02/78 4/16/18 Static water level 76 ft. 72 ft Well production 15 g.p.m. 4 9 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 3/27/18 Collected by: Wheaton Water Wells B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 4/24/18 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping Pumper New Construction C. ABSORPTION FIELD DATA Date installed 5/14/18 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 GPD/SF System type 5-Wide Length 54 ft. Width 5 ft. Gravel below pipe 3 9 ft. Total depth 10.5-13.2 ft. Eff. absorption area 526.5 ft 2 Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For 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. None Any rejuvenation treatment (past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main '75 Public sewer manhole/cleanout Sewer/septic service line >25' Holding tank >75' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: 10' >5' Building foundation Property line >5 Absorption field 5 Water main >10' Water service line >10' Surface water >100' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: >10' >10' >10' Property line Building foundation 10 Water main Water Service line >10' Surface water >100' >10' Driveway, parking/vehicle storage Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION +.� OF 4 alt 41 I certify that I have determined through field inspections and ��� .•• `4� .•'r„91# review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. %• *: 49 TH ;,41\ -.*0, Engineer's Printed Name Michael Anderson, PE 0 744....&<,,i- e 5/11/18 SIA •. Michael E.Anderson :� joe Date 1l' •• 4381E ••�`< / ,� Agr k< pROFESSION-�.� ttt\t"� COSA brown sheet 10-10-12.doc MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH 1:10) ok CERTIFICATE_ OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date Dec -f, 19&(6' 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) s .0 13 toe k: 30 Scf emi Aqr Location (address or directions) (0.5 %tom.( ct otr- De- PefYrs crve(r (b) Applicant Name �kme- C-qw by Retatab6nTelephone: Home - Business Applicant Address 1990 Nu, Ca((ArRtbt 131va wcanwT C'Fr CC, It/0a ',F 6C (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other ® (explain); (d) Lendi ng I nstitution 4(a41-crA Parr'`t2 i-tor4yuycTelephone __676W V Address /?-i-o 2 1L,a( A-ne-6orccQqe 7'ra n-3 (e) Real Estate Company and Agent (3 eu l �xVV Cf r �ea� eFfe r< Address - °(CiCi lf+xrf -2-e It (% /kchorcc /}1-c 99,5-(07 U Telephone �`(✓ � ___ (f) Mail the HAA to the following address: /a irer p r c (� 2. TYPE OF RESIDENCE Single -Family ® Multi -Family ❑ Other Number of Bedrooms S 3. WATER SUPPLY Individual Well ff] Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ® Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11,84) 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION on As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firma (6t (401,! %tlinIcfxf Telephone 41'�`� Address 1 0 C,40 S,A /;.qc4c,rctcle-- Date 0ecaro bef- 1966" NoI-C, fm,SSPny ST�f1Fsi0f�P OLJ �hGi c�� itCnC�f�.l9.ff, hod 110W ee,7 reef Pe� PY ((G Gc✓ GSf1 C{J7 OtLYCl1n�( {i ff•/�. 47 �f `lb° °� �J�f F �''C�;°/iniMl h OEngineer'sSeal �000cva+................. •[.i 0 wvav+vaev°v °o++++c oo+++o.. THEODOI:E F. ;J�CORi .i ! Cl- -9 s °Ff'X DHEP APPROVAL Approved for '' �' bedrooms by ' �'"° ''' �' Date Approved �— Disapproved _ Conditional Terms of Conditional Approval CAUTION /;?- 7 -&(, The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA) DEPT. OF HEALTH & PROTECTION HEALTHOAPPROVALRITY (HAA) ENVIRONMENTAL - FEBRUARY (WR n7r, r 264-4720 .. Legal Description: �� �3 , ;T tgr- a~ XRr�c�iv�� Scumi%rxr �!p A. WELL DATA Well Classification Prcucrr<� If A, B, C, D.E.C. Approved (Y/N) N. A. Well Log Present (Y/N) — y — Date Completed 91 al 7 & — Yield — 15* nr" n¢- !A� Total Depth 121!x" �tu Cased to 1 ey Depth of Grouting N. Static Water Level — 75" _ Pump Set At untie Casing Height Above Ground _— 1� Sanitary Seal on Casing (Y/N) _ y' Electrical Wiring in Conduit (Y/N) i Depression Around Wellhead (Y/N) — N Separation Distances from Well: To Septic/Holding Tank on Lot ! N — ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot 1 gip' ; On Adjoining Lots too To Nearest Public Sewer Line NIA To Nearest Public Sewer Cleanout/Manhole — N, R To Nearest Sewer Service Line on Lot At, A• _ Water Sample Collected by trJ41-4!► ?rcti Svu Date ttl2drloe'_ Water Sample Test Results Comments Ctrf in p_er 4rcr4o( 6e A-.eoo 77'."G" arnc7 $v B. SEPTIC/HOLDING TANK DATA Date Installed 6/g/ 76 Size (000c-_ No. of Compartments Standpipes (Y/N) —_r Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Depression over Tank (Y/N) N — Date Last Pumpedems /0 696� Pumping/Maintenance Contract on File (Y/N) N, for _ N, H Holding Tank High -Water Alarm (Y/N) N, A • Temporary Holding Tank Permit (Y/N) N. A Separation Distances from Septic/Holding Tank: To Water -Supply Well ! a'l' To Property Line '> to ' To Water Main/Service Line Course ;;�' loo' Comments Page 1 of 2 72-mfin vs4i To Building Foundation To Disposal Field 3_ 7' To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 274 p1 /Q dry' Type of System Design 7-eehcA Date Installed e,/61 7P Length of Field 6--7 � Width of Field 3 Depth of Field r2' Gravel Bed Thickness a / Square Feet of Absorption Area IOo fi Standpipes Present (Y/N) Depression over Field (Y/N) N Date of Last Adequacy Test It /24'/86` Results of Last Adequacy Test pysx, Ada qua ' fo - 3 6 ft�,a»3 ! Separation Distance from Absorption Field: To Water -Supply Well t 2d' To Property Line To Building Foundation <8 0 To Existing or Abandoned System on Lot ry• /d. ; On Adjoining Lots > 3 n ' To Water Main/Service Line Ni A, To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course > too' ►I To Driveway, Parking Area, or Vehicle Storage Area Parkin cePea oA o F 4renc4 Comments Pa.rk1a7 careot arnLub �i nab � ltrus�d� in rs;,A/er Inv CG Uer' oueP !i<<1 ��G u/i 1.n i -P �bul a'! ry Jeo%f uo�P�'ua�e �-J'a!1 t�Ja�aq, /4/idc:t.aC �Cracai»q s hc.wr lucc fr'o� cr �lre✓ca",c I� mia'sr$ f S'/q t(/7�s, D. LIFT STATION N.A. Date Installed Size in Gallons "Pump On" Level at -- High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments Dimensions Manhole/Access (Y/N) — "Pump Off' Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed 5' 7n"t- Date CL l/ 696 Company EtaOcle /"ecb S�cr MOA No. 66•0.s-@ Receipt No. / 0 d l 6 6 -2-- Date of Payment /'2 —1 Z Amount: $ 62 (:;- � Page 2 of 2 72-026 (niaa) q� A4 t�Q9 �s��na•aanaa•an°��i Ne_ , ( n ®{{ Engineer's Seal �a o.a4............... afa;�v.° � 0 a. ©aoseoaaoa•a...a°•aa•.. THEODOI?[ F. MOOR[ oe> °° CE - 3589 a° P ®V J' e • a J •���r� °oao.a.ae° �,��EP ry a. ra,�raTv 4a04 V wkk'i,4 ' IV I Pill. CONTROL. SERVIC , INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907)561.5040 SHEET NO._ CALCULATED BY CHECKED BY_ ArAIF OF — t✓ c ✓ DATE DATE PRODLO 7011 Lcos b<. OV. Mm 0101 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date I. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) 1-4'7-3 �cac'K jC/I�ili�iE ��'.J �i�f/ 5��� /o Location (address or directions) (b) Applicant Name J'1/4j/&1 LaeTelephone: Home ���' �h`� -`�� Business Applicant Address ! i Z /_5,A /65 /61Ll�/17C (c) Applicant;is(checkone): Lending Institution ❑ ; Owner/builder; Buyer ❑ ;Other ❑ (explain); _ (d) Lending Institution (e) Address Real Estate Company and Agent Address Telephone f Telephone 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms -5 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite, Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11;84) 4� 0j ;)CIHI im. 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm —� % Telephone 5 /_S �� /G Address /eelo IJ:53l` �5 u172r— /J /%'i%/• /�7�' %iy� j Date 73 Loi r"r'Ie 19A cX'1 wb �,iN��PiPEr /� 1 --Alb of �T� 4' 1(Aei1 1W SAXJIAI( .Do OF A,g ane e �g tlaoY�• •O..H H. n C. Reid, Jr tiy✓ 3 ) 6. DHEP APPROV--A( Approved for _ bedrooms by Approved Disapproved Conditional Terms of Conditional Approval ��- %/ �,Uc./t�, /�i�,v S 'TD C� C'j/ ,6aA-4e. . `TZ' �? _)m p6<L =e.c_ AUL lJ 3o tlGc48� CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) I- L. B ? 0 1$6 CHECKLIST - FEBRUARY 1984 264-4720 `!{I. Legal Description >-�>I /4�rKC"// '-rl 5A A. WELL DATA Well Classification f��'/b1%r`%� If A, B, C, D.E.C. Approved (Y/N) /^N ✓� Well Log Present Y ) Date Completed "''"j� -Yield r �> r ri Total Depth LA. � Cased to y "k' Depth of Grouting C�__7_>a _ Static Water Level _�•i' Pump Set At r Casing Height Above Ground Sanitary Seal on Casing(Y N) _ Electrical Wiring in Conduit 0N) Depression Around Wellhead (Y(N) Separation Distances from Well: > / To Septic/Holding Tank on Lot .�� ;On Adjoining Lots To Nearest Edge of Absorption Field on Lot JLC _; On Adjoining Lots To Nearest Public Sewer Line _ �/9 To Nearest Public Sewer s Cleanout/Manhole H To Nearest Sewer Service Line on Lot Water Sample Collected by A Le 5 >a A.)A A/ ; Date Water Sample Test Results Comments _/ 4V�"L/_ 3,t/ '7/?37 B. SEPTIC/HOLDING TANK DATA Date Installed ��� Size %UZ7/>/i/y No. of Compartments_ Standpipe (Y N) — Air -tight Caps ON) Foundation Cleanou Y/ ) Depression over Tank (Y�1� _ �' Date Last Pumped Q Pumping/Maintenance Contract on File (Y/N) for ____L% Holding Tank High -Water Alarm (Y/N) �A Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: > �f To Water -Supply Well To Building Foundation —/ To Property r P Y Line �� To Disposal Field __7 To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course '�� Comments _ Page 1 of 2 10 A3 ,5elHIVF- C. ABSORPTION FIELD DATA ` ©l �� � �G'��t1 Soils Rating in Absorption Strata Type of System Design Date Installed s'r" ' 78' Length of Field Width of Field Depth of Field �a Gravel Bed Thickness _ Square Feet of Absorption Area %�� Standpipes Present (Y N)' Depression over Field (Y N) Date of Last Adequacy -rest Q Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well _ /Z,& To Property Line To Building Foundation 17-8, v _ To E=xisting or Abandoned System on Lot W /�// ; On Adjoining Lots To Water Main/Service Line n)/i9 To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course W1,4 _ To Driveway, Parking Area, or Vehicle Storage Area i�/�1C'<JAAW eV Comment a !'xl%�/%/u✓ "1� �!vt/f3✓' ll� t;�Z'1� S'Ti%�/�I�C' f%7r &A of D. LIFT STATION Date Ins Size in Gallons 1� "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I hay}Eed v/e}ified, or conformed to all MOA and HAA guidelines in effecl �' d Signed G 6�a- Date �I�_0 Company I MOA No. �5J Vent(Y/N) mping Cycles during Adequacy 'Test. Meets MOA Receipt No. Date of Payment ',fief Amount: $ Page 2 of 2 72-026 (11184) 60052 ALASKA L IJIROnMenTAL CONROL SEJNS, IN. Engineerinq & 6nuironmenlol Studies HOME EQUITY #362-138 P 0 BOX 8026 WALNUT CREEK CALIFORNIA 94596 SELLER—WILLIAM E LYNCH JR LEGAL:SCIMITAR SUBD/BLOCK 3/LOT 3 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE—FEB 12 1986 FEB 18 1986 WILL MAIL FROM OUR OFFICE THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 1008 SQFT, THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACI'T'Y OF THE SYSTEM IS 1000 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME, SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON FEB 10 1986 THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE—FEB 12 1986 A FLOW TEST WAS PERFORMED ON THE WELL. 1000 GALLONS OF WATER WAS PUMPED AT A RATE OF 5.6 GPM OVER A DURATION OF 3 HOURS. THE DRAWDOWN WAS .3 ' WITH A RECOVERY TIME OF 1 MINUTES AND THE STATIC WATER LEVEL WAS 72.4 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. sceaua sz e r%� 0 uaam or. � J C. °® No. 2251 •C c 'g QaV dv,�ece�a�.a�:��G1Jf 1200 West 33rd Auenue, Suite B • Anchorage. Alaska 99503 e (907) 561-5040 ALASKA ENVIRONAARNTAL CONTROL SERVIC , INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907)561.5040 SHEET NO — CALCULATED BY CHECKED BY_ -7 �9z J 6 6.6 �4) £o _ j��ok�l-ll�� hCf"7ion� �!=7XX114AK' A i �:✓� OF PROOIS� YL 1 (1'ces irr Grgm M,a 01111 /" 5c OF DATE -- nATF _ APPLK NT FILLS OUT UPPER HAI ONLY Property Owner \; ... /" ,..I......-.-- ;J — Phone Mailing Date / (J / -t7�t I -Ci,(..c_c,. Address Zip Code Inspector Buyer /, )-�,;.yi,, _ .:,i:J �l.tin Inspector �- Address Zip Code 1 a>� Lending Institution !,_: .� ;)/il y;�),vi?( (;'-I��-.` -.� `%;. /.. Phone ((1�• Vl CICc.VrLCo__. ( ) DISAPPROVED Address �:. F.lr /�" �' i'1 Zip Code DATE Realty Co. & Agent Soils Rating ���� Dat@ pr In�lalled ((,�/S�//v�((� Phone Well Loa Received �— Address / -�-/:� �',- r ', >-�/�. J% f �.. Zip Code Legal Description I Street Location Type of Residence /Single Family Multiple Family No. of Bedrooms i L7 Other Water Supply Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. J Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal Individual Year Individual Installed:-�`L;,L/'-�)�-_ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. VVI �Tl C —'F0 f �� AA i Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector �- Field Notes: 1 a>� c,�.�u_J AUG 6 ,��,-� V-_+" "Mt of Anchorage" Health & .9 I_ _ °%G�/r.1y!f�.�N' g'����i�J "DePlity "[dept. of --I larotection" (�) APPROVED BEDROOMS 'CONDITIONS OF APPROVA}}��ppLeRtr}eRta — ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE Soils Rating ���� Dat@ pr In�lalled ((,�/S�//v�((� Wellio Absorption Area Well to Tank Well Loa Received �— Septic Tank Size L XCAVAI I()N _.___.---- ------ r l t rtlA. HM 1.11 C:IVIt- t--NGIN iji E9n-:'919 Sc,j�tr>ntlJel- 9, 19f3:3 Robert Barnett P.O. Box 677 P,agle Ri-vcr.-, ALas:ka 99577 Dear mr. Barnett, Ref err nce u A sE:°n1E?L fC1 eI cic--`gl'aC}/ test was perjo riic1 ,d on "�:}"1( t:Cfp ].00'at Ci on the re.: ,, ced Jro crt P k p y, The , e ptic tan', taae vel-ified to have a cap, -AC: :. s >urr ed and trench l.1as tee : - Y 0 1.000 gallons. I'he�aka�' t cd 1),y. a ,orpt.ion c:onti-nuous 1o.r of wai,er over a Period Of I.1 ]:JLll_S without any adverse effect on the system. 'It can be concluded from t:h.is test that the waste tater dispo al sY sT.em serving the ee that residence located on this Property a_s currerrtly fv"nc(,:ton'ina a 1 , ' / System cclYlnot I,JC g1.Yc1:C�)Y1t:C-.'h �.. a-IOwever, thi:i d aoains�. subsequent. fEli. ]_ure:), :E t,e may be of further us. ,crvice, plC'OL"e do not: hcl o c Sitate Lc, /..� D.1, .re iOBi,kil A. cc: Pirst National Ban): of Anchorage Eagle River Brandi Mun:icipality oP Anchorage Department, of 1:ica]-th arid En virolinir.rital I rotcction SRI, 196X I AGL C- RIVGR, c7l tFZ�� L "-j" 1 �. h s e� ��+noAL,NJ RAG - MUNICIPALITY OF ANCHORAGE EALTH & ENVlRONMENI'AL R50lF.Cl'IgN _ - DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION - - - - 825 L Street - Anchorage, Alaska 99501 OCT 13 1978 ENVIRONMENTAL ENGINEERING DIVISION -- Telephone 264.4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES — DIRECTIONS: Complete all parts on page 1. Incomplete requests willnotbe processed. Please allowton(10)days for processing.- 7:PROPEf�TY OWNE/R MAI INC ADDRESS ONE -P ROP TY H D T(if differeil t fr above � 2, BUYEjjj���jjj ///JJJ�� PHONE PH ON E MAI LING ADDRESS 3. LEND n Ilurl I '- --- s _ PrR�O N E MAILING ADDRESS 1O rAK I N -GA D D I 4-E S S -T7- 5. LEGAL DESCRIPTION STREET LOCATION _7t% 6. YYPEOF R/ESIDENCE NUMBER OF BEDROOMS �' JZ SINGLE FAMILY ❑ One ❑ Four ❑ Other MULTIPLE FAMILY ❑ Two ❑ Five (%- Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled pri r to that date, give well - ED PUBLIC UTILITY depth (attach log if available.)` 8, SEWAGE DISPOSAL. SYSTEM - - U� INDIVIDUAL/ON-SITE:***If individual/on-site, give installation date_ ❑ PUBLIC UTILITY If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DAtERECEIVED INSPECTION APPOINTMENTS TIME TIME ". - TIME.. DAl'E DATE DATE" INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. 'TYPE OF RESIDENCE NUMBER OF BEDROOMS__— ❑ SINGLE FAMILY ❑ ONE ❑ 'THREE ❑ FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO ❑ ;=OUR ❑ SIX 2. WATER SUPPLY PERMIT NUMBER DEPTH OF WELL ❑ INDIVIDUAL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY LOG RECEIVED Connection Verified_ 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER T ❑INDIVIDUAL/ON -SITE DATE INSTALLED ❑PUBLIC UTILITY _ Connection Verified --- INSTALLER /le)o Tank or ❑Holding 'rank ❑Septicn0Tr� Size: 10_ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTU R ret► TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer" Line Nearest Lot Line " �— WELL TO: Absorption Area to nearest I_ot Line 5. COMMENTS7 - l 1(�P�w� " PROVED FOR BEDROOMS 0 CONDITIONAL APPROVAL (letter must accompany certificate) [ —DISAPPROVED DATE BY (Title) e �r^3 �� PC --- NV LAEG� DESCRIPTION C/`J " 72-0101Rev. J/ 1b) I _ " 0 -2: ...... Woby rmly y4 t I I -v, P'ecc,"M I'MORch Aksk, hnd lhat the a!e 'Aiti--in i( -.e , AS RA ao not vw Kp r ens 030� cl-, t I- or p I c " c c I on k -,P- t or th'- in tl� s u-, C -1h, NO ea `.CI. on sAd qw-perly except indivalod hawn :trBt y C EoO-LS I