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ENGLE LT 2
Engle Lot 2 #017-013-48 Municipality of Anchorage Page of Z DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 a Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S W 96016/ PID Number. OF 70 13 Y8 Name: t3eckilvith F6,ate1 Tegul Wastewater System: ❑ New ® Upgrade Address: 8101 t4poolee be Armo,un Ro( ABSORPTION FIELD Phone: No. of Bedrooms: O Deap Trench O Shallow Trench O Bed O Mound O Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPDB Ft Lot: Block: Subdivision: 2len Depth to pipe bottom from original grade: Gravel depth beneath pipe Ft ' Ft Township: Range: Section. Fill added above original grade: Gravel length: Ft FI WELL: (FASt ❑ New ❑ Upgrade Gravel width: Numberoflines: DaWicobeeeenliro: Ft Ft Classification (Private. A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: FL FL SO Ft Driller Date Drilled: Static Water Level: Installer. 14019 774 n k Date Installed: FL C QYn C fton / yield:Pump set at: Cooing Height Above Ground. TAN K GPM Ft. FI SEPARATION DISTANCES ❑Septic i 9Holding 0S.T.E.P. To Septic Absorptldn un Holding ubficfo` vale Manufacturer. Capacity In gallons: I From Tank Field Station Tank saws, Lin" Anchar I a Tank y000 WBIh 811 Malarial: 3/16" Sf ti/ Number of Compartments: I Waters 691 LIFT STATION Lot , Ss Size In gallons: Manufacturer. Line Foundation a "Pump on" level at: "Pump off" level at: High water alarm at: Curtain ry 2ee Pump Make S Model Electrical Inspections performed by: Drain Remarks: Hpldfn flank nt lleoC er• BENCH MARK • Q r o ct er'Mi t✓ IV Ifjeeee'( Location and Description: f Ctanerele sfe%ly cd a atio' '711119gr G2lfocuIn h ota L/7 n;r 6 iCi! v� ctna avcjr' K'91 rom a4r'Aee wafer. .Soea!>titrn,e.nf/' Assumed Elevation: 1001.0, f rlolol g of in funk ,n,ru/able/ tv.ih 211 re ,d ;.valerfTa., ENGINEER'S SEAL ��,mlTaq�Vi OF �''.�! �$ I -ow vo1/a > a/ate". rnuun)Yd i,v�de aria Q, Orr ,nal a h2 funic oL:anclonteC 1 un7 ,., f beckFl/, ` ' F/c2lbk Tecb Suc / Inspections performed by: P Dates:1st. 9 /3 �� 3: /I t3Tit �•x 00•� eeeeeeeeeeeeees:: 2nd- ..... ' • ,� Department of Health Human a Ices approval T THEODO.".EFOORsce-ssa9 f41 ` /t , @tt"`% '/�"••••''a'E$'r� Reviewed and approved by: Date: / 724113 (Rev. wall MOA 25 FINAL GRADE ELEV.101.0 PLAN VIEW SCALE: 1" = 30'- 0" 6• C.O. INV.-/ es n NEW 4000 GALLON HOLDING TANK PROFILE VIEW SCALE: 1" = 5'- 0" 4• ALARM STANDPIPE UPPER DEARMOUN ROAD .• At . tup;,oi._ r, ttooa LOT 2, ENGLE SID HOLDING TANK INSTALLATION AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE. ALASKA 99516 SEPTEMBER, 1996 PERMIT NO: SW960161 R75 PAGE 2 OF 2 W _ELL DECK •� G9rA�YO PID NO: 01701348 e•• ' EXISTING ALARM " NEW GAL. 4 BDRM HOUSE DING GARAGE HOLDING TANK M TBM 1 vt r N GRAVEL" 1 1 PARKING 1 ------------------- AREA 1 SWING TIES t 1 1 1 FROM: COR. "A" COR. "B" 1 t� TO: 1 4" C.O. "C" 10' 30' 6" C.O. "D" 13.5' 38.5' 1 4" ALARM "E" 17.5' 44' PERMANENT STREAM IN ROADSIDE DITCH FINAL GRADE ELEV.101.0 PLAN VIEW SCALE: 1" = 30'- 0" 6• C.O. INV.-/ es n NEW 4000 GALLON HOLDING TANK PROFILE VIEW SCALE: 1" = 5'- 0" 4• ALARM STANDPIPE UPPER DEARMOUN ROAD .• At . tup;,oi._ r, ttooa LOT 2, ENGLE SID HOLDING TANK INSTALLATION AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE. ALASKA 99516 SEPTEMBER, 1996 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE �a--3e(Y1 DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT to •LXX 3 [y_.)P n. PERMIT NUMBER:SW960161 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:BECKWITH FAMILY TRUST OWNER ADDRESS:8101 DEARMOUN RD ANCHORAGE, ALASKA 99516 PARCEL ID:01701348 LEGAL DESCRIPTION: ENGLE LT 2 LOT SIZE: 52500 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: HOLDING TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/28/96 EXPIRATION DATE: 6/28/97 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING S. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: 17 4' 4-e' DATE: 7 I / 9je,� ISSUED BY: /'/Gw� y 7 Id- '\ DATE: 6 -26?-51L r � - `.� 17unicipality Of Anchorage Department of Health and Human Services - 825 "L" Street Rick Mystrom. P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor July 11, 1996 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 2 Englt Subdivision Waiver Request # WR960027, PID 017-01348, SW960161 Dear Mr. Moore: Your request for a waiver of the required 100 foot horizontal separation of an on-site wastewater disposal system to the surface water has been approved. The approved separation distance is 69 feet from the holding tank to the surface water. This waiver approval applies to the holding tank system to surface water separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Should the operation of the subject wastewater disposal system cause any contamination or degradation of the subject surface water, this waiver will become void. If there are any questions or concerns regarding this waiver, please call this office at 343- 4744. Sincerely, �yu,vf Daniel J. Roth Civil Engineer On-site Services DJR11jm:l3eckwith MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# PID# 017-013-48 HA# Permit # 0�(e)(-)1 nN Date Received: June 13, 1996 Legal Description: Lot 2 Engle Subdivision Engineer: Ted Moore, P.E., Flattop Technical Services 14530 Echo Street, Anchorage, Alaska 99516• Applicant: Joe & Mary Anne Beckwith Waiver Requested: New holding tank to surface water of 69 feet Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: 6 - 2 7- 911C Waiver is NOT Granted: List Conditions or Reasons for above: SEE IA'77rZ or )rU sr1Fic1fT/dAv Date: G -27-9G By: %JAN Name of Reviewer Rec #: #01953/9704 Amount: $ 625.00 Date Paid: 6-13-96 4 .FLATTOP TECHNICAL SERVICES CIVII,& ENVIRONMENTAL ENGLNEHRINC. • ENERGY CONSERVATION & A.NALYS LS THEODORE F. MOORE, P.E. Pit: (907) 345-1355 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 DearSirs: June 12, 1996 14530 ECHO ST. ANCHORAGE, ALASKA 99516 The purpose of this letter is to provide the required design narrative in support of our application for a permit to install a holding tank to serve the existing 4 bedroom residence on Lot 2 of Engle S/D, located at 8101 Upper DeArmoun Rd. We are also requesting issuance of a separation distance waiver allowing the holding tank to be installed within 69 feet of a small creek running approximately parallel to the east property line, instead of the normally required 100 foot separation from surface water. Soils logs, perc test results, a site plan, design drawings, specifications and water sample test results are enclosed to assist you in your review. As you will recall from the information discussed at our meeting at your office on May 30, no suitable soils could be found on this lot which would allow the installation of a conventional soil absorption system. I understand that based on your subsequent discussions with Keven Klaweno at D.E.C. you determined that an alternative system could not be installed on this lot, either. Thus, the only remaining option is the installation of a holding tank, which also necessitates issuance of a separation distance waiver. The site for the proposed holding tank has been selected to maximize the separation from surface water (particularly the portion of the stream which runs along Upper DeArmoun Road and is downhill from the holding tank) while still not compromising the minimum required 75 foot separation distance from the private well serving the residence. The selected site is approximately 20 - 25 feet downhill from an unmarked existing curtain drain which was installed in 1981 and significantly dried out the area around the existing septic system. The existing 4 bedroom residence has been served since 1975 by a Municipally approved soil absorption system which was sized and permitted for a 5 bedroom residence. There is no mention in the Health Department records for that system of the fact that the proximity of surface waters was not in compliance with regulatory requirements. The streams in question are quite small, but they do persist throughout the year. Surface water separation distance waivers do not lend themselves to the quantitative application of waiver analysis points spelled out in D.E.C.'s 1985 "Separation Distance Waiver Guidelines for SCRO" as is done for well waivers, so it is necessary to make a qualitative assessment of the potential for public health hazard associated with granting the waiver. In this case, since the topography of the lot slopes down towards the south-southwest at approximately 8% with an intervening curtain drain, there is virtually no potential for contamination from a leaking or overflowing holding tank making its way into the stream 69 feet away from the proposed holding tank which flows roughly parallel to the east property line. The distance from the holding tank to the stream in the roadside ditch which parallels Upper DeArmoun Road is in excess of 90 feet, which is relatively close to the regulatory requirement. Several factors support the granting of the waiver. (1) The holding tank, being an enclosed vessel, will offer significantly less potential for contamination of nearby surface waters than does the existing previously approved soil absorption system which is located much closer to the streams. (2) Should the holding tank fail, it would either cause a backup into the residence or cause effluent to daylight onto the surface of the .parking area immediately in front of the residence. In either case the homeowner would have ample notice and strong incentive to make the necessary repairs without the need for regulatory oversight. (3) There is no other feasible option. For the above reasons, it is my opinion that issuance of the requested waiver will not result in increased potential for surface water contamination. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, oj�e Ted Moore, P.E. r 1 , I I 1 I I ; r I r LOT 2 ENGLE S/D I I I I I I a W LOT 3 MARIN SID � � T.H. J I r I r r r r r r I •• r r r r I I . 1h EXISTING INSTALL 'WELL 4000 GALLON HOLDING FHS I ; - ---- TANK LOT 3 L0T4 ; DECK CEijST I6y ENGLE SID { MARIN S/D ; ; EXISTING GAR. \�9�q�N0'pp o 48DRM T.H.��O\9/ HOUSE 0#2 �� PROPERLY ABANDON % ¢ INSTALL -� ' o EXISTING 1500 GALLON o % ~ ALARM FIBERGLASS SEPTIC TANK !q r r W GRAVEL Iir PARKING I p.. I AREA y T.H. 4� #3 I 1 , POND EXISTWG : I OQ o LFENCFI 1 CURTAIN DRAIN 1 1 OUTFALL I I IL 3% PERMANENT STREAM IN ROADSIDE DITCH — — UPPERD—EARMOUN — — — RO—AD --- — — — — — — — — — — — — — — — — — — — < LOT 2, ENGLE S HOLDING TANK INSTALLATION SITE PLAN r x ' •' — ` . FLATTOP TECHNICAL SERVICES I INCH . 50 FEET �,,,� 14530 ECHO STREET DRAWN BY TFM y ••••••••`• •r"•••••;•��> ANCHORAGE, ALASKA 99516 JUNE, 1996 NOTE: THIS IS NOT A SURVEYED PLAT. s Cc-SSi� C� �r ALL LOCATIONS SHOWN ARE APPROXMATE. EXISTING 4BEDROOM HOUSE i 6.5 ; I DECK SUPPORTS ON SAUNA TUBES o ---------------------------- ORIGINAL "Aft "A" A 6'PUMPOUT� 4* CLEANOUT 4"ALARM ACCESS EXISTING FOUNDATION CLEANOUT c? NEW 4000 GALLON HOLDING TANK w 172 NEW 4000 GALLON HOLDING TANK PLAN VIEW SCALE: 1" =10' - 0" MOUND COVER MATERIAL 12' -17Z T. FROM I"�: • �i HOUSE �Lt^.T_1�'-;� it �......:.........�....... , R' !c. r.' 0..35:,9 � '•r v LOT 2, ENGLE S/D SECTION "A - A" HOLDING TANK INSTALLATION SCALE: 1" = 5'- 0" PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES I SCALE:ASSHOWN 14510 ECHO STREET DRAWN BY: TFM ANCHORAGE, AK, 99516 JUNE, 1996 flattop ?echnicalSerrrices 14530 Echo Street, Anchorage, AK99516 Phone (907) 345-1355 Lot 2, Engle S/D 8101 Upper DeArmoun Road Bolding lank installation Specifications 1.0 General: 1.1 The scope of the project consists of abandonment of a 1500 gallon fiberglass septic tank and installation of a 4000 gallon holding tank with a high level alarm system 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Existing System 2.1 The existing 1500 gallon fiberglass septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The existing soil absorption trench is to be abandoned in place with both standpipes removed. 3.0 New holding tank: 3.1 A new 4000 gallon Municipally approved holding tank shall be installed in the approximate location shown on the site plan. The holding tank shall be installed no closer than 69 feet away from the small creek which runs approximately along the east property line and 90 feet from the creek which flows in the roadside ditch along Upper DeArmoun Road. The tank shall be set level on undisturbed soil. All pipe connections to the tank shall be sealed with waterproof mechanical connections. 3.2 In order to achieve the required 69 foot separation from the tank to the creek, the west side of the tank will have to be located approximately 2.5 feet from existing deck supports which are set on concrete filled sauna tubes. Special care should be taken during excavation to avoid disturbance of these deck supports, and to provide alternative temporary deck support in case the present supports are disturbed. If the support footings are disturbed by the construction, they shall be replaced with new footings of comparable strength set on undisturbed ground at the bottom of the excavation. 3.3 The tank shall be connected to the existing waste line leaving the residence at a point downstream of the existing foundation cleanout, or a new foundation cleanout shall be installed. 3.4 The tank shall be equipped with a low voltage, high level float which triggers an approved visible and audible alarm mounted inside the residence. The float shall be positioned to trigger the alarm when the fluid depth is approximately 57 inches above the bottom of the tank, thereby leaving 600 - 800 gallons of capacity remaining in the tank at the time the alarm first sounds. 4.0 Inspections: 4.1 A total of 3 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the tank has been set in the excavation and the piping connected, but prior to backfill, and (3) after the alarm is installed and final backfill and grading is complete. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: Lot 2. Enele SID DATE PERFORMED: May 23, 1996 PERFORMED FOR: Joe and Mary Anne Beckwith DEPTH_-, SLOPE (feet) 1- 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS: Pt. Black peat ML Blue silt ML Orangish clayey silt Water seeps SP/SM Brown, somewhat silty sand Saturated Q.H. Depth to Groundwater Date eeDs_pt T 16' B.G.L. 17' B.G.L. 3196 5[28j�46 5 1 k. Depth to Groundwater Date eeDs_pt T 16' B.G.L. 17' B.G.L. 3196 5[28j�46 5 1 Lu O N .....:.....:..... :.............................:.....:..... PERCOLATION RATE (minutesAnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY FLATTOP TECHNICAL SERVICES. I��j� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 2 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION: Lot 2• Engle S/D DATE PERFORMED: May 23, 1996 PERFORMED FOR: Joe and Mary Anne Beckwith DEPTH, SLOPE 4-'////) ML Gray sandy silt 5 6 7 ML Blue silt 6 9 B.H. to- 11— Depth 011 SITE PLAN Depth to GroundwaterDate �mundwater seen T- 2' B.C.L. 5 8 6'- 3_B.G.L. 1 5'. 7' B.G.L. 6 1 6 U3 Q. 9 ................:.............................. $9io Data ReadingClock Time Not Time (minutes) Percometer Reading Net Drop (Inches) so. Add water & start 4:27:30 231/4 #1 4. 8:30 1 1 1116 Add water 4:29 23 5 #2 4:30 1 2213/16 13 16 Add water 4:30:30 2.311/16 #3 1 4:31:30 1 221 /1 4 dd wat 4:31:40 #4 4:32:40 1 223/8 4 UPERCOLATION RATE 2 (minuteMnrh) PERC HOLE DIAMETER 6 TESTRUNBETWEEN 2•25 FTAND 275 FT COMMENTS: Parc test conducted in thick peat stratum. Second pare test attempted in underlying silt stratum, however moisture accumulated PERFORMED BY FLATTOP TECHNICAL SERVICES. 1_ �%c_ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: p //2 / 9,6- TEST HOLE # 3 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 SOILS LOG — PERCOLATION TEST LEGAL DESCRIPTION: Lot 2. Engle SID DATE PERFORMED: May23.1996 PERFORMED FOR: Joe and Maty Anne Beckwith DEPTH. SLOPE at) 1-4 SP/SM Somewhat silty sand 611 gravel Cr newePL •� 7d�1J 5ML Blue silt 6 6 A ML Tan sandy sat many cobbles =Vii © 111111111110 11 Depth lo Groundwater5ate Segp� 2.5' & 8S' 3 644" B.G.L. 8 6 46" B.G.L. W 0. O N ............:..;... TLC90: F.:1,v SITE PLAN T" h � 1 w;7 �A ............................ Date ReadingClock Time Net Time (minutes) Percometer Reading Net Drop (Inches) 5/28 12"Presoak watcra sunt 11:14 #I 11:1 223 16 Add w ter 1119,30 237/16 #2 :24:30 5 227/16 1 Add water 11:25 #3 11:0 5 227/16 1 1 16 Add water 23 #4 5 22 112 I I PERCOLATION RATE 5 (minutes/Inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN t 0 FT AND 1.5 FT COMMENTS: Test hole dug in vicinity of existing trench where ad i io it •. ndt cover hid been placed. Shadow seep 0 2.5* was overflow from surchareed trench. Perc test was conducted 5' south of test hole. PERFORMED BY FLATTOP TECHNICAL SERVICES. I�_%%tO.p�t CERTIFYTHAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4217-196' ' GREATER ANCHORAGE AREA BOR%jJGH Department of Environmental Quality n 3330 C Street Anchorage, Alaska 99503 ' ��INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME C t�w1AaMAILING ADDRESS 13aa' A=T -9TS PHONE?�_Fi// LOCATION SEPTIC TANK: LEGAL DESCRIPTION DISTANCE_�- NUMBER OF FROM WELL_ /� MANUFACTURER�`^.� MATERIAL COMPARTMENTS INSIDE LENGTH J%Y• INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITII`r&_,qALLONS. TILE DRAIN FIELD: / TOTAL LENGTH / DISTANCE FROM WELL ' FOUNDATION NEAREST LOT LINE �� "I` OF LINES y.3 NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH `3 IN. TOTAL EFFECTIVE ABSORPTION AREAJe ,, JSQ. FT. LENGTH OF EACH LINE 77'0 .W A -5 --,<- / DEPTH OF FILTER/ /�,,.�L / DEPTH: TOP OF TILE TO FINISH GRADE `� MATERIAL BENEATH TILE _S1_�"I N.YABOVE TILE IN. WELL: TYPE�CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION , LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS —. /SD DISTANCES INSTALLED BY: - SEWER LINE DEPTH: `3 PIPE MATERIAL: LOT SLOPE: I R MARKS:kJca,cic- �4 .{.ar1 qpQ DATE sn t Farm EQ -032 DIAGRAM OF SYSTEM E3�941 APPROVED Yl G.A.A.B. N 10 I F=I'FiL_ I TY E7 F= F -4r40 KD Ft F=l GE DEPARTMENTHEALTH HEALTH AND ENVIRONMENTAL �OTECTION 825 't STREET, ANCHORAGE, AK. 95..A • 264-472© Ot-a-S I TE SE1JEFR FJF=�GFSF=l I7E P'EF2M I T PERMIT NO. ( 810327 ) APPLICANT JOHN WHARRM S. R. A. BOX 380-K ANCK 345-2006 LOCATION DERRMOUN RD LEGAL L 2 ENGLE S/D LOT SIZE 30000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SO FT/BR)= 266 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: Cr EPTH= R I LENGTH= 15 k7, 13FRnklEL E>EF=- -r lC / S a $• S THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DP.AINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THE TFRENCH tJ I GtiTH I E3 31ES. E3�10 FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET). PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL !JILL SERVE. --- TWn C 2 > I NS~F=>ECT I IDNE; RFt E fz Ee:0U I F<EC3 BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER. LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER. INSTALLATION. FEFZM I T Ew>4F" I Ft ES F7ECF-tlEDE=FZ 31.Y I CERTIFY THAT 1: I AM FAMILIAR. WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED:- _1 '___- a RPP CANT JOHNRRM ISSUED BY T,1oL"'`lyla) --------------DATE-IT _ I _9 1.n3G1 AND WELLS AS SET ENLARGEMENT IF THE V4. 0 GREA)R ANCHORAGE AREA BOR'' GH jmww� AD �� DEPARTMENT OF ENVIRONMENTAL QUALITY ,� T 7770 ••C" STREET ANCHORAGE, ALASKA 99307 1 f i� II I„ 41 TEL EPM0 lo V) C6, Vj� Up �� SEWAGE DISPOSAL SYSTEM ^— APPLICATION AND PERMIT NAME OF APPLICANT • 1 INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK ` TYPE AND SIZE OF FACILITY TO BE SERVED MAILING ADDRESS SEEPAGE PIT DRAIN FIELD TIER FINANCED - THROUGH - �f TO BE INSTALLED BY � or. �r �� ' 00 SOIL TEST RESULTS B /5�L►1�NOTEI 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 -.moi TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEEPAGE AREA SIZE > r-�L�] j ' DRAIN FIELD /n SEPTIC TANK TO SEEPAGE PIT WALL o.} ..4rYir SEPTIC TANK SEEPAGE PIT . DRAIN FIELD b TO NEAREST LOT LINE.,[��'/}�J� �� WELL TO SEPTIC TANK_Y =. SEEPAGE PIT 1�j I DRAIN FIELD �V� �J ,ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT , DRAIN FIELD '+ / V /D D /� SEPTIC TANK, SEEPAGE PIT DRAIN FIELD/ --42-0. TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION B 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. b G.A.A .B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS O GREAT k N Rp\G\E DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE • r APPLICANT'S SIGNATURE FORM NO. EO -01 S DIAGRAM OF SYSTEM T 0 E NO. 28.68 AND THAT THE ABOVE o.} ..4rYir �� 1- 1�j I F 4r T 0 E NO. 28.68 AND THAT THE ABOVE August 19, 1975 Mr. Al Willard P. O. Box 4-945 Anchorage, Alaska 99509 RE: Test Hole and Soil Log Report for Sanitary System Lot 2, Engle Subdivision Dear Mr. Willard: R & M No. 562091 We are submitting herewith the test boring results and our corents regarding soil conditions encountered at the subject site. This investiga- tion was performed in accordance with your request of August 18, 1975, and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmen- tal Quality. A single test hole was put down within the Lot 2 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 14.0 feet below ground surface. The final log prepared for the test hole was been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Rooney ) Vice President JWR/ja xc: GAAB _ 1 n��atoKnce ill/ COVtiULT.�NTti, IVC. n:�r:au • t 249 CAST 51ST AVENUE • P.O. 90% 9007 • ANCHORAGE. ALASKA 99507 • TELEPHONE 907.279-0493 • TELEX 090.3S419 August 19, 1975 Mr. Al Willard P. O. Box 4-945 Anchorage, Alaska 99509 RE: Test Hole and Soil Log Report for Sanitary System Lot 2, Engle Subdivision Dear Mr. Willard: R & M No. 562091 We are submitting herewith the test boring results and our corents regarding soil conditions encountered at the subject site. This investiga- tion was performed in accordance with your request of August 18, 1975, and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmen- tal Quality. A single test hole was put down within the Lot 2 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 14.0 feet below ground surface. The final log prepared for the test hole was been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC. James W. Rooney ) Vice President JWR/ja xc: GAAB 6. LEGAL DESCRIPTION DATE RECEIVED y�y7i INSPECTION APPOINTMENTS EP161LI- SLAa TIME TIME TIME DATE DATE DATE El One ❑ Other One [Q (8 SINGLE FAMILY INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGENNyye� DEPT. OF HEALTH 8 , P:.OTECiION DEPARTMENT OF HEALTH 6 ENVIRONMENTAL PROTECTIONROENTAL 825 L Street • Anchorage, Alaska 888111 ❑ COMMUNITY \Il APR 2 2 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE So HN tJHRRAM 3SS -aooG MAILING ADDRESS 5 2 A z6,4 PROPERTY RESIDENT (If different from above) PHONE 5AmtE 2. BUYER PHONE Tor 4 MAizV ANN 6C KLz •rH MAILING ADDRESS 51TA 3ox 7 9 So , 3. LENDING INSTITUTION PHONE hLASKA STPT< 3s1NK - a�� sb b I MAILING ADDRESS 4. REALTOR/AGENT PHONE vIRGINtR �OHk)SOAi �yAil9/rllt� R[A�i' aZr19-?btl MAILING ADDRESS 601 W • ►SCFrT11E2N l tG Hrs AfJGFI • Al<. 9Rso`! 6. LEGAL DESCRIPTION 0L— Lo -r EP161LI- SLAa STREET LOCATION G.r y NHIJ LAPPE2 �EARMOLt13 M%LE Ar3oJE HIL.L.$ I DE LKslbtr 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS El One ❑ Other One [Q (8 SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY TNERC Is monk Ar DEQ JM INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) HIS< OEEN i-DLD 400' bCZ P 8. SEWAGE DISPOSAL SYSTEM M INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. .0 gt11 �/t._qs !p-r1_F' 7LLII cL]& u-)1 J69 t9l ci THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER- ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON •SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: f,SOO If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL _ 4. DISTANCES WELLTO: SePtiC/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line b. COMMENTS It APPROVED FOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72"010 (R*v. 6179) oo•; 273 • � � T.FL-1 B-18-75 ORGANICS 0.0' 2.0' GRAVELLY SAND -,, TRACE SILT (SP) 11.0' SILT, TRACE SAND TRACE GRAVEL (NL) 14.0' T.D. NO WATER TABLE Log represents Lot 2 Engle Subdivision Al Willard Property Engineering A Geological Consultants Inc. Log of Test (tole A ANCHORAGE FAIRBANKS ALASKA JUNEAU Anchorage, Alaska DATE 8-19-75 SCALE 1^=3' OWN BY WFD CMKD BY A'ED PROJ. NO. 562091 1 DWO NO. A -Dl r' November 5, 1981 Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, AK 99501 ATTN: Mr. Robert Pratt Dear Bob: MUNIDIEPT. OFHEALTH &O RAGE ENVIRONMENTAL PROTECTION NOV 9 1981 RECEIVED This is to advise you that I understand that the septic system on Lot 2, Engle Subdivision, meets the minimum requirements for on-site disposal. I further understand, after discussion with Dr. LeRoy Reid, that mounding on the lower end of the leech field and vegetation over the entire area will enhance the effectiveness of the system. The aforementioned mounding has been accomplished. Seeding will occur during the Spring of 1982. I am aware that the system is subject to another adequacy test at the time of resale and that if any system additions are required, the cost of those additions will be covered by the selling owner, namely me. Please advise the appropriate officials at AlaskaStateBank that the system meets the adequacy requirements so that they may complete the paperwork pending from my purchase. Thank you for your concern and assistance. goys6ph . Beckwith 380-K Anchorage, AK 99507 n AlauftiCPpaf A --Y 01 Anche 'oode r1 825 "L" STREET ANCHORAGE., ALASKA 09501 (007) 264 4111 GEORGE M. SULI IVAN, MAVOft DEPARTMENT Or HCALTH ANO ENVIRONMENTAL PROTECTION April 27, 1981 John Wharam Star Route A Box 380K Anchorage, Alaska 99507 Subject: Lot 2 Engle Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. (2) The septic tank pumped with a receipt submitted to this office. (3) According to the engineer who performed the adequacy test, the sewer system has been infiltrated with water. Therefore, an upgrade will be necessary. Prior to the upgrade, a soils test will need to be obtained so that a new sewer system may be designed. If there are any further questions, please call this office at 264--4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Statebank 310 East Northern Lights Boulevard 99503 Virginia Johnson % Dynamic Realty 501 West Northern Lights Boulevard ALASKA Cf1UnonmEflTAL C011TROL SCRUICCS, Inc. Engineerinq 6 Enuironmental Studies October 20, 1981 Mr. Les Bucholz Department of Wealth and Environmental Protection 825 L. Street Anchorage, Ak. 99501 Dear Les: This letter is in reference to an adequacy test and design for a bed system for Lot 2, Block 0 Engle Subdivision. In my letter of May 11, 1981 I proposed that the curtain drain be placed on the lot between the existing sewer and the house, see sheets 1 of 3 of original design. At this time it was agreed that Joe Beckwith the buyer of the house would install the curtain drain and repair the existing system to see if he could reduce the leakage of sewage on the ground surface. During the summer of 1981 Mr. Eeckwith did install the curtain drain and has made repairs to the sewer system.'Mr. Peckwith asked that I do another adequacy test on the system to determine whether of not the system was adequate for a 3 bedroom house. The house in reality is only a 3 bedroom house. The test was run on October 9, 1981 and during the period of the test a total of 260 gallons of water was introduced into the system. Once it was assured that the system was full of water'I iteasured-the'.rate of fall of the water and determine that the system is barely adequate for a 3 bedroom house. Also, During the study I used a hand level to determine the existing sewage trench was not laid level and that the pipe was of sufficient fall that in order for the water to be totally distributed throughout the system The water in the stand pipe would have to be at the ground level at the lower end of the pipe. After Mr. Beckwith returned from the North Slope on the 13th of October we discussed the test and I recommended to him that additional dirt be brought in and placed around the existing standpipe to insure taht if the liquid level were to raise to the old level of ground then the danger of freezing would be reduced and adequate distribution would occur. I informed Mr. Beckwith that the system barely would absorb 450 gallons per day. I recommended the possibility next year or the year after that, he have the system up graded to add an additional bedroom in the form of a small bed than that which we had originally designed. I believe the system is adequate at the present time but I'm not sure.for:.how many years this system will -:remain adequate because of the problems of the soils in the location 1220 West 25th Avenue • Anchorage; Alaska 99503 • (907) 276-1361 and the fact that the drainage trench was not placed level. Mr. Beckwith understands and agrees that this house is a 3 bedroom home and that indeed several years in the future that if another adequacy test were made on the property then it may not show as an adequate system. If you have any questions please let me know. Sincerely, eray Reid J�1, PHD, PE Presiden ALASKA MIR011M611TAL conT110L SEEM, Inc. Engineering S Enuironmtntal Studies SPECIFICATIONS FOR SEEPAGE BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM— ENGLE SUBDIVISION BLOCK 0 LOT 2 1.0 GENERAL 1.1 THE DRAWINGS SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT. 2.0 LIFT STATION (NOT USED). 3.0 SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE SIZED BETWEEN 0.5 TO 1.5 INCH AND RELATIVELY FREE FROM SILT OR SAND. 3.2 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2". 3.3 THE DISTRIBUTION PIPE SHALL BE 4 INCH RIGID PVC OR POLYETHYLENE. THE PIPES SHALL BE LAID LEVEL. 3.4 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM 3033 D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A REGULAR SECTION OF REGULAR PERFORATED. DISTRIBUTION PIPE MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN— CAP (JIMCAP OR EQUAL) SHALL BE PLACED ON THE TOP THE PIPE. 3.5 THE GRAVEL SHALL BE COVERED WITH A LAYER OF UNTREATED BUILDING PAPER OR A NONWOVEN FABRIC SUCH AS MIRAFAR, FIBRETEX 200 GRADE, OR POLY—FILTER X OR EQUAL. 3.6 THE TOP OF THE BED SHOULD BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX. 4.0 INSULATION 4.1 THE INSULATION SHALL BE ARCO GEOFOAM EMBANKMENT INSULATION BOARD OR EQUAL. 5.0 CURTAIN DRAIN 5.1 THE PIPE FOR THE CURTAIN DRAIN SHALL BE RIGID PVC PERFORATED PIPE ASTM D 3350 L06K2B. 5.2 THE ROCK FILL SHALL BE 1/2" — 2 1/2" WASHED GRAVEL. 5.3 THE FABRIC SHALL BE FIBERTEX 150 (60 MILS) OR EQUAL. 1220 West 25th Autrou - Anchorage, Alaska 99503 9 (901) 276-1361 ALASKA ENVIRONMENTAL CONTROL SERVICE,^NC. 1220 West 25th Avewe ANCHORAGE, ALASKA 99503 Phone 276.1361 JDa /-ALIT SHEET NO -___.-_1-_ OF CALCULATED BY DATE CHECKED BY DATE rlYr[l W. CRw-!� '4 N0190 `f n X /10 USe' ._ •t ry N O :7 .f,tez y � .. A �_f� ;_ :.. ... ... _._..... ..... __... /✓odes _ _ .. __: _. ... This// :FP" 0., e1F"'-1"2 r>sle- . t �s J✓J< . / i ,r'fov, N, .17'.17'iJr•.7 Mp r/ f'nd 1! [6� }/;se.,�� . /Vfe(+ .ID .. cai. o _ _.In<.: .... .. .. y_.._. o, f..A�F1'/�,: /re. re. div/C s(p�/� b<. a/e1 e�. o{ y;f2eel <Znd pluo� • 1," C/ry .- Pfc,.?,1' ;f.J �,. o._, .,_5"✓. ��c� , �.f._................ 0/d 7, T C/r7?,n drP.;i -/r rrr+orr y Y.2 p•l-e-.,;��� r1r•a ., <p; &116. of G..r•i„n dea,_.: )10.—S - `c,-(Cz4o, c' -6 C740... 3 7l.� —. �yr d Sef �ro 3 1 re. ,n;s,J�e or.e'S(e' 1P?eL. /,rre I. -,,j is ./• .'Do �. C�a .-• jir. I/2l✓e /5 /Ora wd �f� 2/To rra rlYr[l W. CRw-!� '4 N0190 ALASKA ENVIRONMENTAL .r CONTROL SERVICE^INC. 1220 West 25th Av�..,re ANCHORAGE, ALASKA 99503 Phone 276.1361 JOB_�'1 5- 1, el., —d Id_ o /off Z SHEET NO. I Or CALCULATED BY DATE CHECKED BY__ DATE /='rCp�.irc.• r, ice, - t,..�., r e16641'//_'•?92 'h✓el A 7147 C) To L.P%e 7erf Nccp°caC , va/✓e r I I i J rd,n 1r,e /c TA ogc0�npp Y ... _ D Q of 4C p Do ot �9 9 C. Roid, Jr,25 F 1 s' D -. i, L P.zi-clez; O U GNVye/ O a. �'MN37 s... _ 7 :.. (Gro) 8mw c/.7..._.. k•.•. Svr f" e, Pii rUM drr-'.(F^).._ . O U GNVye/ O a. ALASKA ENVIRONMENTAL CONTROL SERVICEP-�INC. 1220 West 25th Avg je ANCHORAGE. ALASKA 99503 Phone 276.1361 , JOB SHEET NO -' DE 3 CALCULATED BY DATE CHECKED BY DATE p4np1 C��TJ t.4s.Noi.'A ALASKA CfIUnonmenTRL COnTROL ONUS, IX Engineering 6 Enuironmental Studies MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL P: CTECTION May 11, 1981 MAY 12 1981 Les Bucholtz RECEIVED Department of Health and Environmental Protection 825 L. Street Anchorage, Alaska 99501 Dear Les: On or about May 1, 1981 I performed a adequacy test on a home located on lot 2, block 0 Engle Subdivision. During the test I noted water bubbling out of the ground near the driveway. I later determined this to be sewage from the seepage system. On checking I found that this system had been put in by the late Mr. Lock. The system as originally installed had been modified by one of the home owners by adding another section of pipe and seepage area which extended parallel to Upper Dearmon Road and terminated near the point where I had seen sewage bubbling out of the ground. A check of this area with a hand level indicated that this area was approximately 1.5 feet lower than the level of the water in the distribution pipe of the original system. In order to determine whether the system was adequate or not the buyer of the home obtained a backhoe and cut into the new system and attempted to plug the line and backfill the area with clay. Also at this time a test hole was dug in the vacinity of the clean out from the septic tank to the new line. This test hole was dug to a depth of approximately 6 feet and intercepted the side of the gravel trench, at this point we determined that the trench did not have any water in it. Several small test holes were dug in a area between the existing system and the lot line to determine the condition of the soils. From this information it was determined that the top part of the soils are extremely heavy. It appears it be a blue to yellow clay like material with wet peat on top of it. Immediately under this is a layer of silty sand that is moist and below that is dry GM type material. Although one of the prior owners had ditched water around the lot, glaciation has allowed water to spill over into the peat and saturate the area. The system was tested again on May 6, 1981 and after approximately 700 gallons of water was introduced in an attempt to fill the seepage pit we found the again water was bubbling up by the drive way. It appears that it will be quite difficult to rehabilitate the existing sewage system so, the alternative plan was developed to build an additional bed to the immediate east of the 1220 West 25th Auenue • Anchorage, Alaska 99503 • (907) 276-1361 existing system and to use a diversion valve so that once the trench is repaired it can be used or the bed can be used. In order to cut off the water from the bed a curtain drain (see sheet 1 of 3) has been proposed to originate near the house and cut across a drainage area between 2 clumps of trees and connect to the existing drain and run down to the ditch at Upper Dearmon Road. The plan would be first to cut in the curtain drain and then repair the existing system. Then we plan to observe the peat and SM material to see if it will dry out within a short period of time. If the material is as well drained as it appears to be, a bed will be installed according to the plan on sheet 2 of 3. We propose to excavate down to the silty sand and place enough sand on top of this to level the bed and then make a conventional seepage bed, covering it with 3 inches of insulation then pit run dirt. If you concur with this plan please let me know and have a permit issued for the work to be done. If you have any questions or want me to make modifications to it please let me know. Thank you for your cooperation. Sincerely, Leroy Reid Jr., PhD, PE President • • eP � Bv'c • Municipality of Anchorage On-Site Water and Wastewater Program r e.iJt t (907) 343-7904 5\AF E T Y 1W ti Certificate of On-Site Systems Apprmal��0� 2 'CO '' ! �. of Parcel I.D. 017-013-48 Expiration D-te. r 2_4.r v Ot 6, 1, 1. GENERAL INFORMATION: Complete legal description ENGLE; LOT 2 Location (site address) 8101 Upper DeArmoun*Anchorage 99516 Current Property owner(s) Kyle Amstadter Day phone Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® 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: it /a.9d I COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ Io Waiver Fee $ Date of Payment i/a9-//7- Date of Payment Receipt Number 6,5%-vc Receipt Number .44 COSA# 4�e//54( , Waiver# A. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 J Engineer's Printed Name: Jeffrey A. Garness Date: l 112'-�l - 000pp� , . In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system `="z:. QF Ii Q in accordance with the guidelines and regulations established by the Municipality of Anchorage and 'C...••••-•• •./S'A industry practices. The reported results describe the condition of the system/s on the date/s of the ' evaluation. Separation distances were measured to readily identifiable features. Hidden defects or O encroachments may exist that were not identified during the evaluation. The operational life of all wells � ; 9 I �� •.7*lI and septic systems depend upon a variety of variables, including but not limited to, soil conditions, Q groundwater levels (that may fluctuate during the year), quality of construction (materials and VA workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and , are outside the control of GEG. Satisfactory test results do not guarantee future performance of the O '•,Je :, •. Corn ess, Qa system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of O N E_ . ,;Q the well or septic system. GEG makes no representation whether an alternative well or septic system Q')'.s ��(PO can be installed on the property in the event either of the current systems fail to perform adequately in ��fN 1,11 ?. coo the future. The content of this report is for the sole benefit of the person/party that retained GEG to QPdpro/ess�0nooC7 perform the evaluation. Reliance upon the information provided in this report by any other person or ��OOppo�� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for bedrooms `` \\Y 1C Aiv System #2 Approved for bedrooms `�\�QQ' 'SO'', Disapproved Jam' ON-SITE 6); �z ,N TER AND Conditional approval for bedrooms, with the followinaatipt,Lr' ATER WH PROGRAM S"- - o4/F�r SERN ��o \. ' Original Certificate Date: L I -2-0-1 7 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 K Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc 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: ENGLE S/D; LOT 2 Parcel ID: 017-013-48 A. WELL DATA *PER 2017 GEG INSPECTION Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 1975 (APPRox)Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth*209.6+ft. Cased to UNK ft. Casing height(above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 11/10/17 \-0 Static water level , �- ft. 179.2 ft. N° Well production g.p.m. 2.4+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 3'1-3 g./L. Collected by: GEG. Ltd. NO ,,/� � rd-�7 Arsenic: /v1J ug./L. Date of sample: 21—YEAR OLD STEEL HOLDING TANK MAY BE B. SEPTIC/HOLDING TANK DATA APPROACHING THE END OF ITS USEFUL UFE Tank Type/Material HOLDING TANK/STEEL Date installed 9/3/96 Tank size 4000 gal. Number of Compartments 1 Cleanouts(Y/N) YES Foundation cleanout(Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping Pumper C. • =SORPTION FIELD DATA HOLDING TANK Date installe• Soil rating (g.p.d./ftzor ftZ/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption are- ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass For bedrooms Fluid depth in absorption field before test in. Water added •= New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. 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 . High water alarm level at in. Datu Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots 100'+ Absorption field on lot N/A On adjacent lots 100'+ Public sewer main 75 + Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation **5'+ Property line 5'+ Absorption field N/A Water main 10'+ Water service line 1 O'+ Surface water *69+ Wells on adjacent lots 75'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water service line Surfac- , - Driveway, parking/vehicle storage • • -. Wells on adjacent lots F. COMMENTS *WROP960027 (SNOW ON GROUND DURING 2017 INSPECTION) **PER 1996 INSPECTION REPORT BY TED MOORE, P.E. ooQOOppO o G. ENGINEER'S CERTIFICATION OF 4 N vv.' qsp00 I certify that I have determined through field inspections and it(p.: A • T i %3 00 review of Municipal records that the above systems are in 0 0 conformance with MOA COSA guidelines in effect on this ', ilk date. 00 •13 , e i�- A. • ness;' Engineers Printed Name JEFFREY A. GARNESS 0 9, 79 3 .• `�v i t 21-i 0p4 •.ttizZLI 0,4-v Date I 04 \ ��o frofesslo � pp000 (Rev.11/05) 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 "4n -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. (GEG) Phone (907) 337-6179 Address 3701 E. Tudor Road, Suite 101 Anchorage AK, 99507-1259 Engineer's Printed Name Jeffrey A. Garness Date I 1 I ?Cor In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of ,.r��!r My+ Anchorage and industry practices. The reported results describe the condition of the systems on the �� '�Lp 1� date/s of the evaluation. Separation distances were measured to readily identifiable features:- Hidden defects or encroachments may exist that were not identified during the evaluation. The operational fife of ad wells -and septic systems depend on a variety of variables including, but nor Jimited to, soil conditions,. groundwaferlevels (that may fluctuate during the year), quality of .- construction (materials and workmanship), and the water usage of the family utilizing the systems..... s. �. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG mikes no warranty (express or , implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems tail. Thecontent of this report is for the sole benefit of the. persontparty who retained GEG. Reliance upon the informationprovidedin this report by any other ••�! 3v ;d am person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the persordpartywho paid for this report \ \1Y OF,gNc,, 6. DSD SIGNATURE J w s y System #1 Approved for bedrooms, _ ,g ON-SITE WATER AND m System #2 Approved for bedrooms WASTEWATER z Disapproved PROGRAM Conditional approval for bedrooms, with the follow stipulations. le, - �?`r4Pc��14C.�� By: Original Certificate Date: The Municipality of Ancnora Development Services Division. (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations ven 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory' Other COSA blue sneet_9-1-12.eec - 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: ENGLE S/D; LOT 2 Parcel ID: 017-013-48 A. WELL DATA *PER GEG INSPECTION **PER"AAROW WELL AND PUMP INSPECTION 8/4/12 Well type PRIVATE If A, B, or C provide PWSID# N A Well Log (Y/N) NO Date completed 1975 �'nitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *281+ ft. Cased to **53 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 11/13/15 0 Static water level N 173.6 ft, Well production g.p.m. 2.0+ 9— p.m-WATER SAMPLE RESULTS: Coliformd colonies/100 mi. Nitrate)' q Img./L. Collected by: GEG. Ltd. Arsenic: wtmug./L. Date of sample: 11 /13/15 B. SEPTIC/HOLDING TANK DATA Tank Type/Material HOLDING TANK/STEEL Date installed 9/3/96 Tank size 4000 gal. Number of Compartments 1 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO r High water alarm (YIN) YES Date of pumping Pumper. C. SORPTION FIELD DATA HOLDING TANK Date installe Soil rating (g.p.dJft'or ftZ/bdrm) System Type Length -.ft. Width ft. Gravel below pipe ft. Total depth ft: Eff. absorption are ft' Monitoring tube_ Depression over field Date a adequacy test Results (Pas For bedrooms Fluid depthh-in absorption field before test_ in. Water added New depth _in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in. "Pump off E. SEPARATION DISTANCES water alarm level at` in Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 40 too + On adjacent lots 100'+ Absorption field on lot 40 look On adjacent lots 100'+ Public sewer main 75'+ Public sewer manholelcleanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manureianimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field N/A Water main 10'+ Water service line 10'+ Surface water *69+ Wells on adjacent lots 75'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water service line Surfs _ Driveway, parking/vehicle storage Wells on adjacent lots F. COMMENTS *WRO960027 G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineer's Prined Name JEFFREY A. GARNESS Date tl 76)'s - (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 r www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 017-013-48 COSA# �SC17.13b� 1. GENERAL INFORMATION Expiration Date: -2- Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address ENGLE LOT 2 8101 UPPER DEARMOUN *ANCHORAGE AK 99516 LEON SHAWNESSY Day phone 242-3190 8101 UPPER DEARMOUN *ANCHORAGE AK 99516 Day phone Real Estate Agent DAWN STORM W/ KELLER WILLIAMS Day phone 227-9306 Mailing address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well E Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank N Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 seat affixed hereto and as of the validation date shown below, I verify that ray 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. 1 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. Phone 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 & Regulations. The reported results described the pe/formance of the system unde.- 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 tenure 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 Approved for — bedrooms. Disapproved. 337-6179 Date J t Z Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Nitfm)amlm- vp « 1 .E By: � Original Certificate Date: '0 (Rev. 11/05) Municipality of Anchorage ' Development Services Department Building Safety Division On—Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ok.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ENGLE LOT 2 Parcel ID: 017-013-48 A. WELL DATA )�\ Avc ro,,_� IIJ,,,`,,., (< We 11 Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 1975 Sanitary seal (YIN) YES Total depth 216 ft. Cased to'* 53 ft. FROM WELL LOG Well Log (Y/N) NO Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION Date of test NO WELL LOG 7/26/12 Static water level ft. 171 ft Well production —9-10 M. 2.93 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 4.43 mg./L. Collected by: GEG. Ltd Arsenic: ND ug./L. Date of sample:8 1 2012 B. SEPTIC/HOLDING TANK DATA Tank Type/Material HOLDING TANK/STEEL Date installed 9/3/96 Tank size 4000 gal. Number of Compartments ? P Cleanouts(Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 411 S b Z. Pumper N cX7-11d-14P1Jr1P1A4' C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft or ft2/bdrm) _ System y type Length Width ft. Gravel below Total depth ft. Eff. absorption area_ fC Monitoring tube Date of adequacy test Results ft. over field For bedrooms Fluid depth in absorption field before tes _ in. Water added _gal. New depth _in. Elapsed Time: Final fluid depth _ in. Absorption rate >_ g.p.d. An nation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access(YM) "Pump on" level at in. "Pump ofr level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot N/A On adjacent lots 100'+ Absorption field on lot N/A On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field N/A Water main N/A Water service line 10'+ Surface water *69' Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water service line Surface water parking/vehicle storage Curtain Wells on adjacent lots F. COMMENTS *WAIVER ISSUED IN 1996 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems ere in conformance with MOA COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 13115,'!2 COSA Fee S q%l, bb Waiver Fee $ Date of Payment 91 Date of Payment Receipt Number �y*A bSZbb 6- Receipt Number (Rev. 1IM) AARI PUMP & WER SERVICE, LLC P.O. Box 110496 No, 9498 Anchorage, AK 99511 Office: (907) 346-9355 - Fax (907) 333-6976 Eagle River: (907) 622-9335 f CUSTOMER 7 F— JOB SITE 4— L I INVOICE oAj E WELL CHLORINATED 'ouAATrry DESCRIPTION PRICE AMOUNT 4� < LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTALLABOR WORK ORDERED BY DATE COMP TOTAL LABOR PAY THIS AMOUNT Thank You SIGNATURE 0 Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that it above work is not paid In: in 90 days I agree to allow Aarow, Pump A Well Service, L LO- the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.6% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. 08/06/2012 15:35 8686770 APLUS PAGE 01 0.P AIGNT p��� SFA fg A FU 1�999HoJ A+ HOME SERVICES , INC. 7501. E. 140th Avenue x::• Anchorage, Alaska 9951.6 345-1890 CUSTOMER • Leon RIM TWerneAtmoun Anchorage, AK 99516 Block Lot INVOICE # 4 2 7 8 3 DATE DES ON AMOUNT 09-06- L1 XTW k1oldingt arm; ., $7.00 .r A" JIi i Ordered by- Dawn Storm TOTAL RE►RKS Gallons Septic Leach Area Holding Tank ❑ PROBLEM AREA — CALL FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape ❑ Sludge buildup on bottom ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground needs replacing Standpipes Time ❑ Floater on top ❑ Needs Septictrine \ Municipality of Anchorage Development Services Department°; ' Building Safety Division >. On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. old 013- qA COSA# dl_onigL1 1. GENERAL INFORMATION Expiration Date: 2-30-06 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ENGLE S/D• LOT 2 8101 UPPER DE ARMOUN • ANCHORAGE. AK 99516 HASKELL ACKER Day phone 727-4595 8101 UPPER DE ARMOUN ' ANCHORAGE. AK 99516 Day phone MIKE McLANE w/PRUDENTIAL J.W. Day phone 276-8507 3801 CENTERPOINT DRIVE " ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank 0 Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of Onsite Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water 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, 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 ofAnchorage 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineers Comments: In conducting this evaluation, GEG, L1D. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines B 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, lost 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 sofa 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 Approved for __q_ bedrooms. Disapproved. Conditional approval for bedrooms, with the tllowing stipulatjorls^G e By: —/--Y/� / , �M�1 Original Certificate Date: /Rti IIM1 CN.S1cc�i= =� � wAi EWATER = Attachments: O�i5�`\,,\, � COSA Checklist .1 Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineers Reort Nitrate Advisory Other By: —/--Y/� / , �M�1 Original Certificate Date: /Rti IIM1 Municipality of Anchorage • Development Services Department Building Safety Division `* On-Sfts Water 6 Wastewater Program 4700 Bragaw Street P.O. Box 196850 Anchorage. AK 995196850 www.muni.orglorrefte (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ENGLE S/D: LOT 2. Parcel ID: A. WELL DATA • PER 1996 HAA Well type PRIVATE If A, B, or C provide PWSIDN N A Well Log (YM) NO Date completed '1975 Sanitary seal (YM) YES Wires property protected (Y/N) YES Total depth 400' ft. Cased to *KDROcK ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test ��G 5/5/2006 Static water level _ �F,R. 175 ft. Well production N� g.p.m. 3.3 —g.p.m. WATER SAMPLE RESULTS: Coliform _ 0 colonies/100 ml. Nitrate jX_mgJL. Other bacteria _�colonies/100 ml. Arsenic:-r-ugA. Date of sample: 5/5/2006 Collected by: GEG Ltd. B. SEPTICIHOLDING TANK DATA Tank Type/Material HOLDING/STEEL Date installed 9/3/1996 Tank size 4000 gal. Number of Compartments 1 Cleanouts (Y/N) YES Foundation cleanout (YM) YES Depression over tank (Y/N) NO High water alarm (YM) IYES Date of pumping ++/ArONO`Pumper kx !h ani (Lmov1 q C. ABSORPTION FIELD DATA Date installed Soll rating (g.p d./Rir fti'bdrn) _ System type Length - ft. WWth ft.�_Qpll w pipe ft. Total depth R. Eft. absorption area _ ft' Monft ssion over field Date of adequacy test R ass/Fall) For bedrooms Fluid depth in absorption field be _ in. Water added _gal. New depth _in. Elapsed Tine:in. Final fluid depth _ in. Absorption rate >- g.p.d. treatment (past 12 mo.) (Y/N 6 type) If yes, give date D. UFT STATION Date installed Size in gallons "Pump on' level at _in. 'Pump qT Iw�— n E. SEPARATION DISTANCES High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAiR station on lot N/A On adjacent lots 100'+ Absorption field on lot N/A On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/deanout N/A Sewer /septic service line 25'+ Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field N/A Water main N/A Water service line 10'+ Surface water •69' Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water service line Surface Driveway, parking/vehide storage Curtgi Wells on adjacent kits F. COMMENTS 'WAIVER ISSUED IN 1996 G. ENGINEER'S CERTIFICATION I certify that I have dete►mined through field inspections and review of Municipal records that the above systems are in corftmance wffh MOA COSA guidelines in effect on this date. Engineers Printed Name JEFFREY A GARNESS Date S Lipfe COSA Fee S q& Date of Payment .5/,,2aIIQ Receipt Number 3� (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number -05-06 09:51am From -PRUDENTIAL JACK u LOT I N 90'00'00' N 1 � p, I 0_OJ LOT 2 aC u x/3,56° L Z 3 p a � �:/2 u 4 G �i 1 S7 >I 2 TITLE REPORT PRONGED or. _ NORTHWEST TITLE OF ALASKA, WC. RIGHT C+' WAY EASEMENT (E:,iJJxET ®7.0 f I. �iIIIII�I I�• :N7J EASEMENT IS POR CCNSTRUCTICN• tON• AND IMNTENANCE a AN EtECTR:C 52.J �I OR TCLEPNCIIE O;sTRig{JTICN I .' . EXISTOIC �I SYS4 '•• OU$E 14. PACE 301. I 52.3 ! M &ICE MAY CONCEAL I2C8 ' 'i'° nll I kWACE FEATURES. LOT 4 WAw NCED BEARINGS & DIST'S. oast T (70-237) DO NOT CLOSE. I +9077623189 T-490 P.002/002 F-732 LOT 3 1 . I NOTE: o� CAR 70 SNOW & ICE THE EXrST:NG GRAVEL OF q(�� I meq/ DRIVE LOCATION Is A A�PRO:OMATE- Q N 90'00.00" W 150.00' •; MTh Jaka�:0 a ^�'•.• L$-7879 �+ C (DE ARMOLIN ROAD) DeARMOUN TOAD a.xs.a .n DC.usa Waris: x •. I.W w raDm+mvtr 1a 41•T:N LEGW; 5:i NO THE RAM56r 1 E.4M M. ""'"" M "'J'""'"'"b• "�"^a ..wktw. a/rr ./krQ) VC y O w'ILh DYNAMIC PROPERTIES wu Wba eveA.nW.I«'wpi b/ YlO�sn m b, Wd b. �•W"�''0�'''tMi m.nticu.n r w «Ir.+.nv MM•'V IWa .... uu p 6 1 Mfs.r W+�J .• PY pAMJ m ane.n an V.1 Wam Otals. nro.n• aM xal NW Iawo+n.d. W:wl•a M my-acR- W ^Oa �awW m. /.aaa1J In« arm N WrpapN. .WyL V At.l .Vnr Ibn ni1.6 CxA.(y FU 1 Ir_TOR PLANNERS- NGINEER.i A'S—E3UIL.T OF: LnZv= YM f7't :T BENSON BLVD. Y 103 (a+) 367-6625 4CE• ALASKA 29503 Nor 569-7101 I (1T i Mar.25. 2006 2:33PN Garness Enaineerins Group, Ltd. May-n-ut umias rroN-rRUDE IAL JACK �907T823I99 v LOT 2 , 1 7 i �s2gso mob' I 1 I 1 aGu v3'-13' I Z LIT 3 S LCYs1a, �OAt K Y Mr ..�.f nr.an�r M MVwi., �' I TEAM ^,^'.". M war 4 �..+�► r ...,.Wti 3t!1 S N P • tl)t•',L+TSu 4.,RD, w �y � /+ TfK4 ��� t 1 ! LI 4 � 0 �I A$ PER TML REPORT FRONDED RY: n ^ I 2 PACK NORTNME3T TITLE 6 ALASKA, NC. Y •' LP.A. IOD1R Of 1YAY LAWANT (BLAN,RT EASCKNn iASELCNT 1S fOR CONSTRUCTION. o OPLRATIW. AND YAN7ENANQ Cf AN MECMC [MR MCP1CRE gsvtcvn0NJ�K OR i )POK E4, PAOE 301. roTLs L SNOW d ICC MAY CONCEALWM 1 OWEKAWGS" LOT a N PLAT (70-237) 00 NOT CLog. APP4E•� A�'iS .� 1 1 ka LOT I LOT 2 asnNc houx r Al 6 No -3311 P - i T-490 P.002/002 F-132 LOT 3 4 o P 0 (DE ARMOUN ROAD) DeARMOUN ROAD LCYs1a, �OAt K Y Mr ..�.f nr.an�r M MVwi., �' SE TEAM ^,^'.". M war 4 �..+�► r ...,.Wti 3t!1 S v►r �R�� 1/P• Ir • tl)t•',L+TSu 4.,RD, w �y � /+ TfK4 ��� t nn:wwtwcF„ ALAMA 09503zP1 LOT 2, - — Po7) x9-s ENGLE SUBBCVISION 4a) / w4felilil SGS Ret.N 1062250001 Client Name Gamcss Engineering Group, Ltd. Project Name/N Engle SD Lot 2 Client Sample ID Engle SD Lot 2 Matrix Drinking Water Sample Remarks: All DalesTimes are Alaska Standard Time Printed Dme/rime 05/22/2006 9:50 Collected Date/Time 05/05/2006 15:25 Received Dale/Time 05/05/2006 15:48 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Date Date [nit Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C 10) 05/10/06 05/17/06 SCL Waters Department Nitrate -N 2.73 0.100 Microbiology Laboratory Total Coliform 0 mg/L EPA 353.2 D ("10) cot/IOOmL SN1209222B A ("D 05/05/06 ALR 05/05/06 TLF MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services Onsite Services Section P.O. Box 196650 Anchorage, Alaska 995195650 (907) 3434744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING ' Parcel I.D. # 0/7- 013 - N 8 HAA # 81002.1 1. GENERAL'INFORMATION Complete legal description FNCI F Si PPIVISION• LOT 2. Location (site address or directions) 6101 UPPER DeARMOUND ROAD ANCHORAGE. AK 99516. Property owner RRFTT WII RANKS Day phone _ (907) 337-4335 Mailing address 803, accl IRRFCTION DRIVE ANCHORAGE. AK 99504 Lending agency Day phone Mailing address Agent CIAIR RAM EY w/ DYNAMIC PROPFRTIES Day phone _(907) 261-7553 Address 3111 "C" STREET ANCHORAGE. AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well xxx 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 xxx Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC Ing to the legality and status of system. 72-025 (Rev. 1191) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $800.00 at, or prior to, closing for the engineering services provided. 5. STATEMENT OF INSPECTION 13Y 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 inspect/ n, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal �rS�1 Mate codes, ordinances, and regulations in effect on the date of this inspection. / Name of Firm MASK Address Phone (907) 337-6179 Engineer's Signature Date In conducting this evaluation, AWYYC, Inc. atl mp d to pro e a thorough, conscientious engineering arialysis of the system In accordance with ADEC and MCA WHV 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 wails and septic systems depend on the local soils condition, ground water 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 0040 F ADO 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. p� AWM, inc. can therefore not prmlde any waminty for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. :. The content of this report Is for the sole benefit of the owner listed above. Any Q � reliance upon or use of this report by any other person or parry Is not authorized, Q nor will it confer any legal right whatsoever........ti y A. mess 6. DHHS SIGNATURE QQm� •. CE -7953 Approved fo14— r Disapproved Conditional approval for bedrooms, with the following stipulations: . Additional Comments Date—1 —.;2 - O I 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.1191) Back MOA #21 ComputerVerslon Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 R' Street, Rm 502 Anchorage. Alaska 99501 (907) 943.4744 Health Authority Approval Checklist Legal Description: ENGLE SUBDIVISION; LOT 2. Parcel I.D.: O I "1- (3 13 – q 8 A. WELL DATA *PER 1998 HAA Wen Type PRIVATE H A. B, or C. attach ADEC letter. ADEC water system number N/A Log present (YM) NO Date completed ` ^ 1975 Total depth X400' Cased to *BEDROCK Casing height (above ground) 12'+ Sanitary seal (Y/N) YES Wares properly protected (YIN) YES FROM WELL LOG Date of test N/A Static water level Wen production I 9.p•ffL AT INSPECTION 1/9/01 171' 2.8+ g.p.m. WATER SAMPLE RESULTS: �( Conform Nitrate 2 6S M Q ' Other bacteria—# Date of sample: 1/18/2001 Collected by: A.W.W.C.. INC. B. SEPTICIHOLDING TANK DATA HOLDING TANK Data installed 913/96 Tank size 4000 Number of Compartments 1 Clearwuls (YIN) '/ES Foundation cleanout (Y/N) YES Depression (YIN) NO High water alarm (Y/N) YES Date of Pumping N/A Pumper N/A C. ABSORPTION FIELD DATA Data Installed Son rating (g.p.dJfi2 or fMftrm) System type Length Width Gravel thldmess below Effective absorption area Monitoring Tube present (Y/� f1}� Depression over field (Y/N) Date of adequacy Fluid depth in absorption field Fluid depth Qns) Minutes later. Immediately after gal. water added Qn.): Absorption rate ■ �erofcf�elreatment (past 12 months) (Y/N) If yea, glue date Mm pro. &roar CWV"vwdm O. UFT STATION Data installed Size In Manhole/Access High water alar level or E. SEPARATION DISTANCES 'Pump on' 'Datum SEPARATION DISTANCES FROM WELL ON LOT TO: 'Pump ofr level ar eeptIcllroldirrg tank on lot 75'+ On adjacent lots 100'+ Absorption field on lot N/A On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/deanout N/A Sewedseptic service One 25'+ Lift station N/A SEPARATION DISTANCES FROMBE't'TIGHOLDING TANK ON LOT TO: *WAIVER ISSUED IN 1996 Foundation 5'+ Property line 5'+ Absorption field N/A Water mainiservics One 10'+ Surface waterldrainage *69'+ Wella on adjacent lots 100'+ SEPARATION DISTANCES FROM ASSORFTION FIELD ON LOT TO: Property One Building foundation Surrace water F. ENGINEER'S IcM thatl W1111 MJ� Englneefs HAA Fee S 390 Date of Payment 4Za c110 Receipt Number i�g 72-M Mm. ager Cwmxrw vwvbn DAveway, parklMft ide storage Id inspections and review stems are in conformance th/s date. F_111 Woos on Waiver Fee Date of Payment Recelpt Number 01-24-01 17:25 FROM -CTE EWRONIENTAL CTAE Envlronmental Services Inc. 5615301 T-375 P.02/03 F-515 CT&E PCEO 1010367001 Clleat PON Client Name AK Water & Wastewater Consultants lac. Printed Date rime 0122/2001 15:29 Project Name/N Eagle SID Lot 2 Collected Date/ritne 01/172001 16:30 Client Sample ID Outside hose bib Received DateMme 01/182001 15:45 Matrix Drinking Watcr Technical DirectorrrStephen C. Ede Ordered By PWSID 0 Released by Sample Remarks: Panner waters Department Nitrate -N Microbiology Laboratory Total Coliform Allowable Ptep Nulyais Reaulu PQL Uaiu Me" Limin Date Date Init 2.56 0.500 mg/L EPA 300.0 coU100ml. SM1992220 10 max 01/18/01 GCP 01/18/01 SKW MUNICIPALITY OF ANCHORAGE • — DEPARTMENT OF HEALTH b HUMAN SERVICES Division of Environmental Services On -Site Services Section LUOU P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # lit 7 D 13 YR HAA # t-\01913c�n GENERAL INFORMATION Complete legal description Cot 2, Esq fe S /D Location (site address or directions) PO1 u� er De Aemoe. Rcr Property owner R«k u„f'4 f ^'I)& Trc.crt. Day phone Mailing address 61Gl C4, ,&.er De A• 1"oan tiara 4AcAc,!e;ao. +&c ll516 Lending agency Day phone Mailing address Agent Niel TAOnOVO Forfunc Prore-Atr Dayphone 562-7653 Address 2S2S c" f}^G%Orcr4P Ak 995'03 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water v 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. ,..�_a e.. - -•oma. MCA.." 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. Name of Firm Ttcl 17.1"Il Seit,rf' Phone 3 ys-- 131-5— Address ly5-3c EcAc, SA, '+ cc 99s'Il Engineer's signature Tom' f 11' '7V"' _ Date .Se,,'femif' Y Vz' 6. DHHS SIGNATURE x Approved for Disapproved. Conditional approval for Additional Comments bedrooms. • bedrooms, with the following stipulations: le) Date j �V, 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. Em ployees 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. 720251Fw 19n Bac. ua•:' Ws M(CIPAUn OF ANCHORAGE �� seRvtcl:s otvlswM Municipality of Anchorage SEP 04199 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division RECEIV05 8259." Street, Room 502 • Anchorage, Alaska 99501 • (907) 343 4744 Health Authority Approval Checklist Legal Deacription: Lo f 2 P -00e S /b Parcel I.D.: O r 7 0 13 Y B A. WELL DATA Well type Fri ver k If A. K or C. attach ADEC letter. ADEC water system number Log P=111 (Y/M N Date completed -2r (9 7S Totai depth `100' ger Br MAA Cased tD f3 antro c k Casing height (above p mnd) '> 12 sanitary Rai (Y/M r Date of test Stade water level Well production WATER SAMPLE RESULTS: Wires property Protected (Y" Y AT INSPEC ION S/ 26 191C 179' &P -M- 2. g 9 -P.M. Collform O Col. / / u a m .e Nitrate A� 0 • ( ^'9 /•C Otlher bactcia None re^:, fa of Date of sample: B/ 2 & / 96 Collectedby: F /a «od T. -CA S -c B. SEPTIC/HOLDING TANK DATA Date installed 9 /3 /9d Tank aimr/�INumber of Compartments / Cleauuomts Foundation cleanout (Y" Y Depression (Y/M _ N High water alarm (Y/M Date of Pumping N. A. C ng r..) Pumper N. 4 C. ABSORPTION FIELD DATA N.,#. Length Width Effective absorption area _ Soil rating (g p d /lis or 6%dtm) SyRem type (Ravel thicl=ss below pipe Total depth Monitoring Tube preaent(Y/M_ Depression over field (Y/N) Date of adequacy test Remits ~ail) For bedrooms Fluid depth in absorption field before test (in.); Immediately atkr_ gal. water added (in.): Fluid depth (ins.) Minutes later: Absorption rate Peroxide treamitnt (past 12 months) (Y" gym give date D. LIFT STATION N. A. Datoinstalled Manhole/Access (Y" Higb water alarm level at* C)cles tested E. SEPARATION DISTANCES Size in gallons "Pump on" Level aN "Pump o1P' level at* 'Datum SEPARATION DISTANCES FROM WELL ON LOT TO: £aPtic/bohiing tank on lot B t ' ; On adjaccra lots 1 100' Absorption field on lot IV • A. ; On adjacent lots ---, t Ua ' Public sewer main N. 4. Public aewer manhoweteanout Al- A. Sewer /septic service line 5 2 S' Lin station N. A. SEPARATION DISTANCES FROM SEPRIORCILDINO TANK ON LOT TO: Building foundation 6I Property line SS ' Absorption field N• A. Ware' lowol mcc line > (o' Surfwc water/drainage 69" * Wells on sdjawm kus 7 7s % wo,wee trruid '7/11/9gr SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: /j. A. Building foundation Property Line Water main/serviee line Ddvewo, parldag/vddcle storage area Curtain drain Wells on adjacent bra F. ENGIlN1ER'S CERTIFICATION ! certify than! have determined thro flstd inspecttoas and review afMmttdpal records in conformance with MOA !!AA guidelines in effect on this dare. /�r r ,•'` ;. .......... ....., Engineer's Name Date r. •�Fi� ,,ey HAA Fee S 7? 00 =` Waiver Fee S Date of Payment `f- �— %� Dau of Payment Receipt Number P-.Z/,30���� T� Receipt Number Rev. 9/93 OSS: haawk.doc 09iO3/9G 14:01 CT8E ESI Pf ICFIOPAGE » 91773451355 1,10. 002 PO4 r ME Rtr.# Client Name Project Name/# Client Sample m Matrix Ordered By ME Environmental Services Inc. Laboratory Division aa, 200 W. Potter Drive Anchorage. AK 98618-1605 Tel: 1907)562-2343 Fax: (907) 561-5301 964165002 Client PO# Flattop Technical STv. Printed Date/Tlme 09/03/96 09:40 N/A Collected DateMme 08/2819609:15 L2 We SID Received DateMme 08/28/96 14:20 Drinking Water Technical Director: Stephen C. Ede PWSED 0 Released B������� Sample emarks: Parameter Rttrate-a Totsl Collform w Allowable Prep Analysis Results PGL Units Method limits Date Date Init 0.1000 0.100 eq/L EPA 353.2 0 0 col/LOOK SR18 92228 S *4iiiA%-*di0 Member of the SGS Group(Soo1616G6n6r6Ied6 Swverllar ) 08/291% EMB 08/28/96 TAY ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNW FLORIDA. ILLINOIS. MARYLAND, MICHIGAN. MISSOURI. NEW JERSEY, OHIO, WEST VIRGINIA