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CHRISTOPHER HEIGHTS LT 2A
Christopher Height Block Lot 02 #015-233-09 Municipality of Anchorage o Development Services Department Building Safety Division "= = = = On-Site Water & Wastewater Program, 4700 Bragaw St. ~ P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: OSP1 01 240 PID Number: 01 5--233--09 Name: MARK MINER Wastewater System: [] New · Upgrade Address: 6741 SAMUEL COURT, ANCHORAGE, AK ABSORPTION FIELD Phone: No. of Bedrooms: (907) 336-2383 3 · Deep Trench [] Shallow Trench [] Bed []Mound FlOther LEGALDESCRIPTION so,, .ot,ng: 0.6 CPD/Sq. Ft. Total Depth from12originalMAXgrade: Ft. Block: Lot: Subdivision: Depth to pipe bottom from odglnal grade: Gravel depth beneath pipe: - 2A CHRISTOPHER HEIGHTS 7 & 6.97 Ft. 5 & 5.03 Ft. Township: Range: Section: Fill added above original grade: Gravel length: - - - SEE DWG. Ft. 2 @ 38 (76 TOTAL) Ft. Gravel width: Number of lines: Distanc~ between lines: WELL:[] New [] Upgrade 3 rt. 2 4+ Pt. Classification (Private. A,B,C): Total Dept,~:~/ Cased To: Total absorption area: Pipe material: / 760+ D 3034/ F-810 / Ft. Ft. SQ. Ft. Driller: ~'\~'%~,.3/ Date Drilled: Static Water Level: Installer: Dote installed: rt. A+ HOME SERVICES 11/18-12/1/2010 I Pump Set At: Casing Height Above Ground: GP.I ~t. rt. TANK SEPARATION DISTANCES · Septic [] Holding [] S.T.E.P. [] Other* T~.~-'~.......~To Septic Absorption i Lift Holding Public/Private Manufacturer: Capacity in gallons: Tank Field Station Tank Sewer gi.ee ANCHORAGE TANK 1000 Material: Number of compartments: Well 100'+ 100'+ - - 25'+ STEEL 2 Surface Water 100'+ 100'+ - - - LIFT STATION Lot Line 5'+ '1' _ _ _ Size in gallons:II~M°nufacturer: / Foundation 5'+ 10'-{- -- -- -- "Pump on" level at: ~at: High water alarm at: Curtain Drain ' NONE KNOWN , Pump~ Electrical Inspections performed by: ~emarks: BENCH MARK Location and Description: OLD TANK WAS REMOVED AND DISCARDED BOTTOM OF TRIM, WEST CORNER OF HOUSE · 1' LOT LINE WAIVER GRANTED NORTH OF FCO Assumed Eevat on '1 41°°'°°rt. ENGINEER'S ~AL Inspections performed by: CEO, Ltd. Dates: 1st 11/18/2010 ~=.~<:~--~~,.__~ 2nd 11/19/2010 _~,/ LDF ,¢/--~/ .¢~.X.- ...... ~ .... ~.4 '~ 3rd 12/1/2010 ~.-'/'; / /,/,~':'?/..~__~ Development Services Department Approval ¢~:':~'4W-T,~ ~. .':. :. .!...'i". t" .i~. :~ ..... !-::-:..: .... ~ ii'..::." .' ?' '. Conditional approvah D~te: ~)¢-- .L:/;.'~~-...i./. ,i., '.~ ........ /Z,/ ' % ,,% '-..~..z./.7. h.c' Reviewed and approved by , /'~ e::-2-- -/¢ '~ / / ~,3¢ ¢_ '_" '._.o~ (Rev. 4/06) -- %~, 'Otess~U" ~ OSP101240 - 015-2.3,.3-09 ' / 'x,.'"' ',,, x /// .....-' xL,~ '"",, x_._ ~ \ J.-- ...-- / , . '~.. ~~ .--'"~:~ ~ ~ , ~~.,'~ ~[ s,~ ~2.~ ~o.~ "/ ~~ ;~; 5'S'~ ~BLE SPLIWER V~VE. I DBL2 14.25 33.82 NOTE: WELL R~ AND 100' / STAKED ER[oreo ...... ~ ~ / ~100' CREEK C02 32.79 52.91 CONSTRUCTION BY A ~ ~ / / S~ BACK / MT2 33.10 53.0~ REGISTERED ~IONAL ~ ~ / / ~ND SURV~OR ~ ~. / ~- ~ / C03 39.93 44.14 ~ ~ / / ....... / MT3 40.31 44.62 ~ / ~N~ 1000 GALLON ~ ~ / ~Z s.?,c ~.. ....... -7~ ......... ~~ / / ~ ./ / MT4 50.70 69.52 J 30L ~, .':'C~¢ ~ , , ' . ..... .. ,' ..... , · ' DRAINFIEL ' / X ~ ~OLD D~AINFIELD , NOTE: OLD TANK ~ / CONNECTED AS WAS REMOVED AND / ~ RESE~E SITEIDISCARDEDI 1" = 40' OAR'NESS ENGIN:EERIN'O GRO:'P, :Ltd. g~ ."~ CONSULTANTS & GENE~L CONT~CTORS j ~ '' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 1 ~ AS BUILT DRAWING Of NEW SEPTIC SYSTEM 12/3/2010 A B ST1 9,80 25.10 ST2 12.55 30.88 DBL1 13,75 32.82 DBL2 14.25 33.82 DIV 14.66 34.30 SPL 29.25 42.84 C01 .30.22 28.16 MT1 29.25 27.72 C02 32.79 52.91 MT2 33.10 53.03 C03 39.93 44.14 MT3 40.31 44.62 C04 51.79 70.52 MT4 50.70 69.52 (Rev. 01/05) ~PERMITNUMBER: AS BUILT DRAWING PARCELID NUMBER: OSP1 01240 - 01 5-2.33-09 TOP OF TANK '-~ AT INLET = 94.,51 INVERT Of BUNG '-~ AT INLET = 93.89 ST1 NEW 1000 GALLON SEPTIC TANK FINAL GRADE = 100.59-100.72 ST2 ?TTOP OF TANK OUTLET = 94.48 INVERT OF BUNG AT OUTLET = 93.66 TH#1 IWEST TRENCHI EAST TRENCH ] MT CO FINAL GRADE = MT CO GRADE = 98.99-99,73 99.93-100.34. ORIGINAL ORIGINAL = 98.88 = 99,05 TH#1 FABRIC FABRIC OF PIPE OF PIPE = 91.91 = 92.05 BO'FrOM Of BOTTOM OF TRENCH = TRENCH = 86.88 87.05 1 0'+ RELATIVE ELEVATION OF BOTTOM RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 81.05 (DRY) E: GINEERING GRO1 I336-2383 I 3 OF 3 ~,~ '?~ ~ e ~'-~ I ,.J.O.' OF NEW SEPTIC SYSTEM ~ 12/3/2010 OF TESTHOLE = 80.88 (DRY) GAR'NESS ENGINEERING GROUP, Ltd. t701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 * PHONE (907)337-6179 * FAX (907}338-3246 * WEBSITE: www.game~sengineertng.com PREPARED FOR: MARK MINER LEGAL DESCRIPTION: CHRISTOPHER HEIGHTS LOT 2A TYPE OF WORK: PROFILE AS BUILT DRAWING (Rev. 01105) Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP101240 01523309000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: October28, 2010 to October28, 2011 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: CHRISTOPHER HEIGHTS Site LegalAddress: CHRISTOPHER HEIGHTS LT 2A G:2739 Owner/Address: MINER MARK 6741 SAMUEL CRT ANCHORAGE AK 99516 Site Mailing Address: 6741 SAMUEL CT, Anchorage Lot Size in Sq Ft: 49496 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Date: Municipality of Anchorage P.O. Box 196650 · 4700 Elmore Road Anchoraqe, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 httP:llwww.mu ni.or.qlOnsite DevelOpment Services Department On-Site Water and Wastewater Program ~epartment **** VARIANCE/WAIVER REVIEW **** WaiverS: OSP101241 COSA#: Permit#: OSP101240 PID#: 015-233-09 Legal Description: Christopher Hei.qhts Lt 2A Engineer: Garness Engineering Group Applicant: Mary Miner Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. In addition, the 50 feet to excessive slope has been waived to 0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Name of Revie, w~r Rec#: 073212 Amount: $200.00 Date Paid: 10/18/10 **** VARIANCE/WAIVER REVIEW **** Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak, us (907) 343-7904 ON-SITE SEWER/WELL PERHIT APPLICATION FOR A SINGLE FAHILY DWELLING Property owner(s) MARY MINER Day phone 556-2585 Mailing address 6741 SAMUEL COURT *ANCHORAGE, AK Site address Legal description (Sub'd, Block & Lot ) CHRISTOPHER Legal description (Township, Section & Range) N/A Lot Size ~'J Cl,r I'~.Ot~ Sq. Ft. HEIGHTS LOT 2A Number of Bedrooms Zip Code 9951 6 3 THIS APPLICATION IS FOR ( [~all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy - [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: Date of Payment: Receipt Number: ~) (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GAR. NESS ENGINEERING .GROUP, Ltd. CONSULTANTS & GENERAL (;ONTRSkC;TOR.$ October 11, 2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic System Upgrade for Christopher Heights; Lot 2A, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to inspect the existing septic tank to confirm it's structural integrity and if deemed necessary, replace it with a 1000 gallon septic tank° We are proposing to install a dual deep trench type drainfieldo Attached are a site plan and a design drawing showing the proposed septic system. One test hole was excavated on the property° The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1o SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results° 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There is a creek located to the north of the proposed drainfields, These drainfields will be at least 100 feet away from the creek, to insure the separation distance it is noted on the design to have the creek setback flagged by a registered land surveyor° 4. TOPOGRAPHY: The topography of the area for the septic system is mounded. The top of the mound where we proposed to install the dual trenches is relatively flat but the slopes vary between 25-50%. See the slope waiver request below regarding the cutbank. 5. LOT LINE WAIVER: Due to site constraints, we are requesting a 1'+ lot line waiver from the west lot line to the proposed drainfield. · The proposed trenches meet the separation distance requirement of 10'+ or twice the effective depth. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com 5. SLOPE WAIVER: We are requesting a waiver be granted from the drainfield to the cutbanko As can be seen on the attached drawing, at a 25% slope (starting 2.5 feet above the drainfield) the potential point of daylighting is greater than 50' horizontally from the trenches~ The following are mitigating factors for the justification of these waivers: · The proposed septic system is located relatively close to the referenced properties driveway and the neighboring driveway. If effluent were to surface it would be noticed and the problem would be addressed immediately. In short there is minimal risk associated with the grating of these waivers. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems° If you have any questions, please contact us at 337-6179. Thank you for your assistance. ly, i ;'1 '"J~ffrey 9~,/Gah'rgss, P.E., M.S. Presid~ nt NOTE. Attached is a site plan drawing, a design drawing, two detail drawings, and one soil log, which are all part of the design package for this septic system. (Contact G.E~ G. Ltd~ for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering,com I I LAKE 0 THE HILLS I I I I × ;x F ~ L-------~------Z I i ? \ i i / \ i i i ! \ i i i i~oa, WELL ~D~US I I I I I --' I I I I \ / I I I \ / I I I \ / I \ / I I I X I I X / I CHRISTOPHER LOT 3A _ ._~ / '~ ~-' I / \ -/ /.'/,x ~---.....__ __~_~---~..... I ~ ,, ¢,~ ~' ..,//I ....... ,.~ \,~"" / rlO0' C lEEK ~SETBACK _x_ I ~ ~ / ,,~ ~ ...J S_YSTEM-.~ x x../,~ _.,/~..........~ I ~ // N,,/ ~ \'~ /.,~'.)~'~ -- /- CHRISTOPHER LOT 1 I <'~~~ / II ~-~ ....... I I ~~~, ~?~'~'~'P'~ ~' ~ ! ~"~% LOT 7 I ~/_ / I ~ ~ ~ I : ~ / ~701 E ~ ~. SU~ 101 ' ~O~E. ~ 9g~7' ~ONE (~7)337-617g * F~ (907)3~-32~ * W~ .... g ..... gi~fing.c~ LEGAL DESCRIPTION: O~WN BY: CHRISTOPHER HEIGHTS S/D LOT 2A PNB ~PE OF WORK: DATE:-- ~,~P O'~ rofessiO~ < S T[ DESIGN CRITERIA: ~ / ~ NOTE: THE CONTRACTOR ~/ ~ SHALL HAVE THE WEST & NUMBER OF BEDROOMS: SOUTH LOT LINES, ALL WELL GALLONS PER DAY (GPD): 450 PERCOLATION RATE/S: 20 / ~ ~ RADII, ALL STREAMS, & PROPOSED APPLICATION RATE: 0.6 GPD/SF~ /X~ ~SEMENT S~BACKS MINIMUM D~INFIELD SQ.~,: 750 SQ,~ ~ ~ ~ F~GGED BY A REGISTERED ~ ~ND SURV~OR PRIOR TO DRAINFIELD DESIGN: ~ ~ ~ CONSTRUCTION~ ~ DEPTH: 12' ~ ~ ~~ WIDTH: 3' LENGTH: 2~38=76'~ ~ ~ M.O.A. APPROVED ~ND FILTER: N/A ~ EFFECTIVE: 5.0' ~ ~ ~ ~ ~ REDUCTION FACTOR: N/A ~ ~ ~ ACTUAL SQ.~,: 760 SQ.~ - j ~ ~ ~ ,, / I GEG, Ltd. HAS A 7 PAGE SPECIFICATION ~/ J L~ER THAT PERTAINS TO THIS DESIGN. _~ . TO OBTAIN A COPY OF THE L~ER ~ ~S~ 1'5 / CONTACT GEG. BY PROCEEDING FORWARD ~ ~ ~, , ~ WITH THIS INSTAL~TION, THE ENGINEER, ~~~ 5i~ ~ ~ ~(c~ ~ / WELL DRILLER, CONT~CTOR AND ~ '/ / , / · PROPER~ OWNER AGREE THAT Th~ ~/ / ~'~ ~ ~ ~. / HAVE R~D THESE SPECIFICATIONS AND ~ / 0 -~' / AGREE TO ACCEPT THE TERMS AND / , CONDITIONS OUTLINED. / / ~ i ~ X / / ~/ ~ 100' CREEK ~ / INSTALL DOUBLE ~ ~ / / ~. // / S~ BACK c~o~ ~( // ........ ~._ 1 ~ ~ PROPOSED 10~ ~/ ~/ ...... J--. ~ ~ GALLON SEPTIC ~ ./ ~/~ ....... TANK /~ ............. ~ ......... ,," ~ 13:~L:.:.'.':. J/l' I~.?:~'~ / II X X SCALE: ~ ~ ~": ~o' k ' ~ SAMUEL 3701 [. ~R ~, SU~ 101 ~ ~CH0~ ~ 99~7 * ~ONE (90~7-6179 * F~ (~7)3~-~2~ * ~ ~.~ngin~flng.c~ ' ./. Z . . ............. MARY MINER E /953 LEGAL DESCRIPTION: c.msToP.~R .~HTS LOT 2A PNB ~.~. PROPOSED SEPTIC SYSTEM UPGRADE DESIGN 10/11/2010~~~ (Rev. 01/05) I 'NT~ DESIGN CRITERIA: N 4 NUMBEr Of BEDROOMS: 5 ~/' ~ \ GALLONS PER DaY (GPD): 450 / ~ PERCOLATION RATE/S: 20 ~ ~~~_____ \ PROPOSED APPLICATION RATE: 0.6 GPD/SF ~/~k MINIMUM DRAINFIELD SQ.FT.: 750 SQ.FT DRAINFIELD DESIGN: / \ ~ ~ \ WIDTH: 5' \ LENGTH: 2@58=76' ~ _ / M.O.A. APPROVED SAND FILTER: N/a \ ~ EFFECTIVE: 5.0' ~ ~ ~ ~ ~ I [ REDUCTION FACTOR: N/A / / L T%E%B~A,A~ ~E~oT~So~OT~'S~g~N' / ~ / / "/': '?.'::' II x '.' [..:' ' ' i _ ·~' \.Z/ \ WAIVER REQUEST. 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 PHONE (907)3,37-6179 FAX (907)3,38--3246 WEBSITE: www.garne~engineering.com PrEPArED FOR: PHONE NUMBER I PAGE NUMBEr: MARY M NER 556-2585 I $ OF 4 , I DRAWN BY ~ ~ ~ ~ 7953 E ~' CHRISTOPHER HEIGHTS LOT 2A PNB PROPOSED SEPTIC SYSTEM UPGRADE DESIGN / / 11% 50 FEET GARNESS ENGINiEERING GROUP, Ltd. CONSULTANTS & (~ENEP-~AL CONTF~A~CTOt~S 3701 E. TUDOR RO4D, SUITE 101 * N~ICHORAGF., AK 99507 * PHONE (907)557-6179 * FAX (907)'~58-324E * Y/EBSITE: ~w.g~messengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MARY MINER 556-2385 4 OF 4 LEGAL DESCRIPTION: I DRAWN BY: CHRISTOPHER HEIGHTS LOT 2A I PNB I' TYPE OF WORK: DATE'10/11/2010 SLOPE WAIVER DRAWING (Rev, 01/05) LEGAL DESCRIPTION: CHRISTOPHE. HEI6HTS LOT 2A DEPTH ~ ORGANICS (fe,t) TEST HOLE ~ I SOIL C~SSIFICATIONS '~'":'~'?':~'~' GW ...... ORG ~ C~ ' o'~' SW MH ·' · ,, SP CH SEE SITE PLAN SC DEPTH TO GROUNDWATER DATE 9/5o/2o~ o ~Y ~ ~ o/a/2o ~ o ~Y SCALE: I 10 ~ ~ DATE READING CLOCK NET TI~E WATERREADINGLEVEL NET DROP TI~E (~INUTES) (INCHES) (INCHES) 12 10/7/2010 1 5:15 - 6,, _ 2 3:~5 50 4.5 1 15 5 3:45 - 6,, _ 14 5 4:15 - 6,, _ 6 4:~5 50 ~.5 1.5 15 16 17 18 1~ PERCOLATION RATE 20 (MIN./INCH) PERC. HOLE DIA~ 6 (INCHES) TEST RUN BETWEEN 6.0 F% AND 7.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ~ YES ~ NO SOILS LOGGED BY; ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREWW GRAY COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTI~ THAT THIS WA~ PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON .THIS DATE: DEPTH TO GROUNDWATER DATE 9/50/2010 DRY 10/8/2010 DRY t ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME lPHONE J I~'NEW MAILING ADD~ES8 LEGAL DESGglPTION LO~ATIO~ ~0. OF B~D~OO~S J g PERMIT NO. DISTANCE TO: J i~[~ j~ ~iJ ~ ~ Z Manufacturer Materi~l, No. of compartments Liq. capacity in gallons Inside length Width Liquid depth ~CCC: IF HOME.DE: ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ Manufacturer Material Liquid capacity in gallons Q Well Foundation Nearest Iot~ige PERMIT NO. ~ ~ DISTANCE TO: ~'1 ~,~ ~O i ~ Z ~ No. of lin~s Length of each line Total length of lines Trench width Distance between lines ~ ~ Top of tile to finish grade Material beneath tile Total effective abso~[ion area Length Width Depth PERMIT NO. < ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING ~ ~ ~ R EMAR KS , Li F / ir/' / , APPROVED DATE LEGAL 72-013 (Rev. 3/78) - 3.23 WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surreys 011111110 Permit Ns. / LOCATION OF WELL (Moose complete Other Is lb or Ic.) A.D.L. No. E @arsset, Sr14Hrisl n Lot Sleet F I/eoffs. Section No.`Township NO Renee E0 Mori elan - Is. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS !. O NER QF WELL: ri.j GJ p=aid°f,g -m.•PIrco- Addns.: j3Q / G q c wier.frrrA Street Address eke Arse of Well Lec.floe rihICAM(+i t‘. es 1 O L Feel Below Z. WELL LOS 4. WELL DEPTH: (Noel) 5. 0 TE OF CO?�ETtOhr Srrfeee i >tw _ lJ Y.forl.l Type To! Mlles► 1i v a LIL , tv 11.1111.11a ST,,,,..1 0 _ Cr O. %cert. ter,' 0 Neter 0 orlon. 0 Doi S-.„Prs n G ° ❑Astir 0 hotted 0 Bard 0 Other: . 4 r C d i/i Ij 4 s 9 'I 0 4 7 s.v SE: .D.me.tl. 0 PsMte sMM plp 0 Isstry ?'L e "kr aI [. 7 1 0 brl .tI.n 0 Rockery, 0 CommensalZ,h 1 j'✓ at-vsAit[ I t 4iTyre✓ 741 1 7 0 Test Well 0OMor= Sdiem s Th GPo. t i ft. DepthW el.et !17 1 .�tt. diem_ 1.. to ft. DDM NUM* It. r S. FINISH OF WELL: as SL~&ow% Type ispe., 1,4 Dtem.hor, Stet/Meek Site: Le.e1e: s.► S.t■see ft. sod _ft. BahfIlle. *revel peel 10. STATIC WATER LEVEL: $ 2- ,f,. — 0*Boreor RUM. IoM sorts.* Delo E.ripm sf ...I: Zort cos ^^ O Y+ r) II. PUMP INS LEVEL Below led .e Md�'7�r1(ELO CA 1 c ft, after 1 Ire "1 +3 rt.e.P.. ij' ft. ■ftw Ire. psmPlse e-P .. z It.5ROLITIN5 Well ere■Ip: 0 Is girm, WI 0 M.tertel: 0 Nat c...nt 0 Other: IS.PUMP: (If .,e11lSM) NP so o Length at Drop Pipe ft, tepidly 5 p.m. et r 0 Sake. 0 Jet 0 Cs.lriftl 0 Otter s a 14.REMARKS: R r 1 e 1 IS, WATER WELL CONTRACTOR.S•CERTIFICATION: 15 Water Tewpr,rrre • 0 F 0 C • This r. 1 wee do 1Ud o rots IarledlclMn tied las report it Ir.. to 1M keel}t wit knowledge ono Nltef; IRe�lt�efered Bootee /-�yCCostreol�Lie'',/ /Nf'rl.hs• Address, b o /r. RT ATiek r 4..€ s/ : go► O 7 mow: �, Dot. 2_ k _alit 4 preee■tetl,s i Ferro 02-WOR (11/SI) Copy DL.tri..tbo; wain- M stets OS, PINk-Driller, CANARY-C.etsr ( .r -ice PERMIT-NO. / MUN ~ C ~ I;:'FIL ! T~' I3F FI~ICH~-IRFIi3E DEPARTMENT HEALTH AND ENVIRONMENTAL .:OTECTION 825 "L" STREET, ANCHORAGE., AK. 99501 264-4720 L-~ELL FI~4[) Cm[4--SITE SEWE~ F'ER[-1 IT ( 82114; ) APPLICANT LOCATION LEGAL HELEN E MORGAN L2Bi CHRISTOPHER HEIGHTS 6917 OLD SEWARD HIWY 99502 ~49-669i LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING <SD FT?BR)= i80 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [:.EPTH= ii1_ L EI'-.I m3 T H = _--<9 m-~ R R'-.-' E L DEPTH= 7 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). E:E _¢-!LI I RED SEPT I C: TAN~:-'_' S I ZE= 1~.--ll-_--1~--_-t m3RLLOr-4S 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 WILL SERVE. .... T&40 <2) I~4SPECTIO~4S t-]RE REQIJI 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 SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE HELL OR 150 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T E-~-.'P I RES DEC:E~lBER __--Z--1.. t _c4-82 I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. L I C~Nl~ HELEN ~ MO~.GAN MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOl LS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: AAL ~4 17 18 20 COMMENTS L I. LZ ')SLOPE PERFORMED BY: ,,(/t,4,¢~ ~-, ~'-~,ANL--- 72-008 (6/79) DATE PERFORMED: WAS GROUND WATER S ENCOUNTERED? , ,/~ (~ E IF YES, AT WHAT DEPTH? SITE PLAN Reading Date Gross Net Depth to Net Time Time ~ ,:.~ Water ~, Drop ?- /o:~( i0 't7 . i1 ~ /~ · c?.-~0 / o .3-~ .0'7 PERCOLATION RATE TEST RUN BETWEEN /l~,~' , ....~" (minutes/inch) J FT AND FT 2--" ¢,~,,'.- C( I "~--.-,- ' CERTIFIED BY: DATE: • $U _� Municipality of Anchorage s�Pu On-Site Water and Wastewater Program 4 ., (907) 343-7904 1 3 9 s, FETY . Certificate of On-Site Systems Ap SEP .t 5 2017 Parcel I.D. 015-233-09 ExpiratiO,rs� ate: ti 4 1. GENERAL INFORMATION: '' el"- F ° 1, Complete legal description CHRISTOPHER HEIGHTS; LOT 2A Location (site address) 6741 Samuel Ct. *Anchorage 99516 Current Property owner(s) Mary Miner Day phone 632-4763 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: 3 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: 'US-1(7 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 52(a Waiver Fee $ Date of Payment /t /fl. Date of Payment Receipt Number (30211 Receipt Number COSA# OSC1771(1840 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 q l f Engineer's Printed Name: Jeffrey A. Garness Date: / ` $! 3" QQ�oop�; 4 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o in accordance with the guidelines and regulations established by the Municipality of Anchorage and � O`'-...•, 4(-09Q industry practices. The reported results describe the condition of the system/s on the date/s of the /Q--• / evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �.. I H � . Opp encroachments may exist that were not identified during the evaluation. The operational life of all wells 0 . . and septic systems depend upon a variety of variables, including but not limited to, soil conditions, g groundwater levels (that may fluctuate during the year), quality of construction (materials and 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 00 •-.J. fr A. system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of On iE_ 95 • �aD the well or septic system. GEG makes no representation whether an alternative well or septic system VQIn�9 -. T �c�4 can be installed on the property in the event either of the current systems fail to perform adequately in VQr�, .. � the future. The content of this report is for the sole benefit of the person/party that retained GEG to 4%%professor'oo� perform the evaluation. Reliance upon the information provided in this report by any other person or �\ppp• 6 party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms ``��ttt�ttttttfrf�f Disapproved `-�\<AA. ( DFq�y� ' Conditional approval for bedrooms, with the f in p�ulai4ons �; WATER AND WASTEWATER oz PROGRAM „e0—_ °p/t/4 o 50 VTS �' ER' . l rr By: � L m/ Original Certificate Date: 0( .2--f 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.• . 2. 7. ATTACHMENTS: COSA Checklist Nitrate Advisoy 4 ', Septic System Advisory Arsenic AdvispryWell Flow Advisory Other ''' . . COSA blue Sheet 10-10-12.doc A 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: CHRISTOPHER HEIGHTS; LOT 2A Parcel ID: 015-233-09 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 12/10/82 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES Total depth 77 ft. Cased to 77 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 12/10/82 8/22/17 Static water level 32 ft. 42,3 ft. Well production 30+ g.p.m. 6.2+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 2.10 mg./L. Collected by: GEG, Ltd. Arsenic: < 5.0 ug./L. Date of sample: 8/22/17 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 11/18/10-12/1/10_ Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping 7/27/17 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA ('BELOW EXISTING GRADE AT MTI EAST/WEST Date installed 11/18/10-12/1/10Soil rating .p.d. or ft7bdrm) 0.6 System type DUAL DEEP TRENCH Length 38/38(76 TOTAL) ft. Width 1/3 ft. Gravel below pipe 5.0/5.03 ft. Total depth '11.2+ ft. Eff. absorption area 760+ ft' Monitoring tube YES Depression over field NO Date of adequacy test 8'22,'17 Results (Pass/Fail) PASS For 3 bedrooms 736/397 Fluid depth in absorption field before test 2/18 in. Water added gal. New depth 23/31 in. Elapsed Time:150/120min. Final fluid depth 2/26 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - -RESERVE TRENCH WAS DRY UPON ARRIVAL AND STAYED DRY THROUGHOUT TEST r D. LIFT STATION Date installed Size in gallons Manhole/Access(Y/N) "Pump on" level at in. "Pump off" level at '• wa er alarm level at in. - - Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM 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 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 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line •1'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 'WR#OSP101241 (PER 2010 A+LOT LINE LOCATES) +* 'q*"% im1 .•" OF I lit G. ENGINEER'S CERTIFICATION :..•1 .\. .....q..? i'• I certify that I have determined through field inspections and .. ;•• 9 .• ' \ ••.,* •• review of Municipal records that the above systems are in '• I 01• conformance with MOA COSA guidelines in effect on this '�� �j r di ma , , date. I" —f, , A. • =ss•; Engineer's Printed Name JEFFREY A.GARNESS �• L,p,.:......5.).12 '••• E-79 3 .,A) ••, 'CQ•'•• .1Z 1 •t.9'• <7.4,a, Date 1 ii 1 i 7' o4�� FESS���� LICENSE 11II%was*** SAECC894 (Rev. 10/12/12) 2 3 N89° 57' 25"E 188.95' ' 10'UTILITY.TELECOM.&ELEC.EASEMENT LI r L 1 1 1 L 1 ,, 25'CREEK MAINTENANCE EASEMENT LOCATED 12.5'EACH SIDE OF THE CENTER OF CREEK l 0 co 84.42°: 4° 36' 33'E °' N52° 36' 29"E \ 34.22 60.1 ` _874° 44' 51"EII 55.53 LP I r s " - - N I n 1 NO2° 40' 43"W 22.89 N89° 19' 33"E b b I 16.93 xi U) o co 3A _N89° 25'46"E LOT 2A 1 24.26 (C) Ln a Q�OFF� , ,_=7,-(f ..,- STEPS ° ,=',_A.,..' X1_•5'f•00 z o 49Th i" -vOQ i 0 , �/ .• °Q � •. STEVEN CALLAG AN, Q ////Q 9- -. .- aN� _ '� 1'�Q P LS-12034 p 1/1111111111110111111V „ N.11 (b IIII pl .- 01.\''0 aA 6'7N/z01.1. ..-, /,.-•1 �� III +4 r°fessiono\ __ co ® S0, �/s 8S' ���4000�Qa-- b . yOU /'l,C 43.5 Q ^ohm S'� - 43.8' f 0 © r-cp 4�cp• h o ql_�j 0 GRAVEL R=50.00' L=29.12' 1 N89° 57' 39"E 98.57' R=50.00' L=36.14' r.., �, rs SAMUEL COURT NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. ORDERED BY: MARY MINER PARCEL#: 015-233-09-000 SURVEY CERTIFICATION.LCG LANTECH,INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE ADDRESS: 6741 SAMUEL CT. IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO LEGAL DESCRIPTION: ENCROACHMENTS EXIST OTHER THAN NOTED. AS-B U I LT EXCLUSIONARY NOTE IT IS THE OWNERS'RESPONSIBILITY TO DETERMINE THE LOT 2A EXISTENCE OF ANY EASEMENTS.COVENANTS,RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CHRISTOPHER HEIGHTS SUBDIVISION CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION.FOR ESTABLISHING PROPERTY LINES,OR FOR PLOT-PLAN PURPOSES. 250 H Street COMPUTED DISTANCE (C) LEGEND SEPTIC STANDPIPE • an( l Anchorage,Alaska 99501 Overfianq I ;;� Aepholt' - g WATER WELL -�-1�-,�-•,...,-'.:: FENCE —X X CO® _' Mood beck- Concrete:.'.•,` Survey Department Phone 562 5291 DRAWN DATE: 6122!17 WORK ORDER: 17042 . Inc Mainline DRAWN BY: MH PLAT: 83-562 Phone 243-8985 to eduAZ, e ,nein f•eluity py CHECKED BY: SC GRID: 2739 SCALE: 1"=40' REF:00L593A D~ARTME~ OF "~LTH & HUMAN Division of Envimnm~'ntal ~i~ On-Site Se~ic~'~ion CERTIFICATE~.r"~= HEALTH,-.,J.,-,,..,n,, ~' ^' n'u""'~'"'~e, .... .. -' :" ' APPROVAL FOR A'SINGLE FAMILY DWELLING 1. .. GENERAL INFORMATION _ .~..OomPlete legal description address or directions) 674 ! Sa~ue-~ Court ~'~.';r~..,.," '- ;;~- ~ ' ~[ope'~:o~de~?' ~ ~,~ LL~ ~ on" ': '" ":'~:~'~" 'Day :'":~':~:~phone ~ 34e-~'t2~"? '-~ ' ' ~ ....~-T.. Agent-- '~,.-.. harlottP_ Schlo~st~n/ REMAX PROPEP~TIES- ':"Addr~s.. 2600 Cordova S~t~ S~ 100 Ancho~ , AK - ~:~.., ~- . .... unl~,.~:.~,~ .~:-°the~/se r~quested, 'H~ w/// ~ held for p/ckup. ~ NUMBER OF BEDROOMS: 3 ' 3. ~:~.~: ~E-OF.WATER. SUPPLY: ..... ..... ' .... - - ~ ..... r:.~:~ ........ : Individual well -.-~,~:~ ~ ~:~;,-..~:~:.~.. Communi~ well . ~.~.~.~.,~ ...... ~. .... :~:... ....... . Public water ' ~'~ ....... NOTE:,._/fcommuni~ wel/ s~tem, prov/de wr/~en confi~at/on from State ADE~ a~est- ' ing f s~s~m.'~ ~ ~'~ '~ "~ to the I~ali~ and status o ~ ~ ,.~ ~ .., ..~ . ~.~ ~, . 4., .~PE OF WAS~ATER DISPOSAU :.. ~,:.~.0..-:~;~:~"~:~ .-'r:.~.~.---~'~oJ, a[ng tank ~. -. ,: -;.- '- "'"~ , E:~ ~;::~,~,~, ~:;..,.,PublJc sewer :...~.,:: NOTE: If commun/~ wastewater system, tion from State ADEC .... . a~e~/ng to the legali~ and status of s~em. ~.1~1) ~ MOA~ · : ~... STATEMENT OF INS, ....~ION BY~.ENGINEER As certified b~"r~y seal affixed hereto and as of the validati(~n date shown below, I verify that my investigati°~-0f this Health Aut~'rit:y'A~r'0~ai*app!icati°n shows that the on-.site water supply ~ and/or wastewater disposal syste~l"is~f~i fU~ctiof~al and adequate for the number of bedrooms and type of structure indicated herein'ii'fU~ther~.v'erify that based on the information obtained from the Municipality of Anchorage files and from my inves.ti_,qation and inspection, the on-site water supply and/or wastewater dispOs~_l'sy~tem is in compliance, with all Municipal and State codes, ordinances, and regulatiOns in effect On thb date of this inspection. , .... ,~ [~ · .... ~ . ,,~.... , ......... ,.. ~ ~ -~, ~p ~-~ ~ ~~ -.' ~ :,:i.>'~' ",.,~'!~.'~'~ " '- .~-~?~' ~, ' .....' ': · :"':;":-:-~ '- -- - ',-,-'~ '~ ~ - ~ ~os~,~ c cow~ :!~ ~ .'. = ~nditional approval for '. '-' ~:':': ":-- ~ro°ms~' with the following ~ipulations: Additional Comments , '; ' : , =~=:~ ' ' .... -; .... DHHS i~u~ H~lth Authofi~ ;-~;The ~ic~ali~ of~b~mge Depa~ment of H~lth and Human Sew~c~ ( ) ~ . ~, onl ~n~t~ons ~ven ~n amgmph 5 above by an ~nde~ndent APproval ~ifi~fe~ ~-" y'up°n the mp ' g' ' P ' i t .S t, ofAmk..Th* DHHS ~a~ t~6i.r,'~endi~i~Utions in order to ~ti~ ceftin f~eml and s~m ~uimmen~. Employes ot DHH~ aD no[ con~bct.ins~ions or anal~e' ~ata' ~f~m a ce~ifi~te is i~u~. ~e Municipali~ of Anchorage is not responsible for erro= or oral.ions in t~' prof~i~n~!~g,n~' ~ Legal Description:/.~Tf~;/~/~//~/~7'g)/D/7~//'/5 '5//2 Municipality of Anchorage ,~ Department of Health and Human Services HEALTH AUTHORITY~APPROVAL CHECKLIST A. Well Data Well type ~l ~//-~'/~ If A, B, or C, attach ADEC letter.~ ADEC water system numbe, z Log present Y~/~N) . /[/~' Date completed /,2..//0/~2 Driller ~/_~7-,~ Total depth ~/' Cased to ~--~' / Casing height ,/~,~ Sanitary seal ~)N) ./~' Wires properly protected (~._~1) FROM WELL LOG AT INSPECTION Date of test /,.9. //0 /~ 2- C~../~,~)/°/ Static water level ~,~' ~" Well flow ~ 0 -F g.p.m. 6, ~ g.p.m. ~ ~-~' Pump level1 ~"///1JZ'~ ~) ~ ~.-~"~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /~(-') '~' 'On adjacent lots / dO Absorption field on lot /~0 '-/ ; On adjacent lots Public sewer main ~J//~ Public sewer manhole/cleanout. Sewer service line /~gl ~ Petroleum tank //~ WATER SAMPLE RESULTS: Coliform / Nitrate Date of sample: ! · ~'J-~ Other bacteria / Collected by: ~ ~ ~ Date installed Cleanouts (~N) High water alarm (Y/N) Date of pumping B. SEPTIC/I-~ TANK DATA ~/~ Foundation cleanout ~N) Tank size //__)00 ~,4c Compartments Depression (Y/~) Alarm tested (Y/N) /L.),~ Pumper /'/- ~ ~ SEPARATION DISTANCES FROM SEPTIC/~ TANK TO: ! Well(s) on lot /g)0 '~ On adjacent lots /0~ To property line 10 ',~ Absorption field Surface water/drainage J00' -~ Foundation Water main/service line 72026 (3/93)' Front CONTINUED ON BACK PAGE Date installed Manufacturer Size in gallons ~ Manhole/Access (Y/N) J Vent (Y/N) ."Pump on" level at~"-~ -'~ . ~evelat HM':~t:: eorAal;~ leja~ Iced es (Y/N) ~..----~ ~'~ SEPARATION DI~N TO: Well on ~ ~ On adjacent lots Surface water . A B~~SORPTION FIELD DATA ~-~-.~. Length /-y'.;~" W'~h ~ '~ Gravel thickness ~ I Total depth /2.3 ' Total absoq3tion ama ~;0 2 Cleanout present (~:N) ~/~-J' Depression over field (Y/I~ Date of adequacy test ,2-/,2.0/?-~ ~.~_~ for Water level in absorption field before test Peroxide treatment (past 12 months) (Y/~ Results (pass/fail) ],~ ' After test ~,-~/ j~o-r ,~/"/~o~ If yes, give date Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water /~)~ Curtain drain ~J/~ On adjacent lots /~ ~ Property line To existing or abandoned system on lot Cutbank Water main/service line Driveway, parking/vehicle storage area /d E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect~.~o_~.,.~.~. !f this inspection. ~-,,,o* ",.,,~.,,,ur,, ,: .~.,~ .... ~,::.. ~¥ ~,,,~,.,.:: ...... , Engineer's Name I', ~' RO3E2T C. COWA%t ," .": r'~ Date ~ /=/ / ~' 5'-- ',-"". ."' ~" ," HAA Fee $ /~ D(:~t ~ Waiver Fee $ Date of Payment ~ ~ ~ ~ ~ Date of Payment Receipt Number 7~~ (/~'~ .2 Receipt Number. 72-026 (3/93)' Back ,' { ?. MUNICIPALII"f OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR ~ALTH AUTHORITY APPROVAL CERTIFICATE General Information Application Date (a) Legal Description ($nclude lot, block, subdivision, section, township, range) Telephone - Home Location (address or directions)_~ (b) Applicants Name Applicants ~dress (c) Applicant is (check one) Lending Institution ~--~ ; Owner/builder ~-~; uyer oth. r CiD <' plain); Telephone (d) Lending Institution Address (e) Real Estate Co. & Agent Business Address Telephone (f) Mail the HAA to the following address: Type of Residence Single-Family~ Number of Bedrooms Water Supply Individual Well.~. Multi-Fam/.ly ~--~ Community ~-~ Other Public Note: If community well system, must have written confirmation from the State Department of Enviromnental Conservation attesting to the legality amd statUs; ~ ~, 4. Sewage Disposal Onsite ~ Public F-~ Community F-~ aoldins Tank ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality ami status. [Page 1 of 2] En~ineerin~ Firm Providing Ius~ections~ Tests~ File Search~ Data and Infomation' As certified by my seal affixed hereto and as of the validation date shown below, verify that my investigation of- this Health Authori~y Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and ~ype of structure indicated herein.. I further verify that, based on the information obtained from the ~unici~ali~y of Anchorage files and from my investigation and inspection, the on-site wster supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and re~ula- tions in effect on the date of this inspec~ion. oate ~.~:. : d,~ ,,,9 .. ~ oe ~ w~ ; Terms of Conditional Approval C~UTION THE MUNICIPALITY OF ANCHORAGE I~PARTHENT OF ~T~ALTH AND ENVIRONMENTAL (DHEP) ISSUES ~tLTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESE~ ATIONS GIVEN IN PARA~ 5 ABOVE BY AN INDEPENIIENT PROFESSIONAL ENGINEER REGIS~~ ~ENTS. EMPLOYEES OF DHE~ DO NOT CONDUCT INSPECTIONS OK ANALYZE DA~A C~a=~¢A~ ~S ~SS~O. ~ ~m~C~P~L~T~ 0~ ~CH0~ ~ ~0T ~S~0~SISLE F0~ 0I~ OltlS$IONS IN THE PROFESSIONAL ENGINEER'S WORK. RR.4/e~J/D18 [~age 2 of 2] (DHEP SEAL) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH ENVIRONMENTAL P~C TECTIOi'-I MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: ~'?/- If A, B, C, D.E.C. Approved (Y/N) WELL DATA , ,'~ ,, 1985 Well Classification P¢';Oi~/' r 1 ~ jr r' I'~ Well Log Present CN) ~ r ~. r.. J v r.. L~ Date Completed Total Depth 77" Cased to 77 Static Water Level ~¢~,~ Casing Height Above Ground ~,-~" Electrical Wiring in Conduit(~N) Separation Distances from Well: To Septic/Holding Tank on Lot Yield Depth of Grouting Pump Set At Sanitary Seal on Casing~N) Depression Around Wellhead (Y~) I -'"~'~_ "¢ ' On Adjoining Lots t' To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Man hole Water Sample Collected by Water Sample Test Results Comments / f ~ · On Adjoining Lots ~;'.,~"', /~¢'O ' /'(/,¢~ To Nearest Public Sewer /~/,/Z~ To Nearest Sewer Service Line on Lot ~--~'7'- ~ ' ~. li~--~ 'Date B. SEPTIC/HOLDING TANK DATA Date Installed Il- Standpipes CN) Depression over Tank (YI~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding fgnk: To Water-Supply Well /'~,¢ To Property Line To Water Main/Service Line Course jO0~ 'F Size /~ No. of Compartments (.~ / Air-tight Caps (~) Foundation Cleanout(~) Date Last Pumped 'C:~'-C-)'("J-~'~'- ~ 'for /"/A Temporary Holding Tank Permit (Y/N) /'('/4 __ To Building Foundation ~ ~' / To Disposal Field -.~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area _ Depression over Field (Y/~y. Results of Last Adequacy Test _..~,¢~ ~ (~'c~ ('/'o Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot /~/-"'~r To Water Main/Service Line /'~ ¢J¢ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field z'7" '~=~ Depth of Field ~,' --/7 Gr/avel Bed Thickness 7 ~ Standpipes Present(~N) Date of Last Adequacy Test f To Property Line To Existing or Abandoned System on · On Adjoining Lots '~) ' To Cutbank (if present) Comments D. LIFT STATION Date Installed Size in Gallons Dimensions y/N~.,.,.//'~ Manhole/Access ( "Pump ~el at /Vent (Y/N) "Pump On" Level at High Water Alarm Level at , ~/~ Tested for ~ CommentsElectrical Codes (Y/N~~,.~~'~ Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have ~hecked, verified, or conformed to all MOA and HAA guidelines in effect Signed ~ ~ Date Company / ~-'('~ Receipt No. ~ Date of Payment Amount: $ :Lt ~' · MOA No. ~-¢2~:/( Page 2 of 2 of this inspection. 72-026 (11/84) ALASKA E[/UIRO[I IEI1TAL COI1TROL SERUICES, IFIC. ~nc]incerJn§ $ ~nuironmcn~fll Si'udic$ HELEN MORGAN 6917 OLD SEWARD HGWY ANCHORAGE ALASKA 99502 SELLER-SAF~E SEPT 26 1985 WILL PICK UP FROM OUR OFFICE 50645 LEGAL:CHRISTOPHER HEIGHTS SUBD/LOT 2A ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE-SEPT 23 1985 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 602 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 675 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 SEPT 23 1985 . FLOW TEST ON WELL WELL FLOW DATE-SEPT 23 1985 A FLOW TEST WAS PERFORMED ON THE WELL. 675 GALLONS OF WATER WAS PUMPED AT A RATE OF 6.7 GPM OVER A DURATION OF 2.5 HOURS. THE DRAWDOWN WAS 2 ' WITH A RECOVERY TIME OF 20 MINUTES AND THE STATIC WATER LEVEL WAS 35.5 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. 1200 LUcsl 33rd Auenu¢. Suite B. Anchoraqe, Alosk~ 99503.[907] 561-5040 APPLIr'-"',NT FILLS OUT UPPER HAl 'ONLY I~operty Owner ~],o/ / Il.// ~ .. / Phone Realty Co. & A~nt "~ .............. / ~ / N Phone Address Zip Code Type of Resi~nce Single Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply Individual !~ ~1~ J~ A~ACH WELL LOG. A wall log is required for all wells drilled since June 1975. ~ CommunitYPublic Utility ~ ~t ~ For wells drilled prior to that date, give well depth (attach log if available). Sewer Disposal P~blic ~ility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time~L~ ~-\ c~L c~ ~ Date Date Date Date Inspector Inspector Inspector Inspector~ Field Notes: RECEIVED ( ~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( i D,S^P~OVED ( ) COND,T,ON^,APPROV^L' Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received / ~ ~) 72-O23 (3/82) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION Environmental Health Division CASE REVIEW WORKSHEET CASE NUMBER: I DATE RECEIVED: S-7110 j June 2, 1983 SUBDIVISION OR PROJECT TITLE: Lots 2A, 3A Christopher Heights Subdivision COMMENTS DUE BY: June 17, 1983 ( ) PUBLIC WATER AVAILABLE ( ) PUBLIC SEWER AVAILABLE ( ) COMMUNITY WATER AVAILABLE COMMENTS: 71-014 (Rev. 5/83)