HomeMy WebLinkAboutCONTOUR ACRES #1 LT 1Contour Acres # 1
Lot 1
#017-451- 19
Municipality of Anchorage
Development Services Department
Building Safety Division 5 a
On -Site Water and Wastewater Program, 4700 Elmore St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 055 i0i 1113 13 PID Number: Oil - 45i - (I
Name:
�a OF c
Wastewater System: ❑ New 'KUpgrade
Address:
5� i ,4 f• P'l A AC6,r,x Q,
ABSORPTION FIELD
Phone: Number of Bedrooms:
Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other:
LEGAL DESCRIPTION
Soil Rating:
U:
Total Depth from original grade:
12—
GPD/Ft'
Ft.
Block: Lot: Subdivision:
I
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
�}
Z:3 Ft.
1-1 Ft.
Township: Range: Section:
Fill added above original grade:
r
Gravel Length: 1
Ft.
Ft.
�
Well: C,`f.t`ii�'1 ❑New ❑Upgrade
Gravel width:
Z, CJ
Number of lines:
Distance between lines:
--
Ft.
Ft.
Classification (Private, At, C):
Total Depth:
Ft.
Cased to:
Ft.
Total absorption area:
( 1 � ` Ft'
Pipe Material:
ru) 4 S,� 40
Driller:
Date Drilled:
Static Water Level:
Installer:
`S � 3.
Date Instaalllle : p
Q
Ft.
W 14t
I ! tZoj o
Yield:
Pump Set at:
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION DISTANCES
❑ septic ❑ Holding S.T.E.P. ❑ Other:
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
ublic/Private
Sewer Line
Manufacturer: /�
"Inc ko
Capacity:
Gal.
,;, e an
Well
A/�
t V®, �"
ii �V���1
IK. f
1
i L� t
NIA
r '
ZO .T
Material: c}}
S 94
Number of Compartments:
Surface Water
�1�Q`t
� `�
A•A
LIFT STATION
Lot Line
, .}
, .�.
S
..+
a y J/..��
Size:
I 6co Gal.
Manufacturer. ,--�
Foundation
.+.
N A
"Pump on" level at:
r S in.
"Pump off' level at:
_Z n.
High water alarm at:
! 4 in.
Curtain Drain
c
50-t
c
v + s
u
AV
Pump Make & Model
UfLQvICi�
Electrical Inspections performed by:
��lA
A��, t
Remarks:
FILI
ANS
BENCH MARK
`
�n �►
F � � �e
Location and Description:
3vl Sit, C Of
a
, 64 C,-,
Assumed Elevation:
ON see,, Ft.
�
L a,� SP " 2C► -U
Engineer's Stamp
Inspections performed by: -�-c� Dates: 1St 1
2nd q ybori0
, t
--- � O F A.Cq 1l
Development Services Department Approval..
.arc.
° t5+�� jr
Conditional Approval Date:
9 TH f�
'-%%�� , r00
S E(SPUn,•CLAND.
Reviewed and approved b ^ `'/' �% f�' Date:)Ij3
1
(Rev. 04/06)
PFE
HUFFMAN ROAD
I
,H RIDIG INSULATION UA
WAY SECTION
)ONED EXISTING SEPTIC
PER UPC REQUIREMENTS
1500 GALLON STEP
F LEVEL LEVEL INSTALLED 4 -BEDROOM SEPTIC
1500 GALLON STEP TANK
® LEVE G LENGTH 68 FEET
WIDTH 2.5 FEET
TOTAL DEPTH 12 FEET
ROCK DEPTH 9.7 FEET
2 INCH INSULATION
COVER 3.0 1 FEET
Lot 24
B SWING TIES
C 4.0'69.5
'
D 47.0' 71.5'
E 52.0' 73.0'
F 13.0'120.0
18.0'99.5'G
Lot 1
S
I�
Well 1
OS
OF
�P
G�
00
0
1NOTE. THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC
LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER %L •••• •;
APPROXIMATE.DEPARTMENT D000MENTATION. ALL LOCATIONS SHOWN ARE %::..F:••••••/••�* •••^�
0��RKLAND ;'� V
AV
♦� �::.. NO, CE -11500 :��ti=/
illillim
25 0 25 50 75 100 125 150 ♦• ����� ww�����•••
SCALE 1' = 50 FT
SPURKLAND ENGINEERING CONTOUR ACRES 1 LOT I SEPTIC SYSTEM ASBUILT
203 W 15TH. AVENUE JUDY TOPE DA TE. SEPT. 20, 2010
ANCH. AK. 99501 5700 HUFFMAN ROAD, ANCHORAGE, AK 99516 SHEET • 1/3 GRID: 2837
907 279-3916
PERMIT #OSP101148 PID # 017-451-19 CONTOURACRES#ILIDI
PRIMARY TRENCH
N, TS
STANDARD DEEP TRENCH.,
Test Hole
R E.G. Elev.=99.4
Ele
Sil t Bar
2,5' Wide
68' Long
12' Deep
9,7' Sewer Rock
2 Inch Insulation installed over drain field
3' Cover
NO SCALE
I
Elev.=87.6' 9,7 Ft of Septic Rock 1500 CAL STEP TANK
B.O.H. Elev.=81.4'
NO SCALE
BENCH MARK BOTTOM SIDING ®"A"
ON SITE PLAN ASSUMED ELEVATION 100 FEET
SPURKLAND ENGINEERING CONTOUR ACRES #1 LOT 1 SEPTIC SYSTEM ASBUILT
203 W15th Ave JUDY TOPE DATE: SEPT. 20, P010
Anchorage Ak 99501
?79-q91A 5700 HUFFMAN ROAD SHEET: 3/3 GRID: 2837
PERMIT # OSP 101148 PARCEL ID # 017-451-19 CONTOURACRES11 L 1 D 1
On -Site Wastewater Disposal System Permit
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
Permit Number: OSP101148
Tax Code Number: 01745119000
Work Type: Septic Upgrade
Permit Effective Dates: August 25, 2010 to August 25, 2011
Design Engineer: SPURKLAND ENGINEERING
Subdivision: CONTOUR ACRES #1
Site Legal Address: CONTOUR ACRES #1 LT 1 G:2837
Owner/Address: TOPE ROBERT & JUDITH LIV TRUST
1120 E HUFFMAN ROAD #212 ANCHORAGE AK 995153512
Site Mailing Address: 5700 HUFFMAN RD, Anchorage Lot Size in Sq Ft: 84460
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage
/0,1 ,
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.
Received By:
Issued By Date:
i
Municipality of Anchorage
0 A -W Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, Alaska 99507
www.muni.org/onsite
(907) 34377904
ON-SITE SEWER/WELL PERMIT APPLICATION
_ FOR A SINGLE FAMILY DWELLING
Parcel I.D. _ 01-4— 451 i I
Property owner(s) Jealy I ope-I //II Day phone 3 M 5 _ -15 ?0
Mailing address_ G_�Zo Ar(,Ii( l��uc . AnAo�� e A< Zip Code `i t5) 8
Site address 51ot: Zip Code 1 1 5t to
Legal description (Sub'd., Block & Lot) C0111�0%44_ A c,5 -,"I Loi 1
Legal description (Township, Range & Section)
Lot Size Sq. Ft
THIS APPLICATION IS FOR (® all that apply):
Absorption Field
Septic Tank
Holding Tank ❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms y
THIS APPLICATION IS AN:
Initial
❑
Upgrade
Renewal
❑
certify that the above information is correct. I further certify that this application is being made for a
in
,jgle Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: Waiver Fees:
Date of Payment: ` (' F . Date of Payment:
Receipt Number: C-v�'r Receipt Number:
(Rev. 11/05)
SpHft�@Jnd g
Environmental Consulting and Design
SEPTIC SYSTEM DESIGN
Contour Acres #1 Lot 1
Municipality of Anchorage August 6th, 2010
Development Services Department
On Site Water and Wastewater Program
4700 South Bragaw Street
Anchorage, Alaska 99519
Subject: Septic System Installation Permit
5700 Huffman Road
Ladies and Gentlemen:
I am writing to request a permit to upgrade the septic system for the above referenced property.
The proposed system will serve a 4 -bedroom single-family residence. The existing system is
over 34 years old and no longer meets house hold needs. Soil logs, design calculations, a site
plan, design drawings and construction specifications are enclosed for your review.
Design Calcs: No Groundwater observed to a depth of 20 feet below ground surface
(8/6/2010)
Soil Rating: From Testhole 7/30/2010
30 min/in = 0.6 gal per sq.ft/day (TH#I)
12.6 min/in = 0.8 gal per sq.ft/day (TH#2)
No. of Bedrooms 4
Required Area per Bedroom: 15010.6 =250 sq,ft.
Minimum area required: 250 x 4 = 1000 sq,ft.
System: We are proposing a 1500 gallon STEP tank, and a deep trench absorption field. The
absorption field will be 60 feet long and 2.5 feet wide with 9 feet (1080 sq.ft. effective) of sewer
rock.
Soils: Two test holes were excavated on July 30, 2010. Seethe attached soil logs. Silty soils
were observed. Ground water was monitored for through August 6th, 2010. Ground water was
not observed. A percolation tests was conducted at 4.5 feet below grade by each test hole.
Surface Water: There are no surface waters within one hundred feet of the proposed septic
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland@gci.net
SPUTMalmd EIMU�'[Msm'�'[Ma
Environmental Consulting and Design
system upgrade.
Topography: The area of the proposed septic system upgrade in generally level
Waivers: No waivers required.
The installation of this septic system will not prevent wells and septic systems from being
installed on the adjacent lots. The proposed septic system will not change the general slope of
the area. Ponding and/or concentration of surface runoff will not result from this installation.
If you have any questions or concerns, please contact me at 279-3916.
Sincerely,
L11115 ;r�
Lars Spurkland, P.E.
Civil Engineer
203 West 151h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland@gci.net
HUFFMAN ROAD
— — — — — F- — — — — — — — — — — — — — — �
I Q weal
I In�I
Lot 2A
I ll
I
I � l
— — — — l z
I I
I �to
Lot 1 i b
I I wen I I
I II
Lot 2B I
I I
I� I
C p I Lot 3
I
�.•••� OF q �••
•
NOTE. THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC A
LOCATIONS TAKEN FROM ON—SITE WATER AND WASTE WATER 49th
DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE...
•••
APPROXIMATE. %
�. .............. : .
4SL S SPURKLAND
1♦✓J,�:,,..
No.,C:-11500 Q Q:
AV
♦c
AV
50 0 50 100 150 200 250 300 ♦• F1I P b'• •' •" P�' ��
SCALE 1' = 100 FT ••. ROFESSZ��•
SPURKLANU ENGINEERING CONTOUR ACRES I LOT 1 SEPTIC SYSTEM DESIGN
203 W 15TH. AVENUE JUDY TOPE DATE.- AUGUST 4, 2010
ANCH. AK. 99501 5700 HUFFMAN ROAD, ANCHORAGE, AK 99516 SHEET. 1/3 GRID: 2837
907 279-3916
PERMIT #SW080XXX PID # 017-451-19 CONTOURACRES#ILIDI
HUFFMAN ROAD
I—
12 -INCH R/DIG INSULATION UNDER
RIVE WAY SECTION
INSTALL DEEP BURIAL TANK (10)
1500 GALLON STEP
Well
LEVEL
®
INSTALL 4 -BEDROOM SEPTIC SYSTEM
1500 GALLON STEP TANK
LENGTH 60 FEET
WIDTH 2.5 FEET
TOTAL DEPTH 12 FEET
ROCK DEPTH 9 FEET
COVER 3.0 FEET
Lot 2A
Lot 1
/S NOT A SURVEYED PLAT. WELL & SEPTIC
TAKEN FROM ON-SITE WATER AND WASTE WATER
r DOCUMENTATION. ALL LOCATIONS SHOWN ARE
IS►�
�1
OS
�P
c�
00
0�
51 50 75 'S�/t7 F�llv
25 0 25 SCALE' 1' - T, 100 125 150 �1 kS ;
50 F
SPURKLAND ENGINEERING CONTOUR ACRES 1 LOT 1 SEPTIC SYSTEM DESIGN
203 W 157H. AVENUE JUDY TOPE DATE: AUGUST 4, 2010
ANCH. AK. 99501 5700 HUFFMAN ROAD, ANCHORAGE, AK 99516 SHEET • 3 GRID: 2837
907 279-3916
PERMIT #S6108OXXX PID # 017-451-19 CONTOURACRES#ILIDI
PRIMARY TRENCH
N. TS
STANDARD DEEP TRENCH.,
2,5' Wide
60' L ong
12' Deep
9' Sewer Rock
3' Co ver
Silt Barrie
NO SCALE
1500 GAL STEP TANK
RATED FOR A BURIAL DEPTH OF 10'
9 Ft of Septic Rock
Effective
1500 GAL STEP TANK
SPURKLAND ENGINEERING CONTOUR ACRES #1 LOT I SEPTIC SYSTEM DESIGN
203 W15th Ave
Anchorage Ak 99501 JUDY TOPE DATE: AUGUST 6, 2010
?79_Z91r, 5700 HUFFMAN ROAD SHEETi 3/3 GRID: 2837
PERMIT # PARCEL ID # 017-451-19 CONTOURACRES# 1 L 1 D 1 I
Municipality of Anchorage
-� Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650 Anchorage, AK 99507
www.ci.anchorage.ak.us
(907)343-7904
Soils Log - Percolation Test
o 49TH
�'. LARS E.+SPURKLAND:6c, /
Aa k
Performed For: j ,ply )pin„ Date Performed: A
Legal Description: cc'l Vii.Ar res a I L , t Township, Range, Section:
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
vs.o. ".
b
WAS GROUND WATER
Date
Gross Time
ENCOUNTERED?
Xj
Net Drop
S
IF YES, AT WHAT DEPTH?
11 "
L
Depth to Water After
0P
Monitoring?
E
Date:
3, 6'i
Site Plan
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
Z.o�
0 r' ;n
11 "
it,
3, 6'i
'
I
r
r
PERCOLATION RATE 30 (minutes/inch) PERC HOLE DIAMETER (1
TEST RUN BETWEEN .5 FT AND 5; 5 FT
COMMENTS p`Z 1) _
PERFORMED BY: LAR, 14pL4rW i�v\s I :Ns y�Llr(� �—' CERTIFY THAT THIS TEST,WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELI ES IN EFFECT ON THIS DATE. DATE: -7 Lli li
Municipality of Anchorage .� �; �S,
Development Services Department
Building Safety Division "�x'�
On -Site Water and Wastewater Program X491H _ <�.':
4700 Elmore Road .....
P.O. Box 196650 Anchorage, AK 99507
www:ci.anchorage.ak.us • LABSSRURKLAND : v
(907) 343-7904
Soils Log - Percolation Test
Performed For: ��y but Date Performed:tL
Legal Description: Cor,4o,c- Ac,; -e,' 4LI Lo+ Township, Range, Section:
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
1L
J
WAS GROUND WATER
^ /J
Gross Time
ENCOUNTERED?
4
Net Drop
S
IF YES, AT WHAT DEPTH?
—
L
Depth to Water After
��
P
P
Monitoring?
4{ 1r�y 'Y
E
Date:
r%It7
3.V.
Site Plan
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
=�/',
��
L`J T �rY►
..//J0�� s'"!iN
4{ 1r�y 'Y
•") cJ'/ is
1r
3.V.
}ray'
tI
3' 34
PERCOLATION RATE 17— 6 (minutes/inch) PERC HOLE DIAMETER (�
TEST RUN BETWEEN<f, Cj FT AND 5� FT
COMMENTS �'+: S�z jj<j
PERFORMED BY: L_AC5 `�� 144 Oki I Gt jy So cv, L r CERTIFY THAT THIS TEST WAS
O
PERFORMED IN ACCRDANCE ITH ALL STATE AND MUNICIPAL GUIDELIN _3 S IN EFFECT ON THIS DATE. DATE: 2c i
• ■ a "" F �J O l..;il � LJ U� l�.l LI LI l:�.l � LJ LI 0 � LJ LI �J �J � � LJ LJ O
a g g
Environmental Consulting and Design
00
Single Family On-site Wastewater Disposal System
Construction and Material Specifications
Subject Property: Contour Acres #1 L1
Date: August 6th, 2010
General:
1. The owner shall contract with a contractor to perform the work outlined in these
specifications and plans in accordance with the attached MOA permit. There is not
contractual arrangement between the contractor and the Engineer. The Engineer shall
be the owner's representative and will inspect the work to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the MOA.
2. The scope of the project includes the procurement and installation of a 4 -bedroom on-
site wastewater disposal system at the location depicted on the attached site plan
drawings. The scope of the work also includes the installation of a new 1500 gallon STEP
tank, a drain field comprised of 1 trench, 2.5 -feet wide x 60 -feet long, 12 feet deep, with
9 feet of septic rock below the distribution piping. All components of the proposed septic
system must be constructed a minimum of 100 feet from any surface water or water
wells in the area. A minimum of 4 feet of earthen cover is required over the septic tank
and a minimum of two feet of cover is required over the drain field. If there is less than
3 feet of earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be installed
directly over all installed piping.
3. Construction shall be in accordance with the approved site plan and design drawings and
any special provisions noted on the Municipal well and/or septic permit. All materials,
components, workmanship and construction practices shall comply with the Municipality
of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA,
Development Services Department, On-site Water and Wastewater Program (DSD)
policies.
4. The contractor is responsible for obtaining all underground utility locates, layout of the
proposed system, and verifying and maintaining all required separation distances to lot
lines, surface water, wells, steep slopes, etc.
S. The property owner shall be responsible for final grading any depressions formed from
settlement of backfill material. The property owner is also responsible for vegetation of
all areas disturbed by septic system installation activities.
6. Contractors installing wastewater disposal systems must be certified to do so by the MOA
DSD, On-site Water Wastewater Program. Property owners installing their own systems
must receive advanced approval from MOA DSD prior to system installation activities.
7. The contractor shall ensure that ALL materials being used are in compliance with the
most current guidelines established by the Municipality of Anchorage. Refer to
"Standards and Specifications for Component Parts and Materials Used in the
Construction of On-site Wastewater Disposal Systems", Dated December 2000, as
provided by MOA DSD, On-site Water and Wastewater Program.
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland@gci.net
.h
a g g
Environmental Consulting and Design
Septic Tank Installation:
1. A new septic tank, of the size specified in the design drawings, shall be procured from a
qualified manufacture/supplier if the existing septic tank is found to be defective.
Construction shall include two 4" diameter cleanouts for pumping access.
2. The burial rating of the tank shall be adequate for the actual burial depth encountered.
3. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank.
4. All standpipes on the tank shall extend a minimum of 12inches above the final grade.
S. Tanks installed with less than 4 feet of cover shall be insulated.
6. The sewer service line from the house to the tank shall have a minimum slope of 2%
unless prior approval is obtained from the engineer.
7. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be
sufficiently compacted to prevent future settlement of the soil.
8. Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings.
9. A cleanout shall be installed 1 to 4 feet from the foundation.
10. Post tank cleanouts shall be installed per MOA requirements. Does not apply to
pressurized lines.
11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist
buoyancy forces when there is not adequate soil cover to resist uplift force. The
contractor shall refer to the engineer for direction regarding this matter.
12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the
tank.
13. All holding tank and lift stations shall have an audible and visible alarm inside the
residence being served.
14. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform
Electrical Code. A municipal electrical permit and inspections must be obtained where
required by the MOA.
15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from
any residential water well, 150' from any class 'C' well and 200 feet from any community
water wells. Additional separation distances must also be maintained.
16. The contractor shall remove or abandon the existing tank in compliance with the Uniform
Plumbing Code.
Drain field Construction:
1. The drain field shall be excavated to the dimensions outlined in the design drawings. If
any discrepancies are noted, contact the engineer immediately for clarification.
2. The drain field shall be installed parallel to slope contours.
3. The bottom of the drain field shall be within 2" of level. If the sidewalls or bottom of the
excavation become smeared, they must be raked or scarified prior to the placement of
filter sand or drain rock.
4. The drain field must be a minimum of 5 feet from the test hole excavation.
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland@gci.net
a g g
Environmental Consulting and Design
S. Distribution pipe is to be installed level with perforations facing downward, atop a level
bed of drain field rock. Septic rock shall then be placed atop the distribution piping to
provide a minimum of 2" of cover, level across the entire width and length of the trench,
above the piping.
6. A silt barrier must be installed at between the final drain rock and the native soil backfill.
The silt barrier shall cover the entire drain rock surface.
7. Monitor tubes must be 4" in diameter, installed in the locations depicted on the design
drawings, and extend a minimum of 12" above final grade. The portion of the monitoring
tube below the septic rock must be perforated and the portion above the drain rock shall
be solid.
S. Backfill over the final gravel layer must not be less than 2 feet. Insulation must be
installed when the backfill depth is less than 3 feet.
9. Drain field back fill shall be mounded to prevent depressions from forming due to
subsequent settlement of backfill material.
10. The contractor shall verify that the drain field is a minimum of 100 feet from any
residential water well, 150' from any class'C' well and 200 feet from any community
water wells. Additional separation distances must also be maintained.
Inspections:
1. A minimum of two inspections are required by the Municipality of Anchorage. These
inspections must be conducted under the supervision of a Professional Engineer licensed
to practice in the State of Alaska.
2. The first inspection must be conducted after the excavation of the drain field and before
the placement of any gravel. The septic tank may be set in place, but may not be
backfilled.
3. The second inspection must be conducted after the placement of the silt barrier, gravel,
distribution lines, stand pipes, cleanouts, and insulation, but before the placement of any
backfill.
4. The contractor shall provide a legible copy of all field notes relating to system layout and
construction to the engineer for the use in preparing the record drawings.
S. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours
notice is required prior to the start of construction. If necessary, a preconstruction
meeting will be held on-site.
203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916
Fax: (866) 354-1597, Lspurkland@gci.net
NAME
LOCATION
SEPTIC TANK:
r°Ww GRE; , CR ANCHORAGE AREA BOR, _:GH
Department of Environmental Quality
�,.ro• 3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS
E
LEGAL DESCRIPTION �9Sd % 4�/ C,0=.7,�
DISTANCE��,,� NUMBER OF
FROM WELL/L- MANUFACTURER MATERIAL COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY1 GALLONS.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL/1%y t FOUNDATION Zo fi NEAREST LOT LINE a OF LINES 4��91
NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH13� IN. TOTAL EFFECTIVE
j 7
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE
L� DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE -6 -*V ABOVE TILE __,:eIN.
WELL:
TYPE I CONSTRUCTION DEPTH -
BUILDING NEAREST NEAREST SEPTIC SEEPAGE
FOUNDATION , LOT LINE , SEWER LINE , TANK , SYSTEM_
CESSPOOL
APPROVED
DISTANCES:
INSTALLED BY:
OTHER SOURCES
DISAPPROVED
1
SEWER LINE DEPTH: y
PIPE MATERIAL:
LOT SLOPE: ► -
REMARKS: 0,200
Form EQ -032
REMARKS
DISTANCE FROM:
DATE -10-4 APPROVED
������������ym CA F17 F"U 14 CD VJ "I F;;,.,!: 0::::::o C��
P/Y
DEPARTMENT HEALTH AND ENVIRONMENTAL
<OTECTION
2516 E. TUDOR RD., ANCHORAGE, HK 9>507
_
276-2221
/J��'
C0140_5 1 _T� ������
_ ����
�
�'
�u�,
� � r
� °�
PERMIT NO. ( 76682 )
m��.
HPPLICHNT SRH BOX 1685
]44-972]
LOCATION HUFFMHN ROAD
LEGHL L1 B1 CONTOUR ACRE-'*.*; LOT
SIZE 84460 SQUARE
FEET
TYPE OF SOIL HBSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ
FT/BR)= 200
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
A.22 lL.EEp4c3-rwi= mEl
illEE101-T-1-i=
7"
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE
TRENCH OR DRHINFIELD.
THE DEPTH OF H 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).
lot K (To k -A 1 1 IC-:: F- F:1 r4
15 Ca ������S,�
,
.0 22 :0 !K FA Eli. 1: CA 44 S3 FT FZ EE ��8.7;:�
L.1 l: FR��
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND
APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE
100 FEE/ FOR
DISPOSAL SYSTEM
IS
M PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL
SINSTALLATION.PECIFICATIONS AND CONSTRUCTION
DIAGRAMS HREHYHILHBLE
TO INSURE PROPER
F=" FEE Q twl 1 -1� �EEFI�� ���� ����E
1 CERTIFY THAT ��
1� I HMyFTHEHMILIHRIWITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
-^ �I�� ,�
INSTALL THE S�T- '"""nunnu��
UNDERSTAND THA'' TH�O�y1IN ACCORDANCE WITH THE CODES
��5IDENCE IS REMODELED cO m-CS1TEESEWER SYSTEM MHY REQUIRE ENLHRGEMENT
[MHN 4 BEDROOMS. IF THE
MORE�1������� �11
V..^~~~-...-.~��Z�___-
___________
ANCHORAGE
FAIRBANKS
CONSULTANTS, INC. JUNEAU
249 EAST S1ST AVENUE • P.O. BOX 8087 . ANCHORAGE. ALASKA 99303 • TFLEPHONE 907-279.0483 • TELPX 09033419
June 1, 1976 R & M No. 656244
Mr. Joe Fabin
2440 Tasha Drive
Anchorage, Alaska 99502
RE: Test Hole and Soil Log Report for Sanitary System
Lot 1 Block 1 Contour Acres
Dear Mr. Fabin:
We are submitting herewith the boring logs, percolation results and our
comments regarding soil conditions encountered at the subject site. This
investigation was performed in accordance with your request of May 14,
1976, and those procedures outlined in a letter dated July 15, 1975, by
Mr. Rolf Strickland of the Municipality:.of Anchorage, Department of
Environmental Quality...
A single test hole was put down within the Lot 1 area for the purpose
of defining general subsurface soil conditions and conducting percolation
tests for the proposed sanitary system. Excavation was accomplished with
a tractor mounted auger type drilling rig and the test hole was extended
to a total depth of 20.0 feet below ground surface. The final log was
prepared for the test hole and has 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(AQ
Vice President �4 /
JWR/PJ/pe
xc: Municipality of Anchorage
PERCOLATION TEST
JOE FABIN
R & M NO. 656244
ELAPSED DROP
TIME TIME INCHES
1:30 0 Q
1:31 1 3
1:32 1 1 1/2
1:33 1 1
1:34 1 .1/2
1:35 1 1/2
1:40 5 2
1:45 5 1 3/4
1:50 5 1 1/2
1:55 5 1 1/4
-2:0@ 5 _ 1
2:05 5
2:10 5 3/4
2:15 5 1/2
2:20 5 1/2✓;`#
2:25 5 1/4
2:30 5 1/2
60 Minutes 17.5 Total
Drop
7
,,P:i Mir1 i f g
j 9\
._N
TH 1
VRZ%e
5-28-76
0.0'
SANDY SILT (ML)
0.51
CKD-
p
v
SILTY SAND W/TRACE
.1
GRID=
GRAVEL (SM)
6-1-7
----
------- 3.0'
�_
Fabin . .
PROD.y0. 6_56g44
SCALE=
1+._3.
p & M C004SUL.TANTS,1Nc.
Anchorage, -''Alaska
SANDY SILTY
`�$
GRAVEL (GM)
--------------
5.0'
SILTY SAND W/SOME
GRAVEL (SM)
-------------- 10.0'
SANDY SILT -
SILTY SAND W/
SOME GRAVEL
(SM -ML)
(260)
_----__------- 13.5'
SANDY SILT (NII,)
— .- -- — -- —.— — 15.5'
SANDY SILT -
SILTY SAND
(SM -ML)
(260)
No Water Table
20.0' TD
DWI*
VRZ%e
F.B.
CKD-
p
v
Log of Test Hole
_
`Joe
GRID=
DATE=
6-1-7
� ^
Fabin . .
PROD.y0. 6_56g44
SCALE=
1+._3.
p & M C004SUL.TANTS,1Nc.
Anchorage, -''Alaska
OWG.NO. A-01
V
,4U1c'<<!t4AN 80,40
h
SB 9' S 9' E �OG_04
i I
I
� � I
' a
i
10 1 rAc_ rtL 9
_ti< <,i 11.11
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
SEF -2 21
1�
LE
RECEIVED SQA,
1
,vd9'S9'rN ?o6. oo'
I »ERE.Y CERTIFY THAT AN ACCURATE SURVEY Of TME
FOLLOWING 093011610 PROPERTY
LOT 1
! CONTOUR ACRS S, ADD. N01
r.EPMEO DVA:
WAS WAGE /J X977 ANO THAT TME Ir•
i
>'tiIOVKII1KNTi SITUATED rM1REOM AAK WITHIN THK PII(I-
ERTr LINKS ANG 00 MDT OVERLAP ON ENCROACH ON TME
_ti< <,i 11.11
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
SEF -2 21
1�
LE
RECEIVED SQA,
1
,vd9'S9'rN ?o6. oo'
I »ERE.Y CERTIFY THAT AN ACCURATE SURVEY Of TME
FOLLOWING 093011610 PROPERTY
LOT 1
! CONTOUR ACRS S, ADD. N01
r.EPMEO DVA:
WAS WAGE /J X977 ANO THAT TME Ir•
>'tiIOVKII1KNTi SITUATED rM1REOM AAK WITHIN THK PII(I-
ERTr LINKS ANG 00 MDT OVERLAP ON ENCROACH ON TME
P!O/ERTY LTINO AOJACENT rMERETG,THAT 40lWeIOVEYENT
V
�� BUILT
]I n10KRTr LTtNK ADJACENT rm"gTv ENCROAOI Ow T
'IL ^u VO'
;9- a
P+trISKS N zu1ST$0W ANG T)4AT rHERE UK ■O ROAD
'IG1119S10N 0418 00 OTHER .Iflsu 'J►ultNri
ZA
',A'0 +'WiYiRfT ct�ifr iW 1-,�7#.
'_!7 a , .-...�-� .ase
_
.,,., .....i „.- •a:f. a�. '�' a� J.'
MUNICIPALITY OF ANCHORAGE
I N G DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
2820 'C' Street, Suite #3
Anchorage; Alaska 99503 U IV 2
,':276-4855
RECEIVED
June 1, 1981
Joseph Fabian
NHN Huffman
Anchorage, Alaska 99507
Re: Adequacy Test of Septic System
Lot 1 Block 1 Contour Acres - File Number 81-E-22
Dear Mr. Fabian:
As per your request, I have completed the adequacy test on the above
lot in accordance with the Municipality of Anchorage recommended
standard procedure.
The system consists of a septic tank and approximately 72 linear feet
of drainfield. Water had to be trucked in to provide the required
10 gallons/minute supply for a total of 600 gallons, as required for
a four bedroom home. The water was added directly to the septic tank
and was monitored at 100 gallon increments. The test results were tabu-
lated for both days of the test as shown on the attached sheet.
The results indicate that the system recovered a little slow after the
first day's test at the far end of the field, but returned to the ini-
tial level shortly after completion of the second day's test. At no
time during the test did water back up to the start of the drainfield
or present any indication that it would back up into the tank and the
drainfield system appears to be functioning adequately at this time.
Sincerely,
Wayne enderson
WH:zc-p
Enclosure
PENINSULA
ENGINEERING
AD ;QUACY TEST
M i en t : Joe Fabian
Ad(Iress: Huffman and Birch
Legal: Lot 1 Block 1 Contour Acres Subdivision
System: Septic Tank with Drainfield (approximately 72 L.F.)
1)F1''1'Il�
- 111?I''I'11�
J1'I'I;lt DDF t
( . -�
ep
DATE
TlAE(ill,n)
51�.1':I_LC 'TANK
51"
:il',I:I'ACI. Pi.'I'
0
( Lm) PATI_
AUDI -.0 (gill)
End Trench
5/28
0
0
0
63"
1981
0
Start test
51"
0
10
0
63"
5 min
10 min
52"
0
10
100
65"
15 min
20 min
53"
0
10
200
65"
25 min
30
54"
0
10
300
67"
min
35 min
40
54"
0
10
400
68"
min
50 min
54"
0
10
500
68"
80 min
54"
0
10
600
68"
5/29
;1 min
51"
0
10
0
65"
1981
min
10 min
51"
0
10
100
67"
• A,
min
•°°•°`,0
A.
20 milt
52"
0
10
200
68"
•
s
4�
mill
'• ••• •°...I
3 Millf0
0000
o min
54"
0
10
300
69"
00000
HENDERSON
4488 .
° ,? go
1+
54
0
10
400
70"
�.°
� m in
.o••o°
9 ®
0 50[
54"
0
10
500
- ..
SS�Qitis ��`
min
70"
®®®
60 nl in
54"
0
10
600
70"
5/29
65 min
52"
0
0
600
65"
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological a Geophysical Surveys
Drilling Permit No.
LOCATION OF WELL (Please complete either la, ib or Ic.) A.D.L. No.
lo. Borough Subdivision Lot Block Ib. 1
1/4gtrs.
Section No. Township N❑ Range E[3Meridian
F1Gr1.—Of —of—of _.
S❑ W
Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS
3. OWNER OF WELL:
Address: BOl sOTC
Lot 1 PL:. 1
Street Address and Area of Well Location
Cmtoa low— u 1
2. WELL LOG
Fest Below
Surface
4, WELL DEPTH: (final)
5. DATE OF COMPLETION
_
t'
a`7�
Material Type
Top
Bottom
drilled 1 ''CIC):
6, Ej Cable tool ❑ Rotary ❑ Driven ❑ Dug
❑ Auger ❑ Jetted ❑ Bored ❑ Other
S+f Lt'. 11 0
L r '1 ;<1 ,' i -•.
4q,
66
?.USE: ® Domestic ❑ Public Supply ❑ Industry
❑ Irrigation ❑ Recharge ❑ Commerical
Test Well ❑ Other:
Nr:7�t? tlf.� 7S
to 121
1� r'
S. CASING: ❑ Threaded [] Welded
diore.ft in. to) 79, ft. Depth Weight A` Ibs./ft.
diom, in, to ft. Depth Stickup ft.
17= 1J:
15=
DrJ_].ILT b OC:
I4.'•
1531-61,
9. FINISH OF WELL:
Type: C 1 IY,tt'cT_ Diam*to r•_
161
t ; s - ,-:aqs> • ?;t_r :V 1;99'ar S.L,.?.itO.b.
�;.^
1�
Slot/Mesh Site: Length:
Set between ft. and ft.
Backfilling Grovel pack
G_ar,' C.1,4y [r1Xa?• with tCIV.rr,-1VEl. Z' 172
7"R
7C'
17,
1:
10. STATIC WATER LEVEL: .; ft. I
ir- F.. , )
scaC.rce h:i: ?liL`d-)L!, i0"t �tE3t kJ'� i..
Date
❑ Above a 0 Below land surface
Equipment used: dam v -d1 i
I I. PUMPING LEVEL below land surface and YIELD
170 ft. after I Ars, pumping 7 g.p.m.
ft. after hrs. pumping g.p.m.
12.GROUTING Well Grouted: ❑ Yes ❑ No
Material: ❑ Neat Cement ❑ Other:
NCI 1C?vd l"l.N VV^dC�rI�N3
() lodQ
30Vd0H"
13. PUMP: (If available) HP
Length of Drop Pipeft. ft. capacity g.p.m.
® Subm. ❑ Jet ❑ Centrifical ❑ Other
14. REMARKS:
'1..i't r f:.TkdEs r, fixe] 170'
1
16. WATER WELL CONTRACTORS CERTIFICATION:
15. Water Temperature ° ❑ F ❑ C
This well was drilled under my jurisdiction and this
report is true
to the best
of my knowledge and belief;
UUtwi #.11,ing %0.
AACJ512
Registered Business Name
Contract License Number
Address: ^' c
Signed :
Date:
Authorized Representative
Form 02-WWR (11/81) Copy Distribution: WHITE -State 0908, PINK -Driller, CANARY -Customer
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907)343-7904 s.
Certificate of On -Site Systems Approval ^�
Parcel I.D. 017-451-19 Expiration Date: 1
1. GENERAL INFORMATION
Complete legal description Contour Acres #1 Lot 1
Location (site address) 5700 Huffman Road, Anchorage, AK 99516
Current Property owner(s) Judy Tope Day phone 345-7580
Mailing address 5700 Huffman Road, Anchorage, AK 99516
Real Estate Agent Dave Weir Day phone 529-9347
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
Individual Well
Ej
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
WaiverNariance request for:
Received by,
TYPE OF WASTEWATER DISPOSAL:
Individual
x❑
Holding Tank
❑
Community
❑
Public Sewer
❑
COSA to be rete ed ,the engineer, unless othenvise requested by the engineer.
Date: OI
COSA Fee $ 1�21z? 00 Waiver Fee $
Date of Payment I �� Date of Payment
Receipt Number DRD��D Receipt Number
COSA #S� CL Ila lqg 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 C & M Engineering
Address 30840 Prudhoe Bay Ave Eagle River, AK99577
Engineer's Printed Name Charles Balzarini
6. DSD SIGNATURE
System #1 Approved for _�_ bedrooms
System #2 Approved for bedrooms
Disapproved
Phone 907-854-5558
Date 10/�/4
sit 9 6
. .
llf, t, CHARLES G BALZARINt
Yp��t�.9F0 p
CE-13854
Conditional approval for bedrooms, with the following
BOriginal Certificate Date: /b K D
ti
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet f . : c
If more than 1 septic system is on the lot:
COSA Checklist # 1 of
Structure served by this system •1`
Certifi.cate,of On -Site Systems Approval Checklist
Legal Description: Contour Acres #1 Lot 1 Parcel ID: 017-45.1-19
A. WELL DATA
i
Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Yes
Date completed 3/7/1983 Sanitary seal (Y/N) YeS Wires properly protected (Y/N)YeS
Total depth 300 ft. Cased to 180 ft. Casing height (above ground) 24 in.
,
FROM WELL LOG AT INSPECTION
Date of test 4/1/1983 10/2/2016
Static water level 170 ft. 170 ft.
Well production 5 g.p.m. +4.5 g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate G 66 mg/L
Arsenic ug/L Date of sample: 10/2/2016 Collected by: Matthew Balzarini
B. SEPTICIHOLDING TANK DATA
TankType/Material S.T.E.PJSteel Date installed 9/9/2010
Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YBS
Foundation cleanout (Y/N)'YeS Depression over tank (Y/N) NO High water alarm (Y/N) Yes
Date of pumping I D�Ic7�l 6 Pumper
C. ABSORPTION FIELD DATA' — —
Date installed 9/9/2010 Soil rating p.d./ or ftZ/bdrm) 0.6 System type Deep Trench
Length 68 ft. Width 2.5 ft. Gravel below pipe 9.7 ft.
Total depth 12 ft. Eff. absorption area 1319. ftz Monitoring tube YeS Depression over field No
Date of adequacy test 10/2/2016 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 7 in.
Elapsed Time: 60 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date
D. LIFT STATION
Date installed 9/9/2010 Size in gallons 1500 Manhole/Access (Y/N) Yes
"Pump on" level at 44 ' in. "Pump off' level at 43 in. High water alarm level at 45 in.
Datum BTM Tank Cycles tested 3 Meets alarm & circuit requirements? Yes
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 100'+
Sewer /septic service line 25'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout 100'+
Holding tank 100'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 100'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main -100'+
Water Service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 10'+
Curtain drain 100'+ Wells on adjacent lots 100'+
F. COMMENTS
Homeowner has been advised to have the lift station installer test and adjust the pump
on/off levels in the lift station to prevent excessive cycling of the pump.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name Charles Balzarini
Date )U 1 61 1 /(s
COSA canary sheet_2-6-15.doc
�E °F A�q�gQ
:49THv- •:
•,... .....
CHARLES G BALZARINI
' FFG •, '%<
CE -13854 ,•�`
islF • • +
4�lila� PROFESSIONP�.a
Municipality of Anchorage u ,
a
Development Services Department
Building Safety Division s
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
Nitrate Advisory
Certificate of On -Site Systems Approval # OSC 161481
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block , Lot
I of Contour Acres #1 subdivision. This inspection revealed a nitrate
concentration of 6.66 milligrams per liter (mg/L) was reported for the
property's well water sample. The Environmental Protection Agency (EPA)
has established a maximum contaminant level (MCL) of 10.0 mg/L for
public drinking water systems. While private wells are not subject to this
regulation, EPA standards are based on existing health information and can
therefore be used to gauge the relative quality of water from private wells.
Please see the attached "Nitrate Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble
in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass
rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is
in the form of ammonia or protein first, which through contact with oxygen and certain
bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from
wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also
result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or
three years, but is associated with a potentially fatal infant disease called
methemoglobinemia. In the digestive system of young children, nitrate converts to
nitrite, which can pass through the intestinal wall into the blood stream. There it
combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The
EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The
standard has been lowered from a previous level of 45 mg/L set by the US 'Public Health
Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and
other common home water treatment systems such as softening or iron filtration does not
readily remove nitrate. The best method for limiting nitrate in well water is source
control. This can include avoiding overdosing of fertilizer near the well and maintaining
good separation distances between septic tank leach fields and the well. A special anion
exchange filter that contains a media with a strong affinity for negatively charged ions in
water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical'
methods using a spectrophotometer to read the final color endpoint. Specific ion
electrodes also can be used to detect the activity of nitrate in water. This laboratory uses
several different wet chemical methods approved under the public water supply
laboratory certification program. They also have test kits available, which the laboratory
uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test
kit results against a certified analysis from the lab occasionally to verify the accuracy of
the kit. We recommend using a specially prepared bottle that has been rinsed in
hydrochloric acid for collecting samples.
f�(/Iy�itiF_►���7iE1
.0 eNr R�eti�enn4
BARN
N 39 59 W206,00
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�e W Eery Li xE s Oe Iosi nOx n oom W ni i. W eovEx EuiS E u
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AS -BUILT SURVEY 1" = 39'
I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
OF THE FOLLOWING DESCRIBED PROPERTY
LOT 1, CDNTOUfl ACHES ADD'N. NO. 1( PLAT 67-9S)
ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS
EXIST OTHER THAN NOTED.
DATED AT ANCHORAGE,ALASKA THIS _18TH_ DAY OF
_OCTOBER 2016.
IIIIIE.r IRMO
130@. FS 179-02 a1, ".0
MUNICIPALITY OF ANCHORAGE
, DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
F ENVIRONMENTAL HEALTH
DIVISION O
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
1. GENERAL INFORMATION
�4 ?(0-1053
Application Date °9h v�8c'
(a) Legal Description (include lot, block, subdivision, section, township, range)
o� 13GccrL /20 CoNToul2 Ac/RlFS 71 AOON.
Location (address or directions)
(b) Applicant Name jfo13 i6rVDY t(P-4 Telephone: Home 345-7580 Business 399
Applicant Address 6720 A/Lrtrc (31.u0 .r "cI4- 4I<, 955,/8
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder; Buyer ❑ ;Other ❑ (explain);
AA 6E.
(d) Lending Institution �/A9Sr 1dATrorr.L BA' K of ANc'�e ephone 2 (o5,^ 3 0 6 6
114 /-.o, loo7Zo 14 a KIC
Address 15�o TFAHH 6 H06A u-1 Ar/ IC 4ee UjEyr .1 .a'06.cAl' .4J!9, !!)Ci Sin — 07A0
(e) Real Estate Company and Agent ,H.1 -A
Address
Telephone
(f) Mail the HAA to the following address:
1�� 9=11_117 -
2. TYPE OF RESIDENCE
Single -Family Multi-Family
0 Other
Number of Bedrooms
3. WATER SUPPLY
0
Individual Well Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of,Environmental Conservation
i
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, musfihave written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
72-025 (11/84)
Page 1 of 2
5
,
Individual Well Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of,Environmental Conservation
i
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, musfihave written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
72-025 (11/84)
Page 1 of 2
5. ENGINEERING FIRM PROVIDING ;PECTIONS, TESTS, FILE SEARCH, DAT.
ND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Muoci_pal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm —46H&P-O" 6-1 61 "Oe d ice. G y� hONA& C ' Telephone 39 q ' -7
Address 7fco 040 ScEwAnd +Nwy Q/Y;7- T
Date
Engineer's Seal
q..� OF At %%I
e
•
® S$, TH
S•eei•0 • • • •i•r•�
A1be I.. Swank Jr. ?
�� ��•• CE -4910 2q
1111% PROFESSY3%-
6. DHEP APPROVAL n
Approved for bedrooms by Xd
Date _
Approved Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality, of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72.025 (11/84)
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE (MOA) DEPT. OF HEALTH &
HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECTION
CHECKLIST - FEBRUARY 1984
264-4720 SEP 2 260
Legal Description: 1-07' s4n C K
GoN7'oul2 ,4C/2ES T 9DDN
A. WELL DATA
Well Classification P12 ua i-1� If A, B, C, D.E.C. Approved (Y/N) N 1A
Well Log Present (Y/N) YoES Date Completed 3 /7 /8-3 Yield 5- GPM
Total Depth 3o Cased to j SoFr Depth of Grouting N 1
Static Water Level ) `7 oPr- Pump Set At z 7 3 re --
Casing Height Above Ground /N506 di 40400) Sanitary Seal on Casing (Y/N) YES
Electrical Wiring in Conduit (Y/N) /VO Depression Around Wellhead (Y/N) 140
Separation Distances from Well:
Fes.
To Septic/Holding Tank on Lot Z 35 ; On Adjoining Lots IN 1A
To Nearest Edge of Absorption Field on Lot 2 So ; On Adjoining Lots Iq�,q
To Nearest Public Sewer Line N 1 To Nearest Public Sewer
Cleanout/Manhole NIA To Nearest Sewer Service Line on Lot gs fit.
Water Sample Collected by LAI -,taper/ fM6/"t-AXIrrG ; Date�`—
,01 Ar+AG -_ rT'
Water Sample Test Results Sp+-r1re4cr:e✓L�4 4—_2
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed Size 25p 6AL No. of Compartments 2
Standpipes (Y/N) yeS Air -tight Caps (Y/N) YCS Foundation Cleanout (Y/N) YtS
Depression over Tank (Y/N) go— Date Last Pumped 9'/8(�'
Pumping/Maintenance Contract on File (Y/N) A/o ; for
Holding Tank High -Water Alarm (Y/N) /10 Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank:
To Water -Supply Well Z 3 S �t To Building Foundation
To Property Line �D fit' To Disposal Field
5o 1t.
moi` .
To Water Main/Service Line -4 Z,4 To Stream, Pond, Lake, or Major Drainage
Course
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata 26_6 fl- Type of System Design 644C" A:1e(,V
Date Installed V/ -)? Length of Field 68 fr;
Width of Field 3 icr Depth of Field _ 4f't �o top
Gravel Bed Thickness 6Ft
Square Feet of Absorption Area 8/6 Ft " Standpipes Present (Y/N) YES
Depression over Field (Y/N) /y0 Date of Last Adequacy Test
Results of Last Adequacy Test 9 /65 GA oAiN.
Separation Distance from Absorption Field:
To Water -Supply Well 45o f7—, To Property Line 610f f •
To Building Foundation __ 6 5 Ff'• To Existing or Abandoned System on
Lot Nig ; On Adjoining Lots xi Iia
To Water Main/Service Line go rCfi. To Cutbank (if present) - HAA
To Stream/Pond/Lake/or Major Drainage Course N/A
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION HIA
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N) _
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
** Check Permitted Bedroom Rating Against HAA Request **
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
I certify that I h v checked, ver] fied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection
Signed Date _ o (o
Company LArr��n,ivrrGz.rcrt�¢ir�; MOA No. Abp
e )4rlHA60",e"-'
Receipt No. flew 4&&1 r a&o _�, OF A
Date of Payment 7a-'a•-'R6l.e �,�� •°' °j•., �S,j„ @�
�;:.., or C2' °�° '� ® Engineer's Seal
Amount: $ (.5 so01 a 49 o I�
`g.
Alberti., Swan Jr. w
Page 2 of 2 CE.4910 ••° ;t
72-026 (11/84� a� PR0FESSi`3k\�`
5.E-GGA�L DESCRIPTION
DATE RECEIVED
INSPECTION APPOINTMENTS
TIME
TIME
TIME
DATE
DA
DATE
® SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
INSPECTOR
INSPECTOR
INSPECTOR
1' INDIVIDUAL*
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE
DEPT. OF K'ALli I &
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTFbINIRONMENT;\L i fLCTION
825 L Street - Anchorage, Alaska 99501
8. SEWAGE DISPOSAL SYSTEM
�
fAAY2 c; 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. PROPERTY OWNERPHONE
Ob 6, L;ncoca. F&b LCLn
139.5-3999
MAILING ADDRESS
P.o. &)u 10 -eau Anc oraG A1C ga511
PROPERTY RESIDENT (If different from above)
PHONE
ji00man Rd . dame
50 -MC
2. BUYER
oqd W (1t L� MC Con
PHONE
333-9000
MAILING ADDRES
6y 70 e6617- �ed. 1�nc1?olW P Kx_6x1
3. LENDING INSTITUTION
/,57'" 12ahgnal ant ESoalA tee $rnnc
PHONE
Xle-6.300
MAILING ADDRESS
9 0 O�Cc6 / cl cl�"v9
4. REALTOR/AGENT
Polar /&e& /
PHONE
r
MAILING ADDRESS
5.E-GGA�L DESCRIPTION
Ci J drlc
STREET LOCATION
/6 0�_ h/-"mccr� �d .
Ir TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
❑ One ❑ Four ❑ Other
® SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
[9 Three ❑ Six
7. WATER SUPPLY
1' 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.)
8. SEWAGE DISPOSAL SYSTEM
ffW INDIVIDUAL/ON-SITE**
iCl Q YEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) 44^ v
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ 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
_ (g
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL _
4. DISTANCES WELL TO:
Septic/Holding Tank
Absorption Area 7Sewer
Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
( APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE r_ f
BY
/x4p
72-010 (Rev. 6/79)
of
826 "L" STREET
(901) 2644J''I I
GIFEORG157114. SULLIVAN,
MAYOR
DEPARTMRra OF HEMJH &D ENVIRONNIENTAL P!7,07ECIAON
May 28, 1981
1 4 k
Joe/Linda Fabian
Post Office Box 10-824
Anchorage, Alaska 99511
Subject: Lot 1 Block I Contour Acres Subdivision A
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 submitted to
this office from the Chem Lab, 5633 B Street,
for ou review, Effective June 1, 1981, the fee
s$
(2) The septic tank pumped with. a receipt submitted,
to this office.
(3) An adequacy test need sAo be performed on the existing
leaching area. This test will determine if the system
is adequate according to National Standards. A listinci
of private firms performing the test is enclosed. This
report needs to be submitted to this office for vour
review. n
if there are any further questions, please call this office
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/Ijw
cc: First National Bank of Anchorage
Post Office Box 4-2090 99509
Polar Realty
,1.101 East 76th Avenue 99502
.i
r =116 VI_ GIIV IF VIIIIICIII:Q l l(UG 11 �y
re t Anchorage, Alaska 99503 274-4561
Date Received April 14, 1976
r Time of Inspection
CY Date of Inspection
A` REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES a `1� 4611
FOR �ilz. L�1,S GLO. . `L�.alai
X71
Conv/V.A. nl`tSG i
1. Approval requested by: Area Inc Realtors % $kell Goens
Mailing Address: 3300 C Street Phone: 278-2.525
2. Property Owner: Fred Mugger Phone: 344-1'19.0
Mailing Address: Huffman Road
3. Legal Description: Lot 1 Block 1 Contour Acres #1
4, Loaonc 2h miles up Huffman on South side of road
5. ` Type of facility to be inspected Single Family No. of bedrooms 4
:a
6. Well Data: individual serving one (2 functionabl:e wells on property)
A. Type B. Depth
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: on—site system
A. Installed 1966 B. Installer
C. Septic Tank: =1 Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank Absorption area Sewer tines
Nearest lot line Other contamination
B. Foundation to septic tank Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74) Page l of two pages
MUNICIPALITY OF ANCHORAGE
GREATER ANCHORAGE ARE,'-, BOKuUGFI DEPT. OF HEALTH &
VIRONMENTAL Pi<pTLCTION
Department of Env ironmentaI Qua Iit
3330 C St., Anchorage, Alaska 99503 - 274-456 1976
REQUEST FOR APPROVAL. OF RECEIVED
INDIVIDUAL_ SEWER & WATER FACILITIES
CONV ✓
A
1. Type of Inspection: CAIRO ___ V -__ ✓ F{-iA
2. Property Owner:
--
�«^ Da Phn
4 ne w4_/"/2'0
4.
Mailing Address:
---
N a r+. Buyer:
Alai 1 i ng Address: Da.y.Phone
Name of Lending Institution: -
---
Mailing Address. ---- --
5. Name of Realtor or Agent:
Mailing
Address:
S tom- �44�
C6h�
G. Legal Description:
Facility to be inspected: _- No. Bdrrns�. _ +
7. .Type of -
.
8. Water Supply
Type of
Public Utility Individual ✓ �„
Supply:
If Individual, number of dwellings presently served 1
If Individual, depth of well ?
g. Sewage Disposal System _.
_ Type ,of System: Public Utility Individual (on-s7te)
n d i d u al , d a t e o � i r i s 't -I 'I a t
i o n � Phone
Page
2 of two pages
- Re
st for Approval of
Individual er & Water Facilities
Legal
` Description
Lot
1 Block 1 Contour
Acres #1
Approved Disapproved Date,,
Approval,Valid for one year from date signe
Greater Anchorage Area Borough, Department of Environm al Quality
DIAGRAM OF SYSTEM
�I certify that the information contained in this request for approval to be a true and
accurate representation of the: subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ -034 (1/74)
Y 6, 1976 4.1
AUSU.B.A. rederal
Credit Union
777 Juneau Street
nra+eIla $OSOI
Subjoati Lot 1 Block 1 Contomr a #1
Dear SIra
Th* v*ll now sere this art is satisfactory regurdinq
well Owwtraction aad viten quautyo
Ta saa"d vel1 must be as per the
�►r+�i�r�e.
UVOU
the Sale of this lot an au0b"At bwt be Geta lishi ed
to install a MW uwftc system aw Properly wMadon tb
second swell.
A *oil taut watitd establish the sp*cificatims, for the a+
aaftr system.
xf you have any further qa"ti , plaasa a tett. this office
at 276-2221,E extension 245.
Si ly *
Les M. NVOWMIS
eeaitariaa
z Skall Gown
Arca Realtors Inc.
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