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OLLIE WALKER #1 LT 3A
SUBMITT,;,", Municipality of Anchorage AUG LB UG 3 20180.ge 1 of 3 Community Development Department On-Site Water&Wastewater Program 4700 Elmore St. •P.O. Box 196650 Anchorage, AK 99519-6650 •http://www.muni.org/onsite•(907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181122 PID Number. 051-301-15 ❑ New ■Upgrade Name: ABSORPTION FIELD DAVID& MARGARET PETERS Address: ❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound 15251 OLD GLENN HIGHWAY, EAGLE RIVER,AK 99577 ❑ Other Phone: No.of Bedrooms: Soil Rating Total Depth from original grade. 744-0525 4 *4.0 GPD/Sg.Ft. 2.5 (MAX.) F: Depth:o pipe',wort front original grade: Gravel depth beneath pipe. LEGAL DESCRIPTION SEE DWG. Ft. 0.50 Ft Subdivision: Block: Lot: Fill added above original grade Gravel length: OLLIE WALKER#1 - 3A SEE DWG. Ft 30+ Ft. Township: Range: Section: Gravel width. Beds Number of fires. Distance between linen. 5 Ft. Ft. SEPARATIONDISTANCES Total absorption area: Number of trenches Distbetween trenches: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines 150+ so.R. 1 Ft Well 50'+ 50'+ 50'+ - 25'+ TANK • Septic ❑ S.T.E.P. ❑Holding ❑Other Manufacturer Capacity. Surface Water 50'+ 50'+ 50'+ - INFILTRATOR TANK 1060 Gal Material. Number of compartments: Lot Line 5'+ 10'+ 5'+ - N/A PLASTIC 1 Foundation 10'+ 10'+ 10'+ - LIFT STATION Curtain Drain **10'+ **10'+ **10'+ - Manufacturer Capaciy. INFILTRATOR TANK 540 Gal Remarks: *THIS IS A CAT II QUANICS AEROCELL SYSTEM -Pump on'level at: 'Pump oft'level at High water alarm at **TO FOUNDATION DRAIN TIMER TIMER 40" Pump Make&Model'. Electrical Inspections perfumed by: GOULDS PE-51-M lAA e' on- i in .. coinl}I la__ PIPE MATERIAL D2665/ House to tank D3034 Tank to D1785 drainfield Installer WILCO EXCAVATING Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00Ft Dates: 1st 7/2/2018 2nd 7/2/2018 LocaLon and Description: 3rd 7/2/2018 4th 7/3-4/2018 BOTTOM OF DOOR THRESHOLD NEAR POINT"B" ENGINEER'S S. Community Development Department Approval �� 144 ��` `OF Ii _ Conditional approval: Date: " m_1 .••41. 1 •� • 491f. iN •'f *0 i i ` 's •• „ c -79 f ..) e • • A roved: v` c llC �� - Date: 2 Q-l ' PROFESS\�P. I. S •. pp LICENSE ,11ik•Ulki. .• #AECC884 Inspection Report_t-1-12 doc PERMIT NUMBER: PARCEL ID NUMBER: OSP181122 RECORD DRAWING 051-301-15 / S. \--� CPTICAREA / X \ A B C / . ��\ ST1 65.0 40.9 67.7 • \I/I/ M ST2 70.7 44.6 71.5 / .• • . DBL1 72.2 45.3 72.2 !•'; `•`• •'�• ' �/?\T D \\\DBL2 73.2 45.9 72.7_ / s . • RV! MH 75.4 47.4 74.2 PA .a.:. :-..,.::-.....:'':: 111..,;� `�`�` POD1 109.9 57.6 72.3 / • • '• '' . tPGD2 112.3 60.1 74.6 r-- ----....„ • ;;::. . VP1 114.9 62.8 77.3 I �� • •--•• \ CO1 100.2 47.7 63.3 I ��� '.A• - �''`•• '4,/: \ MTI 102.3 49.5 64.3 •. •'. �.' - CO2 129.6 77.7 91.6 ti 4 a MT2 127.9 76.2 90.6 r EXISTING WELL 1• „ ,:. >. I VP2 102.3 50.9 67.5 I ....;.':!‘,/::•...:.:t•Na::.....,'... .-,,•'-'. I \ •••'•i C PERMIT NUMBER: PARCEL ID NUMBER: \ 0SP181122 RECORD DRAWING 051-301-15 MYSPY WIFI MESSENGER UNIT(REMOTE SJE RHOMBUS INSTALLER FRIENDLY SERIES(IFS) MONITORING SYSTEM).INSTALLED IN HOUSE. TIMED CONTROL PANEL WITH DRY CONTACTS Q. FOR MYSPY WIFI MESSENGER UNIT W A TOP OF AERCOELL W TOP OF MANHOLE=94.83 LIDS=102.43-102.45 0.. ® 4'VISUAL ›- -FINAL -FINAL GRADE INSPECTION 0 =94.11 8 PORT(VP) 0 Q Q d FINAL GRADE= 4'OF INSULATION BETWEEN PODI L1 POQZLd ti°,5 W 0C•I . co co 93.68-93.79 TANK AND AEROCELL O0 Q f m M N ST1 ST2 DBL1 DBL2 UNIT PER CONTRACTOR * a w z LLI �'� LL m O _ , a� oto• �O 3-ith� a a a a tI/ lit d/ _ 11101 1; MaMMIIMISla a a a o 0 I� 1 i.:;.; TOP OF TANK • )'I @ OUTLET ♦.) E ►'. =90.11 1. '���. 8O%RETURN r? .r h n , 4'OF INSULATION OVER = < ��•::i. Ii , r.:.: ■fix 1� TANKS PER CONTRACTOR MI�� TOP OF TANK TOP OF .=-.. :; ;_ti`; ' I— a Q TOP OF TANK TANK @ ___ � TO @INLET=90.06 @ 1NLET 90WEEP I + ' ' J OR PUMP VAULT - w 1.25'PVC SUPPLY LINE O LL HOLE 1 I� 1 i ISI Z a; _s>'_,_ru,� W:0. :010:0airaac„n'a nWifa��e�.rz%a7,rKV4 s.0..4 t..: 4•RECIRCULATION LINE (D g .. .. 'JC4Y,GC,rb'LD.p'GC,A7JC.P7.cW.PY9,PY60,47�,4Y.GD.0'JO,A'�D,'A'ct•,f6.JD,4f'.6D.b'JD, .�.. •.•.. c': ' 1 ^� "`�' + ' QUANICS AEROCELL ATS$AC �7�r�.''' ^ '' 7■r—• _, � '-��j `��� TREATMENT MODULE Z 0 >ti. �� f� ��� WITH INTERNAL DIVIDER gi g 0 INLET IM� — -I 5', Z Q I�I��III �I■I ' III WALL AND CLEANOUTS -- = i► TIMER OVERRIDE FLOAT (42') $ Q 475 GALLONS CAPACITY � I INVERT OF PIPE LI ' �. WHEN FLOAT IS ACTIVATED. /I I I Z W @ INLET=89.44 INVERT OF I ., 1 - U cn INVERT OF PIPE PNLETIPE @ iii HIGH WATER FLOAT(40')-455 GALLONS—F 119 _� CAPACITY WHEN FLOAT J^ J IM-1060GALLON SINGLE COMPARTMENT Q$ W INFILTRATOR TANK PER CONTRACTOR It LOW LEVEL CUTOFF FLOAT(ON/OFF)-(28') rT1 C Z U r- • -261 GALLONS CAPACITY WHEN FLOAT IS DEACTIVATED. I�1 c, IM-540 GALLON I1� ��� F—� ic, ,_ W INFILTRATOR 111(_,,,_ _ GOULDS PE51M „, 4 g Q TANK El: Q Z ad M 1- w W o J Lt_ FINAL GRADE ._ =100.64-100.93 i ' 0 TEST HOLE#1 Z c o 0 ORIGINAL GRADE(0.G.) -- Z =99.76 (HIGHEST POINT) CO2 MT2 NI Z MP I�14� W g O OJ Q I KK a a se Q w Rvv,WgO iet E ui J U �' 0 CL `/ O w J ,,•.•...,:•:•-•••-•- :•:•-• 0.5'OF EFFECTIVE ,�J ( ,.....\ INVERT OF DIST.LINE=97.76 ;^'I'�' ' �f=�•51 .7,7�e� v/�� 4..` �J F 1I ,4♦ • TOP OF SAND FILTER=97.26 `•r"•;;• r:` ::,..:'\ 02 • • •.. v. iv • -J..• 1 .• JQ"O a! .a V'..- *♦♦ V AK 9 I. LIMITS OF EXCAVATION=95.83 • ALL ORGANICS/FILUDEBRIS REMOVED 43-0' /„ / 0 . ,..,.• . OM.....mt.,. �J,' 79 3 4.,, uanics y� ... 3e-,9 i1Dv...ccd:•r.Hrr�i,$ �" ♦♦♦�i ••.'••/��� <<•'••'� 1 BEDROCK AT 90.26-NO GROUNDWATER ENCOUNTERED Elea'le •4* PROFESS\J '444 LICENSE 111 vi■■ oil"84 REVISION:1.30.2018 #AECC664 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP181122 Work Type: Septic Upgrade Tax Code Number: 05130115000 Site Legal Address: OLLIE WALKER #1 LT 3A G:0655 Site Mailing Address: 15251 OLD GLENN HWY, Eagle River Owner: PETERS DAVID J & MARGARET Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy DC.partInciit Effective Date: 6/12/2018 Expiration Date: 6/12/2019 Lot Size in Sq Ft: 65790 Total Bedrooms: 4 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Pr o construction, the wele it ing Lots 5 & 6 is to be found- confirmed to be 100' from the existing nch. Please show/add re on the Inspection Report. Leel �oc�✓� � ovev r, 61zC1 Ag Cil Ck T'A -I-, xiwwrs. Received B Issued By: Y� f� `���" Date: Date: MUNICIPALITY OF ANCHORAGE Community Development Department Pho Development Services . . • - - ' •+• On-Site Water & Wastewater Program o� Mayor Dan Sullivan a JUN Q 4 On-Site Sewer/Well Permit Application `'‘i ti ,�c For A Single Family Dwelling `i N� Parcel I.D. (55 1" ('15 0/ 6 8 G 9 74 - -PEGGY Property owner(s) DAVID&MARGARET(PEGGY) PETERS Day phone 726-4257- DAVID Mailing address 15251 OLD GLENN HIGHWAY, EAGLE RIVER,AK 99577 Site address 15251 OLD GLENN HIGHWAY, EAGLE RIVER,AK 99577 Legal description (Sub'd, Block& Lot ) OLLIE WALKER S/D#1; LOT 3A Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (EMI that apply) Initial Single Family(SF) Absorption Field ® Upgrade ® (w/wo ADU) Septic Tank ® Duplex (D) Renewal Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage I THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: NONE Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: �0 � t8 Date of Payment: Receipt Number: dpa si% Receipt Number: /� Permit No. Waiver No. (Rev.01111) GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING June 1, 2018 Municipality of Anchorage Development Services On-Site Water& Wastewater Program 4700 Elmore Roade Anchorage, Alaska 99507 Phone: (907) 343-7904 Reference: Septic System Upgrade for 011ie Walker S/D #1; Lot 3A To whom it may concern: The 4 bedroom house on the referenced property is served by a private well and septic system. Per MOA records, the septic system serving the subject property was installed in 1979 and consists of a 1,250 gallon plastic septic tank and a 5-wide type drainfield. The drainfield was found to be surcharged on 4/16/2018 and must be upgraded for the sale of the home. We are proposing that a new single compartment 1000 gallon plastic tank followed by a 500 gallon plastic pump tank and dual 5-wide drainfields be installed. A test hole has been excavated in the area for the proposed upgrade and the drainfields have been designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: No surface waters were observed within 100 feet of the proposed septic system. 4. TOPOGRAPHY: Attached is the MOA contour map of the area. As can be seen on this contour map, there does not appear to be any slope concerns with the proposed upgrade. Please do not hesitate to call us at 337-6179 if you require further information. Thank you for your assistance. inc6rely, e r ; Garnbssr P.E., M.S. President 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com / / `` �� /, / / j `♦ .♦ // / // / / / �.' / `�` • // / i i/ Q^'�^�y X 71 7/ / / y1• o // •�` �\ \ // / / // / //�♦� // �`� �`♦ / / ♦ / N. OLLIE WALKER S/D#2; `� // / / / `♦ j \`♦ LOT 1 `♦ / / • / / s‘Z>,/ � X g�� j ♦` OLLIE WALKER SID#1; ,`�/ / `♦ / •\ LOT •9 `♦ ` / ` `♦ / / ^� x � • `O / 4O� / `5` �_—� ``., i— / ^ -- �\ • / i ♦ .' � / ^,A. i / , OLLIE WALKER S/D#1;\ `� // --�, Q / LOT 8 \y -/' ----- 0 / �Ns-_`N. / OLLIE WALKER S/D#1; ///t ./ /, .., / i �`♦ / �� / LOT7 `♦ / ,'/ // / O / ..- `\ \ / �.arrI;AREA I `♦ /, T i / d// �� I 100'WELL RADIUS 'y/ /,/'I ,' / •'�*� ` W 41 "---i �i /// OLLIE WALKER S/D#1; / / / t.4 ar'4,` .. rgR/�FT ---. / i `� LOT 11 y. •.1,;�'GY` I // OLLIE WALKER S/D#1; `♦ / �� MWG' , i „ LOT 10 `♦ / EX1111111**1-"ISTING PROPOSED DRAINFIELD q-'� ,011)1P 4 BEDROOM (SEE DESIGN DRAWING, !2.' ,/ , '""---4ir HOUSE PAGE 2 OF 4) OLLIE WALKER S/D#2; / 4 PROPOSED 1500 GALLON TRACT Al // 'sO S.T.E.P.TANK O ' 4t'on'.stP / V / Z 'Zs 416k / OLLIE WALKER;LOT 4 / / �`� N.. / EXISTING SEPTIC TANK �pGPV / `• / AND DRAINFIELD / /),../ / / / / / / / / / / ",\ / OWE WALKERLLOTS 5&6 / Y (MOBILE HOMES-WELL IS BELIEVED TO BEt _/ . i ASS- LL FOUND EDURINGTSIDE CONSTROFLOTUCTIOWEN,AND ISTOT THEBE 100 FOOT SEPARATION DISTANCE CONFIRMED) LP c6rif/A/C: A .7 CC - tum • I N S ALE: 1'=100' ..�..A\\\\t I._ GARNESS ENGINEERING GROUP, Ltd : 4 2d •'�� - s CIVIL&ENVIRONMENTAL ENGINEERS • • 3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE,AK 99507'PHONE(907)337-6179'FAX(907)338-3246'WEBSITE:warw.gameesengYxerkp.00m •• • 0 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0* ,A. ' - 'SS PEGGY PETERS 744-0525 1 OF 4 0j J,1. C -7 53 PROJECT/LEGAL DESCRIPTION: DRAWN BY: I� % �I OLLIE WALKER S/D#1; LOT 3A J.L.M. 1�c�p�•''••• ... f........ 4,4P �• TYPE OF WORK: DATE: 414 "" ESS , -4b SITE PLAN FOR SEPTIC SYSTEM UPGRADE 6/1/2018 LICENSECCe88It� ���� FOUNDATION DRAIN NOTE: A TEST HOLE WAS ATTEMPTED IN THIS AREA AND FOUND RUNNING WATER IN HOLE —4' BELOW GRADE. EXCAVATOR DID NOT REMOVE ANY PIPE DURING EXCAVATION, BUT HE DID GET DOWN IN HOLE AND BELIEVED HE FELT A PIPE ON THE UPHILL SIDE OF THE TEST HOLE. THIS BELIEVED TO BE END OF DRAIN AND WATER IS FENCE LINE \ �' 1"=40' Nrll \ / \ � � SEPTIC ARE x\� OLLIE WAL ER #1; LOT 7 EI/(/ NOTE: THE CONTRACTOR SHALL • ' ' 0 HAVE NORTH LOT LINE AND THE 100 e'.• .'' •, :•,:' : FOOT WELL RADII, INCLUDING THE WELL TO BE FOUND ON LOTS 5 & 6, .' OLLIE WALKERS S/D ,FLAGGED BY A REGISTERED LAND SURVEYOR EXISTING WELL -EXISTING SEPTIC TANK TO BE DECOMMISSIONED PER UPC PRIOR TO CONSTRUCTION. s c� PROPOSED DRAINFIELD; / (SEE DETAIL DRAWING, _ Mr PAGE 4 OF 4) / MT v/ v 11 n 1 u � M. POSSIBLE END OF FOUNDATION DRAIN. DOES NOT DAYLIGHT (SEE NOTE)— PROPOSED 1060 GALLON SINGLE COMPARTMENT INFILTRATOR TANK FOLLOWED BY 540 GALLON INFILTRATOR LIFT STATION (SEE DETAIL DRAWING, PAGE 3 OF 4) OR A 1500 GALLON \ ANCHORAGE TANK S.T.E.P. TANK WITH QUANICS COMPONENTS `APPROXIMATE LOCATION OF EXISTING DRAINFIELD PER CLEANOUT GEG, Ltd. HAS A 8 PAGE SPECIFICATION LOCATION AND 1979 INSPECTION LETTER THAT PERTAINS TO THIS DESIGN. TO REPORT. TO BE ABANDONED OBTAIN A COPY OF THE LETTER CONTACT DECOMMISSIONED IN PLACE. GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER — — — — — — — — — — — — — — CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. QUANICS AEROCELE UNIT TH#1 � (SEE DETAIL DRAWING, PAGE 3 OF 4) LARGE AMOUNT OF DEBRIS ENCOUNTERED DURING EXCAVATION OF LOWER TRENCH PERCOLATION x TEST BENCH FENCE LINE X1.25" HDPE PRESSURIZED LINE AND �J 4"D3034 RECIRC. LINE WITH NO �l BELLIES AND INSTALLED SO LINES WILL DRAIN COMPLETELY AFTER EACH PUMP CYCLE. INSULATE WITH 4" OF INSULATION BY 4 FEET WIDE CENTERED OVER PIPE. DESIGN CRITERIA: NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 2.3 MINANCH PROPOSED APPLICATION RATE: `4.0 GPD/FT' MINIMUM DRAINFIELD SQ.FT.: 150 FT' 'CAT II ADVANCED TREATMENT DRAINFIELD DESIGN: MAXIMUM DEPTH: 3.5 - 5.0 FEET WIDTH: 5.0 FEET LENGTH: 30 FEET TOTAL MOA LEVELING SAND: 1.0 - 3.5 FEET EFFECTIVE: 0.5 FEET ACTUAL SQ.FT.: 150 FT' GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS' -=- -- 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907) 337-6179 -FAX (907) 33&3246 • WEBSITE: www.gamessongineen'ng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DAVID AND PEGGY PETERS 744-0525 2 OF 4 PROJECT/LEGAL DESCRIPTION: DRAWN BY: OLLIE WALKER S/D #1; LOT 3A J.L.M. TYPE OF WORK: DATE: REVISED �, DESIGN OF SEPTIC SYSTEM UPGRADE 6/26/2018 .•'�E OF9,�� ���P•••,,,... ...7), �••,C�,♦♦AV ♦ �•.•'• ■ , 101.� it-, �efVCE-7953 �+%A. Gayness ::'� ♦ �J,'�' _� AW LICENSES�• •• #AECC884 30 FOOT LONG 4" PERFORATED PIPE 4" VISUAL PORT 4" MONITORING TUBE 4" CLEANOUT I � i I I OO ; 5FEET � IDE ____ ___ _____________________14- - 4" MONITORING TUBE CLEANOUT CAT II QUANICS AEROCELL UNIT L1.25"FEED LINE FROM S.T.E.P. TANK 4" RECIRCULATION LINE) NOTE: TOP OF SAND FILTER ELEVATION SHALL BE 2.5 FEET, DESIGN CRITERIA: OR HIGHER, BELOW THE HIGHEST ORIGINAL GRADE NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATES: 2.3 MIN./INCH 4" MONITORING TUBE PROPOSED APPLICATION RATE: "4.0 GPD/FT' 4" CLEANOUT MINIMUM DRAINFIELD SQ.FT.: 150 FT' 'CAT II ADVANCED TREATMENT 2+ FEET OF COVER DRAINFIELD DESIGN: OVER TOP OF DRAINROCK MAXIMUM DEPTH: 3.5 - 5.0 FEET 2" OF INSULATION WIDTH: 5.0 FEET FILTER FABRIC LENGTH: 30 FEET TOTAL MOA LEVELING SAND: 1.0 - 3.5 FEET ORIGINAL GRADE (O.G.) (HIGHEST POINT) TEST HOLE #1 EFFECTIVE: 0.5 FEET ACTUAL SQ. FT.: 150 FT' 3.5 TO 5.0 FEET 2.5' TO DEEP REMOVE HIGH O.G. ALL ORGANICS AND DEBRIS Z�' 0.5 FEET OF R, 1.0 TO 3.5 FEET OF EFFECTIVE ~J��00 MOA LEVELING SAND 5 FEET WIDE Q.Q 5 �Q- a C9� 20 O BEDROCK AT 9.5 FEET - NO GROUNDWATER ENCOUNTERED �O � GARNESS ENGINEERING GROUP, Ltd =.... ........ .. T 4 ....... .•........ ` CIVIL & ENVIRONMENTAL ENGINEERS: _ 0 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507PHONE (907) 337-6179' FAX (907) 338-3246' WEBSITE: w. .games engineering.com••• ...••....................... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: /0 Com• ; ey Hess 1 DAVID AND PEGGY PETERS744-0525 4 OF 4 �j��J,' : C 795 � PROJECT/LEGAL DESCRIPTION: DRAWN BY: b �� OLLIE WALKER S/D #1; LOT 3A J.L.M. ♦♦ �.PROFESSIONP�� • TYPE OF WORK: DATE: REVISED LICENSE ♦,4 IL \\\* DETAIL DRAWING OF DRAINFIELDS 6/26/2018 #AECC884 STANDARD TANK CONFIGURATION NOTE: FLOAT LEVELS ARE FROM BOTTOM OF PUMP. COMPONENTS SUPPLY NOTE: 1. TANKS AND RISER ADAPTER RINGS ARE INFILTRATOR - PRODUCTS AND ARE SUPPLIED BY FERGUSON. 2. THE INSULATED RISER/LID, PUMP, FLOATS, INTERNAL PIPING, GROMMETS, CONTROL PANEL, AND AEROCELL UNIT ARE SUPPLIED BY GARNESS ENGINEERING, THE ALASKA STATEWIDE DISTRIBUTOR FOR QUANICS INC. 3. ALL OTHER EXTERNAL COMPONENTS SUCH AS PIPING, FITTINGS, WIRING, INSULATION, ETC., SHALL BE SUPPLIED BY THE CONTRACTOR. INFILTRATOR TANK NOTES: • PER INFILTRATOR SYSTEMS, INC., THESE TANKS HAVE A MAXIMUM BURIAL DEPTH OF 48 INCHES OVER TOP OF TANK. • PER INFILTRATOR SYSTEMS, INC., THE TANKS ARE TO BE BURIED SO THAT THE INVERT OF THE OUTLET OF THE IM -1060 AND THE INLET OF THE IM -540 INFILTRATOR TANKS ARE NOT SUBMERGED DURING HIGH GROUNDWATER CONDITIONS. • GEG RECOMMENDS ALL PIPE PENTRATIONS/JOINTS ASSOCIATED WITH THE INFILTRATOR TANKS BE ENCASED IN BENTONITE CHIPS. • IF GROUNDWATER IS ENCOUNTERED, THE CONTRACTOR SHALL CONTACT THE ENGINEER TO EVALUATE IF THE EXISTING SOIL COVER IS ADEQUATE TO RESIST BUOYANCY FORCES, OR IF ADDITIONAL BALLASTING WILL BE NECESSARY TO OVERCOME BUOYANCY FORCES. THE CONTRACTOR SHALL INSURE THAT SOIL COVER AND/OR BALLASTING IS PROVIDED AS OUTLINED IN THE INFILTRATOR "SEPTIC TANK BUOYANCY CONTROL GUIDANCE" BROCHURE. ELECTRICAL WIRE/S (SUPPLIED BY CONTRACTOR). SEE INSTALLATION MANUAL FOR SPECIFICATIONS FINAL GRADE (SEE NOTE) 4" CLEANOUT --1 \ 4" CLEANOUT 4" OF INSULATION OVER TANKS IS RECOMMENDED ON ALL *48" MAXIMUM INSTALLATION REGARDLESS OF BURIAL DEPTH INLET Q OPERATING LIQUID LEVEL 44 (1,094 GALLONS) IM -1060 GALLON SINGLE COMPARTMENT INFILTRATOR TANK SJE RHOMBUS INSTALLER FRIENDLY SERIES (IFS) TIMED CONTROL PANEL a".. WITH DRY CONTACTS FOR MYSPY WIN MESSENGER UNIT 24" INSULATED LID SIM/TECH PRESSURE FILTER 24" RISER. TOP 4FEET INS ULATED WITH 2 INCHES URETHANE WITH TOPCOAT PVC CONDUIT FOR ELECTRICAL CONNECTIONS (FLOATS & PUMP) O OUTLET IM -540 GALLON SINGLE COMPARTMENT INFILTRATOR TANK WITH INFILTRATOR PIPE ADAPTER RING • QUANICS AEROCELE CAT. II QUANICS AEROCELL SYSTEM CATEGORY II CONFIGURATION (3 TO 4 BEDROOM SYSTEMS) - MYSPY WIFI MESSENGER UNIT (REMOTE MONITORING SYSTEM). INSTALLED IN HOUSE AS CLOSE TO INTERNET "BOX" AS POSSIBLE. QUANICS AEROCELL ATS -6 -AC TREATMENT MODULE WITH INTERNAL DIVIDER WALL AND CLEANOUTS 4" BY 4' WIDE RIGID INSULATION CENTERED OVER PIPES -9 80% RETURN 1.25" SUPPLY LINE 4" RECIRCULATION LINE *TIMER OVERRIDE FLOAT (42") - 475 GALLONS CAPACITY WHEN FLOAT IS ACTIVATED. -*HIGH WATER FLOAT (40") - 455 GALLONS CAPACITY WHEN FLOAT IS ACTIVATED. �—*LOW LEVEL CUTOFF FLOAT (ON/OFF) - (28") - 261 GALLONS CAPACITY WHEN FLOAT IS DEACTIVATED. GOULDS PE51 M FROM ALASKA PUMP OR EQUIVALENT (SUPPLIED BY GARNESS ENG.) 4" VISUAL PORT 4" BY 4' WIDE RIGID INSULATION CENTERED OVER PIPE 20% In f I i z -2X4 BUSHING 2" DISCHARGE LINE NOTE: MAKE THIS TO DRAINFIELD PIPE RUN AS SHORT OR PUMP VAULT AS POSSIBLE (<12") *FLOAT NOTE: MEASUREMENT IS WHERE FLOAT WIRE ATTACHES TO PIPING WITH A 3.5 INCH MINIMUM TETHER FROM PIPING TO FLOAT. ALL FLOATS MUST BE NARROW ANGLE FLOATS. (SEE FLOAT INSTALLATION INSTRUCTIONS) NOTE: ALL PIPING FROM PUMP TANK TO AEROCELL MODULE SHALL BE PLACED ON SUITABLE BEDDING MATERIAL THAT IS MECHANICALLY COMPACTED. ALL LINES SHALL BE GRADED SO THAT THEY WILL DRAIN AFTER EACH PUMP CYCLE AND WILL NOT RETAIN ANY STANDING WATER. NOTE: ALL PRESSURIZED PIPES ARE TO BE SCHEDULE 40 PVC UNLESS NOTED OTHERWISE. qua.ni I cs= D {R� REVISION: 1.30.2018 co o/ U) 8 of ^^n� - h�l W F- W Y co 0- ~ o } N Z ( h :J N W Z Z W O Z U O w N 0W LLQ �� m� Cl) w� z� It !�W O m > < Q W Z Z J W w O~ �M Q M J W x x < < a LL a ❑ ❑ 8 ^^n� - h�l o� Y Z ~ w Z h :J Z Z W O Z U O r WW Jo (n wLLJ �W Z W W LU Z_u Q M J W C7 � o W Wo J W a - Q w U) 1- r �C..) W F+�I -1-e LL of O O F-1 K o >J LL > L) LLJ Y J_ ° p+q 111 w LL (] w S JLL C3 J LL O � � < O CD L LL (L ("' . _,„,......445 ...\ • At' to ._rte., ••.� GARNESS ENGINEERING GROUP, Ltd/: ; ) '1 CIVIL&ENVIRONMENTAL ENGINEERS 1 -- -4: • 3101 E TUDOR ROAD.SUITE 101•ANCHORAGE.AR 99507'PHONE(907)337.0179'FAX(907)338-3246•WEBSITE:wwx.g"mess"nglrwmirq.tom •• jun : • •• • yA,Gamess •;' I SOIL LOG - PERCOLATION TEST • 0 • CE-g153 53 _�� LEGAL DESCRIPTION: OLLIE WALKER S/D#1;LOT 3A v.q,3)Q••••• iC.•.•" c PERFORMED FOR: DAVID&PEGGY PETERS PROFESS j • DATE: 5/19/2018 '�41PIVFESS�(r`��• DEPTH -����� LICENSE •livi„`sio. (feet) :��:�.. 3"-6" OF TOPSOIL #AECC884 TEST HOLE #1 1 N I GM - FILL/ I DISTURBED SOIL CLASSIFICATIONS SITE PLAN 2 I M SOIL := ;_;p : GW •= = ORG 3 I LOAM (SM) ''` ",:`R GP 1 ML ,.. GM JJ� CL 4 ' GC 1 , OL o0 oo6oa Q� I SW II MH SP J CH � 5 I ' GJ I GM T . SM r' ,/1 OH �9 � s — I SC G I ,< P DEPTH 7 GROUNDWATER DATE �<(/P N 8 'i 1 : FACTURED DRY 5/19/2018 A 1 , ROCK MIXED DRY 5/22/2018 SCALE: 9 Iig WITH GM ' DRY 5/29/2018 1"=100' * * * BEDROCK DRY 5/31/2018 10 B.O.H. - REFUSAL DATE READING CLOCK NET TIME WATER LEVEL NET DROP 11 — TIME (MINUTES) READING (INCHES) 12 — 5/22/2018 1 10:56 - 6" - 2 11:06 10 1" 5" 13 — 3 11:06 - 6" - 4 11:16 10 1-1/2" 4-1/2" 14 — 5 11:16 - 6" - 6 11:26 10 1-5/8" 4-3/8" 15 — 7 11:26 - 6" - 8 11:36 10 1-5/8" 4-3/8" 16 9 11:36 6" 17 10 11:46 10 1-5/8" 4-3/8" 11 11:46 - 6" - 18 12 11:56 10 1-5/8" 4-3/8" PERCOLATION RATE 2.3 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN •4.0 FT. AND *5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES I NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH.`PERCOLATION TEST WAS PERFORMED IN NATIVE GM SOIL. PERFORMED BY GEG, Ltd. I,JEFFREY A.GARNESS,CERTIFY THAT THIS WAS PEFFOR D IN ACCORDANCE ` WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: (.//L/1 �o • 8472Q a o� .• ad5_��P \<30N�,b�,�` �cbr1• o Qac . [k / / / c, (C /8,,, 6.0. -I./ / Sf�p0 �a� /0' Z 7 C� / - 6/ 2 .�10.71 o /VEw \ 7. _ / / / ��' \ P`�y /\ \ 44RK� / p0 � so h`O „4) // S71 014- p„ Cl/ 4/1/ / / �, / re( Well/ •• \ O ,,k, G 22 ,off / O J`� Ight Pol 6 a S.67 °r6 °Oreo ��� �a0�h°���p ��'c10c`/1 ����ir •� yre N�C)1\6 S71 /4,r),,. TRACT A �� ({2 el, ��F/ 1 �`�' 62.23 %,(./Z / / \.° Qa, �"�a/ ��� a S89°51'00"E 134.80 / 0 �o 00 3,� F�a� o �`? �'°ori' ••`o / 49.450`' 5� X00 C� 4o // �� g \� Wire fence (typ) 03 IN �. • V .00// �� Wood ret. wall °� / Lot 3A (V / • hain link fence (typ) eptic ventsY 60,s0 / =rye eco8�0 / / o�Gfearv/ // S89°51'00"E 528.10 / / I � ° / Lot4 / AS-BUILT NO CORNERS SET THIS DATE `�%\\� ♦ %' I hereby certify that I have performed a Mortgagee's inspection � , �F , • qs,, of the following described property: LOT 3A,OLLIE WALKER Q SUBDIVISION ADDITION No. 1 and LOT 138.SECTION 30, •x. `49th *-J•"'" \ ••�/ �, T15N,R1 W,S.M. AK. ••,* / Anchorage Recording District,Alaska,and that the ••�t improvements situated thereon are within the property lines •� � and do not overlap or encroach on the property lying ,�• adjacent thereto,that no improvements on the property lying / . lizobeth L. Walotka. lot c, adjacent thereto encroach on the premises in question and ��_ ,i�sr��• 8036 - LS ••���aw tvisible easements onat there are no dsaids propertytransmission t ass indicated or other SCALE: 1"= 50 , .:`-'‘.1'°4'416.1 Fo o .. P EASEMENTS OF RECORD,OTHER THAN hereon. 1oFess�or+�� �� Dated at Anchorage,Alaska THOSE SHOWN ON THE RECORDED 1 \\•.% this 25th day of APRIL 2018. PLAT ARE NOT SHOWN HEREON 3- tE) FRED WALATKA&ASSOCIATES,L.L.C. UNLESS OTHERWISE NOTED. FB 18-4. pa 7 BE 907-248-1666 Engineers and Surveyors NAME MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELl_ INSPECTION REPORT I6_ PHON E r'-'r'-~-~- MAILING ADDRESS LEGAL DESCRIPTION .~ ! ~/~ LOOATION/~2/Z, ~'~ /7 ~'")/J d?/[~,,/~,~ ':---- NO, OFBEpROOMS~ [Wall / IAbsorp~j~r~/ I Dwelling _~/ PERMIT~. .... ~:~ IManufacturer~' _ ~/ ~_~-~ I Martial[ . . .~ No. ofcom~rtments ~' ILiq' ~!~c c' ']ga ons F H OMEMADE Inside ength ] Wct~ / I Liqu d depth D STA,C TO: ' ~ Manufacturer .... ~rial---- -- Liquid capacityingallons 9 Well (.. / _, Foundation __ / ~Ne~re~ .... ~~(~~ ~ ~ ~ No. of lines ~ Length o[~a~] li~e Total length~ ~es/ I Trenc~i~th Distance~etwqen lines ~ ~ ~ II I ~/~ ~ '/~ / ~ ~ i,~.b~ ~//~ ~ ~ ~ Top of tile to'finish grade ~ ~" Material beneath' ~ tilo~ . '. Z ~ ..... T~tal~ffective a- b'sor'ption area - ~u I Length Width Depth ~~~ ~~-- ~ I Type of crib Crib diameter Crib depth Total effective absorption area ~ DISTANCE TO Building Nearest Well foundation lot line ~ I~las~ Depth D~iller Dist~ce to lot line ~R~ ~; I Buildingfoundation Sewerline Sept~ctank lAbsorptiona,'ea(s) OTHER PIPE MATERIALS REMARKS ~ Rev , DATE LEGAL '! HC I...i~?.,!G-iH (::, :i: i'iF~-!'.-!:~!; :i: ('ff.,! i ::i, i' I.'ii:: i .F;NC:iTH 'i'!-.ll:i( t::,[~!:i:::'"i'H O1:: F:I i'F:tfi!:HC:t! ()R P)"f' :t:::.~; (:;F:Oi..Ij",I[) FIi",!!.::' [1'{I:~: h~:i::rl"r'!:)F! OF' 'FILE T!.I~:.: (:~iF;ff:~Vl:::l DLT:'TH Z':.;; 7'1"~[~: f'!:i: ~',I]:HI. IH !:::I~',![:' THE( !;~I3T !'OH (;:tt::' f't'IE: [:~::'::(::F'¢vh::l i" :! C[]",t December 29, 1978 tt781002 JoD. Petter % C.S. Bart Post Office Box 541 Ea.~le Riw~r, Alaska 99577 Subject: Lot 3A Ollie Walker Subdivision A permit issued by this department for well and/or sewer system has expired. Pern%its are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance~ If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Les N. Buchholz, R.So Senior Environmental Specialist LNB/ljw eric: copy of permit ~ E,F.Hi 1 NO. [:,EF'FIF.:TMENT OF' I-'IEFII~.I'H Flhll} EN',,,'IF.'.ONHENTI':IL. F'ROT[!!:CTION 82.5 "' L '" S'I"REET., FIf.,IC:HOF~F:IGE, I:::11<. 2. C) P',¢] ..... "ZT; ~ "'E E] ~:E;; E] Ib4t EE ~,:~.". If=' E:'Z IfR ~'"1l :E '"[i .... I::1~< I I'"IIJM I",1_ HE, EL OF E:E[:'ROOME; .... :~ SOIL. RRTING ,"::,P FT,..'E:F.".':,= J~. ]fie Iq'.E6:!U I RE[:, .:, .[ ~:.E OF THE: ':-,ri I L liE,:, .. I,..F T 1 _ i',1 .: .:, 1 El 1I' ,_::,. THE L.ENGI'T.I D I M[:I'.~S I Oi",l I S I-HE LEI'.,IGTH ,:: I N FLEET ) OF TI-lIE TRENISH I:)~;i: [:q'~).l:::l t NF:' I EL.I::,. THE DEPTH OF FI TRENCH OF,,: P]:T ]:.t~; THE: [':,ISTI::INCE BETP.IEEI'..I THE :E;I..IRFFiC:E OF: THE L':iF:CIt..INP RI'.,ID THE BOTTOH OF 'T'HE E::'-',C:FI',,,'FITION (:1:1'.,I FEET). THERE ~; NO SET I.,.IIE:,TH FOF..' TRENCHE.:E;. THE GRFIVEL [:,EF'TH IS THE I"1~1"~1"1Ui"1 DEPTH OF' GRf:t',,,'EL BE'THE:EN THE OLITF'FII...L. F:'IF:IE Fff.,E:, THE BOTTOH OF THE E::<CFI',/I::tTION ,::IN I::'EET). ""' ,' 'r ' '"' .... :' ~ ~ -' - ":' ' '- ' ' I I'~1_ ::, [:,EF'I::ff;.':TMENT [:,UI-:: I NG 'Fl..Il!!: F,E:E.i',I_"I FIF'F'LZE:FII'.~T FIH::, TItlE F..E..,FuI',B~E,]:L..[IT TO II'.,IFOF;:H .... I N'.i~-rFILLFIT I ON I N:FJPEC:TI ]f.,I.'..:; OF FIN'.? !.,.tELLS FIE:,,IFIE:ENT TO 'I'H I '::; i:::'t~:OF'E:RT'-¢ Fff.,l[:, THE NI...IMBEI'-~: OF: RI._., I [:,EN Z E'S ]'HFIT THE [4ELi_ [,.I I L.L SER',,,'E. [:,EiF:'F:IF::]'MENT I.,.IILL. E:E SLE:JEC]' TO F'RO~;EE:UTIOI'.-I. I"IINIMUM D IS"FFII",II:.::E E,'ETWEEN FI 14EI..L RN[:, FIN"r' ON-F.';ITE '.:::]EI.,JFIGE [:,ISF'OSfi:IL :5'¢STEM LLE~C'"I FEET FOF..' FI PF.'.I',,,'FITE!: !-,IEL~L.~ OR :1..SE1 ]'0 2.E~EI F:'EET FROM FI PUBLIC !.,.IELL. [:'EF'EN[:'ING UPOI"~ ]'HE 'f'"¢F'E OF' F'UE:L. IC HEt...[ .... I:YT'HEI'~:: REQLI I F.".EH[:N]'S P'IF:I'¢ FIF:'PL.M. :!~F'EE: I F I CFI'f' I ON'.5 FIN[:, CONSTf;i'.LICT FI',,,'FtIL. FIBLE TO INSURE PROF'ER Ii',It51"FIL. t. FITION. I C:ERTIF¥ THFIT 1: ]: FIM FI'::IMIIr..II::IR [,.IITH THE REQIJ].'REMEN]"~; FI:)[;.: I]l'.,I-',i~I]'E :i~;EI,.IER:!:: FII',,tl)I.,IEI...LE; FIS E;E'I" FOF.'.'I"H 8'¢ THE MLIN I E: ! F'f:IL I "I"¢ OF' FINCHORFIGE. 2: I I.,~IL.L INSTFILL THE S'-r'S'['EH IN FICCORr:,FINCE HI'TH THE C:O[:,E':5. .ii:: I LIN[:,ERSTF~IND TI-JRT THE ON-SITE: SEHER Sh.'STEH MFi'.r' REiZJIF..,'E EI,&i::iF.'.GEHENT IF' THE: RES :[ [:,ENCE ]:~; REMO[:,EI..E[:, 1'0 I I',ICLU[:,E HORE TFIRN 4 E:f:::[:,I:~:OOMS. I-:tF~,.:'L~[ CHI',,I r J. [.. F ET f E F ,...... :,. !:::J t:::: :'::' ,_ ] j . i.:ZI E:i:h i ;iT !'iii',! J. i}~i (iii DRILLING, INC. DRILLING LOG Well Owner : : .Use of Well Location (address of: Township, Range, Section, if known; or distance main road Size of casing i' Depth of Hole '~ feet Cased to L', ;?~ feet Static water level ;i ft. (~bbv~) (below) land surface. Finish of well (check one) Screen ( ); Perforated ( ). Describe screen or perforation Well pumping test at ~ __gallons per (hour) of drawdown from static level. Date of completion ) / · !//? open end (minute) for ] hours with WE£L LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness .TO. ':: .TO. " .TO. .TO. .TO. .TO. __.TO. __.TO. .TO. .TO. .TO. .2'0. .TO. ); ft. 2 --STATE REQUEST FOP APPROVAL OF Ihu~VIDUAL SEWAGE AND WATER FACII. I'I~,:S (Pi].l out in Triplicate) Name of person requesting approval ......... a, Bact~rda] b. Deter~ent " . d. Dis~nce from well ~o closest exis~in~ o~ propose~: 1, B~wer line ........ 5. Property Line .... 6. Other sources of possible contamination, i.e,~ creeks, ].akes~ houses, barn~ drainage ditch, etc. .... Sewage disposal system, b. Septic tank capacity in ga].i~ms ~ c. Hame of septic tank manufactu~,9.p ~ ~ 1, If "home made" show dia~r, am on reverse aide of this form, d.' Disposal field or seepage pit size arid 1. Distance to property lln¢ ~O _~ to house e, Percolmtio~ Test '~eesults f. Percolation Test per, formed by Use the reverse,side of this form to show diagram, Diagram should include - 3-the fo]_lowing information: property llnes~well locaticn, house location, ?~ptlc tank location, disposal apea locatien~ location of percolation test, a~,~ direction of ground slope. 9. The ]~mt~on on this form is true and correct to the best of my knowledge. Signature Date SiFned TO BE FILLED OUT BY HEALTH DEPAP, T~.!ENT PERSONNEL The above described sanitary facilities are hereby approved~ s~u~ecr to the .......... ~6'llowin? con~]~'ions: Conditions: The above described sanitary facilities are disapproved for the followin~ ~easo~s| - Approval is valid for one year following the date of approval. CPJ:cw • • Municipality of Anchorage ,``- °° • 7� '.•--..; =�.e On-Site Water&Wastewater Program 9 10 y/ il,o. -:gad: - Eo (907)343 7904 -' 1. � f N 4 r P11 s tY CERTIFICATE OF ON-SITE SYSTEMS AP" VAL ....._2,\`'w 1 Zz 11 Ol 6 'C' Parcel Parcel I.D. 051-301-15 Expiration Date: 1. GENERAL INFORMATION Complete legal description OLLIE WALKER S/D#1;LOT 3A Location (site address) 15251 OLD GLENN HIGHWAY, EAGLE RIVER,AK 99577 Current Property owner(s) DAVID&MARGARET PETERS Day phone 744-0525 Mailing address 15251 OLD GLENN HIGHWAY, EAGLE RIVER,AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: • Single Family (w/wo ADU) n Duplex n Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well U Individual On-site U Individual Water Storage ❑ Individual Holding tank n Community Class Well n Community On-site ❑ Public Water System Public Sewer n WaiverNariance request for N/A Distance: - Received by: ei)2 Date: 5Yi7/ COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ ,p,( in Waiver Fee$ Date of Payment V6/1-g Date of Payment Receipt Number x`(13 c� /5.616 Receipt Number COSA# UCL/oq` `b Waiver# CO 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. Phone 337-6179 Address 3701 E.TUDOR ROAD,SUITE 101 *ANCHORAGE,AK,99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date e/t 3 /79 Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the �����■ ,, guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the ,� C OF 141 condition of the system's on the date/s of the evaluation.Separation distances were measured to readily identifiable features. 4S• .\ .••..•" •♦ Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic ♦ \ •••• °♦ systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during i �••••;Y • the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system/s.These A . ' �9 t I\ •;* �, conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the % "'I444 % system's;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. GEG makes no representation whether an aitemative well or septic system can be installed on the property in the event either of the %� , „ , ,. r®/� current systems fail The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the h0 .1 r y A.G mess r' information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not #.6)�L�•• 1 4/i authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. j / E-79 ?„ �•A�FF 6/1311 /<, _4, o 6. DSD SIGNATURE •4� PROFESS\�Pi 4 • ` � LICENSE 111►������� �l System#1 Approved for ( bedrooms. #aEcceaa / System#2 Approved for bedrooms. �,. ` `�i_ -,i, v�;\. /C�'t Disapproved. •�\ ON-SITE . 4' Conditional approval for bedrooms, with the following stipulatioATER AND , WASTEWATER PROGRAM ); C. '.. '-C. o; By-� "i--- .1 1Original Certificate Date: �- I��IO The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory --71(— Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10112/12) • 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: OLLIE WALKER S/D#1; LOT 3A Parcel ID: 051-301-15 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 3/30/1977 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 40 ft. Cased to *17.2 ft. Casing height (above ground) 12+ in. *TO BEDROCK FROM WELL LOG AT INSPECTION Date of test 3/30/1977 5/31/2017 Static water level 15 ft. 10.5 ft. Well production *'1+ g.p.m. 3.0+, g.p.m. **PER PREVIOUS HAAS WATER SAMPLE RESULTS: Coliform * N colonies/100 ml. Nitrate * 1' 5 g./L. Collected by: GEG, Ltd. .*<5 **4/ 7/ 8 9/0-1 J J 6 Arsenic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material INFILTRATOR PLASTIC SEPTIC Date installed 7/2-4/2018 Tank size 1060 gal. Number of Compartments 1 Cleanouts (Y/N) YES Foundation cleanout(Y/N) YES Depression over tank(Y/N) NEW High water alarm (Y/N) YES Date of pumping NEW Pumper - C. ABSORPTION FIELD DATA *BELOW FINAL GRADE Date installed 7/2-4/2018 Soil rating c.p.d./I'or ft2/bdrm)**4.0 System type **5-WIDE Length 30+ ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth *3.4-3.7 ft. Eff. absorption area 150+ ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) - For 4 bedrooms Fluid depth in absorption field before test - in. Water added - gal. New depth - in. Elapsed Time: - min. Final fluid depth - in. Absorption rate >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) NO If yes, give date - 11 D. LIFT STATION *PER ELECTRICIAN LETTER Date installed 7/2-4/2018 Size in gallons 540 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump off' level at TIMER in. High water alarm level at 40 in. Datum BOTTOM OF TANK/PUMP Cycles tested NEW Meets alarm &circuit requirements? *YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 50+ On adjacent lots 100'+ Absorption field on lot 50'+ 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 10'+ Property line 5+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 50'+ Wells on adjacent lots 50'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 50'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 50'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 4�, ...•' .•7,A . '4;TI. j; �• * O I certify that I have determined through field inspections and • review of Municipal records that the above systems are in tri.4( • • conformance with MOA COSA guidelines in effect on this • •• • date. •c^ : •f ey A Garn--s; �� °1`- ••/ CE-7• '�7 Engineer's Printed Name JEFFREY A. GARNESS ,, '• >., ' Date e3t z l!e 1�� �•p•••.....�+�''�,.,� . l • • ROFESS\�P•• LICENSE ,��IIiiiwrivi. #AECC884 (Rev.10/12/12) S\' • Q..��o• 8472Q �P�aQ�CN / o a CO 5�a�P��yhg�1� ti�`L Qat Q^�\p. jk / / 700 c,'� spre / ,o Zia, Gf IQs4..„...:---- -.._, Z S000o0 610) 7 Z ose sz, / \ / id`s/0, 10.71�h /V�� \ / / ��'�' dy \ MA op,_ ~ — / • 7 , z S7 ° ��� / `1.4 vm�- Welk/ �4'Op►� O4 .O 4,. /.-N ight• Pol• 2:1- , OS 225.67 3�'6 / TRACT A �, b° h ° •�� �/. a N ('PR:, S / ;44 ��� o� O2 �d2 le �: ayeF/ Tani �� 62 2'34 oo, - ° " / •, ,y Q �/ : S89 51 00 E 134.80 700 ��X00 �p� ���/ ��� "o` eptic vents Illi , Wire fence (typ) ^� ih�D�'°j/ ^, Lot 3A / hain link fence (typ) Abandoned septic vent 600 60 / 03 eco 78..00 // ?ti 0 "ii3O` pi, // S89°51'00"E 528.10 / ,------„. I -O" Lot 4 / • RECERTIFIED 7-19-18/ /".._ AS-BUILT NO CO•NERS SET THIS DATE • 1 I hereby ceNfy that I have performed a Mortgagee's inspection —_(\c. � •F •AC•gs 1, of the following described property: LOT 3A OWE WALKER SUBDIVISION ADDITION No. 1 and LOT 138.SECTION 30. th ��� ••�9 ,/ T15N,R1 W,S.M.,AK. 4g 1\ •..* / Anchorage Recording District,Alaska,and that the h• •:i• 4, b •,, •�••, / improvements situated thereon are within the property lines • �" 4, - or - and do not overlap or encroach on the property lying �,••. •'•' adjacent thereto,that no improvements on the property lying /, c . .izabeth L. Walatka . s adjacent thereto encroach on the premises in question and �'a•• 8036 - LS •• ` that there are no roadways,transmission lines or other SCALE: 1"= 50' II. •. •• 42 visible easements on said property except as Indicated EASEMENTS OF RECORD,OTHER THAN � ' O�Essiow►�•`�'� Dated at Anchorage,Alaska THOSE SHOWN ON THE RECORDED ��7\\��� this 25th day of APRIL ,2018. PLAT ARE NOT SHOWN HEREON [" 24- l FRED WALATKA&ASSOCIATES,L.L.C. UNLESS OTHERWISE NOTED. FB 18-7, pg 10 Engineers and Surveyors FB 18-4, pg 7 BE 907-248-1666 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the"AGREEMENT" made and entered into as of this nn (y Day of ,4(q N� of 20 /e , by and between Lc�G//e L • Ma II o , herein the "OWNER," and the Municipality of Anchorage, herein the"MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: I. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as ELq,.,i S 4 Pr,)c1Jl 1i S kin located at(legal description) Oil, e I L-3/1 (i,-)z/ T51Y/1 p/i JS3 9 47 3e- 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) r Throughout the term of this Agreement. the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. o' It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee(typically S400 to S600). r11 Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance. repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 6-11 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. (�h Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Cr+ Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. (im Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. L M Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. ( M Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system,or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof,or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18,2018) Page 2 of OWNER: n,� By: 464-41. /1141 !J (signature) Date: O/IVr LOCI/� /A/4/ (print name) STATE OF ALASKA ) )ss. THIRD JUDICIAL DISTRICT ) The foregoinginstrument was acknowledged before me this 6"day of , 20 18 , by ir #Yla Jr,-(J N TARP PUB 1C FOR ALASKA STATE OF ALASKA My Commission expires: � - NOTARY PUBLI a MUNICIPALITY: By: (signature) Date: (print name) Title: (rev. 05/18/2018) Page 3 of 3 • - PRELIMINARY SCS Ref.# 1184401001 Client Name Sullivan Water Wells Printed Date/Time 08/13/2018 11:22 Project Name/# 15251 Old Glenn HWY Collected Date/time 08/09/2018 9:20 Client Sample ID 15251 Old Glenn Hwy Received Date/time 08/09/2018 15:56 Matrix Drinking Water Technical Director Stephen C.Ede r, Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date /nit Microbiology Laboratory E.Coli Negative 1 100mL SM21 9223B A 08/09/18 K.W Total Coliform Negative 1 100mL SM21 9223B A 08/09/18 K.W 2 of 5 f' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 051-301-15 HAA # 1. GENERAL INFORMATION Complete legal description f,ot 3A, O]1~_ Walker Location (site address or directions) 15251 Old Glenn Hiqhway ~ ~,,xDro'~e~' owner Ron Tobin Mailing address Day phone 696-5422 Lending agency Mailin. g address Day phone_ Agent Kathy Geraci/Greatland Realty Address' Day phone 694-9125 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev, 1/91) Front MOA ~f'21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/orwastewaterdisposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Phone ~ c/~, . ~ ~] 'F ~ Name of Firm ~.7934 ."¢.9~e ~,;wr Loop ~<oa~ No. 2~ Add ress Eagle River, AlasEa 99577 Engineeffs signature ~¢ ~'~%.=. Date c//~ / ¢~ ~- DHHS SIGNATURE P" Approved for /c-¢ Disapproved. Conditional approval for bedrooms. bedrooms, with th-e following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA ~21 RECEIVEL, of Anchorage $£P 0 Municipality DEPARTMENT OF HEALTH & HUMAN SERVICE:S MUNICIPALITY O1: ANC~IL~I~ Environmental Services Division "/IRONMrqq'r^l ~P,'VIC ~l~J,~_.~J~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Legal Description: A. WI=LL DATA Well type Log present (~N) Total depth ~ o' Health Authority Approval Checklist If A, B, or C, attach ADEC letter. ADEC water system number Date completed -z.) '~) ~ ~'7 ? Cased to l~.~. t.5-¢0 ¢¢.¢-.__ Casing height (above ground) g.p.m, Wires properly protected (..~N). ~ AT INSPECTION g,p,m, Sanitary seal (~N) FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: ~, ,-o.. ~- _5 ,~ B. SEPTIC/HOLblNG TANK DATA Date installed ~ ¢~,~1 Tank size Foundation.. clean0ut ~()N) ' fl Date of Pumping: 9 C. ABSORPTION FIELD DATA Date ir~stalled b,~ ~ ..?z/ _ Length "?~- ~ Width Effective absorption area ~ ~ '~ Date of adequacy test ~ p- 5~ '~' ~' Collected by: Other bacteria Number of Compartments % Cleanouts ~()N)')/ __ Depression (Y/~ NO High water alarm (Y/N) Pumper -..~. '~©,'v~?,,',.bcI Soil rating (g.p,d,/fF or ft2/bdrm) Gravel thickness below pipe Monitoring Tube present Results (4~i~/Fail) System type $/.F~,..o~J ~ ' Total depth . Depression over field (Y/~N~ For u/' bedrooms Fluid depth in absorption field before test (in.); Fluid depth 'g'°'' (ins) Minutes later: -7~o Absorption rate = Peroxide treatment (past 12 months) (Y~ Po~ ~,~¢~ If yes, give date Immediately after'r~5=' gal. water added (in.)¢ 2-2. *' b.m ~ 4-- .g,p.d. 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Size in gallons "Pump on" level at* F. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line on. adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station /Oo SEPARATION DISTANCES FROM SEPTIC/HOLDINGTANK ON LOTTO: Foundation 2¢} ~ Property line ¢7o ! ~' Absorption field Water main/service line lo ~ ¢ Surface water/drainage /,~o i,-- .Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Curtain drain Property line /o ~+' Building foundation ~b ' Water main/service line Surface water /oo ~e Driveway, parking/vehicle storage area /0/,e- Wells on adjacent lots / ¢~ i e ENGINEER'S CERTIFICATION,,~.~" ' I certify that I have determined thru field inspections and review of Municipal re~ ~~.~rns are in conformance with MOA HAA g. uidelines in effect on this date. /?.,( HAA Fee $ /~ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNiCiPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 3A; O1lie Walker Subdivision Location (site address or directions) 19310 Ne,w Market Drive Property owner Mailing address Eaql¢, River, AK 99577 Richard & Ann Edwards Day phone 696-8467 19310 Ne~ Market Drive Ea~le River, AK 99577 Lending agency Mailing address Agent Caroline Gr6in~/ Day phone Address 16600 Centerfield Drive R~max o~ Ea,qle River Day phone 694-4200 Eagle River, AK 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well XXX Oommunity well Public water NOTE: If community well system, provide written confirmation from State ADEO attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverifythat based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, Phone ordinances, and regulations in effect on the date of this inspection. S & S ENGINEEEING Name of Firm --~7~¢l~4~.e~l:~ea~LNc, 29-I Eagle River~ Alaska 99577 Address Engineer's signature .-~,~.~- bedrooms. DHHS SIGNATURE ~ Approved for LC Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Em ployees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 9950'1 · (907) 343-4744 Health Authority Approval Checklist Legal Descriptiou: ~>'t '5~k ~)~.4 E_ 4~~D4L[ Parcel I.D.: A. WELL DATA Well type (g¢-x~tl~7-¢_ IfA. B, or C, attach ADEC letter. ADEC water system lmmber A Log present(~}N) ~ Total depth 40 f Cased to /Z 2- Date completed ? '- 3 0 - 7 ~ /~aa-vt.~-Casiug height (above ground) Sanitary seald2~N) ~r Date of test Static water level Well production WATER SAMPLE RESULTS: FROM WELL LOG Wires properly prelected AT INSPECTION / 4: g.p.m. /, $ Coli£orm 0 Date of sample: B. SEPTIC/HOLDING TANK DATA Co Nitrate .~, .? / Other bacteria Collected by: S & S ENGINEERING 17034 Eagle-River Loop Road bio. 204 Eagle River, Alaska 99577 Date installed b ~'{~ - 7 ~' Tank size /Z6-'o Number of Compartments -Z- Clcanouts ~)~ Foun~tion cleanout ~) ~ Depression (Y~ fl High water alarm (Y~) ~ DateofPumPing2t/-Z~-~ Pmnper ~ ~d~/~_ ABSORPTION FIELD DATA Date iustallcd b -/,' - 7 ~ Length 72- r Width Soil rating (g.p.d./fl2 or fl2podrm) /,2,C-/~7System type ~q~/4~t~a ~ ~/c~ ~ Gravel thickness below pipe Total depth Effective absorption area Date of adequacy test Fluid depth in absorption field before test (in.); /~ hnmediately ,qfteri'5o~ gal. Water added (in.): Fhfid depth /6" (ins.) Minutes later: 0 Absorption rate = ~o~ 'p g.p.d. Peroxide treatment (past 12 months) (Y~ Afo,2,~ M/dv,.,O,4/lfyes, give date Mouitoring Tube present(/~N)~r Depressiou over field (Y~j) Results Oail) /'/F~,f For F bedrooms D. LIlT STATION Date installed Size ill gallons Manhole/Access (Y/N) High water alarm level at* "Pump on" level at* _~el ~ C~ed E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjaceot lots On adjacent lots Public sewer manhole/clcanout Lift station /~ / oO SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~9 ~" Property lille Z-O t ~ Absorption field gl r Water mailYservice line /~ / ~ Surface water/drainage ['o0 t 4- Wells on adjacent lots /aO t 4- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water Curtain drain ,'J [.~ Water main/service line / ~ Driveway, parking/vehicle storage area ~ Wells oil adjacent lots ,/o6 ! 4- Property. lille ,4- F. ENGINEER'S CERTIFICATION 1 ~Y~ ~; ...... in conformance with MOA H~ guidelines in~fect on this date. Date ~a,~ &';CZ,-~ L-,3t- '.,;-? nAA Fee * ~ D0 Waiver Fee $ Date of Payment Receipt Number Rev. 8/95 OSS: haa.wk.doc Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH &HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING I- \4 NAA# 1. GENERAL INFORMATION Complete legal description ~'~' Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Agent Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATFR SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State AD£C attest- ing to the legality and status of system. TYPE OF WAS'rEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1191) Front MOA 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my .investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm __ Address Engineer's signature David R. Dayton P.E. .TC)2tJ~LD~m.a I a r St. Chugiak, Alaska 99567 Phone DHHS SIGNATURE Approved-for~--~;r~,'~ (~) Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: /¢~o~,.,.~ ~2.~ Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in puragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: ,~r-~/~ C'~.~b¢~/~)//~C'~/%//~ParcelI.D. c, 9-'/ "~o/ A. Well Data We, type Log present (Y/N) Total depth -~'~ Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed _ ~/bCJ?/ Driller ~ - ~ /~,///~/~¢/ _ Cased to /,7. ,¢ F~v ~;, Casing height ")/ Wires properly protected (Y/N) Date of test Static water level Well flow Pump level1 FROM WELL LOG AT INSPECTION 15 i~ /¢- g.p.m. ~..2... 'Z- SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot i Ot~ Absorption field on lot I ~ ~ Public sewer main Sewer service line MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION gA.. !rOn.- 9 1995 RECEIVED ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform (~ Date of sample: ¥/~//~.~ B. SEPTIC/HOLDING TANK DATA Date installed ~'/~/~ ~/ Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Nitrate /' .~ ¢ Other bacteria Collected by: DC/.,) / Z ..~-Z'., Tank size Compartments '"/ Foundation cleanout (Y/N) Y Depression (Y/N) /¢///¢- Alarm tested (Y/N) 'd~ l ~ [ ~''~/ Pumper ~/~'Z~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: On adjacent lots I C~o --~- Foundation 2~'~ Absorption field ~/ ' Water main/service line .5'~ '/-' Well(s) on lot / To property line Surface water/drainage 72-026 (3/93)' Front CONTINUED ON BACK PAGE C, LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed ~ / Length /.¢ ~; Width Total absorption area ., Date of adequacy test ~/~//~/~ Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) ,/~ '~ $ ~'/~,~ System type ~¢'" ~' Gravel thickness ,~, ' Total depth Cleanout present (Y/N) ~/ Depression over field (Y/N) Results (pass/fail) ~¢P~-~ for ¢-' Bedrooms ~o" Aftertest /"~" ~-~-/'~ '¢~'¢~ ~-'~/-' - If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / ! cP To building foundation On adjacent lots f' Surface water /00 Curtain drain /%/'0 ,,v ,~' On adjacent lots ) ~-" "¥-- Property line To existing or abandoned system on lot Cutbank /¢/~ ,~, ~, Water main/service line Driveway, parking/vehicle storage area ~ E. ENGINEER'S CERTIFICATION I certify that I have checked verified, or conformed to ali MOA and HAA guidelines in eff~e of this inspection David R. Dayton · · 2~10 Dona]ar St. Engineer's Name ~~~~~ HAA Fee $ ,/'~0 O u Date of Payment Receipt Number 72-026 (3/93)* Back Waiver Fee $ Date of Payment Receipt Number D. R. DAYTON, P.E., R L,S. ~~~ Chugiak, Alaska 99567 20210 Donalar 696-2417 August 8, 1993 ADEQUACY TEST Legal Description: Lot 3A, Ollie Walker Subd. Addn ~1 Date of Test: August 7, 1993 Septic Tank: 1250 gal., 2 compartment, fiberglass tank (DHHS Records) Absorption System: 72' long x 5' wide x 2' deep trench (DHHS Records) Soils Rating: 125 sq. ft. per bedroom (DHHS Records) Requirements: 4 BR - 600 gallons per day Test: Water was pumped into the absorption trench while measuring volume and liquid level rise at timed intervals. After pumping was stopped, the liquid level drop was measured at timed intervals. The results were plotted an a graph of gallons absorbed and time, and extrapolated to 24 hrs. Results: The absorption system is currently functioning adequately for a 4 bedroom home. Date Received Of Address '~ 16718 Mercy Drlve Eagle River, Alaska (U07,) 694-64.~4 For ~F-Of'~ 8L820 carbonlees'~ By D. R. DAYTON, P.E., R.L.S. ~~o~ Chugiak, Alaska 99567 20210 Donalar 696-2417 August 8, 1993 WELL FLOW TEST Legal Description: Lot 3A, Oltie Walker Subd. Addn ~1 Date of Test: June 4, 1993 Well Depth: 40' Casing Depth: 17.2 ' (1.2' into bedrock, per well log) Static Water Level: 10' Driller: M-W Drilling Requirements: 4 BR - 600 gallons per day. Test: The well was tested with the existing pump through an outside hose bib. Volume and drawdown were measured at regular intervals. Results: The well- produced 606 gallons in 255 minutes at an average flow rate of 2.38 gallons per minute. The maximum drawdown was 24.8 ft. The flow rate at which the drawdown remained steady was 2.2 gpm. The drawdown was fully recovered in 47 minutes after pumping was stopped. The well is currently producing adequately for a 4 BR home.