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Home My WebLink AboutBONNIE VIEW LT 6Bonnie Vi w Lot 6 #017-422-15 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~,,~ www.ci.anchorage.ak.us (907) 343-7904 Page On-Site Wastewater Disposal System and/or Well Inspection Report PID Number: 017--422--15 Name: GENE HECKLER Wastewater System: [] New [] Upgrade Address: 12641 NEHER RIDGE DRIVE * ANCHORAGE, AK. 99516 ABSORPTION FIELD No. of Bedrooms:.~ Deep r'lot~ Ph°ne:(,907)' ' 257-0116 [] Trench [] Shallow Trench E] Bed []Mound LEGAL DESCRIPTION -- GPD/Sq. Ft.J -- -- Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Grovel depth ~d~th pipe: 6 BONNIE VIEW - Ft.J -- Ft. Township: Range: Section: Fill added above original grade: ~ length: Gravel width: ~ Number of lines: Distance between lines: WELL: [] New [] Upgrade --~ Ft. -- -- Ft. Classification (Private. kB.C): Total Dep~.tb~/ Cased TO:(BEDROCK) Total absorption cre~',/ Pipe material: __ ~-- Ft. -- rt. / -- SQ. Ft. -- Driller: __~~ Date Drilled: Static Water Level:/Installe~/''~ Date installed: TAN K GPM -- Ft. -- Ft. SEPARATION DISTANCES · Septic [] Holding [] S.T.E.P. [] Other T~To Septic Absorption Lift Holding Public/Private Manufacturen Capacity in gallons: Tank Reid Station Tank Sewer Lines GREER OR ANCHORAGE TANK 1500 Material: Number of compartments: Well 100'+ - - - 25'+ STEEL 2 .... LIFT STATION Surface Water lOO'+ Size in gallons: Manufacturer:. / Lot Line 5'+ .... _ 'Pump on' level ct: ~ot: High water alarm ct: Foundation *UNKNOWN ' -- -- -- -- _~_ _ Curtain Drain ' NONE KNOWN . Pump~ Electrical Inspections performed by: I I ,~ - Remarks: BENCH MARK Location and Description: SEPTIC TANK INSTALLED IN 1986, FOUND TO NORTH END OF GARAGE SLAB AT FRAME BE OF GOOD INTEGRITY VERIFIED BY G.E.G. Ltd. ON 7/28/2004. *, .... d Elevation: 1 00.00 Ft. ENGINEER'S SEAL · 4.9' FROM CO TO FOUNDATION. EXACT DISTANCE UNKNOWN. DOCUMENTATION OF EXISTING SEPTIC TANK (REVISED 6/27/2011) ~"--/'"~:""~ ....//' .'i"'/'¢:" '"~.k~.~ Inspections performed by: GEG, Ltd. Dates: ~st 7/27/2004 t~........:~.;i~?. ....... 3rd ¢~ ~ '..~/effr ~,~/A Garn~ss.' V,-'~ ~' " ' Development Services Department¢ Approval ~l[~% ¢,.~' '":" :/...~/~.-/./,~r ~,~ 'Otess~U" AS- BUILT D RAWlN G ~^~°~'o,~-~-,, '~ ~: I I I IIt REVISED 6/2011 I BONNIE VIEW S/D I / EXISTING DRAINFIELD / I / 1500 GALLON t // / ~,,~ ~ '.. ..i.., .... ~., ..... ~ ~EDROO~ ~:'..';...: . '. · .-~ ~ HOUSE ~~...~..~:i ... '.:-' ".:' 'L:.'" .".' :' .":' ""-"".: ;-~ ....'~ .:, ~.';t..,,'.-': ~ ~ .;': ~. ".,;'. "-'-;;.....'.~'~o :-, '. . ...-. . [ 2" STEEL MONITORING ST1 .5 I ~ - TUBE INSTALLED ON ST2'~ 15.75 I \ 7/12/o4. BY DISCOVERY DRILLING. ~'- THE MONITORING TUBE/SUMP? 44.5 A B ST1 6.5 42 ST2\ 15.75 44.5 THAT was SHOWN ON OLD INSPECTION LOT 7, REPORT NO LONGER EXISTS. BONNIE VIEW S/D I I I DATE: GARNESS ENGINEERING OROUP, Ltd. SOA~[: CONSULTANTS & GEN,RAL CONTRACTORS BONNIE VIEW SUBDIVISION; LOT 6, (907) 257-0116 2 OF ~.~ .~c.~. ~k~"' '~t*~.1'"''~~ ~PE OF WORK: ~k~rofessiO~ AS-BUILT DRAWING OF EXISTING SEPTIC TANK (REVISED) NOTE: TANK WAS EXPOSED AND INSULATION WAS FOUND ST 1 ST2 TOP OF TANK AT ~ EXISTING 1500 GALLON INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT AT INL~ = 97.04~ ~ OUTL~ = 96.90 (CALCU~TED) (CALCU~TED) ~ EL~ATION ~ ~ SHOT OF BOSOM OF/ EL~ATION SHOT OF TANK AT = 92.79J BOSOM OF TANK AT = 92.82 , 7/28/2004 ~r GARNESS ENGINEERING GROUR . R.A.L. ' ", ' ' "~+'~ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .......... BONNIE VIEW SUBDIVISION; LOT 6 ~ PROFILE AS-BUILT OF EXISTING SEPTIC TANK '%%~ MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-S TE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date issued: Sep 09, 2004 Expiration Date: Sep 09, 2005 Permit Number: SW040379 Legal Description: BONNIE VIEW LT 6 Design Engineer: 0855 Garness Engineering Group, LTD Owner Name: GENE HECKLER Owner Address: 12641 NEHER RIDGE DR ANCHORAGE, AK 99516-3319 Parcel ID: 017-422-15 Site Address: 012641 NEHER RIDGE DR Lot Size: 33000 SQ. FT~ Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank ~ Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Date: Received By: Issued By: ~ Date: ~/e//~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P,O. Box 196550 Anchorage, AK 99519-6650 www.ci.anchorage .ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW Property owner(s) ~ Mailing address (1} ~;~,(~. ~')¢_~'r, Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size .~").'~;~L"'~("") Acres~ Number of Bedrooms Day phone Zip Code THIS APPLICATION IS FOR: Sewer Only [] Sewer and Well [] Sewer Upgrade [] THIS PROPERTY CONTAINS: Hot Tub [] Swimming Pool [] Therapy Pool [] Well Only [] Water Storage [] Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Date of Payment: (~/ "7/O q Receipt Number: ~ '-/~;z'~'"~_ i (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: & MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME flPHONE LJ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION ~ ~ ~o~Nte Vv~ LOCATION NO. OF BEDROOMS Well I Abso~on ar Dwelling ~,/_ PERMIT NO. m<~ Z Manufacturer ~ ~¢¢~ Materiag Ve~ ( No. of com<tments ~ ~ Liq. capacity in gallons Inside length Width Liquid depth [~-0 IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~Z O Z ~ Manufacturer Material Liquid capacity in gallons ~.~= DISTANCE TO: ~o~Well t~ ~'~ Foundation ~O ~ Nearest lot line ~_ / P~. ~ ~~ No. of lines Length o~ each line Total length of lines Trench width Distance between lines ~ ~ Top of ti~e to finish grade Material beneath tile Total effective absorption area Length Width D0pth PERMIT NO. ~ ~ Tvpe of crib Crib diameter Crib depth Total effective absorption area m Well ~uilding foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TQ: Building foundation ~ Sewer line Septic tank Absorption area(s) OTHER c " SOIL TEST RATING INSTALLER REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) PERM DEF'F~RTMENT ._,-' HEFfLTH FIN[:, EN'v'I RO,NMENTFIL. ~-:ROTEC'1' I ON 825 "L." STREET., RNCHORFffGE, FIK. 264-4'720 < 82019E; !::IPF'L. t E:FI.NT LOC.':FIT I ON L. f.:".' G E~ L CHRRLES EE. HECKLEF.: L6 BONNIE VIEN t S:.~4 0 PR"FT'EF.%ON LOT SIZE TYF'E OF SOIL I::IBSOF.:F"T!ON SYSTEM IS: DRRINFIELD MI:~XIHUH NUMBER OF:' BEDROOMS =- 4 sO l L RFIT ! NG ,.'; SQ F'T',.-"E~R :-', = 2E:ID THE REQIJtRE[> SiZEE OP" THE: SO! L. F!BSORF'TION SYSTEM I:5: THE LENGTH C, IMENSiON IS TFIE LENGTH <IN FEET;:, OF 'THE; 'TRENCH OR DRFtlNFIEL. E:,. ]"HE DEPTH OF R TF..'ENCH OR I::'];T .'[:L:; ']"HE DZSTFtNCE E:E'Tf.,.!EEEf.,! THE SURFRCE OF' THE GROUN[.', RND THE BOTTOH OF' THE E::'::CFfVRTION <IN FEET>. 'I"HE '"'P'-",'"' . .~r,n,,~_.. E:'EF'TH IE; 'THE; MINIMLIM [:'EPTH E}F GF,:FI',?EL E:E",r'HFEN THE; OLrl"F"FILJ_ PIPE FIN[;:, THE BOTTOM OF' THE EXCRVRTION ,'.; ZN FEE'T'>. IF.'-".: E E;::_, L.3 ]E FY: E] [::, ;L::Z; E: F::" 'T Z: C: -F' i::~ P,,I ~-::'.' .rE; :it ;.:":&". EE == ::It_ 2: ."..~'; AE~ ~Z~ F::~ L. L. (;,.-.~ ~..41 PERMIT FtPF'Lt CANT HRS TI.YE; RESPONE;IE:IL ! TY "rE) INFORM '!"HI S [:,EF'FtRTMENT [:,URING THE INE;TRLLF~TION tNSF'ECTZON':S OF' RNY f,.IELLS Ft[:,JFtCEN'T TO THZS PROF'ERT'Y FIND THE NUMBER OF RESI[:,ENCES.; 'THAT THE HEL. L HIL. L SEF..'VE. E:RCKFILL!NG OF' FIN. Y SYE;TEM H!T'HOUT FtNRL !NSPEE:T!ON RN[:, RPF'ROVRL. E:Y THIS DEPF!RTMEN"r' HILL. BE: SUB..IECT TO F'F..'.O:E;E]CUTt MINIMUM [:,!:..T, TRNCEE BE'I"HEEEN Fl WELL. FINE:, ANY ON-:~ITE SEHRGE D!SF'OE;FfL. :!i;'T'f.:¢TEM :I. EE F'EE:T F(]R Fl.F'RI ,,,,._¢¥rr: HELl ..... '"iF."-I!=¢~. ........ TO 2fF.¢~.~ FEET.. ,¢'rY"~M ....... F~ F'LIE:L..IC t,.IEL. L [:,EPENIT.:,]JNf'k UPON "['FIE 'TYF'E OF' F"UE:LIC NELL.. M!t'.,IIMUH D!STRNCE F'ROM F:I f:'F.:IVRTE NELL TO R PR!VFFi'E SEHER LINE iS 25 FEET TO R COMHUNITY SE!,qER L. INE I:E; T'"'5 FEE:T, I.,.IiEL. L. LOGS RRE: F.:EQUIF.'.'ED RN[:, HUST BE F-/ETURNE[:, TO 'T'HE [>EF'RR"r'MEN'T' Ni"THZN ]:E~ DRYS OF THE NEL. L. COb!PL..ETlON. OTHE:F..': REQUIREMENTE; I'!RY RF:'PLY. SF'E:CIFiCRTIONS FiND CONE;TF:UC'TION E:,IF~GF.:.RMS FF,,'FI.I: LRBLE TO INSURE PF..:OF'EF.: Z NSTFd_LEYT I ON. I C.:ERTIFY THFf'F i: I FIM F'RMILIFtR H!TH THE RE:QUIREEMENTS F"OR ON-SIT'E SEHERS RND HELLS !:~S SET FOF::TH BY THE MUNIC!F'RL ITY OF F~NCHOF::F!GE. 2: I NILL.. INtL:;TRL. L TH.E SYSTEM IN RCCORE:,F',NCE HI'TH THE CODES. ]:: I UN[:,EF.:S'f'F4ND THF!T THE ON-.SITE SEI.,.!EER SYE;TEM MR'.P REL.]UtRE ENLFIRGEMEN"F IF:' THE RESt I.':,ENCE i:E; F.':E:MOE:,ELE:E:, TO IN(.'.':L. UE:,E MORE THFIN 4 E:EE:,ROOHS. SOILS LOG "' : 4 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST "l WAS GROUND WATER ENCOUNTERED? I PERCOLATION TEST DATE PERFORMED: L~.,._, /~'~'~Z SITE PLAN S L O P E PERFORMED BY: ~/ Reading Date Gross Net Depth to Net Time Time Water Drop 9 ~; ~ ~ I0 ~i~ I, ~. O, O~ PERCOLATION RATE ?Z- (minutes/inch) g FTAND ? FT .7~../~(~ST RUN BETWEEN 72-008 (6/79) INVOICE NO. 1421 MUNICIPALITY OF ANCHORAGE [~F'T Cc '.C".':"'t ~' ENVhL ..;it I, /-,.; .O F ;: I SOLD TO STREET & NO. CITY CITY C-'~STOMER'S ORDER ~-- SAL£sMAN TERMS VIA F.C~.B.' ' ~Pb-iZA T~-LY HA~P ......... 7H 736 INVOICE APPLI¢ 'NT FILLS OUT UPPER ' ONLY Proper.h, Owner Mailing Buyer /7~/~,,~ (~, /.:2~. Zip Code Phone Ad, ress Zip Code Lending Institution Realty Co. & Agent Phone Phone Address Zip Code Legal Description Street LOcation Type of Residence .[~ngle Family [] Multiple Family [] Other No. of Bedrooms 2 WSer S pPlY .J,~ndivldual [] Community [] Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date. give well depth (attach log If available). Sewer D~isposal ~ndividual [] Public Utility [] Holding Tank Year Individual Installed: .,~ When Connected to Public Utlilty: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time f,.~L~ Time 0~_0 ~"~ Date Date Date Date ~ ~ Insp~tor Insp~tor Insp~tor Insp~tor ~ '' ' -- ~UNICIPAU~ OF ANCHORAGE ( ) CONDITIONAL APPROVAL* ~ --~ -- ~ ~ -- 8 ~ DATE ~ ~ ~ ~ ~ ~ ~ ~ BY: Soils Rating Date ~wer Installed Well To Absorption Area ~ Well Log Received 72-023 (3182) September 23, 1982 Herzog Construction P.O. 10-237 Anchorage, ~ 99511 Subject: Lot 6 Bonnie View Sub. Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The top of the well casing sealed with a sanitary seal so that it is water tight. The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. " Exposed electrical wires to the well head are in violation of the ~unicipality of Anchorage codes and must be encased in conduit. 0 The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, RP192/p/EH Robert C. Pratt Associat8 Environmental Specialist CERTIFICATE ' FOR A Municipality of Anchorage Development Services Department Building Safe~/Division On-Site Water & Wastewater Program 4700 Eimore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 OF ON-SITE SYSTEMS APPROVAL SINGLE FAMILY DWELLING Parcel I.D. 017-422-15 1. GENERAL INFORMATION O COSA# O ('-~ (~ Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent M~iii'r~ address BONNIE VIEW S/D; LOT 6 12641 NEHER RIDGE DRIVE * ANCHORAGE~ AK * 99516 RALPH & CAROLYN CHEEK Day phone 12641 NEHER RIDGE DRIVE * ANCHORAGE~ AK * 99516 Day phone BRIAN BRODERICK W/ PRUDENTIAL Day phone 227-7671 5801 CENTERPOINT DRIVE, #200 * ANCHORAGE~ AK * 99505 :Unless ethe~'e .requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site [] Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEkr,'ENT OF INSPECTION BY ENG!NEE~ As certified by my seai affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of Qn-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater o'ic~osa! ~/stem is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further veKfy that based on the infom~ation obtained from the Municipafity of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compfiance with afl applicable Municipal and State codes, ordinances, and regulations in effect at the time of fl~staflation. Name of Firm. GARNESS ENGINEERING GROUP, Ltd. Phone 357-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date o Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations° The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life daft wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate dhow long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this repoR by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE ___L_~,/Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: Septic System Advisory Well Fiow Advisory ~,~, at~ ,~,dv;~u~ y Other By:_ __~_z~ (Rev. 11/05) ArsePiC Advisory Maintenance Agreements Supplemental Engineer's Report Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite CERTIFICATE OF ON-Sll( ? MS APPROVAL CHECKLIST Legal Description: BONNIE VIEW S/D; LOT 6 Parcel ID: 017-422-15 A. WELL DATA Well type PRIVATE Date completed Total depth 227 *BEDROCK @ 21.5', PER WELL LOG. 9/1982 ff. If A,' B, or C provide PWSlD# N/A Sanitary seal (Y/N) YES Cased to *50.5 ft. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) YES YES 12+ in. Date of test FROM WELL LOG 9/1982 AT INSPECTION 6/22/2011 Static water level UNKNOWN ft. 24 .ft. Well production 1.0 g.p.m. 5.52 g.p.m. WATER SAMPLE RESULTS: Coliform (~ colonies/lO0 mi. Arsenic: I'J~D ug./L. Nitrate Date of sample: 6/22/2011 Collected by: GEG, Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL 15"o0 Tank size ..1-eOO-+--flal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping ~ 1~ 0 /l ~ Pumper ~,,~,~ Date installed * 1986 Cleanouts (Y/N) YES High water alarm (Y/N) N/A C. ABSORPTION FIELD DATA Date installed 8/9/1982 Length f~ + 81) TOTAL ft. Total depth '6.7/8.0ft. Eft. absorption area 1415 ft2 Monitoring tube YES Date of adequacy test *'6/23/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test 25 in. Water added 600 gal. Elapsed Time: 120 min. Final fluid depth 29.5 in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date **HOUSE WAS VACANT AT TIME OF TEST. DRAINFIELD WAS PRE-SOAKED ON 6/22/2011 WITH 2155 GALLONS OF WATER. PRE-SOAKED AND TESTED SOUTH TRENCH ONLY. NOTE: MT FOR NORTH TRENCH WAS CRACKED SUB-GRADE. MT EXTENDS BELOW THE CRACK TO A TOTAL DEPTH OF 6.7' BELOW GRADE. TOTAL DEPTH CAN NOT BE VERIFIED BECAUSE OF POSSIBLE SOIL INTRUSION. [*BELOW EXISTING GRADEI Soil rating (g.p.d./ft2or~ 280 System type DUAL WIDE TRENCH Width 5 ft. Gravel below pipe 4 ft. Depression over field NO For 3 bedrooms New depth .31 in. 600+ g.p.d. D. LIFT STATION Date installed "Pump on" level at in. Datum ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons Manhole/Access (Y/__~_) ~ "Pump off" leve~.-~ High water alarm level at Cycles tested, Meets alarm & circuit requirements? 100'+ Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25% Animal containment areas, 50% in. On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/'A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation *4.9' FROM CO Property line. 5'+ Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption fie d, 5'+ Surface water 100'+ Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN COMMENTS *PER 2004 GEG H.A.A. Building foundation. 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Water main N,/A Driveway, parking/vehicle storage I'-F 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 Print~l N~me JEFFREY A. GARNESS Date 7/~/II COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) ness..' Waiver Fee $ Date of Payment, Receipt Number, Municipality o.f Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-79O4 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel i.D. 017--422--15 HAA# ~)q Expiration Date: 1. GENERAL INFORMATION Complete legal description BONNIE VIEW SUBDMSION; LOT 6 Location (site address or directions) 12641 NEHER RIDGE DR * ANCHORAGE! AK 99516 Current Property owner(s) GENE HECKLER Day phone (AGENT~ 257-0116 Mailing address Le. nding agency P.O. BOX 1432 * KOIL~uUE~ AK 99752 ._ Day phone Mailing address Real Estate Agent Mailing address CAROL BUTLER W,/ REMAX PROPERTIES Day phone 2600 CORDOVA STREET * ANCHORAGE, AK 99505 257-0116 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBEROF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 3. TYPE OF WATER SUPPLY: Individual Well [] Individual On-site [] Individual Water Storage [] IndividUal Holding tank [] Community Class_ _Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development services DePartment (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional Civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of iSSue for properties served by a private or Class C well and may be reissued with new water samples. (certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown be/ow, I vedfy that my investigation, based on procedures out#ned in the Health Authority 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 vedfy that based on the information obtained from the Municipality of Anchorage fi/es 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 (~ARNESS ENGINEERING 0ROUP, Ltd. Address 3701 E. TUDOR ROAD, SUR'E 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone ,7,37-6179 Date ~/?0///0~// ! Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thor°Ugh, conscientious engineedng analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the ~ system under the conditi°ns enc°untered at the time of the test, and separation '" ""~ distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being sen/ed by the system. These conditions are outside the control Of the evaluator of the system. Satisfactory te~t results do not guarantee future performance of the system, nor do they guarantee that -- there are no hidden defects or encreachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content Of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authodzed, nor will it confer any legal rtght whatsoever. 5. DSD SIGNATURE Approved for .~ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Note: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is suggested that periodic testing be performed to insure the wells continued suitability. Current nitrate concentration is 5.76 mg/l. EPA maximum concentration is 10.0 mg/l. More information on nitrates is available from the On-Site Services Program, at 343-7904. Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: ITIM■ I,kY Developrr '- On -Si v dbr x.+ww OSx, � r�45W a^:ze . par{ment q 3A STY ��ram DW rviAN Well IVGC IS (11 f`P[� in yLb ' ` N/A 42.25 in Size in gallons Cycles tested High water alarm level at Meets alarm & circuit uirements? in. ot fO0'+ On; acent lots 100'+ 100'+ e Holding tank N/A ~roPerty line 5 + ~bsorpt~on field 5'+ N/A · ' Water service hne 10 .*- Sur[ace water 100'+ + Building foundation 10'+ Water ma~n. above systems are in this datel Waiver Fee $ Receipt Number 17 04 04:10p Bu%ler & Walden 8072761584 ~'~ ~ I "' ~ s~ E Anchoroge Recording PreCi~ct~ SURVEY CERTIFICATION LEGEND ' I hereby ~f~ t~ I hooe Surveyed the ~r~erty shown h~,o~ th~ ~he improvements sit~ thereon ore w~hln ~he proP- o