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SPENDLOVE VIEW HEIGHTS #3 BLK 5 LT 2
Spendlove VIP, " -mw-v4 le ights +'03 E 4sibmp-v] Municipality of Anchorage Development Services Department Building Safety Division z { On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of Z www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW O ( D .227 PID Number: 017 - YO( - 197-7 Name: r3a anf Wastewater System: ❑ New 59 Upgrade Address: G A-nch 995-1 v ABSORPTION FIELD Phone: Number of Bedrooms: 3 y e ^ S C9 Ig' r l J ❑Deep Trench Ej Shallow Trench ❑Bed ❑Mound ❑Other. Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION Is 2 GPD/Ft' 1, Ft. Block: Lot: Subdivision: S 2 S ��ld r/2 (/'etw /i{t� Depth to pipe bottom from original grade: y l Fl. Gravel depth beneath pipe: G S Ft. Township: Range: Section: Fill added above original grade: I Gravel Length: 100 •S Ft. Ft. Well: C)4tST ❑ New ❑ Upgrade Gravel width: S Number of lines: 2 Distance between lines: 10 Ft. Ft. Classification (Private, A, B. C): Total Depth: Cased to: Total absorption area: Uc) Pipe Material: �_�' a R-er, f Fl. Ft. S Ft' !D - 30 3y /VCA - Pp.f Driller. Date Drilled: Sialic Water Level: Installer. CQP'lS Ew'CCQr/Cc��n Date Installed: 7�(� l0 ( FL Yield: Pump Set at: 7Casing Height Above Ground: TAN K GPM Ft. SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ other: To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Line Manufacturer. Plezf fi'c-r Capacity: 1 300 Gal. Material: Number of Compartments: Well I Z5 -IJ �•- 7 2S-1 / Polye7-n leAe 2 _ LIFT STATION A/. A Surface Water >tooi > (06r _ Size: Manufacturer. Lot Line 7 J(' r ?� r ✓ -- •..•V Gal. 'Pump on' level at: 'Pump off' level at: High water alarm at: Foundation 2 3' s s r in, in. in. Pump Make 8 Model Electrical Inspections performed by: Curtain Drain — — ... ., Remarks: 1. y' + BENCH MARK a2P u n G�2i' %a fh G�/ztin C(n,/. Location and Description: 3om a Si oln c l�cufzv., Assumed Elevation: ;,etc ce .SA„2/L 2 /QGQ Ft. XVe4Aej lddt( O'n p0l(; Uf �'8tin �i P(�:1, 2 ° 1A1,11661/7011 -e Z ` -rOl / CO 1�,” GUe' 7Z"7 G; and Engineer's Stamp it r• O1.Pap.. T Oe col xel7hc jrrA K .-0 I/ �t Com! l A Alccu ODP4 �nJ fly /3u(( Jqu� �t Le, �/wD St Inspections performed by: r(c1tIr-1 Teel Svc Dates: 1 7117/c-( �' 64`Y ° > o E >r��yy � : • wt" t 0 2nd _J/�� /O/7 GOOG OOO POO YP000090000G iC•a Development Services Department Approval! O ,Pe e�G�Po Reviewed and approved by: 0 2/ Date: -0 a THEODOF;E F. A4o0E2E ' �` �'R� CE - 358 � 9 _ 4 I PERMIT NO: SWO10227 PID NO: 017-401-53 100' I PAGE 2OF2 WELL LOT 2, BLOCK 5, SPENDLOVE VIEW HTS. #3 - -- -TBM C.O./M.T. "J" 71' 95' NEW 1300-GALLON POLYETHYLENE C.O./M.T. "K" 85' 105' "C" o .,p SEPTIC TANK "G" O ORIGINAL TRENCH NEW 50' LONG x 5' WIDE "H" SO' SOIL ABS. DRAINFIELDS i "J' T.H. #1 PLAN VIEW so 'K" SCALE: 1" = 30' _ FINAL GRADE 2" RIGID INS. ORIG. GROUND INV. 76.1' 1.6' SAND _ELEV. 5, 75.6' INV. 86.2' INV. 79.2' _ELEV. 78.7' CROSS-SECTION VIEW NOT TO SCALE 2' SOIL COVER - 2" FOAM INS. 1300 -GALLON _ POLYETHYLENE'I SEPTIC -TANK A°r. 9ellCdr rloppoaoo�f000e e000 000eooc r.t ct'� n? '/,tc oneasaa�• oOo oO000 o�(�� (,`j T�+EODORE F. ,klool a� :.� CE -3589 i y INV. 86.5' , , , SWING TIES: FROM: COR. "A" COR. "B" TO: S.T. C.O. "C" 38' 32' S.T. C.O. "D" 41' 34.5' DBL. C.O. "E" 44' 36' DECK VALVE "F" 44.5' 37' „B„ TR. M.T. "G" 64' 33' C.O./M.T. "H" 66.5' 58' C.O./M.T. "1" 82' 74' 100' I PAGE 2OF2 WELL LOT 2, BLOCK 5, SPENDLOVE VIEW HTS. #3 - -- -TBM C.O./M.T. "J" 71' 95' NEW 1300-GALLON POLYETHYLENE C.O./M.T. "K" 85' 105' "C" o .,p SEPTIC TANK "G" O ORIGINAL TRENCH NEW 50' LONG x 5' WIDE "H" SO' SOIL ABS. DRAINFIELDS i "J' T.H. #1 PLAN VIEW so 'K" SCALE: 1" = 30' _ FINAL GRADE 2" RIGID INS. ORIG. GROUND INV. 76.1' 1.6' SAND _ELEV. 5, 75.6' INV. 86.2' INV. 79.2' _ELEV. 78.7' CROSS-SECTION VIEW NOT TO SCALE 2' SOIL COVER - 2" FOAM INS. 1300 -GALLON _ POLYETHYLENE'I SEPTIC -TANK A°r. 9ellCdr rloppoaoo�f000e e000 000eooc r.t ct'� n? '/,tc oneasaa�• oOo oO000 o�(�� (,`j T�+EODORE F. ,klool a� :.� CE -3589 i y INV. 86.5' 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-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade `7/ f .7/o l'►`'1 Date Issued: Jul 06, 2001 Expiration Date: Jul 06, 2002 Permit Number: SW010227 Parcel ID: 017-401-53 Legal Description: SPENDLOVE VIEW HEIGHTS #3 BLK 5 LT 2 Design Engineer: 0019 Flattop Technical Services Site Address: 008820 SPENDLOVE DR Owner Name: William C. Bryant Lot Size: 49586 SQ. FT. Owner Address: 8820 Spendlove Dr. Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE, AK 99516 - 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. Received By: Ci L�I Issued By: ' Date: 7_f 3'6 Date: 7—w/-0/_ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. n( -7 "4Dl - 53 Permit Number SW Property owner(s) t v rll pair, c t3r-X an f- Day phone 2 7 3 - 3539 Mailing address (1) E8 Zo S�c�cllo�cyr«c Mailing address (2) A-AcA 'I Zip Code 99s-11< Legal description (Lot, Block & Sub'd.) mac k S /c,C'e v4 ew 14/X sio #3 Legal description (Section, Township & Range) Lot Size Ggjisg(o Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 151 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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) Permit Fees: 3 20 Waiver Fees: Date of Payment: 22 D Date of Payment: Receipt Number:Receipt Number: (Rev. 12/00) CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 June 22, 2001 PCo M.O.A. DUM P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 2, Block 5, Spendlove View Heights #3, located at 8820 Spendlove Drive. The present soil absorption system is no longer able to accept the wastewater load generated in the residence, and the owner wishes to increase the size of the system to 4 - bedroom capacity. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed system will be constructed in the vicinity of test hole # 1. As can be seen from the soil log, the native material between 3 feet and 6 feet below ground level is a somewhat silty gravelly sand with a measured perc rate of less than 1 minute per inch. A stabilized groundwater level of 5.9 feet was measured. Although the native receiving material is sand, I have elected to incorporate 2 feet of sand exceeding the MOA specification for ISF filter sand to achieve the required separation from groundwater and to discourage the formation of a clogging mat. While the wastewater ordinance calls for a soil application rate of 1.0 gpd/sq. ft. for filter sand with up to 5% passing the #200 sieve, I have used a soil application rate of 1.2 gpd/sq. ft. for the ISF filter sand which has less than 1% passing the #200 sieve and which numerous tests have shown a perc rate of much faster than 5 minutes per inch. Thus the necessary absorption area for a 4 -bedroom residence is (4 x 150)/1.2 = 500 square feet. The proposed 5 -foot wide by 100 -foot long soil absorption drainfield design has a total absorption area of 500 square feet. The 2 50 -foot drainfields will be connected in series with a 6 -inch "bump" in the connecting line. The topography of the lot in the area of proposed construction slopes downwards towards the south at 18%. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. T. H #2 SITE FOR REPLACEMENT TRENCHES LOT 1 LOT 1 GOMBART S/D `1s pp9p Opp ` �OOOOOOOOm Oo 99 CUOtl GtiO@6F'%: �'S; ;:, 000e000 uo p04'rr +� 3 o TYEC?DL' F !-ioa N' v SEPTIC TANK RETAIN EXISTINGINSTALL NEW SOIL ABS. TRENCH 1250 GALLON SEPTIC TANK T.H. 50' #1 LOT 2, BLOCK 5, SPENDLOVE VIEW HTS. #3 ------,---------------------- R - ---,----- - - - - -- goo- - - - - - - - - - - - - - - - - - -- WELL SEPTIC AREA INSTALL DBL C.O. & 'BULL RUM' DIV. VALVE LOT 3 --------`'�------------------ - ---------------- LOT 3 GOMBART S/D (VACANT) TO ORIG. TREN Lo 50 INSTALL NEW 1250 -GALLON SEPTIC TANK INSTALL DBL. C.O. & "BULL RUN" DIVERTER VALVE 4CONSTRUCT 6" BUMP IN CONSTRUCT TWO 5' WIDE x 50' LONG 4" D-3034 CONNECTOR o SOIL ABSORPTION DRAINFIELDS WITH 4" DIA. F-810 PERF PIPE 50 2.0' FILTER SAND +12" TOTAL SEWER GRAVEL 3.01 PLAN VIEW SCALE: 1" = 10' MONITOR TUBE CLEANOUT T SOIL COVER FILTER 5 CROSS-SECTION "A - All �`.,SCALE: 1" = 5' -011 "•'`�'�'�, roc°»'�°19 o �Y LOT 2, BLOCK 5, SPENDLOVE VIEW HTS. #3 SEPTIC SYSTEM UPGRADE °000000^O' ^ ° r.. 1 PLAN AND CROSS-SECTION e ODORD F. MOOR2 ; r.' LE - 35ts4 ^ FLATTOP TECHNICAL SERVICES SCALE: AS SHOWN r'•,c� r, 14530 ECHO STREET DRAWN BY: TFM 3', F`.' .¢a� ANCHORAGE, AK, 99516 JUNE 2001 Flattop Technical Services 14530 Echo Street, Anchorage, AIS 99516 Phone (907) 345-1355 Lot 2, Block 5, Spendlove View Heights S/D #3 8820 Spendlove Drive Wastewater disposal system installation Specifications 1.0 General: 1. l The scope of the project consists of abandonment of an existing 1000 -gallon septic tank and installation of a new 1250 -gallon septic tank which discharges effluent into 100 feet of 5 -foot wide soil absorption drainfields containing 2 feet of ISF filter sand plus 1 foot of sewer gravel. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 1250 -gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. A `Bull run" diversion valve shall also be installed allowing the owner to reconnect the septic tank discharge to the original trench as desired. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating 2 parallel 5 -foot wide by 50 -foot long trenches to expose the top of a native sand stratum atfeet below ground level. The long axis of the trenches shall parallel a natural contour of the land. 30 3.2 The bottom of the excavations shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. A total of 2.0 feet of filter sand shall be placed in the bottom of the trenches and compacted in 12" lifts. Sand for leveling and used as filter material shall comply with Municipal specifications for ISF filter sand, and shall be washed with <1% passing the #200 sieve. 7"4e a f tti r S"u�Gi Sha(! �� no �e�pYr �u� J.p 5rla.w c�rnwnol' lemic/ d.. �+� �*�hiJ�s�dQ��.7� f� �9Z2/nAp/of'S 3.3 A total of 1.0 feet of washed sewer gravel shall be placed on top of the filter sand with the perforated distribution pipes laid level such that the pipe inverts are no less than 0.5 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" washed and screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. A minimum of 3 feet of soil cover is to be placed over the filter fabric, without insulation. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A total of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sand leveling and/or filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 2, Block 5, Spendlove View Heights #3 DATE PERFORMED: June 11, 2001 PERFORMED FOR: William C. Bryant DEPTH w _ SLOPE (feet) Pt. 1 3 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SM/ML Gravelly silty sand SP/SM Somehat silty gravelly sand seeps ML Gray cobbley silt B.H. ��oaoocro�000a000emmmmso�.�,.�. �r�rGDCRE F. Moopc CE �y,!iR•1 �a�o.V��l?i;'a)iJ CSS ��r�v`�'��~ SITE PLAN` ~ Depth to Groundwater I Date Lu IL O J U) ........................................................... 0% Date Reading Clock Time Net Time (minutes) Percometer Reading Net Drop (inches) 6/11 12" Presoak 273/8-- 73/812" 12"resoak 273/4 12" resoak 273/8 Start 2:43 231/8 #1 2:45 2 191/8 4 Add water 2:45:33 233/8 #2 2:47:33 2 19 1F4 4-1/8 Add water 2:48:20 231/2 #3 2:50:20 2 191/2 4 uPERCOLATION RATE <1 (minutes/inch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN 4.0 FT AND 4.5 FT COMMENTS: Despite high perc rate, filter sand should not be required since native material is predominantly sand. PERFORMED BY FLATTOP TECHNICAL SERVICES. 1 ��� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 6�1 Z Z l C'/ FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 2 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 2 Block 5 Spendlove View Heights #3 DATE PERFORMED: June 11 2001 PERFORMED FOR: William C. Bryant DEPTH SLOPE (feet) Date Pt. 1 5.5' 6/19/01 SM/GM Gravelly silty sand 2 3 SP/SM Silty, gravelly sand Variable, pockets of ML 4 pockets of SP 5 6 Water seeps 7 ML Gray, gravelly silt 8- 9 9-1 B. H. 10- 11- 12- 13- 14- 15- 16 0111213 141516 18 19 Depth to Groundwater Date Sees 5.5' 6/11/01 5.5' 6/19/01 J Eli F a<Yf M1 A obi;+�oorice:oat`eer,naso�oo.<♦^arN •`- ocoe,©regart oaonmmoeamv:--(;k�' `h� o THCODORE- F. CE 9 yy 3569 ©E 04V \ti:• SITE PLAN .................................... ................ 0% Date Reading Clock Net Time Percometer Net Drop Time (minutes) Reading (inches) Gv u PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS: No percolation test conducted because SP/SM material appeared similar to material in TH #1, but more varied. PERFORMED BY FLATTOP TECHNICAL SERVICES. I �� X12 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: G / 2 `Z /o ff 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 PHONE NAME MAI LING A?~SS LEGAL DESCRIPTION LOCATION DISTANCE TO: Well Manufacturer Liq. capacity in gallons ~ i~0 ,.¢~/_ Ih HUfVIbIVIAUb: DISTANCE TO: IWell Absorption area Inside length Dwelling lock 5' Material NO. OF BEDROOMS No. of compartments Liquid depth PERMIT NO. Manufacturer I Material Liquid capacity in gallons Well DISTANCE TO; Length ~ t~.a~c: line,7I of lines of t Top of tile to finish grade Z,~31 .¢¢ Foundation 3~01 Nearest lot line Total length of lines ~/! I Trench widtl~.~ · 'Y~ /11 ~inches Material beneath tile inches PERM,T NO8 '5 0 Distance between lines Total effective absorp;~ion area 5- 0' Length Width Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorpt on area(s) OTFIER MATERIALS ^STf4 3o3q SO'L TEST RAT'NGI~ INSTALLER REMARKS 'ROVED DATE LEGAL 72-013 (Rev. 3/78) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geologicel& Geophysicol Surveys Drilling Permit No. LOCATION OF WELL (Please complete either lo, lb or lc.) A.D.L. No, ,a.tlserough S.hdivis,o. Lo, ,,och '/,g,rs. Bsc,io. No. Tcw,shtPNO ROhgO ED Msr,d,a. Anch Spendlove 2 5 _of_et_of _ s[] wE ~cJ~ D~STANCE ANO DirECTION ~RO~ ROAD ~NTE~SECTIONS 3. OWNER OF WELL: Beacharo f Const, Address: 2. WELL LOG Feet Below Surface 4. WELL OEPTH; (final) 5, DATE OF COMPEE'rlON gravely O 27 6. ~Ceble ,eot ~Rolary ~ Driven ~Dug bedrock decomposed 27 30 ~ Auger ~ ~eHed ~ Bored ~ Other: ~w ~ ~ 30 160 7. us~:~ Dome,tic ~ Public Suppty ~ Industry -.. ~ Irrigation ~ Recharge ~ Commerlco~ ~ Te~t Well ~ Other: 8. CASING: ~ Threaded ~ Welded diam. 6 in. to 35 ~ ff. Depth Welghl ~lbs./ft. 9. FINISH OF WELL: /' C] ( ''~ (''~' 10. STATIC WATER LEVEL: ft. -(:).. ~ Above or ~ Below land surface Equipment used: II , PUMPING LEVEL below lend surface and YIELO 1 ~ fl. ~fter hfs, pumping ~ft. after ~hrs. pumping g.p.m. 12.GROUTING Well Grouled: ~ 13, PUMP: (if available) HP Length of Drop Pipe ft. copocily g.p,m. ~ Sub~. ~ ~e[ ~ Cenlrificol ~ Other 14. REMARKS: 16. WATER WELL CONTRACTOR*S CERTIFICATION: Temperature ~o ~ F ~ C W~ler This well wes drilled under my jurisdiction and this reporl is true to the besl of my knowledge end belief; Alaska Now-We].l-VerAs Drilling & Ent AA3327 Registered Business Name Conlroct License Number Form O2-WWR ([I/81) Copy Oistr[bulion: WltlTE-Stale DGGS~ P~NK-Driller~ CANARY-Customer I::IF'P L I CFIHT L 0 C: I::1T Z 0 N L..EGFIL~ PO E:O::':: fJ..::L!:94 BECHF:IROF CONST. 'T::L2N R.i:H S;25 L. OT 2 SPENDLO',,,'E-:H<;!:7/!J' T'¢F'E OF SOIL. FtE;SORF'TIE4q S'¢STEH IS: 349-4040 L.OT SIZE 54000 S(:'.!LtFIRE F'EE'I~ HFI::.::IHLIH I'.,ILIME:ER (IF E;EE:,ROOHL:; ..... 3 SO I L. RFI]"I I',IG ,:: SQ F:T,.."E:R )= THIE REQL.I I RE:I:, '.:...11ZE OF "[HE SO I L FIBSORP'I" I O1'.,1 S'¢STEH I S: E: F" -F IF-II .....:?i:: .. ..iff:.[ ii_.. lei IN,II ,Dl '1' II.-II .... -~".5 '.'!:-.1~ E3i ~'qL" Il:--il ",,," lEE IL.. IE::,, E-E F" -'IF' I].-.il == 4. THI!: I....Ei'-,iGTH [:,IHENSION I:i!;-['HE LENGTH ,'IH FEET) (iF "l'itE TREI',ICH OF;.: DRFIINFIELD. THE DEF:'TH OF FI TRENCH OF.". PZT IS 'THE [:,I:-T, TFII'.,ICE BETHEEN THE :.T..,LIF..'I--FICE OF THE (]~F.:(ii...IN[) FIND THE 6'OTTOH OF THE. E::.:;C:FI',,,'FIT t ON ,:11 i'.,1 I::IEE]" >. THEF::E tS i'.,tO SET HI[.,TFI FOR TF.:ENCHE:.:;. THE GRFI',/EL DEPTH IL:.; THE MINIHIJM '[::,EF'TI-~ OF ISRFI',,,'EL BETHEEN THE OLtTF:FtLL PIPIE FiND THE E',O]"T(]H OF: THE iE::.:;CFP,,'FITION <IN FEET). PERH I T FIPF'I.... I CFINT FIIZlZ THE I:;'.ESF'OI'.~::31B t L. I T'T' TO INFORM TH I S [:,I.:ZF'FIR"FME'NT [:,UI:~: I NG THE I I",t."STSL. LFtT 101",t I I",tSF'ECT I 0l",!:5 OF FIt",I'¢ I.,.IELL'E, FII},tFICE:NT TO TH I S PROF'ER'T'"r' FIN[:' TH[":' I",ILIME:ER OF RESI[:,E<NCES THFIT THE HEL. L. HILL. '_-7!:ZR'v'E. ......................... T' IPd C3 ,,::l ;22: :> 3[ ['-,,,~ '.'El; IF:" lEE: ~i: T' ZZE ~Z* ~..,,11 ~-i.:.; IF::II F.". EEl Il;?.' ES-' ~i-':.~ I{J % IF~ IE~ E::, .................. BFICKF I L.L. I htG OF RI'.,W S'¢9;]"EM H I THOLIT F'Z I'.,IFIL I NSF'ECT I Ol'.,t FIND FIF'PRO'¢F~L D'¢ TH I'5 [:,EPF'II~:TME.:.I",IT b.I t L..L.. DE ::T.,UD..IEC T TO PF.".OSEIi:LIT I ON. i"I]:NII,iLIM D I:5]"Fff.,ICE E:E"FHEEN t=~ t4EL. L FIN[:, FtI',I'T' ON-SITE :~]EI.,~FI6iE [:,IL:.;F'OSFiL S'¢STEM IS :.LI..';ili~t FLEET FOR I::1 F'F.'.I',iF~TE HELL OR :L50 ]'O 2:.'OE~ FEET FROH R F'LIE',L. IC HELL DEF'EI',IDII"4G UF'Ot",I THE T'T'F'E: OF I::'IJE:LIC HELL. MII'-4IHI...IH IX:'I:_:;TFINCE: F'ROH I:::1 F'RtVFITE HELL TO Ft F'RI',,,'FI]'E ::.;EHER I_iNE IS ;25 FEET FIN[:, TO FI Ii:OHHUNIT'¢ SEHER LINE IS '75 FEET. HEL. L I.J3G:5 FIF:E REg!UIRED FIND HLI'.ST BE F.:ET_Fi'HEE, TO THE E:,EPFtRTMENT HITHit'.,I ::;O DFI"r'S OF THE HELL. COMF'LETION. O]"HEI:;.: RE(:!U I F.':EMENTS MFI'Y laF:'F'L'¢. :'3F:'EC I F I CFIT I Ol",!:i.'i;, F:lf'4[:' CONSTRLIC:T 1 O1"4 D I FIC'JF4'.FIM'.5 FIRE:. FI',,,'Ft I LFIE:L.E TO Z Ntii';URE: PI:L::OF'EF:: I i",I::T',TFILI..FIT I ESL I CEF::T I F"¢ 'I'HFFF :1.: I FIH F'FII"IIL.:I:FII;:.: H.'[TH 'THE REL::!UIREHE:i",IT:.:.; FOR Ilff',I-:iE, ITE SEHERS FIN[.':, I.'.IEI_I_:'5 FI'.-".': SET FORTH E:'T' 'T'HE HIJNI C I PFII_t T"r' ' OF' FINI3HORFIGE. 2: I HILL. IF,ISTF:II_L. THE S'¢:.:.';TEH IN F~E:CORI}Fff,ICE HITH THE CODES. 3: I LINE:,ERSTFthtD THFIT' THE Oht-"SI]"E SEHER 'Z';'¢STEH HFI"r' REL.-.!UIFq'.E Et",ILFIF-':GEHENT IF THE RES :t'. DEi',tE:E I S f;,'EHO[:,EL. EC' TO I NCLLIDE HORE ]"HFIN 3 E~E[:,F::OOHS. S t GI',!ED: i::IPF:'L, t CRI".t"F E~ECFIF:IF::OF: CONST. , ~ Fi:","~.~~ ............................................... [:,RTE ....... ~.~.~....~ ................. V4. 0 PO ~OX LOT ~IZE N-HSbR O? 8EOROOH'5 GROUND ~ND TFIFZ ~OTTOPl OF THE ~XCRVRTION < FEET FOR Ft PRI\.'FIT~: I,I~,L.I_ OR 'L.~*~ I'0 200 THE TYPE $ CN-_-RT[F¥ THRT :~: [ I,t[LL [I-JSTIffLL TftE 'SYSTEH IN HL,~ZORCRNbE l,l[[H THE CODES. .': ~Eg [D~NC~ ['5 ~LED TO I~ICL~IOR~ ~HttNJ~ BEDRObPlS. . : C �_. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST CV SOILS LOG PERCOLATION TEST PERFORMED FOR: %V`\, F E 1 i= c DATE PERFORMED:_ - Z { -1 3 �� SMS LEGAL DESCRIPTION: S, PE N.'D Lo V6:T '1/ I {-J ir� 5/D A _ice �� Z'�t7 �=C—f t_�� T Y d� ,r SLOPE SITE PLAIq F T) 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS c 0 is �s I- coAt,&\Ort C A G fCA 1' l Ahi tJ 20 an, WAS GROUND WATER ' / S T1 C N ` ENCOUNTERED? L O P IF YES, AT WHAT E DEPTH? /,_« / c, (7 14 F'r f7 r �6 t7 1 Reading Date Gross Time Net Time XL Depth to Water iloom MEMO INIMMI MIME MEMO MEN sim 'Zt MEMO Bloom ■■n 7t v■u MEMO WAS GROUND WATER ' / S T1 C N ` ENCOUNTERED? L O P IF YES, AT WHAT E DEPTH? /,_« / c, (7 14 F'r f7 r �6 t7 1 Reading Date Gross Time Net Time XL Depth to Water Net Drop 'Zt - 7t �r 7 2 110 - < � . 05 EO .•S':i •13 Z.5' i Z-5- PERCOLATION RATE /'7 (minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY: 'y'440 Z. O Al VsJ N CERTIFIED BY: 72-008 (6/79) DATE: ^" NIM SALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section-- Fax: 907-343-7997 Parcel I.D. 017-401-53 Certificate of On -Site Systems Approval Expiration Date: q -/ 2—/ 1. GENERAL INFORMATION Complete legal description Spendlove View Heights #3 B5 L2 Location (site address) 8820 Spendlove Drive Current property owner(s) William & Corinne Bryant Mailing address Real estate agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5.5 O Date of Payment Receipt Number 0 2 V 16 COSA #_ C)S C Q 11)7 S Waiver Fee $ Date of Payment Receipt Number 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MCA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. Date � OF A�,Qs"���� a ATH � I 6. DSD SIGNATURE 9 — ry System #1 Approved for bedrooms Steven f2. Ponnone System #2 Approved for bedrooms A/� CE 8149 r� Disapproved Conditional approval for bedrooms, with the following stipulations: 1pon 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 Checklist blue sheet Legal Description: Spendlove Vlew Heights #3 B5 L2 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA © Well log is filed with Onsite (or attached) Date drilled 911983 Total depth 160 ft Cased to 35 ft N Sanitary seal is functioning correctly X Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/3/2021 Static water level at beginning of test 25.2 ft Comments B. TANK DATA Age of tank(s) 20 years Tank type/material sw." "-" Measured operating fluid level in septic tank 0 Standpipes/foundation cleanout per record drawing Date of pumping 7/31/20 D. ABSORPTION FIELD DATA Shallow Trench Parcel ID: 017-401-53 Structure served by this system 1 Well production at time of test 1.63 gpm Water storage tank volume n/a gallons Well disinfected for coliform test? 0 Yes ❑ No RE Coliform bacteria is Negative Nitrate mg/L Q Nitrate less than MRL (ND) Arsenic ug/L © Arsenic less than MRL (ND) Collected by Pannone Engineering Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Which system tested (date installed) 7117/01 Adequacy test date 5/24/2021 W ALL standpipes present per record drawing Results ❑✓ Pass For 3 bedrooms Total measured depth from grade 3/3 ft (max) Fluid depth prior to test 8/0 in Measured depth to pipe invert from grade 2.5/2.3 ft (min) Water added 450 gal ❑ N/A — pressurized field 8/2 New depth in Al Monitor tubes go to bottom of effective. If not, state 35 depth into effective Elapsed time min 01 Code -required soil cover over field Final fluid depth 8/0 in ❑ System presoaked Absorption rate '450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: Note: system is 50% used COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 171 Yes Community Sewer Manhole/Cleanout > 100' Yes if No ft [✓ Yes if No Neighboring Tank > 100' F71 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' ✓Z Yes if No Neighboring Absorption Fields > 100' [] Yes if No Water Main > 10' Animal Containment > 50' ❑✓ Yes if No ❑✓ Yes if No ft 0 Yes if No Water Service Line > 10' ❑✓ Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' MYes if No ft M✓ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 171 Yes if No ft Surface Water > 100' F Yes if No Property Line > 5' F7 Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' if No Yes if No ft Private Wells > 100' [] Yes if No Water Main > 10' F,71 Yes if No ft Community Wells > 200' 0 Yes if No Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ✓® Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓l Yes if No ft Private Wells > 100' ®✓ Yes if No Water Service Line > 10' 0 Yes if No ft Community Wells > 200' F✓ Yes if No Surface Water > 100'✓0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l 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. zl®QS-V:? COSA Checklist yellow sheet OF A est � • 49 TH� ... „ i ate en P Pannone �. CE 8149 ft ft ft ft ft ft ft ft ft ft Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com June 1, 2021 Subject: Justification of Field Adequacy Permit Number: OSC211278 Legal Description: Spendlove View Heights #3 135 L2 I am writing in response to your comments concerning our Adequacy Test and COSA for this property. The field was first tested by us on 5/3/21 and was found, what appeared at first, to be in failure. Since we knew that there were saturated soils issues in Anchorage from the spring thaw, we waited until 5/24/21 to retest. The results of the retest on 5/24/21 indicated the field passed and has 50% of its useful life left. I believe the high levels of liquid in the drain field observed PES on 5/3/21 was due to the excessive moisture running through the soil. PES does not believe that this year's super saturation of surrounding soils will create a problem for the future owners. Please contact me if you have any questions. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer 6/1/21 iv}ailing: P.0. Box. 1807, Palmer, AIC 99645-1807 telephone: (907; 745-8200 FAX: (,9071 7-15-820_i_ w J J F Fw I� w O a O IF O Iz Lr)cW C -()G (w U) Q W I J � I? 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(/� Q F WLO wp =o�w�� CDO F-Z(nZ)�uj �� c°n 00 rn_ c< W cr: Of W fnIL U0 z_ O0 o— ~ND00 U ~Q ..:Q: W 61—w I w§ Cl)v. o0zo > cr:co QzOWW CO co~i�OQw� I �P �Q m-QQ( I N Q +--m = _ �' 0wI-U F- � gFF--~=t=zar U D W U) N 30' M D CO LL ° o CO m W + QF - W ,£5.00£ A„ U,V x.00 N L. Q Z O Z > w>OpZOWom U U m F-Uwaf0 UO wmU OQ U) i W tnZZ�ma� Q I O w J J F Fw I� w O a O IF O Iz Lr)cW C -()G (w U) Q W I J � I? LO to 0 00 z i+� O P ."f �4 � 7 ' `��so'1,� O z Q w :E N U rn 2 �l Z o Z < CD w o ¢O o o0z cq W 7:J� i p U YwmQ = o`x W U �p>Z LL �+ 'N Q �q a hQ�o U)w �� N J >° > IL c~n�`tw (q U M O arts �� m =CC > 0zzw Q �J J_ QQ O z�} m Q W TZ CO p Z ((n t] W O v v� m �>�w c)�Ow-, c/> Q f=rI�� V N o L}LU U) C w ui w a- 0 +- ���W p �" W W o wp zz w—a-:E = = rn_ c< U0 z_ O0 o— C7JW= Qmz U ~Q >a a�> w§ m> o0zo > �P iY W J N Q +--m = _ �' 0wI-U F- ><-p�: U) N WO OJT QF - W 0<C L. Jh I- O J J t4 - w 0 CD Z_ D m N I 140 N 180 N N O 10 O = to*tl o !- �- U) O �� co < O LL0Z �\ Q: O LUU 0'9t �e O I�IV w Q p F- F - W U) U W z Of O U O z w Q p F- F - W U) U W z Of O U O z MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH &HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 3,43-4744 Parcel I.D. ft CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address - fl~' 3C~,oa',oc ~' Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ ",1 TYPE OF WATER SUPPLY: Individual well / 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: 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 1~21 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/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 / ~/o"-..~ 0 Engineer's signature DHHS SIGNATURE ~ Approved for ~'~ bedrooms. Phone Date Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 2- 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 engi neet registered in the State of Alaska. The DHHS does th is as a courtesy to purchasers of homes and their fending 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 Legal Description: Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Parcel I.D. A. WELL DATA Well type ~r-~u'~ f'¢. Log present (Y/N) ~' Total depth I~O ' Sanitary seal (Y/N) ~' If A, B, or C, attach ADEC letter. Date completed Cased to ADEC water system number I~ / ~_.X / ~ Driller Casing height Wires properly protected (Y/N) FROM WELL LOG Date of test I o / e3' / ¢3 Static water level -- Well flow ~ Pump level -- g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot / Absorption field on lot I o$' Public sewer main Sewer service line ~' ~.,~' ; On adjacent lots ~, loc, ' ~- ~,,Af/'; On adjacent lots ~ too ' Public sewer manhole/cleanout N, ~. Petroleum tank A(o,~¢ .ce.e,') WATER SAMPLE RESULTS: Coliform ¢ ¢..c, ( Date of sample: Nitrate O, I ~ ~q'f/-~ Other bacteria Collected by: ~'lc~/-,4~/¢ B. SEPTIC/HOLDING TANK DATA Date installed Il [ q ,/ g-~ Tank size lOttO ~q~,f Compartments Cleanouts (Y/N) ~ Foundation cleanout (Y/N) ~' Depression (Y/N) High water alarm (Y/N) /g, ,4', Alarm tested (Y/N). Date of pumping ~ /'/.3 / ~_..~ Pumper N SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I 8~' ~ On adjacent lots To property line ,~ lo Absorption field Surface water/drainage '~. loc,' Foundation ~ 3' * Water main/service line ~ ~$' 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION t~, ~. Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) "Pump on" level at 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 ~1 r" I¥ Length ¢/.,4' ' Width Total absorption area ~- ~.O Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating 15-5' ~'/B'~¢'~ System type Gravel thickness 5" Total depth Cleanouts present (Y/N) ~' Date of adequacy test ?-/,¢ / ~)-? for ~ ~---,noc~,~ cdc If yes, give date N, ~, bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /0..¢ ' To building foundation -~¢ ' On adjacent lots ~, 30 ' Surface water _ ~' fcc ' Curtain drain /~o~, .¢~,¢,o On adjacent lots '~ ¢o0~' Propertyline To existing or abandoned system on lot Cutbank /4, ,4., Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION Engineer's Name '7'-.~ ¢o¢4¢o¢¢ ~. /~/oo~"~. Date I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. HAA Fee $ ,/' 7/~-~ ~-E,,~ Date of 'ayment ? ' 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 R~POM' of ~ ' ' gec~ivl)d :02/08/93 ~JOkkK (h'd~ :63023 Ikepo:t Co]~mp3 at od 02/09/9'3 Date ~,i'.e init MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OP ENVIRONMENTAL SERVICES 343-4?44 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner Telephone: (home) Business Mailing Address (c) Lending Institution ~a-~.,r---(- "~; ~¢~-¢--- Telephone Mailing Address ~-.OJ C_ .~, ~ (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here ~ if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family ~;~ Number of bedrooms 3. WATER SUPPLY Individual Well'~ Community [] Public [] Note: Ifcomrdunity/' well system, must have written confirmation from the State Department.of Environmental Conservation attesting to th legality and status. ' ' 4. SEWAGE DISPOSAL On-site ~/ Public [] Community [] Holding Tank [] Note:/~lf community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND 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 Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm ~ /~/¢~'~ .-~¢¢'~C..[~k,J '~,~_ Telephone ~ -~ ~ Address ~ 7~/ ~/ ~7 ~¢ ~ ~ 6. DHHS APPROVAL ^pprovedfor Approved ~isapproved Conditional Terms of Conditional Approval /'~-~'~"~ Engineer's Seal Date The MunicipalityofAnchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 {Rev. 7/88) Back Page 2 of 2 A. WELL DATA Well ClassificatiOn _ \~, MUNICIPALITY OF ANCHORAGE (MOA , ) ~ Health Authority Approval (HAA) ~'~/~. CHECKLIST - FEBRUARY 1984 ~ 343-4744 Legal Description: LoT 2~ If A, B, C, D.E.C. Approved (Y/N) N'/,,<~. Well Log Present (Y/N) ~/ _ Date Completed I LO .~.~. Total Depth_l ~c> Cased to ~-~ Depth of Grouting Static Water Level ¢0-.-~ Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot I ~L~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments Pump Set At I "~ % Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~ I 0__~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole /'//'% ;Date ~,¢-...~ ~/ /E~'/ B, SEPTIC/HOLDING TANK DATA Date Installed ////t¢//~¢ Size Standpipes (Y/N) ~ Depression over Tank (Y/N) __ J e-~-o No. of Compartments Air-tight Caps (Y/N) ~/ Foundation Cleanout (Y/N) ~ Date Last Pumped Pumping/Maintenance Contact on File (Y/N) /Y',/~, ; for Holding Tank High-Water Alarm (Y/N) /'¢'/~' Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line ~' To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments To Building Foundation To Disposal Field ..~ 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in .,~sorption Strata Date Installed J Width o.f~Field ~.~, '~',~Sqqar,c;<F~e~t o,,f,~l~0~tion Area ~"~ Depr'Oe~sio Results~f-~ast Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot t~[ o ~-~ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design I Length of Field 6 5 Depth of Field ? Z.- ~ Gravel Bed Thickness ~'/~" Statndpipes Present (Y/N) Date of Last Adequacy Test To Property Line '> ~ O To Existing or Abandoned System on ; On Adjoining Lots ¥ ~' ~ To Cutback (if present) 'r'//-A Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Dimensions Manhole/Access (Y/N) "Pump Off" Level at Meets MOA Electrical Codes (Y/N) Comments Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company MOA No. Receipt No. X Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Receipt NO'i: Waiver Fee: $ Date of Payment Page 2 of 2 Engineer's Seal 6751 ~l, DII'IOND BLVI), /~NCHDRt~GE~ ALClS~(A fi07) 2~1-5095 LEGAL: LOCAT I ON: OWNER: RESIDENCE: WELl_: SEPTIC SYSTEM: S:i. ~'~1...I]. i~:~ F'ami ]1. y ,~ 3 Bedrooms I::'r" :L vat. e,~ Or'~ S:i.'ke HUN ]1] C ]1] F:'hl.. I-iE[ZJI-;,'DS: 3 Bei::lr c, lxr S-X !~!~.t. efn .- TANI<:',: Or're-*r- !Steel :i.O()O 8ail.. "1],~o COml:~ar't:s. Ai%ii]Rr:"T :1: I]lxl SYST[':]¥1: 'l"r (~..~1'i r:: h ABf:'iOF;,'F:'"r I ON Al::/Eh: 520 Sq. I:::'t. SO ]'. I.., R A T ]' NG ~ 1 55 NSTAL.I..AI'ION DATE',: Nay L98:3 II)ATE OF I_AST PLIMPING: h!c~vt:)r~ff:u:~.~r 2,~ ;I. 99() DATE OF TEST: Nov~?mb~:-;~r 2 ~ 1990 ]'ES]' PROCEDURE: Sy~tem was :i.m~pent~?d and measured,, "l"ank was 'Found w:L't:h .~oui'- ~eet of cover' and with a liquid level a-f 50 inches o.f: ].iqt.tid, whi ]. e '[:he water 'l r.~ve], s i ri 'l;.he tal]k al'H:;I the lilclf'li roi" tt.d](~ Ki(-:~I,-[~ IflCil'l i t i:)r i,.:H;I ,, TI"i i ~B C: at,tf¢~E.X~ t;I'IE'~ U;at f?l'" t' II r' i !sE, ~?. J. i l/C: h E'S i r'l '[; h e Illl;]l'i i 'b 01"' 'Lul:s¢.~ tl"u~ v~at(.?r' ;I.(~?wd. in tl'"us tank did riot cl'~ange. TEST REBI..IL.T: "f't~:i.s sys'l:(~x~J mc;(~d:.~s the cc, de the Health and S(:x:: :i. a 1 Sinai"vi ces Departmerl'l: o.[: t. lie Mun:i. cipal~ty o'f: 1 C]C:a'J. !i;(:):J. ]. C:(]f/cIi t. J. Cif'lS ,~ gl']]t.ll](:lwat ~:'~1~ ]. (~>¢(:.XI. S 't:.hat, may '{: :1. u(::tuat:f:.~ II y t'. Ii 6;~ s y S'[:. (~.:)fn ~ 't"l' (.::,)st.I.' Im:l . [,,.'~ o'[; how E I.! F' ~" (..;,I i t Ii f' '[; U'[] LII'" t.':, CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX:(907) 561-5301 ANALYSIS REPORT BY SAMPLE for WORKorder~ 32123 Date Report Printed: FEB 25 91 @ 09:54 Client Sample ID:L2 B3 SPENDLOVE PWSID :UA Collected FEB 22 91 ~ 11:00 hrs. Received FEB 22 91 ~ 11:45 hrs. Preserved with :AS REQUIRED Client Name :TOBBEN SPURKLAND, P.E. Client Acct :TOBBENS BPO # PO ~ NONE RECEIVED Req ~ Ordered By Analysis Completed :EEB 22 91 Send Reports to: Laboratory Supervisoz.2L_L~.EPHEN C. EDE I)TOBBEN SPURKLAND, P.E. Chemlab Ref ~: 910626 Lab Smpl ID: 1 ~atrix: WATER Allowable Parameter Tasted Result Unite Method Limits NITRATE-N 0.13 mU/1 EPA 353.2 10 Sample ROUTINE SAMPLE COLLECTED BY: T. SPURKLAND. Ro~zks: I Tests Performed * See Special Instructions Above UA-Unavailable ND= None Detected ** See Sample Remarks Above }IA= Not Analyzed LT-Less Then, GT~Greatsr Than MUNICIPALITY OF ANCHORAGE DIVISION OF E~>IVIRONMENTAL HEAi;EH DEPA[~.~MENT OF HLALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR [-~¢?ALTH AUl%!ORITY APPROVAl, CERTIFICATE 1. Ger. el~al Information Application Date (a) Legal Description (include lot, block, subdivisio, n~, seqtion, township, range) Location (adcl~ess or directions) (c) Applicant is (check one) [~nding Institution ~; C~ner/ouilder ~-~ ; (d) Lending Institution Telephone Address Telephone (e) Tel, phone3 ¥%6 2. T~.f__,_I~ side nos Single-Family Num[~r of Bedrcoa~ Other (describe) water Individual Well Note: If c~m~nity well system, must have written confirmation f~cm the State Depa~t~rent of Environ~rental Con~rvation attesting to the legality and status. Is.the ~11 adequate fo~ the ~uc~er of bedrooms specified 'in this HAA Y~N)~ Onsite Is the wastewate~: dis[x~sal system adequate for the m.m~ber of.' b~droons ~N)_~_~ [Page. 1 of 2] 2-15-84 5. ~n9~93~ Firm ProvidincLIDspections, Tests, hlnta and Infcrnmticn I cmrtify that I have d%ecked, verified, or conforrmd to all MOA [{~\ Guidalines in effect on the date of 'this inspection. Name of Firm /~ L-:ii: .... ~ Telephor~~, ! Signed biz Date ( ENGINEER SEAL) 6. DHEP App_r. pval Approved for Approved . [3 l:~3h~ co,~ Disapr~oved ~ %he Municipality of Ancho~zage Department of Health and Enviropz.~.ntal [htotection does not ~mrantee the continued satisfactory perfomnance of t~m 'water supply and/or the wastewater disl.~sal system. This approval indicates that, as of the validation date shown above, based on the cLnta and inforr~tion furnished by an engir~er registered in the State of ;~l. aska, the water supply and wastewater disposal system is safe and func- tional for the numbe~ of heclrcoms az~.d type of structure indicated. ( DHEP SEAL) 7. Mai]. the HAA to the following address: KB2/d5/s [Page 2 of 2] 2-15-84 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF I{EALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR IIEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Appiication Date (a) Legal Description (include lot, block, subdivision, section, to~mship, range) ot 2 Block 5 Spendlove View Iteights Subdivision Location (address or directions) Spendlove Drive (b) Applicants Name Ilelen Morgan _T_e.l_ephone - Home Business Applicants Address 6917 Old Seward IIighway (c) Applicant is (check one) Lending Institution Buyer ~__~ ; Other I--~ (explain); (d) Lending Institution Telephone !71; O er/b .lder hill; Address (e) Real Estate Co. & Agent Banner Real-ky Address (f) Telephone Mail the ttAA to the fo].lowing address: Carol Domthit - 263-~2404 will pick up 2. zT~p_~ of Residence S ingle-F atoll y ~_i-~ Number of Bedrooms 3o Water SupjL]:l[ Ina .v aual Three ( 3 ) Other (describe) Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. S ewqg~ D[s~posal Note: If community well system, must have written confirmation from the State Department of Environmental Conservatiou attesting to the iegality and status. [Page 1 of 2] 5. E__n.~,5..ineerin_g~ Firm Providing Inspections, Tests, File Search, Data and 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 snd inspection, the on.~site water supply and/or wastewater disposal system is in compliance with all btunicipal and State codes, ordinances, and r~gula~ tions in effect on the date of this inspection. Name of Firm Telephone Address Date p~Hj~.~p~? rov al Approved for three(3)bedrooms Approved This Department has :received written confirma[tior~ regarding the conditJ, onal approval of 3-30-84. Ali. conditions have (ENGINEER SEAL) been met and inspect~ic~n by the engineer (A. E. C. S) . Therefore, this property is now fully / ". approved as of the date belLow. ~'..>,{ ,{- '~ i ...-: .-v.~ ..' ,~ '' D~te Sept ].3, 1984 /By~ ~"¥i~ ~ ,-'-. Disapproved Condition~ Terms of Conditional Approval ION THE bfUNICIPALITY OF ANCHORAGE DEPARTMENT OF 1IEALTH AND ENVIRO~,~ENTAL PROT. ECTION (DHEP) iSSUES HIiALTH AUTHORITY APPROVAL, CERTIFICATES BASED SOLELY UPON THE REPRESENT~ ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN TIiE STATE OF ALASKA. TEE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. 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 TiLE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAG~ (MOA) CHECKLIST . FEBRUARY Well Classification ~t~6~. . Well Log P~esent /i/N) ~ Total Depth /6.__O~{: Cased to If Date Completed q/~ Yie ld?~~ Depth of G~outin~-f~36L[~ ' Static Water ~1 Casing ~ight ~ Gr~nd .. /,~ Sanitary ~al on Casing ~) Electrical Wiring in Conduit (y/N) ~ ~ Separation Distances f~cm Well: To Septic/Holding Tank on Lot ~/oo~ To Nearest Edge of Absorption Field on Lot ~/~o; Depres~sion A~ound Wellhead ; On Adjoining Lots ~ On Adjoining Lots To Nearest Public Se~= Line ~3//~ To Nearest Public Sewer Cleancut/Manhole AJ//~ To Nearest Sewe~ Service Line on Lot ~J/',~ Water Sample Collected By Wate~ Sample Test Results B. SEPTIC/HOLDING TANK DATA Date Installed ///~,'~ Size ~ No. of Ca,%3a~t/rents ~-~ Standpipes ~/N) Air-tight Caps (Y_~) ~ Foundation Cleanout ~/N) Depression oveF Tank (Y~ Date Last Pumped Pumping/Maintenanoe Cont_~act on File (Y_~) ~O/~_.; for Holding Tank High-Wate~ Ala'~m ~ ~Jt/~-~ Te~po~aFy Holding Tank Pe~it (Y/N~ Separation Distances f~cm Septic/Holding Tank: To Water-Supply Well .__~/~90f To P~ope~ty Li~le 10' ........ To Water Main/Service Line ~3//~-~ Co~u~ents..,'~.' R To Building Foundatiop To Disposal Field To Stream, Pond~ Lake~ c~ Major D~ainage [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA De Soils Rating in Absorption Strata Date Installed I I~ ?,,% Width of Field :~ ~ Type of System Design Length of Field Depth of Field ~.O- ~;_G~avel Bed Thickness ~'~ Standpipes Present ~/N) Date of Last Adequacy Test Square Feet of Absorption A~ea Dap~ession over Field .(.Y~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well ~/oo' To Property Line To Building Foundation ~' To Existing or Abandoned System cn Lot ~t){/~ ; On Adjoining Lots ~7.~'~ To Water Main/Service Line A3//% To Cutbank(if p~esent) To Stream/Pond/Lake/c= Ma30~ D~ainage Course To D~iveway, Pa~king Amea, c~ Vehicle Storage Area LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Dimnsions Manhole/Access (Y/N) "Pump Off" Level at ~t ~7~ Vent !.Y/N ) Pumping Cycles du~_ lng Adequacy Test. M~ets MOA Conm~nts ** Check Permitted Bedroom Rating A~ainst HAA P~quest ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. KB1/d5/s [Page 2 of 2] ENGINEERS SEAL 2-15-84 ALASKA e ,dlRO[lme[1TAL COF1TROL segulCeS, linC. ~nqin¢¢rinq 6 ~nuironmcnlol Slu~i¢~ September 12, 1984 Mr. Keith Bandt Department of Health & Environmental Protection 825 L, Street Anchorage, Alaska 99501 R£CF. IVED Dear Keith: On September 11, 1984 I inspected Lot 2, Block 5, Spendlove View Heights #3 Subdivision and found that all the conditions have been met. I respectfully request that the conditions be removed, If I can be of further assistance please feel free to contact me at 561-5040. Sincerely, .. Enoineez Technician 1200 ~¢sl 33rd Avenue. Suile ~ ", Anchoro§e. Alosko 99503.(907) 561-5040 ALASKA IidIROFlm I1TAL COFITROL S RuIC S, IF1C. ~n§JncerJn§ $ I~n,Jro.menlol S1udies Mr. Keith Bandt Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 March 23, 1984 MUNICIPALITY OF ANCEIORAOI~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED Dear Mr. Bandt: On August 23, 1983, permits for well and on-sit~ sewer were issued by the Municipality of Anchorage, based on Soil log -- Percolation Test information provided by Alaska Environmental Control Services, Inc. The soils tests were performed January 21, 1983 (for Lot 1) and January 24, 1983 (for Lot 2). At that time the legal was Spendlove View Heights, addition ~2 Tract A (and appropriate lots). Subsequently, on June 8, 1983 approval, signature and date for subdivision and platting of this property into Spendlove View Heights Addition #3 (again, appropriate lots) was recorded. This can be referenced through plat number 83-224. In order to clarify this situation and expedite the Health Authority Approvals, this office has corrected the soils reports, inspection reports, and Health Authority Checklist and applications to the June, 1983 approved legal (Spendlove View Heights Addition #3, Block 5, Lots 1 & 2). This is a classic example of soils reports (on MOA forms) processed by the Engineer (with no notification of plat approval) and furnished to DHEP for permit application. If I can be of further assistance, please feel free to contact me at 561-5040. LDM/caj Sincerely, ~arry D. ~ontgomery 1200 ~Uesl 33rd Auenue, Suite [~ o Anchoraqe. Alaska 99503,(907) 561-50z10