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GARRETSON LT 3
Municipality of Anchorage On-Site Water and Wastewater Program • (907)343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181284 PID Number: 017-432-40 Dwelling: IA Single Family(SF) ❑ Duplex(D) ❑ Multiple (SF and/or D) Project: ❑ New 0 Upgrade Name: ABSORPTION FIELD John & Janna Longlet Address ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 7230 Huffman Road Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade (907) 764-1200 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. Garretson 3 Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank ; Field Lift Station Tank Line Ft2 Ft. Well >100N/A >100' N/A >25. TANK ❑Septic El S.T.E.P. ❑Holding ❑Other Manufacturer Capacity Surface Water 1 >100' >100' N/A Anchorage Tank 1500 Gal. 1 QQ N/A Material Number of compartments Lot Line >10' N/A >10' N/ANA Steel 2 Foundation >10' 1 N/A >10' N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Anchorage Tank/Orenco 250 Gal. Pump on level at Pump off level at High water alarm at Remarks Tank replacement only 15 in. 25 in. 11 in. Pump make and model Electrical Inspections performed by Orenco/PF2005 MOA PIPE MATERIAL House to tank Exist. Tank to D1785 drainfield Installer Denali Excavating Drainfield Existing CO/MT D3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspection 151 9/04/18 9/05/18 Location and description dates: .2nd 3rd 4th Bottom of siding on NW wall. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL a Conditional Approval: DateAMY 1;N Awe k `� =�.y1A j*. 49?H /' •.* 4 fA . Be min Schiller :% t Approved °fitly-LA Date 61/2 5/1 ll P OFESSIOt. Inspection Report_9-1-12.doc �� � K���K�—�o����� LOT �� »���~������.�- U ��«~�U»N, �~«�� U �� PERMI�����[���� � �����1�1 ��� ��|F� � M1�_&��-�� T nr ����. .^^ ."_� , . .^� ,r ~^ . , -,""_ `^^ _ ~ _- `- / \ -_ � ^~-. . /'.. ' ROAD -- \ \ N. / \ � / \ \ ' / / \ \ -- -- -- _- / ' -- \ --f --- ---' --- \ Y |` | | \ . \ /� EXISTING � / \ ` / / WELL -� / \ '~ ` ` '0 ' / \ / / / \ \ / 12 / � \ ' / ��� ` ` 1' / / \ . / /� x� ��D0WHUME / � \ I � / . � / � / | .] z| `' �� / l / / / � ~' ^� -- -_ — '' � �`-'~-` �� | — -- __ '~ /y.. -- -- -- - - LOT 2 sv | sv MH 1.sooGALLON uzcs.P. | TANK ' ---- | sXn �L ,vwos | xoSO�|SPwGT|Oow BED xm ��~ U � �� v � i I | /� � LOT | | | 2 | \ / (, || ' � ' `/ . , ____ __ __ 10 UTILITY EASEMENT -- -- | | LOT 5 | | LOT 2 LOT � illiffeGE __ -- _ _ ~ ~- � � ' '~ � .` . / ~ .` `` / / A B LEGEND 2C0 68.9 22.3 CO-CLEANOUT SV1 613 348 . . 2CO'DOUBLE CLEANOUT SV2 80.0 28.6 MH 71.1 30.0 FCO'FOUNDATION CLEANOUT FS'FLOW SPLITTER VALVE MH-MANHOLE 0 50 100 MT-MON|TORING TUBE rA IIIK ��� ��� ��� FEET `0 SV'SEPT/CVENT 1^=5O' TH-TEST HOLE GARRETSON, LOT 3 PERMIT # OSP181284 PID # 017-432-40 > > _ - - ,- 97.5 - 93.4 ..."---- 93.5 92.9 75' 1500 GAL S.T.E.P.TANK f '''.''--- 88.7 OF ikCA;At, j*. 49 ill t •*y/ r � '. Benja•� hiller j PROFILE AS—BUILT �+�es . CE 12592 �r� l9 :,,v, ,r ENGINEERINGilliiiiDGE (NO SCALE) �l`\rROFESSIOws".� MUNICIPALITY OF ANCHORAGE .mens On-Site Water&Wastewater Program N.oSte, -arile, PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 � F `.� � ' http://www.muni.orglonsite = '� v un 1) ,•ni ' On-Site Wastewater Disposal System Permit Permit Number: OSP181284 Effective Date: 8/22/2018 Work Type: SepticTank Upgrade Expiration Date: 8/22/2019 Tax Code Number: 01743240000 Site Legal Address: GARRETSON LT 3 G:2839 Site Mailing Address: 7230 HUFFMAN RD, Anchorage Owner: LONGLET JOHN E & JANNA L Lot Size in Sq Ft: 48595 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field RI Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 • Received By: Date: 6 (?aJvt_O6'Issued By: , Date: MUNICIPALITY OF ANCHORAGE :Ai.. Community Development Department °" Phone: 907-343- 4 Development Services Division Fax: 907 `' 1p On-Site Water & Wastewater Program � i� ,� 4 4. ON-SITE SEWER/WELL PERMIT APPLICATION a AUG 212018 k, Parcel I.D. 017-432-40 t2 Property owner(s) John & Janna Longlet Day phone << 01 6 R 0c'\ Mailing address 7230 Huffman Road Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Garretson, Lot 3 Legal description (Township, Range & Section) Lot Size 48,595 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field ❑ Initial n Single Family (SF) U (w/wo ADU) Septic Tank IXI Upgrade IXI Duplex (D) ❑ Holding Tank I I Renewal I IMultiple Dwellings Privy [J (SF and/or D) Private Well Water Storage U THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 1 15V 5: Waiver Fees: Date of Payment: 8121112 Date of Payment: Receipt Number: Q x553 b Receipt Number: Permit No. 05 P171 g 8 ti Waiver No. Permit App_'- • :: ..c vs ) ' GE ENGINEERING PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) August 21, 2018 Municipality of Anchorage Development Services Dept- On-Site Water& Wastewater Program 4700 Elmore Rd Anchorage,AK 99507 Subject: Garretson,Lot 3—7230 Huffman Road Septic System Design and Permit Application Dear On-Site Services Engineer: The septic tank and lift station on the subject lot are leaking and must be replaced prior to the issuance of a COSA for the property. The attached site plan identifies the location of the home and the existing well and septic system. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The septic tank is located partially under a deck approximately The new S.T.E.P. tank will be placed a minimum of 5' from all deck or stairway foundation supports. The existing well on the lot is shown. The placement of the new septic tank will not encroach into surrounding protective well radii. Please refer to the attached plan sheet for the septic design. If this design is followed,there will be no adverse impacts to adjacent properties. Sincerely, Ale Michael E. Anderson,PE j*. 49 TH /\ .* / •, Mici•ael E.Anderson Wk.% 4381-E .• atef ,44A• 8/21/18 k (ZPROFESSIO `er �\\\t.� GARRETSON, LOT 3 _ HUFF)VIAN ROA _ > \\ \ ! / ^ --/ \\ \ / / - - - -7- - 1 / 1P / 1 A. / 1 EXISTING / 1 WELL ��ll I r ® I 1 / \ / 10'UTILITY EASEMENT 1 \ ji %. LOT 4 // \ / //I 4\BDRM HOME I.-..) // \ \N \ / II i / i / EXISTNG ,ASIA- -- / I G-ACLi\OTr- C TANK / EXISTING 0 ACtO1 — — — — no LIFT STATIO - --_. - - - - -- LOT 2 I eco 4� SV 3S v MH NEW 1,500 GALLON S.T.E.P.TANK CONNECT TO EXISTING EXISTING 63'LONG x 24'WIDE DELIVERY LINE ABSORPTION BED LOT 3 NOTE: I — DECOMMISSION EXISTING SEPTIC TANK AND LOT 3 LIFT STATION IN ACCORDANCE WITH MOA CODE. ( NEW S.T.E.P.TANK MUST BE A MINIMUM OF 5' I 0 O Z FROM ALL DECK FOUNDATION SUPPORTS. II 10'UTILITY EASEMENT -./ t {{ N LOT 5 I ! LOT 4 + LOT 2 illireGE ENGIN[FRIN4 -� / � �. NOTE: �� ' — — � � \, i/ +.i'�r--si`, NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE �•.•••-7....9.F.:.../.414, 5±1.1P �� PROPOSED SEPTIC SYSTEM LEGEND a e ,r`" •.. . CO-CLEANOUT it .L i` `•:'e.TA ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS 2CO-DOUBLE CLEANOUT ;70.40.:149th .u.. r FCO-FOUNDATION CLEANOUT ' rPROPERTY ARE SHOWN.NO CONFLICTS WITH WELLS OR SEPTIC ���M FS-FLOW SPLITTER VALVE CI1AE"...•.......•.••••....... SYSTEMS. %V, MICHAEL E. ANDERSON r a MH-MANHOLE tr•k�-.. No% . CE-4381 s���,: 0 50 100 MT-MONITORING TUBE •1�<,�'y.e 2!-144.1.���� im = MN FEET •4 11 ?OFES O�>. 1"=50' TH-TESTI HOLE VENT Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: __~_1~ qlO I ~ PID Number: ~: ~ Upgrade ~.~ A~ ~. r~ ~ Wastewater System: D New ~ ~.~..~ ~ ~ A~ q~/~ ABSORPTION FIELD ~ ~i~ion:t ~ ~o ~ T~'i~u, ,,--I~n~ ~ ~ti.:~ ~ ,illadd. a~.origi.lg.de:~ Ft. ~..l~ngth: ~ ~'' Ft. Grovel ~: ~ Ft. Numar lin~: J ~ ~ I~: WELL: ~ New D Upgrade ~ ~ I b Ft. D~I~ · Date Drill~: S~t~ W~er L~: Installer: / ~te i~lall~: SEPARATION DISTANCES ~s~pti¢ ~ Holding ~ S.T.S.P. TO ~ti¢ ~t~n Lift Holding )ubli~te Manufacturer: t Capacity in gallons: Material' Well /OO~ ~ ' ~ ' ' 5~ Num.rof~mpadme.~: I~ !o¢ 7, Su~a~ t I w,t.~ I~ ~ ~ {~ ~ ~ LIFT STATION Lot t ~ / Size in gallons: ] Manufacturer: I I t ~11 "Pump off' level at: "Pump on" level at: ~ High water alar~ at: Foundation IO ? IO ~ I0 ~ ~ -- Cu~ain Remarks: BENCH MARK L~tion and ~ription: A~um~ Election: ENGINEER'8 ~L ,ns tions.e.o ed tes: Depa~ment of Health and Human Se~ices approval ~~/ff~2'~~...C4~ Reviewed and approved by: ~ ~~ Date' Permit No. of ~- Page ~- Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: PID No.: I~FUNICIPkLITY OF ANCHORAGE DEPAR~ENT OF H~TH AND HUMAN SERVICES P.O. BOX 196650, 825 #L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910138 DESIGN ENGINEER:S & S ENGINEERS PAGE 1 OF / DATE ISSUED: 6/06/91 EXPIRATION DATE: 6/06/92 OWNER NAME:_~k_--UTRZENKA GRANT B &ANNE M- OWNER ADDRESS:7230 HUFFMAN RD ANCHORAGE, AK 99516 PARCEL ID:01743240 LEGAL DESCRIPTION: GARRETSON LT 3 SEC 23, T12N, R3W, SM LOT SIZE: 48595 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 (iSAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: SEE PERMIT SW90371. DATE: DATE: HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST ROBERT SHAFER, P.E. ROGER SHAFER Ju~e 3, 1991 CIVIL ENGINEERS (9O7) 694-2979 FAX 694-1211 M~icip~lit~ of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Stre~ P.O. Box 196650 Anchorage, Ala6k~ 99519-6650 ENVIRONMENTAL SERVICES DIVISION JUN - 4 1991 RECEIVED REFERENCE: Lot 3; Garr~on Subdiui6ion; R~qu~t you i66ue a p~t to upgrade the 6eptic 6y6t~ on the refer~ced property. In accordance w~th the 6peci,~l p~ovi~ion6 of cue~ p~.mit ~9~0050 ~ ~ue p~fo~ gro~ mo~g on ~ ref~c~ prop~. Gro~n~ l&v~ m~& mo~or~ from Ap~ 16, 1991 ~ough MaV 16, 1991 ~ ~ ~gh~t ~ l~v~ ob6~v~ ~ 5 ft. b~ow ~ gro~ 6~fac~ ~ ~ ar~ of ~ propo6~ 6~p~c Therefore, me r~que6t pem~Lt #900571 be r~ewed in accord~n~ with ou~ upgrade d~ign d~ted Nouember 7, 1990. If you h~ve an~ que6tion6 or r~q~ire addi~io~ information for your review, p£ea~e ~nt~t PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of GeologicGI & GeophysicDISurveys 3AI3D3 o,i,u.g Po,,., No. LOCATION OF WELL (Pleaee complete either Io, lb of lc.) A.D.L. No. DISTANCE ANO DIRECTION FROM ROAD INTERSECTIONS $. OWNER OF WELL: Surface 4. WELL DEPTH: (final) 5. DATE OF COMPLETION ~-'~d ~ ~ "/ ~ 8. CASING: ~ Threoded ~ Welded ~<~ .... ~ ?~ ~ ~n~ diam. in. to__ft. Depth Sticku. ~ ft. Set betweln ft. and ft. ~ Above or ~ aelo~ land surface Date Equipment used: IE.GROUTING Well Grouted: ~ Yel ~ No Material; ~ Neat Cement ~ Other: 14. REMARKS: PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910050 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:YUTRZENKA GRANT B & ANNE M OWNER ADDRESS:13131 ALPINE DRIVE ANCHORAGE, ALASKA 99516 PARCEL ID:01743240 DATE ISSUED: 4/09/91 EXPIRATION DATE: 4/09/92 LEGAL DESCRIPTION: GARRETSON LT 3 LOT SIZE: 48595 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: THE ATTACHED APPROVED DESIGN. 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). THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1. FUNDS HAVE BEEN ESCROWED FOR WATER MONITORING AND UPGRADING OF EXISTING SYSTEM. 2. APPLICANT WILL HAVE ENGINEER PERFORM WATER MONITORING ON TEST HOLE NEXT TO EXISTING SYSTEM THROUGH HIGH GROUNDWATER PERIOD IN SPRING, 1991, AND PROVIDE REPORT TO DHHS BY MAY 31, 1991. 3. IF FOUND IN VIOLATION, ~WER SYSTEM WILL BE UPGRADED NO RECEIVED BY: ~ ISSUED BY: Tom Fink. Mayor nicip lity of Anchor ¢ Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1991 F.H.L.M.C. 2231 Crystal Arlington, Virginia 22202 Subject: Lot 3 Garretson Subdivision Permit #900371, PID #017-432-40 The subject permit, issued by this office for a.single family' well and/or on-site wastewater system has expired as of December 31, 1990. A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, Sin~r~, J ' J.~h Smith, _~__.E_. please call this office at 343-4744. JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" Nov~m§er 7, 1990 ROBERT SHAFER, P.E. ROGER SHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER iNSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST S~TE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Mr. Dan Bolles Municipa~ty of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 3; Garr~tson Subdivision Su§sequent to our request for a H~alth Certificate and your site visit to the referenced property we have performed ground~er monitoring to determine whether or not the existing syst~ encroaches groundwater. During the test hole excavation we measured the water lev~lwithin the l~achfi~d monitoring tube at 6 ft. §elow the ground s~rface. We did not ~ncounter groundwater within the new test hole upon excavation or after I week of monitoring. However, within the crawl space of the home is evidence of seasonally high groundwater approximately 4 ft. b~low the ground surface. Therefore, we have designed the ~levation of the proposed absorption bed to be at the ground surface to maintain a 4 ft. vertical separation to ground~er. We fe~l the proposed leachfield upgrade will have no probable impact on n~ighboring w~Is and septic systems. With this information and the attachedsite plan/design, we request you issue a permit to upgrade the septic system located on the referenced propert~ 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 G (ENGINEER'S SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 2 3 4 7 8 9 10 ~2 ~4 17 18 19 20- Township, Range, Section: SLOPE WASGROUND WATER ENCOUNTERED? m SITE PLAN S IF YES, AT WHAT ~ DEPTH? p E MonitorinD? V' I--'7 Date: Gross Net Depth to Net Reading Date Time Time Water Drop ~. ~': o._~ ,, '~' lq? 72~ PERCOLATION RATE "~'"' { (minutes, inch) PERC HOLE DIAMETER Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ;Y~h,f,: ..' ~'~ LEGAL DESCRIPTION: [.~:~I~'"/~ .~~~ Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER 1'4o ENCOUNTERED? 11 s L IF YES, AT WHAT O 12 DEPTH? p E 1 3 Deplh to Waler After Monitoring;' Dare: DEPT~ OF HEALTH & ~qRON1ENTAL PROTECTION ~,', ,, n ;?:..'-, 0 RICEIVED Reading Date G ross Net Depth to Net Time Time Water Drop 2.- ~, :~J"~' "~ ~,~ ~ -~f'r-~ '/,z..." 14 15 16 17 18 19- 20 PERCOLATION RATE ~"'3 Im,nutes, mch) PERC HOLE DIAMETER BETWEEN-- ~ FT AND ~ FT TEST RUN COMMENTS // S & S ?.NGiNEERiNG 17034 ~ag~ ......... r ........... /~/ / ' - ~ ~// ~ V CERTIFY THAT ~HIS TEST WAS PERFORMED IN ~l 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 ,1.~..~ONE ~NAME MAILING A~R ESS LEGAL DESCRIPTION L 0 C AT I 0 N/I.~'L~ Absorption area Well DISTANCE TO: Liq. capaciJ, y ip..9.~/,ons IF HOMEMADE length DISTANCE TO: Well /00~ F°undati°~g~/ Top of tile to finish grade ¢ Material'b~ne~th ~ile Material IWidth Depth NO. OF BEDROOMS No. of compa~.~,ts Liquid depth PERMIT NO. Liquid capacity in gallons Distance between lines Total effec~tive adsorption area PERMIT NO, Length Type of crib D STANCE TO: ~Ciass Cwri~ diameter Crib depth Total effective absorption area Building foundation Nearest lot line Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Sept c tank Absorpt on area(s) OTHER i MATERIA(~ SOIL TEST RATING REMARKS DATE 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 MAILING /~.~R ESS LEGAL DESCRIPTION Well AbsorptLon area DISTANCE TO; 100 ~Z I Manufacturer~~ , Liq. capaci~ ~ons IF HOME,DE Inside length ·O ~ Manufacturer , DISTANCE TO: Well Foundation ~ ~/ ~ Z NO. of lin7 Length of e~ ~ Top of b~e~o finish grade ~ Material'be'ne%th hie Length Width Depth ~ b Type of crib Crib diameter Crib depth ~ Well Building foundation ~ DISTANCE TO: ~ Class Depth Driller ~ Building fou~tion Sewer line DISTANCE TO: Dwelling~ Material ~T~ W dth Material Nearest '°t '~/n~ ~ Trenc_h~.~ inches NO. OF BEDROOMS PERM'T" 'C % No. of compacts Liquid depth PERMIT NO. Liquid capacity in gallons Distance between lines Total effective absorption area PERMIT NO. Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. Sept c tank Absorption area(s) OTHER SOIL TEST RATING 'NSTA''ERC' A' REMARKS DATE 0 0 0 0 0 0 0 0 0 0 0 [-- ~- ~ ~ [-- ~ [- ~- [,- ~ F'ERMIT NO. APPL I ~Z:ANT LO~-:AT I ON LEGAL r-lLIl'-.I T E: T F--IL -ir T~r' C, EPRRTHENT OF HEALTH AND ENVIRONMENTAL P,..jTECT[ON 825 'L' STREET., RNCH~RGE, RE. 2~4-4~ i0 L4ELL R['~[~ C~[W--S I TE L H CONSTRUCT [ ON [NC 3228 CAMPBELL RZRSTR[P ~3~-8742 HUFFMRN L~ ....... -..~uN ~~ - LOT SIZE 48595 SQURRE FEET T'T'PE OF SI_-]IL RBSORPTII_-IN SYSTEM IS: TRENCH r,IR::.=:IMIJM NUMBER OF BEDROOMS = 4 SOIL RFITING ,:.SQ FT,./BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: / /A //2__ [:.EPTH= :1_0. 5 LEI'4GTI l= 58 I.]RR',/EL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE E×CRVATION (IN FEET). THERE IS NO SET HIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REF_4)J I F:ED SEPT I C TRI"-.IF'. S I ZE= ::L250 6RLLOI'-,IS - PERMIT APPLICANT HRS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTRLLRTION INSPECTIONS OF RN'T' HELLS ADJACENT TO THIS PROPERTY 8ND THE NLIMBER OF RESIDENCES THRT THE WELL WILL SERVE. TL--IO ,-'.' ;---' ) INSPECT IONS RRE REg!U I RED' E:RCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS [~EPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R HELL AND ANY ON-SITE SEHAGE DISPOSAL SYSTEM IS ±00 FEET FOR R PRIVATE HELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE T'/PE OF PUBLIC HELL. MINIMUM DISTRNCE FROM A PRIVATE WELL TO R PRIVATE SEHER LINE IS 25 FEET AND TO R COMMUNITY SEHER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE HELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVA!LADLE TO INSURE PROPER INSTALLATION. F'FRr-1 I T E,':---:F" I I~:ES DECEFIBER ~l.. ~!_ 9 8~.~'-~ I CERTIFY THAT ±: I RM FAMILIAR WITH THE REQUIREMENTS FOR Of.d-SITE SEWERS AND HELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I HILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THRT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT-IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. CONSTR cTION TEST LAB PERFORMED FOR: LEGAL DESCRIPTION: THIS FORM REPORTS: L & H Construction Lot 3 Block [] Visual Soils Examinatio~ 18-00 ,,! 48TH AVE. STE. 'C' ANCHORAGE, ALASKA 9950:5 248-13:55 DATE PERFORMED:8/26~8/27/80 .Subdivision c~rr~nn ~ Percotalio~ Test ACTL-80-1424 DEPTH SOIL NOTES FEET DESCRIPTION 6" TOPSOIL Brown SILT 480 min/inch 6' Brown/orange silty 7' sandy GRAVEL 40 min/inch 9' 280 SF/BR 12' Brown sandy silt w/ occ. gravels 480 min/inch 16' o z BOTTOM OF HOLE WAS GROUND WATER ENCOUNTERED NO ~ YES, WHAT DEPTH LEGEND ® -- Perc zone · S - Sample loken · -- Frozen zone ·- Water robie GENERAL SITE SLOPE READING DATE GROSS TIME NET TIME DEPTH TO H20 NET DRAINAGE 8- 26- 80 SATURAT ION 8-27-80 9:20 0 2 15/16" t ~ 12:20 3 hrs. 5 ]5/]6"I 3" 12:50 ~hrs. § %" 3/4" 1:20 ~hrs. 7 ¼" 3/4" PERCOLATION RATE: 40 min/inch DRAINAGE REQUIREMENTS: 280 SF/BR PROPOSED INSTALLATION: [] SEEPAGE PIT ~ DRAIN FIELD El OTHER COMMENTS: TEST PERFORMED BY: DATA CERTIFIED BY:Kinn~v R. - ]z~,~ L & H Construction - PEREORMED FOR: LEGAL DESCRIPTION: Lol ~ ~ Block TH~S £ORM- REPORTS: ~ 9 VisuoL Soils Examination DATE.- ~ED: Subdivision Gar_rison [3 Percolation Test DEPTH SOIL NOTES.. FEInt. DESCRIPTION ''~"4" To~soii Brown sandy silt w/some cobbles, sandy lenses moist 6.5 r ~:, Tan sandy gravel GP-100 SF/BR 10.5 Brown sandy silt w/cobbles slight seepage on SOuth boulders & cobb~s rebuff/ tively dry ~ ~ ~,/ BOTTOM OF .HOLE WA'.~ GROUND WATER IF YES~ WHAT OEPTH 16' LEBEND; ~ -~ Pe~c zor~e · S ~ Sample token · -~ Frozen zone ~ES .lames ff. No. C.[ 462.3 GENERAL" SITE; SLOPE table READING' DATE/ GROSS TIME NET 'TIME '-- DEPTR, TO H2~) l- -'NE;F< DRAINAGE /~ .. ? PERCOLAT~N RATE: -: .... , -- DRAINAGE, R~QUIREMENTS: 10O SF/B~. 6.5' - 10.5'~.zone~ PROPOSED INSTAL£ATION: O SEEPAGE PIT ¥~DRAIN- FIELD ~ OTHER ': Y ~ COMMENTS: SeePage on south side o5 test pit noted, zone ap~T~imA~l~ IR" wide, not water table. - ~ · 'DATA'CERTIFIED BY: James R. Ringstad, P.E. TEST PERFORMED BY: B.P. DATE: 7/11/80 MUNICIPALITY wm�o:yE 1 V Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-432-40 1. GENERAL INFORMATION Complete legal description GarretSon, Lot 3 Expiration Date:l (!) - 3 —I q Location (site address) 7230 Huffman Road, Anchorage, AK Current property owner(s) John & Janna Longlet Day phone (907) 764-3186 Mailing address Real estate agent 7230 Huffman Road, Anchorage, AK 99516 Brian Broderick 2. TYPE OF DWELLING: E] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic F 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 $ 115/ Date of Payment %/ a6In Receipt Number a39a9� COSA# C1 SCiq ta63 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 6/19/19 6. DSD SIGNATURE System #1 Approved for 4 System #2 Approved for _ Disapproved Conditional approval for _ bedrooms bedrooms bedrooms, with the following stipulations: �1l1)))I11111 By: its Original Certificate Date: 7z:3 ^I y .=CC The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: . COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Garretson, Lot 3 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 4/23/91 Total depth 208 ft Cased to 30 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 20 in. Date of flow test for COSA 9/6/18 Static water level at beginning of test 30 ft. Comments Parcel ID: 017-432-40 Structure served by this system Well production at time of test 0.9 gpm Water storage tank volume None gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 1.23 mg/L E]Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by FORGE ENGINEERING Date of Sample 6/18/19 B. TANK DATA C. LIFT STATION Age of tank9/4118 ears g (s) y E] Required maintenance completed Tank type/material SEPTIC/STEEL Age of lift station 9/4/18 years Measured operating fluid level in septic tank Lift station material STEEL AlStandpipes/foundation cleanout per record drawing Comments. New Date of pumping New Construction D. ABSORPTION FIELD DATA SHALLOW BED Which system tested (date installed) 6/26/1991 ❑ ALL standpipes present per record drawing Total measured depth from grade 6.3 ft (max) Measured depth to pipe invert from grade 5.8 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Adequacy test date 9/6/18 Results 0 Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 0 in Elapsed time 0 min Final fluid depth 0 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) None If yes, enter date 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' E✓ Yes Community Sewer Manhole/Cleanout > 100' []✓ Yes if No ft ✓M Yes if No ft Neighboring Tank > 100'✓0 Yes if No ft Private Sewer/Septic Line > 25'✓� Yes if No ft Absorption Field on Lot > 100' /1 Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' E✓ Yes if No ft Water Main > 10'✓0 Animal Containment > 50' Yes if No ft M Yes if No ft Yes if No ft Water Service Line > 10'✓Q ft Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' [✓ Yes if No ft E] Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' E✓ Yes if No ft Surface Water > 100' 0✓ Yes if No ft Property Line > 5'✓❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' Absorption Field > 5' ✓Q Yes if No ft Private Wells > 100' E✓ Yes if No ft Water Main > 10'✓0 if No Yes if No ft Community Wells > 200'✓� Yes if No ft Water Service Line > 10'✓Q ft 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'✓Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓l Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' F/ Yes if No ft Community Wells > 200' QQ Yes if No ft Surface Water > 100'✓Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that l 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. COSA Checklist yellow sheet 9th SS MICHAEL E. ANDERSONOoy � Lu % No CE -4381 �✓n�*4+•arq 6/19/19 www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC191253 Subdivision: Garretson, Lot: 3 This well's productivity was determined to be .9 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 4 -bedroom residence is .41 gallons per minute or 150 gallons per day pe.r bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. 01WNI"5 ",, ;: , S'�s, `tom``' x ' '"„ ,az a ^'u:; .`- '+' , .�.`�",, 1 t' t ^"�" K� C,'�i '�'� '" a'c ���`�,-r�� �°Nla�ling l�tidr"ess �%��D;�So�z ���650. ��Ariciorage,x�ll�sk� E9g�1.J 665*��ruwrnr(ria��fr orgy ��„� �� ��� HUFFMAN ROAD in in S89° 58'00"E 164.78' 10' UTILITY EASEMENT Eo m LOT 4 eL 7 v0 •O• 46.3' r �s Oti., 43.8' 2� SHED EXISTING 3 SEPTIC HOUSE STANDPIPE CD LOT 2 CoNo A I \ N( LIFT STATION f o IW 0)pp U O W N to V� W I I w CO I}- Fr- V o ?) LOT Ij o `�P 0 Z of ° o to Co LOT LJ 10' UTILITY EASEMENT N89° 57'45"W 164.79' LOT 5 LOT 4 LOT 2 00000ppp4 4 oa�P 0 q � gs�o4o �.. 9 ** .7. ..... E__0 009 •, STEVEN CALLAGHAN; 0q LS -12034 p 4 QprOfession°t �o� NOTE: ��D000o�� THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. ORDERED BY: BRIAN BRODERICK PARCEL#: 017-432-40-000 SURVEY CERTIFICATION: LCG LANTECH. INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE LEGAL DESCRIPTION: ADDRESS: 7230HUFFMAN IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE OR APPARENT ENCROACHMENTS EXIST OTHER THAN NOTED. AS -BUILT ROAD EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE LOT 3, EXISTENCE OF ANY EASEMENTS, COVENANTS. RESTRICTIONS OR RIGHT -OF -WAV TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT- UNDER NO GARRETSON SUBDIVISION CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION. FOR ESTABLISHING PROPERTY LINES. OR FOR PLOT -PLAN PURPOSES. LEGEND 250 11 Strect SEPTICSTANDPIPE 0 Anchorage, Alaska 99501 Overhang Asphalt :c. WATER WELLO y CG FENCE - X Wood Deck 'a Concrete „ ' Survey Department Phone 562-5291 DRAWN DATE: 6/26!2019 WORK ORDER: 19056 1JEW-11toC21 Inc NlalDhne DRAWN BY: ADS PLAT: 79-82 Phone 243-8985 CHECKED BY: SC GRID: SW2839 AECC 668 SCALE: 1" = 50' FB/PG: 815/3 REF: 97L268-18139 Parcel I.D. # 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING MUNICIPALITY OF [I~VIRONMENTAL S~RvlcES dUN § 1. GENERAL INFORMATION Complete legal description Lot 3; Garretson Subdivision Location (site address or directions) 7230 Huffman Rd. Anchorage, AK 99516 P'rope~ty'owner . Mailing address ~ Lending agency "Mailing address Agent Kathi Address John Lindquist 7~30 Huffman Rd. Anchoraqe, Day phone AK 99516 345-6036 Day phone L. Johnson/ Jack White Real Estate Day phone 762-3123 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: 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 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 S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Address ~le RiY~r, Alaska 99577 Engineer's signature /~¢--?*v'Y/~. /;:¢'g¢"~ Phone Date DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 7 - / 7- ¢ 7 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. 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) ~ack MOA ~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist LegalDescription: ,~T 3 C-~.~f-rJc.'-' ~'/0 ParcelI.D.: ¢/ '7 - N ~,.~-~'0 A. WELL DATA VV-elltype PR/,,',-/r£ If A, B, or C, attach ADEC letter. ADEC water system number Log present~/N) 'v~ ~ Date completed /-//A ~ //~/ / Total depth ~c>~ ' Cased to ~ o ' ~ ~ Casing height (above ground) Sanitary seal ~'/N) 'Y' ~- j Wires properly protected (~/N) )~ ~' J' FROM WELL LOG AT INSPECTION Date of test "/ / g' ;~//~ I ~'// / Static water level 30 ~ g- Well production ~. 3 7 ~ g.p.m. g.p.m. WATER SAMPLE RESULTS: O Coliform Date of sample: g / / ~ / ~1 7 Nitrate B. SEPTIC/HOLDING TANK DATA Date installed c~ /~ :~ / %' c Tank size Foundation cleanout Date of Pumping Collected by: Other bacteria O $ & $ ENGINEERING 1793~.~=:-.==~ ".,ivcr L~,~,[,, ;,,,,& ;~. 2~4 Eagle River, Alaska 99577 Number of Compartments ~ Cleanouts {~N)__ Depression (Y/~i "~ Pumper /} C. ABSORPTION FIELD DATA Date installed ~ / ~/q I Length (~ ~ Width Effective absorption area ~ s- Date of adequacy test ~ } / Soil rating ~-~.p.d./-~or fF/bdrm) Gravel thickness below pipe Monitoring Tube present ~/N)¥~ $ Results ~.~/Fail) /3 ~ ~ .~ System type c'. ~' Total depth __ Depression over field For /7/ Fluid depth in absorption field before test (in.); (2 Immediately after~ ] ? gal. water added (in.): Fluid depth C (ins) Minutes later: Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) ~'; ..v ~ ~: -,c w ,/ If yes, give date bedrooms 72-026 (Rev. 3/96)* LIFT STATION Date installed ~ Manhole/Access (~N) High water alarm level Cycles tested Size in gallons "Pump on" level at* } ;~ *Datum l~ O )- r o ~ 5-0 0 "Pump off" level at* ~ (, E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ]~holding tank on lot / o o Absorption field on lot ! Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout ! Lift station SEPARATION DISTANCES FROM~OLDING TANK ON LOTTO: Foundation ~- 0 ~ ~ Property line ~- ''~' Water main/service line I0 -.~ Surface water/drainage ) 0 o ~'- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / 0 Surface water / Curtain drain /vo,v ~. ~',~,0 w ~ 700 Absorption field Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area 5-0 Wells on adjacent lots ! e g ~ -/ ENGINEER'S CERTIFICATION · I certify that I have determined thru field inspections and review ~.or~~~~s~ of Municipal recor~ s are in conformancLw2~ gui~ne~.~s in_effect on this date. Signature .~-,-~{.,m,q · ~ ~ -~ Engineer's Name ~r ~ ~o~ · HAA Fee $ ~L.}~, Date of Payment (.,~- ~.~ .~'-"J Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number HUFFMAN ROAD N 89'68'00" w 164.78' ~ 10' UT, El:fY EA ;E~ENT I ( ~..- .. , ~.¢.. :.../ .................. :..~.~ , , /,~ '..~nneth L. Dreyer.. ~N ~ ~ ~%%%~%~ 10' bTLITY EASEMENT N 89'57'45" W 164.79' LOT 5 LOT 4 LOT 2 ~ ...... ~ ..................... ~ ........... EXCLUSION NOTES: It is t~e owners' responsibility to determine LEGEND: SET FNB K A TH I d O ~ N ~ O N which do not oppeor on the recorded subdivision plot. NOTE: 3.25" with JACK WHITE COMPANY Under no circumstances should ony doto hereon be used for ~UB SURLY CERTIFICATION: LANTECH hos conducted o drowing Grid that the improvements situated there- ;~E~- I · , ' on are within the property Bines ond no encroach- A~H~T- merits exist other than noted. ~A~L- AS BUILT OF: LEGAL DESCRIPTION: %P~6 STANDPIPES- LAND ~ CONSTRUCTION SURVEYORS-PLANNERS-ENGINEERS 440 ~ST BENSON BLVD. ~ 105 ,~c~o,Ao~. A,*S~A 9~0~ (~0~) ~-~ LOT 3, WORK ~DER NUMBER D~: ~[: (fox) 561-6626 JUNE 17, 1997 ~"=50' ... ,. ~,~.~.~.: .~,~: GARRETSON SUBDIVISION 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 ~-/3 ~- - ~7~ 0 HAA # 1. GENERAL INFORMATION Complete legal description Lot 3; Garr~..~son S~bc~'_uision Location (site address or directions) 7230 Hu~fman Road Property owner Mailing address Lending agency Mailing address Agent Address G~ant B. Vcc~rz~_nka Day phone 13131 Alpine Drive, Anchoraqe, Alaska 995~6 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well XX 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 WA'STEWATER 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 ~21 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 MunicipaJ and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address -,, ,~n~.t E~-_-,le River Loop Road No. ~r~ ~.=gle River, Alaska 9957? Engineer's signature DHHS SIGNATURE Approved for/dzT~/~-(~,) Disapproved. Conditional approval for Date L'= --o . ............. bedrooms. 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. 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-~25 (Rev. 1/91 ) ~acx MOA ~21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: .~.'?'---~; _~'"A¢~',?.'~-'~-,~,~ ~:~_h ParcelI.D. OI-"'Tz-J':~ A. WELL DATA Well type~J~ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) L~ Date completed ~ ~ ~ -~ -~' ~ Driller , , Total depth ~- ~) ~ Cased to ~C) ~a~ asing height Sanitary seal (Y/N) ~ Wires properly protected (Y/N) j Date of test Static water level Well flow FROM WELL LOG Pump level U ~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Public sewer service line g.p.m. AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Co, form Date of sample: ~ - Nitrate S~.~'~ .~.r-_"~O~'~ If'lk~ ~'%. Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~ -[~. - ~ Cleanouts (Y/N) I High water alarm (Y/N) Date of pumping ~ ~ Tank size 12~0 ~ ~ I Foundation cleanout (Y/N) L~ Compartments Depression (Y/N) ~/~, Alarm tested (Y/N) ,~)/~ 2o-ql SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I 13 ~ On adjacent lots Topropertyline I o 'f- Absorption field / Surface water/drainage ! C)O 'iL Foundation Water main/service line 72'026 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed ~:~ - ~ Size in gallons Vent (Y/N) _ h "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer /~ d~/t aP ~:~ ~ (~_. /,~r/d ~" Manhole/Access (Y/N) ~ ~ ~ "Pump off" level at ~ Cycles tested ~[~ SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot / (~:3 ~- On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length I~ ~ ' Width ~-~'. ' Total absorption area / ~--/.~ ~b Depression over field (Y/N) /~ Results (pass/fail) ~/~ Peroxide treatment (past 12 months) (Y/N) Gravel thickness / ~ Cleanouts present (Y/N) System type ~_~. Total depth Date of adequacy test ?~/~, CfJ ~2) for /~/(,A bedrooms If yes, give date ' SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Cutbank Water main/service line Surface water ,/ Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. 'i:~03~ ~::.; - ',,t~¥ ,_,:cp I'tc.a~ No. 204 Signature ~gle ~v~r, Aiaik~ t.~;7 Engineer's Name ~ ~ "'~ Date / / II~;.-~J ~,~ ~. sh.{~ ? ,,,:~ HAA Fee $ L~"~ Date of Payment_ .ece,.,.um er_ Waiver Fee: $ Date of Payment Receipt Number Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL.~OF.~. ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING HAA# L~ L~'~ ~ F-¥ ~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 3; Garr~tson Subdivision; Location (address or directions) 7230 Huffman Road (b) Property owner FHLMC #29-925871-8C Mailing Address Telephone' (home) Business (c) Lending Institution Mailing Address Telephone (d) RealEstate Company and Agent JACK WHITE COMPANY ATTN: G6org6 Mc Coy Address 5201 C Str66t Suit6 I00, Anchorag6, A~ask~ 99503 Telephone 563-5500 (e) Mail the HAA to the following address: (or check here [~3~.if hold for pick up.) List contact person and day phone number below: 17034 Eagle River Loop Road No. 2~4 2. TYPE OF RESIDENCE Number of bedrooms __ Single-Family EZx 3. WATER SUPPLY Individual Well iIX 4 Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site E~x Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72~25 (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 thi~ 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. Name of Firms 17034 Eagle River Lm~p Road No. 204 Address ~.ag;~ ~.~;, ~!.__..I._._ _eO~;77 Telephone Date 6. DHHS APPROVAL Approved for bedrooms by Date Approved Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage 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 ~ MUNICIPALITY OF ANCHORAGE (MOA) ~i~ / e, ili[,~ .~ ~., .Health Authority Approval (HAA) tcuN~[_~"~"~,~[~E~KLIST- FEBRUARY 1984 ~Nv~ON~ ~ ........ 343-4744 · " "[ *,; ~0 Legal Description: ~oP ~ .,, A. WEL'OATA RECEIVED Well Classification _~'~;~9~ le ~-~3,~/t[l~ t I Well Log Present (Y/N) c1 Date Gompleted /0 - Total Depth_~Gased to ~ 5 2_ Depth of Grouting Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) ~/ If A, B, C, D.E.C. Approved (Y/N) Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot [¢)o ~r To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by -% ~ -% L~-'d~Z^)(~ ~¢~ ' Date Water Sample Test Results Comments -~ ~'~_ ~ffFtc~.~.~ 'f To Nearest Public Sewer Cleanout/Manhole ; On Adjoining Lots ; On Adjoining Lots B. SEPTIC/HOLDING TANK DATA Date Installed ~..- ! :~ -f~OSize _~ No. of Compartments Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~1 Foundation Cleanout (Y/N) Date Last Pumped ~ - /~ - ~ O /~/1~ ;for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well [OC) '-f To Building Foundation To Property Line To Water Main/Service Line ! O 't' To Disposal Field I O (f2 To Stream, Pond, Lake or Major Drainage Course Comments -~?~;c. ~o/W."'~ JOu 72q)26 (Rev 7/88) Front Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata _ 2_ t~ 0 ~/~::~' Type of System Design _ Date Installed ~ - I 2 - ~,0 Length of Field Width of Field ~ (o" Depth of Field Gravel Bed Thickness ~- Z Square Feet of Absortion Area ! :~z/z/ '¢' Statndpipes Present (Y/N) Depression over Field (Y/N) &) Date of Last Adequacy Test Results of Last Adequacy Test ---~,'?'"'/¢¢4~-)LOFcl - ~ ~ SEPARATION DISTANCE FROM ABSORPTION FIELD: f O(:P' 1- TO Property Line To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area /o/7 To Existing or Abandoned System on · On Adjoining Lots ( 0 To Cutback (if present) Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at 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· 5 & S ENGINEERING Signed ],034 E~|,~ R~,v:r Loop Dr,~,,! No. 204 CompanyEagle River, AI,a~ke 99577 Date MOA NO. Receipt No. (./~.-~/(bcq Date of Payment °l*'/-~- 7C~ Amount: $ 72 026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 Tom Fink, Mayor uni pality of AnchOrage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 August 13, 1990 Leroy C. Reid, PhD, P.E. Alaska Environmental Control Services, Inc. P.O. Box 240668 Anchorage, Alaska 99524-0668 Subject: Waiver of Water Well Standards AMC 15.55.060 Lot 3, Garretson Subdivision Dear Dr. Reid: After thorough review of your waiver request and in consideration of the recent efforts to install a new well, this office is approving your waiver request which will allow the continued use of an existing well that is perforated at a depth of 32 Ft. Municipal code requires a minimum depth of 40 Ft. We believe that issuance of this waiver is supported by the following: Water samples taken from the subject well have tested negative for bacteria and satisfactory for nitrate nitrogen levels. Three other wells have been drilled on the lot without finding water. The depth of the wells ranged between 240 Ft. and 450 Ft. o 4 o The existing well which is perforated at a depth of 32 Ft. does meet minimum depth requirements specified in the State Drinking Water Regulations (18AAC80). AMC 15.55.060(B) allows this office to waive the minimum 40 Ft. depth requirement. Ail future Health Authority Approval Certificates issued by this office will advise that the depth of the subject well is less than the required 40 Ft. and that the well should be tested semi-annually for coliform bacteria and nitrate nitrogen. This waiver applies only to the existing well. t J~/hn Smith, ~P.E.~ ~_/~ogram Manager, On-site Services "Kids Are Our Future" ALASKA EnUIROIqmEIqTAL £OIqTROL SERUICES, II1C. ~nqine~ri~q $ ~nuironm~nlol Studies P. O. Box 240668 Anchorage, AK 99524-0668 (907) 279-5553 *** FAX (907) 276-8706 July 30, 1990 Department of Health & Human Services Municipality of Anchorage 825 L Street, Fifth Floor Anchorage, AK 99501 ATTN: John Smith MUNICIPALITY OF ANCHORAG~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION 'd'UL 0 1990 RECEIVED RE: Lot 3, Garretson Subdivision Dear John: I talked to Dave Harper about the well recently drilled on this lot. He was to call you, but apparently he could not get through. I asked Dave why he had not run a we]] flow test. He told me that the well flow was too small. He left his rig over the hole for one day, but coold not blow enough water to consider using the well. The well produces right at the bedrock and a small amount deeper. We discussed hooking the two wells together, but he didn't think it worthwhile. I agree with Dave that this well produces too little water to be of use as a groundwater source. It should be abandoned. If you have any questions, please let me know. Sincerely yours, Leroy C. Reid. Jr. PhD, PE, DEE LCR/sr 1412 W6st 331~0 Av6nu6 · Anchol~aG6. ALaska 99503 · (007) 279-5553 ALASKA EnuIR0nmEnTAL CONTROL SERUICE$, InC. ~n(lin¢~ri~(I ~ Enuironm~nloI $luJJics P. 0. Box 240668 Anchorage. AK 99524-0668 (907) 279-5553 *** FAX (907) 276-8706 July 9, 1990 John Smith. p. E. Program Manager, On-Site Services Department of Health & Human Services P. 0. Box 196650 Anchorage, AK 99519 6650 RE: Lot 3. Garretson Subdivision Well Waiver MUNICIPALITY OF ANCI-IOIP, AO~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTIOI~ 'JUL g RECEIVED Dear John: The new well for this lot was drilled to 250 feet with no water found at any depth. A dry hole! This forces us to fall back on the well drilled by M & W in 1986 to use as a water source for this lot. I had Dave Harper, Alpine Drilling, measure the distance to the uppermost slot in the casing. It was at 31 feet 2 inches below the ground level or 33 feet 10 inches from top of casing. Therefore, the existing well does meet the permit requirement that the water came from a depth greater than 30 feet below ground level. Here is the well log for the 1986 well. Please issue the permit for the continued use of the 1986 well. Thank you. Sincerely yours. LCR/sr Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 June 19, 1990 Leroy C. Reid, PhD, P.E. Alaska Environmental Control Services, Inc. P.O. Box 240668 Anchorage, Alaska 99524-0668 Subject: Waiver of Water Well Standards AMC 15.55.060 Lot 3, Garretson Subdivision Dear Dr. Reid: Permit No. SW900107 has been issued by this office for drilling a new well on the subject lot. Your permit application requested a waiver of AMC 15.55.060.B to allow perforation of the casing at a depth of less than 40 feet. Rather than precondition the permit to allow perforations at a depth less than 40 feet, we would prefer that you proceed with drilling the new well in accordance with municipal code. If, after drilling to a depth of 250 feet, there is no water encountered below a depth of 40 feet, this office will consider either issuing a permit for the continued use of the existing well or issuing a variance for the new well to be perforated at a depth not less than 30 feet. If there are any questions or concerns please contact me at 343-4360. ~n Smith, P~.E~ Program Manager, On-site Services cc: Lee Browning, P.E. Manager, Environmental Services Division "Kids Are Our Future" MUNICIPALITY OF ANCHO~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION 1 8 RECEIVED WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological ~ Geophysical Surveys Orilling Permit No. LOCATION OF WELL (Please complete either ID, lb or lc.) A.D,L. No. I'~. IDISTANCE ANO DIRECTION FROM ROAD INTERSECTIONS 5. OWNER OF WELL: Street Ad~ress and Area of Well Location Surface 4. WELL DEPTH: (final) 5. DATE OF COMPLETION Material Type Top Bottom ~ fi' diam. in. fo~ ft. Depth Stickup ft. ~. FINISH OF WELL: ~' Set between ft and ft. ~/J~C~ ~m~/~( ~0 ~ Il. PUMPING LEVEL bela. land surface and YIELD 12.GROUTING Well Grouted: g YII 0 No Material: ~ Neat Cement ~ Other: [5. Water Temperature ~o ~ F ~ C MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PO BOX 196650 ANCHORAGE, ALASKA 99519 343-4744 HAND WRITTEN PERMIT Permit Number: SW90 Date Issued: ~-/1~ Design Engineer: Owner Name: ~. Owner Address: ~ Permit Type: ~ Expiration Date: Day Phone: Parcel ID: D /V- ~2 --~o Lot Legal: Subdivision: ~6~'-/ Lot: Section: ~ Townshi~/~ Range: ~{? Lot Size: ~ ~ (~ or acres) Max Bedrooms: This Permit: ~ Total Capacity: ~ Block: SEPTIC TANK: Minimum septic tank capacity: gallons. Each septic tank must have at least 2 compartments, insulation is required if depth to top of septic tank(s) is less than 4.0' Lift stations require an appropriate electrical inspection. ~WELL LOG: A copy of the well log must be sent to DHHS within 30 days of the well's completion. I CERTIFY THAT: 1. I will install the on-site sewer system and/or well in accordance with all codes and regulations of the Municipality of Anchorage (MOA) and State of Alaska , and in compliance with the design criteria of this permit. 2. I will adhere to all MOA and State of Alaska requirements for separation distances from any existing well, septic system, or surface water on this or any adjacent or nearby lot. 3. I understand that this permit is valid for a single family dwelling with a maximum of ~ bedrooms. I also understand that any enlargement will require an additional permit. 4- I understand this permit is issued for the calendar year and expires on December 31 of the year issued. 5. I will notify DHHS prior to all inspections by the engineer or well driller. --(0wner/desi~nee) DATE: DATE: db/ll5 ALASKA EIIUIROnmE[1TAL conTROL SERUI£ES, IrlC. ~nginceri~q 8 ~nuironm~nlo~ Sludi~s MUN~C~PAL',~ G~ ENVIRONMENTAL SErViCES DFvlSiON P. O. Box 240668 Anchorage, AK 99524-0668 (907) 279-5553 *** FAX (907) 276-8706 RECEIVED May 18, 1990 Department of Health & Human Services Municipality of Anchorage 825 L Street, Fifth Floor Anchorage, AK 99501 ATTN: Lee Browning RE: Appeal of denial of request for Waiver Lot 3, Garretson Subdivision Dear Lee: I would like for you to review the enclosed request for a waiver for a new well to be drilled on this lot. Here are my reasons for requesting a review of the action. 1. The waiver referred to in paragraph 1 is irrelevant, as it was never issued nor accepted. The home owner has forfeited ownership of the house to AHFC. The house uses no water. 2. In paragraph 2, the reason for denial is that there is no confining layer. My letter of request, dated June 29, 1989, refers to the well log of the illegal well, which shows a gravelly clay hardpan between 16-28 feet. This is the confining layer. See attached log. 3. Samples of the water taken on June 6. 1989. showed no coliform bacteria and 1.9 mg/1 of nitrates. The Chickadee Slopes well has 1.3 mg/1 of nitrates. The nitrate limit for a public well is 10 mg/1, so this water falls well within the accepted standards. See attached. 4. Paragraph 3: I have reviewed AMC 15.55 and can find nothing in this ordinance which substantiates this statement. I would like to know where in the Code that this is stated. 5. I have asked for a permit allowing a waiver of the minimum depth under 15,55.060.B. which would have the well in compliance with the Alaska State Code, but in variance with the Municipal Code. This waiver is to apply only if water cannot be obtained at 40 feet or deeper. In all probability, we will find our water in the same aquifer, but by then it will, hopefully, be 40 feet deep. If Jt is good at 40 feet, why is it bad at 35 feet? When I helped write this ordinance, we put that waiver option in just for this type of case. There is no other groundwater available! Since the MOA states that it can't monitor chlorination of water we consent to dropping this option. In summary, there is a large house on this lot which had a well which met MOA standards. It went dry. Two illegal wells were drilled: one was a dry hole, and one produced water in the 32-35 foot depth. The MOA denied the waiver in principal, as it was not pre-approved. It appears possible to drill a well which meets State Codes, but maybe not Municipal Code. The variance requested is in depth only. No other variances are requested. If the water is of the same quality as that of the illegal well then there will not be a health hazard. This waiver request is prior to a new well being drilled. It meets all of the other elements of AMC 15.55. Please reconsider the denial. Here is the permit back as there is a very strong possibility that it can't be met. Please issue a permit with the requested variance. Thank you for your reconsideration. LCR/sr Sincerely yours, unicipality of Anchorage Department of Health and Human Services Torn Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 May 16, 1990 Dr. Leroy Reid, P. E. Alaska Environmental Control Services 1412 W. 33rd Avenue Anchorage, Alaska 99503 Subject: Waiver request for Lot 3, Garretson S/D Dear Lee, Your request to waive the required minimum 40 feet of casing on the proposed well is denied. The reasons for denial are as follows: o Our letter of August 10, 1989, granted the original "conditional" waiver for an existing well, and provided that the waiver was not transferrable upon sale or exchange. There was no provision included in the original waiver for a transfer to any well drilled subsequently. It also required that water sampling occur every six months. It is'my understanding that Mr. Martinez has forfeited his ownership of the property and it is now owned by Alaska Housing Finance Corporation. No water samples were ever received. Therefore this waiver is void. Although there is in fact a provision in AMC 15.55 for a variance from the required 40 feet of well casing, it may only be allowed when there is a "... finding by the director that the construction permitted under this variance will be sound and will not materially reduce the purity and safety of the water." One can assume that for the director to issue such a finding, there must be appropriate documentation from the applicant or his representative. There is insufficient information provided in your letter to justify such a variance. The information which you provided shows that although there is water at 31-34 feet, the layers above the water consist of silty gravel topped by several feet of organics. There is no confining layer to protect the water aquifer from possible surface contamination sources. Page 2 Lot 3, Garretson S/D This department will not approve a well which relies on a chlorination system for water purity, since we have no method of regulating or inspecting the chlorination equipment. AMC 15.55 requires that the well itself meet certain criteria which are independent of additional purifying equipment. In cases where surface water sources are utilized for potable water, we have allowed the use of filtration and purification but we have also not granted a Health Authority approval for the operation. We will issue a well permit to drill in accordance with provisions of AMC 15.55, which include casing to 40 feet, or proper seating of the casing into bedrock should it be encountered prior to 40 feet. Perforations of the casing prior to that depth will not be permitted. Sincerely, Susan Oswalt, Acting Manager On-Site Services so/301 ALASKA EIqUIROIqmEFITAL COFITROL SERUICE S, Il'lC. P. O. Box 240668 Anchorage, AR 99524-0668 (907) 279-5553 *** FAX (907) 276-8706 Nay 1, 1990 Municipality of Anchorage Department of Health & Human Services 825 L Street, Fifth Floor Anchorage, AK 99501 ATTN: John Smith RE: Request for a permit and a variance for well construction, Lot 3, Garretson Subdivision Dear John: On June 29. 1989, we applied for a waver for a well on this lot that had been drilled without a permit. Your office refused the variance of depth, but a]]owed for a temporary waiver. The owner of the home abandoned the house to AHFC, so the problem is still there; one dry well and one illegal well. Incidentally, your use of Lots 4, 5, 6, and 7 in your refusal letter is not valid. The sewer systems on Lots 1, 2, and 3 are on the south of the lots. The wells for the other lots are about 400-500 feet south of the wells on Lots 1, 2, and 3. Those wells match Mountain Park Estates wells. Lots 1, 2, and 3 match Straley Subdivision wells. There is a bedrock shield which extends across Hillside near Alatna, and crosses Tengberg Subdivision to Bedford Street, then south across parts of Garretson and moves along 1412 W£~E 33[~) Saunders Road to DeArmoun Road. In my request for a waiver, I quoted the MOA Code 15.55.060, Section B, which allows the Director to issue a variance. I propose that a new well be drilled in the northwest corner of the lot, keeping at least 100 feet from the crib which is located in the road easement on the north side of Huffman Road. Here is my rationale. Several years ago, when we sited a well for the Church of the Nazarene, we reviewed the wells in this part of Section 23, T12N, R3W. It was our conclusion that the only water to be found would be to the extreme west of the church's lot. The well was drilled and there was a yield of about 5 gpm. per word of mouth. I never saw the well log. Last year we did a 4 hour FHA well flow on the well on Lot lA, Chickadee Slopes. Its yield was 1.5 gpm. this well is approximately 200 feet northwest of Lot 3, Garretson Subdivision. A copy of the well log is attached. This well had water seeps between 40 - 240 feet. There was 210 feet of water in the casing when drilled. In 1989, the static water level was at 33 feet. which is very nearly the same as when the well was drilled. The next lot to the west, Lot 2, Garretson Subdivision. had about 1.5 gpm when drilled. Its present yield is unknown. The original well on Lot 3 has gone dry. M & W Drilling drilled 2 wells in 1986. One had a 2 gpm yield that later quit. It was abandoned. The second well had about 5 gpm yield, but it is less than the required 40 feet deep. A permit was not obtained for either well. The MOA refused to waive the well depth because of the illegality of the wells. I believe that if there is water to be found, it would be on the northwesternmost part of the lot. There is a septic crib for Lot 2, Straley Subdivision. located in the road right-of-way, so 100 feet from it should be maintained. I think the well will be a low yield well, but with enough water to serve a 4 bedroom house at 150 gallons per day per bedroom. I would recommend a driller with experience in this area. Mr. Dave Harper drilled the well on Chickadee Slopes. The proposed well will be drilled to the 250 foot level. If there is water only between 30 and 40 feet. the the well will be cased to the water source of 30 feet or deeper and screened to the bottom of the aquifer. The water from the well will be chlorinated using a sodium hypochlor£te fe~der which is activated with the pump. In essence, we would treat the water as a spring water. As long as the well is 30 feet deep it is still in compliance with the Alaska Code. If there is sufficient flow below 40 feet to yield 150 gallons per bedroom for the 4 bedroom house, then the variance and treatment methods are null and void. It is a well fully in compliance. This variance would not affect the existing water quality in the aquifer. The water from the shallow well had no coliform bacteria, nor other bacteria, and nitrates of 1.9 mg/1. All of these meet and exceed the State of Alaska standards for water quality. There are no standards left in the MOA Code. I have included a permit request with this variance request. Also. enclosed are support documents. If you have any questions, please let me know. LCR/sr Sincerely yours, Leroy C. Reid, Jr. PhD, PE, DEE ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO CALCULATED BY CHECKED BY OF DATE DATE $~D SP / SEWER SYSTEM LOCATION NORTH OIIdgA'SlONS INDICAT[O NA~ Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 August 10, 1989 Leroy C. Reid, PhD, P.E. Alaska Environmental Control Services, Inc. 1412 West 33rd Avenue Anchorage, Alaska 99503 Subject: Waiver of Water Well Standards AMC 15.55.060 Lot 3, Garretson Subdivision Dear Dr. Reid: The Department of Health and Human Services (DHHS) has reviewed your request for waiver of AMC 15.55.060.B for the subject well. Based on our review of your waiver request as well as information contained in our files, the requested waiver is denied. Denial of the waiver is based on the following: The well was drilled to depth of 50 Feet and perforated at a depth of 32 feet. This is in violation of AMC 15.55.060.B which clearly stipulates that perforations not be installed above a depth of 40 feet. DHHS records indicate that a permit to drill the subject well was never issued. Therefore the existing well is not only in violation of AMC 15.55.060.B but it is also in violation of AMC 15.55.050. Since the existing well does not meet the standards specified in AMC 15.55.060, DHHS can not issue a permit for the existing well. M&W Drilling Inc., the drilling contractor who constructed the well, is a licensed and certified well drilling contractor who is very familiar with the water well standards specified in AMC 15.55. It is not evident to DHHS, that there was any justification for the well driller to have disregarded these standards in constructing the subject well. "Kids Are Our Future" Leroy C. Reid, PhD, P.E. Alaska Environmental Control Services August 10, 1989 Page 2 4. Well logs for adjacent lots 4, 5, 6 and 7 all indicate the presence of water bearing formations between a depth of 167 and 340 feet. This information does not support your contention that water is not available below the shallow aquifer. As a compromise solution to the current situation, DHHS will issue a conditional waiver to allow the current owner to continue using the existing unpermitted well. As a condition for this continued use, the owner must, through a third party, have the well water sampled and tested for nitrates and total coliform bacteria every 6 months. The results of these tests shall be submitted to DHHS. Should the test results indicate unacceptable levels of nitrate or coliform bacteria the well must be abandoned. This conditional waiver will be non-transferable. At such time that the property is sold or transferred, this conditional waiver will become void. If there are any questions or concerns regarding this decision please contact me at 343-4360. Sincerely, a~ g r, On-site Services I --1 I L J L e e ! @ e .:~i @® e @ e e i_l [® e e e @ ® J ti n e 2 9 '..._]M~PALITY OF AI~ DEPT. OF HEALTH & .VI 'd n i c i p a I i I y ,7 f A n c h o r a g e ENVIRONMENTAl. PRorEcTIONI ~,epartment of ~e;i~+,~ " Se ices 825 L Street. 51:il Floor Anchorage, AK 99501 %(aive, o¢ well ...... ' ~Jon Lot 3. Oa~'retson Su_,bdiv;.sion die 1 RECEIVED The purpose of this report is 1_o apply for a waiver of the casing requirements for a waler weil !ocated on the snbjec~ lot. 0n June 9, 1975. the Greater Anchorage Area Assembly passed a~ ordinance reguiatJng water well standards: Chapter lO.O,~, r,, u.,e process of trar~sfer, rlng ~h~ %,arer we 1 standards to the ~unicipatizy of Anchorage Code upon uuificatiun par~ of the Code is missing. However. lo 00.060. Water Well Standards. Para A-L remain. Thos~ .... +' ~yond L to in ~ade grou~ing and water quality were ~os~ *,_. ~,,~ the Code. Section B prescribes a minimum demth, o the wells to be 40 feet iu c;nconsolida~ed ma;er!sis, but bedrock areas the casing may be driven into bedrock. "except whe:-e th~ well drill 'ng :ontract~,y ar proper(y owner has obtained a written variance on these provisions from th~ ¢=,e,_~u.. Such va,-..ance saatl be given only ~pon a written finding by the Director that the construction permitted under the var. lanc~ will be sound, and will not materially :-educe the purity and safety of the wa~er supply." Zn %his case. :~ i(e~l was drilled by J. Williams Drilling Compaay in 1980. to ,,.~ dCp~',_ _.. c,f =,,~0~¢' ...... ¢¢~t The log shows bedrock ,:~ ,'u:-:-i-~ between 95-900 fee~ rhe~e was 34 feet or casing Flow was estimated to be 20 gallons per hour. A copy of the log is at%ached. In 1986. the owner of the property had (he well deepened as the ~roduc~ion of t'-e wel~ had decreased severely. The well ~as deepened [o 450 feet with appreci~bie ~:~ey. After being unsuccessful in obtaining water from this well. M & W Drilling then drilled another ~ell to a depth of 240 feet. They encountered bedrock at depth of 31 feet. This well was ;}band,,ned as a dry hole. The third attempt by ~ a W DrJli~,~g went ~n~o bedrock a~ fee~ and terminat~ci ~he we~! ~t 50 fee~. The ,.aging driven to 38.3 feet. The well log shows tile well slotted between 3,¢; and 35 feot ..... lh~ =~umped at *_ yale of J ~pm du~ing a 4-houP well f/ow. a !00 perceut drawdown from static level. The well log indicates chat from a distance uf l~ 20 feet Lhere was a gravelly clay hardpan. This h4rdpan should preclude any surface water in the immediate vJcinir_y from reachixg the aquifer located bet~een 28 and 34 feet . At ~ae ~'equest of M & W Drilling, Alaska lnvironme~:zai Control Services. inc.. had a bacteriological test aad a nitrate test run on J~ne 6. t989. The bacleFia~ lesl Was negative for coliform bacteria. The nitrate- nitrogen tesn indicated I .9 mg i. This is well belo~ the i0 mg I as specified by ~he EPA fo~ a public water system. The tests would indicate that the nitrate level does aol seem to be very significant. Even thuugh the water qua!i~y section ~f th,- Municipal Ordinance was deleted in the transfer from the Borough to the Municipality ef .anchorage. and subsequent!5 . there are no regulations tha~ govern water quality for siugle family wells in the Anch.rage area. it would appear that this well will have met the criteria of the ordinance were the water quality portion of ~_l:e ordinance to have been carried forward. ] } woliid appe,~.r [~lal lhe '...-Tizer on Lot 3 , ~aFi'~l son Subdivision. is very sparse and that drilling additJ~nal ;~ells will probably nut ou~ain any more water for the owner of the property. Currently. wi~h ti~e production from the well, it would appear that he would have production of over 1000 gaiious per day. It would appear zhaz based bacteriological ~:nd chemical data available, that the new well will produce ample wazer that would nat crea+e obvious health hazard. ]n summa:-¥, it is recommended that a waiver be given for the well ~:o be slurred he,ween the 32-35 foo~ depxhs. Sincerely. LCR sr Leroy C. Reid. .Jr. PhD. rE. DEE P:.esident M-W DRILLING, Inc. P.O, Box 10-378" 10300 Old Seward Highway (907) ~-8.~ ANCHORAGE, ALASKA 99511 DRILLING LO0 Well Owner L & H C~n~tr~]~-i'ion UseofWe]] Location (address of: Township, Range, Section, if known; or distance main road ,/'' Size of casing ~" Depth of Hole /~?.- /~ ~/~z~ Static water level 27o' ft. ~ Screen ( ); Perforated ( ). ~' ~feJ ~ · /'50 ' feet Cased to (below) land surface. Finish of well (check one) open end ( X ); Describe screen or perforation Well pumping test at. /, gallons per of drawdown from static level. (minute) for 1 hours with !002 ft. Date of completion February 9, 1982 WELL LOG Depth in feet from ground surface 0 .TO 200 200 TO 450 Give details of formations penetrated, size of material, color and hardness TO TO TO TO. ¸TO TO. TO TO ,TO TO .TO TO 1 -- CUSTOMER M-W DRILLING, Inc. P.O. Box 110378 · 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRIMING £(N3 Well Owner. Ricardo l{artinez .Use of We]! DOMESTIC Location (address of: Township, P~nge, Section, if known; or distance math road L3 Garretson Subdivision - Well NO, 2 Size of casinf 6 Depth of Hol~ 240 ~eet Cased to 37 feet Static wa~er level 40 q. ~ttx~ } ~'l:~low) l~d surface. Finish of well (check one) open end ( ); Screen ( ); Perforated .( Describe screen or perforation ~'~-~'~- Well pumping test at Z gaiz01~s of drawdowu om static Date of completion ln-?R-Ra ~ ~:,~ *~:~ WELL LOG Depth in feet from ground s~a~ G~,k ~f f0matio~ ~netrated, size of materi~, 0 .~ 2 :,~s~n~ ~ St ~ckup 2 .TO, 4 ;~Kanzcs 4 .TO. 31 ;~i~' C~avel 31 TO 240 ~fl~ck!';~ Gray Siltstone Argillite .TO .TO · ABANDONED ASSD~-(SLE color and hardness .TO. .TO. .TO. .TO. .TO. Certificate No's. 814 & 973 1--CUSTOMER M-W DRILLING, Inc. P,O. Box 1!0378 · 10330 Old Seward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 DRILLING LOG Well Owner Ricardo Martinez .Use of Well Loca~on (address of: Township, Range, Section, if known; or d~tance main road 1,3 G~rratson Subdivision - Well No. 3 Domestic Size of casing ~ Depth of Hole Static water leve! ? 7 ft. (above) Screen ( ); Perforated ( 50 feet Cased to 38.5 feet ~oelow) land surface. Finish of well (check one) open end ( ). ); Desc~be screen or perforation 4 ~] ~r parr' s par foot: 32-35' Well pumping test at 5 gallo~ p~r (h~ (minute) for 4 hour~ with of clrawdown from static level. Date of completio~ ! 0 - 3 0 - $ 6 depths 100% ft. WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ? Casing ~ tickup 0 TO 2 TO ] 6 TO 72 TO aA TO TO. ____TO .TO. ____TO _TO ___TO .TO. .TO. ,TO. TO Organics Gravelly clay hardpan Sandy water travel i:Bedrock DATE RECEIVED APPOINTMENTS INSPECTION__/ ·.~c. ~ '-~_ ' -'~ TIME , ,, ~.,,~/' TIME TIME DATE DATE DATE INSPECTOR INSPECTOR ~ INSPECT(~01,~ MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ,ZNCHOP~GE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECE~II~j-N C ~ ~ ~ 825LStreet-Anchora~e, Alaska 99501 FN'~[~, ~ , - ~Ti©N ~ ENVIRONMENTAL SANITATION DIVISION ~J¥-~ 1_ 8 i~'~[-) Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE MAi'LiNG ADDRESS PROPERTY .ESlDENT ,lf different from above' ,~'/' '~H~ZPP'~/~' MAILING ADDR [:SS '~ 3. LENDING INSTITJ~TION PHONE MAILING ADDRESS 4. RE.~LTOR/AGENT I PHONE MAILING ADDRESS 5. LEGAL DESCRIPTIDN STREET LOCATION I 6. T~,,I~E OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One ~ Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* [] 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.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: ~--o If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area ISewer Line Nearest Lot Line 1 WELL TO: Absorption Area to nearest Lot Line 5, COMMENTS E~ APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED