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WILD BERRY ESTATES LT 1
Wl*ldberry Estates Lot 1 #017-091-76 \ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program, 4700 South Bragaw St." P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020472 Name DANIEL & JUDIE THOMAS Address: 14740 MOSSBERRY PL. a ANCHORAGE, AK 99516 Phone: No. of Bedrooms: (907) 265-9106 3 LEGAL DESCRIPTION )lock: Lot: Subdivision: 1 WILD BERRY ESTATES 'ownship: — Range: — Section: — WELL: [3 New O Upgrade chuI rLI SEPARATION DISTANCES From ToTank Septic Absorption Field Lift Station Holding Tank Well too'+ too'+ — — Surface Water 100'+ 100'+ — — Lot Line 5'+ al' Foundation 5'+ 10'+ Curtain Droin NONE KNnwIN —� PID Number: 017-091-76 Wastewater System: 0 New ■ Upgrade ABSORPTION FIELD O Deep Trench ■ Shallow Trench 0 Bad O Mound 0Other $ode Ratwp: Total Depth Irani arlpnol gneae: 0.6 GPD/S1. FL 6.62-7.0/ 6.42-7.0 n Depth to Ope bOtam tram er19'nal tPaae: arwel depth - ath pipe: 2.52-2.9/ 2.32-2.9 rL 4.1/ 4.1 n N ado d e wNihal groae: amwl length: SEE DWG n 80 (2 ® 40)rL Gnsoi .min NWMer M shoe'. Not.. bet.ew, Owe: 5 n 2 15+ FL TOW obewplion e.ea: Pew matelot: 800+ so. n SCH 40 PVC. / F-81 C .wal. AKWWC oma. YY 12/3-5/2002 (EXISTING) TANK (EXISTING) ■ Septic O Holding O S.T.E.P. 0 Other Yararl«lure,: cap«Nr N "I": ANCHORAGE TANK 1000 STEEL at co n wn enY: 2 (NEW) LIFT STATION (NEW) i.re Y g.11pne: YonW«tarty: 500 ANCHORAGE TANK/ORENCO SYSTEMS 41" 1 41" Pamp Yoee t ll.ael: e«tdaol Inepectwne /20 OSI 05 HHF Remarks: BENCH MARK L.1"", she Dwnptwn: • 1' LOT LINE WAIVER IN EFFECT TOP OF GARAGE SLAB Inspections performed by: Development Reviewed and approved by:, (Re. 12/01) AKWWC, INC. Dates: 1st 12/3/2002 2nd 12/4/2002 3rd 12/5/2002 frvices Department Approval *L1 Date:) fc c i 100.00 ..1 `.}:pT .. lj .V:°, C 7953 .......... ��Ao 'rofesslaV0ao PERMrTNUMBER: SW0 - 20472 ASBUILT DRAWING ING PARCEL ID NUMBER: SW0017-091-76 EXISTING USED AS SHED i EXISTING 1000 GALLON SEPTIC TANK •... �4(. / DBL1 DBL2 e �A of AKWWC THf3 ll �ry j MT . i II INSTALLED FLOW DNERTER I �••• II NEW 300 GALLON/2i 1 .. LIFT STATION eJ MT4�� � � I cl -------- --- I_ FRED WALATKA, P.E. TEST HOLE NEW DRAINFIELDS \I 9/6/1980 3 it 12/27/2002 ALASKA «TATER & «'AST--- I ANwi "ll SCALE: Z.T.G. CONSULTANTS. INC. -- - * +t 6901 DFRARR ROAD, SIATF tR • ANCHCAALF, A5 995M • PHONF (90T)551.019 • FAX (90))19-966 1"=40' ............... PREPARED FOR: PHONE NUMBER: PACE NUMBER: p' DANIEL & JUDIE THOMAS 265-9106 2 OF 3 QQ p f Gar ss:' LEGAL DESCRIPTION: WILD BERRY ESTATES SUBDIVISION; LOT 1 QQ v 953 TYPE OF WORK: D�le a ...... .O DESIGN OF PROPOSED SEPTIC UPGRADE �DOp res 1 V, 40000 a A B C C01 15.71 - 25.35 ST1 18.13 - 26.22 ST2 24.85 - 29.68 DBL1 27.91 - 31.41 DBL2 29.32 - 1 32.37 FD 30.45 - 33.46 CO2 33.47 - 35.66 ST3 32.46 - 39.19 MH 32.18 - 39.76 MT1 35.16 45.37 54.56 MT2 67.48 82.19 81.29 MT3 48.07 50.76 168.73 MT4 76.81 86.35 193.26 SHED i EXISTING 1000 GALLON SEPTIC TANK •... �4(. / DBL1 DBL2 e �A of AKWWC THf3 ll �ry j MT . i II INSTALLED FLOW DNERTER I �••• II NEW 300 GALLON/2i 1 .. LIFT STATION eJ MT4�� � � I cl -------- --- I_ FRED WALATKA, P.E. TEST HOLE NEW DRAINFIELDS \I 9/6/1980 3 it 12/27/2002 ALASKA «TATER & «'AST--- I ANwi "ll SCALE: Z.T.G. CONSULTANTS. INC. -- - * +t 6901 DFRARR ROAD, SIATF tR • ANCHCAALF, A5 995M • PHONF (90T)551.019 • FAX (90))19-966 1"=40' ............... PREPARED FOR: PHONE NUMBER: PACE NUMBER: p' DANIEL & JUDIE THOMAS 265-9106 2 OF 3 QQ p f Gar ss:' LEGAL DESCRIPTION: WILD BERRY ESTATES SUBDIVISION; LOT 1 QQ v 953 TYPE OF WORK: D�le a ...... .O DESIGN OF PROPOSED SEPTIC UPGRADE �DOp res 1 V, 40000 a PERMIT SW0NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SW020472017-091-76 TOP OF MANHOLE . 99.28 jr FINAL GRADE . 99.1 +/— TOP TANK AT IN ETF T9 K87T� rl � �OUTL£T . 94.85 INVERT BUNG AT NEW 500 INLET- 93.33 GALLON LIFT STATION WEST TRENCH EAST TRENCH TH#3 I.1T FINAL GRADE - TH#3 103.32-103.71 My FINAL 1GRADE FILTER FABRIC ORIGINAL GRADE F 102.89-103.7 FILTER FABRIC, / 101.09 10 .47� INSULATION INVERT OF PIPE . 100.57 T S; THE DISTRIBUTION UNE WAS 1.25 INCH PVC WITH 0.25 INCH HOLES SPACED e i 4• EVERY 30 INCHES (15 HOLES) 4• { INVERT OF PIPE THE DISTRIBUTION UNE WAS 1.25 INCH PVC WITH 0.25 INCH HOLES SPACED 1 i EVERY 30 INCHES (15 HOLES) F- 5' BOTTOM OF TRENCH . 98.47 5•� BOTTOM OF TENCH 94.47 I'10, RELATIVE BOTTOM TEST HOLE ELEVATION . 88.47 RELATIVE BOTTOM TEST HOLE ELEVATION . 90.47 (HOLE FILLED WITH DIRT, DRY TO 89.47) (HOLE FILLED WITH DIRT, DRY TO 91.47) DATE: oo6pp� 12/27/2002 DRAWN BY: ALASKA AWITsR & «7ASTr«FATER Z.T.G. �Op SCALE: Q': ••� OO CONS UL TANTS. INC.D 4001 OF4ARR ROAD. SIRTF 74 • AM[M(WAf.F Ac OOsnG • P~(00TSfi S)A9 •FAY (90)IAq-3746N.T.S. �• • • • . • • • .• .... „;, O PREPARED FOR: PHONE NUMBER: PACE NUMBER: O DANIEL & JUDIE THOMAS (907) 265-9106 3 OF 3 O e e A. or ss.�O LEGAL DESCRIPTION: WILD BERRY ESTATES SUBDIVISION; LOT 1 �� ° -79 TYPE OF WORK:4e^��jDro fess...... PROFILE AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE rote slo�� s )A FAX — DDCF&xl 11/7/02 1:39 PAOE 20/26 RLVhtFAx ` wo.I d l jmpKcwoNRBFmr MUNICEPAUTY OF ANCHORAGE — BMDWG SAFETY DMSION 4700 SOUTH BRAGA W STR]EEr. ANCBORAGr4 ALASKA ZWPZC1IOh(£ Vokc (107) U34UN Pd= (907) 2^7777 D#70RU4770N.• (OM 34.L8211 NTA : Rl51,06 Soji )Ow.-/ PsMWTNU"U: Ox Ull AAmm: m7yb MPOO&W r!_ Nc,.- ferMAr 14M 4/0/,02. r:mNru:29'1 s6yi 1 wau. 7.So I/Do LOT.• / \ mom BdEDImom: LI..n r ev Gts CDA&WA7S fE TYPE OF PaMCHOM, No>t "= Om.ae.tawl Ca"Mmmmead t.e*%i dtidos. L)OA1lp�1V79• GvEGi4C�CiA�- 614 Eft fk 0 I)*wwm"dw4ndaptsd • ❑ caaw " TOtma.= "isrlst0etp.eda p ac-0.svp .r4.at.ta.w, NMU Qbma+ss) L %1/✓GC�VFrp Ndn"Wma M E3 fha`sr- Puw*"0R i& . (3Oeswr.rtisanmti�Q sa.��Yipdtar.iMcDtiyaaedbt O isalYoswaWow Wa. 1sirLames.afe.. Omtretea aaspmepafea m r A%MW a. frl�erl.dAsrL MM%".ala► S I.ia 0.o lea t...>n An, ❑ Two mod= mm O RdEpatloswelWM" C3 Uftmcdow. WMNCORRd=OMAREA"04PLLMCALL PORWSPBC770N DO N7TJMWVS TM N077CM T00® 113dVS oxiclin8 pigs etc 100 XVII s:::T c00:/LO/TO 100•d dvelzi EO/L0/10 4ii9 ZZ9 C06 •7ui z1u3c013 u0g eulslN 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 IL � 9-0L & ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW020472 Legal Description: WILD BERRY ESTATES LT 1 Design Engineer. 0041 AK Water & Wastewater Consultan- Owner Name: DANIEL & JUDIE THOMAS Owner Address: 14740 MOSSBERRY PLACE ANCHORAGE. AK 99516-4422 Date Issued: Dec 03, 2002 Expiration Date: Dec 03, 2003 Parcel ID: 017-091-76 Site Address: 014740 MOSSBERRY PL Lot Size: 108900 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of R✓ Disposal Field E] Septic Tank Ej Holding Tank ❑ Privy Private Well E] Water Storage All construction must be in accordance with: I. 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: Issued By: �iDate:6K - .. - Municipality of Anchorage Development Services Department Building Safety Divisionj� On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343.7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D._ 017-091-76 Permit Number WO Property owner(s) DANIEL do jUDIE THOMAS Day phone 765-9106 Mailing address (2) Zip Code 99516 Legal description (Lot, Block & Sub'd.) LOT 1- WILD BERRY STAT St nnIVI ION Legal description (Section, Township & Range) NIA Lot Size tog goo Acre Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms -_ 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 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. ALASKA WATER do WASTEWATER CONSULTANTS INC. RUSH I� V .Permit Fees: $Oy 4150"Vf550•� Waiver Fees IDate of Payment: Date of Payment: Receipt Number. 28 1 0 Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. December 3, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic Upgrade for Lot l; Wild Berry Estates Subdivision I To whom it may concern: _ 4kef) The existing 3 bedroom house is served by a private well and septic system. The xisting septic system consists of a 1000 gallon septic tank that was installed on 7/10/1998 an two shallow drainfields installed in 1981. The drainfields are in a state of failure and must be u ded. Three test holes were excavated on the property. The new drainfields will be designed round the 30 foot radius of test hole #3. We are proposing that the existing 1000 gallo septic tank be excavated and the integrity verified. If the integrity is found to be good,rtha a 500 gallon lift station is to be installed after the septic tank. If the integrity is found to be poor, than install a 1250 gallon S.T.E.P. tank in place of the existing septic tank and do not install the 500 gallon lift station. We also are proposing that dual 5 -wide type pressurized drainfields be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 0.6 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 4.0 minutes/inch (visual rated to be greater than 15 minutes/inch) b. Proposed Application Rate: 0.6 gallons/day/R2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 750 ft2 f. Total Depth: 7 feet (max.) g. Effective Depth: 4 h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 40 feet long each (80 feet total length) k Effective absorption area = 800 112 The distribution lines are to be 1.25 inch Schedule 40 PVC with %. inch diameter holes spaced 2.5 feet on center (15 holes per lateral — 30 holes in entire system). 6901 Debarr Road, Suite 213 * Anchorage, AK 99504 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.com 3. SURFACE AVATERS: There are no surface waters within 100 feet of the proposed design. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, there are no slope concerns. 5. LOT LINE WAIVER REQUEST: We request a 1 foot lot line waiver from the south property line to the proposed drainfields. We are unaware of any adverse effects on the adjacent property with the granting of this waiver. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you, have any questions, please contact us at 337-6179. Thank you for your assistance. A .E., M.S. NOTE: A site plan, a design drawing, three soils logs, a topography site plan, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2D • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwe.com I I I I I i I I I VI �i Z I I I I 1 I / j ♦, \ I I LOT 2, BLACK 8; / I 1 I I PRATOR S/D 1 1 LOT 1, BLACK 8; I I I I PRATOR S/D I I I 1 I I ♦ I j � ---- --------------- 1 ♦\ TRACT A. BLOCK 1; 1 LOT 2) \ WILD BERRY ESTATES EQUESTRIAN HEIGHTS THfJ2+ I 1 �, \ P2 \♦ I I � 1 1 \ HED / ♦`� 1 EXISTING ♦ 1 J BEDROOM / I HOUSE EXISTING��45� -' 1 SS11TEy `i: jy,t: LOT 28• 9 I Y WILD BERRY ESTATES 1 I ! SERVED BY A PRNATE WELL I ',t• AND SEPTIC SYSTEM. WELL ON I 1 i •^. L EAST END OF PROPERTY. 1 L % I 1 FERNWOOD AVENUE (UNDEVELOPED) ` ♦♦I ----- ---- --------------- -T-------- � PROPOSED SEPTIC UPGRADE \' -----------------1 I I j (SEE DESIGN, PACE 2 OF 2) U� FRED WALATKA, P.E. j I I I TEST HOLE /3 LOT 1, BLOCK 3; g' EACLE BROOK S/D 1 1 al 9/6/1980 I I LOT i XLOTBLOCK 4, BLOCK 2; I MOUNTAIN AR ESTATES I I I i i I 1 \\♦ w SERVED BY A PRIVATE WELL 1 C.T� I I I 1 3:anI AND SEPTIC SYSTEM. WELL ON 1 EAST END OF PROPERTY. I I I ♦MOUNTAIN AIR ESTATES, NO. I ml # AI DATE: 12/3/2002 .;:.::� iALASKA V ` DRAWN BY: «'A'I'LR S WASTE J•L,M. '�'.(1 l SCALE: CONSULTANTS, INC. ? ♦ ;' '•, i1�) 5001 DFPGRY ROAD. SU?RNOB ITE • GNCnGF. 0R 001(1(. ' PNUNF (001)11]-Aq0 • in% (001)338•3]46 1 — loo, ..... .. ... ........ .. G .... / S; PREPARED FOR PHONE NUMBER: PAGE NUMBER: DANIEL & JUDIE THOMAS 265-9106 1 OF 2 " : •' "' ••: ' - n s. ` . C 53 �V`� ' LEGAL DESCRIPTION:yll WILD BERRY ESTATES SUBDIVISION; LOT 1 4�r'r"�0 '• ....••.. SFA y10•,, �,?�+�°:1�' TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE E VERI INTEGRITY THE EXISTING SEPTIC K. IF THE INTEGRITY IS 'R. THAN REPLACE BOTH EXISTING SEPTIC TANK 1 A 1250 GALLON S.T.E.P. K AND DO NOT INSTALL 500 GALLON UFT ION. EXISTING EXISTING DR USED AS A EXISTING ATHI1 i W "Dios EXISTING WELL 1 PRROPOSED 500 GALLON ----L----------- /PROPOSED DRNNFIELDS. EXCAVATE TWO TRENCHES THAT ARE 7 FEET DEEP MAXIMUM BY 5 FEET WIDE /BY 40 FEET LONG EACH ({0 FEET TOTAL LENCM). ADD 4 FEET OF CLEAN. WASHED SEWER DRAINROCK. / THE DISTRIBUTION ONES ARE TO BE 1.25 WCH SCH 40 PVC WITH 1/4 INCH DIAMETER HOLES SPACED ' 2-5 FEET ON C (15 HOLES PER LATERAL — 30 HOLES TOTAL IN ENTIRE SYSTEM). ALASKA WATRR & WASTEWATER 6001 DFAARR ROAD, SNTf til • CONSULTANTS, INC. ANCHORAGF, AX OOSM • PnO.uF (007)337d170 • FAX (007)33%-3TL6 PREPARED FOR: PHONE NUMBER: DANIEL do JUDIE THOMAS 265-9106 LEGAL DESCRIPTION: WILD BERRY ESTATES SUBDIVISION; LOT 1 TYPE OF WORK: DESIGN OF PROPOSED SEPTIC UPGRADE 5 \� I FRED \I T HOLE 199/8/1 8C I(1 1 $EE ATTACH (1 I SOIL LOG •::: T; I 1 I I .:; ----L----------- /PROPOSED DRNNFIELDS. EXCAVATE TWO TRENCHES THAT ARE 7 FEET DEEP MAXIMUM BY 5 FEET WIDE /BY 40 FEET LONG EACH ({0 FEET TOTAL LENCM). ADD 4 FEET OF CLEAN. WASHED SEWER DRAINROCK. / THE DISTRIBUTION ONES ARE TO BE 1.25 WCH SCH 40 PVC WITH 1/4 INCH DIAMETER HOLES SPACED ' 2-5 FEET ON C (15 HOLES PER LATERAL — 30 HOLES TOTAL IN ENTIRE SYSTEM). ALASKA WATRR & WASTEWATER 6001 DFAARR ROAD, SNTf til • CONSULTANTS, INC. ANCHORAGF, AX OOSM • PnO.uF (007)337d170 • FAX (007)33%-3TL6 PREPARED FOR: PHONE NUMBER: DANIEL do JUDIE THOMAS 265-9106 LEGAL DESCRIPTION: WILD BERRY ESTATES SUBDIVISION; LOT 1 TYPE OF WORK: DESIGN OF PROPOSED SEPTIC UPGRADE 5 \� I FRED \I T HOLE 199/8/1 8C I(1 1 $EE ATTACH (1 I SOIL LOG 12/3/2002 AWN BY: J.L.M. 1LE 1"=40' :E NUMBER: 2OF2 z •.a • Je fr A. am ss.� sG \ O �s�............ .....••' co�o44 ALASKA WATER 8 WASTEWATER oo� I yp�0 CONSULTANTS. INC. OO * ..e.a•m . SOIL LOG — PERCOLATION TEST 0 LEGAL DESCRIPTION: WILD BERRY ESTATES SUBDIVISION: LOT 1 OO ff A. Gar ess! D PERFORMED FOR: DANIEL & JUDIE THOMAS DATE: 11/8/2002 dp�� C 7DEM F•`oT� t> (feet) _. _ p4�4e� rofsaslo^o%��v 1 E-ORGANICS TEST HOLE 1 ��40�oo�oa 2 =-cc SOICLASSIFICATIONSSITE PLAN 2 y . GW ---- 1'100' 4TH1 1 3L HED <,:.,i • GP C 4 GC OL s BEDROOM \ ° SWMH HOUSE p O D O \\ •r•' !'�Y ESC ExISRNG - ;:5SP ,CH SSM THJSM ML OH6 SOME GM & e CL POCKETS/ jC "y. 7 LENSES + THROUGHOUT 8 \�__ - FERNWOOD AVENUE (UNDEVELOPED N 9 -- t----���� 10- 11 B.O.u. 12 13 14 15 61718 16- 17- 18 79 PERCOLATION RATE >120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.5 FT. AND 3.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY AKWWC. INC. 1. JEFFREY A. GARNESS. CERTIFY THAT THIS W RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO GROUNDWATER DATE SEEP O 5.5' 11/8/2002 6.0' 11/12/02 6.0' 11/29/02 2 2 4:45 PM DATE READING 13 CLOCK TIME NET TIME WATER LEVEL (MINUTES) READING NET DROP (INCHES) 11/12/2002 7 11:00 AM - 7 1/2- 2' - 2 2 4:45 PM 4' 345 6 3/4- 3 4' NSG\ PgLE 1; 0 R �� 5 ALASKA «'ATCR CONSUL 'NA'ASTKVVATER S. INC. IJUIL LUU — YLKL:ULAIIUN IL5I1 LEGAL DESCRIPTION: WILD BERRY ESTATES SUBDIVISION; LOT 1; PERFORMED FOR: DANIEL & JUDIE THOMAS DATE. 11/21/2002 DEPTH (feat) ORGANICS EST HOLE 2 1 CLOCK TIME — — NET DROP (INCHES) 11/26/2002 1 15:18 - 6• _ 2 15:48 SOIL CLASSIFICATIONS 5-1/4• 2 3 15:48 — 6• _ 4 16:18 30 5-1/2• 1/2' 5 GW --- ORG 6• _ 6 16:48 30 5-1/2• 1/2' ML GM CL 4 N LF SOME GM & CL GC OL V4L.s S Nopnv4 Tr 1 l &eL6A. POCKETS/LENSES °. ,°. o SW MH 5 •, .•, ; SP CH ITHROUGHOUT SM ; OH 6 Sc e 9 10 11 12 13 14 15 16 17- 18. 19• 20• DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/26/2002 1 15:18 - 6• _ 2 15:48 30 5-1/4• 3/4' 3 15:48 — 6• _ 4 16:18 30 5-1/2• 1/2' 5 16:18 — 6• _ 6 16:48 30 5-1/2• 1/2' N LF 0,4 11 S V4L.s S Nopnv4 Tr 1 l &eL6A. PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.0 FT. AND 2.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BRAD GARNESS COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS 9ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 177/0,1. ALASKA AVATER CONSUL AVASTE'"ATER S. INC. IJVIL Wa - YLKL VLAIIUN IL51I LEGAL DESCRIPTION: WILD BERRY ESTATES SUBDMSION; LOT 1 PERFORMED FOR: DANIEL & JUDIE THOMAS DATE: 11/21/2002 DEPTH ____ (feet) �__� ORGANICS TEST HOLE 3 1 E 3 4 d 1111 ML WITH SM/GM MIXED 7 THROUGHOUT 8 1=111111l11lF 10 11 14 15 16 17 18 • DATE . •i, 11/21/02 DRY TO 12' 11/29/02 DRY TO 12' •. 1 � IIII�Iilll 15:28 IIr111J1 HOUSE %//% 3 IXISnNO— - RH N • 4 15:38 Iilllllll 3-1/2- MID" 5 Pon - �iltillil _ 3T.O� • �1 3-1/2- -1 2'7 2-1/2- DEPTH TO GROUNDWATER DATE DRY 11/21/02 DRY TO 12' 11/29/02 DRY TO 12' 12/2/02 6' _ SITE PLAN 4THJ2 1 CLOCK TIME NET TIME (MINUTES) 1'=100' NET DROP (INCHES) 11/26/200 1 IXISfINC HED \ 6' _ 3 BEDROOM 15:28 10 HOUSE 3- 3 IXISnNO— - 6' sEPnc THg1 4 15:38 SYSTEM � 3-1/2- 2-1/2- 5 Pon - 6- _ 6 15:48 �1 3-1/2- -1 2'7 2-1/2- 7 15:48 Air Y FERNWOOD AVENUE (UNDEVELOPED 8 15:58 10 3-1/2- 2-1/2- 9 15:58 - 6' _ DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 11/26/200 1 15:18 — 6' _ 2 15:28 10 3• 3- 3 15:28 - 6' _ 4 15:38 10 3-1/2- 2-1/2- 5 15:38 - 6- _ 6 15:48 10 3-1/2- -1 2'7 2-1/2- 7 15:48 - 6- _ 8 15:58 10 3-1/2- 2-1/2- 9 15:58 - 6' _ 10 16:08 10 3-1/20 2-1/2* 11 16:08 6' _ 12 16'18 10 1 3-1/2" 2-1/2* 19� PERCOLATION RATE $4 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: BRAD CARNESS COMMENTS: BASED UPON THE VISUAL APPERANCE OF THE SOILS AN APPUCATIONS RATE OF 0.6 CPD/SO Fi SHOULD APPLY PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W S PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: -�k -,It MT' oNv-f I✓1,7c s'vs ^ro 1'L, SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION Pouch 8TEST# 650, Anchorage, Alaska 89602 27S•2221 7*" a -J SOILS LOG -PERCOLATION TEST ] PERFORMED FOR:. ���.�,� o y, '— r -*'-I? ��/1L��Q�/C�1�' —DATEPERFORMED: LEGAL DESCRIPTION:_ \�1 L.—t7`Z '-�•�s�?S nl caTui SLOPE B- K r SITE PLAN V 1 2 3 4 t� Iz ��5 Va 6 7 e D r %4 a 10. 12- 14 15 16 17 18 Ta 20 NET) PVF;' 6ZOV44 sANPY />eAVEu.YSIcr (ML) Moor SZPWN jp*4j>y SILTj/ G Ve_L-�GN MaIST otrN 1,jur4f_ZouS G�cy Z14.T-Y eZAVEL (6tA) ly6t5T- WET wrrA nomECcuS 6-06B[_E S z, -4q GRA cay Sk.T. CML-) J: lz 1_l r4stsr-we-r wrrN r2Espor-.(i GP_AJr_t 4AIP 6oEf��S WAS GROUND WATERS ENCOUNTERED) k�-5 L BRowt-i MND`i 6�eAUEL- �GP� vvr_r pr-rr.t TEST FT STia Z•-(o 71t "T. T 3 �eor PlArCA a-r-PT*AgT- ea` IF YES, AT WHAT DEPTH? %r ��tHrLlr DIF.41' .■.■.■■■ Data Time Time Depth to Not Time Water Drop IL: III o /: / 5• e NEON ■■■■. MEN no Z / S I -2'r t-/ a 0NNn 9 -f2 -6o i Iorvv r LJ L adinp Data Time Time Depth to Not Time Water Drop IL: III o /: / 5• e .8 Z / S I -2'r t-/ a 9 -f2 -6o i Iorvv r lrar.ra tires !/Jr.o�`r.ut� hbLG PERCOLATION RATE (minutesTnth) TEST RUN BETWEEN FT AND S FT_ PERFORMED BY: ko LPo" 4 CERTIFIED BY: • • /}. ' DATE: c�` 73p PB (7/76) ? 11, G.erGQ IN FEpc I& -r, WL = !I ^ s'/ - 9/ %Ao s 1, i 4- r co%rrc>Af-j, 1 • 1 1'Ir I, !J!lIIAIII!I�II��R�JZ;lN.+7@.•'�I�C�►"w1!rJr�_S�'JJ�iLr:lla:F��tul=�_�� 1/17/2003 Jeff Gamess Alaska Water Waste Water, Inc Subject: Waiver Request for F Lot Line Waiver Request #WR030003 Parcel ID #017-091-76 Dear Jeff Gamess: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 1.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Water & Wastewater Program Municipality of Anchorage Development Services Department Building Sarcty Division On-Sitc Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343.7904 Waiver Review Worksheet WR#: 030003 PID#:017-091.76 HA#: Date Received: 1/17/03 Legal Description: Wild Berry Estates Lot 1 Engineer. ,teff Gayness Alaska Water WAste WAter. Inc Applicant: Waiver Requested: 1' tot line waiver Criteria: Geology Permit#: sw020472 A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver Is Granted: / Waiver Is not Granted: List Conditions or Reasons for above: Date: By: X �( `flame ............................................... Rec#: 28768 Amount: $150 Date Paid: 1/17/2003 .............................. Municipality of Anchorage Page —L of 2 72-0 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: SL4/900ZZZ PID Number: 0/709/7g' Name: Niel %�omaf Wastewater System: ❑ New I% y Upgrade Address:/y71to "or_rLrrry R/. An�11 99s/ ABSORPTION FIELD Ewsi Phone: No. of Bedrooms: 3 ❑Deep Tre ❑ Shallow Trench ❑Bed ❑ Mgut d O Other LEGAL DESCRIPTION Soil Rating Total Dept m original grade: GP Ft. Lot: Block: Subdivision: 1 / l41alo/,berck ark Depth to pipe bottom from original grade: vel depth beneath pipe Ft. Township: Range: Section: Fill added above original pro Grave gbh: FL Ft. WELL: Ey/ST ❑ New ❑ Upgrade Gravel width: Number of lines: fuMe between snea: Classification (Private, A.B,C): Total Depth: Cased To: Ft. Total orption area: Ft. Pipe material: Ft. Ft. So. Ft. Griller. Date Drilled: Sufic Water Level: Installer. Date Installed: Ft. 0arls Exra&Cr/Tn 7/ 1019& Yield: Pump Set at Casing Height Above Ground: GPM Ft. Ft. TANK SEPARATION DISTANCES 51Septic ❑Holding ❑S.T.E.P. To Septic Absorption Lift Holding blk/Private Manufacturer.CaDaciry in gallons: From Tank Field Station Tank s..vrlinea A+hCAzY 7lrniFieldlaao Well, l NS Material: SHe / Number of Compartments: 2 Surface Water > 100 LIFT STATION N.A. LotSize Line HD In gallons: Manufacturer. Foundation l' "Pump on" level at: "Pump ofr level at: High water alarm at: Curtain Pump Make b Model Electrical Inspections performed by: Drain Remarks: New reoNr 76.v 1e irvinll. BENCH MARK in me tOrC7Apv7 4 ori ins/ Location and Description: r c of tCAr P Cerner 'A i• Lek TetnLe }rvu/or%oe ex.. 2e rl .'� ot�n c.cl, IA Allot�/ Assumed Elevation: 100.0 erf oan% FCunnacllrco /o eavJhn tuorh. lfne Ori incl ENGINEER'S SEAL .,.�^,�.::.-•. :. tt. i•ir.. *7 Al um orf Crum/oeP E Sur;iri on 20hb Tick, Svc, Inspections performed by: Dates: 7//0/98 .......:...............` 2nd ,y y•".::..it* . Department of Health and Human Services approval �= ���� •' '; Reviewed and approved by: Date: 7-2 ' 1 �.....r.� f y 13 (Rev. PERMIT NO: SW980222 PID NO: 01709176 SWING TIES FROM: COR. "A" COR. "B" TO: S.T. C.O. "D" 18.5 28.5' S.T. C.O. "E" 24' 29.5' EXISTING TUBE EXISTING SOIL ABS. SYST. IN THIS AREA oll",-SHED FERNWOOD DRIVE PLAN VIEW SCALE: 1" = 30' GROUND ELEV. 97.7' n Fn 2" RIGID INSULATION INV. 94.3' FROM HOUSE 1000 GALLON SEPTIC TANK PROFILE VIEW SCALE: 1" = 5' INV. 94.0 WELL PAGE 2 OF 2 NOTE: THE LOCATIONS OF THE PRE- EXISTING FACILITIES SHOWN ON THIS DRAWING ARE DERIVED FROM THE 8/31/81 M.O.A. INSPECTION REPORT AND AN 11/8/81 AS -BUILT SURVEY BY FRED WALATKA. PLUS SWING TIES GENERATED BY AECS. 8 SUPPORTED BY RECENT FIELD MEASUREMENTS. C.O. NEW 1000 GALLON SEPTIC TANK C.O. TO EXISTING DRAINFIELDS IN PLACE ♦__"\\ •��OF q� !� � .• •• 1y;49m 1 •« .................... .. ..... ......0 . 1 ; THEODORE F. MOORE i jr� � :, CE -3589 :• c B=gwim'••••..••'' \ 11\\oressl� ♦ _ 7-10-42 I:L:TD 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 WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW980222 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:NIEL THOMAS OWNER ADDRESS:14740 MOSSBERRY PLACE ANCHORAGE, AK 99516 PARCEL ID:01709176 LEGAL DESCRIPTION: WILD BERRY ESTATES IT 1 LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 7/08/98 EXPIRATION DATE: 7/08/99 I. 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 MOST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY:Z-.,/ _111� DATE: W6/9P ISSUED BY: I /O"Z?iZ�LCI' `--� DATE: RECEIVED y I'JUL 08 1998 TP ITY OF ANCHORAGE HNICALSERV�F1 AL SERVICES DIVISION CIVI. i ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION 6 ANALYSE THEODORE F. MOORE, P.E. 14530 ECHO ST, PH: (907) 345-1355 July 8, 1998 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to replace the existing 1000 -gallon septic tank on Lot 1, Wildberry Estates, located at 14740 Mossberry Place. The existing septic tank is rusted out and on the verge of collapse. A site plan and specifications are enclosed for your review. The proposed replacement tank will be installed adjacent to the existing tank in the approximate location shown on the site plan. 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, �:71 c Ted Moore, P.E. LOT N ---------------- NOTE: - ----- - NOTE: THE CONFIGURATION OF ; FACILITIES SHOWN ON THIS R DRAWING IS DERIVED FROM THE 00, I ; 8/31/81 M.O.A. INSPECTION REPORT, ; AN 11/8/81 AS -BUILT SURVEY BY ; FRED WALATKA, AND SWING TIES ; GENERATED BY AECS, SUPPORTED ; BY RECENT FIELD MEASUREMENTS. WELL I NO WELLS OR SURFACE WATER WITHIN 100' OF PROPOSED TANK.SHED I IW w co I� w E USTiNG 3 BDRM I? ; INSTALL NEW HSE44, . 1000 GALLON INSTALL C.O. AT POINT SEPTIC TANK WHERE NEW WASTE INSTALL DOUBLE C.O. LINE TIES INTO OLD. ABANDON EXISTING EXISTING EXISTING 1000 GALLON MONITOR SOIL ABS. SYST. SEPTIC TANK I TUBE IN THIS AREA I I -- - I ♦�,_`�` FERNWOOD DRIVE MOSSBERRY T �4`w OF fiPLACE 00 4Ar` ,•N •ee•••, �1 i F Co 49 Ih * . .«.........0000 ......... ..•..... ..%17::: • THEODORE F. MOORE i jAr (t % CE - 3589 •: `c A �a Bei o•••••.•••e �c A+ ',t 44fe2sloT�w ---------------------- LOT 4A, BLOCK 3, MOUNTAIR AIR EST. WELL HSE LOT 2A LOT 2B Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 3451355 Lot 1, Wildberry Estates 14740 Mossberry Place Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing 1000 gallon septic tank and installing a new 1000 gallon replacement septic tank. 1.2 Construction shall be as depicted on the approved site plan. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with 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 1000 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 at the point where the new waste line leading into the tank ties into the existing waste line from the house. A double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Inspections: 3.1 A total of 3 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 new tank has been set level and the piping connected, but prior to backfill, and (3) after rough backfill and grading is complete. 3.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME .� z s PHONE NEW ❑ UPGRADE MAILING ADDRESS LEGAL DESCRIPTION16 'RL- LOCATION / 0. OF BEDROOMS a a/G Well / AbsorAt DISTANCE TO: lon area Owellin PERMIT NO. DY H2 0 �r� �v0 i W F Manufacturer/r Materia No. of compartments to Liq, capacit inalluns g IF HOMEMADE: Inside length Width Liquitl depth d Z Jz DISTANCE TO: Well Dwelling PERMIT NO. =�F Manufacturer Material Liquid capacity in gallons w= Well Foundation Nearest lot line DISTANCE TO: PERMIT NO. Hw W No, of lines Length ofsea h in if Total lentjt .1irres Trench wid[h /beneath lC y Distance between linos m H Top of the to finish grade / Material tile r - '^cher Total effective absorption area D 2 y inches W Length 9 Width Depth PERMIT NO. t7 i f- W (L W Type of crib Crib diameter Crib depth Total effective absorption area rn DISTANCE TO: Well Building foundation Nearest lot line _1 W Clas ,/ T{. Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS SOIL TEST RATING`�/ n�/�/ 22 S de i tea`/ , f k INSTALLER REMARKS v APPHOVED DATE LEGAL /// . /tet /' ef- 72-013 (Rev. 31781 R, a < n Ci oLLJgS � w V ° O E�3�❑ LLJ G ❑ U Y 00 •-t 1 n F; to W o N O : 00 •-t 1 n F; to W • :T03 k w a www i • : •C: .moi v Ap tO 0. GAMY q r4 Y! oN gfM*8wwQ3�oo ! )ko mN1 120: qE a N. V1 0' .i co! o! "O! Qi 0 ! :L N ri .-4i 94 Ni M O'i ❑ S i 5 S r S ."i. i S '��' Z O O O O O O O O O O O O a aa a a a a a a a a a .1Z W W w w W W a W t:. a :L a s; 0 M Cd E 4J Y 9 M W 0 Q LO Y 0 H r•1 rl d 3 0 0 e; 0 Y Y O P 4-s 4-s O Z O � 4 F d a 00 v. d Z x J N: N; : O O O O O O O 0 O O O O O a a a a a a a a a a a a • ol >ami M lz W 54 VCO - Ii�;�,�l Q �I I U H N to ! Y� WrtW LF w aFrIALF N,Y w��,-I 0 IY 'E: s.•1 m.•Irl� Q 1.�: to e • :T03 k w a www i • : •C: .moi v Ap tO 0. GAMY q r4 Y! oN gfM*8wwQ3�oo ! )ko mN1 120: qE a N. V1 0' .i co! o! "O! Qi 0 ! :L N ri .-4i 94 Ni M O'i ❑ S i 5 S r S ."i. i S '��' Z O O O O O O O O O O O O a aa a a a a a a a a a .1Z W W w w W W a W t:. a :L a s; 0 M Cd E 4J Y 9 M W 0 Q LO Y 0 H r•1 rl d 3 0 0 e; 0 Y Y O P 4-s 4-s O Z O � 4 F d a 00 v. d Z x J MUNICIPALITY OF ANCHORAGE 8 IS Department. Health and Environmenta. Drotection 825 'L Street, Anchorage, AK. 59501 8128 2+r 264-4720 OCS1 �-# * * * HANDWRITTEN PERMIT _ WELL ANDA ftON-SITE SEWER PERMIT Applicant: rJ mailing Address: p Location: Phone Number: a.��-�?;33 �3y�-/S3/ Legal Description: l{/: �xzz i • _s%~ %fes. Lot Size: Type of Soil Absorption Is: Trench: rainfield: _,�L, eepage Bed: a Holding Tank: �-- Maximum Number of Bedrooms: 0_ Soil Rating(sq.ft/br) V,5- The Required Size of the Soil Absorption System Is: DEPTH � e� LENGTH �. GRAVEL DEPTH l6emvu)WIDTH S� /opL The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = 14000 GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * . * TWO(Z) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection -and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feel for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 1 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the sidences remodeled to include move t��e��%Z Signed: Issued b Ap c Date: SWP/024(1/81) JFK SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 825 LStreet, Anchorepe, Alaska 99501 264-4720TEST 5- SOILS LOG - PERCOLATION TEST PERFORMED FOR: 1- ►= 7 \�'A'DATE PERFORMED: % -ZD- SO LEGAL ucrin pvFF ' (FEET) 1 91COWN 6ZAVEI4-Y SILT (ML-) 2 NO) ST 3 SzovJN $ILry SA pl I69AVE4, j::j (GM) hto t ST ? w f FPC4vc"-T-6fi 4 1312-004 AJ 5/('ry SA,vt�jGrrtvc{ �P-6 rte/S% w/Fe LlSur�vT rz-S 5 GocEL 6 7 -I I bPp�/N s,LTy A�F.� Wim',) WIIIY'I W/ T Go$ELES 9 10 TD. ID. 0' 11 WAS GROUND WATER `' ENCOUNTERED? NO 12 IF YES, AT WHAT DEPTH? 13- 14 15 16 17 16 19 SITE PLAN Reading Data Gross Time Net Depth to Time Water Net Drop N p t I N '�_p • - t -E •-p I/ :20 pIra,- ADp tleo L� :LO O• i �- � 20 I� PERCOLATION RATE Y- (minutes/inch) TEST RUN BETWEEN ' =FT AND 'e FT FT ` COMMENTS- 77r -- s, 6JP'5, /Z"N iiJ 91'.oWN StLr•/ S�J/V�y 6�'.7riEC_ ��ro-GM 1 a PERFORMED BY: W �Lf / �C % CERTIFIED BY: f / 72.008 (6/79) DATE: i n R SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6.650, Anchorage, Alaska 99502 4762221 SOILS LOG — PERCOLATION TEST PERCOLATION TEST A PERFORMED FOR: l ,G.�T.i \Y�. U���C/ \ f, DATE PERFORMED: LEGAL DESCRIPTION: (FEET) Do rr 1 sZOWA4 :nn Dy 2 Nlo)ST 3 GicG S/1 -TY e-eAOC4LY SAND To S4vDy5laryt;,Ps2r6L (5M -GM) rv+otSr 4 6ZCy SAlJ0/6244CL/5nnE StLT— G-�-(,ur�7 ntaST �) u�-,e�n�y CSU 5 8 (may Sa voy 5"'Y )+lo,ST-WET WrrW NL)mCZ" 7- 'I Got;SL£S s 9 6af $'Cry l-94uF-L &M) 10 tit°,ST-WLT WITiI F1;E.QJf_NT' GLG�-C. S 13 M05 14- 15- 16- 17 4151617 18 19 PCFTIN Tv Lc�rooi Or' rr Ar s,Ti)4z7- 20 4 -3-k6 To ci P,rG secFWwf4INNot.�r_ A -T S•rA Cr COMMENTS TEST WAS r -UNI rtl WASGROUNDWATER S ENCOUNTERED? F L O P IF YES, AT WHAT_ 7 D — E DEPTH? wN1L.L V%if,t ull SITE A —A I Reading Date Gross Time Net Depth to Time Water Net Drop y76 -2030 _ r SNAG K' A vicec rt3 , p , , -- -- t; - -o„ { i� zr I e.NGs for A —A I Reading Date Gross Time Net Depth to Time Water Net Drop y76 -2030 -- -- t; - vo zr PERCOLATION RATE GU (minutes/inch) TEST RUN BETWEEN 3 8 FT AND FT PERFORMED BY: L01 I1,1E 0I.NAt-1i CERTIFIEDBY: ' DATE: 72-00847/76) La/L 9 Aro aATcl7 rN f F,•.'C Nt{� k 1w SOILS LOG MUNICIPALITY OF ANCHORAGE ♦�.:� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION Pouch 6650. Anchorage, Alaska 69M 276-2221 TEST -r SOILS LOG - PERCOLATION TEST PERFORMED FOR:-. 1—``C}/=� ��/� ��"j��C'/�� DATE PERFORMED: -ao LEGAL DESCRIPTION:__ (FEET) DvF;r 1 6L'0WfJ S�Dy �AVELLYS'ILT 2 04L) M O, 5-r S&Wr4 SILT C,l: CVEJ-.�6h 3 MOIST 0trO NvnE.-,ou> lsvuEC£S 4 5 I!�-Zr-y SaT-y GeAVF' CGFn) f46'5T-WF-T wrrrJ /lVMEQovS 6 Gu6F�L• 5 7 8 s �Ey GRA✓r-ay i5er ImL- 10 rAotST-WET wrrN r1;c.Gkvr 4 GeAucz- A4,P t5 -E LAS 12- 13- 5zovitj SANDY GequE.L C�P> 14 wt.T is 16 FOB 718is17- 18- " 20 S WAS GROUNDWATERS S ENCOUNTERED? yk's L IF YES, AT WHAT DEPTH? O P I E, "�Jwuv Dtlf.l Reading Date Gross Time Net Depth to Time Water Net Drop I 4�1I Z •- I0 74 "T• ' T.T of F/PE 3or pjArCk rN IbLL PERCOLATION RATE (minutes/inch) Lt7T GfNE TEST RUN BETWEEN +1 vT Z. o f I I 3 8 _[-07- I t Q���L GI 1— + I I � -AI O P I E, "�Jwuv Dtlf.l Reading Date Gross Time Net Depth to Time Water Net Drop T'E.ST 6r STgr-T Z •- I0 74 "T• ' T.T of F/PE 3or pjArCk rN IbLL PERCOLATION RATE (minutes/inch) aT STA jz,T- TEST RUN BETWEEN FT AND S FT Z. - L:4J ac) r z Zrr pEPTrJ Tu 1oTTOFt eF T'E.ST 6r STgr-T Z •- I0 74 "T• ' T.T of F/PE 3or pjArCk rN IbLL PERCOLATION RATE (minutes/inch) aT STA jz,T- TEST RUN BETWEEN FT AND S FT I F PERFORMED BY: ksJ /.(L DONALD CERTIFIED BY:/�/� DATE: t�L ' '-H-Fo /S' $s Z -/o"�T/G!e V f7 - 'rAPC Goc'4iLTcc,4 1 Zsl 7a ooe (?ne) 10 l✓gTC2 IN PCr-C lint -f- Lai- = II � ! �1 - 9�1I/e'o r ( SOILS LOG Z �- MUNICIPALITY OF ANCHORAGE • vl DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION 825 L Street. Anchorage, Alaska 89501 264720 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: �f=1i \�I� (,•./>T1%I� DATE PERFORMED: 9—?_z_-80 LEGAL DESCRI —DEPT I 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMM pvFF ITZN4 J v"47'-, a oro 'TbO- o' 7-915, Ittelg� rCy j 1-1, — em L) 6 o r jT SLOPE bl It PLAN Reading Date Gross Time (ICY '::p jpw` 17T Depth to Water Net Drop rt/O -7 r ;T WAS GROUND WATER YES ENCOUNTERED) IF YES, AT WHAT DEPTH? 54.Ar_ ivw$7'- waT T.p, l4 Reading Date Gross Time Net Time Depth to Water Net Drop rt/O -7 r ;T PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT PERFORMED BY:*�TTzr CERTIFIED 72.008 (6/79) DATE: Municipality of Anchorage Y • Development Services Departmentr• Building Safety Division On -Site Water and Wastewater Program ` 4700 Bragaw Street '" "• P.O. Box 196650 Anchorage, AK 89519.6650 www.muni.orglonsite 4t k*j (907) 343-7904_ CERTIFICATE OF ON-SITE SYSTEMS APPROVAL C.u.& FOR A SINGLE FAMILY DWELLING Parcel I.D. Of 7 - 09 / - 7d COSA Expiration Date: . � / -L- 0 7 1. GENERAL INFORMATION Complete legal description Ac'/- :ty Lli•/st 8ar'„ Location (site address) I M I Y 0 Merr b e rry P /a ee Current Propertyowner(s) Niel 4 U«elft 7-ho»ar Dayphone 2g 6S -9/oC Mailing address Lending agency Mailing address Real Estate Agent Mailing Address IN7yO /ta0f 6tr'?' P/Acca AIC 99s, Day phone self Day phone Urdess otherwise requested, COSA will behold by DSD for pickup. P 1 eckf[y la// Niel 7%&-* w 6 — 26r-9/06 wl;(n LatA rend/ f9�I..H,, 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: I Individual Well ® Individual On-site 5 t Individual Water Storage 9 ❑ Individual Holding Tank I ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Fla Lino -'tern;,ra/ Phone ? YS'- )3,rr Address /HS30 Ecl+o ec►nSoo Rd.' ,¢k99S'/G Engineer's Printed Name i-heoclo.e �. Hoa -v' Date 1y Ft5►H0r 20a7 ;; •N S. DSD SIGNATURE TMEOCORt F. lSOORE •• CE -3589 ,•••1/07•. V Approved for 3 bedrooms. k, a. •••• �� Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By. � Original Certificate Date: a` LT -07 (Re AIM5) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196850 Anchorage, AK 99519.6650 www.muni.org/onsite j (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description:1gf I., Wt Id 4tPw EtVak+/ Parcel ID: _017 - 09/ — 7� A. WELL DATA Well type _'vf If A, B, or C provide PWSID # Date completed 7/jl/8/ Sanitary seal (Y/N) Y Total depth 12B ft. Cased to I ZJ ft. Date of test Static water level Well production FROM WELL LOG _7 131 81 ft. 10 g.p.m. WATER SAMPLE RESULTS: Coliform ___Q colonies/100 mL Nitrate 6 0. 1 mg/L Arsenic: .;_ ppb date of sample: Z/1 /07 B. SEPTICIHOLDING TANK DATA Tank Type/Material 5 ei /+ c Tank size 1000 gal. Number of Compartments I_ Well Log (YIN) Y Wires properly protected (Y/N) Y Casing height (above ground) T gC in. AT INSPECTION I I / t7 6,58 t g.p.m. Other bacteria colonies/100 mL Collected by. WP f &C0.y e°�o.n are ,,.y Date installed 7/80 /98 Cleanouts (Y/N) V Foundation cleanout (Y/N) Y Depression over tank (Y/N) _.h(_ High water alarm (Y/N) N. ,4,_ Date of pumping 9 / Is / 4ti Pumper A+ 14pyr f er-, eii C: ABSORPTION FIELD DATA Date installed fZ/S/a2, Soil rating (g.p.d./W orft2lbdrm) A2.6 yid System type d'-w.o% drrrrgf�e+�(i ♦t Length 80 $ ft. Width Ir r ft. Gravel below pipe 'S1• / ft. Total depth 7S' ft. Eff. absorption area djU 112 Monitoring tube Y Depression over field J1 Date of adequacy lest 11 / 27 Results (Pass/Fail) PawL For—7 bedrooms 1Y" 17• Fluid depth in absorption field before test I 4f in. Water added :6 gal. New depth:o. / in. 17" Elapsed Time: 19Z min. Final fluid depth L2.1 in. Absorption rate >= VJ16 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Nage leigoMn If yes, give date M. A. D. LIFT STATION Dale installed 17,/$' / o i Size in gallons Sy0 Manhole/Access (Y/N) Y "Pump on"level at yl_ in. "Pump off" level at I /_ in. High water alarm level at `/ 7 in. Datum V*> Asv. Cycles tested '> 149 Meets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot t o0 t Absorption field on lot 1 Do + Public sewer main 1/• A. Sewer /septic service line > 241 On adjacent lots 100+ On adjacent lots 1yo + Public sewer manhole/cleanout N• .i Holding tank N • A, Animal containment areas N. A. Manure/animal excrete storage areas N• A.. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 7 6 Property line -r • Absorption field > 6 Water main P. A, Water service line > to' Surface water 7 1&401 Wells on adjacent lots > 800' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation 1 to' Water main N• A Water Service line r to'J— Surface water ,ap leoo' Driveway, parking/vehicle storage ea S ' Curtain drain None Clen Wells on adjacent lots > tuO' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records .that the above ,systems are in conformance with MOA COSA guidelines in effect on this dale. Engineer's Printed Name T4 io aCP-V F /•reo•'e Date 14 FGbr rcwr�. 2c+0 7 COSA Fee $ l9Cr) ( if 3) /75 Date of Payment -Z I` j I °% Receipt Number nui� (Rev. 11/05) L I'Waiver Fee $ Date of Payment Receipt Number 49 TIA p * :nzceo^c r. e:ooa�; C. a .. IT R N 89°56133"W 329.051 j {4 • 4f•,f pt P v° c L 6 e e a e R� ,WELL PROP. LINE ------ ---------------- � S —8-9°5 HIOO��E 299.00 H H O 41 29.00, LEGEND B SEWER PIPE L LIGMT FIXTURE I I I I I I I m D+ N w N a 0 0 EA 'JO' ORAINADC E6Nt. ----------- I I I 1 I I I I I I AS -BUILT SURVEY NO CORNERS SET THIS DATE SCALE:1' - 40' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 1, WILD BERRY ESTATES THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE STRUCTURES OR FENCELINES. PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON DATED AT ANCHORAGE, ALASKA THIS 17TH_ NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES DAY OF NOVEMBER 20067 OR LOCATE STRUCTURES. HOLT LAND SURVEYING 10338, FB 126-36 TEL. 3455513 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 HAA # \A Parcel I.D. # ao�- - 1to — 1. GENERAL INFORMATION L.oF 1 W�1cLtivr'�i ESf Complete legal description ---� Location (site address or directions) I ` -7y Cl us Property owner PI I I Tho)nar Day phone 2 6S - 9 rod IH7 O Mosr 6trry pf. AnC1101 qP At< Mailing address 76 2 -3 2 3 2 Lending agency S afFt ryorkgewt - FP/041-10' Day phone Mailing address WF 5160 E 3y Atc ;h �R^ctiv�o9P 99so3 Agent N ,y / a. �viunre Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well 3 ti Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 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. r2,=(Rw.1,91) From MOA121 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 Iurtherverify 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. Nameof Firm Flaffor Ttctin ica/ retv;ee1 Phone I Y$- /ass Address lYS 30 Ccho Sf� /Fns 4k995 -lb" Engineer's signature '""� 9nz_o � Date Fed 27 /99E 6. DHHS SIGNATURE �\ Approved for bedrooms. Disapproved. Conditional approval for Additional Comments e r..: ormls . ...................:... THEOUO:OE F. MOORE E Ci: - g589�•• : ',` bedrooms, with the following stipulations: 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. rxcn(P«.TAi) e.x Mwni Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 8251" Street, Room 502 • Anchorage, Alaska 995010 (907) 34344744 Health Authority Approval Checklist Legal Description: hof �, W#V4errx Esf_ Paradl.D.: 017 -G9I-76 �Oorhive\ SAetf A. WELL DATA Well type Pro var �f- If A. B, or C, attach ADEC letter. ADEC water system number Los present (Y/N) Y Date completed 7 / 31 / 8 I Total depth 126' Cased to M& Casing height (above grand) Sanitary seal (Y/N) Y Wires ply p (Y/N) Y Date of test Static water level FROM WELL LOG Well production 10 g.p.m. WATER SAMPLE RESULTS: AT INSPECTION (too ml Nitrate 0.23 rrir/.4P Othcrbaaeria Mone reperfra Date of sample: 2 2/20 /96 rn / Tech n i cal je ,-v, jU rn 2, 6 + 9- c`oo as v Coliform Ocol (too ml Nitrate 0.23 rrir/.4P Othcrbaaeria Mone reperfra Date of sample: 2 / 2019 CoUccted by: F /a l— / Tech n i cal je ,-v, jU B. SEMC41OLDING TANK DATA Date installed 8111/8/ Tank sin Number of Compartments ?- Cieanouts (Y/N) Y Foundation cleanout (Y/M N Depression (Y"jl _ High water alum (Y" N. A. Date of Pumping 2/27/94( Pumper rScra c1' C. ABSORPTION FIELD DATA Date installed 813)/491 Soil rating (g.Rd/11= or ftrfibdt j 2 2 y- System type S"w, e( a rnAr ldl Length i 3 3 ' Width S' Gravel thickness below pipe 2 Y " Total depth C Effective absorption area 7S O' Monitoring Tube prcsenr(y/N)'r Depression over Held (Y/N) N Dam of adequacy teat Z /Zo / 9 6 Results (Pass/Fad) rou For 3 bedrooms Fluid depth in absorption Held before tat (in.); is- IF immediately after -W-1 gal. wary added (in.): 23 Fluid depth 12 Y: (ins.) Minutes lata: I t 2 Absorption ram - SW ¢.p.d. w Pennudo treatment (past 12 months) (Y/N) N If yes, give dam N.A. M Af +cr oti soelo t Jo. l29 rri„ the a(rw"n fir/o{r crccel AeW Y7 al, c,dd'/ w.Fcr wh.ch 1caKrcae t'Ae flc4ja ,e rM is ✓Y%trn /r, 23'/a tncNu D. LIFT STATION N.A. ManholelAcoas (Y/l) High Water alarm level at' Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level ate "Datum "Pump or level at' SEPARATION DISTANCES FROM WELL ON LOT TO: SepdrJhohling tank on lot 1 N O , ; On adjacent las > 1 00' Absorption Geld on lot > r M o' ; On adjacent lots > 100' Public Bawer main N • A. Public sewer manholvIcteanout N. .4. Sewer peptic service line -> 1 DO ' Lia station N • R SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: - Building famdation Is ' Property line > ro' Absorption field 49' Water main/service line _'2 -Zs' Surface water/drainage > (00' Wells on adjacent lots > t CIO SEPARATION DISTANCE FROM ABSORFIION FIELD ON LOT TO: Building foundation T 6 , Property Line > r o ' Water ma mmervice line > 2 5 - Surface water > i c u' Driveway. paddng/vehicto storage area 20' Curtain drain Nano, Seen Wells on adjacent lots --� i oo' F. ENGINEER'S CERTIFICATION I certify that I have determined dra field inspections mrd review ofMimicipal t in conformance with MDA HM guidelines in effect on this duh. • •""' •. •; , Signanae E^"4 r /nw/ y�� f .r �r ••r.Ky' Engincer'sName Thgaa;4drf F. Mvelee A io.,... : THEpuCP.f F. MOORE Data FL6 27y i99� :''-i•. cc-�s�� i �4 'I.rrr• '`.K `� J41? HAA Fee S 3 CAO Date of Payment —b Receipt Number. O4LZ7 Rev. 8/95 OSS: haawk.doc Waiver Fee S Date of Payment Receipt Number FLATTOP TECHNICAL SERVICES 14530 Echo St., Anchorage, AK 99516 96-03-06 10:46 RCVD Ph. (907) 345-1355 ADEQUACY TEST DATA SHEET Legal 'Description: L/.F /• l-(/, Ini 1jerr.. Fcf Street Address: 17 7 I1C/ h•Iuif ber/� P/tc a Client Name: N 1e- j Vivo, a/ C Test Date:_ 2 /2u / 9 /, Tested By:_ 7— F )Yet -•-t Initial Conditions: Float 11ink. r hi -7 set " b.t.o. ':3 " pipe w.�' fluid /o7 Float B2 in_Ehd Sum set " b.t.o. Pt.+" pipe w. jr3ly" fluid &f Float #3.in aet " b.t.o.. " pipe w. " fluid Float 64 in set " b.t.o. " pipe w.-11 fluid Water added through: c;. rt2 ACTION TIME 120 METER NET. GAL WELL TAKEN LEVEL Ems/ -- / �7 I :31 q67 I I Z 7u '/y Tr/IQ R 7o Yv 7 A IM 14 Sb� S•r 14., --Lel— t'., /4 Z 13 5- 1 N Ras «f 2' 3C iHl 76, o nol•;•, 7c' k 77/a rr - - Nfe ` 31 /� 1171 Gil r2J // G9 d 7'/l 7z, 1,7 tri v : 2 5 2.7 6`72 l 7�� �% c;` 7/ 7' 3' — Pu.w, ONFNNI neasured Well Yield .. GV -94 ; 2,8q ,� 1.YaM.^ Vr Adequate for 3_ Bdrms Unit Absorption Capacity e 251 4,1: 36 < 7 7 ,n �ti Surge Capacity c Average Absorption Rate - 1Y7g•1! -0 Adequate for 3_ Bdrms 127 m.� MUNICIPALANCHORAGE • ` DEPARTMENT OF HEALTH 8 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 Parcel I.D. a nh_)- nc) \ -11 r HAAs 41 EAq) nNc\ ( j 1. GENERAL INFORMATION Complete legal description 6vt1oC berry Es lc �✓ Location (site address or directions) I17YO Molstierrl. Plac6' Propertyowner Ica ren t eferson Dayphone `yo 39S-ISS2 Mailing address 11710 Moss Ser ry Place, Anr1t orwe flk 99Sr Lending agency Seetht14 Meru 4e-- Levin 6-yt4'bay phone r6 2-S62( Mailing address S6o E 3,111' A-v+e�. f�n�. Ak 99So3 Agent Niel T'e lldf - For1-%coe Pro 'arl i.r Day phone ZK2' 15-06'ru Address 3000 tA" SA _ 4^cAo!%1_e, 4k 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 V 3. TYPE OF WATER SUPPLY: Individual well 1l� Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 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 )R". 1191) Front MOA $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 furtherverify 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- Flatfor Technimf Ser6,t'r.r Phone 3'1S /3SS Address I Y C 0 Ectio Sf An�� Ak 99511, Engineer's signature Date -2 Z/0 y 9 2 ��9. rYJ'�1 ✓ v aXt ..:...................... TH`�DOf:?r. IlcC:E* ' 6. DHHS SIGNATURE Approved for _3 bedrooms. Disapproved. Conditional approval for Additional Comments .14.E E--♦ �� . ,5-� bedrooms, with the following stipulations: By: _ .Ao" i5wri 4 Date Z. 4 2L It1TIC 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 engineers work. naa (Nay. Twn Back MOAC21 , " . I . . 1, ...i a I. y Municipality,of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L-Oy Wilcr4eel-Y Ecia!-eJ Parcell.D. A. WELL DATA Well type Pro vu EL If A, B, or C, attach ADEC letter. ADEC water system number N.A. Log present(Y/N) Date completed I / 31 / B / Driller S y rtn 6ro1 - Total depth 120, Cased to 12,9, Casing height ? Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Date of test Static water level Well flow Pump level FROM WELL LOG to g.p.m. SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /,Yo' AT INSPECTION POO ng. Nitrate -4 0. /m+I-Q z 2/3/92 rr7e T mr•, 2 13192 Collected by: - j=&tAr T�cA rn - o 0 K. H + g.p.m. M N 7 7! !� R ; On adjacent lots -_� too' Absorption field on lot > 1w, :On adjacent lots > too, Public sewer main N. R. Public sewer manhole/cleanout Al. A. Sewer service line 2S' Petroleum tank NoAe observro( WATER SAMPLE RESULTS: Coliform O tri/ POO ng. Nitrate -4 0. /m+I-Q Otherbacteria o co/1100m.Q Date of sample: 2 13192 Collected by: - j=&tAr T�cA B. SEPTIC/HOLDING TANK DATA Date Installed B t 31 1,6 / Tank size1000 gal Compartments 2 Cleanouts (Y/N) r Foundation cleanout (Y/N) N Depression (Y/N) N High water alarm (Y/N) N - A- Alarm tested (Y/N) /`1• A. Date of pumping 2 /3 02 2 Pumper S Saac1 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot 1110' On adjacent lots --> tan' Foundation 1S'' To property line z 10' Absorptionfield '91 Water main/service line > 21" Surface water/drainage > too' 72-026(Rev.7M)F=1 CONTINUED ON BACK PAGE C. LIFT STATION Date Installed - Size in gallons Vent(Y/N) — High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) —Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: - Well on lot On adjacent lots Surface water ' D. ABSORPTION FIELD DATA Date installed 8 13 f /61 Soil rating 2 2 S o' ICI'L , System type 6 wl,'1 e olruinfefr,! Length 13 3' Width SGravel thickness 2' Total depth S Total absorption area 6 7S' a' Cleanouts present (Y/N) Y .Depression over field (Y/N) N Date of adequacy test 2/3/92 Results(pass/fail) Pass for 3 bedrooms Peroxide treatment (past 12 months) (Y/N) N If yes, give date N.,4 - SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot � fao' On adjacent lots > 100' Property line > ro' To building foundation 2 6 To existing or abandoned system on lot N. A On adjacent lots > ?aCutbank N.A. Water main/service line 2f' Surface water > I oo , Driveway, parking/vehicle storage area 20 ' Curtain drain None c,b serer e d 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. ®at.�n�pQ Or At @bo Signature or,.!"�1 v ...... 0 .......... ........ Engineer's Name -7-Ae 0cecre r Ntoord Date 2 / f U / 9 2 41 anooep� Oo HAA Fee S Z%O Date of Payment a—I/— Receipt Number Z134W/ If 72-M(Rw. W)0. k MOA 21 Waiver Fee: $ — Date of Payment Receipt Number !3/ MUNICIPALITY OF ANCHORAGE Department of Health & Human Services Mj • DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcell.D.# ��\`l-r�11--i(„ HAA #ti;�Qpt©_qaR 1. GENERAL INFORMATION (Must be completed prior to.submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) \titl_D3r�R�/ EST 211Ti5S L6 / / Location (address or directions) (b) Property owner ryrec. pnrrsh/ryrss i114ins . I A 1707_rL Telephone: (home) kI 1A Business 114 Mailing Address Pa R^ r 91600 1yte VA 960o7 Di4mc n,- i n (c) Lending Institution Q ) '� Telephone ��f? Mailing Address k,1 A (d) Real Estate Company and Agent Address IV/,R Telephone KI (e) Mail the HAA to the following address: (or check here [d if hold for pick up.) List contact person and day phone number below: Gli l ( S 22 - 13 1 I � -• 2. TYPE OF RESIDENCE Single -Family Cr Number of bedrooms 3 3. WATER SUPPLY Individual Well C3 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 C3 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. 72-025(R«.WN) Page 1 of 2 Z 1 Z abed Marg (891z'"3) SZPLL •�Jom s,Jaau!6u9 puo!ssa;oJd 041 u! suo!ss!wo Jo sJOJJa Jo; e!q!suodsaJ lou s! 96eJoyouV;o A;!Ied!o!unyj ay1 •panss! s! elect!Auao a aJo;aq e3ep azA!eue Jo suo!loadsui lonpuoo lou op SHHO to saaAo!dw3 •s;uawaJ!nbaJ eiels pue!eJapa; u!e1Jao A;s!les olJapJo u! suollnl!isu! 6ulpuai J1a41 pue sawoy ;o sJaseyoJnd o; Asalinoo a se s!yl 590p SHHO 841 •eNseIV 10 alelS a41 u! palals!69J Jaau!6ua!euo!ssa;oJd;uapuadapu! ue Aq anoge S 4deJ6eJed u1 uaA!6 suo!leluesaJdaJ ay3 uodn Aiuo paseq pa;eo!;!Jao IenaddyAl!Joy3nyy11eaH sanss! (SHHCI) saolAJaS uewnH pue 1411eaH;oivaw;Jedaa e6eJoyouV;o Al!led tolunlnl a41 NOI1f1Vo IenoJddV Ieuo!1!puoO;o swJa1 NUOg(pU00panoJddes!a panOJddV e3e0 � � _ t/� Aq swooJpaq S Jo; penaddy ` 1VA0addV SHHO 'S Ieas s,Jaau!6u3 8. .tea' b8 b 1 +s aNn r area c'OZ H1 C?A-7 QN 0 IN(Q OOD ssajppv Z ZS auoyda!a1 TOSS i vi LUJU 10 aweN uo!loodsui s!41 ;o e3ep aq; uo Ictal;a ui suo!1e!n6aJ pue 'saoueu!pJo 'sap03 OIL3S pue Ied(ctlunW Ile yl(m eouelldwoO ul sl wa;sAs I9sods(p Jelemalsem Jo/pue A!ddns Ja3em a3!s-uo ayl'uol3Oadsul PUL, uo!le6!ls9nu! Aw woJ; pue sal!; 96eJo14ouV ;o A4!!ed!o!unW 9141 woJ; pau!elgo uo!lewJo;u! a43 uo paseq leyl A;!JaA Ja41Jn; I •ulaJay pa;eo!pui eJnlctnJls;o ad/4 pue swooJpaq;o Jagwnu 84; Jo; elenbape pue Isuo!;oun; 'e;es s! wa;sAs Iesods!p Jalemalsem Jo/pue A!ddns Ja3em a;!s-uo 841 3943 SM04S IenaddV A3!Jo43nV 41POH s!yi;o u0!3e6!;sanu! Awieyl A;!Jan I'mo!aq umoys alep uo!iep!IeA 941;0 se pue 039194 pax!;;e Inas Aw Aq pa!;!1Jao sy NOIIVWHOdNI ONV V1V0'H0dV3S 3-1Id'S1S31'SNO1103dSNI JNIOIAONd WHId ONIa33NIVN3 •S D'A\ J Health Authority OF ANCHORAGE (MOA) • ` o���S\ Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 2b Legal Description: I,1\1I I () Q L= Rk Y ST. LOT A. WELL DATA Well Classification R�R I V ATF If A, B, C, O.E.C. Approved (Y/N) Well Log Present (Y/N) 'A'1 Y Date Completed -7 1 /R 1 -,V- Yield 4, I anrvm Total Depth I Z 9Cased to 1261 Depth of Grouting n 0. Static Water Level ("O Pump Set At O W K N 0 LU N Casing Height Above Ground 3 1 Sanitary Seal on Casing (Y/N) X Electrical Wiring in Conduit (Y/N) y Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 145 ; On Adjoining Lots 100 t To Nearest Edge of Absorption Field on Lot 15--21 ; On Adjoining Lots 160't To Nearest Public Sewer Line rl/A- To Nearest Public Sewer Cleanout/Manhole til To Nearest Sewer Service Line on Lot Y1 /a Water Sample Collected by K. LI NEI ISN ; Date %) 9 /Lqq Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 6�3/A Size -1 000 No. of Compartments 2 Standpipes (Y/N) V Air -tight Caps (Y/N) Foundation Cleano t (Y/N) Depression over Tank (Y/N) N Date Last Pumped Pumping/Maintenance Contact on File (Y/N) n/& ;farv) /'J Holding Tank High -Water Alarm (Y/N) ��� Temporary Holding Tank Permit (Y/N) n a - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 145 To Building Foundation To Property Line 1 0 To Disposal Field To Water Main/Service Line nVa To Stream, Pond, Lake or Major Drainage Course 100 � + Comments 72-M(A".?M)From Page 1 of 2. C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 22 S sF ZL k//,Type of System Design DRAI N FIELD Date Installed P/3/ A51 Length of Field /3.-31 Width of Field S Depth of Field Gravel Bed Thickness 2- Square Square Feet of Absortion Area (o 7 s, ft Statndpipes Present (Y/N) Y Depression over Field (Y/N) IQ Date of Last Adequacy Test &Ile) Ag g Results of Last Adequacy Test SATI S FAL P\ Y SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well / f3' ' To Property Line 10 + To Building Foundation 26 To Existing or Abandoned System on Lot n la- ; On Adjoining Lots 2 S -t- To To Water Main/Service Line r-1 To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course i on ( "t' - To Driveway, Parking Area, or Vehicle Storage Area 2 U t Comments D. LIFT STATION Date Inttat!\, Size In Gallons V1/A "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) _ "Check Per/mi ed Bedroo Rating Against HAA Request" certify th4( I ye checl i�v? ified, or conformed to all MOA and Signed Company Date — MOA No. Receipt No. cP-oZolcZ C % Date of Payment 16 &1- -� Amount: $ Receipt No. _ Waiver Fee: $ Date of Payment 73-028 (Rm.7/86) Back Page 2 of 2 Pumping Cycles during Adequacy Test. effect on the date of this T J. coma.. ti, ;-tic 4• Engineer's Seal MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Dale 3k-k\\,� 1. GENERAL INFORMATION (a) Legal Description (include lot block, subdivision, section, township, range) Location (address or directions) _ _I g7y0 MD S AFRRY (b) Applicant Name 210DY 1002A RD Telephone: Home Business yS-5 70 Applicant Address _I 4 7y0 • M24S R6QRy 4Alc d AK 9qy (s (c) Applicant;is (check one): Lending Institution ❑ ; Owner/builder Od; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution"! , Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family K Multi -Family ❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite 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. Page 1 of 2 72-025(1118,) S. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation dale shown below, I verily 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. Name of Firm �EC5 I NCI Telephone 1571-15-0 yo Address —12001 W 3'3�Q SU/%E 8 0/11C H AK 993 03 Date 01 A �3 DHEP APPRO L Approved for bedrooms Approved Disappr Terms of Conditional Approval 51 The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is Issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11154) n ^ I JNICIPAL17Y OF ANCHORAGc DEPT. OF HEALTH S MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY ION J IJ L 2 21986 260-4720 p Legal Description: ,rY%� MI1 M n2N R3W sEc:35- A. WELL DATA Well Classification JAI ur AM 4- If A. B, C, D.E.C. Approved (Y/N) � Well Log Present (1VIN) Date Completed 191 Yield Total Depth 12 -IF —Cased to Depth of GroutingNIR Static Water Level - (20-4 ° Pump Set d I UNKNOWN i Casing Height Above Ground 3 Sanitary Seal on Casing &N) Electrical Wiring in Conduit ©N) Depression Around Wellhead (Yo Separation Distances from Well: To Septic/Holding Tank on Lot - -- yJr ; On Adjoining Lots 100 To Nearest Edge of Absorption Field on Lot !S3 �'r • On Adjoining Lots / 00 7 To Nearest Public Sewer Line N To Nearest Public Sewer Cleanout/Manhole NIA To Nearest Sewer Service Line on Lot�A Water Sample Collected by -,- K'41 rayam ; Date 74S�?6 Water Comrr B. SEPTIC/HOLDING TANK DATA Date Installed S1 3I 91 Size 1 000 No. of Compartments Z Standpipes !®N) Air -tight Caps &N) Foundation Clean t (Y Depression over Tank (Y®j Date Last Pumped Pumping/Maintenance Contract on File (Y/N) MIA ; for Holding Tank High -Water Alarm (Y/N) ___N1A__ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well ) S To Building Foundation ) To Property Line 1Q t To Disposal Field To Water Main/Service Line I`%1A To Stream, Pond, Lake, or Major Drainage Course ho l_" _ Comments Page 1 of 2 72-026111.851 t31-�I wr�0ltERRY C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 2 2 Type of System Design - DRAIN f/ELS Date Installed - e bil l / Length of Field Width of Field ,S Depth of Field s, Gravel Bed Thickness Square Feet of Absorption Area Standpipes Present ON) Depression over Field (Y6 /Date of Last Adequacy Test Results of Last Adequacy Test _ SFi T15 FfiG%R7 Separation Distance from Absorption Field: To Water -Supply Well X53 To Property Line to /+ To Building Foundation Lot On Adjoining Lots To Existing or Abandoned System on 25 ''J"" To Water Main/Service Line N7 To Cutbank (if present) AVA To Stream/Pond/Lake/or Major Drainage Course Qlo t To Driveway, Parking Area, or Vehicle Storage Area 2-(,) / Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments — Dimensions Manhole/Access (Y/N) _ "Pump Off' Lev t(Y/N) Check Permitted Bedroom Rating Against HAA Request " Pumping Cycles during Adequacy Test. Meets MOA I certify that I hayegke veriied,orconformedtoallMOAa HAA guidelines in effect on the date of this inspection. Signed _ tet_ _ Date Company rt � S Wn MOA No. OF At IN ........ n 4K Receipt No. 140b 1 —00 15 7A1 Date of Payment 7 - 15— CAV � .. 49T" Amount: $ �orJ� •„•, .., Y C Prl REID. WETa 1 0 � �,, CE -225i Page 2 of 2 #Z %{%� I E^ aJ l�ipl� I,,A.'P_.,...,.,.,•�. 72.026 l,,,eal *_ 3jt2T 517E .60/9/ 60377 ALASKA U01RORMenTAL COnTROL SES INS, InC. Engincrrinq 6 Enuironmrnlal Studies JUDY BULLARD SELLER—JUDY BULLARD 14740 MOSSBERRY ANCHORAGE ALASKA 99516 LEGAL:WILDBERRY ESTATES BLOCK 1 LOT 1 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE—JULY 15 1986 JULY 21 1986 JUDY BULLARD 14740 MOSSBERRY ANCHORAGE ALASKA 99516 1/1UN;CIPALITY OF ANCHORAG2 CEPL OF HEALTH S ENVIRONMENTAL PROTECTION i I. 2 31986 RECEIVED THE TYPE OF ABSORPTION SYSTEM IS A DRAINFIELD WITH AN AREA OF 675 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 678 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON JULY 18 1986 . THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. FLOW TEST ON WELL WELL FLOW DATE—JULY 15 1986 A FLOW TEST WAS PERFORMED ON THE WELL. 678 GALLONS OF WATER WAS PUMPED AT A RATE OF 3.76 GPM OVER A DURATION OF 3 HOURS. THE DRAWDOWN WAS 7.3 ' WITH A RECOVERY TIME OF 10 MINUTES AND THE STATIC WATER LEVEL WAS 60.4 FEET. THE WELL IS ADEQUATE FOR THIS 3 BEDROOM HOME. 0 OF A, G 21111).f. ... 1200 West 33rd Aurnuc. Suite B • Anrhoragr. Alaska 99503 •(907) 5615040 ALASKA ENVIRONMENTAL joeRILI Y�Jkp 6FRPq CONTROL SERVI( INC.$MEET NO. OF 1200 West 33rd Avenue, Suite B ; ANCHORAGE, ALASKA 99503 kfo3CALCULATEDDY •ITK DATE86 (907) 561.5040 CHECKED BY DATE T - SCALE 7--r i7l. 1100 V., sepric TANK - - ------- 1 q -- X- ML'N10PALIrf 0-E 1 -.1—DEPT.-bF Ah'C�Noj?AG_- ENVjpo,4�E HALTH & pkoTECTIC 2 -91986 R :SIP �CEI VED -1--= c 4 — 7--r i7l. 1100 V., sepric TANK - - ------- 1 q -- X- ML'N10PALIrf 0-E 1 -.1—DEPT.-bF Ah'C�Noj?AG_- ENVjpo,4�E HALTH & pkoTECTIC 2 -91986 R :SIP �CEI VED -1--= 4 — ------- ----7 w . . . . . . . . . . . 7--r i7l. 1100 V., sepric TANK - - ------- 1 q -- X- ML'N10PALIrf 0-E 1 -.1—DEPT.-bF Ah'C�Noj?AG_- ENVjpo,4�E HALTH & pkoTECTIC 2 -91986 R :SIP �CEI VED -1--= W d� Time Time ,is Date Date Date Inspector Inspector Inspector ( 'V4! Comments Conditional Approval ^^,, �.� Z. r,,AX;l Date Sewer Installed Permit No. Septic Tank Size �QO b Holding Tank Size Solis Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner tJ 3Y�' Mailing Address a, p CI W. D f tw-& D Buyer PiG t:) LLA VP.. . Address Lending Institution%n` Phone Address �1 �--lC C` -1 c , N Ole I � JC -41Z M L t A(47 Realty Co. & Agent \ ne Address CA U._" 9 ( O Legal Description Street Location r Type esidence �] Single Family O Multiple Family No. of Bedrooms ❑ Other Water$upply Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June ❑ Community O Public Utility 1975. For wells drilled prior to that date, give well depth (attach log If available. Sew ags,8isposal Ylndividual Year Individual Installed: ❑ Public Utility When Connected to Public Utility' ❑ Holding Tank NOTE. THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 24 17 31 11 :o ,t 17 16 13 16 17 12 1, 1: 4 t 7 6 1 1 1 2 3 4 1 6 7 t 1 10 11 12 13 14 11 14 17 U SOILS LOG MUNICIPALITY OF ANCHORAGE v; DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 625 L Street, Anchorage, pe, Alaska 99501 264720 :0J 5- A SOILS LOG — PERCOLATION TEST PERFORMED FOR: �rLC�C� ��-I h L��11/ DATE PERFORMED: �i z17 —8a LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED? ,4_ IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop •l it D to T PC v P 2r, O" Y .• rt M O r, 34' _ _ u 1—j 1 PERCOLATION RATE d*L (minutes/inch) TEST RUN BETWEEN FT AND S�r FT COMMENTS TF_5-r !✓aS QUPJ rN 1;00W n! t16 -/v1) PERFORMED BY: 1/J E 1 `r \C CERTIFIED BY:Z/ 1 72.00! (6/79)