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HomeMy WebLinkAboutCURRIN LT 4Currin Lot 4 #017-341-19 Develcprnen Services Department Buiidino Safety tt, vMsion On -Si e Wc+er R Wc-stewater Program, _ c. 4'00 r ragaw 51 reet \ n -.lJ. Oak 176650 MarkBegich Anchorace..AK.99519-6650 - Mayor sv!+rv.:nuni.orgi n n5 it (407; .a;-7904 Pump Installation Log Well Drilling Permit Number: SW_ Date of Issue: Parcel Identification Number: Legal Description Property Owner Name & Address: /� ►`\wtn-. E�kvrrnrn 5ioo cve%Qi�'t CiQttt �Ll�-Vinthr,�cacic l v}K 9g51L Pump Installation Date: $ • ,� \ - i �\ Pump Intake Depth Below Top of Well Casing: §101) feet Pump Manufacturer's Name: iRr o 7wrKe; Pump Model: Pump Size 1 hp Pitless Adapter Burial Depth: i V feet Pitless Adapter Manufacturer's Name: -/- Pitless Adapter Installer: Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: (Q�� Comments: a Anchorage Pump & v eii Service Pump Installer Name: 330 Past 76th Avenue Anchorage, ABaska 99513 Phone: 907-243-0740 Fax: 907-243-0742 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of ptunp installation. 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 PHONE DNEW , A) 134.<-- 008 J ❑ UPGRADE MAILING ADDRESS 31 S0AS UJA K q,4 4;-) LEGAL DESCRIPTION T GSL s/ *i2 of Lij 27 LOCATION �� NO. OF BE9ROOMS `I CV Af14) eiRtl AFF O7¢ � - DISTANCE TO: Well -oil 1 f Q p Absorptio a ga Dwell' pg a �f 0� PE MIT NO. UY 126, 0373 i Q Manufacturer Matgli No. of comp�tments W F. CAP Liq. ca acity in gallons IF HOMEMADE: Inside length Width Liquid depth Y DISTANCE TO: Well Dwelling PERMIT NO. _j 0z _ F Manufacturer Material Liquid capacity in gallons O DISTANCE TO: Well >/11 t Fou a 'on,Zrj® Nearest li/ie PEg4NO. W = O 6,%%E13 Td W u. v w No. of linis Length of each ne g Total I n hyof lines Trench idth /r Distance et en lines F Z inches G Top of the to finish grade/ Material beneath file t' / Total ef�O egrption a i T inches of ✓ Length I Width Depth PERMIT NO. w C7 a F wa Type of crib Crib diameter Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line J Cl ss Depth GO / Driller.141'-14 Distance to lot line PERMI�IyQ. P__ 3.7 O �W? DISTANCE TO: Building foundation Sewer line / Septic tank / tAbsorption areas) ?�l2/ t 1.21� in R-10 k4v*-- 41COc1p L OTHER t PIPE MATERIALS 3 � SOI L TEST RATI G 26 16a'Jfib INSTALLER 111 s &x REMARKS JI ►3 o C4. jEN(GiAjze,e)',#,) r. FAA 911'r -o 16 SMina! P APPROVIED DATE LEGAL -9 7P L 4 60 c 'tis T12 N 93W S 72-013 (Rev. 3/78) ra v° n r 0 xJ 7Oo � A C�7 � O r 0) W O 0 � v D � IN C) rt a N O 7n w0 z n fi n cn : w • fn z O O O O O O O O O O O O iN Zo Ul o a :fD � � 3 v D G : Ui :C) OD : w w : ►� : N z :rn o O O O O O O O O O O O O O W :Ln Al (,j : N N iv :00 F•t K 0') : Ul O :cc) w: m: w O : t0 Sv H . H O 0 En : En w : En to . : fn �A : O o*� a :a :a � :n :a. ;K rD Q, (D sr K S?'' : by •G7 : � :o w ("F N F, (D K K m Fl - id 70 w x w w w w a x x v �- O O O O O O O O O O O O ¢ a n o ql T1 'rj `%I ^r1 "s7 "I H' O O O O O O O O O O O O ~' :fi N fD :. in :o m c=�> rn Q_ ra v° n r 0 xJ 7Oo � A C�7 � O r 0) W O 0 a o IN C) rt a N O 7n w0 n fi n cn : w • fn N w 30rt n iN Zo Ul ra v° 4 0 xJ O A C�7 � O r a � � o iTJ O i 001 a N O 7n : fD fi ft 30rt iN :fD a 0 T T n m m X m N I m D c r c r. c� a D D P y y D X a V . CIA x r roZ 0 04 Ci X O v_ 0 D N D a, r D C/) X D MUNICIPALITY OF A.NCHCRAGE DEPARTMENT OF HEALT4 AND ENVIRONMENTAL PROTECTION 8-25 L STREET, ANCHCRAGE. AK 99501 264-47,0 E -LL- P -E R -*Ml T PERMIT NO: 840373,.x_- DA T'E - I -SS -U -E 0 05123184 APPLICANT: MARTIN & MARY FOOT ADDRESS: _ - 1311-1-- SU.S WAY ANCHORAGE. AK 99516 CONTACT PHONE: 345-OC87 LEGAL DESCRIP: SUEDILISICN: CURRIN LOT: 4 BLOCK: NA SECTICN: 27 TC 4N SH IP: 1214 RANGE: 36 --LCT- SIZE 5-6291. (SD.FT. CR AGR€S) LOT LOCATION: CORRIN CIRCLE (y� `'" MAX 3EDROCMS: 4 LISTED BELOW ARE THE CPTIONS AVAILABLE TO YOU IN DESIGNING YOLK SE'TIC SYSTEM. CHCOSE THE OPTION THAT ZEST FITS YCUR SITE. - -_ - - - - -- - - - — - r- - - - T DEPTH TO PIPE BOTTOM (FT.) 4.0 4.0 4.0 -----4,0 - - - 0.5- -3.0 TOTAL DEPTH (FT.) 3.0 4.5 7.0 GRAVEL MDT}+ (FT.) 2.5 27.0 5.0 Gw_RA-V -i- L zAi%T,_H_-I.F-T. } _ 13.4 •.,__ y _ ..__ 54.0 1.2�6. a _* * GRAVEL VOLUME (CU.YDS.) 55.:3 54.0 81.6 TANK SIZE (GALS) 1.250.0 ** 1.250.0 ** 1.250.0 ** _ _.SCIL RA_TSN_f__C_SO-FT.13A)_ _ -263_ 239. 263 ** GRAVEL LENGTH > 75 FT. REOUIR:S MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) * *_-T_ANK _ML -ST _h11V E _AT LEAST TWO . C._OMPA RTMlE NT_S _ I CEtR_TI_f Y _T)7AT-x 1. I AM FAMILIAR WITH THE RE'�UIREMSENTS FOR CN -SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAC_ (MOA) AND THE STATE OF ALASKA. 2. 1 WILL_IhST.AlL _TME_ S.YSTEP _I—ACC_CRDANCE 66TH ALL MCA CODES AND REGULATIONS. AND IN CCMIPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT, 3. 1 WILL ADHERE TO ALL MCA AND STATE Of ALASKA REQUIREMENTS FOR THE SET BACK _ D_ISSAhLC_Ec_-.FPO:MI _ANY_ _EX_ISTING.—.W_-LL, 6ASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM CN TkIS CR ANY ADJACENT CR NEAPBY LOT. 4. I LNDERSTAND THAT THIS PERMIT IS VALID FCR A 'MAXIMUM OF 4 3EDROCMS AND ANY- E.1YLAgSzt'lENT b_ILL -RE.QL IRE AN ADDIT ICNAL PERFIT. IF A LIFT STATION IS INSTALLED IN AN AREA CCV£RED 3Y MOA BUILDING CODES. Sii __(_1_l__Aid_-E.L.E_CSRI_CAL- P-iRMIT_ _AkD__I.N-SPECTIO_N MU.S.T 9E CBTAINED_._(')_ AS-3UZLTS _ WILL NOT BE APPROVED kITHCUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL MORK MUST EE DCNE EY A LICENSEC ELECTRICIAN. SIGNED DATE: ISSUED BY-------------(S�a-c�tr ------ -- --- GATE. - /a 5�(1---- A0 sT13-014 SOILS LAG h MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST PERFORMED FOR LEGAL DESCRIPT 8- 91011 9- 10- 11 12- 13- 141 21314 15 16 17 18 19 20 DATE PE FORMED: -7/1/93 Lef f, C 5"A . T. H. 1*2.*#TI.1N,R3W., ;oh 27 , SLOPES ITE PLAN rw i Peva� (GM Sq.j'y 3rwrt I 'and CoLkle, few mea. (am) 'a 3 9 a ' 8-1,.", Gruy S; jf' $ 1;,A -i fios i;c, few cokkies, (; 7 �CI WAS GROUND WATER �� ENCOUNTERED? lk4.a � — IF YES, AT WHAT DEPTH? _ © rirue�l., b.la EhJ CC OF A1- �n1 h 0 C?a01 Q;.'`�'.. .• ' ' O . /•• f .„e.sO" e• sea 00 roy C. Reid, Jr. 4. ��; A,&s No. 2251-E e • ��' t� eF� PRO Ff SS1a��..•/r Io■■■■/_!"R■■■ Eis■■offs ■■■■■■■■■■ ■■■■■■■■■■ Reading Ira�Hful a;:rn Net Time � 1• 7 71s To3 11:07 IOw•:wa. ■i1�1 .095 Ha°,17/t/83 1:1 7 10 M:,,, -635 .08 &O 3 /03 if#t t 10 w.: w,. ' G 5 .4 % S • i! T /v/� 1:31 10 w""a J21011 .OG 8- 91011 9- 10- 11 12- 13- 141 21314 15 16 17 18 19 20 DATE PE FORMED: -7/1/93 Lef f, C 5"A . T. H. 1*2.*#TI.1N,R3W., ;oh 27 , SLOPES ITE PLAN rw i Peva� (GM Sq.j'y 3rwrt I 'and CoLkle, few mea. (am) 'a 3 9 a ' 8-1,.", Gruy S; jf' $ 1;,A -i fios i;c, few cokkies, (; 7 �CI WAS GROUND WATER �� ENCOUNTERED? lk4.a � — IF YES, AT WHAT DEPTH? _ © rirue�l., b.la EhJ CC OF A1- �n1 h 0 C?a01 Q;.'`�'.. .• ' ' O . /•• f .„e.sO" e• sea 00 roy C. Reid, Jr. 4. ��; A,&s No. 2251-E e • ��' t� eF� PRO Ff SS1a��..•/r Io■■■■/_!"R■■■ Eis■■offs ■■■■■■■■■■ ■■■■■■■■■■ Reading Date Gross Time Net Time Depth to Water Net Drop 71s To3 11:07 IOw•:wa. .Gas, .095 Ha°,17/t/83 1:1 7 10 M:,,, -635 .08 &O 3 /03 if#t t 10 w.: w,. ' G 5 .4 % S • T /v/� 1:31 10 w""a G4 .OG PERCOLATIO RATE L—J + T 'T RUN E EEN�1' N COMMENTS Enawww tw! ?*irks*i •1 •w H. PERFORMED BY: Cwwwer! G.+t j/ C.rIjeA CERTIFIED BYa ��F^MTT�.rej D i` _ `14�i • 72-008 (6/79) '`��!• _t slt th/inch) I ++`r DATE 7 1 -I4 w M ST73-0*�4 [A SOI LS LOG MUNICIPALITY OF ANCHORAGE ~ • �• DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION �) TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Tri., d DATE PERFORMED: 7,11/83 LEGAL DESCRIPTION: Ly f Sfa L I. H. W. -a .Tie[ Z17 Or9wn�.: I.arar SLOPE SITE PLAN 1 grown $l*/'t a., gave I (G *k ) 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS gndy 3rwve I and Cobbles, 4e w JP, nes. (G,vj) a 3 9 0' ©d,-,. Tar S';1 t s k'7A-H plaS7� w cobbles, I� GQU WAS GROUND ENCOUNTERW nq IF YES, X DEPTH? HAT` Reading Date Gross Time Net Time Depth to Water Net Drop ♦Had 75/$3 1o057 10 M:ns- .7a 1 11.'07 . ba.s .09S +1420x7/5/83 111107, llef7 IOM:nJ. 713 .Iv35 •O5F 7/5/03 1# e° a. 8 i 0 7a5- ,16 s' . 0 7f ty�0 flea .70 7/5/83 tio38 10 m,ns .`,qt .06 +1ia0 11:39 , 7a 5* 7I3�83 L1o4+ 9 10 .66 *14a0 7/5/83 lii; s9 I t o ►n,,,:. I.9 7, 1 .O a 3- PERCOLAI� N RATE ;13q n' b.l r.w �1 (minutes/inch) TEST RUN BETWEEN FT AND FT 8'95A T.H. °0`1 '_/ A I PERFORMED BY: Connor. Gaf�ts. Carlson CERTIFIEDBY: - I i 72-008 (6/79) DATE: 7 Municipality of Anchorage , •r • Development Services Department 4, Building Safety Division On -Site Water & Wastewater Program 1 4700 Bragaw, Street t/ / /J P.O. Box 196650 `�l^� Anchorage. AK 99519-6650 / } www.muni.org/onsite N" (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING �f Parcel l.D. _ Oi*5L11-1CI COSA# D*0340 1. GENERAL INFORMATION Expiration Date: Il -;Z7- © Z Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address CURRIN SUBDMSION, LOT 4 5100 CURRIN CIRCLE • ANCHORAGE. AK 99516 ARTURO LIM Day phone 345-5866 5100 CURRIN CIRCLE • ANCHORAGE. AK 99516 Day phone CLAIR RAMSEY w/ DYNAMIC Day phone 261-7552 3111 "C" STREET * ANCHORAGE. AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples.' (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system 1s(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 rr Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date b 20/06 Engineers Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines B Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. Those conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. f,J r y . rness: P CE —7 3 �SAX Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory M Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other G\Qt„ .. ••�y0 ON-SITE WATER AND WASTEWATER PROGRAM /n.• •..• SGV C )q 107 By: r/ C Original Certificate Date: 2— / 7 (rt". I eos) Municipality of Anchorage • Development Services Department Building Safety Division :. On -Sita Water 6 Wastewater Program 4700 Bragaw Street P.O. Box 198850 Anchorage, AK 99519.8850 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: CURRIN SUBDIVISION, LOT 4 Parcel ID: 61 %- 3 q J - 1.1 A. WELL DATA Well type PRIVATE If A. B, or C provide PWSID# N A Date completed 6/25/1984 Sanitary seal (Y/N) YES Total depth 260 ft. Cased to 40+ ft. FROM WELL LOG Date of test 6/25/1984 Static water level 220 ft. Well production 10 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 1.38 mg./L. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 6/8/2007 214 ft. 4.7 g.p.m. Other bacteria _ 0 colonies/100 ml. Arsenic: NO ug./L. Date of sample: 6/8/2007 Collected by: GEG Ltd. B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL/SEPTIC Date installed 6/21/1984 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y�I YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A ((oo r5 ?Jcn� Date of pumping Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA Date Installed 6/21/1954 Soil rating (g.p.d./ft'or(jj� 268 System type DEEP TRENCH Length 136 ft. Width 3 ft. Gravel below pipe 4 ft. Total depth 10.54 ft. Eft. absorption area 1088 ft' Monitoring tube YES Depression over field NO Date of adequacy test 6/8/2007 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test DRY In. Water added 609 gal. New depth 4.25 in. Elapsed Time: 54 min. Final fluid depth DRY in. Absorption rate >= 600+ g.p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at _in. "Pump off" E. SEPARATION DISTANCES water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manholeideanout N/A Holding tank N/A Manureianimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicie storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ 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 COSH guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS lips, Date (.1}olo4 COSA Fee ! , CC) Date of Payment Ro� a 10 c,7 Receipt Number �/ / L (Rev. 11105) Waiver Fee Date of Payment Receipt Number t.rne�s ss.-' ........ C 'YD jpT79¢3 �: r 1 . R�'�cc n T t SURVEY TYPc' SYMBOLS Prepared by BENCH /DARK INC. Professional Land Surveyors EDAS- BUILT — NO CORNERS SET O ASSUMED ELEV. I=>DRAINAGE Scale: prawnD y: to ur e improvements situated WOOD FENCE - 1 �' 1 00 • DGM Date Surveyed: y 22 OCT.8J ❑ PLOT PLAN - AS -BUILT - L07 SURVEY -TOPOGRAPHY _ CHAIN LINK FENCE -NOTE:Fences °."` "•°«••...... •'••»•-L� eiaoaa+on odjacr.+t property f! 1 r : �^ .. �.•r�,..f ':i •�=••�» »•••••• • ❑ LOT SURVEY are shown in their approximate © RECERTIFICATION AS -BUILT — NO CORNERS SET 'locations only. ] A that nO impavements On i, n T �' 1.0 G. R.U:!on ' Oat! Drawn: 22 OCT 87 It is the responsibility of the builder or owner, prior to LEGEND hub Q tack -found ❑ set C cx.struction,to verify proposed building grace re!ative to iron rebar -found Iran pipe -found O O Set set a O to finished grade and utility CONW-tlOns rd de'ermlne 'ne e:irence cf any easements, :0vt:Jn's Or r, stric:.ons brass ecp -found a set i' which do not appear an the re:.rded subd1.•!:cn plot. alum. Cap -found a set Qj Lot Survev Cert if ication �._:_ .. ; �C r� %! '•; 1' - • •;,•••:•'; • 1; y� ty Prepared by BENCH /DARK INC. Professional Land Surveyors Iherepyeer!ifythat Ihays surveyed the property shown and 6.=r bed hereon, and°•. , P ' �''-� s •j Scale: prawnD y: to ur e improvements situated . - -� t, '' - 1 �' 1 00 • DGM Date Surveyed: y 22 OCT.8J Checked by: tdAN M ereon within the property lines and banot overlap or °."` "•°«••...... •'••»•-L� eiaoaa+on odjacr.+t property f! 1 r : �^ .. �.•r�,..f ':i •�=••�» »•••••• • 87-130 ] A that nO impavements On i, n T �' 1.0 G. R.U:!on ' Oat! Drawn: 22 OCT 87 Grid: 2937 w.0. n o a i acem property overlap or S �uyia: :' :. '" '•• '�" . Legal Description: Peroacn on the premises in there v;" Ke. S731 -S _: c�efgF .,M a?stionand that are lines ° .^S; nc roclwa ,utilit or crw esiDe! easements on ,,pan^_•••••'•••' ' LOT 4, CURRIN SUBDIUISi:ON . so a prnpe•ty esceptoo ind• >.•*" SGS. SGS RKM 107263300 All Date%/Times are Alaska Standard Time Client Name Gamenginccring Group, Ltd. Printed Date/Time 06/152007 14:15 Project Name/# L 'urrin 5100 Curtin Cr Collected Date/Time 06/082007 9:20 Client Sample ID Ll Curtin 5100 Curtin Cr. Received DateMme 06/082007 13:20 Alalris Dr king Water Technical Director Stephen C. Ede 4 PWSID 0 Sample Remarks: Allocable Prep Analysis Parameter Results PQL Units Methal ContaincrlD Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 06/11/07 06/12/07 TK Waters Department Total Nitmic/Nitritc-N 1.38 0.100 mg(L SM204500NO3-F 0 (<10) 06/09/07 1DS Microbiology Laboratory Total Coliform 0 coVI00mL SM209222B A (<I) OW08107 DLC N-18-2007 08:33A FROM: ■ �•� NORTHLAND PUMPING SERVICE, INC. ■ i VOW Professional Septic, Pumping Sen ;tc C :�mr•�n•. • 7501 E. 140th Avenue ANCHORAGE. ALASKA 99516 (907-13-14-7146 FAX(907)868-67-70 :0 Arturo Lim 5100 Currin Cirele Anchorage, AK 99516 'k -W Pump Septic — Cufr;n L y 70:3383240 June 15, 2007 Fust thing in AM — adequacy test i 8/06 lzoo gaUo,ss Tank looted VW of center lice of back deck at ground level 1 HANK YOU INUO'ICE'. 18452 $10500 04/08/2007 16:09 907-348-8931 PAGE 01 -nom .' e&n dx t a -e 0 0 0�..-y[.o-cx� .c.K_ 4 a 6d/rn-r. MUNICIPALITY OF ANCHORAGE - DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL t'j OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 10/7-3/67 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) l.of Y carr/,n S /D Location (address or directions) S100 Cecrrrn Cirele AAehoi'vufe (b) Property Ownerf"WrY Faot Telephone: Home 3 YS '39<s^ Business Mailing Address 5700 Cccrrin Ci rcl a AAcALw-.�C (c) Lending Institution tierell Telephone 562-2& Mailing Address 701 E TKdor Ro(. Anc or!T re 91?SV-7 (d) Real Estate Company and Agent J'crc(c WAd-e Co.. Er<<vt /.--Vr1P07 Address 3 20/ C S.A. Anrll cir /Nk 99503 Telephone S63 .5300 (e) Mail the HAA to the followino address: or: Check here ®, if hold for pick up. List contact person and day phone number below. %% Kow ►C r 2. TYPE OF RESIDENCE t Single -Family Number of Bedrooms Y /; 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 (Rev 8/861 Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Elm F o 7Tc4-1 ica l Telephone 3 yS , zj-6— Address /,YS -70 FctiO S -. . A"e-6- a ugr. AW 99SY< Date 0 /?J / 8 7 + •.�� •OF• ACqAV �e r *c* 491H +"""'••••••••�•••••••%••.; Engineer's Seal . •....••...•.::......•..e 0 %THEODORE F. MOORE •• �?�,,••• CE - 3589 .•' w, I ••0000...••'••140 6. DHHS APPROVAL Approved for bedrooms by Date Approved Disapproved Terms of Conditional Approval Conditional CAUTION 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. Page 2 of 2 72-025 (Rev 8/86) Back *"4L1.Y OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA) fll*1�AL SERVICES DI1✓IS" HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 OCT 2 3 1981 264-4744 RECEIVED Legal Description: Lam,. C""'" S i D A. WELL DATA Well Classification Joy"l"af-e If A, B, C, D.E.C. Approved (Y/N) N. A. Well Log Present (Y/N) Y Date Completed 6,- 2 S/ 8Y Yield fOgAm ge-r 17 Total Depth 26'0' Cased to 2 EO Depth of Grouting �A Static Water Level 2 Z5, Pump Set At U k Casing Height Above Ground I Sanitary Seal on Casing (Y/N) I' Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) N Separation Distances from Well: To Septic/Holding Tank on Lot 121 J ; On Adjoining Lots > too To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots > too ` To Nearest Public Sewer Line NSA. To Nearest Public Sewer Cleanout/Manhole N, A. To Nearest Sewer Service Line on Lot 2S` Water Sample Collected by T• 1,100 re ; Date t o / (9 / B -7 Water Sample Test Results $2brjacAO'ry - O COI'Ayrm f !OO4" / O 6' /--Q, N1o4wyr - IV Comments B. SEPTIC/HOLDING TANK DATA Date Installed K/ 2 I 1 B y Size ISS-0owl No. of Compartments z Standpipes (Y/N) Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Depression over Tank (Y/N) N Date Last Pumped 10/ 20 197 by Ss ~c -r Pumping/Maintenance Contract on File (Y/N) N.A. ; for N. A. Holding Tank High -Water Alarm (Y/N) N. A Temporary Holding Tank Permit (Y/N) H • /1. Separation Distances from Septic/Holding Tank: To Water -Supply Well To Building Foundation ► 2 To Property Line -_ �_ o` To Disposal Field 1 7'. To Water Main/Service Line IV A To Stream, Pond, Lake, or Major Drainage Course — Comments Page 1 of 2 72-026 (Rev 8/86) Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 26 8 b ' /13 do-, Type of System Design 7're^C4 Date Installed Length of Field 136 Width of Field 3 Depth of Field 8 nem of - (64,0 Gravel Bed Thickness K Square Feet of Absorption Area 1 088 Standpipes Present (Y/N) Depression over Field (Y/N) N Date of Last Adequacy Test !O 7 Results of Last Adequacy Test Avdtouaci'e Separation Distance from Absorption Field: To Water -Supply Well IS -0, To Property Line i5per cy- To Building Foundation Lot N.A. To Water Main/Service Line To Existing or Abandoned System on ; On Adjoining Lots ---> 301 To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course ? tc o ' To Driveway, Parking Area, or Vehicle Storage Area ? 9a Comments D. LIFT STATION N -A- 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" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent (Y/N) N. A. Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed E -9 - Date to / 23 / B 7 Company r(u/6. Tech+ C vcr MOA No. 87104-2 ZDateReceipt No. / O O / 12 - Date of Payment J�3 u � Amount: $ Page 2 of 2 72-026 (Rev 8/86) Back OF A4 ,e;Q'; •op 'e Engineer's Seal ;.*C17� 49TH' * ®® 0. i THEODORE F. MOORE AF CE - 3589 ws f�'•. • •' . r`Z' AV `dew v.,* ** •s F�P = CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. r" c 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FEDERAL TAX ID # 92-0040440 lABO RA TORIES ANALYSIS REPORT BY SAMPLE Client PO# : VERBAL Reg #: Cl lent Smpl ID: L4 CURRIN Sample Recd : OCT 19 87 Ordered By : TED MOORE Send Reports To: FLATTOP TECHNICAL SERVICE 14530 ECHO ST ANCHORAGE, AY. 99516 Special Instruct: Chemlab Ref #: 8075 Lab Smpl ID: i Matrix: stater Parameter Tested Result/Units ------------------------------------------------------------------- NITRATE-H 0.62 mg/l Sample ROUTINE SAMPLE Remarks: ANALYSIS COMPLETED: 10-21-87 LABORATORY SUPERVISOR: STEPHEN C. EDE Mork Order No. : 5462 Client Account : FLATTOT Date Report Printed: OCT 21 87 8 15:23 Released By : 2 16 Reports Address 42 Method ------------------ 1 Tests Performed See Special Instructions Above ND= None Detected +:* See Sample Remarks Above NA= Not Analyzed LT=Less "titian, GT=Greater Than Allowable Limits ---------------- 10 MUNICIPAL17y O F AN ENVIRONMENTAL SERVIORAG CES E DIVISION c�i 1 231987 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date IG/2 z1 . —1 (a) Legal Description (include lot, block, subdivision, section, township, range) L C� l Zf- ,241 r G (J'.�k ) -t-1.2 /P3 LU SE'-- Z Location (address or directions) CLC -'/)'r1 IALJ C rXCLc: (b) Applicants Name kQA/ Z)uuciLAS Telephone - HomQSG2-3c0Business Z7i-s'IiC Applicants Address (c) Applicant is (check one) Lending Institution Owner/builder ; Buyer ; Other E:::] (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Single -Family r771 Multi -Family Number of Bedrooms 11L 3. Water Supply Other (describe) Individual Well 5E1 Community 1::� 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. I [Page 1 of 2] 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm cc 5' Telephone Address /Z vG Lti; 3-3 191LIGf10R)36L- f �. � Date /C'/ z z�C� � OF •• � A,(4 j sCO004 � ��**a + .• so .0 (ENGINEER , SEAL) 600 .,.,�... �....:. �� • cck' 6. DHEP Approval ♦� C. Reid, Jr. �' No. 2251.6 v Approved for G4,-/ bedrooms By y Da FOpR'•J•°.xQ Approved Disapproved Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS 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 REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 �h L q 6Q� C U A R AJ s/D MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 A. WELL DATA Well Classification egl kl l� If A, B, or C, D.E.C. Approved(Y/N) -Ad"I 0 Well Log Present &1) Date Ccapleted Z301 'A Yield Zqgm Total Depth 9 6 Cased to-)c2(oo* pfih o � Groutina LjAmAA ow,U Static Water Level 140 / Pump Set At OV KNO W,AJ Casing.Height Above Ground �� +'1> Sanitary Seal on Casing 01N) Electrical Wiring in Conduit AY N) Depression Around Wellhead (Y Separation Distances from Well: To Septic/Holding Tank on Lot 1 'L '+- �'� On Adjoining Lots i /00 To Nearest Edge of Absorption Field on Lot 7 T-1 7 "*�' ; On Adjoining Lots > /©O To Nearest Public Sewer Line �V�l9- To Nearest Public Sewer Cleancut/Manhole ,�i ba Th Nearest Sewer Service Line on Lot Water Sample Collected By S W CT- Date /O/m Ir3 Water Sample Vest Results Cotments B. SEPTIC/HOLDING TANK ARTA M Date Installed 4 Size 1, 2 �-O No. of Coapartments 2 Standpipes (BVN) Air -tight Caps Y ) Foundation Cleanout ON) Depression over Tank (Y Date Last Pumped _A 1/0 Pumping/Maintenance Contract on File (Y )/V A; for AdeL Holding Tank High -Water Alarm (Y )A Jy Temporary Holding Tank Permit (Y ) Separation Distances from Septic/Holding Tank: To Water -Supply Wall 17.1 #4- To Building Foundation 1 Z� To Property Line �2f + To Disposal Field '7 To Water Main/Service Line _ To Stream, Pond, Lake, cr Major Drainage Course` _4 Comrents -V4 qS .C�0 [Page 1 of 21 2-15-84 Lot cwee,A-, C. ABSORPTION FIELD DATA 1 Soils Rating in Absorption Strata Type of System Design-N?d-A*c t4 Date Installed Length of Field 1-76 Width of Field Depth of Field & I Gravel Bed Thickness 4 Square Feet of Abs tion Area I Standpipes Present qu orp �Q 8 Y S ) Depression over Field (Y�1 j Date of Last Adequacy Zest ti / b Results of Last Adequacy lost Separation Distance from Absorption Field: To Water -Supply t+iell 7 /Z 1 t To Property Line is - To STo Building Foundation 19 To Existing cr Abandoned System cn Lot On Adjoining Lots % 30 To Water Main/Service Line To Cutbank(if present) A-i/P11- To Stream/Pond/Lake/cr Major Drainage Course /V J,a To Driveway, Parking Area, cr Vehicle Storage Area Comments.:_C,�,,,. _ 4...,.. nu . .-h.�� '' ��r,faa.,'Ce f9111A&6 D. LIFT STATION "A Date Installed Dimensions Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for WAccess (YM) Off" Level at Vent (YM) s during Adequacy Test. Meets MDA Electrical Codes(Y/N) Comments ** Check Permitted Bedrocm Rating Against HAA Request ** I certify that I have checked, verified, cr conformed to all MOA HAA Guidelines in effect on the date of this inspection. Of •AC ��1 w Signed Date /D 2 Z ,;,�Q�.••CO • ••aqS� 1� Canpa C� S, c MOA No. S r 64--0 2 RS /�yt •• •'C�9 �� KB1/d5/s •• :• •. •Reid Jr. a ,, t.y (Page 2 of 21 .� 2-15-84