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HomeMy WebLinkAboutGLEN ALPS ESTATES LT 1Glen Alps Estates Lot 1 #021 -022- 10 Municipality of Anchorage l Development Services Department Yy; Building Safety Division Onsite Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.cl.anchorageak.us (907)343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO90108 PID Number. 021-022-10 Nemo BILL 8 CLAUDIA BLYTHE Wastewater System: ❑New ©Upgrade Aa m 13310 GLEN ALPS RD., ANCHORAGE, AK. 99516 ABSORPTION FIELD Ptwro Nunbr a Beaboma 4 ❑ Daap Ttanit O Strinw Trrrh O Ba O Manci i 1 LEGAL DESCRIPTION SW Rwna Taw Dean eom WVlGrave 2.0 GPDxe 2.0' Ft. 13 r La1 Si°°1Ytl101� GLENN ALPS ESTATES Depth tb Me bbnbm*am agave Gracie -O-As I oftkBdph brrrn pp Ft. 0.25' Ft Tb p Rrpe sector, F+aateci wove wvy Gracie Grew Ler,am. 2.9' Ft. 30.0' Ft. Well: El New ❑ U rade P9 G("wp Numbr of brats D.etame It M Ntea 12.0' Ft. 5 2.3' Ft an IPmwe, A B, C) Taw Depthto E Caeaci T" wsorptor, raa Pp Mat" Ft. Fi 360 F? ASTMD3034/SCH40PVC Darr Dais or,tleci SMICW~Le"w UWalw Dais awaaa<i Ft TWEED EXCAVATION 8/3-8/4/09 Tsq Puny De•� TANK Ft. t SEPARATION DISTANCES ❑ Septic O Holding El S.T.E.P. ❑ Other. To I Septic Absorption Lit I Holding lublWIPmate actor r From Tank Field Station Tank Sewer Line ANCHORAGE TANK 1250 Gal wall 100.0'+ 100.0'+ 100'+ 25.0'+ Mat" STEEL N.anbr of companmrae 2 svtace water 100.0'+ 100.0'+ 100'+ LIFT STATION �. ect.aw LMLM 5.0'+ 10.0'+ 5.0'+ 16406 Gal ANCHORAGETANK 'P.P M. Intel at 'Pump W b"r alHGr1 www rami w Fact w 5.0'+ 10.0'+ 5.0'+ 42• 32- ti Ct Dran NONE KNOWN P=P Mai e a Maw Ebctnoi Mu tq pMamea by 05105HH RISING SON ELECTRIC Remanu EXISTING TANK PUMPED CRUSHED AND ABANDONED. BENCH MARK Locator, rw D.O. EXISTING LEACH FIELD ABANDONED. TOP OF BOTTOM SUPPORT BRACKET ON POWER POLE E.~ 100.0' FL n Engineer's Stamp Inspections performed by: 15861 S. Birchwood LP. Rd. Dates: 1w 8/3/09 .+�F A '•�9*�� Development Services Department Approval r Conditional Approval Date: i ... ...a.. .• «•�•• ••• .... t rt A. Swta ' l /[ate: �_ 14574 %ems t�� 9 `•' Reviewed and approved by: , 3 - opt ov - �'�*`.—� IRw O+ ) PERMIT NO. SW0901 08 PAGE 2 of 3 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT — BUILDING SAFETY DIVISION ON—SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Telephone (907) 343-7904 • www.ci.anchorage.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 1, GLEN ALPS ESTATES S/D P.I.D. No. 021-022-10 NIV4; ! I I I I C I �I I LOT moo. Y Gf EXISTING 3 / yam~ m m I BEDROOM HOUSE I yAIR o. I PUMP `' LOT 2 GUAGE k' ALARM INSIDE~ T GLEN I APPROXIMATE LOCATION OF FCO GARAGE L,J Lil ALPS POWER POLE ,ENN I �cTBM> ESTATES I V I S/D I NEW �.7� / LIFT STATION z I I GALLON STEEL CONTROL I W S.T.E.P. TANK ` BOX Q i I MH I ... •• STI .� ST2 I I I I NEW TI I I I I.D.S.F.: ♦TH I I w 1.FV1 0 T _ ' 10' UTILITY EASEMENT ' i r S2;SIV4;NE4;NE4;SE4;A ' ... .......».''.. = A. Lhah T12N;R21V;SEC.30 / ., .0, . �`'�• ""� / t P OFEjSS% dw PERMIT No. SWO90108 PAGE 3 OF 4 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: (907) 343-7904 • www ci.anchorage.ok.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LECAL LOT 1, GLENN ALPS ESTATES S/D P.I.D. NO. 021-022-10 N2;NiV4;NE4;SE4; SEC.30;T12N;R21T (UNDEVELOPED) TO' UTILITY EASEMENT TO' UTILITY EASEMENT r----------------------- I I I I I ------------------------ I I I I I I I I I LOT I I , I E2;NE4;NW4; NE4;SE4 T12N;R21V; , — __4 SEC.30 of c, I L/+ I EYISTING ] T+ i SHOUSE ,I 1/11TV11 I MR PUMP. ' I GOAGE • 2 rG soe wN LP TION OF LOGTION OF ECO WRAC[ POWER POLE I WS Ct LOT 3; GLENN i f ITR"I e` i ESTATES ALPS EST.#1 I /$� �I I STATION V) 1 S/D NEW MET I GALLON STEEL CONTROL Z I S.T.E.P. TANK BOI Q I I 1 yN I .. I '+.n TI I I V- 60' 1 I NEW :' T, I I I I.Gs.E.; , 5 y , ENf\Zi1\,P TH 3 T I �•+ �I',�^i� I S I o rc z •,.ANP N. I ��p`.. R�vL f L----.�------------- uT2I M1 �^, ---�— I � Gi *•�A 10' Unu1Y EASEMENT I wS ;•* S2;SiV4;NE4;NE4;SE4;......r^C •.. .NR• T12N;R21V;SEC.30••fob A.A. thohA 41t' .� /• -• o. ,457-1 •• o 1 / PROFSSo0, PERMIT No. SW090108 PAGE 4 OF 4 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone (907) 343-7904 • www.b.anchorage.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 1, GLEN ALPS ESTATES S/D P.I.D. NO. 021-022-10 ST1 ST2 GRADE= 102.6' FINAL GRADE MH L 2" INSULATION TOP OF TANK=99.0' 98.4'=INLET NEW /500 GALLON S.T.E.P. SYSTEM MTI=101.3' hlTl FINAL GRADE MT2 MT2=101.4' ORIGINAL CRADE=98.5' r f INSULATION n�mJ. �R' u. Yi2 leuo MT1=98.'.j WIT2=98.5' DIST. LINE=98.7' BOTTOM OF SAND=96.5' GROUNDWATER AT 93.5' N. T. S. A I B 91.0' B.O.H. ST1 41.5 61.5 EN1 C TAMP y t P ST2 47.5 67.0 �� A MH 49.5 69.0 �•«.• �� �.• .�5� MT1 66.0 83.0 r •. p MT2 92.5 106.0 �'•' FV1 93.0 108.5 :' '« •' .. "� TV _2 91.5 105.5•......... � T1 ... • A. S4a1w • 1 1 Ai t OR Municipality otAnchorage 4�'p Development Services Department Building Sarely Wean60Oo-Sfle Water end Waalewaler Program4700 South &Spew St. P.O. Box 196650 Anchorage• AK 99519-BBSo www.muni.mpransito (907)343-7901 S0 110 g - Percolation Test t' Performed For. or"./L•10bifl I —_ _ Date Performed: Legal Desalption: 1; 6;L"VV. Alms r Township, Range. n9 Section: Depth ENCOUNTERED? yti� IF YES. AT KHAT DEPTH? �rt7 t l D.whlo Yorker Aft, o Monnorirp7 � E Dote: �p PERCOLATIONRATE TEST RUN BETY.EEN Ile ..~• Or cert A. Shafa No. IA".tr CERTIFY THAT IN EFFECT ON THIS DATE. DA 6•�,?" `1. e- �N 61 tfHeDpN ENCOUNTERED? yti� IF YES. AT KHAT DEPTH? �rt7 t l D.whlo Yorker Aft, o Monnorirp7 � E Dote: �p PERCOLATIONRATE TEST RUN BETY.EEN Ile ..~• Or cert A. Shafa No. IA".tr CERTIFY THAT IN EFFECT ON THIS DATE. DA Hug 11 2009 11:38AM HP LASERJET FAX \,%.I. I I Rising Son Qec�ric, Inc �L. `\�ti ° �,,� 14g16 \\//oocilana Drive Sj C—agle River, AI< QQ577 (Q07) 6?2-6777 w August 11, 2009 S&S Engineering Attn: Tammy 15861 S. Birchwood Loop Road Chugiak, AK 99567 Re: Lot 1 Glen Alsp Estates - 13310 Glen Alps Road - Anchorage, AK Dear Tammy: The lift station at the above referenced property has been wired In accordance with NEC and State/Localcodes. Thank you. Sincerely, Kevin S. Hombuckle, Owner Administrator License Number 1284 Specialty Contractor License Number 27285 cc: file P.1 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade F --$- o 7 eD -2.O'r Date Issued: Jul 09, 2009 Expiration Date: Jul 09, 2010 Permit Number: SW090108 Parcel ID: 021-022-10 Legal Description: GLEN ALPS ESTATES LT 1 Design Engineer: 0003 S & S ENGINEERING Site Address: 013310 GLEN ALPS RD Owner Name: Bill and Claudia Blythe Lot Size: 0 SO. FT. Owner Address: 13310 GLEN ALPS ROAD Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516 - This permit is for the construction of: ❑,/ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By 7 Date: � " By.Z40Date: Municipality of Anchorage Development Services Department _Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Oa I —OAA, —/ 0 Property owner(s) BILL & CLAUDIA BLYTHE Day phone Mailing address Zip Code Site address 13310 GLEN ALPS RD. ANCHORAGE, AK. Zip Code 99516 Legal description (Sub'd., Block & Lot) GLEN ALPS EST. SID, LOT 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ID Septic Tank Q Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage �� ❑ I certify that the above Single Family Dwellin (Signature of PermittRush Fees: 650 Date of Payment: Receipt Number. iN SaaC (Rev. 11/05) agent) Number of Bedrooms 3 THIS APPLICATION IS AN: Initial ❑ Upgrade El Renewal ❑ . I further certify that this application is being made for a with applicable Municipal Codes. — Waiver Fees: Date of Payment: Receipt Number. ROBERT C. COWAN . CIVIL ENGINEERING PH: 907694.2979 FAX: 907.694-1211 July 6, 2009, 2009 MUNICIPALITY OF ANCHORAGE IFxMAUT1gM7Y irPRovAu Development Services Department P.O. Box 196650 Anchorage, AK 99519 MWNNE%TENS10's REFERENCE: Lot 1; Glen Alps Est. S/D It is requested that you issue a permit to install a new I.D.S.F. septic system to serve SEAERa WATER the existing three bedroom house. INSPECTION A test hole was excavated and percolation tests performed by S & S Engineering. The . approximate locations of the test holes are located on the attached site plan. At the time of ENGINEERINOST1.102S excavation on 6/22/09 water was found at five feet. After monitoring ground water for "REPORTS seven days water was found at five foot four inches. The existing trench will be abandoned and not saved for future use due to improper separation to existing groundwater. WELLNSPECTIOM aRDATEST We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed innovative septic system. The construction of this system will not prevent any future development on any of the adjacent SITE PLANS properties. If you require additional information, please contact us. 1OAD0"I`N j ely, SdITEST PERCOLATION SSTEnclosure STRUCTLNL& WOK LAICAL INSPECTIONS ONSITE WASTEWATER OSPOSALS)ISTEM DESIGN , P.E. 15861 S. Birchwood Loop Road - Chugiak, Alaska 99567 : YAW �S z 42 04 or At, .;= i ,� • N I 'uo7 >,o� w� lNlnlS'/7 unun ,u1 '.• O �i;o iss'! \ \ 1 + G • uo-o \ •\ \ I o W z`o s S F \ \ 7I \\ \\ z \\ \\ cV z En 15 v a1 z C I I I F M I En I - I 133d1S NIVN -S3 MON ,oxl I I I 1 I 4V o x I —O •___ O •\ X1 0 C CV O I z •� •- i OI hl • go Buz u t��+o\ z W o ^I I G" n G. I yms uso-. I O I w CV W � " • 'b�" iuiiu fiol` W 8 „l i W � n 7 F m I as \ ,'dr.. ,. YI ;nw i tI F- y o2 `s •pl \ r CJ O 71 % cu,�,i `rto o 4z$ zI'� G:] Ncli w •7 ci Clo ;7= z Eng -I JI- r 1 :9 CV o F3 Nz -z�H 3 .'oi : zl;.d .N es W�:m W . 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O F- XI 2 w X O\OF z.-� zo .-4 � LO to Cal E = m LOo �m � Wo a C�1m�oLl o �R.. s ��w i ouzo W pa CLW (�MV1V_ o a C V) .. � U) a Q W S �.I P� 4 �•L::� Y V P (y a Wo z W ' W WO3o NW n - In p �u O NQO� z M ,Ob = „L NOIS30 NVId-311S r� u qaqK � C e F O �Ch a 3� OW � H . U2 W C4ca :01 'V a F o - El J-TL �/o Z L 15 k p E gs i Ir. OIIV HVy J IVJ\ 3113OTd NOIS30 'S '1 'N Municipality of Anchorage Development Services Department Budding Safely Division • +� OnSile Water and Wastewater Program 1700 South Brag" St. P.O. Box 196650 Anchorage. AK 99319.61350 www.muni.orgfonsilo (907)343-7904 7 Soils og - Percolation Test Performed For. /IU�f� A /l Data Legal Description: _ �, YL—e' �L-� fes, Township, Rar>Ae, SecOon: Depth 2 - r — 51�1/^t L ' 7- 13- 16- n- to- 20 - COMMENTS '— hlo/Sly 130HOTi ft -eaRz. r-fHeD7NAJ WAS GKOUNE) WATER ENCOUNTERED?G { 2 J WL IF YES. AT W(AT DEPTH? s �,� t L �7 Monitoring? E P f`o Dale'. �p Readlnp Dale Gross ToneNei TNne DePlh to Water Nct Drop 33" • 3'' 3" 2 <r 311 e PERCOLATION RATE TEST RUN BETWEEN ' Fy AND PERC VOLE DIAMETER 4/1 PERFOR161ED BY: --Ml a. 91rcf)w PERFORMED IN ACCORD 1CTCERTIFY THAT T 16— dUID NES IN EFFECT ON THIS DATE. DAT WL �i ., „ �7 f`o (03/Vit 3g/fie PERC VOLE DIAMETER 4/1 PERFOR161ED BY: --Ml a. 91rcf)w PERFORMED IN ACCORD 1CTCERTIFY THAT T 16— dUID NES IN EFFECT ON THIS DATE. DAT ROBERT C. COWAN. PH: 907.694-2979 FAX: 907.694-1211 INTERbIITTANT DOSING SAND FILTER SPECIFICATIONS Lot 1; Glen- Alps Estates SID NEHMn1MORITY July 6, 2009 A PROVAS GENERAL STATEMENT OF WORK SFNERSWATER The work and plans covered by these specifications consist of furnishing all labor, MAW EXTEWKNS materials, tools, transportation, and equipment necessary to complete an Intermittent Dosing Sand Filter system as described herein and on the attached drawings. SEWEA&WATER All work under this project shall comply with current Municipality of Anchorage (MOA) MaSPECTCN Regulations. The scope of this project includes the installation of a new I.D.S.F. septic system to serve ENQNEERUIOSTLCIES the proposed 3 bedroom residence located on the referenced property. MOPEPORTS SITE INVESTIGATION WELLMPECT" The Contractor must carefully examine the project documents, have full knowledge thereof, •FICWTEST have investigated the site, and be satisfied with the conditions affecting the work. Conditions include, but are not limited to those bearing upon transportation, disposal, handling and storage of materials, availability of labor, water, electric power, roads, and WE PLANS uncertainties of weather, physical conditions at the site including all underground utilities, the conformation and condition of the ground, the character of equipment and facilities needed preliminary to and during prosecution of the work. The Contractor must be satisfied PCADoES4N with the character, quality and quantity of surface and subsurface materials or obstacles to be encountered. Any failure by the Contractor to become acquainted with the available information will not relieve him/her from responsibility of performing the work as stated in these specifications and drawings. SMTEST Location of utilities will be the contractor's responsibility. PERCOLATION TEST STRUCTLA &S MECMIWK'& NSPMONS UMTE WASTEWATER C{SPOS&SYSTEM D�SICN 15861 S. Birchwood Loop Road - Chugiak, Alaska 99567 Page 2 Lot 1; Glenn Alps Estates SID July 7, 2009 SEPTIC TANK / LIFT STATION / AIR COMPRESSOR A. General The work under this section consists of the performance of all operations pertaining to fumishing and installing the septic tank/lift station, air compressor and piping to the sand filter. B. Materials 1. Tank a. Septic tank shall be a two compartment tank of at least the minimum size indicated on the drawings and MOA approved. b. First compartment shall have a separate 4" pump -out riser. The second compartment shall have a separate 4" pump -out riser. c. HDPE septic tanks are required to have a 4" monitoring pipe installed next to the tank extending to the bottom of the tank, a minimum of 2" direct burial insulation, and a maximum of 4 feet of cover. 2. Manhole Riser or Lift Station Tank •t a. An additional second compartment manhole riser shall be capable of being equipped with the following: A junction (Nems 4x) box or equal, bonded or attached to the pump basin. 2. UL listed electrical cord grips, installed in the J -box. b. An additional tank (M.O.A. approved) may be provided for the effluent pumping assembly and the items in (a.) above. 3. Effluent Pumping Assembly, Controls, Alarm & Piping a. Effluent pumping assembly shall be of approved materials, including the following: 1. A 110 volt or equal U.L. Listed effluent pump. Page Lot 1; Glenn Alps Estates StD July 7, 2009 2. High-density PVC cylinder housing the pump, with level controls and screen, serving as a baffle to prevent the screen from clogging. 3. All piping shall be PVC or other non -corroding material. b. Pump controls and alarm system shall be an approved system with the following options consisting of. 1. Event counter 2. Elapsed time meter 3. Program timer 4. 10 wattheater 5. Remote alarm panel option with a minimum of 80 DB sound pressure at 24", operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil -tight visual alarm with push -to -silence feature. Automatic audio -alarm reset. 7. 15 amp motor rated toggle switch, double pole, double throw with three positions; manual (man), automatic (auto) and center (off) (H.O.A.). 8. Nema 4x -rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer's recommendations. 10. Control panel to be installed on outside wall of home within sight of septic tank/lift station. c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld piping properly bedded as described in Materials Specifications and sloped to drain back to the lift station. Insulation board 2" thick and 2' wide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. Page 4 Lot t; Glenn Alps Estates SID July 7, 2009 d. The airline from the house to the filter is to be IIDPE insulated pipe 3/4"-2" SDR -I1. The compressor will have a gauge (0-10 psi), a low pressure alarm, and be extended into the living area or garage for easy monitoring by home occupants. 4. Ail -Compressor a. Air compressor shall be a TIIoNlA$ LINEAR SERIES model number 5060-A or 5070V -A or M.O.A. approved equal. CONSTRUCTION SEQUENCE In order to insure proper installation, the system is recommended to be installed in the following order: I. Sewer line from house to tank 11. Septic tank/lift station III. Sand filter IV. Leachfield bed (if required) V. Final grading CONSTRUCTION 1. Construction Instruments Contractor shall provide instruments such as transits, or levels, for establishing proper elevations and levelness of pipe or materials. 2. Pipe Laying All pipe shall be laid with material free of large or sharp rocks and organic matter. Each section of pipe shall be handled carefully and placed accurately. The spigot end shall be fully inserted pointing in the direction of flow and glued in place to make a water tight seal. Page 5 Lot 1; Glenn Alps Estates SID July 7, 2009 Each section of pipe shall be properly supported to insure true alignment and an invert which is smooth and free from roughness or irregularity. At all times, when work is not in progress, open ends of pipe and fittings shall be closed so that no undesirable substance will enter the end of the pipe or fittings. 3. Bedding of Pipe for Scwcr Lincs The pipe should be bedded with materials free of large or sharp rocks and organic matter, compacted. Native materials may be used as back fill material above the pipe, provided it is free of large rocks and organic matter. All lift stations shall be installed in accordance with the manufacturer's recommendations and standards. Electrical installation is to be in accordance with the National Electric Code (latest adopted edition) by a licensed electrical contractor, with M.O.A. inspection where required. If MOA inspection is not required, a licensed electrician is to provide a letter to the Engineer stating that the system meets or exceeds all applicable codes. 4. Excavation Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on undisturbed or compacted classified sand fill material. Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti -flotation weights that may be required in areas of shallow ground water. 5. Connections All connections to be as per MOA requirements, PVC 3034 piping with Caulder or equivalent couplings for inlet riser pipes. All tank connections are to be completely water tight. Page 6 Lot 1; Glenn Alps Estates SID July 7, 2009 SAND FILTER The work under this section consists of the performance of all operations pertaining to furnishing and installing the sand filter. A. Materials 1. Sand Filter a. Liner (if required - not required for bottomless sand filter) - OSI Model LI or equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter sand volume. Seams to be permanent as per Manufacturer's recommendations. All connections, such as boot flanges, through sand filter to be permanently bonded to the liner. b. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand Specifications with the additional requirement that all but 1% of the materials passing the 4100 sieve be removed. All sand shall be approved for use by the Municipality of Anchorage (M.O.A.). If the sample does not meet specifications, all sand will be removed and replaced. c. The Contractor shall be responsible for providing pea gravel that shall be a washed material containing no fines (0% passing the #100 sieve) and a maximum size of 1/4" diameter. d. The Contractor shall provide the manifold assembly. The manifold assembly shall be of approved materials with orifice shields and flushing assembly. All drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing valve to include riser to finish grade. Lateral distribution piping is to be laid level (@ t 0.05'). e. Top of the filter box to be insulated with 2" direct burial polystyrene insulation. f. The Contractor shall be responsible for providing filter fabric. g. Air coil in sand filter to be geoflow WF 16-4-24 150 LF placed 6" above bottom of sand. Page 7 Lot 1; Glenn Alps Estates SID July 7, 2009 Construction of Sand Filter The sand filter construction is to follow procedures as outlined below, as applicable to this design. Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05 feet) in filter, taking care not to allow mud or fine soil material into the filter or gravel layer. This would include any soil material picked up by excavation machinery buckets while loading specified material. The Contractor should estimate filter material volumes such that allowance is made for wastage of material in contact with the ground at site. The area over the sand filter to be finish graded with a minimum of 2 feet of cover and to prevent ponding of surface water runoff. Side slopes shall not exceed 3:1. The Engineer will reject any sand or pea gravel that does not meet specifications or is contaminated in transit or while handling. If such material is placed in the filter, all soil material may be required to be removed and replaced with new material. CONTRACTOR/INSTALLER AD VANC1:U M AN I IAA A f I:R TRIM 1 N! NT IM11 "I t1A1N 1INaNl V .%ND IIFFt1it ACR IA Mo Nr 31FAHI t VOL -PI DV i wrkS I ANDIN/i DF.TMFCn 11D\N1T\I.It1' M ANCl1URAG1. Ann_Fr. a.1_Fl�stil5..-- I1115 &H MORANDUPI WWIN RSIANtMNti.u4 w i rr:n:J M• �.. A L r Rrrw'.1.• •\I W N; It,' .mf I. V. dr�l•. .14 Ara Mi.p, lxr •. t4 "AlmiCII' \U I Y.- 1. raa Mkrc4x of'Jxua�b d rnor is :r:.i a l r;tck. Ym ry�.ka N Ld. \kr..s aw, rl t'wt:N.r.Jir„ r.rr n is Lwa L AUVAACCU K.tATLtV.t IIfRT1U.ATPIMSf st'Nf1.Mc 11 awy.rl/ b.c•tt. ctr iui.a W lh to .. t. I. n'r.d q�.l: r M1 I.:nc<J M'r.l: wyri T sxrur b/ynjgN'ATSI,.I-w.lvriu .T. D= r___ 4.cxal i. 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See Yours in Just 2 Easy Stepsl 7/7/2009 GREt.,cR ANCHORAGE AREA B0k.JG11 `- Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTIO REPORT ON-SITE SEWAGE DISPOSAL. SYSTEM NAME.._' r "� —MAILING ADDRESS—AC-1 '2 l�64--_ PHONE _ LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE NUMBER OF FROM WELL r`1 / _ MANUFACTURER_. a e' —MATERIAL ———COMPARTMENTS INSIDE LENGTH INSIDE WIDTH------ LIQUID DEPTH LIQUID CAPACITY��r;4(�A LONS. TILE DRAIN FIELD: //�� TOTAL LENGTH DISTANCE FROM WELL/ � FOUNDATION `�rr'-_NEAREST LOT LINE_ ii OF LINES �K _ NUMBER OF LINES— /_`` ``_ DISTANCE BETWEEN LINES �L� �` TRENCH WIDTH-�IN. / TOTAL EFFECTIVE ABSORPTION AREA .__%,�,y SQ. FT. LENGTH OF EACH LINE�7l F DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE -__MATERIAL BENEATH TILE-0�eeABOVE TILE '� IN. WELL: TYPE� CONSTRUCTIONfp--'-j -` ---- /7 -- DEPTH/ BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE_ SEWER LINE , TANK_ . SYSTEM_ CESSPOOL APPROVED DISTANCES: OTHER SOURCES DISAPPROVED INSTALLED BY r SEWER LINE DEPTH: -- PIPE MATERIAL:__�f%% LOT SLOPE: REMARKS: REMARKS DIAGRAM OF SYSTEM Ir e DISTANCE, FROM: `— 'i P;.yjjlcr dr�� lic�ci. DATE APPROVED G.A.A.B. GREATER ANCHORAGE AREA OI0 OUGH T oJs Q 3 DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. — gTf 330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM ® APPLICATION AND PERMIT NAME OF APPLICANT �-L'�I�C�'t/(� MAILING ADDRESS t- L%`"1 pI-I ON E� INSTALLATION LOCATION LEGAL DESCRIPTION 'L� � INSTALLATION OF: SEPTIC TANK _ I S/EE EEP�AGE PIT t DRAIN FIELD OTHER , TYPE AND SIZE OF FACILITY TO BE SERVED �fv `ter_ �i ✓ i FINANCED THROUGH /' TO BE INSTALLED BY SOIL TEST RESULTS �/ v �'& (/ p / 5 / NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED _ lc / FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. 6200 SEPTIC TANK SIZE TYPE-g�C14IPAGE AREA SIZE _ TYPE IV V MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK JSC— ' FOUNDATION TO SEEPAGE PIT — A;:�Q _, DRAIN FIELD /e, I SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK 5 , SEEPAGE PIT xO , DRAIN FIELD TO NEAREST LOT LINE. i WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD 10 1 SEPTIC TANK, Lam, SEEPAGE PIT / DRAIN FIELD /OP TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND T,}1AT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE - // —� APPLICANT'S SIGNATURE R&M ENGINEERING & GEOLOGICAL CONSULTANTS 229 EAST 51st. AVE. -P.O. BOX 6087 -ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyors JAMES W. ROONEY, P. E. RALPH H. MIGLIACCIO MALCOLM A. MENZIES, P.E., L.S. Engineering Geologist JAMES H. WELLMAN, P.E. May 7, 1974 R & M No. 462020 Mr. E. J. Schuster SRA Box 3938 Anchorage, Aalska 99509 Re: Test Hole and Soil Log Report for Sanitary System, Lot 1, Glenalps Estate Subdivision Dear Mr. Schuster: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investigation was performed in accordance with your request of May 6, 1974, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 1 area for the purpose of defining general subsurface soil conditions for the proposed sani- tary system. Excavation was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 11.0 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS, INC. /J=T. Rooney JWR:ph nn, I- " IA,00 11.1/ nlAlC All T. H. 1 5-6-74 --� ORGANIC SILT Sand Some Silt Gravelly Sand "W D�Trace to Some Silt (SP) .r. Bedrock Highly Decomposed Bedrock Refusal No Water Table NOTE: Test hole extended with auger type drilling unit. 0.0' 0.5' 1.0' 8.5' 10.0' 11.0' E. J. SCHUSTER PROPERTY RLOG OF TEST BORING c Engineering & Geological Consultants Inc. Anchorage Alaska 4� ANCNOF AGE FAIq BANKS ALASKA JUNEAU g' GATE 5-7-74 SCAt_E 1�=5� OWN BY JRS CHKD PROD. NO. 462020 IDWO NO. A-01 For................................................................................................................... ........... Location......................................................:................................. Date completed.,,......, !.. /7.�.................... Depth of well........ .�-�N......... Size of casi.ng........ Distance to water.,.,....... Distance to water while pumping ............ /.,,?- 5..`.................................at rate of....... �.�`�. ...............................gallons per hour. Formation from I to 10 I I _ i . ........................ Iariller Aurora Drilling Co. 8521 GOLDEN ANCHORAGE, ALASKA 99502 PHONE 344-0651 Well Log .r'or ............................................................ Location .................................... ' ..... .. '" Date completed .......... ,~.//,..f/~..(4 ....................................... i ............ "'"';'"' ......... Depth of well .......... .~, .~, ........ · Size of casin~ ........ z .................................. ,.~. Distance to WatC':.......*.~ ........................................................... . ' - ~5' 'iat. rate Distance to water while pumpmg ............ ~..,,. ...................... : ,, of /5"O gallons per hour. Formation from 'to ' urora Drilling Co 8521 GOLDEN ANCHORAGE, ALASKA ~.~502 PHONE 344-0B~1 ?L)V I( Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 1 Anchorage, AK 99507 S www.muni.org/onsite USIA • (907)343-7904 R CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O COSA # 090.Z GSExpiration Date: 1. GENERAL INFORMATION Gti"��.y''u� C If I a1'4 escri tion .Qa Alps Estates; Lot 1 omp e e eg p Location (site address) 13310 Glen Alps Rd. Current Property owner(s) Bill 6 Claudia Blythe Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent Sean Pinelli Day phone 441.7922 Mailing Address Unless otherwise requested. COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site❑ Individual Holding Tank ❑ Community On-site ❑ 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 andlor wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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 arydlor wastewater disposal system is(are) in compliance with all applicable Municip� •nV State codes, ordinances, and regulations in effect at the time of installation. 'k .eNam6 of Firm S s S Engineering Phone 694-2979 . Address 15861 S. Birchwood Loop Chugiak, AK 99567 Engineer's Printed Name Roberta Shafer —r�v :5 -i L 5 ySTe,n V -a -z LA4A, ;,,,, .5j,, -e F1tAff IMAC_ a A;VL/Vr0VJ-0✓7 5. DSD SIGNATURE _Approved for bedrooms. Disapproved. Date Sa,%r i "r, y�. Cos.! Conditional approval for bedrooms, with the .f ,• M1N..• ti shit., .,� Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory _2e Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other By: 7y/ Original Certificate Date: 3 ^ q (Rev t1M) Municipality of Anchorage (� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907)343-7904 CERTIFICATEOFF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: _ t� ! I 10 CELE mN Aps &TME—S • Parcel ID:O.21 0 ;Z 27/i0 A. WELL Well type=tUiFj� If A. B, or C provide PWSf IJD—>I Date completed 6& 5/%( Sanitary seat (2t)`C5 Total depth L a ft. Cased to 13 ft. mrro ;3r_br!rX FROM WELL LOG Date of test 1 S `ht I Static water level 0?3 ft. Well production a• S 9.p.m. WATER SAMPLE RESULTS:' Coliform fl colonies/100 mL Nitrate O. 261 mg/L Arsenic: ug/L date of sample: 46/07 13. SEPTICIHOLDING TANK DATA Tank Type/Material TEIR SMC1. Well Log,(�1Y J) Wires properly protected'@N) C Casing height (above round) + in. AT IN7ZI ECTION RWVE Cr?iT{cY`'!t< O t ra D.M. REQ' Ce 1 /3 E Other bacteria O colonies/100 mL Collected by: JticJ �N61111�EL'IN�, Date installed Tank size ..n' gal. Number of Compartments Cleanouts&) Foundation cleanout&%_)(C5 Depression over tank (YI$}� % O High water alarm�'11 1) yes Date ofpumping /J — Pumper 1 Eeyi —%mo< C. ABSORPTION FIELD DATA Date installed �'N bq Soil rating (g.p.d./ft= or fte/bdrm) ,2_�L System type T. 1) • S• I r Length ft. Width 12.0 + ft.' Gravel below pipe 0,99 ft. t Total depth, ft. Eff. absorption area'YcOft2 Monitoring tube Depression over field AD -yJt>w s-rr<rn — Date of adequacy test "/#I Results (Pass/Fail) For 3 bedrooms Fluid depth in absorption field before test — In. Water added= gal. New depth= in. Elapsed Time: =min. Final fluid depth = In. Absorption rate >_ — g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed 'Pump on' level at In. Datum C�?l E. SEPARATION DISTANCES Size in gallons 'Pump off' level at -39 in. 17 Cycles tested 0 SEPARATION DISTANCES FROM WELL ON LOT TO: f Septic tank/lift station on lot /GY' 1- r Absorption field on lot Public sewer main N A Sewer /septic service line 4 f Animal containment areas SU -t- Manhole/Accessa)N) Jkn r� High water alarm level at 1_ In. Meets alarm & circuit requirements? I On adjacent lots 100.4 I On adjacent lots 1Gti + Public sewer manhole/cleanout N Holding tank N'A Manure/animal excrete storage areas / SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: r t •/ Building foundation f' Property line S +- Absorption field S a f Water main N Water service line 104- Surface water yOC� f Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /D a Building foundation Water main ISL IA 1 I t Water Service line 104 Surface water /0/7 + Driveway. parkingfvehicle storage Curtain drain ROME- Welts on adjacent lots fG6 �r- F. COMMENTS><LOui / TE- NOT 6VAR/+M C-b-'V91E-( L)r-JIT UR )) TIONS Gly fX1a k'. SXtSTinIG a -a -.o 0g44o14 LanTre- sTt,-r7�uKS114 CF&OL SPAe not?- Lnz-� i. ru, ,t Did G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Date COSA Fee $ HyU Date of Payment %13 Receipt Number 00?S 1 (Rev. 11/05) 'RDSH Waiver Fee $ Date of Payment 5C Receipt Number A. spy N 89'48'47" W 164.12' _ 10' UTILITY EASEMENT r__________________________________________________ i i i i i i i i i , 1 1 1 1 1 , ' O O V LOT 2 DO Cl; O � M 01 N � M ' , , LOT 1 GRAVEL PLOWED ROAD AREA F EXISTING •20.0 :::; :. N HOUSE N 1 of •';1 :.;�. 1 O i 24.4•,•- tO.E d ' Q o ; In z 1 O t Lill StatlonTV V DISH i Z e if7 Z w W to W O 6 W i In 4 Q i O 1 3 O 3 i i o: N , 25' 25' i 10' UTILITY EASEMENT ; P OF At`koo N 89'50'21 W 164.25' �— '95,00 'IL") .. 00 gT f.................0 Q0�•'•, a O nth ny off an Q��i '• S-9020 e' 4° d� ' o4aA. .-.12 -a ���Oreeeiono\ \moo pp000000 NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. Legal Description: AS–BUILT ordered By Yoshi with S do S Engineering Legend: Septic Standppe QS:::. Asphalt..-:::. Walter Wen Lot 1s Glenn Alps Estates Subdivision Fence—X—X— "`"'"I 0"rhong �Woed Deck CERTIFICATION: LANTECH has conducted a Dhy.iel survey of the I property as *no" on this drc�lng and certifies, that the cmpronnenU MrIteril situatedNarcm ore within he properly tin" od no encroachments exist An other thannoted. EXCLUSIONARY NOTE It N the owners reepmelblity to determine the LAND & CONSTRUCTION SURVEYORS-PLANNERS-ENGINEERS existence of my easements. eo wnants, mitricticne or right–of–way 440 West Benson Boulevard, Suite 200 Phone: 562-5291 takings which do not appear an the recorded subdMelan plat. Under no circumstances Mould any data harem be used for emelruetim. Anchorage, Alaska 99503 Fax: 561-6626 for establishing property lines. or for plot–plan purposes. Plot. 73-202 Grld: 2943 Date: Aug. 12. 2009 IDrown By. CB Work Order. 2009—L-122 I Ref. 05183 Scale: 1"=40' 1 Checked By. ,JMZ Municipality of Anchorage Development Services Department -r Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL M FOR A SINGLE FAMILY DWELLING Parcel I.D. 021- 022 -10 COSA # 036070 Expiration Date: 6 - J-5-- ea 1. GENERAL INFORMATION Complete legal description Lot 1; Glen Alps Estates Location (site address) 13310 Glen Alps Rd. Anchorage, AK Current Property owner(s) Bill a Gaudia Blythe Day phone 561-6911 Mailing address same Lending agency, Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 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 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, 1 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 S 9, S Engineering Phone 694-2979 Address 15861 S. Birchwood Loop Rd. Chugiak, AK 99567 Engineer's Printed Name Robert A. Shafer �Vi cvfid',ikoy9 CaS�}r1n , N o,,% Y; � �L e -6 Le 1„s} 6y Ilse f e 43 e ,n 14 Z asci aRrov 4 . Dat — 0-•0 ►s, 1de) 9 C reed 4 �Cu' 5. DSD SIGNATURE Approved for bedrooms. 4 Disapproved. ✓ Conditional approval for�_ bedrooms, with the follow'n stipo Le,//ulati ns: / Attachments: COSA Checklist X Septic System Advisory_ Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By:_ / /(/ r �c Original Certificate Date: m« irusr Municipality of Anchorage e�, I� Development Services Department s \!\ Building Safety Division A' -- On -Site Water & Wastewater Program ' "' " 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OFF ON-SITE 7 SYSTEMS APPROVAL CHECKLIST Legal Description: YET l� (?LES rlLi'S77�� Parcel ID: A. WELL DATA Well type�IVATi If A. B, or C provide PWSID # = Well LoggN) � Date completed 6 l5/�6 Sanitary seal (ON) � Wires properly protectecON) Zrg r n . Total depth,23!5* ft. CasV ton. Casing height (above ground) / + in. Iorc) P,�fbtYY.� /I�er•✓ GJeAUX3PfKE \ FROM WELL OG AT INSPECTION ( tuffiY< a:ra-/S r e.+Ir b Date of test5 a �1 09 Static water level ft. 1�6 ft. Well production a- 5 g.p.m. g.p.m. lz6��ve'e/ �¢ti7£ WATER SAMPLE RESULTS: Coliform O colonies/100 mL Nitrate 441-3 mglL Other bacteria O colonies/100 mL Arsenic: ug/L date of sample: Ib Collected by: S C/t tGr//VEE21N� B. SEPTIC/HOLDING TANK DATA Tank Type/Material CPT! L &Y- Date installed Tank size MOO gal. Number of Compartments CleanoutsON) Foundation cleanout6N) `ICS Depression over tank (Yn A)p �-High water alarm (YRO— e—) Date of pumping O O Pumper :77..4 e, 5 pi2jer C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./fl= o System type 7ItRLLO![) %r�K1C#( Length Width 31 ft. Gravel below pipe_ '2Q ft. Total depth 3& 1)ft;K* Eff. absorption area % ft2 Monitoring tubeLrs Depression over field (me of ade) 3/y IV Oate of adequacy tbst 1 (7 Result (Pa ail)HSS For 45 bedrooms of �I Fluid depth in absorption field before test S!& in. Water added q51 gal. New depth %a in. Elapsed Time:lib min. Final fluid depth L in. Absorption rate >=* g.p.d. Any rejuvenation treatment (past 12 mo.) (`n type) /Qo If yes, give date — D. LIFT STATION AJ 1P Date installed "Pump on' level at Datum �— Size in gallons in. 'Pump off" E. SEPARATION DISTANCES Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /00 Absorption field on lot //JD Public sewer main Sewer /septic service line oz / r Animal containment areas 60 + High water alarm level at Meets alarm 8 circuit requirements? in. r On adjacent lots /0l9 -/ i On adjacent lots /Gd -� Public sewer manhole/cleanout Holding tank /J�� r Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation S14 Property line S Absorption field S Water main &2 p— Water service line 10 Surface water /Oo + Wells on adjacent lots /C70 +- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 104 Building foundation /O Water main w) & r Water Service line /0 Surface water //JO Driveway, parking/vehicle storage /O � Curtain drain A,'CVt, 9AY,& Wells on adjacent lots F. COMMENT �Fcow an -Tr 'L �uR2/f 0-3�r�" OEn1T VfMI/97�onT cp-rt„7 OC.GU9 . R% /9 oZ —0250 6iRC� V K0H-Tf�' `�7b<'- fE- Tt7NKs ��rJ C {UL-SP/3C� i a C=c'r/rE 2 rt TE r -e kj - Coto rU&-L� G. ENGINEER'S CERTIFICATION)K"'T' &KTriviS`S IA -IM uppt'-C 17-° tO r &Ffd"-1�-V "C-, certify that 1 have determined,t gh field inspections and " f' review of Municipal records that th bove system a in , t I conformance with MOA COSH uidel' sin ec n i ate.,`/ y!r `ts '•t .' All Engineer's Printed Name I / Date C" . a COSA Fee $ z Lgeo Waiver Fee $ w Date of Payment t Z 3 O Date of Payment Receipt Number (0 �it/ 0 3540, Receipt Number (Rev. 11105) Municipality of Anchorage • Development Services Department Building Safety Division ° On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Septic System Advisory Certificate of On -Site Systems Approval # 090070 During a recent adequacy test on the septic system for Block , Lot 1 of Glen Alps Estates subdivision, 8.5 inches of standing water was observed in the absorption field. This indicates that approximately 85% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval 03/25/2009 10:32 9076941211 SNSENGINEERING PAGE 02/02 TWEED EXCAVATING AND CONSTRUCTION 17031 EAGLE RIVER LOOP RD.. SUITE 202 • EAGLE RIVER. ALASKA 0057/7 PHONE (9071804-11373 • FAX 694.1250 pace No. of Paces Cai1M aueMITTED TO PHONK ppTE L rH 8Eo- 0/89-/9- og eiweer CITY, STATE ANp a CODE Job LOCATION f /- Q/ea, A L- s MCHITCCr WTE O, PUHe /33/p Ge�Y fjc,c• s R� We hereby submit specifications and estimates for: y 7`ct6P a eH� �c� Ct %vp7�o�r We props ersby to fumlah material and labor—com late In accordance with ob n e specifications. to, the tum of: dollars (S — g9 It it !G Payment to be made o follows: we m.Ivi.l M e.penlM le W a• eD•clnw. All we'll Ie be oolwPl.IM In • re.•- AYt110It2 menx•. mMner emerAl.y Da •bM.re Or•CIIOU. Any alt.nUi n er M .Ibn from Signal" _ •Sew •reuG•Il.n• InrelMne Gulf. COMB sill be U•cWN Only Igen wane" A e..na onewHl lwosm. Gn etre cMn. awf •M iae.e the bpmGte. AO gre•mene. sen. t Ilr.eenl .esn .lHe......wme er .er.yG aey«.e sur Op.e.s1. O.r. , is e•ry n... Note: Tho ro 1 maY be w1thd1brern IMn.ee and 01h.r r.ec.... fr Inwnro.. our wer..rs .w 1.11, .e.•ree Or Were- m.n•. e«...w...u.n Imm•ne•. by us N not accepted within days. ACCEPTANCE—The above prices. specifications and conditions are Signature satisfactory and are hereby accepted. YOU are authorlzed to do th. were .e specified. P.Ym.nt will to lied. as outlined above. Dale of Acceptance: Signature ESTIMATE Municipality of Anchorage • -� Development Services Department ° Building Safety Division On -Site Water and Wastewater Program ` 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 021 —o22-10 HAA# n-75 Expiration Date: R — / D — 0_,5- 1. 7-S 1. GENERAL INFORMATION Complete legal description l.of 1. 6r/an A -IM F,f1.2 ks Location (site address or directions) 13.7 r o e,�/an A 11m Rd C% SILO Current Property owner(s) Mtkg i X,,,W6 efh Hvnde a Day phone 2 Yy — 3450 Individual On-site Individual Water Storage Mailing address 133/0 Gfen /}ly R04 fMc�. /ftc Community On-site ❑ Public Water System ❑ Lending agency F,rrl- NaF1a^a/ 60-;c Dayphone� Mailing address Real Estate Agent Mailing Address P.0.13ou 100120. /l-+ehoc fq. A -k 94cto FS 130 Day phone Unless otherwise requested, HAA will be held by DSD for pickup. P lie fa (( o cunerea 2Y y-380 y 2. NUMBER OF BEDROOMS: 15_ 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well to Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (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 Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further 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. NameofFirm FlaFiaI, TecApii,red fery%t., Phone13t5- Address rH ' o Ec.G,o 94 /4r cAorct A -k 99fld6 Engineer's Printed Name i Aco moo,' r—• f"roo'r Date 1 /'ZS / zoos' 5. DSD SIGNATURE <"- a.' �1 6. ,., T)IEOrCR= F. A700RE J Approved for 3 91 bedrooms. •,,C`' " :' `yc� Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By; // z Original Certificate Date: S 0 — O�r (R". 12=) Municipality of Anchorage \� !\ Development Services Department --tl =r Building Safety Division I<" 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 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: h fn /�1�1 6:54/u/-, Parcel ID: 02/-o 2Z.-rp A. WELL DATA fu.l.trQu(n f ly� . Well type i1 If A, B, or C provide PWSID # = Well Log (Y/N) Y etr rd Date completed K116'176 Sanitaryseal (Y/N) Y Total depth 2 3S ft.+ Cased to #_ft. (Isu' per to � ' b.d•ae19 .Y� FROM WELL LG Date of lest 6' / 1S /-7 Static water level 23 ft. Well production 2•S g.p.M. WATER SAMPLE RESULTS: Coliform _colonies/100 ml. Nitrate Go• 1 mg -fl. Arsenic: — mg./I. Date of sample: /13/01 B. SEPTICIHOLDING TANK DATA Wires properly protected (Y/N) Y Casing height (above ground) 'l 2 in. AT INSPECTION C°`4c-t f/rNir 40 44) Cruw/ State JJ H / 13 / 200.s - Ai -3 Gos H3 ft. O• Y2 g.p.m. Other bacteria _0 colonies/100 ml. Collected by: F/c.LhV4Testi Svc• Tank TypelMaterial Sew v f, c_ / S Lee 1 Date installed 19 Tank size I0015 gal. Number of Compartments _� Cleanouts (Y/N) Y r� Foundation cleanout (YIN) Y Depression over tank (Y/N) W High water alarm (Y/N) AA A Date of pumping 112-5' I Of Pumper ;rSaacs C. ABSORPTION FIELD DATA Date installed 19 761 Soil rating (g.p.d.lft? or f?lbdrm) /5V_EL System type S4al/a w llercri r7oRn Length I Z`/ ft. Width 3 ft. Gravel below pipe 2 ft. (6„ru ftr) Total depth •//" ft. Eff. absorption area 29 L ft' Monitoring tube Y Depression over field N bin tar M —71 liu) y Date o adequacy test / 23 / 2t�S Results (Pass/Fail) Pow For 3 bedrooms Fluid depth in absorption field before test 16 in. Water addedSiS gal. New depth /s in. Elapsed Time:2o 1 min. Final fluid depth 12. 9 in. Absorption rate >= HSG g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Vons t -ox wn If yes, give date r✓. k D. LIFT STATION v. A% Date installed "Pump on" level at _ in. Datum Size in gallons Manhole/Access (Y/N) 'Pump off" level at —in. High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot t ZG' Absorption field on lot z r 3 S' Public sewer main N • �. Sewer /septic service line 2S' On adjacent lots > loo ' On adjacent lots 113 ,t• c r. h c. o Public sewer manhole/cleanout N • A-. Holding tank V. X. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation = 50' Property line fib' Absorption field IG' Water main P.A. Water service line > lo' Surface water > roc Wells on adjacent lots > roc ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 16' Building foundation x 6S' Water main N• A, Water Service line > ro' Surface water > 100 ' Driveway, parking/vehicle storage 90' Curtain drain /,/oAt sets Wells on adjacent lots > roes' F. COMMENTS HAA Fee $ `'130 `�– Date of Payment flfs/os Receipt Number (Cu(o40 (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number G. ENGINEER'S CERTIFICATION4 r. ,,• ; I certify that I have determined through field inspections and 9L �,.... C review of Municipal records that the above systems are in �' •"2 • " conformance with MOA HAA guidelines in effect on this date. �;....... F, Engineer's Printed Name –ry eo clo.z +. . SHEODO¢E r. MOORE J F L7 74._ CE-35Gvrs``¢ ',J Date 417rr 2 vo ♦ •• J, •!;� N�<>. HAA Fee $ `'130 `�– Date of Payment flfs/os Receipt Number (Cu(o40 (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage . • "' Development Services Department � Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Health Authority Approval # 050162 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block , Lot 1 of Glen Alps Estates subdivision, the well's productivity was determined to be 0.42 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. 00 OT OT N n ID CV in O O O O ' I N 89'48'47" W 164.12' 0000ppp - - - ------ 10' -UTILITY EASEMENT- c OF At °op --------------- `i........... ,950 I Off• .••' �0 9 A 49TH I 0 ! I QQ o •, Michael L. Jokela QO° LS -7839 Qn as _.5•-' L' p�' . • •wyo�� f.Y O tT no LOT 2 04 M LOT 1 I :••• EXISTING MOUSE 0 TV ® ® DISH 10' UTILITY EASEMENT N 89'50'21" W 164.25 NOTE: THIS DRAWING IS NOT TO BE MODIFIED FOR USE AS A PLOT PLAN onoesco e.: EXCLUSION NOTES It Is the a"" responsibility to determine (LEGEND: SET FND Ne exlalmce :;poor easements, Covenants, ar reeUl.tion s/e RB W/CAPOO 3/e' RB O M I K E F -i E N D E E which tlo not °;poor an the recorded subdivision plat. NOTE Under no Circumstances should any data hereon be used for 713 ALYON. a MONUMENT ~ 4 4 4 4 it 4 4 44 4 it K 44 K K R ..�{'..ik i}] Cmstructlan or far establishing property lines HUB k TACK p FENCE- _x— x — pnysleal survey o} he property t shoran an this MOOD DECKS- drowlnq and that Ne knDrovemmts situated thew CONCRETE- F an are •Ithl the property Iles and no "Craoch- ASPHALT- C--.-- ■ manta exbt other than nobo. GRAVEL - LAND & CONSTRUCTION SURVEYORS -PLANNERS -ENGINEERS AS—BUILT OF: LEGAL DEscRIPnoN: SEPTIC STANDPIPES p 440 WEST BENSON BLVD. WATER WELL 96 - 103 (fax) 561-6626 LOT 1 ANCHORAGE, ALASKA 99503 (907) 562-5291 WORK ORDER NUMBER: ogre sulE: 2005-�-083A ►1AY O6, MLjo 1-_4G' 73-202 GLENN ALPS ESTATES SUB'D. iIH ..: d(dap eY GW Naxaoc sod( Aa<: NRB MLJ 2943 79l/17 GRAVEL PLOWED ROAD AREA :• p 1 J' • J 1 ' I Z ' W I J � u I 3 ' F. I i Z I x 0 n Z i 1 O w I � W O W i O I I CC to � 1 ' ' 1 ' I I 25' 25' I � � I ! onoesco e.: EXCLUSION NOTES It Is the a"" responsibility to determine (LEGEND: SET FND Ne exlalmce :;poor easements, Covenants, ar reeUl.tion s/e RB W/CAPOO 3/e' RB O M I K E F -i E N D E E which tlo not °;poor an the recorded subdivision plat. NOTE Under no Circumstances should any data hereon be used for 713 ALYON. a MONUMENT ~ 4 4 4 4 it 4 4 44 4 it K 44 K K R ..�{'..ik i}] Cmstructlan or far establishing property lines HUB k TACK p FENCE- _x— x — pnysleal survey o} he property t shoran an this MOOD DECKS- drowlnq and that Ne knDrovemmts situated thew CONCRETE- F an are •Ithl the property Iles and no "Craoch- ASPHALT- C--.-- ■ manta exbt other than nobo. GRAVEL - LAND & CONSTRUCTION SURVEYORS -PLANNERS -ENGINEERS AS—BUILT OF: LEGAL DEscRIPnoN: SEPTIC STANDPIPES p 440 WEST BENSON BLVD. WATER WELL 96 - 103 (fax) 561-6626 LOT 1 ANCHORAGE, ALASKA 99503 (907) 562-5291 WORK ORDER NUMBER: ogre sulE: 2005-�-083A ►1AY O6, MLjo 1-_4G' 73-202 GLENN ALPS ESTATES SUB'D. iIH ..: d(dap eY GW Naxaoc sod( Aa<: NRB MLJ 2943 79l/17 MUNICIPALITY OF ANCHORAGE *ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES ICIPALITY OF Division of Environmental Services NWENTALSERVICES DIVISION On -Site Services Section' P.O. Box 196650 Anchorage, Alaska 99519-6650 SEP 12 1997 343-4744 R E CE IV ED CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O 2 / O 2 El 10 HAA # 1 J 4�C La GENERAL. INFORMATION Complete legal description 4 of 7 Glen A/'os F_Sfufer Location (site address or directions) 13 3 (L-2 6len Roar Property owner 606 Q4- "CzQr ee-) Pln fn -e� Day phone Mailing address 1 33 eo filen A /&s Ra coc' /-f, ctiv, A4r 99Si6- Lending agency Sect Pe 110,,4-gcrge Day phone 5� ? 2C Mailing address 60 3y" /9�e, f}^��arcz /i -kc 99So3 Agent Nom e ( Se7 ie 4 , C, w� (r ) Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site V Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Flu A,ccs eCAI-;l cu/ PhonesS- Address YS.30 L— coo } c ho�a P i9 rT 993-/ Engineer's signature to Date 9 /9 7 r5 a T It �yy� r.. 33 w ' i. 1 ^ r 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments (W.tr,CC,UJt Date I The Munic )ality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval C_,Irlificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 MUNICIPALITY OF ANCMO Municipality of Anchorage ENVIRONv1ENTAL""VICES DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division SEP 12 199 825 L Street, Room 502 • Anchorage, Alaska 99501 9 (907) 343-4744 Health Authority Approval Checklist RECEIVED Legal Description: /,a >r 1 _ C -/el? t4(Ioer Es-lre& Parcel I.D.: © 2 1 c-9 22 / o _ A. WELL DATA Well type P rr v use If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Date completed 6 //5- /76" Total depth 1.'_o Cased to Bectrnrk Casing height (above ground) 3.5 4� Bo— o Crawl spare Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: 2. g.p. M. Wires properly protected (Y/N) AT INSPECTION Y c9/2y/g7 cc•GId naF SP mParurPa� �r-om Gu ¢ll Saul VA g.p.m. Coliform 0 coI/ (oo m Nitrate 4 6'•! r•c,/.Q Otherbacteria No,)c r"er; rl�d Date of sample: 8/ 2,9 / 9 7, 9 /9 /97 Collected by: rW-lb,. recA Svc S. SEPTIC/HOLDING TANK DATA Date installed 8/ 2017(5r Tank size l 0_ Off_ Number of Compartments 2 Cleanouts (Y/N) Y C r1 Foundation cleanout (Y/N) _ Depression (Y/N) A/ High water alarm (Y/N) Al. A Date of Pumping 6/Z3/97 _ Pumper Rokv Ovate, - C. ABSORPTION FIELD DATA Date installed 6/2017d _ Soil rating (g.p.d./ftz or ftz/bdrm) 15-0 0 r System type SGia/lp 7'rtne4 13c1Nm 37" mrax 0/z8/97 Length I Z3 ` _Width _3 Gravel thickness below pipe 'e _ Total depth v' ; e/ Sfs marl (Gd 0, r/a0/9y Effective absorption area y9? 0' Monitoring Tube present (Y/N) 7' Depression over field (Y/N) N Date of adequacy test _ 8/z6/ 2 7 Results (Pass/Fail) Posl For _ Y bedrooms Fluid depth in absorption field before test (in.); it Immediately afterS? 77 gal. water added (in.): I < 7/B Fluid depth IS 'ie (ins) Minutes later: /'y7 Absorption rate > luso g,p.d. Peroxide treatment (past 12 months) (Y/N) Nome kl;&wA If yes, give date _ IVA 72-026 (Rev. 3/96)' D. LIFT STATION M• +. Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot — (20 Absorption field on lot � (3s "Pump off" level at* On adjacent lots ? (vo' _ On adjacent lots f (3 ' f sf4M Public sewer main Al. A. Public sewer manhole/cleanout N. /4 Sewer /septic service line �> 2s ' Lift station N �. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 50' Property line ^ 50 Absorption field (0' Water main/service line > (o' Surface water/drainage > 100' Wells on adjacent lots > foo ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line (O' Building foundation is-' Water main/service line > (o' Surface water ( oo' Driveway, parking/vehicle storage area 9G ' Curtain drain mo oe Wells on adjacent lots (co' F. ENGINEER'S CERTIFICATION l certify that t have determined thru field inspections and review of Municipal records4hi Yriti ;ioV'$;�sy§toms are in conformance with MOA HAA guidelines in effect on this date.10 Signature 5r'�� 'T .f f34ri6 AAryY')Of kiP1 _ Engineer's Name eAo F• /`Gore daba6aa a&e f p,y9 4 Date / / c' / 9 7 , HAA Fee $ 300 e, Waiver Fee $ _ Date of Payment Mo ;L Date of Payment Receipt Number Pl %02_0�m Receipt Number 72-026 (Rev. 3/96)* ,. 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 Parcel I.D. # LAa- 1�Q_ MAA # >A M1 1. GENERAL INFORMATION Complete legal description Lot 1: Glen Alps Estates Location (site address or directions) 1331) r1en A1pa Rr1arl Anchorage Property owner Gary and Sandi Goerlich Day phone 345-]-031 Mailing address P -n_ Box 110081 Anchorage, Alaska 99511 Lending agency Day phone Mailing address— Agent Day phone Address — Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well xx _ Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xx _ - Holding tank _ Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA H21 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 5 & 5 ENGIN Address J 703 Eoale Engineer's signature — 6. DHHS SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments By: Phone Date ZZZA1 L_ fo4mtS 8s �j'I'rt4A t•- ,� �Za l �,7•li � d� , ;� bedrooms, with the following stipulations: Date/ - 2 - The 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. IM) Back MOA #21 U�.;i"• / c'"��%: a 'jam ti' fo4mtS 8s �j'I'rt4A t•- ,� �Za l �,7•li � d� , ;� bedrooms, with the following stipulations: Date/ - 2 - The 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. IM) Back MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Go / rLL;'N 1JG0Q S Parcel I.D. A. Well Data �p Well type//If A, B, or C, attach ADEC letter. ADEC water system number 7 Log present(Y N) e Date completed /5-176 Driller r � Total depth /�� / Cased to /Y e�/Oc Lt Casing height 2 Sanitary se (Y/)Cf 2 s Wires properly protecte (Y/ )C, S FROM WELL LOG Date of test 6 Static water level 2-31 Well flow 1J-0 g.p.ytt� AT INSPECTION Z z 40 9•p•I,". Pump levels /� GVgZL SEPARATION DISTANCES FROM WELL TO: S'(gP l� � OGc �P/b 2, Septic/holding tank on lot /00 Absorption field on lot !co 0 � Public sewer main 7J_r 4- Sewer service line Z.S WATER SAMPLE RESULTS: ; On adjacent lots L6AD c7L On adjacent lots Public sewer manhole/clean Petroleum tank Coliform G Nitrate e:�'j / Date of sample: ��/�Collected by: B. SEPTIC/HOLDING TANK DATA til F7 l� /b e -i Other bacteria 0 S & S ENGINEERING 17034 Eagle River Loop Road O. 202F- Eaglo Diver, Alaska 99577 Date installed /,r/ -2,6 Tank size Compartments Cleanout (Y ) �J Foundation cleanou (Y/ ) e J -Depression (Y/ IUD High water alarm (Y/N� /U � Alarm tested (Y/N) A/ Date of pumping /nl Pumper J 9la<<- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: � c Well(s) on lot �� On adjacent lots d To property line Absorption field 74 Surface water/drainage ZL� 0 f Foundation /0 Water main/service line /0 C 72-026(3/93)• Front CONTINUED ON BACK PAGE C. LN' ATION Date installed Size in gallons Vent (Y/N) "Pump on High water alarm level Meets MOA electrical codes (Y/NL/_� SEPARATION a, FROM LIFT STATION TO: D. ABSORPTION FIELD DATA On adjacent lots Manufacturer Manhole/Access (Y "Pump off" Level at tested Surface water Date installed % G Soil rating (GPD/Ft2) System type Length 12 3 1 OTS Widdthh �� Gravel thickness _Total depth Total absorption area -U 0�Cleanout presen (Y/ ) %ems _Depression over field ( /N �`� Date of adequacy test_ .Z lC� Result pass ' (�S r for �� Bedrooms Water level in absorption field before testes l Z (/Z c _ After test Peroxide treatment (past 12 months) (YO l /JV /"�J KMO -'J v If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /2 D c � On adjacent lots — ze�717 f _Property line _ Z To building foundation 6 d f— To existing or abandoned system on lot 0 11_VLKre`Z � L On adjacent lots ZO 1( Cutbank Water main/service line ZZO )4 - Surface water Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION HAA Fee $ Date of Payment Receipt Number 72-026 (3/93)` Back Waiver Fee $ Date of Payment Receipt Number nYr,6 January 20, 1994 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX 694-1211 HEALTH AUTHORITY MUNICIPALITY OF ANCHORAGE APPROVALS Department o6 Heat th and Human Services Attn: Dan Roth P.O. Box 196650 Anchorage, AK 99519 SEWER & WATER MAIN EXTENSIONS REFERENCE: Lot 1; Glen Atps Dear Mr. Roth, SEWER &WATER ReUerence i6 made to your tetephone conversation concerning .the totat INSPECTION depth ob the ab6orption area toeated on the rebereneed property. In6o4mati.on shown on the Munic%pat Heaeth Authority cheep sheet (yeUow sheet) i,6 taken 6rom both 6ietd measurements and record ENGINEERING STUDIES AND REPORTS search. The Muncipat inspection report was retied upon to determine the tota.e depth ob .the system. However, 6ietd measurements wowed .indicate that the totae depth o4 6' as shown on the inspection repokt .is in error. WELL INSPECTION &FLOW TEST The measurement taken Urom the ground Levet to the bottom o6 the sump i,s 38". It appears that .there may be 10"-12" og sitt or sediment .in .the bottom Ob the sump. A clean-out which has been .instaPeed .in one oU .the tines has a measurement oU 28" Brom the ground surbaee to the SITE PLANS bottom oU ,the clean-out. Both ob these measurements wowed indicate that the totae depth oU the sy,5tem is approx,imatety 4' below .the or.ig.inat ground sur6aee as speci6 ied .in the design and therebare ,is .in eomp2%anee with the 6epanati.on distances to bedrock that were ROAD DESIGN prescltibed by regutation at the tune o6 .instaUation. IU we may be 06 UurtheA se4v.ice, ptease contact us. S.ineere.2y SOIL TEST PERCOLATION .� TEST T A. SHAFER, P.E. RA /gk ENCLOSURES STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 i m1fulCIPAI.-MY OF ANCHORAGE OXVISION OF EN"JIRO1.7MIiNTAI, HFIALTH D1UA.HfiMF,M OF HEALTII AND ENVIRONMENTAT., PROTF;C 1014 „ PjL ICA i TORI FOR IiI3ltI,TT3 AUTHORITY APPROVAT, CERTU ICATE I. Cflnnr E T.1k`{ate.a_,7a Application Date (a) La.t , '. D,,ac.ripr tou (include lot, block, subdivision, section, township, range) tacatlon (address or directions) i (b) Applicants Name_ i41�.`�,�)9�is /� Telephone home_Businoss��o =aa Applicants (y) Applicant is (check one) Lauding institution Otmer/builder 1«yer I. �,. Other j (exp:Lain);ra�_� (d) Lending Knstitution Address Telephone (e) Real_ Estate Co. & Agent2- Address Telephone (f) ictal] the HAA to the following address: 2. Zee of Residence Single—Family� Mult.•i-�Pamily Other (describe) Number of Bedrooms 3. Wat.:er. Supply Individual Well Community Public I Note: If community well system, must have written confirmation from the State Department: of Environmental. Conservation attesting to the legality and status. 4. Sewage DisLosal Onsite �/ Public Community�t Holding Tanis Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the logality and Ptatus. [Page b of 2] i�L17 x1el t l 2 5. Engineering Firm Providing Inspections� Tests File Search Data Zn.. As certified by my seal affixed hereto and as of the validation data „M L !,,_ I verify that my investigation of this Health Authority Approval shows t, ch water supply and/or wastewater disposal system is safe, functional and the number of bedrooms and type of structure indicated herein. I further based on the information obtained from the Kinicipality of [anchorage files and Investigation and inspection, the on-site seater supply and/or wastewater disposal. system is in compliance �-TJJeh all Municipal and State codes, ordinances, and regula- tions in effect on the date of- this inspection. Name of Fires Telephone l f " — r Address / Jc .Approved Disapproved Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TUE ATIONS GIVEN IN PARAGRAPH 5 ABOVE, BY AN INDEPENDENT PROFESSIONAL ENGINEER. IN THE STATE OF ALASKA. THE DEEP DOES THIS AS A COURTESY TO PURCHASERS OF THEIR TENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE MEN`i'S. EMPLOYEES OF DHEP DO NOT CONDUCT "NSPECTIONS OR ANALYZE DATA CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE OR OMISSIONS IN THI'S PROFESSIONAL ENGINEER'S WORK. (DHEP SF&L) RR4/ej/DlB [Page 2 of 21 PROTEC'CION R :PRP S:3 T REG ISTEI i,,D HOMES A,NID REQUTT P— BEFORE A FOR ERRORS 7-19-84 Date 6•,a ' (ENGINEER SEAL) �`' a� '' i �d���r� I•.'o. e Ji, -,' 6. DHEP Approval � , [approved for ,, ^ ;,_ bedrooms By � o.� �Da1 c .Approved Disapproved Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TUE ATIONS GIVEN IN PARAGRAPH 5 ABOVE, BY AN INDEPENDENT PROFESSIONAL ENGINEER. IN THE STATE OF ALASKA. THE DEEP DOES THIS AS A COURTESY TO PURCHASERS OF THEIR TENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE MEN`i'S. EMPLOYEES OF DHEP DO NOT CONDUCT "NSPECTIONS OR ANALYZE DATA CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE OR OMISSIONS IN THI'S PROFESSIONAL ENGINEER'S WORK. (DHEP SF&L) RR4/ej/DlB [Page 2 of 21 PROTEC'CION R :PRP S:3 T REG ISTEI i,,D HOMES A,NID REQUTT P— BEFORE A FOR ERRORS 7-19-84 € MUNICLPALTrZ OI' ANCHORAGE DIVISION O%' ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION A-ULICATION FOR HEALTH AUTHORITY. APPROVAL CERTIFICATE to General information Application Date,--) (a) Legal Description (include lot, block, subdivision, section, i:wnship, range) k'c?� �1.�� 11. )'� Location (address or: directions) (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent � h/,F' Address Telephone (f) Mail the HAI% to the following address: 2. TD)e of Residence Single -Family multi -Family Number of Bedrooms S. Water Supple Individual Well EZi Community Other (describe) Public F-1 Note: If community well system, must have �,r:i.tten confirmation from the State Department: of Environmental_ Conservation attesting to the legality and status. 4. Sewage Disposal Onsite Public Community holding Tank= II Note: If comm-Inity well system, must haVel iaz•�-t:nen confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2 ] (b) Applicants Naiae -%' �' t -- Telephone Home R Business Applicants AddressoL (c) Applicant is (check one) Lending -Institution ; owner/builder: Buyer �T ; Other I (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent � h/,F' Address Telephone (f) Mail the HAI% to the following address: 2. TD)e of Residence Single -Family multi -Family Number of Bedrooms S. Water Supple Individual Well EZi Community Other (describe) Public F-1 Note: If community well system, must have �,r:i.tten confirmation from the State Department: of Environmental_ Conservation attesting to the legality and status. 4. Sewage Disposal Onsite Public Community holding Tank= II Note: If comm-Inity well system, must haVel iaz•�-t:nen confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2 ] t 5.jnyjneering Firm Providing Inspections, Tests, File Search Data and Info�mati.on As certified by my seal affixed hereto and as of the validation date shown below, ` verify that my investigation of this Health Authority Approval. shows that the on­-si'.;e 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 t' -,at, based on the information obtained from the Municipality of Anchorage files and From my I ` investigation and inspection, the onsite zrater 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. j Name of Firm i/ nom/ s, r�� _£'; Vii!/'(,� Telephone,5 5 ✓ ` Address el ' Date 1 i lin• C l�C.%2ic i� C_ /�/y.(� E✓ �i� P° F k {:� o ' (� ENGINEER �rAL) }� 0 //Z 6. DHEP Approval b' Y I' �fi :>>��s�� No. 22511 - Approved f -or be=drooms By�<< rrt Approve411F! Disapproved Conditional o,l� Term of Canditioual 2Wroval�, (. l y l i �' fit- "'5 CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF H1:ALTH AND ENVIROWENTA_L PROTECTION (DREP) ISSUES MUTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRISEtiI'­ P'I'TONS GIVEN IN PARAGRAPH 5 ABOVE: BY AN INDEPENDENT PROFESSIONA ENGT.ArEFR REG TSTEP "�.) IN TIFF STATE OF ALASKA. THE DREP DOES THIS AS A COURTESY. TO PURCRASE:RS OF EIOMES AND THEIR LENDING INSTITUTIONS ?N ORDER TO SATISFY. CERTAIN FEDERAL AND STATE RTQUTRE­ RENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR A.NALYZB DATA BEFORE A CERTIFICATE; IS ISSUEF). "ME MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE, FOR EiZRORS OR OMISSIONS IN T`HE PROFESSIONAL ENGINEER'S WORK. RR4/ej/D18 [Page 2 of 7.1 7-1.9-84 VL MUNIK,41/0.11 Y C MUNICIPALITY OF ANCHORAGE (MOA) cloy HEALTH AUTHORITY APPROVAL (HAA) jL-[) CHECKLIST - FEBRUARY 1984 A. WELL DATA Legal Description: ko-} I r'2'tLv ES 7-i.2 AJ R.LQ See -30 — Well Classification ;�ccE_ If A, B, or C. D.E.C. Approved(Y/N) Well Log Present Y/N) Date Completedr �!7 V Yield 4 /1 Total Depth /S U Cased to / C0 Depth of Grouting /Yel-m wvl� Static Water Level a2s _ Pu7 Set At Vo/on c Slo/ Casing Height Above Ground 1.7 Sanitary Seal on Casing Electrical Wiring in Conduit (Y' 0 Depression Around T%bllhead (YA) Separation Distances from Tull: To Septic/Holding Tank on Lot //D; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /S O On Adjoining Lots f-/p,)l To Nearest Public Sewer Line A)lt To Nearest Public Sewer Cleanout/Manhole AJ(A- To Nearest Sewer Service Lire on Lot IVA Water Sample Collected By Water Sample Test Results Date,_ /430/k ComroentsO c � (,� I S 0 ®Ir).9-0 /loran `ui� c�n�±c� aw�P.,�� +�ca 141P_4?a�- 0 ..nc f( 1i 5�"8� B. SEPT/HOLDING TANK DATA Date Installed Iq Size /'0(00 No. of Ccmpartments 2 _ Standpipes �) CD Air -tight Caps � Foundation Cleanout (,�"N_) Depression over Tank (Y Date Last Pumped 0 Pumping/Maintenance Contract on File (Y/N)`v� for AJ1,4 Holding Tank High -Water Alarm (Y/N) VIA- Temporary Holding Tank Permit (Y/N)04 Separation Distances from Septic/Holding Tank: To Water -Supply Tria,ll / �C�� T�-, Building Foundation68/0) To Property Line _ -I-/o To Disposal Field 10 / To Water Main/Service Line AJ�L To Stream, Pond. Lake, or Major Drainage 'keceipt # Date Paid: Amount: 41 (Page 1 of 21 2-15-84 /,()Y-/ 647k, 4- (Ps 5,sf"q4p s C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /s o%0 Type of System Design //c' ^c 11 Date Installed /q'7Length of Field A* Width of Field Depth of Field Gravel Bed Thickness _ '7 Square Feet of Absorption Area 9aRa Standpipes Present tV) Depression over Field (Y—& Date of Last Adequacy Test 1130%S Results of Last Adequacy 'lest Separation Distance from Absorption Field: To Water -Supply Fb11 /,S-0 ® To Property Lire •IL/O' To Building Foundation /0-3/ s)To Existing or Abandoned System on Lot V 1/4- ; On Adjoining Lots y3y' 0 To Water Main/Service Line ti({} To Cutbank(if present) WA To Stream/Pond/Lake/or Major Drainage Course >COo To Driveway, Parking Area, or Vehicle Storage Area D. LIFT STATION Date Installed k)/A- Divensions N1 -A Size in Gallons AJ 16- Manhole/Access (YM) WJA "Pump On" Level at YU1A "Pump Off" Level at K)tA s High Water Alarm Level at�e�►-- _ Vent Tested for Y�J(A, Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes(YM) vL)IA- Comments ** Check Permitted Bedroan Rating Against HAA Request ** I certify that I have checked, verified, or conforrred to all MOA HAA Guidelines in effect on the date of this inspection. Signed ,2 ��u9 1n Titif'L4t�r/� —? 60;V`"2�rs' Date al/_ZES' ,�Q,•...,.....,o�e.,q� 9� ConipanY 29 CS MOA No. �S—U2� 8�.�'�� NEM, .ae l v.� Ler C. Reid, Jr. „o w4 O -n 0.225). E (Page 2 of 21 2-15-84 ALASKA b dIROURTAL COMOL SNIUS, InC. engineerinq & enuironmental Studies February 2, 1985 Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Legal: Lot 1 Glen Alps Estates Subdivision Well Flow Test on Single Family Residence A flow test was performed on the well at the above property on February 2, 1985. The well is located within the house foundation and we were unable to get a well probe down into it. It does have a well seal and is 2.7' aboveground. According to the well log, the original. flow rate was 2.4 gpm. The owners have installed 2-200 gallon holding tanks. The flow rate was 5.5 gpm for the first 80 minutes and 2.2 gpm for the last 30 minutes. A total of 506 gallons was pumped from this system. I consider this well and storage system adequate for domestic usage in this 3 bedroom house. Please contract me if you have any questions. Sincerely, GI en Turner E vi.ronmental Scientist Approved: .� •�� eaaar.wooa °� �, �, �@ooaoi a eaaou eaneac.u:ioc s ;�. 60 C. Rei�..I �:rPA No. 2257•G -0{ r,ciC�M� 1200 &sl 33rd Auenue, Suite B 9 Anchorage, Alaska 99503 • (901) 561-5040 ALASKA b01ROW11TAL C011TROL SbUICOS, Inc. Engineerinq & Enuironmentol Studies 1/30/85 MR GOERLICH P.O. BOX 110081 ANCHORAGE AK 99511 SELLER — BUYER — SUBDIVISION — GLEN APLPS ESTATES BLOCK — LOT — 1 ADEQUACY TEST FOR SEWER SYSTEM THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 492 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 506 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM ROME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. of m r C. Peid, Jr. r 1200 West 33rd Auenue, Suite a • Anchorage, Alaska 99503 • (907) 561-5040 Vii,' eUo j . °r'rrro ianusv �. nuSs�,�� v -D ju GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3,330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received January 24, 1977 Time of Inspection q fy� "-)m Date of Inspection g-11-7 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: National Bank of Alaska % Ruth Mailing Address: Post Office Box 3-3859 Phone: 279=2506 2. Property Owner: _Gary Goerlich Phone:l— Mailing Address: 3. Legal Description: Lot 1 Glen Alps 4. Location: 5. Type of facility to be inspected Single Family No, of bedrooms 3 6. Well Data: nLe-ecf L.Of _L/ Linz.. A. Type Individual B. Depth C. Construction ���Q_Pa ,i- �JP�� �,,,f�. D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed rc3 ILo B. Installer � 6-4 - C. Septic Tank: 1. Size _LL. Manufacturer - D. Seepage Pit: 1. Absorption Area k/, c6n&o, 2. MaterialE. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank _, Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JAN 211977 RECEIVED , ,.,; _ _ MUNICIPALITY OF ANCHORAGE fVILI,\Il ;(:',=\...' i' - I'.:,"',i it}I;;';,C' DEPT. OF HEALTH & d r J t I: \' ENYI7RQNt�yIENTAL PROTECTION try IND I\'!!)'t.;ll!". KECIVD 1. Tyl,.,! of Inspection: V6;(HA COPlV J.-PrOpcl t:�' Ovviwr: ---- fJailin; "\cId c : -- '— --- ---- Day Phone -------------- --- — - -- 3. Nares e� i?t;ver:.._._---- 1 -Y -191-Y-19 4. N8171C Of Lel"; C!Illg II"r 5CltUiIOI?: teS( Mailing Add;: r--- -- ---- — - -Pholle 5. Name of T,ealce. or Agent: ���------'-------------------------------------- !v?ai;mg !`rlciress: Phony. o. Legal Description: Location: 7. Type of Facility to be inspected: K Water Supply Type of Supply: Public Uhlily ___-_------._--_ Individual If Indlvidua!, numiwt of dvv0inCjd plc's fiLiv/ sgrved If Individual, depth of vvell __.�_.---.—'----_--__-- - _-- 9. Sevv,=ge Disposal System No. Bdrms. _-----,__-- "Type of Symcmn Public U ' til0 _.__.__. Individual (on-site) If II1d iJIClliil1, l!( le Of In i(illation Page 2 of two pages - Rf st for Approval of Individual Legal Description Lot 1 Glen Alps Comments • . • • . �i�/� . • • • • • )er & Water Facilities Date~-� l �or_T7 Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true ano accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date