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NETTLETON ACRES #2 LT 7
Onsite File Nettleton Acres # 2 Lot 7 #015 - 062 - 11 The undersized 1979 field may not be tested for a COSH . • Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number OPS 171148 PID Number: 015-062-11 Dwelling: ❑t Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New r Upgrade Name: BEN BARCLAY ABSORPTION FIELD Address ❑ Deep Trench ❑■ Shallow Trench E Bed 0 Mound 6745 PAULA PLACE E Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1.2 GPDISF 5.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 3.0 Ft. 2.5 Ft. NETTLETON ACRES #2, 7 Fill added above original grade Gravel length Township Range Section 0.5 Ft. 80 Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES 5.0 Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From ' Tank Field Tank Line 625 F12 1.0 Ft Well 100+ ! 100+ 501+ TANK ESeptic ❑S.T.E.P. El Holding El Other Manufacturer Capacity Surface Water 1 100'+ ; 100'+ ANCH TANK 1500 Gal. I Material Number of compartments Lot Line 10'+ 10"+ STEEL 2.0 NA Foundation 10'+ 10+ LIFT STATION Manufacturer anufacturer Capacity Curtain Drain UN UN Gal. Remarks 1979 SYSTEM CAN'T BE TESTED Pump on level at Pump off level at High water alarm at FOR_ FUTURE COSH in, in in Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to 3034 Installer drainfield MIKE N. ANDERSON,P.E. Drainfield 3034 CO/MT3034 Inspector MIKE N. ANDERSON, P.E. BENCH MARK (Assumed elevation) 102.6 ft Inspection 151 6-23-17 2„ 6-24-17 Location and description 3« 4'^ TOP OF DECK COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ......Zeitn'p .,t OF All\1 Conditional Approval: Date y1p;.•' .;4s. t9 * , l .. ,,,°'" •0°- ,: 49TH ��9�T H� ,. rl rtofj ir A-• MICHAEL N. ANDERSON tiodi .<:,',..., � �f'.• CE-9469 •.;y Approved t-v..- Date I ( 7 1ilifG'p F:'j`!��•'•��..;r , r, Inspection Report_9-1-12.doc . Permit No. OSP171148 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: NETTLETON ACRES #2 LOT 7 PID No.: 015-062-11 MARK A 8 TOO - 5,3 -29 - . C04 40 15 MT 4• .1 � — . C06 55 __ 73 —77- — - -- - I 1 Tig 1 -CQ„. ,w. MT1ti 1 f, \ 1 I • 1 \ � 1 I { \ r'` l � I// ` \ , l A ,I '1, 'll I \ n 11, 'I \ II 1 'Il f TH#2 %� \ �� EW 1$00 STEEL TANK —: ',1 I J 11 11 ST‘ 1 l \• .I, it B "' CO3;. = \ —' 1TCQ1 1 / \ 1 \, / 1 L j IL \ \ ,‘ I ,1, 1111 1 1 , , 1 II ® I EXISTING 1 ! / / y /� / \1 ',DRIVEWAY '/� \ // 1 / i A BUILT ,----- SCALE:",1"=50' / e 9�w _` 1•ro+ coz rrco+ Icoa GOA f/G/0:92 coe .,s1�'\1\�/ ' CO2Innb99 5 • • / flLT[R AK MT \ �. o oRc + r. : .. .. 84.5 / 1.500 GALLON y cm 10101 MEI SP STEEL TANK J` / To/ • • 345 7 N \_983 f. • i 01 — SA1 . .. . r, nNTSEcraH 83 �y ,+,� ■ i. • a.••''..'• Municipality of Anchorage ! tistF,� ).1 Atm,�: Development Services Department or y..•• •Building Safety Division / •/ �1,, On-Site Water and Wastewater Program *:•49tH* ..'tsA) •.-dr I♦/ I � I.c= 4700 Elmore Road P O.Box 196650 Anchorage,AK 99507 0 • j��'S" ' F4 \` / www.ci.anchorage_ak_us �•ya^. MICHAEL N. ANDERSON •;c' ej-_, _/ (907)343-7904 tdr �i C%.•. CE-9469 Soils Log - Percolation Test �li�f.0 • u�.`S '2' '� '4%. Performed For: ArY1 {gWr 1•C, y Date Performed: Legal Description: C4 ct f 1.e, {.-p41 ,t*el Al L Township,Range,Section: L v Slope Site Plan Depth T H itt Z (Feet) 1- _OJ c Clive S .__ 2- . - ( 'Tr ido ell). , 3- 4- 5- P 6- 7- 8- _ WAS GROUND WATER 9- ENCOUNTERED? rp S 10- IF YES,AT WHAT DEPTH? L Depth to Water After y� E 0 11- Monitoring? I,fVI 12- Date 60/1.4/(7. 13- 14- Reading Date Gross Time Net Time Depth to Water Net Drop 15- 9N 1. r 0 at 01 (a" 5 '/ • 16- 6, ° 5"/i � 17- ` i/ S i/ 18- 1" 5// 19- to 5 e 20- U 'r I't PERCOLATION RATE Z..--- (minutesnnchi PERC HOLE DIAMETER 6.4, TEST RUN BETWEEN 1.f FT AND 5 FT COMMENTS PERFORMED BY: r<4/N.(,-t I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: bl yt 3.. ,,N`."""r,o, MUNICIPALITY OF ANCHORAGE ,,,, ,,, On-Site Water &Wastewater Program � • =\' •S I PO Box 196650 4700 Elmore Road y Anchorage,Alaska 99519-6650 Phone:(907)343 7904 Fax:(907)343-7997 ,� httpalwww.muni.org/onsite i - )��I�artmtrit 44,(:;, ;"•.0- On-Site Wastewater Disposal System Permit Permit Number: OSP171148 Effective Date: 6/21/2017 Work Type: Septic Upgrade Expiration Date: 6/21/2018/ Tax Code Number: 01506211000 (z3/ l` Site Legal Address: NETTLETON ACRES #2 LT 7 G:2439 b r V( (1 Site Mailing Address: 6745 PAULA PL, Anchorage Owner: BARCLAY FAMILY TRUST Lot Size in Sq Ft: 45885 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Total Bedrooms: 5 This permit is for the construction of: El Disposal Field El Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 10, 1.The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As-built Inspection Report. If the results require a design change, construction of the system will stop pending On-Site review and approval. AMC 15.65.060.6.3 2. The Inspection Report is to state that the 1979 field shall not be tested for future COSAs. Received By: 4A1/4-- Date: /t?2. Issued By: 1 1-L ,i Date: /0-.7 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-062-11 Property owner(s) Ben Barclay Day phone 240 — 11.175 Mailing address 6745 Paula Place Site address Legal description (Sub'd., Block & Lot) Nettleton Acres #2, Lot 7 Legal description (Township, Range & Section) Lot Size 45885 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑x Initial ❑ Single Family (SF) ❑x (w/wo ADU) Septic Tank ❑x Upgrade ❑x Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Mult wel{ings, ❑ Privy ❑ $: .ndlor r �� Private Well ❑ Ua f1 Water Storage ❑ a JUN 192017 THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUE OR: ti 4, Distan I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. /1/L, (Signature of property owner or authorized agent) 11 Permit/Rush Fees: ' CA f 341• - -1 Waiver Fees: Date of Payment: (i-2'(1 cic 1022 ' Date of Payment: Receipt Number: 2I 323 Receipt Number: Permit No. OSPI"? I tt-tg Waiver No. Permit App_.-.-:L.,c • June 17. 2017 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: New Septic system and Lot Line Waiver Legal: Nettleton Acres#2, Lot 7 To Whom it may concern: This is a request for a septic permit on the above referenced lot, the old system has failed and needs replacing. A new test hole was excavated in the backyard and found various types of gravels, GP. Water was not observed during the excavation or after the 7 day monitoring period. The perc rate was 2 minutes per inch at 5 feet below grade. A shallow bed has been designed as a replacement system. The tank will be replaced with a new 1500 gallon gravity flow tank. The old system will be used for the secondary site due to the 5 bedroom change in the original design. A new test hole w ill also be completed to verify the soils on the south end of the system_ The lot is flat and has no cut banks with slope greater than 25 percent. see the drawing. This replacement system will not impact any of the neighboring properties due to the lot layout. Please call me if you have any questions. Sincerely 4,4 Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 _~ \ r \F T",F"C'.ACRE:., NE- LETON ACRES#2 l LOT 4 • LOTS ll , PROPERTY LINE .Gn�r V` ► t - - — — -- rd 04` LLr1LUY EASEMENT _ T — t — – — — SECONDARY — / — SYSTEM WILL BE DRIVEWAY REMOVED REBUILDING OF T . \\ `�N AND BLOCKED THE OLD SYSTEM t i� It �MT �,-a4 I \• { � p. I 111 r/ \ } 1 \ r��l •11111 al �l 1 1 \ \ 1 t r / NEW 1500 GALLON 1 ly `��F� `` TANK ` \ ` E \i' p SHED �. �� !co _- -- .i 1 ly AREA IS FLAT W \• . �`� 1r NO CUT BANKS OR 11 / `• 1 SLOPES>25% 1 / ' \ • \1 . / w t/ j L 1 CACHE r4, . 11 1 ' 1 zI I f- NETTLETON ACRES#2 1 C/J LOT 1 41 1 I X 1I 1 0 WELL I 1r 11i I /I f / t AY/ NETTLETON ACRES#2 // 1 pR1VEN -,--"---1.---. ' ----\ LOT 8 , 1 i 1 ' 1 PROPERTY LINE 1 --- rf i – -9 F' --- --Ppb / ,/' • f i 1 EXISTING WELL 100'RADIUS Septic Design Prepared for -,,,t�� ♦ y BEN & LYNDA BARCLAY •.'. � OF � �e.#�. • NETTLETON ACRES #2, LOT 7 ., •' rii, TH Anchorage, Alaska a9 • • P.E. M4, r Michael N. Anderson, PDATE: 611312017 Ira ':MICHAEL N. ANDERS0N;� N 00 J,' No. CE 941.....4f:' +�4601 ATRONA AVE DRAWN: DJR vj 0(o/ANCHORAGE, ALASKA 99516 �j ' • (907) 727-88641 FAX: (907) 345-1391 SCALE: 1"=50' 4fR,M �=, �44 • DESIGN CRITERIA: I MOUND OVER (TH#1) o M— GRADE 5 BDRM X 150 = 750 GPD1 0 -ORG I W SOILS = 750/1.2 = 625 GPD , FILLTEEREABRIC 625 GA/5 = 125' lc tl•� > tit) SP -4 0 -6.0 II SEWER ROCK ,(1) TRENCH (c,- 10' DEEP 1-- °'-1 2.0' EFFECTIVE 5.0'WIDE 88' LONG 16 ■SM SEPTIC FIELD SECTION ii r I I / \ LISA CT- I /' • --CROR()RIVE I - _ ' r x ` \ I 1 • 1O?‘ / I • PROPOSED _DRAINAGE FIELD . J L - - - - - - \-i — — — \ -- . 1 \ \ I ft * EXISTING WELL \ // •/ l�`r - �'i� - + 100'RADIUS PRO iTY LINE. t j1 , WELL 1 '- EXISTING EXISTING HOUSE r �• N � dew +, CV / \K / / / / / / ` / / 1 \ / 1 \ / \ �s - - - - - -_1 I— \, 1T - -- - - Septic Design Prepared for .+�„1111ti'ii, BEN & LYNDA BARCLAY �•'N.\ \ qC �!+.4. ., NETTLETON ACRES #2, LOT 7 • �' i • ' 4.9TH off, Anchorage, Alaska , . . , C i • Michael N. Anderson, P.E, DATE: 6/13/2017 O r ':MICHAEL N. ANDERSON;' ♦ No. CE 9469 4601 NATRONA AVE # s • DRAWN: DJR ,:' • ANCHORAGE,ALASKA 99516 �► ''' ... ........,, ''' • (907) 727-88641 FAX: (907) 345-1391 SCALE: 1"=200' *++4` s;„* �4. • • .k . OF A1 , I' Municipality of Anchorage ,,','•��;<e1GINEE},�s ,4f. :11 --- Development Services Department oo �••• •• ✓ / 'Building Safety Division 4 9TH On-Site Water and Wastewater Program * Y 1.r 4700 Elmore Road 00. •dr*"'"?" P. - . P.O.Box 196650 Anchorage,AK 99507 / • f� • MICHAEL N. AKDLRSCN ;,r-a r www.ci.anehorage.ak.us f r^• �, �_,� (907)343-7904 i 4%.:i.,_•.� CE-94 9 .•,w i i4 •I,/r a���• �,� Soils Log - Percolation Test il,� rFFs�*„7, ==' 11/ Performed For 0 ch 1[2,4,.v t(a,yr 1 Date Performed: (121,1 7- Legal Description t '117a r ve 41 (-a f` 9- Township.Range,Section: F,..-:re Site Plan Depth (Feet) 1 J 2- 6 ,- p(0 ✓1 . . . 3- 4- 5- 6- 7- �i 8 wV +/ • WAS GROUND WATER / 9- 7 ENCOUNTERED' ►+a 0 S 1 O C__. a J S IF YES,AT WHAT DEPTH/ L Depth to Water Atter P 11- c(,, Monitoring' Cie K E . 12- Lvvse-- . D c.. c,1(4/rte 13- 14- Reading Date Gross Time Net Time Depth to Water Net Drop 1S'�� Lill tfr.2- (t!n, ,n fr '( 5 ? 17 (2,0 ,0,' " err 18- 0/I (1 45 19 20- PERCOLATION RATE 7,r it mule-nch: PERC HOLE DIAMETER Lp t( TEST RUN BETWEEN It FT AND {l2__ET COMMENTS PERFORMED BY: AA(4...( , I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Well DISTANCE TO: Manufacturer DISTANCE TO: Manufacturer IF HOMEMADE: Well area DtSTANCETO: /Q~ ! ~L, No. Of lines/ Length],~.,.,~ ~f ch I~e Top of tile to finish grade Length Type of crib DISTANCE TO: DISTANCE TO: Width Crib diameter Well Depth Buildi~g~ ~-/¢f~'u n~.o n OTHER Inside length Dwelling Foundation,_, Tota, Material beneathitil~.~~ Depth Crib depth Building foundation Driller Sewer lin~)~¢,~ / I PE MATERIALS SOIL TEST RATING RFMARKS PHONE Material Nearest. J. ot I i n~.~7~ Trench width t~¢'¢( - inches inches NO. OF BEDROOMS PERI~J NOL~ Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO,~ Total eff~i~,~sorp~ion area PERMIT NO, Total effective absorption area Nearest lot line Distance to lot line Septic PERMIT NO'~;77~ ~2 ~"..~' Absorption area(s} APPROVED /,~ DATE LEGAL 72-013 [:,EPI::IRTFII:ENT OF:' HE_"I';tL. TH I::11",1[) EN'v']]I:~:OI',IMEI",I'I'FII.. ;:T': 11.-4111i.:.!E IL.... tl ...... I::1P f:;' L. ]i C;I:::I I',,I '[' L.. I)C; Fi T ]] CIi'.,I L., l:i: 13 I;::! L. 't"'~,'PIJ~] OF '.Si]) :[ L,, I::ISS(]RBT I 01'.,I S'T'STEM I S: [)F.:FI I t',,If:' I EL..D I'"IFI::.:::!:I"ILJi-"I I'.,llJi'"lBEfi: I:::ff:' [3EJDF';.'IDCff'I':'F; .... 4 'I"HE I:;i:tEC.:!U :1: RED ?.', I ZE OF THE!: ~(;;~(~1 .'[ L.. Ri:i:SOI:;i]F""[' 1: 01'.,I S"r'S"t"EI"I ]: S: THE LIENG'['H [::, ]: I"'IEI",tS :1:O1",1 ]: !~:'; THE I...Elql3"FH ( .t I",1 FtZET ::, 01:::' "I"HIE 'I"F:'.F-'i:NCH OF:.' E:,t:.~:I:::I :!: i",tF' :[ liJ:l..[:,. THE I)Iii!F:'TH OF I::t "I"F~:EI",ICH OF'~: F:']:T ]'J!i; TIdE DISTI::II",IC:[E [3ETHE[EI",I THE 'j~iI._I[;iiFi::IC:I:E I)F TFII::.:: (:~iI:ROI. Jt..tD f:li"~[:.', 'THE E:OTTCH"I OF THE E:',:'<C:F't',/FITIOI",I ,:::[f,I -'IF" H! liE(: '"11'"' IR: II:!:.:'E [1'"'~ C::: !t.'.dl i!.-.[I :[: IE::, THE": GI:;?.FI"/F~I._ DEF'TH ].' S 'I"H[( I"t :[ I",11 I"llJFI [:,I']EF"FH OF' Gf;.ff:f'v'EL. I!!:[i:7'I"HE:IiEI'q THE fJ)I.J"I'F'I::ILI... [:;' :[ I::'[~: FIND THF DOT'TOM I:)F 'I"HI!;Z I~;;.:',I::::F:I',,,'I::IT :1: CIN ( ]: i",1 I::'Fi!:ET :'.'. PEi;::P'IIT f::II:::'PL..]:(:::I:::II'.IT I'fi:lS THE F..'ESF'ONSIBII....:I:T'T' T'O :l:l",ll::O[;:ff"l 'TI-"I:[S E:,EiI:::'f:ii<:"I"i'"IEi:NT E:,UF;~::!:I'.,IEi THEE :[ I'.~T'I"i::ILI.J:'Y'[' ]: O1'.,I :[ NSF'EC:T I ObIS I:)F' f::'li',,t'.r' HEi:L.L..S f::ID.)'F:IC:Et",IT T(:) TH :r. :~-~ F'I-;:CiI:::'EF?.T'T' [:ff.,II'.:, TIDE: i'.,IUMDE:.I:;i? OF f;.'.E'.:~; ].' I)[EI'.,IL':::[:?F;., THI':'IT "rilL:: HELL.. H J.I...L.. :51::ZFfv'E. BI::IC:I-(F):L.I...II',IEi [')F FIN"/ S"r'STEFI HI'T'HC~LI"[' F.I:NFIL. INSPEC:T]:OI",I FII',ID I::iI::'F't:'::L3',,,'F:II.. [3~'rI 'TH:[S [)EI:::'I:::II:~'.'I'II'"IEf',I'T' b] .'[ I..[.. [.:.IE :~;I.J[!iL..TEI::"I~ TO F:'i:;:'.ID~'~;[~:I:i:I.JT:[I::)I",I. i'"ItI',t:(I'"tUH E:' :[ S"['f:ti',lC:l:!:: Bt:~THE[:~I",I Ft HELL. f::ff',l[::' I:::ll'.t"r' Oi",I'"'SITE :a.:;i:'_::l.,.IR(!il:!i: D]:SF'OSFIL. :!:T,'~'S"I"E]'q :l,.lliilEi FtF:I:i:'T FOF.'. I::1 F'F.'.I',,,'FITE 1,4EL.L..~ (life. ::L'.21E] TC[ ;i?JZ'~C'i FEET F'F.'.OM FI F'IJBI._IC: 14[~L[.. [)EF'EI",I[):[I'-,It3 I..ll:::'Oiq "1"1'"1[!:.:' 'T"T'PE: OF F:'IJE&r.):C HI:EL.L.. I.,.IELJ.. LOC'i'i~ FII;:'.E I:~:E(..':!U]tRI!~[':, F:liq[:, i"II. JST 13, E: t~:ETLII:RNED TO "l'l"'lt!~ D[:~:PFI[;i:TI"IF::I'.TT H ]: TI .I :[ f.,t 2:(:~t I)FI'T'fi; OF THE HEI. r..L. OOI"IF:'L.ET ]: 01",1. OTHf:(I~: f;.".t:Eg!U 1' I:;.'.Ei"IENT:E; i-'lF:l"r' F:II':'I:::'L.."r'. '..~;F:'E:C:: I::I'v'FIIL. FIt.:.i&.[.:.': "['O II",t':"3UF?.Ii':: F'F::OI::'E[;i: :[I",I'J~TFIL.Lf::tTZ[EIIq. I Iij:EF..'T ]i F:'"r~ THi::I T '1.: i F:lf"l FFliVl:[t...:[f::tE~ b. I ITH 'I"H['E F~:[iiiC!U]:F~:EI'"IEi',tTS [:I I::[ [~: ON-'.:'!;ITE:. :!3Et.,.IEI:;i::!!i; FINi?, FCIF~:TH 13'T' THE MI..IN].'C]:F'RL:[T'T' OF I::II'.,I(:::HC~I:;;:F':IG[:_::. ~: :[ H :[ LL :[ blSTFILL. THE S'T':i:~;TI'CM :1: t",t I::tC:C:(:~i.:?.DFII'.,IC:E H :[ TH TH.El: ::~:: ]: UI'.,ID[!J?.'J!;TI::'tN[) THf:I'I" TI.-I[FJ OI'.,I--.:E;]:TE :i~.;Fi.(HEI:~: :.:];'T':~;TE'~:i"t t"lF:l"r' F?.L:~:(~LI]:Fi:FE IFJI'.,II_..I:::IF?.(ii[F.:t"II!~:i'-ilT ~.1:;:' 'T'HI~: [~:E'.'::.; ]: DEf',ICE ]: '.':.'i; F.".EFIODELI~D TO :1: NC:L. LI[::,E': MC[FRE: THF:tN 4 FtPPL Z C:t:~IqT H©i'"tE: I:::'LFli',liq ]: bl(:!i :[ I",IC: SR BOX 668, BOGARD RD, PALMER, ALASKA 99645 TELEPHONE 745-4071 CA$IN ,vatcr per hour. Set pump INVOIC~ BIk." ,Sub[(~({~:(i"(O:'"~=~ WELL LOG YOUR P. O, NUbiBER. SALESMAN ... )EPTH FORMATION N FT. CASIN FORMATION :~o~-__ .... 104 --- leO -- - PLEASE PAY FROM THIS INVOICE CA$IN FORMATION AMOUNT ?0 x hereby certify that I have surveyed the followiqq . described propertb,, Lot- ~ L:IYi ,. /7: P,,O,,,_: '?07.272.2:~8i ~9 !.975 ?,';. O. June DOh'L 4040 "N" S;rc, et Anch(~::'a,...',,, AK Att:q: A. La h p.u:;~ Subject: Not'hleton /,crc:;, Ssi. Is G(-' F. k]. (.l t,i c: n: tho rec:uestod ~;.catz.i.o;:s flor ,-.'.'-,::'~na~ion o~ the seJ.].~ ~'-~- ,- .... ¢; -~ l:i:' tho ' ' ~ Xicd ' ' ' ~', ~'--~" i.n terms of "~ '- ,~ foe of. Un i f i ed Soil Seepage, Area in Sq. f h./bedcoo:n GN 85 GP 85 Gt4 , 225 S'v~ 3.25 SP 3.50 SH 250 H 275 CI:, 350 CH 350 dune l?, 1975 Page 2 Soil ~ . dl so. on,":<o. ,n~ .... in ='.'cn°-s o,r.' ~ :-"'~'- usual ]}' not tab] e. Test'. i!o!e Dq;th ]ntcrva! in Neet Sq. Ft 10 11 12 13 14 2.0-90 9.0-11. 0 1.5-!2 O 120-!40 1 S-Id 0 1 c ~. 2 5 ~ 0 .].2 0-14 0 1 0-- 6 0 6 O- 8 0 C 0-130 30-75 7. 5-J.! 0 1] 0-i,I 0 25-75 75-120 12 0-14 0 ]. 5-- 4 5 ,I 5-11 0 11 0-14 0 2 0-1.4 0 1 0-14 0 3 O- 1 ,; 0 0 5-10 0 10. 0-~ / 0 1 0-!3.0 13 0-14 . 0 85 200 85 200 85 85 85 125 85 2OO 250 85 20O 2O0 200 200 2O0 85 20O 250 85 85 85 -125 85 125 "I'lia c~lt!5' frce watc:r c-]cc,,':t:ered was bolo'..: 9' i.n hole 116. 'fhJ:; al~i:carth] t:o bo l:hc ]ow point .i.:; thc area. E',.'o;~ in ~hc',t ca~'', ertl" inoJ. ntt'd :;c,~:i),~gc v,'a:, ~ ......... ~ '1 / ,/ x, D . . . . SGS , . • SGS Rei# 1173085001 Client Name Mike N.Anderson.P.E. Printed Dater Tim e 06/15/2017 15:24 Project Name/# Mike Anderson Collected Date/Time 06/07/2017 14:00 Client Sample ID Ben Barclay Received Date/'time 06/07/2017 15:18 Matrix Drinking Water Technical Director Stephen C.Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container I]) Limits Date Date [nil Metals by ICP/MS \Ncni. NI) 5.00 ug/1. E11200.8 C (<10) 06'0X/17 (10/13/17 VDI. Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM2I 4500NO3-F 13 (<IO) 06/07/17 AYC Microbiology Laboratory E.Coli Negative 1 100m1, SM21 9223E A 06/07/17 K.\V Total Colifonii Negative I 100mL SM21 92238 A 06/07/17 K.W 'd- [I- C) CY) dM' Vim' cY) co r— N X w LL V n d LAM z Q< LL ® J 1..� -a ¶ L v (� ® Q N m U •L cts N (n C)O A, I� ti 0 LO ti rn M J < Q N N U) N W U U � Q Z O a W J J ::D W �- Z Lo � 1 O CD ZZ Q N U to U ca J (n z Q od w IL 0 U W W U) N C O .N W Q O CL C N U LO X AJ m o 0 CL 0 L N(a a) a. 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Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 2/13/1979 Total depth 163 ft Cased to 163 ft (ASSUMED) Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 4/17/2024 Static water level at beginning of test 72 ft. Well production at time of test 4.3 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic 11.5 ug/L Arsenic less than MRL (ND) Collected by Date 4/17/2024 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 50” Date of pumping 4/3/2024 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 6/24/2017 ALL standpipes present per record drawing Total measured depth from existing grade 6.8 ft (max) Measured depth to pipe invert from grade 4.6 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 4/17/2024 Results Pass Fluid depth prior to test 23 in Water added 750 gal New fluid depth 31 in (1” into lateral w/ no tank backing) Elapsed time 1440 min Final fluid depth 22 in Absorption rate 750 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 30 in (MOA 2.5’ ED) Effective depth used 22 in (Final Fluid Depth) Effective depth (ED) remaining 8 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & ED appears approximate. Absorption field operating in the top portion of the field & may be affected by seasonal saturated soils, area slope &/or other factors. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 4/28/24 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 4/28/24 L- Q) 4-J Q) V) E 0 u E E coQ) v) P 4-J 0 >- 0 0 -0 Q)fII 4-1 = Q) 4-J Q) 4-J m U C) (A tJ V) 0 > 0 CL CL < (A vuv) 4-J4- cn Q)w V) 0 0 4-j m U> Q) U u 0 co N u < c 0 4-J Q) z 0 V) _0 V) Lf) 0W 0 +j 4� c (1) uV) c 0 u V) cp u a) m > Q) -a E V, Qj 4-j w.0 7, 42 m bz u :3 c - 40- blo =3 O: c; 0 u � > Q) 4-J E 0 u 4-J V) < a - LU C 0 � Q) V) 0 +-j 4-, Q) -0 S 4O -J 0 C: V) 4-J V) -I-- 4- 0 q.� W m m V) U -E V) 0 .2 E 0 - V) Q) 4-1 M > o 4,-- 4-J 0 0 0 E cn -0 E 0 Q) 4-1 a-+ V) 4-J u 4-J Ul) CL 0 u 0 4-J (3) s_- 4-� Ln E 0 Ln > V) LU m (A Lu r'o V) C Lu V) 0 LU > uj 0 0 L- Q) 4-J Q) V) E 0 u E E coQ) v) P 4-J 0 >- 0 0 -0 Q)fII 4-1 = Q) 4-J Q) 4-J m U C) (A tJ V) 0 > 0 CL CL < (A vuv) 4-J4- cn Q)w V) 0 0 4-j m U> Q) U u 0 co N u < c 0 4-J Q) z 0 V) _0 V) Lf) 0W 0 +j 4� c (1) uV) c 0 u V) cp u a) m > Q) -a E V, Qj 4-j 4-J V) (3) V) CL U -i u c C) blo < o 4- u ) Q 4-J 0 C: w E 0 Lu 42 m bz u :3 c - 40- blo =3 O: c; 0 u � > Q) 4-J E 0 u 4-J V) < a - LU C 0 � Q) V) 0 +-j 4-, Q) -0 S 4O -J 0 C: V) 4-J 4-J 0 O -0 Q) 0 Q) = C: m u -0 cm 0 c: E 0 4- -I-- 4- 0 q.� W m m V) U -E V) 0 .2 E 0 - V) Q) 4-1 M > o 4,-- 4-J 0 0 0 E cn -0 E 0 Q) 4-1 a-+ V) 4-J u 4-J Ul) CL 0 u 0 4-J (3) s_- 4-� Ln E 0 Ln > V) • [ U 7*--- Municipality of Anchorage o�� ` On-Site Water and Wastewater Program (907) 343-7904 s n, r . CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-062-11 Expiration Date: 1 07 9— f 7 1. GENERAL INFORMATION Complete legal description NETTLETON ACRES #2 LOT 7 Location (site address) 6745 PAULA PLACE, ANCHORAGE AK Current Property owner(s) BEN BARCLAY Day phone Mailing address _SAME Real Estate Agent Day phone 2. TYPE OF DWELLING: 3 u`' 6 7 8 9 42 ® Single Family (w/wo ADU) i ,q '' E Duplex a ''� ?� JUN ❑ Multiple Dwellings (Single Family and/or Duplex) 2 7 201, _r 3. NUMBER OF BEDROOMS: 5 r`�. cti g 8 L g 91 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWA R DISPOSAL: Individual Well ® Individual ZI Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community E Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: r lz%a Date: t1 ?Q /. - COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ (og, -}" y� — Hi.(ok" Waiver Fee $ Date of Payment (Q j a a(11 r.je 102-Y1. Date of Payment Receipt NumberReceipt Number COSA# (Ctl 1 -D-cd, Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm MIKE N ANDERSON. P.E. Phone 727-8864 Address 4661 NATRONA AVE. Engineer's Printed Name MIKE N ANDERSON, PE Date 6/28/17 OF ,W\ •�~I;):••• •s, did * • 49TH �' f • ;x1�/ /11 ) •�MICHAEL N. ANDERSON ;`am: 6. DSD SIGNATURE CE 9 .may d System #1 Approved for bedrooms. 1311,4.'1'7;-vi•7 ,1 ' System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: .S7--6R AND m 0 PRCGRA ER >Q Com• cam B ,.� Original Certificate Date: -2 ?`-/ 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory _ Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12 doc • If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system _ Certificate of On-Site Systems Approval Checklist Legal Description: NETTLETON ACRES#2 LOT 7 Parcel ID: 015-O62-11 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (YIN) Y Date completed 2-13-79 Sanitary seal (YIN)Y Wires properly protected (YIN) Y Total depth 163 ft. Cased to 163 ft. Casing height(above ground) 30"+ FROM WELL LOG AT INSPECTION Date of test 2-13-79 617/2017 Static water level 100 ft. 65 ft. Well production 7 g.p.m. 5+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate ND mg/L Arsenic: ND ug/L Date of sample: 6/7/2017 Collected by: Mike Anderson B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date installed 6/24/2017 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) NA Date of pumping NEW Pumper NEW C. ABSORPTION FIELD DATA— 1985 SYSTEM TESTED Date installed 612412017 Soil rating (sf/bedroom) 1.2 System type 5-WIDE Length 80 ft. Width 5 ft. Gravel below pipe 2.5 ft. Total depth 6.0 ft. Eff. absorption area 625 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) PASS For 5 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) UNKNOWN If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in.High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES 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 100'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 50'+ Holding tank 100'+ Animal containment areas 1001+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 10'+ Absorption field 5' Water main 100'+ Water service line 50'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10 Water main 100'+ Water Service line 50'+ Surface water 100'+ Driveway, parking/vehicle storage 5'+ Curtain drain 50'+(None Known) Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION OF ,4t��i! 1 certify that I have determined through field inspections and r, c.�•. review of Municipal records that the above systems are in *:4 H ••*�r conformance with MOA COSA guidelines in effect on this date. / Engineer's Printed Name MIKE N. ANDERSON, PE ti7e MICHAEL N. ANDERSCN ti Date 612812017 rr •. C "949 ` rk\ �tvO �""" COSA canary sheet_2-6-15.doc ''' , . . • , ........\ ..„. is b WEST ttt -i0_' fir. Lsmt. 1 CP O o • Septic e (y% - o� 20'x20' Anchor ,i Easementirl tJ� oRr \— a t.A S,y fo O„ septic ~� 11 1-3� j DpcR, 6t / ?'-..- 28.5 a' -23 N co Well Mj 'S2gk 'I C' 1�� ' PSP .----6 R� 6 y � 1"\°\' I hereby certify that the property described hereon has been surveyed by me, or at my -alar. -41.:16\1, direction, and that the imiprovements are within GRAPHIC SCALE �. OF d l \li the property lines and do not overlap or encroach '1 Inch --= 50 Feet ,, �j `�L.4 on the property lying adjacent thereto unless ....„_„„„ _ If .1-. 4 otherwise shown. That no improvements on the 25 0 25 50 4 C#j - 7A property lying adjacent thereto encroach on the I *:49 Ili '`* I premises in question and that there are no roadways, transmission lines or other easements on said property except as shown. Legal Description / ir -Date Scale Lot 7 . :.i:: F BURNETT BOBBY F. BURNETT 6/24/2017 1" =50' + ‘.05,-/7,12941 Carriage DriveG243.3 ridAS-BUILTNE SIIBDIVIIONES2 , ` Anchorage, Alaska 99507 rid ` agg S3IOIiAL (919) 850-5541 Drawn by Field Book f i3Fe Ase 2o» PLAT 75-193 ��\� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECI~!ON DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) (b) (c) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Applicant Name _~oliilE,~T Applicant Address Business ~'~-~' If.~'t Applicant is (check one): Lending Institution [], Owner/t~C~er/[~; Buyer []; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family ¢ Multi-Family [] Number of Bedrooms Other WATER SUPPLY Individual Well{~ Community [] Public [] Note: If community well system, must have written confirmation from the State De attesting to the legality and status. 3artment of Environmental Conservation 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 {11/B4} 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. Lfurther ,.,er"',' that based on thc information cbta!acd Name of Firm %~~ Telephone Address Engineer's Seal Approved for /~ /Z- bedrooms Approved /~ Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements, Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAR 1 ? 1988 Legal Description: Lo' ' WELL DATA Well Classification Well Log Present (Y/N) Total Depth ~'¢e ~ _ Cased to l& "~ Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/l~ Tank on Lot To Nearest Edge of Absorption Field on Lot _ J To Nearest Public Sewer Line N ~2~ Cleanout/Manhole _ If A, B, C, D.E.C. Approved (Y/N) ~¢*,//~ Date Completed ~-," J ~' ° ~ Yield Depth of Grouting Pump Set At Water Sample Collected by Water Sample Test Results Comments Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots _; On Adjoining Lots To Nearest Public Sewer Nearest Sewer Service Line on Lot ; Date 1'4 B. SEPTIC/HOLDING TANK DATA Date Installed '~/~ Standpipes (Y/N) _ ~'__ Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) _ Separation Distances from Septic/Holding Tank: To Water-Supply Well ~ 9,,~ . To Property Line To Water Main/Service Line '~ / C;~ Course Comments Size /'~:) No. of Compartments "7" Air-tight Caps (Y/N) _ ~' Foundation Cleanout (Y/N) ~ Date Last Pumped ~/IJ/~ t~f/'"~g~r~ ;for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field b,.I ot,4 To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field '~(.~. Square Feet of.Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well J ~) ~ To Building Foundation "~;:) Lot ~ 0 ¢~/~ To Water Main/Service Line .*.*.*.*.*.*.*.*.*p/C::~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~0 Type of System Design Length of Field /,.~. Depth of Field Gravel Bed Thickness - Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line ,~ To Existing or Abandoned ,System on ; On Adjoining Lots ,) To Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify t h~j,~,..~ze checked., veri/~, or conformed t_o a/Il MgA and HAA guidelines in effect on the date of this inspection. ·-'-'" '"' Signed ~ "'~"~'~'¢~'¢~'~ ~'~ Date Company MOA No, Receipt NO. ~'"] ,~_.~q ~'¢'~(¢' Vq Date of Payment ¢ , ~' r ~. ,.~.~qSeal Amount: $ Page 2 of 2 ~0~. 72-026 (11184) 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 6-6650 ANCHORAGE, ALASKA 99501 MARCH 12, 1986 SUBJECT: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR PRIVATE WELL. Gentlemen; We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code Chapter 80.020 This submittal follows the format outlined in a Memorandum dated January 3, 1985 on the subject of "Separation Distance Waiver Guidelines for SCRO", prepared by Mr. Bruce Erickson, District Office Coordinator. State of Alaska, Department of Environmental Conservation. This Memorandum outlines a procedure to be used in the evaluation of waiver requests by assigning number values to geological features addressed in the waiver request. In this request I have followed this procedure and assigned values no the pertinent features as follows: 1. Vertical Distance Between Sewage System and Ground Water. According to the well log prepared by Moon Drilling on Feb. 13, 1979 water was found at 159 feet. The overlaying soils were mainly clay and hardpan. Point value assigned 7.5 2. Soil Absorption. Clay and Hardpan Point value assigned 6.0 3. Permability: The material described in the well logs has a percolation rate larger than 50 min/inch. Point value assigned 3.0 4. Water Table Gradient. This is a confined aquifer with 100 feet of pressure head. At maximum drawdown the gradient of the water table will be 0%. At Tobben Spurkland P.E, Waiver Request Lot 7, Nettleton Acres #2 March 12, 1986 page 2 less than maximum drawdown the gradient will be Point value assigned Horizontal Separation From well to septic tank 93ft. Point values assigned For septic tank TOTAL POINTS For septic tank positive. 3.0 2.75 22.25 This total shows the system to be almost sure to be free from any contamination from household sewage. I request that a waiver be issued for this property. Yours Tobben Spurkland P.E. cc bob kramer CONSULTING ENGINEER ~ ~ ~ ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 RESIDENTIAL WELL INSPECTION LEGAL: LOT 7, NETTLETON ACRES #2 LOCATION: 6745 PAULA CIRCLE OWNER: ROBERT KRAMER TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: WIRE IN CONDUIT° SANITARY SEAL. 93 FEET TO SEPTIC TANK. WAIVER REQUESTED. WELL YIELD FROM WELL LOG: 8 GALLONS PER MINUTE PUMP YIELD: 6.5 GALLONS PER MINUTE DATE OF INSPECTION: MARCH 111, 1986 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6.5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. STATIC WATER LEVEL WAS FOUND AT 63 FEET BELOW TOP OF CASING. AFTER 40 MINUTES OF PUMPING AT 6.5 GPM WATER LEVEL WAS 105 FEET. TOTAL DEPTH OF WELL IS 163 FEET. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON MARCH 12,1986. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE PRODUCTION REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THE SEPARATION DISTANCE TO THE SEPTIC TANK IS 7 FEET SHORT OF THE 100 FEET REQUUIRED. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 Tt]LEPHONE: (907) 279-3916 SEPTIC SYSTEM ADEQUACY TEST LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM: SEPTIC SYSTEM: DATE OF PUMPING: DATE OF TEST: TEST PROCEDURE: TEST RESULT: LOT 7, NETTLETON ACRES #2 6745 PAULA CIRCLE ROBERT KRAMER SINGLE FAMILY, FOUR BEDROOMS ON SITE WELL FROM MUNICIPAL RECORDS: TANK: GREER, STEEL, TWO COMP. 1250 GAL. ABSORPTION SYSTEM: WIDE TRENCH ABSORPTION AREA: 360 SQ.FT. SOIL RATING: 85 INSTALLATION DATE: MARCH 1979 9/11/85 ISAACS PUMPING 3/11/1986 SYSTEM WAS INSPECTED AND MEASURED.TANK IS BURIED FIVE FEET. WATER DEPTH IS 47.5 INCHES. CONTENTS OF TANK VERY HEAVY. IN SINK GARBAGE DISPOSAL IS BEING USED. TRENCH IS BURIED FIVE FEET. DEPTH OF ROCK IS 6 INCHES. TRENCH WIDTH IS 36 INCHES. THERE WAS THREE INCHES OF LIQUID IN THE SUMP. WATER WAS ADDED TO THE TRENCH AT A STEADY RATE OF 6.5 GALLONS PER MINUTE. THE WATER LEVELS IN THE TANK AND SUMP WERE MONITORED. AFTER ADDING 300 GALLONS THE WATER LEVEL IN THE TANK REMAINED AT 47.5 INCHES. THE LEVEL IN THE SUMP HAD INCREASED 4.5 INCHES. AFTER THE WATER WAS TURNED OFF, THE DECREASE IN WATER LEVEL WAS MONITORED. STEADY STATE WAS REACHED AFTER TEN MINUTES AT WHICH TIME TIlE ABSORPTION RATE WAS 70 GALLONS PER HOUR. THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. page 1 of 2 Tobben Spurkland P.E. SEPTIC SYSTEM ADEQUACY TEST LOT 7, .NETTLETON ACRES t~2 MARCH 12, ]_986 The operational life of all septic systems depends on the local soil conditions, groundwater levels that: may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evsluator of 'this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. THE USE OF GARBAGE DISPOSALS PLACES AN EXTREME DEMAND ON A SEPTIC SYSTEM AND IS NOT RECOMMENDED. THERE IS A GREAT POSSIBILITY THAT SOLIDS WILL NOT BE CONTAINED BY THE TANK BUT WILL BE WASHED OUT INTO THE ABSORPTION SYSTEM. THIS WILL LEAD TO A RAPID DETERIORATION OF THE SYSTEM AND PREMATURE FAILURE. WITH A GARBAGE DISPOSAL THE TANK SHOULD BE PUMPED SEVERAL TIMES ANNUALLY. /vjk,,iqlCIPALITY OF MUNICIPALITY OF ANCHORAGE ENVIRONMENT,~L ,', DEPARTMENT OF HEALTH ~ ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 ~ [ R~QUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER ' PHONE MAILING ADDRESS PROPERTY RESIDENT (if different f'rom'above) PHONE 2, BUYER PHONE i. I. ENDING INSTITUTION , J PHONE MAI LING ADDRESS 4, REALTOR/AGENT PHONE 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE [' ,~ ~~ NUMBER OF BEDROOMS ~ One ~ Four ~ SINGLE FAMILY ~G~ g Two Five ~ MULTIPLE FAMILY ~ .Three ~ Six Other 7. WATER SUPPLY I~--~INDIVI DUAL* [] COMMUNITY [] PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE~ [] PUBLIC UTILITY **If individual/on-site, give installation date ~/c~/~ -~ . If system is over two (2) years old an adequaci test/is re'u/red by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE QUEST BEFORE PROCESSING CAN BE INITIATED, 72-010(3/78) ' THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED ~.; INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR I NSP ECTOR INSPECTOR DIRECTIONS; 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS E~:~I'N G L E FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX ! PERMIT NUMBER 2, WATER SUPPLY E~--INDIVIDUAL ' DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER E~FNI~IVI DUAL/ON -SITE DATE INSTALLED [] PUBLIC UTI LITY ~---'--~ Connection Verified INSTALLER E]Septi;~.ank or ~]Holding Tank ~'~, Size: / ~ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line I Nearest Lot Line WELL TO: / L'~) C¢)I Absorption Area to nearest Lot Line 5, COMMENT8 PPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter rr~accompany certificate) LEGAL DESCRIPTION - ~~~~ 72-010 (Rev. 3/78)