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HomeMy WebLinkAboutTANAINA VALLEY LT 6Tanaina Valley Lot 6 #011-051-81 Municipality of Anchorage Page _L of 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 �yv Permit Number: ll� R c� PID Number: 1 2 61 — I Name: n Wastewater System: o New XUp9 rade Address: ABSORPTION FIELD Phone: No. of B rooms: 'Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: I. �.- Total Depth from original grade: GPD/ 117 _ Lot: )) Block:Subdivisi n:\ Depth to pipe bottom from original grade: Gravel depth beneath pipe ,� H/ `• TAtN - la J1Jl �L. P Ft. Fl. Township: Range: 1,11 added above original grade: Gravel length: `- Ft. A 2% Ft. WELL: ❑New ❑Upgrade Gravel width: Number oflines: Distance between lines: 19, Ft. Ft. Classification (Private, A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. / /v M SQ. Ft. 3 U 3 K e lam" & 1 0 Driller: Date Drilled: Static Water Level: Installer: Date installed:•7/ $ Ft. / i Yield: Pump Set at: Casing Height Above Ground: TANK GPM Fl. Ft. SEPARATION DISTANCES _ ❑ Septic ❑ Holding O S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines �� WeIF m— Material: t 5 _ Number of Compartments: Surface-- LIFI' ST ION Water Lot _ t I Size in gallons I Manufacturer: Line Foundation _ "Pump on" level at: "P p off' level at: High water alarm at: Curtain _, Pump Make &Model lectrical Inspections pedormed by: Drain _ Remarks: 13ENCH MARK Location and Description:,o Ae � Lu� Assumed Elevation: to Pt _ ENGINEER'S SEAL -.ti's .. ... _ Inspections performed by: Dates: 1s bZil R ? Department of Health and Human Services approval Reviewed and approved by: 6-t-,4_ Date: _E�CA3_ 72-013 (Rev. 9/91) MOA 25 / - / I �.•� 1' - 9th TO BEN SPURKLAN➢ •I�t No. C( --e225 ....'.4'* I �Q�,I/'RUFESSI�N�o�� %%wis a0 I I I PSI 0I PS 50 75 100 IPS 150 SCALE: 1' = 50 F7: I I SWING TIES: AC 52 FT I BC 70 AD 67 C BD 49 A T -TVOTIA'L LENGTH 10 FTDEPTH /0 FT / EFF£C.00K L6 FT ( B 0 1 7 I IOWAN SPURICLANU P.L. I I 'MAIM VALLEY LOT 6 I I SHEET: 21J GRID: 2122 SEPTIC SYSTEM AS BUILT I 203 W K. 99501 TH. AVENUE ANCH. EGGELING PORTERFIELD DATE: JULY 29, 1999 /9/171 99_ZQ 7F 7n on inieicii riaric LPERMIT B S1✓990198 _ PID N 011-051-81 7AV00062.DWG� 1250 got Septic tank Standard Trench; EXISTING NO GCALE 2' Wide 50' L ong u"wn 10' Deep ���� U 44,41* 6.0' Sewer rock `���P „ •• ••.,,�5 04 3' Cover .. �,.• '•y A 49th Monitor C(eanouts - 3'-S' Cover \ lFe OLN SPURKLAND tt No. CE -2225 pRpFESS70���0��4 83.0 <,._x K N H ,.... 83.0 6.0 ft of Septic Rock Effective 12,50 got. septic tank NO SCALE I TOBBEN SPURKLAND RE, ITANAINA VALLEY LOT6 A203 W15thnchoraorugege Ak 911 DATE: SEPTIC SYSTEM SCHEMATIC Ave 7020 LOWELL CIRCLE JULK 29, 1999 Anc9501 a79_Wz £GGELING/PORTERFIELD SHEET: 3/3 GRID: 2122 PERMIT j SW990198 PARCEL ID // 011-051-81 TAV0006J.DWG _I MUNICIPALITY OF ANCHORAGE I PYY\ Department of Health and Human Services (�/�g�,� �1-- �'�-(p-C�C1 On -Site Services Program ` 8225 L Street, Room 502 Gt _'-Cc M P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ` , \ -� ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 16, 1999 Expiration Date: Jul 15, 2000 Permit Number: SW990198 Parcel ID: 011-051-81 Legal Description: TANAINA VALLEY LT 6 Design Engineer: 0007 Tobben Spurkland, PE Site Address: Owner Name: EggelinglPorterfield Lot Size: 32542 SO. FT. Owner Address: 7020 LOWELL CIR Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE , AK 99502-1867 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special provisions. The existing system located perpendicular to the proposed system is to be cut off from the proposed system towards the property line. The existing trench to the east may remain. Received By: Date: 7 `1 � - (c' i L Issued By: I G^ ice— "�t/� Date: _! 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 6 TANAINA VALLEY S/D NORWOOD EGGELING 7020 LOW ELL CIRCLE Municipality of Anchorage Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 June 25, 1999 We are submitting an application for the upgrade of the septic system for this lot. The submittal consists of tluee (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable testholes are also enclosed. The septic system design is based on the following : No Ground Water or Impervious Layer to 16 ft. Use Standard Trench Soil Rating. From Testhole 06/17/99 4 inin/in = 1.2 gal per sq.tUday No. of Bedrooms 4 Required Area per Bedroom: 150/ 1.2 = 125 sq.ft. Total area required: 125 x 4 = 500 sqft Testhole depth 16 feet Bottom Rock At 10 feet Top Rock At 4 feet Rock Depth 6 feet Total Trench Length 500 / 12 = 41 Ft. USE 50 LF SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 50 FT TOTAL WIDTH 2 FT TOTAL DEPTH 10 FT ROCK DEPTH 6 FT COVER 4 FT SEPTIC TANK EXISTING The installation of this septic system will not prevent wells from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. ��- Lar 18 - . LOT 4 -----�— LOT 17 LOT 5 L LOT 6 1 I WHWRbF ' V ��LL/1 16 LOT i LOT 15 P 50 100 150 X00 SCALE: I' = 100 FL SUBDIVISION SERVED BY COMMUNITY VA TER SYSTEM 1203 W STH. AVEU r.e. I I LANA/NA VALLEY LOT 6 I I SEPTIC SYSTEM DESIGN I 203 W AK. AVENUE EGGELINC/PORTERFIfLD DATE: JUNE 25, 1999 ANCH. AK. 99501 7020 L WELL CIRCLE SHEET: 1 3 GRID: 2122 /.907) 279-3.916 / I PERMIT It Sk1990XXX PID H 011-051-81 TA V00061.DVG I I I I 251 I I L 1� rteGr. • SPURKLAND .'.� �i CE -2225 FESSI�N��++� I+a+++ -- 25 50 75 100 125 150 SCALE- 1' = 50 FI I f 1 / PROPOSED DEEP TRENCH 14,44 TOTAL CENGTH50 FT AL DEPTH 10 FT EFFEV,,ROCK 6 FT H 1 DRAIN FIELD ABANDONED IN 1993 0J W jrH AVEU r. L. IL ANALNA VALLE, Y LOY' 6 SEPTIC SYSTEM DESIGN 7.03 W AK. AVENUE EGGELI%G PORTERFIELO DATE: JUNE 25, 1999 ANCH. AK 9916 7020 LOWELL CIRCLE SHEET: 21J GRID: 2122 f907) 279-3916 � e e / PERMIT B S1/990XXX PID Il 011-051-81 TAV00062DWG mul SI( t Ro 6.0 ft of Septic Nock Effective Monitor Cleonouts - 3' Cover N17 SCALE 47 o� 1250 gal Septic tank EXISTING n ,•%!� 4 9th p ••' n ; TUB EN SPURD ' KLAN O. CE -?225 ,• 1250 got, septic tank EXISTING IUBBEN SPURKLAND P.E. i SE nc sysrEM scHEMAiIc 203 wlsth Ave TALIAINA VALLEY LOT 6 -71 Anchorage Ak 99501 7020 LOWELL CIRCLE DAZE' JUNE 25, 1999 ?79-39� EGG£LING/PORTERfIELD SHEE rl 3/,j GRID: 2/22 PERMIT J SW990OXX _ PARCEL ID // 011-051-81 TA X00063. DWG _� Munl:lrallty of Anchorage DEPARTMENT OF -IEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST (ENGINEER'S SEAL) 7-- s', ew.Q PERFORMED FOR: 11t�sO`e'W'OdCI C.Q9'�l+N _ DATE PERFORMED: �/%`Q �I LEGAI, DESCRIPTION: LSP t J AY1GessaH yx{Idy Township, Range, SeUion: —� SLOPE SITE PLAN T'� XDET) 1 _/ Ov-FiFINit S 2 3 � Uv d 4 UUd� 6 CoU,_ 5 G.�•M. - � rl H G J flYt Gt' 7 8 SP 10 t e 12 - S s s� 13 � v 14 M CA 15 16 ---- ✓E �3v'T oto! o F 17 H U L L-- fr 19 WAS GROUND WATER �' D ENCOUNTERED. _ S L / IF VES, AT WHAT O l DEPTH? _ P E Dept to Water Aller Mvilormg7 _ Date: _ F of n9 Dal Gross Time Net Time Depth to Net Water Drop sa4- 51 1D w+) a z 5z_ b vy 1 01. Js +0 3N .5 21 u PERCOLATION RATE '7 (mmulesrmch) P RC HOLE DIAMETER I TLST RUN BETWEEN FT AND 7 FT DISCLAIMER: Groundwater r;indit.ions indicated are for the da_tees shown only. Past and future presence urld/or depth of grokndwater can not be predicted fromese o erva Tons. PERFORMED BY: .....— �_S CERTIFY THAT TF/ HATF/15 TESTWAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUI[ ELINES IN EFFECT ON THIS DATE_ DATE: � 72-008 (Rev. 4185) 5 l/L 3(0 — — -- — Yt, 10 M Municipality of Anchorage Page of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: gzogzo PID Number: O//O.,el / Name: -- Wastewater System: ❑ New ❑ Upgrade PD R716R gc�'i G o Address: ZD D o lvrL G _ Z ABSORPTION FIELD — _(. Phone: No. of Bedrooms: / ❑Deep Trench S C9 -Shallow Trench [1 Bed ❑Mound ❑Other ------�—� LEGAL DESCRIPTION Soil Rating: Total Depth from originalgrade: 6.6 GPD/Sq. Ft. c//P Lot: — Block: Subdivision: to VA 116y Depth to pipe bottom from original grade: Gravel depth beneath pipe 7,,q AIA/NA Ft. ?r Ft. Township: Range: Section: Fill added above original grade: Gravel length: _ ra i 11V aUFI. 100 Ft. WELL, ❑ New ❑ Upgrade Gravel dep h: (n//GiP/ Number of lines: / Distance between lines: ' ty Ft. Ft. Classification (Private, A,B,C): Co MM V n 14Y Total Depth: Cased To: Ft. Ft. Total ahsorotinn area,, Vt ;.Q. FL Pipe material: _r 303y Driller: Date Drilled: Static Water Level: Installer: 11A27 -4,W Date installed RIZ 5 93 FI. _ Yield: Pump Set at: Casing Height Above Ground: TANK GPI Ft. Ft. -- SEPARATION DISTANCES -- ❑Septic ❑Holding ❑S.T.E. . _ To Septic Absorption Lilt Holding Public/Private Manufacturer: Capacity in ga 5: From Tank Field Station Tank Sewer Lines Well > �io0 >So0' N/A /vlA In, Ccs Material: Num r of Compartments: Surface /00r >/001 A1114 /v/A LIF TA'iION Water i — Lot r 12 /S V /✓l//ES Size in gaX:pump re Line N _ Foundation ar 3 or A11,4 /V/,A N/A "Pump on off" level at: High water alarm at: Curtain Pump e & Model Electrical Inspections performed by: Drain NoA,15 //✓ LA Remarks: RI:_7P ,Aer b AS oR_p!�rloikt BENCH MARK Location and Description: S�STCM ONLY — Assumed Elevation: ENGINEER'S SEAL o C- sr °a IP J Inspections performed by: WMCEAZ)D I_NI Dates: 1st z 2 93e'e°°e e � a 2nd 2 zs °"a ado r a �.`�=_Michael f. Anderson �v,tA Department of Health and Human Services approval ��Reviewed and approved by: " ` Date: �119,3ti'°.:^., , ,• : ,_' 72-019 (1/91) MOA 25 Permit No. q2 0 y Z 0 _ 1 Page --of — Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 o Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lr6 7A A/ A/A(_AVALLE\/ _ PIDNo.: 01105181 oco sysrrv. 14 8A AID 0N4-:1> /Ai//atRcG J 2-4 M r c-, o, 72-013 A )2181) MOA 25 / 3o' N ENGINEER'S SEAL 1 � h5icnael [. gnd�:rson ij� Permit No. g Z d N Z U Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 i Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report _egal Description: PIDNo.:_u/ivJ( r11 i 0- -o� --- ---- PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920420 DATE ISSUED:.12/1.6/92 DESIGN ENGINEER:ANDERSON ENGINEERING EXPIRATION DATE:12/16/93 OWNER NAME:PORTERFIELD KATHLEEN A & OWNER ADDRESS:7020 LOWELL CIRCLE ANCHORAGE, AK 99502 ��� ��y/�,-ate✓ PARCEL ID:01105181 LEGAL DESCRIPTION: TANAINA VALLEY LT 6 LOT SIZE: 33927 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL, FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DURING CONSTRUCTION THE: CONTRACTOR SHALL EXCAVATE A PORTION OF THE FAILED DRAINFIELD TO DETERMINE WHY THE EXISTING SYSTEM E'AILED AFTER ONLY 3 YEARS OF USE. DHHS MUST BE PRESENT DURING EXCAVATION OF THE FAILED SYSTEM. ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIG TO EACH INSPECTION. MAXIMUM DEPTH OF SYST$N SHALL BE 6 FE . DATE:. 14 7 / ? z - RECEIVED BY: ISSUED BY: jot -4N Smi l� 6 "9,r - Ju'c.w DATE: y September 1, 1992 Municipality of Anchorage DHHS - On Site Services 825 L Street Anchorage, Alaska 99501 Regarding: Lot/Tanaina Valley Subd To whom it may concern: Please find the design attached to install a new drainfield on the subject lot as the existing system will not pass an adequacy test. Upon inspection of the existing system the drainfield was found to contain a large amount of sludge in the piping. It appears that the sludge material is uniform throughout the piping and has plugged the surrounding soils. The solids found in the drainfield may be due to one or a combination of several things including shock hydraulic loadings, excessive garbage disposal usage or over -application of bleaches. The developer has been informed of the findings and has been advised to contact the homeowners association regarding the use of garbage disposals in conjunction with septic systems. The lot has adequate area and size to support the new drainfield. If you have any questions please contact me. Yours truly Michael E, Anderson, P.E. ON SITE SYSTEM IMPACT 6 /Y) L-A L/ Tanaina Valley Subd. Installation of an on-site wastewater system for this lot should have little, if any, impact on surrounding properties since: 1. The lot has sufficient reserve area for the new wastewater drainfield system and the area will not interfere with required well separations since the subdivision is served by a community well several hundred feet away. 2. Installation of the on-site system will not effect the lot surface or sub- surface drainage in the general area. If you have any questions please contact me. Yours Truly, Michael E. Anderson, P.E. 0 KDA �Bam° e°° a°a°agoaoo °o°Qo ou o/ NVaOMNd Q®'gin a Michael f:. Anderson 481 4 Al �f•°°o° 5 ExIST/nics >>ysrrnv� "1'b /�� pisconi aiEc rEo f/nl0 ACiANO©n/EP inl PL Ac E SCP r -i c s�sT r -rt '<3 SEP,` el 6VgrEi� g 5� 4 SE p 7-1 n 9 �,V 5 TF_M LOT 6 7,-IAII/ IxI 4 VALLEy /"= 30' // iD 2 //✓STFILL 9 / L 1= of= JRf JCN W13r, OF 1'AA TN.2 c, T N LOW ELL DRII/r I BY LWY✓1 DATE _410/?CLIENT SHEETM CHKD. BY ___ DEOCHI►TION _ L (o TAAI A / i,(f{ VA X /90 S EN 1S 110/781 F If,l I SYlFt� r/J�/a(', It 7 -U R FA P., kr. \ ,f .`� ^a.:oco�acamsoo.,pcp°37,8,° , OF - A - s�,c.d ', fENGINH)tA',SY SEAL) T � ,er i e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 0e so,e�; SOILS LOG — PERCOLATION TEST ;.oMic'nuc E. Anderson PERFORMED FOR: i/ TSF I�� 62041,-- DATE PER LEGAL DESCRIPTION:j1A1,j pi% I Jay Township, Range, Section: c� e� j-/� - �•Z <��n� DEPT r SLOPE SITE PLAN I (FEET) cJm 1 2 {1rlll 51 L7 -y -- ARIL 3 4 I[I - \J 5 SAmb 6 7 8 9 10 11 12 13 14 15 16 17 18 19 A{ /".!" 7'//-/ - ._/�Pbrl•.+<ML) �'-.O 61,0%1 l/fi ,1 5 L ` WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? NU Depth to Water After Monitoring? No WAT- gate: S L O P E Reading Date Gross Time Net Time Depth to Water Net Drop rr c�.5, a• �P,.'-i fru r, n 20 �� PERCOLATION RATE 13 (minutes/inch) PERC HOLE DIAMETER 11 40 TEST RUN BETWEEN 3 FT AND SFT COMMENTS pU�` %U Lel C/� Or [2906//n'S M0n/7-0(tn6 Tel 151 PERFORMED BY: �.J YY1 {\{->t:)f"_;,)-tel "r""+'�LftAoIE LC .glfffrptF-Y THAT TFn TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 1Rev. 4185) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 8111 --tJ C(, N577 DATE PERF LEGAL DESCRIPTION: C- (n / DEPTH sm (FEET) 1 SILT-N/5{wb VJ�OA{Cr/1 AI l c�S 2 - s r� 3 \/ JILT- 1 4 `.-SAhib 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Township, Range, Section: '?'r TTN- z WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SLOPE -/f/D Depth to Water After Monitoring? 0 0 WAr V R Dale: I/" ? - 7 L - S L O P E PLAN °l9 Reading Date Gross Time Net Time Depth to Water Net Drop 13 17-5 20 �q PERCOLATION RATE _Lk (minutes/inch) PERC HOLE DIAMETER —� ,\ TEST RUN BETWEEN FT AND .� FT N COMMENTS E. /D L//G,C�OF G)D CJ DG/ill '� %lam/D i7/TO %:/�t/� �JG�E�a 4 //[/,f`'X%/'///.� /C? PERFORMED BY: �A�' 4R•� r'I' n (j r-� I'i'i X41 I �''�TIY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:/Z/ 9� 72-008 (Rev. 4/85) �� Y�Sw2s SI �ih of 'kOl-Ict4 t(U S�JYc.� j iY \2 uni�a��r�cH S �ti1 �sw W�-n c -1-/u-/73 t.. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT �s/lAte1r /N-�-- — DISTANCES TO FROM SEPTIC TANK ABSORPTION°tl°feSs FIELD WELL WELL _ _ i / ioo 1 _ p Phoned) Permit No. .s `_`Ze€f?/—S?�—! No. of Bedrooms LOT LINE -- •- ! /O ZCJCl� 1 LEGAL DESCRIPTION -- Lol Rlac:k Subdivision l' T AL A/�Llr_/1_4�r Tovmshiq Range. Section FOUNDATION S. — �� _�. — j� s AS-BUILT DIAGRAM (Show location of well. septic system, property driveway, water bodies etc.) lines, foundation, _ TANKS - - -- -- __ SEPTIC O HOLDING G r Manolaclu er Capacity in gallons Malenal No. of Compmimenls e=--- TYPE OF SYSTEM — ❑ `FRENCH ❑ RED W DRAIN ❑ OTHER —depth ; �1• 83- C•O. — 1C. . Depth Ig pipe bottom from original grade F FT-- Total Iron anginal ymdc 8 FT At to — to r i2 7-UFE — — real Nu e: — -- - - — -- --` fill added above migmal grade FT Gravel depth beneath pipe r •� —----s'—J FT FT Total absorption area .'f0 - - ?28Q FT Grlivel width FT Dlslance between Imes ___ FT — -- - ---- — — Numbe-10111-1 i n_eSSod rating pipe material C^ SQ FT �� Installer aw- C 10I Date installed — WELLS — -- - — — - — -- — — -- — -- ❑ PRIVATE OTHER (Identity) Glassihcahon (A,f3.G) c01nmvfi! 0,4717 Iaslallci --- ------ 'I olal Depth Cased to FT FT — Dale InstalleJ: — REMARKS: — _pg/C2_._lYlanl 7U��_A—t7hi.rJ � P�J✓�'ar ^�T. •t -- _— Scale:•q�ENp Inspections Performed by. f! Il!i7l EE}y5, "� �r>S`Q ,.•..� B�.f,(1{°°•ae °E2r;�T_i`?,�` vo -,Michael Ii. Anderson yi G,'.• x;361 E D 6,`[�/.°•• 41 0FGFfSS1a�' ryL, 11 � 11n 4`i',0/ Dale. inspection was perlormed according to all —, ---- j� 00 errliily�I lot this Municipal and State guidelines in effect on this dale: _� 48 C Health Department Approval: Dale: 72-013 (3/85) (ENGINEER'S SEAL) e i Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN.SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR:_.L/f� / it/=+ /it/ �A�f��%�J --___ DATE PERFORMED:4/Z LEGAL DESCRIPTION: LD% / T//.✓/!/�/9 )/.9LLG--1_ _ Township, Range, Section: S </ 7- /, ,Al 1 2 a I S /✓I I SILT I SA 4LID M G SLOPE WAS GROUND WATER ENCOUNTERED? /n IF YES, AT WHAT DEPTH? NO u WUK utu MOnitaingi 116A/e <o,d ga(t y'Z2-4Ers_ SITE ----------- -� - Reading Date Grou Not Time ea Water Drop DNot rop Time IUNICIPALITY OF ANCHORAGE — DEPT. OF HEALTH & INVIRONMENTAL PROTECTION AUC 1988 - - - RECEIVED - - PERCOLATION RATE _— tmmutestincn) FERC HOLE DIAMETER �•-1 TEST RUN BETWEEN _�_ FT AND _ FT COMMENTS 7)//S /S MQ0 5014- 2E�,e 7 .Bns Eo i�._�n.� OiSrFJ,ye�_ �p p/2/lZ, r%' -T S UA(. aLG7'ID./A)0F�&16.W h/PLE _�T IGL C. q'�}s',p/�' PERFORMED BY: 161, Lir I —_ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE _ 72 -IRIS (Rev. 4185) 9 9 10 11 12 13 14 15 16 17 ' 18 19 20 SLOPE WAS GROUND WATER ENCOUNTERED? /n IF YES, AT WHAT DEPTH? NO u WUK utu MOnitaingi 116A/e <o,d ga(t y'Z2-4Ers_ SITE ----------- -� - Reading Date Grou Not Time ea Water Drop DNot rop Time IUNICIPALITY OF ANCHORAGE — DEPT. OF HEALTH & INVIRONMENTAL PROTECTION AUC 1988 - - - RECEIVED - - PERCOLATION RATE _— tmmutestincn) FERC HOLE DIAMETER �•-1 TEST RUN BETWEEN _�_ FT AND _ FT COMMENTS 7)//S /S MQ0 5014- 2E�,e 7 .Bns Eo i�._�n.� OiSrFJ,ye�_ �p p/2/lZ, r%' -T S UA(. aLG7'ID./A)0F�&16.W h/PLE _�T IGL C. q'�}s',p/�' PERFORMED BY: 161, Lir I —_ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE _ 72 -IRIS (Rev. 4185) ivl Ll IU :I: C :I: P A 1". .1. 'T' Y ('.) F A N Cl E-1 O F� A (a L_ Depart.mlant of hiera).Lh 84 Human Smrvicols EBC;?5 I.... Streert., Anchuracle, Alaska 991':';(.)1. :4+-4720 O N -- £3 I T' L. 8 F.. W E.E E't C'' EE R ]VI 1: T Permit. Number. 83000/19 Da'at•.as? I!rs!sl.ff:,.?cis f);.'.i/1i3/UEi Engincn.w Designed WE EXPiRO,' 12/3 i/88 Owr!r�r Narnf;as Dla"FAGN:S 1:1\I WOOD Day Phor'1er, Dwnc::ar flracarfa!si!$11 7(.X..11. DIRT-TWOOD LANE '.S49. -F.)0111 FdNCEIOI:iAI:IE. AF: 9951E3 P.krc:(o 1, :C cls Olt-051-..El1. I. -of. I....c?ga.0 St..tbdiv:iiiicm: TANAINA VALLEY Sal BT), I.-ot.s C.., F)leal:kil — Saeaction.- 4 Township: 7.21\1 Rangen 4W I...c.1t. Size e : e..,.' i4(. (sc:l,.-m P'la:; (Sr:=cL caomss 'fhx!:; I'Carmil:.s [F l-C:)t.aa.t Caprac:.i.'(:.Y. [L S/NGL FiIM/Cr 1?f-PPE.UGE f31:i:P''f:ECI TANKS f'li.n:i.mt..un 'Lc)I..al vic,,pL:i.c: LranF:: .. Lank IYYI.I .:it. I'1 ial ViL id'.. Lfc cl^,E cC r. nln(1a I"t. rflfi?I'I t. ti, f('.ge:Yt.. I"f§?ql.l i. r`fs?13 :I. r'1sul.at..ion r.: cw, c:: a .1 aac: i L. a I. „ i:14,, .. s F y •,..rt.> gallons. E.arar Depth to top cO, !Eiea1:lt.i.c. taarlFC(s) <; 4.0 I:III'Ill°il°I X;).hI FI,f3„ I:'k'f.OE 'TO :LEST & 2N1) :I:IVEIr'i3(:T:f.l'3N;:; BY E:N1:?i :CIVE:(Eda"t„ if: *)'`I'lCl'i f.:IP l='':f.CF" I ICaLIEi!.:'i CAE.,I_. :a[(:i; [FCita:I. Fdhl1) t...E:'AVF, A IV ";; ;OG CC)NS:)1'E'IJC"I' P"Hifi E:'.:Nl:iil:tdf:E RS:'3 ATTACHED APPROVI»•DD[ GIN '1,11A1 s 1.., 11 am f,Smil.ilar` with t..hca require. -?mems f(::)r flrl""'!di i. Lk? sClwers and wcal.l.ea las iset. forth by the I°Il..uiici.l:aal.iLy of Anchorage (I°ICIA) incl the St<mtee of Alaska. F..::,, :I: wi.l.:l. :i. n!*,tal.a. the systeenr in I:ac:cararrl,=.0"rca'cs with a1. 1. 1100) I::C:rGIN!"a and rracil.rlr::rP,.:i.can!!, and .in with the desi.cin criteria of this permit.,. I w:i.:l.l radtl(=_rfe to ;all IYIOO and (St..<:ato of F41r,,sl::a requirc_mentri for the sfe?t back C1:[4B,.ancess fre.?m any oxi.s0A.nq wel.10 wastewater CI:L4�,I.)Q1;Sa1 aystefrl or Public sC'?Wf:4?P rl(,le v"yeltom on 't.hi.!i5 up arry adjaceant. or nfaarby 4. 1. t. tnclr-_,rfs'tanei t.h<:rt. thj.es perm��4 :i. valid for as nm.,wilflufn raf' 4 bedrooms;,, I: aa!:io c.lndeer! 't..,and t.11at. t.hf+ c:<a-..t.y r.'lf" tflea ot.al. !::iy!:it.em i!::, [F becirucunsa aarrcl any fla?i11.arl,)eme��nL w,i..11 reclt-ti1 allcii.tiorlaI pfarrni.t'.., f,Ei i. g n taca s (r_Iwl-Io.r)`ia%S::Irinl<.;'r1\1 Wool) lra-+t.it?ca Dy: - DNTL:s — — a rtF44rr " 1 w ix a k• TFGd E+^A ! 09050'20" W • e'�A7T 195.00 — . 21 D O ,0 1 _n-54Wt m w. 33,ele.f. 1 e.00' s� �� ♦ � b Ser"nm T IES / I 1 I' N641e4�� 3 so* W d 1 „old' 20 � 1�'�'rpOJ 33,511 M. (� 3?126 4f Py a m� N /� I ( A •11 � ♦ � �O 1 �' 2.'O �• A • E. w J 1 1 at. IeMOT'�[r I 3S,� t 14' 37,f6a2.R �• � �. � ! ,� '�► ✓' `� ''d �!a r �9�� 1®.o.�.w [win. �, i 000 a 349 "NO EAST 1 [amt ✓fid= g _ T [10.44' I I (Q 1 r Q p dMoor La.1" 344 -C:i IY� W I St7�J7C 7'+AMR- w/ 70, �F•���s' w�o� rrrewa�. � g0 � `°®F�,�Q,��l 088 z ?� n+ e' u r+ i �g I �' AV sew y$ �PpRav �+Qovc. T �� , ay 0 ��.-% �, rr� � Michael 664j640,A►fJ !� 201 I ` Y IPFSf:.RJ En yI � • � eaeeop°� CC � tl I !4,560 2.1. M •� � I 1 a0n�+e � •� � Cdr R2.R TOOOm. of qr l I ..ft 2..a ----- �, a. I... 1'14 $ I '�� 31,0102.1 1� � I$ I Parcel I.D. 011-051-81 eo Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 a.=E Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: 3 —1a _ 19 - Complete legal description TANAINA VALLEY LOT 6 Location (site address) 7020 LOWELL CIR., ANCHORAGE, AK 99502 Current Property owner(s) DOUG ALCORN Day phone 243-99502 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: Fx7j Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual R Individual Water Storage ❑ Holding Tank ❑ Community Class A Well Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: NONE Distance: --- Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Y `t 0 0 Date of Payment 4 /roIr3 Receipt Number ifJJ'v T_ COSA # Dsera�rA� Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm SPURKLAND ENGINEERING Phone 279-3916 Address 203 W. 25TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND Date 5/14/13 6. DSD SIGNATURE i 1r -'� System #1 Approved for bedrooms i System #2 Approved for bedrooms /� �i;;i 119, o Disapproved P, °-r: 1•;' Conditional approval for bedrooms, with the following stipulaaiias��var" By: Original Certificate Date: > 3 The Munici 1' rchorage 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 engineers work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blueshes[ 5 c If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: TANAINA VALLEY LOT 6 A. WELL DATA Well type A If A, B, or C provide PWSID # 214706 Date completed Sanitary seal (Y/N)- Total depth – ft. Cased to ft. FROM WELL LOG Date of test Static water level ft. Well production – g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic – ug/L Date of sample: B. SEPTIC/HOLDING TANK DATA Parcel ID: 011-051-81 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION ft. – g.p.m. Collected by: Tank Type/Material ANCHORAGE TANK/ STEEL Date installed 8/8/88 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 3112/13 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA Date installed 7/27/99 Soil rating (g.p.d./fiz or ftz/bdrm) 1.2 System type TRENCH Length 50 ft. Width 2 ft. Gravel below pipe 6.0 ft. Total depth 12'8 ft. Eff. absorption area 600 fe Monitoring tube Y Depression over field N Date of adequacy test 3/12/13 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 900 gal. New depth 42 in. Elapsed Time: 240 min. Final fluid depth 0 in. Absorption rate >= >600 9 p d Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons Manhole/Access (YIN) in. "Pump off' level at in. High water alarm level at _ in. E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas Cycles tested Meets alarm & circuit requirements? On adjacent lots On adjacent lots - Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation 'S Property line 'S Water main '10 Water service line '10' Wells on adjacent lots '200' ABSORPTION FIELD ON LOT TO: Property line '10 Building foundation '10' Water Service line '10' Curtain drain '50' (N.O.) F. COMMENTS G. ENGINEER'S CERTIFICATION Surface water '100' (N.O.) Wells on adjacent lots '200' 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 LARS SPURKAND Date 10/16/12 COSA brown sheet -1 0-10-1 2.doc Absorption field >5' Surface water '100' (N.O.) Water main '10' Driveway, parking/vehicle storage >10 Lot 4 EAST 210.46 I _ J�10' Telecom. & Elec. Easement 0.0 I� LOT 6 \ 'g� 00 Lot 7AV \ Ao*. 49th •*�j 00 00 W OOA*.Fred Wolatka:ff/ 3255 - S -Jr SCALE: 1"= 30'\"`,% - EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 13-3„ pg 12-14 BE block 83811 V block ret. wall AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 6 TANAINA VALLEY SUBDIVISION Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 13th day of May 2013. FRED FRED WALATKA & ASSOCIATES (907-248-1666) Engineers and Surveyors Cb Septic vents o - 5.5 M O 17.5 to N o d E 11.0 w SeP<tc ventL o m 0 o SCO' 4 6.0 0 0' 8.0 C0 9. 5.0 m = dk O o ? c,, ,9 N Z p N I 29 0 V N 8 $epticvents oncrel et. wall .5 OH 0 Lot 5 �os76u ? Wood ret. wall hea ` N6� �3 \ 24' \ � vent = \ Septic \ 'g� 00 Lot 7AV \ Ao*. 49th •*�j 00 00 W OOA*.Fred Wolatka:ff/ 3255 - S -Jr SCALE: 1"= 30'\"`,% - EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 13-3„ pg 12-14 BE block 83811 V block ret. wall AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 6 TANAINA VALLEY SUBDIVISION Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 13th day of May 2013. FRED FRED WALATKA & ASSOCIATES (907-248-1666) Engineers and Surveyors 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 fx-/C/V� CERTIFICATE OF HEALTH AUTHORITY G APPROVAL FOR A SINGLE FAMILY DWELLING w /� Parcel I.D. # OII — 05.1— � HAA # LD'S Q 1. GENERAL INFORMATION Complete legal description TAN l A \/ A L.LL 1I 1 _ n 1— b Location (site address or directions) _ 7o Eo L.o uO e L L_ C_ nLc L. Property owner E Qq e Ltib / i>or-ie, Day phone Mailing address / 1 lid K" 11 Lending agency 1� Day phone 22Z–fs£so-v Mailing address— Agent1av�i �eeta:c Day phone _�2-Z& - J 7t Address _____� G u O Co rWe ,tea, Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: _ y - 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 / 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 (Ftm 1/91) Front MOA921 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 t'9 ki S urPhone Address ,20 3 Engineer's signature �l - Date o (q 6. DHH6 SIGNATURE J� Approved for FO Ult bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 0 Date g - 111" I 9 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 courtesyto 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 engineers work. 72-M(R .1/91) Back MOAM21 Municipality of Anchorage RECEIVED *0) DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division AUG 4 1999 JA 825 L Street, Room 502 • Anchorage, Alaska 99501 'f QjZ)p�Q-of7A'nchorage Dept. Health & Human Services Health Authority Approval Checklist Legal Description: _LLE &,T -AW A 1 W (- _. Parcel I.D.: Oil- 0 S )� e A. WELL DATA r\ ,k 2 u' Well type _�}___ If A, R, or C, attach ADEC letter: ADEC water system number v_ _ Log present (Y/N) Total depth Sanitary seal (Y/N) Date completed Cased to FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform - _ -. __- Nitrate _ Casing height (above ground) Wires properly protected (Y/N) Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA AT INSPECTION Other bacteria Date installed %92 -Tank size jj� `JC? Number of Compartments __J— Cleanouts (Y/N)--Y— Foundation cleanout (Y/N) - 4-- Depression (Y/N) ,�e_ High water alarm (Y/N) Date of Pumping _ 6 al 4 -Pumper. AVt Cir , Ce %,qae/ C. ABSORPTION FIELD DATA I Date Installed �I✓�71 �%'�Soil rating (g.p.d./ftz or-flzfbdm+) _ System type - I / 4�t e b� � t t ` r Length _Width _�Gravel thickness below pipe- G__ Total depth _ iG _ Effective absorption area ��.J//00"" Monitoring Tube present (Y/N)-Y- Depression over field (Y/N) _ L _ Date of adequacy test _ Results (Pass/Fail) __t/ For _bedrooms Fluid depth in absorption field before test (in.); _ `/ Immediately after_ gal. water added (in.): Fluid depth _ �� (Ins) Minutes later: Absorption rate = _ L/ _g.p.d. Peroxide treatment (past 12 months) (Y/N) _ V/ , If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) _ High water alarm level at* _ Cycles tested E. SEPARATION DISTANCES Size in gallons on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer /septic serD4Ce line On adjacent lots On adjacent lots "Pump off" level at* Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 15+b Property line %o Absorption field Water main/service line i O Surface water/drainage NOW Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line I I Building foundation 57 y Water main/service line >,26 Surface water N/6 Driveway, parking/vehicle storage area i o-? Curtain drain 11410 Wells on adjacent lots N/A F. ENGINEER'S CERTIFICATION i certify that I have determined thru field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Signature x , Engineer's Name 066 e ti spy V- m / Date �!>-el/°! HAA Fee Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number &&EIV Municipality of Anchorage JUN 24 1999 DEPARTMENT OF HEALTH & HUMAN SERVIC5WIclPALrry OF AVCHo Environmental Services Division ENVIRONMEN7ALSERVICE3®I 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: TANA-iNA• VALLEL L.r7T_ b Parcell.D.: 0 I - 061- A. WELL DATA * .r Well type A Log present(Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: If A, B, or C, attach ADEC letter. ADEC water system number c,2/ 1170 62 Date completed Cased to Casing height (above ground) Wires properly protected (Y/N) B. SEPTIC/HOLDING TANK DATA Nitrate g.p.m. Collected by: Other bacteria m Date installed :&-/86 Tank size 12,;S4:— Number of Compartments .9-- Cleanouts (Y/N)---Y— Foundation cleanout(Y/N)_ Depression (Y/N) I`) High water alarm (Y/N) �I Date of Pumping `l Pumper AtAd (esl C. ABSORPTION FIELD DATA Date installed 2 2S Soil rating (g.p.d./ft2 or ft2/bdrm) b . _ System type S - tel i c% Length 1170 Width Gravel thickness below pipe a. 5 Total depth Effective absorption area _ 7 F3 f Monitoring Tube present (Y/N) Depression over field (Y/N) l�L Date of adequacy test b Results (Pass/Fail) For � bedrooms Fluid depth in absorption field before test (in.); 7-t9 Immediately after,90Qgal. water added (in.): 30 Fluid depth _.9-q (ins) Minutes later: 3s ; av,v1;K Absorption rate = 700 -90-t7 g,p.d. Peroxide treatment (past 12 months) (YIN) P -I If yes, give date 72-026 (Rev. 3/96)' D. LIFT STATION Date Installed Manhole/Access (Y/N) _ High water alarm level at* _ Cycles tested E. SEPARATION DISTANCES Size in gallons --- on" level at* "Pump off" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots _ On adjacent lots Public sewer manhole/cleanout _ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation _. Property line . 70 --Absorption field_ Water main/service line %/ O Surface water/drainage N ICS Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 8-- Building foundation __ Water main/service line > / C-> _ i Surface water N 1 0 _ Driveway, parking/vehicle storage area _ Curtain drain t`l u —Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that/ have determined thru field inspections and review of Municipal records fhatlhe aboyesystemb are in conformance with MOA HAA guidelines in effect on this date. n N Signature " Engineer's Name�'������ c Date �__..1112L�1.--�-- — Q MAA Fee $ r 6a _— Waiver Fee Date of Payment 'a1J. Date of Payment _ Receipt Number `�zt� �� �� �' / Receipt Number 72-026 (Rev. 3/96)* T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Department of Health and Social Services 825 L Street Anchorage, Alaska 99501 Subject: HAA Lot 6 Tanaina Valley PID 015-051-82 Gentlemen; July 29, 1999 RI:CEsIVED AUG 4 1999 Municipality of r+,-cnorage Dept. Health & Human Services The septic system has been upgraded on this property in accordance with the attached As Built. Please issue an HAA. The HAA was applied for on June 6, 1999 Yours T. Spurk nd P.E. 1 L \J1\\J�\��' I . 203 WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99502-3904 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 6 Tanaina Valley LOCATION: 7020 Lowell Circle OWNER: Norwood Eggeling/ Kathleen Porterfield RESIDENCE: Single Family, Four Bedrooms WELL: Community Water System PWSID 214706 SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 4 Bedroom System TANK: Anchorage Tank 1250 Gal. 2 Compart. ABSORPTION SYSTEM: 5 -Wide, ABSORPTION AREA: 833 Sq. Ft. SOIL RATING: 188 INSTALLATION DATE: 2/2.5/93 for trench, 7/22/88 Tank WAIVERS GRANTED: None Required DATE OF LAST PUMPING: DATE OF TEST: June 7, 1999 TEST PROCEDURE: System was inspected and measured. Tank was found with 4 feet of cover. Liquid level could not be measured. Tank is located under deck. Trench clean outs were 50 and 78 inches deep. Trench monitor was 102 inches deep and with 28 inches of liquid. Maximum allowable water depth is 30 inches. Adding 380 gallons of clean water to the trench caused the liquid level in the trench to rise 2.5 inches. Adding another 420 gallons raised the level a total of 5.5 inches. The trench was slightly surcharged at this point. No water was observed in the after tank cleanout, but 4 inches was observed in the east trench cleanout. After two hours the level dropped 2 inches, indicating that 330 gallons were absorbed during this period. Two days later the water level was back at 28 inches. On June 11, 200 gallons were added to the trench. The water level rose 2 inches, to the top of the rock. No water was observed in the east trench cleanout. After 3.3 hours the water had dropped 1 inch. Another 100 gallons were added causing the water level to rise 1 inch. 2 hours later the water was down 3/4". TEST RESULT: This system meets the code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE 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 evaluator of this septic system. We can therefore not give any estimate of how long this system will function satisfactorily for current or future occupants. All septic systems ultimately fail. Some systems last 15-20 years, others fail after less than five years. This system operates close to the surcharge state. The municipality will not approve of system operating, or being tested, in a surcharge state. 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. # O 110 51131 1. GENERAL INFORMATION HAA# R�QCllLk14A Complete legal description Lo T 6 %A AIR Al ! - t/ _ Location (site address or directions) 7020 Za Property owner POR 7E2/'i,CGza Ahi0 o n Day phone Mailing address _:C, t AAL -P CnCA� ti -,a \SCID__ Lending agency Day phone Mailing address— -- Agent --- Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well 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 J 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. 7M25 (Rev. 1/91) Front MOA 421 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 AN.i)72.sp,-J L^'G;IJ OLfLIAJ6 Phone 1V_ 'b_51 Address Engineer's signature �� �t � G r,U1 L_ L= — Date 6. DHHS SIGNATURE /\ Approved for �-u " `�� bedrooms. Disapproved. Conditional approval for Additional Comments M I��m � 1.• 4 f J to f 3 ��! r�_ �S.T q, h'ud,acl E. ,\ndorson . 7 (1 6� bedrooms, with the following stipulations: Date z 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 independen, 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 (Fto, lM) Oaak MOA M Municipality of Anchorage Department of Health & Human Services + HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 1- /a TANAIMA VALL A. WELL DATA Wel I typo e o m m u u i ry If A, B, or C, attach ADEC letter Log present (Y/N) — Date completed _ Total depth Cased to_ Sanitary seal (Y/N) WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: Parcel I.D. O 1'1057181 rn c � n c'� 7 pi v 7- ADEC water system number (n m n l� l© 44 g G `� -- Driller— p In " > r. —Casing height Wires property protected (Y/N) o p.m. AT INSPECTION _ ; On adjac�t lots — Public sewer manholeRout Petroleum tank Nitrate Other bacteria Collected by: — B. SEPTIC/HOLDING TANK DATA Date installed Z Z 68 --Tank size 125-0 Compartments Cleanouts(Y/N) Foundation cleanout (Y/N) ___ Depression (Y/N) N High water alarm (Y/N) N --Alarm tested (Y/N) Date of pumping Ap P ) I 19 9 z Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot NONE. oki Lo-rOn adjacent lots > i00, N oundation S To property line To field 90' Water mai:/service line Surface water/drainage 72026 (Rev. 7191) Front CONTINUED ON BACK PAGE rn c � n g'p'mn (n m n l� l© 44 g G `� lots " 7 _ ; On adjac�t lots — Public sewer manholeRout Petroleum tank Nitrate Other bacteria Collected by: — B. SEPTIC/HOLDING TANK DATA Date installed Z Z 68 --Tank size 125-0 Compartments Cleanouts(Y/N) Foundation cleanout (Y/N) ___ Depression (Y/N) N High water alarm (Y/N) N --Alarm tested (Y/N) Date of pumping Ap P ) I 19 9 z Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot NONE. oki Lo-rOn adjacent lots > i00, N oundation S To property line To field 90' Water mai:/service line Surface water/drainage 72026 (Rev. 7191) Front CONTINUED ON BACK PAGE IFT STATION Date ins Size in gallons Vent (Y/N) "Pump " level at High water alarm level Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off" level at Cycles tested Su ace water _ Date installed 2/0 5,/93 Soil rating 8 System type tA//DC Length -100/ Width Gravel thickness 3 Total depth 761 ?VtECL Total absorption area " a 5 Cleanouts present (Y/N) 7Z Depression over field (Y/N) N Date of adequacy test NCIA( CD/1/5T2 UCT 1 o til Results (pass/fail) PA 55 for 4- bedrooms Peroxide treatment (Past 12 months) (Y/N) !\1 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot NoMF— Ont Lo-FOn adjacent lots > /00 Propertyline �S To building foundation To existing or abandoned system on lot On adjacent lots 77 CutbankNQME IN A RGA Water main/service line 3o Surface water � i00/ Curtain drain NOME IN AR5_A E. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effec F c� Signature tat �,� e "4 F /Csb//1L2 0 ti1S e'., Engineer's Name c(y Date Y HAA Fee $ /?a il .Date of Payment ✓ –/(0 -9.3 Receipt Number�yL/ 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number /S/ to of this inspection. Il,icha�l C. Andorson = A361-[ '�� FFSSN�';»'; WALTER J. NICKEL, GOVERNOR DEPT. OF ENVIIIONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 March 11, 1993 Mr. Wayne McFadden SUBJECT: Country Lane Estates Class "A" Public Water System, PWSID 214706 Dear Mr. McFadden: (907) 349-7755 I have completed a review of this office's files concerning the monitoring status of the above -referenced Class "A" Public Water System and found the following: 1. The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on February 19, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 2. The last inorganic Chemical Contaminants Sample results were submitted to this Department on May 4, 1990. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 3. The last Radioactive Contaminants Sample results were submitted to the Department on December 5, 1990. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. 4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on November 16, 1991. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above -referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. 11 oii osi 8/ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL (Ig6 .0 9�/ e OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date &_7 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) LOT TANAIA14 11AUC-V S 7'/Z AJ 2S/W Location (address or directions) (b) Property Owner AeF 146/S iH 6V00D Telephone: Home Mailing Address 7OZ/ 9911--TGVOoo GA/. (c) Lending Institution �/7?9C.' '! VA roily Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: or: Check here ❑, if hold for pick up. List contact person and day phone number below. ./)ESil.us ti �✓oap _ 7o Z / Dk /,ter woo a L.v .4/y c,yyr,9�� tic 995/8 2. TYPE OF RESIDENCE Single -Family yu Number of Bedrooms - 3. WATER SUPPLY Individual Well ❑ Community �r Public ❑ Business 7119-60/4 Note: If community well system, must have written confirmation from the Stale Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 Me, 8/861 Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. rr��22 Name of Firm 4`' C- E;46,fh• Telephone Addre Date .: OF A S Michael E. Anderson 4 4i���,•e. •4381-E a� is �89F�••......•'''��� f;�wROFESStS!.��D 6. DHHS APPROVAL Approved for 1� bedrooms by Approved X Disapproved Conditional _. Terms of Conditional Approval CAUTION Engineer's Seal Date 16 2¢ -99 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 theirlending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-625 (Rev 8/86) Back MUN_WAYTY OF ANCHORAGE (MOA) PEA$5'ff, IUTHORITY APPROVAL (HAA) J�\G\QP���P S�R�C�CHECKLIS264-4 FEBRUARY 1964 ���\�OC\���C622 f•, Legal Description: LOT l %A+y/1/NA VAGCc-I �� WELL DATA ��( Well Classification 00/Y1i11 U/1 /r'/ If A, B. C, D.E.C. Approved (Y/N) Well Log Present (Y/N) _ _ Date Completed _ Yield Total Depth _— Cased to __ _ Depth of Grouting . Static Water Level Pump Set At Casing Height Above Ground — Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) _ Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot — _ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot _ On Adjoining Lots — To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole . _ To Nearest Sewer Service Line on Lot Water Sample Collected by _- ; Dale Water Sample Test Results Comments _CCJ&AVUn1 r_LUEGL -- 5EE ,r7-rRLlaEp B. SEPTIC/HOLDING TANK DATA Date Installed 722 �PSize y75 U No. of Compartments Z Standpipes (Y/N) _ V Air -tight Caps (Y/N) —jL___ Foundation Cleanout (Y/N) — Depression over Tank (Y/N) of __ _ Date Last Pumped NCW C616TROn-1o,u Pumping/Maintenance Contract on File (Y/N) _ Holding Tank High -Water Alarm (Y/N) __N/_1 Separation Distances from Septic/Holding Tank: To Water -Supply Well __ zgoe� _ To Property Line _ 77 To Water Main/Service Line 3 _ Course No Nr,��tit A 2EA _ — _;for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments—/fru/ coi-7 T5 'Ucrleni,_77�IG6y �Ivro Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ) Z 5 Type of System Design U/, Z:)& IAJ Date Installed 7�1�8� Length of Field Width of Field Depth of Field Gravel Bed Thickness 2 Square Feet of Absorption Area 5-00 Standpipes Present(Y/N) V Depression over Field (Y/N) til Date of Last Adequacy Test n EW ConSnG Brion Results of Last Adequacy Test �95SE0 Separation Distance from Absorption Field: To Water -Supply Well To Property Line �D To Building Foundation Zf To Existing or Abandoned System on Lot M0111E 0n1 C o'7 On Adjoining Lots 82 To Water Main/Service Line y07 To Cutbank (if present) NOT 10,005564t,- To PE5EN>To Stream/Pond/Lake/or Major Drainage Course AlONr 1N A2 rA To Driveway, Parking Area, or Vehicle Storage Area r ofQ Comments til=uj CC)n!5T2UC7-16M . t0lil i#?S �4T iO 80" 4U'i /Nit S �V1eC(; D. LIFT STATION N//1 Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked verified, or conformed to all MO an HAA guidelines in effect on the date of this inspection. Signed'rkd,�74 e Z&Z , A.—pate 4 V-_,9_6 Company Amocxjo j G&6. MOA No. � A Receipt No. �S � 0660 A ........OF 8 Date of Payment 6 /0 CD e°'r�P�j Amount: $ 0 cam p 41' H '• �� ®r9 Engineer's Seal ir9 •sae\4AGa 0.O�MiM •4ye°•eq•s • wel E. Anderson 4381•E Page 2 of 2 72-026 (11784) SLI lJ� E a I F L sm n STEVE COWPER, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATIONTION AraCHORAGE/IJESTERN DISTRICT OFFICE 563-6775 3�n1 C STREET. SUITE 1334 ArWHORAr,E, ALASKA 99503 DHTE: 4�s-Q—ae PWSID #: -_7 k�]u L_ ------ To Whom It May Concern: Acr_ordinq to the records on file in this office. the ,_:x f1 0(dater System is in compliance with the `tate of Alaska Drinkinq Water Requlations. Sincerely, Ronald S.4�17ein Environmental Field Officer PgK:sa