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WELLMAN LT 1
Wellman Lot 1 #018-281-23 Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 - http://www.muni.org/onsite - (907+343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171114 PID Number: 018-281-23❑ New Z Upgrade Name: ALEXANDER GREGORY & CANDY PAVELLAS ABSORPTION FIELD ❑ Deep Trench R Shallow Trench R Bed R Mound Address 3500 TWILIGHT LANE El Other Phone Number of Bedrooms Soil Rating depth from ori - arc rade 1 3 ITotal GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Ft. GfeQ depth beneath pipe Ft. Subdivision Block Lot WELLMAN 1 Fill added above origi at g d -- 7� Ft. length Ft. -_ Township Range Section Gravel width :1� Ft. Beds: Number of Lines Distance between lines FL SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total sorption area Number of trenches — Dist, between trenches From Tank Field Tank Line Ft2 Ft. Well 112.5 N/A N/A N/A 111.5 TANK El Septic ED S.T.E.P. r_1 Holding 171 Other Manufacturer ANCHORAGE TANK Capacity I 2000G,I. Surface Water 100+ N/A N/A N/A Material Number of compartments Lot Line 16.3 N/A N/A j N/A STEEL 2 NA Foundation 5.0 N/A N/A N/A LIFT STATION Manufacturer Capacity - Curtain Drain 50+ s N/A N/A N/A ORENCO 250 Gal. Remarks TANK REPLACE ONLY Pump on level at TIMED in. Pump off level at in. High water alarm at 45 in. Pump make and model P2005 Electrical Inspections performed by MOA BUILDING SAFETY Installer PIPE MATERIAL Housetotank 3034 Tank to 3034 drainfield A+ HOME SERVICES Drainfield CO1MT 3034 inspector PANNONE ENGINEERING BENCH MARK (Assumed elevation) 668.Oft Inspection dates: 6/9/17 2" 11/16/18 Location and description 3d41" NE BOTTOM HOUSE TRIM COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF. A Conditional Approval: Date —tieve Approved Date i4o L C AV' inspection Kepon— j- tiz.00c NOTES: RECORD DRAWING DRAWN / | -----\W -- ` _---- __- � FC 6.1 279 Z) c� T2 16.7 33.3 LS 19.6 34.6 NOTES: RECORD DRAWING DRAWN / | -----\W -- ` _---- __- � Date 0 D Z) c� o � < -J V) u � ��F� � � || n 65ti0 nr-- E.P. TANK CONNECT TO MIDDLE OF FIELD �"I" RODFILE SCALENTS PANNONE ENG SVC, LLC P.O. BOX 102954 4NCHORkG[. AK 88510 PHONE /807\ 272-8218 FAX (907) 272-8211 WELLMAN LOT l ALEXANDER GREGORY /k *c, CANDY PAVELLAS | 3500 TWILIGHT LANE | ANCHORAGE. AK 99516 r) / Date 11/19/2018 v Scale 018-281-23 OSP 171114 Sheet PAL r MUNICIPALITY OF ANCHORAGE o c n t On-Site Water&Wastewater Program �� 'S.; PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 http:llwww.muni.org/onsite I)cl ,ir1!t1 ni ,hcNOR AVE On-Site Wastewater Disposal System Permit Permit Number: OSP171114 Effective Date: 6/2/2017 Work Type: SepticTank Upgrade Expiration Date: 6/2/2018 Tax Code Number: 01828123000 Site Legal Address: WELLMAN LT 1 G:3135 Site Mailing Address: 3500 TWILIGHT LN, Anchorage Owner: PAVELLAS CANDY & Lot Size in Sq Ft: 49479 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field EI Septic Tank El Holding Tank 0 Privy LI 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 Received By: 0( �,� Date: 0/5//Y Issued By: ,G`l.('rr� Date: 6/a/20 17 MUNICIPALITY OF ANCHORAGE Community Development Departments 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. 018-281-23 Property owner(s) Candy Pavellas & Alexander Gregory Day phone Mailing address 3500 Twilight Lane Anchorage, AK 99516 Site address 3500 Twilight Lane Legal description (Sub'd., Block & Lot) Wellman Lot 1 Legal description (Township, Range & Section) Lot Size 49,479 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (El all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings El Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) oa Permit/Rush Fees `II S Waiver Fees: Date of Payment: q' Date of Payment: Receipt Number: Ods Receipt Number: Permit No. ('t P � - `L I L Waiver No. Permit App_-• . •c Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail:steve@panengak.com May 31, 2017 Subject: Wellman Lot 1 Tank Replace Permit Request Design Narrative This is a design narrative for a permit to install an upgrade 2,000g STEP Tank to replace an existing 1,250g STEP tank to be issued for this property. The existing tank is failing. It will be decommissioned per code. Currently the lot is developed. The proposed system will utilize a replacement 2,000g STEP tank that will be connected to the existing drain field. The existing tank is located approximately 100'+ from the well. The proposed tank will be placed outside the existing well radius. All required separation distances will be met. 1. Upgrade Tank Design. A foundation clean out installed if needed. The tank will be located: 5'+ from any property line or building foundation 10'+ from any water line 100'+ from any surface water 100'+ from any private wells 200'+ from any public wells The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 907.272.8218. Sincerely, .•'qfc 1b It r r 1t Steven R Pannone Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141143 PID Number: 018-281-23 Dwelling:RN Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New FN1 Upgrade Name: TED WELLMAN ABSORPTION FIELD ❑ Deep Trench Q Shallow Trench El Bed El Mound Address 3500 TWILIGHT LANE, ANCHORAGE AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPDISF 6.9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.6 Ft. Gravel depth beneath pipe 4.1 Ft. Subdivision Block Lot W ELLMAN 1 Fill added above original grade 0-1.0 Ft. Gravel length 80 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES TO Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches 1 From Tank Field Tank Line 800 FLT 1 NA Ft. Well >100' >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water >100' Gal. Material Number of compartments Lot Line >10' NA Foundation >10' LIFT STATION Manufacturer Capacity Curtain Drain >50' Gal. Remarks EXISTING DRAIN FIELD CONNECTED VIA Pump on level at in. Pump off level at in. High water alarm at in. DIVERTER VALVE IN STEP TANK. FIELD OVERSIZED FOR 5 BDRM Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank rank to drainfield SCH40 Installer DEAN CONSTRUCTION DrainfieldSCH40 CO/MTF810 Inspector ANSON MOXNESS BENCH MARK (Assumed elevation)100 It Inspdatio 1st 6/13/14 6/13/14 Location and description : Zm 3itl Orn BOTTOM SIDING SE HOUSE CORNER COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL '`QKa ' Stamp OF gC gs l�► Conditional Approval: Date TH9 S E. SPURKLAND.% ��15 Approved ,�� Date l� 10: Inspection Report_9-1-12. o SWING TIES A B D.F. M.T. C 43' 94' D.F. M.T. D 58' 48' 1 H 3 BORM '4 SFR INSTALLED 5 -BEDROOM ORAINnELD INSTALLED DIVERTER VALVE IN STEP TANK TRENCH LENGTH 80 FEET TRENCH WIDTH 5 FEETB D MAX EXCAVA ON DEPTH 7 FEET ROCK DEPTH 4.0 FEET I COVER 3 FEET (MIN) LOT 1 LOT /2 1 S U I11 L M Areo, Cp II 1 / I Area W 4 CONTOUR /NE WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ON-SITE WATER AND WASTE WAT£I TION. ALL LOCATIONS SHOWN ARE zs o 25 SCALSO 7,5E, 1' = 50 FT r00 res 1.50�� ; ;'i": SPURKLAND ENGINEERING WELLMAN LOT I SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE ANCH. AK 99501 TED WELLMAN BA 7E JUNE 13 2014 (907) 279-3916 3500 TWILIGHT LANE, ANCHORAGE AK 99516 SHEET, 2/3 GRID, 3135 PERMIT # OSP141143 PID It 018-281-23 WELLMANLLSC50-ASB.DVG TH fS. nfl:=lOf.3' T0.° PAF FlEY�B.r BUN cfEVkM' fisc nn:xxr Shallow Trench+ 5' Wide 80' Long 7' Max. Depth 4' Sewer Rock 3' Cover 3/16' hole 36' on Center NO SCALE Trench Elevation (TyP) /-- Monitor TO EXISTING FIELD EXISTING 1250 GALLON STEP TANK 4 ft of' Septic Rock BENCH NARK FRONT DOOR JAM ASSUMED ELEVATION 100 FEET TANK ISPURKLAND ENGINEERING I I IYELLMAN LOT 1 (I SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE TED VELLMAN DAT£, JUNE 13 2014 ANCH. AK, 99501 (907) 279-3916 3500 TWILIGHT LANE, ANCHORAGE AK 99516 SHEET, 373 GRO, 3135 PERMIT # OSP141143 PID # 018-281-23 WELLMANLLD3-ASRBV.- On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141143 Tax Code Number: 01828123000 Work Type: Septic Upgrade Permit Effective Dates: June 05, 2014 to June 05, 2015 Design Engineer: SPURKLAND ENGINEERING Subdivision: WELLMAN Site Legal Address: WELLMAN LT 1 G:3135 Owner/Address: WELLMAN TED & CYNTHIA M 3500 TWILIGHT LANE ANCHORAGE AK 995164020 Site Mailing Address: 3500 TWILIGHT LN, Anchorage This permit is for the construction of: Lot Size in Sq Ft: 49479 Total Bedrooms: 3 Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAGUMITTA MAY h2 9 2014 90 - Phone: T4t6IA94StUIler ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 018-281-23 Property owner(s) TED WELLMAN Mailing address Site address 3500 TWILIGHT LANE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) WELLMAN LOT 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field Fx] Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Fax: 907-343-7997 Day phone Number of Bedrooms 3 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) El Upgrade 0 (w/wo ADU) El F1 Duplex (D) Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: J►�►ir Distance: I certify that the above information is correct. I further certify that this is in accordance with Permit/Rush Fees: '$ 51A Date of Payment: 5)aq 114 Receipt Number: 015414 Permit No. QSplu11113 Permit App_94-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. MINNA& Spurk[and Engineering Environmental Consulting and Design SEPTIC SYSTEM DESIGN WELLMAN LOT 1 Municipality of Anchorage June 4, 2014 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Septic System Installation Permit 3500 Twilight Lane Ladies and Gentlemen: I am writing to request a septic system installation permit for the above referenced property. The existing septic system did not meet COSA operational requirements. The proposed system will serve a 3 -bedroom single-family residence. The drain field is designed for 5 bedrooms. Should the new owner of the house decide to upgrade in the future, only a new tank is required. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Cates: Groundwater observed at 15.5 feet. (5/20/2014). Soil Rating. From Test hole 5/13/14 2 min/in =1.2 gal per sq.ft./day No. of Bedrooms 5 Required Area per Bedroom: 150/ 1.2 =125 sq.ft. Total area required: 125 x 5 = 625 sq.ft. Use shallow trench with 4 feet effective Minimum trench length: 62.5 ft. System: We are proposing adding a new trench with a diverter valve in the lift station of the existing STEP tank. The absorption field will be 80 feet long and 5 feet wide and contain 4.0 feet (800 sq.ft. effective) of sewer rock. The existing tank appears to be in working condition and does not need to be replaced. The required absorption area is within a 30 foot radius of the test hole. We are adding an additional 17.5 feet of trench outside of the test hole radius for an extra safety factor. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Spurkland Engineering Environmental Consulting and Design Soils: A test hole was excavated on May 13th, 2014. See the attached soil logs. Ground water monitoring will continue through construction of the septic system. Groundwater was observed at 15.5 feet on May 20, 2014. A small pocket of water was encountered at 8' during test hole excavation but does not appear to be groundwater. Due to the soil appearance we are adding additional square footage to the absorption area. The design was based upon a percolation test conducted in the least permeable soil stratum that will be used for absorption. Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. Topography: The ground level is generally flat or slopes down towards the west at a 5% slope. Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on 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. If you have any questions or concerns, please contact me at 279-3916. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net I I I LOT 1 II M - -LOT 121 - - - - I i j MIGHT LANE LOT J I evtknr o E SNS S 0 �D— HILL LOT 2 VACANT I LOT 154 ®1 S/I D AN Gd�e T13N IR3W SECTION 33 LOT 155 NOTE., THIS 6 NOT A SURVEYED PLAT. WELL A' SEPTIC LOCATIONS TAKEN FROM ON -SIT£ WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROMMATE.. 50 0 50 100 150 200 250 300 SCALE,• 1' = 100 FT i I )2(;Aectl�� I LOT 123 Cel LOT 2 s/DI LOT 134 — — I LOT 156 I I SPURKLAND ENGINEERING WELLMAN LOT 1 SEPTIC SYSTEM DESIGN 203 V 15TH AVENUE TED VELLMAN BATE MAY 27, 2013 ANCH, AK. 99501 (907) 279-3916 3500 TVILIGHT LANE, ANCHORAGE AK 99516 SHEEP 1/3 GRID: SV3135 PERMIT # OSP1110XX PID # 018-281-23 VELMANLLSCIOO.DVG 50 FEET DOWN GRADIENT OF THE PROPOSED 'WN MO LOCATIGN. LOT I ON -SIT£ WATER AND WASTE WAT£F TION. ALL LOCATIONS SHOWN ARE ❑PJ ILL DIV£RTER VALVE IN UFT STATION CH LENGTH 80 FEET CH WIDTH 5 FEET EXCAVATION DEPTH 7 FEET ' DEPTH 4.0 FEET R 3 FEET (MIN) LOT I S M Sept! Area �J�/ 25 0 25 50 75 100 125 150 SCALE, I' = 50 FT CONTOUR 5PURKLAND ENGINEERING(I NUMAN LOT I I ( SEPTIC SYSTEM DESIGN 203 V 15TH. AVENUE BATE., MAY 27 2014 ANCH. AK. 99501 TED WELLMAN (907) 279-3916 3500 TVIL16HT LANE, ANCHORAGE AK 99,516 SHEETS 2/3 6RID, 3135 PERMIT # USP141XXX PID # 018-281-23 VELLMANLIS00..DI✓6 Shallow Trench: 5' Wide 80' Long 7' Max. Depth 4' Sewer Rock 3' Cover 3/16' hole 36' on Center NO SCALE Trench Elevation (TyP) Monitor - EXISTING 1250 64LL17N STEP TANK 4 ft of Septic Rock TANK ISPURKLAND ENGINEERINGI I WELLM" LOT I (I SEPTIC SYSTEM DESIGN 203 W K. 99507 TH, AVENUE ANCH. AK. TED WELLMAN DATE, MAY 27 2014 (907) 279-3916 3500 TWILIGHT LAN£, ANCHURAGE AK 99516 SHEET.• 3/3 GRID: 3135 PERMIT # DSP141XXX PID # 018-281-23 WELL14ANLI.D3.DW6 Spurkland Englneering 203 W.1SthAve. Ste. 202A Anchorage, AK99501 TEST HOLE I _ I DEPTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOIL LOG AND PERCOLATION TEST 'ZnIL DESCRIPTION DATE: Ski 14 anics WAS GROUNDWATER OBSERVED: YES, SEEPS IF YES, AT WHAT DEPTH: 8' AFTER MONITORING PERIOD: 15.5 — _ DATE OBSERVED: 5/20/14 dy Silt PERCOLATION TEST: 1ML) y Sand LEVEL FILL DATE I GROSS TIME NET TIME DISTANCE I DROP 9.250 5 15 14 12.18 PM 0 min. 9.125 12.28 PM f0 min 14750 5500 9.438 12:38 PM 10 min 14188 5.063 9.063 12:48 PM 10 min 14250 4.813 9.125' 12.•58 PM f0 min 13375' 4688' 9.125 1:08 PM 10 min 1, 188 4938' 1:18 M m n 13.250 4875 PERCOLATION RATE: 1 minutes/ inch P£RC HOLE DIAMETER: 6 inches TEST RUN BETWEEN 4.5 FT AND 5 FT SITE PLAN: NOTES: PRE SOAK CONDUCTED PERFORMED BY.• Anson Moxness. G Lars Spurkland P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERINGI I JYEHMAN LOT 1 I I SOIL LOG PERCOLATION TEST 203 W K 99501 TH. AVENUE ANCH. AK. TED WELLMAN BATE, MAY 20 2014 (907) 279-3916 3500 TWILIGHT LANE, ANCHORAGE AK 99516 GRID #% 3135 PERMIT # DSP 141XXX PID # 18-281-23 Municipality of Anchorage Page —I of? 72-013 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: sWR400li PID Number: O/Sz8lz3 Name: Wastewater System: ❑ New 19Upgrade TEV 1nr'%ELLWI AN Address: ABSORPTION FIELD 3500 TW / G,4.uE _P4 n1 • No. of Bedrooms: 1 3 Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound '❑ Other A1jCH0P_AC,T K 99s/Cp LEGAL DESCRIPTION Soil Rating: /- D. Total Depth from original grade: r VJGPD/S . Ft. Lot: .Bleak: Subdivision: SZ Depth to pipe bottom from original grad9: Gravel depth beneath pipe / iu)ELLM16) Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: �r / Ft Ft. WELL: ❑New 11 Upgrade Gravel width: / Number of lines: ' Distance between lines: Ft. id Ft. Classification (Private, A,B,C) p(/ST. Total Depth: Cased To: Total absorption area: ��SD. Pipe material: 1,610 rrep- AS77-1 -0 P IVA E Driller: Ft. Date Drilled: Ft. Static Water Level- Ft. installer: D? Ft./�/ Linstalled: am/ Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. f� SEPARATION DISTANCES Septic ❑ Holding S.T.E.P. To Septic Absorption Lift Holding Public/Private M anuffaactuJerlJ � capacity galloons: From Tank Field Station Tank Sewer Lines T�j`/v F— O50 Welt' I Material: Number of Compartments: Im'I" -- LIFT STATION Watere Ick Lot + Size t-.2 Macturer; ?,,. rps G E -Fp-,-, Line Foundation _ "Pump on" level at: 42 n 'Pump off" level at: � 12-1 High water alarm at: Curtain Pati5p i akjyodpl Electrical nspe tiops performed by: Drain Yom_• �y Remarks: G}" I�ISUt—ATIa� BENCH MARK Location and Description: �p 2A l: tS-�-/2 �.� Assumed Elevation: p Ft ENGW.r2Ep54}S A,L <,i ` a F egi f eon+} �Iv S $ 5 ENGINEERING Inspections performed by: 17094 Eagle River 16601 Road, Q : 1St ` 1 eoo o� h Eagle River, Alaska 99S77 2nd �� Yo ha6a Department of Health a d uman Ices appro al .cmc/Dat- Reviewed and approved by: Date ]2-013 (Rev. 9/91) MOA 25 Permit No. SW940011 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 * Anchorage, Alaska 99519-6650 9 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Descriptioffl-LIMAN SUBDIVISION, LOT I PID No.: 01828123 72-013A(1/93)- CO1 CO2: 107`4 MTI 100.0.1 MH ................... . ......... ........... - ...... SR J&Z NEW 95.1': 1250 G AL S. T.E.P. S 94.9' SYSTEM YSTEM .......... ........ ... . ..... ........................ 95 7 ................. ..................................... A B; A 89.7' NO WATER FOUND FCO 40.0 2.0 COI 40.5 6.0 CO2 41.0 1M.H.41.5 1210 M5 MT1 MT 56.0 80.0 M MT T2 54.5 9410 NEW PRESSURE ---------- N DIST. DRAINFIEL) INSULATION DRIVE ........... .. MH ...... ............... ....... .............. .. . .................. .................. ............ ............. - W CO2 MT2 A NEW. 1250 GAL. o S.T.E.P. ----- --- - - - ---------- 3 BDRM NA,4, HOUSM coy WI 1-1 -A ... ........ .1 "PP A, SCALE I., 40'' 72-013A(1/93)- INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD INSPECTIONS (907)563-•3464 INFORMATION (907)786-821I. NAME: ED'S ELECT PERMIT fir: 907805 `` PHONE 0: 272 4`i91. ADDRESS: 3500 TWLIGHT.S �2j ? LOT, I BLOCK, SURD: W,F.LMAN DATE: 7/22/1994 COMMENT: SEWER LIFT HOOKUP + C - ---- -----------------.._.---- TYPE 09 INSPECTION: ELECTRICAL SERVILE 0 0 0 0 _-__---_--_._._.--_.__-_.---__.----_.-----,.-_._ _ I: 3 NO NONCOMPLIANCE OBSERVED C I CORRECTIONS ESSENTIALAS / EXPLAINED BELOW C 7 WILL REEXAMINE AT NEXT INSPECTION C 1 DO NOT CONCEAL UNTIL REINSPECTED COMMENTS: 1 %l INSPECTOR: DATE." _.ji��-:�111�____.__.__.-----._..____________--.--_------____-____._ MEN CORRECTIONS ARE MADE, PLEASE CALL FOR INSPECTION DO NOT REMOVETHIS NOT" JUN -21-94 TUE 1541 S,0, A. DIV, OF WATER FAX NO, 9075K1384 Pr 01 - -i36�.5 Anr tri'"±cr,T— tvOtSh l.ika 1tK2 d 2101 illi^0321' \ V .A T E; v E L L P E C 0 H C Qrll l:n, CPmpa ry Na.rm "�(J �j' r. 1OU715H OF WELL `— Pleeze crimple to ei V,er la lb, tr 111 (n, Permit No. -- ----� .-- r ...— — _ Cf Ic, 4. &5fOW9h PJtIdIVlF ton Lc[ NI^„r Ib, Frart lo^ S-r-"-"—„-�- t cel ion Ha. To�mhla .9a ere -- 12n@ (ersett l0nf L O -NCA OF'WELL, Tei 100— 1 1 L,ar) AdCrca [: Strut i.itaua 2. WLLL LOG 4. WELL OCPTN; I:4mal r, c:li Ser face E1 t•e- prface _ I lien matt of M`^tCYlal Type TJP13 PO['�m �t Cpr,pl e(ipn 5. hlcaoia F:nl cear. ---- _.. �r•el� 1P1ae - —2 7 ❑> y ❑5flven 0=p9 .—.� a,r�Pl. rT(<r• �!i 4nAn,e Clvttec �Pered r�OLher: e V'rig3 o. USE: u:e:.+a,efe �Pic;rYy.pt1' '"II�Austry r�6 ❑ a 7Sb9 „J lrrl t-7 _ rJ •f,ec "arq: �ICem ❑Tel( Wen- _ cl _ ], CAS IHO: lhr sa Gei r� We Idea ` ..•�--- �_1 �^�����_�T� la�i n. .o e. Ce:;:n tv9^t Ib5 /!; w—.— — �ifa i_ rsf• in. to ftOep(h .—,--- vl.vlsx of ,TELL:---`---'-- �� _ 1 4 U -�.. 4 .—_t.--._.__ �.._�-__..J__.-�' 5. M, IT ':ATee L vst: N.�Cx�_hJw ara,`------..,- _ I G1.ave ❑2e 1c'v Ileo wrface type: of POSt-It'" brand fax transmittal memo 7671 om p;,yrs ?6z. Asx Pex d 2�. 5-%2 t 3 9lc IO. ?LHF16G LETEL >elp:; lane �ffacc--- _.__ -- --_� 4•c. m. after _ _ hr, . P.,,..PIn9 I1. ':ELL HEAD CChrL ET I 6v-•-+'�4� In n:Drovca Fit L_;pi Cleea Adap(cf-ipiLea a Stade les I Ra (er ial; L_-,7 •;;aL •:ex -L �;;LMer: 13. PCtiF: (If len, [M1 of 9f:)P PICe -- rt. ca paCI ty Y-� 9 T9pef CI1SA„erzlble IJ Rcc ipf Otv ti ria t,J'e1 L-f(jLPer: IIS. JATER YELL ::IRaaC TOA'S :EFTIT t:dTICY: tnis retd" to r TF.i1 he('l'l''ray :n IIeC _nacr 'Y jvf'3Q i�:ion LnC IS [!oe r ( of my kne..l e9:e end bel:.l ^<^e_terea Sas nss 7 _ ia2ress' ! _z) C.,:_'!�y/,ti r� L 'or •ze: ;e. re.e•aa:�va---.—,— :ate: t"'��- / l� I r V- V - V JUN -21-94 TUE 15,42 S, O, A, DIV, OF WATER FAX NO. 907t:621384 —ti? WATT R W _:.(.riot; P. 02 i ,� Y: ° !A ?053 DRILLING ig5t 08s ttt Anchorngco, A1Rukla 99-, c WELLOWNER��S.� �,!�-.1��22G�.tL��. �--. I,00ATI0)1 zjyr , r L SIZE OF CASING Lp DEPTHOF HOLE ,?T- CASED TOvFT. .STA'TIQ wNI'Pli Ltv�L 7 y rl. iT f��� �AL.PRH.MII.'. 4dII'Ilr s!Z�_� FEET AP DRAG4WNt REMARKS DATE COMPLETED cSt —L, " z ___PUMP TO fiL* 3EP AT -9-t O -LG J to1� !fit oL�,LC/ /Y—b— t� 12-9—t ozr /4�L C�" 1..Z r1 j-% I -Ta o jge.'S JUN 21 94 TUC 15:42 S, 0. A, DIV. OF WATER ` RETURN TOt DIylllpr of Cenl pgful sic' Cccp:ryalt.l :'rats (DOGS) )DDI POrcuple. Drive (7 a ltpgcco: 277-6615) Anchorage. Alaska 99501 I AN[ N0, 9075621304 P, 03 STATE OF ALASKA DEPARTHINT OF HATUIUL RESOURCES YY.. ysp r♦ �y�������W A. T E R W r L L R E C O R D Orf111ng Coaoany Hand FOSS L1�J�LLt.LJ11i_- __ ti.S.G.S. Laiai No. Y ----,— -- Drilling Permit No. LOCATION Or WILLS] dR16e1e COMPla[a althar la, Ib. Or IS tptp t1 A.P.L. No, -,._-__.�..._._. la Borough lvisipn ~LoRlnc t tb. Fr"a cn a I Ycwnahlp Aa n9r Ger id len Ra bit Cr 13t l 'Jae DjstjO,. and Direction from Road Intersactiens `EP DWI±LR of WELLTpd Wellman -Adess: SRA Box 490-u ()iV, Of Geolori.l_i! S!rr�drey A_y)ohorage, AlEi&ka 99507 Street Address and Ar" of Wall Loc.06A r�T1G110tU 0 1. WELL LOG Feel Beau,. W4^vELI DEF TIL (:an.p le[cd} 5uf fare Lirra[[on fate Of Material ed I _ Surfaceit Top _-----1-� Adv!cm pp Cpom�p� at on ceole ut -L." i1-�D, h'an '�cug 5. U`MRO EJy;A"Er 0 J a t ted []Mrtd J Other:-_- A. USE: Dcn¢[tIc �Pub[le 5.pfly f !nduatry 11Irr ly.t len 9Ree.Naf9a E]Coam,rc ial 'yell-- ODther: J, -�--�( - 6 .-�--- 2.1 '�(��-C1Test " 1 3-a 7. CAS 141.' �� Ti:roded Welded --5: --in. to _1�ft. napLh weight ib5/f[. In. to ft. Depth FINISH CF WELL:—^---..._..... ...--.._�.__..� Tyge: � Clere:er: [ « Sice/Meso 5126: Set between ft, and ft. Flttinge: 1.3�]-Q -_�.._._g1q3[C.8 _..1_i_..-__'-._i_,1[d_.. -�-- [ .-.-__.__ _._- ❑❑ ! STs7!C VAT ER LE1 EL: 't. j: bovcCel�n IanC seer la4r Type of xeo vi na,a; _'It +�,_t�2 `a9.fuls�%r -- -- -------_ - --- __._.._...- ---- �taY�NGry LEvtL iasow tano [arface f t. after ..__4-, hrs. ... g.p.m. hrs. p..rping 11. WE" vmaoLJ:Y:S7 D:k: �f )�u In A;F'Qrvcd Pit np!tleas Adapter 24 inv,es awp . irade ------ .___ ._.�.�......«.-_-..-. -- - - ilie yet 17 -14. -`-- r1 reel Hta[ Ctnosst lly O:hen 5+y&tlll`rA,y_ 13. POM° (If aralleblel HP�—___ �._-.. Langeh orrf'' Drep r' p ft. c,t+,ILy _�. .._ 9.P. Type . L. ."merTbie ❑P.cclprocating r^ Eljet LJ 011ier: ___.... ..... .. .... �,,. _.. ---�-- —^M- 11 WIMA H61 11111KIPH'1 Ii611111AM1111, This well sees drilled under my j1 jurlsd!ctlon and :his report Is true [e the b, 1"'ii%Dr4j)i!f Yl 1 _ s�tyre[e/red B --/as^ mess nerf- Cf Address:` Ct -•1.E7C, r N.(-, P})-) 5igned: A— Aut orl2tJ Rspredentat L.e f .,y kno,.!ed,c s{d be!lef: Da to: PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE a n(Y-\ DEPARTMENT OF HEALTH AND HUMAN SERVICES (o _Q( P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940011 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:WELLMAN TED & OWNER ADDRESS:3500 TWILIGHT LN ANCHORAGE, ALASKA 99516 PARCEL ID:01828123 LEGAL DESCRIPTION: WELLMAN LT 1 LOT SIZE: 49479 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 1/25/94 EXPIRATION DATE: 1/25/95 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 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: I DATE: DATE: /- 2 5- - A` ,A HEALTHAUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITEPLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSALSYSTEM DESIGN EI January 16, 1994 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99519-6650 REFERENCE. Wellman Subdivision, Lot 1 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 We request you issue a permit to upgrade the septic system serving the three bedroom house on the referenced property and issue a conditional Health Authority Approval. An adequacy test performed on the existing system for Health Authority Approval purposes found the absorption capacity of the existing system to be inadequate. A conditional Health Authority Approval is request until the system can be upgraded in the Spring 1994. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the test hole has been checked and found to be dry. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. A. Shafer, P.E. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 9 r N Z r O Z O Z O O € JJ �3 V F-O F Z§ o: 1 �aF =zo W 0 ar aN o Oa -C) Vw� �WNa ��-> w wwOroJ�ww W Q N W U CCwW to >vi w MLf1W N -r 9 f 2 O w to KaZ-w�J _Y w ll= a 0z3:�R0cy �Jz z O < Z O M HUO Za❑ w aO v O ¢ w w> Y m H �Z ao� p LO p U V) :xa oMEO m t9^ p > ¢N� wF=-r ow❑ Voda Ld l H 2OV W(�%� O V J 0 � 0NaZ � w O O L, �" V) 2 J Lo w�M j0. w4wj 0.4V? w0 I = V� ~w 1--I �/�� w N.- N F -M JJp C-)ZN Zr N><Z _ pV) �pM � O 2 moo¢ F'pro N aU(D w Qw� F avl Wm< VO [�+ ,•_, �-o O"Ln WwZ O N N<< cl a W P� d LO OJ P, w =Q it w J\p- �' II II w � c --t� �g0° O g II Q W M \ K O IN.-.---- F pM\ J_ mON H U� QV .-1 o W M N tl' w W Q N E m O N O pq a, o: r4 < off ® Q wn wz zo o I / P4 N d w \ aa.¢o ca C/) p C a 3 47 Z0 o ox Mx O CO a F p 0 rlwa r a ❑ z� rx CD z z w w — — — — — ------)— OE, W Z N UNSZ "IT,LR SO -- ❑ x w Z�- oN c>xw�¢ z QFwF zxx wHO E- H ''��wzx�o r�a w pp E z� FNzxf4 y��n9 -W a a� 4 a N< E:x¢cx� wF DomE• fiit x El `4 � W . W 14 (~ W - .31YOS -Id NV 311S Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 r SOILS LOG — PERCOLATION TEST PERFORMED FOR: IED WC-W'Y(�1n�JN DATE LEGAL DESCRIPTION: LUT WE Z&,q/j Township, Range, Section: DEPTH T') (�rtr Ntcs A 2O2fiR1JlC CJ(x ZPN D J C ftl� sxn `"� LtcYrt4 6RFI c, - SLOPE —T WAS GROUND WATER d1 \0 ENCOUNTERED? S t° L T WHAT O P E t�a��rsl� Sz.7 To A 10 c, GpQW SAf�() COMMENTS Reading Date Gross Time IF YES,A A,r / DEPTH? C SAtJL to Wale te�YY W Monitoring? t�a��rsl� Sz.7 To A 10 c, GpQW SAf�() COMMENTS Reading Date Gross Time Net Time Depth toEDrop Water f•A%2 AtiN 30 i'3L /0MW 3/Y"g d _ it _ 16AAUI l�MR s to y�g" aig PERCOLATION RATE 2 (minutes/inch) PERC HOLE DIAMETER 6o/ TEST RUN BETWEEN 5 FT D ` X FT PERFORMED BYS & S ENGINEERIPfG 17034 Earr'g(�� ACCORDANCE 19ATF� AL' 5`r, Alas a 99577 �lIQ - ag a rVer, Alaska 99577 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Wellman Subdivision, Lot 1 GENERAL: The scope of this project includes the installation of a 500 gallon septic tank effluent pumping (S. T. E. P.) system and a leachfield trench to serve the three bedroom residence located on the referenced propertyand excavation of the existing 1000 gal septic tank to verify its integrity. If the integrity of the existing septic tank is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1250 gallon septic tank effluent pumping (S. T. E. P.) system installed. 2. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Page Two Wellman Subdivision, Lot i January 16, 1994 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Wellman Subdivision, Lot i January 16, 1994 MINIMUM MATERIAL SPECIFICATIONS; 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tvpe of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, it's gradation specifications must conform to current M.O.A, or D. E. C. requirements. Page Four Wellman Subdivision, Lot i January 16, 1994 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. i MUNICIPALITY OF ANCHORAGE V DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW �J�, C `LC J�n`r �t5� ED UPGRADE MAILING ADDRESS LEGAL DESCRIPTION ! CC% �' 1 L % �'5L \ nn� l S it�Xrnrat�l . LOCATIO G' NO. OF BED ODMS T r DISTANCE TO: Wel Absorpti n area r Dwelling ) PER IT. O. �/ UY Y� /�✓ F Z Manufacture r¢_"I eri No. of co partments w Lie. ca a allons CCJJ a2y IF HOMEMADE: Inside length Width Liquid depth O DISTANCE TO: Well we lig PERMIT NO. Jt7Z _ Manufacturer 17 Material Liquid capacity in gallons O w= DISTANCE TO: Welld Oro Foundation - Nearest to "nes PERMS.'C� .®��� / � a Z Zw No. of lines Length of e cI I Total length of lines Trench wi th .� inches Distance be li es /¢ Q CQ ~ Top of rile o finish grad > Material beneath / Total effectiv abs rption area Zp O 4;7 inches 3 Length Width Depth PERMIT NO. w Q F- Type of crib Crib diameter Crib depth Total effective absorption area wa y DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J w � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) Deo V OTHER PIPE MAT IALS A5Ti12'%'0�� us SOIL TEST RATING r�Q INSTALLER AL OcUuE P. cv REMARKS �j AT 1 '1'e> In - tS 0eDO �- ' PPROVDATE LEGAL t 2, 1 %� I� 72- (Rev. 3178) ~ �\ 1-1 R -A H41 1 CC X Fn- -71 L '3: -T kv� ��� �1JR-01-o DEPHRTMEHT O"'4EHLTH AND ENVIRONMENTHL R��TECTIO�� 825 /L' STREET, ANCHORAGE, HK. 99501 264-4720 � ^ w sE. n L , Fs mA Es co m -- w x -r EE -. :S5: 0 5 EE F;-": �FE. �R.-F DE 1 - PERMIT NO. ( 790140 .- APPLICANT HPPLICHNT TFD WELLMHN LOCATION RABBIT CREEK AREA LEGAL LT.135 BLM SM TR. TYPE OF SOIL RBSORBTlON SYSTEM IS 490-E SRH HNCH TRENCH � LOT SIZE 54000 SQUARE FEET ������� ������ � -~_ THE MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (S8 FT/BR)� 220 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: � � fl- lot �������� �� ������� ������ � -~_ THE LENGTH DIMENSION '_-_--'--- IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIRLD. WITHIN 30 DAYS THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF TkE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). 141=0=3110101K> nNEEF"-FluD �FIF400 �cachus PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- ____ -1- 1"! CD ��� �1 �IF--, ��F'."g H.J 1: F! ERE 12; BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. �WELL LOGS ARE REQUIRED AND M//ST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY RPPLY� SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARF AVAILABLE TO INSURE PROPER INSTALLATION. � �����El- P. :1 - F- FEE 4: lF. S"-; ED, EF Cl FEE P1 E3 F=: Fe f R, `E;�n I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. Z: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN I BEDROOMS, SlGNED: APPLICix ANT TED NELLMHN ISSUED 8 h BOMHOFF & ASSOCIATES, INC. Engineering - Planning- Surveying i02o West International Airport Road April 16, 1979 Dor. Ted Wellman. SRA Box 490-E Anchorage, Alaska Dear Mr. Wellman Anchorage, Alaska 99502 99507 Telephone (907)2749621 We have performed a soils investigation for an on-site sewer system on Lot 1 of B.L.M. Lot 135. The work consisted of a 17 foot test hole and percolation test. The results are attached. We recommend that a drainfield trench with washed gravel from 4 feet to 12 feet in depth be employed. The soil can be rated at P square feet per bedroom. Please call if you have any questions or comments. Sincerely, FF $ ASSOCIATES, INC. Paul G. Hansen, P.E. Senior Engineer Attachment PGH/jh highways • airports . drainage • planning . shopping centers • subdivisions • streets • water • sewage I Performed for — Legal Description: This form reports: dl,-;ATER ANCHORAGE AREA BOROU--r Department of Environmental Quality 3330 "Cr Street Anchorage, Alaska 99503 Depth Feet M SANOV Sur - wrrN-- 2 Gi VS L� (ML), 2," IAA.)( 3 - 10- 12- 14- 16- 18- 20 — — PEROLATION TEST Hyl Iver, moo Dvi� 16 DRU bF Sh-TY ""AC -4-1-. S-A'rJ0 CSUI, aCc-ASlONl XY SgPt A!__3'-8'�_�SC«�'/i •✓rTMP� 4+,�?li X11.1 ltJ 6 Was groundwater encountered? LY t3 If yes, at what depth? BY 8' -Sb P014 Reading I Date I Gross Time I Net Time I Depth to Water I Net Drop Percolation Proposed installation: ,� Seepage Pit hd Drain Field Depth of .•• • bot of pit or trench isIN W MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 ^T On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D.018-281-23 Expiration Date: Zd Zo 1. GENERAL INFORMATION Complete legal description WELLMAN LOT 1 Location (site address) 3500 TWILIGHT LANE, ANCHORAGE, AK 99516 Current property owner(s) CANDY & GREGORY PAVELLAS Mailing address Real estate agent Day phone 1636 CAMPFIRE ROAD, LAKE CHARLES, LA 70611 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5—y© – m-5,0 Date of Payment ,SL 2 Z/ 2.0 Z0 Receipt Number COSA# (9 SG 2G? 2c95_ Waiver Fee $ Date of Payment Receipt Number Waiver # 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY. ANCHORAGE. AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 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 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 & 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms 6/19/2020 *: 49 TM ....�:* • • Curtis Huffman �F`• . CE 128991 • �`��� ����is��R' • (/19/20 • •���',.�- i�kF, ROFESSIONP bedrooms. with the followina stioulatioMWM(Wr,. '//111......1♦\\1. By:Original Certificate Date: (o' q' 2d2 d 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory . Other Legal Description: WELLMAN LOT 1 Parcel ID: 018-281-23 If more than 1 septic system on lot: COSA Checklist # _of . Structure served by this system A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 8/1979 Total depth 182 ft Cased to 182 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/19/2020 Static water level at beginning of test 34 ft. Well production at time of test 4.5+ gpm Comments B. TANK DATA Age of tank(s) 1.5 years Tank type/material STEP / STEEL Measured operating fluid level in septic tank ® Standpipes/foundation cleanout per record drawing Date of pumping 5/19/2020 D. ABSORPTION FIELD DATA Which system tested (date installed) 6/13/2014 ® ALL standpipes present per record drawing Total measured depth from grade 8_1 ft (max) Measured depth to pipe invert from grade _ft (min) ® N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 0.76 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by FW'f�S Date of Sample 5/19/2020 C. LIFT STATION ® Required maintenance completed Age of lift station 1.5 years Lift station material Comments: *STEP float setting. Maint. report attach. Adequacy test date 6/18/2020 Results 0 Pass For 5 bedrooms Fluid depth prior to test 0 in Water added 770 gal New depth 0_5 in Elapsed time <1 min ® Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 750+ and- (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons FW'C5 Comments/Deficiencies: ., E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5' ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 4.®,a`r�►®d���Ak�� 1 certify that I have determined through field inspections and review .� • �, of Municipal records that the above systems are in conformance �j�4' • • • • '.��► ��� with MOA COSA guidelines in effect on this date. ik; • TH • • . ••: �� .... ....�..�.... Curtis Huffman ��� �°F�,•, CE 128991 .• �� ,+' �F9F4ROFES510�� ft ft (� Frontier Surveys, LLC Project No: 20-181 Ordered By: Morgan Michelsohn tir Scale 1" 50' Date: 6/2/2020 Plat: 79-75 1 Grid: 3135 E TWILIGHT DRIVE -- — nron• nn• nn^c Tae ax Dcr HOUSE DETAIL -SCALE: 1 "=15' Electric Meter/Outside Power r'O., Telephone Pole 4� Found Pipe y Gas Meter ® Deck —x— Fence o- Found Rebar $; Septic (W; Water Well 'X Elec. Ped. General Notes: 0 25 50 100 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. SCoIe In Feet 3. All measurements/setbacks are to the visuaVapparent building footprint. 4. All dimensions to property lines are plus/minus 0.1fl. ` ```�*"%*'NN,ttt This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and O F Q i t I t conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any �� ( r inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the Q�. • • • • •.9S�r/V' existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances •_ 9 should this document be used for construction or for establishing a boundary or fence line. 4 H � As -Built Survey of: i ... .. .. :. .; Lot 1 Wellman Subdivision ................. Pier M. St gier ; Q'i rz= I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or irl.sT 06/4/ 20 under my direct supervision on June 2nd, 2020. rrfloliRo't„ ON;; 'Pao` Frontier Surveys, LLC FRONTIER, 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 SarvCys•. 907.460.1686 - info@frontiersurveys.com PROFESSIONAL SEAL www.frontiersurveys.com MUNICIPALITY OF ANCHORAGE Development Services Department �'� j Phone: 907-343-7904 On -Site Water & Wastewater Section �'�,' Fax: 907-343-7997 Lift Station/Pump Vault Owner Septic Tank: -Sludge level inches Lift station: b v Street Address 3s -oz) T,,� � �2�'1,-�' -Pumping: required e no -Pump basket cleanedren -Control floats cleaned•Operation satisfactory Alarm System: -Pumping completed e no -Effluent filter cleaned es } no -Proper float settings confirmed es no •.s Dedicated electrical alarm circuit es no -Audible and visual alarm inside dwelling es no Alarm system operation sa is acto not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection Isn•Ground water intrusion around pipe penetrations e -Weep hole functional es. no -Manhole lid: Functional (g no Insulated es no Properly Securedes no Other -All manufacturer required inspections and maintenance completed yes no Comments: Qualified Maintenance Provider: Technician >' lz-N4Q �-f Company L Signature Date of maintenance Date 2 Slk • '� Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 �r.. Certificate of On -Site Systems Approval r Parcel I.D. 018-281-23 Expiration Date: 1. GENERAL INFORMATION / Complete legal description WELLMAN LOT 1 Location (site address) 3500 TWILIGHT LANE ANCHORAGE AK 99516 Current Property owner(s) TED WELLMAN Day phone Mailing address Real Estate Agent Day phone 2, TYPE OF DWELLING: x❑ Single Family (w/wo ADU) 6IVi 1 t 4 #-i g [j Duplex L ❑ Multiple Dwellings (Single Family and/or Duplex) JUN 17 2014 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well IN Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ P"b—li- —te. C,M El Public Ccwar ❑ Waiver/Variance request for: NONE q nis}ance- ___ Received by , ✓amu' - - --" Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Waiver Fee $ Date of Payment blit S Date of Payment Receipt Number ObZI6, Receipt Number COSA # 1245 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 Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND 6. DSD SIGNATURE l System #1 Approved for 7 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, Phone 279-3916 Date 6113/14 .,r L E. S?URKLAND.�� • .<�' ys l� 50 � � AFD .lQ�l �'.�.•, r�,�`,�,' with the following stipuI tions. gy. Original Certificate Date: They nicipal' of orage 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 Anchorageis 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 bluesheel f _� - 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: WELLMAN LOT 1 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID #- Date completed 8/1979 Sanitary seal (YIN) Y Total depth 182 ft. Cased to 182 ft FROM WELL LOG Date of test 8/14/1979 Static water level 42 ft. Well production 8 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate .133 mg/L Arsenic NO ug/L Date of sample: 5/27/14 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments Foundation cleanout (YIN) Y Depression over tank (YIN) N Date of pumping 10/24/13 Pumper ISAACS PUMPING Parcel ID -018-281-23 Well Log (YIN) Y Wires properly protected (YIN) Y Casing height (above ground) 12+ in. AT INSPECTION 6/13/14 40 6.1 ft. FI Collected by: ANSON MOXNESS Date installed 6/18/94 Cleanouts (YIN) Y High water alarm (YIN) Y C. ABSORPTION FIELD DATA Date installed 6/13/14 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.5 System type WIDE TRENCF Length 80 ft. Width 5 ft. Gravel below pipe 4'1 ft. Total depth 7 ft. Eff. absorption area 800 ft2 Monitoring tube Y Depression over field N Date of adequacy test NEW Results (Pass/Fail) For _ 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.) (YIN & type) If yes, give date D. LIFT STATION Date installed 6/18/94 "Pump on" level at 42 in. Datum BOTTOM OF TANK E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 1250 "Pump off" level at 32 Cycles tested 2+ Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 25'+ Animal containment areas 50+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Water main NA Wells on adjacent lots 100'+ Manhole/Access (Y/N) Y in. High water alarm level at 44 Meets alarm & circuit requirements? Y On adjacent lots 100'+ On adjacent lots 1001+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ Water service line 10'+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100'+(N.O.) Curtain drain 50'+ (N.O.) Wells on adjacent lots 100'+ F. COMMENTS izty'- Y�uly er c�y� upw�w G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKLAND Date 6/13/14 COSA brown sheet_10.10.12.doc Absorption field 5.+ Surface water 100'+ Water main NA Driveway, parking/vehicle storage 9 101 10 •r• ... ...� E. SPURKJiND; C b 0 r k! 451LH G B HANE A. HOLT�6 LS- 6914,'®G .........' r TWILIGHT LANE EAST 164.83 " t r I 6 e a V I� I`a a\ 4; S!i OwL N 89 58' 39" E 164.82 THE INFORMATION HEREON I5 FOR THE USEIOF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS: AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELTNES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT, ARE NOT SHOWN HEREON( UNLESS INDICATED) NOTE: FENCELINE5 THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL LNPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR WE. a AS -BUILT SURVEY 1" =30' NO CORNERS SET THIS DATE JHEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY F THE FOLLOWING DESCRIBED PROPERTY LOT 1, WELLMAN SUB. ( PLAT 79-75) ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE,ALASKA THIS 17TH DAY OF _]UNE , 2014. HOLT LAND SURVEYING MXI HIGHVIEW DRIYE 12577, FB 164-68 ANCHORAGE/,K 99515 345-5513 q0' P- L'/ 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. # C) \ k - a2t� - D\1 1. GENERAL INFORMATION Complete legal description Lot 1; OIet&an Subdiv.izion 2. 3. 4. Location (site address or directions) 3500 Tw-iUgh# Lane Anchorage AK Property owner Ted WePAman Day phone 345-4654 )ti) Mailing address 3500 TwiZighx Lane Anchoxau AK 99516 Lending agency Mailing add Agent — Address — Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water XXX Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this in ection. Name of Firm Phone S & S ENGINEERI Address 1 �7nze PanlB River Loo oa� No.2 00/ Eagle River, Alaskay/a Engineer's signature Date 6. DHHS SIGNATURE Approved for bedrooms. Ll'2 Disapproved. Conditional approval for Additional Comments berl A. Sbmfv: No. 14.57.9 b� F bedrooms, with the following stipulations: WTIC The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHSdo 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. 72025(RW.1/91) BaOk MOA021 June 20, 1994 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTHAUTHORITY RECEIVED APPROVALS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 2 6 1994 825 'L' Street ,1U L P.O. Box 196650ctpnchorage MwRicipauiy Anchorage, Alaska 99519-6650 g Health &Human Services(' SEWER& WATER Dept. MAIN EXTENSIONS 1 0E ..��f i. ( j REFERENCE: Wellman Subdivision; Lot 1 SEWER & WATER INSPECTION A Conditional Health Authority Approval (HAA) was issued on January 25, 1994 for the referenced property. All work required for the ENGINEERING STUDIES AND REPORTS Conditional HAA has been completed. Attached is the On -Site Wastewater Disposal System and/or Well Inspection Report for your approval. We request you issue a Final WELL INSPECTION Health Authority Approval for the referenced property. & FLOW TEST If you have any questions or require any additional information, please contact us. SITE PLANS ely, ROADDESIGN ®RerP.E. U/jk SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99677 Municipality of Anchorage Department of Health and Human Services it HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ������ �l �\ lam, L� I Parcel I.D. 2� Z� A. Well Data Well typd - k �P, If A, B, or C, attach ADEC letter. ADEC water system number f� ��_�� i Log prese t (Y/ ) Date completed �—I Driller Total depth ( 0� r Cased to SZ� Casing height Z Sanitary s 6 ) Wires properly protecte (/N) FROM WELL LOG AT INSPECTION Date of test g In Static water level Well flow _ _ ti 8. �- o•P•m• Pump levell_._� SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absor tion field on lot t �� � RECEIVED g.p.m�P a JUL 2 6 1994Mullici, . of Anchorage Bect Health & Human Services On adjacent lots ; On adjacent lots 1014— P I 0v Public sewer main I� (� )% Public sewer manhole/cleanout Sewer service line A- Petroleum tank WATER SAMPLE RESULTS: Coliform ZI) Nitrate b' 2/L Other bacteria Date of sample: I - li 'q Or Collected by: -�2 t�6 e— . B. SEPTIC/HOLDING TANK DATA Date install - "9`r Tank size �2 044td L, Compartments ��/� Cleano s (Y ) Foundation cleano&N) Depression (Y6p- Li (Y High water alar (Y N) _ Alarm teste ) ll// 11i Date of pumping �/� Pumper SEPARATION DISTANCES FROM SEPTIC/ ^' TANK TO: �! Well(s) on lot On adjacent lots I cx:� '- Foundation I I IC�t� To property line :Z�(o Absorption field Water main/service line Surface water/drainage j OG 72-026(3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed L0 - 10 I4- Manufacturer Size in gallons 2� Manhole/Access Ve (Y N) "Pump on" level at M "Pump off" Level at High water alarm level 44 1, Cycles tested Meets MOA electrical code Y( /N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot � c;� "r On adjacent lots ( C)(�:D Surface water D. ABSORPTION FIELD DATA 32 Date installed j0 Soil rating (GPD/Ftp) C (o. System type'l�G��� Lengths Width �Jt Gravel thickness / Total depth Total absorption area X5(0+ CIQanloe+tpresen (Y ) Depression over field (Y&�,-J Date of adequacy test IJP Results (pass/fail) 1�-k for Bedrooms Water level in absorption field before testI�11/P After test �In- Peroxide/ treatment (past 12 months) (Y& ✓�-t If yes, give date -)/ A SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ( QD ' 'j— On adjacent lots ( d o 4- Property line i To building foundations To existing or abandoned system on lot _ On adjacent lots �Jfl Cutank NI 0,A t�-- Water main/service line I Z+ / i Surface water t00 '- Driveway, parking/vehicle storage area to - Curtain drain tJ E. ENGINEER'S CERTIFICATION I certify that I have checked, Signature Engineer's Date HAA Fee $ _ Eagle fir, Alaska 99577 Date of Payment Receipt Number 72-026 (3/93)' Back to all MOA and HAA guidelines Waiver Fee $ Date of Payment Receipt Number 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 l.D. # n 1 S't R - HAA # 1. GENERAL INFORMATION "0. Complete legal description Lot 1 • UIet&an Subdivizion Location (site address or directions) 3500 Tw.i,Ught Lane Anchorage, AK Property owner Ted WeU-man Day phone 345-4654 (h) Mailing address 3500 Twitight Lane Ancho&age, AK 99516 257-5300 (w) Lending agency Day phone Mailing address Agent AAA,l c. Day phone 1.4. Y Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: - Individual well XXX 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 XXX Holding tank Community on-site Public sewer' NOTE: If comm unitywastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rm1191) Front MOAM21 x. 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 l.D. # n 1 S't R - HAA # 1. GENERAL INFORMATION "0. Complete legal description Lot 1 • UIet&an Subdivizion Location (site address or directions) 3500 Tw.i,Ught Lane Anchorage, AK Property owner Ted WeU-man Day phone 345-4654 (h) Mailing address 3500 Twitight Lane Ancho&age, AK 99516 257-5300 (w) Lending agency Day phone Mailing address Agent AAA,l c. Day phone 1.4. Y Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: - Individual well XXX 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 XXX Holding tank Community on-site Public sewer' NOTE: If comm unitywastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rm1191) Front MOAM21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation 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. /1 Name of Firm c u. a ENGI NEEM Phone Address Engineer's signature 17034 Eagley4er Loop FAnd No. 214 m952 6. DHHS SIGNATURE Approved for bedrooms. By; Date .4blu`r7 f„ ci:xl:e . Disapproved. X Conditional approval for 3 bedrooms, with the following stipulations: SEF_ E v6/n.EE'RS RECD -c fS7- A e 0 L/r To aF COMPLC-TE9 /vo L4r6R rF-i/gv / Additional Comments 411Th Date 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 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. 72-025JRev.V01) Beck MOAb21 x Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: USF r -(-u 1 46',� -S(T:::> r) f- I Parcel I.D. A. Well Data l Well type ` �� If A, B, or C, attach ADEC letter. ADEC water system number ��/� Log preset ( /N) Date completed g r Driller �oSS2t C L I )moi I I' Total depth 1 8 Z Cased to �F O Casing height I Z l Sanitary sea(Y N) _Wires properly protecte (/N),- FROM WELL LOG AT INSPECTION Date of test I -4 Static water level "" Well flow C��k� I , , �A //w g.p.m. g.p.m. M4D ev Pump levell 6L� U M SEPARATION DISTANCES FROM WELL TO: r Septic/holding tank on lot I (� r ± ; On adjacent lots w Absorption field on lot I Z� + ; On adjacent lots D r+ Public sewer main Public sewer manhole/cleanout Sewer service line 2G Petroleum tank V WATER SAMPLE RESULTS: iYI Coliform o —Nitrate " Z� �--Other bacteria Date of sample: % 4 -% % Collected by: �' S B. SEPTIC/HOLDING TANK DATA 4- C q -l -1 U, -C-- � Date installed Tank size ) Compartments Z Cleanout6Y N) Foundation cleanout (Y/N) Depression High water alarm (/ Alarm tested (Y/N) 0 /i�'- Date of pumping I Pumper S SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I On adjacent lots 10-0 1 Foundation To property line U k Absorption field I D Water main/service line p Surface water/drainage ) o t CONTINUED ON BACK PAGE 72-026 (3/93)` Front E Z r N m m 0 Vf Mo C. LIFT STATION Date installed Manufacturer Size in gallonsManhole ass (Y/N) Vent (Y/N) "Pump on" level at "Pump off" Level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANC ROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA / Date installed S -2-1 Soil rating (GPD/Ft2) System type Length Width Gravel thickness g Total depth I'Z Total absorption area LaCoD Cleanout presen&N) Depression over field (Y4ti Date of adequacy test I - r—� � Results (pas fail for f7 Bedrooms Water level in absorption field before test DY9 ' After test I U u Peroxide treatment (past 12 months) If yes, give date I� SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I Z I : On adjacent lots I D Property line ( D '4 - To To building foundation I o -f- To existing or abandoned system on lot On adjacent lots 4- Cutbank 1J,n �\ � Water main/service line � t Surface water (bO Driveway, parking/vehicle storage area Curtain drain i K__ E. ENGINEER'S CERTIFICATION I certify that I have checked, Signature Engineer's Alaska 94577 Date conformed to all MOA and HAA guidelines in effect on the date of this inspection. / HAA Fee $ 306 r 6FZ) Waiver Fee $ Date of Payment Receipt Number 72026 (3/93)' Back Date of Payment Receipt Number i 5. LEGAL DESCRIPTION L&7i DATE RECEIVED -...._. -._ _ - y INSPECTION APPOINTMENTS -- - <- _. TIME TIME ;TIME ^ ❑ Two ❑ Five DATE / -1 DATE DATE �- - � F r ❑ COMMUNITY since June. 1975. For wells drilled prior to that date, give well-. INSPECT INSPECTOR INSPECTOR ! 11G 8 INDIVIDUAL/ON-SITE** 7� YEAR ON -SITE -SYSTEM WAS INSTALLED._. MUNICIPALITY Dc,' r,i,'ChOP.AGE MUNICIPALITY OF ANCHORAGE �rlPT.G.- DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTION I -i.., /II�C �i,iECTION 825 L Street - Anchorage, Alaska 99501 • ENVIRONMENTAL SANITATION DIVISION 5H28 91 0 Telephone 264-4720 FF Ct�'t Y E 0 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER AA DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) dans for processing. 1. PROPERTYOWNER / PHONE MAILING ADDRESS ��� E IS214 41UC1461e_ �6� /? !t-/ 4j C-(/ PHONE PROPERTY RESIDENT hf different from above) 7_4? 20-T / ✓ 3 2. BUYER 75 14 PHONE MAILING ADDRESS 3. LENDING INSTITUTION; PHONE MAILING ADDRESS 1 072-"Tµ �LLp✓ LT S 4. REALTOR/AGENT PHONE _ MAILING ADDRESS - 5. LEGAL DESCRIPTION L&7i ^T/� ��13 / CeJEc c �o«r✓ STREET LOCATION Gcj1t_161 jr LIh/✓�' /�� � TNJ l f-913if -���r 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ��SINGLEFAMILY ED One ED Four Ell Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY F& Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled. ❑ COMMUNITY since June. 1975. For wells drilled prior to that date, give well-. ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - - -- ---- - - --- 8 INDIVIDUAL/ON-SITE** 7� YEAR ON -SITE -SYSTEM WAS INSTALLED._. ❑ PUBLIC UTILITY - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (R ev. 6/79) y�-}� 012 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ` ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified _ PERMIT NUMBER DATEINSTALLED c INSTALLER ❑Septic Tank or El Holding Tank SizeIf Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER nn TOTAL ABSORPTION AREA MATERIAL Q 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption. Area to nearest Lot Line B. COMMENTS Q APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 012 72-010 (Rev. 6/79) 'LJ BOMHOFF & ASSOCIATES, INC. Engineering - Planning - Surveying 1020 West International Airport Road May 17, 1979 Anchorage, Alaska 99502 UWCtPP�1YG ",,. ;ICY\ON Jao Municipality of Anchorage Environmental Health Division (Sewer and Water) 825 L Street Anchorage, Alaska / ATTN: Lynn Lind u' r -r �a. k� � � SUBJECT: r in Drainfield Trench Lot 1 of BLM Lot 135 (Ted Wellman - Owner) Dear Ly I inspected the Wellman trench today following your observing water in the bottom. According to Mr. Al White, he excavated the trench during the past two days. Frost was encountered from approximately 2 to 6 feet in depth. Mr. White attributes the several inches of water in the trench to meltwater derived from exposed frozen ground. We drilled a 17 ft. test hole and performed a percolation test on April 6, 1979, at which time no water table was encountered. In addition, a test pit last year at the same location did not encounter a water table. In my opinion, the trench water is attributable to thawing frozen ground and/or soils locally saturated from breakup conditions, not a water table. Sincerely, $ ASSOCIATES, INC. PaUl'G. Hansen, P.E. Senior Engineer P GI -I/ j h highways • airports • drainage • planning • shopping centers • subdivisions • streets • water • sewage