HomeMy WebLinkAboutTIMBERLUX #2 BLK I LT 7Timberlux #2 Block I Lot #018-271-35 ff | 'IT cn WELL nsoop» � 15rATE orAL4�Y` ^ � AT ' wurun��ocaoun a� orvwv.m/ u G,voo/u",/xw.n`! . / � � ': 2- 010 NCA or WE! L 7-1 Feel Below Sir rl�e.e 4.. wE L CEPTH, I rinal DATE OP COMPLE1`1014 6. cdble #661 Rotor DrI C' Pored CD 01hp, ol __� «. o,m^ Wv'um_- _—'b�/^ � to—! �—' It. o"p'' it9. FINi$11 OF WELL | | Typ "Mil . � | �._ ^~^w"� /Set IONGen, n rd----�-- i ! '`^ � [_ '^/^~ )o"^ .o,�"~ vn/" ,^o "n, .°,f00Q vax ncm / \ ' _ __ h= p "=pjn v v^ � / | ---- � ' / Pm"� � '� | ' / uw' ^«w/a'm. [� vm,, *� - � � , IV INO bts) of 9A orld bel of; | ' � � / } -_- � _PI TF'S'"i4osss | � Municipality of Anchorage Page of q 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: 60 9 so Isl PID Number: C)l — Z-71 - IS Name: k"Vy htlo &V441E HAArAot� Wastewater System: El New 0 Upgrade Address: i!5:z,-49 LotAc,.Row DejjE Agc"A, kv.. -1%1�, ABSORPTION FIELD Phone: SLA C - 2o3tA [zq z - W3.4 � , No. of Bedrooms: 1 3 ODeepTrench OShallowTrench DBed DMound XOther LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Sq. Ft. Lot: Block: ', Subcli,ision:., —I I Z Depth to pipe bottom from original grade: Gravel depth beneath pipe IvAssr-L V Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: Ft. Ft. WELL: EY ELNew M Upgr Gravel width: Numberoflines: _F DistanTeTMee n lines: .,Sm M Ft. Ft. Classification (Private, A,B,C): ��Pth: Cased To: Total absorption area: Pipe material: Ft. Ft. SQ. Ft. Driller: Date Drilled: Static Water Level: lnstaAllr: + Date installed: Ft. 1 4 Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 0 Septic Q�H �Idmg D S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines A&&_1q04A(j: 3(30.0 welF I Material: Number of Compartments: Surface Water LIFT STATION Lot 14- )2— Size in ga Manufacturer: Line Foundation I + " Pump on" level at: "Pumaz�at: High water alarm at: Curtain Pump m ' —ei aka4-mi5d Electrical inspections performed by: Drain 10 Remarks: BENCH MARK Location and Description: 1-9 M — 6o-r-roms o;r I—o L -4g_ i Ali Pao Assumed Elevation: ENGINEER'S SEAL �v Inspections performed by- Dates:iSt Alaska Water & Wastew r 7320 East Chester HtS. Circle jib.. A- Germ" A horacyp Alaska 99,504 nc Department of He'aiju Ifff'lluman Services approval J, Reviewed and approved by- Date: 72-013 (Rev. 9/91) MOA 25 PERMIT NUMBER: SW980131 PARCEL ID: AS -BUILT DRAWING 018-271-35 A B CO 26.0 35.5 AA/ ELL 16- CO 26.7 32.8 29.5 30.0 A WELL G) ococf) LOT 7, BLK 1, TIMBERLUX S/D #2 r TH#2 (APP X LOC.) + + TH#1 TH13 (APPROX LOC.) FCO (APPR Loc.) 0 4" C 6" CO ALARM —APPROXIMATE LOCATION OF CURTAIN DRAIN NEW %LON HONIINI� AS -BUILT ELEVATIONS TBM = 100.0, BOTTOM OF LOWER WINDOW SILL C SE TO POINT V (SOUTHEAST SIDE OF HOUSE) Lo 1. INVERT AT FCO 94.17 2. INVERT AT TANK 92.67 3. FINAL GRADE = 913.0 4. ORIGINAL GRADE 95.5 PREPARED BY: ALASKA WATER & WASTEWATER "7 - ............. LEGAL DESCRIPTION: TIMBERLUX SUBDIVISION #2, LOT 7, BLOCK 1, TYPE OF WORK: AS—BUILT OF HOLDING TANK UPGRADE e A. —7953 Garness.: PREPARED FOR: PHONE NUMBER: BONNIE HARMON 345-2034/242-4346 _r 110 6, DATE- _7 By. E: 6/11/98 J.L 1 = 40' 2 OF 2 I-fO4 c 6 199 PAGE 1 OF I OF �,r4CVjOgAGE MUNICIPALITY OF ANCHORAGE L� 2f-) p cyr� UNIC�PENTAt.SERVACESDIVlSloN DEPARTMENT OF HEALTH AND HUMAN SERVICES Lz) P.O. BOX 196650, 825 "Ll' STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW980131 DATE ISSUED: 5/22/98 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE: 5/22/99 OWNER NAME:HARMAN RANDY L & BONNIE M OWNER ADDRESS:15245 LONGBOW DR ANCHORAGE, ALASKA 99516 PARCEL ID:01827135 LEGAL DESCRIPTION: TIMBERLUX #2 BLK I LT 7 LOT SIZE: 39883 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: HOLDING TANK 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 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 BY: DATE ISSUED BY: DATE is r ! + 99504 Phone +0 9 90 ., Consulting, May 6, 1998 Municipality of Anchorage Department of Health and Human Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewer Upgrade for Lot 7, Bk I, Timberlux S/D #2. HOLDING TANK To whom it may concern: The existing 3 bedroom house is served by a private well and a septic system that consist of a 1000 gallon septic tank and a 1250 gallon septic tank which are being used as holding tanks. The existing tanks are leaking and need to be upgraded prior to obtaining a Health Authority Approval for the purpose of selling the house. Three test hole were excavated on the property and the soil conditions were found to be unsuitable for an onsite septic (see attached soil logs). Given the site restrictions it is my recommendation that your department allow us to install a 3000 gallon holding tank. The new holding tank will be installed between the southwest house corner and the curtain drain that runs along the south property line. Based upon our assessment of the site there does not appear to be suitable soils, and/or adequate space available, to support a conventional or innovative septic system. An innovative septic system would be a risky installation at best. In short, it is my recommendation that a holding tank be installed. If you have any questions, please contact me at 337-6179. LOT 3, BLK I. 0 AiMBERLUX S/D #2 1 LOT 2, 1 1 LOT 1. 1 TIMBERLUXBLK S/D. #2 TIMBERLUXBLK S/D. #2 LOT 5, BLK 1. oo TIMBERLUX S/D #2 SERVED BY PRIVATE LOT 6, BLK I. WATER AND SEWER' '\ \ 1 PER M.O.A.RECORDS TIMBERLUX S/D #2 E WELL I WELL LOT B. BLK F, TIMBERLUX S/D #2 0 - LOT 7. BLK I. G LOT 11A BK I TIMBERLUX S/D #2- TIMBERLUX P4 EXISTING SEPTIC TANK --- - ------ NE ------------- PROPOSED 3000 GALLON HOLDING TAN LOT 8, BLK I. TIMBERLUX S/D #2 LOT 10, BLK I. LLJ TIMBERLUX S/D #4 > SERVED BY PRIVATE WATER AND SEWER WELL RECORDS WELL 100'+ FROM PROPOSED HOLDING TANK LOT 5, BLK D, 0 TIMBERLUX S/D #2 mi zl LOT 9, BLK 1, 0, TIMSERLUX S/D #2 I TIMSERLUX SUBDIVISION #2; LOT 7, BLOCK 1, TYPE OF WORK: SITE PLAN PREPARED FOR: PHONE NUMBER: BONNIE HARMON 345-2034/242-4346 ELL WELL LOT 7, BLK 1, TIMBERLUX S/D #2 TH#2 + (APP IT X LOC.) + TH#1 TH13 (APPROX LOC.) (APPRO LOC.) I&W, WIN \-APPROXIMATE LOCATION OF CURTAIN DRAIN DITCHLINE. HAS SURFACE WATER THROUGHOUT YEAR. �lffl� CO 1* 0. CO CO UO GALLON TANK- 9 TANKS COMPLETELY a ess: —7953 rofess'%O�\45 ALASKA WATER & WASTEWATER - 7320 E. CHESTER HTS. CIRCLE * ANCHORAGE, AK. 99504- PHONE 9504PHONE (907) 337-6179 * FAX (907) 338-3246 FS -01L LOG - PERCOLATION TEST LEGAL DESCRIPTION: TIMBERLUX SUBDIVISION #2; LOT 7, BLOCK 1, PERFORMED FOR: BONNIE HARMON DATE PERFORMED: 5/4/98 DEPTH TEST HOLE #1 (feet) , 01 FILL ' a SM/GM q SOME ORGANIC r ROOTS/STUMPS "'j SOIL CLASSIFICATIONS 2 ORGANICS GW ORG FEAT/ROOTS GP ML 1 y GM 1f CIL GCOL SW F MH 5— SP 7 77 CH ll!�ML rr, SM OH DENSE/WET (SATURATED) Sc 7 8 9 10 11 12 13 14 15 16 17 18 SITE PLAN I"= 100' DATE I READING I CLOCK I NET TIME I WATER LEVEL I NET DROP TIME (MINUTES) READING (INCHES) 19 PERCOLATION RATE 20 TEST RUN BETWEEN COMMENTS: UNSUITABLE FOR ON—SITE WASTEWATER PERFOMED BY ALASKA WATER & WASTEWATER 1, _y THIS WAS PERFORM TD/IN ACCORDANCE WITH ALL STATE DATE. DATE:C;-ht/19 1 19 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES) FT. AND /I — FT. (X CERTIFY THAT UNI bWALIGUIDELINES IN EFFECT ON THIS � ALASKA WATER & WASTEWATER 7320 E. CHESTER HTS. CIRCLE * ANCHORAGE, AK. 99504 PHONE (907) 337-6179 - FAX (907) 338-3246 [-SOIL LOG - PERCOLATION TEST] LEGAL DESCRIPTION: TIMBERLUX SUBDIVISION #2; LOT 7. BLOCK 1, PERFORMED FOR: BONNIE HARMON DATE PERFORMED:—... 5/4/98 DEP " " I =#2 I FILL TEST H� (feet)TH Hl,"'l,l SM/GM ORGANICS PEAT/ROOTS SOIL CLASSIFICATIONS 2 — W/ SP POCKETS Qt1 GW ORG 3 GP ML GM L //4" CL 4— B.O.H. GC OL SW MH /X SP 5 ID I CH SM OH p"N 2�44447;4 6 — RIA" SIC 7 8 9 10 11 12 13 14 15 16 17 18 WELL N //A LLCFT cl I LUX S f2 LDrArm OF cuffrm D"" DATE READING CLOCK I NET TIME WATER LEVEL NET DROP I I TIME (MINUTES) I READING (INCHES) I 19 PERCOLATION RATE 20 TEST RUN BETWEEN COMMENTS: UNSUITABLE FOR ON—SITE WASTEWATER PERFOMED BY ALASKA WATER & WASTEWATER 1, THIS WAS PERFORMEf IN ACCORDANCE WITH ALL t DATE. DATE: ti le16l (MIN./INCH) FT. AND / FERC. HOLE DIA. 6" (INCHES) — FT. I CERTIFY THAT ICIGUIDELINES IN EFFECT ON THIS � ALASKA WATER & WASTEWATER - 7320 E. CHESTER HTS. CIRCLE * ANCHORAGE, AK. 99504 PHONE (907) 337-6179 * FAX (907) 338-3246 [-SOIL LOG - PERCOLATION TEST] LEGAL DESCRIPTION: TIMBERLUX SUBDIVISION #2; LOT 7, BLOCK 1, PERFORMED FOR: BONNIE HARMON DATE PERFORMED: 5/4/98 (feet) EPm— (feet)TH TEST HOLE #3 a SM/GM ']FILL 21 6 7 8 9 10 11 12 13 14 15 16 17 18 SOIL CLASSIFICATIONS DEPTH TO DATE GROUNDWATER1 1 3- 1 5/4/98 1 I SITE PL I" = 100' WELL LOT 7. ERX I. TFMBMWX S/D f2 % LOW= OF amxm mm DATE I READING I CLOCK NET TIME I WATER READING LEVEL I NET DROP TIME (MINUTES) (INCHES) 19 PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. 6" (INCHES) 20 TEST RUN BETWEEN FT. AND I FT. COMMENTS: UNSUITABLE FOR ON—SITE WASTEWATER DISPOSAL WEM,_l/l PERFOMED BY ALASKA 'WATER & WASTEWATER 1, G CERTIFY THAT THIS WAS PERFO!ID /INACCORDANCE WITH ALL STWT1�r6tNICIPAe GUIDELINES IN EFFECT ON THIS DATE. DATE: ey GW ORG I ML GP i I GM CL GC OL 6, 1 W 6J SW MH 7Z Sp CH N1. t 0 SM OH SIC DEPTH TO DATE GROUNDWATER1 1 3- 1 5/4/98 1 I SITE PL I" = 100' WELL LOT 7. ERX I. TFMBMWX S/D f2 % LOW= OF amxm mm DATE I READING I CLOCK NET TIME I WATER READING LEVEL I NET DROP TIME (MINUTES) (INCHES) 19 PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. 6" (INCHES) 20 TEST RUN BETWEEN FT. AND I FT. COMMENTS: UNSUITABLE FOR ON—SITE WASTEWATER DISPOSAL WEM,_l/l PERFOMED BY ALASKA 'WATER & WASTEWATER 1, G CERTIFY THAT THIS WAS PERFO!ID /INACCORDANCE WITH ALL STWT1�r6tNICIPAe GUIDELINES IN EFFECT ON THIS DATE. DATE: ey 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 Name L(19 iA $//j� DISTANCES FROM TO SEPTIC TANK ABSORPTION FIELD WELL Address A /l0&'7 � y � � WELL Phone(s) lot/ Permit No. No. of Bedrooms LOT LINE F LEG AL DESCRIPTION Lot Block Subdivision ,.t. 'W FOUNDATION I ^� J� Township, Range, Sec on % r�r% d�• AS -BUILT DIAGRAM (Show location of well, septic system, property lines, foundation, driveway, water bodies, etc.) TANKS y� ❑ SEPTIC HOLDING Manufacturer AN Capacity in gallons Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade FT Total depth from original grade FT Fill added above original grade FT Gravel depth beneath FT 10 i S' 0 Gravel length Gr dth FT Total absorption area SO FT Distance between lines FT Number of li Soil rating SO FT Pipe material Installer k Date Installed WELLS tS iAf ❑ PRIVATE ❑ OTHER (ldentifv) Classification (A,B,C) Total Depth FT Cased to FT Installer Date Installed: REMARKS: 18P -r; e t,il"r WA 23474/0 U 14 Scale• JJVENGINEER'S SEAL �: • j 6 Inspections Performed by oWa A Date: i r I - ceriif. that this inspection was performed according to all Municipal and State guidelines in effect on this date: /0 �✓ r Health Department Approval: &Zr Date: v f/ MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 825 L Street, Anchorage, Alaska 99501 343- 90V olf ON-SITE HOLDING TANK PERMIT Permit Number: 880194 Upgrade Date !ssued: 09/19/88 Owner Name: RANDY L. HARMAN Day Phone: O�'`cr �ddress: PO BOX 110672 349-6476 ANCHORAGE, AK 99511 Parcel Id: O18-271-35 Lot Legal: Subdivision: TIMBERLUX #1 Lot: 7 Block: I Section: 34 Township: 12N Range: 3W Lot Size 0.92A (sq. ft. or acres> Max Bedrooms: This Permit: 3 Total Capacity: 3 HOLDING TANK: Minimum Tank Size: 2,000 qallons. A high water alarm must be installed on the tank and connected to the residence" Depth to top of holding Lank < 4.0 feet requires insulation over tank. THI8 PERMIT IS 18SUE:0 FOR A SINGLE FAMILY RESIDENCE ONLY AND EXPIRES 12/31/81. 'now/�����|m��u�����*/� I CERTIFY THAT: - 1. l am familiar with the requirements for on-site sewers and wells as met forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I mill install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. S. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargement will require an additional permit. DATE: -7----------~-------�J-----`----------- --------------- (Qwner) R�NDY L. HARMAN �� ]`sued By: DATE: A C S ALASKA RUIROWnTAL COMOL SRUIRS, InC. Engineering & Enuironmenial Studies September 1, 1998 Randy Harman Harman Excavating, Inc. P.O. Box 110672 Anchorage, AK. 99511 Re: Lot 7, Block I, Timberlux Subdivision Dear Mr. Harman 1 -Ing your I have inspected your lot for an area that would be suitable for upgrading existing system. I could not determine any area that was presently suitable for a system. It appears that with some water flow management that you could possibly make the western yard area acceptable for an on-site system, seve-ral years in the future. The peat system that we talked about would probably be one that could be used, if the MOA approves it. However, presently, the best thing for you to do would be to install a holding tank. The MOA issues the permit. You will need a visual and audio high level alarm which gives you 300 gallons of additional storage after the alarm sounds. The tank size for your 3 bedroom house would be 2,000 gallons. If you have any questions, please let me know. cc: Dan Roth, MOA--.,—,-,,) Sincerely, r-�fP1E Leroy , Reid 7r., PhD President 1200 West 33rd Auenue, Suite B & Anchorage, Alaska 99503 a ( 907) 561-5040 MUNICIPALITY OF ANCHORAGE D EPAIRTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL. ENGINEERING DIVISION tr V4 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT --O NAME PHONE NEW _/Oi6d DUPGRADE MAILING ADDRESS P. 0. Box 10-515 Anchorar-,,-e, Alaska 99-511 i-EGAL DESCRIPTION Lc'i f OCATION NO. OF BEDROOMS Well losorption area= Dwelling PERMIT NO DISTANCE TO: Z Manufacturer Material No, of compartments LJ < ~T -i. V) -K capacity in gallon IF HOMEMADE: Inside length Width Liquid depth C3 _j z DISTANCE TO: Well Dw0fDwellingPERMIT NO. 0 < Manufacturer Material Liquid capacity in gallons LUT Well DISTANCE TO: Foundation, Nearest lot line PERMIT NO. Lu iA zNo, of lines Length of eachwidth Total length of lines Trench wid Distance between lines z �5 CC 4=17405 cc f finish d Top othe to nsgrade Material beneath life effective Total effect absorption area _44 -2, inches Length Width Depth PERMIT NO. vi 0 I— Type of crib Crib diameter Crib depth Total effective absorption area U Well Building foundation Nearest lot line DISTANCE TO: Class r Depth Driller Distance to lot line PERMIT NO, Building foundation Sewer line Septic tank Absorption area(s) STANCE TO: OTHER T7_ _T1'PE 5a T, -:_RIALS SOIL TEST RATING misTALI-1-:171 v. rr Fi EINAAR KS 7,47 7n 606 so& David' , Korman W'j. I 19&E UA I L LtUAL A PPFI 0 V E D IN DEPARTMENT Of EAL_TH AND ENVIRONMENTAL F 5 L: STREET, L , AN CH€_€F!!€7E: HES:.. 99501 264-4720 PERMIT NO. ( 790013 iF'F=`L_ :€: €t:ENT E'ANC:=°F' C •fit'E€^t•ty':4.i ..w "E €a€NE .€ it i 1"F CIRCLE :L_.E 100 _E€aAE._. L.7 BLK I T I MBERL!_ X _ /D LOT SIZE ._:'9 .y .w. €. QUARE": FEET -YPE OF SOIL ABSORBTION SYSTEM IS: DRAINFIELD 1A I Mi, M NUMBER R OF L..EC:,E".gOMS = - SOIL RATING (SO i" T..°- `BR) = 190 HE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: _6. TEE LENGTH DIMENSION I °S THE LENGTH H K I N FEET) OF THE TRENCH OR L:=RA I NE_ I E !__D. THE DEPTH OF H TRENCH H €_€R PIE IS THE DISTANCE BET E EEEN ° THE SURFACE ACE OF THE: GROUND AND THE BOTTOM M €vtF THE EXCAVATION _:. I N'd FEET), THE GE~:H'<<°'EL DEPTH IS THE MINIMUM DEPTH t:T€E GEr'EiVEmL" BETWEEN THE Of_!TFAL_.L. PIPE: AND THE BOTTOM OF THE EXCAVATION K E E's FEET). pp _ ... CA �: I i ^ 'EEr M I T APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING T')."!E::: N _E;TALE._AT I ON INSPECTIONS €w€F ANY WELLS ADJACENT CE:NT TO THIS PROPERTY AND THE E!_bMBER OF RESIDENCES THAT THE WELL WILL. SERVE. :H€._ KF I LL. I N G OF AN'd°T SYSTEM WITHOUT FIN' AL_ INSPECTION AND APPROVAL AL BY THIS EF'ART MEN•dT WILL BE SUBJECT T€.€ PROSECUTION. i I N I N°1im M DISTANCE BETWEEN•d A WELL AND ANY ON—SITE SEWAGE DISPOSAL F'OSAL.. SYSTk: M IS 20 FEET FOR A PRIVATE WELL; OR .00 TO 200 FEET FES'€::€M €=! PUBLIC WELL DEPENDING !_!PON THE. TYPE OF PUBLIC WELL. !ELL L€4€GS3 ARE:. REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT :NT W_!:THIN 10 D!"!°'r`S IF THE WELL. COMPLETION. €THE € ` REQUIREMENTS MA'r APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS AREw. MAILABLE TO INSURE RE PROPE R INSTALLATION. CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS AND WELLS AS SET ORTH BY THE: MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM M I N ACCORDANCE CE WITH THE €:.:ODE' I UNDERSTAND THAT E THE ON—SITE 'SEWER SYSTEM N` AY REQUIRE ENLARGEMENT IF THE ;L_ 'ESI DEN• CE IS REMODELED TO INCLUDE CLt_lDE N'1ORE THAN 3 BEC:°R€.€€_€MS 'l t=lE'° PL I s:::iIN �FtN'di.:°''r' Ht=tRNI€,`tN•,E SSUED °., s- —V 3. V ` '� ' y_���� �</ . ' 01 k_j -T kw" C�A F07 50 54 C2 VA k 10 F1 C3 E -E ' DEPHRTMEWT OF HEALTH FIND ENVIRONMENTAL PROTECTION 0 C3 825 \2~ 825 'L' STREET, ANCHORAGE, HK 99501 / 264-4720 171 hi --- YT, I_T- Ev On Eo L4 E= FQ F" EEE IT: &I I -I- PERMIT NO. ( 780972 ) IPPLICHNT RANDY HRRMOM 2045 STONEGHTE CIRCLE 349 1016 'OCHTION LONGBOW DRIVE -EGHL L7 BI TIME9ERLUX 5UBD LOT SIZE ]988] SQUHRE FEET 'YPE OF SOIL ABSORBTION SYSTEM IS: DRH%NFIELD 1RXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 190 'HE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ' Dw Eo������= THE LENGTH DIMENSION IS THE LENGTH (IM FEET) OF THE TRENCH OR DRHINFlELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IW FEET). -F- ki E=7 7- FT? EP44 (0 t-1 hi I E0 7- 41 1 "S 15' 1702SK21 F=4=0=77F THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). ��(of �j I Fy? E=1 K", ����1 1"; �K 14 K !=w I ly! E=i= "I CA CA ED C3 FA L_ L_ CA t4� 'ERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE NSTHLLHTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE UMBER OF RESIDENCES THAT THE WELL WILL SERVE. _--- --- 0- txi K3 < Ili I I 00—E7 F=:E-: -I- I Clr4l& FA FR En F 0 E 0�L J 1 1; �; �� :HCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS 1EPHRTMEWT WILL BE SUBJECT TO PROSECUTION. 12NIMUM DI5THNCE BETWEEN Fl WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS .00 FEET FOR A PRIVATE WELLj OR .50 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL /THER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE iVAILABLE TO INSURE PROPER INSTALLATION. �EEE F0 011 -T- E07 lot F01 I F;? E07 "Ey 11, EE C3 E7 P1 E? EE F?? �11-" �low J, *0 CERTIFY THAT .� I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET 'ORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I UNDERSTAND THAT THE OW -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE :ESIDENCE IS REMODELED TO INCLUDE MORE THAN 2 BEDROOMS. J8NED: _________ T. H. No. 1 9-28-78 Organics w/some Organic 0.0' b.' Silt, moist, loose, o brn . Silt: w/some Gravel &—S a n 'T, occ Cobble, sl moist, loose, graybrn. (ML -GM) 0. .o 5.0'AB 1430hrs 9-30-78 • Q Sand: w/some Silt & Gravel, sl moist, loose to med dense, ZD.' - Sd pred fn to med, graybrn. CO: • o 8.01 8.5 AB 1515hrs 9-28-78 Gravelly Sand: w/some Silt, occ Cobble, sl moist, dense, Sd pred fn to med, graybrn. (GM) -12.0' 13.0'WD 1500hrs 9-28-78 Sandy Gravel: w/some Silt, scat Cobbles, occ boulder, sl moist to wet, dense, Sd pred fn to crs, graybrn. (GM) 17.0'TD Note: Augers pulled at 5.0' and 10.0'. Soil from bottom of hole retrieved from lowest auger flight. In both cases soil was slightly moist and did not give indication of water table. Test Hole Boring Logs represent soils encountered on: Lot 7, Block I, Addition No. 3, Timberlux Subdivision, Anchorage, Alaska. Michael B. Bergmann Consulting Geologist Box 191, Star Route A Anchorage, Alaska 99502 (907)344-9150 T. 11. No. 2 9-28-78 _Organics: w/some Organic Silt, moist, loose, brn^ _ _ 0.5'- Silt: w/some Gravel & Sand, occ Cobble, sl moist, loose, graybrn. \ (ML -GM) 2.51 Sand: w/some Gravel & Silt, occ Cobble, sl moist, med dense to dense, Sd pred fn to med, graybrn. V (SM) Augers pulled @ 10.0' - �1 soil on last flight sl moist. a. 11.0'AB 1745hrs 9-28-78 O. Note: Augers pulled @ 13.0' - soil on bottom auger flight was sl moist. 13.0'TD Note: Water table is present at greater depth than 13.0' as soil at that depth gave no indication of water table, since it was only sl moist. After completing test hole to 13.0' total depth, driller only cleaned hole to 11.0' depth. On observing bottom of hole after pulling augers depth was 11.0' and water was seen to be rising thru the unremoved soil in bottom of hole. Water level appeared to stabilize at 11.01. Note: In both test holes the water table appears to have some artesian pressure so that when the con- fining overburden is removed the water will enter the test hole from approximately the 13 foot level. � SOILS LOG ~ MUNICIPALITY OF ANCHORAGE O PERCOLATION - Tesr Pouch 6-650, Anchorage, Almslkae95o 276-2221 SO!LSLOG-PERCOLAT|ONTEST PERFORMED FOR: Date Gross Time DATE PERFORMED: Depth to Water Net Drop LEGAL DESCRIPTION ax— suzps SITE PLAN T--T- l �--�-�'�+--'�--�-�----�-���--- 3 4 ` 5 G [ 7 8 | | | - - 9- 10 lO ii WAS GROUND WATER S Eu/ l-�_� �--- / _ 12 ^P---- ---- - e | IF YES,ar n�r w �� DEPTH? 13 | ' 14- 15 4 15 � 16� | . / 17 coMmsmrc ,V PERFORM soBY: I_,_,- I 11~"~ '-I'll Reading Date Gross Time Not Time Depth to Water Net Drop PERCOLATION RATE_ rE§TRUN BETWEEN CERTIFIED BY: __(m/n"tes/imm) FT AND _____~Fr T NlUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch &650, Anchcraga, A!.-ska 99502 276-2221 SOILS LOG - PERCOLATION TEST VSOILS LOG PERCOLATION TEST PERFORMED FOR: DATE PERFORMED i 17 CJ 10 12 13 14 - 15 17 18 19 20 zx WAS GROUNDWATER ENCOUNTERED? IF YES, AT WHAT DEPTH? '2 0,11 r- [4 0, L E L 'D zj- I-, ReadingDate Gross Time rN, 0 t Time Depth to ter Net Drop TEST RUN BET4NEEN FT AND FT 'C'MMEN1 S PE13FOHN-IED BY: PERCOLATION RATE (minutes/inch) TEST RUN BET4NEEN FT AND FT 'C'MMEN1 S PE13FOHN-IED BY: CERTIFIED BY: DATE: October 11, 1978 Lot 7, Block I, Addition No. 3, Timberlux Subdivision, Anchorage, Alaska Percolation test performed September 28, 1978, on Test Hole No. 2, by filling the 6 inch diameter, 13.0 feet deep test hole (Test was performed on interval 0.5 feet to 11.0 feet as 2 feet of drill cuttings remained in hole) with water, and measuring the water level drop periodically for one hour. TABULATION OF PERCOLATION TEST RESULTS TIME LEVEL(inches) DROP(inches) ET(min) RATE(min per inch) 1810 6.5" start start start 1820 10.25" 3.75" 10 2.6 1830 12.0" 1.75" 10 5.7 1840 13.0" 1.0" 10 10.0 1850 13.5" 0.5" 10 20.0 1900 14.5" 1.0" 10 1.0.0 1910 15.0" 0.5" 10 20.0 Average percolation rate for entire hour = 7.1 minutes per inch Average percolation rate for last one half hour = 15.0 minutes per inch Michael B. Bergmann Consulting Geolgist Box 191, Star Route A Anchorage, Alaska 99502 (907)344-9150 N00006'03"la 197.79' Utility Easement ' 0 r - - �r Ln TH#1 TH#2 42' 86' M � O N O N O r -i N Lot 7, Block I, Addition No. 3, Timberlux Subdivision, Anchorage, Alaska w Ln Ln Ln ri rn U) Lr)0 0 N 0000 z 171.45' 0 Longbow Drive M _ R=800.00' NOT TO SCALE Distances are approximate and have not been measured by surveying methods as to locations of test holes. Michael B. Bergmann Consulting Geologist Box 191, Star Route A Anchorage, Alaska 99502 (907)344-9150 W I DRILLING., INC. A"'M\X1!PAL1Ty C'F Ar!i- ' �'OUGE DEPT DRILLING LOG cell 0wner_____Randv HarmonL Use &f W611' D'Mi� Location (address of: Township, Range, Section, if known; or distance main road-__'_ Lot 7 Block 1 Timberlux #2 Subdivision, Anchorage ze of casing-_ 6" Depth of Hole___L4.0____feet Cased to-_10-0-8—feet vatic water level _ft. (aNXX4 (below) land surface. Finish of well (check one) open end Screen ( Perforated ( XX ). Describe screen or perforation N= 60 np-rfc),rnt-ions from .71 -68 ft-_ 'ell pumping test at 3—gallons per (hMR� (minute) for-_-1——hours with -100% —Y-9. of drawdown from static level. ate of completion — 3/17/79 epth in feet from ,ound surface Give details of formations penetrated, size of material, color and hardness 0 TO 2 Casing stickup 2 .--- TO— 3 Organics 3 18 Silty gravel 18 ____ TO 23 Damp gravel 23 TO 41 Hard pan till - 41 —TO 67 Silty hard pan 67 TO 69— Silty water gravel 69 __-TO 93 Cobbles 93 TO_ 140 Bedrock: water seeps in sporadic fractures throughout -TO -TO -TO Municipality of Anchorage Development Services Department Building Safety Division M^ x On -Site Water and Wastewater Program =S A' E T Y 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-271-35 HAA # 0 3 O Cv 14 Expiration Date: - 9 - 0 '7L 1. GENERAL INFORMATION Complete legal description Lot 7 Block I Timberlux Subdivision No 2 Location (site address or directions) 15245 Longbow Drive Current Property owner(s) Nancy Reeder Day phone 345.8355 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 15245 Longbow Drive Anchorage, AK 99516 Day phone Jody Moses Day phone 562-6464 Prudential Vista Real Estate Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Three 3 TYPE OF WASTEWATER DISPOSAL: ® Individual On-site ❑ ❑ Individual Holding tank ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineerinq Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson P.E. Date 121312003 sAr F fir'. 49th '♦ �k'; MICHAEL E. ANDERSON 5. DSD SIGNATURE �i� s NO. CE -4381 LL/Approved for 3 bedrooms. 4 Disapproved. Conditional approval for bedrooms, with the following stipulations: <<tcrrcrrrrrr� Additional Comments ON SITE WATER ANDm �^:�iaTE1A1AT�' PROGRAM J Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By:Original Certificate Date: (Rev. 12/00) D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "29� -- Ss9° 53' 57'W Holdim Venj I HERE®Y CERTifY TMAT AN ACCURATE 5VRVEY OF UE —.: .4 nF POLLC�+IHG Ot9��iE^�O PRODER7Y -� .•�.�,��.e���� LOT 7, BLOCK 11�•''�`�?,'':''�, �,� $ 771MOERLUX SUED. ADD• 2 p t�' �' •,�' 0 WAS MADE on March 24 19WAxD THAT THE IV t+RE ED FOR: JO $.b .ayaaa.pfaOaLgf` " pQQVEIdt;NTS SITUATED t?(EREON ARE vlTxifi TXE i�cP- ��s..�• � ERTY LITIEs, AN0 Do 1OT WERLAP OR EYCROACH 0i� THE Frte G. ~ RCvERTY LYI>u6 ADJACENT TtLRETR,TNA7 310 IN S .WK G. p ; cad BUILT '. IS A7M a AS BUIL` CH pjZ0pCMTy LYING ADJACENT TIAEKET9 ENCROACA ON T� � d� •� �� J�� OAM, L r1 VILE N0. IN DUESTIGI A710 TIL'E T TNERE J�AO RCt&OX►TS, �a.�'9�Da"a'°��.►►+°''• TICAxSuuSkOK LINES Gsa OTHER V"U'LL EAStA MYS bu �a��'OfFSStCNAL�'A.y,'�' $A IO aft�ERTY EkCt➢T 13 __��S//KO�N. �,/ I n� � „n' w,r,..,,,,,,�y.�,�r..ro.a AKCKORAGE, AIOSKA�TKlSZ4T/7 OAY CF /r/4!'Gfl� 3L7 ax, t I HERE®Y CERTifY TMAT AN ACCURATE 5VRVEY OF UE —.: .4 nF POLLC�+IHG Ot9��iE^�O PRODER7Y -� .•�.�,��.e���� LOT 7, BLOCK 11�•''�`�?,'':''�, �,� $ 771MOERLUX SUED. ADD• 2 p t�' �' •,�' 0 WAS MADE on March 24 19WAxD THAT THE IV t+RE ED FOR: JO $.b .ayaaa.pfaOaLgf` " pQQVEIdt;NTS SITUATED t?(EREON ARE vlTxifi TXE i�cP- ��s..�• � ERTY LITIEs, AN0 Do 1OT WERLAP OR EYCROACH 0i� THE Frte G. ~ RCvERTY LYI>u6 ADJACENT TtLRETR,TNA7 310 IN S .WK G. p ; cad BUILT '. IS A7M a AS BUIL` CH pjZ0pCMTy LYING ADJACENT TIAEKET9 ENCROACA ON T� � d� •� �� J�� OAM, L r1 VILE N0. IN DUESTIGI A710 TIL'E T TNERE J�AO RCt&OX►TS, �a.�'9�Da"a'°��.►►+°''• TICAxSuuSkOK LINES Gsa OTHER V"U'LL EAStA MYS bu �a��'OfFSStCNAL�'A.y,'�' $A IO aft�ERTY EkCt➢T 13 __��S//KO�N. �,/ I n� � „n' w,r,..,,,,,,�y.�,�r..ro.a AKCKORAGE, AIOSKA�TKlSZ4T/7 OAY CF /r/4!'Gfl� 3L7 Municipality of Anchorage Development Se^ces Department Building Division �^ ^ 1 5 *AE T Y On -Site Water & Wastewater Program` ` —_ Qouth __~_ SL PI.BoxQ0�1�[�2�Q/`.�` , ' ';-----'------°-''- ` 343'7BD4 /QO7\`www , . [~�AT|F|��T� O� HEALTH AUTHORITY _APPROVAL,. -- ' - — � �� /\ �� �� DWELLING ' / (][� �^ ~��[�(��� FAMILY `- Parcel I.D. 018-271-35 1. GENERAL INFORMATION Expiration Date: ' Complete legal description TIMBERLUX SUBDIVISION #2; LOT 7, BLOCK I Location (site address n[directions) ' Current Property owner(s) NANCY REEDER Day phone 345-8355' 15245 LONGBOW DRIVE ' ` Dayphone ` JEFF STANFORD Day phone `'^ ` RESIDENTIAL MORTGAGE Unless otherwise requested, HAA will baheld bvDSD for pickup. 2. -NUMBER OF BEDROOMS: 3— Individual Well Individual On-site n Individual Water Storage � Individual Holding tank Im Community C|oss___VeU [� Community On-site [� Public Water System Public Sewer The Municipality of Anchorage DevelopmentServices Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request tohomeowners. CertifioateaofHealth Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may bureissued with new water sample results less than 3Odays old. (Certificates may bereissued for operiod of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $800.00 at, or prior to closing for the engineering services provided 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health AuthorityApproval 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 andlor 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 213 * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E.Date ( 2 D/ Engineers Comments: In conducting this evaluation, AWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA o� DSD Guidelines & Regulations. The reported results described the performance of the op -4=7 • ' ..• 44 system under the conditions encountered at the time of the test, and separation p distances measured to readily identifiable features. The operational life of all wells and 0 * H •. •., y* septic systems depend on the soils condition, r levels that may These conditions are outside the coo ntrol of the evaluator o thea tem. Satisfactory test • . ...: • ..... • • .` fluctuate during the year, and the water usage of the farm beingserved b the system. 0 ys ry ' results do not guarantee future performance of the system, nor do they guarantee thatf re Gar s there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide �Q m • C 7953 •' o Q any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any @P�d P, o f e s si°1DO other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE k'" Approved for _ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other It{{{(t!llttrr/rr��� J • ON-SITE ; WATER AND : M WASTEWATER PROGRAM R �JO • � 0�,�,1 TS�, )11� By: Original Certificate Date: (Rev. 12100) D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump Off" i.OJ_ ater alarm level at in. 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. # 018-271-35 HAA # fl�vp-� r)lr__� 1. GENERAL INFORMATION Complete legal description Lot 7_; Block I; Timberlux Subdivision #2 Location (site address or directions) 15245 LongbowDrive A�nc forage , Au Property owner Bonnie Harman Day phone 562-3050 Mailing address P.O. Box 110515 Anchorage, AK 99511 Lending agency Day phone Mailing address Agent Janice Mitchell/Prudential Vista Day phone 562-6464 Address _ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: XX 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 XX 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 k21 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 syAp&A%i%WWjance with all Municipal and State codes, ordinances, and regulations iWIf on,the date o>,tHi I infection. Name of Firm Address Engineer's signature 6. DHHS SIGNATURE _JZ_ Approved for Disapproved. THI_ bedrooms. Conditional approval for Additional Comments M Phone �� Date +las r OF A f bedrooms, with the following stipulations: Date G -S_-6;q The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA 021 U. SAr"1-7."~°=^IM � ' Date installed Public sewer main �?-- v Public sewer manhole/cleanout A) 11A Sewer /septic service line a-5 4- Lift station 6z— line 4- Absorption field Foundation (9v c' Property 10 ib M Property line ' Building foundation VVaternlan/aervicm line Surface water Driveway, parking/vehicle storage area Curtain dr Wols on adjacent lots F. ENGINEER'SCERTIFICATIM4/// 5. LEGAL DESCRIPTION l ti DATE RECEIVED v4 _ INSPECTION APPOINTMENTS .; TIME TIME TIMIE SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five DATE Three ❑ Six DATE DATE INDIVIDUAL* * ATTACH WELL LOG. A well, log is required for all wells drilled ❑ COMMUNITY _ INSPECTOR_ depth (attach log if available.) INSPEC17L INSPECTOR k 1A INDIVIDUAL/ON-SITE** /97 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE i DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOWEPT Gk I G: 825 L Street - Anchorage, Alaska 99501 ENVIRONNILi 4 L; ;`.CTION ENVIRONMENTAL SANITATION DIVISION tAAR I 1 1980 € Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE-"- _�Wlvjlo _ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1..�ROPERTY OWNER , PHONE MAILING ADDRE 2. Q) . \ t), PROPERTY RESIDENT (If different from above) PHONE 2. AUYER01 PHONE MA�ING ADDRESS _ 3. LENDING INSTITUTION PHONE MAILING ADDRESS �°•ti, Y y � 4. REALTOR/AGENT ;. PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION l ti v4 _ ST�MET LOCATION 6. TYPE OFR DENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER §UPPLY 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 1A INDIVIDUAL/ON-SITE** /97 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-0117 (Rev. 6/79) „� J THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE El SINGLE FAMILY 0 MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ED THREE ED FIVE El OTHER E:1 TWO 0 FOUR El six 2. WATER SUPPLY 0 INDIVIDUAL El COMMUNITY 0 PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ED INDIVI DUAL/ON -SITE E-71PUBLIC UTILITY Connection Verified — PERMIT NUMBER DATE INSTALLED INSTALLER E:]Septic Tank or El Holding Tank Size: 1000 If Tank is homemade give dimensions: SOILS RATING 10( TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL A -a 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 6�APPROVED FOR BEDROOMS 0 CONDITIONAL APPROVAL (letter must accompany certificate) El DISAPPROVED DATE BY 72-010 (Rev. 6/79) 0 Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 May 8, 1990 Mr. Carey S. Meyer, P.E. Tryck Nyman & Hayes 911 West Eighth Ave. Anchorage, AK. 99501 Dear Mr. Meyer: Following a site visit and careful review of the proposed curtain drain installation for Mr. Harman's lot, I find that my original concerns remain. These are: separation from the septic system to the point of discharge, if the road ditch is now or will become a stream, and the impact the proposed drain will have on development of neighboring lots. Currently there is a small stream issuing from Lot 8 to the road ditch. This stream appears to be more than seasonal runoff and, if so, would preclude the installation of an absorption field on the front half of Lot 7. The exception here would appear to be the small segment occupied by the driveway near Mr. Harman's house. I would suggest that a monitoring tube be installed prior to the curtain drain being constructed. This would allow you to obtain qualitative data concerning the impact the drain has on the lot. Curtain drains are effective in lowering perched water tables in many areas of the hillside. The use of such a drain should effectively lower the perched water affecting the septic absorption area. However, if you create a persistent discharge of water you will need to maintain the 100' separation required by state and municipal codes. Please let me know if there is anything you need clarification on. Sincerely, Daniel N. Bolles On-site Services 117/db ENGINEERS/SURVEYORS/LANDSCAPE ARCHITECTS TRANSPORATION and COMMUNITY PLANNING May 2, 1990 Mr. Dan Bowles Municipality of Anchorage Health and Human Services 825 L. St. Anchorage, Alaska 99501 Dear Mr. Bowles: Re: Lot 7, Block I Timberlux Subd., Add #2 Conceptual Plan Submittal New Septic System PARTNERS FRANK E. NYMAN JOHN F. CHAPMAN WILLIAM M. SMITH Attached is a conceptual plan reflecting the existing conditions and new Septic system improvements proposed to be installed on the above referenced lot. The existing absorption field has been abandoned and two septic tanks located on the lot serve as a holding tank. A high groundwater table has adversely impacted the ability of the absorption field to operate in a satisfactory manner. We propose to install a curtain drain along the south edge of Lot 7. This improvement is expected to lower, if not eliminate, the perched groundwater now affecting the lot. The homeowner is acquiring a permit from Public Works for the curtain drain outfall into the ditch. Initial conversations with Public Works has indicated a permit can be acquired for this lot. Once the curtain drain is in place, we will complete a test hole and a percolation test to define groundwater conditions and specific absorption field requirements. The curtain drain is expected to allow for a deep trench type system once the perched water table has been cut-off up hill. Please review the attached plan and comment on our proposed solution to the septic system problems on this lot. Yours very truly, TRYCK, NYMAN & HAYES Carey . MeytP.E. cc: Randy Harmon MUNICIPALITY OF ANCHOPAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION *AY 2 1,9119.0 C111 Wp.qt Finhth AvPniip • Anrhr)r;4np AInczkn qqSn13AQ7 • (Qr)7l 97Q.0rA'41PAV 1Qr)7) 979_7P7a w.-•8 Ov'Or?Z 3, 2C —. --- _ � O G6£ c8 0 y0000s 6 1 £ 29 b0'Z8i 3„0£,9C0005 ws3 asn �!!G^d 00£ — -- — — — — — -= G -- x i�eF I z L 2Bl Ia- aDi x LU 06 m a o U. c Z ; r to L/ ------ — � - - VC �sss_ o -:a i t i i L3 WMIN' 00 Ln CL co V ' r r'^ Z 1 o ” la 2 z su 74, ' 7CL X" 9- N m tao��� r- c -- ----- 9Z'12r— o 0 p0 7-1518 0 5£'9Z o —080 00'96£ — M„£0,90000 N R y / 0300_— _ Drive a 4 / ,,, 6 t'a kA ill. LK 7tA �Q 3°6r dC ���V-1 tp5Lo d all 1 'UI M W ' µ- I .7 Z fN afl—-1_= J � — S07300•� _ Esmt. LA n� Kp O ' j O N! A W � I °° O —3„50 90o00S MUNICIPALITY OF ANCF400Mn sol DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION oW0 2 Iia o M K J £1'482 `�..% 3„£0,900005 ��II F W SRB 196X, EAGLE RIVER, ALASKA 99577 Subject: FOLD MESSAGE ROBERT A. SHAFER, P.E. 694.2979 HEALTH AUTHORITY APPROVALS EXCAVATING I CIVIL ENGINEERING _.. WORK ARRANGED i ADEQUACY TESTS I SOIL TESTS WATER & SEWER LINES & MAIN EXT. ON SITE INSPECTIONS DATE OF MESSAGE ROUTING SYMBOL SIG OF ORIGINATOR TITLE OF��TOR ----�71 �! REPLY D T Jt.✓j° G�rl�y ! '�%l( Y�.r �: G:�t ° .' ! /r? '�/i� a2F;r%/GAJ �`l�G/Gi Rr(EIVED �JUL 21992 4 D y/ rets � From: RETAINED BY ADDRESSEE FOLD Municipality Of Anchorage Dept. Health & Human Services DATE OF REPLY ' ROUTING SYMBOL RE OF PxIER J / TITLE OF REPLIER ��, /� = -�� GARY PLAYER VENTURES CONSULTING GEOLOGIST BOX 476-M, STAR ROUTE A • ANCHORAGE, ALASKA 99507 • PHONE 344-7071 August .23, 1976 SOILS TEST Alan Larson Lot 6, Block I Timberlux Subdivision Depth Soil 0-17 feet Gravel, dense, silty, sandy, grey -brown (GM). Puddles of water were standing at the surface from recent torrential rains (date of inspection 8/17/76). No subsurface water was encountered in the backhoe -excavated test pit. Rock is greater than 20 feet below ground level in this area. Sincerely,, Gary F. Player Consulting Geologist