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HomeMy WebLinkAboutTHOMAS L BOYLE BLK 2 LT 15A#015-283-22 Municipality of Anchorage Page 1 of 3 Development Services Department ("its Water and Wastewater Program 4700 South Bragaw Street P.O. Box 195650 Anchorage, AK 995196650 www.d.anchoro9e.ak.us (907) 3437904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW040162 PID Number. 015-283-22 Scott A. McLeod Wastewater System: New Ad*s 6330 A Street Anch. AK 99518 ABSORPTION FIELD Four 62-5545 N al Bw orn a: Ur 4 Shallow Bed LEGAL DESCRIPTION swl Ramp To"Dapm Goma arnla.de: alD let _ 2 1& Well: New .7-O n• 30 or" W` ft C4aslficalion NDme.Dru- DW--bt— 15 3 (Rrirala. A, B. % Total Private °aptl` c...dw 63 fl. 5 T°nD""°` ppa MMte ial: Rt. 63 Fc Alwr. 7/ onlbd sratic wear {.a.W: Athe Drlilin 7/1 2004 450 Fe ASTM 3034 PVC MWar. Dabl�. 0 RE YWd'hunp so a McLeod GCT, Inc. 7/15-21 /2004 cans MOM Glmaltl: 50 epi R. 2 FL TANK SEPARATION DISTANCES Advantex Treatment System To Septic Absorption lift Holding dpdvee From Tank Field Station Tank senerune d Anchorage Tank 1,500 WW>100' >100' >100' NIA >25' `�" d" Fiber lass a"°"°"°"" s">100' >100' >100' N/A Two 2 Two ( LIFT STATION 500 o". Anchorage Tank/Orenco Raagsbn >5' >10, >5' N/A 'PLNW an'Nval ": •pump or WV'Wl NO wsarawm.e 28 Cute" Drsn >20 >20' >20' 28' h 34 RUM Maks 8 awd" ENDMcaI Imp.cpom p.dampd by Rams W; Orenco Municipality of Anchorage BENCH MARK W and Finished Floor 100.0 RL Engineer's Stamp *'! & Tys sig ♦♦. .�.�A`N..nmwYNyY Inspections performed by: AH Y dates: 1 " #49tn'�•�i 7/15/04.. s �.-. - Deparbnent of Health and Human Services 2nd 7/21/04 •-.---.�. j MICHAEL E. ANDERSON W approval ••��sT No. CE -4381 ,aft e ippve Reviewed and arod by Date: - �, o, a ... .. � ��.•� ate. 44sa;tall ;5i��. Q 00'9£l M.00,90.005 N Q m � Cn � , � '. I.• ., yrs3 A•, r/ ,^: ' i.` ZLO Lo:Y. I' • p39' 111 :,;'. •f• . A' r 3 M1�`p' y♦ HSC /•� '• '• !i. :N ,i:: aW CL r- W 0 ''••" CL O 3. LU 0 Ills 00'9£l 3.00,90.00N Z f•� ' € -Laams aaawJ z N 0Y U) U >0 MM 0 J ry-� W D V Q LO W J mI Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SW040162 PID No. 015-283-22 x � F - Coarse Sand Drainfleld Rock---/ 1.25' PVC 103' 3/16' Holes 3' Spacing IS' 90.5 PROFILE AS -BUILT Sema: V -IV FROM : ALPINE DRILLING FAN NO. : 907 345 0202 Nov. 16 2004 02:07PM P1 In of Anchorage Department of Health and Human Services 925 `L' Street P.O. Box 196650 Anchorage, Alaska 995196650 Pock Mystrom hKp:gwww.aaneho Mayor rage.ak.us Permit Number. #SW 04ol62 Date of Issue: 6-2-04 Parcel Identification Number. 015-283-22 Date Started: 7-1-04 Date Completed: 7-1:Q4 Is Well located at ved Legal Description: Thomas L Bovie Block 2 Lot 15 A Pro permit location? ® Yes Q No Property Owner Name & Address: Scott A McLeod 12001 Gander Street Borehole Data: Soil Type, Thickness & Water Strata Depth (ft) From TO Method of Drilling ®air rotary j] cable tool Stick up 0 Casing type; steel 2 Wall Thickness: .250 inches gravely silt 2 5 Diameter: A inches Depth: #3 feet organics & silt 5 12 Liner Type: Sift 12 23 Diameter inches Depth feet gravelly sandy silt 23 34 Casing aticknp aboveground:,Zfeet gravelly silt 34 Static water level (from ground level): 0 feet silty water sand &gfevei 55 59 Pumping levek 6? feet a8er water sand & gravel59 63 a hours pumping av gpm. Recovery Rate: 50 gpm Method of Testing: &LI& Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet 11 Perforations Start feet Stopped feet Groat Type: cement Volume: uepm: Start Q feet Pump: Intake Depth feet Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: -chlorine tablets Comments: Well Driller. Alpine DdYing & Enterpilaes PO Box 110496 Anchorage Alaska 99511 Attention: The well driher shall provide a well log to the property owner within 30 days of completion and the property Inspection Report Municipality of Anchorage, Building 84110ty Division 4700 South Bragsw INSPECTION: VOICE 343-8300 INSPECTION: FAX (907)242-7777 INFO: 343-7202 Name RAM'S HORN Permit ELETRIC 04-0676 Address 12001 GANDER ST Phone 244-SdiD Legal SK 2 LT 18A inspection Date 1 111 8120 04 Subdivision BOYLE Comments or Directions Inspection FinalElectrloal Zoao 69$ Reins psc0on N © NO NONCOMPLIANCE OBSERVED CORRECTIONS ESSENTIAL AS EXPLAINED BELOW © WILL RE-EXAMINE AT NEXT INSPECTION [ ] DO N(nOONCEAL UNTIL REINSPECTION COMMENTS: (for hJspector use onry) A Inspector Date: // — 2-L-- 6 — a 5/ .* r MUN/C/PAL/TY OFANCHOR4GE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW040162 Legal Description:Sia%rlas ��`HoY1e"�(# 2 teat 15A -a Design Engineer: 0014 Anderson Engineering Owner Name: Scott A. McLeod Owner Address: 12001 GANDER STREET ANCHORAGE, AK 99516- i%lbq /40 Date Issued: Jun 02, 2004 Expiration Date: Jun 02, 2005 Parcel ID: 015-283-22 Site Address: Unknown Lot Size: 40500 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of. 0✓ Disposal Field Z✓ Septic Tank (] Holding Tank [f Privy ✓ Private Well ❑Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued Date: fac (. t Date: t%O ,2 d Municipality of Anchorage Development Services Department o `' Building Safety Division On -Site Water and Wastewater Program " 4700 South Bragew St, g P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak. us (907) 343-7904 ON-SITE SEWERNVELL PERMIT APPLICATION e / FOR A SINGLE FAMILY DWELLING Parcel I.D. i Z i5 3`Z� Permit Number SW D 40 Property owner(s)_5r'ost A Mri� Day phone 56P-5545 Mailing address (1)-6,33Q A Street —Anchorage 99518 � address(2) 1pCode _?9S/Z_ Legal description (Lot, Block & Sub'd.) r o t 15A t3lork'�� 8oylr 4ubdivis(on Legal description (Section, Township & Range) Lot Size40r_gc q.Ft. THIS APPLICATION IS FOR: Number of Bedrooms amour (4) Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ jacuzzi El Pool 11 Water Softening Unit 13Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit m Waiver Fees: Date of Payment: 1I11t I /� � Date of Payment: T Receipt Number. (Rev.12RID) Receipt Number GRID 5w273* ANDERSON.ENGINI P.O. BOX 240773 ANCHORAGE, AK 99! 522-7773 4913-A77c MEMO DATE: 5/25/2004 TO: Dan Roth WITH: MOA/On-Site Water and Wastewater FROM: Mike Anderson SUBJECT: Lot 15A, Block 2, Boyle Subdivision Well and Septic System Permit On May 20,2004, we measured the groundwater in the monitor tubes currently in place on Lot 15A, Block 2, Boyle Subdivision. The level was noted at a minimum of 2' below the existing ground surface. The soils therefore meet the Municipal criteria for septic system placement. We hereby request the permit be issued to construct a well and septic system on this lot. Please let me know if you have additional questions. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) June 10, 2003 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 15A, Block 2, Boyle Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 15A, Block 2, Boyle Subdivision intends to construct a new four- bedroom home on the lot. We are therefore requesting a permitbe issued for the construction of a new well and septic system to serve the home. The attached Site Plan and backup documentation identify the location and configuration of the new well, septic system and alternate site and the parameters used in the design. Also identified on the plans are the location of the existing stream alongside the lot, surface drainage, test holes and the wells and septic systems on the surrounding lots. Drainage arrows and spot elevations are shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. The test holes placed on this lot revealed silty sand and gravel with areas of poorly graded gravel to depths of 6' to 9' underlain by tight silt, The percolation rate in the gravel layer ranged from 1 minute to 4 minutes per inch. Ground water was found at 2' to 3' below the surface on May 10 and dropped nearly 1' over the next two weeks. We are proposing to place a 1,500 -gallon Advantex Treatment System with an add on lift station on the lot. Effluent will be pumped to a 10' wide by 30' long raised mound at the south side of the lot for disposal. The bottom of the absorption bed will be constructed 2' above original ground to insure 4' separation from groundwater. We have designed the absorption bed for an application rate of 2 gallon per day per square foot. Coarse sand will be utilized to level the original ground and raise the bed 'Lot 15A, Block 2, Boyle June 10, 2003 Page Two to provide 4' of separation from the groundwater level. The ground surface on the lot slopes as shown on the site plan from east to west at gradual slopes. The absorption bed will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. All components of the new septic system will be constructed a minimum of 100' from any surface water and 100' from the well on this and adjacent lots. Some grading will be required to assure the separation distance is met from surface water. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. septic systems in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Ww4dt Ems, Michael E. Anderson, P.E. Attachments 12 10B a 9B 300.00 300.00 CLEO AVENUE 300.00 300.00 15A o 16A W VACANT F�- a `� 15B 166 �W O z 44/ I 14A 13A " O co REA MAP .._..4�....... . .... SCALE 1"= 10'E`E.""°E" l No. cE+se./r J Construct Drainage Swale To Control Surface Runoff NOTE: No Surface Water Allowed Within 100' of Septic Tank and Absorption Bed. Grading and Drainage Required to Provide Separation. `\ S� LOT 15A 15' Wide x 30' Long TH 2 Absorption Bed 7�TP2 Bg� Site feSand L Boundi L-- — TP 3 . ..1,500 6811oriv Ycaatmentl3 r ::AddbnufES tic Four .. U. Bedroom Home ® 100' (mi) d • • From Di or Maw 10 0 35 L itax with LI a.�:... 'oaf} 0. 40F SITE PLAN .:....... SCALE 1"= 40' Y' L No. cs�i LOT 15A, BLOCK 2, BOYLE SUBDIVISION ABSORPTION BED DESIGN FACTORS: SYSTEM REQUIREMENTS: 4 Bedroom Home Shallow Bed Disposal System Perc. Rate: 1-4 Min./Inch 4 Bdrm. Advantex Treatment System Application Rate: 2GPD/SF 1' Total Drain Field Rock 4 Bedrooms X 150SF/Bedroom 12 GPD/SF (Application Factor) = 300 Square Feet 300 SF/10 LF (Width of Bed) = 30 LF Length of Bed Therefore: Construct an Absorption Bed 30' In Length and 10' Wide for a Total of 300 Square Feet of Absorption Area. Bottom of Distribution Piping to be Placed 2.5' Above Existing Ground Level. Place Clean, Coarse Sand to Level Existing Ground. Bottom of Bed to be 2' Above Existing Ground. Mound Over Bed to Provide 3' Minimum Cover or Provide 2' Direct Bury Insulation and 2' Minimum Cover to Prevent Frost Penetration. 6" Natural Backfill 2" Insulation Geotextile I2' Min. Fabric Cover Drain Field _. Rock aao '.: 1.25"PVQ • eStttiif; - :; .•. .'•:•. x-11 o Existing Ground Surface Remove All Organics Replace with Sand 3/16" Diameter Orifices at 2' Spacing. 15 Holes per Lateral. NOTE: SHALLOW BED DETAIL (NO SCALE) 4 1 AEL !. ANDERSON :� V CE -4381 .. r Grade Area to Drain Away: �O�« p� •Q ' �� " Maintain 6' Separation From Bedrock. 4�;1 Provide 3' of Cover or 2" Insulation and 2' Cover. Maintain 4' Separation From Groundwater. Maintain 100' Separation From Private Well and Surface Water. I I �MliON AdvanTex' Treatment System ; AX20 - Mode la 40x94Pod LIFT NOTE: THE INSULATION TO BE INSTALLED OVER THE SEPTIC TANK OVER THE SEPTICTA 4' BEYOND ON X11. SIDES EXCEPT UNDER D THEAFILTER. TWILL ALLOW HEAT ECTT TT FROM ESCAPE FROM TANK t RISE TO THE FILTER ABOVE IT. OPTIONAL 6' aim CAPSULATED FINAL DRADE—� CM.2) \ / /x20 POD RISER r ABS RLAP-OUT (rm.x; !' ABS COURUNO OWED TO TAW (Ma) INLEr - .I OPTIONAL � f„CAR SLIDE SIXTION :�►�� or 91 Pre 7 THIS WNNEC`DON TO PWADE t 1% CMD TO FIBERGLASS TAN!+1 OR= ID(WATKIN SYSTEM SECTION " �'' +• 49th •'*#*# �.. .. NOT TO SCALE ........ t, MICHAEL E. ANDERSON /Z. NOTE: SYSTEM MUST BE PLACED IN STRICT CONFORMANCE WITHJfF:,' No. cE—aael MANUFACTURER'S RECOMMENDATIONS. �i +„ . e♦����FESSIU::� . PRESSURE DISTRIBUTION CALCULATION Elevation at Highest Discharge Point Pressure at Highest Discharge Point Liquid Level in Tank (Elevation) Diameter of Holes in Distribution Line Diameter of Distribution Line Hole Spacing in Distribution Line Length of Transport Line Diameter of Transport Line Q = 12.4d V = 12.4(.1875)(.1875) 1(5 _ .9748 GPM/Orifice .9748 " 30 = 29.24 GPM TDH = (110-100) + .0192(29.24)(29.24) = 10 + 16.4 + 35.9' 105' 5' Head 100' 1875" (3116") 1.25" 2' 55' 1.25" + .000995(55)(29.24)tw (1.25)`x• g7 9.5 Therefore 30 Orifices @ 2' Spacing With 32.5' Total Dynamic Head. Orifice Diameter 3/16" 350.00 EFFLUENT PUMPS 1 1 /2 Hp to 11/2 Hp SINGLE PHASE, 60HZ 115/230 VOLT 20 OSI 15 HHF - 9 stage� PC#2 .. ... ... .. ..„..'...{...•....t -r.,.•.{... . 300.00 --05/92 'Op 4 -1. 4 j r J.- 1-20 OSI 10 HHF -7 stage 250.00- 4-- ........... ... ... I... +L+L. .. ... ... .. ... 7 .. ....... .. 200.00 H. In ... ... .......... .... ..... U N I -LL ... I ... 1' OSIOS... J ... I ... I ... .. .. .. ... i.—I 120 150.00- F OR L 100.00 Xh- �&]l A. .1. . ... ... ... T A-1. In `1 05 2 stage* 5D.00 3:5 f.4 -1 —4- 0 OS OOSI - , L2 . ....+ . 4-4— . ... ... ........... . . ......... .... . .. . .. I ..... . . ....... 1/4 4 + 5st . ..... 25 HH e ..1 If controller 0.00 0.00, 5.00 10-00 15.00 20-00 25.00 100 35.00 40.00 45.00 50.00 Z -9. 7 - NET DISCHARGE, GPM SYSTEMS, INC ORENCO K( ) flow SYSTEMS, INC ORENCO K( ) Municipality of Anchorage Development Services Department 4700 South Bragaw Street Anchorage, AK 99519-66$0 SOILS LOG - PERCOLATION TEST 49th 'REL E. ANDER: NO. CE -4391 PERFORMED FOR: 7G4r DATE PERFORMED:�"J' p j LEGAL DESCRIPTION: Lot 15A, Blk 2, Boyle Subdlvlslon 1 (T 3 ' /•.�. .- SIZo �03 4 sp 14 �s�s 5 $ LA 11 12- 13- 14- is- 16- 17 - 19 2131415167719 20 ti 3� EROUND WATER' Y ENCOUNTERED? SITE PLAN SEE SI'F PLAN PERCOLATION RATE I. (minutmincA) PERC HOLE DIAMETER Test Hole Pre Soaked Prior t0-TesTEST RUN BETWEEN ' I t. FT COMMENTS , _. PERFORMED BY: _ ) K cbae1 p 'A p e�d1'tTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE _. _.. 6/10/2003 ;f3 PERFORMED Municipality of Anchorage Development Services Department 4700 South Bragaw Street Anchorage, AK 99519-6650 SOILS LOG - PERCOLATION TEST SGO rr LEGAL DESCRIPTION: Lot 15A, Bik 2, Boyie Subdivision (FFE7y. 3 4 �' s 6 ,P • e 7 9 o, n- 70 Gr'I/MI- 11 12 13 14 15 16 77 18 79 20 COMMENTS .DATE PERFORMED: SITE Pt hu WAS GROUND WATER' ENCOUNTERED? r .cna.vt I JQN RATE �'+IminuE�yinU, P - 11 > ERC MOLE DIAMETER - TEST RUN BETWEEN t FT AND FT .. PERFORMED BY:. I M.E. Anderson CERTIFY THAT ACCORDANCE WITH ALL STATE ANn W twtr`iPnt S TEST WAS PERFORMED IN rt xnc, ome ,., crcci-r THI ANDERSON ENGINEERING P.O. Box 240773 ANCHORAGE, AK 99524 5-7773 Coll (90) 441.40oo ,> m 1'0,4 ,. /h Lot 15A, Blk 2, Boyle Subdivlslon SHEET NO. OF ' oaLouuTE°evt�ft� DATE—5,4 �0 3 CHE^KED SYS DATE �/ V • Zn �0 3 rip T� ►o°'r1 5^�5-/11 GM/sm Y� ,s%"�`3 awe• o� G-fi AIA lvc ' M ���• wG ,. 1212M 13 13 14 14 Is ,• „ ,sd I 1 1 ,> 1• ONSITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 15A, BLOCK 2, BOYLE SUBDIVISION GENERAL: The scope of this project includes the procurement and placement of a new 1,500 Gallon Advantex Treatment System with an AX -20 -Mode 1a 40x94 Pod to serve a new four-bedroom home. System will be placed at the location shown on the Site Plan. The new septic system also includes the construction of a new 30' long X 10' wide absorption bed at the location also shown on the Site Plan and at the configuration shown. The distribution line in the bed will be placed at 2.5' above the existing ground surface. Clean coarse sand meeting the gradation specified below must be placed atop the existing ground to level the bed. The new system must be placed a minimum of 100' from the existing well on the lot and those on adjacent lots and 100' from the sub drain outlet located near the southwest corner of the lot. Grading will be required to divert any surface water and provide a minimum 100' separation between the surface water and all components of the septic system. 2. Construction shall be in accordance with the approved site plan, 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 all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for sysreceive ipriorllaapp approval Owners D.H.HS.g before own beg beginningsystems system installation. SEPTIC TANK INSTALLATION The Advantex Treatment System must be installed in conformance With specifications and regulations furnished by the manufacturer, Anchorage Tank and Orencq Systems Incorporated. No variances Lot 15A, Block 2, Boyle June 10, 2003 Page 2 of 4 from the manufacturer's specifications will be allowed without permission from the manufacturer and Municipal representatives. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the bed shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well, 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trench to drain away. Lot 15A, Block 2, Boyle June 10, 2003 Page 3 of 4 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. Septic tanks 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: Cast Iron (perforated and solid), ASTM 03034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. SAND GRADATION: 1. Sand used to level the new absorption bed must have the following gradation: 50% Passed the No. 4 Sieve 2% Passed the No. 100 Sieve 1 % Passed the No. 200 Sieve 2. The sand source must be approved prior to use. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. Lot 15A, Block 2, Boyle June 10, 2003 Page 4 of 4 The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. AOO Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519.6650 www.d.anchorage.ak.us �� (907)343-7904 ;CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. _015-283-22 HAA # 0 4 d 6' 4( - Expiration Expiration Date: 3 1. GENERAL INFORMATION Complete legal description Lot 15A. Block 2. Thomas L Boyle subdivision Location (site address or directions) . 12001 Gander Street Current Property owner(s) Scott A. McLeod Day phone 240.1200 Mailing address 6330 A Street Anchorage, AK 99518 Lending agency Day phone Mailing address Real EstateAgent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of 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 oertfied by my seal i ffeced 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 disposalsystem is(are) in compliance with all applicable Municipal and State odes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 5227773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date, 10/2004 4 th �j1QC11AEL E ANOERSW7 .r 6. DSD SIGNATURE No. cE s3e1F Approved for bedrooms. d Disapproved. Conditional approval for _'bedrooms, With the following stipulatioru, �V �t��( OFr •��' • ON-SITE : m 4e VVjAjVr\n11W WASTEWATER Additional Comments Note: The well for this proneM meets existing State and Municipal Codes- There are nitrates present. It is suggested that periodic testing be performed to insure the wells continued suitability. Current nitrate concentration is 5.22 mg/l. EPA maximum concentration is 10.0 mg/1. More Information on nitrates is available from the On -Site Services Program, at 343-7904. Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: (/ % % Original Certificate Date: J - / 3 ' O (PW 12M Alanicipaiity of Anchorage Development Services Department Building Safety Division m On -Site Water& Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cf.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: t1 5A. Block 2 Thomas L Bovie Subdivision Parcel ID:_015 2123 22 { A. WELL DATA Well type Private If A, B, or C provide PWSID # Welf Log (Y/N) Y Date completed 7/1/2004 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth ja_}t Cased to eft Casing height above round 4 FROM WELL LOG AT INSPECTION Date of test 7/1/2004 i Static water level p Well production 50 g.p.m. g.p.m: c WATER: SAMPLE RESULTS: Coliform-Q_colonfes/100 mi. Nitrate 5.22 mg./I. Other bacteria _.4_ colonies/100 mi. Date of sample: 7 i/17/2004 Collected by: _ MEA B. SEPTIC/HOLDING TANK DATA 4 Tank TYpe/Matenai —Septic /Flberalass- Advantex Date installed 7/15/2004 Tank size 1.500 gal. Number of Compartments Cieanouts (YM) Y Foundation cleanout (YM) Y Depression over tank (Y/N) j1 High water alarm (M) Y Date of pumping Pumper New Construction C. ABSORPTION FIELD DATA Date installed�- O y Soil rating (g•p•d•1ft? or fe/bdrm) 2 GPD/SF System type Riased Bed Length 30 fL Width 15 fL Gravel below pipe ,5 ft Total depth `5 fl. Eff. absorption areaSO ftz Monitoring tube Y Depression over field N Date of adequacy test Results (Past/Fail) For__ bedrooms Fluid depth in absorption field before test , in. Water added- .New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) g.p.d. _ N If yes, give date - -= Date installed 7/15/2004 Size in gallons 500 "Pump on" level at 28 in. °Pump off" level at 28 in. Datum pottom of Tank Cycles tested New Const. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100' Absorption field on lot >100' Public sewer main N/A Manhole/Access (Y/N) Yy High water alarm level at 94 in. Meets alarm & circuit requirements? Y_ On adjacent lots >100' On adjacent lots >100' Public sewer manhole/cleanout NIA Sewer /septic service line >2V Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5 �. Propertyline>5 Absorption field 2! Building foundation Water main N/A Water service line >10 0' ' Surface water >10 Wells on adjacent lots >10V SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Properly line >10' Building foundation >1V Water main >IV Water Service line >70' Surfacewater >700' Driveway parkingivehicle storage >25 Curtain drain >20' Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION r "�-1 s� ,. 1 certify that I have determined through field inspections and4Lz , 49th „� review of Municipal records that the above systems are in � conformance with MOA HAA guidelines in effect on this date. .... ."L rJ+xna ♦j".!'•• Engineer's Printed Name Michael E. Anderson P.E. �., No. to -asst Date 12/8/2 HAA Fee $ �r 1 Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number (Rev. 12100) IAT 15A HAS 40,500.00 SQ.FT. OF AREA 108 >V FOR: GD CONSTRUCTION LanMark AX—"z a a 9330 Vanguard Drive, Suite 203 A 15B uewtrrc scaee: r a,rn . so neer ss u a o ua n so 10"104 1" = 50' Grid As -Built 2734 2400877 Drawn py F9eld Book D.L.M 209 '� '. : '•d�.. .t.' adY3p'pp'p �fIO.W 15B uewtrrc scaee: r a,rn . so neer ss u a o ua n so 10"104 1" = 50' Grid As -Built 2734 2400877 Drawn py F9eld Book D.L.M 209 I hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto unless otherwise shown. That no improvements on the property lying adjacent thereto encroach on the preLines orsIn otheruea easements onthat sa d property excepe no t as shtransmission It to the responsibility of the owner or builder, prior to construction, nls to verify proposed building grade relative to ih grade and utility connections and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. \Luted distances prevail over scaling. Reproduction may cause distortion. 15A I Block BOYLE SUBDIVISION .... .... . i Of CHARLES E. FORBES �$ r LS -7326 ; �,b ev o4. eV 16A SGS Ref.# Client Name Project Name/# Client Sample ID Matrix Sample Remarks: 1047579001 Anderson Engineering Lot 15A Boyle Lot 15A Boyle Drinking Water All Dates/Times are Alaska Standard Time Printed Date/time 11/24/2004 12:20 Collected Date/Time 11/17/2004 9:50 Received Datel3ime 11/17/2004 10:34 TechnicaA or 1#4 StephenX.IdP Reles Parameter ResultsPQL Allowable Units Method Container ID Prep Analysis Limits Date Date Init Waters Department Nitrate -N Microbiology Laboratory Total Coliform 5.22 0.100 mg/L EPA 300.0 TNTC OB eoU(OOmL SM209222B B (<=10) A (<=1) 11/17/04 BJA 11/17/04 DKC' ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND A, 1,j a pa Oe+x 1. yel&n Tffl5 MEMORANDUM OF U—MDERSTANDiNG inncic flud ctiteieu iia[u as of this day of a PMlDf/ 20gl, by and between +FI �! r _ _k4154 herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as �OVM,T _ located at t or� &4CU Z Anchorage, Alaska. &)AS -mw ArwvL�T VJ7— Bat a DLJ+S�o�1 4S y srL-VVN 2. Definitions. A. Alteration. Any change to the design or firnction of an AWrWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "Al1C") 15.65 B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC Pagel of 5 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, Components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction). An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating). An Advanced Wastewater 'Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, upon meeting all requirements of this agreement, the conditions of the Operating Permit, the requirements, of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65. 3. Fee. Owner shall pay to Municipality an annual fee of ^JD ! b) (S O .00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. Page 2 of 5 4• Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of on site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional E ui meat. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during' the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, owner agrees to comply with all applicable ordinances, laws, regulations, rules and orders forthe AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: age 3 of 5 C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the systems. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner ,agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce. a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way affect the validity of this Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, .modified or changed by a writing, executed by authorized representatives of the parties, with the same formality as this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. Page 4 of 5 B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: 1) L. L+ bn Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severabilfty. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: MUNICIPALITY: By. Date:, Title: Date: STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ) ss. The foregoing in trument was acknowledged before me this d6 day of �� by -RgGO- b - -�-, h76�,y, the of on behalf of Municipality ofAnchor agl�;.tW 11. No 'NOTARY PUB R ALASKA age 5 of 5 My Commission expires: RlchirdV+SSIGNMENMAACode Addendum AMC 15.65 [N00.0257DMemoranudm of Understanding Version VI.doc Y