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Home My WebLink AboutT12N R3W SEC 33 LT 212 E2TI 2N R3W SEC 33 E2 Lot 212 #018-321-05 Watkins Engineering, Inc. P.O Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net March 10, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: T12N R3W Sec 33, East % of Lot 212 Septic System Upgrade: Holding Tank Permit #SW050041 Design Change To Whom It May Concern: The subject permit was approved with a 3000 gallon holding tank, for a 4 bedroom house. A 3000 gallon tank was not available, so a 4000 gallon tank will be installed. The number of permitted bedrooms will remain the same. If you have any questions or need further information, please call me at 349-1851. Yours truly, V/0'1ilva� Cindy 1I Ellis, P.E. President 10_TELEPHONE EASEMENT— I I I w ----- -------7 —�--� U� - t Il T12N R3W Sec 33 East 1/2 Lot 212 A B DCOI 58.6 21.1 DCO2 61.0 23.2 11T1 61.4 25.2 11T2 57.6 28.8 HT3 54.9 33.5 t Il T12N R3W Sec 33 East 1/2 Lot 212 m Record Drawing of Septic Upgrade BeverlyEdelen Watkins Engineering, Inc. II a i r m I I I II II p I v m a SHED I II Z M I I >• I I I a C Z t Il T12N R3W Sec 33 East 1/2 Lot 212 m Record Drawing of Septic Upgrade BeverlyEdelen Watkins Engineering, Inc. II a i r m � ,�?'� 49TH [':; •-9, , Parcel ID: 018-321-05 n / gip. CIN W. w •. +oan ; Cindy W. Ellis, P.E. P.O. Box 110443 t1----- y I jL— ,:-,• •.,, p;�.<.` \ im�l / V 1 12 30' I WELL I I II I EXISTING 4 BR HOUSE A \ New 4000 gal steel D I Holding Tank D H j Existing Septic \ \ I Tank and 2 0 _---�— --- — T2� 1 drainfields ---- L -- — rJ l abandoned � / I I In place. 33' ROADWAY BICC UTILITY � SEMENT DORA AVE I I I I t Il T12N R3W Sec 33 East 1/2 Lot 212 OF,q Record Drawing of Septic Upgrade BeverlyEdelen Watkins Engineering, Inc. �P. � ,�?'� 49TH [':; •-9, , Parcel ID: 018-321-05 �;• • • •. .�..'. Permit No. SWO50041 / WR050011j�� gip. CIN W. w •. +oan ; Cindy W. Ellis, P.E. P.O. Box 110443 March 24, 2005 Anchorage, Alaska 99511-0443 ,:-,• •.,, p;�.<.` Scale 1 inch - 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 a ' UCO FINAL GR,1DE IIT2 NTI 101.05 (6") IIT3 z /_ I : I I :: I 90.89 4000 CALLO`. 3,118" rI\ STEEL HOLDING T,1\h N.T.S. Benchmark: garage floor= 100.00 High level alarm installed. Anchored against flotation. AS -BUILT T12N R3W Sec 33 East 1/2 Lot 212 Record Drawing of Septic Upgrade F �s a�•, Beverly Edelin Watkins Engineering, Inc. "�P '? :�a?` 49TH y �, ParceIID:018-321-05 ...._��.......: Permit No. SW050041 �' p.�........ . .................: 11. cl Y W. ELLIS C �`. •. E • 10577 Cindy W. Ellis, P.E.P.O. Box 110443 ' •.. March 14, 2005 Anchorage, Alaska 99511-0443 • •., ....... L'' No Scale Phone: (907) 349-1851, Fax (907) 349-1934 MUNICIPALITY OFANCHORAGE 311V� i1Dv Development Services Department Onsite Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Mar 09, 2005 Expiration Date: Mar 09, 2006 Permit Number. SWO50041 Parcel ID: 018-321-05 Legal Description: T12N R3W SEC 33 LT 212 E2 Design Engineer: 0844 Watkins Engineering, Inc Site Address: 003333 DORA AVE Owner Name: BEVERLY EDELEN Lot Size: 54450 SO. FT. Owner Address: 3333 DORA LANE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99519 - This permit Is for the construction of: ❑ Disposal Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify 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 By. _11L Date: 3-9,05 Issued By_r_ffiDate: ?!1 Ar— 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.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-321405 Permit Number SW Property owner(s) Beverly Edelen Day phone Mailing address (1) PO Box 190066 SITE: 3333 DORA LANE, ANCHORAGE Mailing address (2) Anchorage. AK Zip Code 99519 Legal description (Lot, Block & Sub'd.) T12N R3W Sec 33, East 1/2 of Lot 212 Legal description (Section, Township & Range) Lot Size 54,450 Aem/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ® Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy 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. N ffi�o, P.E. (Signature of propirty owner or authorized agent) Permit Fees: ) -W Waiver Fees:4L 9 2 Date of Payment: 3I3I65 Date of Payment: 2— Receipt — Receipt Number: 6431 Receipt Number. �� 6 (Rev. 12100) Watkins Engineering, Inc P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net March 2, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: T12N R3W Sec 33, East % of Lot 212 Septic System Upgrade: Holding Tank To Whom It May Concern: Attached please find the application and supporting documentation to install a 3000 gallon holding tank for the referenced 4 bedroom house. The existing septic system has failed and there is no suitable location for a soil absorption system on the lot. The house was built in 1962, and records on previous septic systems are incomplete. It is assumed that the existing concrete septic tank was installed in 1962. A 20 ft x 25 ft bed type drainfield was installed in 1969 due to failure of a pre-existing system which is not documented. In 1978, the drainfield was upgraded with a 77 ft x 3 ft wide x 5 ft effective depth trench. The cleanout and sump for this drainfield are not visible, and according to information from the owner, the drainfield did not perform properly and was abandoned. The house is apparently connected to the 1969 bed now, which has failed. Both of the drainfields and the septic tank are located within the road right of way. On November 22, 2004, we dug 2 test holes to attempt to find a suitable site for a replacement drainfield. The locations are noted on the attached site plan. Test hole #1 encountered organics and silt to a depth of 1.5 ft, and silty sand and gravel to the bottom of the hole at 6 ft. Water was entering the hole through the organics at a high rate. A second test hole was dug to a depth of 5 ft, where impermeable silt was encountered. This hole also had high water influx in the sand and gravel between 2 ft and 5 ft. After a week, the groundwater was monitored and found to be at the surface. There is also surface water running along the north edge of the property, which would be within 100 ft of a replacement soil absorption system. A holding tank is the only option remaining for wastewater disposal for this property. It is proposed to abandon the existing concrete septic tank and 2 drainfields in place. Sewer Upgrade Permit Application for T12N R3W See 33, E12 Lot 212 Watkins Engineering, Inc.; March 2, 2005; page 2 I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, Cindy 7 Ellis, P.E. President T12N R3W Sec 33 E/2 Lot 212oF.A4 TH#1 Proposed Septic Upgrade - Site Plan Watkins Engineering, Inc Based upon Beverly Edelen y 49 !1' m asurvey by `._...lN............. •, CI V W. G�•; •., ce • ,o577sn : • ; ip•.,:' Cindy W. Ellis, RE P.O. Box 110443 I �I Anchorage, Alaska 99511-0443 Shane Holt, Scale l Inch = 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 d > LS -6914 TH#2 I mI I 3 dated 30 ft °1 0 I � I Q Mar 4, 2005. shed ; o_ o_ \rn rr \ 4 h a L I WELL I I -zC I I I I Existing 4 BR House Install — r -1 -- DCO lass C well 1\50 ft Proposed 3000 gallon I (ding ` I I / mOQL / radius \ \ 1 H Tank Top o tank at 4'+/_ ! m I o \/ \� O I I I 100' radius o be abando ed Exis�ingZbptic n place. ioQ� I I I TarrSSlyto be ,abandoned i 33'�Zoad Righ of Way , 5 lop' ► �� I idplace. / I / 75' radius / Property Line DOPA LANE T12N R3W Sec 33 E/2 Lot 212oF.A4 Proposed Septic Upgrade - Site Plan Watkins Engineering, Inc ��• ' ,t Beverly Edelen y 49 !1' Parcel ID: 018-321-05e. `._...lN............. •, CI V W. G�•; •., ce • ,o577sn : • ; ip•.,:' Cindy W. Ellis, RE P.O. Box 110443 March 8, 2005 Anchorage, Alaska 99511-0443 •.. ,� -` Scale l Inch = 30 ft Phone: (907) 349-1851, Fax: (907) 349-1934 Municipality of Anchoragec?. yGINEE L '•.,� Development Services Department *:' 4 �H Building Safety Division On -Site Water and Wastewater Program "'""-^• 4700 South Bragaw St. pm:. P.O. Box 196650 Anchorage, AK 99519-6650 �, , Cin W. Ellis , www.muni.org/onsite (907) 343-7904 _ ••.• CE - tos77 Soils Log -Percolation Test se._NN Performed For. Beverly Edelen Date Perforated: 11/22/04 Legal Description: T12N R3W Sec 33 E/2 Lot 212 Township, Range, Section: 3333 Dom Lane Depth Or an ics L SM silly54 faP -i- 9ravd -m 1 15- 16- 17- 18- 19 - WAS GROUND WATER Date Gross Time ENCOUNTERED? YES Net Drop 1 11-29-04 8 IF YES, AT WHAT DEPTH? 1.5 L D Depth to Water Aller 10:49 Monitoring? o..5 E Date: 11-29-04 11:00 0 Reading Date Gross Time Net Time Depth to Water Net Drop 1 11-29-04 10:39 0 6 — 2 10:49 10 2.25 3.75 3 11:00 10 2.25 3.75 4 11:11 10 2.25 3.75 5 11:21 10 2.25 3.75 6 11:31 10 2.25 3.75 7 11:41 10 2.25 3.75 PERCOLATION RATE 2.7 (ereaeemm) PERC HOLE DIAMETER e• TESTRUNBETWEEN 2.e FT AND 3.0 FT COMMENTS Per: hole somewhstenlarged due to IsTe rocks. Dralned runoff awe from pert hole to keep d . �) / Y PERFORMED BY: Cindy W. Ellis, P.E. I V fF�' ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI ES IN EFFECT Of' THIS DATE. DATE: 11-29-04 r i Municipality of Anchorage Development Services Department Building Safety Division yr On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-665D www.munl.orglonsite (907) 343.7904 Soils Log - Percolation Test Performed For: Beverly Edelen Date Performed: 11/22/04 Legal Description: T12N R3W Sec 33, E/2 Lo1212 Township, Range, Section: 3333 Dora Lane Depth (Feet) Organ ics 6m O,s 5P ml_ J� s imper- 13aF1 wteable, WAS GROUND WATER 9- ENCOUNTERED? YES S 10- IF YES, AT WHAT DEPTH? 4.0' L Depth to Water After ^^ O 11- Monitoring? Lr E 12- Date:11' iq'U9 PERCOLATION RATE (ewarnncn) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS Unable to perc due to groundwater. Sand looked very permeable. ,/ / sw PERFORMED BY: Cindy W. Ellis, P.E. I t/a'i I�a CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELI ES IN EFFECT ON THIS DATE. DATE: Ii' z,?,o4 Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis®gcl.net March 7, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: T12N R3W Sec 33, East % of Lot 212 Waiver Request for Well to Holding Tank To Whom It May Concern: We respectfully request a waiver for the distance from the private well to a holding tank to be installed on the subject lot to 62 ft. The septic system has failed, and it has been proposed to install a holding tank, because there is no suitable site for a soil absorption system. A survey performed on March 4, 2005 shows that the proposed site for the holding tank is within the 75 ft protective well radius. The area outside of the 75 ft protective radius to the south is in the road right of way. To the north, the land slopes upward, which would place the tank at about 12-15 ft deep. The current drainfield is located approximately 54 ft from the well, and there has been no contamination of the well. The well was drilled in 1962, and no well log is available. During a well flow test conducted on 11/29/04, the static water level was measured at 85 feet, which dropped to 98 ft during the test. The well yielded 8.6 gallons per minute. The casing was recently extended to greater than 18" above the floor level, and a new well seal was installed. I believe that placing the holding tank at 62 ft from the well will not present a substantial risk to human health or the environment. This is justified by the following: 1) Satisfactory water analysis from the subject well, with no bacteria on March 4, 2005 and no nitrates detected in a sample taken 11-29-2004, 2) The topography is such that any potential septic effluent at the site of the proposed holding tank would not flow toward the well if it surfaced, 3) The aquifer is confined, as shown by impermeable strata on nearby well logs and by a static fluid level of 85 ft in the subject well. 0& ri H cog 3-?- o .S ,¢ 9 2 0 �/� Watkins Engineering, Inc., March 7, 2005 712N R3 W Sec 33 E(2 Lot 2f2; Waiver Request, page 2 ort 4) Well depths in the area of over 100 ft provide a substantial vertical separation, and 5) The well is located inside the house, in a closet off of the garage. Surfaced effluent would be in the house before it would reach the well. Well logs from nearby wells, a site plan showing elevations, and the water analyses are attached to support these statements. Based upon these facts, I believe that the potential for contamination of the subject well and the aquifer is minimal. Therefore, I request that the required distance from the well to the holding tank be waived to 62 ft. Thank you for consideration of this request. If you need any further information, please call me at 349-1851. Sincerely, Cindy W Ellis, P.E. President Municipality of P.O. Nx 19GG50 • Anchorage, Alaska 99519,M90 • Telephone (907) 3136301 • Pay (%, 7) 313-82W ` 4700 Bragaw• Street • Anchorage, Alaska 99507 "w -nlml.org Mayor Mark Bcyich 13uilding Safety Division March 8, 2005 Cindy Ellis Watkins Engineering P.O. Box 110443 Anchorage, Alaska 99511 Subject: Waiver Request for T12N R3W SEC 33 E1/2 LT -212 Waiver Request #WR 050011 Parcel ID # 018-321-05 PERMIT(j5C0q) C.KA3 Dear Cindy Ellis - Your request for a waiver of the required 75 feet horizontal separation from the holding tank to private well has been approved. The approved separation distance is 62.0 feet. This waiver approval applies to the existing holding tank to private well separation only. Any future upgrade to the on-site wastewater disposal system,will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. _. Sincerely, i1v Goodall il Engineer On -Site Water & Wastewater Program Community, Security, Prosperity T e Municipality of Anchorage Development Services Department v Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchomge.ak.us (907)343-7904 Waiver Review Worksheet WR#:050011 PID#: 018-321-05 HAIPermlt# PERMIT Date Received: March 8, 2005 Legal Description: T12N R3W SEC 33 E112 LT212 Engineer. Cindy Ellis Watkins Engineering P.O. Box 110443 Anchorage, Alaska 99511 Applicant BEVERLY EDELEN Criteria: Waiver is Granted: VA "01101401 nktRUZ Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: List Conditions or Reasons for above: Waiver is not Granted: Date: Ak By: aE N me of Reviewer Rec#: 84468 Amount $M Date Paid: 31812005 State of Alaska: Separation Distance Waiver Guidelines for S.C.R.O. (State of Alaska Memorandum to District Office Engineers dated January 3,1985) Waiver Request for: T12N R3W SEC 33 EI/2 LT212 ParcelID#: 018-321-05 Waiver Request Number: 050011 Waiver Requested: 62 FOOT HORIZONTAL SEPARATION FROM WELL TO HOLDING TANK PERMIT Holdina Tank Data THE PROPOSED HOLDING TANK WILL BE INSTALLED WITH A 4 FOOT COVER. THE HOLDING TANK WILL BE INSTALLED OUTSIDE A 62 FOOT WAIVER. THE CURRENT EXISTING SEPTIC SYSTEM HAS BEEN IN PLACE AND ENCROACHED TIIE ON -LOT WELL SINCE 1962. CINDY ELLIS OBTAINED WATER SAMPLE RESULTS AND DETERMINED NITRATES, COLIFORM, AND OTIIER BACTERIA TO BE WH I -IN MUNICIPAL STANARDS. THE TOPOGRAPHY ON TIIE LOT IS SUCH TI IAT IF THERE IS ANY EFFLUENT TO SURFACE TI IE EFFLUENT WOULD NOT TRVEL TOWARD THE ON -LOT WELL. Well Data THE EXISTING WELL ON THE LOT IS INSIDE THE HOUSE. IF THERE WERE TO BE ANY SEPTIC EFFLUENT TO FLOW TOWARD THE WELL, THE EFFLUENT WOULD BE DISCOVERED IN THE DWELLING OFTHE HOUSE AND WOULD BE EASILY IDENTIFIED AND CORRECTED. THE ON -LOT WELL DOESN'T HAVE A WELL LOG HOWEVER COMPARING SURROUNDING WELLS HELP IDENTIFY THE DEPTH AND TIIE SOIL LAYERS. WELL LOG KENIA SID LOT 2 HAS A DEPTII OF 140 FEET AND A STATIC WATER LEVEL OF 85 FEET. State of Alaska: Separation Distance Waiver Guidelines for S.C.R.O. (State of Alaska Memorandum to District Office Engineers dated January 3. 1985) 7 Waiver Request for: T12N R3W SEC 33 EI/2 L7212 L Parcel ID#: 018-321-05 H:�W2. ver\V,0Gk1.xs Waiver Request Number: 050011 Waiver Requested: 62 FOOT HORIZONTAL SEPARATION FROM WELL TO HOLDING TANK PERMIT Water Table Distance from the bottom of Point Value the system to the highest water table In feet 0 0 8 1 17 2 24 3 30 4 40 5 85 6 100 7 290 8 1000 9 10 *Straight line Interpolation is permitted between any two values - Soil Sorbtion Soil Type Point Value Clean Gravel 0 Fractured Rock 1 Course Clean Sand 1.5 Sand with Small Amounts of 2.5 Clay Silt 3.5 Clay and Sand Equal 4.5 Clay 6.0 *Use the predominant soil type but values can be averaged for a mixture Points 5.33 5.029 Permeability Points 2.971 Soil Type Point Value Clay (will channel) 0.0 Silt or Sand Clay 2.0 Clayey Sand or Soil with Perc 3.0 Rate of 50 minfin or higher Fine Sand 1.5 Sandy Gravel 1.0 Fractured Rock 0.9 Course Sand (30 grit or river 0.4 run) Clean Gravel 0.0 *Use the predominant soil type but values can be averaged fora mixture Water Table Gradient M % Slope Point Value -60% 0.0 -30% 0.3 -20% 0.7 -10% 1.2 -5% 2.0 0% 2.9 +5% 4.5 +10% 6.0 +60% 7.0 *If the gradient is unknown, assume the worst case Horizontal Separation 1.48 Horizontal separation In Point Value feet 0 0 25 .7 50 1 75 2 100 3 150 5 200 6 300 7 •linear interpolation between two point values Is acceptable Horizontal means straight line distance to the well not the contaminant travel distance to water table which may be greater. Total Points: Conclusion: Waiver Granted 17.71 e&i MUNICIPALITY OF ANCHORAGE _ `a Building Safety Division ,� e MEMORANDUM DATE: March 9, 2005 TO: FILE FROM: Joe Goodalle Engineer II, Water Wastewater Program SUBJ: T12N R3W SEC 33 E1/2 LT212 The engineer who submitted permit application was originally discussed with julie m. The application thereafter was designed with for a holding tank. i have been authorized by dan roth the onsite program manager to approve this holding tank with the 62' waiver to on -lot water well. ` MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION j 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME �j C, L PHON'E! -7 ZlT pZ / ENEW R, UPGRADE MAILING ADORES Flo.Box 60C,6 LEGAL DESCRIPTION 3 w Sec. 33 'EOr o?/, LOCATIM Le. joDtJ -zcw,,4 (^-Dole -DopA / t NO. OF BEDROOMS L) Y DISTANCE TO: Well Absorpnan area welling PERMIT NO. W < F Manufacturer X i C �' ` o rV Material No. of compartments w Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth b v dOz DISTANCE TO: Well Dwelling PERMIT NO. _ f Manufacturer s Material Liquid capacity in gallons TO:of Well Foundation Nearest lot bne PERMIT NO.ISTANCE lines Length of each ITe / Total len h of lines Trenc i tl Inches Distance bet 4�w:,,'ZNo. of tile to fi h rad -Material beneath life inchesth Total effective ebsorpY n area Width Depth PERMIT NO. of crib Crib tliameler Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line r Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area lsl OTHER PIPE MATERIALS SOIL TEST RATING INSTAL ER ��iva IT REMARKS bJGL-C, �cz�ric TA,ue Ae;�Mr 77Q EE PPRO E y^� a DATE LEGAL 72-013 1Rev. 31781 v TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH —1�, WC(,{ -Q (- MAXIMUM NUMBER OF BEDROOMS 5 SOIL RATING CSO FT/8R)= 150 a' .THE REQUIRED SIZE OF THE SOIL ABSORPT4 ON SYSTEM IS: f /)�� DEPTH= 12 L-EMGTH= 4 �' GRAh/EL E>EPTH= S Cwt THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. to THE DEPTH OF A TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. �C THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). ME:QU I REE> SEPTI G -rn"K S I ZE= 1.500 GAL -L -0"n5 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. --- TWO C ZZ ] I tVSPECT I OFVS ARE REGlU I REO BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON! THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES E>FEE CEME9:ER 3l-. 1 9 rte$ I CERTIFY THAT 1: I AM 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. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS R E INCLUDE MORE THAN 5 BEDROOMS. SIGNED: --- - -------------------------- CANT CHARLES EDELEN ISSUED BY V3. 2 'U" I C I PAL I TY 0F' APJCHOFZAGE 57 10*4 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 i(7�r5 . ,A -S 2M4 264-4720 0P4 —SITE SEWER P E R MXT ° PERMIT NO. C 780916 ) hOL) ( /;:Fo \L huiii 12o •APPLICANT CHARLES EDELEN PO BOY, 6066 344 2718 'LOCATION MILE 10 OLD SEWARD (DORA LN)0 'LEGAL T12N R3W S33 E1/2 OF 212 LOT SIZE 44000 SQyARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH —1�, WC(,{ -Q (- MAXIMUM NUMBER OF BEDROOMS 5 SOIL RATING CSO FT/8R)= 150 a' .THE REQUIRED SIZE OF THE SOIL ABSORPT4 ON SYSTEM IS: f /)�� DEPTH= 12 L-EMGTH= 4 �' GRAh/EL E>EPTH= S Cwt THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. to THE DEPTH OF A TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. �C THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). ME:QU I REE> SEPTI G -rn"K S I ZE= 1.500 GAL -L -0"n5 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. --- TWO C ZZ ] I tVSPECT I OFVS ARE REGlU I REO BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON! THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES E>FEE CEME9:ER 3l-. 1 9 rte$ I CERTIFY THAT 1: I AM 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. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS R E INCLUDE MORE THAN 5 BEDROOMS. SIGNED: --- - -------------------------- CANT CHARLES EDELEN ISSUED BY V3. 2 f l % SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST Pouch 6850, Anchorage, Also" 99502 276-2221 SOILS LOG - PERCOLATION TEST PERFORMED FOR: v `��-tl\p S e`e'y' V —DATE PERFORMED:_I 2 � 0 LEGAL DESCRIPTION:• /.�V /},74,%J_ },74,% ✓''PG 33 /:Z �'�/ .---7/� DEPTH 0� 5� S11 SLOPE SITE PLAN (FEET) ) 1 1 3- Ib 2- 3- 41 3 4 Lj_�O�cs_ 5 'A EH 6 (►50) ']S? 8 9 10 11 12 13 14 15 161 __ I� �• 17 18 19 20 PERFORMED 72008 (7/76) WAS GROUND WATER L ENCOUNTERED? O IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT CERTIFIED DATE: 4% 2S /GARB-HD.I GPrATER ANCHORAGE AREA BORO",t 6Y! -tEwL INSTALlEO ' HEALTH DEPARTMENT fib• C-o"Ec' OUEQ- 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511 Fl..O W I %' b_ SF -UJ A FrE ' INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM v MAILING NAME ` ' ' "2'$ ' �LE' ADDRESS oFF S��uero —/�JSS ,ei� LOCATION 6/yLEGAL DESCRIP 3 V -27i8 SEPTIC TANK: T*Al2N R 3W, 5CG33,ES'z, vrZl2 NUMBER OF DISTANCE FROM WELL MATERIAL COMPARTMENTS LIQUID LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE WIDTH-DEPTH- SEEPAGE IDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH , LENGTH , DEPTH LINING MATERIAL . DISTANCE FROM WELL • BUILDING FOUNDATION , NEAREST LOT LINE TOTAL EFFECTIVE ABSORPTION AREA (WALL AREAL SO. FT. TILE DRAIN FIELD: /4i FU,eTHESi i�zS/eCE a/S%r1NCE / M wELI-) / -70, TOTAL LENGTH /OO 10 /b DISTANCE FROM WELL FOUNDATION ,NEAREST LOT LINE , OF LINES , NUMBER OF LINESDISTANCE BETWEEN LINES TRENCH WIDTH �'0 IN. TOTAL EFFECTIVE ABSORPTION AREASO. FT. LENGTH OF EACH LINE 2- !q DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL' DISTANCE FROM �!F WATER TYPE DEPTH , BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE . SEWER LINE-. TANK , SYSTEM , CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM DISTANCES: i R -u= lo' I } I � 7L �i5TIN Ail DATE -2-2-W 1� GREAT&_ 327 Eagle St. ANCHORAGE AREA "OROUGH HEALTII DEPARTMENT Anchorage, Alaska 99501 279.2511 SEWAGE DISPOSAL SYSTEM - APPLICATION A PERMIT Case Na. -g25 -3 NAME OF APPLICANT ///L i 16: LIUAI &x Gob 6 MAILING ADDRESS /Avvs; PHONE N0. u! 27/Y RESIDENCE ADDRESS DfF 14)m . LOCATION OF INSTALLATION 1 LEGAL DESCRIPTI . 2-/2— APPLICATION iZ APPLICATION TO INSTALL: SEPTIC TANK , SEEPAGE PIT_V , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY 4691ewm Al�"E FINANCED THROUGH TO BE INSTALLED BY PERCOLATION TEST RESULTS S / �l�w«;ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS M-� c LIEU7N/S , PERMIT TO INSTALL A AS DESCRIBED BELOW, SIZE OF UNIT TO BE SERVED` J_---tf "Vn/ Jmf SEPTIC TANK SIZ N TYPE 002 SEEPAGE AREA 0D TY Fi°(� DIAGRAM OF SYSTEM 4 freA, 2 S' , 3 DISTANCES: 5l2E /SND/N( 21 IL TE5i.. Health Authority F- H I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. DATE ��`�/ APPLICANTS SIGNATURE / r (10"�,SREATER ANCHORAGE AREA BOROUGH ,. HEALTH DEPAF:TNENT CASE. N • 327 EAGLE STREET ANCHORAGE, ALASKA 99501 Performed For Date Performed J4�q /9l el Legal Description: Lot �l;XBloc Subdivssion �r�33 T— la f.j, K3 h 1 This Form Reports a: Soils Log_,.r _ percolation Test Depth Feet Soil Characteristics Location Sketch rcp.a the -1wc elravel herizel7s [Fig%rtn a /ease evhill) pine/us PA or s- ')Page• —�rr :{raaal '-----' LPnd h,ah C I a4 C� wafer - J`f Was Ground Water Encountered? If Yes, At khat Depth MEMNON NAME moll MENEM Ella MEMOMENN MMMMEMMI NNNNMMM MMMMMMMM Reading, Date Gross Time Net Time Depth To H2O Net Drop f 1 erCO dL Lon ttate L lnu e crop=ed Installatti n—. Seepage Pit ✓ Drain rield Depth Of Inlet Depth To Bottom Of Pit Or Trenchii COMMENTS: /l // rA /: n> nh ii• n:/9 n i9i o/r a'e wit �..w �,, ..�v ro ✓. �._ Test Performed By:�r, c Data Certified By: Date'✓ 7ct ria/., /4 /•9 v \� I 4#4 a5 -\ Municipality of Anchorage 46-W 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.muni.org/onsite (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 018-321-05 1. GENERAL INFORMATION HAA # 05CQ21 Expiration Date: G-17-0 Complete legal description T12N R3W Sec 33, East 1/2 of Lot 212 Location (site address or directions) 3333 Dora Lane, Anchorage Current Property owner(s) Beverly Edelen Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone Kevin Elfrink / Globe Real Estate Day phone 727-2150 Unless otherwfse requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well El Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑ Individual Holding tank El Community On-site ❑ Public Sewer A The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 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 9D 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. (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 Heaflh 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 Watkins Engineering, Inc. Phone 349-1851 Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. EllisJ'ki'�S Date 3^� A �intly W. Ellis W 5. DSD SIGNATURE �CE.rosn �,� Approved for bedrooms. +`tea.,,,,,,•....• �jo ssKK0L Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By:—�/�� &l � y/O-e� Original Certificate Date: 3 — / % 0-r (R«. MIM Municipality of Anchorage • Development Services Department =�* Building Safety Division On-S(te Water 6 Wastewater Program 4700 South Bragaw St. P.O. Box 196850 Anchorage, AK 99519.6850 www.muni.org/onsfte (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: T12N R3W Sec 33, East 112 of Lot 212 Parcel ID: 018-321-05 A. WELL DATA Well type Pri If A. B, or C provide PWSID aX Well Log (YAV) N Date completed 1982 Sanitary seat (Y/N) Y Wires property protected (Y/N) Y Total depth 98+ ft. Cased to 98+ ft. Casing height (above ground) 18 in. FROM WELL LOO Date of test NA Static water level NA ft. Well production NA 9 -P.M. WATER PNPLE RESULTS: Coliform _L-colonies/100 mi. Nitrate 40.1 mg.A. Arsenic: NA mg.A. Date of sample: S. SEPTICIHOLDING TANK DATA Tank Type/Material stOel AT INSPECTION 11/29/04 85 ft. 8.8 g.p.m. 3 -4 -os oc Other bacteria 0 colonies1100 ml. Collected by: Cindy Ellie Date installed 3/10/2005 Tank size 4000 gal. Number of Compartments I Cleanouts (Y/N) Y Foundation cleanout (Y/N) 2EO Depression over tank (Y/N) n High water alarm (YIN) Y Date of pumping NA Pumper NA C. ABSORPTION FIELD DATA Date installed NA Soil rating (g.p.dAf or f?/bdr V _ System type Length Width ft. Gravel below pipe ft. Total depth _ ft. Eft. absorptio Monitoring tube Depression over field Date of adequacy test Results ( For _ bedrooms Fluid depth in absorption fleld before test _ In. Water added_ New depth_ in. Elapsed Time: _min. Final fluid depth _ in. Absorption rate x g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 3 type) If yes, give date D. LIFT STATION 'Pump on" level at _ in. Datum E. SEPARATION DISTANCES Size In gallons Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NA Absorption field on lot NA Public sewer main 100+ Sewer /septic service line 45 Manhole/Access (YM) In. High water alarm level at in. Meets a uirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhoWdeanout 100+ Holding tank 6&6 (waiver to 02) SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 22 Property fine 93 Absorption field NA Water main 100+ Water service line 25+ Surface water 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line NA Building foundallon Water main Water Service line Surface water Driveway, parldnglvehide storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION *j° 491' I certify that I have detemdned Mrough field inspections and (I review of Municipal records that the above systems are in -- — conformance with MOA HAA guidelines in effect on this date. Cln , W Ellis Engineer's Printed Name Cindy W. Ellis x _E •los» ,:.� Date HAA Fee OD Waiver Fee $ Date of Payment 3I) 4IOS Date of Payment Receipt Number &14437 v.. Receipt Number (Rev 12101) Pi N 89 59'32"W 1 65.04 I D'TELEPHONE EASE MENTI BOOK 736. PAGE 1721 1 11 ---------------------1t—____ ID' IDII l p l 1, 3D• ILII I 'm I 1 IR I IzII tz�l loll IDII I;ll H Idll u I;ll u Intl u loll I ll t ll u� I tl m°N 7M 13 0o I II yL I II DY I ll Mm I II ^- I I I I ll I it I ll I ll I ll I ll I ll rs I ll 49.3 •-rLL I I slNDlc rwM'LY t t rwwME HOUSE T I II I ll o,L o.,.. oro. I t I o I I t o` I II i • I iI i • •I ll �IF ! r I I 3 'ROADWAY 6 P ELIC VTI LITY EABEM NT I I OOK 117, PAGE 261 1 t I DOR- AVE. I I N E39056'54"W 1 64.9 5 0 r Z Irl C 0 THE INFORLIATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEI EXISTING STRUCTURES AND RATTED LOT LINES OR EASEMENTS AND IS HOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED RAT, ARE NOT SHOWN HEREON. NOTE ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY U OR LOCATE STRUCTURES. ANY PAVING SHOWN IAAY BE APPROXIMATE DUE TO SNOW CONDITIONS. OF ALvO� e�:' 4 TH� •�a SHANE A. HOLT. 'o i •'' LS -6914 ..............' .o d AS -BUILT SURVEY SCALE: 1'-40' 1 HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. EAST 112 OF LOT 212, SECTION 33, T12N.R3W,S.M. ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _11TH_ DAY OF MARCH 2005 . HOLT LAND SURVEYING 8648. FS 11530 TEL. 3455513