HomeMy WebLinkAboutSOUTHFORK WEST BLK 4 LT 7South Fork
West
Block
Lot 7
El
#078-031-19
Municipality of Anchorage
-. Development Services Department �•E = __�_�
Building Safety Division E
i
On -Site Water & Wastewater Program, 4700 South Bragaw St.
` P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SWo3o39(a PID Number.
Name: JASON GRAY
Wastewater System: ■ New ❑ Upgrade
Address.
4245 HORIZON AVENUE ' ANCHORAGE, AK.99517
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 245-5790 3
13 Deep Trench ■Shallow Trench OBed 0Mound OOther
LEGAL DESCRIPTION
SO Bohol
2.0
Total Depth rrw" olprral pout:
5.0(MAX)
CPO/Sq. rt
rL
Block: Lot: Subdivision:
DwAh b Pb. bottan can or" gala:
Crawl death ben.all, PiPr
4 7 SOUTH FORK WEST
SEE DWG. IL
0.52 i<
Township: Range: Section:
r1 ade.d a>a.. erighwi gel:
G a Nneth:
— — —
SEE DWG. IL
46 rL
WELL: ■ New ❑ Upgrade
(iraea width:
5
Nu of Sri..:
1
Duluth. b.l.«n Me
—
R
2:
CkwediwUor, RIM.. A.B.Ck
Taal Dep1ti
Ceeel T.:la,,oK)
Tela oww,,,,h ewe:
Pp. nwlMa:
D 3034/ F-810
PRIVATE
222 n
222 rL
225+so. n
DN ..
Da. Dribel:
Sialic waw L.wl:
owl~
GEG, Ltd.
Da. In tahet
9/14/2004
SULLIVAN WATER WELLS
9 13 200
42 rL
nekl:
pwn,, set N: Ceep "eightAtww Craved:
TANK
10 seer
UNKNOWN n 2 rL
SEPARATION
DISTANCES
0Septic 0Holding 0S.T.E.P. ■Other
io
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
/Pri t.
Sews uh..
YO11daahwa'
ANCHORAGE TANK
'yinpeoro:
1500
From
Well
too'+
100'+
100'+
—
25'+
3/16' STEEL
2
Surface water
100'+
too'+
too'+
—
—
LIFT STATION
Lot Line
5'+
10'+
5'+
—L�.deeterw:
1500
ANCHORAGE TANK ORENCO SYSTEMS
Foundation
5'+
10'+
5'+
—
—
m I..a ot:
al I..er at:
I
Nph water alar" L
1
TIMEI
TIMER
46w
Curtain Drain
NONE KNOWN
elnr'p Yalu 0 IlolN:
/20 OSI 05 HHF
DectrW ewwicaoro perta"red br.
RISING SON ELECTRIC INC.
Remarks:
BENCH MARK
taeoaa" who Dro.Apaoh:
'THIS IS AN ADVANTEX TREATMENT SYSTEM
TOP OF WELL HEAD
~ rlkhaNqh. 100.00
rL
ENGINEERS S L
__'ZZ 00
•. OF .
v� .......
GEGLtd.
4
Inspections performed by: , Dates: 1st 9/14/2004
°.:....... .........:... �0
2nd 9/14/2004
D
3rd 9/14/2004
tf ness.
y
0 ,o
Development Services Department Approval
00 0 .,, c 7953
ll'/ ✓ a/ �
Reviewed and approved by: / Date-
(R«. tz/ot)
00`Pro feS,io(\o, o
Op40oo��
PERMR NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:I
\.� 100' WELL RADIUS _
\,,\ WEU. '
5 9E�z�
\ / e
EW 1500
ON ADVANTEX
TREATMENT SYSTEM
ALTERNATE
SITE
R,
/(
/( TH/1}� \\ \ \ \\
A I B
FCO
11.76
14.09
ST1
28.95
18.94
POD1
31.36
24.00
PGD2
34.51
20.92
MH
36.69
25.46
OBL1
44.43
34.73
DBL2
45.57
35.72
C01
112.31
94.69
MTI
113.52
95.89
jMTI
CO2
148.88 135.30
149.70 136.19
\� \ SPUD KLANDNTESTHOLE
TOBBEN
SPURKLAND TEST
\\\ \ V HOLE
DATE:
10/11/2004 0�
GARNESS ENGINEERING GROUP, Ltd. DRAWN BY.
° ' S R.A.L. � •''
CONSULTANTS & GENERAL CONTRACTORSOR SCA E' = 40, •,
3701 E TUDROAD. SURNGRDR
E 101 • AAGF. AK 90507 • PMNF (9 0 713 31-017 9 • FAX (901)330-37�A
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
JASON GRAY & CARRIE SMITH (907) 245-5790 1 2 OF 3 O
LEGAL DESCRIPnON: • '•
SOUTH FORK WEST SUBDIVISON; LOT 7, BLOCK 4, o4�Qte.
TYPE OF WORK: 44e
AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE
DRAINFIELD
A
A
y
CE —7
rness.:
53 ,: ♦FG
PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER:
FINAL GRADE TOP OF POD
w 9952 99.65-99.68 TOP OF MANHOLE
TOP OF TANK AT 99.34
INLET - 95.72 �• TOP OF TANK AT
OUTLET - 95.73
2'
INLET
9IVERT OF BUI
AT INLET w 95
1500 GALLON
S.T.E.P. TANK .
sem_
L(f FINAL GRADE -
9524-95.37
/
rOC NN. 94.
FILTER FABRIC HIGHEST
T
-PIVERT
OF PIPE
3(AVG)
TOP OF SAND SA:;APPROVED
FILTER - 91.11(AVG)r>;, FILTER ,.J
RELATIVE ELEVATION OF
�. ..k'..y4•{.T „I�r�y.> GROUNDWATER IN TEST HOLE O 87.11
BOTTOM OF TRENCH i5' RELATIVE ELEVATION OF
69.11(AVG) BOTTOM OF TEST HOLE O 86.11
RELATIVE ELEVATION OF
BOTTOM OF TEST HOLE O 84.11
DATE: opp6�
10/11/2004 0
ENGINEERING GROUP Ltd. DRAWN BY:
R
GARNESS TG SCALE:
R.A.L.
EIS
CONSULTANTS i GENERAL CONTRACTORS 1" - 4D• ,•••••• ,• •••••••• ••••• •••0
5701 F. TUDOR ROAD. SUITE 101 • AWIORAGF, AK 90507 • PHW (907)3]7-0174 • FAX (907)35A.3749 - D
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: Q
JASON GRAY AND CARRIE SMITH (907) 245-5790 3 OF 3 QQ p r y A. ess,.
LEGAL DESCRIPTION: Q��� CE -7953 t:p
SOUTH FORK WEST SUBDIVISION. LOT 7, BLOCK 4, �� ,' •.l�Ig�pS''�oov
TWE OF WORK: 4�0 PFOTl ssloAOo
AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE �40p000p�
(Urftieb �Mntting 109
by
DOC Co. ab.
SULLIVAN WATER WELLS
P.O. BOX 670772, CHUGIM ALASKA 99567 • -...
OVO4MOFuuua,�c�r�
ADDFESS 4� 4s 1lb.t,� UL= /1�jCT(
LEGAL DFST'flOrt -
DAt>=:j
P6*AT MIAtBEFt D 3n ! W L- Dale of Lssve�
TAX IDENfFIGNI M MlMElt 07E-
is viers located at approved penrA Locatior0 brut tato
Method of Odding CSar rotary U caw foe
Depth of wvet 22),
CasingType-1.�4- WaiThicR18M 'old J inches
DiameIer G it kr *mm dqM 2A :L feet
LlnerType 6z'" -
Cling
"'
Cli g Stickup Above Grotrxt feet
Sta c Waba Levet: 4) feet
Fled Plate: 10 Wit
MegvddTeOng A e—
wan MMafoe Ope q Type: U open end U open hole
:1 scrw lcd; . Start Leet Stopped (eel
44"_ start L lest Stopped � � Feel
Ctrl /dS 4 V -
Type
Depth: iron O feet. to o ted
Well Dsntaded Upon Carnpktkxe ❑ NO
McMW c(Dhkdecbxt Cir ' ^ B , ..rc S� Pf
C.tr,.S. rccJ�'
t3 r+ i64 s-
IOr110er`s Warne
k, i EN IION: It is the responsibMV of the property owner to submit a copy of the well tog to the proper authority. MunkipaGt!
If Anchorage: Department of Health & Human Services andfor Deparbnent of Erwkonmental Cortservatwn. Matsu Borough
)epxtrnent of Environmental Conservation.
Rising Son Elecirlc Inc.
907 622 6777 09/29/04 11i02A P.001
Rising Son Irlectric. Inc.
0916 \Voodl.and Drive
•`� rh �� Eagle River. AIC 99577
(907) 622-6777
September 28, 2004
Gamess Engineering Group
3701 E. Tudor Road, Ste. #101
Anchorage, AK 99507
Re: Lot 7 Block 4 Southfork West
Dear Kelly:
The lift station at the above referenced property has been wired In accordance with NEC
and State/Local codes.
Thank you.
Sincerely,
���c.a_s�1II • ��,zfa�tte�.
Kevin S. Hornbuckle, Owner
Administration License Number 1284
Specialty Contractor License Number 27285
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d 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
Date Issued: Sep 25, 2003
Expiration Date: Sep 24, 2004
Permit Number: SW030396 Parcel ID: 078-031-19
Legal Description:[Swt 6rk'We_9 Bloch4 Lot 71
Design Engineer: 0041 AK Water & Wastewater Consultan' Site Address: Unknown
Owner Name: Jason Gray & Carrie Smith Lot Size: 87965 SO. FT.
Owner Address: 4245 Horizon Avenue Total Bedrooms: 3 Permit Bedrooms: 3
Anchorage , AK 99517 -
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:
Issued By.
Date: 7'o267 -o3
Date: &3 03
\ Municipality of Anchorage
^" Development Services Department``
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. D78-03/-/9 Permit Number S10 -707M
Property. •N GREY & CARRIE. Day • • 91
Mailing address (1) 4245 HORIZON AVENUE * ANCHORAGE. AK
Mailing address (2)
Zip Code 99517
Legal description (Lot, Block & Sub'd.) LOT 7. BLOCK 4, SOUTCFORK WEST SUBDIVISION
Legal description (Section, Township & Range) N/A
Lot Size 87, 16Y Acres6a
THIS APPLICATION IS FOR:
Number of Bedrooms 3
Sewer Only ❑ Well Only ❑
Sewer and Well N 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.
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Permit Fees:
X550
Date of Payment:
Receipt Number. 413 d
Waiver Fees:
Date of Payment:
Receipt Number.
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
September 8, 2003
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
Ref: Proposed Well and Septic System for Lot 7, Block 4; South Fork West Subdivision
ADVANTEXT" TREATMENT SYSTEM
To whom it may concern:
1. GENERAL: The proposed 3 bedroom home will be served by a private well and septic
system. Four test holes were excavated on the property. We are proposing to design the septic
system around the 30 foot radii of the test holes. Due to the high groundwater, and the poor soils
we are proposing to use an Advantex treatment system and a 5 -wide trench type drainfield. The
well is to be located in the area shown on the design drawings.
2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring,
and the percolation test results.
3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex treatment
system that will allow the use of a small drainfield in the area around the 30 foot radii of the test
holes. The Advantex system has received class III approval and we are going to assume an
application rate of 2.0 GPD/FT2.
4. TRENCH DESIGN:
a. Percolation Rate: 30 & 48 minutes/inch
b. Proposed Application Rate: 2.0 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 225 ftZ
f. Total Depth: 5 feet (max.)
g. Sand Filter: 2+ feet
h. Effective Depth: 0.5 feet
i. Width: 5 feet
j. Minimum Length: 45 feet long
k. Effective absorption area: 225 ft2
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507
Ph: (907)337-6179' Fax: (907)338-3246 * Website: www.akwwc.com
5.ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will
be manufactured by Anchorage Tank R Welding to meet the latest design criteria established by
Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their
standard STEP tank, it is equipped with a high water alarm per M.O.A requirements.
6. SURFACE WATER: There is no surface water within 100 feet of the proposed septic
system upgrade.
7. TOPOGRAPHY: The average topography in the area of the proposed drainfield is a 15-20
percent slope running approximately southwest to northeast. In short, there are no slope
concerns.
8. CLOSING: I am open to any suggestions from your department that would be an
improvement to the proposed system. I am unaware of any negative impacts that this installation
would impose on ajjacent wells, or septic systems. If you have any questions, please call us at
337-6179.
P.E., M.S.
NOTE. Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail,
two soil logs, and a 7 page construction specification letter which are all part of the design
package for this septic system.
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507
Ph: (907)337-6179' Fax: (907)338-3246 • Websitc: www.akwwc.com
\\ SOUTH FOR WEST SUBDIVISION: \
\ LOT 9, BLOCK 4 \ `
1 \ \
\ \ \
\ \ SOUTH FORK SUBDMSION: LOT
3. BLOCK 4
\ I 1
1
� \ SOUTH FORK WEST $UBDMSION: j I
\ LOT 8, BLOCK 4 t I
\ I I
\ 1 I
\ rr++-- I
WACANTD
\ \ I I I
\ \ I I
SOUTH FORK ION: LOT
4, BLOCK LOCK 4 4
�\ ♦\ I `. `♦♦ '-VACANTD
\ 1 `
\ 1 PROPOSED
\ I \ 3 BEDROOM ` \
\ I \ HOUSE ��♦\ \\
T08EN SPURKLAND \ \\ \\
\ / TEST HOLE \ \
PROPOSED \ �� ♦ \
WELL _ _
PROPOSED SEPTIC SYSTEM \ \
INTERM♦\ (SEE DESIGN PAGE 2 OF 4) \\ \\
NTENT \ \
STREAM ♦ � t. • :. \ \
\ ♦ �� \ \
EDGE OF ♦♦ ``�\�• T08EN SPURKLAND \ i
BATIK TEST HOLE i I
SOUTH FORK WEST SUBDIVISION: \ ♦♦ I I
LOT 2, BLOCK 6 ♦ SOUTH FORK WEST SU13DMSION: 1 1
NO CONCERNS. WELL ♦� LOT 8, BLOCK 4 I 1
AND SEPTIC 100•+ ♦ •� \ 1 l
FROM LOT UNE •\ �
`♦ \ \
ALTERNATE SITE
AR E ♦♦ •\ ♦♦
SOUTH FORK WEST SUBDMSION: `♦ •�T/� ♦♦ 1 /
LOT 3, BLOCK B `♦♦ I�`",(\ ♦\♦ \ W I I /
r ♦ I /
WACANT� ♦♦ \ \/� ♦♦ %
� !
DRAWN BY:
ALASKA ANWI LR & «TASTL«TATLR
C.J.G.
SCALE:
CONSULTANTS. INC.
1 N = 100
% """"' ' ' ' """"'
101 F TUDOR ROAD. SDITF 101 • ANCHORAGF. AK 00507 • FNONF (907)33)-600' FAX (00])338.37L6
f
IEPARED FOR PHONE NUMBER:
PAGE NUMBER:
JASON GREY 245-5790
1 OF 4
Je fry a ness:
, y, ••• E 7953 •' .`.'
GAL DESCRIPTION:
SOUTH FORK WEST SUBDIVISION; LOT 7, BLOCK 4,
+(�,'�e^ '•.,, eq``P;
+3'%i\d''ro /e9 Sio0?;'�
PE OF WORK:
SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
' :--
\ ,p
O
/ �O
p \ \\
Q \ TOBEN SPUF
\ 'AjL \ TEST HC
I
DOUBLE
� I
1
NOTE: THE CONTRACTOR SHALL HAVE THE 10
FOOT STREAM SETBACK AND THE SOUTHEAST
I LOT LINE FLAGGED PRIOR TO CONSTRUCTION.
f7 I
/
/ PROPOSED 1500 GALLON
ADVANTEX TREATMENT TANK.
MAY REQUIRE A PUMP
VAULT IF GRAVITY FLOW
CAN NOT BE ACHIEVED.
PROPOSED ORAINFlELD. EXCAVATE
�\ FEET LONG. ADD 2 FEET OF
M.OA APPROVED SAND FILTER
`\ THAN ADD 0.5 FEET OF CLEAN.
\ WASHED SEWER DRAINROCK.
\ 4.` o.
\ � �\ �.�. „ti's �� \ \\\ ••,'
ALTERNATE SITE \ `
WILL REQUIRE THE \ `♦
USE OF A PUMP
VAULT \
/ APPROXIMATE \
\�` \
EDGE OF
INTERMITTENT
STREAM IN
ROAD DITCH \`\\
DATE:
9/2/2003
ALASKA NAWr
& «'ASTI;«TATLR
I-TOBEN S
TEST
PARED FOR: PHONE NUMBER: PAGE NUMULK:
JASON GREY 245-5790 2 OF 4 Q P '•, et e o ness.:
LL DESCRIPTION: Q y, GE 79 e�
SOUTH FORK WEST SUBDIVISION; LOT 7, BLOCK 4, 044
WORK:OF
DESIGN DRAWING FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM 4���4000��000
ALASKA WAT LR & WASTE LR o
CONSULTANTS. INC. �...:.... � °
LEGAL DESCRIPTION: S011THFORK WEST SUBOMSON; LOT 7, BLOCK. 4, YO •.Yell rk 2, n
PERFORMED FOR: AL PACE DATE: 11/7/2002 qm;
DEPTH _(feet) ORGANICS TEST HOLE 2
1 ----
2
6 jI I 111
k&ITH
COBB ESSOLDERS
7
8
9
10
11
12
13
14
15
16
17
18
SOIL CLASSIFICATIONS
DATE
DRY
GW
GM
GC
SW
SP
SIM
SC
DRY
ORG
CL
OL
MH
CH
OH
DRY
^'..GP
I IML
—2
2.5 FT. AND
3.0 FT.
o_�°•
': �'•
.'
30
5'
DEPTH TO
GROUNDWATER
DATE
DRY
11/7/2002
DRY
1/11/200
DRY
1/14/200
4:15
—2
I
l
TH#1
THJ2
r
H
O SITE PLAN
1'm100'
CLOCK
TIME
NETTIME
(MINUTES)
WATERLEVEL
READING
NETDROP
(INCHES)
:90
1
4:15
—2
2.5 FT. AND
3.0 FT.
A FOUR HOUR PRESOAK WAS PERFORMED:
4:45
30
5'
1'
rDATTEREADING
COMMENTS:
3
4:45
—
6'-
PERFORMED BY AKWWC, INC. I,
JEFFREY A. GARNESS,
CERTIFY THAT THIS
4
5:15
30
5'
1'
5
5:15
—
6'
—
6
5:45
30
5•
1'
PERCOLATION RATE
30 (MIN./INCH)
PERC. HOLE DIA. 6 (INCHES)
:90
TEST RUN BETWEEN
2.5 FT. AND
3.0 FT.
A FOUR HOUR PRESOAK WAS PERFORMED:
N YES
❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY:
CALEB GALL
COMMENTS:
PERFORMED BY AKWWC, INC. I,
JEFFREY A. GARNESS,
CERTIFY THAT THIS
WASERF
RIVED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL
GUIDELINES IN EFFECT
ON THIS DATE:
ALASKA '"WrER�7q& WASTEWATER y��
CON.Z TS �C :...
01 i. N. S 101 • ANC110 C 99507 • LT 90�) 157— NI • A%: 90 — 216 ' MEDSIfE oY..c.eom "
SOIL LOG - PERCOLATION TEST �, • . ,,,,,,,
LEGAL DESCRIPTION:SOUTHFORK WEST SUBDIVISON; LOT 7, BLOCK. 4, O� ,p •.J ff G ness:
PERFORMED FOR: AL PACE DATE: 11/7/2002 ��9� v. E 7 53 FFG
�4 �e„e •'•........••'• hoc
(f Tc)
eORGANICS ITEST HOLE #114���40oo��6Q�
LOAM
E
4
ML
6 jI I I I I I I& RGE COBBLES
ERS
7
8
9
10
11
12
13
14
15
16
17
18
SOIL
CLASSIFICATIONS
DRY
11/7/2002
DRY
GW
DRY
1/14/200
ORG
':'• .
GP
—
Illillill
ML
2
GM
30
5 3/8'
CL
/
GCOL
3
4:45
—
6"
o.=°oma
SW
4
5:15
MH
': �'•'•
SP
_
CH
'
SM
6-
� /
OH
474Y9,11
SC
5:45
DEPTH TO
GROUNDWATER
DATE
DRY
11/7/2002
DRY
1/11/200
DRY
1/14/200
7.0'
8/27/2003
I
L\
TEST HOLE
LOCATIONS ARE
APPROXIMATE
THg1
• TH#2
of SITE PLAN
�2
1--100-
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
11/11/2002
1
4:15
—
6'
—
2
4:45
30
5 3/8'
5/8'
_
_
3
4:45
—
6"
—
_
4
5:15
30
5 3/8"
5/8-
_
5
5:15
—
6-
—
_
6
5:45
30
5 3/8"
5/8-
19 PERCOLATION RATE 48 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 2.5 FT. AND 3.0 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES ❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W (S P RFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
5' LONG
I OMTv
I I
cq
10 I�
—TC)L—
----------------------------------
0.5' OF
MT CO
R FABRIC
FINAL GRADE
G
0
GRADE
9/8/2003
o-*! OF q p0
DRAWN BY:
p'``.••""' • Q
AI.ASIU «'ATER & WASTE«'ATER
C.J.G.
off.:
SCALE:
CONSULTANTS. INC.
°9 °,
ii F TUbM RnAD. SIXTF 101 • AN[NMAGF. AM 09507 • FNONF (On7)357-0179 • FAX (90➢)5H65]c5
N.T.S.
0 """ „
Q � �
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PAGE NUMBER:
JASON GREY (907) 245-5790
4 OF 4
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Divi '
AL DESCRIPTION:
SOUTH FORK WEST SUBDIVISION; LOT 7, BLOCK 4,
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44e^ed Pro lessio�°���0
p44pp00000&
E OF WORK:
PROFILE DRAWING OF PROPOSED DRAINFIELD
NOTE: THE BOARD INSULATION TO BE
AdvanTex` Treatment System PE HAS TME055 INSTALLED OVER THE SEPTIC TANK & 4-
AX20 -Mode I a ° °A" BEYOND ON ALL SIDES EXCEPT UNDER
THE ADVANTEX FILTER. THIS WILL ALLOW
40x94Pod FOR HEAT TO ESCAPE FROM TANK &
-+-+ RISE TO THE FILTER ABOVE IT.
INLET 0
6• JIM
FINAL CRADE_\ In
6- PVC PUMP -OUT
(".2)
6- PVC COUPLING
CLUED TO TANK
(TYP.2)
OPTIONAL
SLIDE SECTION
OF 6' PIPE
OVER THIS CONNECTION
TO PROVIDE
SHEER PROTECTION -
EXTEND TO
BRIDGE EXCAVATION
d Tf� W-VO.ROCKR
1500 GALLON
ADVANTEX TANK
9/8/2003
SCREENED
VAULT
PUMP
UFMAnON
ALASKA NWrER S WASTI:`�'ATLR ScLE: C.J.G. �4 7�
CONSULTANTS. INC. ` .......... • •
11m e -, D 0^An Cl 00%A7P .V
T. , .-urunonry A. eue. F lC67)117 O - FAX (Q07)3 34-37L6 N.T.S. O'•
JASON GREY (907) 245-5790 1 3 OF 4
LEGAL DESCRIPTION:
SOUTH FORK WEST SUBDIVISION; LOT 7. BLOCK 4.
PROFILE DRAWING OF FIBERGLASS ADVANTEX TANK
A.*Wr ne;s
-7953
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALI/TY OF ANCHORAGE
AND "soo (9 P
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 2 y y
day of �c�k �e� 20 03, by and between �r�, Gr`` 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 /fid v,yi+e< located at ,
Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AWWTS 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, "A -MLC') 15.65
B. Certificate of On -Site Systems Approval. An approval by the
'1.lunicieality of existing water and wastewater disposal systems given at
the time of properry sale and title transfer in accordance with AMC
Patz,e 1 of:
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
(S .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.
Paae 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 Equipment. Owner agrees not
to make any alterations, removal of parts or additions to the AWWTS without a Construction
Permit from the Municipality.
6. Nlaintenance 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 for the 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 N"VTS Operating Permit is:
Gt N yl
p:,. -e : ,, f 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.
Nee 4 of
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:
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. Severability. 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:
By:
Date: 1 y -o3
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY•
By: l%u- o 7-Z
Title: CIVIL- F-JV&1 Ai -R
Date:Y./2#/03-
ss.
2 410 3
ss.
instrument was acknowled.ed before met 'I ay
�. the �,LL�1 D� of ���(
f
ZE PUBLIC NOTARY PLBLIC F R ALASKA
OF
NN`
My Commission expires:g—(,
Richard\ASSIGNMENM Code Addendum AMC 15.65 (N00-0257]U4emoranudm of Undcrsunding Version VI.doc
Pa, -,e 6 of 5
Municipality of Anchorage •.
• Development Services Department i
Building Safety Division .. ,..
On -Site Water & Wastewater Program
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
�7
FOR A SINGLE FAMILY DWELLING
Parcel I.D. _ogg " 19 HAA#
1. GENERAL INFORMATION Expiration Date:
Complete legal description SOUTH FORK WEST SUBDIVISION: LOT 7. BLOCK 4.
(451
Location (site address or directions) NHN-WEST RIVER DRIVE 0 EAGLE RIVER, AK. 99577
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
JASON GRAY AND CARRIE SMITH Dayphone 245-5790
4245 HORIZON AVENUE • ANCHORAGE. AK. 99517
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
0
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
0
Individual Holding tank
❑
Community On-site
❑
Public Sewer
❑
The Munidpality 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 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (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 riles 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 Finn GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, Ltd. attempted to protide a thorough,
conscientious engineering analysis of the system In accordance with ADEC and MOA
DSD Guidelines 8 Regulations. The reported results described the performance ofthe
system under the conditions encountered at the time of the test, and separation
distances measured to readily Identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG. Ltd. can therefore not provide
any warranty or future estimate ofhow 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
otherperson or party Is not authorized, nor will It confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for 3 bedrooms.
Disapproved.
Conditional approval for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
Phone 337-6179
Date 4 r7
bedrooms, with the following stipulations:
Maintenance Agreements
Supplemental Engineer's Report
Other
eve
' ON-STTE
10FATg0 A?'n . m=
WASTEWATER : s"
1
By:_ /�//� .� U� � Original Certificate Date: I ��
(Rev. 12001) .
Municipality of Anchorage
Development Services Department
Building Safety Division
Onsite Water 6 Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage. AK 99519-6850
www.d.anchorage.ak.us
(907)393-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Desaiptkm: SOUTH FORK WEST SUBDMSON; LOT 7. BLOCK 4. Parcel IO:
A. WELL DATA
Well type PIM -n If A, S. or C provide PWSID# N/A
Date completed 9/13/2004 SaMtary seal (Y/N)S
Total depth -IM-t Cased to 222 ft.
J
FROM WELL LOG
Date of test 9/13/2004
Statlo water level 42 ft.
Well production 10 9 -p.m -
WATER SAMPLE RESULTS:
Well Log (YIN) YES
Wires property protected (YIN) YES
Casing height (above ground)" In.
lg
AT INSPECTION
Coliform 0 colonies/100 ad.
Nitrate 0.10 mg,L.
Other bacteria
0 colonies/100 mi.
Arsenic. N/A mgJL.
Date of sample: 3/31/2005
Collected by:
GEG. LtD.
13. SEPTICIHOLDINt3 TANK DATA
Tank 7ype/Materlel 3/18' 0g4 AI1VWrEX Date installed 9/14/2004
Tank size 1500 gal. Number of Compartments 3 Cleanouts (Y/N) YES
Foundation cleanout (Y" YES Depression over tank (YM) NO High water alarm (YM) YES
Date of pumping NEW 415-- Pumper
C. ABSORPTION FIELD DATA
Date installed x/14/2004 Solt rating jo.p.d ft%drm) 2_0
Length 4B fL Width 5 fL
System type TRENCH
(travel below pipe 0.52 ft.
Total depth •4� R Eft. absorption area 230 fe Monitoring tube YES _ Depression over field NO
Date of adequacy test NEW Results (Pass/Fall) rooms
Fluid depth in absorption field before test . in. _gal.
�Wewepth _in.
Elapsed Time:._ min, rr depth — in. Absorption rate » g.p.d.
enation treatment (past 12 mo.) (YIN 6 type) If yes, give date
D. LIFT STATION
Date installed 9/14/2004 Size in gallons 1500 Manhole/Access (YIN) YES
"Pump on" level at nMERin. "Pump oft" level at TIMERn. High water alarm level at 46
Datum BOTTOM OF TANK Cycles Jested NEW Meets alarm & circuit requirements?--Y-P—
E.
equirements?Y —E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot 100'+
Absorption field on lot 1000+
Public sewer main N/A
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Sewer /septic service One 25'+ Holding tank N/A
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation 51+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 101+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 1000+ Driveway, parkingNehicle storage 5'+
Curtain drain NONE KNOWN Wells on adjacent iota 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidepnes in effect on this date.
Engineers Printed Name JEFFREY A GARNESS CE 7
A53 r
Date r *`cl'q�
HAA Fee S S% Sv Waiver Fee S _
Date of Payment L1- 2) -US Date of Payment
Receipt Number f� Receipt Number.
(Rev. 12/01) `'? j "
4— 6-05: 5:27PM:
,CS Ret#
;tient Name
.>roject Name/#
;hent Sample ID
4atrix
ample Remarks:
1051705001
Garness Engineering Group, Ltd.
Various
South Fork West S/D Lot7
Drinking Water
:907 5615301
All Dates/rimes are Alaska Standard Time
Printed Datefrlme 04/062005 8:57
Collected Date/time 03/312005 16:45
Received Dste/rhne D4/012005 10:17
Technical Director Stephen C. Ede
0 2/ e
Allowable Prep Analysis
atamctcr Results PQL Units Me16od Contain"" Limits Due Date toil
raters Department
Nitrate -N 0.10011 0.100
tierobiology Laboratory
Total Coliform 0
mg/L EPA 300.0 B (o-.10) 04/01/05 CAM
c01/100mL SM209222B A (oaq 04/01/05 TLF
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