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TONJESS ESTATES BLK 3 LT 8
i Tonjess Estates Block 3 Lot 8 #051-832-01 Municipality of Anchorage Page 1 of 3 Department of Health and Human Services Division of Environmental Services On -Site Services Section 825'L' Street Room 502 P.O. Box 196650 Anchorage. AK 995m665o w .cl.anchorage.ak.us (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO10032 PID Number: 051-832-01 No'eft: MM&M Contracting Wastewater System: New Ado : P.O. Box 670495 Chu iak AK 99567 ABSORPTION FIELD per• 688-1236 Three 3 Bed 3) Deep Trench LEGAL DESCRIPTION We K.UN. 1.2 Ta Deptk.arg"Fade: cvwFr 8.5 Ft. Bladt: Le: $1100rWO1: 3 8 Ton'ess Estates Deph b ppe eohm ken ov" pale: 3.5 Grant Oeplh keneav, ppe: Ft. 5 Ft. TOwep: Range: septan: Re added aDo a 0nrW Vqe: Grew Length; 2 Ft. 40 Ft. Well: Existing fravtl wan: 3 eianlw d erase: Delta Oalwaan Mea: F,. 1 N/A FL CWlriem(Pm% A B. C): Teal Dealt:Geed b: TOW aheprphonZ PM hlelensl: Private Fl. >40 Ft. 400 Fr ASTM D3034 PVC Dreer. Dale DnNed: Stetc Water Le tl YelaY•r Deta hstaaed. 91 Ft MM&M Contracting 4/11-12/01 Yeq. P." Set 9: cat" H..ght #1 Grand. TANK CPM FI. >3F1 SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift Holding wiPrivate Finn Tank Field Station Tank severl6b Anchorage Tank 1,000 Wee >100' >100' N/A N/A >25' Steel Two (2) swop,vw ter >100' >100' N/A N/A LIFT STATION — NONE ON LOT La LOW >5' >10' N/A N/A e. Gal FeeNetinn >5' >10' IN/A N/A .l.Twn° N. .ae M. In. .b. kt. aete.,oreh None Noted P'anp1Aa1ij11O0e1 Elatlrral vdt, ve pedened hr. Rewka. 21' Insulation Over Septic Tank. BENCH MARK Garage Slab Aewewd Sew : 100.0 Ft. Engineef._s Stamp = `SOF � .. .. Inspections performed b .MEA P� P y' at Dates: 1 4/11/01 .. . . :•! yj••••T••••••)••• �•• � 2nd 4/12/01 A : MICKAEL E ANDEMN � Department of Health and Human Services approval�� :'•. CE -4331 .• � s�� ,• #t Reviewed and approved by: Date: 444'1 oo `S S1 S2 C4 M1 C5 Municipality of Anchorage Page 2 of 3 DEVELOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6650 -343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number SWO10032 PID No. 051-832-01 PLAN AS -BUILT SCALE 1" = 40' OF * : 491"'' 101 -MICHAEL E. ANDERSON : ✓j CE - 4331 U Municipality of Anchorage Page 3 of 3 DEVELOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6650-343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number SWO10032 PID No. 051-832-01 N N NM UU N U E 91.1 "`n E U i 361 3' tp �w "�. R* 491B tv .......... . PROFILE AS-BUILTIO... � I"= 10, (t � . MICHAEL a ANDERSON .� i 0� CE .4331 ttl�ttotsc��'�'� Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For. MMBM ontradinm Legal Description: Lot S_ Block 8_ Toy ac Estates SLOPE 11 17 21 GP/GW Well Graded to 'oorly Graded Gravel Bottom of Test Hole South Was Groundwater Encountered? No If Yes, What Depth? Depth to Water After Monitoring None Date: 4112/01 S L O P E Date Performed: *� 4�91J I03 f' : MICHAEL E ANDERSON PO���'. CE -4381 l w .r v tll'fslp'••....•.a`�`'` 11 t `; ;`SW'l`'ao . 4/11101 SITE PLAN See Site Plan Reading Dale Gross Net Time Time Depth To Water Net Drop 1 11 -Apr 5:30 .75' 2 5:40 3.5• 2.75' 3 5:50 625' 2b• 4 5:51 1' 5 6:01 3.5' 2.5' 6 6:11 Perc. Rate: 4 MinAnch Perc. Hole Diameter. 6' Test Run Between 8 FL and 9 FL Comments: Perc. Cavity Presoaked Prior to Test Same Material as Tu2. Performed By: Mike Anderson. I, Michael F. Anderson Certify That This Test Was Performed In Accordance With Aft State and Municipal Guidelines In Effect On This Date: 8111101 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water Q Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SWO10032 Legal Description f tONJESS ESTA_ TES BLK _3 LT 8 Design Engineer: 0014 Anderson Engineering Owner Name: MMBM CONTRACTING Owner Address: P.O. BOX 670495 CHUGIAK , AK 99567 - �{ -�/ • / CO Date Issued: Mar 16, 2001 Expiration Date: Mar 16, 2002 Parcel ID: 051-832-01 Site Address: Lot Size: 39879 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: F✓ Disposal Field Q 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. 5. The following special provisions. AT THE TIME OF CONSTRUCTION THE ENGINEER SHALL PERFORM AN ADDITIONAL SOILS/PERCOLATION TEST FOR THE UPGRADE SITE. Received By: Issued By Date: S-19-0/ Date: - 46-01 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 99519650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING SA [•. Parcel I.D. 051-832 _ 0t Permit Number SW0/0032 Property owner(s) MM&M Contracting Day phone 688.1236 Mailing address (1)P.O. Box 670495 Chuniak, AK99567 Mailing address (2)NHN TONY CIRCLE Zip Code -9956 Legal description (Lot, Block & Sub'd.) Lot 8. Block 3, Tonless Estates Legal description (Section, Township & Range) Lot Size 39,871 Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Three (3) Sewer Only ® Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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 Fees: 2 , Waiver Fees: Date of Payment: �° ��,�7, L/ l Date of Payment: Receipt Number. fit/' 1 Receipt Number. (Rev. 12/00) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522.6779 FAX March 12, 2001 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 8, Block 3, Tonjess Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 8, Block 3, Tonjess Estates Subdivision intends to construct a three- bedroom home on the currently vacant lot. We are therefore applying for a permit to construct a new septic system on the lot to serve the new home. The attached Site Plan and backup documentation identify the location and configuration of the new septic system and the parameters used in the design. It also shows the location of the alternate site and the existing well on the lot. A second dry well will be removed during development of the lot. The location of the well casing is also shown on the Site Plan. Several test holes have been placed on this lot over the past years. All of these holes reveal well to poorly graded gravels with percolation rates under 5 minutes per inch. Two test holes were recently placed on the lot at the locations shown which indicated similar well to poorly graded gravel to depths of 17'. No groundwater was noted in either test hole during excavation or during the monitoring period. We are therefore proposing to place a 3' wide by 40' long absorption trench with 5' of drain field rock beneath the distribution pipe. The pipe will be placed at 3.5' below the existing ground surface and the total depth of the trench will be 8.5'. A minimum of 3' of cover will be placed over the trench to prevent frost penetration and possible freezing. The ground surface on the lot slopes as shown on the attached Site Plan. The area for the new absorption trench, however, is fairly flat. The new trench will be constructed parallel to the contours of the surface in conformance with Municipal requirements. Grading will be accomplished to assure surface drainage is away from the new trench. The existing drainage pattern on the lot will not be affected during development. If the system is constructed in accordance with our design the following statements apply: 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. 2. The system, if constructed as designed, will have no adverse impact on existing Lot 8, Block 3, Tonjess Estates March 12, 2001 Page Two septic systems in the area or those to be constructed in the future. 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, Q Michael E. Anderson, P.E. _ `P.• Sir�S Attachments .'*: 49T" `` A.*° P *.MICHAEL E. ANDERSCN : �j; J CE -4381 L.262.08 1605 / / 16 �r L• r "�I' I r Naae•gge`w bnr r.. �7J8.,f 767, rat r o ?6 81.E y�0op 1�' 397 41. Iy 0j•0, •a bn ryA 7 I �b ,1• �I '^ do ; h ,��9•� hRti // OI O r-�i f: 0 THIS P 8 ROJECT yr J r •7 / N � rr.1 ar ' 1700 JBAr � I li 9 / • ?s / • / � RSO /y G S776.94 .9v6' 2'0 NE!•JS �9'E 204 17 47100 h00 �O ( JJ� R.50 04/ �r•J\a} 52•.50, 10 / I AREA MAP SCALE V=100' TH y+•0�00 �� 0, *.MICHAEL E. RSCN•�� V " �• CE -43 I e 44 PRO�CSSION�-o' v 669.5J'JO-w 660.33 81-72 62-59 1a0.J3 W O Q�h X iV e nGr ect,Sse 0 Existing Well ee i�Yat� C1RC�� SITE PLAN SCALE 1"= 40' LOT 8, BLOCK 3 TONJESS ESTATES . 0 Existing T.7— I 1 - r t ." WCHAEL L CE -4331 •,.- . s. SS LOT 8, BLOCK 3, TONJESS ESTATES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home Deep Trench System Perc. Rate: 3.3 Min./Inch 1,000 Gallon Septic Tank Application Rate: 1.2 GPD/SF 5' Drainfield Rock 3 Bedrooms X 150 GPD 11.2 GPD/SF = 375 SF of Absorption Area 375 SF/10 SF/LF = 37.5 LF Trench Length Therefore: Construct an Absorption Trench 40' In Length by 3' Wide With 5' of Drainfield Rock Beneath the Distribution Lateral. Distribution Lateral to Be Placed 3.5' Below Existing Ground. Total Depth of Trench to Be 8.5' from Existing Surface. Mound Over Trench If Necessary to Provided Minimum Cover of 3'. Natural T.-'-�,, Backfill Geotextile Fabric 5' PVCs P(SlottDown) ield 3, � 1 OF,A4 1144 TYPICAL DEEP TRENCH SECTION (NO SCALE)* 491" %... ...... .. .....G. t .. 0 NOTE: Grade Area Over Trench to Drain Away. , Minimum 6' Separation From Bedrock. �° A .MICHAEL E. ANDERSCN Minimum 10' Separation From Lot Line. ° s . CE • 4381 Minimum 10' Separation From Water Service Line. °I �9'•, Minimum 4' Separation From Groundwater. 411;1 `,�"";:: Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST 'e��astpp, OF 4 -J 1... ... .... A.� MICHAEL E. ANDERSCN • W r I� Jam.•• CE -4381 Is IL Performed For: MM&M Contractino Date Performed: 10/22/00 Legal Description: Lot 8. Block 3. Toniess Estates SLOPE SITE PLAN 1 2 3 4 5 6 1C 11 12 13 14 15 16 17 1e 21 OGIOL TESTHOLE NO. 1 GP/GW Well Graded to Poorly Graded Gravel Bottom of Test Hole South Was Groundwater Encountered? No If Yes, What Depth? Depth to Water After Monitoring None Date: 3/11101 See Site Plan Perc. Rate: 3.3 Min./Inch Perc. Hole Diameter: 6" Test Run Between 5 Ft. and 6 Ft. Comments: Perc. Cavity Presoaked Prior to Test. Performed By: Mike Anderson. I, Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 3/12/01 Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For: MM&M Contractino Legal Description: Lot 8. Block 3. Toniess Estates SLOPE 1® OG/OL GP1GW Well Graded to Poorly Graded Gravel 10 11 12 13 14 17�Bottom of Test Hole 18 21 North South Was Groundwater Encountered? No If Yes, What Depth? Depth to Water After Monitoring None Date: 3111101 `o.,aeee�t wo OF 44 tt 491" *0i 0 MICHAEL E. ANCERSCN CE -4381 tl� PdOfESSt��" ��� Date Performed: 10/22/8a��`' SITE PLAN See Site Plan Reading Date Gross Net Time Time Depth To Water Net Drop 1 24 -Oct 3:50 1.25" 2 4:00 4" 2.75" 3 4:10 6.5' 2.5" 4 4:11 1' 5 4:21 3.5' 2.5" 6 4:31 6" 2.5" Perc. Rate: 4 Min./Inch Perc. Hole Diameter: 6" Test Run Between 5 Ft. and 6 Ft. Comments: Perc. Cavity Presoaked Prior to Test. Performed By: Mike Anderson, I, Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 3/12101 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 8, BLOCK 3, TONJESS ESTATES SUBDIVISION GENERAL: The scope of this project includes the procurement and placement of a new 1,000 gallon septic tank at the location shown on the site plan. Work also includes the construction of a new 40' long X 3' wide X 5' effective depth absorption trench at the location shown. The distribution line in the trench will be placed at 3.5' below the existing ground surface. Total depth of the trench will be 8.5' below the existing ground surface. All components of the septic system must be placed a minimum of 100' from the existing well on the lot and on the adjacent lot. 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 system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION A new 1,000 gallon septic tank must be be procured from an approved source and installed at the location shown. 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. Lot 8, Block 3, Tonjess Estates Subdivision March 12, 2001 Page 2 of 3 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 trench 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 trenches to drain away. 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 D3034 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). Lot 8, Block 3, Tonjess Estates Subdivision March 12, 2001 Page 3 of 3 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. 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. 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. (Please Complete either 10, Ie or Ie.) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. A.D.L. No. lo. Borough- Subdivision Lot Block Ib. 1/4 eln. Satlien Ne. TarnshipN� Range E[] Meridian finch Ton ons £> —ef—ef s0 W0 E-1DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS - S. OWNER OF WELL: JO.'. -co Prince/Tony. Scha 2412 F4•29th Ave. Address: r 7 Anch.p Ak. 99�0� Street Address and Arse of Watt Location _ 2.'WELL LOG Feel Belay SYl face 4. WELL DEPTH: (final) S. DATE OF COMPLETION ' t1. ,81 i 1 q li • Material Type Too Bottom _�— Orgnnic: brogan rand soft. O 2 e. Q able tool Oltofory ODrIven OD Us 13Auger UJetted Geared 0Other; Till: grey end hard. 2 34 L'arpo very hard. bonldor frrey co. or. 34 7)7 T.usE: Qohmeetic 0 Public Supply 0 lodu.tfy 0 Irrigation 0 Recharge 0 Comm efltal , 0 Test Well 0 Other. Till: Frey end herd. 37 46 Largo very hard boulder ray co. or. 46 48 Till: -grey and hard. 48 50 S. CASING: 0 Threaded 0 welded alum. ' 61n. to 88 ft. Depth Weight '17 its./ft. slam. In. lo—fl. Depth lNckvp tt. Large very hard boulder :Trey color. 50 52 'fill: grey and hard. 52 54 Large very ?lard boulder grey co]ore 54 57 s. FINISH of weu:oprri hole. Type: Diameter: Slot/Mesh Silo; Length: Set baleen It. and ft. Backfilling Gravel pack Till': �-re and hard. 82 Lkarpo very hard boulder I,rey color. 82 84 Till: gray and hard. 84 86 Bedrock: brown end hard; with 86 96 vra er; 4U Lilo . 10. STATIC WATER LEVEL: 85 fl. 9 Bedrock: gr --en ar-d hard. 96 181 ❑ Abase" or Q Beton land surface Dole ; MUhIGPA ITY OF Equipment used: orad line. _Pi OF NEALT & 11. PUMPING LEVEL beta. land aortae. and YIELD 179rt. atter 2 fire. pumping0o66g.p.m. - .. ft. Offer lire. pumping g:P.m.' • • 12.GROUTING Well Grouted: ;© Yes 0 No Materiel: ❑ Neat Cement []Other: natural ' IS.PUMP: (If available) HP Length of Drop Pipe ft. capacity g.P•M. 0 sabre. 0 Jai 0 Centrlflcol 0 Other D ' - 14.REMARKS: 18. WATER WELL CONTRACTORS CERTIFICATION: IS. Waley Temperature .e 0 F 0 C . This .%H was drilled ander my )urlsdlctton and this report Is true tome beef of my kno.ledaa and belief, . F'occ Prillin;. AA 758 Registered Business Name Hoy '/x:50 Contract License Number Ada....'' 3. Chugixky Ah* 99:67 Signed: Dau: Aulhorlsed Rspresentaflee Form 02-WWR (II/811 Copy OlstrlbuNon: WHITE -Stab OGGS, PINK -Driller, CANARY-Cuslemer RETURN to, olylslon of Gwloglc.l end geophysical sYrvq. (Dus) MAnchorage. Alaska !lSOl pp9mvpInDrive Telepho : 277'615) WATER WELL RECORD Drilling Coroany Us" Foss Drilling r... 1 pi..e teeelate either la. Its. or Its. U.s.a.S. Loci No. Ornlln, f.rat b. A.O.L. No. STATE Of ALASKA DEPARTMENT op NATURAL RESOMI[S Section b. Tounsnip HIS Range w Meridian I,MbrougN Anch. SYedivislo„ TonJees Lot 8 2loclt Its. Fraction f 1 le. Distance and ",rection fro. Road Intersections .Street Address and Area of Wali LOCatice j. OWNER of WELL 'Jesse Prince/Tony Schaff Addresst 2412 We 29th Ave* Anchorages Alaska 99503 2. WELL LOG Net New "ff Notarial Trp* op bttaa b WILL DEPTH, (cmgbted) 119 ft. Surface Elevation Date of 2%p12�84 Till: grey and hard with 0 1 61 5, gable tool [Data" ❑Driven ❑Dug [3 Auger ❑Jetted ❑bred ❑other' boulders. ill: 11 ht brown medium 61 1 7b TVa s. usu �bralc ❑ruenc supply ❑ lndlstry ❑Irripetl*n ❑ ocha," ❑Co�ercl.l ❑Tact well ❑other, hardness. Till: xrey andar w t boulders. Bedrock: reen and ard. Threed*d aid 7. CASINC: QUned In. to Ci Z.It. Depth WlOhc 11►dls. -in. to eft. Depth E. FINISH or RLLtopen hole Type; Demurs Slot/Noah Sizes Length, Sat bat shs ft. and ft. flttingst !. STATIC WATE11 LEVELt N/A ft. ❑Above ❑eelw land surface Type of Nassuranant: 10. PONPINO LEVEL NIw land surface N/A ft. after M/A .hrs. puepinp N/A I.P.M. ft. after hrs. puapin9 _2-P-0- 11. RLL HEAD COMPLETION: In Approved Pit ❑Pitless Adapter 18 Inches above grade 12. SROUTINet Well Groutedl m Tat ❑b Keterlalt ❑Neat ce nt ❑other, natural 17. pWpt (If .vailable) H► Length of Dro► PIPs ft. Capacity -1-P.- Types ❑SYbrrslble ❑NClprocating Cl Jet ❑0thert 14. "cNA"utbore hole sealed with ap- proved well seal and left for 15• WATER WELL CONTRACTOR'S CERTIFICATION: This wll ra drillad under my jurisdiction and this report A true to the Nat of MY bno.ledge end belief: Foss Drill AAA *g .tale VI nay Y ntraCt GN1N 1,NaDef Address: TI signed: Data: Yl1gf i IpI*alntat YI Fare 02 -Wu" copy Distribution: WHITE - State DCCf, PINK - Driller, CANARY - Cos, r ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 February 2, 1994 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Lot 8, Block 3, Tonjess Estates Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: The terrain of the subject lot slopes as shown on the attached site plan with no drainage problems or surface water. The drainage pattern will not be affected by the development of the lot. Gravelly soil was found on the lot with no subsurface water. Conditions appear excellent for an onsite system. All existing wells located within 100' of the proposed system will be abandoned in accordance with Municipal and A.D.E.C. Regulations prior to placement of the new septic system. If the system is constructed as designed, the following statements can be made: 1. The system, if constructed as designed, will have no adverse impact on the wells currently in use or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserved 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. tie,^�4n�� f 0 f1. 3z� Sincerely, a �: ••' ..... '..- � •1 Michael E. Anderson, P.E. �; ^ .1.: _":.^%:lar. "vds•:.�^ 00 {p Fc Michael E. An Wrwn W of �� 5�c �• 4381 • E •�, C\V AV C F%OFE55O�..v ij- Lot 8, Block 3, Tonjess Estates Subdivision DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home I Shallow Trench System Perc. Rate T.H. #1: 2 Min./Inch 1,250 Gal. Septic Tank Perc. Rate T.H. #2: 19 Min./Inch Min. 2' Accepting Soil Avg. Perc. Rate: 11 Min•/Inch 4' Drainfield Rock Under Pipe Application Rate: .8 GPD/SF 4 Bdrms. X 150 CPD / .8 GPD/SF = 750 SF 750 SF /5'(Width) • .5 (Reduction Factor) = 75' Therefore: Construct a Shallow Trech System, 75' (Length) X 5' (Wide). Place 4' of Drainfield Rock beneath the Distribution Pipe. Place Distribution Pipe 3.5' below orginal ground. y a •YrEaif:i:.:. ��,Nochad E. Anderson <y' �O'J� a <381 • E � �c"r I 1540oc T: jD2p4rJ L I I I 1 I I -- —.1— —i )A-17UXAL— I I i I I r I ! I i iiOMC -- .-- 1 I 101 I 1 I 1zsv'G ',,w —r r S"77c. Twit — t — _L v6� I i T) ; 1 1 I I 1 .75- 1—j!i `rYP� ,�J-rz:cNuI41 S64I 7n,l i i i i _! I Syrr Vl�t,l _- �,;h —Az LAW --- I. �r...... lea** 1 1 l . 1 1 1 1 1 1 1 c`'' 'a iT�•�i:,'Y 1'sr y a •YrEaif:i:.:. ��,Nochad E. Anderson <y' �O'J� a <381 • E � �c"r "- QENGINEER'S SEAL) r„ Municipality of Anchorage 'I r^ '. Id DEPARTMENT OF HEALTH 11 HUMAN SERVICES . ..•� F�t.gqjj 825'L" Street, Anchorage, Alaska 99502-0650 LG Gltiatie(�s+ SOILS LOG — PERCOLATION TEST �0 Michad E. Andc'wn• f Bit �'•° 4351•E � PERFORMED FOR: 14Lc•'I (,.I��+a&�v(!^✓1 L DATE PER FORA LEGAL DESCRIPTION: �L✓/ fON1/ G�/ Township, Range, Section: 1 OE P.�„ �" ESTiYj�5,5uBD 2 v.. • o 3 e • e� e•• 4jrele C, C��G►� 6 0. 'e'•: tea// 7 p�•� 8 - 15 '•:p; // 16 •d•O• (O cc, to. 10 / •e s 18 18- 0 o a. 17 11 "= 5•'7s 20 B 2 12- o 13 1 3 .• " are 14 SJ /v :: S 15 '•:p; // 16 •d•O• (O cc, 7 17- 6y / 7.18 18 18- 0 o a. 17 19 •0 yo 5•'7s 20 B COMMENTS 7est As/t AVAs WAS GROUND WATER _ 1 ENCOUNTERED? /Y IF YES, AT WHAT DEPTH? Depth he Waer A8� 3/�91t Mmltering7 / Dole SITE PLAN Reading Date Grose Time Net Time Depth to Water Net Drop 6y / 7.18 +tY t 36 a. 17 /o /34 7.a 5•'7s SJ 5.10 /v liil 7.54f ,7S 5i o 17-75 5•1/ PERCOLATION RATE Z (mmutevinch) PERC HOLE DIAMETER L TEST RUN BETWEEN S FTAND G FT PERFORMED BY / I "" ••t,� I THAT THIS TEIST, WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72-008 (Res. 465) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 `L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST D PERFORMED FOR: 4Lc-�I je�— &JL%o rJ DATEPER LEGAL DESCRIPTION: ^' �Bl� Township, Range, Section: Y��/ e D SLOPE SITE PLAN 1 •v o' 2 p. .o 3 oo'r. 4 0 p A Qe pa: 5 `i7 C 6 'tz 7 j.p. • •n p 9 , .• /ate ° O •,' • / o r , l7. �11l�µ,JnL qr.•P' 12 %b 0:0 130;•• J. Samei M�/4. °v -a A��• IL'lirt 14 ,r °• OCG• 20 15 :�°� WAS GROUND WATER ENCOUNTERED) IF YES. AT WHAT DEPTH? Depth to Water After monitoring? or • ���ta>•tafil�t;•�� ' ■■■■■.■■■. Reading Date Grou Time Net Depth to Time Water Net Drop /111,10194 S:0,5 9, f z L:) //.Zs 1757 t 4.5 / ) e, i 5:05, it S 8 e l :c/ L 19 53 1.7 20 /q -frr PERCOLATION RATE q�� (mmutevmcn) PERC HOLE DIAMETER _,r_ TEtST RUN BETWEEN 9% FTAND O'v FT COMMENTS PERFORMED BY: �n hWrIl`' I �Y'k'���'� �"�' T+' THAT T/rIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE ZJ d z7y 72-008 (Rev. 4185) Municipality of Anchorage • Development Services Department ;►�: Building Safety Division - On -Site Water 8 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 FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-832-01 HAA# 1. GENERAL INFORMATION Expiration Date: L3 S— 0 3 Complete legal description TONJESS ESTATES S/D: LOT 8, BLOCK 3: Location (site address or directions) 21546 TONY CIRCLE Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ERNEST k SHARON JOHNSON Dayphone 688-3690 C/O REALTOR Day phone STEVE SHELL w/ PRUDENTIAL VISTA Day phone 351-9633 16635 CENTERFIELD DRIVE EAGLE RIVER. AK. 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site N Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 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 andlor 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. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, orprior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal afrixed 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 Firm ALASKA WATER do WASTEWATER CONSULTANTS. INC. 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, AKW WC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identirtable 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. AKW WC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Phone 337-6179 Date 6 111L.103 Conditional approval for bedrooms, with the flowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other ON-SITE • •' WASTEWATER `RROGRAIr .. •* A By: IG��Jiti/ �A%. Original Certificate Date: (Rm. 12)01) Municipality of Anchorage • Development Services Department Building Safety Division On-Sbe Water 6 Wastewater Program 47W South Bragew St. P.O. Box 196850 Anchorage. AK 99519-6650 www.cLanchorageak.us (907)943-79% HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: TONJESS ESTATES S/D: LOT 8, BLOCK 3: Parcel ID: 051-832-01 A. WELL DATA Web type SATE If A, B, or C provide PWSID# N/A Web Log (YIN) YES Date completed 1984 Sanitary seal (YIN) YES Wires Property Protected (YIN) YES Total depth 181 ft. Cased to 88 ft. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 9/27/84 5/21/03 Static water level 85 ft, 179 ft. Well production 0.66 g,p.m. 00.18 g.p.m. WATER SAMPLE RESULTS: •1,140 GALLONS OF STORAGE IN BASEMENT Collform 0 colonie3/100 ml. Nitrate 3.55 mg./L. Other bacteria 0 colonle3/100 mi. Arsenic:0.OW mg./L. Date of sample: 5/22/03 Cobected by. AKWWC. INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Materlal SEPTIC / STEEL Date installed 4/01 Tank size 1000 gal. Number of Compartments 3 Cleanouts (YM) YES Foundation deanout (YM) YES Depression over tank (YIN) NO f1 High water alarm (YIN) N/A Date of pumping 03 Pumper Tf% Pur+9 i„n, C. ABSORPTION FIELD DATA -*BELOW EXISTING GRADE Date installed 4/01 Sob rating .p.d. r ft%dno) 1_2 System type TRENCH Length 40 ft. Wkfth 3 A. Gravel below pipe 5 ft. Total depth 009.6 M Eft. absorption area 400 ft' Monitoring tuba YES Depression over field NO Date of adequacy test 5Z21/03 Results (Pass/Fall) PASS For 3 bedrooms Fluid depth in absorption field before test DR' In. Water added 705 gal. New depth DRY in. Elapsed Tine: 0 min. Final fluid depth DR' In. Adsorption rate >= 450+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size In gallons High water alarm level at in. Cycles tested Meets alarm & circuit requirements?— _* f4v', &a(.& uF W4 , -, e�abE of-ra SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent kits 100'+ Absorption field on lot '*' 100.12 On adjacent kits 100'+ Public sewer main N/A Public sewer manhole/deanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property Ane 5'+ Absorption field 5'+ Water main N/A Water service One 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingNehide storage 50'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that I have determined through field inspections and review of Municipal records that the above systems are in ....... ' • ' """ •""" conformance with MOA HAA guidelines in effect on this date. et a A. Corn s Engineer's Prin Na a JEFFREY A. GARNESS -79 Date <ri/ ii j e�ea' ........ • ' �r �p of�sfbnd HAA Fee Waiver Fee $ Date of Payment Date of Payment Recelpt Number- Receipt Number (RSV. (afo+) 05-30-03 05:37PM FROM-CTiE ENVIROMENTAI SRV SCS RKN 1032884001 Client Name AK Water & Wastewater Consultants Inc. Project Namefil Lot B. Dlk 3, Toniess Estates Client Sample ID Outside Faucet Matrix Drinking Water Sample Remarks: Results PQL Metals Department Arsenic 0.00200U. 9075615301 T-842 P.02/02 F-928 All Dateslflmet are Alaska Standard Time Printed Date fime 05/3012003 16:37 CollectedDate/flme 051272003 7:50 Received Daterrime 05/27/2003 13:00 Technical Director Stephen C. Ede Releated By Allowable Prep Analysis Init Units Method limits Date Date 0.00200 1119/1- EP200.9 (<-0.05) 05129103 05/30/03 3MP 05-27-03 01:52PM FR011-CHE ENVIRMENTAL SRV 9075615301 T-699 P.02/01 F-710 SGS ReLN 1032823001 All Dates/rimes are Alaska Standard Time Client Name AK Water & Wastewater Consultants Inc. Printed Date/ Time 05/27/2003 11:44 Project NanxM L8, D3, Tonjess Estates Collected Date/Time 05/2212003 8:47 Client Sample ID Outside }lose Bib Received Date/Mme 05/22/2003 12:55 Matrix Drinking Water Technical Director Stephen C. Ede Released lly —�r—i a—�� Sample Remarks: Allowable Prep Analysis Paumneter Results PQL Units Method Limin Date Dam Init Waters Department Nitrate -N 3.55 0.100 mg/L EPA 300.0 (<-10) 05/22/03 1S Microbiology Laboratory Total Coliform 0 col/100mL SM1992220 (<-l) 05/22/03 KAP L 05/16/05 FRI 09:12 FAX 907 562 5485 PRUDENTIAL VISTA REAL E Q1002 FROM COINTF i REPL_TY pl-a•E No. 907MI12M � Rug. 08 2001 09:38M P2 r •„ 1}. W •tw.. '•�-•! •7.02, .. , .....� to 05 uu�r F • ' /4 d � . s4.i�P . "1 s'i`t 444ti. <Ft6t om7V 80 5 •+,:3.y Z• 3 5, 74(- A.S.-BUILT I7wtetiyceT*'that I have surveyed the following desa3ed pm�,e,ty_E_or Ir B/eck 3. TcvvSliS1 6J7—AYES st/BR. c�'f1e,�y a. , 7 rs'N R ►"! ST Anchorage 1Rewrdmi; P4t4ncL AlaskP. surd that the prove - mots situated ate,rtthin the ptrtperty Bnes.nd'de not _ a"Wor enaoadt an the peopettr lying adjacent geeeeto, that no fmptoveaeEnh on ptopaty lying adtahcrttt thetet6 enaaach.._: an IM•peio 614oettbnnd that there Mena soadwayS.' a transenafioti )bra other visible oaxments•on said property. - coapt as htdiated haven. Dawtd at Emla ifiver, ALAI this /S. ,t,•,of N•+- }p2aol , ' ROBERT C. JOHNSON SC/tCEi Reaistemd Land SarvevorNo. B� LS r •„ 1}. W . s4.i�P . "1 s'i`t 444ti. <Ft6t om7V 80 5 •+,:3.y Z• 3 5, 74(- A.S.-BUILT I7wtetiyceT*'that I have surveyed the following desa3ed pm�,e,ty_E_or Ir B/eck 3. TcvvSliS1 6J7—AYES st/BR. c�'f1e,�y a. , 7 rs'N R ►"! ST Anchorage 1Rewrdmi; P4t4ncL AlaskP. surd that the prove - mots situated ate,rtthin the ptrtperty Bnes.nd'de not _ a"Wor enaoadt an the peopettr lying adjacent geeeeto, that no fmptoveaeEnh on ptopaty lying adtahcrttt thetet6 enaaach.._: an IM•peio 614oettbnnd that there Mena soadwayS.' a transenafioti )bra other visible oaxments•on said property. - coapt as htdiated haven. Dawtd at Emla ifiver, ALAI this /S. ,t,•,of N•+- }p2aol , ' ROBERT C. JOHNSON SC/tCEi Reaistemd Land SarvevorNo. B� LS ALASKA WATER F& WASTEWATER CONSULTANTS, INC. May 27, 2003 Ernest and Sharon Johnson C/o Prudential Vista Attention: Steve Shell 16635 Centerfield Drive Eagle River, Alaska 99557 Subject: HAA for Private Well & Septic System. Lot 8, Block 3; Tonjess Estates S/D. To whom it may concern: The subject lot has a 3 bedroom house on it, which is served by a private well and septic system. The results of the field investigation and adequacy tests are summarized as follows: A. WELL: The water system consists of a water well with a 1,140 gallon bladder storage tank inside the basement. The storage tank was bypassed in the middle of our test. Prior to our test on 5/21/2003, the static water level was at 179 feet below top of casing (BTC). A total of 705 gallons was pumped out the well and the storage tank, which caused the static water level to drop to 485 feet BTC, and also caused the pump protector to shut the well pump off. The well was allowed than to recover over night with the breaker for the well turned off. In the morning, we returned to the property and found the static ware level to be at 364 feet BTC ( a rise of 121 feet). A total of 196 gallons was pumped from the well, which caused the static water level to drop to 489 feet BTC, and caused the pump protector to shut the pump off. Based upon this data, the well production is 0.18 gallons per minute or 259 gallons per day (196 gallons in 1103 minutes of recovery). The Municipal requirements for well production for a 3 bedroom house is 0.32 gallons per minute. As can be seen, the well production from the well does not meet MOA requirements. However, according the MOA water well ordinance AMC 15.55.070, the well production can meet the MOA requirements with a water storage system. The minimum amount of storage for a well that produces 150 gallons per day or more is 500 gallons. Given the fact that there is a 1,140 gallon bladder tank in the basement, the well production with the storage system des meet MOA requirements. Water samples for nitrate and bacteria were taken on 5/22/2003. A water sample for arsenic was taken on 5/27/2003. These samples were taken to the lab for testing. As soon as the results are available, we will fax them to you. 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.com One deficiency that was found during our inspection was the well wires on the outside of the casing were exposed 10 inches from the ground level. In order to submit for a Health Authority Approval (HAA), we will need this fixed by either replacing the conduit so that no wires are visible or by mounding dirt around the casing so that the wires are not visible. Two well logs were found for the property and are on record with both the MOA and the State's Department of Natural Resources (DNR). It is unclear which log is for this well. As can be seen from the attached logs, the wells are shallower than the static water level during our test. It is our opinion that one of these wells has been deepened in the past with no record of this work being filed at either the MOA or DNR. According to these logs, there should be two well on the property. During our site visit, only one well was found. If the other well does exists, it must be permanently decommissioned per AMC 15.55.060 (see attached) prior to submitting for the HAA. B. SEPTIC SYSTEM ADEQUACY TEST: The septic system consists of a 1,000 gallon septic tank and a drainfield is a 3 foot wide trench, which is 40 feet long, and has an effective depth of 5 feet. Prior to starting the adequacy test, the monitoring tube was found to be dry. A total of 705 gallons was added to the drainfield with the monitoring tube remaining dry. Based upon this data, it was determined that the absorption rate of the trench exceeds 450 gallons per day, as required for a 3 bedroom house. If you have any flyiystions, please contact us at 337-6179. .E., M.S. 3701 E. Tudor Road, Suitc 101 • Anchorage, Alaska 99507 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.com 15.55.060 ANCHORAGE ASUNICIPAL CODE 2. The date the well was completed; k. 3. The total depth; 4. The total depth of casing; 5. The location and type of well completion; 6. Static water level below the top of the casing: 7. Yield; and S. Height of casing above finished grade. li. Well logs and as -built. The licensed well driller shall provide a well log to the property owner within 30 days of completion'of the well. Within 60 days following the completion of the well or drilling activity, the property owner shall submit to the department a copy of the well log, the results of other drilling activities conducted under the permit, and an as -built drawing on an SYa by 11 inch sheet to a scale of not smaller than one inch to 50 feet showing all data and informa. tion shown on the site permit plan including the location of the well and/or other drilling activities. 1. The well log shall include at least the following pertinent information: a. The property owner's name; b. The legal description and street ad- dress; C. The method of drilling (rotary, cable tool, etc.%. d. A description, relative depth, and thickness of each soil stratum pene- trated from the ground surface to the total depth; e. The relative depth and thickness of each water bearing stratum (aqui- fer) penetrated; L The total depth drilled; g. The length, diameter, wall thickness and type of casing used; IL A description of the liner (if used) and the length and setting depth; L The depth and number of perfora- tions, (if any) in the casing and/or liner, The static water level and drawdown level; The well production test results in- cluding the method of testing; The dates of commencement and com- pletion of drilling operations; The number and date of the well drilling permit issued by the depart- ment; The name and address of the li- censed well driller, and A description of the method of disin- fection process used upon comple- tion of the well. I. Water quality standards. Water used for domestic purposes shall not contain concentra- tions exceeding the following ratios: 1. Total coliform bacteria -'0 colonies per 100 Mi. 2. Nitrate - 10 mg per liter. 3. Other bacteria - 10 colonies per 100 ml. J. Well decommissioning. Wells may be tempo- rarily or permanently decommissioned in accor- dance with this subsection: 1. 2. j. The type and location of any screens used; Supp. No. MA 1 AMC 15.55-8 Temporary decommissioning. A well may be temporarily decommissioned by remov- ing the pump, disconnecting the water service line from the residence, and in- stalling and maintaining a water tight cap or seal. Permanent decommissioning. A well may be permanently decommissioned by one of the following methods: a. Perforate the casing from the bottom to within five feet of the land sur- face, remove the top five feet, then pressure grout the entire length. b. Withdraw the casing and fill the borehole with grout, puddled clay, or bentonite as the casing is being with- drawn. C. Cut off the casing at a point two feet below ground level and fill the cas- ingwith a concrete or bentonite slurry. WATER WELLS If bentonite is used, the top ten feet (ten feet below the top of the cut off casing) shall be filled with cement slurry. The top of the cut off casing shall then be sealed with an 025 inch thick (or thicker) plate firmly welded to the top of the casing. (AO No. 96-98(S), i 6, 8-13-96) 15.55.070 General standards for potable wa- ter hauling and storage facilities. A. When well productivity is less than the requirements of subsection 15.55.060.E. water storage facilities shall be installed. 1. A permit to install water storage facilities shall be obtained from the department prior to installation. The permit applica- tion shall include: a. The legal description of the property, b. An as -built site plan or proposed site plan meeting the requirements of subsection 15.55.050.33.1. and includ- ing the location of the water storage facilities; and c. The number of bedrooms served by the well and/or water storage facili- ties; B. Location of buried wafer storage facilities. The location of buried water storage facilities shall be at a site readily accessible year round for testing, repair or maintenance purposes. The min- imum separation requirement between buried water storage facilities and other specified facili- ties and areas shall be: 15.55.070 MINIMUM SEPARA- SEPARATION OF TION DISTANCE MV TANK FROM FEET) Private sewer line 25 Hydrocarbon storage 25 tank Sewer trunk line 1 75 Sewer manhole or 100 cleanout Solid waste holding or 100 septic tank 15.55.070 1. The ground surrounding the access of the storage tank shall be sloped or contoured to allow surface water to drain away. C. Water storage facility specifications. Speci- fications and requirements for water storage tanks and facilities, for both interior and exterior appli- cations are as follows: 1. Water storage tanks shall have National Sanitation Foundation (NSF) approval, or, 2. Water stozaQe tanks shall be designed by an engineer and manufactured by an ap- proved tank manufacturer. Materials and coating used in construction shall be ei- ther U.S. Food and Drug Administration (FDA) or NSF approved food grade. 3. All components of water storage facilities shall comply with the latest adopted edi- tion of the Uniform Plumbing Code as amended where applicable. 4. Water storage tanks shall have a mini- mum capacity of: a. One thousand gallons for homes up to and including tbree bedrooms with- out wells or having a well producing less than 150 gallons per day. Each bedroom above three bedrooms shall add 250 gallons to the required ca- pacity of the tank. b. ' Five hundred gallons for homes with wells producing 150 gallons or more of water meeting the requirements of subsection 15.55.0601. per day but less than the'requirement,of 15.55.060E. 5. An exterior water storage tank shall have a minimum of four feet of cover, or insu- lated to protect from freezing: Tanks bur . Supp. No. KA 1 AMC 15.55-9 MINIMUM SEPARA- SEPARATION OF TION DISTANCE (IN TANKFROM FEET) Septic absorption field 100 Animal feed lots, shel- 100 ters and containment areas 1. The ground surrounding the access of the storage tank shall be sloped or contoured to allow surface water to drain away. C. Water storage facility specifications. Speci- fications and requirements for water storage tanks and facilities, for both interior and exterior appli- cations are as follows: 1. Water storage tanks shall have National Sanitation Foundation (NSF) approval, or, 2. Water stozaQe tanks shall be designed by an engineer and manufactured by an ap- proved tank manufacturer. Materials and coating used in construction shall be ei- ther U.S. Food and Drug Administration (FDA) or NSF approved food grade. 3. All components of water storage facilities shall comply with the latest adopted edi- tion of the Uniform Plumbing Code as amended where applicable. 4. Water storage tanks shall have a mini- mum capacity of: a. One thousand gallons for homes up to and including tbree bedrooms with- out wells or having a well producing less than 150 gallons per day. Each bedroom above three bedrooms shall add 250 gallons to the required ca- pacity of the tank. b. ' Five hundred gallons for homes with wells producing 150 gallons or more of water meeting the requirements of subsection 15.55.0601. per day but less than the'requirement,of 15.55.060E. 5. An exterior water storage tank shall have a minimum of four feet of cover, or insu- lated to protect from freezing: Tanks bur . Supp. No. KA 1 AMC 15.55-9 15.55.070 ANCHORAGE MUNICIPAL CODE led with less than two feet of cover shall have calculations submitted by an engi- neer showing adequate measures have been taken to prevent the tank from freez- ing. 6. Access to water storage tanks shall be dearly and permanently marked "potable water.' 7. Water delivery to water storage facilities shall be accomplished only by water haul- ers certified by the State ofAlaska Depart- ment of Environmental Conservation (ADEC). 8. Homeowners may haul water to their own water storage facilities provided they ob- tain the water from a source approved by ADEC and use a tank approved by this department. (AO No. 96.98(S), 4 7, 8.13-96) 15.55.080 Well duller and pump installer cer- tification. - . A. It shall be -unlawful for any person or com- pany to engage in the business of drilling or deepening a water well for domestic use unless that person or company holds a well driller's certificate issued by the department. B. It shall be unlawful for a person or company to engage in the business of installing, removing, or repairing a water well pump, or engage in any other subsurface activity on a water well for domestic use unless that parson or company holds a valid pump installer certificate issued by the department. C. A well driller's or pump installer's certifi- cate shall be valid for a period of one calendar year and shall be mewed each subsequent year thereafter. • - 1. A certificate shall be issued by the depart- ment annually only when the well driller or pump installer has completed a train- ing class conducted by the department within the past 24 months. 2. The.certifieate may be revoked by the department if the certificate holder has been found guilty of or pleads guilty to an offense under this chapter. The period of revocation shall be according to the fol- lowing schedule: a. One offense within the previous five years shall result in a revocation of the certificate of one month. b. Two offenses within the previous five years shall result in a revocation of the certificate of two months. C. Three offenses within the previous five years shall result in a revocation of the certificate of six months. d. More than three offenses within the previous five years shall result in permanent revocation of the certifi- cate. (AO No. 96-98(S), $ 8, 8.13-96) Supp. No. MA 1 AMC 15.55-10 Municipality of Anchorage e -./ Development Services Department l Building Safety Division \ _ On -Site Water and Wastewater Program S I 1 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904iilZ�•�/AWw(d CERTIFICATE OF HEALTH AUTHORITY APPRZVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051.832-01 1. GENERAL INFORMATION HAA# YA O 11D 43 q Expiration Date: 11-1-7-01 Complete legal description Lot 8 Block 3 Toniess Estates Subdivision Location (site address or directions) Tony Circle Current Property owner(s) MMBM Contracting Day phone 688-1236 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P.O. Box 670495 Chugiak AK 99567 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class _ Well Public Water System Three 3 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: ® Individual On-site El ❑ Individual Holding tank ❑ ❑ Community On-site ❑ p Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm _Anderson Engineering Phone 5227773 Address P.O. Box 240773 Anchorage, AK 99524 Engineers Printed Name Michael E. Anderson, P.E. Date 8111/2001 O . M161P°_. E ANDEMN . s� �o^%n•. CE -4321 �•\��10 5 DSD SIGNATURE ®,�• ••,•�Fw ......• �. a Approved for _,bedrooms. 68ea &j,%FEESSS 9��0 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: ! //�� /!� / — a Original Certificate Date: (Rm. 77!00) Municipality of Anchorage •. ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Banc 196!350 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 8. Block 3. Tomes: Estates Parcel ID: 051432-01 A. WELL DATA Well type Private Date completed _ Total depth ft. Date of test Static water level Wen production If A, B. or C provide PWSID # Sanitary seal (YIN)Y Cased to >40 ft. FROM WELL LOG WATER SAMPLE RESULTS: ft. Well Log (YIN) N Wires properly protected (YIN) Y Casing height (above ground) >24 m. AT INSPECTION 72911M 91 fL g.P.m. .4 g.p.m. Cdnarrn 0 cotanies/100 mi. Nitrate 2_7 mg.A. Date of sample: 7292001 Collected by: hake Andemon B. SEPTICIHOLAING TANK DATA Other bacteria 0 colonies/10D ml. Tank Type/Material SeWdSteel Date installed 4!112001 Tank size 1.000 gal. Number of Compartments a Cieanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N -,Dat9 of pumping Pumper New constmction c. ABSORPTION FIELD DATA Date kutalled 41122001 Son rating (g p.d W or fe/bdrm)12 GPDISF System type Deep Trench Length 40 ft. Width 3 ft. Gravel below pipe 5 ft. Total depth 10.5 ft. Eft. absorption area 400 ft° Monitoring tube Y Depression over field N Date of adequacy test Results (Pass/Fall) For _ bedrooms Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 6 type) N It yes, give date D. UFT STATION Date installed `Pump on' level at —in. Datum Size in gallons 'Pump off" level at _ In. Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAtft station on lot MW Absorption field on lot AW Pudic sewer main WA Sewer /septic service line >25! Manhole/Access (YIN) High water alarm level at in. Meets alarm b circuit requirements? On adjacent lots MW On adjacent lots AW Public sewer manhole/deanout WA Holding tank WA SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation >S Property line >9 Absorption field >8 Water main WA Water service line >10' Surface water MW Wens on adjacent lots AW SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Mir Building foundation >10' Water main >10' Water Service tine >10' Surface water >1W Driveway, paftvlvaNda storage MV Curtain drain None Noted Wens on adjacent lots >1t10' F. COMMENTS G. ENGINEER'S CERTIFICATION I cer* brat I have determined ttuougb held inspections and review of Municipal records that tire above systems are in conformance with MOA HAA guidelines in effect on fttis date. Engineer's Printed Name Michael E. Anderson, P.E. Date 6l`11=1 HAA Fee E J00 Oe Waiver Fee $ Date of Payment 8 - /_? - n I Date of Payment Receipt Number g / �r Receipt Number (Rev. 12r00) o%P;: A pQ.gRIpERSCN•'V YYtt 77JJll��EECC PRO F E SSti�N� .►•� Municipality of Anchorage ••, Development Services Department Building Safety Division ., ... On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Health Authority Approval # 010439 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 3, Lot 8 of Tonjess Estates subdivision, the well's productivity was determined to be .4 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is .3 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. CUE Environmental Services Inc. L E . --_-- CT&ERef.# 1014764001 Client Name Anderson Engineering ProjectName/# Lot 8 Blk 3 Toniess Est Client Sample ID Lot 8 Blk 3 Tonjess Est Matrix Drinking Water Ordered By PWS1D 0 Client PO# Printed DateMme 08/03/2001 16:31 Collected Daterrime 07/29/2001 14:15 Received Datelrime 07/30/2001 8:10 Technical Director Stephen C. Ede -0yn Released By %% �7�tF"`'"' ` Sample Remarks: Parameta Results PQL Units Medwd Allowable Iimits Prep Analysis Init Date Date Waters Department Nitrate -N ' 2.70 0.500 mg/L EPA 300.0 (<10) 07/30/01 SCI Microbiology Laboratory Total Coliform 0 0 col/I00ml. SM199222D (<I) 07/30/01 KA