HomeMy WebLinkAboutASHLAND LT 1Ashland
Lot 1
#020-101-25
Municipality of Anchorage Page 1 of 3
Development Services Department
Building Safety Division/On-Site Water and Wastewater Program
4700 South Bragaw Street
P.O. Box 196650 Anchorage. AK 99519-6650
w .d.anchorage.ak.us (907) 3437904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW000480 PID Number: 020-101-25
Michael and Susan Hale
Wastewater System: New
240 Sean Circle Anchorage, AK 99516
ABSORPTION FIELD
D""'a "" a'aBaOoa""
344-0838 Five 5
Bottomless Intermittent Sand Filter
LEGAL DESCRIPTION
SW Na":
3
T°W DWh km WVw Wl ;
2.5
cpDrFl,
Ft.
8b La: S�:
Dagn b Dva kaeun kao wqv tpwSa:
C a owth karlealh me:
1 Ashland
0 Ft.
.5 FL
To-Ivrq: AaaW: $erLon:
H aeoaa aDo.a o.g. 9na
3.5
Gael Laaph:
30
Fl.
F,.
Well: New
Gavel wcln:
15
Nunes tl b es:
4
Dm Oeh aen anaa:
2 FL
n.
rca va e•
Private
D
387 Fl. 20 FL
450 Fe
'
ASTM D3034 PVC
AlDine Drillin
We DrieO: SUIbG Wals laM:
9/25/00 9 Fl.
knuYer.
Acrea e S stems
Dale YniW W:
Yi ;
Fu sal at:
ca" Aho.aC' :
2
TANK
4 n^t
Ft.
FI
SEPARATION DISTANCES
S.T.E.P.
To
Fran
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
lijuicIpmate
sew Lim
Anchorage Tank
2,000
wa
>100'
1>1001
>100'
N/A
>25'N
Steel
r
Three (3)
Sulauwss
>100'
>100'
>100'
N/A
LIFT STATION
tnl Lina
>5'
5'**
>5'
N/A
e:
250 cat
x
Anchorage Tank/Orenco
Fouxla
>5'
>10'
>5'
N/A
IN -V°"
43 ti
D a:
43 ti
.ala, mal:
45 in.
C~aaw
None
NOted
Pa pMake aN
Orenco
ElecerJ knDarasu Da"aa�d by,
Municipality of Anchorage
"aa•":
Well Casing Extended Into Bedrock.
BENCH MARK
Lot Line Waiver Issued Allowing Encroachment to
aen:
Top of Northernmost Air Vent Exiting the Middle of
Within 5' of the Lot Line.
Back or East Wall of House.
wt++aneE Ebvakm:
100.0 FL
I�fIg.RICE1�6'$taAlp
�^ OF,q�°�e�
r � 4918 •�4rl
Inspections performed by: Mike Anderson Dates: 1" 10/26/00WCHAEt
E. ANDERSON•.� v
2n0 10/27/00
�,Cr,. CE -43E1
Department ofHealthand Human Services approval
I,c pip P ••N�� �.,�
ttta.�►�`•�'►
G✓. Jas -t (- 3=d 9/03/01
I 1
Reviewed and approved by: ate
1f'Zl
pu.. la9ct Q 1V el 9-A1-0/
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 522-6779 (FAX)
September 6, 2001
Municipality of Anchorage
Department of Heath & Human Services
825 V Street
Anchorage, AK 99502-0650
Subject: Lot 1, Ashland Subdivision
Separation Distance Waiver
Absorption Trench to Lot Line
Dear On Site Services Engineer.
The new absorption bed recently constructed on Lot 1, Ashland Subdivision
encroaches within 5' of the eastern lot line. During construction it was determined this
was the best location on the lot for the new system due to the shallow bedrock
prevalent in the area. The lot line was not clearly staked during placement of the bed
and the edge of the bed was inadvertently placed closer than 10' from the lot line. The
property to the east of the bed is currently vacant and the likelihood of development in
close proximity to this area is remote. We therefore recommend a lot line waiver be
issued allowing placement of the new trench within 5' of the lot line.
Sincerely,
74j4i-,,
Michael E. Anderson, P.E.
.
MunlclpainyOTALncrlulage
DEVELOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519-6650 -343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number SW000480 PID No. 020-101-25
1
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Houses
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Five Ste
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Bedroom
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Ilouse
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*.MICHAEL E. ANDERSCN
CE -4331
\Y
CQ=0�
PLAN AS=BU1
' ACCESS CASEVENT
1 roR LOT 2 t T0. A
1
o:
1
yl
t
1
O ACCESS EASEMENT
ro11 LOT 1 l ?X A
LOT 2
rage C ul a
TR A
Air Compr
Basement
'AiT_ Gauge
Located in
y Room.
.ed in Garage.:
7Y, SECTION LNC EASEVENT -- .
1 ___ _
-T___ ____--_____-
1 lb' TA£ ESNT. -- -_
589'56 32-W
ASH 30.00
�No
Municipality of Anchorage
DEVELOPMENT SERVICES DEPARTMENT
4700 South Bragaw Street Anchorage, AK 99519-6650 - 343-7904
On -Site Wastewater Disposal System or Well Inspection Report
Permit Number SW000480 PID No. 020-101-25
Pressure Line To
Interior Lift
Station
I N T
W E7 E
101.511
96.7
GAL. \,=E
STEP Tank
8'
u1
If
Flushina 102.9
.Geotextile Fabric
2' Filter Sand
30'
Page 3 of 3
6" of 3/8" Pea
Gravel
98.9
_Airline
88.9
Stft
PROFILE AS -BUIL <1 OF
NO AE' E. ANDERSON p
B� s�
CE -4331
�0 rgf0. ......
4th=tiRoeo«����
SEP -05-2001. 02:08 PM A.BRODIN 907 278 6962 P.Oo
I UU/ 183 20.13; AUG -21.61 to:33AM; PAGE 1/1
Municipality of Anchorage
r Depiftment of Health and Human Son-keo
to %.' Strait
not NWP.O. Sox 19at �� 9t161t ttl0
Altar
Permit Number: #39JUM Date ofloaa: ll q pared Ideuthlestlon Number. 020 1Qj 2B
> ption? 23-00 Dow Compkad:,$43-00 U well located at n;t approved pa locetW ® Ya [] No
Pteperty Owner Nems%Adds: f3ener91 Entwp&es
10420 St Jaime Plaos '
• Annh gym* Ab 0e/t4A
Rofthoss D
Sea ryps. tLi"M et wtfta sum FrDml�th (
TO
Method of peilHeS ®air rotary❑ tabic tool
Caahap gyps. bf1COi s:•�'
Well ThickneiriM'ioc . .,.`
ad* -up 0 2
Bed odt 2 307
Dianetec: Q ioehes "-Dopth: & feet..
1
Liner lype.
Dilmeter lichee Depot: h>u
Cada` stickup above Sromd: I toot
%do water level (@om ®round ]even; Afoot
Pampia; IevN:.sy� after
A2 holm Pllmptog 1 gp<a
Btt»vpy;tate: d ppm
Method OfTeedag."
' Wenlatake Opeatnil Type:
❑ Open FM 2 Open Kok
❑ Saretud start tea Stopped feet
❑ Perforations Stan toot Stopped foot
Croat Type: BaWAa to >18 Volume: J_U
Depth: Slut Q feet Stopped 3 feet
Pampt Intake Depth_ feet
LaMti>m Brod Name
Well Dhttateetad Upon Compted"? a Yes No
Method of Dialafectbs:
Commeata:
Wop.Orlbar: Alphe DArinp A Enterprises
P 0 Box11049t
Andxnge AK 99511
Aftudsat The wdAdlkF atoll provide a well log to the property owner within 30 days of completion and the property
nwrr n.
A. .8.4.gw eke" n.~W 0 ILWI bow M 0.. turd %.401.:0 rA Aew, nrw.w....l.t:.n
t
Received Time SeP. 5• W OPM
Municipality of Anchorage
George P. 11'uerek, Mayor Department or
Public Works
Bttilding Safcty Di -vision
P.O. Box IW>50 a 4700 S. Bragata Strcct
Anchorage, Alaska 99519.6650 a (907) 343-&301
h ttp: //ei%iv.ci.anchorngc.ak.us
Anderson Engineering
ATTN: Michael E. Anderson, PE
PO Box 240773
Anchorage, AK 99524 -
September 21, 2001
Subject: Waiver Request forASHLAND LT I
Waiver # WR010078 Lot Line Request for Parcel ID 020-101-25
Dear Engineer:
Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater
disposal system to the lot line has been approved. The approved separation distance is 5 feet.
This waiver approval applies to the current on-site wastewater disposal system and lot line
separation only. Any future upgrade to the on-site wastewater disposal system and lot line will
require all separation distances to be met or another waiver approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office at
343-:791?y
Sincerely, 0_�
Jeff Poet
Engineering Technician III
On -Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Health S Human Services
Onsite Services
Waiver Review Worksheet
WR#: 010078 PID#: 020401-28 HA#: 010481 Permit#: SW000480
Date Received: 9.6.01
Legal Description: ASHALAND LOT 1
Engineer.
PO Box 240773 Anchorage Ak. 99624
Applicant: Michael and Susan Hale
Waiver Requested: 5 feet obsorotlon field to lot line
Criteria: 1. Geology Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
2. Special Conditions:
3. Other.
Waiver is Granted: Waiver Is not Granted:
List Conditions or Reasons for above:
Date: q - 2 %- o By:
..........
Rec#: 941-01 Amount: 116.00 Date Paid: 94-01
Municipality of Anchorage
Development Services Department
• Bmld n
8 SafCty lhvisun
,. On -Site Wew and Wctewrta Program
4700 Btagaw Street
P.O. Box 196650 Anchoty-c, AK 99519-6650
w .dmchwmc.ilcm
(907)343-7904
PROPERTY OWNER AGREEMENT FOR THE MAINTENANCE OF AN ON-STCE
WASTEWATER DISPOSAL SYSTEM
This agreement, dated On is made between the Municipality of Anchorage
Development Services D artment (DSD) and the property owner(s) of.
This agreement is made for the purpose of maintaining an on-site wastewater disposal system on
the subject property.
The property owners agree to the following. -
Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation
statement from a registered professional engineer. This inspection and operation statement shall
verify that the engineer has inspected all eMuent and air pumps, timers, and alarms, and that any
deficiencies have been repaired and that the system is fimctioning as designed.
(Signature)
lli �& Z Alxle
(Printed Name)
(Notary seal Here)
(signature)
S"VW X' l"r
(Printed Name)
Z/Z 'd OcSVON Pld6S:Z1 1001 '81'6aS
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Renewal
Permit Number: SW000480
Date Issued: Oct 25, 2000
Expiration Date: Oct 25, 2001
Parcel ID: 020-101-25
Legal Description: ASHLAND LT 1
Design Engineer: 0014 Anderson Engineering Site Address: 017209 ASHLAND DR
Owner Name: Michael & Susan Hale Lot Size: 54639 SO. FT.
Owner Address: 13240 Sean Cir. Total Bedrooms: 5 Permit Bedrooms: 5
Anchorage . AK 99516 -
This permit is for the construction of:
Disposal Field Q✓ Septic Tank E] Holding Tank F� 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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.
1.) THIS PERMIT ISSUED FOR THE CONSTRUCTION OF A BOTTOMLESS INTERMITTENT DOSING SAND
FILTER (IDSF).
2.) THE PROPERTY OWNER AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE.
3.) THE BOTTOM OF THE 2 FEET OF SAND IN THE IDSF SHALL BE A MINIMUM OF 4 FEET FROM BEDROCK
IN ANY PORTION OF THE FILTER SYSTEM.
Received By:
Issued By:
Date: 19 ryl
Date:/ 2 — 2 7 —L'10
t$ owo
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On -Site Sewer/Well Permit Application (V0 —/a/Mot
NOTE: Application must be filled out completely SINGLE FAMILY DWELLING Parcel kientificauon Number
Property Owner Name/:1-/ �.I �CllRN
�A�
Day Phone
3yy 0�3�
Mailing Address o s, /y c,,*Rrle
Alelvfw XK
Zip Code
?75AC
Legal Description /or iySii�A./o S��d� U� f%dv
l.W snrx sub*. .
sa Tow p Ranpa
Lot Siz —j { I Acr2 F Number of Bedrooms
Inspections vrll be condu ted by: JZ Approved Engineering Firm ❑ Municipality (permit fee included)
Does your house contain any of the following: ® Hot Tub ❑ Swimming Pool ❑ Therapy Pool ❑ Jacuzzi ❑ Water Softener Unit
This application is for: ❑ Sewer Only R]Sewer and Well ❑ Sewer Upgrade ❑ Well Only ❑ Water Storage
I certify that the above information is correct. I further certify that
this application is being made for a Single Family Dwelling and ",%,�(�jp� 2 Ct Jot
in accordance with applicable Municipal Codes. Property owner/Well Driller
Receipt #
Waiver Fees: Receipt #
72-012 (Rev. IP98)'
Permit# Sf1000480
Waiver #
IM
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
q I I 1 I c yo it s !
�'V
On -Site Services Program
�"'
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SW990400 L I nq sh is nd
Legal Description:
Design Engineer. 0014 Anderson Engineering
Date Issued: Oct 26, 1999
Expiration Date: Oct 25, 2000
Parcel ID: 020-101.84 a�)
Site Address:
Owner Name: General Enterpirses Lot Size: 435600 SO. FT.
Owner Address: 16420 St. James Place Total Bedrooms: 5 Permit Bedrooms: 5
Anchorage . AK 99516-0000
This permit is for the construction of:
❑; Disposal Field Z 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907)343-4744(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.,
1.) THIS PERMIT ISSUED FOR THE CONSTRUCTION OF A BOTTOMLESS INTERMITTENT DOSING SAND
FILTER (IDSF).
2.) THE PROPERTY OWNER AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE.
3.) THE BOTTOM OF THE 2 FEET OF SAND IN THE IDSF SHALL BE A MINIMUM OF 4 FEET FROM
BEDROCK IN ANY PORTION OF THE FILTER SYSTEM.
Received By:
Issued By:
Date:
Date:
ANDERSON ENGINEERING
P.O. BOX 240773.
ANCHORAGE, AK 99524
522-7773 522.6779 (FAX)
RECEIVED
MEMORANDUM
OCT 251999
Municipality of Anchorage
DATE: October 25, 1999 Dept. Health & Human Services
TO: Dan Roth ^, pµ�
FROM: Mike Anderson, P.E. i Tl"
SUBJECT: Lot 1, Ashland Subdivision
Well and Septic System Design and Permit Application
Revisions have been made to the permit application for the construction of a well and
septic system on Lot 1, Ashland Subdivision in accordance with your comments. The
revisions include:
1. The package has been modified to specify a 12' x 30' bottomless sand filter
instead of 10' x 36'.
2. Testholes No. 1 and 2 have been redesignated as Testholes No. 21 and 22.
3. A section has been included in the specifications referring to the Operation and
Maintenance Manual for Design, Construction and Maintenance of Intermittent
Sand Filters.
All comments have now been resolved and we request the permit be issued. Thank
you for your time regarding this matter.
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
`522-7773 522-6779 (FAX)
October 1, 1999
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
Anchorage, AK 99502-0650
Subject: Lot 1, Ashland Subdivision
Septic System Design Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:
Lots 1 and 2 of Ashland Subdivision were recently created through File No. S10397.
The owner now intends to construct a septic system on Lot 1. The attached
documentation details the type and size of the absorption bed and septic system. It
also shows the location of the well proposed for the lot and provides a 100' separation
distance radius. Due to the presence and elevation of bedrock it is necessary to
construct a bottomless sand filter to reduce the size of the absorption bed and insure
proper treatment of the effluent.
The testholes placed on the lot revealed bedrock at varying depths. Soil materials
found in the holes was primarily gravel with some silt. Percolation rates were very good
and always lower than 5 minutes per inch. No groundwater was encountered during
placement of the testhole nor was any noted during the monitoring period. We have
therefore designed a bottomless sand filter with the distribution piping placed at or
above existing ground to provide a minimum of 6' clearance to bedrock.
The ground surface on the lot slopes from east to west at varying grades.. The new
absorption bed will be placed parallel to the slope of the ground in accordance with
Municipal design requirements. Surface grading will be accomplished to assure
drainage is away from the finished bed surface. Efforts will be made to protect the bed
from surface runoff water.
All wells in the area are more than 100' from the proposed upgrade and no conflicts
with other septic systems was noted. 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
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
Lo: 1, Ashland Subdivision
October 1, 1999
Page Two
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,
Michael E. Anderson, P.E.
Attachments
IA••i I•S•n„�L
4AJ s
}
•10 iG ASEu NT/
I
0
n
I 5,000 Square Foot Area For
1 3 -12' X 30' Absorption Beds.
\\ r
I I I I I I MA 1 6AC A
li D' — — -�,— = —326:93-
\030 \
\ LF\O
SCALE: 1'= 100'\�o \ \
SEPTEMBER 9. 1999
X10,000 Square Foot
Septic Reserve Area
KENO HILLS SUB
ADDITION NO
ASHLAND SUE
TEST HOLE
4M1 -E
LOCATIONS
Vacant
Vacant
1j.,
i E
n L T 21
ra O o L� f e gl n70
�i T 2
210 Drab hto ! O
TEp
geN.t pe lAir
ASHLAND DRIVE
--J Line
A f Vacant
r
zIn
ra02 A I tSh
saii
ricket n 3 edde ath ,7 jeZ,1/
rocre Min me Eui OD ipe
puede arae°r ur a1 pvC
8
e
Asa
Proposed
® Well
LT 2
(Currently Vacant)
SITE PLAN
SCALE 1" = 50'
33' Section Line Easement
JOB
'ANDERSON ENGINEERING
P.O. Box 240773 SHEET NO. OF
ANCHORAGE, AK 99524 CALCULATED By DATE
(907)563-7155
(907) 337.8855 CHECKED By DATE
L.mun�wipy.aw»siwA.
LOT 1, ASHLAND SUBDIVISION
DESIGN FACTORS:
5 Bedroom Home
Perc. Rate: <5 MinJinch
Application Rate: 3 GPD/SF
SYSTEM REQUIREMENTS:
Bottomless Inter. Sand Filter
2,000 Galion STEP Tank
2' Coarse Sand (See Spec.)
Air Supply Line (Anch. Tank)
6" of 3/8" Pea Gravel
5 Bedrooms X 150 GPD = 750 Gallons Per Day
750 GPD/3 GPD/SF /12 LF (Width of Bed) = 22.5 LF Length of Bed
Therefore: Construct a Bottomless Intermittent Sand Filter System 12
Wide X 30' Long. Distribution Piping to be Placed at Original Ground
Surface or 2' Above Depending on Depth of Bedrock. 2" High Density
Direct Bury Insulation and 2' Protective Cover Over Filter.
3/ 4" IM 56140 PYC LAIM5
(11=5.9fLD5. AqV Fl.MM
V&\rC51Tz0MI DR5W),
� �4" 1741. MDt�tf01�JC fI13E Af EI61
C�fK PEi OPAtED t3EtYYEEN fLi' PLYN000 BATM
1 I/ 4" IM 56140 PVC 0r5M17IND plStifUflpN FPE /f'D W D= ISD PL11 iPG VIL1E5
17 `LGWa LM PPDM NVEf'f. (VML 1/ 4 NOi IM I10LE5) . (V M PLYJUTNt C04z)
50f" AI V IJ4�ivfdo PI.Ja CM OH =OM AV VM(EXtEW APM IRPLT)
30(MW I/41,HaZ5
PLAN VIEW..
BOTTOMLESS SAND FILTER DETAILSi•pp� ,
(NO SCALE) �}a-.4
NOTE: Grade Area to Drain Away. '/r =t"L.LI:.AM
Maintain 6' Separation From Bedrock.
Provide 4' of Cover or 2" Insulation and 2' Coved
.Grade Surrounding Area to Prevent Surface Drainag%k§
ViWrNly
LOT 1, ASHLAND SUBDIVISION
DESIGN FACTORS:
5 Bedroom Home
Perc. Rate: <5 MinJinch
Application Rate: 3 GPD/SF
SYSTEM REQUIREMENTS:
Bottomless Inter. Sand Filter
2,000 Gallon STEP Tank
2' Coarse Sand (See Spec.)
Air Supply Line (Anch. Tank)
6" of 3/6" Pea Gravel
5 Bedrooms X 150 GPD = 750 Gallons Per Day
750 GPD/3 GPO/SF /12 LF (Width of Bed) = 22.5 LF Length of Bed
Therefore: Construct a Bottomless Intermittent Sand Filter System 1 2'
Wide X 30' Long. Distribution Piping to be Placed at Original Ground
Surface or 2' Above Depending on Depth of Bedrock. 2" High Density
Direct Bury Insulation and 2' Protective Cover Over Filter.
6" LffiM
"fFi
Direct Bury
'LlUFRW Insulati
`YA nt� Cf1YJ N
12'
17-1
2 fEft MN. OF FLiEK SMD
Mt LK 18"OElAN
TOP GF5MV PROFILE VIEW
BOTTOMLESS SAND FILTER DETAIL
(NO SCALE)
NOTE: Grade Area to Drain Away.
Maintain 6' Separation From Bedrock.
Provide 4' of Cover or 2" Insulation and 2'
Grade Surrounding Area to Prevent Surface
of AA
��•. 4'IIt� r
,r9 . nl►I 1�3�"'+�
is e. tt`i\�\b�``�
PERFORMED FOR
.. Municipality of Anchorage .
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 -L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
John Berggren
LEGAL DESCRIPTION'. Lot 1, Ashland Subdivision
eFiYfy 'W�O�
5
!"••G"'C�i'ares
8
9.
TESTfIOLE NO. 21
0
,0;i WASGROUNDWATER
•/ ENCOUNTERED?
COMMENTS
IF YES, AT WHAT
DEPTH? 1D
Depth 10 waur r -f�� I �.1_
PAUAWMC? IUI pry 7
40% • `a
DATE PERFORMA�s�'
\ N
Reading Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
+r,
1: : o Y
11.01
r
PERCOLATION RATE � �' (mrnrtestncn) PERC MOLE DIAMETER � 4'
TEST RVN BETWEEN —3 FT AND FT -
PERFORMED BY: 1""^"""'VY4r'cRTIFYTHATTH//tSTEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: D r�4
72 -"IR" A.RM
Municipality of Anchorage
DEPARTMENT OF HEALTH d HUMAN SERVICES
825 -L" Street. Anchorage. Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: John Berggren
LEGAL DESCRIPTION: Lot 1, Ashland Su
T
' 174. OL,
2 +7 •'
3 J;-,
4 yet
D •r
6-
7- TESTIIOLE NO. 22
s1 •
9'J
DATE PER
' ID
• Net
Tune
Depth to
Water
WASGROUNDWATER N
1`
15-
TEST RUN BETWEEN
ENCOUNTEREDt
11
'1
o,f
,04
17-
IF YES, AT WHAT
DEPTH' V
12 -
l�•al
,f
S�
18 -
i4,s5i
Dep to water Aver
13
12.
p.►
mm"? NO
k6—>
14-
d15161718
• Net
Tune
Depth to
Water
Net
Drop '
15-
TEST RUN BETWEEN
FT AND FT
16-
'1
o,f
,04
17-
12° :�19
l�•al
,f
S�
18 -
i4,s5i
19,
12.
p.►
COMMENTS
�4C•{ti.cttl.. �W �•c
lltFa i� &"FCAcv"I3 :s
\ N
Reading Date Gross
Time
• Net
Tune
Depth to
Water
Net
Drop '
TEST RUN BETWEEN
FT AND FT
•4•I:SL
'1
o,f
,04
12° :�19
l�•al
,f
S�
01
i4,s5i
Yb
12.
p.►
PERCOLATION RATE
Z
Inunuiesvtnchl PERC HOLE DIAMETER
r.
TEST RUN BETWEEN
FT AND FT
PERFORMED BY: 1 -•i (�THAT THIS
/JEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE
72.008IRee. 4a8S)
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 1, ASHLAND SUBDIVISION
GENERAL:
1. The scope of this project includes the procurement and
placement of a new 2,000 gallon combination septic tank/lift
station and pressure distribution system. Work also includes the
construction of a new 30' long x 12' wide Bottomless
Intermittent Sand Filter. A minimum of 2' of coarse sand
material meeting the attached specification must be imported
and placed in the filter area. The filter must then be constructed
atop the imported material. Distribution piping must be placed
at or above existing ground to provide 6' separation from
bedrock.
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.
4. Unless specifically agreed otherwise, the contractor shall be
responsible for final grading areas subsequently depressed from
soil settling. The 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/LIFT STATION INSTALLATION
1. The 2,000 gallon septic tank/lift station is to be constructed by
a certified tank manufacturer. Construction shall include an 18"
manhole for access to the lift station.
Lot 1, Ashland Subdivision
October 1, 1999
Page 2
2. The septic tank/lift station shall be sufficiently bedded to
prevent settling or shifting of the tank.
3. All standpipes shall extend a minimum of 12 inches above final
grade.
4. Septic tank/lift stations installed without 4' of cover shall have
a minimum of 2" of direct burial insulation.
5. A foundation cleanout shall be installed one to four feet from the
building foundation. No cleanouts are required between the I i f t
station and the drainfield in a pressure distribution system.
6. Final grading over the septic tank/lift station shall be such that
a positive slope exists away from the septic tank.
ABSORPTION BED CONSTRUCTION:
1. The absorption bed shall be constructed to the dimensions shown
on the design. The bottom of the bed shall be within 2" of level.
2. Distribution piping must be placed level with perforations down
atop a level bed of drainfield rock. Rock should then be placed
over the pipe to provide a minimum of 2" of cover.
3. A silt barrier or geotextile fabric must be placed between the
drainfield rock and the natural soil backfill.
4. Monitor tubes must be 4" in diameter and installed at the
locations shown on the design. The portion in the drainfield rock
must be perforated.
5. Direct bury insulation must be placed over the distribution
system when less than 3' of backfill depth is available.
Finish grade over the bed must be mounded to prevent
settlement or depressions.
MATERIAL SPECIFICATIONS:
1. The lift station must be constructed by a Municipally approved
septic tank manufacturer. An Orenco 20 OSI 05 HHF - 5 i s
recommended.
Lot 1, Ashland Subdivision
October 1, 1999
Page 3
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 PVC (Perforated
and solid), ASTM F810 or HDPE (perforated, but not solid) and
ASTM D2662 or ABS (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, Fernco, or equal).
5. A permeable geotextile fabric (Typar, Mirafi or equal) must be
installed between the final drain rock layer and the native soil
layer.
6. All drain rock shall be .5" to 2.5" in diameter with less than 3%
passing the #200 sieve.
EQUIPMENT SPECIFICATIONS:
1. Air Supply Line Shall be a Wasteflow Emitterline, 1/2" Inside
Diameter from Anchorage Tank. Line shall be insulated with
1/2" foam pipe wrap inside a 2" Schedule 40 PVC Jacket buried a
minimum of 3' below the surface.
2. Air Compressor Shall be a Thomas Industries Model 5070 as
supplied by Anchorage Tank. Compressor shall be located in the
garage or crawl space.
3. Pressure Gauge from 0 to 10 PSI Shall be furnished and installed
in the garage.
INSPECTIONS:
A minimum of two inspections are required by Municipal Ordinance.
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.
t
Lot 1, Ashland Subdivision
October 1, 1999
Page 4
The second inspection must be conducted after the placement of
the geotextile fabric, gravel, distribution piping, standpipes,
cleanouts and insulation. No backfill should be in place at the time
of the second inspection.
The contractor is responsible during the layout of the system to
assure that all separation distances from adjacent wells in the
area are met.
OPERATIONS AND MAINTENANCE MANUAL
An Operation and Maintenance Manual for the Design, Installation
and Maintenance of Intermittent Sand Filters is available from the
Municipality of Anchorage, Department of Heath and Human
Services, Onsite Services Program at 825 L Street, Room 502.
It is imperative the system be maintained in accordance with this
manual to provide trouble free service.
FILTER SAND SPECIFICATION
ACCEPTABLE SOURCES:
1. Road sand from Central Paving Producis (Palmer).
2. ASTM D 33 concrete sand from Quality Sand (Wasilla).
3. Pit run sand from Beaver Lake Sand & Gravel (Wasilla).
Any sand from a source other than the above must havo a sieve
analysis performed which indicates that the product is a sand and
has less than 4% passing the #100 seive and less than 20% passing
the #200 seive.
0
BR:. ,OCT -13-1999 WED 03:01 PN LANTECH/SLANA FAX N0, 5616626
PROPERTY OWNER AGREEMENT
FOR TI3E 1<IAINTENANCE OF AN
ON—SITE WASTEWATER DISPOSAL
SYSTEM
711a agrecmtnt, dated OW /0 1998, is made between the Municipality of
Anchorage Department of Health and Human Services (AH1iS) and the property
owncr(s) of:
This agreement is made for the purpose of mainta.iaing an oa-site wastcwarer disposal
system on the subject property.
The property owners agec totoe following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
operatloa stltexaent from a registered professional engineer. This inspection and
operation statement shall verify that the engineer has inspected all effluent and air
Pumps, tuners, and alarms, and that any deficiencies have been repaired and that Me
system is functioning as desigrred,
V- (Si, Lure)
(Printed Namu)
(Signarure)
(Printed Nage)
_ � ------Wocarize tture — __._n__
i�nnnn y I q
State. of "0/ On this �� da of
J.0hn V4ji{ki personally appeared brfore mr.,
who is personally known to me
whoee identity I proved fe basic Of
whose idexitity I grove0*411',4 thfofFirmation of
S.. �G9,P,L-
A�: s;,N:•b,;,,•._��%credible wituess
to be tba signer of the above dcaur.,w t end e F LnowlbegCdth.7t he/�ssbe. s4i�sadd it,
PUBLIC.
, ��l••;fy»a�`;.•f,�! li tary I'ub)_i
�O//�3'OFP ion expiresIJ�Q
i/Z •d Received -Time Oct•13. 1:57PM oi���1,,irii111111v�� 14 z 6 0l
P. 01
711a agrecmtnt, dated OW /0 1998, is made between the Municipality of
Anchorage Department of Health and Human Services (AH1iS) and the property
owncr(s) of:
This agreement is made for the purpose of mainta.iaing an oa-site wastcwarer disposal
system on the subject property.
The property owners agec totoe following:
Submit to the Municipality of Anchorage, on an annual basis, an inspection and
operatloa stltexaent from a registered professional engineer. This inspection and
operation statement shall verify that the engineer has inspected all effluent and air
Pumps, tuners, and alarms, and that any deficiencies have been repaired and that Me
system is functioning as desigrred,
V- (Si, Lure)
(Printed Namu)
(Signarure)
(Printed Nage)
_ � ------Wocarize tture — __._n__
i�nnnn y I q
State. of "0/ On this �� da of
J.0hn V4ji{ki personally appeared brfore mr.,
who is personally known to me
whoee identity I proved fe basic Of
whose idexitity I grove0*411',4 thfofFirmation of
S.. �G9,P,L-
A�: s;,N:•b,;,,•._��%credible wituess
to be tba signer of the above dcaur.,w t end e F LnowlbegCdth.7t he/�ssbe. s4i�sadd it,
PUBLIC.
, ��l••;fy»a�`;.•f,�! li tary I'ub)_i
�O//�3'OFP ion expiresIJ�Q
i/Z •d Received -Time Oct•13. 1:57PM oi���1,,irii111111v�� 14 z 6 0l
�</'Al' c' aae'ela'l- I/eadl
Municipality of Anchorage
-• Development Services Department
o'e• e� `
Building Safety Division
% On -Site Water and Wastewater Program SA ITT
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 020-101-25 HAA # 65C)21-2.
Expiration Date: BI 3 0 O.'�-
1. GENERAL INFORMATION
Completelegal description Lot 1 Ashland Subdivision
Location (site address or directions) 17209 Ashland Drive
Current Property owners) Michael and Susan Hale Day phone 344-0838
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
17209 Ashland Drive Anchorage, AK 99516
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
Five 5
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
®
Individual On-site
❑
Individual Holding tank
❑
❑
Community On-site
❑
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with
valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affoced 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 522-7773
Address P.O. Boz 240773 Anchorage AK 99524
Engineer's Printed Name Michael E. Anderson P.E. Date _ 5/20/2005
5. DSD SIGNATURE /—
Approved for 7 bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: }� • Original Certificate Date: -JI-3/ d
(i;tw. +Zoo)
Municipality of Anchorage <•,
• Development Services Department `
Budding Safety Division
On -Site Water 8 Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-66W
www.ci.anchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: rot + Ashland Subdivision Parcel ID: 020.101-25
A. WELL DATA
Well type Prhiate If A. B. or C provide PWSID # _
Date completed 9125!2000 Sanitary seal (Y/N))[
Total depth 387 ft. Cased to _22—ft.
FROM WELL LOG
Date of test 9/25/2000
Static water level 9 ft.
Well production 4 g P•m-
WATER SAMPLE RESULTS:
Coliform Q_colonies/100 ml. Nitrate 1.19 mg.A.
Well Log (Y/N) Y
Wires property protected (Y/N) Y
Casing height (above ground) 24 n.
AT INSPECTION
11/4/2004
25 ft.
2.59 g.p.m.
Other bacteria 0 colonies/100 ml.
Date of sample: 4/19/2005 Collected by: Gamess Engineering Group
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP/Steel Date installed 10/26/20W
Tank size 2.000 gal Number of Compartments 2 Cleanouts (Y/N) Y
Foundation deanout (YIN) N Depression over tank (YM) N High water alarm (Y/N) Y
Date of pumping 4/29/2005 Pumper A Plus Home Services
C. ABSORPTION FIELD DATA
Date instatled 10/27/0 Sod rating (g.p.dJfeorft21bdrm)3GPQJSF System type Sand Filter
Length 30 ft. Width 15 ft. Gravel below pipe .5 ft.
Total depth § ft. Eft. absorption area 4aft Monitoring tube Y Depression over field 1N
Date of adequacy test 4/27/05 Results (Pass/Fad) Pass For bedrooms
Fluid depth in absorption field before test.Q in. Water added gal. New depthQ in.
Elapsed Time: Q min. Final fluid depth Q in. Absorption rate >= 760 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date Installed 10/27/2000 Size in gallons 250 Manhole/Access (Y/N) Y
'Pump on' level at 43 in. 'Pump ofr level at 43 in. High water alarm level at 45 in.
Datum Bottom of Tank Cycles tested 10 Meets alarm & circuit requirements?IL_
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/Ilft station on lot >100'
Absorption field on lot >100
Public sewer main R/A
Sewer /septic service line >2S
On adjacent lots >JW
On adjacent lots >100'
Public sewer manhole/cleanout N/A
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation >5 Property line >V Absorption field >5'
Water main N/A Water service line >10' Surface water >I My
Wells on adjacent lots >100'
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 5 *" Building foundation >IV Water main >10'
Water Service line > 10' Surface water > 100' Driveway, padrinyvehida storage >2V
Curtain drain None Noted Wells on adjacent lots >JW
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through Reid inspections and 49th
review of Municipal records that do above systems are in
coMormance with MOA HAA guidelines in effect on this date. i
1QOM[L waERM
Engineer's Printed Name Michael E. Anderson. P.E. ' No. a -43e1
Data 5/20/2005 yA_�Rresecld��
HAA Fee $ V3 •'
Date of Payment S- 'AV - 05
Receipt Number 6y «n
(Rev. 12000)
Waiver Fee $
Date of Payment
Receipt Number
UfaT•19. 20051 7:37ANr1EEe)arness Engineering GrouP. Ltd '5301
SGS Rer.A
1052039001
CTeu( Name
Garnesa Engineering Group, Ltd -
td.ProjectNamcN7
Project Natocffl
Ashland SID Lot I
Client Sample ID
Ashland SID LOT 1
Matrts
Drt;-1-Ing Water
T-54No•605377 P•-3
An DatmMmes are Alaska Standard Time
Printed pate/lime 04/272005 10:50
Collected Datemme 04/192005 14:40
Rece)vedDate/Time 04119200515:00
Technical Director Stephen Q Ede
$ample Remarks:
AOoua6ly Poop Aaalysir
ParammT Rauh POL Units Method Conataer10 Limits Date Dam Ina
metals DODa-tmnt
Hardness as CaCO3 144 5.00 mg/L SM20 2340B D 0420105 0421105 SCL
Private Individual Analyais
393
20.0
ug/L
82200.6
D
0420MS 0421105
SCL
Aluminum
1.0011
1.00
ug/L
EMOM
D
(<-6)
04.20/05 04.21/05
SCL
Antimony
S.OD U
5.DO
ug/L.
EP200.8
D
(c-50)
0420105 04121/05
SCL
Ars-mc
63.0
3.00
ur)L
EP200.8
D
(<-2000)
o4ims 0421105
SCL
Barium
0.500U
0S00
U:tL
82200.8
D
(151
0420105 04121/05
SCL
Cadmium
41900
Soo
ag/L
82200.8
D
04201(15 0421105
SCL
Calcium
I.00U
1.00
ug/L
EP200.8
D
(-100)
0420105 0421/05
SCL
Chromimn
1.00
ug/L
E820D.8
D
01300)
0420105 D421/05
SCL
Copp=r
743
250
n8/L
EMS
D
(o-300)
MOMS 04MIDS
SCL
two
250 U
0.200
"JL
EP200.8
D
("13)
0420105 0421/05
SCI.
Lad
1.14
9660
5D.0
ug/L
EP200.8
D
0420105 0421105
SCL
Mapp rn
1.00
ug/L
22200.8
0420/05 0421/05
SCL
nese
Manganese
40.0
0.100
mg/L
EPA 300.0
C
(-250)
0421105 WAW
CWoride
113
200
ug/L
$2200.8
D
0420105 0421/05
SCL
P)tosphona
2DOU
C
(�2)
p421/05
WAW
Fluoride
0.100 U
0.100
mgtL.
EPA 300.0
0420/05 O42110S
SCL
Soo U
500
nglL
EMU
D
Potassium
0.100
mgt
8.PA300.0
C
(<-30)
04/19/05
XM
NivarrN
1.19
og/L
EP200.8
D
0501
DOMMS 0421M5
SCL
Selenium
500 U
5.00
().100
mga.
EPA300.0
C
(tel)
04119105
XM
N)Mte-1(
0.100U
MOO.$
D
(o-250000) 0420105 0421/05
SCL
Sodium
20200
5DO
og/L
82200.8
1)
0420!05 0421/05
SCL
Silicon
5140
200
n8/L.
ng/L
EP2DO.8
D
(o-lon)
0420105 0421105
SCI
Silver
1.000
1.00
a
°�
LP200.8
D
(�21
04120/05 0421105
SCI
71ulliwT
1.00 U
1.00
mg/L
EPA300.0
C
o-2501
(142IMS
WAa
45.5
D.100
Sultan
4dav•19. 2005u 7 : 37AW.-.Ta 0 a r n e s s
Engineering GrouP. Ltd•5301 T—s N0.6053.01 P 44
SGS ReLR
1052039001
Client Name
Gamess Enrinecring Group. Ltd.
project Namem
Ashland SID Lot I
Client Sample ID
Ashland SID Lot 1
Matrix
Drinking Water
AA DatrYrimef are Alaska Standard Time
rriotedDateMme
04/27/2005 IOM
CoDected Date/Time
04/19/2005 14:40
Received Datrmtoe
OMI9/2005 15:00
Technical Director
Stepben C. Ede
Allowable hep Analysis
PAXwencr Rzsufa PQL UNts Method ConumalD 'Lhnlu DOC Dare wt
private Znd:vidual Analysis
zinc
5.00i]
5.00
ug/L
EP200.8
D
(x3000)
04/10/05 04121/05
SCL
Total Dissolved Solids
216
10.0
mg/L
SM202540C
C
(<500)
0425/05
KAL
Nickel
2.00 U
200
ug/L
&'200.8
D
(�1-100)
04120105 04121/05
SCL
TIC03Alka:kaiy
IS3
10.0
mp)L
SM2023200
C
04/19/05
KAL
003 Alkalinity
10.0 U
10.0
mg/L
Sh120 23201
C
04119/05
KAL
OH Alkaliniy
10.0 U
10.0
mCIL
SM20 23208
C
04119105
KAL
Condwivity
350
1.00
umhoskm
ST420251OB
C
04119/05
KA
7.60
0.100
pH units
EPA 150.1
C
(63.8.5)
04/19/05
KAI.
PH
153.
10.0
m;JL
SM202320B
C
04119105
KAL
Alkaliaily
0
wV100mL
SM209222B
A
(o-1)
04119/05
TLF
TotalColifotm
O I_vI-1 Wv Il.L
BASKETEALL
COURT PLAT NOTE #3. TEMPORARY ACCESS EASEMENT FOR
TRACT A OVER LOT 1 SHALL BE AUTOMATICALLY
VACATED UPON PROVISION OF ALTERNATIVE ACCESS
•, TO TRACT A
�' `• `%":: ' LIFT STATION
SATELITE-� 2' DIAM.
DIST-
60CO
IT
.
�•.' a
l !T � 1 a •. .>.
rl ' • EICNT SEPTIC
Et
•e ' .y VALVES'
EXISTING s 53.8
VOUSE e!
C •..:33 7 a �,i
z ` ^ TR A
CO
s
m w
I T U N
`oW00I t`t `'•'-• �a'i°• ri
s�I LOT 1
C) a I : x
. L=
I -
1 � •4
s5 ti`s' oop000�
ACCESS. EASEWL14T `, .OF Ak! o; 0
I POR LOT 2 A: TR. A `L .LOT Z -
�v�P .
of . $�. ... y0.��
mi `%% �T"..."""""
0.�..:.... .
r1; - C��..••,
Michael L J°kelp;•
LS -7839 i O
� Q� s �}:,. ►q _ o,�' S°off
SIODOt topes
' sACCESS EASEMENT +Q, •-1 ����ODp00
O O rOP. LCT 1& TP., A
1
�8 I
I 33' SECTION LME EASEMENT
I
10• TAE ESAIT .
SB9.5632'W •.r
- 30._00
Gq\ A47 . SO' SECT -ON LINE ROAD RESESVATON (2I
ND �"
-------------- __ __
cv. xnca e - EXCLUSION NOTES: It Is the owners responsibility to determine LEGEND: SE- aNE
E A R B AR A R A M SE Y the ex'st"Ca of any 00a menta, covenants. ar TesUklions S%e'RE W, CAPC' 5/s" RB
With DYNAMIC PRCPERTIES wnich do not oppwar on the recorded subdivision plat. NOTE:
+ .i eU°cner noon or Isa establishing any data hereon be used Icy 38' AL.MON. M0taivEAr
9 property fines. IAM 4 TACK d
SURVEY CERTIFICATION: LANIECR has conducted a OVERiAMC- x x —
physleal survey o/ NL property oe shown on this WOCC DECKS-
dawIng and that the Yespo"rnonle situated there ccN7RETE-
on are within the properly Iines and no enorh- AE
menta exist other than solooc
ed. STmµ-_
& N U ION URVEYORS-PLANNERS-ENGINEERS SEPTIC _ .
AS—�U'L- OF; LECALDESCRPTION: GRAVESTANDPIPE$-
ANC-WEST BENSON BLVD, 103 WATVR WELL -
ANCHORAGE• ALASKA � (fax) 6 -52 1
99503 (907) 562-5291 LOT 1
tiORX ORDER NUMBER: oA scyL SLAT euusEe.
APRIL 12. 2005 1'�SO' 99-95 ASHLAND SUBDIVISION
20054-098A A� se L"Ea[D e, a¢D NIYeFp
. 15M MW 3338 637/33
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF � ANCHORAGE
AND
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
day of of 20 5, by and between o rC - VIIdl
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 located
at Alvz xlvd ,fin T l , Anchorage, Alaska.
3!�,0 9 4,5#4XNO 6/ . / AvelleZ46C, 1q e 99S//i
2. Definitions.
A. Alteration. Any change to the design or function of an AW WTS 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, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 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 AW WTS that were included in
the original design which would allow the AW WTS 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 AW WTS, upon meeting all the
requirements of this agreement, the conditions of 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
($_.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.
4. Term. The term of this Memorandum of Understanding shall be for the life of the
AW WTS.
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. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the ANti VTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AWWTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AW\VTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality Hill inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
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 AW WTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AW WTS.
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 vvay effect the validity of the 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 of this Memorandum of Understanding was executed and such wTiting shall
be attached to this Memorandum of Understanding as an amendment.
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.
ONYNEER: p �e
By: Ata ,C &&,x
Date: .��/4OS
MUNICIPALITY:
By:
Title:
Date:
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this day of nJ�,
20ZCSby iI%rat �nnecN�- �//�7:1n/ ,the tiw6wtG of
/)A � t� lc, on behalf of the Municipality of Anchorage.
7y Commission expirBLfC1es:
A��a `"k�t�EENru
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
engineers work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat affixed hereto and as of the validation date shown below, I verify that 'my investigation,
based on procedure§ outlined in the Health Authority ApprovalGuidelines•forlhis'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 inve-sfigation`and inspection, the`on-site water supply and/or
wastewater disposal system )s(are) in compliance with'all applicable Municipal and State codes, ordinances,-
and regulations In effect at thelirnfi of installation.
Name'of Firm Anderson Engineering Phone.- 522-7773
77
Address P O Box 240773 Anchorage, AK 99524'
Engineer's Printed Name � Michael E Anderson. P.E Date 91612001 s '
OF'A�Id/
r*; 49�^
fa:.C..
�....
I - Akl J44 -L. E ANDERSON � �
5 DSD SIGNATURE a AIO'✓r CE=4381
Approved for.-
.Disapproved
Conditional approval for - bedrooms; with the following stipulations
ul-
(tfffrlir
.fig,
Additional Comments ��: WATERAND
. ATER
PROGRAM
///JJJJim J 1 I )1111111,
Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: �e7 p / r!! Original Certificate Date: 9 1- o / 40
(P". IZW)
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) 3437904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Lot 1 Ashland Subdivision Parcel ID: 020.101-25
A. WELL DATA
Well type Private N A, B, or C provide PWSID # _
Date completed 9R512W0 Sanitary seal (Y/N) Y
Total depth 387 ft. Cased to 20 ft.
FROM WELL LOG
Date of test 912512000
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0 colonies1100 mi.
ft.
9 -
p.m -
Nitrate .5 mg.A.
Date of sample: 91612001 Collected by. MEA
B. SEPTICIHOLDING TANK DATA
Tank Type/Material STEPISteel
Tank size 2.000 gal. Number of Compartments 3
Foundation deanout (YIN)!!
Date of pumping.
C. ABSORPTION FIELD DATA
Depression over tank (Y/N) N
Pumper
Well Log (YIN) Y
Wires WopefN prolected (Y/N) Y
Casing freight (above ground) 24 in.
AT INSPECTION
ft.
9 -
p.m -
Other bacteria -L colonies/100 ml.
Date installed 1012612000
Cleanouts (Y/N)
High water alarm (Y/N) Y
Date installed 107/12000 Soil rating (g.p.d.At? or ftlbdrm) 3 GPDfSF System type Bottomless Sand Fitter
Length 30 ft. Width 15 ft. Gravel below pipe .5 ft.
Total depth 6 ft. Eft. absorption area 450 ftMonitoring tube Y Depression over field N
Date of adequacy test Results (Pass/Fa8) 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 8 type) N N yes, give date
D. LIFT STATION
Date installed 10127f2000 Size in gallons 250
'Pump on' level at 43 in. 'Pump ofP level at 43 in.
Manhole/Access (Y/N)
High water alar level at 45 in.
Datum Bottom of Tank Cycles tested New Const Meets alarm & circuit regWrernents? Y
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot :s1W On adjacent kits >100'
Absorption field on lot >100'
Public sewer main WA
Sewer /septic service line >2S
On adjacent lots >1W
Public sewer manhole(cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Budding foundation >5' Property line >9 Absorption field >S
Water main NIA Water service line >70' Surface water >100'
Wells on adjacent lots >IW
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property fine 5' Building foundation >11Y Water main MO'
Water Service line >10' Surface water >100' Driveway, parkingNehide storage >2T
Curtain drain None Noted Wells on adjacent lots AW
F. COMMENTS
A lift station in the crawl space feeds the septic tank through a pressure line. See lot line waiver for en i at �q kri ine aelbadc.
G. ENGINEEROF'S CERTIFICATION �^ .�4,,. • • • • • • �•� . �,
cit �,•• I •�V�,
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in F* y :7 49 T,{ ` r'
conformance with MOA HAA guidelines in effect on this date.
F :• �MRvrczscri;
Engineer's Printed Name Michael E Anderson. RE `;ems •• CE - 4381 `
Date 916101
HAA Fee $ 3 0 0// Waiver Fee $ 1 IS
Date of Payment 4p" CV ' O Date of Payment t7 — 6 -0 f
Receipt Number ! % 3r Receipt Number 9 73S'
(Rev. 12/00)