HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 2 LT 6Birch Tree
Estates
Block 2
Lot 6
#017-141-30
•''
Municipality of Anchorage
_ Y••
Development Services Department
Building Safety Division '
On-Site Water and Wastewater Program, 4700 S. Bragaw St
P.O. Box 196650 Anchorage. AK 99519-6650 Page / of 't—
www.d.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 5 fu O, 0 23 PID Number:
Name S�1 Ii
OnP'it� a
Wastewater System: New ❑ Upgrade
"d1m'/H�
S pi E
ABSORPTION FIELD
Pno.r. Z LI H —'Z e O N~ a 11.aoate:
0 Deep Tmm 0 SoHo. TI«rA Cl as 0 MWW d V.A 1
LEGAL DESCRIPTION
sod Rawq
/e Z
Taal D"M can wit nal Palls:
-�
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eixa: La: $upOwYPri:
'a
DBPIIIWPOe DataneaaaW PW
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PP SataL
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t
TANK
GPM
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be'/
SEPARATION DISTANCES
❑ Septic ❑ Holding ❑ S.T.E.P. goiter.
To
Septic
Absorption
lift
Holding
-WWPrmle
,,{{�e<
L
wotr
/SOO Gal.
From
Tank
FwId
Station
Tank
sewer Line
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mat".
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BENCH MARK 7
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Engineer's Stamp
OF A(4Si)
`i S--�cl, fj f9c SI-2 06
To set r.�
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Inspections performed by: Dates: 161 1 tqkg
z^° I (4/ F
.ih~�
9
ow *: 491-H ::t If
� ..
Development Services Department ApprovaF-lam
��>r MICHAEL N. ANDERSON
r�l'ri/'.,
Reviewed and approved by: 11Z111. Date: 5--2 - 2 6-0%
5 /91069
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t,
1�9�\\
(Re I:ODI
Permit No. SW050236
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: LOT 6, BLK 2 BIRCH TREE ESTATES S/D PID No.: 017-141-30
WELb
WELL$
PIPE
I
1 1
i 1
I
A
B
ELEV.
ELEV.
CO1
35
1 i
99.95
97.9
CO2
35
20
100.3
GRAVEL
TCOI
35
21
100.6
MT
DRIVEWAY
22
102.2
/
00
0.7
C %
/
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/ CK / �1.30
SI WL JAHOUS
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— —
— — — — DOOR, ENCH MARK
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G
Z
CO2 01 \ a \ —TES HOLE RADIUS P�
y
C01�C
ADVANTEx POD \\ 19d CFV��
ADVANTED TANK
L 'EZ(TERNQL PUMP BAIN
I w�'--:;;_•--R SERVE SYSTEM
1 _
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//
10-30, 4.13'—I�TfLITY EASEMENT
SCALE:
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♦ •. MICHAEL N. AN DERSON;=
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100.3
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22
102.2
Permit No. SW050236
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: LOT 6 BLK 2 BIRCH TREE ESTATES S/D PID No.: 92=111=39—
GRAVEL /
DRIVEWAY /
/ C'1
00 // O
00 a'
00CK A Z
II
SINGLE, FAMILY
FRAME HOUS-
----_�-A� DOOR, ENCH MARK
O
Z CO2 01 i a TEST HOLE RADIUS
C01
B
ADVANTEX POD �\
/ ADVANTED TANK \ .
/ EXTERNAL PUMP BASIN
1
I ad I
4-Q:_J_-YfGTY EASEMENT
ASBUILT
SCALE: 1'=30•
Y ryA.nw m. .ovu,rta .ao f[art�n,aOF
w s•vx „n ',,,,QQ
44/9LH ':
NM1M1a fvO -10 �••.•,%' .uu..%
\;MICHAEL N•ANDERSON�%7�
441OM IYN • 22''
-loo ��� ' No. E 469
.:,o, SECIIon X114%; tss�'::.•
-- X.T.S.
GRNO
PIPE
MARK
A
B
ELEV.
ELEV.
CO1
35
19.0
99.95
97.9
CD2
35
20
100.3
97.9
TCO1
35
21
100.6
MT
34
22
102.2
ALPINE DRILLING & ENTERPRISES
Permit Number: #SW050236 Date of Issue: 7-19-05 Parcel Identification Number: 017-141-30
Date Started: 6-1-05 Date Completed: 6-2-05 Is well located at approved permit location? ® Yes ❑ No
Legal Description: Birch Tree Estates Blk 2 Lt 6
Property Owner Name & Address: Jonathan Ru(
5014 E. 145m Ave.
dnrhnrann dlaeka 9G.51R
Borehole Data:
Depth (ft)
Method of Drilling ® air rotary ❑ cable tool
Soil Type, Thickness & Water Strata
From
To
Casing type: steel
stick-up
0
2.5
Wall Thickness: .250 inches
gravelly silt
silty grael
gravelly silt
2.5
19
Y8
19
28
75
Diameter: 6 inches Depth: 121 feet
Liner Type:
Diameter: inches Depth: feet
Casing stickup above ground: 2 feet
sift
gravelly silt
75
104
104
110
Static water level (from ground level): 61 feet
Pumping level: 120 feet after
silty water sand & gravel
110
116
2 hours pumping 20 gpm
water sand & gravel
116
121
Recovery Rate: 20 gpm
Method of Testing: -airlift
Well Intake Opening Type:
® Open End ❑ Open Hole
❑ Screened Start feet Stopped feet
❑ Perforations Start feet Stopped feet
Grout Type: bentonite granules Volume: 1 br
Depth: Start 0 feet Stopped.Z feet
Pump: Intake Depth feet
Pump size hp Brand Name
Well Disinfected Upon Completion? ® Yes ❑ No
Method of Disinfection: chlorine tablets
Comments:
Well Driller: Alpine Drilling & Enterprises
PO Box 110496
Anchorage AK 99511
Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property
RPR -18-2006 02:46A FROM:
12/19/2885 16:43 3491994 - -- �- WAIKUb lMff _
Well DrUng Permit Number.
Parcel IdentFlteadon Number.
bawiopme#4 Sarvlcas tmpartRmtt
Sulldlny Musty bMalon
On-8atu Water 8 Wastewater Progrom
4700 6ragow Str"t
P.O. ltox 196600
Ancharoga, AK 99519-6650
WWW MMlAMtMdtG
1967)]19.7901
Pump Installation Log
Legal Description Mae& I Lot
Bird k'f7et r5'ta'�-c5
Pump Installation Datel `/ -.
Pump Intake Depth Below Top of Well Catfogi I l 3 feet
Pump Maouheturees New. &U tTn
Pomp Madel:15-0 7 1 W (565
Pump
sha.[—
Pump Sits 3/-q hp
Pales Adapter Burial Depth: / D feet
T0: 3437997
Date of Issue:
P.1�1
rAbL n'L
ZD
y Owner Name A Address:
ctl%ow Rµ:FF- COV&S7/'ucj-/s1n
Pitless Adaptor Mannfeeturar's Name:4�e/I 1 8—/0
PitinsAdaptor lostalkrtif%I'Vr AK dvor,5ok--POor
Won Disinfected Upon ComWON? 9Yet 0 No
Method of Disinfection: �raei rc.
Commeab:
Pump 2ustalldr Nsm•: Br Tal" !y r I e
Co+npsAr..1L2fJ2 /lima 9- // rrUl?e-
Mailing Address: -aa ROv //O 1174
�CrG K r Stats:
Attendant no pmt Installer *hall provide a pump Watallation log to DSD widda 30 days of pump installation.
•
.J •a�
+i
.Viii•
ZD
y Owner Name A Address:
ctl%ow Rµ:FF- COV&S7/'ucj-/s1n
Pitless Adaptor Mannfeeturar's Name:4�e/I 1 8—/0
PitinsAdaptor lostalkrtif%I'Vr AK dvor,5ok--POor
Won Disinfected Upon ComWON? 9Yet 0 No
Method of Disinfection: �raei rc.
Commeab:
Pump 2ustalldr Nsm•: Br Tal" !y r I e
Co+npsAr..1L2fJ2 /lima 9- // rrUl?e-
Mailing Address: -aa ROv //O 1174
�CrG K r Stats:
Attendant no pmt Installer *hall provide a pump Watallation log to DSD widda 30 days of pump installation.
From +19078308507 Tu• 0ac 13 05:38:49 2005 Page 1 of 1
INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
4700 SOUTH BRAGAW
INSPECTION INFORMATION &HELP: 313-7982
INSPECTION: VOICE 343-8300 INSPECTION: FAX (907)249-7777 www.munl.org/BSD/inspections.cfm
NAME: DUANE
PERMIT#,. 05-3526
COMPANY: EDS ELECTRIC
INSPECT DATE: 17J13/2005
PHONE M: 272-4591 PHONE M
PHONE N:
ADDRESS: 5014 E 145TH AVE
LOT 8 BLOCK 2 SUBDIVISION: BIRCH TREE ESTATES
GRID K: SW3037
COMMENTS or DIRECTIONS
AM CALL B4 FOR ONSITE MTG
TYPE OF INSPECTION: Rotro Electrical
COMMENTS: (FOR INSPECTOR USE ONLY)
6'L �
PRINTED NAME `" �'�`�'—" DATE: IZ �l
From +19078308507 Thu Dec 29 05:57:42 2005 page 1 of 1
INSPECTION REPORT
MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION
4700 SOUTH BRAGAW
INSPECTION INFORMATION &HELP: 343-7982
INSPECTION: VOICE 343-8300 INSPECTION. FAX (907)249-7777 www.muni.org/BSD/Inspecgons.cfm
NAME: ng PERMIT #: 05-3526
COMPANY: ads electric INSPECT DATE: 12/29/2005
PHONE #: 272-4591 PHONE C PHONE #:
ADDRESS: 5014 E 145TH AVE
LOT a BLOCK 2 SUBDIVISION: BIRCH TREE ESTATES GRID #: SW3037
COMMENTS or DIRECTIONS
am call b4 for onsite mfg
TYPE OF INSPECTION: Retro Electrical
COMMENTS: (FOR INSPECTOR USE ONLY)
LI� cjTz'i'ltqA-) CLzT-Ty?CGAl, I%(AJAI ,
PRINTED NAME 6/, DATE: J
MUNICIPALITY OFANCHORAGE
Development Services Department
Onsite Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Permit Number: SWO50236
Legal Description: BIRCH TREE ESTATES BLOCK 2 LOT 6
Design Engineer: 0088 Anderson Construction & Eng'g
Owner Name: JONATHAN RUF
Owner Address: 5014 E 145TH AVE
ANCHORAGE. A 99523 -
Date Issued: Jul 19, 2005
Expiration Date: Jul 19, 2006
Parcel ID: 017-141-30
Site Address: 5014 E 145TH AVE
Lot Size: 28482 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
-THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST
BE VEGETATED SUFFICIENTLY TO PREVENT EROSION.
-CONSTRUCTION TECHNIQUES NEED TO BE USED TO GIVE SAND AND GRAVEL ABOVE GRADE
STRUCTURE AND SUBMITTED WITH AS -BUILT INSPECTION REPORT.
Received By:
J2
Date:
Date: I 1 °
1 6�VIL
ft
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ek.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. b 12 - /1-/ /- 32 Permit Number SW
Property
Mailing address- Sort r
+6 A VE
phone H'-!/ -'Sq-'i n
Code
Site address Zip Code
Legal description (Lot, Block & Sub'd.) _ L Cqf (o g/l& Z t,, �-r ra Vt f.
Legal description (Section, Township & Range)
Lot Size -Z8
4 -($L Acres/Sq.Ft. Number of Bedrooms
Yi:IC3T--jawRIA fiIl,193367;1
Sewer Only ❑ Well Only ❑
Sewer and Well Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
0
Permit/Rush Fees: /';IS //7-S ` t o "Y�Waiver Fees:
Date of Payment: 7150 5'_ Date of Payment:
Receipt Number. 995 _N21S_ Receipt Number.
(Rev. 09/04)
y.O
n
z
sz
crr
Parcel I.D. b 12 - /1-/ /- 32 Permit Number SW
Property
Mailing address- Sort r
+6 A VE
phone H'-!/ -'Sq-'i n
Code
Site address Zip Code
Legal description (Lot, Block & Sub'd.) _ L Cqf (o g/l& Z t,, �-r ra Vt f.
Legal description (Section, Township & Range)
Lot Size -Z8
4 -($L Acres/Sq.Ft. Number of Bedrooms
Yi:IC3T--jawRIA fiIl,193367;1
Sewer Only ❑ Well Only ❑
Sewer and Well Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
0
Permit/Rush Fees: /';IS //7-S ` t o "Y�Waiver Fees:
Date of Payment: 7150 5'_ Date of Payment:
Receipt Number. 995 _N21S_ Receipt Number.
(Rev. 09/04)
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4640 Shoshone Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
July 19, 2005
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Birch Tree Estates S/D Lot 6, Blk 2
To Whom it may concern:
This is a request for a new house septic and well permit. Two test holes were excavated in the back of
the lot with the soils log showing clean gravel for the top 6 feet then silty sand below. Water was
observed at the -5 foot elevation during the spring high water run-off, April thm June 2005. Currently
the monitoring tubes are dry. The perc rate was 2 minutes per inch. An Advantex system has been
designed with an application rate 3.0 gallday/sq-ft. Two inches of rigid insulation and additional soil will
be used to cover the 5 wide trench. An external lift station has also been specified for even distribution
of the effluent in the trench. The surrounding properties have existing systems already and will not be
impacted by this new expansion as the plan shows. A reserve system has been shown to the east of the
primary system per the requirements.
A curtain drain has been added to the east property line, with 25' and 50' offset to the various septic
systems as the plan shows.
The slope is 1 to 3 percent starting at the southeast comer and sloping down toward the northwest
corner. No pounding of water has been observed near the site or in the surrounding area.
If you have any question please call me at 345-3377
Sincerely S'K'r✓
Michael N. Anderson, P.E.
Michael N. Anderson, P.E.
Civil/Structural Engineering & Construction
4640 Shoshone Avenue
Anchorage, Alaska 99516
Phone 345-3377
Fax 345-1391
July 7, 2005
Municipalities of Anchorage
Departments of Health and Human Services
P.O. Box 196650
Anchorage, Alaska 99519-6650
Fax 249-7847
Re: Birch Tree Estates S/D Lot 6, Blk 2
To Whom it may concern:
This is a request for a new house septic and well permit. Two test holes were excavated in the back of
the lot with the soils log showing clean gravel for the top 6 feet then silty sand below. Water was
observed at the -5 foot elevation during the spring high water run-off, April thm June 2005. Currently
the monitoring tubes are dry. The perc rate was 2 minutes per inch. A bed system has been designed
with an application rate 1.0 gaVday/sq-ft. Two rigid insulation and additional soil will be used to cover
the bed. A lift station has also been specified for even distribution of the effluent in the bed. The
surrounding properties have existing systems already and will not be impacted by this new expansion as
the plan shows. A reserve system has been shown to the cast of the primary system per the
requirements.
The slope is 1 to 3 percent starting at the southeast comer and sloping down toward the northwest
comer. No pounding of water has been observed near the site or in the surrounding area.
If you have any question please call me at 345-3377
Sincerely
Michael N. Anderson, P.E.
DESIGN CRITERIA: MONITORING TUBE
CRADE
NSU
4 BDRM X 150 = 600 GPD MOUND OVER SYSTEM
SOILS = 600/3.0 = 200 GPD FLTER FABRIC W/
200 GA/5.0 = 40 � INSULATION -
40/1.0 = 40.0 ml k 2) � j
0(1) 5' WIDE 0.5 ORG —1.0 1/4'0 PIPE
1.0' DEEP GW 5' MAX EWER ROCK
0.5' EFFECTIVE 5.0 HIGH WATER FILTER SAND
5.0' WIDE -6
40' LONG SM ASSUMED WATER IS AT -3.0' BELOW
-10 GRADE.
v
77
LOT 10
--- — LOT 11 i LOT 12
EXISTING 100' `y
VA S T 1 4 5 1'jH10,
y" u i
EXISTING 100
WELL RADIU �� to
Q taw �
EX STING 100' _\ \� ' EXISTING 100
'` LL RADIUS -/i'} 7i WELL RADIUS
In LOT 5 1� 1 100 LOT 7
EXI TING 100' /
W L RADIUS EXISTING 100'
WELL RADIUS i �XISTING 100' J
DELL RADIUS
Septic Design Prepared For
JONATHON RUF 44
LOT 6, BLOCK 2
BIRCH TREE ESTATES ? 49TM lam: ::4I
Prepared By .....i... .... ... .......... ..�
MICHAEL N. ANDERSON, P.E.%F•/"/";•••...i
4640 SHOSHONI DRIVE /';MICHAEL N. ANDERSON
(907) 345-3377 / FAX (907) 345-1391 ��� ' No.. EE 46s
SCALE: 1"=100' JULY 17, 2005 4�41.���
I 1
N 89'43'44" E 150.10'
28,482 S.F.
1
WELL X0.65 Ac.
1 �;
1
PROPOSED 1
1
DRIVEWAY i i
LOT 7
\
LOT 5
00
DO
co
/ /
\
(0
/' i
m
r
/
Q
------
--------'�� $
00
Z
\`;� PROPOSED
2—STORY
00
JBll1LDLNG
NEW 1.5,00\Vz .
EXISTING W
LL. / ADVANTEX TAAK 00-
�\
100' RADIOc
/ POD ;H /1
�\
/ TANK C.O.`\ 5' X 40'\ n
\
`\
EXTERNAL PUMP BASIN c
TRENCH-\\ TH J2 A
\
\
40.0'
0
—10' u(vlity esmt.
S 8 3444 W 150.00''1'
PRO
PRIMARY SITE �SlEsqomfiy SITE
ERTY LINE
LOT 19---�
LOT 20
Septic Design Prepared ForOF
JONATHON RUF
P(E, N444
''�#
LOT 6, BLOCK 2
Gj:
BIRCII TREE ESTATES
TM
?f 49—
00.....r.. .. .. ........ 0
Prepared By
MICHAEL N. ANDERSON P.E.
4640 SIIOSIIONI DRIVE
....:..../
• `MICHAEL N. ANDERSON:. i
��� ` No. E 469
(907) 345-3377 / FAX (907) 345-1391
•♦ •••
SCALE: 1"=20' JULY 17, 2005
'/Q:
NOTE:
1. ADVANTEX AX -20 BY
ANCHORACE TANK. INC.
Septic Design Prepared For
JONATHON RUF
LOT 6, BLOCK 2
BIRCH TREE ESTATES
Prepared By
MICHAEL N. ANDERSON, P.E.
4640 SHOSHONI DRIVE
(907) 345-3377 / FAX (907) 345-1391
NOT TO SCALE JULY 17, 2005
49 LH
... ...... ...... ................
�
�.MICHAEL N. ANDERSON;
No. 9469 ��1
II�I��II�llI�9SIMON
.
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NOTE:
1. ADVANTEX AX -20 BY
ANCHORACE TANK. INC.
Septic Design Prepared For
JONATHON RUF
LOT 6, BLOCK 2
BIRCH TREE ESTATES
Prepared By
MICHAEL N. ANDERSON, P.E.
4640 SHOSHONI DRIVE
(907) 345-3377 / FAX (907) 345-1391
NOT TO SCALE JULY 17, 2005
49 LH
... ...... ...... ................
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�.MICHAEL N. ANDERSON;
No. 9469 ��1
Municipality of Anchorage .
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street. Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: 12/l e'I'INU✓n Cu. � DATE
LEGAL DESCRIPTION: L (,, B Z
DEPTH �TiEh 'M'CL Et
IFEE V7An
1
2
3 I (alt Y ✓1 C7 YwK l
4
5
7� �i1
8 fi%q v
9
10
11
12
13
14
15
16
17
18
19
Township. Range, Section:
SLUPE
WAS GROUND WATER
ENCOUNTERED?
S
IF YES. AT WHAT /O L
O
DEPTH? � p
E
Depth to Water Alter
Monitorin 7 �� Date ?
D ^-
RJEA
1GD[C1�Wi.`5Qy
49TN ;* /
. 6�' •- GF.oeao v:
SITE PLAN
20 -� I /"
II JI PERCOLATION RATE ?^ 0 (mmutevmchhl PERC HOLE DIAMETER
1
TEST RUN BETWEEN 3 FT AND V FT
COMMENTS 1112E N/04An d. CIL I�e'4 S&I A 4-�M
PERFORMED BY: Nett ke.P lid ., J !r ' M I CERTIFY THAT TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE y//L/O-z-
72-008 (Rev. 4185)
�L7L%[S��
20 -� I /"
II JI PERCOLATION RATE ?^ 0 (mmutevmchhl PERC HOLE DIAMETER
1
TEST RUN BETWEEN 3 FT AND V FT
COMMENTS 1112E N/04An d. CIL I�e'4 S&I A 4-�M
PERFORMED BY: Nett ke.P lid ., J !r ' M I CERTIFY THAT TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE y//L/O-z-
72-008 (Rev. 4185)
PERFORMED
LEGAL DESCRIE
DEPTH
(FEET)
1
2
3
4
5
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS
7-/7/ -#t Z'
Municipality of Anchorage .
DEPARTMENT OF HEALTH 6 HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
ILI
t3r�e � +r�c.Es{-•%r5�
all I
C-(YEn f3roven 4'^ j
G ratl
DATE PER
Township. Range. Section:
IF YES, AT WHAT
DEPTH?
Depth b wuu Aller
Monilcrin0? Sn Bile
:49T►+� :,,�
MICHAEL N. ANDERSON ; eke
i •. Lki
■■.■■■■■■■
■■■■■■■■■■
PERCOLATION RATE L/(mmutevmch) PERC HOLE DIAMETER SL
TEST RUN BETWEEN ; FT AND FT
PERFORMED BY: r " I t eA ' r ` A—�ft "I I Aw I CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE Z�/tz z, 57'
72-008 (Rev. 018.5)
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To: MIKE ANDERSON
Legal description: BIRCH TREE ESTATES
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on
❑ Calculation error in design. _
❑ Additional soils information needed. _
❑ Water monitoring results inadequate.
❑ Discrepancy in information submitted.
❑ Topographic information missing or inadequate.
❑ Incomplete; missing _
❑ Incomplete; missing _
❑ Additional adequacy test information needed.
❑ Water sample unacceptable. _
❑ Measured/proposed distances/dimensions missing. _
❑ Locations of all soils, percolation and water monitoring tests not shown. _
❑ Proposed system too deep for soils information submitted.
❑ Well log required. _
❑ Omission in narrative.
❑ Insufficient fill over tank or field._
® Other. MIKE ANDERSON IS GOING TO SUBMIT AN ADVANTEX WITH CURTAIN DRAIN AND LEACHFIELD WILL
BE A MOUND 1 FOOT ABOVE ORIGINAL GRADE
Name of reviewer: JOE GOODALL
Date: 7/18/2005
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
R17PAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND nJR Jbid 1?vf
TI IIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
day of cy1� of20!s,byandbetween��on1R{her,/ RyF ,
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 Ad ✓A j4Ey located
at 13i 2c H 7 -KE E 'ES 4.44Es BL 2 1-7' L Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AWWTS that
includes the installation or removal of any parts, components or pieces
not included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "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 pans, components and pieces of an AWWTS that were included in
the original design which would allow the AWWTS to continue to
perform as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an 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 R220
($ b .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
A W 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 AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AWWTS
Operating Permit is: .1 y£Ae-
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. O%vner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
G Owner agrees to grant the Municipality reasonable access to test and inspect the
AW WTS 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 AWNI'TS.
7. romvaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way 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 I.tiTiting, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding %vas executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
Q. 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: ,lo/U,41hiri PuF
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.
OR'NF.R:
By:
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY:
By:
Title:
Date:
) ss.
The foregoi� instrumep wa knAN' edged before me this Z day of UST,
20 0 , by _ �� a�S I�(( 1T, the of
on behalf of the Municipality of Anchorage.
NOTTAR PP[ BLIC FOR LASKA
My Commission expires:
CF
1
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