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HomeMy WebLinkAboutPARADISE VALLEY BLK 9 LT 18Onsite File
Paradise Valley
Block 9
Lot 18
#020-422-11
Municipality of Anchorage p_
Development Services Department n
Building Safety Division 5 . _ • *
On-Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page ! of Z
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 0 )'31 6 PID Number: ZtJ - Lf Zr
Name:
GtF 9L
Wastewater System: 2"New ❑ Upgrade
Address:
I'D C9 01-3
ABSORPTION FIELD
Phone: Lt N Number of Bedrooms:
3
ElLyl SElr. Deep Trench hallow Trench Bed ❑ Mound ❑ Other.
LEGAL DESCRIPTION
Soil Rating:
6
Total Depth from original grade:
I
, GPD/Flz
Ft.
Block: Lot:
Lot: n nSubdivisiioo-n:
14 �.L?6 A L..LQ
Depth to pipe bottom from original grade:
/,0
Gravel depth beneath pipe:
I V i��A
Ft.
0. �; Ft.
Township:I I /V Range: 3W Section: I
Fill added above original grade:
Gravel Length:
30
7,5 Ft.
Fl.
Well: []New F-1 Upgrade
Gravel width:
Number of lines:
Distance between lines:
�
Ft.
Ft.
Classification (Private, A, B, C):
Total Depth:
Cased to:
Total absorption area:
Pipe Material:
PRTVAf(�
262 Ft.
L""fff 2 Ft.
/50 Flt
F /Q
Driller.
Dale Drilled:
Static Water Level:
Installer.
Date Installed:
ftEt= ' ))ULA 1J6
d 0710q
Z,3 Ft.�tv_caPl����
/1 21 C L
Yield: (/ Pump Set al: Casing Height Above Ground:
X O 4U 6 Y `J TAN K
�J GPMJ /� Ft. 2 Ft.
SEPARATION DISTANCES
❑ Septic ❑ Holding ❑ S.T. E. P. other:
To
Septic
Absorption
Lift
Holding
ublic/Pfivate
Manufacturer.
Capacity.
From
Tank
Field
Station
Tank
Sewer Line
4bvA&l F`tD( R Y Ax_ q• j%f /Jf_
) 5-00 Gal.
Well
' D
1
i I
N/-$
u
`(
Material:
S-)- Ee=- LSurface
Number of Compartments:
Water
10Ot
r�,,+
IC-tt;i
N
LIFT STATION
Lot Line
/�4
I 1
'% /
(
/VIA'
Size:
I � )C) Gal.
Manufacturer. r
�[_ . lPnlc,rtr f W T/-Ax
Foundation
VV
J
50,
Pump on" level at:
in.
'Pump off" level at:
I in.
High water alarm at:
p in.
Curtain Drain
) SO
+ i�
1-5-0
/ t
AJ1A
Pump Make & Model/
Electrical Inspections performed by:
Remarks: ``�'�'
ND S�2r=�c % !-7 .t7 +�1�)i Wi.l:�nl
BENCH MARK
Ic9f r QE_ i,�f0i�d'-C:rhG1� �fZ. ()4Pa�91t
Location and Description:
Of' of::, �H_ i'�1ooV_e'ioP TLA�L�
Assumed Elevation:
C0PJ t te', r'•1 r C H GGA TnJ
% (� f� Ft.
i fir%
H
Inspections performed by: C tI R- WC)OI Dates: 15l /0 1 Del
* ... ...
nd 0
.................... .......... ......
.........2
Development Services Department Approval
mCHRSTOPHERR. WOO
CE-10387
Reviewedandapprovedby: J�� F0e,LDate: 7/P.2 A S
•\,,�`'�
(Rev. I2/00)
— cto SC-d 0 U- W % Y� N� 0 5 0
A�-••.........•-' •• N e
SI tf
Permit No. SW040136
Page 2 of 2
Municipality of Anchorage
DEVELOPMENT SERVICES DEPARTMENT
ON—SITE WATER & WASTEWATER PROGRAM
4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: PARADISE VALLEY LOT 18, BLK. 9 PID No.: 020-422-11
SWING TIES
s�
C 59.8 62.1'
D 65.1' 1 90.2' �O 0
°° A
SCALE 1"=40' LOT 17 �ti A DRIVE
ti
p` HOUSE ,p
SO `TO.
!�° \ D !
C WELL
ADVANTEX B
SYSTEM
MANHOLE
s990, LOT 18
�\
LOT 22 •O° r LOT 19
• - MONITOR TUBE 04-29-05
U - SEPTIC PIPETOP OF MONITOR TUBE ENGINEER'S SEAL
n
® - TEST HOLE OMMED ELEV 100.0' e0000OOpO
ELEVATI❑NS OF q���4
ORIGINAL GROUND pt�� '•• !9 U
(NOT TO SCALE) MANHOLE 92.0'9618'
MT 94.3' MTHOL
�...... .. ... . ..... ..
4.5' 91. 2.8'
OQ CHRISTOPHER R. WOOD.-
E'
OOD:
1D �MTE% E' MOA SAND 91.0' CiJ.'•. CE -10387 ,
96.9' •3 GAL 90.3' 90,3' GWT OQ�, ,,
4>4r5� x`89.3' 04'CQA•yy. • o
92.4 92.4• �'S X61.8• �pO Ec
Onnaoo��
Apr 11 OS D13:44a P.1
Jun 16 04 D5:15p p.1
t
HEFTY: DRILLING
3540 AKU STATP: OF ALASKA `-"
LA DRIVE n'1AItrMlNrt1FNAT ��"
�r ANCHORAGE. ALASKA 99516 MFN1Nr,, LAN); \v.\ 1I:R t1YDR RBSOIJR�Ey—» �-•:
(907)345-0593 \v,:t1.1,,W OLOGIC IIRV)yy�,
f:LL LOG :::.. Y:.^.r•:.:_?;•:d
Drilling Started:/ 7 / CompT
+My Owner Nanx fi Addrcr<:
teArte.L Lt ji.
•—
Section
.._..Long: W.....___---.-..._
LE DATA: (front grntmd surface)
`NAD: Z OR g]
ype, Color S wetness
Dcplh
r mm
Drilling method: rnlar:.•; 1 Cable tool,
other
Wellvse: OPuhlicsuppiy,lf;)o;,xstic [)Other
1Cti.C.sings�
0
Deptho(ho1e: 26Z ,
Casing I,lpe:
v
i•ke—f 'Thickness
Casingdianxtcr: ^' Casing=dcpth2'
I Z�
Liner type: Diauw•t.r W.
:n//yLia
A.�
, w"qulrn ttut. eq+y
ro ta t•r r.ut o• 02A10
!t•a•DIp.66.IS020 sn� fAK mwxr )8.05.020, 38.05.0.13,
DEPA3tTME qT n>,vbiion. I I AAC9).tanl,
Mlaln NT OF NATURALResouRCEs
g5 o W ad 4 Water f tydrrj.aie Su+,ey
71b Avc� Suit* 900A
Aach(IUV, AK 99501-3S77
•TeltPhone (907) 269.8639 and rnx (907) 562-1311
• tnehes Depth;'u'\;+.";ift -
,Static watcr(rrnu, s, . nl r. .•• ::%'•'tom;
3._ftnn•>:e:r "t:r
Pumping Icvc! fi. •field: 1 rxf finerRecovery rate: —ehours av
1:++++. Method ofeliiri 1'S'
!
Developmenlnxthot: /f/Je Li Dttta
vT1 r.
_ F >t Goa
Well brake olxnin I
1: )1+c: rt;ru end, �'Opcoholc' • •';+:; moi`!,.
ft, Stopped
Screen type: -------- --
Slot/mesh size
O Pcrforntcd;Starp
1". Sioppcd
Sun:"eft
r Note: RStopped�=ft.
Grout type: Ow�CA volume
..� '.
Dc 1h; from _
1t, to_QZpr. .
Pump intake depth: ` it
Pump size I+p. I (rand name . e -
Was well disinfectedupnn uv.q,!c+ion? Yes. ONo ' ••
Method ordisinrcetian:
Driller eno........... .-'--.___...___—.
Wev Drifter Name.
Company Name` plrM:r\• ORt IN
Mailing Address: 3;,sp A1<
ULA DRIVE
City: ANCH—G�Stntrc At..4SKA
Phone Number��Ip-99516
-34 b..')$93
Drillers Signature: �'iI A •- -
\\rithin the city nfAncla+ragc, It i. rertu�irc�d Iha�t aJeo •• •f '
sent to d;e appmp+intc city nllia• within 60 days PY of)he Wellluf be
Ilx wch log I+c sem n. the n,•Cr e % Y and that aaodwCopyof
Pernik Nuns+cr:. 9 I o r +y owner within 30 days. .
UalcOfissur.: j�E'Y��T� '
Parcel rdcntifcaUrJ Nm+ifr rr .
Is wcil lncakd at upprrrvcit lu.n 2Cxation(L�
?
•p(SrcaorDNo
npr 26 05 01:12p
P.2
To: Eagle River Engineering Co. Inc. April 25,2005
From: D.T. Electric Co.
Re: Verification of Electrical Code Compliance to the wiring of the Advantec Septic system.
This letter stipulates that the wiring of the Advantec Septic system has been wired
according to all current applicable electrical wiring codes as of April 25,2005.
D.T. Electric Company is a licenced, bonded and insured electrical contracting
company.
Si crely, ''
• l 'I�YG��i��'r
ummonds
D.T. Electric Co.
• MUNICIPALITYOFANCHOR4GE
Development Services Department
On -Site Water & Wastewater Programj�
4700 South Bragaw Street 1�1 X 2 V
P.O. Sox 196650, Anchorage, AK 99519-6650 O
(907) 343-7904 t
ON-SITE WASTEWATER DISPOSAL SYSTEM /WATER SUPPLY PERMIT
Initial
Permit Number: SWO40136
Date Issued: May 21, 2004
Expiration Date: May 21, 2005
Parcel ID: 020422-11
Legal Description: (PARADISE VALLEY BLK .9 LT -18
Design Engineer: 0041 AK Water & Wastewater Consultan+ Site Address:
Owner Name: Michael Hoyt Lot Size: 24120 SO. FT.
Owner Address: P.O. Box 243936 Total Bedrooms: 3 Permit Bedrooms: 3
Anchorage , AK 99524 -
This permit is for the construction of:
Q✓ Disposal Field 0 Septic Tank Holding Tank ❑ Privy Private Well Water Storage
All construction must be In accordance with:
1. The attached approved design.
2. All requirements specked In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Date: S G
Issued By: - M" Date: s 'Zt Oy_
5/17/2004
Municipality of .Anchorage
Mark Begich, Mayor
Building Safety Dlivisiotl
P.O. Box 196650 • 4700 Bragaw Strcct
Anchorage, Alaska 99519-0(350 • (907) 343.8301 • Pae (907) 343.8200
littp://A�w.niunf.org
Jeffrey A Gamess
Gamess Engineering Group, Ltd.
3701 E Tudor Road
Anchorage, AK 99504
Subject: Waiver Request for Paradise Valley Block 9 Lot 18
Waiver Request #WR040024
Parcel ID #020-422-11
Dear Mr. Gamess:
Your request for a waiver of the required 10 feet horizontal separation from the
Northwest Lot Line to the proposed Drainfield has been approved. The approved
separation distance is 5 feet.
This waiver approval applies to the existing Lot Line to Drainfield separation only. Any
future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
tiviIGoodall
Engineer II
On -Site Water & Wastewater Program
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street s • r r .
P.O. Box 196650 Anchorage, AK 995196650
www.ci.anchoragc.ak.us
(907)343-7904
Waiver Review Worksheet
WR#: 040024 PID#: 020.422-11 HAM _ Permit#:
Date Received: 5/1712004
Legal Description: Paradise Valley Block 8 Lot 18
Engineer: Gayness Engineering Group, Ltd.
3701 E Tudor Road
Applicant: Michael Hovt
Waiver Requested: 5 foot Lot Line waiver to the Northwest Lot Line to the proposed Drainfield
Criteria:
Geology Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
................... .............................................. ......eeeeee.e
Waiver is Granted:
List Conditions or Reasons for above:
Waiver is not Granted.,
Date: By: DoE (>nup.f q --
Name
Name of Reviewer
................................................•....... e ......................
Rec#: $2204 Amount: $175.00 Date Paid: 5/17/2004
Nu 14CTFCllr; of Ar;i-0'636
AN C1 ii csce9e
3: t;e?t/Sh'Otic s>stazs
34 La.: 15a?CI:
To; L's:
Crack:
$175.01^
$50.00
--------------
$635.00
nicipality of Anchorage
opment Services Department
Building Safety Division
r -Site Water and Wastewater Program
4700 South Bragaw St.
50 Anchorage. AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
$635.00 iEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. DZ� ZZ' 1 I Permit Number SW
Property owner(s) �A kS 1A (.l' CI' I`i–(7 l� Day phone
Mailing address (1) 12 •
0 X Z. H to
Mailing address (2) A—
D 1(� A
li_ Zip Code
"l
Legal description (Lot, Block & Sub'd.) P� Y�A
l > L V (t ` QA
n%
R 9 L
Legal description (Section, Township & Range)
Lot Size ZLI , 1 Zo Acres
q.Ft.
Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
❑
Well Only
❑
Sewer and Well
©
Water Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
{z
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)
u. N
Permit Fees: % 1 Waiver Fees:
L1
Date of Payment: Z � (U q Date of Payment: �J/l9fG�i e/
Receipt Number: �V� b C Receipt Number: US'Q 7
(Rev. 12100) S
GARNESS ENGINEERING GROUP, Ltd.
�^ -- — — CONSULTANTS & GENERAL CONTRACTORS r�rm
May 14, 2004
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
Ref: Proposed upgrade of Septic System for Lot 18, Block 9; Paradise Valley Subdivision
AD VANTEN" " TREATMENT SYSTEM
To whom it may concern:
1. GENERAL: The proposed 3 bedroom house will be served by a private well and septic
system. Several test holes were excavated on the property. We are proposing to design the septic
system around the 30 foot radii of our test hole #1. Due to the presence of shallow groundwater,
the well radii and the steep topography downslope of the proposed drainficld site, we are
proposing to use an Advantex treatment system and a 5 -wide trench type drainfield.
2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring,
and the percolation test results.
3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment
System that will allow the use of a small drainfield in the area around the 30 foot radii of the test
holes. The Advantex system has received class III approval and we are going to assume an
application rate of 3.0 GPD/FT'.
4. TRENCII DESIGN:
a. Percolation Rate: 1.6 & 2 minutes/inch
b. Allowable Application Rate: 6.0 gallons/day/fti
c. Proposed Application Rate: 3.0 gallons/day/ft'
d. Number of Bedrooms: 3
e. Design Flow: 450 gallons per day
f. Minimum Absorption Area: 150 ftZ
g. Total Depth: 3.5 feet (max.)
It. Sand Filter: 2.0+ feet
i. Effective Depth: 0.5 feet
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507
Ph: (907)337-6179' Far: (907)338-3246' Websitc: www.gamesscnginccring.com
j. Width: 5 feet
k. Minimum Length: 30 feet long
1. Effective absorption area: 150 ft'
5.ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will
be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by
Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their
standard STEP tank, it is equipped with a high water alarm per M.O.A requirements.
6. SURFACE WATER: There is swale that runs allong the southeast lot line that currently has
surface water in it. If the water does not dry up, it shall be covered and buried with drainrock.
7. TOPOGRAPHY: As shown on the attached topography site plan the average topography in
the area of the proposed drainfield is a 30+/- percent slope running approximately northeast to
southwest. All slopes within 35 feet downhill from the proposed drainfield are to be graded less
than 25 percent slope.
8. LOT LINE WAIVER: We request a 5 foot lot line waiver to the northwest lot line to the
proposed drainfield. We are unaware of any negative impacts with the granting of this waiver.
9. CLOSING: I am open to any suggestions from your department that would be an
improvement to the proposed system. I am unaware of any negative impacts that this installation
would impose ondjacent wells, or septic systems. If you have any questions, please call us at
337-6179. l 1
P.E., M.S.
NOTE. -Attached is a site plan drawing, a design drawing, an Advantex detail, a trench detail, two soil logs, and a 7
page construction specification letter which are all part of the design package for this septic system.
3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507
Ph: (907)337-6179' Fax: (907)338-3246 • Website: www.gamcssenginccring.com
PARADISE VALLEY S/D;
LOT 15. BLOCK 9,
/
PARADISE VALLEY
LOT 17, BLOCK 9. 9,
1
1
♦♦♦ ;♦ ♦♦ ES
ES
SIEZMORE
TEST HOLES
♦♦♦
',,ALTERNATE SITE
PARADISE VALLEY S/D; ♦♦
LOT 22, BLOCK 9,
PARADISE VALLEY S/D;
LOT 21, BLOCK 9,
♦♦PARADISE VALLEY S/D;
/�- `♦ ♦ LOT 10, BLOCK 4,
E VALLEY S/D; ♦♦♦ I
5, BLOCK 4, �♦ ♦ /
I ,
' ♦v I
--,`PARAD VALLEY S/D; / �♦
♦` ♦LOT 34 34, BLOCK 4, // ♦
i rY /
PARADISE VALLEY S/D;
LOT 33, BLOCK 4,
I /
ROPOS
3 BEDRM
HOUSE
\ OO
SEPTIC SYSTCM
, PAGE 2 OF 4)
PARADISE VALLEY S/D;
LOT 18, BLOCK 9,
64W
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS& GENERAL CONTRACTORS
3701 F n" ORAD SIT[ 101 • AWWu A" AN 00W • P. W (0011331-M70' iAX (0071}3A -371.A
PREPARED FOR PHONE NUMBER:
MIKE HOYT 653-7204
LOT 18, BLOCK 9; PARADISE VALLEY SUBDIVISION;
TYPE OF WORK:
SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE
Int
C.J.G.
1" = 100'
PAGE NUMBER:
1 OF 4
PARADISE VALLEY S/D;
LOT 20, BLOCK 9,
OF
rt..
e e A. or ss:'
(D C —79 :%
69
THE HOMEOWNER OWNS LOT 17,
BLOCK 9, PARADISE VALLEY S/D;
'PROPOSED 100• WELL I
EXISTING JAMES SIEZMORE
1 P.E. TEST HOLES
ALTERNATE SITE \\
S' LOT LME WANE
REQUESTED � \
\
PROPOSED DRANFlELD. EXCAVATE
A TRENCH THAT IS 3.5 FEET DEEP
MAXIMUM BY S FEET WIDE BY 30 \
FEET LONG. ADD 2+ FEET OF
CLEAN, WASHED SEWER \
DRAINROCK. INSTALL TRENCH
PARALLEL TO SLOPE CONTOURS.
(SEE DETAIL PACE 4 OF 4)
PROPOSE
WELL /
/
/
/
\ /
STALL DOUBLE `- INSTALL
CLFANOUTS X FOUNDATION
/ \ CLEANOUT
/ \ PROPOSED 1500 GALLON
ADVANTE% TREATMENT SYSTEM
\ \ (SEE DETAIL PACE 3 OF 4)
APPROXIMATE LOCATION OF
SWALE. IF WATER DOES NOT
\ DRY UP SWALE TO BE
BURIED IN DRANROCK.
NOTE: THE CONTRACTOR SHALL HAVE THE PROPOSED 100
WELL RADIUS AND THE NORTHWEST LOT LINE FLAGGED BY
/21/2004
14 DRAWN BY:
GARNESS ENGINEERING GROUP, Ltd.SSE: C.J.G.
CONSULTANTS& GENERAL CONTRACTORS O d
3101 F TUDOR ROAD. SUrtF 101 • ANf W WGGF. Ac VOSOI • PwONF ("7)337-6170 •FAM (007)35R.37461" c 40' .. .. ............
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
MIKE HOYT 653-7204 2 OF 4• •
•. of y ess.s.-
LEGAL DESCRIPTION: QO e C 7953
PARADISE VALLEY SUBDIVISION; LOT 18, BLOCK 9, 004'
TYPE OF WORK: �14, 0 /easlOA0\
DESIGN OF PROPOPSED WELL AND SEPTIC SYSTEM LOCATION loro0o00��
.' 5/14/2004
DRAWN BY:
GARNESS ENGINEERING GROUP, Ltd. C.J.G.
CONSULTANTS i GENERAL CONTRACTORS I SCALE'
3701 F TMOR ROAD SIIITF 101 . ANCNORGGF. AF 00507 • PWIN� 00))331- 1)0 • 1. = 40'
. f 6 FAX (00A}}p.1i46
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
MIKE HOYT 653-7204 2 OF 4
LEGAL DESCRIPTION:
PARADISE VALLEY SUBDIVISION; LOT 18, BLOCK 9,
TYPE OF WORK:
DESIGN OF PROPOPSED WELL AND SEPTIC SYSTEM LOCATION
�ftr 'AWe"ss-
E 953
kpyo1easio�°oma
�l0�0�00
If
L
PROPOSED 100' WELL RADIUS
\� I
�
EXISTING JAMES SIEZMORE
I P.E. TEST HOLES
/ I�
I
� �
ALTERNATE SITE
ti I
PROPOSED /
PROPOSED DRAINFIELD. EXCAVATE ATHf2
A TRENCH THAT IS 3.5 FEET DEEP -y-
MAXIMUM BY FEET
5 WIDE BY 30
FEET LONG. ADD FEET
2+
OFCLEAN. \
ASHED SEWER
/
DRAINROCKW INSTALL TRENCH
\
/
PARALLEL TO SLOPE CONTOURS. INSTALL DOUBLE
(SEE DETAIL PACE 4 OF 4)
INSTALL
�' FOUNDATION
\ CLFANOUTS
CLEANOUT
PROPOSED 1500 GALLON
ADVANTEX TREATMENT SYSTEM
(SEE DETAIL PACE 3 OF 4)
\ \
\
APPROXIMATE LOCATION OF
l
SWALE. IF WATER DOES NOT
DRY UP SWALE TO BE
BURIED IN DRAINROCK.
NOTE: THE CONTRACTOR SHALL HAVE THE PROPOSED 100
WELL RADIUS AND THE NORTHWEST LOT LINE FLAGGED BY
.' 5/14/2004
DRAWN BY:
GARNESS ENGINEERING GROUP, Ltd. C.J.G.
CONSULTANTS i GENERAL CONTRACTORS I SCALE'
3701 F TMOR ROAD SIIITF 101 . ANCNORGGF. AF 00507 • PWIN� 00))331- 1)0 • 1. = 40'
. f 6 FAX (00A}}p.1i46
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
MIKE HOYT 653-7204 2 OF 4
LEGAL DESCRIPTION:
PARADISE VALLEY SUBDIVISION; LOT 18, BLOCK 9,
TYPE OF WORK:
DESIGN OF PROPOPSED WELL AND SEPTIC SYSTEM LOCATION
�ftr 'AWe"ss-
E 953
kpyo1easio�°oma
�l0�0�00
z
z
0
av
a
i
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H
a
rc
W K
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DATE: pdpp
5/21/2004 _o��QF Q
DRAWN BY: '`
GARNESS ENGINEERING GROUP, Ltd. C.J.G.�: 4
CONSULTANTS i GENERAL CONTRACTORS SCALE. A 4 y4 00
3701 F TUDOR ROAn. $tnTF 101 • AWRAGF, AK 90507 • P~ (007)1376170 • FAX (007)3RL3746 N.T.S. ...... .... . . . • • • . • • • • • • •O
PREPARED FOR: PHONE NUMBER: PACE NUMBER: Q
MIKE HOYT (907) 653-7204 4 OF 4
Q •, e t y or
s:...,
LEGAL DESCRIPTION: OQ E 795
PARADISE VALLEY SUBDIVISION; LOT 18, BLOCK 9, �Qn�� ' • .�"o
TYPE OF WORK: Q ��� •• Echo
DETAIL DRAWING OF PROPOSED SLOPE DISTANCE ����40oo�p000
30' LONG
Tr--------------------------------�
1 coMTl
lCo
L---------------0---------------
ALL SLOPES DOWN HILL OF
DRAINFIELD TO BE GRADED TO
25 PERCENT SLOPE OR LESS
GRADE
- - a
W
2t FEET, OF M.OA r
,:'•APPROVED SAND FILTER
�-5' WIDE--�
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS i GENERAL CONTRACTORS
41N [ TIMP oven CI nTF IM . eurunvefc e[ oocm . ounu[ /en)ltivane . c..r .enn..e vu
FABRIC
5/14/2004
DRAWN BY:
C.J.G.
N.T.S.
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
MIKE HOYT (907) 653-7204 1 4 OF 4
PARADISE VALLEY SUBDIVISION; LOT 18, BLOCK 9.
TYPE OF WORK:
DETAIL DRAWING OF PROPOSED DRAINFIELD
ORIGINAL
NOTE: JIM
NOTE: THE B
INSULATION TO B
AdvanTex Treatment System P.E. HAS THE055 INSTALLEDOVER THDE SEPTIC TANK & 4'
EXCEPT
AX20 -Mode 1aND I
U ADV711E BEYOADVANTEX FLTER.ON ALLSTHIS WILLUNDER ALLOW
O �e FOR HEAT 70 ESCAPE FROM TANK
40x94Pod &
RISE TO THE FILTER ABOVE IT.
INLET
6' ,RM CAP
FINAL GRADE (TYP.2)
6' PJC PUMP -OUTS
(TYP.2)
6' PJC COUPLING
CLUED TO TANK
(TYP.2)
INLET
OPTIONAL
SLIDE SECTION
OF 6' PIPE
OVER THIS CONNECTION
TO PROVIDE
SHEER PROTECTION -
EXTEND TO
BRIDGE EXCAVATION
----------------
1500 GALLON ADVANTE;
TREATMENT SYSTEM
eROCK
ROCK 411
b INCH
ORENCO
SIOTUBE
SCREENED
VAULT
PUMP
LIFTSTATION
_ 5/14/2004 0!� pF o
DRAWN BY: ....... 4
ALASKA «TATER & WASTEWATER SCALE: c.J.G..•Sv4��0
CONSULTANTS, INC. RO*+�
�...
1)01 F IIK10R AD. SUOR
ITE 101 • ANFHeGFHONE . An 0050) •P (907)537 -6179J(907(907)338-3746•; •••,•
O •FAX IOO)IJSA-
N.T.S. . ................4A D
PREPARED FOR: PHONE NUMBER: PACE NUMBER: Q
MIKE HOYT (907) 653-7204 3 OF 4
Je f e A. nese—*D
LEGAL DESCRIPTION: Qa C —7953 : pQ
PARADISE VALLEY SUBDIVISION; LOT 18, BLOCK 9, 00I�
TYPE OF WORK: eO PO\
FOles35OP��O
PROFILE DRAWING OF PROPOSED ADVANTEX SEPTIC SYSTEM �400p0000�
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
]AI L noon ROW. SunE lol • NC -OWL M NW7 Fw- W b • IRBSnE: ym....iq...hyewn
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: PARADISE VALLEY SUBOMSION: LOT 18, BLOCK 9
PERFORMED FOR: MIKE HOYT DATE: 5/5/2004
DEPTH
(feet)
__
ORGANICS
w/ PEAT
TEST HOLE
SOIL CLASSIFICATIONS /
I- GW ORG
o
OO�P�O/essiO��p
�40�0�00
\
3
7;7 GP I ML
GM CL
4
/ GC I! OL
GM
JDA �v
,.• >nD SW MH
'.
• SP CH
\
1 t SM OH
THO
'
6—
SC
THN,2
7
DATE
GROUNDWA ER
8
SEEP ® 7' 5/5/2004
7.5' 5/12/2004
91
SITE PLAN
1'a 1 oo'
10
ML
!
DATE READING CLOCKTIME
WATER EL
NET DROP
t t
I
(MINUTE)
READING
(INCHES)
12-1
5/6/2004 1 5:32 -
6'
-
2 5:42 10
0'
6-
'13
113-
-
3 5:42 -
6'
-
-111111
4 5:52 10
1 0'
6'
14-B.O.11.
5 5:52 -
6'
-
6 6:02 10
0'
6-
15-
7 6:02 -
6'
-
16
8 6:12 10
0'
6'
9 6:12 -
6'
-
17
10 6:22 10
0'
6'
11 6:22 -
6'
-
18
12 6:32 10
0'
6-
PERCOLATION RATE 1.67 (MIN./INCH) PERC.
HOLE DIA.
6 (INCHES)
19
TEST RUN BETWEEN 4 FT. AND 4.5
FT.
20
A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS
LOGGED
BY: KELLY HEITSTUMAN PERCOLATION TEST PERFORMED BY:
NICK HEITSTUMAN
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I 04�
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS 6 GENERAL CONTRACTORS 4 O
701 E TIOOn r,0Q. kI1C 101 • MKl10F/!C. M. iY507 • PgMC: DO) 1-61n • LAIC 90)
-31N • IY[BSrtE: ya•rrpw•rbq.oan • • • • • • • • . • ....... .......
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 18, BLOCK 9 OO ••.J Gorn ss.-
PERFORMED
s-PERFORMED FOR: MIKE HOYr DATE: 5/5/2004 ���tii 79 `gip
(fee!) __-= Q4 0 protess'll 10'
1 ORGANICS TEST HOLE#27]DO000�o
w� PEAT
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
CM
ML/GM
SOIL CLASSIFICATIONS
DATE
GP I
GM
GC I
ML
CL
OL
777Z7
I I
5/6/2004
1
SW
SP
MH
CH
6-
1 t 1
SM
SC
OH
2
DEPTH TO
GROUNDWATER
DATE
SEEP ® 7.5'
5/5/2004
7' 8-
5/12/2004
5/6/2004
1
5:34
–
1
TH12
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
5/6/2004
1
5:34
–
6-
–
2
5:44
10
1'
5-
3
5:44
–
6'
–
4
5:54
10
1 1'
5-
5
5:54
–
6'
–
6
6:04
10
1'
5-
7
6:04
–
6-
–
8
6:14
10
1'
5-
9
6:14
–
6'
–
10
6:24
10
1"
5-
11
6:24
–
6-
–
12 1
6:34
10
1 1'
5'
19 I I PERCOLATION RATE 2 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
—jI�—JII TEST RUN BETWEEN 4.5 FT. AND 5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: KELLY HEITSTUMAN PERCOLATION TEST PERFORMED BY: NICK HEITSTUMAN
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 0
fMunicipality of Anchorage
`lll DEPARTMENT OF HEALTH & HUMAN SERVICES
rr,� 825 "L" Street, Anchorage, Alaska 99502-0650
7Y SOILS LOG - PERCOLATION TEST
PERFORMED FOR: /I DATE PERFORM
LEGAL DESCRIPTION: L I P�r • V a f kwnship, Range, Section:
DEPTH G""-� b /� G �/
(FEET) I,QG(%//
2 't CP 30��¢
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
S�e�Csyar.�,
s; / �- yl y rd (/ --:,, /Y,
('lay I0 YP P -5i le &;''
^ WAS GROUND WATER
/ \ NCOUNTERED7
S
+ IF ES, AT WHAT L
DE H7 1YY'' E
Be IDWater Alter
anitoring?
SITE rLAN
20 -{
UPERCOLATION RATE (minutevmcn) PERC HOLE DIAMETER
/ TEST RUN BETWEEN FT AND FT
COMMENTS c�af t�ihr��fF� U/1 �cCF?7eb( e E(aY Wei
PERFORMED BY: Pi:226 J �'4- CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
<Mr.WYA7 =FMML'�LA:b��r�
E&MWiVMAL
NAW
►�
�tl�
20 -{
UPERCOLATION RATE (minutevmcn) PERC HOLE DIAMETER
/ TEST RUN BETWEEN FT AND FT
COMMENTS c�af t�ihr��fF� U/1 �cCF?7eb( e E(aY Wei
PERFORMED BY: Pi:226 J �'4- CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
• y. Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR:I �pfl /
LEGAL DESCRIPTION: 1, $3
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19•
20,
COMMENTS
01
I �i�'GfCrllr�)
2. 2_ 3.41
�1 L
3. - �• 3` 5 14-Y
G Ve
GM
8.3r, C1. 0 — C-Ul
,5
°ie—
C
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH? ✓
Depth to Witer Ake I
Monitoring? .tj
40
fo,s '!
......�.
W4.1V{k •.
T/ • . e.
r '�ly'�y,/ 7 E t•
DATE PERFO''
I
R'M��i��CK
ion: $wj( 511, 7" I fit i t .S
SITE LAN
mom
PERCOLATION RATE _. �Inninutevi/njc'h) PPEERC HOLE DIAMETER
TEST RUN BETWEEN �U FT AND �_ J FT
E2 f
nJ
PERFORMED BY: /16f L' `, CER74FY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN E F CT ON THIS DATE. DATE: 2-2,0-2y
72-M (Rev. 4/ti
Mom
--
��l
PERCOLATION RATE _. �Inninutevi/njc'h) PPEERC HOLE DIAMETER
TEST RUN BETWEEN �U FT AND �_ J FT
E2 f
nJ
PERFORMED BY: /16f L' `, CER74FY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN E F CT ON THIS DATE. DATE: 2-2,0-2y
72-M (Rev. 4/ti
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 / WATER SUPPLY PERMIT
Initial
Permit Number: SW000255
Legal Description: PARADISE VALLEY BLK 9 LT 18
Design Engineer: 0027 James Sizemore & Associates
Owner Name: Tom Tredway
Owner Address: 6361 Newt Dr.
Anchorage , AK 99507 -
Date Issued: Jul 25, 2000
Expiration Date: Jul 25, 2001
Parcel ID: 020-422-11
Site Address:
Lot Size: 24120 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑� Disposal Field ❑� Septic Tank Holding Tank ❑ Privy Private Well F-1 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.
THE ATTACHED PROPERTY OWNER AGREEMENT SHALL BECOME A PART OF THIS PERMIT PACKAGE.
Received By:
1 �
Issued By:
Date: —112//co_
Date:
PROBABLE IMPACTS TO ADJACENT PROPERTIES
A) WELLS
The proposed wastewater disposal system replaces an existing trench that has been in use since the
house was built. The proposed wastewater disposal system is designed in accordance with current
Municipal Wastewater Disposal Regulations. The proposed bed will be greater than 100 ft. from
the well on this lot, and adjacent lots. Therefore there should be no adverse impact on wells from
this new bed.
B) WASTEWATER SYSTEMS
The system is designed in accordance with current Municipality of Anchorage regulations. There
should be no adverse impact of adjacent wastewater disposal systems.
C) RESERVED SPACE/SURFACE AND SUBSURFACE
There is enough space on this lot to put in another replacement system and still maintain the
required protective distances between wells and disposal systems.
D) DRAINAGE
The location of the disposal system will not interfere with any drainage. The area disturbed during
construction of the system will be graded and sloped to prevent ponding of water
WASTEWATER DISPOSAL SYSTEM
LOT 18, BLOCK 9, PARADISE VALLEY SUBDIVISION
0.0 GENERAL
0.1 The scope of this project consists of installation of a 1500 Gallon S.T.E.P. Tank and a 12' x
30' Intermittent Sand Filter. The S.T.E,P. Tank, all distribution lines between the tank and
the ISF, Air Compressor, Filter liner, Distribution Piping within the filter is to be obtained
from Anchorage Tank. It will be the responsibility of the contractor to build the plywood box
for the sand filter. The plywood box shall contain the 30 mil filter liner, 6" of pea gravel
over the liner around the 4" slotted under drain pipe, 2' of sand in which the air diffuser line is
placed, 6" of pea gravel containing the PVC lateral distribution Piping. The contractor shall
furnish the Plywood & lumber necessary to form the filter, the sand and pea gravel, the
insulation & Protective pipe for the air diffuser line. All rigid insulation & materials to build
the drain field.
0.2 Constriction shall be in accordance with the approved site plan and design drawings,
Municipality of Anchorage permit with any special provisions or conditions. Drawings
showing installation & proper electrical connections for the S.T.E.P. system are furnished by
Anchorage tank. Drawings showing the layout of lateral piping and the manifold piping are
furnished by Anchorage Tank with the kit for the sand filter.
0.3 All construction procedures and material used to construct the system shall comply with
Municipal and State regulations,
0.4 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading
areas after the system is constructed and soil is compacted and motmded over the sand filter
box and the S.T.E.P.
1.0 SEPTIC TANK
1.1 The 15000 gallon Septic Tank, Effluent Pumping (S.T.E.P.) System shall be furnished by
Anchorage Tank. The tank shall include two 4" cleanouts for pumping access.
1.2 The S.T.E.P. Tank shall be set level and shall be bedded as necessary to prevent settling or
shifting of the tank.
1.3 All pipe connections to the STEP tank shall be made with waterproof mechanical couplings.
A cleanout shall be installed upstream of the tank within 5 feet of the house foundation.
2.0 INTERMITTANT SAND FILTER
2.1 The Sand Filter configuration for this site is 12' x 30'. The bottom of the box shall be placed
on a level bench excavated into the slope on this sloping lot. The contractor shall excavate
approximately 3' of mineral soil from the gravel layer beneath the sand filter box. Filter sand
shall be used to insure a level platform for the sand filter box.
2.2 The Installation and Operation Manual furnished by Anchorage Tank with the Sand Filter
Kit contains step by step instructions for construction of the Sand Filter.
2.3 Constrict the perimeter frame for the filter.
2.4 Place the 30 mil liner.
2.5 Place the 4" slotted under drain pipe ind the center of the lined box with the discharge end to
the drain field penetrating the liner. Place a level layer of 1/4' to 3/8" pea gravel in the bottom
of the sand filter.
2.6 Place a six layer of sand over the pea gravel. Lay air diffuser line in a concentric spiral with
approximately one foot (1) separation between passes. Use sand piles to hold the position of
the air line.
2.7 Place remainder of twentyfour (24") total filter sand layer. Sand should be placed damp to
allow good compaction. Wet sand if necessary and place in 6" lifts. Place monitor tubes on
sand surface.
2.8 Place two inches of pea gravel over top of sand to support distribution piping. Install pressure
lines, manifold, and flush valves. Connect to pressure effluent line from STEP Tank.
2.9 Fill septic tank with clean water and conduct pressure test. Verify minimum squirt height of
four feet and check for leaks in pressure piping. Verify trickle hole in tank end of pressure
line allows drain back of pressure line.
2. l OInstall snap on orifice shields and cover piping with remaining three inches of pea gravel.
Level to one half inch.
2.11Extend 6 inch monitor tubes, lateral cleanouts and valve boxes. All risers shall extend above
finished grade. Install two inch 35 psi burial foam insulation and standpipe covers before
placing fill. Cover insulation with approved filter fabric material.
3.0 FILTER SAND
3.1 An approved source of ISF sand is central Paving Products "Winter Road Sand" available at
the Palmer yard. Substitutes .must have less than 2% passing the # 100 sieve, less than 1% passing
the #200, and have 100% passing the #4 sieve.
4.0 PEA GRAVEL
4.1 Locally available washed three eighths inch (3/8") pea gravel is suitable for use in the ISF.
Material must have 100 % passing the three eighths (3/8) sieve, and must have less than 20 %
passing the one quarter inch (1/4") sieve, and less than 1% passing the #8 sieve. One quarter
inch (1/4") pea gravel with round particles and less than one percent (1%) passing the #8
sieve is an approved source,
5.0 ENGINEERING INSPECTIONS
5.1 A minimum of four engineering inspections will be required during construction of the
system. One prior to start of excavation.
3.2 The contractor shall coordinate with the engineer at least 24 hours prior to start of
construction. A site visit with the engineer prior to start of construction is mandatory for this
system.
Elev. 900
imM
Elev. 979.2 ��
!T 22
r
90 0 \
4 '�o
� ss s
Zoo, Rad
ve11
yeJ
s yt°4°
~'Y MSE. LOT 18 BLOCK 9 PARADISE VALLEY SUB.
PROPOSED WELL & SEPTIC SYSTEM!
SITE PLAN
W LU W W
LU
xxx
H N N
coo
Vf OO
N
C4 I*
N N N
N N N
l45 a��1
1. 12- x .J� 6��
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CP
MIMI
lames F. 5ixexeawo a `d
0 1517 E
(R•S SEAL)
® Municipality of Anchorages=i
DEPARTMENT OF HEALTH & HUMAN SERVICESVzm
825 "L" Street, Anchorage, Alaska 99502-0650 „ t
SOILS LOG - PERCOLATION TEST
PERFORMED FOR: T—c 11n l no �� Y �(�/ [ C DATE PERFORNtizt71�--
LEGAL DESCRIPTION: _ {' <~ J %G�"G�' 0 ship, Range, Section: Sw4
DEPTH _ SLOPE SITE LAN
AF EET)
f7Cfl r l'
2 �wvi AL2
3
A/1 L;
4
6 � G
D C M
7-
8--
8 �c-
C, �-
10
11
12
13
14
15
16
17
18
19
WAS GROUND WATER
ENCOUNTERED? ' J
S
IF YES, AT WHAT p/� L
DEPTH?jei L= 7, p
Depth to Water After ( p Cy
Monitoring? Date.L-12
Reading
Date Gross
Time
Net
Time
Depth to Net
Water Drop
C,
C
L�
7—
r- '
-
6-
v
'
20 -{
Iu1 PERCOLATION RATE-;��(minutesiinch) PERC HOLE DIAMETER
(J // TEST RUN BETWEEN FT AND _(d 5 FT
COMMENTS d l ei c -C 6) lig( )%% � � /i� 1.4 '�-'< i% G/ I (i f� �'i � /17 T AL I (.� � �7 7 - i
PERFORMED BY: �" / �� ` `-` f �l �+ CERWY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES INE CT ON THIS DATE. DATE: f
72-008 (Rev. 4185)
PROPERTY OWNER MAINTENANCE AGREEMENT
ON-SITE WASTEWATER DISPOSAL SYSTEM
This agreement, dated J L, (y Z 7 , 200 U, is made between the Municipality of
Anchorage Department of Health and Human Services (DHHS) 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 owner(s) agree to the following:
The property owner(s) will have an annual inspection of the system performed by a registered
professional engineer. This inspection shall verify that all effluent and air pumps, timers, and
alarms are functioning as designed. Any deficiencies shall be corrected and the engineer's
statement that the system is functioning as designed shall be filed annually with the DHHS.
f
Property Owner Name
(Notarize Here
r
�0,,,
PU61
K
ion ExP`jl��
11)ll
Property Owner Name
State of A Jos kA
Judicial District _ SS.
On this R day of JLJt,1 in the
year 200 , before me, di undersigned notary
public, personally appeared:
Tnm Tr CjQLI known to me to be
the person(s) whose name( is/are subscribed to the
within instrument and acknowledged that he/she/they
executed the same for the purposes therein
contained.
In witness whereof, I hereunto set my hand and
I*DVicial seal.
"" �Q_Lou
VD
ary PU c (signature) 1 _
(Notary's printed name)
My commission expires:
4+ -moo -o44
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O ZO - 4427- - 1 t
GENERAL INFORMATION
Complete legal description
Location (site address or dii
HAA # OS r• Irl -.2)
Expiration Date:5—
Current Property owner(s) Ore- H.
I---L 11tWr
Day phone
Mailing address PO BOX
7:N 3936
ef,vck. 4K 9 9 524f
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, HAA will behold by DSD for pickup.
2. NUMBER OF BEDROOMS:
3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
[r
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
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 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. (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 EA4tt
2Tvt1Z
SoCs.
Phone 69N Slur 2r
Address JOWLI VE91-fl.
5 %411) za 1
617, A< 99537
Engineer's Printed Name
C//QTSToPtiga R.
r /adh
Date Sho%5—
Ei
5. DSD SIGNATURE ' IHR OPHERIt
.:
✓ Approved for _3 bedrooms. • � '�•,,
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
WATER AND m:
Additional Comments �.,.,.__..
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: -/ -Octet Original Certificate Date: % 2 — 06—
(Rev OW2)
Municipality of Anchorage
' Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: PAI?A b. 5C V kU- E y L-07- 1 4 0 Parcel ID: O Z O ' 1i ZZ ^ /
A. WELL DATA
Well typePR1 /�1iE If A. B, or C provide PWSID #
Date completed > 10 Y Sanitary seal &N) _Ylff-.5
Total depth Z67 ft. Cased to ?H ft.
FROM WELL LOG
Date of test U07/61
Static water level Z 33 ft.
Well production YI g.p.m.
WATER SAMPLE RESULTS:
Coliform (J colonies/100 ml. Nitrate ). D mg./I.
Arsenic: -WA mg./I. Date of sample: 3 176)5_
B. SEPTIC/HOLDING TANK DATA
Well Log j9N) iE5
Wires properly protected &N) Y/tS
Casing height (above ground) - 2y in.
AT INSPECTION
NON E
"IA ft.
A114 g.p.m.
Other bacteria colonies/100 ml.
collected by: TO HAJ /4A ` b,6 0
Tank Type/Material dNLd ihA1K ��EEL J t Date installed /OZ-C/T Z y
Tank size /6'00 gal. Number of Compartments-' Cleanouts t)N) t/ES
Foundation cleanout 61N) _YL� Depression over tank (Y/Qt A)O High water alarm (T)N) %ES
Date of pumping a6eic walk Pumper ATIA-
C. ABSORPTION FIELD DATA
Date installed 11 /Z Soil rating (g.p.d./ft2 or - ) 60 System type Wl/ DR VVF4tL16
Length -Sy ft. Width S ft. Gravel below pipe O.S ft.
Total depth %D ft. Eft. absorption area ISD ft2 Monitoring tube _I&Ej Depression over field )Q
Date of adequacy test lVtw& REU'b Results(Pass/F-ait) Phss For 3 bedrooms
Fluid depth in absorption field before test A,/+ in. Water addedA([¢ gal. New depth u/q in.
Elapsed Time: NA min. Final fluid depth At /+ in. Absorption rate >= u/a g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) d!/4 If yes, give date M/,¢
D. LIFT STATION
Date installed ..1011106±L -Size in gallons 16-&-o ManhoWAccess r r�1 ) lyE3
"Pump on" level at 12- in. 'Pump off' level at 1q in. High water alarm level at /0 in.
Datum 7& OF B10TuBE Cycles tested A/bf Ale&i Meets alarm & circuit requirements? YC -S
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
i
Septic tank/lift station on lot / 0 g
Absorption field on lot 13 a
Public sewer main + %S
Sewer /septic service line + Z S
On adjacent lots '7'160
On adjacent tots
Public sewer manhole/cleanout 4/00
Holding tank i too
SEPARATION DISTANCES FROM SEPTIC/1-19L-9t" TANK ON LOT TO:
Building foundation 3$ r Property line 4 of r Absorption field 2 z t
Water main t/r50 r Water service line _ [ ZS r Surface water *+-100
Wells on adjacent lots t Ido t
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line6) 5 Building foundation S S / Water main 'r'/AO
i r
Water Service line f Z S Surface water *-r-/D0 Driveway, parkingivehicle storage 1' ZS
/ r
Curtain drain f" S() Wells on adjacent lots +to
NoN
F. COMMENTS
V.l
Du12roiA
1 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.
Engineer's Printed Name GIHL1s1vPM>`IL R. Llocri�
Date S//D /o S
HAA Fee $
Date of Payment
Receipt Number ��J� /✓_
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
zdvl
3-26-06t11:67AM:
SGS RcL6
CllentName
project Namd #
Client Sample ID
Matrix
Sample Remarks:
1051441001
Eagle River Engineering
Paradise Valley B9 LIS
Paradise Valley B9 L18
Drinking Water
:907 6916301 w 2/
All Dates/rimes are Alaska Standard Time
Printed DateMme 03/23/2005 7:59
Collected Date/Time 03/17/2005 15:20
Received Daterrime 03/17/2005 16:39
Technical DirectOI Stephen C. Ede
Released By
Allowable Prep Analysis Init
Parameter Results PQL Unita Method Container ID Limits Date Date
Nates Department
Nitrate -N 1.00 0.100
Microbiology Laboratory
Total Coliform 0
mg/L EPA300.0 B (<=10) 03/17/05 CAM
col/I00mL SM209222B A (<-1) 03/17/05 TLF
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ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND Tjw, SiT��2w�c Z
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
1 C1 day of 0. of 2005, by and between �Ta� eZ Ps - -i���w:•—Z.
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 A ,ns�& located
at gV-Z4� 1�.,Z�x\Q,,l p,c�c�q 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 parts, components and pieces of an AW WTS 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
($_a.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 or 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 ATitten 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
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the 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. Nomvaiver. 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 writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing 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: 7 A yr eS S e.w i (--Z,--,
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for the Third Judicial District of the
State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and
obligations of the parties under this Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER:
By: S.'Ck,ewCLL•
Date: S-1�t-aaaS
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY:
By:
Title:
Date:
) ss.
The foregoing instrument was acknowledged before me this Zi day of
20,0by�7Aus O- S�,! ,E'ct.tvi�2 ,the Al�mrt/ of
on behalf oft a Municipality of Anchorage.
;E:�N AfAi?l
O
ARY PUBLIC FO ALSTAR !P
My Commission expires:f''�►O___ Y '