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Home My WebLink AboutJODIE ESTATES LT 4A odi sta Lot 4A #0 5- ! 43-05 Municipality of Anchorage Page 1 Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196&50 Anchorage, AK 99519-6650 www c/.enchorage.ak.us (g07) 343-7g04 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number.. SW050277 PIg Number.. 015-143.05 Name Robert Squires WastewaterSystem: New 5560 E. 112~Avenue Anchorage, AK99516 ABSORPTION FIELD 344.1239 Six (6) Deep Trench LEGAL DESCRIPTION ~""~ .45 c~e 14 4A Jodie Estates 6 0-2 F,. 127 F,. Well: Existing c,,~,,,,,~,. 3 2,032 ,~e ASTM 3034 PVC ~t Whitters Landscaping 8/16-25/2005 ~..- ~..s.., I c..~,~,,.~,,.. C'~05'O1~O TANK - EXISTING SEPARATION DISTANCES ~ septic [] Holding ~'1S.T.E.P. r-I Other. Tank Field Station Tank Se*er L~eAnchorage Tank 2,000 w., >100' >100' N/A N/A >25' Steel Two (2) s~=w.. >100' >100' N/A N/A '~ . / LI.FT STATION - NONE ON LOT ~ ~. >5' 14' N/A N/A c~... 0,,~ None Noted P""" "'~ ~ ~ E~,~, ~ .{ .... ,,, i 'i~ ~'.,', ..... ! ,, ,., BENCH MARK Uwerter Valve ¥1acecl to I le In/existing Absorption 3ystem lot .... -"- ~,- --Futur ....... e,,~ Front Porch Step. First Step From Ground. Northeast Comer. 100.0 FL Engineet'a Stamp Inspections performed by:.MEA Dates: 1'~. 8/16/05 2"~._~_8/23/05 ~...... ~...~..~ -- o Department of Health and Human Services approval Reviewedandapprovedby:XL,~O'c...,[ tf~..~).-~0~...~ Date:~ -.?'£,~-'..<. -"~.. Munk:Jpality of Anc~ O~-S~te Wastewater Disposal System m' Well ~ Repo~ PID No. 015-143-05 Pen~t No. SW050277 3' R.O.W. I lA. B 3 8 57.0 S2 43.6 69.9 C5 88.0 1!7.5 C8 59.5 112.0 DV 47.5 74.7 SV 48.1 77.3 M1 75.1 109.2 M2 108/ 144.4 EAST 112TH S 89'56'19" E AVENUE 165.00' Gravel Six Bedroom House 49th NO. LOT 4A 10' TELECOMM. & ELEC. EASEMENT N 89'57'07" W 165.00' PLAN AS-BUILT SCALE t" = 40' Page 2 of 3 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Wetl Inspection Report Permit Number:. SW050277 93.3; 100.3 Geotextlte F~,~IC DrolnFleid Rock 85.E5~ 62' (Trench Length) I 78.5 Page 3 of 3 PID No. 015-143-05 ';3.3 WEST LEG 99.38 um Geo'texl;It, e Fobr'{~ ___ 93.15 '~ DrolnFletd Rock · ~ 65' (Trench Length) I I EAST LEG I I ,.*?,,~'..~ .... '"'-..~e. I r"lXLIr 1Lb R,3--.IdUlLI .%?,~,,,,.o..~-~, /,~/ ! .o~ ~;.-'~.~,.../< P_'.~' I ' * I"'IUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT ~700 SOUTH BRAGAW STREET .Z~J',ICHORAGE, AK 99519-0050 SOILS LOG - PERCOLATION TEST [ DEPTll 1 2 3 4 $ 6 7-- 8-- LEGAL DESCRIPTION: PERFORMED FOR:. RObERt Sou~s DATE: _ R/l~,/?O05 PROIECT No.: , PARCEL ID#: TECHNICIAN: I T .sT.oL . 3 I OB/OG SILTY SAND SILT CONTENT VARIES SM LOT LA, JODIE ESTATES 05-3/-.,0 J'"l. J3u'qDERSON SLOPE BOH - 21.5' SITE PI~AN SEE As-BUtLT PLAN <2% PERCOLATION RATE: 30 (MIN/INCH) PERC. HOLEDIA. 6 (INCHES TEST RUN BETWEEN: 6 FT. and 7 FI'. COMMENTS: NO IMPERMEABLE LAYERS ENCOUNTERED. TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT TttIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE:. MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 9951g.-6650 (907) 343-7904 ON-SITE WASTE~NATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 11, 2005 Expiration Date: Aug 11, 2006 Permit Number: SW050277 Legal Description: JODIE ESTATES SUBDIVISION LOT 4A Design Engineer: 0014 Anderson Engineering Owner Name: ROBERT SQUIRES Owner Address: 5560 EAST 112TH AVENUE ANCHORAGE, A 99516- Parcel ID: 015-143-05 Site Address: 5560 EAST 112TH AVENUE Lot Size: 49500 SQ. FT. Total Bedrooms: 6 Permit Bedrooms: 6 This permit is for the consb'uction 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. a.) A test hole a minimum of 18 feet in depth shall be installed at the southern end of the proposed trenches at the time of construction. A percolation test and 7-day groundwater monitoring shall be conducted and submitted with the On-Site Wastewater Disposal System Inspection Report. b.) The easements along the northern and western properly line in the vicinity of the proposed trenches shall be marked by a registered professional land survey prior to construction. Date:. ~, 12. - ~:~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 PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015.143-85 Permit Number SW Property owner(s) Robert Squires Mailing address (1) 5560 East 112aAvenue Anchorage, AK99516 Mailing address (2) 5560 East 11~ Avenue Legal description (Lot, Block & Sub'd.) Lot 4/~ Jodie I=sf~s Subdivlslon Legal description (Section, Township & Range) Lot Size 49,500 SF Acres/Sq. Ft. Day phone 344-1239 Zip Code Number of Bedrooms Six THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool [-] Well Only [] [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] [] 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 prepedy owner or authorized agent) Permit Fees: Date of Payment: Receipt Number;. (Rev. 12~00) Waiver Fees: Date of Payment: Receipt Number. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) August11,2005 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 4A, Jodie Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer:. The existing absorption system on the subject lot has failed and must be upgraded. We are therefore requesting a permit be issued for the upgrade of the septic system to accommodate the six-bedroom home on the lot. The attached Site Plan and backup documentation identify the location and configuration of the existing and proposed septic systems. Also identified on the plans are the locations of the existing well. No conflicts exist between the proposed septic system and the wells on adjacent lots. The existing 500 and 1,250-gallon septic tanks will be exposed and verified sound for continued use. If they are found unsuitable a new 2,000-gallon tank will be installed at the same location as the existing tanks. Drainage arrows are shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. The test holes placed on the lot in the past indicated clean silty gravel with some pockets of sand to a depth of 19'. The percolation rate was determined to be between 4 and 40 minutes per inch. We are proposing to construct 2 - 65' long by 3' wide absorption trenches with 8' of gravel beneath the distribution pipe. The distribution pipe in the trench will be placed at 4' below the surfaco with the total depth at 12'. A Flow Diverter Valve will be placed to tie in the existing absorption trench system for future use. In addition, a Flow Splitter Valve will be placed to assure even flow to each of the new trenches. The ground surface on the lot is fiat with little or no break in grade. The new trenches will be constructed parallel with the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from the existing well and any surface water in the area. Lot 4A, Jodie Estates Subdivision August 11, 2005 Page Two 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. 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. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 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 Totem Rood I 5' R.O.W. EASEMENT EAST 112TH AVENUE S 89'56'19" E 165.O0' Six Bedroom House LOT 4A C~'avel m 49th 10" TELl[COMM. &: ELEC. EASEMENT N 89'57'O7" W 165.00' SITE PLAN SCALE I.° = 40' LOT 4A, JODIE ESTATES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Six Bedroom Home Deep Trench System Perc. Rate: 30 to 60 Min./inch Existing Septic Tanks (Verify Integrity) Application Rate: .45 GPD/SF (Average) 8' Drainfield Rock 6 Bedrooms X 150 GPDI.45 GPD/SF (Application Rate) -- 2,000 SF Absorption Area 2,000 SF/16 SF/LF = 125 LF Trench Length THEREFORE: Construct 2 - 63' Long x 3' Wide x 8' Effective Depth Aberption Trenches at the Location Shown. Flow Line Elevation in Trench to be 4' Below Original Ground Surface. Total Depth to be 12' Below Existing Ground. Provide 3' of Cover Over Trench and 4' Over Tank or Provide 2" of Insulation and 2' of Cover. Maintain 100' Separation Between Existing Wells in the Area and the Absorption Trench and Septic Tank. Provide Flow Diverter Valve and 33e Exist!rig _ . Absorption System In For Futre Use. Plow Flow Splitter Valve to Assure Even Flow to New/rencnes. 3'6" Natural Backfill Geote~ile --Fabdc 4" Pedorated --PVC (Holes Down) -- Drainfield Rock t TYPICAL DEEP TRENCH SECTION (.o SCAU ) NO~: Grade Ama ~er Trench to Dm,n A~y. Min~um 6' S~a~t~n From B~k. Minimum 4' ~pamt~n From Gmun~ter. . Minimum 1~' Sepam~n From P~ate ~lls ~ the ~a. Minimum 100' Sepamt~n From Su~e Water or Streams. (ENGINEER'S SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST LEG^LDESCRmPT'ON; /.--O~' q'. Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER 10 - 1~ ~*"~ ENCOUNTERED? DEPTH? 12 14, 15- 16. 17 PERCOLATION RATE , '" (mmute~'mch) PERC HOLE DIAMETER . TEST RUN BETWEEN ~ FT AND ~' FT ,'E.FORMEO"Y: A' ' ACCORDANCE WITH ~,LL STATE AND MUNICIPAl. GUIDELINES IN EFFECT ON THIS DATE. 724308 IRev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE; 825 L Street. Anchor, ge. Alaska 99~02-0650 H////~,~Z.~ ~ ........ ; ~ " I 2- 3, 4 7- 8- g. 10. 11 12 13 14, 19 :PO SLOPE SITE PI.~N II III I.II III III HI I~11 III ILl II II IF YE~ ATWHAT ~ DEPTH? ~ PERCOLATION flatE..'"~',,,~---.-.*g:~..~,. Im,nut~.,,nch! PE~C IdOLE DIAMETER ~" ;':~. c~..,,, ' ,//J/I/// / - - G~fllIFY THA~T~S T~ST WAS PERFORMED / /u v_// 0,,,. ~/z//~ STATE ~D ~AL G~OELIN~ EFFE~ ~H T~S DAT~ / ~./' ' ' [ -- ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT4A, JODIE ESTATES SUBDIVISION GENERAL: The scope of this project includes the work to expose and verify the integrity of the existing septic tanks on the lot. Work will then include the construction of 2 new absorption trenches each 63' long by 3' wide by 8' effective depth also at the location shown on the Site Plan. The total depth of the trenches will be 12' below existing ground and the distribution pipe will be placed at 4' below the surface. All components of the new septic tank and absorption trench must be constructed a minimum of 100' from any surface water and 100' from the well on this and adjacent lots. A minimum of 4' of cover is required over the septic tank and 3' over the absorption trench. In lieu of cover 2" of direct bury insulation and 2' of cover may be placed. A Flow Diverter Valve must be placed to connect the existing absorption field into the new system. In addition, a Flow Splitter Valve will be required to assure even flow to each of the new trenches. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. The Contractor is also responsible to assure the separation distance from wells and surface water in the area is maintained. The engineer will accept no responsibility for Contractor errors. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 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 pdor approval from D.H.H.S. before beginning system installation. Lot 4A, Jodie Estates Subdivision August 11, 2005 Page 2 of 4 SEPTIC TANK INSTALLATION 1. The existing septic tanks on the lot must be uncovered and verified sound for continued use. If they are found to be unsuitable a new 2,000-cjallon septic tank must be procured from an approved manufacturer and placed at the location of the existing tanks. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 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. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfleld are a minimum 100' away from any private water wells in the area, 150' from a Class Lot 4A, Jodie Estates Subdivision August 11, 2005 Page 3 of 4 "C" Well or 200' from any community well. The Contractor is solely responsible to assure these separation distances are met. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trench to drain away. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections must be completed during the construction of the septic system. 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 Lot 4A, Jodie Estates Subdivision August 11, 2005 Page 4 of 4 be backfilied. The Contractor must notify the engineer 4 hours prior to the inspection to prevent delays. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as-built of the completed system. His measurements must include verification that the proper separation distances have been met. A certified surveyed as-built may also be required to assure the proper separation distances are met from wells in the area. The as-built will also include separation distances from streams or surface water in the area. Municipality of Anchorage Page I of 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 Permit Number: _,< L,J ~'O~"/J PlO Number: ~,~1~'/N1' Name: ~O~ ~. ~AL~IVIE ~ Wastewater System: C New ~Upgrade Ad~ress: 5~0 ~. I1~ ~ ~ ABSORPTION FIELD Phone; ~ NO. of B~rooms: ~Deep Trenc~ D Shallow Trench ~ Bed ~ Mound ~ Other Total Dept~ from original grade: LEGAL DESCRIPTION so,~,.~: .~E ~/sq.~. II Lot: ~ Block: ~ ~O~l~--Subdivmi°n:~ Depth to p~pe bottom from~original grade: Ft. Gravel depth beneath pipe~ Ft., Township: ~ Range: Section: Fill added above original grade; Gravel length; ~ ~ ~. Ifl~ ~. Number of lines; Distance be~n lin~ WELL: O New ~ Upgrade Gravetwidth: ~ Ft. 3 Classdicatlon (Private. A.B.C): Total Dept,: Cased To; Total absorption area: Pipe material: A~ ~iller: Date Drdled: Static Water Level: Installer: Yield: GPM IPump Set'': Ft. Icasm' "e'gnt Ab°ye Gr°u'd:Ft, TANK SEPARATION DISTANCES ¢s.¢~ ~ Holding ~ S.T.E.P. .o Semic *bsorm,on L,,, Hotd,ng ,u~,iCPrwa,. Manuf~cture~ ~ ~ C~pac'ty in gall°ns: Water )~00 -- -- -- LIFT STATION Lot t I I Size in gallons:~ Manufacturer: Line ~ 10 )/O -- -- ~ ID Cu~ain ~ Puree Make & Mod~"~ Electrical Inspections performed by: Dram J Remarks: ~%t~!~ ~p~ ~~ BENCH MARK LOcatio~ and Oescriptio.: ~ ~ ~ -- , ~ Assumed Elevation: ENGINEER'S S~L Inspections performed by: ~. ~Mb¢SO~ Dates:let ~/ZS/~ ~':: and n/$~ices approval ;; .... ,, Department of Healti :,, ~,,.. ...... Reviewed and approved by: (¢[~.[~ ~'~'~ Date: ~ . "" .... ' .... 72-O13 iRev 9/Sll MOA 25 permit ,Nc. o; °t~07..-I I Page '"' 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: /..03' dr '~'Obl¢' ~'$1'A'r'¢'5 PID No.: 01~'/¥- ~O '¢ NOTE; 5"r5 Foundation Cleanout Placed Under This Permit. Existing Septic Tank Verified Sound for Continued Use. New 500 Gallon Septic Tank Placed Under This Permit. House Location Based On As-Built Survey 8/23/90. ~0/I j "~ 30 ' ' 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 I II ~ ~-~ MEMORANDUM DATE: March 20, 1995 TO: FROM: Jim Williams, MOA- DHHS Mike Anderson, P.E. ?¥'[cc[~'t' SUBJECT: Lot 4, Jodie Estates Subdivision Septic System As-Builts I have modified the septic system as-built for Lot 4, Jodie Estates in accordance with your comments. These modifications are as follows: · Driveway is shown on the as-built. In accordance with AMC 15.65.060.A3 the driveway is not over the disposal site. · The service line from the house to the septic tank is buried 4' below the surface and has never frozen since its placement in 1990. Since this was one of the worst years for frost penetration and the line did not freeze, additional frost protection seems unnecessary. The owner of the house, however, is in the process of upgrading the house and will consider insulating the portion of the surface line under the driveway prior to placement of new pavement. · The well location on the as-built is placed based on swing ties to the house. These swing ties were verified with the as-built submitted for the well in 1990. The well location on the original design was based on a plot plan which was found to be inaccurate. · The scale on the as-built is accurate. The protective radius for the well has been modified to reflect the scale. The property owner is currently upgrading the house to six bedrooms with construction ongoing. As previously stated the owner will consider placement of insulation over the service line portion under the driveway prior to repaving the new driveway and parking area. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "~" STREET, ROOM 502 ANCHORAGE, ALASKA 99519 6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950271 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:BALDIVIEZ JOHN J OWNER ADDRESS:5560 E. ll2TH ANCHORAGE, AK. 99516 PAGE i OF DATE iSSUED: 9/12/95 EXPIRATION DATE: 9/12/96 PARCEL iD:015!4304 LEGAL DESCRIPTION: JODiE ESTATES LT LOT SIZE: 49S02 (SQ. FT.) NUMBER OF BEDROOMS: 6 THiS PERMIT: 6 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: !. 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 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DETERMINE BURIAL VERIFY INTEGRITY OF EXISTING TANK. DEPTH OF SEWER LINE BETWEEN HOUSE AND EXISTING SEPTIC TANK AND INSULATE UNDER PAVED AREA IF NECESSARY. RECEIVED BY: ISSUED BY:~ DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES PoO. BOX 196650, 825 "L" STREET~ ROOM 502 ANCHORAGE~ ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950271 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:BALDIVIEZ JOHN g OWNER ADDRESS:5560 E. ll2TH ANCHORAGE, AK. 99516 PARCEL ID:01514304 PAGE 1 OF 1 DATE ISSUED: 9/12/95 EXPIRATION DATE: 9/12/96 LEGAL DESCRIPTION: JODIE ESTATES LT LOT SIZE: 49502 (SQ. FT.) NUMBER OF BEDROOMS: 6 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 (iSAACS0) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: VERIFY INTEGRITY OF EXISTING TAMK. DETERMINE BURIAL DEPTH OF SEWER LINE BETWEEN HOUSE AND EXISTING SEPTIC TANK AND INSULATE UNDER PAVED AREA IF NECESSARY. ISSUED BY: ~1~ / ~~~ DATE: DATE: ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 August 30, 1995 Municipality of Anchorage Department of Heath & Human Services 825 %" Street Anchorage, AK 99502-0650 Subject: Lot 4, Jodie Estates Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: The owners of Lot 4, Jodie Estates Subdivision intends to increase the size of their house to six bedrooms. This will require the upgrade of the septic system to accomodate the additional bedrooms. The system currently includes a 1,250 gallon septic tank and a 24' X 40' shallow absorption bed. We are now proposing to add a 500 gallon septic tank in line with the existing tank and to install a new deep absorption trench sytem. The existing shallow bed will be completely removed and all contaminated material will be buried onsite. The attached site plan illustrates the location of the upgraded system and includes the location of the testhole. This testhole was excavated to a depth of 18.5' with no trace of groundwater or bedrock. A percolation test run on the material indicates an absorption rate of slightly more than 30 minutes per inch. This agrees with the testhole placed in 1989 by Corwin and Associates which also shows a percolation rate of 35 minutes per inch. The topography of the lot is nearly flat with a slight 1% to 3% east to west grade at the location of the absorption trenches. No surface water is evident on the lot and the drainage patterns will not be affected by this construction. The property to the east and north are vacant and setback distances from the well and septic system to the west are easily met. If the system is installed as designed the following statements can be made: Lot 4, Jodie Estates August 30, 1995 Page Two 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. 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. The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. 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 SITE PLAN SCALE 1" = 40' SHEET NO. CALCULATED BY CHECKED BY SCALE OF DATE DATE /oo' o~- ~J~J NOTE: I Remove Existing 40' X 24' Bed in its Entirety. · Contaminated Materials to be Buried Onsite. Place New 500 Gallon Septic Tank in Line with Existing Tank. Construct New Service Line to New Deep Absorption Trenches. Construct Three New Deep Absorption Trenches. Maintain 14' Separation Between Trenches. Distribution Piping to be Placed 4' Below Existing Ground. LOT 4, JODIE ESTATES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Six Bedroom Home Perc. Rate: 30 to 60 Min./In. Application Rate: .45 GPD/SF 7' Gravel Beneath Distribution Pipe Deep Trench System 1,250 Gallon Tank (Existing) 500 Gallon Tank (New) 6 Bdrms. X 150 GPD / .45 GPD/SF = 2,000 SF of Absorption Area 2,000 SF / 14 SF Effective Area = 143' LF Total Absorption Trench Therefore: Construct a Deep Absorption Trench System With Three Laterals. Two Laterals to be 60' in Length the Other 23'. Laterals to be 14' Apart. Distribution Pipe Placed at 4' Below Ground Surface. NOTE: 3L/ " TYPICAL DEEP TRENCH SYSTEM (NO SCALE) 1. Bottom of Trench to be 4' Above Groundwater. 2. Grade Area Over Trench to Drain PERFORMED FOR: LEGAL DESCRIPTION: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG J PERCOLATION TEST ,o t>.4 12 14 17, (ENGINEER'S SEAL) 2O COMMENTS Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? p E Depth to Water Ariel Monitoring? /k,/o ~J~; Date: Reading Date Gross Net Depth to Net Time Time Water Drop - _ ~H~o ~FI 9~h/.,, -- PERCOLATION RATE '~ 7" (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN ~ FT AND ~' FT - ~ ~' z~ S~EST WAS PERFORMED ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmenlal Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name /t/ d~;L,) ]! i I~ t V,4/, (:L,~Ht~///C/ /?' DISTANCES Address " ~ ~0 SEPTIC ABSORPTION ]~ ~' /<~? ~ J~ 7 c~/';"~ ~ TANK FIELD WELL ,Let Sloc~_, ~ ~. ~5 t?~ ~ FOUNDATION ¢~ .y / Township, Range, Section /. ~ ~, .~ ,~ ~ ~,. AS~BUILT DIAGRAM (Show location of well, septic system, properly lines, foundation ~ Y_ Z 7-' t;< .,'~ / ,~,~ :', .~,~/ o,,~. ~, ~o~,~. ~c~ TANKS N ~'~EPTIC ~ HOLDING ; _ Manufacturer Capacity in gallons / Material No. of Compadments Fill added above orig~lal grade Gravel depth beneath pipe ~ 1% ~ ' Gravel length Gravel width ~ .... ~ , I Number of lines J Soi~ rating Pipe material WELLS C~assificalioa (A,B,G) Total Depth ~ CaseO to ~ ~ mnmmme,C3:~"~~'% Date Installed: , REMARKS: ¢' Scale: ¢ ~ ; (~ (:' Inspections Pedormed by: I ~]i{tJij¢~ ~'; /~1¢¢ O~O*'J cedily lhat this inspeaion was pedormed according to all%~8 , /~ :y5,% Municipal and Slate guidelines in ellect on this date: / 0~ ~ g ,-<¢~,%~ .... AVEHUE ~'Ob It LOT ~ lO* T~rB Ib4..54.' ~li~e ~tt~' l~ ~" ~ ~' .JOPl E SLOPE SITE PLAN 5 6- 7 8 9 I0 Il 12 was oRou.o ~A~E. E.COUNTE..D? kJ o IF YES, AT WHAT DEPTH? 0epib Io Waler After PERCOLATION RATE,~_,~__~.~ (m,nule~mct~I PERC HOLE DIAMETER (/~" TEST RUN BETWEEN ~ ~T A"O ~ FT ' - - " - - ', 'v- '~ GERT FY THA~THIS T~ST WAS PERFORMED IN ,,/ /., 5/0' 0 C,D C,O I~T0 IIZ Fb MEASURING POINT: []ground surface BOREHOLE DATA: '~tO~ of oaslng ethel:__ Depth REMAKKS: ENVIqONMENi'AL PROTECTION CONTRACTOR IN~MAT ION: .... ' / Si~buze o~ ~uth~i~ed ~=esentatlve Date DE~A~TMENT OF NATUI~AL WATER WELL RECORD W'~LL ... . .J,,..~_~,-~.~'-.t~.,6~ _. ~'~ , ,, , ,, 1 ~LL D~H; I DAT~ OF CO~L~TZO: Depth Of hol~:~ft~ ~ Depth o~ ~asing. ~' ft / _~l ~ ~cable tool ~other: US~ OF W~LL:~dome~tic ~irrigation ~monito ~public supply ~other: CASING: S%iak-up .~..,.-ft, Diam: .~ .... W~LL INTAKE: ~ open end Dsoreened /~ perforated ~open hole Depths of openings:__ to __ft SCREEN TYPg¢ .... Diam: Slot/Mesh Size: Set Between and.,,,-~'--.~f.t Volum~ used: ~,~,~ Depth to top: GROUT ~P'E~ Volume: Depth: from -~t to DEVELOPMENT METHOD: ~/~..,..,.. Duratio~: ~__ft &fter. / hfs pumping~gpm PUMP I N T A K ~ ,. ~.~,.T...H~.[ ft Horsepower Date Pump Installed ....... J ......... ~__ WATER CHEMISTRY S~PLE TAKEN? Well disinfected upon completion? PLEASE MAIL WHITE COPY OF LOG WITHIN 4 DAYS TO: DGGS PO BOX 77-2116 EAGLE RIVER, AK. 99577 :f CERTIFICATE FOR A Parcel I.D. 015-14,3-05 1. GENERAL INFORMATION Municipality Services of Anchorage Development Department . Building Safety' Division On-Site Water & Wastewater Program 4ZQ0 Bragaw~S~reet .o. ox 9 6 0 Anchorage, AK 995~ 9-6650 ~.muni.org/onsite (907) 343-7904 OF ON-SITE SYST~S APPROVAL SINGLE FAMILY DWELLING ~PI~o~ Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JODIE ESTATES LOT 4A 5560 E. 112TH AVENUE *ANCHORAGE, AK 99516 SALLY IMDIEKE Day phone 5560 E. 112TH AVENUE *ANCHORAGE, AK 99516 727-1655 Day phone ROGER BRILEY W/ BRILEY & ASSOCIATES Day phone 240-0369 101 W. BENSON BLVD. SUITE 505 *ANCHORAGE, AK 9950`3 Unless otherWise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 6 3. 'TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · 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 On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. STATEMENT OF INSPECTION BY ENGINEER As cerfified by my seal affixed hereto and as of the validation date shown below, t verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this appfication, 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 Jnvestigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with afl applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 5701 Eo TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone Date 537-6179 Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE i~/Approved for (/~ Disapproved. Conditional approval for bedrooms. ~: WATERAND :~ ~ : ~STE : - _ WAT~ . - bedr°°ms' with the f°ll°wing stipulati°ns: ~¢~% yROG~. . ." Attachments: COSA Checklist Septic System Advisory Well Flow Advisory I~m a~ ~uwSv, y (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ¢~'' ~- ~-- / / Municipality of Anchorage Development Services Department CERTIFICATE Legal Description: dODIE WELL DATA Well type PRIVATE Date completed Total depth 129 8/25/90 OF Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SYSTEMS APPROVAL CHECKLIST ESTATES LOT 4A Parcel ID: 015-143-05 Date of test Static water level Well production 10 WATER SAMPLE RESULTS: Coliform O colonies/100 mi. Arsenic: ~ ~ ug./L. SEPTIC/HOLDING TANK DATA If A, B, or C provide PWSID# N/A Sanitary seal (Y/N) YES Cased to 129 ft. FROM WELL LOG 8/25/90 92 .ft. g.p.m. Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 1/28/11 94 .ff. 5.31 g.p.m. YES 24+ in. Nitratec~,~ 3 mg,/L. Date of sample: 1/27/2011 Other bacteria (~) Collected by: Tank Type/Material Tank size 2000 gal. Foundation cleanout (Y/N) YES Date of pumping 1/27/2011 ABSORPTION FIELD DATA Date installed 8/16-23/05 Length 127 ft. SEPTIC/STEEL Number of Compartments 2 Depression over tank (Y/N) NO Pumper. I'BELOW EXISTING GRADEI Soil rating (g.p.d./ft2o~ 0.45 Width 3 ft. YES Water added 1010gal. colonies/lO0 mi. GEG, Ltd. TRENCH System type DEEP Gravel below pipe 8 ft. Depression over field NO For 6 bedrooms New depth 47 in. Absorption rate >= 900+ g.p.d. If yes, give date - 15 INCHES OF LIQUID IN IT. Total depth*IS.1-1 6,6 ft. Eft. absorption area 2032 ft2 Monitoring tube YES Date of adequacy test 1/28/10 Results (Pass/Fail) PASS Fluid depth in absorption field before test 25 in. Elapsed Time: 150 min. Final fluid depth 42 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN TESTED EAST 2005 TRENCH ONLY. WEST 2005 TRENCH HAD ONLY Date installed 8/16-23/05 Cleanouts (Y/N) YES High water alarm (Y/N) N/A A+HOME SERVICES D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallonS Manhole/Access (Y/_~ ~ "Pump off" leveL~ct~. High water alarm level at. in. Cycles tested Meets alarm & circuit requirements~ 100'+ Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhOle/cleanout Holding tank N/A Manure/animal excrete storage areas Absorption field Surface water. SEPARATION DISTANCES FROM SEPTIC/HOLDiNG TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line. 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 5'+ Building foundation 10'4- Water service line 10'4- Surface water 100'4- Curtain drain NONE KNOWN Wells on adjacent lots. 100'+ G. ENGINEER'S CERTIFICATION N/A 5'4- 100'+ 100'+ Water main N/A Driveway, parking/vehicle storage 1'4- F. COMMENTS *COULD NOT VERIFY 1995 DRAINFILEDS sEPArATION TO DRIVEWAY. ALL PIPES TO 2005 SYSTEM WERE FOUND.' - '- ~""'-"" ........... ,certifythatlhavedeterminedthroughfieldinspectionsand ~9~ ~:Y~O0~ reviewofMunicipalrecordsthattheabovesystemsarein conformance with MOA COSA guidelines in effect on this Engineers Printe~ Name JEFFR~ A. GARNESS -~~=/9~ ." ~ COSA Fee $ d"~O Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number 3' R O.W. ESIbtT. C t0" T&E ESt¥IT, SURVEY TYPE ' PLANS & LOT SURVEYS ' ' ....... NISHED .GRADE AN~ U~TILFTY CONNEC~=~NS AND TO DE~RMiN:E. :X~S~NC[ OF ANY EASEME:N~,, CO~NAN~ OR REST~IC:~ONS ~ DO ~OT AP~EAR ON THE ~ECOROED 2UBDP~S:iON PLAT GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS ,& GENE~A!L CONTRACTORS February 16, 2011 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Lot Line Waiver for Jodie Estates Subdivision; Lot 4A To whom it may concern: We request that your department issue a 5-foot lot line waiver from the east property line to the existing drainfield. The existing drainfield on Lot 4A has a separation distance of approximately 5 feet and T12N R3W Sec 22 Lot 33 is currently vacant. In short, there are no separation concerns between neighboring drainfields. We are unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. ./~ince~ely, ~ Jeffery A,:~, P.E., M.S. Presiv~nt~i 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907)337-6179 * Fax: (907)338-3246 * Website: www.garnessengineering.com Municipality of Anchorage P.O. Box 196650 · 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http:llwww.muni.or.qlOnsite Development Services Department On-Site Water and Wastewater Pro,qram )epartment **** VARIANCE/WAIVER REVIEW **** WR#: OSPl11015 HA#: OSCl11050 PID#: 015-143-05 Legal Description: Jodie Estates Lot 4A Engineer: Garness Engineering Group Permit-g: Applicant: Sally Imdieke Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field to property line 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. Waiver is Granted: X Waiver is not Granted: Approved by:~, N,a~,e/~,~viewer Recg: Amount: Date Paid: **** VARIANCE/WAIVER REVIEW **** SGS Reft# I 110296001 Client Name Gamess Engineering Group, Ltd Printed Date/Time 02/08/2011 11:32 Pro. iect Name/# Jodie Estates Lot 4A Collected Date/Time 01/27/2011 10:30 Client Sample ID Jodie Estates Lot 4A Received Date/Time 01/27/2011 11:30 Matrix Drinking Water Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Hardness as CaCO3 161 5.00 mg/L SM20 2340B C 01/28/11 02/01/11 NRB Waters Department Total Nitrate/Nitrite-N 2.23 0.100 mg/L SM20 4500NO3-F B 02/03/1 l AYC Microbiolog~ Laboratory E. Coli Negative 1 100mL SM20 9223B A 01/27/11 SDP Total Colitbrm Negative I 100mL SM20 9223B A 01/27/11 SDP Private Individual Analysis Alkalinity 129 10.0 mg/L SM20 2320B D Aluminum ND 20.0 ug/L EP200.8 C Antimony ND 1.00 ug/L EP200.8 C (<6) Arsenic ND 5.00 ug/L EP200.8 C (< I 0) Barium 9.57 3.00 ug/L EP200.8 C (<2000 Cadmium ND 0.500 ug/L EP200.8 C (<5) Calcium 46800 500 ug/L EP200.8 C Chloride 14.2 0. 100 mg/L EPA 300.0 D (<250) Chromium ND 2.00 ug/L EP200.8 C (< 100) CO3 Alkalinity ND 10.0 mg/L SM20 2320B D Conductivity 352 1.00 umhos/cm SM20 2510B D Copper 48,9 1.00 ug/L EP200.8 C (<1300) Fluoride ND 0.100 mg/L EPA 300.0 D (<2) HCO3 Alkalinity 129 10.0 mg/L SM20 2320B D Iron ND 250 ug/L EP200.8 C (<300) 01/28/11 01/28/t 1 02/01/11 01/28/11 02/01/1 01/28/11 02/01/1 01/28/1 I 02/01/1 01/28/11 02/01/1 01/28/11 02/01/1 02/01/11 02/01/1 01/28/11 02/01/I 01/28/1 01/28/1 01/28/11 02/01/I 02/01/1 I 02/01/1 01/28/1 01/28/11 02/01/1 ACF NRB NRB NRB NRB NRB NRB SDP NRB ACF ACF NRB SDP ACF NRB ENCROACtLMENT PERMIT 1203~22A 0-2637 ENtl007 015-143-05 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. O. Box 1963 00, Anchorage, Alaslca 99519 and Sally L. Imdieke, (herein "Permittee"), whose address is 5560 E. 112t Avenue, Anchorage, Alaska 99516-1735. 1. Easement. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Dedicated by the plat of the subdivision known as Lot Four "A" (4A), Jodie Estates Subdivision, according to Plat Number 96-33, recorded on the 17m day of May 1966, on file in the office of the District Recorder, Anchorage Recording District, Seward Ivieridian, Alaska, (herein "Easement~') which pertains to the following described real property: The East Ten Feet (E 10') of Lot Four "A' (4A), Jodie Estates Subdivision, accord~g to Plat Number 96-33, recorded on the 17t~ day of May 1966, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Pennittee acknowledges the validity of the Easement. Permit-tee warrants and represents that Perrrdttee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot Four "A' (4A), Jodie Estates Subdiv/sion, accord[ag to Plat Number 96-33, recorded on the 17th day of May 1966, on file/n the office of the Dis~ct Recorder, Anchorage Recording Dis~ict, Seward Meridian, Alaska~ 2. Encroachment Permittee has cons{Pacted or pm-chased the £ollovrhg Lmprovemer~s on er ~4t~,~ the reJ prope~ subject ~.o s~id E~erneat: A septic system that encroaches app~oxknately Four Feet (4') ~nto said Easement for (herein 3. Perrrfit. Chugach hereby authorizes Penrdttee to continue ~e exdstence of the Encroachment in its exJsfing location ~bject to the covenants set £o~h kn this permSt. 4. Jndemn~cat/on. Perm~ttee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Exp .ansi0n or ~crease. Perm/tree shall not in any way exp~ud or [ucrease the extent to which the Encroachment occupies any of the ~eal property encumbered by the Easement without the prior v~tten consent ofChugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Aequk~. Permittee hereby acknowledges that the Encroachment and any additions thereto, even/fin violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permi~ee acknowledges that the Encroachment is not adverse to any/nterest of Chugach and its continuation is entirely with the perrrdssion of Chugach for purposes of the common law doctrine of adverse possession. This perrrdt creates no interest in the real property sffoject to the easement. 7. Modiicafion of Utility Facilities. If the electric utility facJii~es located 'a~th~ the Easement are upgraded, added to, replaced or reconstructed, Perm/tree shall pay that portion of Chugach's total costs for such mod/ficafion wh/ch is reasonably attributable to acco~modat~g or preserving the Encroachment. If such payment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit in accordance v~Sth paragraph 9, below. 8. Covenants Running w~th the Land. The obligations of the Permittee arising from this permit shall be covenants runn/ng w/th the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Terrnhaafion. "' , uhugach may terminate ~s permit a~er ~e g~ving o£t.~y (30) days written notice of such termination if: a. The Encroachment is e~arged, increased er extended w~tl-fin the re~ property c~ x~s reptacemenr cost at me nme ot des~ct~on. c. Permittee fa/Is to make the pasunent described Lu paragraph 7, above. ~ 0. Term. ~2s pe~ sh~!, if not sooner te~_h;n~,~ed by Chug~ch, exp;~e fc,~ (40) yem~ 11. Entire Agreement. This written perm/t constitutes the entire agreement between the pa_~ties w/th respect to the subject matter hereof and supemedes al! other prior or contemporaneous a~'eements, orai or v~tter4 ~W~een the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless ha'~thag and[ s~ed by ali of the pa~fies hereto. C~JGACB[ ELECTRIC ASSOCL&TIlON, liNC. Hong Nguyen, Director D~stfibution Engineering Date: ,~//f/~ Encroaciunent Permit - ?age 3 of 4 STATE OF ALASF'j,,. ) THIRD iUDICIAL DISTRICT ) T~e foregok, xg ~strument w~s acknowledged before me this 2011, by /f~day~ eBINT NAS{ti(S) OF PERSON(S) SIGNING DOCUMENT) Ivl~co~ssion expires: tZ-W-7~/~ STATE OF ALASKA ~ ~TD~,._D .~!CL, U.. D!S21T~JCT ~,~,for/egoing instrument was acknowledged before me this /~-5~ day of -- (_~~°2"/~' ~,201I, by ~o~,~ .A/q'u g~ ~ ' __ ~ Dke&r, Dis~bufion Eng~ee~g ~ ~ugac~ ~c~c ~sociafion, ~c.~ ~ ~ka co~omdon, on behalf of ~e co~omfion. ~ j, ~ . ~ ............ ~. :~ . ; .... ~w ~.. ...~ Encroachment Permit - Page 4 of 4 February 10, 2011 Sal~y ~mdiek 5560 E 112t~ Avenue Anchorage, Alaska 99516 Alaska Communications has no objection to the encroachment of a septic drain field into the platted T&E easement along the eastern boundary of Lot 4A, Jodie Estates Subdivision, other~se known as 5560 E. 112~ Avenue as depicted on the drawings submitted by Gamess Engineering Group, Ltd. Acceptance, (your signature ~elow), and use of this letter of non-objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: Alaska Communications will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. Any Alaska Communications facility damaged or destroyed as a result of this encroachment will be repaired at no cost to Alaska Communications. Any costs incurred by Alaska Communications for specia~ construction necessitated by this encroachment wilt be borne by the property owner~ All applicable safety code regulations will be observed and maintained, This letter of non-objection wilt in no way preclude Alaska Communications from full use and enjoyment of its rights within any portion of its dght-oFway. Please sign both copies, reta~r~ one copy for your use and return the other to Alaska Communications. ?~it~';"Nb~o~ Engin~dng Foreman .~s~a ~emmunicati°ns O~s~de Plant Engin~dng, M~14 600 Telephone Ave. Anchorage, AK 99503 ACCE~PTANCE SIGNATURE: Grid WWC"~637 DATE: Sally Imdieke 5560 B, 112~ Avenue ~omc..horage, Alaska 995 t6 Decor Sally Subject to your agreement to indemnify ~e company as set fm~ belo~; CCI Comm~ca~on Cm~ has no objection to ~te septic &sin field crossing t~ou~ ' ' s ~d electric e~emeni at tSte east prop~y line of Lot 4A, Jodie telecommnmca~oe ~ ~ ~ ~o~ ~ .... c'm ~rid 2637. This letter of non-objection in no way precludes OCI Co~micadon Cotp from ~tI use and enjoyment of ~ny rlghIs it m~y bare wi~in ~Y po~on of~e u~Iity easement and or ~e right~of"'way:, including unlisted access ~br servicing its additional and exWaord~aU ~sts incu:ed am~g ~:Y ~e rcq~red conm~otio~, repair or ~cons~ction o~ GCFs Jicilifies io accommodate any or be p~d by ~e prope~ o~er. By sig~ing below, you agree to Ndemnify and hold CCI Co~gnuN~tion Co~ now ~d ~orever, for a~y damage, ecsC, expense Oacluding re~ombte a~omeF~s fees), liabilities ~d ~ju~ m m~y person or proper~ occurring a~ a remlt of ibc encroao}znent PIv~v ~n(licale yom ~cep~ance by ~ig~ng md re~um~g this leper to myself at the address below, SNcerdy, Markm Kofoid OS? Desigm Engineer @CI Commxnic~tion ~chorage= AK 99503 907-268-6168 Office 907--868-8580 Fax · .... ~. .~/~1 Date Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 015 14,~3()4 oNICIPALII'Y OF ANcF/o~,GE NMENTAL SERVICES DIVISION RECEIVED GENERAL INFORMATION Complete legal description Lot 4, Jodie Estates Subdivision Location (site address or directions 5560 E. ll2th Avenue Property owner Mailing address Lending agency Mailing address Agent Address John J, Baldiviez 5560 E. ll2th Avenue 346-2728 Day phone Anchorage AK99516 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: six ~, TYPE OF WATER SUPPLY: Individual well Community well NOTE: XXXXXX Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer XXXXXXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOAtt21 STATEIVtENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/orwastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, lfurtherverifythat 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Anderson Engineering 563-7155 Phone Address _._ P . 0. Box 2407?3 Anchorage , AK 99524 F. nglneers s gnature * -/'/-.~.-[u-<'~,tl. N.--~--~. Date 3/20/96 [. ~;'IHS SIGNATURE Approved for -~']X_~,'} bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date~ The Municipality of-Anchorage Department of Health and Human Services (DHHS) issues Health Authority ' Approval Certificates based only upon the representations given in paragraph 5 above by an independent 'professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes ~nd th,3ir:tendir]g insti£utions in order to satisfy certain federal and state requirements. Employees of DH HS do not conduct inspoctions or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~)25 (liar, 1/91) Back MOA #21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-~4(4 Lcgal Description: Health Authority Approval Checklist L ..t:'"~ ' - , J ~':-" i5 i ~--: Parcel I.D.: A. WELL DATA Well type /~'i2ix;?frkT Log present (Y/N) Total depth ____ / ~_ g:j SanitaL'y seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to J~/} ~ Casing height (above ground) "~' Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG AT INSPECTION i ,I g.p.m WATER SAMPLE RESULTS: Coliform ~ Nitrate Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA: Date installed Ta~ size ~ c~0 C,~-¢ Number of Compa~ments Foundation cleanout (Y~) ~' Depression (Y~) i~ High water alarm (Y~) - ~Date of Pun]ping /*'J ~d Pumper [ ~ ~.3 5. /~' c ~ ', ~j, C~ ABSOR~ION F~LD DATA Fluid depth in absorption field before test (in.); C) Immediately after gal. water added (in.): __ Fluid depth _(ins.) Minutes later: Peroxide treatment (past 12 months) (Y/N) Absorption rate = If yes, give date g.p.d. Date installed ~: - /¢/?'[q%-' Soil rating (g.p.d./ft2 or ft2/bdrm) ..... Systein type O~::.'.~,'~ ¢~c~-,c& Length [ _/!~ '~ '-' / '; Width b Gravel thickness below pipe Total depth t ? Effective absorption area Z~ v~) E ¢~*; ~onitoring Tube present(Y~)~ Depression over field ~) ,?J Date of adequacy test ~c:tJ ~¢,J>,;2 Results (Pass,ail) /~ 5& For .z> ~ ~_ bedrooms l)ale installed :~- Si×c in gallons Manhole/Access (Y/N) ~~*_ "Pump ofF' level at* , High water alarm level at* Datum Cycles lcsted .......... E. SEPARATION DISTANCES SEPARATION I)ISTANCES FROM WELL ON LOT TO: Septic/holding lank on lot ¢-) Absorption field on lot 5- /19 0 ' Public sewer lllaill i Sewer/septic service linc : On adjacent lots Y j~t5 On adjacent lots '.:. i t~ 0 Public sewer manhole/cleanout _~_~ ~t~c.? ..... SEPARATION I)ISTANCES FROM SEPTIC/HOLDING TANK ON LOT 'FO: Building foundatioo '? / {:~ t Property linc '.> /[3 / Absorption field ...... Water mam/scrvicc lioe ?- 5-.0 Surlhce water/drainage ~ JO (1 Wells on adjaccnt lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building lbundation ,"--/t? Water main/service line > Surfilcc water '~"~ /[, O 2 Driveway, parking/vehicle slorage area Curtain drain~A~.':~,.~ .~.: _ _e~'! .... ~ <-',~,_,_' Wells on adjacent lots .~'/00' Property linc ENGINEER'S CERTIFICATION I cert~/~p that i haw, determn'ted thru,field in,~ections and review of Municipal record,~ thqt th~ above &?rems are in coqfi;rnumce, with MOA 11.4,4 ~uidelines in q[fect on this date. Signature. ItAA Fee $ ~-- j:.~,//~ //4,) Waiver Fee $ Date Receipt Number Rev. 8/95 eSS: haa.wk.doc Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner ~ ~¢~¢~/~/~/~/~ Telephone :(home) Mailing Address ~d ~¢~ /~¢ ¢¢%/~ (c) Lending Institution Telephone CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING ~.)\ :~Z) _ i L\9-}- ('~L'i NAA # t,~,~ ~C~,ci(~C-~ ~-t~o() Business Mailing Address (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here ,~oldforpickup.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family~ Number of bedrooms 3. WATER SUPPLY Individual Well [~'"~' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site~' Public[] Community[] Holding Tank[] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status, 72-025 (Rev 7/88) Page 1 of 2 ~ Ia ~ 86ed 'MJOA~ s,Jaau!6ua leUO!SSajoJd eqt u! suo!ss!mo Jo sJoJJa Joj alqisuodsaJ ~ou s! 86eJoqou¥ jo/~t!led!olun~ aq/'panss! s! aleo!jpAao e aJopq el, ap aZXleUe Jo suoBo@dsu! tonpuo3 ~ou ap SHHEI jo saa/~Oldma 's],uameJ!n ba~ a~e~s pue le~apaj u!e~Jao/~js!tes oh Jap~o u! suoRn~!lsu! 8ufpual JPLI~ pue samoq Jo sJaseqoJnd al ,~sa~Jnoo e se s!qt saop SHHC] eq/. 'eMSelV jo a~e~S eq], u! ~aau!aua leUOiSSajo~d tuepuadapu! ue Xq aAoqe ~; qde~§eJed u! UaA!t~ suo!~e~uasa~da~ aq$ uodn/~luo paseq leAo~dd¥~]Hoq~nVLt~IeaH sanss! (SHHQ)saoiA~aS UeLUnH puc q]leaH jo~uamtJedaQ @lae~oqouvjo/q!ledF}!unlAlaq± leas sjaau!6u~ ale G MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: A. WELL Well Classification Well Log Present (Y/N) y Date Completed_ Total Depth_/Z? Cased to /_2'~ Depth of Grouting Static Water Level ¢ ;? ' Casing Height Above Ground .2/-/" Electrical Wiring in Conduit (Y/N) )/ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot /O¢// To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by / Water Sample Test Results /)z¢~--c~,g~ Comments //v/~-~d I.¢ If A, B, C, D.E.C. Approved (Y/N) Yield Pump Set At /k',~Z- Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots /.~ / ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ;Date B. SEPTIC/HOLDING TANK DATA Date Installed 7~///C¢2'¢ Size Standpipes (Y/N) Depression over Tank (Y/N) /Z .~0 No. of Compartments Air-tight Caps (Y/N) ~ Foundation Cleanout (Y/N) /x~ Date Last Pumped .,u'~/,¢/ Pumping/Maintenance Contact on File (Y/N) /V',¢?.¢ ~¢~ ; for .4/¢=7~/ ( Holding Tank High-Water Alarm (Y/N) ,4/._~ Temporary Holding Tank Permit (Y/N) / SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line Comments To Building Foundation To Disposal Field To Stream, Pond, Lake or Major Drainage Course /dO A/Z /~ ~T'IC TANId IS 72-026 (Rev 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata [_)ate Installed -/._/z/.- ¢~ Width of Field ~ ¢ Square Feet of Absortion Area Depression over Field (Y/N) A/ Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line Type of System Design Length of Field Depth of Field Gravel Bed Thickness / '~ Statndpipes Present (Y/N) Date of Last Adequacy Test To Property Line Zg" To Existing or Abandoned System on ; On Adjoining Lots /~'~ /'/ To Cutback (if present) ,41~p?'/;¢_~/_~-;o,z--//;,~ To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~_~,lZl..'.~'~ ,4.',,~' ;.'-.~)..'c/~-'//.,d Z'~ ;/:~ I.~' D. -L4-E~T STATION Date Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ___ Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and U~,,~,~i,d~elines in effect on the date of this inspection. ~-. , ~,~, ...., ,~;~; Signed Company F,~ ......... ,,',,,,,~, ............ ~, ......... ;;~ ', Engineer's Seal Date _ _ i¢ Z~- ~20 ~" " *" MOA No. Receipt No Date of Payment Amount: $ _ 72 026 (Rev. 7/88) Back Waiver Fee: $ Date of Payment Page 2 of 2