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Home My WebLink AboutTHOMAS L BOYLE BLK 2 LT 4AThomas L. Boyle Block 2 Lot 4A #015-282-21 September 5, 2014 To Whom it May Concern, After a thorough inspection, by a qualified electrician, of the waste lift station and controller at 12101 Wagner St., Anchorage, Alaska. It was determined that everything is in good working order and conductors are properly sized. All connections are tight and all appears to be correct and is functioning properly. Thank you, Kent Liska Superintendent/JM Electrician UBMIY Inspection Report_1-1-12.doc Municipality of Anchorage Community Development Department DKgi 0 2ofi3 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://Www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121394 PID Number: 015-282-21 ❑ New ❑✓ Upgrade Name: Mark & Tamara Potter ABSORPTION FIELD ❑ Deep Trench [E Shallow Trench El Bed El Mound Address 12101 Wagner Street ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 2 GPD/SF +0.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade +1.0 Ft. Gravel depth beneath pipe I 0.5Ft. Subdivision Block Lot Thomas L Boyle 2 4A Fill added above original grade 3.5 Ft. Gravel length 65 Ft. Township Range Section Gravel width 5Ft, Beds: Number of Lines n/a Distance between lines n/aFt. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 325 Ft' 1 n/aFt. Well 102.5 113.9 102.5 N/A 79,3 TANK ❑ Septic O S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank / Orenco Capacity 1500Gal. Surface water 100+ 100+ 100+ N/A Material Number of compartments Lot Line 27.5 16.0 27.5 N/A Plastic 2 NA Foundation 23.6 39.0 23.6 N/A LIFT STATION Manufacturer Capacity Curtain Drain N/A N/A NIA N/A Orenco 5000al. Remarks Pump on level at 43 in, Pump off level at 40 in. High water alarm at 45 in. Pump make and model p2005 Electrical Inspections performed by Installer PIPE MATERIAL Housetotank 3034 Tankto drainfield 3034 _ Homeowner / A+ Home Services Draingeld 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCHMARK (Assumed elevation) 100ft Inspection 1•r 5/21/2013 dates: z 6/2/2013 Location and description 30 6/5/2013 4'" 6/7/2013 Garage FF COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Owl Conditional Approval: DateOF'�� " �tevEn 1�� ` annome� Approved Date CE 814 Inspection Report_1-1-12.doc (E) W .. NEW DRAIN FIELD 65LFx5'WxO.5'ED, +0.5' TO WITH 1.5' SAND WELL (E) NOTES: PLAN TH-1 —� 17.5 % y M1 Cs/ 113.9 / ... ss 16.0 T1 Me/ 102.5 0' C2 FC A 4 BR 'O HOUSE (E) 4A WELL (E) DRIVEWAY B 1250g SEPTIC TANK ABANDONED PER CODE 1 �z NEW 1500g S.T.E.P. TANK \W/ AX20 POD INSTALLED DOUBLE CLEAN OUT DRAIN FIELD (E) IN FAILURE RE—USE AS RESERVE>p1 .q1 W_� '7i 5A 3 PAP.DNNOoozE7 ENGVC, sssLi oC �E OF A�q�s11 PHONE (907) 272-8218 FAX (907) 272-8211 THOMAS L. BOYLE, BLOCK 2, LOT 4A MARK & TAMARA POTTER 12101 WAGNER STREET ANCHORAGE, AK 99516 •Steven A.•Pannone• f PF•. CE 8149 �,�e� Dote Scale 1 "=50' P.I.D. NO 2 OF A B FC 2.1 T1 25.8 46.3 LS 34.1 56.4 C 1 41.4 64.7 M1 44.1 65.9 C2 87.2 97.2 M2 85.0 96.0 TH-1 —� 17.5 % y M1 Cs/ 113.9 / ... ss 16.0 T1 Me/ 102.5 0' C2 FC A 4 BR 'O HOUSE (E) 4A WELL (E) DRIVEWAY B 1250g SEPTIC TANK ABANDONED PER CODE 1 �z NEW 1500g S.T.E.P. TANK \W/ AX20 POD INSTALLED DOUBLE CLEAN OUT DRAIN FIELD (E) IN FAILURE RE—USE AS RESERVE>p1 .q1 W_� '7i 5A 3 PAP.DNNOoozE7 ENGVC, sssLi oC �E OF A�q�s11 PHONE (907) 272-8218 FAX (907) 272-8211 THOMAS L. BOYLE, BLOCK 2, LOT 4A MARK & TAMARA POTTER 12101 WAGNER STREET ANCHORAGE, AK 99516 •Steven A.•Pannone• f PF•. CE 8149 �,�e� Dote Scale 1 "=50' P.I.D. NO 2 OF M TH-1 —� 17.5 % y M1 Cs/ 113.9 / ... ss 16.0 T1 Me/ 102.5 0' C2 FC A 4 BR 'O HOUSE (E) 4A WELL (E) DRIVEWAY B 1250g SEPTIC TANK ABANDONED PER CODE 1 �z NEW 1500g S.T.E.P. TANK \W/ AX20 POD INSTALLED DOUBLE CLEAN OUT DRAIN FIELD (E) IN FAILURE RE—USE AS RESERVE>p1 .q1 W_� '7i 5A 3 PAP.DNNOoozE7 ENGVC, sssLi oC �E OF A�q�s11 PHONE (907) 272-8218 FAX (907) 272-8211 THOMAS L. BOYLE, BLOCK 2, LOT 4A MARK & TAMARA POTTER 12101 WAGNER STREET ANCHORAGE, AK 99516 •Steven A.•Pannone• f PF•. CE 8149 �,�e� Dote Scale 1 "=50' P.I.D. NO 2 OF SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: INSTALLED NEW 1500g S.T.E.P. TANK WITH AX20 POD, AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS MONITORED AT 3.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE, AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 3.5 FEET BELOW EXISTING GRADE. INSULATION ER FABRIC " 0 DRAIN PIPE ROCK 6" ABOVE PIPE INV NEW 1500 g S.T.E.P. TANK DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD PERC RATE = 47.6 MPI SOIL RATING: 2.0 GPD/SF AREA ROD: 300 SF SYS. TYPE: WIDE TRENCH 0.5' E.D. MIN LENGTH: 60 LF USED: 65 LF X 5' WIDE, 0.5' E.D., +0.5' TD WITH 1.5' SAND TOTAL AREA: 325.0 SF SEE SECTION & PARAMETERS PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC ABBREVIATIONS CU COPPER 3 2.0 � 6" TS&V TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. 1 0.5 CLEAN OUT NO. M# MONITOR TUBE NO. TH-i D'S 975 98.0 DOUBLE CLEAN OUT ',�' -1 0 FS � 97.0 0.5 961.0„„.;;- BFG BELOW FINISH GRADE OG 4 0 FG DRAIN ROCK TS&V TOPSOIL & VEGETATE 4 SM, - REMOVE ORGANICS ML -3.5 (10/23/2012) PLACE 1.5t SAND -6.0 SECTION z o; o w jZ w 60 O z� F N rci RIGID INSULATION m0 �_ OJ _� J FILTER FABRIC �� F.102.?, O� ¢ DRAIN ROCK 6” ABOVE PIPE INV llrir'�4" o� �1 -I I� D 0 DRAIN PIPE D NEW 1500 g S.T.E.P. TANK DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 4 (600 gpd) TANK SIZE: 1500g S.T.E.P. W/ AX20 POD PERC RATE = 47.6 MPI SOIL RATING: 2.0 GPD/SF AREA ROD: 300 SF SYS. TYPE: WIDE TRENCH 0.5' E.D. MIN LENGTH: 60 LF USED: 65 LF X 5' WIDE, 0.5' E.D., +0.5' TD WITH 1.5' SAND TOTAL AREA: 325.0 SF SEE SECTION & PARAMETERS PROFILE LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE NOTES: Pt1lV1`IONL' ENG SVC, LLC� P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ~OF A`.,q (�•• s`�� /�GU�P Fyt� �..... ..... ... .� • • Steven •R• •Pannone' .•. CE 8149 �+ �s ., � r �I�IEDq��pPp� Date 9/1s/zo12 RECORD DRAWING Scale NTS THOMAS L. BOYLE, BLOCK 2, LOT 4A MARK &TAMARA POTTER 12101 WAGNER STREET ANCHORAGE, AK 99516 P.I.D. NO 15-282-21 PERMIT N0. OSP121394 DESIGN DETAILS sheet 3 OF 3 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121394 Tax Code Number: 01528221000 Work Type: Septic Upgrade Permit Effective Dates: November 08, 2012 to November 08, 2013 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: THOMAS L BOYLE Site Legal Address: THOMAS L BOYLE BILK 2 LT 4A G:2734 Owner/Address: POTTER MARK C & TAMARA JO 12101 WAGNER STREET ANCHORAGE AK 995162024 Site Mailing Address: 12101 WAGNER ST, Anchorage Lot Size in Sq Ft: 49500 Total Bedrooms: 4 This permit is for the construction of: _ Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either. A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By:ylU�eE�/ (N�v� �L Date: I/ t3 1--- MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 015-282-21 Property owner(s) Mark & Tamara Potter Day phone Mailing address 12101 Wagner Street, Anchorage, AK 99516 Site address 12101 Wagner Street Legal description (Sub'd., Block & Lot) Thomas L. Boyle, Block 2, Lot 4A Legal description (Township, Range & Section) Lot Size 49,500 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑x Initial ❑ Single Family (SF) ❑X Septic Tank ❑X Upgrade FX_1 (w/wo ADU) Holding Tank El (D) Renewal ❑ Renewal ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 530 Date of Payment: (O 13011 Receipt Number: U J G1 Permit No. CJP�ae�J�'1 Permit App_'.:-:. : Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@paneneak.com October 29, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Thomas L. Boyle, Block 2, Lot 4A Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system be issued for this property. The proposed systems will serve an existing four (4) bedroom house. Currently the lot is developed. The existing drain field is in failure and will be reused as a 4 bedroom reserve. The existing septic tank and will be abandoned per code, and a new 15008 S.T.E.P. tank with AX20 Pod will be installed. This lot is served by a private well that is located over 100 feet from this system. The surrounding developed lots are also served by private wells. There are no wells within 100 feet of this system. 1. Soils. A single test hole was excavated by Pannone Engineering Services in October of 2012, and the ground water monitored for seven days. Groundwater was observed at 3.5' in the test hole monitor tube after the seven day monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 2 gallons/day/square feet should be used for a CAT III wastewater system. 2. Soil Absorption System Design. a. See Sheet 2 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography slopes from southeast to northwest at approximately 4%- 5% in the area of the proposed drain field. There are no steep slopes in the area. 5. Drawing Markings: The Drawings are marked "For MoA Review Only'. When written notification that the review is complete and that there are no further comments is received from MoA On -Site Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501. Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 'ELL (E) W� B DRAIN FIELD (P) 118.8 60LFx5'WxO.5'ED, +0.5' TO T —1 ss WITH 1.5' SAND 19.5 99.9 (3 4 BR OUSE (E) 4A WELL (E) '41 DRIVEWAY 1250g SEPTIC TANK (E) w ABANDON PER CODE 1500g S.T.E.P. TANK (P) W/ AX20 POD INSTALL DOUBLE CLEAN OUT AND DIVERTER VALVE DRAIN FIELD (E) IN FAILURE RE—USE AS RESERVE W \N L WELL"(E) f 41 xvx i .9 '77 \N VV 8 5A NOTES: PAMONE ING SVC, LLC I o A11\h Date FOR CONSTRUCTION 11/6/2012 P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 log Scale TH 1"=50' ..... .. P.I.D. NO THOMAS L. BOYLE, BLOCK 2, LOT 4A .... .. . P6nnone PERMIT NO. MARK & TAMARA POTTER Steve R. 12101 WAGNER STREET CE 8149 OSP1 21394 PLAN ANCHORAGE, AK 99516 * D S'e7t 1 OF 4 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL NEW 150og S.T.E.P. TANK WITH AX20 POD, AND SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS MONITORED AT 3.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 3.5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. INSULATION ER FABRIC " 0 DRAIN PIPE ROCK 6" ABOVE PIPE INV 1500 g S.T.E.P. TANK (P) W1 AX20 POD SEE SECTION & PARAMETERS PROFILE ABBREVIATIONS DESIGN PARAMETERS LEGEND 3 2.0 r 0.5 TH-1 PRIMARY/RESERVE SEPTIC SYSTEM W WATER LINE/ _ 3 1 6" TS&V D.5 NO. BEDROOM: 4 (600 gpd) WELL RADIUS FC FOUNDATION CLEAN OUT TANK SIZE: 1500g S.T.E.P. _1 0 0.5 C# CLEAN OUT NO. PERC RATE = 47.6 MPI SOIL RATING: 2.0 GPD/SF M# MONITOR TUBE N0. 40 R.I. RIGID INSULATION DRAIN ROCK DCO DOUBLE CLEAN OUT MIN LENGTH: 60 LF DV DIVERTER VALVE FS FLOW SPLITTER USE: BEG BELOW FINISH GRADE 60 LF X 5' WIDE, 0.5' E.D., +0.5' TO OG ORIGINAL GRADE WITH 1.5' SAND FG FINISH GRADE SM/ TS&V TOPSOIL & VEGETATE REMOVE ORGANICS �7� �+7�� LLC PAM PAMONE ENG SVC, LLA. P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 +'pF A x_ kk .? C� •" *�P. TH 9*� .... . .. . ..:.. Date /6/2012 FOR CONSTRUCTION ML -3.5 (10/23/2012) Scale NITS PLACE 1.5't SAND THOMAS L. BOYLE, BLOCK 2, LOT 4A P.I.D. NO 5 282-21 -6.0 MARK &TAMARA POTTER ♦I •Steven f2. *Pannone* PERMIT NO. 12101 WAGNER STREET PF •, CE 8149 �� cs . •�� OSP121394 SECTION Sheet Z o7 QO ANCHORAGE, AK 99516 o P w mo W mo iz o w RIGID INSULATION �_ z FABRICr(" �FILTER ABOVE PIPE INV /r40 A FT n -_ R DRAIN PIPE 1500 g S.T.E.P. TANK (P) W1 AX20 POD SEE SECTION & PARAMETERS PROFILE ABBREVIATIONS DESIGN PARAMETERS LEGEND CU COPPER PRIMARY/RESERVE SEPTIC SYSTEM W WATER LINE/ DIP DUCTILE IRON PIPE TH TEST HOLE NO. BEDROOM: 4 (600 gpd) WELL RADIUS FC FOUNDATION CLEAN OUT TANK SIZE: 1500g S.T.E.P. T# TANK CLEAN OUT NO. W/ AX20 POD SS NEW SEPTIC C# CLEAN OUT NO. PERC RATE = 47.6 MPI SOIL RATING: 2.0 GPD/SF M# MONITOR TUBE N0. AREA RQO: 300 SF R.I. RIGID INSULATION SYS. TYPE: WIDE TRENCH 0.5' E.D. DCO DOUBLE CLEAN OUT MIN LENGTH: 60 LF DV DIVERTER VALVE FS FLOW SPLITTER USE: BEG BELOW FINISH GRADE 60 LF X 5' WIDE, 0.5' E.D., +0.5' TO OG ORIGINAL GRADE WITH 1.5' SAND FG FINISH GRADE TOTAL AREA: 300.0 SF TS&V TOPSOIL & VEGETATE NOTES: �7� �+7�� LLC PAM PAMONE ENG SVC, LLA. P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 +'pF A x_ kk .? C� •" *�P. TH 9*� .... . .. . ..:.. Date /6/2012 FOR CONSTRUCTION Scale NITS THOMAS L. BOYLE, BLOCK 2, LOT 4A P.I.D. NO 5 282-21 MARK &TAMARA POTTER ♦I •Steven f2. *Pannone* PERMIT NO. 12101 WAGNER STREET PF •, CE 8149 �� cs . •�� OSP121394 Sheet DESIGN DETAILS ANCHORAGE, AK 99516 �,t`FO........ 2 OF 4 SOILS LOG - PERCOLATION TEST TEST HOLE I SLOPE SITE PLAN OR ORGANICS 2— srvv SILTAND ML SILTY SAND 3— '7 10123/2012 4— 10/12/2012 TH-1 6— BOH x TH I BIRD .E )S� )S HO� E (E) 4A 7 — '41 .. .... .. .. 8— DRIVEWAY 9— af 10 12 13 — WAS GROUNDWATER SLOPE 14 — ENCOUNTERED? N 15 — IF YES, AT WHAT TH 16 DEPTH? -4.Oj x 17 DEPTH TO WATER AFTER MONITORING? -3.5� 18 DATE: 10/2312012 DATE PERFORMED: 10112112 READING DATE CLOCK TIME WATER NET TIME LEVEL NETDROP READING 1 10/23/12 11:15 4.75 - 2 11:45 30 MIN 5.62 0.87 3 11:45 4.75 - 4 12:15 30 MIN 5.38 0.63 5 12:15 4.76 - 6 12:45 30 MIN 5.39 0.64 PEROLATION RATE 47.6 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 2 FT AND 3 FT COMMENTS: Test hole excavated by PANNONE ENGINEERING. Prec hole was presoaked. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMOM ING SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 . ...... .... .. .. ........ Ste en . onnone CE 8149 Date 11/6/2012 FOR CONSTRUCTION Scale N S THOMAS L. BOYLE, BLOCK 2, LOT 4A MARK & TAMARA POTTER 12101 WAGNER STREET J.D. NO 015-2B2-21 PERMIT NO. OSP121394 SOILS LOG ANCHORAGE, AK 99516 Sheet 3 OF 4 4" JIM CAP 4" PUMP—OUT. SLIDE SECTION OF 6" PIPE OVER THIS CONNECTION TO PROVIDE SHEER PROTECTION— EXTEND TO BRIDGE EXCAVATION NOTES: FOR CONSTRUCTION SITE SECTION ADVANTEX DESIGN ADVANTEX 24° PASSIVE AX20 POD\ INSULATED AUXILIARY AIR \1 RISER PUMP VENT BASIN 1500 GALLON ANCHORAGE TANK PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 THOMAS L. BOYLE, BLOCK 2, LOT 4A MARK & TAMARA POTTER 12101 WAGNER STREET ANCHORAGE, AK 99516 Ur Ai 4_e jj 111/6/2012 *; t}9TH •.*1, NTS ... ...... P.I.D. NO &k5-282-21 Steven F2� annone"� PERMIT NO. .' CE 8149 �� OSP121394 1��`\R?OFESS10a= Sh4eOF 4 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND M a ti �- a; �xVa r -r, v - T THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 7 Day of N Ck1 et —F of 201 , by and between m 0. (- k e PU 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 46611 t/T9X located at �� L • UO`iC6' 16/ ii L� L D't Ali'}, 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 AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AWWTS, 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 IZ- 5.0—O ($ 0 .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 AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations, Installation and Removal of Additional Eauipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: /9-S 9Ea1%96,19 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 AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any 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. Amendmeut. 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: V� 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: MUNICIPALITY: �— By: �C�yr-tea ( Title: Date: (l I a Date: STATE OF ALASKA } ss. THIRD JUDICIAL DISTRICT ) The foregoininstrumentvas acknowledged before me this day of /Ulf. 20L by 1, IJ MtiCe e o f Dtu- ,..I...."""• NOTARY PUBLIC FOR ALASKA `i• ¢ ,, ati My Commission exp�&a:Ellen Patterson My Commission Expires 3/26/2016 p o°` �S ZQ'1�tt•: '1. ane .�•a• MUNICIPALITY OF ANCHORAGE •.` DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION *01 11 825 L Street. Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEPHONE (1(', NEW Jerome Bauer 243-1596 ❑UPGRADE MAILING ADDRESS 4300 Arctic #54, Anchorage, Alaska 99503 LEGAL DESCRIPTION Lot 4A, Block 2, Boyle Subdivision LOCATION NO. OF BEDROOMS Wagner Road off Huffman 3 DISTANCE TO: Well 100' Abslrpson area 1 Dwellilq s `! PERMIT NO. V Y 800 180 2 Manufacturer Material No. of compartments W < Greer Steel 2 Liq, capacity in gallons 1000 IF HOMEMADE: Inside length Width Liquid depth 6Y DISTANCETO: Well Dwelling PERMIT NO. l7Z Z'4 = Manufacturer Material Liquid capacity in gallons 0 w= DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. 1151 s , Boo Igo u Z z No. of lines Length of each line 4 Total len th of lines Trench width Distance between lines P 40' 160 36 inches 69 f Top of the to fila"nish grt0 Material beneath lila Total effective absorption area o¢ 24" 8 inches ranch 480 ft Ptotmd 268 W Length Width Depth PEHMIT NO. a F- W Is. Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W i DISTANCE TO: Building foundation Sewer line Septic lank Absorption area(s) OTHER S e tt Ch d pages or AS BU It PIPE MATERIALS 4" Perforated PVC set h. SOIL TEST RATING 330 sq. ft./ B.R. INSTALLER Jerome BaVer REMARKS As -Built Inspection performed on November 15, 1980 by RSM Consultants, Inc. Richard S. Giessel, Staff Engineer +H+ APPROVED DATE LEGAL - MIJt+I I C I PSL I TY OFF1tJCH�RFiICaE �lOr f� DEPARTMENT C 'HEALTH AND ENVIRONMENTAL 7TECTION /u �' • 825 'L' STREET, ANCHORAGE, AK. 99501 • 264-4720 Hnr-4E >WR I TTEM PERM I T A COPY MUST BE OBTAINED FROM THE FILES - DATA NOT AVAILABLE IN THE COMPUTER F.e,e.H,T $1 tF- 00/fo 7'0 6-2 P -*-Port iT EKI.71geL A// Nr v iv, c//�4 / 12/3i/dro J- 7 v'E�koML AM, MU" I C I 1-^F7L I TY OF nNCHJRFIGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 W E L L A M O CD R7— S I T E S E W E R F='[=-: R M I T PERMIT NO. ( 800080 ) APPLICANT JEROME BAUER 4300 ARCTIC BOULEVARD #54 9950 279-1678 LOCATION HILLSIDE LEGAL jLOT 2'BLOCK %4WBOYLE S, -'D --j4 ` O I LrLT- SIZE 49500 SQUARE FEET HA _ _ .__...__a iv) TYPE OF SOIL ABSORPTION SYSTEM IS: TREKi MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 225 THE REQUIRED SIZE OF THE SOIL ABSORPTION'SYSTEM IS DEPTH= 12 L_EtJGTH= 4so �GRAtirEL_ DEPTH= THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF tHE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS,THE!DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET>. ",, THERE IS NO SET WIDTH FOR,TPENCHES. r" THE GRAVEL DEPTH IS THE MINIMUPIJDEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF"THE EXCAVATION CIN FEET). REQU I REG SEP?' 10 }TFit-4K S I E= 1000 (3n L_ _C3r-4 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLAT ON INSPECTIONS\OF ANY WELLS ADJACENT TO`THIS PROPERTY AND THE NUMBER, OF�ESIDENCES THAT+ THE WELL WILL SERVE. TWO <.;2>,\ 7 tVSP �� Ot+iS. faRE REQU I REG — BACKFILLING'OF ANY,SYSTE:I T N,C INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE\SUBJE T OS Cly � ON. MINIMUM\DISTANCE BETWEEN A�WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET�POF:�A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THETYQE,OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WLL TO A PRIVATE SEWER. LINE IS 25 FEET AND TO A COMMUNIT'SEWER LINE IS 7�5 FEET) WELL LOGS ARE\ EQUIRED`AND MUS BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. , �/ `\ OTHER REQUIREMENTS MAY\APPLY.-•I,$PECIFI TIorontIIj CC J TRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER,,INSTALLATIOtt l LJ PERM I T EXP I ES '� DECEMBER 31s 1X843 I CERTIFY THAT ,'" 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. -------------------- SIGNED:- -- - APPLICANT JEROME BAUER ---------------- 010C/ud ISSUED BY ------------------------------DATE V4.0 MUN I C I PF'tL_ I TY CSF= n"CHORACaE DEPARTMENT n HEALTH AND ENVIRONMENTAL I`;OTECTION 825 'L STREET. ANCHORAGE, AK. 95..v1 X64-4720 LJELFL "r4l> Oro I TE 'c3EWER PERM I T PERMIT NO. C > APPLICANT � P morn � Bl u e r- q" 30 0 /C C C So f LOCATION LEGAL 5/b LOT SIZE SQUARE FEET TYPE OF SOIL ABSORSTION SYSTEM IS: fie-" e,v� dl MAXIMUM NUMBER OF BEDROOMS - 3 SOIL RATING CSQ FTlBR>- a s THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E> EE: FP' -r"— /), LENGT vlhc3RFivaL_ I?EF"TH= 7 THE LENGTH DIMENSION IS THE T CINIFETT OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTAPiCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET. REQU I FZEL> f3EF=^T I C TAFdK S 12: E_ , ba O GF1LL_0r4S 1' PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE �,,INSTRLLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE 'NUMBER OF RESIDENCES THAT THE W L S RVE. --- TWO C 2 � I tJ�F�EiC I F -o F=IRE REQU I REI? BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SE14AGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATIO . PERM I T E:XF= I REQ C� EC M&I ] s 19 80 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR OPI-SITE SE14ERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IPJ ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED ISSUED AND WELLS AS SET ENLARGEMENT IF THE V3. 2 (907) 243.7893 KEN JOHNSON KEN'S COMPANY WATER WELL DRILLING PUMP SALES & SERVICE April 5, 1980 Jerry Bauer Lot 4A BLK 2 Boyle Subdivision Wagner Road Anchorage# Alaska 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99502 MVNICIPAERY CF, ANCI Z' Z OEPt. OF 1 ..:1_CiION EPNIRONME IIAE 'r..• reAy q 1980 R�.cEiv E� WATER WELL LOG 0 FT. to 18Ft. Brown Silt 18 FT. to 27FT. Gravel and Gray Silt 27 FT. to 30FT. Water Bearing Sand and Gravel 30 Ft. to 38FT. Fine dirty sand water bearing 38 Ft. to 75FT. Cement Gravel 75FT• Clean medium gravel and course sand water bearing Static. . . 20FT Test Bail 15 GVM Drawdown 20FT ( Good Recovery) Very clean water Total Depth 75 Ft. MVNICIPAERY CF, ANCI Z' Z OEPt. OF 1 ..:1_CiION EPNIRONME IIAE 'r..• reAy q 1980 R�.cEiv E� I M*VtIV SL:PTIC, SYMM ty^v 1 •,1980 OESIGN; R.' ,ess6t A N..T ,o 'mul. To PRoa[RTT LiHE T 4A t CLEM CLOCK 4IV •"T' ! 6oYLe 5v80IVISIarI IS' i 391 1 Fi&l T' PLooR _ _ 6�r ..� z I I ,! SEs H4��[ - U.1 I — IooO ca,� : -- �•�. 110 165 ' 5EPTtY Awe �y t _ • •: .:rte _.. _ _ • 3 r fi-2 - `�,JETS`--bVILT OF ,SEPTIC 5-1'5 TEM ESTim ATE& FLOty 3 eE0EOOM a 50 . SPD GRAVEL TRENCH BOTTOM VLTIMATE PERM6ADILITy = 1\23 GPD 51LT- SV5GIZADP- PeRMGABILITY ..=.'•2.4 GPD .`. TkGncN. - Bo'I'TOM RREA--RE@v�REp = 3b6 •F�f z . "I -j-7-41 of 31 -WIDE- Tf-f:NCV ff-Q'D) EoF -4% NOTES �,,«..AAs� �. ` r ,.• �-, '•..9 001 PLACE A! PERF . , PVC ToPRoVloc i* 4SL I, • k,0 .N\. \ N F", GAt, VE.L BELOW 111 VC )LT. 2. MUIIMVNt ItrICRT OF r-PAVEL � 3 TfUlIcN BOTTOM llfc vE WFITE,s; "'I• -ABLE; J3 4 FEET • �y ..... 3, TOP OF SAND FILL SNALL BE Le i L 'To t p,2 _ 6&Mt/t OF._GP-AvcL TRENC115. SHALL. BE LjFVZI� To +o.z' r`aAoVND SlrPTIC sy FOR reRRy BAVea ReS. Z OF 2 1' TO ZiI GRAVEL PLACED ' T 3'WIDE- .SILT CAP.OVEA. ShNO FILL 12"-. ;THICK� SHAPE .FOR, ORAIIlRGE, MIN:'Top301L, 2",. Dow..SM sTYRoFoArR ;_ VEGErA7E WiTN 4" PEAF.,.PVC PLPLET yPJFE '1 PROVIDE 8 GRAVEL dELo ^oacn SANb�t FILL` r To t✓l•'� _ OA4 n r�A••MUAT I_ ��:: SILT \ -. � W. { -' SuBGRADE I —W:T. CROSS LN.;: A A:,. 11 ,SE _Tl WT. VARIES INtWCr1T 4' s 42'.I -To t 1 ._ IuSULATION LIMITS .24,X46' AREA— ' `La Dot✓ SM 7 �oF _.._ FIX t:q dMA" 1 LEVEL .ta 1 r 140 1 I ` I �F..O...gt.� r�F;• . rte;„ r ..r3TtI s;':a 1 ,.........�f 00.... y.._ 1. �J*•.....�......-!... r K` .William A. Roberts No. 4464 - E L— — - — -24r �✓1a��eoatml' .PLAN VIEW * •e iQ..., 471 RSM CONSULTANTS, INC. 5024 GOXOOVA . NOX 1047 . ANG.IORAGf. ALASKA 54502—•moi .N, 107.211-04a3 . iLX. 090.4 Salo f NG�nf . i. .'JiVaVo.VOR! October 11, 1977 RSM No. 751241 Patricia Bond 1200 W. Dimond B1vd.,.Space 1460 Anchorage, Alaska 99502 Subject: Soil Investigation for Sanitary Sewer System, Lot 4A, Block 2, Boyle Subdivision, Anchorage, Alaska _ Dear Ms. Bond: At your request of September 29, 1977, we conducted a subsurface soils investigation at the proposed location of the sanitary sewer system on the subject lot. The investigation complied with those procedures required by the Municipality of Anchorage, Department of Health and Environmental Protection. This investigation, which was accomplished on October 4, 1977, consisted of a test hole drilled to a depth of 20 feet below the existing ground surface. The test hole was sited according to your instructions and its location is shown in attached Drawing A-01. Drilling was accomplished with a rotary drill rig using continuous flight solid -stem auger with . an outside diameter of 6 inches. A sample was taken at the depth shown on the soils log in Drawing A-01. The sample will be held in storage at our lab for approximately six months. In addition, all material brought to the surface by the augers was continuously monitored by an experienced engineering geologist. The topography at the drilling site is generally horizontal. At the time of the investigation the site had original vegetation consisting of spruce trees. The top of the test hole was located at original ground surface. The soils encountered in the bore hole are shown in the test hole log in Drawing A-01. The symbols used in Drawing A-01 are explained in Drawings B-01 and B-02. This log displays specific conditions encountered at the test location. However, subsurface conditions may vary in other parts of the lot without any apparent surficial evidence of the change. Groundwater was not encountered. Bedrock was not encountered. At the time the hole was drilled seasonal frost was not present. Permafrost was not encountered. A percolation teat was performed within the bore hole at the depth shown in the attached Table 1. All depths were measured from the to_ of the hole. The data in Table 1 show average infiltration from the depths indicated to the bottom of the hole. The measured percolation rate was 22.81 minutes per inch. wNCNOw AGI F^IN.wNKS 2UNf AU VALO[i V1A31LL^ n October'll, 1977 Patricia Bond Page -2- n We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this letter or if we can be of additional service. Very truly yours, R & M CONSULTANTS, INC. Jeffrey 111. Ayres Staff G_olcgist gld Jim McCaslin Brown, Head, Earth Science Department Attachments: Drawings A-01, B-01, B-02, Table 1 -.iz J' .� Y�l-C � Y.7_`��~V'!i [ +MVV. .�i�f`,.Y' ♦y,ii . Y„ ,�...� 4�.r+ R.�c wr. f� N. :w:.v�r Fnt,. � cv. n PERCOLATION TEST RSM No. 751241 Patricia Bond 10/5/77 2.63 Inches Total Drop 22.81 Minutes Per Inch Elapsed Time Time Inches Droo In Inches 2:00 0 6.25 0.0 2:01 1 8.56 0.31 2:02 2 8.75 0.19 2:03 3 8.88 0.13 2:04 4 8.88 0.00 2:05 5 9.00 0.13 2:06 6 9.06 0.06 2:07 7 9.13 0.06 2:08 8 9.19 0.06 2:09 9 9.25 0.06 2:10 10 9.25 0.00 2:15 15 9.5 0.25 2:20 20 9.75 0.25 2:25 25 9.94 0.19 ^ 2:30 30 = 10.13 0.19 2:40 40 10.44 0.31 2:50 50 10.63 0.19 3:00 60' 10.88 0.25 2.63 Inches Total Drop 22.81 Minutes Per Inch Note: Alaska Water and Wastewater Consultants, Inc. shag be paid $200.00 at, . or prior, to, closing for the engineering services provided. 5.' STATEMENT OF. INSPECTION BY ENGINEER r' ::..:. > ,; ` •` As certified by my seal affixed hereto and as of the validation date shown below, l verify that my Investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 r Anchorage files'and from my.investigation and inspection; the ori - site water supplyand/or wastewater, disposal system Is In compliance with all Municipal a State codes, ordinances, and regulations in effect on the date of this inspection. , Name of Firm tALASKA'W ; RCONSULTANTS.,�,.INC. Phone_(907) 337-6179 Addres§ 6901 DEBA NC ORAGE. ALASKA, 995W Engmeer's;Signature Date 5 is'co In conducting this evaluation; AWWC, l ted to provide a thorough, consdenntlous engineering analysis of the �tem ln'accordance wittiADEC_and _ D_ S Guidelroes & Regt! a ions The reposed results described the omrance o/ the system under the condrtrvns encountered et fhe time of the tes4 and sepanition distances ' measured to ieadiy /dentrfiable features. The.operationaf I of all wells and septic systems depend; , on the local soils condition: ground water levels that may Buctuate'during the year, and the water usage 6f the family being served by Bre system. '7hese conditions are outside the control of o�OF �pO the evaluator of the system. Satisfactory test rssufta cb notran guatee future peAormance P lam., • . • QO of the system, nor do they guarantee that there are no hidden detects or encroachments. AWWC,'/nE can therefore not protide any warranty for future estimate of how long the p� tem will continue to meet the operational requirements of the ADEC or MOA DHHS Q ° r system opera . re4. _ .. _ .. Q : � The content of this report is for the sole benefit of the owner listed above. Any Q reliance upon or use o/ this report by any other person or party is not authorized, : . • nor will It comer any legal fight whatsoever Q7953 6. DHHS SIGNATURE 4P �Fa Approved for bedrooms 44��40000�ne\�coo Disapproved Conditional approval for bedrooms, with the foliowmg stipulations Additional Comments it By: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 and their lending Institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct Inspections 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-M (Rev. 7181) Back MOA #21 Computer Version ?%ECEIVED Municipality of Anchorage MAY 15 . .. DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Servkes Division muNICIPALITY Of A 825 *V Street. Rm 502 Anchorage. Alaske 99501 (907) 343-4744,mENTAL SFRVI Health Authority Approval Checklist Legal Description: BOYLE S/D: LOT 4A. BLOCK 2 Parcel I.D.: 015-282-21 A. WELL DATA Welt Type PRIVATE H A, B, or C, attach ADEC letter. ADEC water system number N/A Log prem (Y/N) YES Date completed 4/5/80 Total depth Sanitary seal (Y/N) Date of test Static water level Well production Cased to 75' Casing height (above ground) 1.4' FROM WELL LOG WATER SAMPLE RESULTS: 4/5/1980 15 g.p.m. Wires properly protected (Y/N) YES AT INSPECTION 3/29/2000 6.8 g.p.m. Coulbrm 0 Nitrate 3.4 mo/L Other bacteria 0 Date of sample: 4/19/2000 Collected by: A.W.W.C.. INC. B. SEPTIC/HOLDING TANK DATA Date installed 11/15/80 Tank stns 1000 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) N/A Date of Pumping 3/29/2000 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA *SEE ATTACHED REPORT Data installed 11/15/80 Soil rating (g.p.dJft2 or t 2/bdrr v 330 System type BED/TRENCHES Length 64' Width 42' Gravel thlclawn below pipe 8" Total depth 2' — 2.66' Effective absorption area 2688 SO FT MonitDM9 Tube present (Y/N) YES Depression over field (Y/N) N_ Data of adequacy test 3/29/2000 Results (Pass/Fall) PASS For 3 Bedrooms Fluid depth in absorption field before test (tn.r 3.5 immediately after 117.8 gal. water added (In.): 8.5 Fluid depth 0 (ins) Minutes later. 983 Absorption rate = *450/0.357 GPM Pero)dde treatment (past 12 months) (Y/N) NONE KNOWN if yes, give date ----- n-= MW. =r CWVtdW VWWW D. LIFT STATION Date installed Size Mantrola/Access High water alarm level at` "Pump ofr level ar 'Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Sepddholding tank on lot 96'+/— (WAIVER 5/17/88) On adjacent kits 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewedsepdc service line 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water maintservice line 10'+ Surface water/dralnege 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water maintservice line 10'+ Surface water 1000+ Driveway, parking/vehide storage area 10'+ Curtain drain NONE KNOWN Wells on a "1k„ PFJ4rNirderl-104 PAPWIq F. ENGINEER'S I certify that 1 I " Engineer's Naniq r — JEFFREY A. HAA Fee S 3 m , 0 0) Date of Payment Receipt Number 37 C 6`50 M42e (Rsv. 3Nar CMMUW V081M kapectlons and review ams are in conformance Is date. Waiver Fee S Date of Payment Receipt Number ALASKA WATER & WASTEWATER CONSULTANTS, INC. April 27, 2000 Scott Forrest 12101 Wagner Rd. Anchorage, Alaska 99516 Ref: Boyle S/D Lot 4A Block 2 Well and Septic Adequacy Test Dear Mr. Forrest, Per your request, we performed an evaluation of the water well and septic system which serves the subject property. The results of our investigation are summarized below. WF .t[ TF The well was tested on March 29, 2000. Production was 562 gallons of water over a period of 83 minutes. This is equivalent to 6.8 gpm, which is more than adequate for a 3 bedroom house. The initial static water level was 33 ft, and the stabilized drawdown was 19 ft. Other conditions for the Health Authority Approval (HAA) from the Municipality of Anchorage (MOA), i.e. casing height, sanitary seal, and wires conduited, were also met. The well is located 96 ft from the septic tank on the property, rather than the required 100 ft. A waiver was obtained for this encroachment in 1988. The water was tested, and results were 3.40 mg/l nitrates (maximum is 10 mg/1) and no bacteria. Therefore, the well meets all requirements for the HAA. SEPTIC SYSTEM TEST As per MOA records, the septic system consists of a 1000 gal tank and an elevated bed drainfield, both installed in November 1980. The bed consists of 4 individual trenches with 8 inches of gravel below the distribution pipes. Two monitoring tubes were installed in January, 1994, which enables observation of 2 of the trenches. It is impossible to detect fluid levels in the other two trenches. At the time of our inspection, one of the trenches was submerged, with 8.75 inches of water in the monitoring tube (MT). The MT in the other trench had 3.75 inches of water in it. A total of 109.8 gallons of water was added to the unsubmerged MT which rose the liquid level 5 inches (22 gallons per inch). Absorption was monitored in this MT 5.5 hours later and the level had dropped 7.75 inches, indicating the bed had absorbed at least 110 gals. This indicates absorption of greater than 0.312 gpm, which meets the requirement for a 3 bedroom house. Our evaluation confirms that one of the trenches has failed and one is still operable. The condition of the other two trenches is unknown, due to lack ora monitoring tube. 6901 Debarr Road, Suite 2B — Anchorage. AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 As per your discussions with the Department of Health and Human Services Onsite Wastewater Division personnel, we may submit these results to the city and request a HAA. Please notify us when you are ready to proceed with the HAA application. Thank you for this opportunity to provide engineering services for your well and septic system. If you have any questions about this report, please contact me at 337-6179. Sincerely, cwe .E., M.S. 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 C4424-00 17:40 FROM -CTE ENVIRONKfITAL 5615301 T-489 P.02/03 F-764 CT&E Environmental Services Inc. CT&EReitt 100i647001 Client PON Client Name AK Water & Wastewater Consultants Inc. Printed Date/time 04242000 IS. -36 ProjectName/N Boyle SID LoY4ABk2 Collected Date/time 04/192000 11:00 Client Sample ID Boyle SID Lot 4A Bk 2 Received Datt/Time 04/192000 11:40 Matrix Drinking Water Technical Director Stephen C. Ede By Released /� -eow PWSIOrdered PWSID 0 Sample Remarks Allowable Prep Anatysie Parameter Results POL units Method Limits Daze Date init LAYERS DEPT Nitrate -N MICRO LAR 3.70 Moo ag/L EPA 300.0 010) 04/19/00 SCL Tozat Coliform 0 eol/t00mL SMIS 92226 O4/19/00 RAP • 3-51 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 Parcell.D.# Q15—a9,a-Q1 HAA# rnQ� 1. GENERAL INFORMATION art Complete legal description Lot 4A: RPor,k 2; Bayfo 4uhdly/A,inn Location (site address or directions) 12101 Wagnea Street Anrhnnag0 AK Property owner Patn,f.ch Phe&n Day phone 345-4925 Mailing address 12101 Wagner Sttee.t Anchorage AK 99516 Lending agency Day phone Mailing address Agent U -sal SIMPSON CO. REALTORS Day phone 345-6644 Address 12350 TnrInA Y lijej! Anrhn_amcIg, AK 99515 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 �v 3. • TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. T2-075(Rw.1/91l front MOA471 5. 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate forthe 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 invest!gation 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 thgdateof inspection. Name of Firm Phone l'9�-2y7 9 Address 5 6 5 ENGINEERING / Engineer's sign9V £i,cr, Alaska 995 Date Z y 6. DHHS SIGNATURE gg Approved for __2— bedrooms. Disapproved. By: Conditional approval for bedrooms, with the following stipulations: JUonL Additional Comments �a - 1n , Date / 2UZ�t4Z • 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 and their lending institutions In order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections 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. 724M(a«.1.11) B. k raym . Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lor 4A OL6eK 2 goYt_ES/DParcel I.D. A. Well Data Well type P?Iva TE_ If A, B, or C, attach ADEC letter. ADEC water system number N/A Log present&) `SEC Date completed ��S�BV Driller KE/J S Com' II Jr Total depth 25" Cased to ?r Casing height 1 r+ Sanitary sea (ON) '?F_ S Wires properly protected (ON) YE51S FROM WELL LOG AT INSPECTION MUNtGP�� f),tA( Ot�tStON Date of test �%5�80 /�9�y¢ EtNteo�^Erzt r �� 13 1994 Static water level ZO • Z4 - , Well flow lSa g.p.m. • �/ g.p.m. ID �D Pump levelt UK PUMP NO% SEPARATION DISTANCES FROM WELL TO: Septic1lWdiAq tank on lot On adjacent lots /UU "'f' r (t Absorption field on lot _ _ � � S � ; On adjacent lots /00 i Public sewer main / n S 4 Public sewer manhole/cleanout Sewer service line ZS ek Petroleum tank j&IONLE KG _bw N WATER SAMPLE RESULTS: Ing Coliform ��/o�' Nitrate Z.%�y.� Other bacteria /<° Date of sample: Collected by: S5* S EiCJC,/ivLrfJt'Jiyt; B. SEPTICARX0111416-TANK DATA Date installed 1 f 11494) � Tank size /000 GA(_ ' 7 Compartments Z Cleanouts&) 5�6_i Foundation cleanout((Y ) TE< Depression (YQ U0 High water alarm V6 T Z: Alarm tested (YIN) A ,1A Date of pumping 104- Pumper _ /qt . R0/4 5 SEIZu/LAS SEPARATION DISTANCES FROM SEPTICA40I•�TANK TO: Well(s) on lot /60 On adjacent lots /0 C. �f Foundation To property line /(> r*- Absorption fielWater main/service line It) � Surface water/drainage -�<- rEK 1 k)__ye-cT1,e*J nazs (3?93)•Fmt CONTINUED ON BACK PAGE C.LIFTSTATION NONCE P1t(E56_1T Date installed Size in gallons Vent (Y/N) High water alarm level Manufacturer Manhole/Access (Y/N) 'Pump on' level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE Well on D. ABSORPTION FIELD DATA STATION TO: at adjacent lots Surface water �c- ra' � Ezc'v�tTED Date installed%/f( J'6Soil rating (GPD/Ft2) S30 C System type Length h4 Width 42' Gravel thickness 0,64 Totai depth Z'— Z'"' rt— Total absorption area Zo�; Cleanout presentY�i 1) �%ES Depression over field (YJQ N� Date of adequacy test Resul pas fail) /011. ' for KE LS) Bedrooms Water level in absorption field before test C)I/ K) After test /O Peroxide treatment (past 12 months) (YM) /VIVE K92L fJ AJ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: /, � Well on lot H S On adjacent lots Ice)f f Property tine d 1 To building foundation —To existing or abandoned system on lot i On adjacent tots /0(�) Cutbank A)OA,6 P206I/TWatermain/serviceline !D Surface water �(7 J 't Driveway, parking/vehicle storage area S.1 Curtain drain .(IO.UE fit.) )AJ ->t-Pe/zIIUS/��G/%orV 9L�02 77 E. ENGINEER'S CERTIFICATION 1 certify that I have checked, verified, or conformed Signature Engineer's Name 17034 Eagle Date Z /'1oN/7a1u1_JG TUrSCS 11JST.9C4_E0 /A-' ,aFP SY T✓E&D 6-9 oN //&/5 Pt6SVJCe' OF /PSUL 770/J WAS /,Xr67)- UA and HAA guidelines in effect on the date of this inspection. c al } f' n • 1 No. 204 {r f .. 14374 r HAA Fee $ 7L7✓yu Date of Payment 1 �✓ �� Receipt Number. oZS 51 C� 72-026 (393)' Back Waiver Fee $ Date of Payment Receipt Number N.kCOMMERCIAL TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES S.hC[ Ip[ Chemlab Ref.# :93.6935-3 Client Sample ID :L4A BLK2 BOYLE S/D Matrix :WATER Client Name :S & S ENGINEERING Ordered By :RAY Project Name Project# PWSID :213483 e Remarks: Parameter Nitrate --N REPORT of ANALYSIS 5633 B STREET ANCHORAGE, AK 99518 TEL: (907) 562.2343 FAX: (907) 561.5301 RUSH Order :74552 Report Completed :01/04/94 Collected :12/29/93 @ 12:15 hrs. Received :12/30/93 @ 14:35 hrs. Technical or: TEPj C.�� Released aced BBy SAPll'" WLJ.G(;1tU BY: 5.5. QC Allowable Ext. Anal Results Qual Units Method Limits Date Date Init 2.73 mg/L EPA 353.2/300.0 10 01/03 LLH ----------------------------------------- * See Special Instructions Above UA = Unavailable ** See Sample Remarks Above NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less Than D = Secondary dilution. GT = Greater Than ��N SGS Member of the SGS Group (Societe Generale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO, UTAH, ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA �l Y,l ark MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES V DIVISION OF ENVIRONMENTAL SERVICES ,f CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL N 8!2 -D]a 9 OF ON-SITE SEWER AND WATER FACILITY 264-4744 n LJ z;� TO'0 Application Date A ^I ZL r ( 9 P -r 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) 1.07 xA a IC :Z 13 aN. 2 31t'/ Location (address or directions) (b) Property Owner (c) Telephone: Home LVe- 1191 b Business Mailing Address rk1a I A w k Lending Institution �i- R aI3Rr Mailing Address (d) Real Estate Company and Agent Telephone Address Telephone (e) Mail the HAA to the following address: or: Check here If hold for pickup. List contact person and day phonce� number below. Ate• 31 IL/.L 2. TYPE OF RESIDENCE Single -Family 1� Number of Bedrooms 3. WATER SUPPLY Individual Wel Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite 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. Page 1 of 2 71-025 $A" 8'861 From 4398 W9,9 Nm stow Z to Z abed •iliom s, aau16ua !euo!ssa)oid a4i ui suo!ssiwo io siaia iol alq!suodsai lou sl a6eio4ouy io pped!olunpy a41 •panss! s! aleo!i!liao a aioiaq elep azAleue io suo!loadsui lonpuoo lou op SHHO to saaAoldw3 sluawaiinbai alels pue leiapal uieliao /llsiles of iapio u! suo!inigsui 6u!pual iia41 pue sawo4lo siasegoind of Asalinoo a se s141 saop SHHO 941 •e4sely)o alelS a4i u1 paials168i iaaui6ua !euoissaiad luepuadapu! ue Aq anoge S 4dekeied ui uaA!6 suoileiuesaidai 841 uodn Aluo paseq saleoggiao !enoiddy AjtA41ny 41leaH sanss! (SHHO) sao!AiaS uewnH pue 41IeaH to luawpeda(] a6eio4ouy to /4!lediolunyr a41 NOI1f1V0 G9—p7/—J" "p7/J" Ienoiddy !euog!puo0 )o swial leuo111Puo(] Panaddesi0 panaddy ale(], Aq swoaipaq io) panaddy IVAOHddV SHHO 1L61 'SZ 3KIlf o �� leas s,iaaw6u •i- p - ti~ ale(] C� �Q ssaippV euo4dalal � wnj io aweN uoiloadsu! sN) )o alep a4: uo loa8a u! suo!leln6ai pue'saoueu!pio'sapoo alelS Pue led!o!unyy Ile 41!m soue!ldwoo uf s! walsAs !esodsip ialemalsem ioipue Alddns ialem alis-uo a41 'Uoiloadsui pue uo!1e6!lsanu! Aw woil pue saps a6eio4ouy to Apledioiunyi a41 woil pau!elgo uollewio)ui 941 uo paseq le41 AivaA iaglinl I •uiaia4 paleo!pu! amlonils )o odAl pue swooipaq to iagwnu a43 iol alenbape pue leuoilouni'ales sl walsAs lesodsip ialemalsem io/pue Aldd ns ialem el!s-uo a4i le41 smo4s lenoiddy Al!ioglny 41leaH s!41 to uo1le61lsanu! Aw Imp AivaA I'molaq UMOLIS alep uo!lep!IeA a41 Jo se pue olaia4 pax!iie leas Aw Aq paipliao sy 9 NOIIVWUOdNI ONV VIVO'H0HV3S 3114'S1S31'SNO1103dSN1 ONIOIAOHd WHId ONIIl33NION3 'S rr n dICIPALITY OF ANCHORAGE (MOA) r`(Ct S010HEALTH AUTHORITY APPROVAL (HAA) CHECKLIS2F� �UARY1984. Legal Description AOT VA Sk g Bay e- `L�`�7�ax/ e 3 Iv A. WELL DATA Well Classification' Kis If A, B, C. D.E.C. Approved (Y/N) L/A Well Log Present (Y/N) �� Date Completed y/y��0 - Yield IS P?M1 Total Depth q7•s Cased to Depth of Grouting NONE Static Water Level ' /9 Pump Set At ' SoTTOH r Casing Height Above Ground _ ii Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N') _ Depression Around Wellhead (Y/N) IN/ Separation Distances from Well: To Septic/Holding Tank on Lot Q�o / ; On Adjoining Lots Nb l lE To Nearest Edge of Absorption Field on Lot >10�0 ; On Adjoining Lots hl O Wim• To Nearest Public Sewer Line NONE To Nearest Public Sewer Cleanout/Manhole H 0 N L To Nearest Sewer Service Line on Lot 1 �O Water Sample Collected by Y S ; Date �/lILOA4 Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 1160 Size lurk No. of Compartments Tfy/D Standpipes (Y/N) ONE Air -tight Caps (Y/N) Foundation Cleanoo �t ( /N) IV._ Depression over Tank (Y/N) �Date Last Pumped y„2Bt e,*t Pumping/Maintenance Contract on File (Y/N) A04 ; for W Holding Tank High -Water Alarm (Y/N) _y.4 Temporary Holding Tank Permit (Y/N) MIA Separation Distances from Septic/Holding Tank: To Water -Supply Well -To Building Foundation �g To Property Line Z L To Disposal Field In f To Water Main/Service Line 2 / y To Stream, Pond, Lake, or Major Drainage Course N O N E Comments Page 1 of 2 72 -OM IRr 8 MI Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 33o Type of System Design' 'gyp KO v Date Installed p Length of Field V Y Width of F' dk �Z. Depth of Field ' y S414 Q N Gravel Bed Thickness O Square Feet of Absorption Area Standpipes Present (Y/N) -IV Depression over Field. (Y/N) _ Results of Last,Adequacy Test Separation Distance from Absorption Field Date of Last Adequacy Test Yl20 Ai B To Water -Supply Well MO f To Property Line - /0 To Building Foundation 30 t • To Existing or Abandoned System on Lot N O N t : On Adjoining Lots • N O NL To Water Main/Service Line % To Cutbank (if present) N ON1L0' To Stream/Pond/take/or Major Drainage Course N o N a To Driveway, Parking Area, or Vehicle Storage Area O f Comments _ D. LIFT STATION Date Installed . Size in Gallons — "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments — Dimensions — Manhole/Access (Y/N) _ "Pump Off' Level at Check Permitted Bedroom Rating Against HAA Request " — Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA Icertify that Ihave checked, verifie or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date Date'Zy"8a Company MOA No. Receipt No. Date of Payment Amount: $ v Page 2 of 2 77-078 (Bev 8'881 Pack Engineer's Seal OF Af, , tx, VE iS. l9rl J:'i Engineer's Seal 03 40 �� W )G^3RUrj1Dw poEo 2 A CHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: 19071 2 79-3 91 6 SEPTIC.SYSTEM ADEQUACY TEST � OFA �lk LEGAL: Lot 4A, Block 2, Boyle �T,•• c t+ LOCATION: 12101. Wagner P,* 4S TM OWNER: Jerry & Gloria Bauer j••:••"' •:'• z 7.0 . UNE 2S,97E :.:n RESIDENCE: Single Family, Three Bedrooms 4` WELL: On Site Single Family 4 +t`14s�� 5•` SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: Greer Steel, 1000 Gal Two comp. ABSORPTION SYSTEM: Bed, Mound ABSORPTION AREA: 2688 sq. ft. SOIL RATING: 330 INSTALLATION DATE: 1980 DATE OF LAST PUMPING: April 15, 1988 Issac's DATE OF TEST: April 20, 1988 TEST PROCEDURE: System was inspected and measured. Tank was found with 1.5 feet of cover and a liquid depth.of 49 inches. There were no monitor tubes installed in mound...An observation well was dug at the periphery of the mound. Hole was 5 feet deep and extended two feet into the sand filtering layer. Water showed at the bottom of the.hole. The sand was clean with no color or odor to indicate anaerobic conditions. 370 gallon of clean water were added to the tank: At this point water back up into the tank. Level in tank rose 13 inches. Infiltration were monitored for 60 minutes. During the first 15 the level in the tank dropped 7 inches. After 60 minutes the level had dropped 10 inches. After 15 hours the tank level was 49 inches. The residence was occupied during this period with no restrictions on water use. TEST RESULT:. This system meets the.code requirements of the Health and Social Services Department of the Municipality of Anchorage. NOTE The operational life of all septic systems depends on the local soil conditions, 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 this septic system. We can therefore not give any estimate of how.long this system will function satisfactory for current or future occupants. Municipality of Anchorage Department of Health and Human Services Tom Fink 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 May 17, 1988 Tobben Spurkland, P.E. 203 West 15th Avenue "C" Suite 203 Anchorage, Alaska 99501 Subject: Waiver Request For Lot 4A Block 2 Boyle Subdivision Waiver Request Number WR88-019 Dear Mr. Spurkland: Your request for waiver of the required 100 foot separation of a septic tank to a private well is approved. The approved separation is 96.44 feet. Reasons for granting this approval are: First, the well is uphill from the septic tank. Second, you have verified water tight couplings on the septic tank. Thirds there are adequate points supporting this waiver of separation distance by the A.D.E.C. waiver guideline procedure. This waiver applies to the existing well to septic tank separation only. Any future upgrade to either will require all separations be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On -Site Services cc: Gus Andress, P.E., Manager On -Site Services/Water Quality Programs III P, V0 t A �NP�-,nmL,AA 1))9 PAA CONSULTING ENGINEER Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 L Street Anchorage, Alaska 99501 203 W. 151h AVE "C SUITE 203 ANCHORAGE. ALASKA 99501 TELEPHONE: (907) 279-3916 MLMPAUW OF ANOCPAW Deur. OF HEALTH i PMRONMENfAL PRoTwnm MEMO, 1988 Subject: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR PRIVATE WELL TO SEPTIC TANK LOT 4A, BLOCK 2, BOYLE S/D JERRY BAUER Gentlemen; We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code, Chapter 80.020. During an Health Authority Inspection on April 20, 1988 is was discovered that the distance between the tank and the septic tank was 96.44 feet, 3.5 feet less than the required 100 ft. The well is located up hill from the septic system. The house is situated between the well and the tank. The well log indicates water at 27 feet, however, pounding surface water was in evidence around the residence as is common in Boyle. The design of the septic system was based on ground water at 1 feet below ground surface. By going through the DEC's procedure of analyzing the potential for contamination I arrive at the following points: Ground Water Soil Sorbtion Permeability Gradient Separation Total (at 27 ft. ) 3.0 ( Silt ) 3.5 ( Silt ) 2.0 ( 0 ) 2.0 ( 97 ) 3.0 13.5 ==-=_= Conclusion: Chemical contamination possible but unlikely. As an added safe guard. Tank is a steel tank. Cast Iron was used as well as water tight couplings. Please issue an waiver for this well. Yours G pipe 203 TE - 4O" " •� R R L A VD9 720 �, i20A ANCHORAGE, ALASKA199501 . CONSULTING ENGINEER TELEPHONE: (907) 279-3916 i. RESIDENTIAL WELL INSPECTION - �: � 0F At,qAtl LEGAL: 'Lot '4A, Block 2, Boyle ••: LOCATION: 12101 Wagner %*"��C., .H.�..�.. ...OWNER - Jerry & Gloria Bauer �� : • o. 2225-E 'o 1 1;, JUNE 25.:971 `.�i TYPE OF WELL: Residential. Single Family �•- .•�� i. WELL LOG AVAILABLE: Yes j INSTALLATION REQUIREMENTS MET: NO. Well is too close to septic tank. 96 ft. vs. 100 ft.. Waiver applied for. WELL YIELD FROM WELL LOG: 15 gallons per minute PUMP YIELD FROM TEST: 7 gallons per minute i DATE OF INSPECTION: April 20, 1988 v TEST PROCEDURE: Well was pumped at a constant rate while the i drawdown was monitored with an acoustic probe. At the beginning of the test water level was found at 19 feet below top of casing. At a pumping rate of 7 gallons per minute the water level dropped to 33 feet after 15 minutes of pumping and remained at that level,for the remainder of the test, 35 minutes. A total of 370 gallons were pumped. The well recovered instantaneously when pumping stopped. TEST FOR E.COLI AND TOTAL NITROGEN: Water was tested for E.Coli and total nitrates on E.Coli 0. Total Nitrates 1.4mg/1. Max. allowable Total Nitrates 10mg/1. TEST. RESULTS: This well meets.the requirements of the Municipality of Anchorage. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS The Municipal requirement for well flow is 150 gallons of water per bedroom per day. This well exceed this requirement. The assessment of the condition of the well applies only to the .conditions as of the day tested. The flow rate may change due to subsurface conditions that may not be observed from the surface, and changes in the land use and other factors that may impact the aquifer feeding the well.