HomeMy WebLinkAboutVALLEY VIEW ESTATES #1 BLK 2 LT 8Vail
y View
Block 2
Lot 8
#050-52! -42
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MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 90 e
70lb ti
ON-SITE SEPTICM/ELL PERMIT APPLICATION °�- Al;� � �, 2U2J n
Parcel I.D. 050-521-42
Property owner(s) Harbison Day phone 229-0154
Mailing address 25935 White Spruce Drive
r �z
Site address 25935 White Spruce Drive
Legal description (Sub'd., Block & Lot) VALLEY VIEW ESTATES #1 BLK 2 LT 8
Legal description (Township, Range & Section)
-
Lot Size 50,047 Sq. Ft. Number of Bedrooms 3
7e
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑ Initial ❑
Single Family (SF)
0
(w/wo ADU)
Septic Tank ElUpgrade ElDuplex
(D)
ElHolding
Tank EJRenewal ElMultiple
Dwellings
❑
Privy ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signatd
�ff
or authorized agent)
Permit/Rush Fees: a01
Date of Payment: 4 btf l 20-RO
Receipt Number: 6640M D
Permit No. 0,5P26105-7
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\FormsUient FormsTermit Application.doc
�TH� IM
ENGINEERING
Date: 4/11/20
To: MOA On -Site Services
SteveEng.com
Steve Eng, PE, PH
PO Box 770724, Eagle River AK 99577
907-694-7028 3
SteveEngPE@gmail.com 1° a
Subject: Valley View Estates #1 Block 2 Lot 8
Septic System Upgrade
Number of Pages: 5
RUSH REQUEST- Biocycle broken- Effluent can be seen running below surface
The subject property has been served by a septic system for a number of years. The Biocycle tank
is to be decommissioned and a new Advantex/Lift Station system installed. The entire subdivision
is on private wells and septic systems. The terrain slopes toward southwest, but is flat at the site of
the replacement.
Please review the wastewater system design for the existing home. I have included design plans &
specs, design guidelines, & soil tests. If there is need for additional information or clarification
please give me a call.
Thanks -Steve
TH
EN�wI�-
EERiNG Valley View Estates #1132 L8
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is an existing 3 -bedroom, home, in a developed
subdivision. This is a rehabilitation of the existing system. An Orenco System AdvanTex,
with 1500 gallon processing tank and 1-AX20 filter pod with Lift Station to be used. The
existing trench to be utilized. No conflicts to neighbor properties by the replacement.
Decommission old Biocycle.
Specification Requirements: All components and work must comply with the MOA
Specifications (AMC) & State DEC, Orenco Systems Regulations
• Installation by an Authorized AdvanTex Installer only; approval issued by Orenco
Systems & Anchorage Tank & Welding, Inc.
• 1500 gallon, two compartment AdvanTex processing tank, 1-AX20 filter, VeriComm
Monitoring System & Mode la standard package per AdvanTex System Manual.
• Watertight couplings on inlet & outlet.
• 5' minimum between the tank and bed. 10' minimum to property lines.
• 3' of cover or insulation is required for trench; an equivalent of 1" insulation for 1'
soil cover. Minimum 2" insulation.
• Tank & solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required F to 4' from foundation wall,
prior to any 90 degree bend in 4 inch line, prior to the processing tank.
• All cleanouts must extend to at least ground level
• Bedding to be pea gravel or MOA -approved equal.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661,
• Sewer Service Line is minimum 2% slope
• Maintenance agreement for the AdvanTex Treatment System is required for approval.
• Insulation board shall be extruded direct burial polystyrene (Dow Styrofoam HI or
equal)
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MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this i'- _ Day of .gyp �A U of 2020 , by and between
tll uT A'�-� lSo� herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as S KI L 5 J S—r��n
located at (legal description)
215`i35- w4rr6
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
10r Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS sha61 be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
1-4 It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
caner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
._� Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect she
AWWTS. The Municipality will give at §east 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
��Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or unti�5 title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement 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 Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
4
By: (signature) Date: 0 Y 1y k0 ?-fl
t&513 tj (print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoing 1 nt was acknowledged before me this i6ay of
2�, by G
14M
lgl coal"NOT Y UBLIC FOR ALASKA Pub11cq Baker!1f AlaskaMyCommissionexpires: 03`-st �02� Exp: OJl28/2027
MUNICIPALITY:
By: (signature)
(print name)
(rev. 05/18/2018)
Date: /
Title:
Page 3 of 3
Scanned with C -C
Municipality of Anchorage .."~
Development Services Department "1~.
Building Satety D~vision
On-Stte Water and Wastewater Program. 4700 S. Bragaw St.
P.O. Box 196659 Anchorage. AK 99519-6650 Page of
www. cl.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ..~L3~/O~-O~ ![o PIDNumber. 0~0-' 5.0--1- ~ ~'"'
n,..~ ~---d ~ %14,vl-(. '~"(~- WastewaterSystem: DNow [~Upgrade
*~"" r~,--~,~ '~'l~'~.e.. ~?-o,e~ ~c ABSORPTION FIELD
LEGAL DESCRIPTION .,~
~ ~,. 5 0~,
Well: [-~ New r-I Upgrade c.,~,~,,,~
o,..,.~ -*'4~' ...~.,.w.,...., -,- ~ ~.,.-..,- 1,/~
,..,, ~ I.~s.., ~,. c.~~ TANK
SEPARATION DISTANCES D Sept~ D Hold,ns ~ S.T.E.P. ~lhet
T~O Septic AbsorptionLiE He,lngPubli~nvale~
s~..~.,., ~o ~1o N~O ~ ~ s,,. ~.,LIFTSTATION
"'~*' B~NCH ~ARK
Enginecfs ~tamp
['"'~'<77;: . , '~,
2~ I~-~-o~
Development Se~ices Depa~ment Approval ('~.~ * ~,:_ ~.'.
5
6
N
49~h
\
\
No. CE-~e~
SCALE, 1' ~
AS ~I~LT
TOBBEN SPURKLANO P.E.
205 W ISTH. AVENUE
ANCN. AK. 99501
(907) 27.~-$916
PERMIT #SV0£0416
I I, OT 8 BLOCK £ V~ ~ ESTA~E/I
ED AND JEANNE MEE
WHITE SPRUCE DRIVe, EAGLE R~R
plB # 050-5pl-4p
II SEP17C SYSTEM DESIGN
DATE: OCT. 2.9, 20O2
SNEEr: 2/3 GRID: 0265
VALOpOoP.~V6
A~TH 3d34
I STANBA£$ TRENCH
~ ~~ D '..-
~~~-~:~ ~ . :~ ..... - ~rNc~
MARK
~ ' ' AXXUHE~ ELEg
203 N' 1517.1. A~NUE
ANCH. ~. 99501
PERMI~ # $V0£04~6
I0
BLOCK £ VAU. EY
ED AND J~NNE
~ SPRUCE DRIV~ ~G~ RI~R
SEP17C SYSIEI,( $CHEi, IATIC
DAIT: OC~. 29, 2002
SHEET: 3/3 GRID: 0263
PIB# 050-5RI-4~
V/V. OE~I~VG
October 18, 2002
To Whom It May Concern:
RE: Lot 8, Block 2, Valley View Estates Add. No I
i installed the electrical for the BioCycle system installed at 25935 White Spruce in Eagle
River. The electrical was installed to current code.
Paul B. Erickson -" P~
Licensed IBEW Electrician
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wa.ntewater Program
4700 Bragaw Steer
P.O. Box 196650 Anchorage, AK 99519-6650
v,'ww.ci.anch orag e.ak .us
(907) 343-7904
PROPERTY OWNER AGREEMENT FOR TIIE MAINTENANCE OF AN ON-SITE
WASTEWATER DISPOSAL SYSTEM
This agreement, dated /~ --'//-^'),-La 9.- , is made between the Municipality of Anchorage
Development Services Department (DSD) and the property owner(s) of:
.7 uM/e, .U;eoo add /
/
This agreement is made for the purpose of maintaining an on-site wastewater disposal system on
the subject property.
The property owners agree to the following:
Submit to the Municipality of Anchorage, on an annual basis, un inspection and operation
statement from a registered professional engineer. This inspection and operation statement shall
verify that the engineer has inspected all effluent and air pumps, timers, and alarms, and that any
deficiencies have been repaired and that the system is functioning as designed.
/ ' (~ignature) (Signature)
(Printed Name)
(Printed Name)
iState of Alaska
NOTARY PUBUC
. Lynn Houser
My commission expires 3-16-2003
The Foregoing Instrument was acknowledged befo.r.e me by
:~C'c,.~ I¥1<<. on this %- Oc+~day of
0 c4o t:~r ,2o.__~.
itn s. my hand {m~l seal.
iqotar~.Public (Sig~nature)
Lf ~ t%~ ,/
~ot~'s printed n~e)
My Co~ission Expires
MUNICIPAUTY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 South Bregaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 15, 2002
Expiration Date: Oct 15, 2003
Permlt Number: SW020416
Legal Description: VALLEY VIEW ESTATES #1 BLK 2 LT 8
Design Engineer. 0007 Tobben Spurkland, PE
Owner Name: Ed & Jeanne Mee
Owner Address: 25935 WHITE SPRUCE DRIVE
EAGLE RIVER, AK 99577-
Parcel ID: 050-521-42
Site Address: 025935 WHITE SPRUCE DR
Lot Size: 50047 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:.
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Pdvate 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 Ddnking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours pdor 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 dudng 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 new test hole needs to be performed at the location of the new trench during the time of construction. Please'
submit this with the As-built.'
-The original trench is too close to the foundation of the house and needs to be permanently abandoned. Please
-state on the As-built.
Received By: ~ ~..
Issued By~
Date: IC~ ti ~,/& ~r
Date:
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/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parce! I.D.
Permit Number SW
Pro~e~y owner(s) ED
Mailing address (1) ~.~..~'~.1.~',~
r,Jailin~ address (2) ~
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
, , ,~~ Acres~
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tu~
Swimming Pool
The:apy Pool
~ I~. ~ Day phone ~ ~q-~O Z-
ZipCode ff 5 77
Number of Bedrooms
Well Only
Water Storage
Jacuzzi'
Water Softening Unit
I ce~ify that the above information is correct. I further certify that this application is being mace for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized ~ent)
(Re,; 12.'00)
T.S?UP LAND
203 W 15th. Avenue, Suite 203
ANCtlORAGE, ALASKA 99501
(9O7) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 8, BLOCK 2 VALLEY VIEW ESTATE #1
WHITE SPRUCE LANE
Municipality of Anchorage
Development Services Department
Building Safety Division
On Site Water and waste Water Program
4700 South Bmgaw Street
Anchorage, Alaska 99519-650
October 15, 2002
We are submitting an application for the upgrade of the septic system for this lot. The existing
system, installed in 1981 recently failed an adequacy test. This submittal consists of three (3)
drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the
proposed improvements of the lot, of which only the septic system is subject to this permit
application, (sheet 2/3), and a schematic ofthe septic system, (sheet 3/3). Soil logs and percolation
tests of applicable test holes are also enclosed. The septic system design is based on the following:
Lot 8 is a steep lot where the building pad for the residence was carved into the hill side. Excavated
material was placed on the downhill slope to create the pad for the residence and a front yard. The
depth of the fill material is 8.5 feet at the test hole location and about 5 feet at the proposed location
of the new trench. The pen: test was performed at 7 feet, in the undisturbed natural soil, at the
location shown on the site plan
Due to limited space we request a lot line waiver to 0 feet, in order to obtain maximum separation
between the proposed trench and the original trench. There is no alternate location on the lot where a
drain field can be installed. The hill side behind the residence is not accessible due to steep slopes.
At the proposed location the drain field will be approximately 20 feet from the top ofthe slope which
varies in height from 15 feet at the north end of the proposed drain field to 5 feet at the top of the
drive way.
The end of the existing drain field is 95 feet from the well and 5 feet from the foundation. The
beginning of the trench will be located during the installation of this proposed up grade. That
section of the existing trench less than 10 feet distant from the foundation will be abandoned.
Limited area available for replacement system. Minimize foot print.
Use Standard trench with BioCyele
Soil Rating. From Testhole 09/23/02. 10 rain/in = 3 gal per sq.flIday
No. of Bedrooms 3
Required Area per Bedroom: 150/3 --75 sq.ft,
Total area required: 75 x 3= 150 sqft
Rock Depth 5 feet
Minimum Trench Length 150 /10 = 15
USE 30 FT
SYSTEM CONFIGURATION
BIOCYCLE
STANDARD TRENCH
TOTAL LENGTtl 30 FI'
TOTAL WIDTH 2 FT
TOTAL DEPTH 10 FT
ROCK DEPTtt 5 FT
COVER 5 FT
The installation of this septic system will not prevent wells from being installed on the adjacent
lots.
There arc no developed or natural surface / sub surface drainage courses on this or the adjacent
lots.
The proposed septic system will not change the general slope of the area. Ponding and/or
concentration of surface runoffwill not result from this installation.
T.S?L =W LAND ]P.E.
203 W I$~. Avert-e, Suite 203
ANCHORAGE, ALASKA 99501
(907) 279-3916
Fax (907)-276-6013
SEPTIC SYSTEM DESIGN
LOT 8, BLOCK 2 VALLEY VIEW ESTATE #1
WHITE SPRUCE LANE
Municipality of Anchorage
Development Services Depm'tment
Building Safety Division
On Site Water and waste Water Program
4700 South Bragaw Street
Anchorage, Alaska 99519-650
October 7, 2002
We are submitting an application for the upgrade of the septic system for this lot. The existing system, installed in 1981
recently failed an adequacy test. This submittal consists of three (3) drawings showing the present improvements on the
lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is
subject to this permit application, (sbeet 2/3), and a scbematic o fthe septic system, (sbeet 3/3). Soil logs and pereolmioo
tests of applicable test holes a~e also enclosed. The septic system design is based on the following:
Lot 8 is a steep lot where the building pad for the ~sidence was carved into the hill side. Excavated material was placed
on the downhill slope to create the pad for the residence and a front yard. The depth of the fill material is g.5 feet at the
test hole location and about 5 feet at the proposed location of the n~w trench. The perc test was performed at 5 feet, in
the undisturbed natural soil. Due to limited space we request a lot line waiver to 0 feet, in order to obtain maximum
separation between the proposed tronch and the original trench. There is no alternate location on the lot where a drain
field can be installed. The hill side behind the residence is not accessible due to steep slopes. At the proposed location
the drain field will be approximately 15 feet from the top of the slope which varies in hight from 15 feet at the north end
of the proposed drain field to 5 feet at the top ofthe drive way.
Limited area available for replacement system. Minimize foot print.
Use Standa~l trench with BioCycle
Soll Rating. From Testhole 09/23/02. 10 minfm = 3 gal per sq.~day
No. of Bedrooms 3
Required Area per Bedroom: 150/3 =75 sq.9..
Total area required: 75 x 3= 150 sqft
Rock Depth 5 feet
Minimum Trench Length 150 /10" 15
USE 30 FT
SYSTEM CONFIGURATION
BIOCYCLE
STANDARD TRENCH
TOTAL LENGTH 30 FT
TOTAL WIDTH 2 FT
TOTAL DEPTH 10 FT
ROCK. DEPTH 5 FT
COVER 5 FT
The installation of this septic system will not prevent wells from being in, tailed on thc adjacent lots.
There arc no developed or natu~l surface / sub surface d~iuagc courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface
runoff will not result from this installation.
,I
\
I/HITE SPRUCE LANE
..... --,~--% ~-::+-,~_-:~.-
/*-"5
/ ~'. I ~ : ~%~
'-~ / /
[OBSEN SPURKIAND P.E.
205 8t l$1tt. AVENUE
ANCH. AK. 99501
LOT 8 BLOCK £ VJII~Y ~ ESTATE~I
EO AND JEANNE ME£
~IHIrE SPRUCE DRIVE, EAGI~ RIVER
[ SEPI~C SYSI~I DESIGN
DARE: OCT. 4, 2002
SHEEr: 1/$ GRID: 025S
PERMIt # SVO2OXXX PIB # 050-521-4£ VALO2OS1.BVG
6
~q~ALLBI~
IN~AL~
N
49'th
\
No.
SCALD 1' ~
~ AMD J~NNE
SPRUCE BR~ ~G~
SEP17C SYSTEN DESIGN
DATE: OCT. 4, 2OO2
SHEET: 2/$ GRID: 0255
PERMIT #$VO2OXXX PIB # 050-5£1-4£ VALO2OS~.BVG
5
8
I
_J
th
\
SCALE, I'
6
Lmm m
TOBBEN SPURKL4ND P.E.
2O3 VI ISTH. AVENUE
ANCN. AK. 99501
PE£NIT #SVO2OXXX
LOT 8 BLOCK £ ¥$~.tk~Y ~ ESTATL~/I
ED AND JEANNE WEE
~ SPRUCE DR~ ~G~ RI~R
PID # 050-5£I-4£
SEPTIC SYSTEId DESIGN
DATE: OCT. 4, 2002
SHEET: PI3 GOLD: 0255
VALO£ON~BW6
STAN~ARB TRENCH
205 I~ 15FH. AVENUE
4NCH. AK. ~9501
(90X) 279-$9;6
PERMIT # SVO28XXX
BLOCK 2 VALU~T ~ EST'ATES [1
ED AND J~NN£ W~
~ SPRUCE DRIV~ ~G~ R~
SEPTIC SYSTEW SCHE%IANC
DATE: OCT. 7. 2002
SH£~T.. 3/3 GRID: 0263
PIB # 050-5£1-4£
Performed For:
Legal Descrip[ion:
Municipality of Anchorage
Development Services Department
I~u~d[ng Safely Division
4700 South Sragaw SL
P,O. Box lgESS0 Anchorage. AK 99519-6650
(SO7) 343-79O4
Soils Log - Percolation Test
10-
11-
12-
13-
14.
15.
17-
1~.
19.
20-
III
Site Plan
$
L
0
P
Re3ding
Dale I Gross33me I NetTime IDepthto¥1ater[ NetDrcp
PERFCP.:J--'D~y; ~. ~:> , I ~ ~ CE;[TIFYT.ATT.'-iISTESTWAS
PERPORMED IN ACCORDANCE WITH ALL STATE AND MU,%CIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
Municipality of Anchorage
Developmenl Services Departmenl
Building Safeb/Division
On-Sde Water and Waslewafer Program
4700 $oulh Br~gaw St.
P.O. Box 196650 A~chorage, AK 99519-6650
www gl ;~nch~,r;~q~ ~(.li,~
(907) 343-7904
Soils Log - Percolation Test
'"~,~.- ~- ~-~- Dale
(ENG~NEE R'S SEAL,
Site Plan
WAS GROUN0 WATER
ENCOUNTERED? ~'~ 0
$
IF YES. AT WHAT 0EPTH'~ L
Deplh lo Waler After O
£
Reading Dale Gross Time Nel Time DeDIh Io Wa:e~ I Ne:
u'T/¢ ~'" '~ "- ,o ~o%] t'l~
,o ,o 1,
I~'~/e~'w~) PERC HOLE OIAMETER b
..... ~ I'EST ~RUN BETWEEN '7 FT AND FT . ~
=ER=CRMED ~N CERTIFY THAT TH;~ TEST "' ~
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. ' ~ D~ ~
George P. IVuerch.
Mayor
Municipality of Anchorage
Building Safety' Division
Anchorage
Ali-America City
2002
10/15/2002
Tobben Spurkland
Subject:
Waiver Request for Lot Line
Waiver Request #WR020079
Parcel ID #050-521-42
Dear Mr Spurkland:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to property line has been approved. The approved separation distance is
0.0 feet.
q-his waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site ;vastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this xvaiver, please call our office
at 343-7904.
Sincerely,
On-Site Water & Wastewater Program
P.O. Ik)x 19C~L'50 * Anchorage, Maska c.)9519.6G50 *Tclcphonc: (907) 3-13-8,301 * Fa.x: (907) 343-8200
4700 South Bragaw Strcct* Anchorage, Alaska 00507
h t t p://www.et.m~ch orag¢.ak.us
Municipality of Anchorage
Development Services Department
Building Safely Division
On-Site Water and Wastcwater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchoragc.ak.us
(907) 343-7904
Waiver Review Worksheet
WRO: 020079 PIDO: 060-621-42 HA0:
Permitfl: sw020411~
Date Received: I~f16/02
Legal Description: Valley View Estates #1 BI 2 Lt 8
Engineer. Tobben Sourkland
Applicant:.
Waiver Requested: Lot line waiver of 0 feet to trench
Criteria: Geology
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Points:
Total:
Waiver Is Granted: J Waiver is not Granted:
List Conditions o~ Reasons for above:
Rec~: 26891 Amount: $1~) Date Paid: t1~t1~/2002
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
P~ONE ~'EW
~ ~Z Manufacturer.~/~ Materla~4e j ~ No. of c~artments
0 Z ~ Manufacturer Mat~id[ Liquid~ ~n g~lons
~ ~ Distance bet ee lines
~ N°'°flines Lengthof~y~chi'nep Total[engtho ne~ .-' inches
~ ~ Top of tile to fi'nish grad~~/ Material beneath tile~p~ti~ area
C, . Depth Driller Distance to lot line ,
OTHER
PIPE MATERIALS ~3 (-?
SOl L TEST RATING ~
REMARKS ~
I ,/
72-013 3/78)
PERMIT NO.
DEF'RRTMENT OF HEALTH AND EN',,,'IRONMENTAL, ~OTEZ:TION
825 ~L~ STREET, ANCHORAGE, AK. 99501
264-4720
( 8i0i80 )
APPLICANT
LOCATION
LEGRL
C & P DEVELOPMENT' POST OFFICE B0X S2~ 99577 694-2S50
E.R. VRLLEV RORD
L 8 B 2 VALLEY VIEW ESTATES LOT SIZE 54000 SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MRXIMLIM NUMBER OF BEDROOMS = ~ SOIL RATING (SQ FT?BR)= 275
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
[)EF"TH==: ZE~ LE~"3T'Jff= ~]2 I]R~%."EL B"EF"[H== ~:
THE LENGTH DIMENSION IS THE LENGTH (IN 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 E×CRVATION (IN 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 E×CRVATION (IN FEET).
RE~]:-.~LI )1 RE[:" SEF"]- I ~]: ]-RNK '}:-; ?: ZE--- i£'~ ~..-'::''" ~--H:''"
PERMIT AF'PLICRNT FIRS THE RESPONSIBILITV TO INFORM THIS DEPRRTMENT DURING THE
INSTALLATION INSPECTIONS OF ANV WELLS ADJACENT TO THIS PROPERTY AND THE
NIJMBER OF RESIDENCES THAT THE WELL WILL SERVE.
BRCKFILLING OF RNY SYSTEM WITHOUT FINAL INSPECTION AND RPPROVRL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
i00 FEET FOR R PRIVATE WELL OR ±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND
TO R COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPRRTMENT 1.4ITHIN 30 DAYS
OF' THE WELL COMPLETION.
OTHER REQUIREMENTS MAY RF'PLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTRLLRTION.
I CERTIFY THRT
t: IRM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET
FORTH B'¢ THE MUNICIPALITY OF ANCWORAGE.
2: I WILL INSTALL THE SYSTEM IN RCCORDANCE WITH THE CODES.
Z-'.: I UNDERSTAND THAT THE ON-SITE SEWER S"¢STEM MRV REQUIRE ENLARGEMENT' IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THFIN ]: BEDROOMS.
SIGNED: ...............................................
~PPLICAN-F C & P DEVELOPMENT
I SSLIEDp,_.,~, .................................. [.-,'~-iTE__L..~__(~.[L - - .... v4. o
Applicant:
Location:
F'-'~UNI~IPALITY OF ANCHORAGE -'-
Department~2 Health and Environmenta~ .'refection
825 L Street, Anchorage, AK. 99501
264-4720
* * * HANDWRITTEN PERMIT * * *
Type of Soil Absorption System Is: ( ~'
Trench: /,~_--Drainfield: Seepage Bed: __Holding Tank:
Maximum Nu~'ber of Bedrooms: ~ Soi~ Rating(sq.ft/br) ~(~
The Required Size of the Soil Absorption System Is:'
D.PTH ¢ LEN T GRAVEL DE T, W DTH'
The length dimension is the length(in 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(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall ~ipe and
the bottom of the excavation(in feet).
* * REQUIRED SEPTIC(HQ.L-B,I,NG) TANK SIZE = /'~ GALLONS * *
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* * * TWO(2) INSPECTIONS ARE REQUIRED * * *
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 sewage 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. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 3L 1 9 8 1 * * *
' I certify that:
(1)
(2)
(3)
I am familiar with the requirements for on-site sewers
set forth by the Municipality of Anchorage.
I will install the system in accordance with codes.
I understand that the on-site sewer system may require
and wells as
enlargement if
Signed:
the residence is remodeled to
Applicant
include moreC~edrooms. Issued
O & E ENGINEERING & DEVELOI~ MENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster Earl Ellis
694-2774 SOIL LOG 688-2280
Depth (feet)
Soil Characteristics
0
9__
10__
11__
12__
15__
16__
PLOT PLAN
PERC. TEST
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments:
Pedormed by:
No / If yes, what de
Drain Field.__
Date:
(ger,.-ifieit ?:illing og
SULLIVAN WATER WELLS
P.O. BOX 6702}'2, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759
DEI'Ttt OF WELL
STATIC LEVEL OF WATEr
I)RAW DOWN Fl.
GALS. PER HR
KINI) OF CASING
KIND OF FORMATION:
From O Ft. to .~;~0 Ft, ~--~ ~1[ i-td ~ ~1~1. ,- From Ft to Ft
Frdm ~O_Ft: to ~O Ft. ~ 6~ ~0~ From_
Fron~-0 Ft. to~Ft. ~oo~ ~rO~<~From__Ft. lo Ft.
F~om ...... Ft. to__ ~Ft. ~rE~ From . _Ft. ~o Ft,
f,'om~ Fl. to ~6&.Ft, ~ O ~g~ ~O~ From Ft. {o~Ft
F~om ..... Ft. to_~Ft. ~/ &OD~T~ ~' From~Ft. to Ft.
F~thl~ ........ Fl to. __Ft. From
From~Ft. Io Ft.
From.~ Ft. to Ft.
From_~Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. lo_ Ft.
From Ft. to__Ft.
From_ Ft. to Ft.
From __Ft. to__Ft,
From Ft. to__ _Ft.
MISCIL,.
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
OCT 1 I 1991
RECEIVED
· . Eagle River Engineering Services'. '
A 11940 Bu~ine~ Blvd, Suite #205
P.O. Box 773294 694-5195
Eagle River, Ak. 99577 Fax 694-3297
Owner: D~ v/~ ~/5 Dote:
... ,. .,..: ~ ~tf
Type of test:
O Well Flow ~e~t ~Septic ]e~t Only U Well · SepUc ~es~ D Other: _
Meter Monitor Well ~onk GPM ~SI Remork~
Time leading Level Level Level
~J~ v
A
Bagle River ~ngineering Services
11940 Business Blvd, Suite #205 ..
P,O, Box 773294
Eagle River, Ak. 99577
694-5195.
Fax 694-.3297
Meter Well GPM
Time Reading Level
,,
~o:~ 177~ ~q7 2.4
Date: ~ A del e/I
Meter Well GPM
Time Reading Level
11:~6:'5o ~ '~q~ ,4(o
Eagle River Engineering Services
A 11940 Business Blvd, Suite #205
P.O. Box 775294
Eagle River, Ak. 99577
694-5195
Fax 694-5297
Legal:
Owner:
Date:
Meter Well GPM
Time Reading Level
~; 16; ~'~. ---, ~10 .---
Meter Well GPM
Time Reading Level
Tom Fink,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
October 25, 1991
Leu Butera, P. E.
Eagle River Engineering Services
PO Box 773294
Eagle River, Alaska 99577
Subject: Waiver Request for Lot 8 Block 2 Valley View Estates
Waiver Request ~WR910050, PID ~050-521-42, HA910474
Dear Mr. Butera:
#1
Your request for waiver of the required 100 foot horizontal
separation of a septic system to a private well has been approved°
The approved separation distance is 95 feet.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will.
require all separation distances be met or another approval
from this department.
Sincerely,
Daniel J. Roth
Civil Engineer
On-site Services
Concur:
On-site Services
ljm:~6
MUNICIPALITY OF ANCHORA~
Dep~_tment of Health and Human Services
WR# WR9'~050
Date Received:
Legal Description: Lot 8
Engineer: Lou Butera, P.
On-site
Waiver
PID# 050-521-42
Services Section
Review Worksheet
HA#
PO Box 773294, Eagle River, Alaska
Applicant: Daved W. & Teresa L Lorring
Waiver Requested:
Permit
October 11, 1991
Block 2 Valley View Estates #1
E., Eagle River Engineering Services
99577
private well to existin~ leachfield of 95 feet
Criteria: 1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
Points:
3. Other:
Waiver is Granted: ~ Waiver is NOT Granted:
List Conditions or Reasons for above: ~ ~/~('/-~_~
Date:
By: ~ Reviewer
Rec #: 23138 Amount: $ 590.00 Date Paid: Oct 11, 1991
.~o8 7
Louis Butera, P.E.
Registered Civil Engineer
October 9, 1991
John Smith, P.E.
Department of Health & Human Services
825 L Street
Anchorage, AK 99502
Re: Lot 8, Block 2, Valley View Estates #1
Dear Mr. Smith,
At the request of our client, Mr. David Lorring, we are applying for a waiver of separation
distance for private well to existing leachfield of 95'.
The system was installed in 1981 and the separation distance of 95' was acknowledged on the
original permit application and inspection report.
Attached is our analysis of the site conditions that justify a waiver approval. We request your
concurrence to allow subsequent Health Authority Approval.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P2E.
gECE!VED
P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907) 694-5195 · Fax (907) 694-3297
EAGLE RIVER
ENGINEERING SERVICES
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694-5195
jo~Valley View Est.#l, Lot 8, Block 2
91-108
8MEET NO.
CALCULATED BY
CHECKED BY
SCALE
OF¸
L .B. D^TE 10/09/91
DATE
Distance to water table - 370 =. 36 ~
SGilSomfiofi : :~ :~ :. : ::
:: 'FkomW;]l]Ogi :: :: ;: ;: :: ~:
~y~o~ ~dygr~ (!:0)~ ~ ~ ' :
bedr6¢k (6;0):, & 56-S~ i ~5
i72:~67
330:380 ~ S0
fractflred ~:
~ 267_~69 ~ 2 :
~ade ~adi~nt ie: b~mck pl~e Pe*enflicdar io ~ell
Hofiionm" : : & : 95':: :: :~ :. :, PoimVfilu6 ~ 2.8
11411 Old Glenn Hwy. · Eagle River. Alaska *Bus. (90r) 694-9125 * FAX (907) 694-3093
~C~ ..................... ·
A~chor~ge ~eor~n~ Preel~ Alaska, sn~ that the
tm~rovem~n~ ~luatcd the[eon
Ilne~ and do not overlap or.ener~ch on
~ihg adJn~nt thereto, that IlO i~rovement$ on
question and thut there ~re no ro~w~,
II~e~ or other v~lb e ea~e~ell~ oft ~[d ~to~y ~xeept
as lndiqated he.on.
Dated at };~le Rix'eh Ala~ka .
,,,,. z7 ~ d.~ o~~ 2~7 ...........
ROBERT C. JOIINBON .~
~A~: . ltcaist~,~d,La~
Eagle River Engineering
P.O. Box 773294
Eagle River AK 99577
Attn: Louis Butera
NOItTI'IEI{N TESTING LABORATORIES, INC.
3330 I~DUSTRIAL AVENUE FAIRBANKS, ALASKA 99~ (907) 456-3116 · MX 456-3125
2505 ~IRBANKS STREET ANCIIORAGE, ALASKA 99503 (907) 27A8378 · MX 2~-9645
Report Date: 09/29/91
~ate Arrived: 09/24/91
Date Sampled: 09/23/91
Time Sampled: 1300
CollectedBy: SG
Our Lab #:
Location/Project:
Your Sample ID:
Sample Matrix:
Comments:
Lab
Number Method
Al14321
Valley View #1 8/2
Water
Parameter
Definitions
MDL = Method Detection
Limit
B = Below Regulatory Min.
H = Above Regulatory Max.
E = Below Detection Limit
Estimated Value
Date
Units Result Flag MDL Analyzed
Al14321 EPA 300.0 Nitrate-N mg/1 <MDL 0.1 09/24/91
Reported By: William E. Buchan
Anchorage Operations Manager
O' & E ENG,NEERING & DEVELO,:.MENT .CO.
Ru.seli Oyster
694-2774
Performed for:
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Legal Description:
Earl Ellis
SOIL LOG 688-2280
Mailing Address: ~"(-)' /~O,k" ~-~.'~:~,- ~--~',zg~-~:~ ~C,'~',,~,,' ,/~',
Depth (feet)
SoU Characteristics
0
1__
8
10--
11__
12__
15__
16__
Ground Water Encountered: Yes , No ~ If yes, what depth
Proposed Installation: Seepage Pit
Drain Field_--
Comments:
Performed by:
PLOT PLAN
PERC. TEST
.~/+"/-,~7" =~o .,-,,,,~, ' J
0~,.4~r7~'~
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-521-42
Expiration Date: /- ,,,~'-"- /'~)
1. GENERAL INFORMATION
Complete legal description Valley View Estates #1, Block 2 Lot 8
Location (site address) 25935 White Spruce Drive, Eagle River, AK 99577
Current Property owner(s) McKj_rLney, Michael
Mailing address same
Lending agency
Mailing address
Real Estate Agent Mark Soquet
.Mailing,Address 4155 Tudor Centre, Anchora,qe
Unless otherwis,¢ requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
Day phone 561-1616
Day phone
Day phone 561-1616
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class __
Public Water System
Well
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
[] Individual Holding Tank []
[] Community On-site []
[] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of 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 sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm NorthRim Engineering Phone 694-7028
Address PO Box 770724, Eagle River
Engineer's Printed Name Steve Eng Date 10/20/2011
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The
assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow
and absorption rates may change due to subsurface conditions that may not be observed from the surface,
changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the
water usage of the family being served by the system. The operational life of all well and [e~.~.y~te_ms are
subject to these various and dynamic characteristics and are outside the contrOl of the
evaluator of the well and septic system. ~,~c",
DSD SIGNATURE }~¢
~/ Approved for ~ bedrooms. '~
Conditional approval for bedrooms, w~th the following stipulatio~t
WATER AND ;
WAs'rEW. .TER
PROGRAM ..'
· . .... ..
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
Municipality of Anchorage
Development Services Department
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
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Valley View Estates #1, Block 2 Lot 8
A. WELL DATA - Public Water
Well type P If A, B, or C provide PWSID # Well Log (Y/N)~ ~/
Date completed ~/87 & 2/6/81_ Sanita~ seal (Y/N) Y
Total depth ,562 ft. Cased to 60 ft.
FROM WELL LOG
31_5
Date of test
Static water level
Well.production
Parcel ID:.050-521-42
5 g.p.m.
WATERSAMPLE RESULTS:
Coliform Pass colonies/100mL Nitrate 1.24 .mg/L
Arsenic: 0.732 ug/l mg/I Date of sample: 1_0/20/11_
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material B. i.ocycle
Wires properly protected (Y/N) Y
Casing height (above ground) 30 in.
AT INSPECTION
101181t 1
375 ff.
3.8 g.p.m.
Collected by: NRim Eng
Date inStalled 10/16/02 Tank size 1_600 gal.
Number of Compartments _4 Cleanouts (Y/N) _Y Foundation cleanout (Y/N) Y_. Depression over tank (Y/N) __N
High water alarm (Y/N) ¥ Date of pumping NA Pumper
C. ABSORPTION FIELD DATA
Date installed !0/16/02 Soil rating (g.p.d./ft2 or ~/bdrm) 3-- System type Trench
Length 30 ft. Width --2 ft. Gravel below pipe 5ft. Total depth 10 ft.
Eft. absorption area 300 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 10/18/11
Fluid depth in absorption field before test
Elapsed Time: 60 min. Final fluid depth
Results (Pass/Fail) Pass For 3__ bedrooms
42 in. Water added 4,50+ gal. New depth 55
48 in. Absorption rate >= 450+ g.p.d.
in.
Any rejuvenation treatment (past 12 mo.)(Y/N & type) Unknown If yes, give date ---
LIFT STATION
Date installed 101t6/02 Size in gallons 1600
"Pump on" level at 25 in. "Pump off" level at 44 in.
Datum Top Cycles tested 3
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100+
Absorption field on lot /*00+
Public sewer main NA
Sewer/septic service line 25+
Animal COntainment areas tO(Y+
Manhole/Access (Y/N) Y
High water alarm level at 22 in.
Meets alarm & circuit requirements? Y
On adjacent lots 100+
On adjacent lots /*_00+
Public sewer manhole/cleanout NA
Holding tank aa
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Property line /*0'+
Water service line /*0'+
Absorption field 5'+
Surface water 100'+
Surface water /.00'+
Wells on adjacent lots 100'+
Water main NA
Driveway, parking/vehicle storage
Building foundation 5'+
Water main NA
Wells on adjacent lots 100'+
SEPARATION DI STANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 0'+ Building foundation 10'+
Water Service line 25'+
Curtain drain
COMM'ENTS
100'+
10'+
O' Property Line Waiver
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal ~s that the above systems are in
COnformance with MOA COSA guidetines in effect on this date.
Engineer's Printed Name Steve EaR
Date 10/20/2011
COSA Fee $,,,,490.00
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
ANALYTICA
GROUP
NorthRim Eng
Attn: Steve Eng
17237 Bear Paw Circle
Eagle River, AK 99577
907-694-7028
Fax: 907-694-7026
Client Sample ID: ER25~/$5
Sampling Location: ER 2
Client Project: ER 2
Sample Matrix: DriVing Water
COC ~:
PWS~:
Residual Chlorine:
Comments:
Analytica Anchorage
4307 Arctic Boulevard
Anchorage, AK 99503
Phone: 907-258-2155
Fax: 907-258-6634
Report Date: 10/20/2011
Receipt Date: 10/6/2011
Sample Date: 10/6/2011
Sample Time: 1:30:00PM
Collected By: SE
Flag Definitions:
MRL = Method Reporting Limit
MCL = Maximum Contaminant Limit
B = Present also in Method Blank
H = Exceeds Regulatory Limit
M = Matrix Interference
J = Estimated Value
D = Lost to Dilution
** = RL higher than MCL; target not detected
TNC = Too Numerous to Count - result rejected
CF = Confluent Growth - result rejected
TCNG = Turbid Culture No Growth - rejected
Lab#: A1110172-0 lA
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
4500-NO3E (Aqueous) - Nitrate+Nitrite pres Test was conducted by: Analytica - Anchorage
Nitrate-Nitrite as Nitrogen 1.24 mg/L 0.50 10 10/17/201110/17/201 IMC
Lab#: A1110172-01B
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
9223B-PA (Aqueous) - Coliforms in DW Test was conducted by: Analytica - Anchorage
E. Coli Pass PASS/FAIL 1.0 I 10/6/2011 10/6/2011 KM
Total Coliform Pass PASS/FAIL 1.0 1 10/6/2011 10/6/2011 KM
Lab#: A1110172-01C
Analysis Method Prep Prep Analysis
Parameter Result Units Flags MRL MCL Method Date Date Analyst
200.8/200.8 (Aqueous) - Family Well Water I
Arsenic 0.732 ug/L
0.15
Test was conducted by: Analytica - Thornton
10 200.8 10/18/201110/18/2011RM
Page 3 of 3
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
AND
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
,f2~/d- Dayof O ~:-/--~.~z~ of20jl , by and between
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 ~ i O C '~,/r;//~ /
2. Definitions.
A. Alteration.
located
,'Anchorage, Alaska.
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.
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.
The term begins on the date of approval by the Municipality of the installed system and
shall continue while the AWWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On-Site approval is issued to
the new owner or transferee of the property.
5. Alterations~ Installation and Removal of Additional Equipment. Owner agrees
not to make any alterations, removal of parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s), (4)replacement costs, and (5) inspection Costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AWWTS
OperatingPermitis: ~_~ ,~ c~ t~ lC ~)
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
Owner:
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding shall be brought in the Superior Court for the Third Judicial District of the
State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and
obligations of the parties under this Memorandum of Understanding.
10. Severabilit~. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER:
By:
Title:
Date:
STATE OF ALASKA )
) SSo
THIRD JUDICIAL DISTRICT )
MUNICIPALITY:
The foregoing instrument was acknowledged before me thisc)~:[' day of
20 !t, by _, the
- '. ..... ~ -' ~ ."o~"
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastawater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci, anchorage.ak, us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
ParcelI.D., ~'~0- 6,'LI-W/-.-
GENERAL INFORMATION
Complete legal description LoT'
Location (site address or directions)
Current Property owner(s) ~- O(.
Mailing address
Expiration Date:_ ~- /--/o O ~'
Day phone
Lending agency
Mailing address
Day phone
o
Real Estate Agent
Mailing Address
Un/ess otherwise requested, HAA will be held by DSD for pickup.
NUMBER OF BEDROOMS: ~
Day phone
e
TYPE OF WATER SUPPLY: ·
Individual Well
Individual Water Storage
Community Class, Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ~
Individual Holding tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Deve!opment Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a sing!e-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year far properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation,
based on procedures ouUined in the Health Authority Approval Guidelines for this application, shows that the on-
site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is(are) in compliance with all appficable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
NameofFirm -t,- ~[~u.~-~--_~.~.~,t,,~ '~.
Address ~-0 -~ t,¢' I~',L~! /4 ~ '~
Engineer's Printed Name '~ ,;~ ~ ~ _~l~, ct,~.~.~ '~,,,
5. DSD SIGNATURE
~ Approved for .~
Disapproved.
Conditional approval for
bedrooms.
Phone
bedrooms, with the following stipulations:
Additional Comments
WATER AND
PROGEAM .-
....
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: / ,/- ~" 0 .D-
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Sou~ Bmgaw St.
P.O. Box 196850 Anchorage, AK 99519-6650
www.ci,enchorage,ek, us
(90?) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Descriplion: ~ '~P~roal ID:
WELL DATA
Well type
Date c~mpleted
Total depth
IfA, B, or C provide PVVSID
' ' Saniteryseal (Y/N)_~._
Cased to
FROM VVELL LOG
Date oftest ' . ' ~'-//"~ I
Static water level J ~ O
Well produchon ~
WATER SAMPLE RESULTS:
Coliform 0 c~lenies/100 mi.
Arsenic: V/ mg./I,
B. SEPTIC/HOLDING TANK OATA
ff.
g.p.m.
Ce
Tank Type/Material
Tank size JbO0 gal,
Foundal~on cieanout (Y/N)
Date of pumping
ABSORPTION F1ELD. OATA .
Well Log (Y/N). y
Wires properly p~o~ed (y/N), y
Casing height (above ground)
AT INSPECTION
' llt I o',..
Nitrate
Date of sample ,leJZIle~
lt.
g.p.m.
Number of Compartments
Depression over tank (Y/N)
Pumper
Date Jnstelted '/.e-'/I,-.~,- ::SOil rating (g.p.d./ft2 or.4t~edf~ ~
Total depth ~ ft. Eft. absorption area ~OOlt~ Monitoring tuba .
Date of adequacy test ~/A. Results (Pass/Fail) ~
Fluid depth in el:~orpflon field before test J in. Water added
Elapsed Time: '/' min. Final fluid depth V~n.
System type
High water alarm (y/N)
Any rejuvenation treatment (past 12 mo.) (YIN & type)
Gravel below pipe _~ ff.
y Depression over field
For ~ bedrooms
New depth
~ g.p.d.
Absorption rate >=
If yes, give date
Date installed
Cleanouts (Y/N)
Other bacteria ~ ~.~ colonies/lO0 mi.
LIFT STATION
Date installed IO-i(,-O ~-
"Pump on" level at ~-4~ in.
E. SEPARATION DISTANCES
Size in gallons 1~ ~ ~
'Pump off' level at ~ ¥~i~.
Manhole/Access (Y/N) /
High water alarm level at ~.~. I ,.. in.
Meets alam~ & circuit requirements? ~
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic sewice line
On adjacent lots
On adjacent lots
Public sewer manhole/cieanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Property line ~
Building
foundation
Water main
Wells on adjacent lots '~ j ~
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Pmberty line (~) Building foundation ,,~-0 Water main
Water Sen, ice line ~'0 '~ SurPace water ~
Curtain drain I~ J Ip Wells on adjacent lots _~
-- Odvaway, parldngfvahicte ~m'age ~
F. COMMENTS
G. ENGINEER'S CE a, ~ -- .~-- .~
HAA Fee $ '~7~' k~ Waiver Fee $
Date of Payment
Receipt Number
(R~,. lZ01)
Date of Payment
Receipt Number
AS-BIIILT
I hereby ce~ti~ that I~ have atrr~¢ycd lhe following
d~''°~ p~o~.~, L,~ Z- ~', /~'t,,~- ~-. ,'.-'
~or~e ~eo~g ~e~' ~n, ~ and ~t-~e-
l~es ~ ~o not ~ver]np e~ ene~e~ ~ ~e
~tn~ ndj~nt t~t~ that no imp~men~ on p~.
e~ ~ing adJa~vt ~e~to enoch on ~e p~mhes m
~u~ ~ ~a~ Ihe~ ~re no roadways,
~nes or other v~ible e~emen~ on ~id p~r~, ex.pt
as ~dicat~ hewn. . . , .
R1W:
" :- Location (site address Or directions) NHN Spruce' La~ne, Eagle River"~ '::'~-'
. i~ -_- L .- IJ Y ~.~------
· '- - - '~*L-,'"',*~:7' -%%t*;
-' Mailing address P.O; Box 644, cordova'; ~? 99574-" ::"' : ::,--z- --::--;- _
Lending agency N/A Day phone
Mailing address
Agent Cindy Linblo~./Great ~.,and Realty Day phone 694-9125
:,~L.?;?:' ;.,' Address ....... 114,11 O1.? C~l~nn Mwy~_: V, Rgq.~_' R4v.~. AK' 99577
- ' ' ":~: %Unlessothe~ise requeste¢ HA~ will be held forpickup.:'.;/ .; ~ .:-,:::~ ~.;;..' .... ::' ·
· ' _;¢'¢ Z L. 3 '
: .- , ..... :-=--- '-- ~;___:_--.- Community well=:~- -=-
.... <<-:~>'-..:-'_ -. Public water.; :':-:-;'::,. -'~. :~,' '
NOTE: If community well system; provide writte~ c~nfirmation from State ADEC attest-
mg to the legahty and status of system.*;.:
-. %.. '~.-' ...:. , .. -
4. TYPE OFWASTEWATER DISPOSAL:
....... X~ ~ ' =~.
Ho drag {~n~ ....................... :'
' ' Pub C sewer ' ~ --' ; :- ~, ', ~ ~-;'~ · '-:;~?;2-'; '~',
- sys e ,
attesting to the legahty and status of system.
-
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: y',~I.,L~,¥ J//~,l~) #/: LD7"~' ,/~L/~ 2 Parcel I.D.
A. WELL DATA
Well type
Log present (Y/N)
Total depth
Sanitary seal (Y/N) ~/~$
If A; B, or C, attach ADEC letter. ADEC water system number /"///,/~/
Date completed O~/~'") Driller
Cased to
FROM WELL LOG
Date of test (,~)z//
Static water level -~/
Well flow
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
~ sewer service line
Casing height
Wires properly protected (Y/N)
'7'
MUNICIPALITY OF ANCHORAGE
AT INSPECTION ENVIP..ONMENT^L SERVICES DIVISION
g.p.m.
OCT 1 5 1991
; On adjacent lots 7'',''~'~''
; On adjacent lots W,'~"~ '
Public sewer manhole/cleanout ~"/~'
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~ ~ Nitrate ~.~ /.,,~_ ~e~¢~4 Other bacteria
Date of sample: ~ /~/~'./~/ · Collected by: ~A!(~IA/I~E~2~
B. SEPTIC/HOLDING TANK DATA
Date installed 0z//~ ¢ o°/ Tank size ~0 Compartments ~--
Cleanouts (Y/N) ~" Foundation cleanout (Y/N) ,Y' Depression (Y/N)
High water alarm (Y/N) /U/,~ Alarm tested (Y/N)
Date of pumping /¢~/~,/'~/ ,2~ ~
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ~' /z~C- / On adjacent lots '7~/~'~ '
To property line o~ O Absorption field
Surface water/drainage /'/'.),4-
72-076 (Rev. 3/91) Froot MOA 21
Foundation -~-/
Water main/service line
CONTINUED ON BACK PAGE
"Pump on"~
C. ~ION
Date i n stalle-'d'----~
Size in gallons ~
Vent (Y/N)
High water alarm level
Meets MOA electrical codes (Y/N)
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
SEPARATION DISTANCE FROM LIFT STATION TO:~
We~l on lot
D. ABSORPTION FIELD DATA
Date insta,ed O /Z /r2
On adjacent lots Surface water
Soil rating 7~/¢; /~/~/;~. System type
Length_ ,~'~/ ....
Total absorption area
Depression over field (Y/N)
Results (pass/fail)
Width -~ ' ~- ~-.4 Gravel thickness ,=¢'/,-~¢..,-.4 Total depth
~.~.---4 Cleanouts present (Y/N)
,AY/ Date of adequacy test
for -~ bedrooms
Peroxide treatment (past 12 months) (Y/N) /¢/.4
If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot ~.¢'- /
To building foundation
On adjacent lots ~-/¢'~ / . Property line
z// ~/.,.4,%.;. v-,.~.., To existing or abandoned system on lot
On adjacent lots
Surface water
Curtain drain
Cutbank w'/4 Watermain/service line
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect, on the date of this inspection.
Signature
Engineer's Name
Date
HAA Fee $ /
Date of Payment
Receipt Number
Waiver Fee: $
Date of Payment
Receipt Number
72-026 (Rev. 3/91) Back MOA 21
~ DATE RECEIVED
': , NSPECTION APPO, NTM ENTS
TIME TIME TI /
DATE DATE ~ / DATE
INSPECTOR )~:, ~} ,NSPECT~~__ '
MUNICIPALITY OF ANCHORAGE MUNICIPALI~ OF ANCHORAGE
L PROTECTIO DEPT OF HEALTH &
DEPARTMENT OF HEALTH & ENV RONMENTA ~VIRON~EN
825 L Street- Anchorage. Alaska 99501 TAL P.~OTECTION
( E.W.O .TAL SA. AT O D WS O" MAY 2 0 /98
Telephone 264-4720
DIRECTIONS: Complete all parts o~ page 1. Incomplete reques~ will not be proce~ed. Please allow ten (10) days for processing.
PHONE
MA~L~NG ~DDRESS ~ ~
PROPERTY RESIDENT (If different from~ve) ' . PHONE
2. BUYER PHONE
MAI LING AD DR ESS
3. LENDING INSTITUTION ~ PRONE
MAILING ADDRESS
4. REALTOR/AGENT PHONE
MAiLiNG ADDRESS
5. LEGAL DESCRIPTION
NUMBER OF~BEDROOMS
[] One [] Four [] Other__
[~ SINGLE FAMILY [] Two [] Five
[] MULTIPLE FAMILY I~Three [] Six
7, WATER SUPPLY
E~-iNDIVI DUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach Icg if available.}
8. SEWAGE DISPOSAL SYSTEM
[~INDIVIDUAL/ON-SITE** /.~"¢c? YEAR ON-SITE SYSTEM WAS INSTALLED.
[] PUBLIC UTI LITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
E~]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBUC UT UTY t \
Connection Verified INSTALLER
[]Septic Ta~nl~ or [] Holding Tank
Size: /0~,~0 If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line
Absorption Area to nearest Lot Line
5, COMMENTS
t~"~APPROVED FOR .-~ BEDROOMS
[] CONDITIONAL APPROVAL (letter must abcompany certificate)
[] DISAPPROVED
72-010 (Rev. 6/79)