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Home My WebLink AboutPARADISE VALLEY BLK 9 LT 6Paradi*se Valley Block 9 Lot 6 #020-414-10 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/Mww.muni.org/onsite • (907)343-7904 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSP131272 PID Number: 020-414-10 ® New ❑Upgrade Name: JAMES WILLIS ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 5922 ROMANIA DR, ANCHORAGE, AK, 99516 ® Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: (907) 441 —8811 5 2.0 (IDSF) SEE DWG. GPD/Sq. Ft. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: SEE DWG. Ft. Gravel depth beneath pipe: 0.29 Ft. Subdivision: PARADISE VALLEY Block: Lot: 9 6 FII added above original grade: Gravel length: SEE DWG. Ft. 32 F!. Township: _ Range: — Section: _ Gravel width: Bed. Number of lines. Distance between lines: 12 Ft. 1 5 2.5' Ft. SEPARATION DISTANCES Total absorption am: umber o/ tenches: Dist. between trenches: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines 384 sa. Ft. — — pt, Well — 100'+ — — 25'+ TANK ❑ Septic ❑ S.T.E.P. ❑Holdin ❑0 r Manufacturer: Capacity: Surface Water — 100'+ — — Gal. Lot Line — iD'+ — — N/A Material: Number of comp ante: Foundation — 10'+ - - LIFT STATION '( G Manufacturer. l�\G�\\� capacity: Curtain Drain NONE KNOWN col. Remarks: PER CONTRACTOR, THE OLD HOLDING TANKS W!�E t: Pump off level at: High water alarm at DECOMMISSIONED PER UPC. del: Electrical Inspections performed by: PIPE MATERIAL SCH 40 House to tank EXISTING Tank to PVC drainfield Installer SCH 40 A+ HOME SERVICES Drainfield PVC CO/MT D3034 Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 FL Inspection Location and Description: Dates: 1 st 8/20/13 2nd 8/21/13 3rd 4th DOOR THRESHOLD, BASEMENT LEVEL Community Development Department Approval ENGINEERS BEAL Conditional approval: Date: Q000P�`s�OQ 4 H .:...........................� D ......... .I ........ .. '•. f y . Go ness: �: P y. CE- mp .��0 Approved: !�" t Date: -� "� e._t�� 4��da ON o rofesslon o �40poo�� PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: — OSP131272 020-414-10 i.00nr�r'-'IO� 0" / SV QDUQAN-e! 100' WELL RADIUS VPoN Mo.4 Q�rGos�f• � HOUSE ` VALVES A B Mi EMT4 34.83 18.98 MT4 B 43.05 26.97 �\ 54.43 23.25 \ \ 59.20 29.18 / T1 T2�°/ NEW 12' X 32' IDSF c o \ EXISTING 2000 / GALLON STEP TANK GARNESS ENGINEERING GROUP, Lid. CONSULTANTS & GENERAL CONTRACTORS ...... ... ...... ......... not E. loom R . Wn 161 • R H000 M 99607 • 9 E (907)W-6179 • M (ao7)M-MM . N£B9oE: www.9am«nn4nWn9.a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: D•••:• ••••.. ........ JAMES WILLIS 907-441-8811 2 OF 3 �QnnP A. Gor ess:' LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY S/D; BLOCK 9, LOT 6 A.J.G. TYPE OF WORK: DATE: 404aProfessionoo AS -BUILT DRAWING OF SEPTIC UPGRADE 8/22/2013 �Opp000� POW mAm OSP13311272 AS -BUILT DRAWING `020-41410 FILTER FABRIC TOP OF NEW SAND = 94.92 :.. ;....":.: :>.2'+ MOAN; E TING XIS A OF EXCAVATION = GRADE = 97.51+ INSULATION EXCAVATION TO 92.92 WAS ONLY FOR THE EXTENDED 2 FOOT PORTION (PRIOR DRAINFIELD WAS SHORT 2 FEET IN LENGTH) AND THE REST OF THE EXCAVATION WAS LIMITED TO REMOVAL OF CONTAMINATED MATERIAL WHICH WAS ONLY A FEW INCHES. A GAUGE AND AUDIBLE ALARM WAS ADDED AFTER THE AIR COMPRESSOR ON A SEPARATE CIRCUIT. INVERT OF PIPE = 95.21 TOP OF ORIGINAL SAND = 94.92 CONT. MATERIAL) OF GARNESS ENGINEERING GROUP, Ltd. p; ; �* CONSULTANTS S GENERAL CONTRACTORS /%...... ../..,r.................. 3701 E. MMR ROPO, SURE 101 - RNOHOMP _ M 99507 • PNONE (907)337-81]9 • FM (907)938-3248 WE85RE: wvx.9ornesven91epe0%. 1 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JAMIS WILLIS 907-441-8811 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY S/D; BLOCK 9, LOT 6 A.J.G. TYPE OF WORK: DATE PROFILE AS -BUILT DRAWING 8/21/2013 QA. G��ess: 312A113'��.0 oG 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: OSP131272 Tax Code Number: 02041410000 Work Type: Septic Permit Effective Dates: August 16, 2013 to August 16, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: PARADISE VALLEY Site Legal Address: PARADISE VALLEY BLK 9 LT 6 G:3538 Owner/Address: WILLIS JAMES S & SABRINAA 5922 ROMANIA DRIVE ANCHORAGE AK 995166010 Site Mailing Address: 5922 ROMANIA DR, Anchorage This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank Lot Size in Sq Ft: 24031 Total Bedrooms: 5 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. Special Provisions: 1. The existing holding tanks are to be decommissioned. 2. A gauge and an audible alarm must be added after the air compressor to help ensure that when the pump goes out, repairs will be made. The alarm will be on a separate circuit. Received /�a� Issued By: Date: U Date: `� MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 020-414-10 Property owner(s) JAMES WILLIS Day phone 441 —881 1 Mailing address 5922 ROMANIA DRIVE, ANCHORAGE, AK, 99516 Site address 5922 ROMANIA DRIVE, ANCHORAGE, AK, 99516 Legal description (Sub'd, Block & Lot ) PARADISE VALLEY S/D; BLOCK 9, LOT 6 Legal description (Township, Section & Range) Lot Size Sq.Ft. APPLICATION IS FOR: 5 (® all that apply) APPLICATION IS AN: Absorption Field Initial ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 5 APPLICATION IS AN: TYPE OF DEWELLING: Initial ❑ Single Family (SF) Upgrade ® (w/wo ADU) ❑ Duplex (D) El Multiple Dwellings ❑ (SF and/or D) 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Date of Payment: Receipt Number: DR"PrA Q V Receipt Number: Permit No. 0Sip13 16112� Waiver No. (Rev. 09/12) GARNESS ENGINEERING GRQUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS August 12, 2013 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Ak 99519-6650 (907)343-7904 Ref: Septic Design for Paradise Valley S/D; Block 9, Lot 6 To whom it may concern: The existing house is served by a private well and septic system. The septic system consists of a 2000 gallon S.T.E.P. tank and a bottomless IDSF. The IDSF is surcharged and needs to be replaced. It was also noted that the IDSF did not have the required absorption area per the application rate. We are proposing that the IDSF be excavated to remove all contaminated material, extended so that it meets the required absorption area and re -built in place. The IDSF will be 32' long and 12' wide, providing 384 square feet of absorption area. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Sincerely, P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com \J \ \ CUDRAIN \ \ (,APPROX. LOC.) LOT 31A, BLK 9, \ \ \ ` \ PROPOSED PARADISE VALLEY S/D \ SEPTIC \ \ UPGRADE tC I IOD' WELL RADIUS I I 9 `\ w•y - LISTED STREAM ED AT TI E OFN UISPECTIO S) � y2 p•�1' APPX LO N 1DG' WELL RAD v 1 PARADISE VALLEY S/D / e LOT 5, BLK 9, \ / :ATIION) /A/ R� I \� O y y� y �� o o�\yy \100' ELL IUS HOLDING TANK$ (PPPROX. LOC.) 0 o\yy EXISTING FIVE eP BEDROOM HOUSE LOT 7 BZOCR 9, �\ PARADISE VALLEY S/D O \ o�hy ez LOT 30, BLK 9• \ PARADISE VALLEY 5/0 \ \ \ \ GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JAMES WILLIS 907-441-8811 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY S/D; BLOCK9, LOT 6 1 A.J.G. OF WORK: ITE PLAN FOR SEPTIC UPGRADE (Rev. 01105) 8/12/2011 LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND nA (zoo i's AM' 1 T NOTE: ONTRACTOR SHALL HAVE'WELL FLAGGED BY A REGISTERED PROFESSIONAL LAND SURVEYOR PRIOR TO CONSTRUCTION NOTE: CONTRACTOR TO VERIFY \ \ SEPARATION TO WELL ON LOT 5 PRIOR TO CONSTRUCTION \ EXISTING 30'x12' BOTTOMLESS IDSF TO BEJ EXCAVATED TO REMOVE ALL CONTAMINATED MATERIAL AND RE—BUILT IN PLACE TO 32'02. TOP OF NEW SAND WILL BE EQUAL OR HIGHER \ IN ELEVATION THAN THE EXISTING SAND. EXISTING 2000 GALLON \\� \ S.T.E.P. TANK \ �T�9N AST DITCH OF ROAD 150'+ PLUS FROM CONSTRUCTION AREA l ll�O "INZ, / , O EXISTING HOLDING TANKS ARE TO BE DECOMISSIONED PER UPC. CONFIRM AIR LINE IS WORKING CORRECTLY PRIOR TO BEGINNING CONSTRUCTION. INSTALL GAUGE AND AUDIBLE ALARM AFTER THE AIR COMPRESSOR IBLE ALARM WILL BE ON A SEPARATE CIRC GAR_NESS ENGINEERING GROiU�Ltd.1 - CONSULTANTS & GENERAL CONTRACTORS• •' 3701 E NWR ROAD. SUNS 101 • ANCHO E. W 99507 • PHONE (907)337-6179 • FM (907)338-3240 • WEB . Ww . PREPARED FOR: PHONE NUMBER: PAGE NUMBER: i JAME WILLIS 907-441-8811 2 OF 4 QQa LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY S/D; BLOCK 9, LOT 6 TYPE OF WORK: DATE: DESIGN FOR PROPOSED SEPTIC REPAIR UPGRADE 8/12/2013 (Rev 01105) OF `Fe rness; CE 3 .•' `F`G CET, 4' ;3. FS°v i CONTACT GEG. B1\F WITH THIS INSTALLA WELL DRILLER, PROPERTY OWNER HAVE READ THESE AGREE TO ACCEP THE ENGINE TRACTOR AND REE THAT THE CATIONS A iE ERMS AN[ EXISTING 30'X12' TO BE EXCAVATE CONTAMINATE[ RE—BUILT IN P REMOVE ALL ERIAL AND TO 32'x72'. I QED�Y A LAND SU WELL HOUSE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS 3701 E. T9JOR 90ID, SIIIIE 101 • MICNOPpLE, M< 99507 • PHONE (90)73])-6172 • FM! (90])]39-346 • YIEBSIIF: m.gomepengNeexnpxmm PREPARED FOR: PHONENUMBER: PAGE NUMBER:i JAME WILLIS 907-441-8811 3 OF 4 LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY S/D; BLOCK 9, LOT 6 A.J.G. TYPE OF WORK: DATE: TOPO DRAWING 8/12/2013 (Rev. 01105) 000�0000 P .. Y ..........ess;'... Oy CE 795 ppho� •.��3 3'F�000� )E SPECIkCATION NOTE: 0 TO THISN. RADIUS �EEDING RD PROFESS THE ENGINE TRACTOR AND REE THAT THE CATIONS A iE ERMS AN[ EXISTING 30'X12' TO BE EXCAVATE CONTAMINATE[ RE—BUILT IN P REMOVE ALL ERIAL AND TO 32'x72'. I QED�Y A LAND SU WELL HOUSE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS 3701 E. T9JOR 90ID, SIIIIE 101 • MICNOPpLE, M< 99507 • PHONE (90)73])-6172 • FM! (90])]39-346 • YIEBSIIF: m.gomepengNeexnpxmm PREPARED FOR: PHONENUMBER: PAGE NUMBER:i JAME WILLIS 907-441-8811 3 OF 4 LEGAL DESCRIPTION: DRAWN BY: PARADISE VALLEY S/D; BLOCK 9, LOT 6 A.J.G. TYPE OF WORK: DATE: TOPO DRAWING 8/12/2013 (Rev. 01105) 000�0000 P .. Y ..........ess;'... Oy CE 795 ppho� •.��3 3'F�000� EXISTING AIP KINE COIL 5f PLED Al ApPPDX. 2 FEET. OIFNCO "WASfEFKOW" TYPE PROVII 7 13Y ANCHORAGE fANK,= t' FIVE (5) 3/ 4" PIA, 5CH. 90 PVC LATERAL5 W/ 1/8" OPIFICE5 5PACFP 29" ON CENTER 12' x 32' (30ffOMLE5515F. �— 9" PIA. MONITORING CM Af FACH rLuxwu vrv.vrp— CORNER. PFRFOPATEP PFTMFN fOF (IMTH PPOTCflVF COVEP5) 015CHAR6F LINE OF 5ANP ANP 1915TRIPUIlON PIPE (EXTEND W\/F 6m) FROM 5fFF TANK INVERT. ( DRILL 1/ 9 INCH PIA HOLE5) PLAN VIEW 3/ �T" PVC LAtM5 (VP.4) Mf Mf REMOVE CONTAMINATED SAND AND IMPORT NEW ISF SAND TO THE FINAL GP.Pd7E ORIGINAL ELEVATION OR HIGHER.. gg 31POS5�EP 2' MIN, OF COVER I I '�— FILTF 6" LAYEP OF 3/ 8" PEA GRAVEL WTH THF PVC KATERAK5 3UPIFP MIDWAY IN THE 5TRATUM. (GRAVEL 6ELOW PIPE = 3"+ ) �fl 12' o EX15fIN6 AP LINE 18" o 6ELOWfOPOF5ANYP PROFILE VIEW GARNESS ENGINEERING GROUP, Ltd. p * 4 '•.T CONSULTANTS B GENERAL CONTRACTORS �.... • • •' ..................... ]DI E. NDOR RM. SVM 101 • MCHO E. M 9990 • PHONE (90])33%-91]9 • FM (W)339-3218 ' WEe9RE: •we.gornewenghuenng.c9m PREPARED FOR: PHONE NUMBER: PAGE NUMBER:• ••• •••••.•• JAMIS WILLIS 907-441-8811 4 OF4 ey . arnesS:' LEGAL DESCRIPTION: DRAWN BY: PO� s ' CE- 3 cqO, PARADISE VALLEY S/D; BLOCK 9, LOT 6 A. G. OrJfP. 81.I ��'' c°o e F TYPE OF WORK: DATE: �44d p'ofesslon ISF DETAIL DRAWING 8/13/2013 Rev. 01105) Municipality of Anchorage `' Development Services Department Building Safety Division Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page I of Z_ www.ci.anchorage.ok.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. •SW 00 O 9S PID Number, O'Z — /y—/ a Home te,.t` '5 e.4 K e Wastewater System: ❑ New Upgrade P. 0. 2S on'e' /�k ABSORPTION F E pu » 2'3 S •• 1 IDL Nuniwr of B•boana �T O Deep Trwrh O SMno. Trwrn p{ Bee Cl Mwb H O i Dow S LEGAL DESCRIPTION Sal Rating' Z, 0 Tidal Depol can orip,ul graft: PDme 3,0 FI Block: Lot: SWdrviaim L,� ,t 8 1 DWh to pips baton from oignw ` Gravel dealt btbtetn pPt: e aC 2 FI. 2 FI Toe ship: Range. Sadicn: Fill addle above oeprW pada 2 Grow Lw gd+: .7 a FI. ❑ 1 pg Well: ❑ New u ra Grove wNn: 12 Nu kw of 1F 5' Diklr,00 btlwn ln tt,: 2-10 . FI. Ft Cltle,riCWgrl (PMNs, A B. CP Total Daptn: Cala to: Total abwrpbon eva '3`V F'" M.Iee1W' I'VZ FL FI FIS 503H DNler to Dined: SIW,c Wstr LavW: Nutley ` � Se1lV.CPS Dole ae,IWled' FI IiTf (O � 01) Yra: Pura SW W'. Cn.V ara IMpM MGeared. TANK GPM FL FL SEPARATION DISTANCES ❑ septic ❑ Holding 1g s.T.E.P. ❑ Other. 7o Septic Absorption Lift Holding ublicMdvate M'weadi'r c•P•a�r From Tank Field Station Tank Sewer Line GW. Well Volt 10014 /04- /00 f4 Me" Number or Comgml t s: SulanwWr /oo t¢ loo /� !oD (l, LIFT STATION IN Lw / /(i l,C 10 ,4 t: Sae. ZD00 GW MrvAaouro'. 1 /� E1! h + s4-• L t . FauMWbn �a f/ /0(f 'Pump un' Mvrre W'. '31q, 'Pump Wr I r. 32,s Nth wrr lean W: LlyfS T 1104- n n n. Cueain Drrn II ((H rCAlyn II� 40 K•W� I `PRat Al Pump IMika a Model SrFM ln� EMce csil eupecbono pedonrd er &d G(Ta'Irn R•m`11ENCH Cr MARK � � f r ( l / /f 1 tj LpenanGrW D.a woon: l ' ar4lIWr f`0a4"4 Vere... Pn4 S:t C C 30 Aswnwd Elevaeun. G / brims h ecG /CC f FL �, . e A o . w Eng! n`k��t0mp ,'SOF ``t r h: yt1� Inspections performed by: /`�1te&ar�A(AnVef� �E, Dates: 1W /0 tie TH �., 49e`��jjjj•%/ I ao �astir• 2nd Development Services Department Approval !, 4 MICHAEL N. ANDERSON o �. , , •.. CE Reviewed and approved by: %!/. � Date: �.S 03 94 9 f 141, •.�Z��.•��v��,.. Permit No. SW000435 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 6, BLOCK 9. PARADISE VALLEY SUED. PID No.: 020-414-10 MARK C01 TC01 TCO2 TANK LID MTI MT2 MT3 M T4 A _F B 19.727.3 26.8 28.2 35.728.5 38.15 29.3 17.4 48.2 24.9 55.5 19.1 34.2 GRND. PIPE / ELEV. ELEV. / / 00 A0 96.26 90.0 f 4qN 95.18 93.7 / // 6500. /q 93 98.11 �- - / BY JEFF GARNESS P.E. 1 NEIGHBOpNG WELL-� 114DIUS,/1100`0/ ` _ — I TH BY EXISTING HOUSE OR PUMP ` a 5,IN 2• PVC TYP. BENCH MARK ABANDONED LEACH � (T FIELD � \ ABANDONED HOLDING 2.000 GALLON TANK TANK LID? STEP TANK BOTTOMLESS SAND FILTER 12' X 30'— — pp i qf• YLf. N1/V,A \ A IT \ SCALE: 1"=50' bi K01 ICot IA Y�, ell .,.—�OFq'j% 1 a nt.e our w ft � �'�........ ��l •9 :rt.,... ef yt , 49TH ; k . ••• a /{/��/ frt. u.r. f.'ar nrt•v.o w �• eE (•S •. •••.••. •. �>. e e e e e e e e e o MICHAEL N. ANDERSON :09 • CE p�4 9 i V. N a l MUNICIPALITY OFANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 10, 2000 Expiration Date: Oct 10, 2001 Permit Number: SW000435 Parcel ID: 020-414-10 Legal Description: PARADISE VALLEY BLK 9 LT 6 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: Owner Name: CHRISTINE DOLEMA Lot Size: 23418 SQ. FT. Owner Address: PO BOX 92475 Total Bedrooms: 5 Permit Bedrooms: 5 ANCHORAGE , AK 99509-2475 This permit is for the construction of: Z, Disposal Field Z Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: ZIt�% Date: 10 — ) — oQ ALASKA WATER Er WASTEWATER CONSULTANTS, INC. September 28, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Paradise Valley Subdivision; Lot 6, Block 9 (Bottomless Intermittent Sand Filter - ISF) To whom it may concern: The existing 5 bedroom house is served by a private well and holding tank. We are proposing that a new 2000 gallon S.T.E.P. tank and a innovative Bottomless Intermittent Sand Filter (ISF) system be installed. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: Several test holes were excavated on the south half of the property to determine an area suitable for a septic system upgrade. Due to the high groundwater in the area, only one test hole was found to be suitable for an on-site septic system. Given the limited area around the test hole and the setbacks from the existing septic system, it is our opinion that a Bottomless ISF system is the most viable option. 2. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: 24 minutes/inch b. Allowable Application Rate for ISF: 2 gallons/day/112 c. Number of Bedrooms: 5 d. Design Flow: 750 gallons per day e. Minimum Absorption Area: 384 I12 f. Effective Depth below pressure pipes: 2.5+ inches g. Width: 12 feet h. Length: 32 feet. i. Effective absorption area = 380 ft2 6901 Debarr Road, Suite 213 * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwvwc.com j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: In accordance with M.O.A. latest standards m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than I% passing the #8 sieve. We are proposing to excavate down to a depth of 3 feet (maximum - remove all organics), place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. 4. SURFACE WATERS: There is no surface water within a 100 foot of the the proposed septic system upgrade. 5. TOPOGRAPIIY: According to the M.O.A. topography maps, the slopes in this area are roughly 20%. In reality, the slope is relatively moderate (about 10%). In short, there are no slope concerns. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DH11S' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (5th floor, 9th & L St.). 7. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, .E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a profile design, three soils logs, a topography site plan, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwvvc.com q• y� \ _ 9 O� O O ��7y /1 TESF HOR ED OLE ANDERSON z i.Dana+) ♦` ", �ry�/ too• VL RADIUS �RO)LTL„'nc�V `\ yuRlw+ D"r _/ \ EXISTING FIVE x �.) •\ f^F� BEDROOM HOUSE/ PARADISE VALLEY S/D gyp, —_ TH LOT 7, BLOCK 9. PARADISE VALLEY S/D •� PROPOSED SEPTIC SYSTEM �`� C� •� UPGRADE. SEE PACE 2 �o OF 3 FOR DETAILS.. LOT 32, BLK 9, CT. ) \ `♦ 0,a PARADISE VALLEY S/D ♦ \ \ LOT 31, BLK 9. ♦ ♦ q•y�° PARADISE VALLEY S/D ♦ \ 0� �\ LOT 30. BLK 9• ♦ ♦' \�9 PARADISE VAdkY S/D \ \♦ a \�` \R LJ� `♦♦ ♦♦ °A 4 DATE: _�aa.....q• P 10/3/2000 F •q;: e 'si•F}.Y ♦_ _ DRAWN BY: ... .. Vt4 ALASKA «'ATL'R S NVASTENVATLR K.D.W. CONSULTANTS, INC. Ste'`i .... .... RK y/A 6001 DEBAROAD. SUITE !8 •ANCHORAGE. A6 00304' ONE 007U31-0179 • FAX 0777]6-3266 1w = loo, y'f A PREPARED FOR PHONE NUMBER: PAGE NUMBER: CHRISTINE DOLEMA (907) 348-8883 1 OF 3 til f e G ess, LEGAL DESCRIPTION: 4��ri pJ •, C 7953 F.` A PARADISE VALLEY SUBDIVISION; LOT 8, BLOCK 9 yV� ,^ ' •.,,•,..•,,.• TYPE OF WORK: �V�v^y0^�oiasaTo^°�a�� SITE PLAN FOR DESIGN OF SEPTIC SYSTEM UPGRADE (ISF) LOT S, BLOCK 9 PARADISE VALLEY S/D \QR�. REMOVE DECK AS REQUIRED FOR / \ CONSTRUCTION / / TEST HOLEPERFORMED BYM. ANDERSONINSULATED /PROPOSED NR BOTTOMLESS INTERMRTENT ' LINE (SEE NOTES) . EXCAVATE A BED THAT 6 EEP MAXIMUM BY 12 FEET FEET LONG. SEE ATTACHED D PROFILE (PACE 3 OF 3) STRUCTION DETAILS AND REQUIREMENTS. THl2�, I i 1 \ \ \ \\ \\ NR COMPRESSOR \\ (SEE NOTES) /> / e \ INSTALL FOUNDATION CLEANOUT LOT 7. BLOCK 9 S'0 \ PARADISE VALLEY S/D EXISTING \ ABANDONED \ DRUNFIELDS EXISTING HOLDING \ TANKS TO BE ABANDONED _ �TMf1 PROPOSED 2000 — GALLON S.T.E.P. TANK NOTES: ,\ THE AIR COMPRESSOR SHALL BE LOCATED WITHIN THE BASEMENT OR THE \ GARAGE. THE CONTRACTOR SHALL PROVIDEE 0— A 0-10 PSI PRESSURE AT A \ WHICH 6 READILY ACCESSIBLE FROM WITHIN THE HOUSE . NOTE: A 30 .NOT TEST HOLES PSI GAN PSI GAUGE WILL NOT WORK. JO \ PERFORMED BY \ T. SPURKLAND THE NR COMPRESSOR SHALL BE A THOMAS INDUSTRIES MODEL 5070, AS SUPPLIED BY ANCHORAGE TANK. THE AIR LINE SMALL BE 1/2 INCH DUI HDPE (1 �(\1� PIECE). INSIDE A 2 INCH SCH.40 PVC JACKET. THE LINE SHALL BE BURIED TO A ` \ \ MINIMUM DEPTH OF 3 FEET. \ �"•r \ THE CONTROL PANEL FOR THE STEP TANK SHALL BE INSTALLED OUTSIDE \ \ THE RESIDENCE WITH AN AUDIBLE/VISUAL INDICATOR INSIDE THE HOUSE DATE: Qp600p O - 10/3/2000 0 0 �F IIr'' ''T... • �9S;Op DRAWN BY: r .. W> 4 T T & TE«A'I ER ALASKA ATER «AS K.D.W. o SCALE' — CONSULTANTS, INC. O *, '•, „ , ,,,,, * OD ......... • eNDRecF, AK °9501. • MOHr (007)]]1-0I)0 • F"eo])SSAJ2ee 6001 DFReRR ROAD. SUTE M N[ 1 30 PREPARED FOR: PHONE NUMBER: PACE NUMBER: CHRISTINE DOLEMA (907) 348-8883 2 OF 3 O f y A. G ness:' Q ° . E-7953 • \FOS 004r° LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 6, BLOCK 9 „ „.• qp u0 clPEofeselota\ TYPE OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE (ISF) �44oppo�o COL SPACED Af 2 FEET. GCNCO r ------------ I 3/ 4" DIA. 5CH. AO PVC LATEM5 (FaE5, 5HELv5, KV FLL15HN6 VALVE5 PER OmNCO ve9W- 12, x30' vOffoAlL 5515F. NO LIFER ON DOffOM. PASSU FPWG ve9alED vY OREPYO AIS S1ME17 vYANCHORACR TANK. I I I ------------------------------------------ / `4" VIA MONIfOCN6 TIDE Af EACH 11/ 4" DIA 5CH 40 FVFE COF 5W AV 1215iW11fI0N PPE P150JAP2 LINE FROMNVERf. (DRILL 1/ 4 INCH DIA Fae5) 5TEPTA'JKANDMANIFav PLAN VIEW 3/ 4" PVC LATERALS (TYP.4) MIVWAY IN"5TRAnN. (GRAVEL LWNFPE - 3"+) 2 FEET 69N. OF FUER AIR LINE 18" TOP OF ! -FILTER FAXr OVER PEACRAVEL PROFILE VIEW ALASKA WATER S WASTEWATER CONSULTANTS, INC. 6901 RFR4 nom. SUWtTF 2R • AAGE. M 995M • P DNF. (907)3».6179 • F" (907)336-3246 K.D.W. app 0 ' Q Q e e QQ •, C 79553 00�'e ' •..,,,,,..• �ODO4p°�o'0�0�� °` Ca s' *57' - eL ' ogva SCALE: N.T.S. PREPARED FOR: PHONE NUMBER: CHRISTINE DOLEMA (907) 348-8883 PAGE NUMBER: 3 OF 3 LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 6, BLOCK 9 TYPEPROFILE DESIGN OF SEPTIC SYSTEM UPGRADE PHONE (907) 337-8179 • FAX (907) 339-3245 SOIL LOG - PERCOLATION TEST I LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 6, BLOCK 9, PERFORMED FOR: TRINA JOHNSON DATE PERFORMED: 5/13/98 DEPT TEST HOLE #1 (feet 1 ORGANICS/PEAT Jrr� (DAMP) 2- 3- 4- 345 DATE , • 5/13/98 5— 5/14/98 ML I� •. SILT W - GM P0, 6 illl!11 (SATUF 7- %// 4 8- 8g 9 • B.O.H. 01112 10- IIIIIIIII 11- Ru 12 9OZZ2. 16- 17- 18- 19- 20 617181920 COMMENTS: F. • DATE , • 5/13/98 2' 5/14/98 2' I� •. - ullillll illl!11 %// 4 %L2 mum • F1 IIIIIIIII Ru 9OZZ2. !hilt P,"F , • O�� DEPTH TO GROUNDWATER DATE SEEPS O 3' 5/13/98 2' 5/14/98 2' 5/15/98 \NGS P�PGNEO PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. (INCHES) TEST RUN BETWEEN FT. AND FT. PERFOMED BY ALASKA WATER & WASTEWATER I, CERTIFY THATI THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I SOIL LOG - PERCOLATION TEST I LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 6, BLOCK 9, PERFORMED FOR: TRINA JOHNSON DATE PERFORMED: 5/13/98 Df °ORGANICS TEST HOLE #2 1 M P'M 1.1/ ^I 2 3 4 5 6 7 ML/GM 9 I M+ III I BETWEEN 3.5'S 12' SEEPS TROWHOIlf (GM POCKETS) 10 11 MOL' ul� 13 16 17 DEPTH TO GROUNDWATER DATE SEEPS 0 3.5' 5/13/98 Ir/YrY 5/14/98 4' 5/15/98 • 5/13/98 2 6:00 12' — IIIIIIi� 3 4:00 Ililll!il �//moi =052 RUN WAS SATURATED am IIIIIIIII ZlIIi1C 17i�� • DEPTH TO GROUNDWATER DATE SEEPS 0 3.5' 5/13/98 4' 5/14/98 4' 5/15/98 PRESOAK 12' - 5/13/98 A. DATE READING CLOCK TIME NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) 5/13/98 1 4:03 BEGIN PRESOAK 12' - 5/13/98 2 6:00 12' — 5/14/98 3 4:00 12'+ 'PERK HOLE WAS SATURATED 19 PERCOLATION RATE 0120+ (MIN./INCH) PERC. HOLE DIA. 6- (INCHES) Y0 TEST RLN BETWEEN 4.0 FT. AND 4.5 FT. COMMENTS: FOUND WATER PONDING ON BENCH 5/4/98. PERFOMED BY ALASKA WATER do WASTEWATER I, . CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Municipality of Anchorage DEPARTMENT OF HEALTH 3 HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST F 491LIN '_ hr/ A • MICHAEL N. AKDERSCN CE • 459 lK / c .1 PERFORMED FOR: C?ay.v (7• DATE PERFORMED: LEGAL DESCRIPTION: L. % 6 P6ra&Z'a Township, Range. Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Vv ( 1'C N �nl4ntet J (3 ro.a n ,;. i.. •Ge 4A GrwG( GIC015 Loose Sor14! S. �r.vre SLOPE 517E WASGROUNDWATER _ ` ENCOUNTERED? ,tet /O S �plG IF YES. AT WHAT OL DEPTH? P E Deme to Weer Atter e M~mo? :7 Cat � � V/00 PERCOLATION RATE �� Emmutevmcnl PERC HOLE DIAMETER fe TESTRUNBETWEEN 7.1 FTAND q'15 -FT COMMENTS y w am c '+� '" • -r -r PERFORMED BY: Mi e (` (1%1% rA I CERTIFY THAT THI TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE. ��/�•�� 72-008 IRe . 4.851 Alaska Water & Wastewater May 5, 1998 7320 East Chester Heights Circle — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers RECEIVED Municipality of Anchorage MAY 61999 Department of Health & Human Services Municlpallty of Anchorage Division of Environmental Services On -Site Services Section Dept. Health & Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Reference: Paradise Valley, lot 6, Blk 9, Septic system depth below grade. Attn: Dan Roth Per your request, we made a site visit to the subject property on May 4, 1998 for the purpose of determining the septic system depth below original grade. Based on our visual observation, it appears that the existing grade over the leachfield is the same as was the original grade prior to installation. This statement can be made assuming that the original grade is the same as the existing grade at the base of several large spruce trees located adjacent to the leachfield. It appears that the septic system was installed at the 3.5 to the 4.0 foot depth. During our site visit we measured the depth of the cleanouts and monitor tube located within the leachfield. In the east cleanout to the leachfield we measured the depth to be 36.5 inches below existing grade with a liquid depth of 7 inches. In the monitor tube we measured to a depth of 47 inches with a liquid depth of 15 inches, and in the west cleanout we measured a to depth of 43.5 inches with a liquid depth of 10.5 inches. The ground level at both cleanouts and at the monitor tube all appear to be approximately at the same elevation which indicates that the free liquid surface elevation in all three standpipes are also approximately the same. In short, based upon these measurements, it appears that the existing drainfield is in groundwater, or at the very least, is encroaching groundwater. In order to confirm this it would be necessary to install a groundwater monitoring tube adjacent to the bed. Until the groundwater issue is resolved we rescind any documentation submitted by Alaska Water & Wastewater regarding the adequacy of this septic system. If you require any a ditional information please feel free to contact me at 337-6179. Ue, lZte , M.S. PringpaV ' C.C. Dynamic Properties, Marci Bouchard I MUNICIPALITY OF, ANCHORAGE' .,DEPARTMENT OF HEALTH ANU HUMAN SERVICES ; Environmental Health Division ` 825 `'L" Street, Anchorage, Alaska 99502, Telephone 264-4720 I ON-SITE SEWAGE DISPOSAL SYSTEM AND/OWELL INSPECTION REPORT .. _ .. - .. .. .. Name � •R DISTANCES - - TO SEPTIC'_. 'ABS071ION Adaless TANK' _ FIEELD •; WELL. ;7 0�41AAIJI4 pnonets) • perms No.No. of Bearooms WELL r . LEGAL DESCRIPTION LOT LINE. > I U ' Lot - -, Broca Su�'y'alOn FDUNIiATION + ?, Tawnsmp. Range, Section, S + 1 1 , / AS -BUILT DIAGRAM t5now location of wen, septic system, property Imes, lounoaoon, driveway, water bodies. etc) SEPTIC �� O HOLDING y — — Manulacturer GDB/CIIY In g8110n4 -y , r MdlPna No. or compartments = ' TYPE OF SYSTEM ❑ TRENCH BED O W. DRAIN 0 OTHER Depth to pipe bottom Nom Total oepth Dom ongma grace _ - originagraae I .TL (a iFT • 7 — (/u/IeS FT - I Fill aaaca above original grace Gravel depth beneath pipe ,ri i FT fl FT Graveuar•y:a SCC P!G•('V/t Gravela"mn is 4v c ) ) ' 1 3�L ISA Ur FT I L /' p' FT Total absoptlon area Distance between Anes Ir/ . T SO FT 91 FT _ - Number of lines Sort rating Pipe material /O %� %, )tiK I el, SQ FT" 3� ,4. �•%' 7�' �. maaler D(a't�el edau +--- \/'• [} e WELLS — Llf PRIVATE O OTHER fidentifvl 7 l:Iassdlwlwn IA,B.C, to epmGsea to .r � FT FT � Ins:dnel Dae Installed. r; RE ARKS: ' (° f I I/ /1 n '�o i<� ✓ �.! I1 - - e •.Ir n: l :'11b � - A l h Scale: KrT� s'_paFC4+YE)T .Is AL .. e (f ret e,- r"- r Ins ectlons Performe0 by aK - �oc" 1 f r u �. (SIG f Dale ;Fr • � - * 7. innil. IhaI this inspection was performed according to all ; Municipal and Slate guidelines In ellen on this date 111- 'n 41. Health Department Approval: Date. 414�z-_v' �:;�:''�• 72-017 (7,'85) - �' 2301VS3 2 fwcf�:! InGf :jn 1�4 r. ITr. l f.4 i E N A -i 14� 7-P- ra- 7- J -w,4-12 'nfle //,C/ o-17 If- RICU -.... .{. �' . Y'w-..�_ �'aw.'.rVw��I11M1 rFikiiM.J...11w�'111.�f�'�•..��-v...�.�v.....�._�.._..��_.._.1. �.... 5:-2G A C R E A G E S Y S T E: 1.1 Z NC ACREW SYSTEMS, INCO 601 E. NORTHERN LIGHTS 13LVD.;� 346-6552 S -E122 ANCHORAGE, ALASKA 99003 FAX M 345-2123 FACSIMILE TRANSMITTAL COVER LETTER THIS DOCUMENT (WITH COVER SHEET) TOTALS_________ PAGES. L7WJi0r NAMEt RUC JERRY BOB _______________ COMPANYs CORWIN AND ASSOCIATES1 INC. DATEI '�I�Q--------- TIMEFAX SENTt____________ FROMI NAMES TAMARA SENDER FAX NUMBER) 345-2125 PROBLEMS?? 345-2122 ME5SAGE� QF.T___s9V ------- T __--- =_-_ Lv1_�__-Bqp------------- GIGNED 890 .+q — — " 3`=�---------- is HUNICIPALITY 017 A N C H O R A 1.i E Department. of Ho alth & Human Services 820 L street, Anchorage, Alaska 99101 343 =.+= y�vyly�a/ O N- S I T E S E W E R P E R M I T Permit Number: 090095 Upgrade 2LL_C InD 1_� Date Issued: 06/19/89 Engineer Designed Owner Name: JAMES A. OR MARY K. FELTMAN Day Phone: Owner Address: 5922 ROMANIA DR. 561-4411 ANCHORAGE, AK 99516 Parcel Id: 020-414-10 " Lot Legal: Subdivision: PARADISE VALLEY- Lot: 6 Block:: 9 Section: 11 Township: 11N Range: 3W Lot Size 0.5A (sq.ft. or acres) Ltq p 5 / Max Bedrooms: This Permit: 5 Total Capacity: 5 SEPTIC TANK: Minimum total septic tank: capacity: 1,500 gallons. Each septic tank mist have at least 2 compartment=_. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). INSTALL PER ENGINEERS ATTACHED DESIGN. NOTIFY DHHS PRIOR TO EACH INSPECTION BY ENGINEER. THIS PERMIT IS ISSUED FOR THE EXISTING 5 BEDROOM SINGLE FAMILY DWELLING ONLY AND EXPIRES ON 12/31/09. I CERTIFY THAT: 1. 1 am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. 1 will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 5 bedrooms. I also un _ _t and that the capacity of the total sy_tem is 5 bedrooms and any r- largenent will requIve anladditional permit. Signed:V�9/� - GATE: %l c� / (Owner) J NES A. OR MARY K. FELTMAN 1 f Issued BY: --------------- DATE: -vAls! - 1 Sv- / r' V071 �' ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 Joe 1 L e 9 // SHEET NO. �. CALCULATED CHECKED DATE 2 y.rDv•._t%._a7ta hoi _w:c r /� I •I C . O �rnl. _/q_ 5;- -_l—a ��c.of.=.f_,•�� r��-lvf--/.fB'p%<, w�l.-JQ,�-t�w�f_�_.�'' o�._._9_i—aT-_`,� /)CTS e h / bOnC,.I g IZf; rve /d e�iy ear a �� U� I I I I _ I I I I ..l,.w._�._ — .. _7. CY 1 I _—.i 17 1 �C_$Ol zS._U C4 3../ '6.e C .i lc✓✓�4-0 _ O. I 1 1 I I I I L I I sB aiaR_ x'ranxi.r �gfG'N«dg1_I I L I I j�n d,l .,=! ✓ : !I�— I I _I I I - _ Y__ F �.,ur adirt�.:c� at_f4= rI« �sf �%_✓r,.. 8• 1 Sa Lol 6t l '.�red__1�a 1 y — i 1 ."•0 2?c• Sl !�"f IZDOO ?I�O —//O IG�� ^� �l b2_C�F+II ?rt? GIS ! rVyCh l_TI%•II �VL'_SO/I -IIII�IIIIIIIIIIiI Iliililll OFrAtt I! I I l i i l i I i i -1 I� i l l l l i i ;�Q;.•• i—�••s�-`;. T—i•9*'t 491rHota 2��'� I I I I I I I ! I + I � '� •'�� I I I I I I i •' !Ilk I liil!illl�ii_'I III 1 —_ I I I -MUNICNdiO�G! !-- I_ ! I DEPT.]OF HEALTH 6 I ENVIRONMENTAL-PROTECTION i IL l°nuc �s89 -RECEIVED ! ! ► I I Z, 4yV ROMANIA DRIVE _tea 11B� } w J J O W0 N vi H O J Q J Qlu 3� 1� Gid Y U O J m J J R-100' �3 W N 7 O 2 Q u m Y W U N 0 a 100' � .1 k.46 Oct � v� ' t ILL: _ ,: m Z •4�I 0 N .a G w 0 LU' Z 0 ,O w m O Q X 0 m Z J w D N W E. a s X H J Q 1- H F N O Z H F N X W Z . LJJ W 100' r • �P .. � .1 k.46 Oct � v� ' t ILL: _ ,: m Z •4�I 0 N .a G w 0 LU' < V • �� W O `a �-� W 0z V W Z . LJJ r • �P .. � .1 k.46 Oct � v� ' t ILL: _ ,: IOC •4�I A L 1 _, C- r I? (= . (� zoo rT., - T -0 ° ( rn � a �, \` 1 f m � D N r m m m v H n • � Q f v TH y m OOT 9 m Or NT: ;00 't10 X In m s O ��ff`••� ....�5. z m o m In H (n C x m o - H [7 -i z H m n z m a m �07— N O mm m r Ln m o -� - x �H IAn ° o m � a m � m m Ln r 0 33 m r o r I o o m m En m r x m M D m r r' m 0, o r O T m z �+ m I O H o m m T H O I -< mm z m . oos—H r U) m rr- m -<v Zr T. aAIUO VINVHOW N i H Z H i D i = m m G7 ` m m N-.� rt Z m N m0 D H H n Z O A 0 0 m ►°, x n r m r roZZr mZ31N l7 m r D 10 HD m m v n D mz Ly m m r <H A H 3) = 'q 0 H N m 00 M H r m m IA MX r N r• z a m H •-4 r m D m m Ar m H A < O Cfl • , Municipality of Anchorage * :• •9TH• •�'�'q* \A/ DEPARTMENT OF HEALTH & HUMAN SERVICES j"••' '?'••• •••••••• 825 "L" Street, Anchorage, Alaska 99502-0650 ... YCEe, SOILS LOG — PERCOLATION TEST j 251 JR. PERFORMED FOR: J / M / G l7eM2 H DATE PER; ''++// �7z LEGAL DESCRIPTION: 16 d7 Para dr re Ira//-, Township, Range, Section: 71/.v ,�_?s0 s ii COMMENTS PLAN WAS GROUND WATER AD h FNCn11NTFRFIV AD IF YES, AT WHAT • Tepth to Water After DEPTH ■■■■■■■■■■ 1 (FEET) F,H s./7y r, d7 .■■■■.■■■■ 2 3 4 d7 6 (GH) s s 10 11 12- 213141516MUNI 13- 14- is- 16- MUNI IPAUTY OF ANCHORAGE 1)EPT. OF HEALTH & ENVI ONMENTAL PROTECTION 1s Jt11'1191989 79 RECEIVED 20 COMMENTS PLAN WAS GROUND WATER AD h FNCn11NTFRFIV AD IF YES, AT WHAT • Tepth to Water After 0..■■...■■� ■■■■■■■■■■ .■■■■.■■■■ PERCOLATION RATE TEST RUN BETWEEN (mmutes/mOh) PERC HOLE DIAMETER FT AND FT PERFORMED BY: - z • L1 • ;i I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4185) A `C ALASKA RUIROWnTAL COnTROL SCRUICCS, InC. f a Enginrtrinq 6 Enuiranmtntal S(udirs SPECIFICATIONS FOR BED WASTEWATER TREATMENT SYSTEM LEGAL DESCRIPTION: LOT 6, BLOCK 9, PARADISE VALLEY SUBDIVISION 1.0 GENERAL 1.1 The drawings, sheets 1 through 4, shall be part of this specification. 1.2 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department of Health & Human Services (DHHS), the conditions of the permit, and all applicable rules and regulations currently in effect. 1.3 All excavations and depths are advisory, and are to be verified or modified in the field by the Engineer or inspecting agency. 1.4 It is the responsibility of the owner or installer to adhere to approved design for the installation, to maintain the specified separation distances and to have the appropriate inspections. 1.5 If the installation is not inspected by an AECS engineer, AECS will not be responsible for the installed system. An engineer at AECS should be consulted prior to construction, to determine the number of inspections that will be required and to explain what these inspections will involve. 2.0 SEPTIC TANK 2.1 If there is an existing septic tank it may be used if it meets the capacity requirement for the residence. The structural integrity bf the tank must be verified. 2.2 The septic tank shall be a UPC -Approved two-compartment tank. constructed of 12 -gauge steel with bitumastic coating and set level on undisturbed soil. If the tank is buried at a depth of4 feet or less, it must be Insulated with an overlying layer of 2 inch burial type polystyrene rigid board insulation. 2.3 The septic tank shall be a minimum of 5 feet from the house foundation, and a minimum of 5 feet from the absorption area. 2.4 The septic tank and bed shall be a minimum of 100 feet from any private well or body of water, 150 feet from Class C wells, and 200 feet from Class A or B wells, unless otherwise specified. Less than the required separation distance must have prior approval or waiver by DHHS or Alaska Department of Environmental Conservation (ADEC). 2.5 Piping shall be fitted with a mechanical watertight calder coupling on the outlet and inlet of the septic tank. Piping shall be 4 -inch solid PVC ASTM D3034 or cast iron, sloped a minimum of 1/4 inch per lineal foot on the inlet side and 1/8 inch per foot on the outlet side. If the piping is buried at a depth of 4 feet or less, it must be insulated with an 1412 W6SE 33QO d9Enue • dnchORage. dL15ka 99503 0 (907) 279-5553 overlying layer of 2 inch burial type polystrene rigid board insulation. 2.6 Cleanouts shall be installed as designated and capped with air -tight rain caps (Jim caps or equivalent), and extend a minimum of 1 foot above ground level. 2.7 If a lift station is required it shall be a combination lift station septic tank per Anchorage Tank and Welding, Inc. design. See attached specifications. 3.0 SEEPAGE BED 3.1 The gravel for the bed shall be 0.5 to 2.5 inch, screened rock with less than 3% passing the #200 sieve residual. All substitutes must have prior DIIHS approval. 3.2 The bottom of the excavation shall be level and raked with the backhoe blade to insure that the bottom has not been compacted during excavation. 3.3 Sand, for leveling, shall have a size distribution which meets the requirements of MOA code 15.65.077. 3.4 The distribution pipe shall be perforated 4 -inch rigid PVC with a minimum crush strength of 1500 pounds and shall meet the approval of DIIHS for use as drainfield pipe. All pipes shall be laid level, and spaced according to the drawings. 3.5 Monitor standpipes shall be placed as shown in the drawings. They shall be 4 -inch rigid PVC ASTM D-3034, or cast iron. The section shown with holes may be either drilled 0.5 inch holes on 6 inch centers on opposing sides of the pipe, or a section of regular perforated sewer pipe may be clamped to the solid section with a no -hub coupling or solvent joint. Perforated section shall be located in gravel only. The portion of pipe above the sewer rock shall be solid. A rubber raincap (Jim Cap or equivalent) shall be placed over the top of the pipe. 3.6 Insulation is required, using burial type polystene rigid board Insulation. There shall be 1 inch of insulation for every foot of soil less than the required 4 feet of cover, but there must be at least 24 Inches of soil even though insulation is used. The solid pipe extending from the septic tank to the drainfield shall also have 4 feet of cover or an equivalent layer of insulation combined with soil. 3.7 The side slope of the mound shall be sloped 1 foot vertical to 3 foot horizontal. 3.8 The the bed shall be planted with a white clover and red fescue mix or blue grass. 4.0 INSPECTIONS 4.1 This bed will require a minimum of three inspections. The first inspection will be of the open excavation, to assure that the system is Installed in the proper soil strata, correct depth and meet minimum specified design parameters. 4.2 The second inspection will be after placement of gravel, monitor standpipes, and distribution pipe, to verify proper installation and position of pipes prior to backfill. 4.3 The third inspection will be after final backfill and grading to ensure that adequate soil cover has been provided over the bed. 4.4 The inspection of the septic tank or lift station installation can be incorporated with any one of the above listed inspections. 0 PERFORMED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PAf mir VALLE LEGAL DESCRIPTION: LOT 6 yyyy�� DEPTH or Tp -1 (FEET) �p111C FAAT TP 2 0 PrAIT 7E Yr OF PT 11 31,-4( 4 - __ 6- 31LT j TILL • _ wrTx I( 7- COEBLLS 4- 8 8 �_1zr 9 Township, 1077TpIH5"I"y SflTn I!! WAS GROUNDWATER s YFS ENCOUNTERED) TI1L WP/NO 4MALL 11 ArnOudr OF WATfR • I IF YES, A7 WHAT 12 .TILL DEPTH) I�r 13 Depth to Water After , Monitoring? —_ Datr. 14 15 161 I r.4mr,r. Ji[PGr1iG - 17 18 19 '*v-':'"4 9 1-H h'"49TH Pk 09* .......................• .�.:::.: :. :.e t 21 RICHARD 5. GIEML: � IS, CE • 5132 : eA- '4h�rNi>s,' ........ ''e,(+� Ar _DATE PERFORMED:_ M- Z 2` io WA TEA LLVf.L MorIITaArC Tf'RU 9al-$ 116 cr1 4—I,c2: .IM■■■SAMIN Reading Date Gross Time Net Time Depth to Water Not Drop -22- 6 8.00 0' no q ° 0. 3.u L) otpa R'77/1,1 . 11 zt 7.i3l :O0 3,r ' t 1. " '20 1• u Boom In"HWUMMENE INININNEEN "LCrrlc $ y3. 'FCFIL IrG TO 6.oe Reading Date Gross Time Net Time Depth to Water Not Drop -22- 6 8.00 0' no q ° 0. 3.u L) otpa R'77/1,1 . 11 zt 7.i3l :O0 3,r ' t 1. " '20 1• u 20{IL I / r� JI PERCOLATION RATE (mmutes'mch)^^PERC HOLE DIAMETER o LfVpC 17111 TP -1 +-TP-1• WLF_E VCP % i1MILCTTESTRUNBETWEEN 30T FTAND A,() FT e TP -1 IJV COMMENTS 14"n rl AC -1) L 40115 RFLATIVFly OPy PPOVF w BOOM 4AND LFNS n A PERFORMED 8Y: Alt -L1 n iz o a 6 I r 55FL I ZCA.,(`.,�t4(2ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON.THIS DATE. DAT -E:: 9-71-191917 72-008 (Rev. 4185) 13 IM?j, � AL PROTECTION (MUNICIPALITY OF ANCHORtr1r'' Department of Health & Human Services OCT 2 a On -Site Sewer/Well Permit Application SINGLE FAMILY DWELLING /` Name of Applicant J AAtt*o 4 FS 14-A,4 4A RE I.EPhone IV �D�(61 _ , „ Mailing Address S /t 22 ►�O nn l l� +�� ZDf Zip Code _1-i 5f Legal Description L _ negpDfSE ✓i91t� Lot biocL ♦ subd..Uo %K1.00 � d '..P ^ �� a�gH e Lot Size I I Z Tic Ft Inspections w e,,onnd,u-ct d�jg//��\/I IY/ (/&ved Erb aering Firm Number of Bedrooms: ____ �____—_-- ' 11 r ctpality (permit fee included) Does your house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, Jacuzzi,'I_ or Water Softener Unit? If yes, which one? A10^115 This application is for: Sewer Only _ Sewer and Well __Z_ Sewer Upgrade Well Only I certify that the above information is correct. I further certify that and in accordance with applicable Municipal codes. Fees: 72-012 (Rev 7/851 Receipt # L01 Permit # = i �/zr r'� AcrL4A4- r1sezc PiirE: N.T. -S 7 otjt17� t4 rl1,EQ?�� Td� �r O MIti,j /"IUM SYSTEM I>M• — (las rp O BnlCttiisE2 tal gr C--rl o..1 s ; O 01-6or-a�rlj PCtoc- To 1-4yifj�- of- Wr, w ri-vLv, (Q) hr-mC'- I/1-.-r4urr>Za-.a o� L,s,R.-yu Hoot •� F>=rr�F. PI Pei 9v2 -4d2 Tb JB?ALV-Frw, GoruP�tnlA-t-mil �"peA r�to�►�ro2. t.��,s 4, FLOAT Ho-t4w,%IC7 Ar Ar. OF A4 e OF 0 c; 4 T"•••..� e ... ........ ........... _... .. 0. RICHARD S GIESSEL y �tlVf. #��'.• CE -5132 o°may ff�LroP •'• .......• '�ca f f `"'Prof100\ y V T �rteu�.r� h+Yc-r.� rates -I c-+.o�sztii "'C ? $ t eoA k(, iLl6r- 10,3 (oao-C AI C S><l.r4t2ni 'bwJoS lti-I i'!'az{5�� C.TBtslyre,L V x4.-VC5. To t� -:XOTC fcc• Frzom F>sp sy5TE7?0 A° To F}oc-Dc.�IC-� Trc1t-•. Pn Po-�G✓J res�A-�.� GJc.L%Tin.11q �? CPI P6 [r", 6 _3YRGr ) /N1YE-� Gu�51 " _4"TF�t PIAS 4 Fw4T �wITUa 14 a7 FL41--'r OWITd. 4- bs�.w S -,P of At y: . r r*. 05 L..... u........C.IESSEL .' ' •'d RICHARD 5. .•., CE 5132 / . ` i re d ......•• �o�. 7acta : I:4 - /1<.:rUdL ftwzc P,PE: M.T5. c�ti.1�7�tAGT1o.J. �oj�s' O M I til I tj LAM 1185 rb O FaJ�lrclssrL taJ'Si��?'t o.J Q 11.5 or��I� P�le� To c�ayi�lc� a� Wa-,µ n-oa.l� . � nr�� r�7r�au..►mc�,l � �s�, n•c.� �, c�+z�. QtP6/ P✓Lla2 Tb B�ALle-FIL't'. FLOAT Fo--f W KA CT - V"V cl �,��ci �1`MaDuS oP6rcF�i�r � T•v,,,,_ 4lfotl�o-t. 21Z� r..l (m✓leunjD tnl�-tt;r�� ,.�/ kc-v�rz� '�uN D5 l ti.l k�tar.45�� F>LTs�c.J.sro,L / Vix-V� To .St,VlrtZ4f� �,al . P�Ep �YsT6.vl �Jc.�2Tin1t.� o, �pure.Jr ryra2 1;�V2T'A C. FICA -2 a- _ - r CFrs 3y�4n / /' / Ftc>,sT ✓ W t TCN 1lC.a-2M �iYs'i�-v1 4"revr f i P6 4 sf or vwmAa Wm"u sN--T W ITCw q' p5� 'W p M R ty M1♦ ., L11• i , • ,yw`ilk .�a+•t14i � �• Jti}-syr �r°�:: L .•�. �i•' :ate �' • 1 ,�~ 1 l ,1 t 1 r •�.� \ , 4 , r1 tom' �' ..1,. t . ,y . +. A � 07.,C I t 11 r rh •',M ,r• t ' ��. it. [.. i.•"'.1 .'SII .'. �•��•r�1�:;:�, �3"�;.. il. r ;•j h. { \� •. �' '_ r OM1, w�)+ � 1 .'I it !C. • � L�.y 1 i . 141 '�v, If1Y'•.tit �.'n. `i 1j fir/ r� '1 �. �1 Ah•.\`'S/ I i+f .+� ,.i1j''•.,,htt�i lr,f�i 6 \� d�r.\�.r4 1.�1 Y �1, • • 1 w :f A/ -l;•'-7, �:i 1�� 1 , 1q �l� rjr, 1 r••r "1�'•.Y, �, \f 1.' r11 Z .. ✓ •ten .. •)) �✓ •, %, � 4 1 /pp '( `� /,'J i 11 , r..� JI a. � ti�T �f�_{..'Y.J /`/.ii•1`L,1 `\�\I` I�S: I't 1.0�rt, � •.il t "J 1'' v P: � •,rt, �. 11 tt� \ +p• r+. l Irl �r � ♦'}. CI'\ �, � L• 1"'N. &RelormatC?c• V aEvffe offers lea around suAtch7ua€_r of (5t -fluent fEovi in aster easing mraste ar,:sor. ption f 6lardsa The Hancor Standard Alternator Valve allows controlled diversion of effluent to either of two indepen- dent absorption fields. Its moveable valve plate is at- tached to a handle which is accessible at ground level through a covered access tube. The access tube has a removable molded plastic lid which unbolts to permit essential periodic inspection or switching of effluent flow as required. The rust -proof, acid and alkali resistant polyethylene valve is available by itself or in kit form with all neces- sary components including the access tube and cover. Included in the kit are step-by-step instructions for proper installation, which is essential to the efficient function of the valve. The valve features molded self -coupling collars to accept 4 -inch corrugated Channel -flow® tubing. The inlet collar of the valve is designed to slip over 4 -Inch Smooth Wall tubing. Sealing of the inlet and ground level access tube is accomplished with Hancor Sealant, a tube of which is included in the kit. Also included in the kit is an owner registration card. A "Time -To -Switch" reminder card is mailed to regis- tered owners when the valve is due to be alternated. This encourages proper maintenance of the alternating field system. !Illustration) All necessary comppoonents and hardware are Included In the it.(Top left photo) Hold down forks aro used to secure the Volvo toaCort- crefepad. (Top right) proper leveling Insures optimum performance. (Cern for I* t) Ground /@vel access extension Is sealed to valve with either foam tape or Hancor Sealant. (Center right) Setting the ground level access ex- tension. (Bottom left) Bolting access cover In place. (Bottom tight) Access provides one of Inspection and maintenance by homeowner or service personnel. As with all Hancor waste management products, quality Installation and proper, periodic Inspection and maintenance of the total system will assure long lived, dependable performance of the system and Its components. Hsneer,Inc, P.O.Box 1047.401 Oliva street, Findlay. Ohio e5W�. 19 manufacturing and distribution canton natlonwide for fast service, de- pendable delivery: Findlay, Ohio • Cordele, Georgla • Oslweln, Iowa • Chesaning, Michigan • Mebane, North Csroll no • Halla, Tennessee • Olympia, Waehington • Endlco", New York • Patterson, California • EI Centro, California • Brexll, Indiana • Yoakum, Texas• Fairmont. Minnesota 0 CopyrlpM 19n, Haroor, k.e. HL -12 -TY r,.,,, MUNICIPALITY OF ANCHORAGE D1 FITMENT OF HEALTH AND HUMAN SER ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name i -I ol-1 1= isa, , DISTANCES FROM TO TANK ABSORPTION FIELD WELL Aca,e G y 1 c— e%e L L\i, I P �i 2v (+ S e ,( WELL Phonets) TTT perms No No or aearcoms 5E�- ;(,.e $sI-n1nr, LOT LINE LEGAL DESCRIPTION Lot BIOCk SUDanRIOn FOUNDATION 10 / 1 .� 5' j TownShIp. Flange. Section AS -BUILT DIAGRAM 5ho v location m wen. septic system, property Imes. tourwauon, driveway. water booties, etc) 7� Lei F TANKS ❑ SEPTIC 9DD HOLDING Meh.... wler Capacity In ganons ANCF h _A fi F_ TAN 111 ?Snt�c. Material No. dl Compartments J TYPE OF SYSTEM ❑ TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Urplh to pipe bottom bons ouglnal graoe FT Total Depth Irom onginal graoe FT p j Fill added aWve ong,nal grace Gravel Depth benealb pipe FT FT Gravrl leng;n Gravel w,Dln FT FT Total absorption area SO FT Distance between Imes FT =� L Nllmbel OI tines Soil rating pipe rhawha, SO FT S " N Instaner Dale Instaaea rJ WELLS TNI ❑ PRIVATE ❑ OTHER (IdentifvT GassiLcehuri JA.B.CI total Depth Cased to FT FT onsuua.•, Dale Inslalle T REMARKS: 6er7,7C, 7W%1& 77Ea 7a J&L.�iw/ A_�`�r '� Jia;' Scale' >' 6, 1'la- /T Inspections 1Performed by Date eeNm ly that this inspection was perlormed according all I , •� Municipal and State qui elines in ellect on Nis date: y` �t 7� f ` Health Department Approval: - Date. ENGINEER S SEAL CIF AZ r •�,••••• ... �'t A :'t4 .01 1006 �• • �`4y `"" i: ` •� ��•d• O. 2225-E sn.0 tF 9d •• JUNE 25. 1971 •Y ��'� \i, 1. 1 .. 72-019 (3:85) MIJN I C I F'AL I TY OF ANCI-fOF <44C3E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 ON—S.I TF- S5WER PERM I T PERMIT NO: 860105 HOLDING ANtI DATE ISSUED: 04/28/86 APPLICANT: ADDRESS: CONTACT PHONE: C/O T SPURKLAND 3201 C STREET ANCHORAGE, AK 563-5500 HOMEOUITY 99503 �j LEGAL DESCRIP: SUBDIVISION: PARADISE VALLEY LOT: 6 BLOCK: 9 SECTION: 11 TOWNSHIP: 11N RANGE: 3W LOT SIZE: 24031 \\(SO.FT. OR ACRES) LOT LOCATION: ROMA DRIVE I certify that: s 4 L 1. I am familiar wi h the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUTJ ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE A LICENSED ELECTRICIAN. E'29haf0 APPLICANT: C/O T ISSUED BY &C." v C", -at TY DATE: DATE: - u�y! J 'S �p��a.,GC �w�-1.� ic.(r-n.Xc.r� �z�'' a.�..,,.i/, uwu-•cam �.�.� • 4 OO, D D 4�YV �Y ��W��{/V DD� �0�0 �2 ANCHORAGE, ALASKA SUITE9501 CONSULTING ENGINEER TELEPHONE: 19071279-3915 JACK WHITE COMPANY MARCH 28, 1986 3201 C STREET ANCHORAGE, ALASKA 99503 attn: Barbra Taylor/ Clair Ramsey Subject: Lot 6, Block 9, Paradize Valley Gentlemen: Per your your verbal request we did additional investigations on subject lot to evaluate the possibility for a replacement system for the existing septic system. This investigation consisted of obtaining topographical data and additional soil data. The topographical survey showed that the southeast corner of the lot is level enough for the installation of a bed system. The Municipality limits the installation of bed systems to areas with less than 10 8 slope. The slope along the east property line is approximately 11 8. However, when we tested the soil in this area we found that the percolation rate is such that a system can not be installed. As the attached lot plan shows, we tested the soil at two locations. Both places we drilled a ten foot hole. The soils were identical with 3 feet of organic soil over a sandy silt. We installed groundwater monitoring tubes in both holes. After 24 hours no water was observed. We then performed a percolation test at both locations at a depth of five feet. Two additional holes were drilled and filled with 6 to 8 inches of water. The water levels were minitored for 20 minutes with no observed drop. The holes were checked the next day, ( 26 hours later ), the water was still there. This shows that the percolation rate is not acceptable for any kind of soil absorption system. The monitoring tube installed on October 2, 1985 showed groundwater at nine feet. This indicates that the existing system is installed too close to the groundwater level and must be abandoned. Unfortunately my investigations have not shown that an alternate absorption system can be installed. At this time a holding tank is the only possibility. I understand that the Municipality was looking into the possibility of installing public sewers into Paradize Valley. The proposed LID did include this property. This property would benefit from access to public sewer. 1bS be Spurkland E. • CONSULTING ENGINEER ��rJG3G3dG�GJ©� G°PvC o Barbra Taylor Jack White Co. 3201 C Street Anchorage, Alaska 99503 Subject: Lot 6, Block 9, Paradise Valley Dear Barbra; 203W. 15th AVE "C' SUITE 203 ANCHORAGE. ALASKA 99501 TELEPHONE: 19071279-3916 October 8, 1985 Frank Babiak residence. On October 2, 1985 two test holes were dug at subject property for the purpose of obtaining soil information needed to design a septic system to replace the existing system. The existing system has been found unacceptable by the Municipal Health Department. A Case 580 backhoe was used to dig the test holes. The attached sketch shows the location of the existing system and the two testholes. In test hole No. 1 we found 3 feet of organic material overlaying a silty sand. The hole was 9 feet deep. Approximately 20 minutes after digging the hole water started to seep 5.5 feet from the top. The seep occurred from all sides of the hole. In test hole No. 2 we found 2 feet of organic material overlaying 2 feet of a clayey sand over silty sand. This hole was 10.5 feet deep. After 30 minutes water started to seep at various locations in the test hole and the interface between the organic and the clayey sand. The Municipal regulations requires a four foot separation between the bottom of the septic system and the highest level of groundwater. Two alternatives present themselves for this property. 1. Install a holding tank. This alternative is not popular since it means a high monthly cost in pumping. 2. Install a bed system. This means removing the organic material and replace it with sand. The attached sketches show a bed system designed for a different location but the idea will be the same. In order to design a suitable system for this lot more monitoring of the ground water and several percolation tests must be made. We did install a monitoring tube for the observation of the ground water. Percolation test can be done with a porthole digger. The total cost of this system may be as high as $ 8,000.00. ours Tobbe Spurkland P. Lo T. 6, I:5 V 9 PAF'. v�� r \/ALL E V NoI.T�INC, iAW� INSTAL-I-A'j'(DtiI 71, la r,3 t��k=U'TZvvI-I� e XISi INFO C, .t(� A 'r.*,)v U-PLIF i \//A-t"r a' L_L=vt=LL 140N 1ToRI=�I� -v -T ot-t OF xlsc tuc� TiarJ�� A S ST/a LL j000 go -J TaNFI; 'r—A U `r' C. I P T 3 otrco >4 6.3 y 5= 2 5, o -c o 1 16NT of -SAUV, FII. -L Llo. 16k3 . a: : .. 3 :: :::: `7 I . LOT b, 3LOGK q r'/�P�}�IZE 1/A L Ll^yl� Loc. L. of Holcjiv,:L i4.,..�—. �rDVKtC ��v u -f= EX�S��►v,•S�•Pi-�c. IANk HAY- T�� c...� �ur vv� F-1 e a aQ n ...Q.O f a-" V -Q G� YOtJN O� GYDV� �1�.• � 1�wwr� .�::. I � +� �f43 1 50Z Llgal avq PERM OVER TANK HIGH WATER ALARM 3000 GAL. STEEL H13L�DWG TANK L a G1R3. DIA. - 76 NOTES L INSTALL IN CONFORMANCE WITH NUNICIpAL CODE. 2 AUDIBLE AHD VISUAL.ALARM INSTALLED INSIDE RESIDENCE COPY OF PUMPZW CONTRACT TO BE SUBMITTED TO FHS �CF•lk � *:gsrr. 00 ... ° loouY`_ 25, 1371 lllliE :7% HOLDING'YRNK INSTALLATION LOT 6, BLOCK 9, PARADIZE VALLEY EXISTING GROUND COUPLING TOBBEN SPURKLAND P.E. 203 W15TH. AVENUE ANCHORAGE, AK. 99501 APRIL 22. 1986 HMO I qps/BG > PcA q F-tc'-✓rTT/fl�/ \ Am— Is.4' // I _ / /kawSw� 0 co G45urG.« � � S�N�' Nto ri'rS HMEQUIN A PHH GPWV COMPANY 2600 Campus Drive, San Mateo, California 94403 (415) 572-1300 April 25, 1986 Municipality of Anchorage Department of Health and Environment Protection Division of Environmental Health Anchorage, AK 99501 Re: Lot 6, Block 9, Paradise Valley 5922 Romania To whom it may concern: This letter is expressly intended to give Tobben Spurkland the authority to obtain a permit for and to do whatever is necessary to install a holding tank at the above referenced property for Homequity, Inc. If you have any questions regarding this matter please contact our representative, Clair J. Ramsey, Jack White Company, 563-5500. Sincerely, c� Carroll LowryV O Q.. ruPt ROViANIA DRIVE Lr)l M, cF.ir,c: �G M �.t � •(�F /, t,�rt11 r,l?.• •A 1 %7th ggrn` 7 •7 �. �..(�.r.. % �IITILITi n. JU lot NE 222 971 • ;.,.'i ( i i SEPTIC SYSTEM UPGRADE LOT 6, BLOCK 91 PARADIZE VALLEY JACK WHITE CO/HDVIE EQUITY .. qy asstc•,ed eievatrr. top of "t reb¢r TOBEEN SPURK'LAND P.E.,', 203 W15TH. AVENUE ANCHORAGE, AK. 99501 APRIL 22, 1966 r � .-� GREti.tR ANCHORAGE AREA BOR,JGH •r'I)/ it Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTIO REPORT ON-SITE �SEWAGE �DISPOSAL SYSTEM NAME _! MAILING ADDRESS—?�� O_YZ��- Alry PHONE NAME n / JJ DD LOCATION LEGAL DESCRIPTION SEPTIC TANK: DISTANCE ,, //n NUMBER OF FROM WELL/Y /ty MANUFACTURE MATERIAL[� COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITYZ�G GALLONS. TILE DRAIN FIELD: / TOTAL LENGTH /J / DISTANCE FROM WELD/ 1_1/ FOUNDATION �j %/W NE,A�REESS,T LOT LINE & y //- OF LINES _P"7 NUMBER OF LINES DISTANCE BETWEEN LINES ��TRENCH WIOTH1a6 IN. TOTAL EFFECTIVE `'Y°�' � O" ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE 7' r DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE _Y_� MATERIAL BENEATH TILE FA. ABOVE TILE --'/—IN. WELL: 40 / N TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION_, LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL . OTHER SOURCES APPROVED DISAPPROVED REMARKS —. DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: �• T1LF�L 1 %(lvNQ¢ rb N Sum SEWER LINE DEPTH: SiF.0 cI PIPE MATERIAL: ei, C,7 A 7A LOT SLOPE: REMARKS: DATE PPROVED / "+ G.A.A.B. Form EQ -032 MUMS' M)MMO BOX 11369s STAR it"urE A ANCUORAGE. ALASKA 99502 344- 7'714 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF 1 A foot - DRILLED AT THE RATE OF 1138-00 PER FOOT. PROPERTY OWNER 1lrm.isk n.hi*.k 3960mi LOCATION OF WELL SITE it._ I'n 1k_ DRILLER O RN=Srt 1112illi g WOrks- WELL- LOG;- op—la, OG; 0.-»18, Oravrl and mall bouMws. 22binder• 18-x-460 Hardpaa and cobbles. Draken rock tram 40-46 toot. Bedrock. Sedluelnta-U rock. 87,1051 A porous rook producing a good yield of rater. 8 to 10 GEN with a fast recovery. Thio roll aqy draw dorm after several hours of camti=aus use but should recover to full production after short resU& F mp should be installed ton feet off battaa. MIR aPALITY OF ANOIORACE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAY 2 21986 RECEIVED COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF 1113flon_m THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS DATE Sept 7t4a 1977 � it SERVICE CHARGE 0F I%a% PER MONTH WILL :E�EE`S-S� ON PAST DUE AC S. 4i tlU04I C I;lQL I TY CSF FlrJGH�I w DEPARTMENT C HEALTH AND ENVIRONMENTAL STECTION 2516 E. TUDOR RD., ANCHORAGE, AK. gq�yv. / 276-2221 I, 4(ptC WELL Ar4E> C r4—� I TE FSE :Irl I -vn�n PERMIT NO. C 77002 ) (/ 'I K I AF'F'LICAtJT FFAFJM: BABIAK SRA BOX 1595N 345-2c� LOCATION GOLDEN VIEW DR (AT END) LEGAL L6 69 PARADISE VALLEY LOT SIZE 26000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = no SOIL EATING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION " IS: cp.2- F>EF IF VA Ito L_EtJGTH= .5641— La FZ FA ItE"L_ nEsmIFH= AL CD 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 PIPE AND THE BOTTOM OF THE EXCAVATION KN FEET). (,SOCA F_F-G!U I F:EFJ DEF=T I C IFFir-4K =. I =E:= may UFiL_L_Clra1 IFL.JCl C ] I tJSF='EC:T I orA!F: FIFcE F<:EG!i_i I F:EF? 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 2200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'EFRtl I T % FAL I C• F= CAFt: CDrAE YEFiF: FFt:iJt•1 I EUE 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 4 BEDROOMS. SIGNED ISSUED APPLICANT _r RG^.7 C C N 5U LTA NTS, I N C. 14• 1w 1111 •va. - ao.. 1011 00,... 11.01 . a.... 10,-a,» 0..3 •'r. coo 1.260 Septe:-ber 17, 1976 Chuck Booher c/o Skyway Realty 3202 Sperard Anchorage, Alaska 99503 R & M No. 656301 RE: Test Hole and Soil Log Report for Sanitary System Paradise Valley Subdivision, Block 9, Lot 6, Anchorage Alaska Dear Mr. Booher: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This in- vestigation was performed in accordance with your request of September 9, 1976 and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Muncipality of Anchorage Department of Environmental Quality. A single test hole was put down within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with an auger type.drilling rig and the test hole was extended to a total depth of 19 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater was not encountered in the test hole while drilling. A percolation test was performed from a depth indicated and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. very truly yours, Ry& M CONSULTANTS, INC. / e James 14. Rooney Vice President J'.4R/ddp xc: Municipality of Anchorage S r y � $'er r' n v C ,v - ANCNOAAnE FAIPSANK9 �/t•ir/�C ��l Pn�rr�SerwtDUNEA{i <�,// PARd-1 In '76 T.11. 1 0' ORGANIC MATERIAL 1.5' ORGANIC SILT Dark Brown 3.0' SILTY SAND W/SME GRAVEL 4.5' SANDY SILT W/SOME GRAVEL Wet ----------�.D� SANDY SILT W/TRACE GRAVEL Wet .0' SAND W/SGML SILT TRACE GRAVEL D 9.0' T.D. This log represents subsurface soil conditions within Paradise Valley Subdivision, Block 9, Lot 6, Anchorage, Alaska Chuck Booher F.S. .9:; � R&M CCNSULTANTS,INC. Soil Log Report GRID ,� . «...................... ..... Anchorage, Alaska PRO .NO 5301 6 ��__ 0'.VG.fJ0.A-01 ( \ PERCOLATION TEST CHECK BOOMER R & N NO. 656301 EMPSED DROP IN TIME TIic INCHES INCHES 5:45 0 6.25 0 5:46 1 9.5 3.25 5:47 2 11.5 2.5 5:48 3 13.0 1.5 5:49 4 14.0 1.0 5:50 5 15.25 1.25 5:51 6 16.0 0.75 5:52 7 17.25 1.25 5:53 8 18.0 .75 5:54 9 18.5 .50 ' 5:55 10 19.0 .50 6:00 15 22.5 3.5 6:05 20 24.0 1.5 6:10 25 26.25 2.25 6:15 30 28.0 1.75 6:25 40 32.25 4.25 6:35 50 35.75 3.5 6:45 60 39.50 3.75 33.25 Inches Drop .. ---- - --M�.n/inch -- MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On-Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251084 Parcel ID 020 -414-10 Expiration Date: Legal description PARADISE VALLEY BLK 9 LT 6 Site address 5922 ROMANIA DR Current property owner(s) CARNEY JACK ERWIN III & X The On-site system(s) is/are approved for 5 bedrooms By: 2/17/2026 Conditional approval for bedrooms, with the following stipulations: Comments or conditions: Original Certificate Date: 4/2/2025 Thils Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory X Tank Age Advisory X Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE f Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section �� ' Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 020-414-10 Complete legal description PARADISE VALLEY BLOCK 9 LOT 6 Location (site address) 5922 ROMANIA DRIVE ANCHORAGE, ALASKA 99516 Current property owner(s) JACK & CELESTE CARNEY Day phone 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 25 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ® AWWTS ® Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ �� yo Waiver Fee $ Date of Payment 2-L' 5l Date of Payment COSA # i% 5 C, 2 rl Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: PARADISE VALLEY BLOCK 9 LOT 6 Parcel ID: 020-414-10 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 9/7/1977 Total depth 105 ft Cased to 105 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 36+ in. Date of flow test for COSA 2/17/25 Static water level at beginning of test 28 ft. Well production at time of test 6 gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 5.42 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 2/17/25 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank NA* Date of pumping 2/17/25 Required maintenance completed, if AWWTS Comments: *Float setting/pressurized system C. LIFT STATION Required maintenance completed Age of lift station 25 years Lift station material STEEL Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/21/13 ALL standpipes present per record drawing Total measured depth from existing grade 3.3 ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 2/17/25 Results Pass Fluid depth prior to test 0 in Water added 790 gal New fluid depth 1 in Elapsed time 10 min Final fluid depth 0 in Absorption rate 750 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 3.5 in (MOA 0.29’ ED) Effective depth used 0 in (Final Fluid Depth) Effective depth (ED) remaining 3.5 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots, visual observations, MOA records appears approximate. COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 03/17/2025 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 03/17/25 FYI: A 1500 STEP TANK IN 2000 & A 2013 IDSF FIELD INSTALLED. NEW COMPRESSORINSTALLED. MUNICIPALITY OF ANCHORAGE ADV AN CED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REP AIR AGREEMENJ, herein the "AGREEMENT" made and mla-cd into as of this _LJ__ Day of ~-P\. of 2o;:lS, by and bctwmi Kh .. l.·I lc--l ct: ci!J.,.; A, Lani , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIP ALIIT', in accordance with Anchorage Municipal Code (AMC) 1S.65.36S. In consideration oft.he 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 (A WWTS), descnl>ed as AN IDSF -INTERMITTENT DOS,NG SAND FILTER located at {legal description) PARADISE VALLEY BLOCK 9, LOT 6 2. Maintenance, Repain and Alterations. (Owner is required to read, understand and initial each section) ~ ~oughout the term of this Agreement, the Owner shall enter into a service agxeement with an A WWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The A WWTS shall 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. ~-ft-It shall be the responsibili~ of the Owner during the term of ~s A~ent to pa~ for all repair(s), maintenance. adJustxnent(s), replacement costs, and mspection costs. This includes m anrnJaJ maintenance fee (typically $400 to $600). ~ I):!. Owner agrees that only maintenance and repair personnel approved by the Municipality tr ~ the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. ~(22 Owner acknowledges that regular maintenance of an A WWTS reduces the potential O failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 0S/18/2018) Page 1 of3 ,/2. ~er acknowled,gcs that the MWlicipality may request records of lllalntenance and repairs ftom the manufacturer's representative or maintenance provider. ~ -}i-Owner acknowledges that the fine for failing to maintain and repair an A WWTS may be assessed in accordance with AMC 14.60.030. ? ~ ()woer agrees to grant the Municipality reasonable access to test and inspect the A WWTS. The Municipality will give at least 24-hour notice. _,J;-+Owner: agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. ~ ~ OwDer agrees that the A WWTS installation and maintenance requirements as provided by the A WWTS vendor/installer and approved by the MunicipaJity are the governing guidelines for the construction, maintenance and repair of the Owner's A WWTS. er~ ()woer agrees to maintain remote monitoring of the A WWTS as required by the A WWTS 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 A WWTS is operational or until title is transferred. 4. Nonwaiyer. 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. S. Ampdment. 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. ,Jprildiedon; 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. SCYCQblllty. Any provisions of this Agreement decreed invalid by a court of competent jwildiction shall not invalidate the remaining provisions of the Agreement (rev. 0S/18/2018) Page2of3 OAVN Ex: By: J(signature) Date: (print name) STATE OF ALASKA ) THIRD)Ss. JUDICIAL DISTRICT ) The foregoin instrument wlis acknowled§ed before me this 11 day of 44A''� , 20.2' b hit 1 �.o v dl STATE OF ALASKA �PUBLI NOTARY PUBLIC NOTARY FOR ALASKA Janie R. Ste. Marla My Commission expires: I try C TvrgWm BOres� MUNI By: , (signature) Date: 6- �` 6 Qy (print name) Title: (rev. 05/18/2018) Page 3 of 3 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC251084 Subdivision: Paradise Valley, Block: 9, Lot: 6 907-343-7904 Fax: 343-7997 A water sample revealed a nitrate concentration of 5.42 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section Q www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval # OSC251084 Subdivision: Paradise Valley Block:9, Lot: 6 907-343-7904 Fax: 343-7997 The septic tank for this property is 25 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $15,000 or more, not including engineering, surveying, MOA permitting fees or site restoration. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. COSA Checklist Legal Description: PARADISE VALLEY B9, L6 Parcel ID: 020-414-10 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 9/7/1977 Total depth 105 ft Cased to 105 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 5/19/2020 Static water level at beginning of test 27 ft. Well production at time of test 5+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 6.82 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 5/19/2020 Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 19 years Tank type/material STEP / STEEL Measured operating fluid level in septic tank *78” Standpipes/foundation cleanout per record drawing Date of pumping 5/19/2020 C. LIFT STATION Required maintenance completed Age of lift station 19 years Lift station material STEEL Comments: *Float setting – see maint. report D. ABSORPTION FIELD DATA Which system tested (date installed) 8/21/2013 ALL standpipes present per record drawing Total measured depth from grade 3.3 ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 5/19/2020 Results Pass For 5 bedrooms Fluid depth prior to test 0 in Water added 750 gal New depth 0 in Elapsed time <1 min Final fluid depth 0 in Absorption rate 750+ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: IDSF SYSTEM E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 5/26/20 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343- 7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Advisory Certificate of On-Site Systems Approval # OSC201206 Subdivision: Paradise Valley, Block: 9, Lot: 6 A water sample revealed a nitrate concentration of 6.82 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached “Nitrate Fact Sheet” for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as “blue baby” disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several “wet chemical” methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive “screening test”, and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. IDSF Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 020-414-10 g Expiration Date: 1. GENERAL INFORMATION Complete legal description PARADISE VALLEY; BLOCK 9, LOT 6 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 5922 ROMANIA DRIVE, ANCHORAGE, AK, 99516 SABRINA & JAMES WILLIS Day phone 441-8811 5922 ROMANIA DRIVE, ANCHORAGE, AK, 99516 DAR WALDEN W/ KELLER WILLIAMS Day phone 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: 865-6406 TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: m COSA to be released to the engineer, unless otherwise requested by the engineer. Date: OK/f— A COSA Fee $ (;bfb lI ✓'' 12AX5i1i'l Waiver Fee $ Date of Payment_ I// J i Date of Payment Receipt Number d �SY4N Receipt Number COSA# SSG �3t`{5� Waiver# 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, 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 GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineers Comments: in conducting this evaluation, GEG, UD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reparted resuRs described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to madly identifiable features. The operational life of all wells and sepfic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being sewed by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, not do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the ownerlisted above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE t / System #1 Approved for / s y pp � bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following 337-6179 A. Gar as s: 795 c°O OF tA/VCryOf;,/ i Ori-s�jE WAjER AN�R Original Certificate Date: 9 - / 3 The M cipality or Aechg;dge Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11/05) Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: PARADISE VALLEY; BLOCK 9, LOT 6 Parcel ID: 020-414-10 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) Date completed 9/7/77 Sanitary seal (Y/N) YES Total depth 105 ft. Cased to 105 ft. FROM WELL LOG Date of test 9/7/77 Static water level UNKNOWN ft. YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 8/5/13 31 ft. Well production 8-10 g.p.m. 6.59 g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate q yl-mg./L. Collected by: GEQ, Ltd. Arsenic: i — ug./L. Date of sample: 7/31/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP/STEEL Date installed 10/14/00 Tank size 2000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping NOT REQUIRED Pumper CAT III ADVANCED TREATMENT SYSTEM C. ABSORPTION FIELD DATA Date installed 8/20-21/13 Soil rating (g.p.d./ft`or '/bdrm 2.0 System type BOTTOMLESS IDSF Length 32 ft. Width 12 ft. Gravel below pipe 0.29 ft. Total depth ft. Eff. absorption area 384 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) - For=bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date D. LIFT STATION *SEE ATTACHED MAINTENANCE REPORT. Date installed 10/14/00 Size in gallons 2000 Manhole/Access (Y/N) YES "Pump on" level at 34.5 in. "Pump off' level at 32.5 in. High water alarm level at 44.5 in. Datum BOTTOM OF TANK Cycles tested * Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100 + On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 1 DO'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+ Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date (Rev. 11/05) OB/23/2013 09:00 8686770 APLUS PAGE 01 1v1UNicrPALIT9 OF Avcrtor-nor - Community Development Department - On -Site Water $ Wastewater Program P: 907-343.7904 - F: 907-343-7997 - P.O. Box 196630 Anchorage„AIC 99519-6650 - bttp://www.mani,org/builft Intermittent Dosing Sand Filter Maintenance Log Owner r Street Address x922 Phone legal Desc. PID Sent'c ntc. -Sludge level inches -Pumping: required es n 'Pumping completed (gUrLo Ahaorpff n Field: -Liquid level W-04"� inches -Flushing valves per approved design ea no -All flushing valves opened, distribution lines flushed, and flushing valves closed damo Ufk station: -Pump basket cleanedes o-diotube effluent filter cleaned es no -Timer float settinginches -High level float setting .SO inches -Reference point, -Tp o�✓As -Pump ort, ---,•,seconds -Pump off -Z3 0 minutes -Cumulative lifetime cycles -Operation satisfactory � no A,lir Svstem' -Air pump filter cleanedey s no -Date of latest install or rebuild Alarm System: -Dedicated electrical circuites no` -Float setting inches -Cumulative run time hours -Air pressure si -Air system operationatisf�tsatisfactory -Audible and visua[ alarm inside dwelling 40—m -Alarm system operation sfact6ry , not satisfactory Comments:A. .....•..•......•...........................•.......................................,..,............................... . •..I....................•.................................................,.,....,......................•...................................................... Malntenaneg Pr eider Technician Date of maintenance_ Company�+�c�r/c /L SignatureLim/��r' Date \ R O X040 LOT 5 ti �:?::;: i:>.......:. . ryry ape' am ppWr�¢ELL 2 �G a Q 20 p7^ pBs 'O� 5 ry SEPTC ® CIEANOUTS LOT 6 6-°° UR STATONJ LOT 7 e •h1 LOT 32 92 �'Tp<pry\ 33�wF Fqr / NT\ 9833. I LOT 31 �QOFA�1o% o�� ..,.......• �QQ •9 Ud �..7_ 7.....f............. D nine-M- zl LS-8629 Q .' ;' iop� wO%essionat NOTE: D o THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LANTECH. Lepel Description: ordarai ey. Erica Kellar/ Keller Williams Realty 'S-BUILT Legend: Septle standpipe® '''i':Aephaltt.-Y: Lo 6, Block 9, water well ® :: ''CAnMte,r,:: Paradise Valley Subdivision rams—x— a EXCLUSION NOTES It Is the owners' respanslblllty to determine the existence of any easements, covenants. or reatriotions which do not appear on the recorded subdlNaion plat. NOTE: Under no circumstances should any data hereon be us.d far construction or far establishing property linea. LAND & CONSTRUCT �! 440 West Henson Boul SURVEYORS—PLANNERS—ENGINEERS ward, Suite 200 Phone: 562-5291 SURVEY CER71FIGATION: LANTECH has conducted a physical survey W this property as shown an this drawing and that the Improvements situated thereon are within the property lines end no encroachments ex at other Anchorage, Alaska 995 3 Fax: 561-6626 than noted. Plot: 87-16 grid; SW3538 Dolan August 26, 2013 Drown ey JMZ Work Order: 2013—L-102 Wiev 791/76 NO. 2004L442 same: V-40 Checked 839 TE ' Page 1 of 1 Poet, Jeff W. From: Jeff Garness [Jeff@garnessengineering.com] Sent: Wednesday, August 28, 2013 5:38 PM To: Poet, Jeff W. Subject: Separation distance from new ISF at Paradise Valley, B9, L6 and well on Paradise Valley, B9, L5 Attachments: Location of well for Paradise Valley, B9, LS.pdf Mr. Poet, I did some research and found the attached document which shows the well location at Paradise Valley, B9, L5. As discussed, we scoured the whole lot looking for the well and all Rob Campbell could find was a "steel fence post'. Well, according to the attached document, that fence post marks the well location. The subject fence post is greater than 100 feet away from the new ISF just installed at Paradise Valley, B9, L6. On an additional note. The as -built survey we submitted for the COSA (Paradise Valley, B9, L6) and our septic asbuilt drawings did not show the foundation cleanout. Rob Campbell went to Paradise Valley, B9, L6 today and confirmed there is a foundation cleanout. In short, even though the as -built survey we provided (by Lantech) for the COSA does not show the foundation cleanout, there is one present. If you have any questions, please call or email. If you would put a copy of this email and the attached drawing (showing the location of the well on L6) into the records for Paradise Valley, B9, L6, it would be appreciated. Best Regards ........................jeff Jeffrey A. Garness, P.E., M.S. President Garness Engineering Group, Ltd. 3701 East Tudor Road, Suite 101 Anchorage, Alaska 99507 Ph: 907-337-6179 Fx: 907-338-3246 website: www.garnessengineering.com 8/29/2013 SK SW030494 -t PERMIT N0. PACE 2 OF 3 Z Municipality of Anchors e DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Telephone; 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT rn LEGAL LOT 4, BLOCK 9, PARADISE VALLEY S/D P.J.D. NO. 020-414-12 s 1 PSN 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 0 s. ... CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. D 2 U — Wq — t y HAA # h lu 0 I Expiration Date: 03 1. GENERAL INFORMATION // Complete legal description L& I- 4 9 Faro, rsc Vq /Ira SMig Location (site address or directions) Current Property owner(s) Grn e,'' S 41 n i (2k c Day phone 23 S - 910 6 II Mailing address - 49_('05 Nd m e r /n1 % A 0. po,c Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY:, TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer Cl The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. l 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 Finn Address L4& r10 Sti Engineer's Printed Name 1 5. DSD SIGNATURE Phone _3 4/6.r53 Date—.9 /s/0- OF 2 0 OF q�q �� *:4 MICHAEL N. ANDERSON"I Approved for _ r bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other PROGRAM W, By: Original Certificate Date: 9 – is-- O 3 (R. OIJ02) Municipality of Anchorage Development Services Department Building Safety Division ` On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 40� G PS�I�q P,+ociracVnI�.T/0 Parcel ID: O?ZL 4/K -/n A WELL DATA Well type if A, B. or C provide PWSID # Date completed 9 L04 Sanitary seal (Y/N)--Y- Total depth S ft. Cased to / o ft. FROM WELL LOG Date of test _fit Static water level Un Ic ■ ow .i ft. Well Log (YIN) v Wires properly protected (Y/N) Y Casing height (above ground) -5 5- in. AT INSPECTION b' yv o ft. Well production 4T-/,( g.p.m. it S i g.p.m. WATER SAMPLE RESULTS: �/ Coliform ��; colonles/100 ml. Nitrate ' � mg.fl. Other bacteria �/ colonies/10D{ml. Arsenic: /_*� mg.fl. Date of sample:/ Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material 'S. E_ P Date installed /O �/,if U D Tank size 2000 gal. Number of Compartments 2- Cleanouts (Y/N) y Foundation cleanout (Y/N) - Depression over tank (Y/N) lv High water alarm (Y/N)_ Date of pumping q 0 Pumper C. ABSORPTION FIELD DATA Date installed /0/1t6 o Soil ratin (.p.d./ 2 or felbdrm) 2. G System type Z sr- Length FLength 3 d+ ft. Width / IL ft. Gravel below pipe C' S ft. Total depth 37 ft. Eff. absorption area 300 fl? Monitoring tube V Depression over field N Date of adequacy test 46 '3'0 0 Results (Pass/Fail) Pa i 5 For 15� bedrooms 1 r Fluid depth in absorption field before fest j� in. Water added �5 gal. New de �th 6 in. II (/ (��h Dr — Elapsed Time: )14Kamin. Final fluid depth in. Absorption rate >= 7x3U 7L g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) 74 If yes, give date D. LIFT STATION Date installed 100 "Pump on" level at 3 — Size in gallons ZOO 0 "Pump off" level at 3?15in. Manhole/Access (YIN) High water alarm level at r%'(. '5- in. Datum 80 Wd4 f Nn % Cycles tested 3 Meets alarm & circuit requirements? _ E. SEPARATION DISTANCES S Ita l r Y° °" tier„ cr SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot X00 17( - Absorption >< Absorption field on lot /00 r Public sewer main '4/1,Q Sewer /septic service line 'Z S I 7 On adjacent lots /UO r > On adjacent lots Mo '4 Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 r Property line Absorption field 9 r f Water main XIZ4 Water service line 2 S r 4, Surface water you 14 Wells on adjacent lots / oU I,It SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10,4 Building foundation /D I1/ Water main Water Service line ?45- 1 Surface water /00 (tc Driveway. parking/vehicle storage 30 14 Curtain drain 00 6„rro) n Wells on adjacent lots X00 ( V F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name /'41 r', a e.( A( N e (-I Date T f () 3 HAA Fee S V5 - (tea E. y Date of Payment 9 7-/6 3 Receipt Number _ ( (0 0 7` (Rev. 12/01) Waiver Fee S Date of Payment Receipt Number OF A �� ..• ..4-1f ow .1 .y II * 49TH LV JMICHAEL N. ANDERSCN :4� III) i fn .7 //9 Y6 SGS Ref.# 1035531001 Client Name Mike N. Anderson, P.E. Project Name/# Lot 6, Blk 9, Paradise Valley Client Sample ID Lot 6, Blk 9, Paradise Valley Matrix Drinking Water Sample Remarks: All Dates/flmes are Alaska Standard Time Printed Date/rime 09/04/2003 13:00 Collected Date/lime 08128/2003 11:49 Received Date/time 08128/2003 13:17 Technical Director h de 01 Released B f /� Parameter lifters Results Allowable Prep Analysis Qua PQL Units htcthod Container ID Limits Date Date Init Waters Department Nitrate -N 3.84 0.100 Microbiology Laboratory Total Coliform 0 mg/L EPA 300.0 B (<=10) 08/28/03 JJB col/l00mL SM189222B A (<=1) 08/28/03 JS WELL , LUT S / R v �� At �F... 404p WP Ol 49 TTH e .............................. SHANEA.HOLT o LS -6914 / O ►VA \ \ SS90 4 \ \ \ 3Q•� \ \ ceaeND: l 919 \ \ \ \ S BCweR VENr EXISTING STRUCTURES AND PUTTED LOT LINES OR STRUCTURES OR FENCELINES, •�F 1 AfMNLT DPNEWAY IBr HARIBI��10 NOTe. TNfRC ARE NUMEROUS MINOR DISCREPANCIES /N TM/B SUBDIVISION IN COMPARING EOUNO PROPERTY CORNERS TO rNe RECORD PLAT. TNEREFORF. O/BTANCES TO TME SIDE LOT LINE AMC SHOWN TO rME NEAREST EOOr. TN/S SURVrY /S BASSO ON IOUNO CORNERS Ar rMe N. w. CORNER LOT / S. BLOCK B. AND TNF B.W. CORNER OL LOT J. BLOCK 7. /URrNER RerRACEMENT Of' PROPCAry LINES MAY RESULT /N BL/OMTLY O/P/ERENr REBUL re. ASBUILT SURVEY NO CORNERS SET THIS DATE 1' • 30- EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON (UNLESS INDICA' NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. :PIBED PROPERTY. D. BLOCK 9. PARADISE VALLEY SUB. iORAGE RECORDING DISTRICT. ALASKA AND THAT VISIBLE IMPROVEMENTS SITUATED THEREON ARE IIN THE PROPERTY LINES AND NO VISIBLE IOACHMENTS EXIST OTHER THAN NOTED. :D AT ANCHORAGE. ALASKA THIS 15TH_ OF NOVEMBER 2006 f LAND SURVEYIN 1 1, B 14 3455513 MUNICIPALITY OF ANCHORAGE ARL 'O DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services low On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 0-20-4-14-10 1 2. 3. 4. GENERAL INFORMATION Complete legal description L,& T— HAA#1S�a�nnA� Ck- C). P44- IJ E ✓' . "`'r 7' Location (site address or directions) Property owner 1� t �ts..IS�J Day phone 34 8 Ouc Mailing address 174— 66 `>b wr- 79L Lending agency el- Day phone '�_ Mailing address 11_� n DyNQA-SLG paoPF.a. " �iiY'.-CI you 7(0/ZAgent Day phone a 6 �— Address gill • C 11 S1 SH�T'�-- /00 F Ae44- AL-- c? 6�3 Unless otherwise requested, HAA will be held for pickup. � F_ P l9 ol°Ef1R3 S 10 Aye W 7,6)? <<oRn�a� ro T. G. Public sewer 6g12AJC--S S :cn- ptGic-up n State ADEC attest - n LMsi A .0t+7Cr NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72iA MW.1/Y1) Ham M0A121 S. 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Alaska Water & Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments By: Phone -93-7-6/tiq Date 3 Pq A-) 6 bedrooms, with the following stipulations: 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 engineers work. Ttaa (n... 1M) e.a MOA W RECEIVED Municipality of Anchorage APR 141998 DEPARTMENT OF HEALTH & HUMAN SERVICE��IPwn of fy Environmental Services Division aRAL 3W 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: L -D'— 6, Bk 4, PAaLaD/ Le vac 15.9I.D.: O 2 0 - 414--) D A. WELL DATA Well type w t - If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) YES Date completed 4)/4AIr r / Total depth /09Cased to �D 5 Casing height (above ground) 2 - Sanitary Sanitary seal (YM) YES Wires properly protected (Y/N) YES FROM WELL LOG Date of test 9 �� Static water level UU)CW0 1 ^i Well production 8 —1c) g.p.m. AT INSPECTION 313 A7 4.56+ WATER SAMPLE RESULTS: A Cofform Nitrate 3.3 8 l' Other bacteria Date of sample: _3 13 99 Collected by: Su iraJ CS LJ n-� , B.SEPTICMOLDINOTANK DATA 1500 ATG K 3000 Cruc.J ifc�a(,-TGJi� }, SI96 Date Installed �" 7 Tank size �� 3 Number of Compartments 2 Geanouts (Y/N)�_ Foundation cleanout (Y/N) _ NO Depression (YM) Al 0 High water alarm (Y/N)� � fj- Date of Pumping 3Ij 9(3 Pumper Alory►'h4A410 C. ABSORPTION FIELD D TA Date Installed Soil rating W.V. or fN/bdrm) 1576 System type Mlo 311C 32+ n : Phe /98! Length Width Gravel thickness below pipe _Total depth 3 _6 l+sr• ii' 6yea1 Effective absorption area _LZ0 Z Monitoring Tube present (Y/N)-±- Depression over field (YM) Nd Date of adequacy test Results (Pass/Fail) PA-" For 5- bedrooms a Fluid depth In absorption Held before test (in.); 3 Immediately atter1004 _ gal. water added (in.): !/+ l� I' Fluid depth 3 (ins) Minutes later. 136/ Absorption rate = ! EO 4" a.p.d. Peroxide treatment (past 12 months) (Y/N) NO. rE If yes, give date 1V/A LaoviW 72-026 (Rev. 3/g6)' D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm E. SEPARATION DISTANCES 'Datum Size in at' SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 100 f+ On adjacent lots "Pump off" level at' Absorption field on lot 00 'f On adjacent lots Public sewer main IQ 1,4 Public sewer manhole/deanout N riASewer /septic service line Z S + Lift station fJ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation I+ Property line 1014- Absorption field 5 r / � Water maintservice line S _*Surface water/drainage1Q0 �" Wells on adjacent lots / 00 } SEPARATION DISTANCE FROM ABSORPTION FIE O LOT TO: / pia /,rag?r+SP W Property line /0 Building foundation . /0 Water main/service line �s Surface water 10014- Driveway, parking/vehicle storage area I Curtain drain w k 0"A^1 Wells on adjacent lots /00 f F. ENGINEER'S CERTIFICATION I ceAHy that / d Tu Id inspections and review o/ Mlmicipal records in conforms e i O gui , Ines in effect on this date. A-'�7 �. Engineer's Nag U ��1 A. Date 3 411/116 HAA Fee $ 3 CD , ZD q�( Date of Payment 1//IL"l7 " Receipt Number 3 /n ge7 LV -77,) 72-026 (Rev. 3/96)' Waiver Fee S Date of Payment Receipt Number t are . ._M•o.A toff Alaska Water & Wastewater 7320 East Chester Heights Circle — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers March 29, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: HAA for Private Well & Septic System. Lot 6, Bk 9, Paradise Valley S/D. To whom it may concern: The subject lot has a 5 bedroom house on it which is served by a private well and septic system The original septic system (conventional) was installed in 1977, and "upgraded" to a holding tank in May of 1986 (Spurkland design). The holding tank system consisted of the original 1500 gallon septic tank (1977 installation) and.ne v 3000 gallon holding tank. A drainfield was added in August of 1989 (design by Leroy Reid, P.E., and installation inspections by Bruce Corwin, P.E.). Upon reviewing the DHHS records it is uncertain whether this installation ever received final approval. Regardless, an HAA (S&S Engineering evaluation) was issued by DIIIIS in June of 1996. Given the fact that this HAA was issued, it is reasonable to assume that the 1989 drainfield installation is in compliance with M.O.A, DIIIIS guidelines. With this assumption made, the results of the field investigation and adequacy tests are summarized as follows: A. WELL: The static water level on 3/13/98 was 37 feet below the top of the casing (BTC). Water was pumped from the well at an average rate of 4.56 gpm for 220 minutes (1004 gallons), during which time the level in the casing dropped 4 feet, to 41 feet BTC. Based upon this data it was determined that the capacity of the well exceeds the Municipal requirements for a 5 bedroom house (.52 gallons per minute). B. SEPTIC TANK: The existing 1500 gallon septic tank was installed in 1977. According to the M.O.A records, it is 1000 gallons, has two compartments and is made of steel. Most tanks of this type have a structural life of approximately 20-25 years. No warrantee is made regarding the future life of the tank. C. HOLDING TANK: On the day of our inspection (3/13/98) the holding tank was full. A portion of the liquid was pumped from the tank and the liquid depth measured to be 55.5 inches. No water could be heard running into the tank. Approximately 23 hours later the liquid depth in the tank was measured to be the same. Based upon this limited evaluation, it was concluded that groundwater was not leaking into the holding tank. Per the homeowner there is no audible alum in the residence. It is our understanding that there is a light, mounted on the side of the house, that activates when the tank is full. If the holding tank is ever utilized again, it will be necessary to install an audible alarm in order for the system to comply with M.O.A. guidelines. D. SEPTIC SYSTEM ADEQUACY TEST: The bed has a surface area of 1023 ft2, and an effective depth of 6 inches. Prior to starting the test the liquid level in the monitoring tube was 3 inches deep. One -thousand & four (1004) gallons of water was introduced into the sump over a period of 220 minutes, which caused the liquid level to rise 4.25 inches (7.25 inch total depth). The level was monitored 1361 minutes later and it had dropped back down to 3.25 inches, indicating that approximately 945 gallons had been absorbed. Based upon this data, it was determined that the absorption rate of the drainfield exceeds 750 gallons per day, as required for a 5 bedroom house. NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of drainpipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, mise. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee is made regarding the future performance of this well or septic system. E. SEPARATION DISTANCE FROM THE BED TO THE CURTAIN DRAIN ON LOT 5, BK 9, PARADISE VALLEY S/D: When the septic system on Lot 5 was installed (installed in 1985 but house never built, because septic system was in groundwater), a curtain drain was constructed, of which a portion parallels the east property line (of Lot 5). The location of the curtain drain, and the place at which it daylights is not well documented; consequently, the separation distance from the curtain drain to the bed system on Lot 6, Bk 9 is unknown at this time. The fact that snow is on the ground makes a more thorough evaluation unfeasible until after break-up is complete. Given the fact that Lot 5 was never developed, if necessary, the curtain drain outlet could be capped without having any adverse impact. F. CLOSING: If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistaip. M.S. MAR -20-1998 15!4: ME ESI ANCHORAGE ME Emironmental Services Inc. CT&E Ref A 981140001 Client Name AIC Wxtr & Wastewater Services Protect Name/# Ls 6 Bk 9 paradise Valley Client Semple ID U 6 Bk 9 Paradise Valley Metrix Drinking Water Ordered By PWSM 0 Parameter Total Califore xltrete•M 9075615301 P.02/08 Client POI' Printed Date/I7mc 03.70i98 10:47 CollectedDate/Pime 03113/9812:30 Received Date.Time 03;13.98 16:20 Technical Director: Stephen C. Ede Released By Allowable Prep analysis Results PDL Units Method Limits Date Date Init 0 Colf"CoriL SM18 92227 03/13/99 TMJ 3.38 0.100 xv/L EPA I00.0 10 max 03/17/98 RM'/ z Parcel I.D. # MUNICIPALITY OF & H • DEPARTMENT OF HEALTHTH &HUMANMAN 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 oao -6114 -io 1. GENERAL INFORMATION HAA # FACENL-, 1QI k Complete legal description Lot 6; G ock 9; Paaadcse. llattte.y Location (site address or directions) 5922 Rcraania UrtAve. Ancharcage., AK Property owner jainQt, Fe '�taa)i Day phone 345-5374 Mailing address 5922 Rorzan,i.a Vaive. Anchatage.. AK 99516 Lending agency Mailing add Day phone Agent ray Vah?_/ Dynamic PEopeAt ie.d Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual well X"X ^ Community well Public water 244-7111 pzub.i."e.l 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 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. 72-025(Ra.1/91) Pool MOA121 Izo von mre 11611 - swu -Miom s•jaau!6ua leuo!ssajoid ayl w suo!ss!wo jo sjoija jol olq!suodsei IOU si a6eiogouV jo Apledlolunyl ayl ponssi si oleolpliao a ajolaq Clap ozAleue /o suo!loodsui lonpuoo IOU opSHHOlosaa(oldw3 sluawallnboielelspue lejapaju!eliaoys!lesofiapiou!suoppisu!6u!puali!aylpue sawoq jo siosepind of Asalinoo a se slgj scop SHHO s41 •e>IsejV jo eleiS syl ui pajals!6aj jaau!6ua leuo!ssajoid luapuadapu! ue Ag anoge S 4dei6eied ul uanl6 suoileluasaidai ayl uodn Aluo paseq saleOIJIVOO lenaddV Al!joglnV 411e0H sans! (SHHO) sao!NaS uewnH pue 4lleal-1 jo luawlieda0 96ejogouV jo p!led!olunyy 041 I I It NOI111VJ t . :suo!lelnd!ls 6u!Mollol eyi 4l!en 'swoojpaq p'r IM D cii NVMc� 7 1'LiD'Jn �'w' 14 /, / 1I / :) ele0 sluawwo0 leuo!l!ppV sol lenadde leuo!l!puo0 •panwddes!O swowpaq S Joj panaddV 7— :AS 3uf11VNJIS•SHHO 9 ainleu6!s sdaeu!6u3 LLS66 UnlelV tjjrAIII 61beg ssalppV e ny_gl(_peom doo-i Janlll a16e3 p£OLL auoyd 'JNIH33NION3 S Y S w�!d jo ewel l •uo!loadsui s!y1 to alep a41 uo loajla u, suo!leln6aj pue'sooueu!pio 'sapoo ejejS pue led!o!unlry Ile yl!m aoue!ldwoo ut si walsAs lesods!p jalennalsene jo/pue Alddns jalem ails-uo egj'uo!loodsu! pue uo!le61js9nu! Aw wwj pue salq 06ejogouV jo Apled!o!unlnj eqj wwj pau!elgo uo!lewiolut ayj uo paseq leyj AI!/anjayllnj I'u!a/ay paleolpul ainlon/is jo adAj pue swowpaq jo jagwnu ayi jol alenbape pue leuo!lounj'ejes si walsAs lesodslp japmalseM jo/pue Alddns jaleen ells-uo ayl leyj smogs uo!leo!ldde lenwddV Al!/o4lnV ylleaH s14i 10 uo!le6!Isanu! Aw le4j Ajuan I'molaq umo4s slep uo!jep!len 04110 se pue 010184 pax!jje leas Aw Aq paipllao sV u33NIJN3 AS N01103dSN1 d0 1N31AI31V1S 'S Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825*V Street, Room 502 a Anchorage, Alaska 99501 • (907) 3434744 Health Authority Approval Checklist Legal Descripdon: i o T G B L o c N: cl 1'1':24 01 s f. "0"y Parcel I.D.: 0-30 —qty —10 A. WELL DATA Welltype f n) v 4 rE If A. B, or C. attach ADEC letter. ADEC water system number Log present (YEN) yL S Date completed q 7 % 7 Trial depth 105' Cased to /0 5 - Sanitary seal (" Date of lest Static water level Yf3 FROM WELL LOG 9/,/-77 v/I( Well production 8 4 R4 rrM1.[rrc 6 WATER SAMPLE RESULTS: Coliform D To IO Nitrate Casing height (above ground) Wires properly protected (%N) vt S AT INSPECTION Vo C f S. 7 &p.m. P.M. 93 s, • Collected by: S & S ENGINEERING 3434 Faille River We.. Road No. 2e4 Date of sample. B.SEPfIGHOLDING ANK DATA C N J !t o r .i� Ea& River, Alaska 99S" 1'11+177,ps/i�l IQYo 1 J�.a a. G / Date insmiled ly ank size Number of Compartments Cieanouts *"—LLL Foundation cleanom (YA ^' 0 Depression (Y/0 ^' 0 Mgb water alarm (Y" ~ o v t s Date of Pumping 6/ G i*) C, pumper R e r, R o o r c .e C. AMORPfION FIELD DATA Date installed $ /y Y h Soil rating (&p•d./fi= or—le I S - S' System type B f o i a Length v1' t L e s YYI41h '"'"s Gravel thickness below pipe 0, r Total depth y Effective absorption area 13L u 1 ' Mondonng Tube preaent(V'N) W t Depression over field (Yd " 0 x Pe.t jl 9 iwsrar,.+ •�: r Date of adequacy test L / ir 1 °► 6 Results (Pass/Fail) P + r J For S bedrooms / „ V Y ,. a K Fluid deptb in absorption field before test (in.): a a Immediately after" Y3�. water added (in.): 7 ,.. t Fluid depth & �' (ins.) Minutes lata: I v G Absorption rate - 4700 e p.d. '� 3E ^4AS.4-6. res A.KL 'w -rrN[[f M(�r. i4-4wrr 8Y ��? ��• �w/rl f COY r4TN wj .j p.L�. 1NR,i. (.MCYi Tr.LT A.d 4,.r[.! 0,0 rNNK. Pamude treatment (past!? months) (YIN) "j-4 K v L N IP yes give date Lit Jt t- Rr T�� F,<refN HY..023 L.r4r;x D. LIFT STATION ir!!1 Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Size in gallons ..gyp our *Damm SEPARATION DISTANCES FROM WELL ON IAT TO: SepWMlftg tank on lot /00'+ 1 t ea ' k . On adjacent W Absorption field on lot 100 ' 4 On adjacent lots "Pump off' level at* /c0'f / 7s /00''1 Public sewer main N 1A Public sewer manholdcleanout 14 Sew� /sepHC service line .3L s ' ' Lift station tv /A SEPARATION DISTANCES FROM SEPITC/HOLmINO TANK ON LAT TO: Batildmgftmdation ° { �� ° +` Propertyline Absorption geld jo' j S' F Want natiltlservice line a S + Surface water/drainage ) 0 ° rt Wells on adjacent lots / 00 ' i' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LAT TO: Building foundation / o r Property Line t, t Water maidservice line a S7 �4 Surface water .100 •f Driveway, psrlangNehide storage area a o ' 4 Curtaindrain NonE K—;—' F. ENGINEER'S CERTIFICATION Wells on adlacem be t O 0 ' I oerf6 that / have delM pined dva Jleid inspecdona and review ofMiumc pal In conformance with M' guidefin Ina eU on this date. Signature ✓� Engineer's Name /L ,5 4.0 i C. C ow A..✓ Dau HAA Fee S (10 Waiver Fee S Date of Payment I Date of Payment Receipt Number 9 Reoeipt Number Rev. 8/93 OSS: has wk.doc o� f �15 dwrr...... .— .... ,.7n.T rcosexr C. COWAN fro F.I �3� �, , ��;,sh vP,«, /Vseg , nn by I'� I�CUtEw �yM C/RGSS Fens 6.T e �w PWE A MmilrCoyN4 /QNQ i E.O 76 z SSS Er,*,rvc-En,Nc (9.4t1. CA6ffckc./r7- NA9�a�3r� oj 6�8I56, Sysr�rrc /7�ts h' , ,QdzoLJ=0,4 _CS�e Ni s h7hx"w % &uC Cr TEocr) NON W14S 2:SFUE✓9 L ME JIA t GUrc(.laM-r (*,jl? a VqF DalGr-7/ohi ON -r1kS lr7E-, (rta..,.pwa�sn Fens 6.T MmilrCoyN4 x7112 cx• /V,&z 06/10/96 11:02 ME ESI AnCHDRAGE + 9076941211 ME Environmental Services Inc. Laboratory Division Laboratory Analysis Report CUE Ref.# 962231.962231002 Collected Date 06/06/96 Client Sample ID L6 B9 Paradise Valley Matrix DriDking Water Technical Director: Stephen C. Ede P1VSID 0 Released By —. ,_ Sample Rexulrks: Pare" ter Results OC POL Units Method Allowable Prep Owl limits Date Nttrate-N 2.93 0.200 .B/L EPA 353.2 Nitrite -II 0.100 U 0.100 Mg/t. EPA 353.2 L ..S. U - Undetec— LT - Lees tha- GT Greater Y., . - D - Second, rrL' J • Below th- J 200 W. Potter Drive. Anchorage, AK 99518.1605 — Tel: (907) 562.2343 Fax: (907) 561.5301 3180 Peger Road. Fairbanks, AK 99709.5471 — Tel: (907) 474.8656 Fax (907) 474-9685 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS. MARYLAND. MICHIGAN, MISSOURI, NEW JERSEY. O�Ir, W MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date//fir �98� 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) _Ly T(�; av R, "�-Et J& vau.E y, sec Location (address or directions) f5%?, - fZO MArNIA- D fZll/L (b) Applicant Name -3 IN 1=EL1046N Telephone: Home Business) Applicant Address 6 9A 2- 2 O F-/44 NIA D 2l V a (c) Applicant is (check one): Lending Institution ❑ ; Owner/ builder ❑ ;Buyer t< Other ❑ (explain); (d) (e) Lending Institution— Fg- Lyp,Sr t7 F Plelephone Address Real Estal Address Telephone S'io 3 - 5 S� (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family 9 Multi -Family ❑ Other Number of Bedrooms 3. WATER SUPPLY ,. Individual WeII�Q 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 Tan Note: It community well system, must have written confi mation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 r2-02501,941 5. ENGINEERING FIRM PROVIDI, INSPECTIONS, TESTS, FILE SEARCH, D. A AND INFORMATION 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 shows that tl:e 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 Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm t2 � �C Telephone .Z74F— 3 9/ 6 Address Date f'4 c�F / r c,+T I I j ,+.. ......... • • Engineer's Seal .� �.•�� 2225_E .. ,I ,a • JuflE 25, 1971 k- 1.w - a- 6. DHEP APPROVAL Approved for = e bedrooms by �� Alt' -14t Date } 7111P6 ApproveaJ) h Disapproved Terms of Conditional Approval Conditional CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72025 (11184( MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY CF ANCHORAHEALTH AUTHORITY APPROVAL (HAA) DEPT. OF HEALTH & CHECKLIST - FEBRUARY 1984 ENVIRONMENTAL PROTECTION 264-4720 MAY 2 21986 Legal Description: LOT &, P3" 'PA R -AP 2 X LfArW P_ SGC. 1(;=(Il N' 2 3 V/ A. WELL DATA RECEIVED Well Classification R E S If A, B, C, D. .C. Approved (Y/N) VA Well Log Present (Y/N) Date Completed q % Yield o+M / Total Depth Cased to Z40 Depth of Grouting No N L Static Water Level h A Pump Set At 9S Casing Height Above Ground X30 Sanitary Seal on Casing (Y/N) Y Electrical Wiring in Conduit [Y/N) / Depression Around Wellhead (Y/N) N Separation Distances from Well To Septic/Holding Tank on Lot Igo ; On Adjoining Lots i /eb To Nearest Edge of Absorption Field on Lot On Adjoining Lots �O 2 To Nearest Public Sewer Line M E To Nearest Public Sewer Cleanout/Manhole NOW To Nearest Sewer Service Line on Lot 2) D Water Sample Collected by r --S _ ; Date S�Olr�b Water Sample Test Results Comments B. +960Et8/HOLDING TANK DATA Date Installed 5� 6 Size 30r No. of Compartments O wNI= Standpipes (Y/N) O N tF Air -tight Caps (Y/N) — Foundation Cleanout (Y/N) - Depression over Tank (Y/N) N Date Last Pumped ' ` tE tol Pumping/Maintenance Contract on File (Y/N) Y ; for Holding Tank High -Water Alarm (Y/N) _f Temporary Holding Tank Permit (YIN) 7 Separation Distances from Septic/Holding Tank To Water -Supply Well ;L To Building Foundation �✓ To Property Line To Disposal Field To Water Main/Service Line 0 _ To Stream, Pond, Lake, or Major Drainage Course N 0 N Comments Pagel of 2 72026111:841 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field ISI ow C Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION tq ID N C Date Installed Size in Gallons "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness — Standpipes Present(Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on On Adjoining Lots To Cutbank (if present) Dimensions Manhole/Access (Y/N) — "Pump Off' Level at Vent (Y/N) Pumping Cycles during Adequacy Test Meets MOA Check Permitted Bedroom Rating Against HAA Request '• IcertifythatIhave checked, verifie , rconformedto_II OA nd HAAguidelines ineffectonthedateofthis inspection. Signed �i Date �&••6 Company MOA No. Receipt No. a5 2igL� �• n F /1[ `Qs1��1+ •••, Date of Payment S'ei2—� ' + TH fps Cp Amount: • ... . 0. � Engineer's Seal 1;• •••••• ••••• •'• •: 10 UN: 25.21971 < j/ If,o�••• Page2of2 ••S✓ :IFS ..•:.- 21• 72.026 (11,841 R E S I D E N T I A L W E L L I N S P E C T I O N LEGAL: LOT 6, BLOCK 9, PARADIZE VALLEY LOCATION: 5922 ROMANIA OWNER: FRANK BABIAK TYPE OF WELL: SINGLE FAMILY WELL LOG AVAILABLEt YES INSTALLATION REQUIREMENTS METt YES WELL YIELD FROM WELL LOG: 8-10 GALLONS PER MINUTE PUMP YIELD: MORE THAN 6 GALLONS PER MINUTE DATE OF INSPECTIONt SEPTEMBER 9, 1985 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 6 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. THE WELL WAS PUMPED TILL THE DRAWDOWN STABILIZED. THE STATIC LEVEL WAS FOUND AT 66 FEET. AT A PUMPING RATE OF 6 GPM THE DRAWDOWN WAS 6 FEET. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON SEPTEMBER 6, 1985. THE SAMPLE WAS OBTAINED FROM THE-KITCHEN"SINK. THE TEST RESULT CAME BAK*UNSATISFACTORY. THE COLIFORM COUNT WAS 4 PER—IDD ML. THIS CONTAMINATION MAY BE CAUSED BY ERROR IN SAMPLING, A SECOND SAMPLE SHOULD BE TAKEN. IF THIS SAMPLE ALSO IS UNSATISFACTORY. THE WELL AND PLUMBING MUST BE DISINFECTED BY CLORINATION. TEST RESULT: THIS WELL DOES NOT MEET ;THE REQUIREMENTS OF THE MUNICIPALITY-OF-ANCHORAGE. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. 1