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Home My WebLink AboutTIMBERLUX #3 BLK J LT 4Timb flux lock Lot 4 018- 271 -72: ,,,-'~ MUNICIPALITY OF ANCHORAGE DE. otTMENT OF HEALTH AND HUMAN SER', -=S Environmental Health Division · '*' 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Nam. DISTANCES ,~,~,,,.,-, '~C~%C"l'J 1~5~'2'~1' ~"~'~-'[ ~ SEPTIC ABSORPTION I,.3~:::'C~1 ~--..-.. t~"~--/~'V'~...o c:~'~:::'t~lC~, TANi( FIELD WElL TANKS ~ SEPTIC D HOLDING Op~ ~_ TYPE OF SYSTEM · *"""* ~.o . ¢,o .[ ~ · , / WELLS ~ ~ '~/ ~ PRIVATE ~ OTHER (Identify) REMARKS: ~ '~' ~- te-~l ~ . · I _ _. ce~ly Ibat this inspea~on was ped0rmed a~rdmg · i~l ' ' ........ ' '"" ~ r ...,.,,,,..,,,,,,.,,,,..,.~,..o..,.,,,,. ~//~/~'/ 72-013 (3185) C I F'AI__ I TY OF ANCi-IOI:~AGE DEF'AR1MENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-47210 PERMIT NO: 87~ 1~ UF'GRADE DAlE ISSUED: 06/O9/87 AF'F'L I CAN1: ADDRESS: CONTACT PHONE: SUSAN KASTING 6001 E. 142 AVE. A~CHORAGE, AK 99516 345-65 13 LEGAL DESCRIP: LOT SIZE: SUBDIVISION: TIMBERLUX LOT: 4 SECTION: 54 TOWNSHIP: '12N RANGE: 3W 1.2A (SQ.FT. OR ACRES) BLOCK: J I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set Forth by the Municipality o£ Anchorage CMOA} and the State o~ Alaska. I will install the system in accordance with all MOA codes and regulations~ and in compliance with the design criteria o~ this permit. I will adhere to all MOA and State o~ Alaska requirements For the set back distances ~pom any existing well~ wastewater disposal system or public s~werago system on this or any adjacent or nearby let. Il' A LIEF STATION IS INSTALLED IN AN AREA COVERED BY HOA BUILDING CODES, ]'~-~E~.' (1) AN ELECTRICAL PERMIT AHD INSPECTION MUST DE OBTAINED; (2) AS-BUILTS W~LL NCIF BE AF'F'RO'~ITHOUT ,AI'I ~LECTRICAL INSPECTIOH REPORT; AND (5) TFIE ELECTRICAL WOt~BE DO~ 'B~ L~C~D~ECTRICIAN. ~I(.:;NED / , /" DATE: S & S ENGINEERING' 17054 E. R. LOOP #204 EAGLE RIVER, ~K 99577 PHGNE #694-2979 ********************-***** SEWER PERMIT APPLICATION***************** APPL I CAN r: SUSAN KAS¥ I FIG ¢lbDHESS: 6001 E. 142nd ANCH. AK 99516 I.;IlH I'f/C'l PtIUNE: 545-6515 LEGAL DESCRIP¥ION: LOl' 4 BLK ,] TIMBERLUX SUBD. SEC 54 ,T12N,RSW I..Of SIZE: 1.2 (~OR ACRES) MftX. NUMECR OF BEDROOHS: 5 ~OIi. RAI'INO: 150 SO FT/BR SUIL '[ES'I DEP}H: 10 FT HIGHEST I'IAI'ER TAE~LE DEP[H: 6 FT '[HIS IS AN UPGRADE OF 5 BEDROOM ~0 THE EXISTING SEP;IC SYSlEM .......................... ........ ........... ........... Ct~WR PEPm ,~ 1 LENG'IH /0 ~ ~3 /0 X WIDTH / 0 N 18 / 0 SO FT. J 0 594/ / 0 SPECIAL CONDI"[IONS OR INSlRUC]lONS: ONE FOUl OF ADDITIONAL FILL PLUS TWO INCHES OF INSULAlION WILL USED TO ENSURE ADEQUATE COVER AS PER M.O.A'. CODES SPECIFICATIONS. DEPARTMENT OF HEALTH & HUMAN SERVICE~. ~~ ..... 825 'L" Street, Anchorage. Alaska 99502-0650 ~'~~T~,~ SLOPE SITE PLAN I I t0- ,,.L 6° WASOROUNO.ATER ~-- ENCOUNTERED? V~:7.j' ' "- IF YES, AT WHAT ~.~ 12 - DEPTH? Depth Io Water ~er ,.- .o.,.,,..,__0.,~ I I I I II ,F+,',l-d I Cross Net Depth to Net Reading Date Time Time Water Drop 14- 15- 16 17, 18- 19- 20- PERCOLATION RATE ~---~"~lmmutewmch) PERC HOLE DIAMETER'-'-'''''~'' -- TEST F~UN Ii~ETWEEN "-'""~FT AND ~ COMME.TS ~*-"'.~//0~ ~' ~ .~e~. ~J I~ ~c~r~7 S & S ENGINEERING i/ ~ PERFORMED ~0~ =~ =:V;; ~ =~ ~. ~ , ~~ ~ CERTIFY THAT T~S TEST ~S PERFORMED IN ACCOROAN~~~ICIPALGUIDEL~ECTONTHISDATE. DATE; -~/~/~ 72-~ (Rev. 4~) ¢--1 ~o-~ ~,/ f '~ MUNICIPALITY OF ANCHORAGE " DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage. Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE I--I UPGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS /O~O IF HOME.DE: ~O ~ Wetl DwelJing PERMIT NO. DISTANCE TO: Z ~ DISTANCE TO: ¢ 72-013 (Rev. 3/78) PERHIT rio. 14ELL ( 798,27~ > APPLICANT LOCATION LEGAL r.lljr.i I c ~"t, RLI T~r' OF DEPRRTI.1ENT OF .~ERLTH AND ENVIRONMENTAL Pk~rECTIOrl 825 ~L~ ~TREET, ANCHORAGE, RK. 99501 264 -4728 Ot4--SZTE 5EI4ER THOMAS HAYES MRRYTELL ST L4 BLK J TIMBERLUX S?D ~ 5452 LANCELOT APT 2 LOT SIZE PEF~:r-1 T T TYFE OF SOIL RBSORBTION SVSTEH IS: TRENCH HRXIHUH flUtI~.ER OF BEDROOrl$ = 58888 SOLIRF SOIL RATING (SQ FT/BR>= 150 FEET THE REQUIRE[) SIZE OF THE SOIL RE:SORPTION SYSTEH IS: [:'EPTI-I= 8 L E 1'-I f]~ T t-! = 57 ~3 R R'-..'EL [:'EF"TH= 4- THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELC,. THE DEPTH OF R TRENCH OR PIT IS THE DISTRHCE BETHEEH THE SURFACE OF THE 6ROUHD AND THE BOTTOH OF THE E×gAVRTIOfi (IN FEET>. THERE IS NO SET HIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE IdlNIHUr.1 DEPTH OF GRAVEL BETHEEN THE OUTFRLL PIPE AND THE BOTTOH OF THE EXCAVATION (IN FEET>. F:E6--!U 'f RED SEF'T'r': TRNa:-'. ~.. T ZE= -1 EIO£~ GRLI_CII'-4_~,-, PEAr.lIT RPPLICRfIT HAS THE RESF'ONSIBILITV TO INFORH THIS DEPARTMENT DURING THE IfiSTRLLATIOH IHSPECTIONS OF RHY HELLS ADJACEHT TO THIS PROPERTY AND THE NLIHBER OF RESIDENCES THAT THE HELL HILL SERVE· Tl4~3 ,:; 2 ) I 1'4'._~F'EC_-T I 01'45 ARE E:EQL~ I RED E:RCKFILLING OF ANY SYSTEM HITHOUT FIHRL INSPECTION RtlD RF'PROVAL BY THIS . DEPRRTHENT HILL BE SUBJECT TO PROSECUTION. £,1IfllMUf,1 DISTRfICE BETHEEN R HELL RflD ANY ON-SITE SEI4RGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE HELL~ OR 150 TO 280 FEET FROH R PUBLIC ~4ELL DEF'ENDING UPON THE TYPE OF PUBLIC HELL. HELL LOGS ARE REQUIRED AND HUST BE RETURNED TO THE DEPRRTHENT HITHIN _'¢.0 DRYS OF THE HELL COHPLETION. OTHER REQUIREMENTS HAY RF'PLY. SPECIFICRTIOHS AND CONSTRUCTION DIRGRRf'IS ARE RVRILRE:LE TO INSURE PROF'ER IHSTRLLRTION. PEI';:r.11 T E.'--,-I P I RES DECEr-IBEF-: _----ti.. :2979 I CERTIFY THAT i; I RM FAMILIAR I,IITH THE REOUIREMENTS FOR OH-SITE SEHERS AND HELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I HILL IHSTRLL THE SYSTEf'I IN ACCORDANCE HITH THE CODES. _?.: I UNDERSTAND THAT THE ON-SITE SEHER SYSTEM MAY REQUIRE EHLRRGEMEHT IF THE RESIDEfICE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOf'IS. TYPE OF ~OIL ABSORBTION SYSTEM IS: '~¢~AC~ MRRIMUM NUMBER OF BEDROOI'IS = ~ SOIL RATING THE REQUIRED SIZE OF THE, SOIL ABSORPTION SYSTEH IS: . ' DEPTH= ' ENGTH= GRR%'EL, THE LENGTH DIMEWSION I~ THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIEED. THE DEPTH OF R TRENCH, OR PIT I5 THE DISTANCE BETWEEN THE SURFACE OF THE GROUND RED THE BOTTOM, OF THE EXCAVATION (IN FEET>. . ' THERE I~ NO ~ET WIDTH, FOR TRENCHES. ,' THE GRAVEL DEPTH I5 THE MINIMUM DEPTH OF GRAVEL ~ETNEEN THE OUTFRLL PIPE RED THE BOTTOM OF THE, EXCAVATION (IN FEET). : PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTALLATION INSPECTIONS,OF ANY WELLS ADJACENT TO THIS PROPERTY RED THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TNi_-~ < 2 ) 'r NSPEi~T T CII'4S flEE RE(~LI I F.'ED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION RED APPROVAL BY THIS DEPARTMENT WILI~ BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN'R' WELL RED ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS '100 FEET FOR R PRIVATE WELL; OR · 5~ TO 2~ FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED RED MUST BE RETURNED TO THE DEPARTMENT WITHIN 3G DAYS OF THE WELL COMPLETION. OTHER REQUIREMENT~ MAY APPLY. SPECIFICATIONS RED CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ERrl I T EXP I RES DECErlBER I CERTIFY THAT I RM FAMILIAR WITH THE REQUIREMEHT~ FOR ON-SITE ~EWERS RED W~LLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND TEAm THE ON-~ITE SEtdER SYSTEM MAY REQUIRE ENLARGEMENT IF THE U - 0 ISSUED BY - DATE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch G-GSQ, A~horige, AJ~eka 99602 2'76-2221 SOl LS LOG -- PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED F OR.'~"~~ LEGAL DESCRIPTION: 5- 6- 7- 8 9 11 12-- 13. 14- 15- 16- 17- 18- 19- 20- DATE PERFORMED: SLOPE SITE PLAN I _ 1'~5' WAS GROUND WATER ENCOUNTERED? ,F .s, AT W.AT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) FT 72,008 (7/76) ALL DRILLING P. O. Box 4ii9 ·., ~J ;:'~ /e~l~ ,~m,~ee Auchon~ Alask-- 99501 ::" : :.. ' C O!li ~B L~ATION ,,'l~~ WELL LOGDEPTH WELL LOG 'I~-/..~ ~/~%c,..~,t ¢.,, ,., (.,,,; v,/:,1. ~,.,,,t:7 .. /l~-J~ ~L~f.m~/ .-; --- d~L~ ,~, .- ~'-~ ~ Municipality of Anchorage Development Services Department Buiiding Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street -' P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEHS APPRO~)AL FOR A SINGLE FAHILY DWELLING Parcel I.D. 018-271-72 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent · Mailing address TIMBERLUX #5; BLOCK J, LOT 4- 4550 MANYTELL AVENUE *ANCHORAGE, AK REGAN SARWAS & dENNY REDICK Day phone 250-0434 4-350 MANYTELL AVENUE *ANCHORAGE, AK Day phone DAR WALDEN W/ KELLER WILLIAMS Day phone 865-6407 101 W. BENSON BLVD. SUITE 503 *ANCHORAGE, AK 99503 Unless otherwise:requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual Well · Individual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska, Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year. with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of AnchOrage is not responsible for errors or omissions in the professional engineer's work. 4. STATE~!ENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the vafidation date shown below.. I veri?y that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site ~,~ter s~.:r~p!y and.~r wastewater disposal system is (are) safe, function~l and adequate for the number of bedrooms and type of structure indicated herein. I fuR,tier verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspect;on, 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. Address 5701 Eo TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone 537-6179 Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate dhow long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of. this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE V"/ Approved for bedrooms, Disapproved. Conditional approval for , .ti~, (f . ~: WATER AND : ~~_ ~ WAS~WATER : : bedrooms, with the following stipulation ..... .' Attachments: COSA Checkiist Septic System Advisory Well Flow Advisory Nitrate Advisow By: ~~ (Rev. 11105) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report · '~~'-~ Original Certificate Date: CERTIFICATE Legal Description: A. WELL DATA Well type PRIVATF Date completed 2/9/80 Total depth 125 Date of test Static water level Co Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 OF ON-SITE SYSTEMS APPROVAL TIMBERLUX #5; BLOCK J, LOT *PER NEIGHBORING WELL LOGS If A, B, or C provide PWSID# Sanitary seal (Y/N)YES ft. Cased to *40+ .ft. FROM WELL LOG .2/9/80 107 ft. Well production 20 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Nitrate 7.09 mg./L. Date of sample: 2/25/2011 Collected by: GEG, Ltd. SEPTIC/HOLDING TANK DATA *DOUBLE CLEANOUTS Tank Type/Material SEPTIC/STEEL Tanksize 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) *YES Depression over tank (Y/N) NO Date of pumping 2/21/11 Pumper. ABSORPTION FIELD DATA [*BELOW EXISTING GRADEI Date installed 6/17-18/87 Soil rating (g.p.d./ft2o~ 130 Length 33 ft. Width 18 ff. CHECKLIST Parcel ID: 018-271-72 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 2/25/11 22 ff. 7.96 g.p.m. YES YES 12+ in. Arsenic: ND ug./L. INSTALLED PRIOR TO TANK. Date installed 8/1/1979 Cleanouts (Y/N) YES High water alarm (Y/N) N/A MCDONALDS PUMPING System type BED Gravel below pipe 0.5 Total depth '6.,;3,~ ft. Eft. absorption area 594 ft2 Monitoring tube YES Depression over field NO Date of adequacy test , :*'2/23/11 Results (Pass/Fail) PASS For ,3 bedrooms Fluid depth in absorPtion field before test DRY in. Water added 940'gal. New deptl~*.10 in. Elapsed Time': 1366 min. Final fluid depth 2.5 in. Absorption rate >= 4-50+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - **HOUSE WAS VACANT AT TIME OF TEST. DRAINFIELD WAS PRE-SOAKED ON 2/22/11 WITH 910 GALLONS (FILLED COMPLETELY). **'4" WATER IN CLEANOUT. D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons Manhole/Access ~ ~ "Pump off" leveL./. High water alarm level at Cycles tested Meets alarm & circuit requirements? 100'+ Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ in. On adjacent lots 100'+ On adjacent lots '95'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ Building foundation Water main Wells on adjacent lots SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5'+ N/A 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 5'+ Water service line. 10'+ Property line *5'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots. 100'+ COMMENTS *SEE ATTACHED WAIVER LETrER Absorption field 5'+ Surface water 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION / 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 COSA Fee $ ~ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ /050 Date of Payment ,~'/~/ Receipt Number i~-,J ~/-~ Municipality of Anchorage Community Development Department Development Services Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On-Site Systems Approval # 111163 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block J, Lot 4 of Timberlux #3 subdivision. This inspection revealed a nitrate concentration of 7.09 milligrams per liter (mg/L) was reported for the property's well water sample. 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. 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. MANYTELL AVENUE 0 0 0 OJ 4~ '-D 4~ WELL 10' UTILITY EASEMENT ~URV~¥ ORDERED B?: DAR WALDEN @ I KELLER WILLIAMS REAL ESTATE 0 0 0 NJ S 89 57' 11' W 175.00 THE ];NFORMATiON HE~EON 3;5 FOR THE USE OF LENID]iN6 ];NSTITUTION5 5PECZIrXCALL¥ TO 5HOW ANY AS-~U'~LT 5U[~VEY 1" : 40' NO CORNERS SET THT$ DATE Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchoraqe, Alaska 99519-6650 · (907) 343-7904 · Fax (907') 343-7997 http:llwww.muni.or.qlOnsite Development Services Department On-Site Water and Wastewater Proqram **** VARIANCE/WAIVER REVIEW **** Waiver/t: OSPl11083 COSA#: OSC111163 PID#: 018-271-72 Legal Description: Timberlux #3 Block J Lot 4 Engineer: Garness Enqineerin.q Group Permit#: Applicant: Re.qan Sarwas & Jenny Redick Your request for a waiver of the required 100 feet horizontal separation from the absorption field on Lot 3 to the private well has been approved. The approved separation distance is 95.0 feet. An additional property line waiver of 5' is granted for the absorption field on the lot. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Name of Revie~-~ Rec#: 021394 Amount: $1,050.00 Date Paid: 5126111 **** VARIANCE/WAIVER REVIEW **** Timberlux #3 Block J Lot 4 Parcel ID: 018-271-72 Waiver for 95 feet from field to well 6/2/2011 General 1. The area between the well and septic system is highly vegetated, which would serve to impede the flow of effluent if it were to overflow. 2. The well is drilled through several layers of sand, gravel and clay, and cased beyond 40'. 3. A camera was run 45' down the casing and no perforations were found. ADEC Criteria Points Water Table Depth of water bearing zone in well Assumed bottom of field 113 feet 14 feet 99 feet 6.9 Soil Sorption Soil descriptions DEC PTS Depth From Depth To Thickness Calc. Pts Clay and Gravel 4 14 42 28 1.13 Clay and Sand 4.5 42 45 3 0.14 Clay and Gravel 4 45 55 10 0.40 Clay and Sand 4.5 55 61 6 0.27 Sand 1.5 61 62 1 0.02 Clay and Gravel 4 62 113 51 2.06 99 4.02 4.0 Permeability Soil descriptions DEC PTS Depth From Depth To Thickness Calc. Pts Clay and Gravel 0 14 42 28 0.00 Clay and Sand 2 42 45 3 0.06 Clay and Gravel 0 45 55 10 0.00 Clay and Sand 2 55 61 6 0.12 Sand 1.5 61 62 I 0.02 Clay and Gravel 0 62 113 51 0.00 99 0.2O O.2 Water Table Gradient - Water table slopes toward the water source, 13' drop over 200' horizontal Assume -7% slope 1.7 Horizontal Separation 95 feet between septic field and well 2.8 Total Points 15.6 As per ADEC waiver guidelines, with a minimum point value of 15.6, no bacterial polution possible but chemical pollution possible but unlikely from household chemicals. GARN'ESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS March 10, 2011 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: Waiver Request for Timberlux Subdivision #3; Block J, Lot 4. To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. During the course of our inspections, the separation distance from the center of the well to the edge of the septic system cleanout on Lot 3 was found to be 100.015'. The distance was shot using a Topcon total station. Based upon the dimensions and orientation of the trench on Lot 3, the distance could be as little as 96' from the edge of well to the edge of the trench. We request that you grant a 95'+ waiver from the well to the septic system on Lot 3. The following items are justification for this waiver: · We are only requesting a 5% variance. · The area between the well and septic system is highly vegetated, which would serve to impede the flow of effluent if it were to overflow. · Attached is the well log. The well is 125 feet deep, drilled through several layers of sand, gravel and clay, and cased beyond 40'. This would inhibit migration of untreated wastewater into the water table. · The encroachment has existed for 24 years. A recent water sample (2/23/2011) indicates no bacteria present and 7.09 mg/L of nitrate, which is less than the maximum allowable limit (10 mg/L). It is reasonable to believe that the high nitrate level in the well is not the result of a 5' encroachment. Also, the northwest comer of the drain field appears to be approximately 9' from the north property line. We request a 5'+ waiver from the existing drainfield to the property line. Based upon the aforementioned facts, we believe there is minimal risk in granting these waivers. If you have any que~ :ions, please contact us at 337-6179. Thank you for your assistance. ,S~nce~ely~; ~effei-~;A. ~m~s, P~ E., M.S. President j ~ 3701 E. Tudor Road, Suite 101 * Anchorage, AK 9950%1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com 111! Ill/ IIII 19s'+ WAIV R REQUESTED DRAmNFmELD '~-/ \~/ / / / / / GAIIN'ESS ENGINEEIIlNG GIIOUP, iLtd CONSULTANTS g GENEP, Ja, L CONTFC. ACTORS 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAOE, AK 99507 ' PHONE (907)337-617g" FAX (907)338--3246 * WEBSIT~ www.gome~aenglneerlng.com PREPARED FOR: PHONE NUMBER: REGAN SARWAS & JENNY REDICK 250-0454 LEGAL DESCRIPTION: TIMBERLUX #3; BLOCK J, LOT 4 SCALE: = 40' TYPE OF WORK: WAIVER DRAWING (Rev, 01/05) Aarow .Pump & Well Service LLC (907)346-9355 Inspection .Report I ran a camera 45' down the well at 4330 Manyteli Ave and did not find any holes/cracks in the casing or leaking around the pitIess. Beau Maxim MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # (~(~- ~""} I '-~ 1. GENERAL INFORMATION Complete legal description [~ot 4; Block "J"; Timbe~lux Subdivision, #3 Location (site address or directions) 4330 Manytel Road, Anchora<3e 99516 e e Property owner Mailing address Lending agency. Mailing address H.U.D. ' Day phone 222 ~]~. ~ft Aucs, u.~e. 'fl~4, A~tcho~ccqe., A~a.,~hz[ 995~7 Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well x Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: X 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. 5. STATEMENT OF INSPECTION BY ENGINEER Se 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 Address Engineer's signature 17034 Eagle River Loop Road' I;agle I(iver, Alaska ~9577 Phone Date t ~ - ~'Z. -~ 'L. DHHS SIGNATURE '~ 'Approved for -~ DiSaPproved. __ (~onditional approval for bedrooms. bedrooms, with the following stipulations: By: Additional Comments Note: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is continued suitability. Nitrate concentration is 6.0 mg/1. EPA -J~t~'~',-I ~/',I,1'~ Date {~//~/~ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: J_eT ~-; Parcel I.D. A. WELL DATA Well type Log presentgN) Totaldepth I~-~ Sanitary seal ~)N) Date of test Static water level Well flow Pump level If A. B, or C, attach ADEC letter. ADEC water system number ~E~ Date completed ~./'~ / ~'0 Driller ACC / Casedto [~'~ Casing height. (~Eg,) Wires properly protected (Y/N) ~'~' FROM WELL LOG Ioq ' ZO.O SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /(~)(~ Absorption field on lot /O Z ' Public sewer main Sewer sef;vicd line * ' WATER 8AMPLE ,RESULTS: Coliform .~'AT I ~- Date of sample: Nitrate SEPTIC/HOLDING TANK DATA Dateinstalled ' '~/' l [ g.p.m. Bo ; On adjacent lots ; On adjacent lots /OO Public sewer manhole/cleanot,t Petroleum tank ~ ~[~F~C~ Other bacteria Collected by: Tank size //~ Compartments Cleanouts~N) ~'~' Foundationcleanout~N),~ ~E'$ Depresslon(Y/~ High water alar? (Y/I~ /O . ~ Alarm tested (Y/N) Date of pumping /O - Pumper SEPARATION DISTANCES FRoM.sEPTIC/HOLDING TANK TO: Well(s)onloi 100[+ ' ' ' On adjacent lots Topropertyline 10~' Absorption field Surface water/drainage [00 ~+ Foundation ~' ~ ' water main/s~rvice line 100/4" 72-026 (Rev. 7,'91) Fro~l CONTINUED ON BACK PAGE High water alarm level j/ "~.._ Cycles tested -~ SE ANCE FROM LI. STATION ~n ~t ~ 0n adjacent lots" ~ S~a~e water D. ABSORPTION FIELD DATA Length ~'~' / Width [~" Gravel thickness~ O,'_C' .Total depth · Total absorption area. ..~ z~. ~,t~z ' ~ Cleanouts present ~./~N) t~¢..~ · Depression over field (Y~ ..,L/O~ Date of adequacy test ///~./~l'7-- Results (pass/fail) P,~s for Peroxide treatment (pest 12 months) (Y/N) C.~./'~, 'If y~, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wello-n lot /~) ~--~ ~' On adjacent lots To building foundation On adjacent lots ,~'C~'~ ' Cutbank Surface water /C)O/-/- Curtain drain /)/OK'/Jo/J/./ ,Property line. To existing or abandoned system on lot Water main/service line. Driveway, parking/vehicle storage area bedrooms E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect or , '; & $ ENGINEERING Signature t',~,l $ t~agle River Loop Eoa~' No. Engineer's Name HAA Fee $ /'?'0 Date of Payment //-/-~- 72.~ Receipt Number ,~ 'ct onJhe date of this inspection. OF A · -~- · ... · Waiver Fee: Date of Payment Receipt Number 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 .7~C 6~ 1985 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4; Bt. ock .7; T,/.mbe.~t~u:c Location (address or directions) 4530 M~n~tet~ (b] Applicant Name S~z6ctn Kct6,f.~ng Telephone: Home 345-6513 Business Applicant Address 4330 ~.lanF~:¢t.l Aue. m~e, Ancho~.c~ge., A~cz~ka 99516 (c) Applicant is (check one): Lending Institution I-I; Owner/builder I~'; Buyer I-I; Other D (explain); (d) Lending Institution A~.~.&k~. P~.c~.~c Bank Address Anchorct,q¢~ A&ct& Ecl (e) Real Estate Company and Agent Telephone Address Tel?c~hone : (I) ~[a{~l the HAA to the following address: S ~ S Enqineerinq SRB 196X E~g~ River, A~a6ka 99571 TYPE OF RESIDENCE Single-Family I~ Multi-Family I-I Number oi Bedrooms ~ Other WATER SUPPLY Individual Well[] Community[] Public [] Note: If community well system, must have written confirmation from Ihe State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite[~' Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 724)25 (11,84) ~'NGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DA i A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of Ihis Health Authority Approval 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 ~GINEEEING Telephone Address 5R B 196X Date EAGLE RIVER, AK 99577 JUi't I g I~ Approved for ~ bedrooms by~.~__l~~! Approved ~{~ Disapproved Conditigl TM Terms of Conditional Approval 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 fending 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 72-025 (11/84) WELL DATA Well Classificatior~l~ E C'F~ I ~I~'ED Well Log Present'N) Date Completed Total Depth t'7-.~ ' Cased to Static Water Level I ~=, ~7 Casing Height Above Ground [ ~:~ Electrical Wiring in Conduit'~N) Separation Distances from Well: To Septic/H.~ Tank on Lot To Nearest Edge of Absorption Field on ~.ot To Nearest Public Sewer Line MUNICIPALITY OF ANCHORAGE HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 ~Z,'jN;CIFALI'I~' OF ANCHO[~AG~ 264-4720 DEPT. OF HE/J.TH & Descri,~Jjon: J~,'"~ ENVIRONMENTAL p~.OTECi'ION Legal If A, B, C, D.E.C. Approved (Y/N) ~'~/'~ ~ ~ ~ ,~ ~ o Yield Depth of Grouting Pump Set At ~ ~ ~-" Sanitary Seal on Casing Depression Around WeIIhead ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer CleanouUManhole ~,3 ~ r~ To Nearest Sewer Service Line on Lot '~ ~ Water Sample Col~ected by ~'~"~'~----~' ~::~,~*"~ ;Date ~-~- ~ Water Sample Test Results ~ ~~ Comments ~ ~l~ /~ ~ ~~ ~ ~-' ~ B. SEPTIC/H~mG TANK DATA Date Installed ~ ' t - "1 c~ Standpipes~'N) Air-tight CapstaN) Depression over Tank (Y(~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) e4 / ~' Separation Distances from Septic/Ho'h3~Tank: To Water-Supply Well [ I "~ I Size ~ ~ No. of Compartments Foundation Cleanout (Y/~ ~/Zate Last Pumped; for Temporary Holding Tank Permit (Y/N) To Property Line To Water Main/Service Line Cour~o To Building Foundation ~ O t f To Disposal Field ,'7~~'' To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(1t;84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~-- ~, ~' Width of Field ~" Square Feet of Absorption Area Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Fieldi To Water-Supply Well To Building Foundat. i~o)~ Lot To Water Main/Service Line ~'C;, ( -~' Type of System Design '"'{---~-.-~ Length of Field ~'~"'7 / Depth of Field ~ / Gravel Bed Thickness ~ / Standpipes Present ~;~N) Date of Last Adequacy Test ~::~--~ -'~:) ~ To Property Line ; On Adjoining Lots To Existing or Abandoned System on To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments TO (~utbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments "Check Permitted Bedroom Rating Against HAA Request ** I certify t~a~l ~;L~~' or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~L~r_~rX. Date JUN I Z [986 ~ DATE RECEIVED · INSPECTION APPOINTMENTS TIME TIME TIME )ATE DATE DATE MUNICIPALITY OF ANCHORAGE ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PflOl~ ~NIpAU~ OF ~ 825 L Strut - A~hor~, Al~a ~1 i f~J~ E~IRC~MENTAL F;,CTC~ION ~ ENVIRONMENTAL SANITATION DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND 1. P PERTY OWNER . PHO~ ~AILING ADDRESS MAILING ADDRESS / MAILING AD~RE$S ~ / ;TRENT LOCATION 6.~ NUMBER OF~BEDROOMS One I--1 Four '~(-~.~ING LE FAMILY Two [] Five [] MULTIPLE FAMILY '1~ Three [] Six [] Other 7, WATER SUPPLY '~ I NDIVI DUAL* * ATTACH WE LL LOG. A well log is required for all wells drilled [] COMMUNITY . . . since June 1975. For wells drilled prior to that date, g~ve well [] PUBLIC UTILITY · depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM ~---'~INDIVIDUAL/ON-SITE*° /~7~7 YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ?=.o~o m-. ~Tg,.-~'~ - -~;-~..~ ·A/~. ~ ~-~ ,..; ~ · . ~ ~ · . THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [~SINGLE FAMILY [] MULTIPLE FAMILY 2. WATER SUPPLY [~" lIN DIVIDUAL I'-I COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [~DIVI D UAL/ON -SITE •PUBLIC UTILITY Connection Verified [~5"eptlc Tank or f-'} Holding Tank ~ize: f~o ~ ~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line NUMBER OF BEDROOMS i--1 ONE {~].---'T~ E E [] FIVE [] TWO [] FOUR t-'l SiX DEPTH OF WELL DATE DRILLED LOG RECEIVED ',~ PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING MANUFACTURER SepticJHolding Tank Absorption Area Sewer Line [] OTHER JNearest Lot Line /0 ° 5. COMMENTS [] [] APPROVED FOR ~ BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED DATE 72.010 (Rev. 6/79) DEPARI~JENT OF HEALTII AND ENVIRO',;~;,~NTAL PFIOTECTIOh: June 11, 1981 Tom/Jacqueline llayes Star Route A Box 477-T Anchorage, Alaska 99507 Subject: Lot 4 Block J Timberlux Subdivision #3 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: o 1~/~(2) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. Effective June 1, 1981 the lab fee is $20.00. A well log submitted to this office for our review. The depression around the well casing needs to be filled with im-revlous type soil so that it slopes away from the well casing. Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit and buried. Please notify this department for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, James S. Roberts Environmental Specialist JSR/ljw cc: Alaska Statebank 310 East Northern Lights Boulevard 99503 '.CIIEMIC,4L & GE'-~OGICAL LABOR,4TORIES"'%* , ,4L,4SK,4, INC. TELEPHONE274.3364(907)-27g-4014 . ANCHORAGE56331NDUSTRIAL CENTERB Street: Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: : · I.D. HO. w,,., S,.,*r..,.,* ~_..~./C' ~ .~./,-~.'~ ~. ~1 -'oCA/E'//,,~tz,,,t -...~,n~,~,,,.~.,,,/, ,': ' '.·* C~y State Zip Code SAMPLE CATE: ~ ,. · J . "- '; Mo. Day SAMPLE TYPE: [3 Check Sample (for routine sample with lab ref. no. I-] Special Purpose Treated Water Untreated Water SAMPLE Time Collected NO. LOCATION Collected By 3 I 1 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [] Unsatisfactory [] Sample too long in transit; sample should not be over 48 hours old at examination ' to indicate reliable results. Please send TimB RoeBiYed Analytical Method: I-] Fermentation Tube ,~Membrane Filter Lab Ref. No. Result* Anslyst ICI READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-]220 (I)) BACTERIOLOGICAL WATER ANALYSIS RECORD