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HomeMy WebLinkAboutTONJESS ESTATES BLK 3 LT 15Ton jess Block 3 Lot 15 #051-832-04 ' Municipality of Anchorage Page 1 of 3 Department of Health and Human Services Division of Environmental Services On -Site Services Section 8251' Street Room 502 P.O. Box 196650 Anchorage. AK 99519-6650 www.cianchorage.ak.us (907)343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WEU. INSPECTION REPORT Permit Number: SW010042 PID Number: 051-832-04 Name: MM&M Contracting Wastewater System: New P.O.P.OBox 670495 Chugiak, AK 99567 ABSORPTION FIELD Bemoans: Pilaw Nuance 688-1236 Three (3) Shallow Bed LEGAL DESCRIPTION Sol FLANS .8 cPcvre Tole Depth from algae grade: ' 2 Ft. eloO: Lot frmarano: 3 15 Tonjess Estates Depth '0 Pea ocean morn oral Wade: - 1.5 n. Gravel depth beneath pee: ' .5 Ft. Towmne: Range: Season: Fe added above erg.. grade: Gavel Lenges: 2 n. 40 Ft. Well: New Gravel men: 15 n. Number ol S,..: 3 Dearest between lines: 5 FL Cies.reason (Ante. A 9. C): Private Total Dean: 220 n. Cased to: 25.5 Ft. Total abseepbon area. 600 n' Pee Mauenal. ASTM D3034 PVC ((Maar Sullivan Water Wells Dale Drilled: 4/3/2001 Saba Water leve: 78 Fl wearer. MM&M Contracting Data Installed; 4/23-25/01 Yield. 22 CFM Amp Set at: F . Casing Siegel Maw CaoaM: >2 n TANK SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Fran Septic Tank Absorption Field Lite Station Holding Tank 'ow/Private1Ai1aAie'tar: Sewer Line Anchorage Tank upawrMn bosons. 1,000 Wel >100' >100' N/A N/A >25' Malenat. Steel Neater o Compatenls: Two (2) sal(ap.wata >100' >100' N/A N/A . LIFT STATION — NONE ON LOT lame >5' >10' N/A N/A lire. D,1 Manulatlwer. Foundation >5' >10' N/A N/A 'Pump on' level M: 'Amp or kwg at: In. Ngh wales' alarm at. N. in Cwt an(M None Notedby: a&Mo0ei Rano Make & Decimal inspeauM. performed b BENCH MARK Z" Insulation Uver Septic Tank. (oration and Description; Garage Slab Assumed Elevation: 100.0 Fl ,Engllder's Stamp „-� OF; Ai`'.tt, , e, '` ✓. .. 1 ., ,. , n.�Q Inspections performed by: MEA Dates: 1s1 4/23/01 ; 7irC'2"4-'^" Exr4�'iTrl 2nd 4/25/01 %. M .MICH..EL E. C":FRSC1 .,et: Department of Health and Human Services approval Reviewed and approved by: O Date: /O-3-ol 6�`.f�F CE 4X01 �-� e� y (Rev. 1099) ej sL�Lis�o`a�'11•• Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6650 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number SW010042 PID No. 051432-04 Page 2 of 3 TONY CIRCLE PLAN AS -BUILT SCALE 1" = 40' A 8 S1 32.6 39.9 S2 36.3 45.5 M1 42.1 55.6 C4 47.3 53.3 C5 76.2 89.8 M2 79.7 89.4 TONY CIRCLE PLAN AS -BUILT SCALE 1" = 40' Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6650 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number SW010042 PID No. 051-832-04 99.5 Cactpvfiln Drainileld Page 3 of 3 EV Pnbri r KULR 94 5 N87.5 95.1 4' 1' 4' 37.5' 3' 1• 11 1 11 PROFILE AS -BUILT 1"=10' OF `,•• e• •• r,n.•• 49111 # —A_,� �•�.*��'�,�0 Vn MICH: _ E. A::trZLCN ��' ,,. .'• C@-4331 CEk P i.rrrs.t M: t�CL- Y F ROM : CaJIHRY REALTY PFIONE 140. : 9076881238 Rug. 20 2001 09:11P41 P1 Qtertttteb ?rtUtng, !wog .• • SULLIVAN WATER:WELLS . • - 'V.O:60X870272,CHUGIAK ALXSKn99567,:TELEPHONC688-2750 ' OWNER . LAND: &g.: M ^'ea.+7.Cileri"AC- . eoREHOLEDATA ADDRESS -PG... fie XI. -`67a 44S-' Ch;; as;.v,om, To• DEPTH• ' LEG AL'DESCRIPTION: `ra 4Ers'• EsT . DATE. 'PERMIT NUMB.;B:�_ ate of Issue `So el TAX IDENTIFICATION NUMBER: 051 -`F30'- • n4 Is well located at approved permit Jocation? Li No ' •Method of Othry U cable tool Depth of well: ' •! nZ0: ':: ' 1Casing Type TTefe • Wall Thickness! 1520 • inches Diameter• inches, depth ' OC feet Liner Type' ' ft Casing Stickup Above Ground• ' .a• Static Water Level: 78' ••.. Recover Rate:''a spina "Pt Method of Testing ' 4/ Q • Well intake Opening. Type: 0 open end tepiThole • t Screened: Start • ;' ` feet Stopped 'feet • feet • feet Perforations Start • •' /feet topped feet Gro•u4 Type: t e.0 i a°3 St a C) 4 J t g L ': Depth: from O feet.to a to t` feet Well Disinfected Upon Completion? s+'rt;s 0 No' Method ofDIsinfection ' CH( )4101•x.- 5z)flM. • 0•. 4 4t, ay • d`� S1. S^j • / LS7 /g •/7•5- 17? 7.5' /79' /7/ Drillers Name ATTENTION: It is the responsibility of the property owner to submit a copy o(the well tog to •the proper authority. Municipality of Anchorage: Department of Health'& Humarj;Se,eices and/or Department of Erivvonmentat Conservation: Matsu Borough: Department of Environmental Conservation. : . ' • •••Received Time Aug 20/: 9:15AM•- • e taut • S?rct,r P. • • S/c7Y Ss" :11/3 A a odos..e-t ,3r,oeJct •Bine3ct • OtFt�-/ QJ.q•�72. • 1J?ci4. c /c. 6tdC..1 • .. /3Ea cL 6/cc...,iota; • •• g64.0r • B s sex f Eee s -..r • 1-C4Mf:. • • ORdGC 6eCie.I ;.. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM 1 WATER SUPPLY PERMIT Initial Permit Number: SW010042 Legal Description:T& ESS ESTATES BLOCK 3 LOT 15 w Design Engineer: 0014 Anderson Engineering Owner Name: MM & M CONTRACTING Owner Address: P.O. BOX 670495 ANCHORAGE , AK 99567- Date Issued: Mar 22, 2001 Expiration Date: Mw 22, 2002 Parcel ID: 051-832-04 Site Address: NHN TONY CIRCLE Lot Size: 40477 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: -,16 Disposal Field El Septic Tank L Holding Tank J Privy Private Well Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by catling (907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: AWN Date: 3°&9 03 am44 /L, 7d7141- Date: 3-22-0/ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I D 0Si -832-04 Permit Number Sw0/0042. Property owner(s) MM&M Contracting Day phone 688.1236 Mailing address (1) P.O. Box 670495 Chuglak, AK 99567 Mailing address (2)/V HAI TONY G1li; GLE lip Code ggf67 Legal description (Lot, Block & Sub'd) Lot 15, Block 3, Toniess Estates Legal description (Section, Township & Range) Lot Size 40, 4 77 Acres/.q.Ft. Number of Bedrooms Three (3) THIS APPLICATION IS FOR: Sewer Only 0 Well Only 0 Sewer and Well 0 Water Storage 0 Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub 0 Jacuzzi 0 Swimming Pool 0 Water Softening Unit 0 Therapy Pool 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment: 3.1H I x0 1 Date of Payment: Receipt Number: 1 E c ` Receipt Number. (Rev. 12/00) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522.6779 (FAX) March 13, 2001 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 15, Block 3, Tonjess Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 15, Block 3, Tonjess Estates Subdivision intends to construct a three- bedroom home on the currently vacant lot. We are therefore applying for a permit to construct a new septic system on the lot to serve the new home. The attached Site Plan and backup documentation identify the location and configuration of the new septic system and the parameters used in the design. It also shows the location of the alternate site and the proposed well for the lot. Existing drainage patterns are also shown and will not be altered by the development of the lot. Several test holes have been placed on this lot over the past years. All of these holes reveal well to poorly graded gravels with percolation rates between 3 and 5 minutes per inch. Two test holes at the proposed location for the new absorption bed revealed well to poorly graded gravel with some silt to various depths. No groundwater was noted in either test hole during excavation or during the monitoring period. Bedrock, however, was encountered at 10' below the surface. We are therefore proposing to place a 15' wide by 38' long absorption bed to treat the septic effluent. The pipe will be placed at 2.5' below the existing ground surface and the total depth of the bed will be 3'. A minimum of 3' of cover will be placed over the bed to prevent frost penetration and possible freezing. The ground surface on the lot slopes as shown on the attached Site Plan with a substantial drop from behind the proposed absorption bed to the roadway. The area for the new absorption bed, however, is fairly flat. The new bed will be constructed parallel to the contours of the surface in conformance with Municipal requirements. Grading will be accomplished to assure surface drainage is away from the new trench. The existing drainage pattern on the lot will not be affected during development. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. Lot 15, Block 3, Tonjess Estates March 12, 2001 Page Two 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any Tots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, L Michael E. Anderson, P.E. Attachments p.,t,wa�o�e�� •..... . ..-S so *�P49Th %� �vP'ti O T . • MICHAEL E. A.4DERSCN Y 00-„•• CE - 4381 ce. • c or /is'( PRO oa���,c40 • r i HB,•5702-w 55 27 82-59 55.27 5/11•5.021 W.71) 11 •S C6 L•262.05 .19 J X09 150 THIS PROJECT 4 1.9 8 01• 9',JJ �• P99•J is, \V 20 .9 ?s 0 20411 N i JJ, R.50 44;52 yy J7 12 '�....aa.411 ."c121:114 14 110 1•D,, 7k ' s . N lv1/4, *c°I Q. AREA MAP SCALE 1" = 100' 0; A. 2241) o 7 • •a / 4;'-• 11‘7 PROrESSI-eS "; E. ANDERSC 38' Long X 1 Wide Absorp Bed �Ny ow LOT 15, BLOCK 3, TONJESS ESTATES SITE PLAN SCALE 1" = 40' LOT 15, BLOCK 3, TONJESS ESTATES ABSORPTION BED DESIGN FACTORS: 3 Bedroom Home Perc. Rate: 5 Min.11nch Application Rate: .8 GPD/SF SYSTEM REQUIREMENTS: Shallow Bed System 1,000 Gallon Septic Tank 1' Total DraInfield Rock 3 Bedrooms X 150 GPD 1.8 App. Factor = 562.5 Square Feet 562.5 SF/15 LF (Width of Bed) = 37.5 LF Length of Bed Therefore: Construct an Absorption Bed 38' in Length by 15' Wide. Bottom of Bed to be a Minimum of 6' Above Bedrock. 2" of Insulation Over Bed or a Minimum of 3' of Cover to Prevent Freezing. 1' 6' r 2' Natural Backfill Cover (Minimum) 2" Insulation L11 i i i i r ITergl a035 t. 2.5' } 5 5' 2.5' raintield Rock /ceryl/s"Vi/.///C-W��.`/1/•S'//R"1/1c`Y1/.$/Il ��j��y/IC/ Bedrock SHALLOW BED DETAIL (NO SCALE) NOTE: Grade Area to Drain Away. Maintain 6' Separation From Bedrock. Provide 3' of Cover or 2" Insulation and 2' Cover. Maintain 4' Separation From Groundwater. Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For: MM&M Contracting Legal Description: I nt 15 Block 3 Tnnjess Fstates SLOPE OG/OL TESTHOLE NO. 1 GP Poorly Graded Gravel with Silt North South Was Groundwater Encountered? No If Yes, What Depth? Depth to Water Bedrock After Monitoring None Date: 3/11/01 4:7(C.:** OF ',%..4 0,....7............x.. 0 Et`'. MICHAEL E. ANDERSON . 1 00 c • CE -4381 .' `'" 0 's,•.(. Fq••., .•••• 44 a 111�I�i/ESS10:gb. Date Performed: li�it/ZJ4 SITE PLAN See Site Plan S L 0 P E Reading Date Gross Time Net Time Depth To Water Net Drop 1 26 -Jan 9:30 2.25" 2 9:40 5.75" 3.5" 3 9:41 2" 4 9:51 5.25" 3.25" 5 9:52 2.25" 6 10:02 5.5" 3.25" Perc. Rate: 3.1 Min. Inch Perc. Hole Diameter: 6" Test Run Between 5 Ft. and 6 Ft. Comments: Perc. Cavity Presoaked Prior to Test. Performed By: Alan Harala I Michael E Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 3/12/01 Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For: MM&M Contracting Legal Description: 1 nt 15 Rock 3 Tnnjess Estates SLOPE OG/OL TESTHOLE NO. 2 GP Poorly Graded Gravel with Silt North South Was Groundwater Encountered? If Yes, What Depth? No GM Depth to Water After Monitoring None Date: Bedrock 3111101 r... MICHAEL DERSCN `ti c'• CE_4331 " I .�t 1PROFESS\0:��'4. Date Performed: tlorze 9�d SITE PLAN See Site Plan S L 0 P E Reading Date Gross Time Net Time Depth To Water Net Drop 1 26 -Jan 10:15 1.5" 2 10:25 3.5" 2" 3 10:26 2" 4 10:36 4" 2" 5 10:37 2.25" 6 10:47 4.25" 2" Perc. Rate: 5 Min./Inch Perc. Hole Diameter: 6" Test Run Between 5 Ft. and 6 Ft. Comments: Perc. Cavity Presoaked Prior to Test. Performed By: Alan Nara!& I Michael F Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 3/12/01 Parcel I.D. ..Municipality of Anchorage -Development Services Department, • Building Safety Division On -Site Water & Wastewater Program /7 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS 'APPROVAL 'FOR A SINGLE FAMILY DWELLING DsI- 230-34 1. GENERAL INFORMATION Complete legal description COSA# OWN • Expiration Date: 9 - 9 - 08 TONJESS ESTATES, BLOCK 3, LOT 15 Location (site address) 21665 TONY CIRCLE " CHUGIAK, AK 99567 Current Property owner(s) RONALD RIFREDI Day phone 688-1577 Mailing address PO BOX 670423 * CHUGIAK, AK 99567 Lending agency Day phone Mailing address Real Estate Agent Mailing address BARBARA HUNTLEY w/PRUDENTIAL J.W. Day phone 273-7269 3801 CENTERPOINT DR. #200 " ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 3 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 trahsfer 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 riot responsible for errors or omissions in the professional engineer's work. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal erns/ hereto and as of the validation date shown below, 1 verify that my !)cation, investigation, howsi that boned en _water supply uu p y outlined wastewater disposal says elte Systems m is (are) safe, functional and adequate app shows that the of b its Water and type the number of bedrooms and type of structure indicated herein. 1 further files and from my v s� that based on at oh and inspeUe . Ctipn, the information obtairieiiuply and rhwastewater )ity of disposal system is(are) in compliance with all applicable Municipal. on-site tacowatees,or and State codes, ordinances, and regulations in effect at the lime of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 (01q /O 6 Engineer's Printed Name JEFFREY A. GARNESS, P.E. 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 tical soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole or party is not afit of the owner listed above. uthodzed, nor 1 ny it lconfeeupon or use of this r any legal right whatsoevert r. 5. any 5. DSD SIGNATURE Approved for 3 bedrooms. of A " �* 00° s: 00 E-//79 .' O� •61q/Pet.04 e Pro fessfor o Disapproved. Conditional approval for bedrooms, with the 'Bowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements 1 Supplemental Engineer's Reort Other By: )Rev. 11105) kkSsci OF 4,0,, jam: • •• ON-SITE ••••• Yo'; AND • m: : WASTEWATER : PROGRAM • ei•.•• ' l',1 ltplt Original Certificate Date:a- 0 £ Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: TONJESS ESTATES, BLOCK 3, LOT 15 Parcel ID: 051-S 30 -o If A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) 1 YES Date completed 4/3/2001 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 220 ft. Cased to 25.6 ft Casing height (above ground) 18+ In. BEDROCK FROM WELL LOG AT INSPECTION • Date of test 4/3/2001 6/1/2008 Static water level 78 ft 80 ft. Well production 0.37 g.p m '0.40 g_p,m, '300 GALLON STORAGE TANK IN GARAGE WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 1. (0 mg./L. Other bacteria 0 colonies/100 ml. Arsenic: h L 'ug./L. Date of sample: 5/30/2008 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 4/23-25/01 Tank size 1000 gal. Foundation cleanout (Y/N) YES Date of pumping Number of Compartments 2 Cleanouts (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) MCDONALD'S PUMPING 6/3/2008 Pumper C. ABSORPTION FIELD DATA Date installed 4/23-25/01 Length 40 ft N/A I'6ELOW EXISTING GRADE Soil ratingg.p.d. =or ft2/bdrm) 0_8 Width 15 ft System type BED Gravel below pipe 0.5 ft Total depth *5.3 ft. Eff. absorption area 600 ft' Monitoring tube YES Depression over field NO Date of adequacy test 5/30/08 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 3 In.Water added 500 gal. New depth? in. Elapsed Time: 120 min. Final fluid depth 3 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off" leve High water alarm level at in. Datu Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 100'+ Septic tank/lift station on lot Absorption field on lot Public sewer main 100.+ N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: II Building foundation 51+ Property line 5'+ Absorption field 5+ Water main N/A Water service line 101+ 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 NONE KNOWN Wells on adjacent lots 100'+ 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 COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS (IR /o8 Date COSA Fee $ Cl' o 4- 17 S 4)0514 - Waiver Fee $ Date of Payment G f `i' O Date of Payment Receipt Number 1 1 q SO Receipt Number (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907) 343-7904 Water Well Advisory Certificate of On -Site Systems Approval # 080178 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 3, Lot 15 of Tonjess subdivision, the well's productivity was determined to be 0.40 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. :•n 06 08 03:12p i■ 93 Corp 6949210 p.1 h. •:t• -ti r• AS -BUILT 1 hereby.certtfy that 1 have surveyed the following described property. L e— : x, c •i c-! •i e Elf .,,r ..M1 ! l✓.O V, 1.. r •T ••.r. Z. •i t.: Alt F• i Anchorage Recording Precinct. Alaska, and that the improve- ments situated thereon are within the pmperry lines and do not overlap of encroach on the property lying adiacent thereto, that nu improvements on property lying adjacent thereto encroach on the premia in question and that there are no roadways. transmission Tines or other visible• easements -on said property except as indicated hereon. Dated at Eagle River, Alaska this ••• day of ••. •.• r_ r.•••• ROBERT C. JOHNSON a SCALE: Registered Land Surveyor Nn. MO -LS 1" Jr i.)•o• BOX 774456, Eagle River, Alaska 99577 Phone (907) 694-:543 SCS Rat/ Client Name Project Name/I/ Client Sample ID Matrix 1082342001 Gamcss Engineering Group, Ltd. Tanjess Estates U3 L15 Tanjcss Estates [)3 L5 Drinking Water All Dates/Times are Alaska Standard Time Printed Date/time Collected Date/Time Received Date/Time Technical Director 06/04/2008 10:19 05/30/2008 11:00 05/30/2008 17:30 Stephen C. Ede Sample Remarks: Parameter Results PQL Units Method Allowable Prep Analysis Container ID Limits Date Date Init Microbiology Laboratory Colony Count Total Coliform Fecal Coliform 0 0 0 col100mL SM20 922213 coI100mL SM2092220 co1/100mL SM209222B A A A 05/30/08 DLC 05/30/08 DLC 05/30/08 DLC ANALYTICA GROUP Garness Engineering Group, Ltd. Attn: Jody GEG, Ltd. 3701 E Tudor Road, Suite 101 Anchorage, AK 99507 907-337-6179 Fax: 907-338-3246 Client Sample ID: Sampling Location: Tonjess Estates Block 3, Lot 15 Client Project: Private Well Testing Sample Matrix: Aqueous COC 11: PWS#: Residual Chlorine: Comments: Lab#: A0806004-OIA Analytica International, Inc. 4307 Arctic Blvd. Anchorage, AK 99503 Phone: 907-258-2155 Fax: 907-258-6634 Report Date: Receipt Date: Sample Date: Sample Time: Collected By: 6/9/2008 5/30/2008 5/30/2008 11:00:O0AM Flag Definitions. MRL = Method Reporting Limit MCL = Maximum Contaminant Limit B = Present also in Method Blank t1= Exceeds Regulatory Limit M = Matrix Interference J = Estimated Value D = Lost to Dilution •• = RL higher than MCL; target not detected TNC = Too Numerous to Count - result rejected CF = Confluent Growth - result rejected TCNG = Turbid Culture No Growth - rejected Analysis Method Parameter Result Units Flags MRL Prep Prep MCL Method Date Date Analyst Analysis 4500-NO3E (Aqueous) - Nitrate Nitrate as N 1.86 mg/L Lab#: A0806004-OIB 7est was conducted by: Analytica -Anchorage 1.3 10 6/3/2008 6/3/2008 JQ Analysis Method Parameter Result Units Flags MRL Prep Prep Analysis MCL Method Date Date Analyst 200.8/200.8 (Aqueous) - Family Well Water 1 Arsenic 1.64 ug/L Reported by: Marty Waters, Laboratory Project Manager Test was conducted by: Analytica - Thornton 0.15 10 200.8 6/4/2008 6/6/2008 GY Page 1 of 1 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.051.832-04 HAA # T7 /D 523 Expiration Date: i — 3- 0/ 1. GENERAL INFORMATION Complete legal description Lot 15, Block 3, Tonjess Estates Subdivision Location (site address or directions) Tony Circle Current Property owner(s) MMBM Construction Day phone 688.1236 Mailing address P.O. Box 670495 Chuqiak, AK 99567 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: Three 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank 0 Community Class Well 0 Community On-site 0 Public Water System 0 Public Sewer 0 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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 less than 30 days old. (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 Approva! 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 9111101 5. DSD SIGNATURE j/. Approved for 3 bedrooms. Disapproved. Conditional approval for OF ; p-• )atV • (:• a..• LC , t!mra -E. ANDC SCN •-'c' J 4f.i; . CE - 4331 •'--" f L. ". • et<1/4 PROF(SS1W",..y°j bedrooms, with the following stipulations: Additional Comments `lkt' WI 9 Ate r • ON-SITE ; WATER AND : tT': WASTEWAIER PROGRAM ` • 6. Ii asel\ 1` Aim • Attachments: HM Checklist Septic System Advisory Well Flow Advisory X 7 - (Rev. I2C0) Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: /0 • 3 - 0/ 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: Lot 15, Block 3, Tonjess Estates Subdivision iParcel ID: 051.832-04 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 4/312001 Sanitary seal (Y/N) Y Well Log (YIN) Y Wires properly protected (YIN) Y Total depth 220 ft. Cased to 25.5 ft.. Casing height (above ground) >24 in. FROM WELL LOG AT INSPECTION Date of test 41312001 91112001 Static water level 78 ft. 77 11. WeII production .37 g.p.m. .48 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Other bacteria 0 colonies/100 ml. Date of sample: 9/2612001 B. SEPTIC/HOLDING TANK DATA ' Tank Type/Material Septic/Steel Date installed 4/23/2001 Tank size 1.000 gal. Number of Compartments 2 Cteanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Nitrate .5 mg./I... Collected by: MEA Date of pumping Pumper N/A C. ABSORPTION FIELD DATA Date installed 4/2512001 Length 40 ft. Soil rating (g.p.d./ft2 or ft2/bdrm) .8 GPDISF System type Shallow Bed Width 15 ft. Gravel below pipe .5 ft. Total depth 4 ft. Eff. absorption area 600 ft2 Monitoring tube Y Depression over field N Date of adequacy test Results (Pass/Fail) Fluid depth in absorption field before test Elapsed Time: _ min. in. Water added_ gal. Final fluid depth in. 'Any rejuvenation treatment (past 12 mo.) (YM & type) 14 For _ bedrooms New depth_ in. .Absorption rat© >= If yes, give date g.p.d. D. LIFT STATION Date installed 'Pump on' level at Datum Size in gallons in. `Pump off' level at _in. Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100' Absorption field on lot >100' Public sewer main NIA Sewer /septic service line >25' Manhole/Access (Y/N) High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots >100' On adjacent lots >100' Public sewer manhole/cleanout N/A Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Water main N/A Property line >5' Water service line >10' Absorption field >5' Surface water >100' Wells on adjacent Tots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water Service line >10' Surface water >100' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS Water main >10' Driveway, parking/vehicle storage >25' 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 Michael E. Anderson, P.E. Date 9111101 NC:. i• lAy/41 :�_.� p O' .] �: MC.41Vt E. StrWia i.., Be CE -4331 Osi• �+ HAA Fee $ '500 •`'o Date of Payment Receipt Number (Rev. 12100) .t - etc 101 Jix?1.� eE6pp iRCIESStO��� Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Health Authority Approval # 010523 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block 3, Lot 15 of Tonjess subdivision, the well's productivity was determined to be 0.48 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) October 3, 2001 Municipality of Anchorage Building Safety Division On -Site Water and Wastewater Program 4700 S. Bragaw Street Anchorage, AK 99507 Attention: Jeff Poet Subject: Lot 15, Block 3, Tonjess Estates Subdivision Certificate of Health Authority Approval Well Flow Dear Jeff: The water system on the subject lot is composed of a 300 -gallon polyethylene storage tank and an X -Trot Pressure tank with an approximate volume of 50 gallons for a total storage of 350 gallons. The well log fumished by Sullivan Water Wells indicates a production rate of 22 gallons per hour or .37 gallons per minute for a total production over 24 hours of 528 gallons, which exceeds the Municipal requirement of 450 gallons for a three-bedroom home. On September 1, 2001, I performed a flow test on the well and water system to verify the production rate achieved by Sullivan Water Wells. Prior to the test I measured the amount of water in the storage tank at 24". Water was then drained directly from the storage tank and measured through a water meter. The test proceeded for an hour and 50 minutes when the pump in the well shut off. At that time approximately 221 gallons of water had been measured through the meter and the water level in the tank was at 15". The 221 gallons came from water storage in the well casing, the storage tank and actual water production in the well. The pump was tumed on 10 minutes later and flow resumed. After 15 minutes the pump again shut down after 12 gallons of water was registered on the meter. The water level remained constant in the storage tank. This process was repeated over the next 25 minutes. It is apparent from these readings that the well produced 24 gallons of water over a 50 - minute period for a rate of .48 gallons per minute. This rate is comparable to that achieved by Sullivan of .37 gallons per minute. Although the well production rate is marginal, it does meet the Municipal requirement of .312 gallons per minute. Sincerely, lAcka Eat'LL Michael E. Anderson, P.E, Attachment ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) FAX MEMO TO: Arlene/Paul WITH: MM&M FROM: Mike Anderson DATE: September 1, 2001 SUBJECT: Lot 15, Tonjess Subdivision Well Flow Test MESSAGE: I connected my gauge to the 300 gallon tank in the garage. The interior plumbing isn't completed to the point where 1 could use the exterior spigot. I then turned the well pump on and began the test. The 300 gallon tank had approximately 15" of water in it at the start. After 1 hour and 35 minutes the gauge registered 143 gallons or 1.5 gallons per minute when the well pump tripped off. I reset the pump at 1:35 and it tripped off again at 1:50. I continued to run the test with the water remaining in the 300 gallon tank. I tried several times to reset the pump, but it continued to trip off. At 2:15 or 2 hours and 40 minutes after the start the well had produced 245 gallons of water for an average flow rate of 1.53 gallons per minute. This appears to be the actual amount of water the well will produce. It is nowhere near the 22 gallons per minute shown on the well log. I don't know how the well trip is wired, but maybe it is cutting the well out too soon. This could cause the production to drop. Please let me know what you think. Thanks. 1 Page Being Transmitted. Please call 522-7773 if there are any problems. c0 0 0 w 0 a M. Anderson INSPECTOR: Lot 15. Block 3, Tonjess Estates a 0 H 0 0 J # of BEDROOMS: 0 e 0 0 E E 0 0 0 O 0) 0 10 PEAK LOAD CALC: 5 0 00 ❑ ▪ Septic Adequacy Only • Well Flow Only • Single Family Multi -Family WELL STATIC LEVEL: 77 ft. CASING ABOVE GROUNC >2 ft. Comments IStartTest IPump Off CC o 00 (Pump Off o t 0 a E a 0 iii h Meter Reading I%.I.--m init t7 C7 tD N - CO 3768 I 3780 3780 3792 Y c to 1- v > > u cc 2J -i _.. E to L < C < c•) •0 '> >cry J J L y t < c < 2 -Ic 6 L aca co G v - > > c J J �. 6 Q <c< y 1. Y A > c U) V%I-' J- N 0 in reef- 1- L u.)C d _ 0 d 9 N v m J 1-- 3 0 0 V i 0) o .- 221 221 233 233 y N 0 a e e o 0 0E.. E VI in N N N. in O .-. (V in U) fV 0 CC 0 c 2 10 0 c 0 0) 2 < < < Z Z Z ❑❑ ■ O 0 0 Z Z Z ❑❑ ❑ } } ) ❑■ ❑ a N o 0) 0 c C a 10 E II a E m P. c > 0 c 3 o To a CC • N a < I- c y a 0 U m 3 m c 3 yCI) 0 Nto 0 o Q- !) 0 3 N U) CC _F m 0 N CC 0 > Comments 0 iii h cri N Y c to 1- E