HomeMy WebLinkAboutTIMBERLUX #2 BLK H LT 7Timb rlux Block H Lot 7 #018-271-48 fhLL LL LL c ii ti M M_0 c0 = c� O O ' �[ : �, o C a> c m r cmc o a V o a .m YC H E. c r- Ocn vm'�Q✓. ;atcimO L) (D CL 0 UJ m � U (A� v rn v.� a3i m E L O7O nQ n0 = o a��LL; �w�°-o� z O z 0 n _ z ❑ ltd a� O\ C\ n ❑� w O 2 w � .� C C'7 "t c° i ❑ s O � 'm 0 J cn maw E CL 0 0 W (�� �• �• m ��� �� v c o o c7 ch o 0 0 z' N v N w LL ❑ o `;�G\� N (0 LO LL LL = O Y OE El T LL O�_ > t_ fn Q W al ch W N E W O o CD m z z N vi Q N (� 0o O o Z 0❑ O7 m U Z C a Y avJ J . 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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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: "% cl? Date: Issued By: Date: ez-'-o' 4 MUNICIPALITY OF ANCHORAGE Community Development Department Phone.- 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 018-271-48 Property owner(s) Matt & Carol Matthews Day phone Mailing address 15001 Longbow Drive, Anchorage, AK 99516 Site address 15001 Longbow Drive, Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Timberlux #2 Block H lot 7 Legal description (Township, Range & Section) Lot Size 28,397 _Sq. Ft. Number of Bedrooms Four(4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field FX-1 Initial ❑ Single Family (SF) RX (w/wo ADU) Septic Tank RX Upgrade RX Duplex (D) ❑ Holding Tank R Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE I WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: 2 ?—D 2-,/ Date of Payment: Receipt Number: Receipt Number: Permit No. U3 Z 12 1 Waiver No. Permit App_'-'- : - :-'.,:c -, August 23, 2024 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Timberlux #2 Block H Lot 7 – 15001 Longbow Dr Septic system design Dear On-Site Services Engineer: The owner of the above lot has a 4-bedroom system that has reached end of life. The attached site plan identifies the location of the home as well as the new septic location. Due to separation to wells the new system will need to be advanced treatment. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot is generally mild, sloping towards the street. There is a flat grassy area just before the street, it is in this area that the new septic system is located. There is a short section of slope exceeding 25% within about 15 feet downslope of proposed design, but it is only 5’ high and the attached slopes analysis shows that it will not cause daylighting. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached test hole logs, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241239, Curtis Townsend, 08/23/24 CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FD - FLOW DIVERTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND 1"=30' TIMBERLUX #2, BLOCK H LOT 7 FEET 0 30 60Benjamin Schiller CE 12592REGISTEREDPROFESSIONA L E N GINEER 7/31/24 SEPTIC PLAN EXISTING WELL W/ 50' RADIUS 1500-GAL ADVANTEX TANK w/ AX20 POD TH#1 L O N G B O W D R I V E 4-BDRM HOME 10' UTILIT Y E A S E M EN T MT MT MT MT PUMP VAULT EXISTING TRENCH TO BE ABANDONED IN PLACE DECOMMISSION EXISTING 1250-GAL STEEL SEPTIC TANK (2) NEW CAT III 30' LONG x 5' WIDE, 0.5' EFFECTIVE DEPTH ABSORPTION TRENCHES INCOMING PRESSURE LINE MUST ENTER TRENCH CENTER D R I V E W A Y INSULATE UNDER DRIVEWAY 405 400 395 390 385 380 ≥6'≥10' A A Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241239, Curtis Townsend, 08/23/24 TIMBERLUX #2, BLOCK H LOT 7 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER DESIGN FACTORS:SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 40 MIN/IN APPLICATION RATE: 2 GPD/SF 5-WIDE TRENCH SYSTEM ADVANTEX FAP 2.0 TANK W/ AX-20 BOTTOM OF TRENCH: 0.5' BELOW GRADE FLOW LINE ELEVATION: 0.0' FROM GRADE 600 GPD / 2 GPD/SF (/ 5' WIDE * 1.0 RED FACTOR [0.5 DEEP]) = 60 LF TRENCH REQUIRED (2x 30 LF SPECIFIED) 7/31/24 DRAINFIELD ROCK 2' 6" PROVIDE ADDITIONAL FILL TO ACCOUNT FOR SETTLEMENT 5' 6" GEOTEXTILE FABRIC & 2" FOAM INSULATION 1 1 4" PVC w/ 20 - 1 8" ORIFICES EVENLY SPACED @ 3' OC 3:1 SLOPES W/ JUTE MESH AND SEEDING NOTE: THIS SYSTEM MUST BE PRESSURIZED FOR THE REDUCED SEPARATION TO IMPERMEABLE SOILS Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241239, Curtis Townsend, 08/23/24 1"=10' SLOPE CROSS SECTION A-A SEPTIC TRENCH Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 46% AN GL E OF EF F L U EN T INF LU E N C E 2:1 MAX SLOPES STABILIZE WITH JUTE MATTING AND HYDROSEED FEET 0 10 20 8/22/23 TIMBERLUX #2, BLOCK H LOT 7 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241239, Curtis Townsend, 08/23/24 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 40 7/18/24 1 2 3 GM (SILTY SANDY GRAVEL) Professional Engineers Stamp: YES Timberlux #2 Block H Lot 7 7/18/24 018-271-48 Matt Matthews 4:15 1 0 16 4:46 5:16 6" OB 30 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: M. Jakubisin 2 4 16 12.0 7.0 7/31/24 COMMENTS: SITE PLAN 1 4 16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED 7/31/24 OB/FILL GC (CLAYEY GRAVEL) **IMPERMEABLE** 1 0 1630 1 11 16 0 11 16 1 0 1630 1 12 16 0 12 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241239, Curtis Townsend, 08/23/24 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this -9 Day of Ay G of 20 P, V , by and between // /X R S rA. I-' Ar , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as /2 Q /1 ' j G S A S located at (legal description) 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS 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. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). ,A;`� Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/ 18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. i�� Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: % � � (signature) Date: % y Ito /IVA° `' �� d'!% �C�' (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoin nstrument was acknowledged before me this ,42 day of 4 ` 2(}, by . , RY P Mrr UB IC FO'R� ASKA y Conssion ex. p 2y ? � J: ' ••�"17 NOTARY p : c �, � �• UBLIC OF AV MUNICIPALITY: i/iryrr��ptt�1 By: (signature) Date: 2 'G 1� (print name) Title: C. (u c- C C (,,,4-,r (rev. 05/18/2018) Page 3 of 3 Lot 7, Block H, Timberlux Addn. No. 2 Subdivision As-Built Land Surveying Land Development Consultant Subdivision Specialists Construction Surveying AEC# 173042 S4 Group 124 E 7th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com 8/23/2024 P.O. Box 196650 a 4700 Elmore Road Anchorage Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Serices Department On -Site Water and Wastewater Section cnr S a. Department Xxx7'CXTJ Waiver#: OSV211068 COSA#: Permit#:830404 PID#: 018-271-48 Legal Description: Timberlux #2 Block H Lot 7 Engineer: Forge Engineering Applicant: Matt Matthews Your request for a waiver of the required 100 feet horizontal separation from the absorption field and septic tank on Lot 7 to the private well on Timberlux #2 Block H Lot 6 has been approved. The approved separation distance is 85.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the existing absorption field and septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. 9 a s a a v a a a a 9 a a a a a a v a a a Is a a a a a a a a a a a a a a v a a a a 9 a a a a a a a a a a IN v a a a a a a a a a a a a a a a 6 C a a a a a a 1 Waiver is Granted: X Waiver is not Granted: Date: 10 902 ( Approved by: alq_� C�_Mz Name of Reviewer ■maa-aacavvmaevvavvevvvvaaaaavavavaaavaeaaaaaaaaaavaavaaaaaaeaavaaaaaaa0avaaevaI a Y1 _,VU 11 MKI 41 t 8-0 °I' Z�Zo21 R -C_ ,p 01 9 3 2 September 10, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 9/7/21 Subject: Timberlux Subdivision #2, Block H Lot 7 – 15001 Longbow Drive Neighboring Well to Septic System Waiver Dear On-Site Services Engineer: The existing absorption tank on Lot 7, Timberlux Subdivision #2 is located 93’ from the existing well on Lot 6 at its closest point. Additionally, the center of the existing absorption trench may be as close as 85’, although there are no standpipes to mark the trench’s exact location. The septic system on Lot 7 was originally constructed in 1983 and has been in constant operation since that time. However, the well on Lot 6 was placed two years earlier, in 1981. A waiver is therefore required to allow the absorption trench on Lot 7 to remain in its constructed location less than 100’ from the well. The trench is downslope from the well with drainage to the southwest toward Longbow Drive. Septic effluent that might surface from the trench would flow away from the well at a surface grade of more than 10%. The well log indicates a depth of 137’ deep and the static water level of 38.5’ below the surface, and clayey gravel from 0’ to 134’. The well log for Lot 7 shows similar material. This material is typically impermeable. We are confident based on the aforementioned characteristics of the lot surface along with the well construction through clayey material that the reduction in the protective radius of the well to 85’ will not impact the quality of water from the water system. Additionally, a water sample taken from the well on Lot 6 in 1999 records a nitrate content of 0.24 milligrams per liter, which would indicate that even after 16 years the well is not influenced or contaminated by the tank or absorption trench on Lot 7. We therefore request a waiver to reduce the separation distance from the well on Lot 6 to 85’. Sincerely, Benjamin Schiller, P.E. Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchors~ge.ak.us 343~4744 March 12, 1999 Maurice K. & Carol A. Matthews Property Owner's of Lot 7 Block H Timberlux #2 3340 Arctic Boulevard #106 Anchorage, Alaska 99503-4550 Re: Separation Encroachment, Lot 7 Block H Timberlux #2, P.I.N. 018-271-48 Dear Mr. & Mrs. Matthews: During a recent evaluation of the wastewater system and water well on Lot 6 Block H Timberlux #2 Subdivision, the engineer performing the evaluation discovered that the well serving the home on this property is being encroached upon by the wastewater system serving the home on lot 7. According to our records you are the owner of lot 7. The separation distance is 95 feet. The required separation distance is a minimum of 100 feet for a private well to a wastewater system. This is in violation of Chapter 15.65, The Municipality of Anchorage On-Site Wastewater Disposal Ordinance. The existing well on lot 6 was constructed in October 28, 1981 and the wastewater system on lot 7 was constructed in December 7, 1983. Because the well on lot 6 was place at the time the wastewater system on lot 7 was constructed, makes the responsibility of resolving this encroachment matter the property owner of lot 7. in Be advised that Lot 7 Block H Timberlux #2 Subdivision iR not eligible for Health Authority Approval from this office at this time. The result will be the inability of the owner to transfer title of the property at the time of sale until the separation encroachment matter is resolved. If you have questions of the above, please contact me at 343-4761. Sincerely, Daniel J. Roth Civil Engineer On-Site Services Program ') .~j 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 ~~S , BUILDER 276-7496 ~]UPGRADE MAI LING ADDRESS 2609 BARROW STREET$;ANCHORAGE,~ AK, 99502 LEGALOESCR~TION~ov 7 ~ B~Oc~ H ~ TIHBERLUX LOCATION ~ ~ILE NO, OF RABBIT CREEK ROAD; lAST SIDE OF LONGBC NO. OFBEDROOM8 4 Well + ~ Absorption area Dwelling PERMIT NO. DISTANCE TO: i O01 830404 ~ ~ Manufacturer Material No. of compartments ~ ANCHORAGE TANK STEEL TWO Liq. c pa ' 'n ~alions Inside length Width Liquid depth O ~ ~ Manufacturer Material Liquid capacity in 9allons -- No. of lines ~ Lenoth of each line Total lenoth of lines~ ~ ~ Trench widtt~o~ inches Distance between lines N Top of tile to finish 9rede Material beneath the Total effective absorption area Length Width Depth .' PERMIT NO, ~ ~ Type of crib Crib dlamete~ Crib depth Total effective absorption area ~ Well Buildin~ foundation Nearest lot line ~ DISTANCE TO: ~ ~lass Depth Driller Distance to lot line PERMIT NO. ~ Buildin9 foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: PIPE DIA~ ~dHITE, PLASTIC G~ (8~ PER ~ P~R~IT) ~ I N STAE L E R ~ DIAHOND COaSTRUCTION Co. REMARKS INSULATION a0ARO(HI-40 D0~ STYROFOAH) PLAC[O 2" 0V~R TOP OF ~"L~N LOT 0WNE~ ~ATTHE~S ~ CONTRACTOR STAT ED] SUFFICIENT FILL- FROH HO, E~CA VATION ~2-013 (Rev: SA 81 / November 22, 1983 Leo 'I'hompson Anchorage, AK 99b Subject: Lot 7~ ;~lock ~, Ti~d3erlux ~2 As-built Dear ~4r. This Get~art,.~]ent is unable to accept the on-site as-built for this lot until the l~ollowing areas o~ concern have been addressed° In reviewing this as-built fnrt*~er information must be provided to insure that the installation meets P~unicipal Codes: 1. The soils test showed water at 6 ~eet, w~J. ch means tho total depth of the installation can De no deeper than 2 ~/~6 feet below grade. [{owever, adding together your 2 feet from top of tile to grade with your 18 inches (min.) ~.~I~ below tile gives a total de~}~h o}~ 3.5 feet or only 2.5 feet above t~e docu~ented water table~ If this is tho case then this on-site system canr~ot be used. installed in the area of the test hole? ~C 2. '~as the system This department received a call that the system was / being installed 1UU ~e_.t ~rom the original test hole I~ this is tr~e do you ~ave a new soils 'log ~or the installation slue? /j~ A0~ U~ U~ ~Olt ratin~ on the as-built states "Sb (per sewer 6}( permit)," did you verity that the soil t~at the systen~ was placed in is 8b rated soil? T~anK you ~or your assistance in a:'~swerin~ t~lese questions. Pl(~ase contact this office with this aGditionat information. sincereiy, CC ~ ~¼~, 2609 Barrow Street Anc~orage, AK 99502 Cory Wil li~ Acting Sewer & Nater Program Manager MUN,C,PAL,TY OF ANC.ORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION  ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ~.I~-S I~'.E--~,. ----- S~I~/~.G E DISPOSAL~SYSTEM AND/OR WELL INSPECTION REPORT -~AT~TTHEWS ~~ ~76-7496 ~ UPGRADE MAILING ADDRESS 2609 BARRO~ ST* ANCHORAG~ ALASKA~ 99502 LEGAL DESCRIPTION LOT 7 BLOCK H ~ TIHBERLUX ~ 2 SUBDIVISION SECTION ~t T 12~ , R D W , S.H., LOCATION ~ HILL NO.OF RABBIT CR~K ROAO~ O~ LONGBO~ RD, NO. OFBEDROOMS lAST SIDE OF LONGBOW. DISTANCE TO: ]Well qO0I + [Abs°rpti°narea Dwelling PERMITNO. 8~O~O~ ~ Z Manufacturer Materials T ~ E L No. of compartments ~ ~NCHORAGE TANK ~ P Liq, ca~in gallons IF HOME.DE: Inside length Width Liquid depth , ~ Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capscity in gallons Q WeS Foundation Nearest IotHne ~0 ~+ PER~ITNO. 8~0~0~ m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ ~lass Depth Driller Distance to lot llne PERMIT NO. ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER 4'l OIA. ~HITE PLASTIc INSTALLER ~ ~ DIAHOND CONSTRUCTION CO~ ~ 4 ~X/ 0F ~I, LINZ. MATERIAL IS HI-40 ~ DOW STYROFOAH. BACKFILL OVER INSUL ~ ~/ 013 ~ i'.'B L~P-4 I ,---: I 't':--R L I T'.-r" [:,EPRRTMENT '% ..:. HERLTH RN[:, ENV IRONMENTRL%,,.,.~OTECTI BN ~, ..... "'L'" STREET., HNL. HURHUE., ~:2. f 264-47:2E~ ~~ =. o ~,~ ' -I. ' ~'~'~'-'~ '~=' RF'F'L Z CRNT ~, ,.=~N ........... LE6RL L7 Bt_3C:K H TZMBERLUX ~2 LOT SZZ~ ~.~9~ %!I.IRRE FEET TYF'E OF :,LZL HE,=,u[FTIJN _,~_,TEII [S: [:,RRZNFZEL[:' ,- ' '11 ', ' ' ~ =,u[L RRT[NG ,:SQ FT,.-'BR)= 85 UH~',ZII_fl NUI1E, ER OF BEDROONS = THE REQUZREB' =,Z~E OF THE '~nZL HE,=._RFTZ3N sT_TErl ' THE LENGTH DIMENSION IS THE LENQTH (IN FEET::, OF THE TRENC:H OR [:,RRtNFI~D. , P r' IS ,- - - '- , THE DEPTH OF R TREN_.H _R F'ZT THE BZ=,THNL. E BET~E_N THE SURFRCE OF THE GROUNE:, RND THE BOTTOM OF THE E~-OBRVRTZON THE T~:E~-~E:H [-~ Z E)TH Z S ( 5. ,2~,;~:4 FEET/ THE GRR',,,'EL E:,EF'TH Z5 THE MZNZMUM E:,EF'TH OF GRR',/EL b~INEEN THE OUIPRLL FZFE RNE:, THE BOTTOM OF THE E;,:;C:RVRTZON (ZN FEET). PERNZT HFFLZ_.HNT HH-, THE RE=,FuN=,ZE, ZLZTT TO ZNFORM ~HZ_, DEF'RRTMENT DURZNG THE ZN%TRLLRTZON ZN=,~EL. TZuf4_ OF RN'¢ NELLS RD.~RCENT TO THZS FR_FERT¢ RND TNE HUMBER OF RE%ZE:,ENCES THRT THE NELL t.4ZLL _,ER,E. T [.~,'-~ ,:'..=.."-:-' .':" Z P-~_. F EL-T ,- ..... p ,-' ',- · _ _ _ - -, - THIS E, HL.~...FILLIN-.. OF RN'T' =T--TEtl NITHOUT FINRL tN'-~F'EF:TI¢iN RND MFFF..u,HL B'T' [:,EF'RRTMENT NILL BE .=,UE,..TEuT TO PR]SE-_TION MINIMUM [:,ISTRNCE BETNEEN R NELL RN[:' RN'T' ON-SITE SENRGE DtSPOSRL S"r'STEFI IS i£'~£'i FEET FOR R PRtVRTE NELL OR '15E'~ TO 2E~E~ FEET FROM R PUBLIC NELL DEPENDtHG UPON THE T","PE OF PUBLIC NELL. MINIMUM DISTRNCE FROM R PRIVRTE NELL TO R PRI',?RTE SENER LINE IS 25 FEET RND TO R COP'IMUNIT'¢ SENER LiNE IS 75 FEET. OTHER REQUIREMENTS I'"lR"r' RPPL¥. SPECIFICRTIONS RND CONSTRUCTION DIRGRRI"I$ PRE W,,,'RILRBLE TO INSURE PROPER INSTRLLRTION. F'EF;~-I Z T E,:-=.F :~ F.:E5 DE _-EB-IE. EF-. -=-:1,. i I CERTIF'T' THRT i: I RM FRMILIRR 14ITH THE REL."~UIRENENTS FOR ON-SITE SENERS RND NEL. LS RS SET FORTH B"r' THE MUNICIF'RLITV OF RNCHORRGE. 2: I NILL INSTRLL THE SYSTEM IN RCCORDRNCE NITH THE CODES. 3.: I UNDERSTRND THRT THE ON-SITE SENER S'.r'STEM FIR'?' REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MOF.:E THRN 4 BEDROOMS. ! GNEE, HFPLIL. RNT [,~,-..,. ............... ~ ~¢.~ ~. ~ ZSzqUEL~, E,'.'_ ..... M ............. ~::~--~--L ..................... '¢4. 0 ANCHORAGE. A',A [:.",,!~?)502 0650 (907) 264 4i [ i TONY KNOW !:, MA Y O R <Permit 9: 820599 .January 31, 1983 TO: Permit Applicant Subject: Lot 7 Block H Timberlux subdivision ~2 A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation° If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program .Manager Sewer and Water Program RcP/ljw enc: Copy of Permit SWP/057 RF'F'L I CFFiT LCiCRT I Oiq L. BaRL BLOCk: P! ...... ?-'-'. 2 LOT '/51 ZE tH ..i' _,,! !',Kt!',IECE OF E'.EE:,RL](}M:-2; :::: ,:!. 5(]IL RR?'li',i(J (¢;r) F:'T',.."£::F:::,*= THE F. ZQLIiRE:£) 512E OF TFE SOIL RBS(]RPT!ON E;'?'::~;TEi"1 15: THE LEt'.E~'Fl-! [X[ItEIt.?;IOi-,I IS 'T'HE LEI".K.YT'H (Ii~.,! FEE'?') OF:' THE 'FFRENOH THE DEF'T!-4 OF' FI ]'EE!$.':H OF: PIT I'.'E; THE DZS"FRi'qCE BE]"B4EEI'.~ TFE :.'.-',LhqFRCE OF THE: qiROLIN[:, Ri",![) THE BO]'TOit OF TFIE EXCFt'.',,'RTIOhl 4!i"! FEET). ]'HE: 13F;:Fh'EL Z:;~-_*.FffH "':: --- . ..... . .... .t_, THE i'"!:[.,*'.,~:£i','it..!f,'l [':,EF'"lh! Ij~ ~ ,~:~FFLL,,F..,-.E~ Rh,!D THE ~.:.',OTTO~4 OF THE EXE:FF,,,'RTZOIq (![4 FEET::,. F? ~: .~;Tit ,~.j % F:~: E; E::,, "::' '¢::' ~ :" -* ................... --':" F.:" - .... T i' !qTFil i P']" ): "~.! I I"~SPE(::T I ESE; OF ,: ' IV I.]FI i ':' ~.~ ........ r,IFEP,.. ()F' ............... PP~F,E".4'"'P:._...., TFiRT THE HELL. HILL '~c'-"' '"- Irlz.:, [:~EF'R,qTPE.~.,!"r .[:<S: ;( ~,!(.~ ]"HI:E; F'F~:OF'E¢:;~'.T'?' ai'.4[" MINI!',!LIi! [)ISTFi?.,E:E b%::T!,EEF,! FI .I.,.!ELL FIND FIN? CtN-SI]"E 5Ei,!FEiE [):[SRO%FL E;"r".:~;"['EM i5 !Ot'-'l FEE]" FOR R PRI',/FFTE HELL OR :l. SEi TO 269 FEET FROM ¢:1 PUBLIC kELL L!F'Oi'4 TI'tE 'iWF'E OF F'UfLIC HELL. i"ID'tIPlUf'~ [)I:T'FFRNCE FEOI"i Ft PRi',.,'RTE HELL TO Fi F'F'.i~,,'FI-FFE :SEI,.!ER [...iI'E IS 25 FEET FIN[:, TO i:~ COI'E1U!'4 :[ TV SEi,.IER LIFE IS 75 FEET. OTHER RE~;:!LI.~FEI¢IEiqTS !tR'f f:!i:::'f:'!...V. %F'EE:iF!CFIT:[ON% FSE:, COt'.4%]~RLIC]-iON [:,IFEiF..'R[,I:.5 FiF::E R',/FI!LRBLE TO lt',I':.7, URE PROPER i CER]"ZFY q-FiRT i: Z !afl FF:!I"!ZL!RR HITH TF!E F:EC;!U:[F;:E'f'IE}dT!:: F'O[~ O~.k-SITE 5ENER5 F~ND HELL:~; Fi:k: 8ET FORTH Eft THE P!UF~ZCIF'RLZT'¢ OF RF,!CHOEFEE. 2: I HILL ~I',ISTRLL. TF!E 5'./STEF! IF,! FE:COEORfC:E !,.iiTH THE tOE)ES. 5:: ! L[FDEF?.STRP,![:, '?HFff THE ON-SITE SEHEE S'¢STEI't i"IF!'¢ RE(;~!JlP. E ENL/qE~Eb!EfqT if;' -f'H~{ ~.E=, i E. ~:.~ ,!...c. 1:5 P.E!'C[F;,EL.E[:, TO I f',E:LLIE:,E I,iOPE *~ RF'PL I CFii"~'F I,F!¢;~FIEF! E',. ELK I i"?.~; ............. 's ..................................... .......... '-""' ............. "*'- WELL OWNER LOCATION WATER WELL LOG FOSS DRILLING 1336 Ingra Street Anchorage, Alaska 99501 W'~.,-'w~od ,,SE oF WELL Ha FEET OF DP~WDOWN. REMARKS DATE COMPLETED~PUMP TO BE SET AT~ ~ E:,EPI~RIMENT L~ iiEFIL. TH RN[." ENYIRONf'tENTRL .r ',TECTION ; ; 264-4728 PERMIT NO. ,:. ~,-, RF'PLZCRNT DRVE WFiRWOOD ~O~ 3HLIGRCH 1.4FIY 9~E~ '~'~"*' '-:'?'-' LOCRTZON LONGBOW DR LEBAL L7 BLK H T[MBERLUX ~2 ,LOT S~ZE_ 28397 SGYJRRE FEET TYFE OF SOIL RBSORBTIOf4 SYSTEId ZS: DRRZNFZEL[: MRXINUM NUMBER OF BEDROOMS = 4 SOIL RATING THE RE'.UIRED %IZE OF THE SOIL ABSORPTION SYSTEM IS: .... THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIEL[.'h THE DEPTH OF 8 TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFBCE OF' THE GROUND RND THE BOTTOM OF THE EXCRVFtTION (IN FEET). THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRFtVEL BETWEEN THE OUTFRLL. P~F'E RND THE BOTTOM OF THE EXCRVFITION (IN FEET). PERMIT RPPLICRNT HRS THE RE=,FON_IEILtTT 'FEI INFOF. M THI_, DEPRRTMENT D_RING THE INSTRLLRTION INSPECTIONS OF FINY WELLS RDJRCENT TO THIS PRCPERTY RND THE NU~IBER OF RE~IDENC. E_ THRT THE WELL ~IILL SERVE. T&--~(D ¢-: ;~ > I I',IS--.;F'E(-;.T I ¢-11'4 :_-3. AF~:E F-.'E ~:~.~tU DE F--:E[:: BBCKFILLING OF ANY SYSTEM WITHOUT FINiaL IN=,FE_.TION RND RPFF. u,~BL E,~ TH.L, [~EPRRTMENT WILL BE SUBJECT TO FRO_,ECUTIO[I. MINIMUM [:,ISTFINCE BETWEEN R WELL RND 8NY ON-SITE SEWRGE B, ISF'OSRL SYSTEM IS ±00 FEET FOR 8 PRIVRTE WELL~ OR ±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF F'UBLIC 1.4ELL. ~4ELL LOGS RRE REQUIRED 8N[~ MUST BE RETURNED TO THE DEPFIR'FMENT WITHIN :~:0 DRY:S; OF' THE WELL COMPLETION. OTHER REQUIREMENTS MFtY 8PPL't'. SPECIFICRTIONS RN[:' CONSTRUCTION [:,IFIGRFIMS PRE I~VRILFtBLE TO INSURE PROPER INSTFILLRTION. I CERTIFY THRT 1: I AM FFIMILIFIR NI]'H THE RE6!UIREMENTS FOR ON-SITE SEWERS RND NEId..S AS SET FORTH BY THE MUNICIPRLITY OF RNCHORROE. 2: I WILL ZNSTRLL THE SYSTEM IN RCCORDRNCE HITH THE C:O[:,ES. 3.: I UNDERSTFIND THAT THE ON-SITE SEWER SYSTEM MRY REO. UIRE ENLRRGEMENT IF' THE RESIDENCE IS REMOD. ELED TO INCLUDE MORE THRN 4 BEDROOMS. APPL I CI--]NT [:,FIVE WRR[,.IOOD. I'=_;SUED BY ........._ ..~ --~'----~-~~//-x ..... ¢_~ ......... [: RTE ................ ~/.~__~_ ~_.. ',,,' .--'.':. 2 Q G) CD m r-r- r- r - CD CD CD 0') W 0 LL C (LS V � NQN Li. 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(907) 522-7773 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of 000 -of 20, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. .Advanced Wastewater Treatment S stems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex System located at (legal description) Timberlux #2, Block H Lot 7 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS 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. Id It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). 40 Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page I of 3 40 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 16 Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Sevcrahilih% Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 00 C) N 00 tn 0 7 L O N _ v� O 14- Q 00 C) N 00 tn 0 7 L U Q • J �J Q c Q � L� 3 Q 00 C) N 00 tn 0 7 L Lot 7, Block H, Timberlux Addn. No. 2 Subdivision As-Built Land Surveying Land Development Consultants Subdivision Specialists Construction Surveying AEC# 173042 S4 Group 124 E 7th Avenue Anchorage, Alaska 99501 (907) 306-8104 mail@S4AK.com 9/5/2024 Di¥ISION O~ ~IRON~I~A% DEPARTMENT OF HEALTH AND ENVIRONI~ENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL 6~RTIFICATE 1o General Information Application Date (a) Legal Description (include loC, block~ subdivision~ section, cownship~ range) Lot 7 Block H Timberlux Subdivision #2 Location (address or directions) 15001 No Longbow Drive (b) Applicants Name Matt Mathews Tele hone Home Business Applicants Address 2609 Barrow, Anchorages Alaska 99503 (c) Applicant is (check one) Lending Institution Buyer ~ ~ Other~ (explain)~ (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone ..... Mail the F~%A to the following address: (f) T_Lpe_o~f_R~esidenc~e Single-Family,~. Multi-Family~ Other (describe)~~___ Number of Bedrooms Individual Well Communit7 ~ Public~ Note: If community ~11 system, must have ~itten confirmation from the State Department of Envirommental Co~ervation attesting to the legality am~ statue. Sew_ ag_3 e Onsite~ Publico Community~-~ Holding Tank.~ Note: If community well system~ must have %~ttten confirmation from the s~ate Department of Environmental Conservation at~esti~ to ~he legality a~ status~ [Page 1 of 2] 5~ ~~Providiq~ Inspections Tests_ File Seareh~z Data 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 the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of s=ructure indicated herein.- I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspeetion~ the on-sits water supply amd/or w~stewater disposal system is in compliance with all Municipal amd State codes~ ordinances, amd regula- tions in effect on the date of this inspec~iono Name of Firm ~ ~Telephone __ Address~ Date Approved for fou____r-- ~pproved xx (ENGINEER SEAL) bedrooms Disapproved _ This .Department has received written documentation from the engineer and this property is now fully approved to meet Municipal Ordinance and guide line s ~ Coedi~ional Te'rms of Conditional Approval CA~TION TH~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT~ ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER ~GISTERED IN ~ 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 REQULRE- b~NTS. EMPLOYEES OF DNEP DO NOT CONDUCT INSPECTIONS OR ~MALYZE DATA BEFORE A CERTIFICATE IS ISSUED° THE MUNIC~PALIT~ OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN ~ PROFESSIONAL ENGINEER'S WORK° (DEEP SEAL) RR4/eJ/D18 [Page 2 of 2] 7~19-84 January 14, Engineers ~ Surveyors Planners 5313 Arctic Blvd., ~uite 20~ ~ ;?.0. Box 4-3187 Anchorage Ak. 9950~/~ ;~'A~&:~et Ak. 99509 1985 ~ ~ -- ~. ' Office: (907) 5~1-1044 ADC No. 85004 Mr. M. K. Matthews 2609 Barrow Street Anchorage, Alaska 99503 Re: Inspection of On-Site Septic System for Lot 7, Block H, Timberlux Subdivision Addition No. 2. Dear Mr. Matthews: Pursuant to your request, I have performed a cursory inspection of the on-site septic system for the above-referenced property. It is my understanding that the need for this inspection arises from the fact your lending institution requires a health authority approval for your new home be current within six months. Even though the Municipality considers the 'health authority approval for a new septic system to be valid for two years, they will not issue a new health authority approval without a new inspection. It is noted that the Municipality's current Health Authority Approval for the above-referenced property was issued July 9, 1984. On Wednesday January 9, 1985, I accompanied you to the site and performed an inspection of the septic system. The following observations are made: all required standpipes, as shown on the as-built survey, dated 6-15-84, are in-place, extend 1-foot or more above ground, and are capped. visual inspection indicates that standpipe locations (5) and location of existing well are as shown on the as-built survey, dated 6-15-84. - distance between septic tank and end-of-trench standpipes is approximately 68 feet. - distance between septic tank standpipe and existing well is approximately 105 feet. Mr. M.K. Matthews January 14, 1985 Page -2- - as noted on the Health Authority Approval, dated July 9, 1984, the driveway crosses over the drainfield, however, the driveway appears to be 2 or more feet above the original ground in this location. - there is no depression over the septic tank or the drainfield at the time of this inspection and there is positive surface drainage away from these components. During the course of this inspection, I have reviewed the following documents which you furnished: - MOA DHEP Health Authority Approval Certificate, dated July 9, 1984. - MOA DHEP On-site Sewage Disposal System Inspection Report, dated December 7, 1983. - MOA DHEP letter, dated November 22, 1983, Subject: Lot 7, Block H, Timberlux #2 As-built. - MOA DHEP On-site Sewer Permit #830404, issued 5-18-83, and revised 9-19-83. Based on this cursory site inspection and review of these documents, there appears to be no conflict between the on-site septic system and the above documents. It should be noted that no inspection was made of the below ground conditions, including the septic tank and the drainfield trench, and no conclusion or certification extends to the condition, size or integrity of these components of the septic system. No conclusion extends to any component of the system not specifically reported above. I trust that this inspection will be sufficient to your needs. Should you have any questions, do not hesitate to contact us. Very truly yours, ALASKA DEVELOPMENT Stephen D. Shrader, Project Manager CONSULTANTS, INC. ALASKA DEVELOPMENT ONSULTAN , ]NC i COLONIAL MORTGAGE SERVICE COMPANY ASSOCIATES, INC. 701 E. TUDOR ROAD, SUITE 107, ANCHORAGE, ALASKA 99503 TELEPHONE: (907) 562-2181 MEMORANDUM ~,!OIL~]IO~Id q¥1N]F~NO~IAN~ TO: Matt Matthews RE: 7/H Timberlux ~2 FROM: vicki Case DATE: Jan. 2, 1985 Hi Matt, Thanks for providing a copy of the Health Authority approval certificate for the new ~guse; however we must have one that is curr~nt withi~_~e p_ asr 6~months, so the approval will need to be UPdated prior to closing. Please call if you have any questions regarding this. MUNICIPkLITY OF ANCHORAGE DIVISION OF EINqflRONMENTAL HEALTH DEP.~RTMENT OF H~LTH kND ENVIRON~ENTAL PROTECTION APPLICATICN FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date 6/20/84 (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 7, Dl0~k H. Timberlux Number ?. Sectinn 34: Y 17 N: R ~ W. q ~ Location (add,ess or directions) 15001 N. Longb~bi Drive (b) Applicants Narcs Matt M8t%h~W$ Applicants Address 2609 Barr0w~ Anch0ra9e~ Alaska (c) Applicant is (check one) Lending Institution Buyer F--q. ; Other F--!. (explain); (d) Lending Institution __ Te!ephon~ 263-2416. 99503 F--~; Owner/builder ~ ; Telephone Address (e) Real Estate Co. & Agent Address Telephone Type. of Residence Single-Family ~ Multi-Family ~---7. Othe~ (describe) Numbe~ of Bedrccms 3. Wate~ Supply Individual ~1i ~ Con~r~,,nity ~-~ Public ~--~ Note~ If cu~,~nity v~ll system, must have written confirmation from the State ~ Depa~tn~nt.o~ F~nvironm~ntal Conservation attesting to the legality and status. ~ Is the-~ll'~uate for the number of bedrcora~ specified in this ~q3~A (Y~) Yes 4; Sewa~ Is tbs q,~stewater disposal system adequate for the r~unber of bedrocks (Y/N) Yes [Page ! of 2] 2-15-84 5. ' En.gir~ering, Fi~m Providin.g Ins~ctions, Tests, ~ta ~d Infection I ~tify ~ I have ~cked, verified, ~ ~nfo~d to all ~A ~ ~i~li~s in effe~ on t~ ~te of ~is ins~cticn. ~~ ~~ Date ~~ si~d/ ~ N~ of Fi~ A. W. Murfitt Company Telepho~ 349-75~1 Add~ess 8010 King Street, Anchorage, Alaska signed by Jeffrey M. Ayres Date ( ENGINEER SEAL) ~ne Municipality of Anchorage Depa~tment'cf Health and Envi~o~ntal ~otection dc~s not ~ua~ant~ ~ continued satisfactory ~fo~T~ance of t~ wate~ supply and/or the wastewats~ dis~osal system. ~is approval indicates that, as of t_h9 validation date sho~n at~,~, based on t~ data and information fu~,nished ky an enginser regis~d in tbs State of Alaska, the ~te~ supply and wastewate~ disposal- system is safe and func- tional for t~he nu~ of k~drc~ and t~l~e of structure indicated. ( F~EP SF~) 7. Mail t,~. HAA to the following adc~ess: H0]d for p~ck-up (please ca]]) 276-7496 KB2/d5/s [PaGe 2 of 2] 2-15-84 ~latt Mathews ~ ~- ~Lot 7~, Block H, Timberlux Number~.j Section 34, T 12 N, R 3 W, S.~.J ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 Be S~ingl. e Family Well Classification Nesloence Well Log P~esent (Y/N)Yes Total Depth 82 feet Cased to Static Water Level 48 feet Casing Height Above Ground 1.7 feet Electrical Wi~ing in Conduit (Y/N) Yes Separation Distances f~om Well: To Septic/Holding Tank on Lot 103 feet To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~/A If A, B, c~ C, D.E.C. ApproVed(y/N) ,N/Al, Date Completed 7-25-78 ~ ~ yield~'~~ GPM 82 feet Depth of Grouting. Pump ~t At 80 feet Sanit~y ~al on Casing (y~)Yes ~essi~ ~ound ~l~ead (Y~) N0 ; On Adjoining Lots 100 feet 107 feet ; On Adjoining Lots 100 feet To Nearest Public S~we~ cleancut/Manhole N/A To Nearest Sewer Service Line ,on ],LOt Water Sample Collected By J. Avre$ ; Date 6/20/8~ Water,.,, Sample. ,. Test~ ._.Results Satisfact0r~.~ A-~ ~~ SEPTIC/HOLDING TANK DATA Date Installed 1984 Size 12~0 qal]0ns No. of Ccmpa~tments 2 Standpipes (Y/N)~Yes Air-tight Caps (Y/N) Yes Foundation Cleanout (Y/N) Yes Depression over~ Tank (Y/N) N0 Date Last ~umped N/A Pumping/Maintena~nce Contract on File (Y/N) ~,'/A '~; for N/A Holding Tank High-Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) N/A Separation DistanCes f~on Septic/Holding Tank: To Water-Supply Well 103 feet T6 B~ilding Foundation 5 ,feet To ~ y Line 35 feet To Disposal Field 10 feet ! To ~t'er Mai~/Service Line N/,~.~ To Stream, Pond, Lake~ c~ Major D~ainage Course N/A Corm~nts [Page 1 of 2'] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption St~.ata Date Installed 1984 Width of Field 60 inches 85 Square Feet of Absorpticn A~ea 305 Depression over Field (Y/N) No Results of Last Adequacy Test ~/^ Separation Distance from ~bsorption Field: To Water-Supply ~11 107 feet To P~o,perty Line 25 feet Typs of System Design lre~ch Length of Field_ 61 feet _ L~pth of Field Ap_proximately 3.5 feet Gravel B~d Thickness 18 inches Standp. ipes P~esent (Y/N) Yes Date of Last Ade_~uacy Test_ ~I/A To Building Foundation 8 feet To Existing or Abandoned System c~ Lot ; On Adjoining Lots 100 feet plus To Water Main/Service Line N/A To Cutbank(if present) To St~eam/Pond/Lake/o~ Major Drainage Course--N/A. To Driveway, Parking Area, or Vehicle Storage A~ea See comments Co~0ents Driveway apoears to be over the tZC.~]0~c.h, (Engineered by Leo Thompson. P.E. ~)~ D. LIFT STATION Date Installed N/A Size in Gallons N/A "Pump On" Level at N/A High %~ter Alarm Level at Tested for N/A Electrical Codes(Y/N) N/A N/A Di~nsions N/A Manhole/Access (Y/N) "Pump Off" Level at N/A Vent (Y/N) N/A Pumping Cycles du~ing Adequacy Test. Meets M, OA Co~r~ents ** Check Permitted Bedroom Rating ~gainst HAA Request certify that I have checked, verified, o~ conformed to all ,MOA on the date of this ins~cectic~. ~c~oa y~A. W. Murfitt Company MOA No. ST84-015 KB1/d5/s , nes [n eff.,cta' [Page 2 of 2] 2-15-84 / / / / / / / / / / / / / / / / / / / / / CALF': I l TYPICAL DRAINFIELD DESIGN CROSS SECTION backfill irrier ~material ~creened rock per permit 2" over pipe min.J extended to edges of trench 4 ft. dP ~sr[r~l~auti~°dnpip~~ bedrock 6 Ift'"~~water table Install Drainfield per Permit Specifications Municipality of Anchorage Department of Health and Environmental Protection 825 L Street, Anchorage, Alaska 99501 264-4720 [:)RAINFIELD REQUIREMENTS Install Drainfield Per Permit Specifications TWO INSPECTIONS REQUIRED: Firsl: Absorption trench excavated Second: Septic system ready for backfill SEPTIC TANK: Must be insulated with 2" high density burial type polystyrene or equivalent Two Comparlmenl, Municipal Approved, Set level 5' Minimum undisturbed earth between tank and trench, and tank and foundation 3g' Minimum between dralnfleld and draintleld on adjoining lois Tank and solid pipe laid on well-compacted earlh Cleanou~ required prior to gO° bends before tank inlet Creanout required 1' lo 4' from foundagon wall Inlet and outlet w[~h water-fight mechanical couplings Two cleanouls on tank wgh air-fight caps All cleanouts must come to at least ground revel ASTM D3034 may be used in place of cast iron DRAINFIELD AND PIPE: Excavation to lot line minimum 10' Trench Installed across slope Smeared sidewalls raked Perforated pipe set level, holes down Soltom of Irench level 2" gravel over perforated pipe Grave[ extends to edges of drainfleld Minimum 6' between drainfield edges So[id pipe under driveway, insulated (see insulalion) 100' from tank or dralnfield to river, lake or stream Barrier material belween gravel and backlill Cast Iron Standpipes ~NSULATION: ~ ...... ---I~-'~nes (s)~ 2" high density budal type polystyrene or equal over lines and drainfield when earth I~ackllll Is less than 3~ over any I ~lnstall~ed under a driveway and/or parking area; over all septic tanks DISTANCE REQUIREMENTS OF WELLS FROM TANK AND TRENCH: Individual, single family - lg0' Class C - Under 25 sew[ce - 150' Class A, D - Under 25 service - 200' Further design and installation information Is available upon request, solid pipe: sepgc tank: Two Compartment, Municipal Approved, set level, must be insulated solid pipe must be level minimum 6' between dralnfleld edges pedoraled pipe set level, down stand pipe with lop cap solid pipe above bed and perforated in bed 72-o2213/83) PO... p H 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION February 17, 1983 TO: Plumbing Distributors and Suppliers - 1983 Subject: Insulation Requirements for On-site Sewer Systems This will confirm our recent telephone conversation regarding the recent revision to our proceedure of on-site wastewater disposal facilities. In the 1983 revised proceedure, it is now the policy of the Department of Health and Environmental Protection to require that all septic tanks be insulated with a top cover or sheet of insulation prior to the placement of the final fill. It will also be required that all connecting lines and disposal trenches/drainfields/beds with less than three(3) feet of top cover be similarly insulated. The insulating material must be: Two(2) inches thick high density burial type styrofoam, or rigid polystyrene, or equivilant. All insulation must have a water absorption of not greater than 1% by volume,, and with a compressive strength of not less than 35 PSI. This information is being availed so that you may decide whether or not to have the insulation in stock during this coming construction season. If there are any further questions, please call this office at 264-4720. S inc erely, Robert W. Robison Hillside Project Manager RWR/ljw