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Home My WebLink AboutTALUS WEST #1 BLK 5 LT 3Talus West #1 Block 5 Lot 3 #015-202-23 r ~ Municipality of Anchorage o ~1 ~'~.~ Development Services Department ~'~ ~ L~i~r~,,]// . Building Safety Division :~: ~ On-Site ~e~& Wastewate, Program, 4700 South Bragaw St. ~ ~' ~.~. uox 196650 Anchorage, AK 99519-6650 ~ ~ ROBERT BOLERJACK c/o GRANT BOLERJACK Wastewater SYstem: ~ New ~Upgrode ~dmss: 11795 WILDERNESS DRIVE * ANCHO~GE, AK 99516 ABSORPTION FIELD 345-5028 / 562-8334 No. of ~ · D~p Trench D Shellow Trench ~ Bed DMound D~her LEGAL DESCRIPTION' ~" "~"~ ~=, ~ ~ ~..,.., Block: ~ Lot: Subd~son' 0.5 ~/h' ~ 8.9 MAX. ~ '~' T~US WEST ~.1: ~ 2.77 MAX. ~ 6.14+ SEE DWG. ~. 80 (2 ~ 40') 2.5 F~ 2 15'+ D~,.. ~ ~ ~ 980-t- so. F[ D 3034/F-810/SCH ~ PVC ~ CARLS EXCAVATING 3/6-7/2002 ~ TANK SEPA~TION DISTANCES =s..u. a.o~.. ~s.~.~... Teak Reid SteUon T~nk s,~,, u~ WESTERN UTILITIES 1500 Well 100'+ 100'+ - - 25% ........ FIBERG~SS ""=~' ~ 4 s.~.~ W.t.r~00'+ 100'+ - - - LIFT STATION 1500 WEST[~N UTILITIES I M~s ME 4o ~ ~.O.A. {emorks: *THIS IS A BIOCYCLE TR~TMENT UNIT. BENCH MARK · *WNVER G~NTED TOP 0F DECK ~u~.. ~o., 101.99 Inspections pedormed by:.. AWWC, INC. Dates: 1st. 5/6/2002 .... :~~....~'.:.~. 2nd~ 3rd 3/7/2002 ,~ '~;~:~;ss..' , Development SedUces Depa~ment Approval , ~[j ';~- ~9~" ..' Reviewed and approved by: ~ ~ D~te: ~- / _~ ~h~e.~ "..~ ........ -' PERMIT NUMBER: AS BUIL"[' DRAWING PARCELID NUMBER: SW020021 - 015-202-25 j,. %- '",..,~ / ~ % / / ~ j' / ," BI0 29,45 28.5,3 ~ / /'"-.L ~' / / MT2 76.49 ,32.54 Al.ASEA WATER & WASTEWATER c.J.G. CONSULTANTS, INC. sca[[: 6g0( DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99506. * PHONE (907)537-6179 * FAX (907)338-SZ&E 1" = ~o' PREPARED FOR: ROBERT BOLERJACK PHONE NUMBER: PAGE NUMBER: c/o GRANT EIOLERJACK 545-5028 / 562-8554 1 OF 1 LEGAL DESCRIPTION: LOT 5, BLOCK 5; TALUS WEST SUBDIVISION #1 fYPE OF WORK: AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE /"~ A B' BIO 29;45 28.53 MT1 45.82 23.11 MT2 76.49 32.54 MT3 58.04 38.88 MT4 84.56 47.21 ..M~NuMg.:sW02D02, AS-- BUILT DRAWING I~ ~ED ON w/ BIOCYC~ OF A~S~. BIOCYCLE TR~TMENT UNIT AI ~ WATER & W~TEWATER c.o.D. PRgP~ED mR: ROBERT BOLERJACK PHONE NUMBER: P~E NUMBER: c/o GRANT BOLERJACK 345-5028 / 562-S334 3 OF 3 LOT 3, BLOCK 5; TALUS WEST SUBDIVISION ~1 PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE FR?M.:-CI~RCEL ELECTRIC FAX NO. : 3464032 : Mar, ,'06 :~]~ 08:lSAM Pi INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING! -.qAFETY DIVISION 3500 EAST TUDOR ROAD · INSPECTION: FA~(907)343..8235 INFO: 343,-824~1 ~ REIN.RPECTION: YES '~[r'~ NO NONCOMPLIANCE OBSERVED CORREt~"IONS ,EaSENTtAL AS EXPLAINED BELOw ' : WILL Ra~;-EXAMINE AT NEXT INSPECTION [ ] 130 NOT CONCEAL UNTIL REIN SP.,P..~ECTE O COMMEN~S: {FOR INSPECTOR USE ONLYJ - : DATE: WHEN CORRECTIONS ARE MADE PLEASE CALL FOR REINSPECTION * DO NOT REMOVE "I"HII~,NOTICE MUNICIPALITY OF ANCHORAGE Development Services Depa/tment On-Site Water & Wastewater Program 4700 South Bregew Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Feb 11,2002 Expiration Date: Feb 11,2003 Permit Number: SW020021 Legal Description: TALUS WEST #1 BLK 5 LT 3 Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: Robert Bolerjack Owner Address: 11795 WILDERNESS DR Total Bedrooms: 3 ANCHORAGE , AK 99516-2231 Pamel ID: 015-202-23 Site Address: 011795 WILDERNESS DR Lot Size: 17000 SQ. FT. Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must nofif~ DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: 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.cLanchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 015--202-23 Permit Number ~ tvoT..O02.1 Property owner(s) Mailing address (1) Mailing address (2) ROBERT BOLERJACK 11795 WILDERNESS DRIVE * ANCHORGE. AK Day phone-.~~ Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size /'7; THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Acres~ Zip Code 99516 LOT 3, BLOCK 5: TALUS WEST SUBDIVISION #1 N/^ Number of Bedrooms ,;7, [] Well Only [] [] Water Storage [] [] Jacuzzi [] [] Water Softening Unit [] 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. ALASKA WATER &: WASTEWATER CONSULTANTSr INC. Permit Fees: ~ Date of Payment: Receipt Number: Waiver Fees: ~ Date of Payment: Receipt Number: ALASI WATER & WASTE', ATER CONSULTANTS. INC. January 30, 2002 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, Ak 99519-6650 Ref: Septic System Upgrade for Lot 3, Block 5, Talus West Subdivision #1 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system consist of a 1250 gallon septic tank and a deep trench type drainfield. The existing drainfield is completely surcharged and must be upgraded. Two test holes were excavated north of the existing septic system in the area of the proposed septic upgrade. We propose that a new Bio-cycle treatment unit with dual outlets and also a dual pressurized deep trench type drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 0.5 gallons/day/ft2 should be used for the Bio-cycle treatment unit. 2. TRENCH DESIGN: a. Percolation Rate: 40, 96, & 120 minutes/inch b. Allowable Application Rate: 0.5 gallons/day/f~ c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Miaimum Absorption Area: 900 ft2 f. Total Depth: 9 feet (max.) g. Effective Depth: 6.0 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 80 feet total length (2 ~ 40 feet long each) k. Effective absorption area = 960 f~ 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 690I Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography is a 5 to 10 percent slope running approximately east/southeast to west/northwest; in short, there are no slope concerns. The trenches are to be installed parallel to slope contours. 5. LOT LINE WAIVER: We request a 2 foot lot line waiver to the north lot line waiver. We are unaware of any adverse impacts with the issuance of this lot line waiver. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincere~ M.S. eresi ~n~ NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, two soils logs, and a 7page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com ~ 7~,~I ',~'t ~~ / '. ~ ~ '"~-I /~ ~,. I .; ?- -[ I,, ~ It A~ WATER ~ W~TEWATER ~ CONSULTANTS, lNG. 1" ........ ~om DEBARr roao, SUITE ZB * ANCHO~GE, ~ gg50~ * PHONE (gO7)b37-oI7g * FAX (907)338-3~6 =REP~ED FOR ROBERT BOLERJACK PHONE NUMBER: PAGE NUMBS:~)~ J o/o gRANT BOLERdAOK ~45-5028/582-8~4 LOT 5, BLOCK 5; TALUS WEST SUBDIVISION ~1 WPE OF WORK: SITE P~N FOR SEPTIC SYSTEM UPGRADE '~'~ l GREEN HOOSE MAY '~/ ,' ,..~ ~ /~ ~CAVA'II~ 1WO TRENCHES THAT ARE I1~ NEED TO BE MOyED ~ / _~' ~~/ / 9 F~EEP ~IMUM ~ 3 FE~ I / ~ ,' ~ ~ ~// ~DE BY ~ ~ LONG ~CH. ~ / / ~ / ~-~ ~' ~ /.' ~D 6 ~ OF ~N, WASHED ~ / / ~ .' .~ ~/ // S~ER D~INROCK. THE DI~IB~ION ~ ~~ ~ ~/// u,Es ,RE ~0 sE ~.25 ~,c, sc,. ~0 / / / /X/~ ~ .~ ~ ~ ,,c,~ o c~, ( t ~/o i // I ~ND SURV~OR PRIOR TO CONSTRUCTION ~ ~ 1/50/2002 ~--~ ~' -.~ Al AS~ WATER & WASTEWATERs~ 4~ q ~). ~ 6901 DEBARR R0~. SUITE EB ' ANCHORAGE, AK 9950~ ~ PHONE (907)337-6179 ~ F~ (907)538~6 ~ ~0~ ' pR[P~ED FOR: ROBERT BOLERJACK PHONE nUMBE~: PAOE NUMSm: ...................... c/o GRANT BOLERJACg 345-5028/562-8334 2 OF 2 n~ ".,~[~ ey [. Gorness..' t LOT 3, BLOCK 5; TALUS WEST SUBDIVISION ~1 q~% '. ........... .' ~ WPE OF WORK: ~ Pro' ~o~ ~ BESIGN OF PROPOSED SEPTIC UPGRADE '~%~ LOT ~ ~I. CK ~'3o 02 ~ ~ - ~/ ~ o..~. LOT e, BLOCK ~; TALUS~ [~VI~ONJ~I t / .' ~?~ "' CONSULTANTS, INC. . ISOIL LOG - PERCOLATION TES,I ,.~_~. L/)~ ~ ...j ......... ~, '..~ §f' e'/ ~,. ~ness.: LEGAL DESCRIPTION: TALUS WEST SUBDIVISION ~1; LOT 3, BLOCK 5, ~ ~ ~ -7953 ." PERFORMED FOR: ROBE~ BOLERJACK DATE: 1/22/2002 '~ ". -[ ." ~ ~Pr ' ITEST HOLE ~1 '~~ ~EPT~ ~ feet) ~ OEGANICS 1 ~ RLL SOIL C~SIFICATIONS --~ / /, 2~ o. GAN~CS ~ ~W ~ 0~ ~"-. /H '~~-./ 3 [ GP MIXED / ~ . w/ UL GH CL , I 5= ' s~ OH ~~~:~ .,, . ~ SC ~~~%~-_ /., / GROUNDWATER DATE SOaE e~ ~ DRY ~ ~/25/0~ 1 POOKm OF CL DRY 1/30/02 ~ROUGHOUT. 10 (HARDPAN) 11 DATE READING CLOCK NET T[HE WATER LEVEL NET DROP TI~E (MINUTES) READING (INCHES) 12 1/25/°2 1 2:40 - 6- _ 2 3:1~ 50 5 1/4" -- 4 3:~1 30 ~ 13~16"__ ~16" 14 -- 5 ~ 3:~1 -- 6" -- - ~ 6 4:11 30 4 3/4~ -- 1/~ 15 PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORHED: ~ YES D NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JOE ~RCHkl II COHHENTS: PERFORMED BY A.W~W.C., INC. I, JEFFR~ a. GARNESS, CERTI~ THAT THIS ~S ~ERFORMED IN ACCORDANCE WITH ALL ~ATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DA~: I~O/O~ DEPTH TO GROUNDWATER DATE SEEPS 10'-12' 1/22/92 DRY 1/25/02 DRY 1/30/02 I-rt/ WATF R & WASTE ATER o~. am, CONSULTANTS, lNG. [SOIL LOG - PERCO~TION TESTJ ~ v~ ;'~j~;~l~ ..... :""~ LEGAL DESCRI~ION: TALUS W~ SUBDIVISION ~1; LOT 3, BLOCK PERFORMED FOR:. ROBE~ BOLERJACK DATE: 1/28/2002 q~e>" ............ '"~ ~EPTH ~ feet) ~::=~: ORGANICS I ~,TEST ~OLE PAGE 1 Of 2 .... . / / S~ OH SC ! s~/UL w/ ~/~o/o2 9 [ POOK~ Of CL THROUGHOUT, 10 (HARDPAN) 11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING (INCHES) 12 1/29/02 _ 1 11:5~ - 6" - LOWER 2 12:26 30 5 3/4" 1/4" i 13 BENCH ~ 3 12:26 ~ 6~ - 4 12:5~ 30 5 11/16" 5/16' 14 5 12:57 - 6- - 6 - 1:27 30 5 11/16" ~5/16" 16 17 - 18 ~ERCOL~TION RAT~ 9~ (~IN./INCH) PERC. HOLE DI~. 6 (INCH~S) 19 TEST RUN BETWEEN 4.0 FT, AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORHED: I YES D NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORHED BY: JOE MARCH~I CONNENTS: PERFORMED BY A.W.W.C., INC. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS ~AS~ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DA~: Itg~ I~ DEPTH TO DATE GROUNDWATER DRY 1/~6/0~ DRY 1/50/02 ~ CONSULTANTS, 1NC. ISOIL LOG - PERCOLATION TESTI [...~.~..J~/~./¥~...~ ......... LEGAL DESCRIPTION: TALUS WEST SUBDNISION ~1; LOT 3, BLOCK 5, (feet)ITEST HOLE ~2~ 1 ~ PAGE 2 OF 2 SOIL C~SSIFICATIONS 2-- Z ~ GW :~ ORG ~ GC OL ~ · ,, SP CH 7~ ~ ~ DEPTH T0 ~GROUNDWATER DATE 8~ M lo- ~ ~ D~TE ~E~Dm~G CLOCK NET TmHE W~TER LEVEL ~ET DEOP 11 - TmHE (Hm~uTES) RE~DmHG ~ 1/2[/02 I 11:55 - ~" - 12-- ~ ~ - ~ UPPER 2 12:26 BENCH 3 12:26 - 6" - 13-- -- -- ~ 4 12:57 30 5 1/~" 3/4" 14 -- 5 12:57 - 6" - ~ ~ ~ 1:2~ ao 5 1/~"_ ~/4"~ 15- ~ _ _ 16_ 17-- ~ -- 18- PERCOLATION RATE 40 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19- TEST RUN BETWEEN 1.0 FT. AND 1.5 FT. 20-- -- A FOUR HOUR PRESOAK WAS PERFORMED: ~ YES D NO SOILS LOGGED BY: JODY ~US PERCOLATION TEST PERFORMED BY: JOE MARCH~ COHHENTS: PERFORMED BY A.W.W.C., INC. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS/WA~ PERFORMED IN ACCORDANCE WITH A~ ~ATE AND MUNICIPAL GUIDELINES IN EFFEOT ON THIS DATE: DEPTH TO DATE GROUNDWATER 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.anchoragemk.us (907) 343-7904 Waiver Review Worksheet WR#: WR020006 PiD#: 015-202-23 HA#: Permitg: Date Received: 2/7/02 Legal Description: Talus West #1 Block 5 Lot 3 Engineer: Jeffrey A Garness PE. Alaska Water & Wastewater Consultants, Inc. Applicant: Robert Boleriack Waiver Requested: 2 feet from drainfield to lot line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver is Granted: X Waiver is not Granted: ListConditionsorReasonsforabove: SL~E EA/ ~ iA~EE.~ i~- Date: By: Name of Reviewer Rec#: 15683 Amount: $150 Date Paid: 2/7/2002 Municipality of Anchorage George P. Wuerch, Mayor Building Safety. Dix ision P.O. Box 196650 · 4700 S. Bragaw Street Anchorage, Alaska 99519-6650 · (907) 343-8301 h t tp://;x~vw.ci.ancllor age .ak.us 2/11/2002 Jeffrey A. Gamess, PE Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B Anchorage, Alaska 99504 Subject: Waiver Request for Talus West #1 Subdivision Block 5 Lot 3 Waiver Request #WR020006 Parcel ID #015-202-23 Construction Permit Number SW020021 Public Works Dear Mr. Garness: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 2.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Daniel J. Roth Civil Engineer On-Site Water & Wastewater Program Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL MANUFACTURER ,,/¢~,.,F--~/ ,~.-.--/~ MATERIAL INSIDE LENGTH /'d:~~ INSIDE WIDTH LIQUID DEPTH TILE DRAIN FIELD: / / DISTANCE FROM WELL ///~ FOUNDATION ~'~ NUMBER OF LINES /' DISTANCE BETWEEN LINES ./ ABSORPT,ON AREA //"/ y ¢¢ SQ. FT. LENGTH OF EAEH L,NE e~,/ DEPTH OF FILTER tS DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TiLE ' IN. ABOVE NEAREST LOT LINE ~'~ / TOTALoF LINEsLENGTH~/'~/- --,..~, / TRENCH WIDTH ~ IN. TOTAL EFFECTIVE WELL:...)~r~j¢ .¢,~/ '~ TYPE --4./"' ' -~-,¢~- t, C 0 N STR U C T IO N DEPTH DUI LDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION__ LOT LINE SEWER LINE TANK , SYSTEM CESSPOOL__ OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: ~ J/'~'.a~.4¢) 2~ ---1 SEWER LINE DEPTH: PIPE MATERIAL' LOT SLOPE: ~._,_... . M' ~ :'~1~ . Form LQ-OB2 FIF'F'L I CRNT LOC:PT I ON LEGRL PERMIT NO. LIND8 BOLERJRUK L3 B5 TRLUS WEST,' I'"1LI1%1 I £: I PFIL I T. '-~-' OF RI'si CHI3F-:IR~.3E ~?EPRRTMENT CIF HEFILTH FIND ENVIRONMENTFIL PROTECTION '%=; "' L" " _ 8~-._ STREET., RNCHORRGE, 264-4728 EIl"~.l--S I Ti _.~--'-;,Ei-~IER LIPGRR[:,E F'iRf-1 I T SRR BUX t~-,E,, ,.~ 4:¢- .--. E, ~' 9 LOT SIZE 25000 SQURRE FEET TYPE OF SOIL RBSORPTIGN SYSTEM IS: TRENCH MRXIMUM NLMBE~ OF BEDROOMS = 4 SOIL RRTING (SQ FT,-"BR)=;-z~kl'-~- THE RE.]UIRED~ ' SIZE OF THE '=-_,UIL RBSORF'TION '~_~_TEM"~ IS: E:'EF'TH= ::~ LEI"~G TH = 0 GRFt"'.-'E L E:'EPTH= ¢ THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF 8 TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). i~:EL--~IJ ]: RED SEPT I C: TRNI-=:;.=-'-4. I ZE= 125£~ GRLLO~4S PERMIT RF'PLICRNT HBS THE REz, PON--,IE, ILIT¢ Ti] INFORM THI_-, DEPFIRTMENT DURING THE INSTALLBTION IN.=,PEL. TIuNS'- "' - OF RNY WELLS RDJRCENT TO THIS FRLPERT~' ] "FIND THE NUMBER OF RESIDENCES THRT THE NELL WILL SERVE T l---I ,-~ ( z ) I i'-.ISPEC:T I C~I%iS FIRE REQIJ I F-:E [) B~L:KFILLINO OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL B~' THIS DEPRRTMENT WILL BE SUBJECT T0 PROSECUTION. MINIMUM DISTRNCE BETWEEN R NELL RND RNY ON-SITE SEWBGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVBTE WELL OR 150 TO 288 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY RPPLY. SPECtFICRTIONS RND CONSTRUCTION DIAGRRMS PRE BMRILRBLE TO INSURE PROPER INSTRLL8TION. F'ERI'.I I T E.'-"~: F' I RES DECEi"IBER ~::L.. I CERTIFY THRT ±: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS BND WELLS RS SET FORTH BY THE MUNICIPRLIT'¢ OF RNCHORBGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~-: I UNDERSTRN[:' THRT THE ON-SITE SEWER SYSTEM WRY REQUIRE EMLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. S I GNED: ....... _~_~/i .... BPPL I CRNT.=~,tDR BOLERJRI]~ .... 'e ,,,. o I -""]SUED c, ? -.z.-'- -~A ............. ~4 ............, ...... "7' .... "¢ ...... ~ · ~', ON ' r, i;,[ r (DIFCFION iGH SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO. COMPLETION DATE ANTICIPATED NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED· BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY Will BE SUBJECT TO PROSECUTION. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE P~T DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. SEEPAGE PiT · OlAGRAM~OF SYSTEM CAST IRON INTO AND OUT OF SEPTIC TANK AND NTO CRIB CROSSING GAP OF EXCAVATION 5 FEETINTO UNDISTURBED SOIL 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION Municipality of Anchorage Development Services DePartment Building Safety Division O~-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (905) 343-7904 Parcel I.D. 015-202-23 1. GENERAL INFORMATION CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA /¢ or¢o Expiration Date: ~' Complete legal description TALUS WEST SUBDIVISION #1; LOT 5, BLOCK 5, Location (site address or directions) 11795 WILDERNESS DRIVE * ANCHORAGE, AK 99516 Current Properly owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ROBERT BOLERJACK c/o GRANT BOLERJACK Day phone 345-5028 11795 WILDERNESS DRIVE * ANCHORAGE, AK 99516 Day phone Day phone Unlessotherwiserequested, HAA wi#beheldbyDSD~rpickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: individual Well [] Individual On-site [] Individual Water Storage [] Individual Holding tank [] Community Class__Well [] Community On-site [] Public Water System [] Public Sewer [] The MunicipaIity of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and m~y 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. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ f? ar, or prior to closing rot the engineering services I~rovided. 4, STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein, t 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 ALASKA WATER & WASTE'WATER CONSULTANTS, INC. Phone 537-6179 Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 9950¢ Engineer's Printed Name JEFFREY A. GARNESS, P.E. Eng neer's Comments: In conducting this evaluation AWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulation& 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 pefCormance of the system, nor do they guarantee that lhere are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operaliona; requiremenls 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 otber person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE ~ Approved for 3 bedrooms, Disapproved. Conditional approval for __ Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: ~, Manitenance Agreements Supplemental Engineer's Rood Other . (Rev, 12101) Original Certificate Date: Legal Description: A. WELL DATA Well type PRIVATE Date completed Total depth 117 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 6/22/75 TALUS WEST S/D #1; LOT 3, BLOCK 5, Parcel ID: 015-202-23 Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: N/A mg.fL. B. SEPTIC/HOLDING TANK DATA IfA, B, or C provide PWSID# N/A Sanitary seal (Y/N) YES Cased to 4-0+ ff. FROM WELL LOG 6/22/75 85 8 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 3/7/2002 ft. 52 ft. g.p.m. 2.7+ g.p.m. YES YES 12+ in. Tank Type/Material Tanksize 1500 gal. Foundation cleanout (Y/N) YES Date of pumping NEW C. ABSORPTION FIELD DATA Date installed 5//6-7/2002 Length 80' (2@40') ff. Nitrate 1.91 mg./L. Other bacteria __ Date of sample: 3/7/2002 Collected by: *THIS IS A BIOCYCLE TREATMENT UNIT 0 ,colonies/lO0 mL AWWC, INC. *FIBERGLASS Number of Compartments 4- Depression over tank (Y/N) NO Pumper r'BELOW FINAL GRADE) Soil rating Or ft2/bdrm) 0.5 Width 2.5 ft. Total depth 9.o-11.o ft. Eft. absorption area 980 ft2 Monitoring tube YES Date of adequacy test NEW Results (Pass/Fail) - Fluid depth in absorption field before test - in. Elapsed Time: - min. Final fluid depth - Any rejuvenation treatment (past 12 mo.) (Y/N & type) Date installed 3/6-7/2002 Cleanouts (Y/N) YES High water alarm (Y/N) System type TRENCH Gravel below pipe 6.14-+ .ft. Depression over field NO For ,3 bedrooms Water added - gal. New depth - in. in. Absorption rate >= - g.p.d. - If yes, give date - D. LIFT STATION Date installed 5/6-7/2002 "Pump on" level at 50.5 in. Datum BOTTOM OF TANK E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: *THIS IS A BIOCYCLE TREATMENT UNIT. Size in gallons 1500 "Pump off" level at 19.5 in. Cycles tested NEW 100'+ Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Manhole/Access (Y/N) YES High water alarm level at 45 .in. Meets alarm & circuit requirements?. YES On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '2'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS Absorption field Surface water 5'+ 100'+ *WAIVER GRANTED Water main N/A 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 . Date JEFFREY A. GARNESS HAA Fee $ ,.~ Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-474~- CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 0~' ~%o% - -3.~j 1. GENERAL INFORMATION Complete legal description Lot 5i Block 5; Talu~ West Subdivision Location (site address or directions) Property owner Mailing address Lending agency Mailing address Robert Bolerjack 11795 Wilderness D~ve 11795 Wildern~,ss Drive Anchoraqe~ AK Day phone 345-5028 A~tchor~.ge, AK 99516 Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water XXX MUNICtPALiTY OF ANCHO~GE: ENVtRONMENTA£ SERVICE,s dUN ? 0 1996 RECEIVED If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~J25 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/oi' wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structu re indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my inves_ti_gation 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. $ & S ENGINEERING ~ '9 ,~ - ~ ,*/- 7':/ Name of Firm ;7~34 E.;.~;~ ~,;~c, L~-~p Road No. 204 Phone Address Eagle RJYer/A!as~a 995~77 Engineer's signature . - ~'~ Date -C- /'i /~i~-- DHHS SIGNATURE __. Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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 aDove by an independent professional engineer rag istere~ 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 Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-474~R0/'1 Health Authority Approval Checklist Parcel I.D.: LegalDescription:L,;- 3 t3LOC¢ S- -i'da~f ~arF £/D A. WELL DATA Well type ?°R'g~rt Log present O/N) Y ~ 5 Total depth il -? ff A, B, or C, attach ADEC letter. ADEC water system number Date completed 6 [~- x / 7 5'- Cased to ~ O ~4-- Casing height (above ground) Sanitary seal (~/N) Y~ $ Wires properly protected Date of test Static water level Well production FROM WELL LOG AT INSPECTION gpm. WATER SAMPLE RESULTS: Coliform Date of sample: B. ~-~-~OLDING TANK DATA Date installed 6///6/$-~ Tanksize Fou~,dation cleanout ~/N) Date ofVumpi g C. ABSORPTION FIELD DATA. Date installed ~ l~ngth 4 't Width Eff~five ~so~fion ~ t ~ ~ Date ofad~ test 6/~ / Nitrate /. 7 G Collected by: / ~- Depression (Y~ t,t 0 High water alarm (Y/~ Pumper Other bacteria 0 S & $ ENGINEERING 17034 Eagle River Leap Road Eagle Rlvm', Alaska 99577 __ Cleanouts Soil rating (g.p.d./fl2 or~-~ .~ ~o Systemtype 7~e~ cd Gravel ~c~ess below pipe I 3 To~ dep~ Mo~tofing Tube present~ ~ Dep~ssion over field ff~ ~ o Resul~ ~ass~l) ~ S 5 For 3 b~ 6/~ / e 6 Fluid depth in absorpfion field before test (in.); i ~ ' i' *~' ' ~'"~ :t ~. Immediately attar ~ }2gal. water added (in.): ~ ' G '~-" Fluid depth 3 'Y'~/~ .(ins.) Minutes later: ~ ~ Absorption rate = Peroxidetreatment(pastl2months)(Y/N),~.~ /,'.¥o.,.~ Ifyes, givcdate ~- 60 g.p.d. D. LIFt STATION Date installed Size in gallons .._.~---~---~-~-~ Manliole/Access CYfN) "Pump~ "Pump ofF' level at* High wafer alarm level at* ._.. *Datum SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ~olding tank on lot Absolption field on lot Public sewer main Sewer/septic service line ; On adjacent lots : On adjacent lots Public sewer roanhole/cleanout Lffi station SEPARATION DISTANCES FROM~-IOLDING TANK ON LOT TO: Building foundation ID ?- Property line /o t ,,,_ Absorption field Water maintservice line ~-~ Suxfaeewater/dminage IDafy'' Wells on adjaeent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation ~, ,W t ~ Property Line 1o qr Water main/serviee line ~ fi~ ~ ~-- Surface water / o o t ~ · Driveway, panking/vetdcle storage area ,oeD r ,,~ Curtaindrain~- /<~,,o~,o Wells on adjacent lots leo ~- ENGINEER'S CERTI~CATION I certify that I have determined thru field inspections and review of Municipal recorj Engineer's Name /~d~r C. C0~7 ~ Date of Payment ReeeiptNumber /e.3Y ( ~'~)"~7~..~ Rev. 8/95 DSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE~ ,OF HEALTH AND ENVIRONMEN~ Street, Anchorage, Alask~ 279-2511, ext. 224 or 225 PROTECTION 99501 Date Received: June 23, 1977 #2: Time #3: Time Date Date Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska National Bank of the North Mailing Address: Pouch 7-010 99510 Phone: 272-4581 Property Owner: Mailing Address: Loren M. Elgin Phone: % Polar Realty, ~/~ 3. Legal Description: Lot 3 Block 5 Talus West Subdivision #1 4: Single Family Residence: (~ Number of Bedrooms: ~d Multiple Family Residence: ( ) Number of Bedrooms: Well System: Individual well ( ~ Community/Public System ( ) Permit # ~~ Depth of Well Well Log on File Construction Bacterial Analysis ( ) e Sewage Disposal Permit # Septic Tank Size Absorption Area System: On-site System (x) Public Utility Installed ~//'~/~ Installer ~O~ ~ 3~ ~~anufacturer ~~ Ii ~ Soils Rate '~ Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~age ?we ~ Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 3 Block 5 Talus West Subdivision #1 Comments: Affadavit Attached: Approved: Disapproved: ~ Letter Attached: ) Date: Date: Department Worksheet: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 ~ ~,~A Date Received February 6, 1976 l. '~proval requested by: National Bank of Alaska Mailing Address: Post Office Box 3-3859 Phone: 279-2506 x 16 e 4. 5. 6. Property Owner: Gary Candee Phone: Mailing Address: Legal Description: Lot 3 Block 5 Talus We~t S-bdlvi~ion Location: Type of facility to be inspected Well Data: A. Type Singlm Family B. Depth No. of bedrooms C. Construction D. Bacterial Analysis Sewage Disposal System: Onsite system. A. Installed ~C) F~. B. Installer _i~q>[o~- C. Septic Tank:l. Siz~ __~. 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank IIC) , Absorption area , Sewer Lines Nearest lot line I~~ , Other contamination B. Foundation to septic tank ~ , Absorption area ~) ~ci ~ ' C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Legal DeScription Lot ~st for Approval of Individual Der & Water Facilities 3 Block 5 Talus West Subdivision Comments Approved _ _ Disapproved , Date Approv~alid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) l. Approval requested by: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection J:).~'-)O~,~~ Date of Inspection~ REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Mailing Address: 2. Property Owner: ~, 3. Legal Description: 4. Location: ~, 6~ 5. Type of facility to be inspected B. Depth 6. Well Data: A. Type ~ Phone: Phone: ~qq-C~lqCt No. of bedrooms C. Construction Sewage Disposal System: A. Installed <~//~/.~5~ D. Bacterial Analysis B. Installer ~ C. Septic Tank: 1. Size ~ff~ 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines ~c/~ 8. Distances: A. Well to: Septic tank /~. , Absorption area /-/6 Nearest lot line ., Other contamination B. Foundation to septic tank ' , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages .~Page 2 of two pages Legal Description Ist fo)' Approval of~Individual & Water Facilities Comments Disapproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74)