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Home My WebLink AboutMAJESTIC VIEW BLK 2 LT 3Majestic View Block 2 Lot 3 #011-222-35 Municipality of Anchorage Page 1 of. 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 345-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990435 PID Number:. 011--222--35 Name: JEROME LEXER Wastewater System: [] New · Upgrade 4920 BYRD LANE, ANCHORAGE AK, 99515 ABSORPTION FIELD No. of Bedrooms: Ph°ne:~907/( ~' 2¢5--1516 5 nDeep Trench D Shellow Trench ·Bed D~tound ·Other* LEGAL DESCRIPTION ,o,, Poring: (A~opllceflcn4.0,~,) GPa/Sq. ~ T~, De,~ 4.48'~" ~'"°'-- gA=5.29** ,~. Lot: Block: Subdivision; Depth to pipe bottom from original gmd~ Gm.al depth beneath pipe: 3 2 MAJESTIC VIEW 0.65 - 2.75 ~ 0.52 - 0 - 2.1 F~ 15 gra~ ~, .u~: N.mber of line.: Di~tonCeyb.~--n lin.: WELL: [] New [] Up 10 ~ 3 . ~. EAGLE MOUNTAIN EXC. O0 - 1/10/00 ~ ~.1~"~ ~ .., ~ TANK SEPARATION DISTANCES [] se,~r¢ [].oldi., · S.~.~.,. From Tank Field Station Tank ~w.~ U.. *ANCHORAGE TANK 1500 Well 200'+ 200'+ 200'+ -- 25'+ ~'~"': STEEL Number of comper~meMa: 2 Surface Wote~ ~00'+ 100'+ ~00'+ - - LIFT STATION Line 5'+ 10'+ 5% - - 1500I'ANCHORAGE TANK/ORENCO PRODUCTS 'Pump on' ~vel ~ 'Pump off' h~l a~ High w~er Foundation §'+ 10% 5'+ -- -- TIMER TIMER Drain NONEi KNOWNi ' 20 OSI 05 HHF M.O.A. Remerks: * THIS IS AN INNOVATIVE "REACTEX" BENCH MARK SYSTEM WITH A RECIRCULATING SEPTIC TANK BOTTOM OF SIDING ON SOUTH (WITH TRICKLE FILTER) AND AN UPFLOW FILTER. SIDE OF HOUSE. · * ADDED 2 - 3.3 FEET OF M.O.A. APPROVED 100.00 SAND FI LTER. Inspections performed by:. AWWC, INC. Dates: 1st ,/6/2000 ~'"'~"[///2 ~ 2nd 1/7/2ooo " 3rd 1/8/2000 - · -?'/~.t'l r. :..~._.~ ........~. 4th 1/lO/2OOO L~ :./eyre~h~. ~ar~se: De pa rtment of H ealtl~:~_H_u rf)rar~ Se.o~ic~es~ ap prov,a_l ~.. 7..: ~(~?e. '"' d ~L" 795"~'~'"'"" '.~ ~ Reviewed and approved by:~ 7'~ Date:/ /~--~ 't~..,~, ~ore,e,o,"" "°' ~"'~ P~.,T NO~ER; AS BUILT DRAWING PARoEL ,o N~BER; 5W990455 - 011-222-55 BYRD LANE co~ ~.~7 2~.~ t ~ ~ ~1 52.22 26.31 ~ ~ BEDROOM HOUSE C02 54.27 46.2 ~NR BLOWER ~ J r s. ~'~ ~'~ I I,~ ~ ,~co I MT1 25.3 52.01 '//////// N~ LN~ 1500 A B C01 55.37 23.49 ST1 52.22 26.31 MH 43.69 32.81 C02 34.27 46.2 SP 33.1 46.45 MT1 25.3 52.01 C03 26.34 56.79, C04 29.13 58.16 C05 20.2 64.73 MT2 26.5 68.68 C04 29.13 58.16 C05 20.2 64.75 MT2 26.5 68.68 DRAINFIELD S.T.E.P. TANK 6901 DEBARR ROAD, SUITE 25. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: '"'."~ MAJESTIC VIEW SUBDIVISION; LOT 5, BLOCK 2 AS-BUILT OF SEPTIC SYSTEM UPGRADE PREPARED FOR: PHONE NUMBER: 245-1516 JEROME LEXER (907) DATE:l/11/2000 [DP. AWN BY; [SCALE: ipADE: K.D.W 1 = 20' 2 OF 3 ~M~ NU.B~,: AS BUILT DRAWING SW990455 - 011-222-.35 Afl~f I 7520 E. CH~ HEIO~ CIRC~, ~CHO~GE, AK 99504 PHONE: (907) 357-6179/F~: (907) 338-3246 M~ESIIC VIEW SU~DIVISION; kOl ~, ~L0CK 2 ' .. PROFILE ~S-BUIkI OF SEPIIC SYSTEM PREP~EO FOR: PHONE NUMBER: JE,O,~ L[XE, (~07) 2~-1SlS )J~/'.,. : :-~s3 . .."..~ %% · ,. ~ ... '_~ >~ml/11/2000 I~w. ~: lsc~: .~[: K.D.W. N.T.S. 5 OF ~ '~rofess~O~ ~' ~ ~ ~ 7;~PECTION REPORF MId2~CIPALITY OF ANCHORAGE - BUILDING SAFE~ DIVISION 3~00 EAST TUDOR, ANCHORAGE, ALASKA ~ IN~P~GTIO. t~: F~: (~#7)$6~..3464 Fwc: (90~)$43.~t$$ INFORMATION: ~: nLCA~TT~T~T~C ~'~Utr~'U~ 00-7014 h~:~ ,n,~m .:'A/1-~I. ,...~ 4:4~ma ~ L~' 3 M&OCK: 2 [] Con~tims ~ u ~Im~ hel~. [] Do not eom~ unlil ~-~ [] c.o.~ [] C.C.O. atamm~ (~,,,m,mt~ ~Iow). DO NOT REMOV£ Tl-ll, g NOTICE. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Sen/ices Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 995f9-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Dec 29, 1999 Expiration Date: Dec 28, 2000 Permit Number: SW990435 Legal Description: MAJESTIC VIEW BLK 2 LT 3~ Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Jerome Lexer Owner Address: 4920 Byrd Lane Anchorage, AK 99515-1050 Parcel ID: 011-222-35 Site Address: 004920 BYRD LN Lot Size: 9253 SQ. FT. Total Bedrooms: 3 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 notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. Reactex - This permit is for a Reactex Wastewater Treatment System. The attached property owner agreements become a part of this permit package. Date: Date: ALASKA WATER & WASTE VATER CONSULTANTS, INC. 6901 Debarr Road, Suite 2B N Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers December 9, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lot 3, Block 2; Majestic View Subdivision RECIRCULATING UPFLOW FILTER (Reactex) SYSTEM To whom it may concern: 1. GENERAL: The existing 3 bedroom home is served by a private septic system and a public water system. The existing septic system is surcharged and must be upgraded prior to the sale of the house. There are numerous site constraints which are as follows: · The location of the house and driveway · The small lot size · The presence of groundwater · The location of the existing septic system Given these site constraints, we are proposing to install the Recirculating Upflow Filter (REACTEX) system. 2. SOIL CONDITIONS: Two test holes were excavated south of the existing septic system. In TH#l, there is 4.25 feet of fill and than a 1.25 feet organic layer. The soils below the organic layer (at 5.5 feet) are a GM/SM material to depth of 8.5 feet and than transitions to a ML material to a depth of 10.5 feet (bottom of test hole). In TH#2, there is 7 feet of fill/organics. The soils below the organic layer (at 7 feet) are a GM/SM material to depth of 11.75 feet and than transitions to a ML material to a depth of 15 feet (bottom of test hole). At the t/me of excavation of the test holes, no groundwater was encountered; but seven days later groundwater was found to be at 8 feet in TH#1 and at 12.1 feet in TH#2. A percolation test was performed in T.H, #1 between 5.0 feet to 5.5 feet (immediately below the organic layer) and found the rate to be <1 minute/inch. A percolation test was performed in TH#2 between 9.5 feet to 10 feet and found the rate to be 10.2 minute/inch. We are proposing the new drainfield be installed within the 30 foot radius of TH#1. 3. DRAINFIELD: The intent is to install a Recirculating Upflow Filter (Reactex) System that will allow the use of a small drainfield in the area around a 30 foot radii of the test holes. The size of the drainfield will be based upon the previously established criteria for the Reactex systems, which dictates that soils percolating between 1 & 30 minutes/inch have an allowable application rate of 4 gpd/fi2, and soils percolating between 30 & 60 minutes/inch have an allowable application rate of 2 gpd/fi2. Given the percolation rates of <I and 10.2 minute/inch we propose that a 4 gpd/fi2 application rate would apply. We are proposing to install a 10 foot wide drainfield that is 15 feet long that is 5.5 feet deep (remove all organics). We propose that 2 feet of M.O.A. approved sand filter be added and then 0.5 foot of clean, washed, sewer drainrock be added below the distribution line. This corresponds to an absorption area of 150 fi2, or an application rate of 3 gpd/fi2 (assunaing 450 gpd total flow). 4. ORENCO PACKAGE SYSTEM: The STEP tank with the lrickling and upflow filter will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, h~c. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 5. SURFACE WATER: There is no surface water within 100 feet of the proposed septic system upgrade. 6. TOPOGRAPHY: Attached are some photographSthat were taken of the proposed septic upgrade area. As can be seen from the photos, the lot starts to drop offat the edge of the existing lower trench. Even though the slope that is down_hill from this trench is greater than 25 percent, there has been no indication of surfacing effluent. This situation has existed for over 20 years (system was installed on 7/12/78). We are proposing the new drainfield be installed parallel to this slope and all precautionstrwill be taken during construction to prevent any horizontal migration of the effluent. 7. CLOSING: I am open to auy suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on ad :ent wells, or septic systems. If you have any questions, please call us at ~ j337_6179. ~ rn ~., M.S. PresffieSt El LOT 16. BLOCK 1 Il ' MAJESTIC VIEW S/D M~JEST~C VIEW S/D I ~ EMERALD STREET M~JESTIC VIEW S D ~ (PUBLIC WATER) ~ [ BYRD ~NE BEDROOU HOUSE m ~OREUNE ACR~ SE~ON L~ 3 (S~ D~IGN, P~E 2 OF 5). SE~ON L~ 2 ~AS~ WA~R ~ WAS~WA~R CONS~T~S, ~C. ~ (,F~ PHONE: (907) 337-6179/F~: (907) 338-3246 . ~ SITE P~N FOR SEPTIC SYSTEM UPGRABE (REACTEX SYSTEM) ,~ . ... PREP~ FOR: PHONE NUMBER: ",1,, q E-7953 ..." JEROME LEXER (907) 245-1516 vOr~q DATE: )~WN BY: SOA~: PA~E: BYRD LANE NOTE: THE CONTRACTOR t I I i~ 11415 1SA P~(2PO~P SHALL HAVE THE WEST . ~ INNOVAflV¢ ~A~il~ I AND SOUTH PROPERTY I I FLAGGED BY A REGISTERED LAND I i f~rfl¢ ¢Y511~M P~51dN J LINES J SURVEYOR. THE ~ ENGINEER WILL NOT I J ° o I INSPECT IF THE z PROPERTY LINES ARE I ~ [~ I NOT FLAGGED. I t BLOWER IN 'IHE DANAOE.~ I (INSULATE WITH 4. FEET WIDE I BLUE BOARD OVER UNE) 3 fEET MINIMUM aUR~L--~ I EXISTING J ~l 3 BEDROOU EXISTING DBAINFtELD TO '~ HOUSE i ~ J BE'~DO"EDCOMI~EL¥--',~ 1% x 1% ~ J /,~EXS'T1Ng SEPTIC TANK TO I ",L '"--,T --- ,co-/ J% ~' DECK ' ~' r j INSTALL SAMPLE PORT~ -- J ALTERNATE SITE I Ii ~ ~[ i [ f~ LLI ~EI I 'P j PROPOSEB DBAINFIELD. E×CAVATE~ \ \ (SEE DETAIL. PACE ~ OF 5) - REMOVE ALL ORGANICS). ADD \ (SEE DETAIL. PA~E 4- OF ~ .,~TE% o,%,.~,~o.,; O~o,~ ~,D \ CLEAN, WASHED SEWER BRNNROCK. ~--EXISTING DRAINFIELD TO (SEE DETAIL, PADE 5 OF 5). BE ABANDONED COMPLETELY ALASKA WATER AND WASTEWATER CONSULTANTS, INC.~-~r PHONE: (907) 357-§179/FAX: (907) 558-3246 LEGAL DE~CRIP'[[0Nt DESIGN OF REACTEX SEPTIC SYSTEM UPGRADE ti 'REPARED FOR: PHONE NUMBER: F'~',.,j JEROME LEXER (907) 245-1516 ~l~,~ff, /'..._~ ... E~ ''~ )ATE:I 2/2/99 IDBAWN BY: SCALE: PA~E: ~,~e~/.e~.... ......... n\ ~'~ I J.L.M. 1 = 20' 2 OF 5 V~ TO S£P'I1C TANK INLET , i I -- TO ~CKUNG RLTER I-- : -- IIIn' I]_/,.g_ I I1~--------------~ VARIES AIR FLOW FRCM CONRGURA~]ON I: ~iF~' ~i[~- ~ ~ ~ ------ L 'IRICKUNG FILTER -- CAP'~ INSULA'IED FIBERGLASS UD ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~.~.~-'~A~-~'~'~,'~, MAJESTIC VIEW SUBDIVISION; LOT 3, BLOCK 2, ,~ '---H/'/'//" ~ ........ :'"'~ rYPE OF WORK: PLaN ^.D PROFILE OF REC~RCUL~TI.O SEPTIC TANK (R£ACT£X) , _~_~A2~ , ~A~:12/2/99 DRAW. BY: SCALE: PAOE: INLET INCHES DIAMETER INFILTRATOR CHAMBF. R -- OUTLET 10 DA COATED INSIDE & OUT w/'TNEMEC COAL TAR PITCH 4JxS' INSULATION (1~'P.2) DRAINROCK BELOW INLET ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD SUITE 29, ANCHORAGE, AK, 99504 PHONE: (907) 337-$179/FAX: (907) 338-3246 .EGAL DESCRIPTION: MAJESTIC ViEW SUBDIVISION; LOT 5, BLOCK 2, ~'PE OF WORK: PLAN AND PROFILE OF UPFLOW FILTER PREPARED FOR: PHONE NUMBER: JEROME LEXER (907) 245-1516 DATE:I 2/2/99 DRAWN BY: ISCALE: I PAGE: J.L.M. N.T.S. 4 OF 5 JIM CAP OUT TO DRAIN REID OUTLET 4" ABS CLEANOUT EX ~r..ND TO SURFACE I I "- I I FROM ~I.OW ~IL.1~[~ ~_ I I C) I I I I I I --I ~ I I I \ ~ ~ .... = ',0 P~T ~ --- / ~AS~ WATER ~ WAS~WATER CONS~T~S, 6901 DE~R ROAD, SU~ 32. ~CHO~E, ~. 09504 · G~ D~CRI~ON: PHONE: (907) 537-6179/F~: (907) 3~8-3246 ~~ ~..' ' ' . MAJESTIC VIEW SUBDIVISION; LOT 5, BLOCK 2~ a ~ ............. DETAIL OF BED D.AmNFmEL~ (.E*C~EX S~STEM)' ~ ~ ~ ,~.~....~ =REPARED FOR: PHONE NUMBER: JEROME LEXE~ (907) 2.~-lSlS ~OX~I'..~ c~-7953 ..' "~['~ '... .... ..' DATE: 12/2/99 )~WN BY: StoLE: J.L.M. N.T.S. 5 OF 5 o o BYRD LANE EXISTING BEDROOM NOUSE DESIGN* 0£ ~D BLOCK 2 PHONE NUMBER: (go7) 243-151B 1 = 20' 2 OF5 ALASKA WATER & WASTEWATER CONSULTANTS, INC. B~O, DBSARR ROAD. surrB 2B * ANCHO.A~E, AK. 99B04 ~',._'~?,"~'"':, ,' ISOIL LO0 - PERCOLATION TESTI f~,., ,t. ~_r_~,A -..?,~ LEG~AL OESCRIFrrION: MAdESTIC VIEW, LOT ;5, BLOCK 2 ~' ...... l'~ '- . ............. PERFORMED FOR:. OE,OME TEST HOLE ~1 o; ............. DEPTH ~ 1 ~::;"?,'~': I -~'~ FILL ~ ~SlTE PL~ I I t~':'~:!~ Gw ........ ORG -L r'= Ioo' J 3~"~I~:g',~ ~ GP ~ ML BYRD LANE 4 --~.,~. 'g\'~ ,:~~ ,~ GC OL -~- ...... SW MH .~,~.~__~ iI '~<~ - ~: ~ SP CH SM ~ OH 7 OM/SM DEPTH TO DATE - ---- - GROUNDWATER ~ \ :~ DRY 8/3/99\~_£XIsTINo THREE 8.0' 8/10/99 BEDROOM HOUSE ML (TIOHT) 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 12~ ~l~ -"-- 14 17 18 I 19 PERCOLATION RATE <1 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 5.0' FT. AND 5.5* FT. COMMENTS: *IMMEDIATELY BELOW THE ORGANIC SOILS. PERFORMED BY ALASKA WATER · WASTEWATER. I, JEFFREY A, GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON DATE: I ~'/~- / ?~ DEPTH TO DATE GROUNDWATER DRY 8/3/99 8.o' 8/lO/99 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK. 99504 PHONE (907) 337-6179 * FAX (907) 338-3246 I$OIL LO0 - P£RCOI~TION TlrSTI LEGAL DESCRIPTION: MAJESTIC VIEW. LOT 3, BLOCK 2 PERFORMED FOR: JEROME LEXER DATE PERFORMED: 8/3/99 ITEST HOle FILL/ORGANIC GM/SM ML (TIGHT) BOR I'lL CL OL MH CH OH SC DEPTH TO DATE GROUNDWATER DRY 8/3/99 12.1' 8/10/99 DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 8/4/99 PERC. HOLE WAS PRESOAKED 4-+ HOURS PRIOR TO TESTING ---' '- -' -----1------' 4-:00 ---- 6~'' -- 2 4:30 30 2 11/16" 3 5/16' 3 4:30 6' __ 4- 5:00 30 3 1/16' 2 15/16" 5 5:00 -- 6' 6 5:30 50 3 1/16" 2 15/16" PERCOLATION RATE 10.2 (HIN./INCH) PERC. HOLE DIA. 6 .(INCHES) TEST RUN BETWEEN 9.5 FT. AND 10.0 FT. COMMENTS: PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFQ~M~D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: Municipality of Anchorage Department of Health and Human Services 825 "L" Street Rick Mystrorn, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor hltp://www.ci.anchorage.at(.us Dear Homeowner/Prospective Buyer: The on-site wastewater disposal system you are purchasing/installing is an "alternative" wastewater disposal system. This system, known as a "RecirculatingFUpflow Filter Septic System", is undergoing testing within the Municipality of Anchorage under the Alternative System section of the Wasiewater Disposal Regulations (AMC 15.65). There are certain risks involved with the ownership of one of these systems: 1. The technology used in this system has been shown to be effective in other areas. The system is currently undergoing a two year testing period in Anchorage under the guidance of the Department of Health and Human Services (DHI-IS) and the State of Alaska Department of Environmental Conservation (ADEC) to determine its effectiveness in a subarctic environment. 2. The system for this property received a vertical separation distance waiver from both State of Alaska and Anchorage Municipal Codes to ground water. This waiver was granted due to the system's expected performance within the site conditions on this property. I (we) certify thai I (we) have read {he above statements and am (are) aware of the risks outlined. I (we) also certify that I. (we) am (are) i~, the ~process of purchasing (property legal description): (Purchaser Name) (Purchaser Signature) ............ Notarize Here (~6~ff]~- ~7 L~)~'/'~personal. ly appeared before-me, who is personally kno~ to me ~ whose ~dentity ~ proved on the bas~s of WO~j~ whose identity I proved on the oath/affirmation of , a credible witness i~t~]l~i the signer of the above document, and he/she ac~owledged that he/she signed 5"'- - ~.... ......~ My co=ission expires ~IIIltlIlB%~~ p, ROPERTY OWNER AGREF_.aM~NT FOR TRw. MAINTENANCE OF AN ON-SITE WASTEWATF~R DISPOSAL SYSTEM This a~reemen~, da~ed 199._, is made bern,eon ~he Municipali~ of Anchorage Depa~!.?iH Of Health ..ri Human Services (DHHS) and ~/m property own=(s) of: -' This a~reemem is m.,te for ~he purpose of mai-?~i-ing an on-site was~waIer cli.~posal sysr~,m on ~he subjec~ property. Submit to the Municipalky of Anchorage, on an annual basis, an i~spection and operalion statement f~om a registered professio~l en$~neer. This hupeclion aai . operation sra~ment shall verify ~ha~ ~he engineer l~a~ im'pected all effluent and air pmnps, timers, and alarm~, and that any deficiencies have been repaired and ~ the sys~m is func~n;,i as designed. (Prin~ Name) (Prinf~d Name) ........... Notarize Here ........................ State of /U~ On this /z./ day of (~ , ~ e ~rOm~ ~ ~e ~ personally appeared before me, ,~'71~//~__ who Is personally ~o~ ,o .. , ~[,~ ............. ~;~ whose identity I proved on ~he basis of ~ji~ /~Z /~_ -~ .~ ~ whose iden~t=y I provgd on che bach/aff[~=ion of ~ ~ - ~ l = a credible wi=ness of the abov..e_ document, and he/she acknowledged that: he/she si~ed ~/ Nol:a _fy Public ) DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 N-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NO. OF.EORO S ~ Manufacturer ~r~ Material S~ ~( No. of compar tments~ Liq. c~PSltbn~ io ns IF ~ ' DISTANCE TO: Well ~ ~ ~ DISTANCE TO: Well~ ~ , Foundation NO. of lines Len th of each line Total ieng~o~ines ~. ~O inches effective ab~r? ~ Top of tile ~n~) Msterial beneath tile · Total , Length 4( Width ~ <~ ~ Type of~r[~ ~ Crib diamete~ f ~ Cribdepth n(~ Totaleffectiveabsorptio, arAl~ ~ DISTA;;E TO: Well OTHER PIPE MATERIALS 72-013 PERMIT NO. MUN I C ~RL I TV o~ ANC~RAGE · DEPARTMENT~ HEALTH AND ENVIRONMENTAL~0TECTION 025 ~L~ STREET, 8~LIC~T LOCATION LEGAL ON--S I TE DONNIE BRIGGS B¥~'L~E OFF DIAMOND L3 B 2 MAJESTIC VIEW SUB ANCHORAGE, AK. 264-4?20 SEWER PERM I T SRA BOX 1302 Q LOT SIZE 12000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRE~H MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR)= i~ THE REQUIRED SIZE OF THE SOIL ABSORPTION SVSTEM IS: DEPTH= ii LENGTH= 4~ GRAVEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE DUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEETL REQUIRED SEPTIC TRN~ SIZE= 1000 GALLONS PERMIT 'APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF 8NV WELLS ADJACENT TO THIS PROPERTV A~ THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE TWO ( ~ ) INSPECT I GNS ARE REQU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL~ OR i50 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OP PUBLIC WELL OTHER REQUIREMENTS MAV 8PPL¥~ SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I~T EXP I RES DEC:EMBER I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS 8S SET FORTH BY THE MUNICIPALIT~ OF ANCHORAGE. ~ I WILL INSTALL THE SVSTEM IN ACCORDANCE WITH THE CODES~ ~: I UNDERSTAND THAT THE ON-SITE SEWER S~STEM MRV REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS~ · APPLICANT GGS ISSUED BY V1 2 Tob en Spurl land 8155 Cranberry St. Anchorage, AlaSka 99502 Phone (907) 243-5302 April 11, 1978 Donnie Briggs SRA Box 1302-Q Anchorage Alaska 99502 Subject: Percolation test for Lot 3, Bk. 2 Majestic View Subdivision. Dear Sir: On April 5, 1978, two 6-inch holes, 20 feet deep were drilled on the subject lot. Test hole no. ! found inorganoc silt with some inclution of sand a~d gravel. This location is not were good for a septic tank. Test hole no.2, located on the south west cormer &f your lot, foun~ silty sand and gravels suitable for a disposal system. The percolation test for test hole no. 2 resulted in an absorption rate of 15 min. per inch. This means tsar 165 square feet of absorption area is required per bedroom. A two feet wide trench, eleven feet deep, backfilled with 6 feet of washed gravel, and twelve feet long for each bedroom will gi ye you the required area. The attached Soils 2.og Percolatioh Test should be taken to the. Municipality's Department of~viromentalProtection, Sewer and Water Section, 4th floor of the old Providence Hospital building, 825 L Street. You will then be issued a permit where the required installation will he stated. yoUrs _ ~ ~ Tobbe Spm- and MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99502 276-222~ SOILS LOG - PERCOLATION TEST [~/ SOILS LOG [~/ PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 11 13- 14- .15 - 16- 17- 18- 19- 20- DATE PERFORMED: ~'//f~ /7~:~ WAS GROUND WATER ENCOUNTERED? SITE PLAN 72-008 (7/76} COMMENTS PERFORMED BY: PERCOLATION RATE ~ ~) (minutes/inch) Gross Net Depth to Net Reading Date Time Time Water Drop ~, / ?.~ ~ 7~ 7 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 MUNICIPALiTy OF ANCHORAGE ENVIRONMENTAL PF'OT[CTION JUL 3 igTg REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER~/~I~I~/_j~.~L~ DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ~en (10) days for processing. 1, PRO RTYOWNER~ ~ , PHONE MAILING A"[D D ~ Ess cO PROPERTY RESIDENT (If different fror~ above/J 2. BUYER MAILING AD~RE~S -- 3. LENDING INSTITUTION ' MAILING ADDRESS PHONE · 4. REALTOR/AGENT . ~ ~ PHONE 5. LEGAL DESCRIPTION 6. TYPE OF RESIDENCE ' NUMS~R OF BEDROOMS ~ SINGLE FAMILY ~ One ~ Four ~ Other~ ~ Two ~ Five ~ MULTIPLE FAMILY ~ Three ~ Six ,/ 7. WATER SUPPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON:SITE** [] PUBLIC UTILITY '*If individual/on-site, give installation date If system is over two (2} years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. · THISSIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~ INDIVIDUAL/ON -SITE DATE INSTALLED Connection Verified [~Septic Tank or [] Holding Tank INSTALLER Size: /(~a¢~O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line ~ Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR _~' BEDROOMS [] CONDITIONAL APPROVAL (Petter must accompany certificate) [] DISAPPROVED LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete'legal description Lot 3; Block 2; Majestic View Location (site address or directions) Prope~y owner · Jerome Lexer Mailing address 4920 Byrd Lane 4920 Byrd Lane Anchoraqe, AK Dayphone 243-1516 Anchorage, AK 99515 Lending agency Mailin_g address Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well Community well Public water Xx NOTE: If community well system, provide written confirmation from State ADEC attest- ._ lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer . Xx NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~q25 (Rev, 1/91) Froat MOA#21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater d ispos~l, systerp, is.in ordinances, and regulations in eff~SoKnat~eeac~ea~ Name of Firm ~-~ Address Engineer's signature /Jlaska Water Wastewater Consultants, Inc. Shall be PAID $ or prior to, closing for the Engineering Services Provided. ..~hliance with all Municipal and State codes, js inspection. Phone Date //// O DHHS SIGNATURE ~' Approved for -~ bedrooms. Disapproved. Conditional approval for bedrooms, with the folio, wing stipulations: Additional Comments Date I - ,/2 The Municipality of Anchorage Department of'Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICF=~N Environmental Services Division 825 L Street Room 502. Anchorage, Alaska 99501. Health Authority Approval Checklist Legal Description: UA~F_~;TIC VIF'W RURDIVIRIQN; I t~T .~: RK 2 Parcel I.D.: 011-222--55 A. WELL DATA Well type PUBLIC Log present (Y/N) Total depth FROM WELL LOG IfA, B, crC, attach ADEC letter. ADEC water system number~~ Date completed ~ Casing height (above ground) Wires properly protected (Y/N) AT INSPECTION Date of test Static water level Well production WATER SAMPLE RESULTS: J g.p.m. g.p.m. Coliform Nitrate Date of sample: ~ Collected by: B, SEPTIC/HOLDING TANK DATA Date installed 1/7/2000 Tank size 1500 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) YES Date of Pumping NEW Pumper _ C. ABSORPTION FIELD DATA*** THISTo TopIS ANoFINNOVATIVEsAND. REACTEX SYSTEM. Date installed 1/6/00-1/10/00 Soil rating (g.p.d./ff~ or ft2/bdrm) 4-.0 System type Length 15' Width 10' Gravel thickness below pipe 0.52' Total depth *BED 5.25' Effective absorption area 150 SQ FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Date of adequacy test NEW Results (Pass/Fail) For _~s Fluid depth in absorption field before t~st (in.); ~: ;';/~s vateec,;~ ,.p.d. 72-026 (Rev. 3/96)* D. LIFT STATION~ ;: Date installed 1/7/00-1/8/00 Size in gallons 1500 Manhole/Access (WN) YES "Pump on" level at* TIMER "Pump off" level at* TIMER High water alarm level at* 46" *Datum BO'FrOM OF TANK Cycles tested NEW E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: ASb~[~ir~/tiho¢idfii~lgdt~klo~n lot . ~~/~,.~~~ Public sewer main ~ Public sewer manhole/cleanout S~ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10% Surface water/drainage 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 10'+ Building foundation 10' Water main/service line 10'+ Surface water 113(3'+ Driveway, parking/vehicle storage area 10% Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. ENGINEER'S CERTIFICATION Engineer's Nam/ Date andre view of Municipal recor_,~a.~~ms are I certify that I ha,~ in con~ormanT m Signature ~ ~. ~o HAA Fee $. ,....~- ~ 42 Date of Payment Receipt Number A. GARNESS Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* 12/15/99 WED 12:19 FAX 907 345 1650 Distinctive Propertels ent By: Aiaska WateP & Waatewate~ Conau; gO7 338 3246; Dec-15-gg 9:12; ~ 002 Page 3/3 Municipality of Anchorage Department of. Health and Human Services ;r.k My#ttom, 825 "L" Sfreet A~ayo~' P.O. Box 196650 A~chorage. Alaska 99519-6650 Hgal~ ~d H~ ~c~ ~) ~d ~e S~m of~as~ ~p~t of~nm{ (~EO ' ' ' to ~ ~ e~nv~ in a ~c e~o~r. 2. ~ mys~ ~ ~ ~ ~iv~ a v~i~ ~on d~ ~ ~ ~ S~ of ex~d ~o~g~ ~ ~ sim ~n~ on ~s pm~. ~ ce~ ~t [{we) ~ (~) ~ ~he process ofp~ch~g (pru~ N ~ ~ ~ N~) ~ is perso~lly kno~ Co me /~ ~/ ~hose identi;y I proved on the oath/ai~t~;ion to be the signer o~ ~h~ able duc~nt, and ~/she ~ledge~ Ny comuiss:i, on e~ptr.' ~~---. RECEIVED TIME DEC. iS. 12:~8PM